Thursday, October 24, 2019

Nidra (Sleep) #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: Nidra (Sleep) #Ayurveda
Vd. Pankaj Chhayani: There are different theories of Physiology of sleep.
In brain stem, ascending and descending fibres cross to each other and makes Reticular formation (RAS- Reticular activating system). RAS acts like switch for Cerebral cortex(and ultimately consciousness).  When RAS is activated, person switch on  from sleep to awakening state.  According to modern science, RAS gets exhausted  at the end of day and Person feels sleepy. Ayurveda describes Nidra almost same way-" When the mind including sensory and motor organs is exhausted and they dissociate themselves from their objects, then the individual sleeps".
Charaka and Susruta have given five etiological factors of Anidra. 1)CHARAKA:-  Karya, Kala, Vikara, Prakruti and Vayu.   2) SUSRUTA:- Vayu, pita, Kshaya, Manastapa, Abhighata.
Nidra is essential parameter to assess Dhatusamya/Dhatuvaishamya.

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Vd. Dhruti Kagrana:  Nindra is one of the life maintaining factors and if not used properly several fatal diseases may produce. But if it is practiced according to prescribed regiment it provides ‘sukh’ which is considered as arogya (disease free state) in ayurvedic classics. Nidra has been considered as brihana factors (nourishing factors) in routine life means it promotes health by nourishing dhatus and increasing kapha which is responsible for the strength and immunity of thebody as well as mind. Increased kapha promotes physical health and immunity are promoted by sthirita(stability), snigdhata(unuctousness) and guruta(heaviness) while mental health and immunity are promoted by kshama(forgiveness), dhrit(steadiness) and Alobha (contentment), which are the functions of kapha in normal state on the other hand, nidra also promotes health by increasing shukra dhatu, essence of the body and the same affects as like kapha.
PHYSIOLOGY OF NIDRA:
According to acharya Caraka, when the mana including indriyas is exhausted and thus they dissociate
themselves from their objects, the individual sleeps.When the mana (as well as the soul) gets exhaused or
becomes inactive and the gyanendriyas and karmendriyas become inactive then the individual gets sleep.
Acharya Susruta said qbout the physiology of nidra that hridaya is the seat of chetna in living being. When
this is invaded by tamo guna, persons are subjected to nidra. Tamoguna is the cause of sleep and satva guna
is the cause of awakening but overall, nature itself is more dominant cause.
TYPES OF NIDRA:
*Aacharya Charaka*
Tamobhava, Slesmasamudbhava, Manah-sarir srama saambha, Agantuki, Vyadhi-anuvartini, Ratri-swabhava prabhava
SwabhavikI & Vaikariki
*Aacharya Vagbhat*
Kalaswabhawaj, Amayaja, Manah-sarir srama saambha, Shleshmaprabhavaj, Agantuka, Tamobhava
According to Caraka, sukha, dukha, pusti, karshya, bala, abala, vrushata, klibata, gnyanam, agnyana (ignorance), jivana and death all these occure depending on the proper or improper nidra.
According to acharya Bhavamishra nidra is best for alleviating pitta dosha.
Acharya Kashyapa has accepted that comfortable nidra is essential for milk production in mother
Aacharya also mentioned nidra in Adharniya vega
*NIDRA AS A THERAPY*
Charakacharya has described nidra in Astauninditiyadhya where eight types of undesirable constitutions from the treatment point of view are mentioned. Among them Atisthaulya And Atikrisha are especially undesirable constitutions because they are always suffer with any disease.He has said that atisthula and atikrisha purusa are to be treated by karshana and bringhana therapies respectively. Nidra is included under brihana factors. That is why nidra is described here as a therapy in the *management of karshya.*
Ayulink Ayurveda: Usually we discuss about anidra, but atinidra is also a condition to focus. Atinidra can be a symptom of aama condition.
50010: Atinidra as a clinical feature seen in some diseases according to Charaka and Susruta
Atinidra as a clinical features seen in some diseases :
Unmad
Ch/Chi/9/19
Kaphaja shoth
Ch/Chi/12/14
Kaphaja Atisar
Ch/Chi/19/7
Kaphaja Visarpa
Ch/Chi/21/34
Kaphaja Pittaja Visarpa
Ch/Chi/21/38
Kaphaja Vataja Visarpa
Ch/Chi/21/39
Prabhav of jangam Visa
Ch/Chi/23/15
Dhwansak Roga Lakshana
Ch/Chi/24/201
Kaphaja Ksheer Dosa
Ch/Chi/30/247
Purvarupa of Arsha
Su/Ni/2/9
Upadrava of Prameha
Su/Ni/6/15
Madhumeha
Su/Ni/6/28
Urusthambha
(Su/Chi/5/31,32)
Galasundika
(Su/Chi/22/51)
Kaphaja Jwara
Su/Ut/39/33
Sanyas Sannipat Jwara
Su/Ut/39/42
Vata Sleshma Jwara
Su/Ut/39/48
Adhik Langhan Upadrava
Su/Ut/39/106
Sleshma Atisara
Su/Ut/40/12
Purvarupa of Rajayakshma
Su/Ut/41/11
Kaphaja Trishna Lakshana
Su/Ut/48/10
Sleshma Apasmar Lakshana
Su/Ut/61/14
Unmad
Su/Ut/62/6
Kaphaja Unmad Lakshana
Su/Ut/62/10
Ayulink Ayurveda: Here in Europe due to addiction, people sleep for long time
Do we have any specific herb or formula which produces sleep? I mean dependable medicine to prescribe in patient?
