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Next topic for discussion: Raktapitta - it's understanding and
management according to #Ayurveda
Gary Yuen: Is the first step reducing kapha?
Gavedukha (weight) uddālaka (wild kodrava? for fat) and mung. Kalamegha useful
or among best for kapha?
Shahil H Bhavsar: In summer time many persons
experience epistaxis. It is very common type of urdhvag raktpitta. Simple home
remedy for urdhvag raktpitta is ushir swaras given by nasya
Dr. Jyoti Ashok: Milk or ghee nasya cures nasagata
raktapitta. If the pitta is too much then you have to give some pitta rechaka
medicines like patola katukarohini kashaya Or Katuki Or Pancha tikta grita Acc to dosha.
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Ayulink: Can someone from the group (student)
highlight the basics of urdhvag raktapitta? like samprapti, causes, major
symptoms etc?
Shahil H Bhavsar:
Samprapti:
Due to nidan sevan(ex. Katu amla lavana kshar pittavardhak substances)
Pitta
will increase and get associated with rakta.
Rakta
and pitta both are in ashray-ashrayi bhaav and similar mahabhut.
So
rakta will increase in quantity and attain character like pitta(bad
odour,colour)
This
increased and vitiated blood will expelled out from above
orifices(nose,eyes,ears,mouth).
This
is called urdhvag raktpitta.
There
is another pathology associated with it.
The
hotness of pitta (and now rakta also) will make the other dhatu liquify and
cause secretions of liquid portion from dhatu.
In
this phenomena mainly pitta rakta and raktavaha srotas are affected.
But
according to dosha dominancy
It
is also kaphaj,pittaj and vataj type.
Madhav
also described 2dosha and tridoshaj type.
According
to madhav acharya urdhvag raktpitta is from amashaya.
And
adhog is from pakwashaya.
Vd. Hardik bhatt: why pitta comes from urdhwag
stotras..?
Dr Jayesh Patel: Due to agni mahabhut??
Gary Yuen: Expulsion from above is said to be
associated with kapha in Caraka Vi 4.23. Though not all agree. Cakrapāṇidatta
is supposed to have a commentary. Maybe someone can share. It's said hemanta,
Nov/Dec is a favorable time for treatment of raktapitta. Can someone please
explain?
Dr. Mrugeshkumar Patel: Adhogat raktapitt from anus vat srung
+sakar (chark) excellent result ,satavary + gokshura mutra gat raktapitta
excellent result
Gary Yuen: Raktapitta treatment from Caraka Ci
4. With difficulty of ingredients, suggested alternatives?
The
patient who feels thirsty should be given water boiled with hribera, candana,
usira, musta and prapataka or only cooled boiled water. One having knowledge of
constitution and preparation should prescribe saturating drink in upward
raktapitta and liquid gruel in the downward one considering time, suitability and
association of dosas. For saturation, water boiled with kharjura, mrdwika
(fruits), madhuka (dry flowers) and parusaka (fruit) and cooled along with
sugar.
Powder
of parched paddy mixed with ghee and honey makes a good saturating preparation
which, if taken timely, alleviates the upward raktapitta. The … preparation may
be soured with pomegranates and amalaka fruits in persons having …
The
patients of raktapitta should take meal consisting of the cereals of sali,
sastika, nivara, koradusa/kodrava, prasantika, syamaka and priyangu. For them
gram, lentils, green grams, makustha and adhaki are commended for the
pulse-soup. The vegetables useful in raktapitta arc patola, nimba, tip of
vetra, tender leaves of plaksa and vetasa, kiratatikta, gandira/kandira and
kathillaka/punarnava. The flowers of kovidara, kasmarya and salmali are also
used as vegetable in diet and also similar substances which alleviate
raktapitta. These vegetables should be prepared by boiling or frying with ghee
or like soup and given to the vegetarian patients as vegetable. Dove, pigeon,
common quail, raktaksa (crane), vartaka (a quail), grey partridge, ena, harina
and kalapucchaka (types of dear) are wholesome in raktapitta. Their soups are
used soured or unsoured, fried with ghee and added with sugar. In (raktapitta)
associated with kapha vegetable soup and in that with vata meat-soup is
prescribed. Now for raktapitta, preparations of gruel will be described.
