h.a.s.s.’s ayurveda mahavidyalaya,dept.of post graduate...

“na hi jyanenasadrishamkinchitehavidyate”

Fresher’s Day

H.A.S.S.’s

Ayurveda Mahavidyalaya,Dept.of Post Graduate Studies’

Prerana …the inspiration

February 2013 Vol. 1 Issue 6

Dear Readers, World Cancer Day was celebrated on 4th of February. The targets set on this occasion are

Effective cancer control programmes.

Reduced risk factors such as tobacco use, alcohol consumption and obesity.

Universal vaccination programmes.

A better informed public. Improved diagnosis methods. Universally available pain control. Improved training for medical

staff. Better survival rates for cancer

patients. The principles of Ayurveda if adopted properly, will certainly reduce the incidence of this disease. We shall all involve ourselves to implement these targets and help the suffering human beings to lead a quality life.

- Dr.SrinivasBannigol Chief Editor

Editorial

Inside

CLINICAL MANAGEMENT OF

HANDIGODU SYNDROME (HANDIGODU

DISEASE) THROUGH AYURVEDA

INCORPORATION OF PHILOSOPHY IN

UNDERSTANDING DISEASE

IMPORTANT EVENTS AT AMV

Inaugration of Asttitva


CLINICAL MANAGEMENT OF HANDIGODU SYNDROME

(HANDIGODU DISEASE) THROUGH AYURVEDA

Author: DR.PRASHANTH.A.S,Professor

Department of Post Graduate Studies in Panchakarma

Ayurveda Maha Vidyalaya,Hubli

………continued from last issue

PLAN OF TREATMENT

Treatment should commence from the administration of Deepana and Pachana

drugs,ultimate and due consideration should be given to Kostagni,Saamadosa should be

targeted and treated.

Formulations and drugs recommended for Deepana and Pachana

1. Vaishwanarachurna

2. Shaddharana yoga

3. Agnitundivati

4. Amruta arista

The next step of treatment is to target and treat Asthidathugatavikriti. The following

formulations may be recommended for the involvement of Asthidhatu.

1. Guggulutiktaka yoga

2. Abhaguggulu

3. Lakshaadichurna

4. Ketakyaaditaila

5. Bala,Amrutachurna

6. Bala, Amrutakshira

7. Sudhavargadravya (Pravalapanchamruta like yogas)

Vedanasthapaka and ShotaghnaYogas

Sandi shula, Parvashula, Parvabeda, Sthanikasopha, is the commonest finding. Following

formulations may be recommended for these findings

1. Tab. Punarnavadiguggulu

2. Tab. Gokshuraadiguggulu

3. Tab. Amrutaadiguggulu

4. Tab. Trayodashangaguggulu

5. Tab. Kaisoraguggulu

6. Tab. Yogarajaguggulu

7. Tab. Swarnamahayogarajaguggulu


And the suitable Anupana may be:-

1. Maharasnaadikwatha

2. Punarnavadikwatha

3. Rasnasaptakakwatha

4. Dashamulakwatha

5. Guggulutiktakakwatha

Once after, Aamajalakshanas are relieved, and then taila abhyanga over the

Sthanikapradesha, Sarvangasharira can be planned. However in patients directly

reporting with Niraamalakshanas, Tailaprayoga can be directly made. The following

Sneha/Tailayogas can be recommended for Bahyaprayoga

1. Kottamchukkaditaila

2. Vishagarbhataila

3. Mahavishagarbhataila

4. Karpuraaditaila

5. Murivenna oil

6. Parinetakeraksheerataila

7. Panda taila

Scope of Panchakarma Treatment in Handigodu syndrome

After understanding the clinical aspects of Handigodu syndrome it can be said that

Panchakarma line of treatment is having a wide scope in improving the quality of life

among the suffering victims. It is useful to improve the rehabilitation status, which is

preventive and curative also. In the following way the Purva karma, Pradana karma,

and Paschat karma can be planned.

1. Amapachana

2. Snehapana with Guggulutitakaghrta/ Indukantaghrta/Karsakaraghrta for 3-

7days.

3. AbhyangaSarvangasweda for 3days

4. Virechana with Erandataila/ Gandharvahastaaditaila/ Nimbaamrutaeranda/

Nirgundieranda/ Erandasukumara.