Dr. Savad Kerala: Aswagandarishta
Dr. Vikas Sharma: Dhatura Parsik yvani
Zarana Doshi: Is it usefull ? Brahmi ?
Ayulink Ayurveda: practically I have not seen extra ordinary results from any asav arishta. On the contrary some times in makes mind more active
sarpagandha is more common, but it has side effects and educated patients refer google for it and denies
plus sarpagandha can affect BP too.
Dr. Savad Kerala: Aswaganda arishta form is the problem since it is little ushna aswa ganda gritha form or leha form will be good
 Dr.Pratibha Knere: Saraswatarista....gives good results
Tab arjin.... Tab mentat Also gives good results. Sarpagabdha gives hypotension.n patients complaints  gidiness n headache sometimes without  hypotension
72927: Pada abhyanga With til tail
Dr. Dayanand Bothre: I used Saraswatarishta for Anidra
One of my patient taking tab escitalopram 5 mg 2 tablet and tab lorazeram MD 2 mg at night for sleep since 6 months after she came to me I advice her saraswatrishta and tapyadi loha and lakshmi vilas ras with proper guidance and 10 days after she got better sleep without allopathy medicine.
She stopped allopathy medicine by herself only after getting good sleep
I think overthinking of anything disturb the sleep if we can stop this overthinking by proper guidance and bruhan karma of हिन मनोबल and हृदय दौर्बल्य by medicine
Dr. Uday H. Hanagal: Abhyangam Aacharet nityam      sajaraashrama  vaataha swapna  sutvak       dhaardyakrut       drustiprasaada      pustyaauhu         Astanga     Hrudaya    Sutrasthaana      2nd    chapter       dinacharya      adhyaaya In       this       sloka     we      see       somany       health  benefits        of      Abhyanga    ,      Good      sleep     (  swapna  )     is    also     one    of      these
Dr. Misbah suhana: Saraswata arishta with bhrami vati frm Himalaya also gives good results in anudra
Dr. Uday H. Hanagal: Astaanga      Hrudaya      Sutrasthaana     Doshaadi      Vijnyaaneya      Adhyaaya    ,    Vaata    Vruddhi     Sloka    --      Nidraabhramsha      lakshana   ,     Pitta       Vruddhi     sloka    --      Alpanidrataa      lakshana    ,       Kapha       Vruddhi     --      Atinidrataa      lakshana
Vd. Pritam Bharat Veer: JataMansi fant, Brahmi vati, Khaskhas , Buffalo milk Nidrakar
Liq. Prasham Manas mitra vatkam also good. Nidra is mannas bhav.
2168: Caraka su.21.52-54 describes methods to induce sleep.
Branko Markovic: From western herb combination which are working very good: lavender, rosemary, valeriana, vacha, melissa officinalis. Mixed all together and drank as a tea 1 h before sleep. Also, Ashwagandha is working in most cases but dose should be high like 5-9 capsules before bed. Pranayam and meditation before sleep should be established, also walking in nature or doing sport.
Dr. Jyoti Ashok: Drakshadi quata induces  sleep
Ayulink Ayurveda: That's not known..Drakshadi kwath, is it available? Mostly we found drakshasav
Slovenia Anoop S.: drakshadi kashayam available with kerala based pharmacies...like santhigiri on anand nagar road Ahmedabad. Manasamitra vadakam from kerala based pharmacies also very effective..
Dr. Rajnikant Patel: Mahish kshera (Buffalo milk) is Nidrajanan as explained in Agreya dravya in charaka sutra sthana...
All medicine with anupana as buffalo milk works good..

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Compiled by - Dr. Dhruti Kagrana



Different kind of Kshar (क्षार) #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: Different kind of Kshar (क्षार #Ayurveda
Ayulink Ayurveda: Most common kshar are yava kshar and apamarga kshar. We have very short descriptions available in the texts and we hardly use it in practice.  Sushruta has more focused on  the use of different kshar - internally and externally too.  Where the surgery is not feasible or possible,  there kshar can be used that is what the text says.
Use of alkali or Alkaline cautery is not popular in modern  medicine.
Dr. Savad Kerala: Kalyana kshara is available for kottkal pharmacy and can be given abdominal pain, intestinal obstruction, renal calculi.
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Dr. Manshukh Mangakiya: It is useful in Shtoulya.