The
stamens of lotus and water lily, prsniparni and priyangu grains should be boiled
in water. In the same decoction liquid gruel be prepared for the patients of
raktapitta. Gruel may also be prepared in the decoction of (1) candana, usira,
lodhra, and musta (typo, nagara/sunthi?), (2) Kiratatikta, usira and musta, (3)
dhataki, dhanvayasa, hrivera (typo? ambu/balaka) and bilva, (4) masura and
prsniparni or sthira/salaparni and mudga, (5) harenuka mixed with ghee, (6)
bala, (7) the meat soup of dove etc. These are the gruels useful in raktapitta
and should be taken cooled and added with honey and sugar. Such preparation may
also be made in meat-soups. Ci 4.36–48
I
have tried lotus flower and it is very good. Now use it often in food. Some
such villagers still use shatavari as food. Western asparagus should be pitta
reducing but not as much, and roots maybe hard to get. Other common
ingredients? Lotus should be somewhat easy to find at Chinese markets.
Sevanti/chrysanthemum as well.
Vd. Hardik bhatt: pls share recepiy of lotus flower
gruel or whatever you made it.
Gary Yuen: I just add it to sambar or thick
gruel. Vilepi? What i make daily is not exactly sambar but it is somewhere
between thin/thick, peya/vilepi but i try to use classics foods like vastuka,
kakamaci, yava, raktashali etc. I just find most bitter vegetables, sour
ingredients, a stringent. Choosing ingredients for combining tastes and adjust
as needed. More bitter such as lotus just needs more sour, sweet, and fat/oil.
And so forth. No specific recipe. Just mixing tastes and adjusting.
Neem
shatavari brahmi mandukaparni. Seems some villagers still eat such things as
food often.
Of
classical preparations, seems manda, gruel water, or peya, thin gruel might
have once been most used. It does seem mixing all ingredients in soup/stew,
similar to sambar, might be best for general daily food and better also for
raktapitta compared to modern habits like dry boiled rice, wheat fried as
bread, vegetables fried in oil etc. Frying baking broiling, any method that
doesn't use water does seem to make food warmer.
For
example lotus can be bitter so i don't use a lot. Maybe 10+ grams in a bowl of
food. And then to balance with more sweet, add tomato paste or other sweet
ingredients.
It
does seem like gruel or soup (yusa) are the traditional preparations and seem
also best for general health as well as raktapitta. Preparations, krtanna
varga, I hope we can discuss more someday. Cooking method seems to greatly
affect doshas.
Ayulink: Pratimarga Harana Chikitsa
In
the treatment of Raktapitta, the doshas should be expelled from the opposite
route of their course (opposite to the direction of bleeding). Following this
pattern, Virechana should be administered in Urdhwaga Raktapitta (bleeding in
upper passages, in upward direction) and Vamana should be administered in
Adhoga Raktapitta (bleeding in lower passages, in downward direction).
After
Vamana, Tarpana i.e. nourishing drinks and food should be administered in
Urdhwaga Raktapitta and Yavagu, i.e. gruels (when Vayu is in control) or
mamsarasa i.e. meat-soup (in vitiation of vata) should be administered in
Adhoga Raktapitta.
Gary Yuen: If virechana is indicated, that would
support the idea of kapha. In that case, honey is said to be best for
kapha-pitta. Also fasting and a restrictive diet or under-eating (abhakta).
Dr. Meenaxi Verma: If there is bleeding from nose,mouth then do not give
stambhan. sheetal dravaya lepa,
parisheka,gruta manda anuvasan basti.....
Dr. Priyanka Gupta: Usheerasava, cgandanasava, doorva
swarasa nasya
Dr. Meenaxi Verma: Vasa kwath 25 ml ×BD. Take allum
powder with honey. Naimittika rasayan vasavleha. Before giving any treatment we
should know about the cause of bleeding.....
Dr. Bindiya U Shanghvi: Orally?? Dose??
Dr. Meenaxi Verma: 500 mg
Dr.Amit Shukla Mumbai: Why no stambhan?
