pA2 value, Schild plot and pD2 values- applications in pharmacology
A presentation on vata rakta chikitsa ppt
1. By:
Dr. P. Jyothi
P.G.
Scholar
Kaya Chikitsa
department
Dr.BRKR Govt.Ayurvedic
Medical College
A
Presentation
on
Vãta Rakta Chikitsa
2. Introduction :
A chronic disease or a chronic illness is defined as a condition which develops
gradually through years because of frequent and continuous exposure to
abnormal dietary, lifestyle or environmental factors.
Initially there may be absence of diseased symptoms but at later stages, complex
manifestations involving one or more organs leading to derangement of bodily
functions will be seen in chronic diseases.
Vãta Rakta in Ayurveda is considered as one such chronic illness which is
commonly seen affecting nearly 14-17 percent of population every year.
It is caused by vitiated Vãta and Rakta. Vitiated Vãyu obstructs the path of
vitiated Rakta in the beginning and then gets vitiated by Rakta further this
complete process is known as Vãta- Rakta.
3. Types of Vãta Rakta mainly include Uttãna, Gambhira, Vãta Pradhãna, Pitta
Pradhãna, Kapha Pradhãna, and Rakta Pradhãna.
Clinical Features of Vãta Rakta ranges from mild inflammation and discoloration
of skin to complete derangement of bodily organs depending up on its type and
chronicity. Chronic and later stages of Vãta Rakta also cause complications like
mamsa kotha, murcha, marma graham, anguli vakrata etc.
Though Vãta Rakta is mentioned to be as kriccha sãdhya vyãdhi, by strictly
following the protocol of Vãta Rakta chikitsa as mentioned in various Ayurvedic
classics a physician can boldly treat this condition.
Keeping this in view, through this presentation an effort of highlighting various
important Ayurvedic treatment measures which can be used for effective
management of Vãta Rakta has been made.
4. Objectives :
To review effective ayurvedic treatment measures of Vãta Rakta.
To increase scope of Vãta Rakta management through various treatment
modalities as mentioned in Ayurvedic classics.
7. Vãta rakta
chikitsa upakrama:
Treatment measures
of Vãta Rakta include
both Antah Parimãrjana
and Bahir Parimãrjana
Chikitsa as shown in the
figure.
9. SHODANA Chikitsa:
Ãma Pãchana and Agni Deepana
It is carried out Prior to Shodana chikitsa with Tikta, Katu rasa and Rũksha
guna prãdhãnya drugs according to Rogi and Roga bala for a duration of 3 to
5 days.
1. Shaddarana chṹrna
(Gambhira and pittaja)
Dose - 3 to 6gm, bid, before food
Anupãna – Honey/Ushna jala
2. Pancasama chṹrna (vãtaja)
3. Guduchyãdi or Amrutottara
kvãtha (pittaja, kaphaja)
Dose – 15 to 20ml, bid, before food
4. Dashamoola kvãtha
(Vãtaja) Anupãna – Ushna Jala
10. Sneha Pãna
Sneha Pãna is carried out according to koshta bala and prakruti of patient and
also according to predominant dosha present i.e.
1. Vãta Prãdhãna Vãta Rakta - Sadphala ghritam, Madhu yashtyãdi tailam,
Ksheera balã tailam, Dhanvantari ghritam
→ All these sneha dravyas does Brimhana and Vãta hara Karma
2. Pitta Prãdhãna Vãta Rakta - Mahã tiktaka ghritam
→ This ghrita promotes Rakta prasãdana and pitta Shãmaka karma
3. Kapha Pradhãnya Vãta Rakta - Guggulu tiktaka ghritam
- Madhu yashtyãdi tailam and Dhanvantari ghritam
(Only in selected cases)
→ All these sneha dravyas does Ushna guna and kapha hara Karmas
11. Sneha Pãna is given in a dose of 40 to 60 ml, twice daily, before food for a
duration of 5 to 7 days.
Sneha Pãna is Contra indicated in medo mãrgãvarana janya Vãta Rakta.
Svedana
Usually Svedana is contraindicated in Vãta Rakta but just for the purpose Of
Virechana we can go for “Mrudu Svedana”.