Vd. Jayesh Thakkar: Palas kshar also available used both externally and internally. Shiva Kshar Pachan churna....kshar in little is digestive stimulant
Ayulink Ayurveda: Kalyana kshar made from? Pl tell more about palash kshar How to use?  Dose etc
Dr. Savad Kerala: One pinch internally with honey or kashaya depending on condition. Kalyana kshara even we can give in PCOD also
Ayulink Ayurveda: Oh it's combination formula named as kshar.  But it's not exact kshar prepared from a herb or herbs. That's great
Dr. Savad Kerala: Yes Kapha vatha hara in nature And anulomaka
Ayulink Ayurveda: I heard that now in days very few producers produce real kshar.  As the ratio of bhasma or kshar is hardly 6-8%
Dr. Savad Kerala: May be When we look it into ingredients of chandraprabha vati it's also having kshara guna And calcium compounds like shanka bhasma Kamadugda rasa also having kshara guna but mridu kshara guna Where as palasha kshara kalyana kshara are tikshna
Zarana Doshi: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5549058/?report=classic
Dr. Savad Kerala: https://youtu.be/PMUAClqUDHM
Dr. Jaya Sambhus: Kamalnal kshar is replacement of ecosprin .  I often used this in Heart blockages n dvt pt
Ayulink Ayurveda: This is very interesting. Never heard or used it. Please let us know more about this
Dr. Arvind Shahane: Ikshurakkshar is giving good results in gall bladder stones n CBD stones.  I have got Result one time. But after then I can't get Ikshurakkshar. In Gujarat respected Vaidhya Ashokbhai Talaviya is prepare this kshar
Dr. Pranita Shah: Kadali kshar gives good results in renal stones
Ayulink Ayurveda: I contacted a reputed pharmacy to produce different kshar, but they are not very enthusiastic. As the kshar production is very costly, as yield is very low. Many vaidyas are not using now in days so market demand is very low. But apamarg kshar and yava kshar are easily available in Gujarat market. We need to revive the use of kshar, as it is mentioned in the text that where you can not perform surgical procedure, kshar are best option.
Kadali kshar, ikshu kshar, kamalnal kshar, Palash kshar are really interesting to know. Please elaborate more about this. How to get it, how to preserve it, how and when to use it, what are the precautions etc. So that other friends can also practice it.
Dr. Manshukh Mangakiya: Narikel lavan is used for gallstones. All kshar are useful for gallstones because calculii is made of pitta.
Dr. Pranita Shah: not everyone can bear all kshars.. hence the variety
Dr. Arvind Shahane: But I don't get results with other kshar
I have also got results with your treatment. Sir
Dr.Satish Panda: तालमखाना बीज की भस्म , इसका उपयोग हम पानीय क्षार के रूप में पित्ताश्य अश्मरी में करते है, ये अच्छा लेखन कर्म करता है, की cutting कर के सूक्ष्म करता हुआ भेदन कर देता है।
* radiologist ने कहा usg में stones move नही हुई पर size कम हुआ है *
तालमखाना बीज की भस्म , इसका उपयोग हम पानीय क्षार के रूप में पित्ताश्य अश्मरी में करते है, ये अच्छा लेखन कर्म करता है, की cutting कर के सूक्ष्म करता हुआ भेदन कर देता है। stones move नही हुई पर size कम हुआ है
Croatia Branko Markovic: Other uses of narikel lavana? How big stones did you treat?
Dr.Satish Panda: Hydrophila ash water (paniya kshar as per ayurved) used for gall stone
is yava.
Dr. Dhananjaya Bairagi: Varangak क्षार  widely used by दातार panchbhoutik वैद्य.....in very little doses...for spleen and it's disorders..

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Compiled by - Dr. Dhruti Kagrana


Manodorbalaya (Brain functions disorders) #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: Manodorbalaya (Brain functions disorders) #Ayurveda
Vd. Pankaj Chhayani: Mano Daurbalya (and also Sharirika daurbalya) is found mainly in Oja Kshaya and in patients with genetic predisposition.
Vayu is mainly responsible in Manodaurblaya as Vata is considered as "Niyantā Pranetā sca Manasa". When Vyāna is aggravated it causes "Chitotplava". Harsha and Visāda are two causes in Vyāna aggravation.
BREATH IS THE KING OF THE MIND
 चले वाते चलम चितम निश्चले निश्चलम भवेत्। (Hathayogapradipikā).- When breath is active, so is the mind. When the breath is still, the mind is calm.
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Vd. Pankaj Chhayani: When the mind is irritated, breathing is not slow and rhythmic. On the other hand, the breathing is tranquil and rhythmic when the mind is peaceful. This common observation suggests that there is relationship between one's mental state and breathing, the converse is also true. Breathing is a gross manifestation of the activity of prāña. The correlation is fundamentally between the activities of the mind and prāña. By controlling prāña, the mind can be controlled.

वायु नियन्ता प्रणेता मनस: (caraka samhita)- According to Ayurveda, vāyu inhibits and induces the mental activities.
Through the control of breath, the practitioner of prāñāyāma checks the activity of prāña and thereby that of the mind.
In Oja Kshaya symptoms, there is a Durmana(दुर्मना) and commenters have translated it as MANOBALAVIHINA(मनोबलविहीन).
Dr. Shahil H Bhavsar: There are 3 diseases in charak samhita
Unmada
Apasmar
Atatwabhinivesh
Other than 3 i can't find any mental or brain disorders
Dr. Hemal Abhishek Bhatt: Manodaurbalya may be correlated with Hina Satwa person.
