Friday, December 29, 2017

‘Pippali’ – Miracle herb of #Ayurveda


Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group:
Disclaimer:
All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.
(Any ayurveda or medical doctor, If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request by email to admin@ayulink.com Thank you.)
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Next topic for discussion: Pippali’ – Miracle herb of #Ayurveda
Ayulink: What is pippali? How can it be helpful? how to consume? what should be the dose?
Pradip hira: I used pippali with trifla in infants for continuous crying from a week (प्रतत रोदन, ज्वर ।। ग्रहबाधा लक्षण). I give trifla pippali with honey and ghee and within 2-3 hours crying was stopped. This yog is from Grah Badha (may be ROHINI).
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Mona Patel: Pippali  – Long Pepper is a very unique spice. It has all qualities of a typical spice like useful in indigestion, asthma, cough etc. it is also a very good aphrodisiac and anti-aging spice.  Consider this – Pleehamaye Pippali – For all spleen related disorders, Pippali – Long pepper fruit is the best.  “Pippali” is the term applied to the fruit of piper longum. This plant is indigenous to Northeastern & southern India and Ceylon and cultivated in Eastern Bengal.
Rasa (taste) – Katu (pungent)
Guna- Laghu, Teekshna (strong, piercing)
Vipaka- Madhura – Undergoes sweet taste conversion after digestion
Veerya – Ushna – Hot potency. (wet variety has cold potency)
Effect on Tridosha – Balances Vata and Kapha Doshas. (wet variety increases Kapha Dosha).
Long Pepper Side effects:
Long pepper should not be used in excess or for a very long period of time, without Panchakarma and Rasayana procedure. If used in excess without precaution, because of its heaviness (Guru) and liquefying properties (Prakledini), it causes Kapha increase. Because of its hotness, it increases Pitta Dosha and because of its less oiliness (Alpasneha) and hotness, it does not contribute to Vata balance. Hence, overall, it contributes to increase of Tridosha. Hence, not ideal for long term / excess consumption without Panchakarma procedure (like staying away from Sunlight, excess wind, with good amount of milk and ghee consumption etc).
Not ideal for people with Pitta Prakruti persons. It is best to avoided in infants. It can be used in children in a small dose of 250 mg per day, along with milk and ghee. It can be used in lactating mothers in lower doses. For use in pregnancy, medical advise is required. Pippali Rasayan Is a special treatment procedure, wherein long pepper fruit powder is given in a gradual increase and decreasing dose along with milk. This is extensively used in liver and spleen disorders. Read in detail about Pippali Rasayana. Ayurvedic medicines with Pippali as ingredient: Trikatu Churna – a combination of pepper, long pepper fruit and ginger – used in obesity, allergic rhinitis etc Guda Pippali –  used extensively in liver disorders.
Home remedy for cough using long pepper. whether this can be used instead of chilly or pepper? In small quantities, of just half a gram a day, it can be used in place of chilly or pepper. for one or two months of time. Long pepper Home remedy for bloating and fullness of abdomen Intake of boiled barley along with half a teaspoon of long pepper + a teaspoon of ghee is useful to relieve bloating and gaseous distention of abdomen. Charaka Chikitsasthana 5th chapter. Long pepper for sexual strength: Vrushya Pippali: – Aphrodisiac remedy using long pepper fruit:  Reference: Charaka Chikitsa Sthana 2.3/12-13. 30 Pippali fruits are made to a fine paste and fried with 1 Prakuncha (Pala = 48 ml) of oil and ghee. This is added with sugar and honey And to this, milk is poured directly from the cow udder. Dosage: 3 – 5 grams, once or twice a day, 10 minutes before food. Pathya: By taking Sastika rice along.
Dr. Bhavini Raja: Can we use pippali in child? How to use? When? Dose n duration?
Ayulink:Yes, in small dose.  May be a pinch with honey. Dose and duration depends on age and purpose. In Infants I have not used pippali but in kids we give either pippali or trikatu powder with honey.
 Dr chirag patel: Yes with milk- Vardhman pippali
 Dr: what is diet plan as per ayurveda for depression and anxiety? And what medicine should be use for the same? pls guide ?
Dr. Navneeth Krishnan: I haven’t tried this one, but in astanga hridya there is a reference about the use of either pipali or maricha churna with water in pravahika which is present for long time
Ayulink: This is very interesting reference. We have never tried Pippali in pravahika.
Dr Piyushbhai Prajapati: Grahani ma specific Kaphaj ma Pipalyadi churna no reference chhe... Which is used in IBS and Colitis.. Pippali is main contain of it..
Dr: Your treatment is followed by shodhan karma
Vd. Gurumahantesh: Vardhamana pippali is used in rajayakshma. But can any one specify at what stage?
Dr: Gajapippali powder with sugar is good to treat amatisara and raktatisara and chardi.
