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Ppt aushadh sevana kala
1.
2. Proper time for administration of Aushadh is known as
Bhaishajya kala. Aushadha Sevana Kala is the type of
Avasthika Kala meant for the proper time of drug
administration. Agni, being the supreme factor for maintaining
Dhatu-samyata (Dhatu Normalcy), so all the therapies are
directed to maintain and preserve the potency of Agni
(digestive fire). The proper knowledge of Agni (digestive fire)
and Aushadha Sevana Kala (time) will help in food and drug
interaction which is helpful to attain a quick and sustainable
relief to the patient. There are different Aushadha Sevanakala
(time) mentioned by Acharyas.
3. Acharya Vagbhata has stated Kalo Bhaisajya Yoga Krt
which means Kala (time) fulfills the aim of administration
of Aushadha (medicine).
In accordance, Acharya Charaka said that Aushadha
(medicine) given at appropriate Kala (time) is more
efficacious than one given at inappropriate Kala. Optimum
digestion and metabolism in a healthy individual is
attributed to Agni (digestive fire). The hypo-activity of Agni
(digestive fire) produces majority of disorders like
Agnimandya, Jvara, Atisara and Grahani. So, the essence of
all the therapeutic interventions is to re-establish, maintain
and preserve the integrity of Agni (digestive fire).
4. o The Aushadha (medicine) is the mean used by the
physician to restore the transforming capacity of Agni
(digestive fire). The rate of metabolism of Aushadha by
Agni is affected by factors - food, type of Aushadha used,
time of administration and Shariravastha (physical state of
body).
o The Acharyas of Ayurveda have designed the Bhaisajya
kala, in which food is predominantly used as a vehicle to
achieve the expected therapeutic results.
5. ACC. TO SUSHRUTA:-10 AUSHADHA KALA (Uttar tantra-64chapter)
ACC. TO SHARANGDHARA:-5 AUSHADHA KALA(purva khand-2chapter)
ACC TO CHARAKA;- 10 AUSHADHA KALA(chikitsa sthan-30chapter)
ACC. TO VAGBHATA:-11(10+Neeshi kala)
6. Bheshaja is administered on empty stomach.
Bheshaja is not mixed with food.
Indu- Bheshaja is given 2 hours after sunrise.
Activity of Bheshaja:-
Highly potent due to No Contact of Bheshaja with food.
Bheshaja Virya- Unchanged.
Agni & Bheshaja- Interaction unobstructed due to absence
of food.
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7. Indications:-
Agni-Avastha— Pradipta Agni
Disease- prabala Vyadhi
Patient- In Durbala Rugna- to be taken after laghu & pathyahara.
Contra-Indications:
Debility
Children, Pregnancy, Female patient
Doshakshaya, Dhatukshaya
Side-effect:-
Severe Balakshaya
Glani
Physiology of the Sharira:-
Amashaya and strotasas are devoid of Kapha
Bheshaja interacts directly with agni
Agni, viz. Jatharagni, Bhutagni and Dhatvagni could be stimulated.
Accomplishment of the Saptadhatu Prashastatva. So useful for the
Rasayana Sevana
8. Bheshajya is administered before meals.
Hemadri-Bheshaja intake is immediately followed by food.
Activity of Bheshaja:-
Ashupaka of Bheshaja.
No balakshaya, as the food follows the Bheshaja.
No mechanical expulsion of Bheshaja, due to intake of food.
(Urdhwagati Pratibandha).
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9. Indications:-
Dosha- Apanavayu Vikruti
Disease- Debility, weakness of lower parts of Body, mutravaha-
malavaha-shukravaha strotasas, pakvashayagata vyadhi, Arsha,
Gudabhransha.
Physiology of the Sharira:-
The Bheshaja intake is followed by food. Thus it is the first target of
Agni & not the food.
The Bheshaja directly acts on the Amashaya & eradicates the vitiated
doshas.
10. Bheshaja is administered after meals (after breakfast & dinner).
Hemadri & Indu- Bheshaja is to be administered immediately after
meals.
Vyanavikruti- Bheshaja is administered after breakfast.
Udanavikruti- Bheshaja is administered after dinner.
Activity of Bheshaja:-
The Udanavayu fascilitates the urdhvagati of Bheshaja, thereby
strengthening the upper parts of body esp. the sense organs.
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11. Indications:-
Dosha- Vyanavayu Vikruti, Udanavayu Vikruti
Disease-
Vyanavayujanya- napunsakata, debility, shopha, jvara, depression, bodyache,
tingling, numbness, kushtha, visarpa
Udanavayujanya- throat-infections, depression, chhardi, aruchi, pinasa,
galaganda, urdhvajatrugata vyadhi.