In the samprapti of unmad and apasmar there is a reference of how the rajo and tamo dosha are been vitiated.
As I understand Charaksamhita, unmad and apasmar are not  single diseases, but a group of diseases.
If there is a "Vega avastha" (like convulsions/Bibhatsa Cheshta and tamah pravesha) in any mental condition it can be included under apasmar.
And when there is a "Achara Vibharam" means he does not even know what to do or not to do in all the time, can be included under Unmad.
Ayulink Ayurveda: One simple question: manodaurbalya (मनोदौर्बल्य) - is it related with mind or brain? or both?
Dr. Dr. Hemal Abhishek Bhatt: Mind, Brain and nervous system can correlated with Vata dosha. Reference : Charaka siddhi 9 Trimarmiya siddhi.
Vd. Pankaj Chhayani: We can correlate neither with mind nor with brain. Man is different entity
Ayulink Ayurveda: then what is manodaurbalya (मनोदौर्बल्य)? In general term, we use this word for depressive patients...but we know that the terminology manodaurbalya (मनोदौर्बल्य) is far more then a simple depression
Dr. Hemal Abhishek Bhatt:  What I understand is Manodaurbalya is Hina satwa.
Dr. Uday H. Hanagal: Praana       Vaata     Karma    -    Praano      atra     murdhagaha    uraha     kantha      charo     buddhi      hridayendriya       chitta        dhrik     shteevana      kshavatudgaara     nishvaasaanna        praveshakrut      A.H.  Sutrasthaana
Vd. Pankaj Chhayani: dhrik means Dharana(supports.). Prānā supports Mana, Buddhi, undriya.
Mana is omnipresent, it manifests in all Chetana dravyas but it mainly resides in heart
First we should find out the word MANODAURBALYA.
In Shree Bhagvada Geeta, There is a word KLIBA, it's similar to MANODAURBLAYA.  Arjuna is told to leave KLIBATA.
Dr. Uday H. Hanagal: Kaalaartha      Karmanaam     yogo     heena       mithyaati    maatrakaha        Samyak     yogascha    vijneyo     rogaaarogya     kaaranam
Ayulink Ayurveda: In Bhagvat Gita (Ch.2, shloka 2-3) it is used the word "klaibyam  (क्लैब्यं)" for Arjuna, as well in the same shloka he said hridayadaurbalya for his dilemma or psychological disturbance.
Similarly in the definition of Health (swatha), we said prasanna atma, man and indriyas - cheerful or joyful atma,-soul, man (mind? or mind and heart?) and all indriyas (sensory organs).
So, I agree that Man (मन) is very complex to understand.
In general terms, we can consider manodaurbalya (मनोदौर्बल्य) is the condition which creates imbalance (of joy-bliss or happiness) of mind, brain or even heart.
Dr. Shahil H Bhavsar: Correct. Mano daurbalya can be considered as starting phase of depression
-Lack of confidence
-Fear
-Lack of trust in others
Vd. Pankaj Chhayani: Depression:-  Loss of capabilities to enjoy the small things of life or loss of capabilities to enjoy small pleasure of life.                               In Unmaad nidana chapter,  in definition of भक्ति द्वेष, it's described as यत्रेच्छा पूर्व आस्ति तत्रे अनिच्छा भवति। Means person doesn't take interest in things in those he used to taking interest before.            In Layman term of depression and medical term of depression both are different.                                         When we read in newspaper that children die without food and we become sad that's normal sadness.                              TRUE/CLINICAL DEPRESSION, * last longer  *inappropriate to losses    generalised feeling of hopelessness/helplessness/ worthlessness.  So depressed that during depression, they develop delusion.                          There are two types of depression:- 1) Reactive:- Big blow to the life and reaction to that develop depression. In management of this type, pharmacological agents have less role and Counseling plays big role.           2) Endogenous Depression:- It comes from within. It occurs secondary to any chronic disease. First biochemical/ neurotransmitter and it's receptor's dysfunction, and as a result some one gets depression. After getting depression, he losses job/money/wife etc .... This type really responds well to the drug. Counselling plays little role.
Dr. Vivek D. Shah: Superb.. Agree with you.. Manodaurbalya is found in *oj kshay laxana*.. And oj resides in our heart as said in our classics.. So मन can not be considered as any body part or organ...
