viruddha ahara-ksr

Incompatible Diet and AnemiaIncompatible Diet and Anemia
Ayurmitra Nadi Guru
P f KSR P d (T h d )Prof KSR Prasad (Technoayurveda)
Professor & Head, Panchakarma, LN Ayurved College, Bhopal, MP
9290566566/9503227966 h d @ h9290566566/9503227966 ‐ technoayurveda@yahoo.com
National webinar (3 & 4 September 2020) on
Rasavaha Srotas Specially On Pandu
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
S.G.R. Ayurved Mahavidyalaya Solapur & Endorsed By MUHS, Nashik.

Incompatible Diet & Anemia
Introduction01
• Incompatible diet is Viruddha Ahara
‐ an unique concept in Ayurveda
Introduction01
‐ an unique concept in Ayurveda.
• Viruddha Ahara referred in terms of
food to food interactions or food
processing interactions develops
Toxicity because of antagonism.
आहारस वं व
• Ayurveda clearly defines Good Food
habits along with certain diet and its
combinations that create Toxicity in
आहारस व व ु
रोगा ाहारस वाः|
िहतािहतिवशेषा िवशेषः
सखदःखयोः||४५|| combinations that create Toxicity in
the body tissues
सुखदुःखयोः||४५||
चरकसंिहता सू थानम् २८.
िविवधािशतपीतीयोऽ ायः ४५
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 38

18 Types of Viruddha Ahara01
1. Desha (place) Viruddha Jangala
Mamsa with Anupa
Mamsa with Anupa
2. Kala Viruddha – Shita Kala
Shitala Ahara
3. Agni Viruddha - 4 Agni
Viruddha
देहधात नीक
4. Matra (quantity) Viruddha –
Madhu + Ghruta
दहधातु नीक
भूतािन ािण
देहधातुिभिवरोधमाप े;
5. Satmya (wholesome) Viruddha –
Non accustomed foods eg
चरकसंिहता सू थानम् २६.
आ ेयभ का ीयोऽ ायः ८१
Mashrooms

6. Dosha Viruddha -
7 Sanskara (mode of preparation)
7. Sanskara (mode of preparation)
Viruddha – Cooking Peacock on
Eranda Stick or with Eranda taila
8. Veerya (potency) Viruddha – Fish and
Milk
9 Koshtha Viruddha Giving Teekshana
पर रगुणिव ािन
कािनिचत्,
कािनिचत संयोगात 9. Koshtha Viruddha – Giving Teekshana
Aushadha for Mrudu koshta
10. Avastha (health state ) Viruddha
कािनिचत् सयोगात्,
सं ारादपरािण,
देशकालमा ािदिभ ापरा
िण तथा ( )
After Vata vardhaka kriya having
Vata Kara bhojana
िण, तथा
भावादपरािण||८१||
ह ू ्

11. Krama / Niyama (sequence)
Viruddha Madhura Amla etc
Viruddha – Madhura – Amla etc
12. Parihara Viruddha – Mamsa
Bhojana following Ushna Jala orj g
Dadhi Ghruta sevana followed by
Cold water cause disease
कािनिचत संयोगात
13. Upachara (treatment) Viruddha
14. Paaka (cooking) Viruddha –
K t ith S h t il
िण तथा Kapota with Sarshapa tailaिण, तथा
ह ू ्

15. Samyoga (combination) Viruddha
Dugdha with Amala varaga cause
– Dugdha with Amala varaga cause
disease
16. Hridaya Viruddha – Not lookingy g
good food
17. Sampada (richness of quality)
कािनिचत संयोगात
Viruddha – more fatty or more sweet
or any taste specific
18 Vidhi ( l f ti ) Vi ddh
िण तथा 18. Vidhi (rules for eating) Viruddha –
stading eating etc
िण, तथा
ह ू ्

Examples of incompatibility01
1. Veerya (Guna) Viruddha
(potency incompatibility) —
(potency incompatibility) —
fish + milk.
Both are Madhura Rasa and
Vipaka but Veerya viruddha,
Abhishyandi and Srotorodhaka
– there by Vitiates the Rakta
उभयं ेत धुरं
मधुरिवपाकं महािभ
ी ो ि ी there by Vitiates the Rakta
2. Sanskara Viruddha
(processing incompatibility) —
शीतो ाि वीय
िव वीय ा ोिणत दू
षणाय
महािभ ा ाग परो (processing incompatibility)
heated honey, processing in
fish processed dish
महािभ ा ाग परो
धाय च||८२||
चरकसंिहता स थानम २६
चरकसिहता सू थानम् २६.
आ ेयभ का ीयोऽ ायः ८२

3. Matra Viruddha (dose
i ibili ) h
incompatibility) — honey +
cow’s ghee mixed in equal
iproportion.
(monosaccharide with
l h id )
कािनिचत संयोगात polysaccharide)
4. Karma Viruddha — hot
िण तथा
water after taking honey.
िण, तथा
ह ू ्

