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Next
topic for discussion: #Management of Short vision or eye - vision problems with ayurveda
Dr.
Ravindra Upadhyay:
Let us think of the reasons first. It is genetically inherited disease? Contaguineous marriages is responsible for
that.
Dr. Abha.
l. Ravi: We can use
thriphala ghrith with sapthamritha loha.daily intake of thriphala choorna with
ghritha and madhu at bedtime
USA Gary
Yuen: Don't know.
That could may be take many many generations. Liver problems? I use
sevanti/chrysanthemum as tea daily. There is also evidence psychology stress
and personality might be a factor.Chinese medicine also says sevanti tea with
goji berries is good for eyes. Also a good rasayana.External: rose water drops,
castor oil drops, triphalā wash. Internal: guduchi, shatavari, daruharidra,
chrysanthemum, aloe vera- Pole, Sebastian.
Ayurvedic Medicine Human milk as wash is also supposed to be good. Would that
be more for a specific dosha?
LVG
Shriram Gandhi: Eye
wash with Triphala water is commonly used.
Dr. Suyog
Kulkarni: The
Triphala Ghrita which we use for netra tarpan is Yogawahi Triphala ghrita.
USA Gary
Yuen: Other washes:
1. Triphalā, sarsaparilla and turmeric 2. Barberry and raw honey, or just raw
honey 3. Punarnavā decoction with rose water 4. Chandrodaya varti 5. Triphalā
ghee 6. Pravāl piṣhti 7. Saptamrita loha (iron ash) Does oil nasya help?
Colombia
Dr Mario Herrera, Neiva, Huila: How do you prepare the triphala, sarsaparrilla and turmeric
wash?
USA Gary
Yuen: I would guess
like triphala water. Haven't tried but seems like good idea. Boil and then
filter? For how long? 20 min? Boil to reduce? How is triphala water made?Read a
little. Seems nasya is good for eyes but don't know which conditions. Probably
good for eye health. In that case, any preferable oils? Any herbs to avoid?
Vd.
Dhruti Kagrana:
Nasya is helpful in eye disease. In charaka samhita Nasya is mentioned in
Timira, Vartamagata roga, Akshi roga..( CH. Si.2/22)
Dr. Nayan
Thacker: nasay with
anu oil & netra tarpan with jivantyadi oil
USA Gary
Yuen: I have some
oils for hair like mahabhringarj and kesh taila. And a Western ayurvedic
massage oil with bala vacha shatavari ashwagandha and more. Would any oil that
is tridoshic and non-warming generally ok?
Ayulink: These oils may be good for hair
massage but may not be effective on eye sight
USA Gary
Yuen: Because of our
modern life and processed foods, and unhealthy oils, many vegetarians have
higher than normal blood pressure. That can effect eyes like easy fatigue even
if there aren't any serious conditions. Flax and hibiscus tea are good for that. B12 may also have some
effect.
Ayulink: I don't think any head massage or
hair massage have direct effect on vision. Head massage nourishes brain and may
be indirectly helpful. But never seen / heard direct effect on eye sight -
short vision
USA Gary
Yuen: I was thinking
using those for nasya. Since none increase pitta, may be ok.
Ayulink: Nasya with oil having Vacha as
ingredient? Please be careful. This can be risky. May cause several
complications. Vacha can produce very good effect as well as very fast side
effects or complications, including neurological disturbance. Please be
careful. You will need proper knowledgable and experienced Vaidya for it.
Ayulink: Sorry to warn you, but this
(Nasya)is my area of work (expertise). So I felt it is good to share my
thoughts with you. Many commercial products are not having clinical trials, and
may not be safe.
Dr. Jyoti
Ashok:
Sir,pl.elaborate on ur experience with vacha nasya.
Ayulink: With Vacha nasya:- Pt. can suffer
with Anaphylactic shock (A widespread and very serious allergic reaction.
Symptoms include dizziness, loss of consciousness, labored breathing, swelling
of the tongue and breathing tubes, blueness of the skin, low blood pressure,
heart failure, and death. Immediate emergency treatment is required for this
type of shock, including administration of epinephrine in the case of bee or
wasp stings).
Dr.
Sachin Utpat: Sir
how it occurs? Samprapti? And for how much dose?
Ayulink: I don't know, how it occurs. But it
occurs. I have seen in many cases. May be excessive pitta aggravation.
