References:
Ch. Chi.16, S.U. 44, A. H. Chi. 16, N.R. Paan`d`uroga
Chikitsaa Description:
The disease in which colour of the skin becomes Paan`d`u Varn`a i.e Ketaki Dhoola Sannibha (Yellowish white) is called as Paan`d`uroga.
It is of five types as below-
- Vaataja
- Pittaja
- Kaphaja
- Sannipaataja
- Mridbhakshan`ajanya
Synonyms: – Kaamalaa , Apaanakee, Laagharaka, Alasakhya, Kumbhaahvyaa.
Saamanya Chikitsaa:
S`hodhana
- Vamana + Virechana
S`hamana
- Kalpa + S`hopha Adhikaarokta Kalpa
Vaataja à Sneha Pradhaana
Pittaja à Tikta + S`heeta
Kaphaja à Kat`u + Tikta + Rooksha + Ushn`a
Mridbhakshan`ajanya à Teekshn`a S`hodhana
Sannipaataja à Mis`hra
Description of Saamaanya Chikitsaa:
The basic treatment of Paan`d`uroga is as below.
- Vamana and Virechana (S`hodhana) should be given after proper Snehana (oleation therapy) with the help of Teekshn`a Dravya. For the same ghee medicated with S`hodhana Dravya can be used.
- For Snehana Kalyaan`aka Ghrita, Panchagavya Ghrita ,Daadhika ghrita, Kat`vara Ghrita.Aaragvadhaadi Gan`a Siddha Ghrita should be used.
- Though Vamana is contraindicated in Paan`d`u Vamana should be administered with Mridu Dravyaa_s should be used according to Des`ha Kaala Prakriti etcare used.(D`alhan`a T`eekaa S.U.44 )
- Pathyakara Aahaara should be given after proper S`hodhana.
- S`hamana Kalpaa_s should be given after S`hodhana.
- Ayas i. e. iron is the best S`hamana Medicine for Paan`d`uroga. Therefore, various Loha formulations should be used e.g. Navaayas Loha, Taapyaadi Loha etc. according to Dosha domination.
- The formulations used for treating S`hotha are also useful in treating Paan`d`uroga.( A. H. Chi. 16/57)
- Laghu Panchamoola Siddha Jala (Decoction of Laghu Panchamoola)or Juice of Aamalkee is used for Dietary regime and to drink.
Precaution to be taken: – In Paan`d`u, S`hodhana should be done multiple times to expel Dosha Situated in Srotas Dhaatu and Aas`haya completely, as the residual Dosha may cause edema.
Vaataja Paan`d`u:
S`hodhana as mentioned above.
The S`hamana medicine should be predominantly Siddha Ghrita (medicated ghee preparations)
Pittaja Paan`d`u:
S`hodhana as mentioned above.
S`hamana Dravya should be Tikta (bitter) and S`heeta (cold) medicines.
Kaphaja Paan`d`u
S`hodhana as mentioned above
S`hamana Kalpa should be Tikta (bitter), Kat`u (pungent), Rooksha (dry) and Ushn`a (hot). Haritakee soaked in cows urine should be used for Virechana.
Sannipaataja Paan`d`u:
S`hodhana as mentioned above.
S`hamana Kalpa should be selected examining the dominance of Dosha at the respected time.
Mridbhakshan`ajanya Paan`d`u:
S`hodhana as mentioned above. Teekshn`a S`hodhana Dravyaa_s should be used by examining Vyaadhi Bala (stage of disease) and Rugn`a Bala (condition and strength of suffering person).
After S`hodhana, medicated ghee should be used to improve strength.
For withdrawal / elimination of the addiction of eating soil, the soil medicated with Krimighna and Tikta (bitter) medicines is used.
Counter references if any
Goudarisht`a i.e. Abhayarisht`a , Madhvaasava , S`harkaraasava, Mootraasava from Kusht`ha Chikitsaa ,Kshaarakrita Aasava from S`hleepadashould be used.In addition, dietthat is suitable and wholesome should be administered.
Pathya:
Rasa- Kashaaya
Gun`a- Snigdha, Anulomaka
Dhaanya- Jeern`a Yava, Godhuma, Bhakta, S`haalee
S`haaka- Pat`ola, Jeevantee, Kshaara, Matsyaakshee, Gud`oochee, Tan`d`uleeyaka, Punarnavaa, Dron`apushpee, Palaand`u, Moolaka, Rasona, Hareetakee, Haridraa, Naagakes`hara, Chandana, Bimbee
S`himbee- Kulattha, Tila, Aad`hakee
Maamsa- S`hringee Matsya, Kukkut`a
Dugdha- Maahisha Ghrita, Godugdha, Ghrita, Takra, Navaneeta
Drava- Taila, Sauveeraka, Tushodaka, Gomootra, Laghu Panchamoola Siddha Jala
Phala- Jeern`a Kushmaand`a, Kadalee(Apakava), Aamara, Aamalakee, Draaksha
Kritaanna- Mudga, Aad`hakee, Masoora Yoosha, S`higru Beeja + Saindhava, Jaangala Maamsa Rasa
Other- Chhardi, Virechana, Yavakshaara, Loha Bhasma, S`hunt`hee, Mand`oora
Apathya:
Rasa- Alma, Lavan`a
Gun`a- Ati Ushn`a, Vidaahee, Kshaara, Viruddha, Asaatmya, Teekshn`a
S`haaka- Patras`haaka, Sarshapa
S`himbee- S`himbee Dhaanya, Maasha, Nishpaava, Tila
Drava- Ambupaana, Dusht`a Jala Sevana, Madya
Other- Hingu, Yava, Pin`yaaka, Dhoomapaana, Chhardi, Mala Mootra Vega Dhaaran`a, Svedana, Maithuna, Pin`yaaka, Taambula, Mrittikaa Bhakshan`a, Divaasvaapa
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Indicated in Vyaadhi Paan`d`u
Effect on Dosha – Pittaghna
Karma Virechana
Chikitsaa Karma Snehana, Vamana and Virechana (S`hodhana)
Last updated on February 18th, 2021 at 11:33 am