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Next topic of discussion : Different
types of swelling or inflammation
Dr. Siva Kumar:
Shotha is cardial sign of degenerative disorders
Dr.Piyush Dodiwadiya:
Swelling
1 traumatic
(locally)
2 cardiogenic
(lower limb)
3 liver
failure (mostly lower limb)
4 kidney
failure(generalised)
5
hypothyroidism (generalised)
6 post
traumatic chronic(locally)
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to steroid adverse effect
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Gary Yuen: there are more
subtle forms of inflammation and swelling. On the caraka chapter on udara,
there's mention of foot swelling. seems to suggest inflammation as well.
doctors say belly fat and excess fat itself causes inflammation. me, currently
at 5kg above ideal weight. about that, maybe slightly more. have noticed at
when it goes down, inflammation/pitta is lower.sun exposure -
inflammation/oxidation. – south asia adapted by naturally choosing protective
foods. maybe any oxidation causes subtle minor inflammation.
Dr. Pritam Veer:
Shoth vataj , pittaj, kafaj mainly ,Shoth is mainly due to kaf dosh.
Vd. Sachin Kadlag:
" उत्सेध ( Utsedha ) " term
generally denotes "
swelling". श्वयथु /शोथ /शोफ ,
these terms are used to describe inflammations . In Charaka Shotha is explained in Chikitsa sthana which mainly deals with inflammatory
independent disease . While In Charaka Sutrasthana chapter 18 , there is collection of different types of
disease whre different types of
inflammations are present .Shotha is
independent disease described in Charaka Chikitsastahna. In all diseaes where
Shotha is mentioned , it is a symptom .Shotha could be external as well as
internal . Yes , these are types of Nija Shotha , and also shotha could be
Aagantu .
Dr.
Pritam Veer: Yes, nij means internal , agantu are due to
external samprapti
Vd.
sandeep Ahirkar: In lakshan of kapha prakop shopha come shopha meaning told as
inflamation which comes on any one part of body ..शारीरेकदेशोतथीत
Shahil
H Bhavsar:
There are 5 cardinal signs of inflammation:
1)Rubor-redness
2)Calor-heat
3)Tumor-swelling
4)Dolor-pain
5)Loss of function
Dr.
Pritam Veer: Redness due to pitta
Calor - pittta
Tumor -- kaf
Dolor- vaat
Loss of function- vaat
Ayulink
Ayurveda: Pl share treatment and medicines for shotha -
inflammation or swelling
17400:
Marma Churna+ egg Yolk
Ayulink
Ayurveda: Ingredients? Please. This is not known combination. And
also how to use it? Lepam?
Vd
Mahavurya Dasa: Marma gulika plus kshirabala 101 ,
Lepana,
17400:
Lepam,
marma gulika in powder form only
Ayulink
Ayurveda: And role of egg yolk? As binder?
17400: Ya
binder
Vd.
Sachin Kadlag: Usually All doctors told patients to have
salt restricted diet in shotha , but its more important to avoid amla rasa in
excess as well . Katu rasa is basically directly opposite to shotha ,
especially Chitrak . But we need to use different combinations of them .
Ayulink
Ayurveda: And then what about shothhar aushadh group/ gana?
Vd.
Sachin Kadlag: Shotha treatment varies according to dosha .
But apart from that area of shotha whether sarvanga
(whole body ) , or ekaanga (localised ) , treatment varies .In localised also ,
treatment varies according to region also. These dravyas are Dashamool , but
has to be used by correct formulation (kalpana ). Arishta kalpana is also said
to be directly useful in shotha . That 's why Dashmoolarishta is choice of many
Vaidyas in practice. Duration /chronicity also matters a lot .
Ayulink
Ayurveda: Internal as well as external treatments needs to be
planned
Vd.
Sachin Kadlag: yes, External has essential role too.
Ayulink
Ayurveda: Punarnava, gokshura, rasna, haridra, etc are mainly
used. By I think it's more used under western influence. Just like diuretic. Haridra
is good for local application in muscular pain and inflammation. Or in
tonsillitis. Lime (Chuna - pan me use hota hai woh) + honey is also good for
local application for inflammation in
aamavata condition
Vd.
Sachin Kadlag: Shotha has stagnation of dosha , hence
external treatment is principally for
local Paachan and to remove
vibandha . Yes , Haridra , Aamraharidra , Raktachandan are used traditionally as a first aid . Rather than
mutrala (?? diuretics ) medicines if patient as good bala , dosha are more ,
then Virechan is required on regular basis . That 's why Gud Haritaki is more
useful . In nirama avastha , virechan . In saama avastha and where
not possible , Gud (jaggery ) with Sunthi or Ardrak for 2 to 4 weeks . If kaphapradhan shotha in
Lower part of body than Gomutra haritaki instead of Gud haritaki.