Dr. Uday H. Hanagal: A. H .Sutrasthana 1st chapter indriyaartha Sannikarsha  Jnyaanedriyas  join to      their Arthaas,  Arthaas join to Manas ,Manas  join to  Aatma then only  We get  Jnyaana , When Satva (  Manas )  is  Shuddha Indriyaartha Sannikarsha is Samyak (proper)  We get  proper Knowledge (  Yataartha  Jnyaana  ),  If  Heenayoga , Mithyayoga, Atiyoga of  Indriyaartha Sannikarsha & Heena  Satva Person  can't   get proper knowledge , If  this is  going on  long time bhaya  can  occur, bhaya  cause  for    Indriya  Dourbalya ,  Extreme  condition  of Indriya dourbalya can cause for Maanasika  Vyaadhi  Unmaada ,Apasmaara    etc  Heena Satva  ( Ashuddha Manas) Dhi  Dhairyaatmaadi Vijnyaanam       Manodoushoushadham Param , A . H . Sutrasthaana 1st Chapter
68609:  Saatmendriyaartha samyak samyoga. ayurveda recommends for Complete Swasthya.  Pratyahar of Ashtang Yoga is Ayog of AatmenIndriyaManoArthanam Sannikarsha.  Mitthyayog and Heen Satva is main cause for Manasik Vikar, or Vyadhi. Manodiurbalya or Heen Satva is not a Vikar or vyadhi as such, Manasik Prakruti listed. are not Vikar nor vyadhi nor Manodorbalya. Mana as a 7th Dravya is never Durbala. Bala is associared with Dhatu. majja dhatu doubalya or Brain -Nervous system related deficiencies, may cause manovikar and lack of Buddhi in Dharan of Dharaniya veg.  also Chetana Dhatu dourbalya.  IMHO,  i interprete in this way. Vishayoplabhdhi for yatharth jnan. role of Chetana and Majja Bal with Mana and Aatma  indriya doubalya never is a primary cause of 3 Manasik vyadhi mentioned above.
Ayulink Ayurveda: Sometime ago someone mentioned that majjadhara Kala in brain is responsible for functions of mana.  Any disturbance in that Kala can cause manovikara.  I have no clear idea about this.  Just sharing here somebody's thoughts
Shri Minoo parabia: Blood- brain barrier is known. How much this physical entity can actually effect the mind-the thought processes is required to be considered seriously.
Dr. Hemal Abhishek Bhatt: Then What should be the treatment of Manodaurbalya?
Dr. Sujata Vaidya: Self esteem improvement. This is not part of physical medication
Dr. Monal Patel: Man is sthana of mansik dosha satva, raja, and Tama, But never the less each mansik dosha can aggravate one or the other physical dosha(vaat, pitta, kapha) and vice versa
So each case of manodaurbalya is different and to be evaluated whether it's a disease representing mansik daurblya or a symptom due to imbalance of physical doshas
Dr. Hemal Abhishek Bhatt: Daiva vyapashraya chikitsa can mainly apply.
Dr. Shahil H Bhavsar: Strength of man is depend on its guna satwa. Not on the doshas rajas and tamas So decreasing rajas and tamas will automatically increase satwa.
For that
-Yoga
-Pranayam
-Yagna
-Worship of god
-Reading spiritual books
-Going to temple and be in positive atmosphere
Are very helpful
With that we can use medications for supporting the balance of doshas in body
Ex.
-Brahmi ghrit
-Shankhpushpi syrup
-Panchgavya ghrit
Reference can be seen in cha.chi.9
-Shirodhara
-Mild head massage every day
Are supporting procedures
Vd. Dhruti Kagrana: Shiropichu also work for manodorbalya. Shiropichu also work in manodorbalya.
Ayulink Ayurveda: We have very limited herbs for practice in Manodaurbalya (Brahmi, Shankhpushpi, Jatamansi, Tagar, Ashwagandha) and actually herbs are having very limited role in the treatment.
Dr. Vikas Sharma: You are right sir.medicine roll  seems limited because these medicine done their job in long term.because they have to work mainly on medoveh strotas. If in any case we got instant results then this may be due rasveh stroto shudhi.
Ayulink Ayurveda: Do you suggest panchkarma in such cases?
Dr. Vikas Sharma: Yes basti karma give result
Ayulink Ayurveda: Google search "Gut-Brain Connection"
we get About 7,38,00,000 results
https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=8&ved=2ahUKEwiBo8jVivHkAhVBXn0KHdcAD3UQFjABegQIAxAB&url=https%3A%2F%2Fwww.health.harvard.edu%2Fdiseases-and-conditions%2Fthe-gut-brain-connection&usg=AOvVaw1Ks0JzhkRo2zUfDZxQbtbD
This is from Harvard Health
Dr. Vikas Sharma: We see our daily practice some patient taking narcotic drug.they just the example of vikasi and vyaye aushdhi give instant result.but if we see in long term some patient come to say these medicine not done their job after some time. This is show that ferther medogatkshey .