Vd. Khyati Jariwala: Sunth powder + ashwagandha powder + choshath prahari pipar vid bitter need leaves + Tulsi leaves water....very helpful in chikun gunya. U can add safed musli also..
Vd.Avinash Chougule: In many compunds pippali is used as prakshep dravya. Piperine   the alkaloid present in pippali is bioenhancer. So adding pipali in many compounds increases the potency n bioavailability of dosage form
Dr: Compound of  patola, Yamani, Vishva, vacha, Pippali, nagara, musta, vidanga, kushta  powder with tepid water-  Sushruta samhita , uttaratantra.
Dr. Dhara Trivedi: Pippali is known to have Yogvahi Guna
Vd. Dhruti Nirav Bhatt: In Vatik Kas Kantakari lavan  + chaunsath prahari pipapli with ghee gives  good result
Dr: According​ to charaka vimana three drug should not be used in excess. 1.pippali 2.lavana 3.kshara
Ayulink: Pippali is yogavahi and it is good to use in many conditions. It is like immuno-modulator. Then how can be deciding the dose of it.
Dr: Its katu rasa, madhura vipaka, guru guna. so if used in excess kapha will increase due to gurutwa and praklinnatwa...due to ushnatwa pitha will increase. ie y it should not be used in excess
Dr: Is there any reference for using Kshara in VARDHMAN manner?
Ayulink: pippali kshara?
Dr: Pippali Vardhamana is there
Branko Markovic: What is the maximum doses in vardhamana pippali rasayana which you prescribed and what did you treat with it? We found that pippali rasayana along with nityananda ras or cruel capsules are working very good on cancer of breast, lungs, lymph nodes and some other cases. This is not rule but especially in initial stages is working good. Also pippali in shamana dose as prevention of cancer or for patient who are recovering after cancer.
Gary Yuen: Is pippalī vardhamāna rasāyana discussed anywhere besides Caraka? Are there any precautions, recommendations, or contraindications? I once self-administered it with wonderful effects. I did only about half of the procedure, stopping around day 9. I think the quantity of pippali can be taken multiple times throughout the day? I wasn't aware and tried taking it all at once; the taste was strong. I would assume fresh raw milk is better. For those that don't take milk, if one is healthy, could one treat it like a fast without milk?
Vd. Sachin Kadlag: I use vardhama pippali rasayana for chronic pratishyaya , tamak shwasa by ksheerpaak process. daily number of pippali is changed , milk and water proportion remains same ( each approximate 75 to 80 ml ). I give it for 25 days minimum number of pippali used daily are 1-2- 3-4-3-2-1-2-3-4-3-2-1 and so on till 25 th day.
Dr. Dipa Mehta: Pippali kshirpaka used for hypothyroidism
Dr. Bhavesh Modh: In GUJARAT people use mostly पीपरीमूल (roots of पीप्पली = ગંઠોડા) instead of पीप्पली ( fruit ) वर्धमान पिप्पली ... कफ प्रधानता   approx. पिप्पली
       +                  5 
      ++                 7
    +++               10
THIS IS INITIAL DOSE 1ST DAY... The n increase 3 no. Per day max. 10 days ... & decrease 3 no. After 11th day. In Charak Viman sthan ch.1 prohibited excessive  dose of Pippali. Vardhman pippali  must be done in शिशिरऋतु last 10 days...
Branko Markovic: Why is root preferred then fruit? Did you manage to subside it with only pippali ksheera paka and after how much time?
Dr. Dipa Mehta: No add other medicines also
Dr. Bhavesh Modh: Root  available in bulk. Easily stored for long time without fungus. Roots are more powerful than fruits. Fruits destroyed by fungus in moisture
Dr. Dipa Mehta: Both have different rasa panchak
Vd Rameshwar Dhanaji: In how much quantity pippali mul can be used. in market we get pippalimul in churna form. how to calculate then vardhaman matra?
Gary Yuen: Another source of pippali fruit is chinese medicine where it goes by the name of 荜茇. There it is easy to find. Unsure of quality.
Branko Markovic: Recommendation is to follow strictly sattvic diet during therapy. Also it is good to start with nitya virechan and to finish to remove any excess pitta from GIT. There are few variations in taking smaller dose. Mostly with bigger doses we can expect loose motion or vomiting. There is also method of just taking capsules of pure pippali along with milk on empty stomach or 3 times per day before meal also with milk. It could be taken from 2-2-2 to 8-8-8.   Most patient will be comfortable with max dose of 10-15 g per day and that is also working wonders.
Gary Yuen: Thanks. I tried before with only pippali and milk. Food does seem possible though perhaps hours before or after pippali. Are there commonly noted effects? For example, I did the procedure til day 9 of 90 pippali fruits. One effect is I used to consume alcohol somewhat regularly and now can barely tolerate it. Perhaps some liver restoration occurred.
Ayulink: Pippali and pippali mul are both different things. In normal condition we use Pippali, which is a fruit of the plant. Pippali mul (root) are used in several conditions. But both are having different properties and different indications. Fruits (Pippali) are more strong and powerful.
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Compiled by: Vd. Dhruti Kagrana