Dr.
Pritam Veer: I use Punarnava kalp. I.e. Punarnava guggul
, punarnava mandur. Also shoth is bcz if
kafadhikya , so if we use kalp acting mainly on kaf prakop then it wl reduce
shoth.
17400:
Lajjalu +saindava in rice wash water, boil it and do lepanam
Dr.
Pritam Veer: Say for eg. in kafpradhan sandhi shul , I use
gokshuradi guggul it will reduce inflammation as well asa swelling. All guggul
kalp are anti inflammatory in action
just decide doshadhikya then act accordingly.
17400:
Coconut
Milk + Garlic ...., boil it and make it into paste...., And do lepanam again
and again.... All types of shotha will Go away
Dr
Jayesh Patel: Dose of gud & adrak?? Equally ??
Vd.
Sachin Kadlag: yes , equal.. increasing and decreasing step
by step .
Vd.
Dhruti Nirav Bhatt: Dashmool Kwath internally gives good result,
Dashang lap. If shotha is due to injury Turmeric with salt paste gives good result. One of my experience is
Ampachan gives wonderful result if jointpain and swelling are chief complains
for that dry ginger decoction with castoroil or only dry ginger decoction,
light diet. Aam pachan vati gives very good result
Croatia
Branko Markovic: Powder of barley, ginger, horsegram,
licorice - fine powder, apply with sour buttermilk as lepa. Internally Gokshuradi
Guggulu in most cases will do work
Gary
Yuen: barley and horsegram seem to also work great when eaten.
Recently, I've been eating chrysanthemum and lotus flower stem. large amounts
dried such as what will fit in one hand. Pitta reducing antiinflammatories I
think one could take in larger quantities compared to turmeric, ginger, etc. Agasta
(and other sesbanias, some said to be toxic) is what I wonder about most. I
don't think anyone has compared it and less used foods to common ginger,
turmeric, etc. but those that also reduce the affected dosha, one can take in
large amounts it seems.Among tested Western cooking herbs that are
anti-inflammatory, i think it was rosemary or majorum. One or both. Found the
study. Mentioned by a doctor. Tested against. Inflammatory oxidized cholesterol
which may be what happens when you cook meat the wrong way. Maybe only boiling
as gruel stew and soup is safe. Or maybe all meat has oxidized cholesterol.
Don't know. Ghee made the incorrect way like what you find in store does. Of
what was tested, what worked : cloves, ginger, rosemary, and turmeric In a
study of 3000 foods for antioxidants, 1 was a tree sap from the amazon forest,
2 was triphala, 3 was amalaki, 4 clove.
Dr.
Jaya Sambhus: In sthotha there is avrodhatmak samprapati Lepa , Raktmokshana, Viddh karma, Agnikarma, Swedan
All these procedures r useful n gives instant results
along with internal med
Gary
Yuen: Manjishtha? Was looking into new herbs and found a
European relative in rubia family that was once the source for red clothing
dye. As color is one property of antioxidants and maybe antinflamatories, Matbe
what has the most color is also worth study.
Vd.
Jignesh Thakkar: Sotha and sofa is different in suahruta.
Ie sotha is swelling And sofa is inflammation. While we
read charak both is sofa...
Gary
Yuen: What are pitta reducing antiinflamatories? That seems
maybe most significant and important for other reasons. Can take in large
amounts so better than turmeric ginger etc in small amounts. More kapha
reducing. Some flowers like some chrysanthemum lotus rose and violet also antivirals
and show effect on HIV. How strong don't know. Stronger antivirals somewhere?
Matbe. Associated with bitter tastes? Seems so. Possible to treat bird flu,
nipah virus and others? Maybe.
Best foods and herbs are not just anti-inflammatory but
rasayana for many reasons. What are they? Agastya flower? Most bitter
brassicas, more bitter than moringa? Most bitter variety of shali, yava,
millet, etc? So many questions. Viruses like flu everyone gets. But if immune
system is strong, no symptoms and body easily kills it. Possible for nipah and
HIV? Maybe. But requires perfect diet. Guduchi lotus neem agastya etc. Take
regularly as vegetable as described in texts. Then theres hope. Inflammation is
a sign of multiple problems and best treatment is change of all foods and
herbs. Best way to avoid problem? Ideal diet weight food quantity etc as
described in texts.
Vd. Jignesh Thakkar:
1)Vatik sotha
Sotha due to malnutrition and ccf.
(वायोः धातुम
क्षयं
कोपात
मार्गस्य
आवरणे
न
च)
दिवाबली
पीडितोन्नमती
Treatment
1) if reason is malnutrition
Give nutrition
2)if reason is ccf give dashmool ,digitalis.
2)kafaj sotha.