Vd.
Sachin Kadlag:
Message at soles of feet (पादाभ्यंग)
is beneficial for
eyes.
Dr. Anuja
Marwar: Netra tarpna
with triphla ghrita. akshi sekam with triphala powder, nasya and shirodhara is
very effective in eye problem. And also the foot masaage is very benifecial
USA Gary
Yuen: It is supposed
to be for all doshas and first ingredient is shatavari. Other oils are for hair
and might be safe.
Dr Jayesh
Patel: Sir for
better vision use jivantyadi ghreet or jivanti churn & Dashamrut haritaki
churn gives a excellent result
USA Gary
Yuen: Are there any
texts that show areas of foot and how they correspond to body? In Chinese
medicine, bottom half of two middle toes are for eyes. http://www.chinesefootreflexology.com/wp content/uploads/2013/03/Eyes.jpg
Unfortunate
many commercial oils are not pure or tested. Even spices like turmeric and i
think others now have heavy metals and are contaminated.
Dr.
Malathi Arjun:
Eyewash with triphala qwath.Netra tarpanam with patoladi ghritam.Sapthamrith
loham orally
USA Gary
Yuen: Of pure oils
for nasya, are any better? Ghee sesame coconut castor? Would it vary with
dosha? Eye problems can by any dosha but maybe any kapha oils might be
inappropriate.
Vd.
Kinshuk Hirpara:
Research has found that spending time playing outside as a child may reduce
your chances of becoming short-sighted, and existing short-sightedness may
progress less quickly…This may be related to light levels outdoors being much
brighter than indoors. Both sport and relaxation outdoors appear to be
beneficial in reducing the risk of short-sightedness…Spending a lot of time
focusing your eyes on nearby objects, such as reading, writing and possibly
using hand-held devices (phones and tablets) and computers can also increase
your risk of developing short-sightedness. Which is also considered as digital
eye strain. I have cure couple of patients with internal treatment of
Saptamrita loha which contains iron, godanti bhasm which contains calcium ,
dodi ghan which contains Beta carotene and vit A…Along with foot massage with
cow ghee.Walking bare foot on green grass and meditation also helps to improve
imbalanced Doshas.
USA Gary
Yuen: Of being
outside in the sun, that may be important at age. Modern doctors say CoQ10
important for eyes. After eating vegetables, i think one study says our bodys
from chlorophyll make coq10 when outside in sun. There may be other more
important factors but that seems one.
Vd.
Dhruti Kagrana:
Netra roga nidana in samhita:-
Su.ut. ta
1/26-27..Prasakta samrodhana -crying always, being sad always, Kopa - anger,
shoka - unhappines, klesha- depression,
abhigatha -accidents or truma, shukta and aranala -fermented drinks, kulattha
-horsegram,masha-blackgram,vega nigrahana -suppression of natural urges, ati
sweda(sweating),dhuma nisheva -excessive smoking, chardivighata -controlling of
vomiting, vamana atiyoga therapy
-excessive vomiting when given as therapy, supressing of ashru(crying),
immediately entering in cold water after exposing to sun( heat).
Dr. S. K.
Rai: I firmly
believe the netra vasti (triphala
ghritam) followed by nasya with Anu tailam can do wonders,netra vasti helps in
strengthening the cilliary muscles and removes the engorgment by its exosmosis
process.Ocular tension is taken care off. Further grit happens to be Pitt
shamak it helps to reduce the infections,finally the site is improved.
USA Gary
Yuen: If through the
nose herbs are absorbed more readily, are commercial anu taila formulas of ok
quality?Caraka Su 5.46 mentions fumigation. This is breathing the smoke of
burning herbs?
Vd.
Dhruti Kagrana:
Myopia(short vision) occurs when light is focused in front of the retina. It
occurs because either the eyeball is too long, or because the cornea is too
curved. Despite maximum flattening of the lens, the eye is not able to focus
the light rays further back, and on to the retina…Refractive error of the eye -
Myopia may be co-related to Timira in Ayurveda…Aalochaka pitta resides in eyes
responsible for vision. Disturbances of pitta with vata dosha causes vision
problems.Because of causes like lack of proper diet, alochak pitta and
dhatus in eyes do not receive proper
nourishment and therfore fail to perform their functions properly…In Timira
pathya Aahara:..Purana ghruta( old ghee), Triphala, Satawari, Patola, Mudaga,
Aamalaki,Yava.(su.ut.17/48)
Dr.