Tuesday, December 26, 2017

Management of Itching of skin & Scabies according to #Ayurveda

Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group:
Disclaimer:
All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.
(Any ayurveda or medical doctor, If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request by email to admin@ayulink.com Thank you.)
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Next topic for discussion: Management of Itching of skin & Scabies according to #Ayurveda
Ayulink: There is no possibility of Kandu (itching) without involvement of  Kapha, that is what ayurveda texts says. In winter, we see many patients, suffering with itching in dry skin (Vata major condition). Are they both different conditions?  Should there be different line of action?
Dr. Sushant Patil: Here one of my patient having Itching I had taken full case. But I found no involment of  Vata. So I consider his job n work. So, I count use of soap bar again and again is also a cause.
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Ayulink: We have many cases like this. Which dosha will be considered for the treatment? Kapha or Vata ? Most of them don’t  show any signs of Kapha aggravation, and still they get lot of itching,  use of soap can increase more dryness, that is my opinion.
Dr. Piyush Dodiwadiya: Itching is a symptom of certain disease Primarily should think about provisional diagnosis. Mostly allergic or fungal or due to some inflammation. Nonspecific itching may some contact dermatitis. Or prickly heat or due to excessive sweating. Medical condition such as increased bilirubin level can cause itching.
Vd. Pritam Bharat Veer: If you take total history somewhere we can fine dosh drushti. I have one pt. with itching over the elbows which is increased in this season also one more thing that she has jirn pratishyay along with that the area has become blackish. So according to me dosh dushti is Vat , Kafa and Rakta.  Itching can also be due to Shitpitta where there is involvement of pitta dosh. In kandu Rakta dushti is compulsory present. If we work on rakt dosh problem solved upto 50%.
Branko Markovic: In EU there is a lot of people with hands like this and also present with crack in. Usually there is no diagnosis from allopathy but if they don’t know what to do they say it is neuro- dermatitis and give corticosteroid cream. Which I found pure rakta dushti do to incompatible  and bad diet. In most cases like this of racking and itching line of treatment would be towards pitta and kapha medicines and pitta pacifying diet. it can bleed also or just be reddish.
Dr Nrupesh Gupta: Itching is the symptom which does not indicates only skin dis because even a constipated pt. also comes with the sym itching. Detail history will reflect the main cause of itching.
Dr. Ridhdhi Sardhara: In charak Samhita Kandu is karma of pitta & kapha dosha individual.
Vd. Jayesh Thakkar: When there is aama involvement indigestion or kapha overlapping agni, itching common perhaps kandu kapha refers this. Practically have found any deepan-anulomana medicine helping.
Dr. Ridhdhi Sardhara: Vikrut dosha karma,  According to Astang hriday & shusrut samhita  kandu is karma of swed vruddhi.
Ayulink: Scaling in Palm -  personally I consider it as sign of chest congestion. Kapha aggravation may shows such symptoms.
Dr Ashi Vaidhya: It's the allergic reactions of soap bar
Dr Jayesh Patel: Yes, rakt dushti along with kaph is may be main reason for itching
Dr. Piyush Dodiwadiya: Exfoliation of skin As a routine, just appy coconut oil to prevent dryness
Vd. Pritam Bharat Veer: For kandu I used to give dhavan with triphala kwath and nimb then local application of mahatiktak ghrut or ointment. It works. Simply i tell the pts to apply milk before going to bath. What others use for kandu as a disease?
Croatia Branko Markovic: Could you please explain little bit more why milk?
Vd. Pritam Bharat Veer: For Rakt dushti -shit gunatmak milk
Croatia Branko Markovic: Thank you
Dr. Piyush Dodiwadiya: Is anyone diagnosed and treat scabies. In scabies itching is horrible.
Ayulink: No. I have not seen any Pt of scabies in my 30+ years of practice. But I have tried with many Pt with different kind of itching. Virechana,  takradhara and complete body lepan sometimes are my favorite. My choice of drug for itching is tab.  Gandhak rasayana.
Dr. Piyush Dodiwadiya: Scabies is usually found in poor socioeconomic people.I diagnosed many case by didn't try ayu medicine because lack of knowledge. In scabies now a days drug of choice is permethrin local application, it is toxic drug, which kill the organism. So is there any lepa or local application which does the same thing?
Ayulink: I have to check as I have no experience. Can u share few photos of scabies?
