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Chronicity of any ailment leads to dhatu kshaya which results into vata
prakopa. Long standing Pandu rog due to vitiation of Vata dosha and
depletion of snehansh and oja which is represented as appearance of
excessive dryness over body leads to its incurable state.
Precipitation of edema over body and patient visualizes everything to be
yellow in colour;
Passes very hard stool or less amount of stool or passes loose stool
associated with mucus and green in color;
Feels exceedingly prostrated;
Body becomes excessively white as if be smeared with
whiteness; has vomiting, fainting and excessive thirst and
when the patient develops excessive whiteness in the body
as a result of loss of blood.
All these features establishes the chronic and incurable stage
of the Pandu rog.
Principles of treatment
तत्र ऩाण्ड्वामयी स्ननग्धनतीक्ष्णैरूर्धवाानुऱोममकै ैः|
संशोर्धयो मृदुमिस्नतकतैैः कामऱी तु ववरेचनैैः||४०||
the order of treatment will be :-----
Snehana is done by various Ghrita preparations in Pandu rog
reason behind is that it pacifies Vata and Pitta and at the same
time ignites the Agni.
Teekshna vaman and
ताभमां िंशुद्धकोष्ठाभमां ऩथ्मान्मन्नातन दाऩमेत्|
शारीन् िमिगोधूभान् ऩुयाणान् मूर्िंदहतान्||४१||
भुद्गाढकीभिूयैचि जाङ्गरैचि यिैदहातैः|
मथादोर्ं विसशष्टं ि तमोबैर्ज्मभाियेत्||४२||
After samyak sanshodhan i.e. Urdhwa (vamana) and anulomana
(virechana), pathya anna is advised to the patient so that
maintainence of agni takes place.
And along with pathya anna dosha specific medicinal treatment is
For maintainence of agni
Pathya anna sevana and Doshanusaar chikitsa
To expell out excess dosha
Vaman and virechan
For pacification of vata, pitta and ignition of agni
Role of Ghrita in Pandu as per modern science
“Ghee (clarified butter) is known as Ghrta (commonly
spelled Ghrita) in Sanskrit. It is an excellent Anupana (therapeutic
vehicle) for transporting the properties of herbs to the deeper tissue
layers of the body. Proper digestion, absorption, and delivery to a
target organ system are vitally important for obtaining the maximum
benefit from any therapeutic formulation. ”
“Lipids increases the intestinal absorption of iron from the dietary
Properties of indigenous cow urine
गव्मं िभधुयं ककश्ञ्िद्दोर्घ्नं किसभकु ष्ठनुत्|
कण्डूं ि शभमेत् ऩीतं िम्मग्दोर्ोदये दहतभ ्||१०१||
The urine of cow is slightly sweet, alleviates discordance of dosha
and cures worms and chronic dermatoses (kushtha) and relieves
pruritis. Its proper intake cures disorders of abdomen
“Gomutra is capable of removing all the imbalances in the body,
thus maintaining the general health. Cow Urine contains 95% water,
2.5% urea, minerals, 24 types of salts, hormones, and 2.5%
enzymes. It also contains iron, calcium, phosphorus, carbonic acid,
potash, nitrogen, ammonia, manganese, sulfur, phosphates,
potassium, urea, uric acid, amino acids, enzymes, cytokine and
“The indigenous CU contains „Rasayana‟ tatva, which is responsible
for modulation of the immune system and also act as a bioenhancer.
This bioenhancing activity of CU has been aptly and widely used in
various ayurvedic formulations like Mandurvatak, Darvi ghrita, and
(Randhawa GK, Sharma R. Chemotherapeutic potential of cow urine: A review. J
Intercult Ethnopharmacol. 2015;4(2):180‐186. doi:10.5455/jice.2015022210032)
श्स्तथयाददसबः शृतं तोमं ऩानाहाये प्रशस्तमते
Water boiled with the drugs belonging to sthiradi (laghu
panchmoola)group is useful for drinking and the preparation of foods
for pandu rogi.
Laghu Panchamool is vata-pitta shamak at the same medicated
water is going to do dosha pachana and agni deepana due to
ushna guna of jala
Treatment of mrittika bhakshanajanya
तनऩातमेच्छयीयात्तु भृवत्तकां बक्षषतां सबर्क्||११७||
मुश्क्क्तज्ञः शोधनैस्ततीक्ष्णैः प्रिभीक्ष्म फराफरभ ्| शुद्धकामस्तम
िऩींवर् फराधानातन मोजमेत्||११८||
Teekshna sanshodhana in order to remove the swallowed
mud from the body as per the body built of the patient. This
is followed by medicated ghee for promotion of strength.
Preparations in Pandu roga for samshodhana
Milk with cow‟s urine or milk alone
lukewarm infusion of danti sprinkled with the powder of
one anjali of kashmarya
half pala of trivitta mixed with one pala of sugar
haritaki churna immersed in cow‟s urine.
decoction of triphala along with cow‟s urine
Role of Arishta in Pandu
Arishtas have some characteristic properties like Sukshma,
Ushna, Vyavayi Gunas; they are easily assimilating in the
body. Arishtas having agni deepana property and are
popularly used in different conditions successfully.
(Dighe Dattatray Pandurang et al. Review on pharmacological properties of arishta
kalpana with glance on arishta kalpas of bhaishajya ratnavali. Int. J. Res. Ayurveda
Pharm. 2018;9(2):6- 11 http://dx.doi.org/10.7897/2277-4343.09226)
Correlation of Pandu with
different types of Anaemia’s
Correlation of Vataja Pandu
and folic acid
of the skin
Dryness of stool
Dry skin or
eyes, face and
Correlation of Pittaja Pandu
Co-relation of Kaphaja Pandu
Agni mandyata leads to poor assimilaton of ahara rasa and
production of rasa dhatu which furthrer leads to uttarottara
dhatukshaya and ama makes a coating over cells which creates
a kind of hindrance in absorption of nutrients per se iron.
Thus the resultant is iron deficinecy anaemia
Kapha vardhak nidan sevana leads to
िाततके स्तनेहबूतमष्ठं, ऩैवत्तके ततक्क्तशीतरभ ्||११६||
चरैश्ष्भके कटुततक्क्तोष्णं, विसभश्रं िाश्न्नऩाततके |११७|
The therapy should be dominated by unctuous drugs (oil, ghee etc)
for vatika type of pandu; by bitter and cooling drugs
for paittika type and by pungent, bitter and hot drugs
for kaphaja type of pandu.
Principles of treatment according
Pandu can be related with the disorders of improper formation of
blood tissue due to vitiation of pitta dosha. Pitta dosha is considered
to be responsible for all digestion, transformation and metabolism
processes in the body. Therefore, the disorders like anemia,
nutritional deficiency are mainly considered under pandu roga.
The disorders which include pathologies of impaired metabolism
and formation of plasma, blood, muscles and fat can also be referred
under the umbrella of pandu roga. These include thyroid function
disorders, hematological disorders like thalessemia, jaundice etc.
Therefore a clinician needs to assess the dosha, dhatu dushti, status
of agni and rogi bala and after that should plan the treatment