Karshya
Physiology of the Sharira:-
After breakfast- stimulation of Vyana vayu.
After dinner- stimulation of Udana vayu.
12. Bheshaja is administered in between meals.
Chakrapani & Indu- 50% food intake → Bheshaja → remaining food
intake.
Activity of Bheshaja:-
Bheshaja- acts locally & eradicates the Sthanic doshas.
Stimulaton of the Samana vayu
Indications:-
Dosha- Samanavayu Vikruti, pitta
Agni- Mandagni
Disease- Koshthagatavyadhi, pakvashayagata vyadhi, shula, gulma,
grahani
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13. Physiology of the Sharira:-
The Urdhwagati and Adhahgati of Bheshaja is restricted by food, so it
cannot spread and is forced to act locally.
The systemic action of the bheshaja on dosha & dhatu is of sustained
release type.
As Samana Vayu & Pachaka Pitta are both situated in the Koshtha, this
Kala helps to control Paittika & koshthagata vyadhis, Samanavayudushti.
14. Previously consumed food is digested, Bheshaja consumed;
after metabolism of Bheshaja, again food is taken in the evening.
Activity of Bheshaja:-
It shows Hrudya, Pathya, Deepana & Manobalakara effect.
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15. Physiology of the Sharira:-
Due to madhyanha i.e. Pittakala, Agni is in a stimulated
condition. So Bheshajya is properly metabolized in this kala
Indications:-
Dosha- Vyanavayu
Disease-
Vyanavayujanya- napunsakata, debility, shopha, jvara,
depression, body ache, tingling, numbness, kushtha,
visarpa
16. Bheshaja is given mixed with food.
Indu- Bheshaja is processed or cooked along with food or it is
given with food.
Activity of Bheshaja:-
To potentiate the Agni-Bala
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17. Indications:-
Disease- Arochaka, aruchi, sarvangasamshrita vyadhis
Patients- women, old, children, debilitated patients &
those who exhibit unpalatability to medicines.
Physiology of the Sharira:-
Systemic action on the Doshas & Dhatus is observed.
The drug mixes with Rasadhatu & then spreads all over
the body through Urdhva-Adhara and Tiryak Gati. Hence
useful in Sarvangasamshrita vyadhis
18. Bheshaja is administered immediately before & after food.
Indu, Hemadri-- Bheshaja should be consumed immediately in
relation to food.
Bheshaja acts as a Samudga (Box) for Ahara.
Activity of Bheshaja:-
It helps in correcting the gati vikruti of Vata dosha by
promoting anulomana of Vata dosha.
It promotes Urdhva & Adhara Gati of the drug.
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19. Indications:-
Dosha- Vyana-Apana-Udanavayu
Type of Dravya- Pachana, Avaleha, Churna
Disease- Hikka, Kampa, Akshepaka, Vataja Prameha, Shukradosha.
Patients-a patient who consumes light food.
Physiology of the Sharira:-
Hikka- Kapha & Vata doshas are involved(Ch. Chi. 17/8). Kapha is
situated in the Urdhvasharira while Vata in the Adhahsharira. Bheshaja
administered in the Samudga Kala pacified Doshas at upper & lower parts of
body.
Akshepaka- Doshas are localized in Pani & Pada. (Ch. Chi. 28/150).
Samudga Bheshaja acts on both the extremities of the body
20. Bheshaja is frequently administered irrespective of Bhukta
or Abhuktavastha.
Can be given empty stomach.
Activity of Bheshaja:-
High concentration of drug provides more bio-availability.
Treats the vitiated doshas in their Sanchaya & Vegavastha.
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21. Indications:-
Disease-
Pranavahastrotogata Vyadhi - Shvasa, Kasa, Hikka
Udakavahastrotogata Vyadhi - Trishna.
Annavahastrotogata Vyadhi - Chhardi, Visha
Physiology of the Sharira:-
All the indications being life-threatening need
immediate therapeutic intervention
22. Bheshaja is administered with each & every morsel of food.
Activity of Bheshaja:-
Sagrasa Bheshaja facilitates absorption of the bheshaja right
from the buccal mucosa.
High concentration of drug in systemic circulation offers
rapid onset of action.
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23. Indications:-
Dosha - Pranavayu
Agni - To stimulate Agni
Disease - Pranavayuvikruti (Pinasa, Ardita, trusha, Shvasa)
Bheshaja - Vajikarana Bheshaja (Churna, Leha, Deepana
Dravya, Vati, Guti)
Physiology of the Sharira:-
Normal Pranavayu regulates the intake of food.