Pankaj Wankhade:
NetraTarpan with triphala ghat, nasya, saptamruta loha & sarswati vati for
all urdhvjatrugat rog...
Vd.
Khyati Jariwala:
Nabhi puran vid trifla ghrut or simple cow ghee improves eye sight
Dr. Jyoti
Ashok: Relation
between Eyes and Paada :
The two
sira's which are present in paadamadhya carries the benefits of the abhyanga,
udwarthana,lepana etc... to the eyes…The accumulation of mala in paada, heat,
injury, compression of feet etc.. will harm the eyes leading to dristi dosha.
To prevent this one should wear footwear, do abhyanga and should keep feet
clean.Reff AHU- 16/66
Dr.
Khushbu Patel: Nasya
and tarpan of triphla ghee is very effective. eye exercise is also beneficial.
Vd.
Dhruti Nirav Bhatt:
Saptamrutloh ,Jivantyadi ghrit for Netra tarpan and foot message. Amlaki is
best for Eyesight .Pranayam gives good result .
Vd.
Sandeep J. Prasad:
Trifladi churn mentioned in arya bhisag at bed time with ghee and honey unequal
amount has good result in all eye disorders.
Dr. Uday
H. Hanagal: Netra r jnyanendriya,
Situated in kapha sthana (shira), Sight of Alochaka pitta(2types
chakshurvaisheshika, buddhirvaisheshika), So Vagbhatacharya explains in
Sutrasthana Dinacharya Adhyaya how much importance is there for Nityaabhyanga
of shira, shravana, pada (urdhwa moola adaha shakha--bhagavadgeeta) to get
benefits(Indriya patava etc.). This is for Swastha purusha, In eye problems so
many techniques r explained in A.H. Uttarasthana.
Dr.
Arvind Shahane:
Trifla jal wash- Trifalachurna 1tsf +Ghrit 1tsf +Honey 1/2 tsf. All mix n take
at night .Good result for vision.
Vd.
Hardik bhatt, Idar:
Pad abhyang . With cow'sghee or trifla ghrit or jivantyadi ghrut is good for
eyes . In texts says :- charanseva is good for eyes . So, padabhyang, good
shoes or chappals , adi used for eye disorders ..
Dr.
Madhuri Patil Chaudhari: Padabhyang.. with cows ghrut and copper small pot, copper with oxygen
..oxygen is released in -ve ion form so beneficial my view though may not sound
scientific. ( Cu+ O2= CuO+ O.... not balanced equation but for purpose of understanding) reduces
positive ion poisoning, How, Dont know.
Tratak and Sinhmudra best of Focus and Accomodation functions of eyes .
Dr. Uday
H. Hanagal: Triphala
rasayana-- Triphalachoorna+Ghritha+Madhu (can be added according to the person
need r condition), can be taken in night just before going to sleep ( Urdhwa
jatru vikareshu swapnakale prashasyate--A.H.Sutrasthana). Acts as
mruduvirechaka & rasayana for netra
also (Bahukalpam bahugunam sampannam
yogyamoushadham).
Dr. Amal
JP: Treatment
Protocol for Hriswadrushti (Myopia)
1)Netradhara with Kasyapam ks or Triphala ks 2)Nasya with Anu tailam or
ksheerabala 101 3)Sirodhara with balaswagandhadi tailam or lakshadi keram or
sasanka tailam 4)Eye massage with ksheerabala 21 5)Tarpanam with Triphala
gritham or kashyapa gritham or jataveda gritham 6)Aschothanam with the same
medicine of tarpana . Internally we can
give jeevanthyadi gritham or kashyapa gritham or maha neela gritham or Triphala
gritham. Sapthamruthaloham sudhersanam gulika Pathyakshadhatriyadi ks or netra
raksha ks or drakshadi ks etc
Dr.
Madhuri Patil Chaudhari: In netrarog Pathyapathy. wheat is nvr to b used with oil but cows ghee as
wheat with oil is said to b anetrya .reducing the functioning of eyes
Dr.
Dayanand Bothre:
Dr.
Hardikchandra Kalal:
Local application of saliva is most useful in some eye 's disorders but how I
don't know .Please ,any one explain
Vd.