Potalam and Sekam measures are followed to promote svedana in Kapha
pradhãna Vãta Rakta.
In few Vãta Pradhãna Vãta Rakta conditions, very mild Upanãha Svedana is
advised.
ss
12. Vamana
In Gambhira and Kapha pradhãna type of Vãta Rakta and in few Pitta Pradhãna Vãta
Rakta cases associated with severe complications,
“Mrudu Vamana Karma” is carried out with Madanaphala, Yashti madhu and Ksheera
(Ãkantabharitha) according to koshta bala of rogi and roga avastha.
Virechana
In Gambhira, Pitta, Kapha and Rakta prãdhãnya Vãta Rakta “Mrudu Virechana
Karma”with 25ml Eranda tail or Nimbha Amrutha Eranda tailam given with milk is
carried out according to rogi and roga bala.
13. Vasthi
Specifically in Vãta Pradhãna type of Vãta Rakta and in presence of symptoms like
Basti shṹla, Vankshana shũla, Pãrswa shũla and Udara shũla, “Vasthi Karma” is
considered to be as a best treatment of choice.
यनहिरेद्िा मलम ्तस्य स र्घ्ुतै: षीरिस्स्त भि:
न हह िस्स्त समम ्ककस्न्चद्िातरक्त चचककस्त्सतम्||
िस्स्त िषण पारिश्स्िोरुपिािस्स्थ जठरायतशिु|
(च.चच. 29/88)
Administration of Ksheera Vasti/ Balã Gudṹcyãdi Ksheera Vasti is widely
emphasized in all types of Vãta Rakta and especially in Vãta Pradhãna condition.
→ Ingredients of Ksheera Vasti include:
Mãkshika – 100ml
Sneha (mahã tiktaka ghritam and balã tailam 100ml each) – 200ml and
Gudṹcyãdi Ksheera kvãtha – 200ml
14. Apart from ksheera vasti, Gudṹchyãdi yãpana vasti in Kapha Pradhãna Vãta Rakta
and Pancha tiktaka vasti in Pitta Pradhãna Vãta Rakta are also preferred to some
extent.
→ Ingredients of Gudṹchyãdi Yãpana vasti include:
Mãkshika – 100ml, Lavana - 15 gm, Sneham (madhu yashtyãdi tailam and
tiktaka ghritam 100ml each) – 200ml, Kalkam (satãhva) – 30gm and Kvãtham
(gudṹchyãdi) – 400ml
→ Ingredients of Pancha tiktaka vasthi include:
Mãkshika – 100ml, Sneha (Pancha tiktaka ghritam) – 200 ml and
Gudṹcyãdi Ksheera kvãtha – 200ml
For Ksheera vasti, Guduchyãdi Yãpana vasti and pancha tiktaka vasti, either yoga
or Kãla vasti protocol can be followed.
15. Rakta mokshana
In bhrihatrayee“Rakta mokshana” was mentioned as first line of treatment to
be opted for chronic Vãta Rakta condition.
Prior to Rakta mokshana certain measures like snehana, mrudu virechana n
vasti should be followed.
Rakta mokshana according to types of Vãta Rakta
1. Uttãna – Shringi, Jalauka, Alãbu and Prãcchanna
2. Gambhira – Sirãvyadhana
3. Vãtaja – Shringi
4. Pittaja and Raktaja – Jalauka
5. Kaphaja – Alãbu
If lesions are small and if pain moves from one part of the body to the other
then bloodletting should be done by pracchana.
16. SHAMANA CHIKITSA:
Gudṹci is considered as Agra
Oushada for Vãta Rakta. It is
administered in many forms.