Ayulink Ayurveda: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=12&cad=rja&uact=8&ved=2ahUKEwiBo8jVivHkAhVBXn0KHdcAD3UQFjALegQIBxAB&url=https%3A%2F%2Fwww.hopkinsmedicine.org%2Fhealth%2Fwellness-and-prevention%2Fthe-brain-gut-connection&usg=AOvVaw3uQxvxQTFNeTKRV07qmeLm
This is from John Hopkins
https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=27&cad=rja&uact=8&ved=2ahUKEwiBo8jVivHkAhVBXn0KHdcAD3UQFjAaegQIARAB&url=https%3A%2F%2Fmy.clevelandclinic.org%2Fhealth%2Ftreatments%2F16358-gut-brain-connection&usg=AOvVaw3Hqd-P_fjKq78Q6Mcce-gS
From Cleveland clinic
https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=12&cad=rja&uact=8&ved=2ahUKEwjuh6GNjPHkAhXBfH0KHRNUCvAQFjALegQIARAB&url=https%3A%2F%2Fwww.scientificamerican.com%2Farticle%2Fgut-second-brain%2F&usg=AOvVaw06Sux4Mydv40ksgsQj27SO
Gut is your second brain
This means our basti treatment is perfect for Manodaurbalya
Dr. Vikas Sharma: If we combined marm chikitsa like alambu with panchkarma or oral medicine we get good and instant result in manas vyadhi. Not only basti but combination must
2168: There is growing research about how the gut effects mood. As such, high fiber foods such as yava are significant. That also means reduction of low fiber foods such as rice and any flour products such as roti and paratha as well as reduction of foods that harm gut bacteria such as meat and fish.
Low fiber foods such as finger millet compared to kodo and barnyard, as well as rice are perhaps popular because we once lived an active lifestyle as laborers and farmers and thus needed the energy but that is no longer the case.
Indeed a complex subject but i think following the debate in caraka su 25 on the origin of purusa is significant. It presents what seems to be various schools of thoughts, some or many present in various upanishads.
Su 24-25 mentions time kala as producing purusa and affections and time as the universal cause. It is an element. Much like the yugas are the background of causes and effects, as all things descend from brahman, time is a component. Like one would see the dharma of kali yug as gift giving, of dvapara as gift giving as sacrifice and so forth, time is a casual factor in all things. Varna may be an invention of kali yug, wives treating husbands as God too as their dharma, moksha as the final goal also of kali yug, maybe the trimurti of brahma Vishnu shiva also as says the shakti work the devi bhagavata purana, and so forth. The gunas may be may manifestations of recent causal factors such as effects of previous events and experiences in one's present life, all things have their cause in some previous life yuga or kalpa. All things including the invention of samkhya with distinction of purusa and prakriti are creations of some yug.
I think it's the mandukya Upanishad that begins with all that was, is, and will be, all that is om. In the mahabharata, there is a scene of Krishna i think in bhisma Parva where he is in turiya meditation and sees past present and future. An important part of the knowledge and mind of tamas. Gita 18.20:
sarva-bhūteṣu yen’aikaṁ bhāvam avyayam īkṣate
avibhaktaṁ vibhakteṣu, taj jñānaṁ viddhi sāttvikam.
That [kind of] knowledge by which one sees one mode of being, changeless, undivided in all contingent beings, divided [as they are], is Goodness.
Steadiness, clarity, wholeness of mind or self is difficult to explain and I’m not sure to summarize. The goal of sattva seems to be a late invention, with samkhya, and sattva may have meant something else earlier (essence, nature, …) or earlier than that, there may have been another term as well as another pre-samkhya classification.
Like each of us are manifestations of brahman and we disagree and have different natures, etc., all texts are products of schools. Caraka, Sushruta, Gita, various Upanishads, Vedas, they are not necessarily in agreement and like during the time people wrote such texts, it is ok to disagree. Study of more texts will give a more complete understanding of self. Upanishads sometimes say the self is brahman,  in the Gita sometimes it’s suggested one becomes brahman, Vaishnavism separates the whole (God, Krishna) from brahman as above yet earlier Upanishads might not necessarily make such a distinction, as well as Shaivist texts might say the self is Shiva. All such aids in seeing all things as more complete and gives a more complete understanding of brahman.
kālo ’smi loka-kṣaya-kṛt pravṛddho,
lokān samāhartum iha pravṛttaḥ
Of the importance of time as a causal factor of all things, beliefs, yugas, customs, habits, selves, etc., in the Gita 11.36, Krishna reveals himself as time, destroyer of worlds. All things are temporary and temporal, the Gods themselves according to some texts. Brahman could be Krishna, Shiva, Devi, …, the same as or separate and above. Vedanta will posit maya as falsehood and illusion, Shaivism and other schools may see maya as the power of brahman, as all forms are temporal manifestations. Sticking to one text or philosophy may hinder complete knowledge and lead to anxiety, pain, and suffering. Dharma is subtle as says the Mahabharata.
Of time, in the Ganjuli edition of the Mahabharata, in bhisma parva 23 right before the Gita, Arjuna also invokes mahakali as the true guide to the full realized.
I think Vedanta, Samkhya, moksha, sanyasa, and much in many current texts are creations of kali yug and reactions to pain and suffering. Seeing the self as purusa, separate from prakriti may tend to see all that is physical – action/karma, violence or killing or all that are manifestations of brahman (as says Krishna) as impure rather than caused by kala.
The self as brahman, perhaps not free from the gunas and prakriti but seeing them as caused by time, as part of a whole. All else I think is suffering. Dosha too in older times may have been fault or imbalance itself, and like seeing the gunas acting on the self, so are doshas caused by time and karma. Classical ayurveda may have included the goal of being tridoshic..