5. Samsarjanakrama and Vishranti.

The plan of Peyaadikrama (Samsarjanakrama) is made according to the Shuddhi

achieved by the patient and pradhana, madhayama and avarasudhilakshanas has to be

observed, proper dietary planning should be made for Agni balavardhana.


Basti in Handigodu Syndrome

There is a wide scope for the basti karma in the clinical management of

Handigodu syndrome.Basti being an important vataharachikitsa, and basti is also

advised for the rectification of the doshas seated in Asthidhathu, is useful as tarpan of

Asthi (ksheerabasti).The rogaafflicatingmadhyamarogamarg is also treated by basti

karma.

SAGHRITHA KSHEERA BASTI

1. Guduchyadikashayasidhaksheera

2. Gugguluthikthaghritha

3. Madhu

4. Saindhava

5. Kalka(shathahva)

Sidhaksheerabasti in yoga basti or in kalaBasti schedule

The ksheeraBastikalpana can be modified according to the need

1. Manjishtadiksheera

2. Kethakyaditaila or Madhuyashtitaila

3. Madhu : saindhava

4. Kalka (sathahva and Balamoolachoornam)

SPECIALISED PROCEDURES

Since Dhatukshayavatakopa involvement of Asthisandhi and lakshanas of

khubjatva are observed specialized procedures like patrapindasveda ,pizhichil

(kayaseka , shashtikaSalipiundasveda ,dhanyuamlaparisheka) upanahasveda and

abhyangaksheerabashpasweda may be recommended according to the need.

Other shaman yogas

1. Rasnadichoornam

2. Aswagandhachoornam

3. Sudhaguggulu

4. Lashunadivati

5. Tab Kokilaksha

6. Ksheerabalataila 101


RASAYANA

Rasayanachikitsa is aimed as a preventive as well as curative recipe, rasayana

yoga can be recommended in vatatapikavidhana,rasayanachikitsa is very much useful

in improving the nutritional status of the patient.

The following yogas may be recommended:-

1. Chyavanaprash

2. Aswagandhaavaleha

3. Amalakirasayana

4. Swarnamalinivasantha

The schedule of Panchakarma procedures like Basti karma, Abhyangaswedana etc.,

procedures are repeated as per the need.

EXTABLISHMENT OF AYURVEDA TREATMENT CENTRE

In the Handigodu syndrome affected area, an independent hospital setup with

well-equipped Panchakarma theatre, rehabilitation center can be established for the

benefit of the patients.

Separate sections for male and female patients along with the well-trained

panchakarma therapist should be posted for this ayurveda treatment centre the therapy

should be conducted under the observation of a qualified Ayurveda physician. For the

Samsarjanakrama and to advice Pathya during the course treatment a kitchen providing

essential pathyakalpana and peyadivarga has to be designed.

Outpatient Ayurveda Panchakarma therapy has to be started in the nearby

Community medical centre, Primary health centreand Taluk hospital

HASSAyurveda Mahavidyalaya Hospital, Hubli has been working for the last 58

years consisting about 200 bed with post graduation courses in 3 clinical branches

namely Panchakarma, Kayachikitsa and Shalyatantra, has taken interest in providing

the essential treatments for the Handigodu Syndrome affected Population.


Incorporation of philosophy in

understanding disease process – The

Ayurveda way

Authors: Dr.K.T.Jayakrishnan*

Dr.Paritosh Bhatt** …….continued from last issue

Disease is a state of dysfunction of any system of the body. Function is the result

of movement and its failure is attributed to vata. This is created because of the

structural weakness in lack of assimilation of nourishment. Generally the nourishment

is Snigda ,Sita dominated which is nothing but Kapha,and assimilation is done by

Ushna nature of Pitta which breakdown the food into assumable form. Hence the

healthy state of the body is reflected by Snigda, Sita and Agneya properties. In such a

healthy state the movements become very smooth and functions take place without any

friction.