Shamana chikitsa of Vãta Rakta
include administration of drugs
like
17. Shamana oushada Drugs Dose Anupãna
Rasa or Bhasma Rasa mãnikya ras-kaphaja;
Mahã
tãleshwar ras; Tãla
bhasma; Gandhaka
bhasma - Pittaja
125-250 mg, od/bid Madhu
Vati or Guggulu Ārogya vardhini vati-
Tridoshaja;
Gokshṹrãdi guggulu-
Vãtaja; Kaishore
guggulu and
Amruthãdi guggulu-
Gambhira,Pittaja,Kap
haja and Raktaja;
Punarnava,Yoga raja
and Simhanãda
guggulu-Kaphaja
250-500 mg, bid Gudṹci kvãtha,
Ushna jala
18. Shamana oushada Drugs Dose Anupãna
Chṹrna Hareetaki,
Manjishtãdi, Nimbãdi,
Chopchinyãdi
3-6 gm, bid Ushna jala or Madhu
Āsava or Arista Sãribhyãdãsava,
Manjishtyãdarishta,A
mrutãrishta
20-40 ml, bid Jala
Kvãtha Dashamoola- Vãtaja;
Manjishtãdi-
Tridoshaja;
Amrutãdi/
Amruttotara-
Gambhira, Pittaja
and Raktaja; Rãsnã
saptaka and Guggulu
tiktaka- Kaphaja
20-30ml,bd,before
food
Jala or Madhu
19. Shamana oushada Drugs Dose Anupãna
Ghrita Gudṹchyãdi-
Tridoshaja; Satãvari,
Sukumãraka,Jeevani
ya, Bhallataka-
Kaphaja
10-20ml,bd Ksheera
Taila Pinda, Madhu
parnyãdi,Balã and
Dhanvantari- Vãtaja;
Gudṹcyãdiand
Nãrãyana- Pittaja;
Kottam chukkãdi and
cinchyãdi- Kaphaja
Depends on mode
of administration
Depends on mode of
administration
Rasãyana Chyavana prãsa-
Vãtaja and Pittaja;
Vardhamãna pippali-
Kaphaja and Vãtaja;
Bhallataka- Kaphaja;
Shilãjith- Tridoshaja
20gm,bd Ksheera
21. Bahir Parimãrjana Chikitsa is followed as general measure of treatment for all
types of Vãta Rakta but it is specifically considered as a main line of treatment for
Uttãna Vãta Rakta.
It includes External measures like
1. Avagãhana – Nimbha patra or Gudṹci patra are used for Avagãhana karma
(fumigation)
2. Lepa – Madhuchista, Dashãnga, Tagarãdi, Pra Poundarikãdi/Sata doutha ghrita,
Krishna tila etc are used for ext.application on Vãta Rakta affected joints.
3. Upanãha – Mainly advised for Uttãna, Vãtaja and Kaphaja Vãta Rakta.
- Vãtagna Snigdha upanãha and Tila pinda upanãha are advised.
4. Seka
5. Abhyanga Carried out with Pinda/Balã/Dhanvantari/Gudṹcyãdi tailam
6. Dhãra
25. 1. Nidãna Parivarjanam
2. Samsodhana Chikitsa (Yathochita)
3. Bahir Parimãrjajana Chikitsa (Yathochita)
4. Samshamana Chikitsa
• Rasa mãnikya Ras – 125mg
+
Gudṹci Satva – 500mg
+
Ārogyavardhini Vati – 250mg 1- bd with Honey, before food
+
Chopchinyãdi Chṹrna – 2gm
• Kaishore guggulu : 2- bd to tid with Luke warm water , before food
• Manjishtyãdarishta : 20ml- bd with equal quantity water, after food
• Satãvari Ghrita : 20ml- bd with milk, after food
• Pinda tailam : for external application
5. Pathya-Apathya
26. Conclusion:
Thus the descriptive presentation on Vãta Rakta chikitsa is
concluded.
An attempt of presenting Vãta Rakta Chikitsa in a detailed manner is
made expecting it to be beneficiary for Ayurvedic research scholars
and hence providing further scope to carry out even more research on
this aspect.
27. References:
Charaka Samhita, Chikitsa Sthãna.29th chap
Sushruta Samhita, Chikitsa Sthãna.5th chap
Ashtãnga Hridaya, Chikitsa Sthãna.22nd chap
Bhãva Prakãsha Samhitha, 29th chap
Bhaisajya Ratnãvali, Vãta Rakta Chikitsã Prakaran
Sãrangadhara Samhitha
Rasendra Sãra Sangraha
L. Mahadevan’s Clinical methods of Ayurveda book, vol.2
Prof. Ajay Kumar Sharma’s Hindi text of Kaya Chikitsa, vol.2