Yet still no treatment is possible without food. As Caraka Su 25 notes its the cause of most disorder, the Gita notes food classified as sattvic, other shastras such as the manusmriti and dharmasutras note its importance, and Upanishads such as Chandogya 7.26:
When one’s food is pure, one’s being becomes pure; when one’s being is pure, one’s memory becomes strong; and when one acquires memory, all the knots are cut away.
Ayulink Ayurveda: Thank you Gary for such a  classical -  scholarly commentary.  Perhaps you are the only person in this group who has not only studied all vedas,  puranas and other literature but also you are living according to that philosophy. Namaste.  Prerak
2168: Among Hindus it seems there is decent awareness that this is kali yug. At the same time there is nationalism and a tendency to feel pride in a way that may be a defensive reaction against past colonialism and now the threat of as they say the hegemonic West.
Much of all surviving hindu texts were produced in kali yug, with many ideas reactions to pain and suffering, such as war, bad kshatriyas and so forth. Ahimsa is as such. Too much pain so try to forget and avoid it all. Such is the classical yoga of Patanjali. Mind is suffering.
Much in the vedas such as chants for prosperity, lakshmi, may be a preoccupation with lack of food and resources that happened with climate change such as the drying up of the Sarasvati. Reverence of cows and milk such as in the atharva veda maybe also be as such, a new source of food.
Stories too have an impact that people are now only starting to explore. Rama as the ideal male. Sita as the female. Shiva and parvati as father and mother. Ganesha and kartikkeya as model children competing for parents affection. Devi as powerful but also dangerous and out of control; shakti must be controlled. Etc. People getting married, having relationships and children. The epics puranas etc have much great knowledge yet are also filled with pain and reactions to it. As some will say, brahmins can sometimes not treat people well and some react against them such as in South India.
There is an Indian psychoanalyst, Sudhir Kakar. He and others have many works that are insightful for the Indian psyche and mind of today.
Typically modern ayurveda notes herbs like brahmi and mandukyaparni for mind. Perhaps certain ones have more of an affinity for nerves and memory. There is the formula guduchyadi rasayana that is said to help one memorize 1000 slokas in 3 days; I suspect it should have many effects on mind and other parts of the body.
Indeed the gut affects much and perhaps the entire system of the body. Any stress, sickness, imbalance of doshas, etc. perhaps also affects mood and stability. If one doesn’t feel good, there could be multiple causes.
As far as gut health, as ayurveda says much about digestion. Prebiotics and probiotics, I’m not sure how many studies there are but I have little doubt they have an effect. There is a reason why much of the world’s once traditional diets base their diet on grains and dal. Also why yava was so important to many people in ancient times, North India Vedic age, China, ancient Greece, Persia, etc. When it came to Latin America, it was also embraced and there still used in some places.

Modern studies will tend to study only what a people eat, and in the West, rare are traditional plants. People mention blueberries for mood. Recently I have been investigating the best fruits. Asking the question that it probably should have an effect, looking at studies of terminalia fruit and depression, there are multiple studies. It is difficult to get away from the habit of prescribing herbs and thinking that the entirety of the diet matters. Fruits are possibly: terminalia (fresh including fruit pulp if available which I think is quite important), phyllanthus, amrataka (spondias pinnata or other spondias), tuda (morus), bilva, badara (zizyphus) I think are the best fruits, the ones most rasayana. Others I haven’t looked into yet.
Shouldn’t all foods that increase immunity and ojas have an effect?
It is perhaps still debatable the question of animal products. Modern studies, the researchers and doctors less biased by this world, do promote a plant-based diet. Classical ayurveda may say various things. Charaka indeed recommends not regularly eating meat as well as tubers (yam, potato, taro, etc.) and using more light foods. Or using everything in appropriate quantity. Certainly, most available meat, fish, milk, eggs, ghee, etc. Is far different than in antiquity, which even then described domesticated animals as a cause of prameha, perhaps other problems, and list recommedations of light animals, such as antilope, or other forest and desert dwellers. It does not mean that one needs to be vegetarian or vegan, but above a certain amount, and perhaps the habit of daily modern milk is quite harmful, one will see effects. Yet few try to strictly follow classical prescriptions and do not know that even if one eats healthy according to modern opinions, it is not good enough.
Randomly asking questions, such as would shatavari have an effect on depression? There are studies. Perhaps everything rasayana, everything that promotes longevity, that promotes ojas, that makes one free from any  disease has an effect. It seems as such.
There are studies showing that above a certain amount, meat and other animal products including milk I believe, will shift the balance of gut bacteria from one type to another. I am not sure of exact amounts, but perhaps the custom of Indians and others to use meat only in small amounts, as flavoring, only a few times a week or less, or others that might eat animal products only during festivals, celebrations, sacrifice, and events is still the rule to follow.
As the modern world is polluted, and even organic is tainted, the oil, the air, etc., it is possible that consumption should be even less. And rasayana to protect against pollution and toxins more important. Other hominids such as wild monkeys get thousands of mg of Vitamin C daily. Such very possibly means terminalia, phyllanthus, and rasayanas are to be consumed daily, and that was even once our natural diet as it still is for animals, even without sickness. Animals consume high amounts of tannins, astringents such as tree bark, etc.
