Understanding Kamala: Liver Disorders and Symptoms
Explore the intricacies of Kamala, a liver disorder prevalent in India, affecting 1361 individuals per 1 lakh population. Learn about its causes, symptoms, and complications, such as jaundice and poorly treated pandu roga. Discover how dietary habits play a crucial role in its manifestation and progression.
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Presentation Transcript
Introduction Liver disorders - Jaundice 1361 individuals in 1 lakh population in India Poorly treated pandu roga Pittaja nanatmaja vyadhi Ratkapradoshaja vyadhi
Nirukti Kamu + nhin pratyaya Kaman lati iti kamala
Pandu rogi consumes excessive paittik ahar- vihar develops bahupittakamala Pandu rogi consumes amla rasa pradhan and apathyakar ahar Pandu rogi with excessive pitta consumes pittakar ahar develops kamala
Samprapti Ghataka Dosha-Pitta Dushya-Rakta and Mansa Adhisthana-Kostha(Mahasrotasa) and shakha Srotas- Rasavaha srotas, Raktavaha srotas, Annavaha srotas, Purishvaha srotas Srotodushti- Atipravritti, gamana Sanga, Vimarga
Samprapti Ghataka Dosha Pitta Dushya -Rakta and mansa Adhisthana- Kostha (mahasrotas) and shakha Srotas - Rasavaha, pureeshvaha srotas Srotodushti Atipravritti, Gamana raktavaha, annavaha, sanga, vimarg
Lakshana Haridra netra sa brushsam haridra twak nakha aananaha Rakta peeta shakrut mootra bheka varna hata indriyaha Daaha avipaka dourbalya sadana aruchi karshitaha Kamala bahu pitta usha koshta shaaka ashrayaha mataa
Lakshana of Shakashrita Kamala Haridra Netra, Twak, Mutra Sweta Varchas/Tila Pishta Varchas Atopa Vishtambha Hrudaya Guruta Daurbalya Alpagni Parshwa Arti Hikka Swasa Aruchi, Jwara
Lakshana of Kumba Kamala Kumba Kamala develops as a complication or an advanced stage of Koshtashakasrita Kamala 1. Khari Bhuta 2. Maha Sopha 3. Parvabheda 4. Krishnapeeta Twak, Mootra, Sakrith and Netra
Haleemaka Lakshana It is caused by deranged Vata and Pitta 1. Haritha Syava Peeta Varna 2. Utasaha Kshaya 3. Bala Kshaya 4. Tandra 5. Mandagni 6. Mridu Jwara 7. Angamarda 8. Daha 9. Trishna 10. Aruchi 11. Brama
Sadhyaasadhyata Initial stage of kamala is sadhya Long standing becomes kriccha sadhya leading to Kumbha kamala Kumbha kamala presents with further symptoms like krushna-pita shakruta mutra, raktamutra, shotha, chardi, daha, aruchi, trushna, anaha, moha, nasht agni is asadhya Kumbha kamala with chardi, aruchi, hrullas, jwara, klam, swasa, kasa, atisara considered as asadhya
Kamala Chikitsa The management of disease according to ayurveda can be divided into three parts 1. Nidana parivarjan 2. Shodana & Shaman 3. Pathyapathya
Bahupitta kamala mainly Pitta hara drugs which do not interfere with pandu Kamala vyadhi itself is chronic; hence involvement of Dhatu s is seen In Kamala pitta dosha is vitiated by its ushna, tikshna guna and leads to Rakta dhatukshaya Along with this because of drava guna accumulation of pitta dosha occur In this state if we give tikshna shodhan, it leads to vitiation of vayu So there is need to eliminate sanchit dosha and to avoid dhatukshaya mrudu shodhana i.e. mrudu virechan is useful in Bahupitta kamala There treatment of choice for kamala is mrudu- virechana with tikta dravya
Ghrita used in Kamala vyadhi for snehapana 1. Panchgavya Ghrita 2. Draksha Ghrita 3. Mahatiktak Ghrita 4. Haridradi Ghrita 5. Dadimadi Ghrita 6. Kalyanaka Ghrita 7. Danti Ghrita 8. Katukadi Ghritam 9. Pathya Ghrita
Small & Repeatedly Gomutra and Godugdha in equal quantity Only Godugdha Eka anjali Mrudwika prayoga (300 gm) Aragwadh Phalmajja and Ikshurasa Triphala kwatha or Guduchi Swarasa or Daruharidra swarasa or Nimbpatra swarasa with madhu Gomutra Haritaki Trivrita Churna (one part) and Sharkara (two parts) Amalaki Swarasa and Madhu
