How to diagnose and treat APAN VATA disturbances in # Ayurveda practice

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Next topic for discussion:  How to diagnose and treat APAN VATA disturbances in # Ayurveda practice

Guru Shetty: Apana Vata is responsible for the free expulsion of stool when the functions of Apana Vata are affected it results in constipation.

Treatment: Internal oleation(Snehana) by ghrita and external oleation by abhyanga should be done.

Ayulink: Yes, apan vata problem and most common symptom is constipation. When in balance, apana vata functions are: to expell stool, urine, shukra (artava) and garbh (fetus). (charak, chi, 28/11)

Sushrut adds the word 'adho gati se" means downwards movements of above all four.

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Vd. Sureshbhai Chavda: Apana Vata working in the kidneys, colon, rectum, bladder and genitals; governs the elimination of waste in general and expulsion of urine, stool, sperm, menstruation, etc. Its location is in between the navel and the anus. Apana Vayu seat is in the Pelvis, Muladhara chakra, and element earth. Mula bandha practice is influence this area and apana vayu. Apana moves from the navel down to the floor of the pelvis. The pathological manifestations of vitiated apana vayu are urinary tract, uterine tract and anal rectal diseases; psychologically feels lazy, dull, confused, indecisive, improper sex drive, and befuddled.

Dr. Jyoti Ashok: Sukumara grita in apana kala that is just before dinner is v. effective in apana vata vikruti.

Vd Raksha Shukla: Matra basti is also useful treatment in Aapna vat

Dr. Bhavesh Modh:  Very interesting observation of apana vata disturbance - during traveling when someone controls the urge of stool and urine for longer time like 2-3 hours, it disturbs apana vata and develops a condition /disease described as Tuni - Prati tuni this condition is very complicated. Not easy to control the pain of Tuni - Prati tuni even with modern pain killer injectables. In such condition, little warm water with ghee and ginger - dose around 20ml should be given to drink.

Also matra Basti with little warm sesame oil 20 ml, gives miraculous results.  In several cases, patients reveal that control of urge of urine before intercourse also results in Tuni - Prati tuni. In such case above treatments are very effective.

Vd. Sureshbhai Chavda: Gudagata Vata lakshana: Aggravation of the Vayu in rectum causes Vit mutra vata graha – Retention of stool, urine and flatus, Shoola adhmana – Colic pain, flatulence, bloating, Ashma sharkara – Formation of stone and gravels in the urinary tract and

Jangha uru trika pat prstha sosha – emaciation and stiffness in calf-region, thighs, Trika (Sacro iliac joint), legs and back.

Dr. Vasupradha R: Is pindikodweshtanam an apana Vatha vaigunyam?

Ayulink: Personally I co-relate apana vata with Pelvic nervous system. Gut nervous system or pelvic nervous system can be considered as Apana vata. All functions, dysfunctions, abnormalities and complications described by modern science are part and part of Apana vata. Plus now in days, modern science claim that Gut is your second brain. So Apana is equally important to Prana vata. The equilibrium of Prana and Apana is most important for health.

Croatia Branko Markovic: Arsha, colic pain, flatulance, bloating, cramps in calf muscle, constipation, dryness of stool and skin, dry lips, dysuria, gurgling sound, pain in lumbar area, sciatica... snehana, basti, intake of sneha (ghee, butter) with each meal, ahar vihar works best if in early stages and if people are willing to accept advises. Kashaya of dhanyaka, jeera, shunti, mishi with added jaggery work well.

Dr. Dipa Mehta: Til tail or erand tail pichu dhahran in umbilicus, useful for adho gati of apan vayu

Dr. Pritam Veer: Apan vayu Sthan are Vrushana – two testicles, Basti – urinary bladder, Medhra – Phalus, Nabhi – umbilicus, Uru – thighs, Vankshana- groins, Guda – anus and Colon. Functions:- Shukrartav shakrunmutragarbha nishkraman priya. Shukra , artav or raj mutra , shakrut (purush), garbh dharan for specific period , nishkraman after specific time. Chikitsa - Basti chikitsa mainly.  Vyadhi related to mal , mutra, garbhashay all the organs situated below umbilicus come under apan vyadhi.

