Shata dhouta ghrita- A simple medicine You can prepare Having multiple utilityPosted onApril 30, 2014byDr.Krishnamurthy2 commentsShata dhouta ghrita is nothing but the Ghee washed 100 times in clean water. Even though it looks simple thing, but it has got great therapeutic value. According to the purpose and to gain additional therapeutic properties, instead of water, decoction of Vata (Ficus bengalensis), Udumbara (Ficus glomerata), Plaksha(Ficus laccer), Ashwattha(Ficus religiosa) and Parisha(Thespecia papulinea) can also be used for washing the ghee which is believed to be contributing additional benefits.Ayurvedic classics emphasize to use the broad mouthed bronze vessel for this preparation.It is considered as best Pitta pacifying agent and effectively used in different conditions. External applications: It is used in burn wounds like when part is exposed to hot liquids, bike silencer etc. It helps to relieve the burning sensation as well as it promotes the healing of ulcer. Application is made in case of burning sensation and aching of limbs in diabetic patients due to neuropathy. Applied over scalp region in case of reduced or disturbed sleep and hypertension to getsoothingeffect. It is used in case of fissure in ano. In case of Visarpa (herpes), to reduce its burning sensation applied over the lesion. It is used in Pitta dominant mouth ulcers. It is applied over the eyelids in burning sensation of the eyes. It is effectively used in the management of nonspecific giddiness by applying over the head region. In case of high fever it is applied to palm, sole and forehead region. It is used alone or along with turmeric powder in case of honeybee bite, ant bite, scorpion bite etc to reduce pain and burning sensation. It helps to relieve acute stage of swelling, hematoma etc due to blunt injury.So it can be used as first aid treatment in these conditions. In case of chicken pox and small pox it can be applied all over the body. In case of Burgers disease, Raynauds disease, Gouty arthritis used for application It can be used in dry skin and if applied to the face it smoothens the skin and wrinkles are reduced. Internal administration: In case of dysuria or burning micturition 1 tsf of Shata dhouta ghrita is taken along with milk. In case of reduced sleep, 1 tsf of ghrita is taken with Amalaki juice (Emblica officinalis) or milk In case of giddiness it is taken along with milk.

Nasal Bleeding : Simple And Effective ways of Management One must KnowPosted onMarch 20, 2014byDr.KrishnamurthyOne commentNasal bleeding or epistaxis is a common condition, especially seen in younger age group. It may occur in a single nostril or in both. All of a sudden there will be bleeding from the nose and is usually painless.Causes: Trauma due to external accident, repeated nose picking, foreign body in the nose like maggots, buttons, peas, purls etc. Due to infections like acute rhinitis, leprosy, tuberculosis etc. Long term suffering from hypertension, anemia, kidney diseases, Vitamin K and C deficiency, bleeding disorders etc. During puberty, pregnancy, menstruation etc. Due to exertion or severe excitement. Exposure to too much of heat or cold. Some fevers like typhoid, mumps, measles etc. Some anatomical deformities such as deviated nasal septum etc.First aid in nasal bleeding: By seeing the blood, should not become panic and should remain peaceful. The excitement increases the bleeding. Move away from the fire etc hot area and from extreme cold locations. Press the front soft part of the nose for 5 to 15 minutes. A clean cloth is immersed in cold water or covered with ice cube and kept over the nose. The head is kept straight or slightly stooped forward to avoid the entry of blood into the throat may cause nausea or vomiting. Avoid forceful expulsion of nasal contents. Dont go for nasal packing. It may lead to further damage to the nasal mucosa. Packing should be done only by a skilled person.Treatment measures:For nasal administration Sugar is dissolved in the milk and instilled 2 to 3 drops in each nostril. Juice is extracted from Pome granate flower and 2 to 3 drops instilled to each nostril. Juice of Durva ( Conch grass) is instilled to each nostril of about 2 to 3 drops. Juice of the Onion is extracted and about 2 to 3 drops is instilled to each nostril. Juice is extracted from the Amalaki fruit (Emblica officinalis) and 2 to 3 drops instilled to each nostril.Different other treatment measures Amalaki fruit (Emblica officinalis) crushed and fried in ghee and is applied to head region. Date fruits are made into a paste and mixed with honey. About 5 gram is advised to lick for 3 to 4 times a day. Durva(Conch grass),tender leaves of Vata (Ficus bengalensis) and honey are crushed together and advised the patient to consume about 5 to 10 gram for 2 to 3 times a day with milk. Paste of Udumbara fruit (Ficus glomerata) and honey is licked about 5 to 10 gram 2 to 3 times a day. Decoction or juice of Vasa leaves (Adatoda vasika) is prepared and taken along with honey. Decoction prepared with Dhanyaka (Coriandrum sativum) and Amalaki (Emblica officinalis) is to be taken about 50 ml twice a day.Note: Above said measures can continue for 2 to 3 weeks. Usually, by this time the condition is cured. If there is no improvement or if the frequency and quantity of bleeding increases or persists, it is better to evaluate the cause and location of bleeding. So consult the physician and it may require cauterization, ligation etc procedures. This article is contributed byDr A G Ravishankar MS(Ayu),Consultant Ayurvedic surgeon and Professor,Alvas Ayurveda Medical College,Moodbidri,Karnataka.Banana: Multiple Utility And Effective Simple RemediesPosted onMarch 7, 2014byDr.KrishnamurthyLeave a commentBanana is a well-known fruit and it is the fruit which is having maximum history. Secondly, in worldwide also, next to apple, this has gained popularity. Even though grapes, orange, pomegranate, berries and pine apple are in wider appreciation, banana is the fruit which is accepted by all the age group, throughout the world. The reason is also quite clear that, it is having maximum sub varieties. But Ayurveda refers Kadali, only for the species which give smaller fruits, possessing the smell of ghee or cardamom and with thin outer skin/peal. But now-a-days, by the word Kadaliphala,Mochaor Rambhaphala, all kinds of banana fruits are recognized. Anyhow, discussion of the varieties of banana is beyond the scope of this write up.As mentioned earlier banana is known as Kadaliphala, Rambhaphala or Mochaphala, in Sanskrit and in Hindi it is called Kelaand its Botanical name isMusa acuminata,Musa balbisiana,Plantain is another name of banana plant.Whenever the matter of laxatives appear, the immediate fruit generally comes to our mind is banana. Yes, it is well-known for its laxative and anti-flatulent effect. But, in recent days, due to the effect of excess of sugar content, use of banana fruit is restricted in the world, as we find significant increase in the number of diabetic patients worldwide.In Ayurvedic literatures as well as in practice we find few important formulations derived from banana. They are not taken from banana fruit; tubers are usually used in this regard. They are-1. Kadalikanda rasayana2. Kadali kalpa3. Mochadi yoga4. Rambhaprasoorana yoga(inflorescence) etc.Here are few important, simple and effective remedies of banana 1.To Gain WeightWell sliced banana (60 gram), 200 ml milk or coconut milk, 10 gram sugar candy or jaggery and 1-2 cardamom (powder) are taken and mixed with one after the other. When it is dense, slight ghee or honey (according to ones liking) is added and taken. Preferably, this is advised to take during evening, before going to bed. 30-40 days regular practice of this simple recipe act as a very good nutritive enriches body strength and improves the weight.2.For Chronic Allergic Rhinitis And Eosinophilia2 banana fruits are taken and its outer peal/skin is removed. Gently, a vertical hole is made and a fruit of pippali (dry) or long pepper or 1 gram of pippali powder is placed inside. Further, it is wrapped with the respective banana skin. During night time, this is placed over terrace or ground and allowed to expose to the moonlight (be cautious; it should be out of the reach of birds, flies and animals). Next day morning, this is taken, early in the morning in empty stomach. The person is restricted to take any kind of beverages or food there after at least for 45 minutes. This is repeated 2-3 days regularly in a week, for 4-6 weeks. Preferably autumn season is recommended for this.In Maharashtra, this is very commonly used as folklore practice too. It is found to be very effective in cases like chronic allergic rhinitis, eosinophilia etc.3.For Acid Peptic DisordersThe inflorescence of banana is taken and its fresh juice is obtained. Slight sugar candy is added to this and taken daily, before food. 10-15 ml dose is sufficient for adults. In younger age group 5-10 ml is administrated. This pacifies acid peptic disorders very effectively.4.For Urinary Calculi and Hyper CholesterolPlantain tuber (middle part of the stem of plantain) is taken and cut into pieces. Later, fresh juice is obtained from this. 50 ml of the juice is taken daily for 30-40 days. It helps to check the repeated manifestation of urinary calculi and reduces total cholesterol significantly.5.For Leucorrhea And FatiguePlantain bulb (tuber) is taken and washed thoroughly. Its fresh juice is taken. 20-30 ml of juice is added with teaspoon sugar candy and 5 ml of ghee and taken daily, early in the morning. This helps to reduce the complaint of leucorrhea (white discharge), fatigue etc.6.In Gastric UlcersPlantain leaf is taken and burnt. 2-3 gram of this ash is mixed with teaspoon of honey and taken twice or thrice in a day, after food. This reduces the gastric ulceration and pacifies the complaint of GERD (Gastro esophageal reflex disease) too.7.In Reduced Bulk of Bowel1 or 2 well grown banana(not ripened) is taken and cooked well with water. During cooking slight salt is added. To this little curd or buttermilk is added and macerated well. This is served during the food (as side dish).5-10 days regular practice of this help to increase the bulk of the stool.Before downing my pen, I want to say-Simple plant and fruit banana possesses a lot of health benefits. Taking the food in plantain leaf is practiced since the time of yore. It is better to incorporate these simple remedies in our day to day practice.Posted inAyurveda,health tips,Home remedies tagged withbanana,For Acid Peptic Disorders,For Chronic Allergic Rhinitis And Eosinophilia,For Leucorrhea And Fatigue,For Urinary Calculi and Hyper Cholesterol,In Gastric Ulcers,In Reduced Bulk of Bowel,Kadali phala,Mocha,Musa acuminata,Musa balbisiana,Plantain,Rambha phala,To Gain Weight

