विद्रधि चिकित्सा

Reference:
A.H.Chi. 13, S.Chi. 16, C.Su.17, N.R. विद्रधि

Saamanya Chikitsaa:

विद्रधि in primordial stage should be treated as Apakva Vran`a S`hotha and Rakta Mokshan`a should be done frequently.
विद्रधि in stage of suppuration should be treated as व्रण (Bhinna)
In all types of विद्रधि in Pakva /Apakva stage Vidradhi Naas`haka Kashaaya (decoction) should be given combined with S`hilaajitu or Guggulu.
विद्रधि should be treated in Apakvavasthaa (initial stage) and Pakvavasthaa/Paaka should be avoided as it becomes suppurative faster than व्रण hence, it is termed as Vidradhi.

Treatment of Vaataja Vidradhi: – (Aamavasthaa)

Sechana with Brihatpanchamoola Kvaatha
Lepa of Vaatghna Gan`a Sneha
Upanaaha(Poultice) of Audaka / Anoopa Maamsa, Amla Lavan`a Siddha Sneha,Ves`havaara, Kris`haraa.
Rakatamoks`han`a
Siraavedha should be done at Koorpara Sandhi (at Elbow Joint).
Svedana with Dugdha and Paayasa.
Vran`a Ropan`a with Bhadradaarvaadi Gan`a
सौषधं with Trivritadi Gan`a Sneha
Vran`a Ropan`a with Vidaryaadi Trivritta Gan`a Sneha (After Vidradhi Bhedana)

Vaataja Vidradhi: – (Pakvavasthaa)

Bhedana followed by Vran`a S`hodhana and Sechana with Brihatpanchamoola Kvaatha
Vran`a Ropan`a with Bhadradaarvaadi Gan`a, Saalavan`a Taila.

Treatment of Pittaja Vidradhi: –

Sechana with Ksheeri Vriksha Siddha Jala / Kvaatha
Lepa with Yasht`yaadi Kalka, Saarivaadi Kalka
Vran`a Ropan`a with Nyagrodhaadi Gan`a Siddha Ghrita and Manjist`haadi Kalka(After Vidradhi Bhedana)
Seka with Jeevaneeya Ghrita with S`harkaraa, Ikshu Rasa, Dugdha
रक्तमोक्षण
Siraavedha should be done at Koorpara Sandhi (at Elbow Joint).
To pacify दाह and Vedanaa (pain and burning sensation) purgation with Trivritaadi Choorn`a should be administered
Parisheka with Ksheeri Vriksha Kashaaya and Audaka Dravya Kashaaya

Treatment of Kaphaja Vidradhi: –

Rooksha Svedana with Isht`ikaa, Sikataa, Losht`a, S`hakrit, Tusha, Paamshu and Gomootra.
Kashaayapaana
वमन
Aalepa
रक्तमोक्षण with (Alaabu) (Refer: – Alaabu Karma)
Siraavedha in mid axillary line (Vaama Paarshva Kakshaa Stanantarashraya Adhah Des`ha) between Axilla and Mammary gland.
Sechana / Dhaavana with Aaragvadhaadi Gan`a Siddha Jala
Lepa with Saktvaadi lepa
Vran`a Ropan`a with Kulaatthaadi Taila (After Vidradhi Bhedana)

Treatment of Raktaja Vidradhi: –

Same as Pittaja Vidradhi
Siraavedhaa should be done at Koorpara Sandhi (at Elbow Joint).

Treatment of Aagantuja Vidradhi:

Same as Pittaja Vidradhi

Treatment of Kshataja Vidradhi: –

Same as Pittaja Vidradhi

Treatment of Aabhyantara / Antarvidradhi: –

General treatment: –

Snehana
Svedana
Gulma Chikitsaa

Aamaavasthaa:

Vaarun`aadi Gan`a Kvaatha with Ooshakaadi Gan`a Kalka Prakshepa
Ghrita made of Vaarun`aadi Gan`a, Ooshakaadi Gan`a and Vairechanika Dravya_s in morning.
Vaarun`aadi Gan`a, Ooshakaadi Gan`a Vairechanika Dravya_s Siddha Taila should be used for Aasthaapana /Anuvaasana Basti.
Madhu S`higru Kalka + Yathaa Dosha Kalka Avaapa (to pacify the specific Dosha_s)
Yathaa Dosha Kalka Kvaatha added with S`hilaajatu (to pacify the specific Dosha_s)
Guugulu Pradhaana Devadaaru Kvaatha (for Vaatapraadhaanya) or S`hunt`hee Siddha Kvaatha (for Kaphapraadhaanya)
Snehana
Upanaaha
Anulomana
Siraavedha should be in mid axillary line (Vaama Paarshva Kakshaa Stanantara) if विद्रधि is in left side. (S.Sha 8)
Siraavedha should be in mid axillary line (Dakshin`a Parshva Kakshaa Stanantara) if विद्रधि is in right side. (S.Sha 8)