Dr. Meenaxi Verma: Till dosha nirgamana...should not do
stambhana...as in our classics there are lots of complications are given
....after proper dosha nirgaman go for stambhana...it can be understand only after
practice ..
Dr.Amit Shukla Mumbai: If Epistaxis is moderate to severe..
Then too?
Dr. Misbah suhana: In epistaxis durva swarasa is also
effective as nasya
Dr.Amit Shukla Mumbai: That's does stambhan only. As per Dr
meenakshi, stambhan is not primary choice of action..
Dr. Misbah suhana: As she said after dosa nirgamaba v go
for shodhana nasya followed by
Dr.Amit Shukla Mumbai: Yeah but in those situations we mostly
don't get so much time for dosh pachan. Time taken for dosh pachan depends on
severity of dosh itself..if it is to be done essentially(dosh pachan) then it
would be lil dangerous due to jiva raktamokshan.. So..
Stambhan
of course has its limitations in cases perticulalry Raktapitta. then Choices of
drugs ought to be those with Grahi actions(Raktasangrahika) Like, Priyangu, rasanjan, gairik etc
Dr. Meenaxi Verma: Please refer charak and follow it
practically.....after the condition...
Dr.Amit Shukla Mumbai: Yes doc I do follow Regulary
4929: Commonly during summer come across
these case so for prevention aspect tender coconut, palmary fruit ( in tamil
it's called as nungu) cucumber,
kushmanda, dhanyaka jala, ushira jala,
mud pot water, application of
coconutoil or castor oil to head can be advisable. I some pt due to high bp bleeding through
nose seen so it's emergency condition so dhara with cold water can done once
bleeding reduces takra with amalaki ushira can done. I case of rakta vamana
ulcers in food pipe so have to choose amlapitta nd vrana chikitsa.
Dr. Amrish A Shah: Allum ko Shuth. Allum ko shudhh karke
dena
Ayulink: Is epistaxis and Urdhvag raktapitaa
or same or similar?
Dr.Amit Shukla Mumbai: Its not either same or similar. But
Epistaxis is one of the form of Urdhwag Raktapitta as per definition. Epistaxis,
Hemoptysis, Hematemesis etc are all Urdhwag Raktapitta. I have concluded after
using Raktapitta's line of Rx
Dr. Sachin Bali: भ्रुशोष्णतीक्ष्णकट्वम्ललवणादिविदाहीभि:/
कोद्रवोद्दालकैश्चान्नैस्तद्युक्तैरतिसेवितै://1//
कुपितं पित्तलै:पितं द्रवं रक्तं च मूर्च्छितं/
ते मिथस्तुल्यरूपत्वमागम्य व्याप्नुतस्तनुम्// वा.नि./3/2//
Dr. Vikarm Dev Singh: Can we include thalassemia in
raktapitta?
Dr. Sachin Bali: Plain water can also be used for
nasya in epistaxis
Dr.Amit Shukla Mumbai: Thalassemia is due to diminished
Raktadhatvagani due to Kapha! Whereas Raktapitta has totally different causes,
Samprapti, Rx etc
Dr. Rajendra Joshi:
3
types of Raktapitta
1.urdwaga
2.Adhoga
3.Tiryak
Dr. Akshay Jadhav: Urdhwage tarpanam purvam peya purvam
adhoge.Virechanam urdhwa bhage adhoge vamanecha
Dr. Rajendra Joshi: Pratimarga Harana Chikitsa
In
the treatment of Raktapitta, the doshas should be expelled from the opposite
route of their course (opposite to the direction of bleeding). Following this
pattern, Virechana should be administered in Urdhwaga Raktapitta (bleeding in
upper passages, in upward direction) and Vamana should be administered in
Adhoga Raktapitta (bleeding in lower passages, in downward direction).
After
Vamana, Tarpana i.e. nourishing drinks and food should be administered in
Urdhwaga Raktapitta and Yavagu, i.e. gruels (when Vayu is in control) or
mamsarasa i.e. meat-soup (in vitiation of vata) should be administered in
Adhoga Raktapitta.
-------------------------------.
Compiled by - Dr. Dhruti Kagrana
Compiled by - Dr. Dhruti Kagrana
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