The story of rasayana goes that after a certain age, sages from eating an ordinary diet were no longer able to practice their tapasya. They then went to the Himalayas and were taught rasayana. The diet of perhaps all animals in their natural environment does not support such an idea. They do not slow with age like us. Their entire lives I think they are eating the foods that grow around them with the highest rasa. That too I think is our natural diet. The concept of herb and rasayana may only have been invented after people moved to cities and lost the knowledge of plants that grew around them. All common foods: radish, eggplant, okra, carrot, potato, tomato, taro, spinach, green beans, methi, bitter gourd, etc. These are all cultivated plants that did not exist in ancient times, or if they did, they were not relied upon. Instead, greens such as those listed in classical texts were what they mostly ate. All modern ideas of what is a healthy diet still is merely the diet of kali yug.
Ayulink Ayurveda: I agree with you.  Being a practitioner we have habit of prescribing herbs. Yes all Rasayana herbs should work  but some herbs are mentioned specifically for mind -  medhya Rasayana. So naturally we think about them in first place. I will share a reference from Bhavprakash today. It clearly says that vegetable destroys  life.  That is contradictory with modern concept.  I don't know why such statement is there.
Vd. Pankaj Chhayani: अशाक् भुक!    ‌??
Vd. Dhruti Nirav Bhatt:
समदोषः समाग्निश्च समधातु मलक्रियः।
प्रसन्नात्मन्दि्यः मनः स्वस्थ् इत्यभिधीयते।।
My observation for Manodaurbalya patients
Have Ras and Rakta dhatukhshay, Ojakshay,
Bed digestion, bed good habits, sometimes they have family issues, overload work.
In Ayurved Cow ghee has Madhya property but now a days people avoid ghrit, sweets made from ghrit , jeggery and wheat floor , they avoid milk in place of those food they consume junk food ,cold drinks, ice creams, chocolates, chewing,smoking and alcohol . Less slip, over  stressed they haven't good family life or wormth in relationship so
Treatment : Counselling
Diet and lifestyle changes
Pranayam and yog
Rasayan chikitsa
Devvyapashray chikitsa
Panchkarma treatments like
Basti, Nasya, Shirodhara, Abhyang
Dr. Arvind Shahane: Which food takes to eat?
2168: Please share. I am not familiar with that text.
When I started studying ayurveda, I drank milk as its valued. Eventually I stopped. Modern studies don't show it rasayana, even if A2. Animals consume milk only as babies from their mother. There are many villagers in China, Africa, Central America, etc. that follow a diet without milk and easily live past 90. So I ask why is milk considered rasayana. Related question, why is the cow so revered in India and in the vedas? — Rasayana? Maybe; I don't know. science doesn't show it so far. Harmful effects even; harmful even to bones. So I ask why. During the vedic age, there was separation of Indo-Iranians. Before it seems their language was related. Persia eventually became monotheist with a new religion and their god of Azura Mazda. Perhaps the source of the term asura for demon. Once allies, later enemies. There was climate change, drying up of rivers such as the sarasvati. Less plants.

Perhaps the real cause of milk is that food and water became scarce and the cow provided drink and meat. Meat also builds mamsa and I think Caraka lists cows as first in list of animals for food. Avoidance of beef seems post-Vedic. etc.
For each thing a text states, there may be conditions that made such valued. Urad dal is heavy and called worst of mashas. Yet in places like Punjab and in the South, dosa made of urad and rice, regularly consumed. It provides energy for labor, farming, kshatriyas. Same as wheat, more so for kshatriyas, and in North India, China, Rome, North Africa, they once ate multiple grains including barley yet later switched to primary wheat, possibly because of war.
It may be plants are stated as destroying life since most people are raised as kshatriyas. In Charaka and classical texts, animals are listed as food after grains but before dal, vegetables, fruit, etc. Different people find benefit from different foods, and perhaps the area where the text was written, they were heavy meat consumers. That's the only reason I can think of. In such times, it doesn't matter if one suffer disease in old age; if one is as strong as possible in youth and middle age, perhaps that concept of health was all they needed.
Ayulink Ayurveda: Bhavprakash, First part, Shak varg chapter, shloka 4....as shown in 2 photos
But one thing is very sure that Manodaurbalya has 100% relation with food we eat...Rasayana and Medhya rasayana.
71419: Why so much worry? Whatever any text in witch time says, we have to see by experience what happens. So many changes during epoches. yes, but your agni will show the way. How much milk, witch milk, no milk. Your digestion is the truth. Prakruti, lifestyle, dhatu, mala, however the actual state of them, digestion will show you the way, what is best for you. Best food, medicine or rasayan is of no use, if it is not well digested. Regulation of Agni up to prakrti is easy by simple life, also in the west. Maybe not in America, because many people to eccessive, also in living simple.  The goal, always to do the best or to get the best, leads to problems if one do not where to stop. But this is no problem. Nature love us. If one is doing to much or to less for himself, he get sick. Then he have some natural rest. We are blessed  know and accept...
Dr. Vivek D. Shah: Yes sir... Exectly it is related with food..

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Compiled by - Dr. Dhruti Kagrana



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