P A. Deshpande: Itching is effect of presence  of  toxic substance . Mosquito ir bugs bite results in itching due to penetration of toxic substance. The body mechanism neutralizes during which itching effect is exoerianced. Same thing but in reverse manner. The toxic substance  below the  last strata of skin is tried to be thrown  during  which scars, cuts or burns even effect is seen. When excess saturation  is the cases itching is non stop. Overlapping skin polyester innerwares socks create moisture due to setting. When low aeriation or oxygen supply  fungal infection take place causing itching  .  To cure. Sponging with hydrogen peroxide  ir triphala water followed by immediate application of coconut oil give instant relief.  For cure remove factors responsible by  using cottonware  loose cloth  periodical sponging and lubrication,  fasting ,  detoxification pranayam etc with duet changes.  Better be on fruits and veggies.
Dr. Piyush Dodiwadiya: Yes, I  get and post Download from net. Initially this kind of finding we may get. Itching during night hours is most. Over chest upper limb and inguinal region. Find irruption between fingers, web space. Patient makes scratches and then feel better.
Ayulink: One more question from other group : Panchtikta ghrut guggulu and Panchtikta ghrut, both are useful in skin problems and itching. In which condition ghrut alone should be given and on which condition ghrut with guggulu should be given?
Shri Minoo parabia: Scabies insect lay their eggs below the skin. When larvae comes out they start mining through the issue causing severe itching. Worst part is the patient can not really scratch the actual point as it is underneath the skin unless one bleeds! Out side application has to be real strong that can penetrate through the skin. Internal medicine has to be equally strong to get rid of larvae.
Vd. Jayesh Thakkar: Exactly its challenging to treat scabies. it spreads fast and needs immediate strong medicine. have got mix result. its quite common in humid region.
Shri Minoo parabia: Permethrin a white milky liquid was used as topical liniment. I believe, a prolonged bath with neem and panchvalk decoction may help. I'm not sure friends. I will welcome experts opinion.
Vd. Jayesh Thakkar: I use chalmogra (tuvrak) tail to apply before bath- tankan mix water for wash.some relief but temporary.
Shri Minoo parabia: Our bed sheets develop couple of million mites within a week, however clean it may appear. Through our perspiration and skin flakes we provide them nutrition. Our ancient habit was to keep the mattress and bed sheets under the sun was perfect. Even beds were taken off the ground, every day.
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Dr. Vasupradha R: I guess the snigdhatwam of kapham s decreased due to the Vatha vrudhi in winter
Dr. Hiral Khakhar: In kaphaj kandu- avoid causative factor of kapha vitiation,use katu,tikta,kashay,ushna food and- medicine,langhan,exercise, avoid divaswap. In pittaj kandu- avoid causative factor of pitta vitiation, intake of medicated ghee,use madhur,tikta,kashay medicine n food, apply sandalwood oil,virechan. Vataj kandu- avoid causative factor of vat vitiation, administration of medicated oil ,ghee,massage..madhur,amla,lavan,ushna food and medicine. We should also think about worms and give krimihar treatment. Blood purifier like mahamnjishthadi kadha,khadirarista,neem,daruhaldi churna..give triphala and correct digestion..
Vd. Avni Kaneria: Itching due to rakta dosha ...in this condition Virechan karma/rakta-mokshan can help
Dr. Megha Patil: Sir wt  we will give for pt ithching over groin region
Ayulink: Usually I prescribe Cutis powder for local applications.
Dr. Jyoti Ashok: Cutis pdr relieves itching immediately. if the area is dry I advise panchavalkala ointment.
Dr. Vivek D. Shah: Oraly only gandhak rasayn can help in this condition...?? If go with the shaman chikitsa... Sir Hw abt Panchtiktaghrut guggulu. wid gandhak rasayn??
Ayulink: Yes. Orally we can give anything. Like manjistha, khadir, kaishor etc.
Dr Mario Herrera: How much time before we can see the effect of  Manjisrha or any other Ayurvedic herbs for skin problems?
Ayulink: I think this is not easy to predict. Buy in practice, I expect some improvements in 15 days, if my combination of medicine is good. Panchkarma is much faster. Within 15 days after virechana we can expect much more relief from the symptoms.
Ayulink : Panchtikta ghrut guggulu and Panchtikta ghrut, both are useful. But before that one must know the exact purpose of them. In which condition ghrut alone should be given and on which condition ghrut with guggulu should be given? Can anybody explain?
Dr. Jyoti Ashok: Guggulu usually increases dryness. So if the itching is due to dryness ghruta is good.
Dr. Vivek D. Shah: Don’t  know about particular authentic different uses but as per my interpretation gugglu can only suggest if meda dhatu/kaph dosha dominant skin problem n ghrit can give if vata dominancy.
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Compiled by: Vd. Dhruti Kagrana