The Doctors Day: Patient and DoctorPosted onJuly 1, 2011byDr.KrishnamurthyLeave a commentWhat a doctor seeks from a patient?Be a good patient to get good treatment1. Full case details of his sufferings2. Full details of medicine intake (Previous medication)3. Mental and physical work/nature of work4. Occupational status and work condition (in support to illness)5. Family status and condition (in support to illness)6. Details of food and habits7. Social concerns (in support of illness)8. Surgery if any9. Allergic reaction, sensitivity, intolerance etc towardsmedicine/medication10. Personal abuses11. Report of past illness (in support of previous illness)12. Economic status (in support of previous illness) so as to decide the safety& efficacy of the drugs to be administered13. Details of Insurance/Securities if any14. Any other matter in support of the illness15. Affordability of fees (Except in charity hospitals/clinics)16. Sincerity and regularity in medication17. Time to time reporting of health status18. Proper follow up/ health check up19. Humbleness20. Cleanliness21. Respect towards the profession. What a patient seeks from a doctor? Doctor: Be an ear to the painful history of the patients1. Atmost sincerity in diagnosis and treatment2. Dedication in medication3. Confidentiality of the illness/particulars4. Friendly nature5. Ethical review of the patient6. Affordable fees, investigations and medicaments7. Promptness8. Discipline9. Cleanliness10. Personal respect11. Identification by name/Familial (Friendly) appearance12. Boldness/Courage in the treatment/handling13. Good appearance and presentation14. Keep interest in the treatment and follow up visits15. Humbleness16. Courtesy towards illness (Usually, undesired rarely)17. Responsibility in handling the incidences18. Easily /quickly approachable19. Quite pleasant atmosphere/surrounding of hospital /clinic20. Ever loving and caring doctors team21. To listen his sorrow and painful history.Posted inGeneral tagged withdoctor's day,good doctor,good patient,patient and doctor

Ayurvedic texts emphasize the utility and importance of every routine of beings. Starting from waking up in the early morning (pratarutthana in Brahmi muhurtam) till going to the bed, what a person has to do, what is the health benefit of such an action, when it has to be carried, how it is to be carried, what are the adversities if they are improperly or untimely carried etc are furnished in each step of the day and nights.It is quite interesting to know the benefits of bathing, as per the Ayurvedic texts.Benefits of bathing:Bathing contributes following benefits-1) Dipana (digestive)2) Vrishya (aphrodisiac)3) Ayushya (prolongs life span)4) Oorjaprada (immunogenic/ vitalizer)5) Balaprada (strengthener)6) Kandoohara (subsides itching)7) Malahara (pacifies body morbidity)8) Shramahara (subsides fatigue / exhaustion)9) Swedahara (decreases perspiration)10) Tandranashaka (subsides drowsiness/ lethargy)11) Trit prashamana (decreases the thirst)12) Dahashamaka (pacifies the burning of the body)13) Papanashaka (helps to overcome the sins)Rationality behind these effects:1) Dipana (carminative)Due to the cold water bath, the warmth of the body moves inwards (towards stomach and intestine). As the sum total of the warmth (ushnata) get increased, the individual will feel good appetite, after bath.What a tremendous idea and nationality our Acharyas have given!2. Vrishya (aphrodisiac)The word Vrishya refers to the ability or efficiency in the sexual act. It is the general belief and scientific idea that, when the mind is calm, free of stress, and cheerful naturally, the individuals sexual performance is get increased. Good body odor generated due to bathing further enhances the stimulation to the spouses. It helps one to open up for the responsesand hence the total sexual play becomes longer, effective, closer and satisfies one.A brilliant idea Acharyas have given!3. Ayushya (prolongs life span) Refreshing means cell regeneration and revitalization. Daily refreshment helps in the replenishing of the tissues. This gives life to the beings and hence prolongs the life span.4. Oorjaprada (immunizer) Bathing helps to purify the body. Hence it prevents the invasion of the micro organisms due to the good hygiene. Hence bathing acts as a way of immunization (daily immunizers!).5. Balapada (strengthens) Due to the work often the skin and muscles lose their firmness and hence working ability of these will be reduced significantly. Bathing helps to re-establish the muscle tone and firmness/intactness of the skin.6. Kandoohara (subsides itching) -As the bathing opens up the sebaceous glands,it clears the morbidity and hence tha chances of itching is rectified.7. Malahara(subsides morbidity) Bathing helps to remove the dirt and morbidity. Thus it reduces the accumulation of any of the exogenous as well as endogenous morbids.8. Shramahara (pacifies exhaustion) Tiredness decreases the working capacity of the individuals. Face wash, sprinkling the water over the body parts or bathing are helpful to reduce the exhaustion by strengthening the muscles as well as replenishing the nervines.9. Swedahara (subsides sweating) The work usually librates much sweat on opening up the sweat pores. When the cold water or lukewarm water is used for bathing the sweat pores are cleaned well; later, the openings are going towards their natural porosity. Thus there will be considerable reduction in sweat, once after bathing.10. Tandrahara (subsides drowziess) As bathing gives freshness, it reduces the stress and strain caused by work. Also, the heaviness or dullness caused due to excess of sleep, improper sleep etc are also reduced by bath.11. Trit prashamana (subsides thirst) Bathing is a process of moisturing. As thirst is a phenomenon of drying up, this action naturally subsides thirst .12. Daha shamaka (pacifies the burning sensation) The bathing carried by cold water cools the body and mind. Due to this, the burning sensation of the body is reduced markedly.13. Papanashaka (pacifies the sins) It is the general belief that the sins are subsided soon if we take dip in the holy rivers or ponds. As it is not possible to go near such ponds and rivers, there is a custom of enchanting the well water/stored water with holistic hymns and the bath is taken with this. As the water is said to be the noble element to flush the blemishes of body and mind, surely bathing helps to overcome the bad effects of the minor sins, what we carry knowingly or unknowingly, each and every moment. Feel the noble benefits of bathing and enjoy the freshness imparted by it. Taking bath twice a day, keeps us happy, pleasureful, enthusiastic and cheerful.Is it not the simple and easiest way to keep ourselves in pleasure..!

gnikarma-Medical Cautery: A Treatment of Choice for Tennis elbowPosted onMay 8, 2014byDr.KrishnamurthyLeave a commentThis article is byDr Ravishankar A G,MS(Ayu),Professor of Alvas Ayurvreda Medical College, Moodbidri, Karnataka.Tennis elbow is a common condition of young and middle aged people. It affects 1 to 3 % of the population. In this condition the patient complains of pain in the elbow particularly in certain movements like pouring the tea, turning of stiff door handle, lifting the mug etc. There will be tenderness over lateral epicondyle with restricted movement of elbow and forearm. It is common in 50% of tennis players and hence it is called Tennis elbow. It is also common in Golfers, Baseball players, Bowlers, Gardeners, Land scrapers, House or Office cleaners, Carpenters etc. During above said activities there will be unaccustomed use of the elbow joint and causes damage to the tendons of common extensor origin which is attached to the lateral epicondyle of the humerus.Agnikarma in tennis elbow:Agnikarmais anAyurvedicparasurgical procedure, which is known for instantaneous and long lasting results.Agnikarmais mainly indicated in painful conditions and diseases onVataas well asKapha.This procedure aims at the management of various conditions by inflicting burns on the tissue surface directly.In Tennis elbow,Agnikarma(cautery)withPanchadhatu shalaka(metallic rod made out of five kinds of metals)gives significant result. The patient should lie down in supine position comfortably and ask the patient to 90obending of the elbow with pronated forearm. TheShalaka-metallic rod isheated to red hot over a stove. It is then tapped on a cleaned and pre determined site. About 5mm gap should be maintained between each burning spot. After the procedure, a mixture of ghee and honey is to be applied over the burn spot.The procedure can be repeated further depending upon severity or remnant of features.

Rectal prolapse in Children and Effective Home remediesPosted onMarch 11, 2014byDr.KrishnamurthyLeave a commentRectal prolapse is a condition commonly seen in children of age below 3 years. It can be considered as partial and complete prolapse. Partial prolapse is common in children in which, mucosa and submucosa of rectum comes out during defecation and its length is less than 3.75 cm. Usually it goes inside spontaneously, but some time manual repositioning is required. Complete prolapse is rare in children, where all the layers of the rectum prolapsed and it may up to 10 cm long.Causes: In children there will be incomplete development of sacral curve. Direct downward course of rectum. Diminished tone of anal musculature. Faulty bowel habit. Straining such as attacks of diarrhea or constipation. Whooping cough. Malnutrition causes lose of weight and diminution of pararectal fat.Treatment: Digital reposition-This is to be either performed by mother or teach the child how to do it. With the help of index finger the protruded (prolapsed) rectum is pushed up through the anal canal and finger is gradually withdrawn. The finger can be lubricated with ghee before repositioning. Avoid straining at stool. Controlling of diarrhea, whooping cough, etc. causative factors. Nutritional diet, which contains protein, carbohydrate, fat, etc. such as sprouted green gram, soya bean, peanut, pumpkin, almond, milk, egg etc.External measures: Leaf of Custard apple and sugar is crushed and paste is prepared and smeared around the anal orifice. Paste of Tuvari(yellowgram) is smeared in clean thin cloth and bandaged to the anal orifice. Changeri leaves (Oxalis corniculata) are crushed and its fine paste is applied around the anus and bandaging is to be done. Whole plant of Lajjalu (Mimosa pudica) is crushed and made into fine paste. It is applied around the anus and bandaged. Tender leaves of lotus are made into paste and smeared into anal orifice. A pulp of unripened Bilva fruit (Aegle marmelos) is crushed and its paste is prepared. It is applied in the anal region and bandaged. A root of Apamarga (Achyranthus aspera) is crushed and boiled in sesame oil and apply into the anal canal. It is better to infiltrate about 2ml of oil into the anal canal with a syringe.Note: Above said measures are applied after repositioning of the prolapse wherever possible. If possible, these things should be applied into a small cotton wick and insert the wick into the anal canal at night time. It will come out spontaneously next day while defecating.Internal: Decoction of Custard apple leaves about 25 ml per day. Decoction of Lotus leaves about 25ml per day. Yellowgram boiled water with sugar about 25ml per day.These treatment measures usually cure the condition within 3 to 4 weeks.This article is contributed byDr A G Ravishankar MS(Ayu),Consultant Ayurvedic surgeon and Professor,Alvas Ayurveda Medical College,Moodbidri,Karnataka.Posted inAyurvedic treatment,health tips,Home remedies tagged withChangeri leaves (Oxalis corniculata),herbal treatment for rectal prolapse,Lajjalu (Mimosa pudica),prolapse of rectum in children,Rectal prolapse,root of Apamarga (Achyranthus aspera),straining at stool

