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Pandu (Anemia)

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Introduction to Pandu roga described by Acharya Charaka.

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Pandu (Anemia)

  1. 1. TRUE VEDA
  2. 2. Introduction to Pandu roga Dr. Amrit Godbole B.A.M.S (State Ayurvedic College, Lucknow) M.D Kayachikitsa (FOA, IMS, BHU) C.C.Y.P (BHU)
  3. 3. Contents  Introduction  Types  Etiology  Pathogenesis  Symptoms
  4. 4. INTRODUCTION Why Pandu roga is written after Grahani dosha chikitsa adhyaya?  Grahani dosha chikitsa involves deepana and agni vardhan chikitsa siddhant and this may lead to pitta prakaopa if not well taken care off which may further lead to diseases due to pitta prakopa/ agni vriddhi. This is the possible reason why Acharya Charak mentioned and described Pandu chikitsa adhyaya after Grahani dosha chikitsa.
  5. 5.  The word Pandu is derived from “Pdi Nashne” dhatu by adding “Ku” pratyaya to it. Thus the derivation of the word “Pandu” indicates the abnormal coloration of the body “Pandustu Peetabhagardhaha Ketaki Dhuli Sannibham” Pandu is a mixture of shweta and peeta varna in equal proportions, which resembles the colour of pollen grains of ketaki flowers ऩाण्डुहारयद्रहरयतान् वर्ाान् फहुववधाांस्त्वचि||११|| स ऩाण्डुयोग इ्मुक्त् The disease in which the twak/ twacha becomes pandu, haridra, harita varna is known as Pandu roga
  6. 6. Types ऩाण्डुयोगा् स्तभृता् ऩञ्ि वातवऩत्तकपै स्तरम्| ितुर्ा् सन्ननऩातेन ऩञ्िभो बऺर्ानभृद्||३|| According to causative factors 5 types of Pandu roga are as follows:  Vataja,  Pittja,  Kaphaja,  Sannipataja, and  mrittika bhakshhana janya (due to clay-eating/PICA)
  7. 7. Overview of etiology दोषा् वऩत्तप्रधानास्ततु मस्तम कु प्मन्नत धातुषु| शैचर्ल्मां तस्तम धातूनाां गौयवां िोऩजामते||४|| Aggravated pitta predominant dosha vitiates the dhatu. This vitiation of dhatus cause sluggishnesss (shithilata) and heaviness (gaurava) in the dhatus. ततो वर्ाफरस्तनेहा मे िानमेऽप्मोजसो गुर्ा्| व्रजन्नत ऺमभ्मर्ं दोषदूष्मप्रदूषर्ात्||५|| resulting in diminution of complexion (varna), strength (bala), unctuousness (sneha) and the qualities of ojas. Thus, the person develops diminished blood (rakta) and the fatty tissue (medas) and absence of the vitality of all the tissues (nihsara) decreases functional status of sense organs (sithilendriyah) and discoloration of the body.
  8. 8. ऺायाम्ररवर्ा्मुष्र्ववरुद्धासा्म्मबोजनात ्| ननष्ऩावभाषवऩण्माकनतरतैरननषेवर्ात्||७|| ववदग्धेऽनने ददवास्तवप्नाद््मामाभानभैर्ुनात्तर्ा| प्रनतकभातुावैषम्माद्वेगानाां ि ववधायर्ात ्||८|| काभचिनताबमक्रोधशोकोऩहतिेतस्| सभुदीर्ं मदा वऩत्तां रृदमे सभवन्स्तर्तभ ्||९|| वामुना फलरना क्षऺप्तां सम्प्राप्म धभनीदाश| प्रऩननां के वरां देहां ्वङभाांसानतयभाचितभ्||१०|| प्रदूष्म कपवातासृक््वङभाांसानन कयोनत तत ्| ऩाण्डुहारयद्रहरयतान् वर्ाान् फहुववधाांस्त्वचि||११|| स ऩाण्डुयोग इ्मुक्त् ...|१२| General Etio-pathogenesis of Pandu
  9. 9.  The (excessive) intake of alkaline, sour, saline, hot and mutually contradictory foods, unwholesome food, nishpava (a type of pulses), masha, pinyaka (oil cake) and tila oil;  Indulging in day sleep, performing exercise and sex before digestion of the food;  Improper administration of Panchakarma measures (pratikarma vaishamya) and the disobedience of the seasonal regimens (ritu vaishamya)  Suppression of the natural urges  Affliction of mind with passion, worry, fear, anger, grief