Treatment for Aabhyaantra Vidradhi with Raktadusht`i andGambheeranugatatva: –(Deep situated internal abscess with Vitiated blood)
Siraavedha should be done in mid axillary line (Kakshaa Stanaantara Adhah Desha) between Axilla and Mammary gland in lower side (S. Sha. 8)

विद्रधि चिकित्सा:
In विद्रधि bloodletting is done withthe help of S`hringa etc. adjacent to the region of abscess (विद्रधि) from Siraa.

Treatment of Antarvidradhi:
In internal abscess treatment should be same as गुल्म considering Dosha_s.

Pachyamaanaavasthaa:

विद्रधि situated in Kost`ha when attains Pachyamaanavasthaa protrudes externally, indicating this protuberance as the site of affliction.
Upanaaha should be applied locally to attain Pakva / Bhinna Avasthaa.

Examination of Pakva / Bhinna or Pakvaavasthaa:

Regression of tenderness locally.
Regression of symptoms like burning sensation.
Oozing of the vitiated Dosha_s from the व्रण.

Treatment of Vidradhi Pakvaavasthaa:

Similar to Vran`a Chikitsaa
Allow Pus discharge through (Oordhva /Adhah) upper / lower parts of body to flow off. Vaarun`aadi Gan`a Kvaatha Madhu S`higru Kalka/Yavaagoo.
Management of complications.
After 10- 12 days सौषधं with Trayamaan`a / Tailvaka Ghrita
Tiktaka Ghrita Paana.

Treatment in Raktaja Pittaja VaatajaVidradhi:
Siraavedha should be done at Baahu (at Elbow Joint).
Treatment of Pakva Vidradhi: –
Bhedanao
Vran`a vat Upachaara
Treatment of Pakva Vidradhi Bhinna / Sraavee Avasthaa: –
o       Vaarun`aadi Gana or Madhu S`higru Choorn`a added in Maireeya, Dhaanyaamla, Suraa, Aasava
S`higru Moola Jaala Siddha Sidhharthaka Odana
Yava Kola Kulattha Yoosha.
Tilvaka Ghrita (of Vaatvyadhi)in a low dose.
o       Trivritaadi Gan`a Kvaatha

Treatment of Asthimajja Gata Vidradhi (Osteomyelitis)
SnehanaSvedanaRaktamokshan`aAsthi Bhedana

Treatment of Vidradhi Vran`a –Devoid of Pus and foreign body
Vran`a S`hodhanaVran`a Dhaavana with Tikta Dravya Kvaatha.Tikta Dravya Siddha Ghrita Paana.

Treatment of Majjagata Vidradhi (Sraavi Avasthaa)
Sams`hodhana Dravya_s Kvaatha

Treatment of Stana Vidradhi
Similar to Vran`a S`hotha ChikitsaaSimilar to विद्रधि चिकित्सा

Special precaution:
Avoid Upanaaha.Paat`ana S`hastrakarma is done avoiding Stanyavaha Siraa and Krishn`a Chuchuka (areola)Stana Nirdohana(milk extraction) in all type of stages (Aama Pachyamaana Pakva Avasthaa ) Pathya:

Apakvaavasthaa
Dhaanya- Jeern`a S`haalee, Kulattha
S`haaka- Las`hoona, Rakta S`higru, Nishpaava, Kaaravellaka, Punarnavaa, Naravela,Chitraka, S`hreeparn`ee
अन्य–Madhu

Pakvaavasthaa
Dhaanya- Jeern`a S`haalee, Raktas`haalee
S`haaka- S`haalincha S`haaka, Pat`ola, Karpoora, Chandana
S`himbee- Mudga
Dugdha- Ghrita
Drava- Taila, S`hritas`heetajala
Phala- Kadalee
अन्य– Man`d`a, Peyaa

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Last updated on March 31st, 2021 at 07:25 am