Nasal blockage:A Major discomfort and its Simple RemediesPosted onMarch 4, 2014byDr.KrishnamurthyLeave a comment Nasal blockage is a common condition starting from infants to old aged due to several reasons. Common reasons are common cold, allergic rhinitis, cold climate, exposure to irritant chemicals, sinusitis or due to structural deformities like a deviated nasal septum, nasal polyp etc. Nasal congestion greatly disturbs the person like a difficulty for breathing, unable to sleeping, headache etc. Here the person breathes through the mouth and causes dryness.To relieve the nasal blockage (congestion) there are measures which are in the form of inhalation, external application and nasal infiltration of different common drugs. The choice of drug depends on the sensitivity and the age factor.For infants and children: Instill 2 to 3 drops of salt water in to each nostril. Instill 2 to 3 drops of Tulasi (Ocimum sanctum) juice to each nostril. Give a smoke of Lobana (Styrax benzoin) near the patient and allow to inhale Turmeric powder is pasted with ghee and smeared in a thin clean cloth. It is burnt and kept near the nostril to facilitate inhalation of its smoke. Apply the Kacchoora (Curcuma zeodaria) powder over the forehead. Paste of Sandalwood is made into warm and apply over the forehead.For adults: Put 8 to 10 drops of Eucalyptus oil into hot water and inhale its steam with mouth and nostril with closed eyes Crush the Ardraka (Zingiber officinale) and Jaggery together and instill 2 to 3 drops of its juice to each nostril. Fresh plant of Dronapushpi (Leucas cephalotus) is crushed and its juice is instilled to the nostrils. Apamarga (Achyranthes aspera) root are rubbed with milk and instilled to nostrils. Pepper is crushed and fine pates is prepared with hot water.It is to be applied over the forehead. About 4 to 5 Pepper is crushed and boiled in coconut oil. After cooling, filter the oil and about 2 to 3 drops of this is put into each nostril. A piece of Camphor is dissolved in a small quantity of oil and instill into nostrils. Clove buds (Syzygium aromaticum) are made into powder and put into the nostril in the form of snuff.This article is contributed byDr A G Ravishankar MS(Ayu),Consultant Ayurvedic surgeon and Professor,Alvas Ayurveda Medical College,Moodbidri,Karnataka.+Clinical applications of Rasayogas-Mercurial medicaments in Skin diseasesPosted onMarch 3, 2014byDr.KrishnamurthyLeave a commentThis is an invited guest article by Dr. Sathyanarayana B M.D.(Ayu).Abstract:The skin is the largest organ of the human body, which protects us against mechanical, chemical and biological hazards. The 21st Century, with its continuous changing life styles, environment and dietary habits have made man as main victim of many diseases. Now-a-days skin diseases are very common. Though skin diseases are common at any age of the individual, they are particularly frequent in the elderly. The patients always experiences physical, emotional and socioeconomic embarrassment in the society. Normally, 10 15% of the General Practitioners work is with skin disorders and about 30% of all the skin diseases are eczematous. It is a second commonest cause of loss of work.Ayurveda has discussed all skin disease under the umbrella of Kushtha, in other word it can be listed as Ayurvedic dermatology. It is not a vis--vis correlation but one can cover up all dermatological manifestations under 18 subtypes of Kushtha.Now- a- days, modern science reach top of the hill by great advance particularly in dermatology as topic is concerned and also availability of powerful antibiotics, antifungal, antihistaminic, steroids, etc. but better management could not be searched out till today. Few drugs are available for symptomatic relief only. Their indiscriminate use is most undesirable. Nowadays, whole world is gradually turning towards Ayurveda for safe and complete cure of diseases. Especially in the field of skin problems Ayurveda can contribute remarkably. Efficacy of Shodhana therapy in treating chronic dermatological afflictions is well established. However, Shamana therapy is also equally important. Especially in general clinical practice physicians largely depend on Shamana therapy (both external and internal) while treating skin diseases. Even after Shodhana, Shamana Chikitsa is essential. Among hundreds of Ayurvedic formulations used in treating skin diseases, Rasayogas or herbo-mineral formulations have a unique role and a clear edge over pure herbal formulations. It is a known fact that Rasoushadhi are superior to Kashthoushadhi owing to their small dose, quick action, easy palatability and long shelf life. Several experienced doctors over several years in their clinical practice have observed and are confident regarding the excellent efficacy of Rasoushadhi in managing challenging, chronic skin diseases like eczema, psoriasis etc. The products like Arogyavarddhani Vatee, Rasamanikya, Gandhaka Rasayana are clinically established and scientifically proved for their efficacy in dermatological practices.Introduction: The skin is the largest organ of the human body, which protects us against mechanical, chemical and biological hazards. The 21st Century, with its continuous changing life styles, environment and dietary habits has made man as main victim of many diseases. Nowadays skin diseases are very common. The patients always experience physical, emotional & socioeconomic embarrassment in the society. Normally, 10 15% of the General Practitioners work is with skin disorders and it is the second commonest cause of loss of work.Dermatologyis the branch of medicine dealing with theskinandits diseases[1], a unique specialty with both medical and surgical aspects.[2][3][4]Dermatosis(pluraldermatoses), is defined as any disease of the skin,[5][6][7]and, while thousands of skin disorders have been described, only a small number account for most visits to the doctor.[7]Dermatology is a very dynamic subject with multiple advances in various fields including dermatosurgery, dermatopathology, genetics and molecular research, melanocyte research, Lasers, cosmetic dermatology, etc.. Availability of various new therapies including lasers, botox, dermal fillers, biologicals, and immunoglobulins for treatment of various disorders have created a lot of excitement among the young dermatologists although the senior and eminent dermatologists still prefer to restrict themselves to the time-tested older therapies[8]Antibiotic resistance, diabetes, asthma, eczema etc. have surfaced in epidemic proportions, perhaps as a result of winning the battle against infection. This has encouraged votaries of alternative paradigms[9].Now a days, modern science reach top of the hill by great advance particularly in dermatology as topic is concerned and also availability of powerful antibiotics, antifungal, antihistaminic, steroids, etc. but better management could not be searched out till today. Few drugs are available for symptomatic relief only. Their indiscriminate use is most undesirable. Nowadays, whole world is gradually turning towards Ayurveda for safe and complete cure of diseases.Ayurveda has discussed all skin disease under the umbrella of Kushtha, in other word it can be listed as Ayurvedic dermatology. It is not a vis--vis correlation but one can cover up all dermatological manifestations under 18 subtypes of Kushtha.Efficacy of Shodhana therapy in treating chronic dermatological afflictions is well established. However, Shamana therapy is also equally important. Especially in general clinical practice, physicians largely depend on Shamana therapy (both external and internal) while treating skin diseases. Even after Shodhana, Shamana Chikitsa is essential. Among hundreds of Ayurvedic formulations used in treating skin diseases, Rasayogas or herbo-mineral formulations have a unique role and a clear edge over pure herbal formulations. It is a known fact that Rasoushadhi are superior to Kashthoushadhi owing to their small dose, quick action, easy palatability and long shelf life[10]. Several experienced doctors over several years in their clinical practice have observed and are confident regarding the excellent efficacy of Rasoushadhi in managing challenging, chronic skin diseases like eczema, psoriasis etc.Rasadravya-Mercurial medicaments useful in dermatological conditions:The materials described in Rasashastra have been classified under several categories like Maharasa, Uparasa, Sadharana Rasa, Dhatu, Upadhatu, Ratna, Uparatna, Sudhavarga, Sikatavarga etc. Some of the raw materials (metal/mineral/plant product/animal product) mentioned under these categories have their special application in healing skin ailments. Their mode of action may vary from antimicrobial to immune modulation. However, they are proven to be potent and efficacious in managing dermatological conditions. eg; Gandhaka (Sulfur), Gairika(Haematite-ferric oxide), Kasisa(green vitriol-ferrous sulfate), Kankshee(alunite/potash alum), Haratala (yellow orpiment-arsenic trisulfide), Manahshila (realgar-arsenic disulfide), Rasanjana(extract of Berberis aristata), Pushpanjana (Zinc oxide), Kampillaka (a product of the tree mallotus philippinensis), Girisindura(montoydite-mercuric oxide) , Naga Sindura(lead trioxide),Mrddarashrnga (litharge-lead monoxide) etc. Occasionally, Parada (mecury), Hingula(cinnabar), Kapardika(cowries), Shilajatu (asphaltum), Tamra (copper), Kansya (bronze) etc are also used.However, following are most important and widely used:- Gandhaka (Sulfur):This is the most popular and widely used rug in treating skin diseases in the form of various formulations meant for external and internal use. Its special efficacy in treating the conditions like Pama (scabies), Dadru (teniasis), Vicharchika (eczema) are well established. Gandhaka acts as immune modulator, antimicrobial and antibiotic Gairika(Haematite):This drug is popularly being used in the conditions like urticaria and allergic skin manifestations that can be correlated with the conditions like Shitapitta, Udarda and Kotha. This Pittahara, Rakta shodhaka and Rakta Prasadaka drug is found to be having antihistamine like action. Haratala(Yellow orpiment) :This is most potent among the Rasadravya in treating the chronic, challenging skin diseases. Its formulations like Rasamanikya, Tala Sindura, Talakodaya Malahara etc have been clinically established to be the wonder drugs in treating the conditions like eczema, psoriasis, lichen planus etc. Haratala being the trisulfide of arsenic is a potent immune suppressant and antimicrobial. However, it should be used cautiously, in right dose, with right vehicle and after proper detoxifying and processing techniques.Table 1 : List of Rasayogas popularly used in dermatological practice:S.No.Name of the productChief ingredientsDoseAnupanaIndications

1.Arogyavarddhanee Vatee[11]Katuki, Kajjalee, Loha Bhasma, Abhraka Bhasma, Tamra Bhasma, Shuddha Shilajatu, Shuddha Chitraka, Triphala, Shuddha Guggulu etc.500 750 mgJalaSarva Kushtha

2.Gandhaka Rasayana[12]Shuddha Gandhaka, Godugdha, Chaturjataka,Guduchi, Triphala, Bhrngaraja, Ardraka..0.5-1 gmSita, Jala, KsheeraSarva Kushtha

3.Rasamanikya[13]Shuddha Patra Tala60 120 mgMadhu and GhrtaSphutita and Galita Kushtha, Vicharchika

4.Laghu Suta Shekhara Rasa[14]Gairika, Shunthi..0.5-1 gmSita, Jala, Ardraka SwarasaSheeta Pitta

5.Galat Kushthari Rasa[15]Kajjalee, Tamra Bhasma, Loha Bhasma, Abhraka Bhasma, Shuddha Shilajatu, Shuddha Chitraka, Triphala, Shuddha Guggulu, Karanja Beeja etc.500 750 mgMadhu and GhrtaKarna Nasa Galita Kushtha

6.Talakeshvara Rasa[16]Kajjalee, Haratala, Bakuchi Churna etc.500 750 mgJalaShvitra Kushtha

7.Shashilekha Vati[17]Kajjalee, Tamra Bhasma, Bakuchi Kvatha250 -500 mgBakuchi taila and MadhuShvitra Kushtha

8.Shvetari Rasa[18]Kajjalee, Triphala, Bhrngaraja, Bakuchi, Bhallataka, Nimba Beeja majja500 750 mgMadhu, GhrtaShvitra Kushtha

9.Krshnamanikya Rasa[19]Kajjalee, Loha Bhasma, Tamra Bhasma, Shuddha Vatsanabha125-250 mgMadhu and Pippalee churnaSarva Kushtha