  10. 10. Indulgence in the above factors aggravates pitta seated in the cardiac region and then this pitta is forcefully propelled by the vata into the ten dhamanis (attached to the heart) and further into the whole body. There, it gets located in between the tvacha (skin) and the mamsa (flesh) and additionally vitiates the kapha, vata, rakta, tvacha and mamsa resulting in the development of various discolorations in the body like pandu (pale), haridra (yellow),and harita (green). This is called as pandu roga
  11. 11. Premonitory symptoms  रृदमस्तऩनदनां यौक्ष्मां स्तवेदाबाव् िभस्ततर्ा||१२||  The premonitory symptoms of the disease are palpitations, ununctuousness, absence of sweating and fatigue
  12. 12. Differentiating features of dosha dominance Changes in color and texture manifested in the whole body and its parts Vata dominant pandu Pitta dominant pandu Kapha dominant pandu Blackish or dark reddish discoloration of the skin, blood vessels, nails, face and eyes Yellowish discoloration of skin, the skin, blood vessels, nails, face and eyes Whitishness discoloration of skin, the skin, blood vessels, nails, face and eyes
  13. 13. Features related to Agni Vata dominant pandu Pitta dominant pandu Kapha dominant pandu Tastelessness in the mouth Pungent taste in mouth Sweet taste in the mouth Does not relish food Anorexia Abdominal distension Improper digestion of food Heaviness Excessive salivation Sour Eructation Laziness Eructation associated with burning sensation Vomiting Burning Sensation
  14. 14. Other features Vata dominant pandu Pitta dominant pandu Kapha dominant pandu Blackish urine & stool, dry stools Yellowish colored urine & stool, foul smelling and loose stools Whitishness in the urine & stool Features related to urine and stool Vata dominant pandu Pitta dominant pandu Kapha dominant pandu Pain in the body, pricking pain Increased body temperature Drowsiness
  15. 15. Mrittika bhakshana pandu  भृवत्तकादनशीरस्तम कु प्म्मनमतभो भर्| कषामा भारुतां, वऩत्तभूषया, भधुया कपभ्||२७||  कोऩमेनभृद्रसादीांश्ि यौक्ष्माद्बुक्तां ववरूऺमेत् [१] | ऩूयम्मववऩक्वैव स्रोताांलस ननरुर्द्चध ि||२८||  इन्नद्रमार्ाां फरां ह्वा तेजो वीमौजसी तर्ा| ऩाण्डुयोगां कयो्माशु फरवर्ाान्ग्ननाशनभ ्||२९|| Consumption of clay (mrittika) gets dośhā aggravated according to the taste of mud viz. astringent mud aggravates vata, saline and alkaline mud aggravates pitta and sweet mud aggravates kapha dosha. The clay due to its undigestable nature fills and blocks the channels of circulation leading to decrease in the sharpness of the senses, luster, energy and ojas (vital essence of the tissues).
  16. 16.  शूनगण्डाक्षऺकू टभ्ू् शूनऩाननालबभेहन्| क्रक्रलभकोष्ठोऽनतसामेत भरां सासृक् कपान्नवतभ्|३०||  Its clinical features are edema of the cheeks, peri orbital edema and edema on the eyebrows area, feet, umbilical region and the pudendum; infestation of worms in the koshtha (gastrointestinal tract) and loose motions, the stool associated with blood and mucus
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Introduction to Pandu roga described by Acharya Charaka.

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