Tuesday, December 19, 2017

Practical use of different 'Parpati' (#ayurvedic) formulations....

Views shared by several ayurveda professionals and non-ayurveda people in discussion group:
Disclaimer:
All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.
(Any ayurveda or medical doctor, If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request by email to admin@ayulink.com Thank you.)
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Next topic for discussion: Practical use of different 'Parpati' (#ayurvedic) formulations....

Dr. Mrugeshkumar Patel: I use panchamrut parpati in chronic diarrhoea ,two patients suffering from diarrhoea 6 months I give panchamrut parpati 2 rati with other anti diarrhoea al drug for two month exilent result
Ayulink:Is it available easily in the market?
Dr. Mrugeshkumar Patel: Yes
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Ayulink:Good quality? and convenient dose (tablet form?)
Croatia Branko Markovic: I just used two times with excellent results. One was with semi solid stool which lasted for couple of years, after one month of 2 x 250 mg (powder) along with other medicines he was fine. Don’t use it in EU do to heavy metals.. it was from doothpapeshwar which is easily available in India as I so it in the north as well in the south.
Ayulink:It can also be used in IBS, colitis etc
Croatia Branko Markovic: Yes another was case with IBS and also very good response
Vd. Pritam Bharat Veer: I use it in Pittaj Grahani but in combination with other aushadhi.
Dr. Piyush Dodiwadiya: Is anybody noticed side effect of parpati?
Dr. Mrugeshkumar Patel: I never seen the side effects of panchamrut parpati but when side effects occure what to do? How to remove the side effects? When any allopathic  medicine iv fluid failed to treat diarrhoea then results with panchamrut parpati  &other Ayurvedic medicine complete cure  diarrhoea .
Ayulink: Parpatis are not used commonly. Most vaidyas are not aware of it. Panchamrut Parpati is commonly heard name, but what about any other? As correctly mentioned by Branco ji from Croatia,  West looks with doubt to all Ayurveda Medicines having heavy metals. And somehow Parpati kalpnas are not that much popular in vaidhyas.
Dr Jayesh Patel: I use Swarn parpati in IBS with churn....Give excellent result......Also used in ulcerative colitis
Croatia Branko Markovic: They would be popular if there is not much propaganda by pharmaco mafia as ayurvedic medicine is more poison then cure. Also problem is getting pure medicines..which pharmacy to trust..?
Dr. Pranita Shah: Shwet parpati is very easy to prepare.. everybody knows its extremely effective in its mutral (diuretic) karya. Also known as kshar parpati. Helpful in adhmaan/gaseous distension too. The best medicines are the ones which contain kajjali..They are heavy metals but in a form which is useful to the body. Crude mercury  and mercury in kajjali form are very different from each structurally but eventually are identified as mercury only. My past job was into international regulatory affairs and i had a hard time convincing a particular foreign ministry that synthetic zinc (used in lotions) is different from processed zinc bhasma. We have a long way to go to prove the diffence between synthetic/crude metals from the processed ones. Secondly, heavy metals are present in water resources, fertilizers and pesticides. Having metal free environment is really not easy for now atleast. Even non metal containing herbal (extract base) supplements show atleast some amount of metal content esp lead
