Hridroga Chikitsaa

Reference:
C.Chi.26, S.U.43, A.H.Chi.6, N.R. Hridroga

Introduction:
Hridroga is disease involving the heart. It is of five types as follows:

1. Vaataja
2. Pittaja
3. Kaphaja
4. Saannipaatika
5. Krimija

Precautions:
Heart is one of the Marma and requires special attention when get afflicted. It is Sadyah Praan`ahara Marma, which is a vital part causing death immediately if afflicted by either vitiated Dosha or extrinsic factors like trauma. Though S`hodhana therapy is not contraindicated in heart diseases, there are some situations where these are advised with taking proper care of the heart and the patient. Generally Panchakarma – S`hodhana therapies are not advised but Samhitaa advise use of S`hodhana before commencing S`hamana Chikitsaa. It is imperative that the patient should be monitored closely during the procedure.

S`hodhana in Hridroga:
Vaataja Hridroga Vamana is advised by Sus`hrutaachaarya.
Pittaja Hridroga Vamana and Virechana both are advised.
Kaphaja Hridroga also Vamana and Virechana are advised.
Basti is advised in all the three types of Hridroga.

All these procedures should be done with care as Marmaaghaata (injury to the heart – by internal cause in this case) can occur due to the stress caused during these procedures or by Atiyoga (excessive purification) or Mithyaa Yoga (imperfect purification) of these procedures.

Vis`hesha Chikitsaa:

Vaataja Hridroga –

Vaataja Hridroga Chikitsaa in brief: –

• Vaataja Hridroga is mainly caused due to Vimood`ha Vaata therefore treatment of Vimood`ha Vaata is done taking care of heart.
• Taila (oil) is the best remedy for Vaata hence medicated oils are used internally as well as for external application. Salt and Sour substances are preferred to prepare oils to get Vaataanulomana effect.
• Along with Snehana, Svedana is also advised by Vaagbhat`a.
• Though S`hodhana Therapy like Vamana is contra indicated in Hridroga, in Vaataja Hridroga it is indicated as it is site of Kapha . It should be performed with care and continuous monitoring the status of patient.
• Basti is the best S`hodhana Therapy for Vaata, hence it is also advised by Sus`hrutaachaarya.
• If Trishn`aa is present associated with Aayaama, Stambha and S`hoola, Laghu Panchamoola Siddha Jala or Vaarun`ee Man`d`a or Dadhi Man`d`a (supernatant fluid of a type of alcoholic preparation or curd) or Dhaanyaamla should be given.
• If Trishn`aa is associated with Aayaama, Pramoha and if Agni is in good condition, meat soups prepared with meat of birds like Krauncha, Tittira etc.

Pittaja Hridroga

Kaphaja Hridroga

Tridoshaja Hridroga

It is important to assess the Sannipaata correctly and then to treat the condition, the management of Vaata Pradhaana Saanipaatika Hridroga may resemble Vaataja Hridroga but it is important to keep in mind Sannipaata is the most difficult to treat and especially if the disease in Marmagata.

Krimija Hridroga

Krmija Hridroga Chikitsaa

• The patient should be advised to consume meat and rice with curd and paste of sesame for three days prior to Virechana.
• After following this regimen Virechana should be administered.
• Due to this, Krimi in the heart descend from the heart into Rasa and reach the Kosht`ha from there they are eliminated by Virechana.
• After Virechana, Vid`anga should be used extensively as medicine and in food also.

Aavasthika Chikitsaa:

        S`hoola Chikitsaa

• Obstruction to movement of Vaata aggravates Vaata in Aamaas`haya and produces S`hoola.
• Hence S`hodhana and Langhana Paachana are the choice of treatment.
• S`hodhana should be administered by Moola Virechana which is Teekshn`a Virechana and helps in alleviating Vaata by removing disturbance.

Pathya:
Rasa – Puraan`a S`haalee
S`haaka – Pat`ola, Aaragvadha, Rasona, Hareetakee, Kusht`ha
S`himbee – Mudga, Kulattha
Maamsa – Jaangala Pas`hu Pakshi Maasarasa
Phala – Karmaranga Phala, Kushmaan`d`a, Aamra, Daad`ima, Kadalee
Kritaanna – Mudga, Kulattha Yoosha, Raaga, Khaan`d`ava, Pin`yaaka, Kaambalika, Erand`a Taila, Ajaa, Aavika Takra, Sauveeraka, Madhu, Madya, Puraan`a Gud`a, S`hun`t`hee, Ajamodaa, Dhaanyaka, Maricha, Aardraka, Kasturee, Chandana, Taambula, Saindhava, Sveda, Virechana, Vamana, Langhana, Basti, Lepa

Apathya:
Rasa – Kashaaya, Amla
Gun`a – Guru
Drava – Sindhu Nadee Jala, Aavika Dugdha, Taila, Takra, Ksheera (milk), Dadhi (curd), Gud`a (jaggery), Audaka Maamsa and Aanoopa Maamsa (flesh of animals in marshy area or in water)
Other – Trishn`aa, Chchhardi Mootra, Vaayu, S`hushka Kaasa, Ashru, Pureesha, S`hvaasa Vega Avarodha, Shrama, Krodha, Aatapa Sevana

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Last updated on February 16th, 2021 at 11:29 am