Dr. Bhavini Raja: Erand bhrist haritaki is really very effective in apan vat dushti

Vd Anirudhdha Mohite: Nowadays with the changed lifestyle and dietary habits 8 out of 10 patients have apana dusthi or udavarta or malabadhata. Nidana parivarjana and dinacharya palan is the best treatment. But as it is not possible for each and every individual matra basti or yoga basti can be the best treatment of choice.

Dr. Anita Phadatare: Gandharv haritaki vati & shankhvati also r very effective.

USA Ami Keyur shah: Matra Basti-how many days?? Only sesame seed oil?? Or anything else???

Dr. V B. Maheshwari: In slide 30 u mentioned inflammation due to drug. Is it normal for intestine?

Vd. Sachin Kadlag: Apaana vata is just a type of vata dosha .. just because of location of work and nature of work its divided into 5 types

so basic conditions apply to both.

Hence Apana Vata can be vitiated by both reasons

1. Dhatukshaya

2. Margasya aavarana i.e. blockage/obstruction of way

Prashaant: Apana Vayu is responsible for the downward flow in the body. An important aspect is the downward process during the intake of food, eventually leaving the body.

Dr. Supratim Bir: Apaan is the most humble portion of the mighty Vata spectrum. It can be managed by simple ways, in short time and with out much risk of complications. But if not maintained the proper equilibrium of this segment it triggers higher level Vata vitiation.

It provides maximum opportunities of achievement for a Vaidya.

Vd. Sachin Kadlag: In case Apana vata dhatukshaya can be considered in many ways. e. g. in mutravaha srotasa vitiation one of the reason persons  who aee  kshina. In marga avarana -- mutra veg vidhaaran (holding urine) , and also when if do drink , or eat or have intercourse while having urge for urine. these are disturbing Apana Vata Gati

to come to exact conclusion of nature of apan dushti we should be keen on taking history about hetus of apaan dushti. there are symptoms like mutra avarodha in pakwashaya gata vata and vice versa -- purisha sanga in mutrashaya gata vata. see in before exception of fetus during birth process. we also give basti to clear pakwashaya ... which diverts  pakwashayagata vata even doing any panchakarma process mainly basti patient should have passed urine and stool properly so as to avoid apan dushti  that simply means vata -anuloman should be there. In cases like pcod there is delayed and scanty menses here we can consider like रजःक्षय   due to रसक्षय  or obstuction रसवह स्रोतस in conversion from रस  to रज or रज is produced normal in quantity but may be obstruction of आर्तववह स्रोतस resultin in Apana vata  vitiation

Brazil Anália Meirelles: What we do when apana is obstructed?

Ayulink: Personally I co-relate apana vata with Pelvic nervous system. Basti treatment is best for obstruction of apana vata

Brazil Anália Meirelles: Most of the feminim reproductive organ problems start with an obstruction of apana vata.

Ayulink: yes, that is also a part of pelvic and pelvic nervous system. Shukra or artava - reproductive organ system problems are mentioned in the functions / disturbance of apana in ayurveda texts. And therefore basti treatment gives miracle results in menstrual disorders or feminine reproductive organ disorders - sterility and infertility etc

Vd. Khyati Jariwala: Mostly in all infertility case v have to treat apaan vaayu first

Vd. Dhruti Nirav Bhatt: Apanvayu Controls Urinary and Reproductive systems .Mal- Mutra  Pravritti,Bartav and Shukra Pravritti is due to Apanvayu. In many cases of Reproductive system disease or Menstruation problems like Dysmenorrhea, Amenorrhea,  Erandbhrist Haritaki,Hingwastak churna,Dashmool Kwath gives very good results .

Basti is best for Apanvayu dusti .We should advice Patient to stop Vat aggravat food .

48019: What is the best treatment for pcod patients..as most of females suffering from it.

Brazil Anália Meirelles: I d like to know about pcod  and endometriosis treatments too.

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Compiled by - Dr. Dhruti Kagrana