पीडितोनोन्नमती शोथ।
रात्रिबली।
Swelling due to crf.
Treatment- punarnava
3)paitik sotha
Sweling due to infection or injury or liver cause
Treatment-
Local shita dravya application.
+Virechan arogyavardhini.
Dr.
Pritam Veer: Rakt , vaat drushtijanya shoth , raktmokshan
by Jalouka gives good results.
Anoop
S. Anand: we generally use Marma gulika in powdered form with egg
white..sometimes jadamayadi or Kottamchukkadi choornam or Jadamayadi vmchootnam
with egg white
Dr.Piyush
Dodiwadiya: Controversy Ayurveda says do snehan swedan Oil
Massage for injured pard(shoth) Allopathy refuses It Advised to apply cold (ice
pack), and we are advised swedan Please elaborate this if anyone knows
Dr.
Jaya Sambhus: Snehan is contraindicated in Ayurveda too .
Only swedan is indicated .
Dr.
Rachana Mumbai: Recently I got sprain in my right leg, at
the time of incident I had unbearable pain I applied ice pack and my pain
subsided and I could walk immediately And further also I just applied ice
pack instead of our traditional
application of hot haldi and salt And I am better but it's not going completely
Swelling still there Minor but there May
be for temporary relief ice packs work Swelling is not reducing much but pain
is reducing
Dr.
Jaya Sambhus: Try leech for permanent cure
Dr.
Mahendra Sharma: For swelling u can pply kottamchuladi
powder...lepam...
Dr.
Jyoti Ashok: Dhara is first line of treatment in
accidental injury.
Dr
Jayesh Patel: In internal shoth(inflammation) ...Like
colitis, endometritis, same medicines work or not??
Dr.
Jyoti Ashok: Varunadi quata is good in internal shotha.
Dr.
Rachana Mumbai: What type of dhara
Dr.
Jyoti Ashok: In colitis , endometriosis the chikitsa
sutra is completely different.It differs acc to condition of the pt. vyadhi
etc. Like dhanyamla dhara Grita dhara in burns Etc
Dr.
Samir Suneri: mainly swelling are three types Vatika,
Paitik, and coughaj in my clinic I am using punarnavadi Mandur in vatik
swelling.
Vd
Ashish Kumar: वातज शोध
दिन
में
और
कफज
शोध
रात्रि
में
बढ़ता
है।
कफज
शोध- त्रिकटु + गोमूत्र
वातज- दशमूल,सोंठ
पित्तज- पुनर्नवा,अर्क
मकोय
Dr.
Samir Suneri: Sooth{swelling} has very broad range of
diseases Here I m explaining about sooth
due to arthritis First we should think about what is the basic reason of sooth In arthritis all swelling are due to pain when
we give medicine for vaat vikar or pain swelling are also reduced Some time we
can use agnikarma for pain and swelling Some time we can use karpuradi
tail dhara And patra potli swed And some
time We can use Medicine like punarnavadi mandoor Punarnavadi
gugulu Punarnavsa And dasmool kadha And in external application dasand lep is
nice And daruharidra+gaumutra+ vacha is very beneficial And arkaptra is also
very useful for sweling E/A And we all vaidhyas are using leeches for ekkang sooth And mainly we
can use yukti praman in all type of
sweling
Dr.
Meenaxi Verma: Acharya charak very well explained sotha
14929:
It's
vata pradhaan tridoshaja udakavaha twak maamsa adishtana rasa rakta dushya with
sanga as shrotodushti bhaya maarga chirakari vyadi
30995:
Punarnava works well to relieve congestion and reduce pain and discomfort in
the area. Combination of Arjuna and egg white or Raktachandana and shunti or
Devadaru and rasna can be used in
different shotas. If the shotha starts suppurating then external lepana with
Upodika and haridra can be done and once it opens up it can be cleaned and
dusted with Ashwagandha choorna And vrana chikitsa protocol can be followed. Internal
use in the firm of swarasa, khwatha, asava etc Punarnavasava / Punarnava Ghana
vati can be used as drug of choice in sarvanga shotha and glaucoma
14929: I
use given dashamoolarista nd with punarnava mandura in vata pradhaana condition.
Vd.
Komal Kalavadiya: N also we can use chandraprabhavati
14929:
Usual i use if any renal related conditions.. Chandrapraha with plain gokshura ksh (freshly prepared).
Raman
Kumar: Use of Punarnavadi and Kasani Ark is useful in shoth
related to Renal dysfunction.
Dr
Avadhut Mohite: We mostly use ChandraPrabha Vati for
Abhyantar Sevan along with Dashang Lep externally. Sunthi lep has also given
good upashay externally most of the time
-------------------------------.
Compiled by - Dr. Dhruti Kagrana