Ayulink: Thank you for your input. I m very glad to know that other than Panchamrut Parpati you are using sheet Parpati.
Dr. Pranita Shah: Sir, there are many parpatis to discuss. Can we discuss one by one?
Ayulink: Sure. I m surprised that all other friends r silent. Why? May be we r not using it now in days.  Pl share all information abt different Parpatis and also more practical experience. Thnx
Dr. Pranita Shah: Ras parpati, Shwet parpati, Swarn parpati, Bol parpati, Bhallatak parpati , Tamra parpati, Loha parpati. Many more are used often in Maharashtra..
Ayulink: I m not sure abt it's availability in Gujarat. I never heard many vaidyas using these many Parpati in Gujarat.
Croatia Branko Markovic: Could you please tell us more abt use of Bhallatak parpati? And from which pharmacy is available? thank you
Dr. Pranita Shah: It is not prepared by any pharmacy as such.. used in aam dosha or aamvata.. If i am not wrong, this drug is under patent process.
Ayulink: Does anybody uses any other parpati then panchamrut parpati?
Vd. Pritam Bharat Veer: I use panchamrut parpati in cases of Grahani in which the patient complaints about mucus discharge through stools I got results. Also second case , prostatomegaly with prostate wt 60cc,I got excellent results , as the patient was on catheter 2 months before then I started Shwet parpati along with other medicines too. But you can't believe the patient is fit and fine. Now no need of catheter to pass urine. Bcz the pt was admitted in hospital and posted for surgery next day.
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Compiled by: Vd. Dhruti Kagrana

Understanding of Duodenitis and its management approach with #Ayurveda

Views shared by several ayurveda professionals and non-ayurveda people in discussion group:
Disclaimer:
All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.
(Any ayurveda or medical doctor, If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request by email to admin@ayulink.com Thank you.)
<><><><><><><><><><><><><><><><><><><><><><><><><><><><><> 
Next topic for discussion: Understanding of Duodenitis and its management approach with #Ayurveda
Ayulink: Can we consider this condition as 'Grahani'? Duodenitis most common symptoms are vomit, nausea, discomfort in abdomen and many times gas trouble.  That makes little difficult to interpret as 'Grahani'. Grahani disease is correlated with Irritable bowel syndrome,  sprue, malabsorption syndrome. That makes this debate open for its understanding in #ayurvedic view point.
Dr. Pramod Nakarde: Pittaj grahani???
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Ayulink: Grahani defines a diseased condition, in which the integrity and the function of the small intestine (known as grahani in Sanskrit) is compromised. Grahani is the principal seat of agni… the digesrive fire. Normally, grahani holds up the meals, until it is digested and releases it from the site only, after digestion is over. But when the function of grahani is compromised due to weakness in the digestive fire, it releases the ingested material even in undigested conditions.