This state of Snigda,Sita, Agneya properties have to be continuously

maintained to sustain health in all organs which are made up of dhatus. These

properties have to be supplied and maintained from the kosta where the preliminary

breakdown of food takes place. In any form of digestion Koshtam will maintain the

madhura, Amla and Katu nature implying the properties of kapha, pitha, vata in

different parts of the Koshta.It is based on the maintainence of these states in the koshta

at the optimum level, that similar states can be maintained / supplied to the entire

structures of the body. If there is a domination of katu vipaka in this koshta, that will

reflect too much of dryness and movement in the koshta. After a long period of time the

same properties will be dominating in dhatus and organs. Then we claim that vata is

spreading from “koshtad sakhasthi marmanam”.

This state of dryness or roughness is a weakness as far as an organ is

concerned since it is opposite to the natural state i.e snigda, sita of the body. That will

gradually induce dysfunctions in different systems and then that is termed as diseased

status.In small disease the dysfunction due to vata will be more serious and that may be

happening because of pitta and kapha nature. If this weakness / dryness in the koshta

is managed properly it will lead to similar atmosphere in dhatus. If it is not managed

there the madyama roga marga will be affected with similar atmosphere. This is the

subtle or deepset part and hence dominated by vata. If this part is dried or weakened its

dysfunctions will be dominated with loss of movements( major or minor) which is main

function of vata. Then only it is termed as VATAVYADHI.


In any disease weakness / dryness is created in the structures either due to

lack of nourishment, (Ruksha Aharas ), lack of assimilation or due to the accumulation

by kapha. All these states are resulted according to how kapha, pitta, and vata are

maintained in the koshta. Disease are named differently according to the different ways

it creates dysfunction in different systems in the body. Few examples have been given

as major diseases as affecting Koshta, shakha, and Madhya roga margas. All these states

vata symptoms / dysfunction are more significant. These dysfunctions themselvels

become the main symptoms of the disease,there it is a vatavyadhi.

Koshta,sakha and asthisandhi are the normal routes for the nourishment

which will have reflections of panchamahabhoothas ie three doshas. So kapha, pitta,

and vata are first formed in the koshta and then migrate to dhatus on a regular basis.

The dhatus form organs and gain functional importance, hence become Asthi sandhi or

marmas. These routes have been constantly nourished to ensure a smooth conduction /

movement throughout the body. Any structural weakness in such areas will result in

restricted movements of gross structures in the body. Direct manifestations of such a

state is known as Vatavyadhi, all other diseases also will be moving towards such

situation if they are not properly dealt with. Few typical vatavyadhis are explained in

samhithas as an example only, definitely more number and varieties of vatavyadhis are

treated by physicians.

Diseases are explained from Jwara to Vatavyadhi and then Vatarakta which is

also a vatavyadhi with degeneration induced by Raktha. This will be clearer if we try to

analyze what is happening in Diabetic stroke (Prameha – Vatavyadhi). Prameha is a

state of the body where more kleda is formed during the transformation of dhatus. All

dhatus are kapha dominated and prominently snigdha in nature. During process of

normal transformation, Snigdha content is changed into next dhatu and the by product

of this transformation is also a snigdha content, called kleda which has to be excreted

through urine, since it is an unwanted state of snigdha. This state of kleda is more

produced, the healthy state of snigdha content in the dhatus is less produced in

Prameha, due to various factors capable of producing similar kleda atmosphere. In the

initial stages the formation of kleda will be the main factor to deal with and this state is

known as kapha dominant. This is not going to create any major difficulty because

kleda is a waste of snigdha which is satmya to the body. After some years kleda gets

less important as gradually there is deficiency in snigdha nature or ruksha nature gets

dominated, hence the nature is known as vata dominant.This vata dominant

atmosphere can spread from dhatu to any other organ which is a part of madhyama

Rogamarga. If it is affected with same level of ruksha atmosphere, at one stage it will

result in a total dysfunction or movement and results in Vatavyadhi.


In this Vatavyadhi will be more important and Prameha less important. This explains

the way in which we will be evaluating the pathogenesis of Vatavyadhi and it will have

a definite role in the scheme of things as far as the management of stroke is concerned.

Since diabetic stroke is a prevailing condition the above understanding is

reasonable. All other diseases, right from Jwara have a similar effect on the body.