Tapan: Bodhak aur
Alochak padoshi hai. Padoshiome lenden chalati rahati hai.Nai?!!
Vd.
Sandeep J. Prasad:
Reason of cough in eye explained above .
Vd.
Tapan: Chahere ki
sundarta sharir ke Anya ango se kuchh vishesh rehti hai vo bodhak aur Alochak
ke bich ke santulan se hi utpanna aur maintain hoti hai..Isaliye bodhak ke
dravyo se aalochak ko fayada hona swabhav ok hai.Chakshuko Kafa se Bhat hota
hai aur chakshu tejomay hai.Isaliye tejovruddhi ho to bhi aur kafakshay ho to
bhi bodhak Kafa usake upayogi hoga hi.
Dr.
Madhuri Patil Chaudhari: Akshisneh for proper functioning.
Vd. Amol
Hingmire: Musta+
Amruta satva+ kamal +bilva+shatavari+kutki+amalki bij majja-For all types of
netra rog & Bruhadwasakadi kashya
Dr.
Ujwala Said: Myopia
in children can be genetic disorder maybe strains of tuberculosis maybe the
cause. Vitamin A needed for color vision to see in dim light protects the
corneal surface
USA Gary
Yuen: Yes. Good
sources carrot sweet potato green vegetables coriander leaves yellow squashs
pumpkin. Many. Maybe all green leaves including tulsi.
Dr.
Ujwala Said:
Tomatoes whole milk mangoes also
USA Gary
Yuen: Many foods
will have vitamin A bit highest are yellow orange vegetables like carrot and
sweet potato and 2nd are green vegetables.
USA Gary
Yuen: Some foods
ranked by vitamin A. http://www.whfoods.com/genpage.php?tname=nutrient&dbid=106
I did not
think of mango but yes because it is orange or is very high. A list of many Indian foods.http://www.fitjog.com/indian-nutrition-charts/vitamin-a-rich-grains.php
USA Gary
Yuen: Moringa leaves
also possibly very high but not tested.
Dr. Yogin
Patel: I had hear
from old man - shivambu reduce number of myopia . any one have any experience?I had heard from
old man - shivambu reduce number of myopia .
any one have any experience?
Dr.
Ravindra Upadhyay:
Regarding eyes one can take experience of Sun Gazing. Daily early morning in
the 1 st hr after sunset look at the sun without spectacles for 10
minutes.similarly in the evening in the last 1 hr before sunset one has to do
Sun gazing for 10 minutes. One gets lot of benefits in general and drshi pt of
view.
Dr. P. A.
Deshpande: Shivambu
treatment for eyes or otherwise also
is harmful. Urine contains many
toxins and it harms. This is my personal experience as well as pts survey. I
have used for five years with hearing
loss due deposits of salts. Shivambu helps only if one is only on cow milk, fruits
and vegetables (raw) without any
external additives . Person should not be on any medications and addiction.I also need this info.
Australia Vd. Neerja Ahuja: I would think that the cows get so many chemicals
that even that may not be necessarily good.
-----------------CASE
DISSUCION RELATED TO EYES DISORDERS---------------
USA Dr.
Archana Vardhan: I share
one patient's medical history related to netraroga
Patient had
problem since nov 2015. There was inflammation of optic nerve, bleeding and
retinal detachment .He received steroid injections and till date he has got 3. Doctors
here in US are giving him drops for glaucoma too. His current concern is with
so much eye pressure he is not allowed to take those injections which gives him
relief n is now developing cataract in both his eyes. He is not able to read
nor been able to work on the desk.
..This is
the image
Dr. Nayan
Thacker: how can we
help in this pt..?8 yrs child…
USA Dr.
Archana Vardhan: He
took some ayurvedic treatment in india which helped him in reducing eyepressure
and inflammation
Dr.
Rajendra Joshi: May
be hemophilia. Bleeding is there
Dr. Uday
H. Hanagal: Nidana
parivarjana (intake & external usage of allopathic medicines & aahara,
viharajanya), to reduce inflamation, bleeding Shatavaryadi ghrita 1/2 tsp + to
get good vision Jeevantadi ghrita 1/2 tsp with 1 small cup of milk + 1/2 tsp
red sugar candy powder ( just before going to sleep in night)both r Pitta, Vata
hara. External abhyanga with plain ghrita on head & legs in morning before bath…Will netra tarpan work
in this condition.This is Apatarpanajanya inflamatory Haemorrhage condition so
mrudu Abhyanga of plain Ghrita half an hour before the bath can helpful.