10.Vyadhiharana Rasa[20]Kajjalee, Arka ksheeramardita Rasakarpura, Haratala, Navasadara..60-125 mgMadhu, Ghrta and Pippalee churnaSarva Kushtha

11.Amrtankura Louha[21]Kajjalee, Triphala, Loha Bhasma, Tamra Bhasma, Abhraka Bhasma, Shuddha Bhallataka, Guggulu, Ghrta500-750 mgJala, Ksheera, Narikela JalaSarva Kushtha

12.Nageshvara-Naga Bhasma[22]Naga, Tila Taila, Shveta Kasisa, Kajjalee, Chincha Tvak churna500-750 mgwith equal quantites of tvak, devadaru and bakuchi churnaGalat Kushtha

13.Siddha Haratala Bhasma[23]Mahishee Mutra, Churnodaka, Sharapunkha etc, treated Haratala Bhasma60-120 mgMadhu and GhrtaGalatkushtha, Shveta Kushtha

14.Haratala Bhasma[24]Prepared by processing with Punarnava60-120 mgMadhu and Ghrta, Ksheera etc.Kandu, Kushtha, Galatkushtha

Note:Only those Bhasma having specific indications in Kushtha are mentioned here. However, other Bhasmas like Abhraka Bhasma, Tamra Bhasma, Trivanga Bhasma, Godanti Bhasma etc. can also be used in skin diseases, judicially combining them with relevant ingredients and Anupana.Table 2: List of selected herbo-mineral products for external application:[a] Lepa:S.No.Name of the productChief ingredientsIndications

1.amruta LepamChand[25]Hingula, Rasakarpura, Souvira, Gandhaka..Kitibha, Pundarika, Sidhma, Kakana

2.Rasottamadi Lepam[26]Kajjali, Sindura, Manahshila, Jeerakadwaya, Haridradwaya..Pama, Kandu, vicharchika

3Sinduradi Lepa[27]Rasa sindura, rasa Karpura, Mrddarashrnga, Madhucchishta, Narikela TailaVicharchika, Vipadika, Vrana, Kandu

[b] MalaharaS.No.Name of the productChief ingredientsIndications

Dadru Vidravana Malahara[28]Gandhaka, Siktha Taila, Shuddha Tankana, Chakramarda, LakshaDadru

Darunanashaka Malahara[28]Tuttha, Kampillaka, Shvata Khadira, Gairika, Surya Kshara..Darunaka

Gairikadya Malahara[28]Gairika, Haridra, Sindura, Siktha tailaKandu, Daha, Vrana

Gandhakadya Malahara[28]Gandhaka, Siktha Taila, Girisindura, Tankana, KarpuraPama

Hinguladya Malahara[28]Siktha Taila, Sindura, DaradaPhiranga Vranahara,(in ulcerative, infected skin diseases)

Hingulamrta Malahara[28]Siktha Taila, Sindura, Darada, Tankana, KarpuraVrana Shodhana-Ropan(in ulcerative, infected skin diseases)

Kajjalikodaya Malahara[28]Kajjali, Siktha Taila, Mrddarashrnga, Kampillaka, TutthaVrana Shodhana-Ropan(in ulcerative, infected skin diseases)

Kitibhari Malahara[29]Tuttha, Haratala, Manahshila, Kajjalee, Samudraphena, Kharpara, chakramarda Beeja, Vatsanabha, Dhattura Beeja, Tankana,Dadru, Pama, Kitibha

Kampillaka Malahara[30]Kampillaka, Siktha TailaVicharchika

Mrddrashrngadya Malahara[28]Mrddarashrnga, Siktha TailaPama, Kandu, Vipadika.

Pamahara Malahara[28]Kajjali, Tuttha, Jeerakadwaya, Sindura, Maricha, Dhouta GhrtaPama, Kacchu

Rasapushpadya Malahara[28]Rasapushpa, Siktha TailaChirodbhuta Vicharhika

Siduradya malahara[28]Sindura, Siktha taila, TankanaVrana Shodhana-Ropana

Talakodaya Malahara[28]Taala, Sindura, Gairika, Kajjali, Siktha tailaVicharchika, Dadru, Pama..

Tankanamrta Malahara[28]Shuddha Tankana, Siktha taila, Sarjika..Dushta Vrana

Tutthakadya Malahara[28]Tuttha, Ghrta, rala, Khatika..Vrana Shodhana-Ropan(in ulcerative, infected skin diseases)

Tutthamrta Malahara[28]Tuttha, Siktha tailaChira Samutthita Pama

Yashadamrta Malahara[28]Yashada Pushpa, Siktha TailaVicharchika, Vrana, Dagdha Vrana

[c] Draava:S.No.Name of the productChief ingredientsIndications

1.Kasisa Drava[28]Kasisa, JalaVicharchika, Kandu..

2.Rasakarpura Drava[28]Rasakarpura, JalaHasta paada smaraagaara gehaadigata bhutanut, Phiranga Vrana

[d] Taila/Ghrta:S.No.Name of the productChief ingredientsIndications

1.Gandhaka Taila/Druti[31]Gandhaka, Trikatu, Tila TailaKshudra Kushtha, Visarpa

2.Kasisadi Ghrta[32]Kasisa, Haratala, Manahshil, Haridra, Chakramarda, Ghrta..Pama, Vicharchika, Dadru

3.Sinduradya Taila[28]Girisindura, Sarshapa Taila, Tuttha, Nisha, Arka PatraPama, Vicharchika, Visphota, Kshata, Kandu

Table 3: Kushtha specific Rasayogas[33]:S.No.Type of KushthaMedicinesDoseAnupanaSevana Kala

1.Vatajah (kapalam)Haratala Bhasma60-120 mgGhrta and SharkaraAdhobhaktam, twice daily

2.Pittajah (Oudumbaram)Tala Bhasma Mishranam*60-120 mgGhrta and SharkaraMadhyebhaktam twice daily

3.Kaphajah (Mandalam)Arogyavarddhanee500-750 mgGhrta and MadhuPragbhaktamtwice daily

4.Vatapittajah (Rshyajihvam)Arogyamishranam**0.5-1gmGhrta and SharkaraAntarabhaktamtwice daily

5.Kaphapittajah (Pundareekam)Chandamaruta LepaQ.S.-extwith NavaneetaExternal application twice daily

6.Vatakaphajah (Sidhmam)Chandamaruta LepaQ.S.-extwith NavaneetaExternal application twice daily

7.Tridoshajah (Kakanam)Chandamaruta LepaQ.S.-extwith NavaneetaExternal application twice daily

8.Kaphajah (Vicharchika)Arogyamishranam**0.5-1gmKhadirarishtaAntarabhaktamtwice daily

9.Vatakaphajah (Vaipadikam, Alasakam)Rasamanikya60 120 mgMadhu and GhrtaAdhobhaktam, twice daily

Sinduradi LepaQS-extdirectly appledtwice daily

10.Kaphapittajah (Dadru, Charmadala, Pama, Kacchu, Shataru)Arogyamishranam**0.5-1gmManjishthadi KvathahAntarabhaktamtwice daily

Gandhaka Drutih2-5 dropsGodugdhaAntarabhaktamthrice daily

11.Vatapittaja (Ekakushtha, Charma, Kitibha)Gandhaka Rasayanam0.5-1gmGhrta and SharkaraAdhobhaktam, twice daily