Especially diseases such as Gulma, Grahani, Arsas, Atisaram etc are having their main

impact in koshta. The vata atmosphere is more prominent in the koshta in the above

conditions and if they are not managed properly, the vata atmosphere will have to

spread to dhatus and Madyama Rogamargas. It will ultimately lead to vata dominant

atmosphere in madyama Rogamargas to have a Vatavyadhi, whenever body is strained

too much. This understanding of Vatavyadhi will help a lot in differentiating the

Vatavyadhi and accordingly in making different programs for the same disease in two

individuals for the effective management.

Briefly speaking, the snigda, sita atmosphere of the gross structures is maintained by

usna, snigda nature on one side and sita, ruksha nature on the other side. Once the

snigda nature is emaciated it is a weakness for the structure or Vata. If the vata

prominent parts are dominant with such atmosphere it may result in a dysfunction with

regard to a major movement and then it is known as Vatavyadhi.

The Snigda sita atmosphere of the body (Madura) is gradually turned into ushna

Snigda nature( Amla) and later into ruksha sita nature ( kadurasa). Acute state of this

kind of change is known as Jwara and all other diseases this process is repeated.

Vatavyadhi reflects the emaciated nature of dhatus and Madhyamarogamarga, and its

management will be a programme to reverse the emaciated state. Since, emaciation is a

state attained over a long period of time through different ways for different persons.

As samprapti vighatanam is the treatment, the programme to achieve this wiil be

different in the same diseases. Once we clear the way by which the emaciation was

effected, then the induction of sneha dravya will be an easier programme. Over all

understanding of the background atmosphere is more important because rest of the

part is almost same for all individuals. The state where we can directly induce

snehadravya has to be achieved and that state is known as Kevalavata. Management of

vata dosha is described in sootrastana as Snehanam, Swedanam, Sodhanam etc.

Same programme is further elaborated in Vatavyadhi chikitsa and in the context of

different diseases, many variations of these treatments are explained. What exactly

happens when snigda dravyas are introduced. Snigda is indicated because of two

reasons 1. In Vatavyadhi snigda guna is reduced and naturally ruksha guna is

prominent and to relieve it snigda has to be induced. 2. To maintain the normal state of

snigda nature of the body, a normal person also can undertake this therapy.


Vatavyadhi will reflect ruksha and sita properties and sita nature will create

constriction (stambanam) because of which srotases will be partially closed.

*Former Principal, SJS Ayurveda College, Chennai

** PG scholar, Dept of Rasa Shastra, AMV, Hubli [email protected]

Events at Ayurveda Mahavidyalaya, Hubli

Asttitva – A workshop on synopsis and dissertation writing

The institution has come up with yet another fruitful workshop

on synopsis and dissertation writing. 9th and 10th Jan 2013 were

the dates when the best brains were gathered under the umbrella.

Dr.Prashanth Kumar Jha was the chief guest. Dr.Akash

Khambavi, Dr. Suhas Kumar Shetty and Dr.Madhav diggavi were

the key speakers for the scientific sessions. We emphasized on

giving more time to the speaker, providing more dialogue

between the presenter and the delegates. Dr.R.N.Joshi has

formally inaugurated the workshop.

Fresher’s Day Celebrations for New PG Scholars

Institution welcomes fresh PG scholars. On Jan 10th 2013 we all have

formally welcomed our new friends to the respective departments. With

the presence of two eminent personalities of the city, Dr.R.N.Joshi and

Dr.Bharat Kshatri, we received kind blessings in the form of their

intellectual speeches. The activities and future plans of various

departments were presented in the form of PPTs and videos, which were

very well accepted.


To,

Chief Editor – Dr.S.K.Bannigol

Editor - Dr.M.A.Hullur

Dr.A.I.Sanakal

Dr.B.B.Joshi

Dr.J.R.Joshi

Dr.A.S.Prashanth

Co – Editors - Dr.Paritosh Bhatt

08867271306

VijetaTalikoti

Published by,

Dept. of Post Graduate Studies

Ayurveda Mahavidyalaya

Heggeri Ext.

Old Hubli

Hubli - 580024

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Contact:

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Email: [email protected]

Dear readers,

We are celebrating one year of Prerana. The special issue is scheduled in April 2013. We request you to kindly contribute your esteemed intellectual work for the special issue. Also, we request our members to renew their subscription.

- Team Prerana

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