Dr. P. A.
Deshpande: To reduce
optical pressure prepare a paste of
triphala churna and apply on eyelids ,
all surrounding areas including fore head
at bed time clean in morning. The
contracting action will reduce pressure. During day time soak cotton pack in triphala
water n put ice pack on it. This will also help pressure reduction. Bowel
clinsing is must. Only mild treatment
will give good effect. Carrot beet root
and palak juice will help nutritional support.
Curcumin cap. 125 mg two cap three times a day will help stopping
bleeding tendancy. Tarpan with simple
grut will also help
Dr. Amal
JP: Thakradhara with
musta-amalaki kashayam and thalam with kachooradi choornam in nimbamrutadi
eranda tailam is beneficial to decrease IOP and bleeding
USA Dr.
Archana Vardhan: I
have never tried this combination .How does that works?
USA Gary
Yuen: As certain
herbs decrease IOP. So there are likely many foods that either increase or
decrease pressure. While it may be much effort to determine them, a comprensive
monitoring and change in diet with viewing results should help.
Australia
Vd. Neerja Ahuja: I
have a client with left eye lenses damaged n removed by mistake during
operation for cataract few years ago. Eye still waters , can go red sometimes
if working too much on computer, n there is almost no vision in that eye. What
can be given for support ? Taking triphala regularly.
Vd.
Tapan: Madhukpushpa
churna, Kapardika, Saptamrutloh With Madhu and goghruta. Twice a day with goat
milk.For three months. Goghrut paadatala abhyanga with goghrut and Kansya
paatra( katoree) for three month should solve the above said problem I think.
USA Gary
Yuen: Not sure but
sevanti is known for eye health and liver pitta. Eyes: Chrysanthemum morifolium
is a specific remedy for eye inflammation, swelling, redness, dryness and
itching as it regulates ālocaka and rañjaka pitta. Specifically indicated for
conjunctivitis, styes and inflamed eyelids from eczema and red eyes. It makes the
eyes bright and beautiful (Frawley & Lad 1994).
- Pole,
Sebastian. Ayurvedic Medicine: The Principles of Traditional Practice.
USA Gary
Yuen: If only one
eye has problems, for intense use such as computers, why not wear eye patch and
use only one eye.
Australia
Vd. Neerja Ahuja: Yes now they have advised not to touch the eye
due to scarring
USA Gary
Yuen: Or wear
sometimes so eye can rest. Closing eyes such as when taking bus can also help
rest.
Australia
Vd. Neerja Ahuja:
Eye gets watery not dry
Germany
Helga Fuchs: One
Client will come to me next week for special eye treatment what I do. No Ayurveda treatment. Left eye is dark, due laseroperation, right
is little better, after op doctor is using some oil as permanent for some days,
now Dr take oil out and Client have problems with Air in the lenses. It will
heal in the next day, Dr say. Now I wait for the next days to see, before I
start my work.
Problem is
that she have Diabetes and by this her eyes getting Bad. She is taking Insulin.
Now, I only told her on phone she have to loose wight ( 15 kg) and she can take
in the next day tumeric decoction for her Diabetes, because about the Stress
her sugar is very high. I know how to do nasya. Akshitharpan, and other
ayurvedic treatment. But she comes for this special eyetreatment what is
without any medicine. Can anyone give some suggestions about her Diabetes?
Dr.
Nitish Dubey: Sir r u asking about Lyme disease??I had
progressive changes in error of refraction
with raised I.O.P. about 15 yrs back.Was diagnosed as glaucoma. Iotim
e/d was not effective. Then Lumigan e/d.But I.O.P. always remained to higher
side. I consulted one senior ayurvedic consultant. He started- Panchamrut parpati, Pathyadi kwat, Agasti prash, Virechana/Raktamokshana S.O.S.With
this my I.O.P. became absolutely normal.I changed Ophthalmologist. He stopped
Lumigon e/d bec.fundus, Perimetry & C.T.reports are stable. Still taking
Pathyadi kwath regularly.& No other Alopathy medicine for I.OP.