12.ShvitramArogyavarddhanee500-750 mgGhrta and SharkaraAdhobhaktamtwice daily

Shashilekha Vati250 -500 mgBakuchi taila and MadhuAdhobhaktamtwice daily

* Tala Bhasma Mishranam: A mixture of Tala Bhasma 1 part, Mouktika Bhasma1 part and Kamadugha 8 parts[33]**Arogyamishranam: A mixture of Arogya varddhanee and Chandraprabhaa in equal quantities[33]Let us discuss the application of selected Rasayogas most popularly and effectively used in clinical practice:-1. Arogyavarddhanee Vatee:This is a wonder drug in treating skin diseases. The presence of ingredients like Katuki, Shilajatu, Tamra Bhasma, Guggulu and Kajjalee made its action multidimensional. It is Rata shodhaka and Pittasaraka. It improves digestion and metabolism. Its hepatoprotective effect, laxative action has made its action unique in the management of multiple types of skin diseases. It also improves the health of skin. It is found to be more efficacious when used in early stages of skin diseases. It is advised to use this product for a period of 48 days (one Mandala) for optimum results[34]. Its main action is on liver and intestines. It helps to eliminate toxins from the body. It can be used in any type of skin diseases and in any stage. But, it may not be so effective when the disease is deep seated, presented with severe excoriation, ulceration and pain where other products are to be essentially added.2. Gandhaka Rasayana:This product is a very useful medicine in a variety of dermatological conditions and hence rightly quoted as effective in Ashtadasha Kushtha[35]Here also most important is the quality of the product which is ensured by strict adherence to the GMP norms by following SOP. All 83 Bhavana should be properly given. It is essential to mix the final product with equal quantity of Sita so that it acts as Rasayana and can be used safely in therapeutically effective dose. This product is highly efficient anti bacterial and immune modulator and can be used in all the types of skin diseases. However, its efficacy is most appreciated in the conditions like eczema, ecthyma, taeniasis, skin diseases with secondary infections etc.3. Rasamanikya:This is a very potent and effective product in treating skin diseases. Its efficacy is proved even in treating leprosy. It is an arsenic compound prepared by using Shuddha Patratala. Rasamanikya is an extensively evaluated product chemically, toxicologically and clinically[36]. It is mainly useful in Vatakaphaja Kushtha. Its potent antimicrobial and immune modulating effects have made it a drug of choice in treating the conditions like psoriasis, chronic eczema and leucoderma. Its dose should be 60-120 mg and should always be used with appropriate Anupana like Madhu and Ghrta. It can be divided into accurately divided dosage packets and dispensed to the patient or it can be homogenously and uniformly distributed in herbal diluents (like Triphala Churna, Guduchi Sattva etc) and used.In a clinical study, 15 patients of Psoriasis vis--vis Ekakushtha were administered Rasamanikya at a dose of 125 mg with oney and ghee, twice daily for 28 days and the results were highly encouraging with the remission in the symptoms as follows: Aswedanam 90%, Mahavastu 70%, Kandu 100%, Matsyashakalopam 75%. There was no elevation of serum arsenic level even after a months treatment[36].Here, Anupana is very crucial and Rasamanikya has to be administered with honey and ghee.Mild to moderate fatty changes to liver was significant and decreased liver weight, increased cholesterol and decreased blood sugar level were reported in earlier (D.K.Mishra et al) when it is given with water, in present study it is given with honey and ghee and proven safe[36].4. Lagu Suta Shekhara Vatee:Chief constituents of this product are Shuddha Gairika and Shunthi. This product even though is indicated in Amplapitta, is being used popularly by Ayurvedic practitioners in the management of skin diseases. Gairika is known Pittahara and Rakta prasadaka drug and efficacy of Shunthi in treating Shita Pitta is classically referred and clinically established. This product is found to be having potential antihistamine like action and hence being used successfully in treating allergic skin manifestations especially the Urticaria. It also helps to dry up the secretions quickly. Hence, Laghu Suta Vatee can be effectively employed to relieve the symptoms of itching and discharge in any of the dermatological conditions.Factors to be considered while using Rasayoga in clinical practice:There is nothing to be worried about the toxicity of Rasayoga once the quality is established and physician has adequate knowledge about the planning of the medicine.Following points should be borne in mind before prescribing Rasayogas:1. The quality of the product should be ascertained (adequate information about the source of supply including the quality standards maintained by the company should be known) to be confident about the safety and efficacy of the product.2. The dose of the drug must be appropriate. By considering all the factors like classical guidelines, age of the patient, sex of the patient, time of administration, potency of the drug, form of the drug etc, ideal dose is to be fixed to avoid any untoward effects (especially in arsenic compounds).3. A proper vehicle is to be used (honey, ghee, milk, butter, specific herbal juice, decoction etc.) to get desired efficacy and also the safety. eg; if Rasamanikya is given with water instead of honey and ghee (as mentioned in the text) it may show mild toxic symptoms[36]4. Course or duration of the treatment is also crucial in the case of Rasoushadhi. Some Rasoushadhi (especially arsenic compounds) may have cumulative toxic effects if are used for considerably prolonged period5. Pathyapathya mentioned during the administration of particular Rasayoga should be strictly followed.Summary and conclusion:The classical references, clinical experiences, pharmacological and clinical studies carried out in various centres have confirmed the efficacy of Rasyogas in dermatological practice. They have a clear edge over pure herbal formulations especially in treating chronic persisting skin diseases like psoriasis, lichen planus, eczema etc. This is because of their potency, strong antimicrobial, antihistaminic and immune modulating actions. Unfortunately, only a limited number of Rasayogas are being used in clinical practice. It is essential for clinical practitioners to explore the possibilities of using more and more herbo-mineral preparations in treating dermatological afflictions. However, one should be careful regarding the quality of the product with special reference to SOP of production and final quality specification. If these are within acceptable limits one need not worry about the safety of the product as several multi centric studies carried out on toxicity of herbomineral products have proved their safety beyond doubt. A physician should know their judicial application with much attention to the dose, time of administration, duration of administration, Anupana, diet restrictions etc. aspects to ensure safety and maximum efficacy.References:1. Random House Websters Unabridged Dictionary.Random House, Inc. 2001. Page 537. ISBN 037572026.2. James, William; Berger, Timothy; Elston, Dirk (2005).Andrews Diseases of the Skin: Clinical Dermatology(10th ed.). Saunders.ISBN 0721629210.3. Marks, James G; Miller, Jeffery (2006).Lookingbill and Marks Principles of Dermatology(4th ed.). Elsevier Inc.ISBN 1-4160-3185-5.4. http://dermnetnz.org/dermatologist.html5. http://www.aad.org/public/specialty/what.html6. http://www.dermcoll.asn.au/public/what_is_a_dermatologist.asp7. Devinder Mohan Thappa, Rashmi Kumari,Emergence of dermatology in India, Indian Journal of Dermatology, Venereology and Leprology, Page 86-92, Volume 75, Issue 1, 20098. Brig YK Sharma, Col MPS Sawhney+,Dermatology : the past Milestones and the future Crosscurrents, MJAFI 2004; 60 : 151-1569. Brig YK Sharma, Col MPS Sawhney+,Dermatology : the past Milestones and the future Crosscurrents, MJAFI 2004; 60 : 151-15610. Krishna Gopala Bhatta, hindi commentary by Indradeva Tripathi,Rasendra Sara Sangraha, Chaukhambha orientalia, II edition 199811. Acharya Vagbhata, Rasa Ratna Samuchaya Hindi translation by Dr. Indradeva Tripathi, Chaukhamba Orientalia, Varanasi12. Acharya Sri Madhava, Ayurveda Prakasha, By Shri Gulraj Sharma Mishra And Pandit Shiva Sharma, 4thEdition-1994, Chaukhambha Bharati Academy, Varanasi13. Shri Govind Dasa, Bhaisajya Ratnavali By Shri Kaviraja Ambikadatta Shastri Ayurvedacharya, 19thEdition 200814. Anonymous, Ayurvedic Formulary of India, Part II, 16:53, Second edition, Govt. of India, Ministry of Health and Family welfare, AYUSH dept., 200315. Krishna Gopala Bhatta, hindi commentary by Indradeva Tripathi,Rasendra Sara Sangraha, 2/3-5, Chaukhambha orientalia, II edition 199816. Sri Gopala Krishna, Rasendra Sara Sangraha By Dr.Ashok D Satpute 1stEdition 2003 Chowkhamba Krishnadas Academy , Varanasi17. Anonymous, Yoga Ratnakara, Hindi translation by Acharya Lakshmipathi Shastri, Chaukhambha Sanskrita Sansthana, Varanasi, 6th edition, 199718. Shri Govind Das,Bhaisajya Ratnavali By Shri Kaviraja Ambikadatta Shastri Ayurvedacharya, 19thEdition 200819. Vaidya Pandit Hariprapannaji, Rasa Yoga Sagara, Re-edition 2004, Chowkhamba Krishnadas Academy,Varanasi20. Vaidya Pandit Hariprapannaji, Rasa Yoga Sagara, Re-edition 2004, Chowkhamba Krishnadas Academy,Varanasi21. Shri Govind Dasa, Bhaisajya Ratnavali By Shri Kaviraja Ambikadatta Shastri Ayurvedacharya, 19thEdition 200822. Bheshaja Samhita (Ayurvedic Pharmacopoeia), Pharmacopoeia committee, Ministry of health, Gujarat State, Ahmedabad23. Bheshaja Samhita (Ayurvedic Pharmacopoeia), Pharmacopoeia committee, Ministry of health, Gujarat State, Ahmedabad24. Acharya Vagbhata, Rasa Ratna Samuchaya Hindi translation by Dr. Indradeva Tripathi, Chaukhamba Orientalia, Varanasi25. Vaidya Bhaskara Vishvanatha Gokhale, Chikitsa Pradeepah, Dhanvantari Pratishthana, Pune, 198926. Anonymous, Ayurvedic Formulary of India, Part II, 11:9, Second edition, Govt. of India, Ministry of Health and Family welfare, AYUSH dept., 200327. Pharmacopoeia of Hospital of Indian medicine, Madras, Page 11028. Shri Sadananda Sharma, Rasa Tharangini by Kashinada Shastri, 11thEdition Re-Printed 2000, Mothilal Banarasidas, Delhi29. Bheshaja Samhita (Ayurvedic Pharmacopoeia), Pharmacopoeia committee, Ministry of health, Gujarat State, Ahmedabad30. Acharya Yadavji Trikamji, Dravya Guna Vijnana Part II, Chaukhambha Sanskrit Pratishthana, Varanasi31. Acharya Vagbhata, Rasa Ratna Samuchaya Hindi translation by Dr. Indradeva Tripathi, Chaukhamba Orientalia, Varanasi32. Sharngadhara Mishra,Sharngadhara SamhitawithSanskritcommentary, edited by Pandit Parashurama Shastri Vidyasagar, published by Krishnadas Academy, Varanasi India in 1986.33. Vaidya Bhaskara Vishvanatha Gokhale, Chikitsa Pradeepah, Dhanvantari Pratishthana, Pune, 198934. Acharya Vagbhata, Rasa Ratna Samuchaya Hindi translation by Dr. Indradeva Tripathi, Chaukhamba Orientalia, Varanasi35. Acharya Sri Madhava, Ayurveda Prakasha, By Shri Gulraj Sharma Mishra And Pandit Shiva Sharma, 4thEdition-1994, Chaukhambha Bharati Academy, Varanasi36. Dr K Srimannarayana,A Pharmaceutico Pharmaco clinical study of Rasamanikya w.s.r. to Ekakustha (Psoriasis),thesis, RSBK-2006, IPGT&RA, GAU, JAMNAGARContact address of the author:Dr. Sathyanarayana B M.D.(Ayu).Principal, Muniyal Institute of Ayurveda Medical Sciences, Manipal, INDIA-576104e-mail:bhaishajya@yahoo.comPosted inayurvedic medicines,Ayurvedic treatment tagged withArogyavarddhanee Vatee,Ayurvedic dermatology,dermatological disorders,Gandhaka Rasayana,kushta,Lagu Suta Shekhara Vatee,mercurial medicaments,Rasamanikya,rashastra medicines,rasoushadhas,Skin diseases

