American College of physicians ACP high value care recommendations in rheumat...
Panchakarma in Dusita Stanya Vyadhi
2. • I N TRO D U CTI O N
• PA N CH A K A RMA V S PED I ATRI CS
• PA N CH A K A RMA STA N D A RD S I N PED I ATRI CS
• PRO PERTI ES O F SU D D H A STA N YA
• EX A MI N ATI O N O F D U SH I TA STA N YA
• D U SH I TA STA N YA LA K SH A N A
• CH I K I TSA FO R D U SH I TA STA N YA JA N YA RO G A
• PATH YA 2
3. • Kaumarabhritya, one of the Astangas of Ayurveda deals with
child care and treatment of disease of children.
• कौमारभृत्यंनामकु मारभरणधात्रीक्षीरदोषसंशोधनार्थं
दुष्टस्तन्यग्रहसमुत्थानांचव्याधिनामुपशमनाथथम ्॥
• Panchakarma is essentially included in Shodhana chikitsa is
considered to be superior to Shamana as the doshs checked
with this therapy will not afflict the person repeatedly.
Ref: Su. Su 3
7. • The drugs should mixed with Sugar/Honey and
Ghee , those are administered as medication for
Vamana and Virechana for the pediatrics.
• Vega – 2 (Heena), 3 (Madhyama), 4(Pravara)
• Child of 1-2 yr of age – Vamana should be done
only with milk
7Ref:
Contd….
8. • Child > 2-3 Yr of age – Vamana procedure
conducted with Thin Peya processed with
Ghee
• Pratimarsha Nasya could be practiced
instead of Marsha Nasya
• Vasti could be administered where Virechana
is needed.
8Ref:
Contd….
9. PROPERTIES OF
SUDDHA STANYA
• PÇûQûÉ - Cool
• ÌlÉqÉïsÉ - Disinfected
• mÉiÉsÉÉ _ Normal Consistency
• zÉ„¡û Måü xÉqÉÉlÉ uÉhÉï - CreamyWhite
Colour
• qÉkÉÑUÇ - Sweet in Taste
• eÉsÉ qÉåÇ QûÉsÉlÉå mÉU LMüWûÉå eÉÉrÉ _ Mixed with
water
• lÉ iÉæUiÉÉ WûÉå lÉÉ QÒûoÉiÉÉ WûÉå - Neither
floats norRef: Su. Ni 10/25, Su. Ni. 10/33 9
10. EXAMINATION OF
DUSHITA STANYA
• uÉÉiÉ
• MüwÉÉrÉUxÉ(Astringent)
• mÉÉÌlÉqÉåÇiÉæUlÉÉ(Floats on water)
• ¤É(Fat less Milk)
• ÌmɨÉ
• MüOÒûLuÉÇAqsÉUxÉ (Bitter & Acidic),
• EwhÉ,SÉWûM×üiÉç(Hot & Burning sensation)
• mÉÉÌlÉqÉåÇlÉÏsÉåUÇaÉMüÉkÉÉËUrÉÉÇ(Yellow coloured lines will
appear on water)
• MüTü
• sÉuÉhÉ (Salty)
• ÌmÉÎcNûsÉ,bÉlÉ(Slimy & Thick)
• mÉÉÌlÉqÉåÇQÒûoÉeÉÉiÉÉWæû(Sinks in water)
• xÉÉͳÉmÉÉÌiÉMü AÉãUAÍpÉbÉÉiÉqÉåÇxÉÍpÉsɤÉhÉÍqÉsÉiÉåWæÇû
Ref: Su. Ni 10/26, Ast. Hru. Ut.2/3-4; Ca. Ci. 30 10
13. Vatadusta stanyapanajana Lakshana
Vataja roga
Badhata Of Mala, Mutra & Vata – Retention of Stool,
Urine
Vairasya – Tastelessness of milk
Krishanga – PEM
The child does not show interest in breast feeding
Phenasamghata
Ksinaswara
Ruksha - Milk with less fat
Balahrasa – Loss of Strength and Immunity 13Ref: Ca. Chi. 30; Ast. Hru. Ut. 2; Ka. Su.
15. • Vamaka Yoga –
• Powder should be prepared of the following drugs
-Priyanga, vaca, Yastimadhu, Madanaphala,
Vaschaka, Sarshapa
• Kalka should made of the above powder
• Then the kalka should mixed with Nimba, Patola
kwatha and Saindhav lavana
• Virechna yoga
• Triphala kwatha + Trivrut churna
• Haritaki churna + Trivrut churna+ Honey
15
16. • Panchakoladi Lepa
• Panchakola & Kulattha should taken in equal
quantity to make the powder.
• Prepare the Lepa and apply over the breast of the
mother.
• Wash the breast with warm water after the Lepa
became dry.
• After cleaning, Mother should pump her breast to
take out a little milk. 16
24. Kaphadusta stanyapanajana roga
Chikitsa
• Mother
– Snehapana – Ghee with Yastimadhu &
Saindhava
– Vamana – Tikshna
– Sarajakrama
– Decoction of Tagara, kalajeera, Devdaru,
kalingaka/Atisa, Musta, Vaca, Panchakola/
Araghwadi or Mustadi gana
24Ref:
25. • Baby
– Snehapana – Saindhava & Pippali mixed with
Ghee
– Vamana – Flowers of Madanaphala processed
with Honey should applied over the breast of the
mother and also the Lips of the baby
• Lepa
– ÌuÉSÉrÉÉïÌS sÉåmÉ- ÌuÉSÉUÏMülS+ÌoÉsuÉqÉÔsÉ+rÉ̹qÉkÉÑ
– oÉsÉÉ+lÉÉaÉU+zÉÉ…¡ïû¹É+qÉÑuÉÉï
– mÉ×ÎzlÉmÉhÉÏï+¤ÉÏUÌuÉSÉUÏ
25