USA Dr. Archana Vardhan: Case
history of a 50 year old patient. According to him his problem started when he
accidentally put the ear drop into his eyes for consecutive 3 days. which
precipitated giving him puffed eyes,redness and itching.He consulted
ophthalmologist who gave him the medicine ( name he is not sure) which gave him
relief. So now his problem is.. He first gets lot of itching in his eyes which
is uncontrollable and preceded by puffiness around his eyes. Does anyone
suggest that what's the reason and cure for it?
USA Gary
Yuen: Amalaki has
also been shown to reduce need for insulin. Good diet is best. There are
Western doctors who have used diet of dal vegetables whole grains nuts seeds
and have removed diabetes from many people. Even some that have had diabetes
for 30 years and after two weeks or more, no need for medicine and diabetes is
gone. Using herbs as other than complement to good and other changes is similar
to allopathy, not treating the cause. Barley is also the main treatment in all
cases of prameha.
Dr. Uday
H. Hanagal: In prameha
poorvaroopa we seen Hrudaya, Jihwa, Netra liptata of Kapha, So person vision
problem is starts from here, To remove this aavarana (liptata), intake of Panchakola choorna kashaya or phanta or
Panchakola taila before going to bed in night is good
Dr. J. T.
Contractor: Avastin
injection was given to my wife for a blurred vision due to eye pressure,few
small drops of blood oozed out on visionary lens, specialist did retinopathy to
burn the blood openings! All in vain
Germany
Helga Fuchs: What do
you mean with dal vegetables. Dhal and vegetables? Please give detaillet
Information.
USA Gary
Yuen: Yes dal and
vegetables. I am not sure what is best. Urad and rajma are more strengthening
and also have more minerals like calcium but are heavy. Seems like kapha so
probably best barley gavedukha and mong dal. Vegetables could be no potatoes
but carrots taro beets purple yam turnip other roots etc, mehti leaves
cauliflower broccoli morninga leaves coriander leaves spices ginger turmeric
garam masala ginger pippali others. No oil of any kind. Boil as soup and use
sauces like small amount of walnut cashew flax almond. Fruit. If ghee is not
made from raw milk, maybe no ghee. See book the end of diabetes by Joel
furhman. He believes less grains, are better for weight loss. Most diets start
with rice millet wheat or other grains and then less dal and vegetables. More
dal and vegetables and less grains might even be healthier. I am not sure but
am trying it. Total salt in one day i am trying less than 500 mg. More sour
fruits like grapefruit amalaki lemon and mango and less sweet fruits might also
faster reduce ama.
USA Gary
Yuen: I still eat
red rice but my grains might be 40% gavedukha 25% rice and rest barley and
millet. For weight loss more gavedukha and barley and less others. More mong
dal and less others. Many traditional diets have meat as 1-5% of diet. Possible
1 kg total or less each month. Very little seems good. In those cases vitamin
b12 is very important. People in villages maybe drink river water so didn't
need b12.
Germany
Helga Fuchs:. Do you
have any experience that eyes get better with this diet if problems of eyes
occur from Diabetes ?
Dr.
Sachin Utpat: There
are two types of disorders of eyes according to ayurved. One due to problem
itself in the eyes and second due to effect of other systemic disorder. That's
why sushrutacharya coverd netra rog in few pages while modern ophthalmology
takes few thousand pages…So it is important to diagnose properly.
USA Gary
Yuen: No experience
but if person strictly follows diet and diabetes goes away, eyes should get
better. As far as kind of diet, that is the ayurvedic kind. Why are not all
doctors doing such things so they have no excess of any dosha? For
instance, Caraka says diet is the true cause of most diseases and also lists
other causes. For diabetes, the chapter on prameha says yava barley is the main
treatment in all cases. Many things in Caraka few people follow. Su 5 also has
a short list of what to eat regularly and Su 25 also has much info.
---------------------------
Dr
Bhagyashri Panchal:
Eye wash with Triphala kwath
USA
Umangi Patel: Use
castor oil as Anjana will improve in redness dryness of eye
Baroda
Arti parimal:
Trifala ghrit with jivanti powder before food twice a day
Vd.
Krutika Suhas Chaudhary: Netratarpan with saptamruta loha Internally.
---------------------
Compilation
courtesy by: Vd. Dhruti Kagrana
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