(A.H.Su.12/4). Grasa Kala Bheshaja stimulates the Pranavayu.
So the Indriyaprasadana & Chittaprasadana takes place. This
enhances the Vrishya Prabhava of the Vrishya Dravyas.
24. Bheshaja is administered between two morsels of food.
Activity of Bheshaja:-
It helps in correcting the gati vikruti of Vata dosha by promoting
anulomana of Vata dosha.
Indications:-
Dosha-Pranavayuvikruti
Type of Dravya- Leha
Disease- Pinasa, Ardita, Trusha, Shwasa, Hrudroga (A.S.Su.23)
For Vamana
For Kasaghna dhuma (Su. Chi. 40/18)
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25. Bheshaja is administered after digestion of consumed food.
Indu (A.S.Su.23/18)- Nisha Kala is the time after evening
meal is digested and 3 hours have passed.
Sharangadhara- Anannavastha.
Activity of Bheshaja:-
Selective action of the Bheshaja towards the urdhvajatrugata
parts because the Adhara gati of drug is prevented by food.
26. Indications:-
Dosha-Kapha
Type of Dravya- Pachana, Shamana
Disease- Urdhvajatrugata Vyadhi
Purpose- Lekhaana, Bruhana (Sa. S.P.1)
Physiology of the Sharira:-
Sharangadhara- Ananna Condition
Chiraparinamana of the Shamana Aushadhi takes place.
27. Bhaishajyakala is mentioned specifically for a few
Vyadhis like Visha, Kasa, Pipasa (Muhurmuhu) & Kampa,
Akshepaka (Samudga Kala).
Instruction for Particular vyadhis where Bhaishajyakala is not
specifically mentioned, we can understand those on following
bases:
1. Dosha sanchaya - e.g. Kaphadosha- abhakta Kala,
Vyana/ Udana- Adhobhakta Kala
2. Vyadhi Sthana - e.g. Grahani- Madhyebhakta Kala
3.Vyadhi-Atyayika avastha - e.g. Hikka, Shvasa- Muhurmuhu
Kala
4. Agni-Bala - e.g. Pradipta Agni - Niranna Kala
5. Gati of Bheshaja - Urdhva-Adhara-Tiryaka Gatis depend
upon the drug/ food intake
28. Aushadh Sevana Kala
Kala Description Diseases
Niranna Kala Bheshaj on empty
stomach
Prabala Vyadhi, rasayana
kala
Pragbhakta Kala Bheshaj before meals Debility, weakness of
lower parts of Body,
mutravaha-malavaha-
shukravaha strotasas,
pakvashayagata vyadhi,
Arsha, Gudabhransha
Adhobhakta Kala Bheshaja is administered
after meals (after
breakfast & dinner)
Vyanavayu Vikruti,
Udanavayu Vikruti
Madhyabhakta Kala Bheshaja is administered
in between meals
Koshthagatavyadhi,
pakvashayagata vyadhi,
shula, gulma, grahani
29. Antarabhakta Kala Previously consumed
food is digested,
Bheshaja consumed;
after metabolism of
Bheshaja, again food is
taken in the evening
napunsakata, debility,
shopha, jvara,
depression, body ache,
tingling, numbness,
kushtha, visarpa
Sabhakta Kala Bheshaja is given mixed
with food
Arochaka, aruchi,
sarvangasamshrita
vyadhis
Samudga Kala Bheshaja is administered
immediately before &
after food
Hikka, Kampa,
Akshepaka, Vataja
Prameha, Shukradosha
Muhurmuhu Kala Bheshaja is frequently
administered irrespective
of Bhukta
or Abhuktavastha
Shvasa, Kasa, Hikka
Trishna, Chhardi, Visha
30. Grasa Kala Bheshaja is administered
with each & every
morsel of food
Pinasa, Ardita, trusha,
Shvasa
Vajikarana Bheshaja
Grasantara Kala Bheshaja is administered
between two morsels of
food
Pinasa, Ardita, Trusha,
Shwasa, Hrudroga
Vamana, Kasaghna
dhuma
Nisha Kala Bheshaja is administered
after digestion of
consumed food
Pachana, Shamana
31. Standard Medication Administration Time:
Schedule Discription
od Once daily
bid Twice daily
tid Thrice daily
qid Four times daily
hs, qhs At bedtime
ac Before meal
cc With meal
pc After meal
q2h, q3h, q4h, q8h, q12h Every given no. of hour