Aragvadha phanta with shunthi, pippali, maricha, bilva, along with the svarasa of ikshu, vidari and amalaki, Gomutra haritaki Dantimula kalka and guda with cold water Triphala kwatha with trivrit kalka
Treatment of shakhashrita kamala Needs different principle of management, since malarupa pitta is in shakha and virechana will not be effective till dosha are brought into koshtha Here kapha which obstructs the path of pitta, should be alleviated The medicines which alleviate kapha, like tittara, daksha, sushka mulaka, kulattha yusha Matulunga swarasa with honey, pippali, marich and shunthi have to be given By giving these drugs pitta is brought in kostha and then pittahara chikitsa should be given
Shamana After Virechana karma Pitta hara/ Tridoshahara Pitta rechana Yakrid uttejaka Dipana Rechana Shothahara Jwarahara Rakta shodhana Rasayana
Eka mulika dravya Kutaki (Picrorrhiza kurroa) Kiratatikta (Swertia chirata) Kalmegha (Azadirachta indica) Daruharidra (Berberis aristata) Amrita (Tinospora cordifolia) Bhumyamlaki (Phyllanthus niruri ) Triphal Vasa (Adhatoda vasica) Kumari (Aloe vera) Bhringaraja (Eclipta alba) Punarnava (Boerhavia diffusa)
Yoga 1) Churna - Svarnakshiryadi yoga, Yogaraja, Navayasa churna 2) Gutika - Mandura vataka, Shilajatu vataka 3) Bhashma - Mandura bhasma 4) Svarasa - Triphala, Guduchi, Daruharidra, Nimba patra svarasa 5) Kvatha - Phala trikadi kvatha, Vishaladi phanta 6) Aristha- Bijakaristha, Dhatryaristha
Yoga 7) Avaleha - Darvyadi leha, Dhatrayavaleha 8) Lauha - Nisha lauha, Dhatri lauha, Vidangadi lauha, Navayasa lauha 9) Rasa - Sindurbhushana rasa, Kamalanta rasa 10) Rasayana - Swarnmakshika + Gomutra, Shilajatu + Gomutra, Mandura + Gomutra + Saindhava lavana, Bibhitaka lavana 11) Nasya - Karkota mula nasya 12) Anjana with Nisha, Gairika & Amla
Yoga Vasa guduchyadi kashaya Nimbadi kashaya Yashtivasadi kashaya Trayantyadi kashaya Drakshadi kashaya Dadimadya ghritam Katukadyam ghritam Pathya ghritam Danti ghritam Drakshaghritam Haridradi ghritam Darvyadi ghritam
Yoga Navayasa churnam Mandura vataka Tapayadi lauha Yogaraja Shilajatu Vataka Punarnava Mandura Darvyadi leha Dhatryavaleha Mandura vatakah Gaudo arishta Beejakarishta Dhatryarishta
Haleemaka kamala Buffalo ghee guduchi swarasa and milk Trivritta mixed with the amalaki swarasa Drakshaleha Yapana basti Kshara basti Anuvasana basti Draksharishta Abhaya leha Pippali, madhuka and bala along with milk
Management of kumbhakamala Deep seated (kharibhuta) causing excessive dryness of all dhatu Kumbha kamala is an asadhya or kriccha sadhya vyadhi Not mentioned any specific treatment
Pathya 1. Vamana, virechana, purana sali, yava and godhuma, mudga, masura, adaki-sushka, jangala mansa rasa 2. Patola, kooshmanda (ripe), unripe kadali, jivanti, ikshu, guduchi, tanduliyaka 3. Punarnava, vartaka, lashuna, palandu, ripe mango, haritaki, amalaki, gomutra, haridra and nagkesara 4. Buttermilk, souviraka, tushodaka, navanita and chandana 5. Daha/ Agni karma 2 inches below umbilicus, between stana and kaksha, hastamula, forehead
Apathya 1. Rakta mokshana, dhumapana, veganirodha, svedana, sexual intercourse 2. Shimbi dhanya, hingu, masha, excess drinking of water, tambula, sarshapa, sura 3. Eating mud, divasvapana 4. Amla rasa, guru- vidahi padartha, contaminated water, non congenial, un-hygienic diet 5. Residing in hot climates and exposure of radiant sun, anger, vyayama and strenuous physical and mental activities
Mukta kamala lakshana Treatment should be continued till the stool of patient acquires the colour of pitta and vayu is alleviated When pitta reaches swasthana (koshtha) and patient is relieved of upadrava, earlier line of treatment should be resumed