What are the Easy ways to Manage External abscesses?Posted onFebruary 23, 2014byDr.KrishnamurthyLeave a commentAn abscess or Pyogenic abscess (Vidradhi) is a localized pus filled cavitiesoccurringin the body with pain,burning sensation and other features. As there will be an invasion of pathogenic micro-organisms and hence it get the tendency of suppuration (pus formation).Why it occurs?Abscess is considered as Pitta and Rakta pradoshaja disease/problem. Excessive intake of fried food, chilies, spices, undue consumption of alcohol, tobacco, beverages, smoking etc and improper living style are responsible for this condition. There will be presence/invasion of suppurative infective organisms into the body via penetrating wounds, local extension from an adjacent focus of infection to lymphatics or bloodstream.How it presents?It begins as a small eruption on the skin with slight itching and reddish discoloration of the surrounding. There will be rapid development of the condition and localized swelling with pain, reddish discoloration, local rise of temperature, tenderness and restricted function of the affected part. There will be invasion of pathogenic micro-organisms and hence it get the tendency of suppuration (pus formation).Usually it occurs in fleshy area and if it occurs in other area it is more painful.How can we treat it at home?Treatment of abscesses is considered in two stages, one is before the formation of pus and another is after the formation of pus.Treatment in non suppurative stage (before formation of pus):The below mentioned treatment measures either subside the condition or help for early suppuration of the abscess. In the early stage apply latex of Chandra vata (Makaranga peltata) over the abscess and it will cure the abscess, without progression. Stem of Apamarga plant (Achyranthes aspera) is made into paste with coconut oil and apply over the abscess. A fine powder of sugar is made into paste with ghee and applied. A paste of white rice is made with water and applied. A paste of Shigru bark (Moringa oleifera) is prepared with buttermilk and applied. Leg of hen is rubbed on a clean stone and made into fine paste by mixing fresh turmeric and water and applied over the abscess. The bark of Karpasa (Cotton plant/Gossypium herbaccum) is made into paste with water and applied. A pulp of Kumari(Aloe vera) and turmeric is mixed and applied. Jeeraka (Cuminum cyminum) is fried in castor oil till it becomes black and applied over the abscess. If more burning sensation is there, then- A mixture of sugar and parched rice with milk is applied. Paste of Yastimadhu (Glycyrrhiza glabra) and Sariva (Hemidesmus indicus) with milk is applied. Barks of Ashvatta (Ficus religiosa), Udumbara (Ficus glomerata), Vata (Ficusbengalensis) are made into paste with water and applied. If more pain and hard swelling is present, then- Cow dung is pasted in Cows urine and applied over the abscess. Earthen brick powder is made into paste with cows urine and applied. Paste of barley, green gram and wheat is applied.Treatment in suppurative stage (After formation of pus)Ayurveda as well as modern medical science express same treatment principle in the presence of pus. It is nothing butwhere there is pus, let it out.The below mentioned measures help to open the suppurated abscess cavity as well as they help to heal the ulcer after removal of pus. Ash of turmeric is made into paste with water and applied over whitish or most prominent part of the abscess. The abscess will open within 10 minutes and pus starts to come out. Then gently squeeze the abscess from all directions towards its mouth in order to drain the pus. Coconut leaves stem is made into ash and paste it with water and applied. Leaf of Ridged gourd (Luffa acutangula) is made into paste with rice water and apply over the abscess. Karanja (Pongamia pinnata) root is made into paste and applied. Parrots excreta is made into paste with water and applied. Ash of Arka (Calotropis procera) root is prepared and pasted over the abscess. Chitramoola (Plumbago zylanica) is pasted with water or cows urine and applied. Tankana bhasma (Dehydrated borax) is made into a paste with honey and applied over most prominent part of the abscess.Note: If the abscess is very deep seated, then these measures may not be much efficacious. Once the abscess cavity is opened, give hot water fomentation over the abscess in order to easy drainage of pus. If there is a history of recurrent abscess, internal medication is required and one should consult the physician immediately. If an abscess is present in vital areas like axilla, groin, neck etc, it is better to consult the physician without any delay to rule out the other diseases if any.This article is byDr A G Ravishankar MS(Ayu),Professor and Consultant ayurvedic surgeon of Alvas Ayurveda Medical College and Hospital,Moodbidri,Karnataka,South India

Agnikarma Medical Cauterization: The Asset Of An Ayurvedic SurgeonPosted onFebruary 13, 2014byDr.KrishnamurthyLeave a commentAgnikarma or a medical cauterization has been used widely in the clinical practice since time immemorial and is said to have immediate and long lasting results.Including India,in various parts of the world this is practiced with slight modifications.Here is a brief review of Agnikarma-Medical Cautery byDr A G Ravishankar MS(Ayu),Consultant Ayurvedic surgeon and Professor,Alvas Ayurveda Medical College,Moodbidri,Karnataka.What is Agnikarma?According to Ayurveda, Agnikarm is a superior Anushastra karma (para surgical procedure). This procedure aims at management of various afflictions by inflicting burns on the tissue surface directly by using different materials known as Dahanopakaranas(tools of cauterization). Even in the modern surgery ,the principles of Agnikarma have been adopted with advanced technology like, Radiation therapy, Cauterization for haemostasis, excision of unwanted growth etcWhat are Dahanopakaranas (tools of cauterization)?

Tools of cauterization

Pancha dhatu shalaka (probe prepared by five metals)These are different materials subjected to heat and used for therapy in different conditions. The specificity of tools of cauterization depends on the disease status concerned. Here classification is carried on the basis of the materials latent heat rate (heat retention capacity). For superficial conditions, materials used are of minimum latent heat, whereas in deeper tissues used objects are with maximum latent heat. On this concept, in classics, for the diseases of skin surfaces the materials used for Agnikarma are Pippali (Piper longum), Aja Shakrit (feces of Goat), Godanta (Teeth of Cow), Shara (Arrow), Shalaka (Probes), Varti(Wicks), Suryakanta (Variety of stone) etc. Likewise, for the diseases of muscles Loha (Iron), Swarna (Gold), Tamra (Copper) and Kamsya (bronze) are used. In deeper and strong tissues like bones, ligaments, tendons, vessels etc., Madhu (Honey), Guda (Jaggery), Vasa(Fat), Ghrita(Ghee), Taila(Oil), Madhucchishta(Beewax ) are used.

Heating the cautery probe over the stovePancha dhatu shalaka has been used on a regular basis for the purpose of Agnikarma irrespective of the structure involved or level of the pathology. The Pancha dhatu shalaka is made up of Copper, Brass, Bronze, Lead and Tin (in equal quantity).Now a days an electric thermal cautery machine are substituted in the place of shalaka in many conditions.Dahana vishesha (Different shapes of cauterization)

Electric thermal cauteryIn classics different shapes are mentioned for cautery according to the disease and location specification. These include Valaya (circular), Bindu (Dotted), Vilekha (multiple line in different directions), Pratisarana (rubbing with the surface of heated Shalaka), Ardhachandra (Semilunar), Swastika (Shape of the swastika) and Ashtapada (8 lined).What are all the conditions treated with Cautery? Painful conditions of bones and joints. Joint stiffness Muscle spasm Tennis elbow Calcaneal spur Plantar fasciitis Osteoarthritis Headache Sciatica Early stages of Hernia To remove the wart To excise the corn from the heel To excise the external piles Disc prolapse Low back ache Trigger thumb To remove the mucocele of lip, tongue etc To excise some extra growths of skin and muscle For the excision of fistula tracks, etc.

Removal of corn from heel by cauteryHow Agnikarma(cauterization) helps to relieve the pain?

Cautery in Calcaneal spur

Agnikarma(cautery) in Achilles tendinitisAgnikarma pacifies Vata and Kapha Dosha, by virtue of the properties that Agni possesses viz. Ushna(warmth), Tikshna(penetrating ability), Sukshma(minuteness), Ashukari(quick acting nature) Guna. Here the heat, which is transferred to skin acts by removing the obstruction in the Srotas(minute channela) and increases the blood circulation to the affected site. The rate of any metabolic activity is increased by a rise in temperature. From the therapeutic point of view with an appropriate rise in temperature, all cell activity increases, including dilatation of vessels, cell motility, synthesis and release of chemical mediators. More blood circulation, flushes away the inflammation and patient gets relief from the symptoms. Afferent nerves stimulated by heat is having an analgesic effect by acting on the gate control mechanism.Is there any contraindication for Agnikarma (cautery)?

Removal of wart from cheek by CauteryPersons of Pitta prakruti, immaciated, children, old aged, sensitive, pregnant, multiple ulcers in the body, anemic, obesed, indigestion, alcoholic, poison affected, low immunity etc are not recommended for this therapy.Is there any complications?Improperly performed Agnikarma will lead to severe burning sensation, increased pain, destruction of tissue, suppuration, bleeding, non healing ulcer formation etc.Properly performed Agnikarma by skilled surgeon will give excellent result in several conditions. On the other hand improperly performed will lead to many complications.Posted inAyurveda,Ayurvedic treatment tagged withAgnikarma,Ayurvedic surgeon,conditions treated with Cautery,How cauterization helps to relieve the pain?,Medical Cauterization,Pancha dhatu shalaka,shapes of cauterization,tools of cauterization

Heel Pain Syndrome and its management by Simple remediesPosted onFebruary 11, 2014byDr.KrishnamurthyLeave a commentHeel pain syndrome is a common entity which affects mainly in the age group of 30 and above people. It may occur because of so many causes and pathological factors in and around the heel. It greatly affects the day to day activities of the person.Why it occurs? Overweight Standing throughout the day Athletics Weight bearing throughout the day Improper fitted footwear/ high heeled Bare foot walking regularly for long distance on an uneven surface Exposing to cold climate regularly, such as work at the ice plant If house floor is of granite or marble. If suffering from diabetes, arthritis, varicose vein etc.What does it may result in to?Due to the above said reasons, many pathological changes occur in the heel. It may produce Calcaneal Spur, Arthritis of the subtalar joint, ruptured calcaneal tendon, Calcaneal paratendinitis, Postcalcaneal bursitis, Calcaneal apophysitis, Tender heel pad, Plantar fasciitis etc. These conditions show different clinical features in the patients.What are the common clinical features? Pain in heels is of pricking/ throbbing/aching in nature Burning sensation in the heel. Slight swelling Morning stiffness and slight relief after walking Pain aggravates after exercise/ walkingPrecautions: Avoid prolonged standing Reduce body weight in case of overweight Avoid bare foot walking Avoid hard and high heeled footwear If house floor is of granite or marble better to wear cotton socks to avoid the cold effect Monitor diabetes, varicose vein etc.How can we manage at home?Following simple remedies will help to reduce the above complaints significantly- Apply Gingili oil (sesame oil) below the ankle joint and immerse in hot water, which is dissolved with 10 to 15gram of salt. Apply oil and keep the heel over the hot brick. Sesamum seeds are made in to paste and apply over the heel after heating. Arkapatra (Calotropis procera) should be heated and placed over the oil smeared heel. The heel should expose to steam of buttermilk after applying the sesamum oil. The heel should expose to steam of Dashamoola kashaya after applying the sesamum oil. Onion, garlic and salt are crushed together. It is fried in sesamum oil and tied around the heel. Paste of Dattura leaf (Dattura metal) is fried with sesamum oil and applied over the heel. Leaf of Nirgundi (Vitex nigundo) is crushed and fried in oil and applied over the heel. Tamarind leaves are crushed and fried in oil and applied. Leaves of Kadamba (Anthocephalus indicus) is made into hot and tied around the heel. Leaves of Eranda (Ricinus communis) are made into paste and fried with castor oil or sesamum oil and applied over the heel. Mustard is made into paste with ghee or kanji and applied over the heel. Pepper is crushed and made into paste with kanji and applied over the heel.Above mentioned remedies can perform regularly for 2 to3 weeks. If it doesnt give any significant relief, it is better to consult your physician, as pain is because of so many reasons. It must be ruled out and treated accordingly. If a patient is suffering from any systemic diseases such as diabetes, varicose vein etc they must be treated accordingly. This is a guest article byProf Dr A G Ravishankar,M S(Ayu),Karnataka.

Leech- A Living Weapon Of Ayurvedic SurgeonPosted onJanuary 27, 2014byDr.KrishnamurthyLeave a commentLeeches or Indian cattle leeches are successfully used in the field of medicine for sucking the blood from preferred locations since time immemorial.Seer Sushruta,well known as the father of surgery, explained the utility of Leech in the medical field for the first time.As it lives in water it is named as Jalouka (Jala=water,oka=wholesome,like) and it is considered as Anushastra (para surgicalinstrument).Other than India,in olden days leech therapy was in practice at Greece, Europe Germany, North America etc countries.It is used to improve the circulation, to relieve the pain, to absorb the contaminated blood, to absorb the poison and in so many superficial andlocalizedconditions ofthe body.