TYPES
AYURVEDA DESCRIBES FOUR DIFFERENT TYPES OF GRAHANI.
Vata grahani (Malabsorption caused by vitiation of the biological air): In vata grahani, constipation is the predominant symptom.
Pitta grahani (Malabsorption caused by vitiation of the biological fire): In pitta grahani, diarrhea is the predominant symptom.
Kapha grahani (Malabsorption caused by vitiation of the biological water): In kapha grahani, dysentery is the predominant symptom.
Tridosha grahani: In this case, all the three biological humours are involved.
Other texts have mentioned two varieties of grahani accrual (samgraha grahani) (accrual malabsorption) and an incurable type called ghatiyanthra grahani (tympanitis predominant malabsorption). This has been described as sangrahini.
Dr. Piyush Dodiwadiya: I think grahni now a days consider as ulcerative colitis or irritable bowel syndrome. Sprue is very unlikely. In My 9 year carrier in ICU and allopathy hospital, I never seen patient diagnosed as a sprue.
Ayulink: GRAHANI SIGNS AND SYMPTOMS: Abdominal pain, Anaemia, Dehydration, Depression, Diarrhoea with fatty stools, Lethargy, Loss of weight
Dr. Piyush Dodiwadiya: Deodinitis can be taken as parinam shool
Ayulink: So this became more interesting to understand Duodinitis....???
Dr. Mrugeshkumar Patel: Deodenal ulcer become deodenitis then become structure of duodenum then reqar surgeory
Dr. Sushant Patil: A disorder characterized by abnormally increased motility of the small and large intestines, producing abdominal pain, constipation, or diarrhea, is also known as irritable colon, spastic colon, or mucous colitis. We can say and compare about Grahan like this. Ayurveda characterizes the disease by the passage of stools alternated with constipation or diarrhea and with undigested food particles. This disease is also associated with thirst, distaste, blackouts, pedal edema, pain in the bone, fever, and vomiting. It is a motility disorder involving the entire GI tract, causing recurring upper and lower GI symptoms, including variable degrees of abdominal pain, constipation and diarrhea, and abdominal bloating.
IBS is also associated with non gastrointestinal conditions such as headache, low back pain, arthritis, non cardiac chest pain, difficult urination, and fibromyalgia.
Ayulink: our question for today is how to interpret Duodenitis ? and its management according to Ayurveda. Until we have clearity in mind for any health condition, how can we suggest any management?
Vd. Pritam Bharat Veer: Duodenitis according to AYURVEDIC point of view is just about pitta prakop along with vat which may show symptoms like shul , daah , rag of internal lining of duodenum which we can corelate with Parinaam shul also. Treatment given according to me us pittashamak like avipattikar , dhatri , duralabha , kamdudha , praval etc.
Ayulink: Usually 'itis' means inflammation or swelling...here Duodenitis means inflammation of duodenum? Can we consider as Grahani shoth? But the first question is Duodenum = Grahani?
Shri Minoo parabia: Mostly it is triggered either by some infection , crohn's or by aspirin like medicine or by bile reflux. My experience is , freshly dicocted Panchvalka kadha + pittashamak, cures the problem. Helicobacter pylori is the culprit in most of the cases.
Dr Jayesh Patel: Yes we consider duodenum as grahani.......
Vd. Dhruti Kagrana: Our Aacharya consider grahni also as Agni. So grahni is not only duodenum. But we also include liver, gallbladder, pancreas etc in the world Grahni.
Ayulink: That may be true. Our main objective is to understand deodinitis,  not Grahani.  Duodenum is clearly defined in modern science. Plus inflammation of Duodenum is deodinitis. But the symptoms arise in that condition are completely different then Grahani. That's main objective of this discussion. Thnx
Dr. Sushant Patil: I have a doubt that How can we compare A modern terminology in Ayurved Text. See We don't have name for many diseases in our old text separately. We can give medicine on Dosh samuchhyaya and sthana of Dosh. It's wrong if we diagnose as per modern terminology and think to give as per Ayurved aspect.
Ayulink: Thank you for this note. That is exactly the idea is, Main objective is to understand Duodenitis. We do not want to label it in ayurveda ways. Also we do not want to mix up with our terminology.  I do agree that we are capable of offering asymptomatic treatment for this. Many choices are with us to control symptoms such as vomit, nausea, discomfort in abdomen and many times gas trouble. (Lakshnik chikitsa).  But the question still stands remain there,  Understanding the pathology / etiology of such symptoms which can lead us to stop recurring complains.
Vd. Jayesh Thakkar: Yes agree with above. Have found Praval panchamrit, Punarnavadi mandoor, Manibhadra lehyam helpful in such condition.
Dr. Dayanand Bothre: Since grahani is chronic condition where dominantly pitta dosh vitiated and intenstine also gets weak ( abalatwa) hence after dipan pachan of aam by aampachak vati we use ghrut for vitiated pitta and to strengthen the intenstine and for healing also
In ashtang hrudya there is shatavari ghrut which is find better
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Compiled by: Vd. Dhruti Kagrana




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