Colony of leechesWhat is Leech?

Leeches kept in fresh waterLeeches are an earth worm like small segmented animals.They belong to the phylum -Annelida, class Clitellata with sub class Hirudinea. There.There are more than 700 species of leeches identified so far.Among them some are poisonous and others are non poisonous.Hirudomedicinalis(Europian)andHirudinariagranulose(Indian) are commonly used for sucking the blood,therapeutically.They live in the water and in cold climate. The majority of leeches live in freshwater.Some species are found in terrestrial and marine water.They take shelter under logs, stones, plants and other objects in water. Most leeches are blood suckers from vertebrate and invertebrate animals.How it looks?

Leech -Nearer viewThey are worm like animals with segmented body.The size varies from 2 cm to 25 cm. It is green, brown or greenish brown in color. There is a median black longitudinal black strip on the dorsal side of the body.On each side there will be stripes of orange, yellow or black color. It is very flexible and can be stretched or dilated. Usually when the leech is stretched the dorsal surface remains convex and ventral surface remains flat. There will be abundant quantity of mucus secretion from its skin; hence it is slippery to handle.There are 33 segmentation and the external segmentation of their bodies does not correspond with the internal segmentation.Their bodies are very solid as they got dense connective tissue.They have 2 suckers at both end- anterior (cephalic) and posterior (anal).The anterior sucker is to help in locomotion and adhesion. It contains 3 jaws with sharply serrated edges. Posterior sucker is highly muscular and disc shaped. It helps for adhesion and locomotion.They have got six to eight pair of eyes. They have a tripartite jaw having hundreds of tiny and sharp teeth. The bite mark of leech on the skin is just like inverted Y shape.Some interesting stuff about Leeches: It has got 6 to 8 pairs of eyes It has got more than 100 tiny teeth It has got 32 brain as it is having 32 internal segmentation It has got 18 sensory papilla. Medicinal leech saliva consists of about 60 proteins It moves outside the water by crawling. During crawling, body of leech extends and contracts by muscular activity, and suckers help in attachment and support. Large leeches can draw up to ten times of their body weight in a single sitting. Its digestion is very slow, so that two times feeding per year is sufficient for its survival! Once it started to suck the blood, it sucks from one palm area of skin and subcutaneous tissue. Saliva of leech consist of an anticoagulant protein- Hirudin which prevents the blood clotting while sucking. Due to the hirudin, bite area will bleed for more than a normal wound after the leech is detached. Morphine like substances are found in neural tissue of leeches gives analgesic effect. Many parasites are there in leech gut, which cannot survive in humans and do not create any hazard. Bacteria, virus and parasites from previous blood sources can stay alive in a leech for months, but only a few cases of leeches transmitting pathogens to humans have been reported. In 2001, the mechanical leech was developed, at University of Wisconsin at Madison scientist. The device, has got a small bottle attached to a suction cup, delivers an anticoagulant, similar to that in a leechs saliva.How leech works? Leech sucks the blood with the help of anterior sucker and posterior sucker provides adhesive support for sucking Hirudin an anticoagulant present in the saliva of leech prevents the clotting of blood while sucking. It suppresses the aggregation of thrombocytes. Destabilase, anisopeptidase protein inhibits the arterial thrombus formation and platelet aggregation. Hyaluronidase, an enzyme which breaks down hyaluronic acid and temporarily decreases the viscosity of the cellular cement.It improves blood circulation in organs-targets and promotes capillary-tissues exchanging. The saliva of leeches have other pharmacologically active substances which show properties like antihistamine, antithrombin, antitrypsin, antichymotripsin, protease and local anesthetic. High anti thrombine activity was seen even in starved leech. Bedellins and Eglins show anti-inflammatory properties. By all these properties it helps to draw the local and peripheral blood, reduces the venous and capillary congestion. Hence it improves the blood circulation and their by helps to relieve the condition.Where we can use Leech therapy?

Leech application in Alopecia areata (Indralupta) According to Ayurveda leech has been indicated in Pitta(bilious) and Rakta(blood) involved conditions. It is effectively used in many local diseases. In hematoma (swelling with collection of blood) it helps to relieve the pain as well as swelling. Used in different infective and non-healing ulcers. Effectively used in painful joint like in Gouty arthritis, Osteo arthritis etc. In ischemic (reduced blood supply) and gangrenous conditions. Pimples especially where the Pitta is dominant. Used in different venous pathology like varicose vein, venous ulcer, phlebitis etc. Musculoskeletal disorders like carpel tunnel syndrome, sciatica, cervical spondylosis, as an instant pain reliever and to cure the condition.

Leech application in Venous ulcer Recurrent abscess in the eye lids. Thrombosed hemorrhoids. Alopecia in scalp region. Skin diseases like eczema, psoriasis, scabies, dermatitis etc Effectively used in local poisonous effects due to bite of some poisonous insects or snakes etc. These are the only few conditions and according to their clinical experience and observation Ayurvedic physicians are adopting this therapy in many other conditions also.

Leech therapy in EczemaModern medical science and Leech therapy In the 1980s plastic surgeons recognized anticoagulant and blood letting properties of Leech and started to use for relieving venous congestion after grafts and transplants. Leeches are currently used during post-operative care of re-implanted fingers, skin grafts, and breast reconstructions. In preventing post-surgical blood clotting, helpful in re-attachment of severed extremities like fingers, toes and ears. Recombinant hirudin is used in place of heparin in those who cannot tolerate or allergic to heparin.

Leech therapy in Varicose veinIs there any contra-indication?It is not preferred in clotting disorders like hemophilia, severe anemia, leukemia etc.Whether Leech bite causes pain?Patient experiences very minimum discomfort; can be compared with an ant bite or mosquito bite.In one sitting how much blood it sucks and how long it sucks?One adult leech will suck about 20 to 25 ml of blood. But anti-coagulant effect of its saliva causes the continuity of bleeding even after falling off. This amount may be some times about 10 times that of leech suck. The duration of leech suck may vary from 10 minutes to 30 minutes. It may prolong even up to 1 or 2 hours.Whether Leech therapy got any complications?There is no any life-threatening complications as such. Some patients may complain allergic or anaphyletic reactions at and surrounding area of bite. There may be slight itching, red rashes and oozing may present. There may be chances of edema in loose tissue areas like eyelid, lip etc. There may be prolonged post bite bleeding. These can be managed conservatively.How far Leech therapy is safe?The digestive tract of leech consists of parasites but they cannot survive in human body. However microorganisms which enter into leech by previous blood source can survive for months. It may transfer these pathogens into other hosts. A report says transfer of HIV, Syphilis and Hepatitis B noticed in African leeches. So it is better to use separate leeches for each patients. Historical accounts warn of the transmission of syphilis after the re-application of leeches used on infected patients.Is this therapy is economic?In India the price of each Leech costs about Rupees 20 50. So the therapy is cost-effective. It is a simple procedure. Still, experienced and expert physician is necessary to perform this successfully.This article is contributed byProf Dr A G RavishankarMS(Ayu) ,Ayurvedic consultant and Surgeon,Karnataka,South India.Posted inAyurvedic treatment tagged withAlopecia areata,Blood letting,Eczema,gangrenous conditions,Gout,Gouty arthritis,Indian cattle leeches,Indralupta,Jaloukavacharana,Leech therapy,Leeches,non healing ulcers,para surgical procedures,Ulcers,Varicose vein,Venous ulcerSWhere To Use Ashwagandha Choorna- Ashwagandharishta Ashwagandhavaleha And Ashwagandha Ghrita?Posted onJanuary 10, 2014byDr.Krishnamurthy4 commentsIt is the common belief that Ashwagandha,commonly known as the Indian ginseng is a good tonic,rejuvenator and revitalizer. So it is taken in various forms like-*Ashwagandha choorna*Ashwagandharishta*Ashwagandhavaleha*Ashwagandha ghrita etc.But,in Ayurvedic classical literatures there is specific indication and usage for each such formulations.In the absence of one,another may not be a substitute and instead it may be harmful or may not produce desired benefits.The reason is quite clear in the classical literatures that each such particular kind of recipe like choorna(medicated powder),arishta(alcoholic fermented product),lehya(lincus) or ghrita(medicated ghee) has particular intention in the treatment.Based upon this factor,the product formulated will acquire or contribute particular health benefits.But,the people and even recent Ayurvedic practitioners are in narrow view with only the chemical composition/constituents of the main drug/drugs or additives.They are not particular about the biological characteristic features and the chatacters/qualities enculcated due to particular processes involved in the drug manufacturing.Many a time this becomes the reason of not getting desired benefits out of the particular product or the particular illness/stage of the illness.Here with I am explaining in brief the action of different formulations derived out of the main drug-Ashwagandha.Ashwagandha choorna-Quite interestingly,in the classical literatures, the scholars emphasized the use of fresh drug of Ashwagandha and not its dry form.Inspite of that we use the dried roots most of the time (99%) in the manufacturing of the drugs.Anyhow,eventhough single powder usage is not referred in any of the original classics,the texts like Sharngadhara samhita refer Ashwagandhadi choorna(Ashwagandha-Withania somnifera, and Vriddhadaru-Argeria speciosa)(This powder should be kept on soaking with ghee and later taken as like the kalka-medicated paste,to get the similar effect of Swarasa-fresh juice?). It is considered to be a good rejuvenative,aphrodisiac and tonic.(Vangasena,Brihat nighantu ratnakara,Yogaratnakara too explain similar formulations).Ashwagandharishta-It is well indicated in moorccha(syncope), apasmara(epilepsy), shosha(emaciation),unmada(mania),karshya(leanness),arsha(haemorroids),agnimandya(indigestion),vata roga(neuromuscular disorders) etc-(Bhaishajya ratnavali)Ashwagandhavaleha/paka-They are appreciated in the condition of prameha(urinary disorders),jeerna jwara(chronic fever),shosha(emaciation),gulma(gaseous tumors) and vatapaittic disorders(Yogaratnakara)Ashwagandha ghrita-It is highlighted in the conditions of ardita(facial paralysis),hanustambha(lock jaw),sandhivata(osteo arthritis),katigraha(bach ache),prasooti roga(Purperal disorders),shukradosha(seminal disorders),vatic disorders etc (neuromusvcular disorders) (Napumsakamrita)Ashwagandha taila -for external application-Beneficial in raktashayagata vata(clots/ischemia/peripheral neuritis),raktapitta(bleeding disorders), raktapradara(menorrhagia),mamasakshgaya(emaciation),veeryavikara(seminal disoredrs),yonivikara(vaginal disorders),vranadosha(ulcers),shandhata (impotency) etc(Chakradatta,Gadanigraha)I feel, after going through this write-up, one will get the idea why there is no reference of Ashwagandhasava..Ashwagandha ghanavati.etc in classical literature !Posted inayurvedic medicines,Ayurvedic treatment,health tips tagged withAshwagandha,Ashwagandha choorna,Ashwagandha ghrita,Ashwagandharishta,Ashwagandhavaleha4 comments sahilFebruary 15, 2014 at 2:44 amhi,sir from where can i get this? i mean from which shop or store? my height is 57 and weight is 56 kg age 23. please tell me some solutions about it. Also about height if possiblethanksReply Dr.Krishnamurthy M.SFebruary 17, 2014 at 9:11 amDear Sahil,Replied to through the mail.RegardsReply riddhiMarch 1, 2014 at 11:22 amI am 40 year old. past 15 days i am suffering from ear ache and there is pus coming out from ear. i took allopathic medicine, but still pus discharge is present. I am looking for ayurvedic medicines. please help me.Thank you doctor.waiting for your replyReply Dr.Krishnamurthy M.SMarch 1, 2014 at 12:07 pmThank you for referring me.It requires physical consultation. Approach any good ayurvedic physician near by.I wish you good health and spirit.Throat irritation: Simple and Effective Home remediesPosted onMarch 13, 2014byDr.KrishnamurthyLeave a commentThroat irritation is a troublesome complaint people often suffer. Cold water intake, cold climate, oily food etc are the common factors for this complaint. Repeated intake of anti biotic is not advisable. So people are frequently in search of safe and effective measures to pacify the complaints like sour throat, throat irritation etc.Here are few such effective and simple remedies-1. 20 ml oflemon juice, 2 gram ofrock saltand 5 gramorganic turmeric powderare added to 200 ml of lukewarm water and mixed thoroughly. This is used for mouth gargling twice or thrice in a day, preferably early in the morning and before going to bed. It helps to pacify the complaint of throat irritation.2.25 ml ofcoconut oilorsesame oilis heated a little (luke warm) and allowed for self cooling. To this, a pinch ofrock saltorlemon juiceis added. 1 -2 teaspoon of this mixture is used for mouth gargling in case of throat irritation.3. 2 gram each ofpepperandturmericand 5 gramrock saltare added to 200 ml water and boiled. This is used for gargling on getting into luke warm. If it is repeated 2-3 times in a day significant benefit can be expected in throat irritation and sour throat .4. 1clove, 2cardamom, 3pepper, 4 leaves ofTulasi (holy basil)and 5 gram each ofrock saltanddry gingerand made into fine powder / paste and rolled into pills. If necessary, slight honey may be added while mixing or rolling the pills. The pills are dried under shade and stored.1-2 pills are chewed twice or four times a day. It gives significant benefits in indigestion, cold, cough, sour throat, throat irritation etc.5.Long pepperandpepperare taken in equal quantity fine powder is made.2 gram of this fine powder is mixed withhoneyandbetel leaf juiceand licked.This helps to relieve chronic complaint of sour throat and throat irritation.Posted inhealth tips,Home remedies tagged withcardamom,cold,cough,lemon juice,organic turmeric powder,pepper,rock salt,sour throat,Throat irritation,tulasi

Posted onMarch 12, 2014byDr.KrishnamurthyLeave a commentDrowsiness is a general complaint we often get due to work exhaustion, boring, out of interest work, sleeplessness etc.This is found quite often in work place, It is not advisable to take any of themedicamentfor this complaint. People are looking towards some simple remedies for this routine problem.Here are some simple and effective ways of managing the drowsiness-1.Lemon teais best to reduce the drowsiness. 200 ml of water kept for boiling. When water is boiled, 5 gram ofsugarand spoon oftea powderare added and kept as it is till it turns brown. Then it is taken out of the fire andlemon juice(5 ml) is added and mixed thoroughly. This is sipped very often. It helps to relieve the drowsiness.2. 10 ml of freshlemon juiceis dissolved in 200 ml of water and further fine powder ofpepper(2 gram) andsugar(10 gram) are added and mixed well. This sharabath helps to overcome the complaint of drowsiness. According to the need and liking, slight honey may be added.3. Water is boiled and to this 3 4leaves of lemonare added. Then it is taken out of the fire and tea spoon ofhoneyorjaggeryis added and stirred well. This relieves drowsiness effectively.4. For a cup of lukewarm water,lemon juiceis added and it is sprinkled over the face, by closing the eyes. Or else face can be washed with this. This helps to over come drowsiness, fatigue, loss of interest etc.5. 200-400 ml potable water is taken and 2-3 gram ofcaustic sodais added to this and dissolved. Face wash is carried by this water. It helps to overcome drowsiness. With the same reason and rationality, professional drivers use chilled beverages or cold drinks to wash the face in between their long driving.Rectal prolapse in Children and Effective Home remediesPosted onMarch 11, 2014byDr.KrishnamurthyLeave a commentRectal prolapse is a condition commonly seen in children of age below 3 years. It can be considered as partial and complete prolapse. Partial prolapse is common in children in which, mucosa and submucosa of rectum comes out during defecation and its length is less than 3.75 cm. Usually it goes inside spontaneously, but some time manual repositioning is required. Complete prolapse is rare in children, where all the layers of the rectum prolapsed and it may up to 10 cm long.Causes: In children there will be incomplete development of sacral curve. Direct downward course of rectum. Diminished tone of anal musculature. Faulty bowel habit. Straining such as attacks of diarrhea or constipation. Whooping cough. Malnutrition causes lose of weight and diminution of pararectal fat.Treatment: Digital reposition-This is to be either performed by mother or teach the child how to do it. With the help of index finger the protruded (prolapsed) rectum is pushed up through the anal canal and finger is gradually withdrawn. The finger can be lubricated with ghee before repositioning. Avoid straining at stool. Controlling of diarrhea, whooping cough, etc. causative factors. Nutritional diet, which contains protein, carbohydrate, fat, etc. such as sprouted green gram, soya bean, peanut, pumpkin, almond, milk, egg etc.External measures: Leaf of Custard apple and sugar is crushed and paste is prepared and smeared around the anal orifice. Paste of Tuvari(yellowgram) is smeared in clean thin cloth and bandaged to the anal orifice. Changeri leaves (Oxalis corniculata) are crushed and its fine paste is applied around the anus and bandaging is to be done. Whole plant of Lajjalu (Mimosa pudica) is crushed and made into fine paste. It is applied around the anus and bandaged. Tender leaves of lotus are made into paste and smeared into anal orifice. A pulp of unripened Bilva fruit (Aegle marmelos) is crushed and its paste is prepared. It is applied in the anal region and bandaged. A root of Apamarga (Achyranthus aspera) is crushed and boiled in sesame oil and apply into the anal canal. It is better to infiltrate about 2ml of oil into the anal canal with a syringe.Note: Above said measures are applied after repositioning of the prolapse wherever possible. If possible, these things should be applied into a small cotton wick and insert the wick into the anal canal at night time. It will come out spontaneously next day while defecating.Internal: Decoction of Custard apple leaves about 25 ml per day. Decoction of Lotus leaves about 25ml per day. Yellowgram boiled water with sugar about 25ml per day.These treatment measures usually cure the condition within 3 to 4 weeks.This article is contributed byDr A G Ravishankar MS(Ayu),Consultant Ayurvedic surgeon and Professor,Alvas Ayurveda Medical College,Moodbidri,Karnataka.Posted inAyurvedic treatment,health tips,Home remedies tagged withChangeri leaves (Oxalis corniculata),herbal treatment for rectal prolapse,Lajjalu (Mimosa pudica),prolapse of rectum in children,Rectal prolapse,root of Apamarga (Achyranthus aspera),straining at stool

Onion: Universally Accepted Medicinal Vegetable! Every eater must KnowPosted onMarch 10, 2014byDr.KrishnamurthyOne commentBefore going through this important write up, I request everyonion eatertodown load a free e bookofsuvacha.comwhich explains101 Health Benefits of Onion.In ayurveda, onion is known as palandu(in Sanskrit). Its botanical name isAllium cepaLinn. It is a plant belonging to Liliaceae family.As everybody knows most useful part of the plant is bulb. But seeds and leaves are also equally useful for medicinal as well as vegetable purpose.It is mainly used in a Neuro-muscular disorders and in the diseases of Gastro intestinal tract.What is its history?This plant palandu(onion) is known all over the world. The middle Asiatic countries are considered to be the primary center of origin of Onion. This plant has been referred in our ancient scriptures frequently as sukandaka. It is known since the Rig-Veda and also during the era of Manu. During later period, Charaka and Sushruta have also made considerable research on this herb. Charaka compared it with fire and earth and described a number of medicinal qualities Acharya Sushruta also supported Charakas views.Why it is called Palandu?Palathi rakshathi balaveerya pradanena ithi Palandu.It means the substance which protects the vital capacity and promotes the body strength and potency is called Palandu. Detail review of the literatures makes us to appreciate and accept the above qualities undoubtedly.What are all the Synonyms of Onion in Sanskrit?Various sysnonyms attributed to palandu are Bahu patra, Durganda, Teekshna kanda, Mukhaa dushaka etc.Bahu patra-This stands for the bulb covering leaves, which are of two types -storage leaves and photo synthetic leaves. The Storage leaves are fleshy and white in color. They are surrounded by the small disc like stem and constitute the underground bulb.Durgandha,Vishwa gandha,Durdruma, and Tekshna kanda stands for the smell emitted by the bulb/leaves. By its intake also, there will be bad smell from the mouth which is also known as Mukha dushaka(vitiates oral cavity). Yayaneshta refers to the substance liked by foreigners/abundantly used in abroad.How it is known in different languages?Arab : BaslAssam : PiyasBengali : Piyaj,pyaj,pulanticBombay : KandaBurma : Kyet-th-woni-ni kesun-niCanarese : NeerulliEnglish :OnionGujarathi : KsandSindh :Durgars kandoHindi :PiyasMalayalam :EerulliMarathi : Kondha, konrhaPers: : PiaysSanskrit : PalanduSindh : LunnTamil : VengayamTelungu : Yerragadda-NeermulliWhat are all the other important herbal drugs of this family?Athasi : Linum insilatissmum etcDweepanthara : Smilax china LinnKumari : Aloe barbedensis MillLangali : Gloriosa superba LinnNagadhamani : Sansevieria roxburghinana SchufPalandu : Allium cepa Linn.Rosona : Allium sativam LinnSatavari : Asparagus recemosus welldSuranjna : Colchium lutenm BakerSvthamusali : Asparagus adscendens RoxbUshava : Smilax zeylanica LinnVacha : Smilax glabra LinnVana palandu : Urginea indica KunthWhere it is cultivated in India?It is cultivated throughout India.