5. Kala Viruddha — (seasonal
incompatibility) pungent substance
incompatibility) pungent substance
in summer and cold substances in
winter.
6. Krama Viruddha (Sequential
incompatibility) —Taking Madhura
Rasa food or Dravya at the end of
meals and Tikta and Katu Rasa
Dravyas at the starting of meals
सवदा सवभावानां
सामा ं वृ कारणम्|
ासहेतुिवशेष ,
ि Dravyas at the starting of meals.वृि भय तु||४४||
चरकसंिहता सू थानम् १.
दीघ ीिवतीयोऽ ायः ४४
दीघ ीिवतीयोऽ ायः ४४

7. Samyoga Viruddha (combinational
incompatibility) —Amlavarga +
incompatibility) —Amlavarga +
Dugdha – milkshakes
Anupa Mamsa with Masha, Kshoudra, p , ,
Ksheera, Virudhakai Virudhyate
Harita shaka with Milk is incompatible यत िकि ोषमा ा [१] न
8. Parihara Viruddha (contraindication
incompatibility) — consuming cold
t ft h i h t t ff
यत् िकि ोषमा ा [१] न
िनहरित कायतः|
आहारजातं तत्
सवमिहतायोपप ते||८५||
water after having hot tea or coffee,
consuming hot water after Alcohol
or Mamsa Bhojana
आ ेयभ का ीयोऽ ायः ८५
j

Foods of Incompatibility01
• 1st place goes to the Milk and
byproducts of it
Foods of Incompatibility 01
byproducts of it
– Milk , Curd , Ghee
• 2nd is Madhu – Honey
• 3rd is Mamsa – All Mamsa
Varga & Matya, Kapota,
MayuraMayura,
• 4th is Gudam – Sugar Candy
• 5th is Masha – Udat dal5 is Masha Udat dal
• 6th is Kansya patra (Bell metal)
storage
जेत् कां म्
दशाहमुिषतं सिप
अ ांग दय सू थान ७/३६

Some of Don’t01
• Raw food with cooked food
• Vegetables with Butter
Some of Don t 01
• Vegetables with Butter
• Kheera with Lavana
• Milk Shakes of Citrus friutsMilk Shakes of Citrus friuts
• Newly harvested with Old
• Any Meat with Honey y y
• Food fried in Fish cooking pot
• Alcohol with Til Chashkuli
• Milk pudding, Alcohol and
Kichidi

Delicious But Deadly Foods01
• Deadly Mushrooms
• Cashew nuts shells are deadly, and have a coating
Delicious But Deadly Foods01
of anacardic acid
• Ackee is picked before fully ripening, it can contain
toxic levels of hypoglycin A, which may cause
iti h l i d d thvomiting, hypoglycemia, and even death
• Kidney beans contain high levels of
phytohemagglutinin, making them toxic.
G P t t t t i i ll d• Green Potato parts contains a poison called
solanine, which can cause serious illness
• Peanut allergy, making it one of the most common
kinds of allergykinds of allergy.
• Nutmeg cause convulsions, palpitations and
nausea, not to mention visual distortions and a
sense of paranoia.sense of paranoia.

INCOMPATIBLE DIET IN VICHARCIKA01 INCOMPATIBLE DIET IN VICHARCIKA01
Manisha Talekar1*, Sisir Kumar Mandal2, Reetu Sharma3 CRITICAL ANALYSIS OF VIRUDDHA AHARA (INCOMPATIBLE DIET) IN CONTEXT
TO VICHARCIKA (ECZEMA): AN EPIDEMIOLOGICAL STUDY Ayurpharm Int J Ayur Alli Sci Vol 4 No 5 (2015) Pages 109 116TO VICHARCIKA (ECZEMA): AN EPIDEMIOLOGICAL STUDY Ayurpharm Int J Ayur Alli Sci., Vol. 4, No. 5 (2015) Pages 109 – 116

Viruddha sevanajanya Sroto dushti01
• Annapoorani. A, Concept
Of Samskara And Matra
Viruddha sevanajanya Sroto dushti01
Of Samskara And Matra
Viruddhatwa Of Madhuan
Analytical And
E i t l St dExperimental Study,
Department Of Post‐
graduate Studies In
Ayurveda Siddhanta ,
Government Ayurveda
Medical College, Mysore.Medical College, Mysore.
2009

Viruddhahara in Psoriasis01
• Charmi S. Mehta et.al., Viruddha Ahara as a
Viruddhahara in Psoriasis 01
cause of Autoimmune diseases, Indian
Journal of Ancient Medicine and Yoga,
V l 4 N b 2 A il J 2011Volume 4 Number 2, April ‐ June 2011
• it is practically seen in research work of
P i i th t i ti t i 36 93%Psoriasis that maximum patients i.e. 36.93%
were taking Viruddha Ahara in which specific
Viruddha Ahara found were taking milk +Viruddha Ahara found were taking milk +
khichdi, milk+ fish, tila (seasame ) + guda
(jaggery) etc.(jagge y) etc

Viruddhahara Junk Foods01
• Milk shake, Fruit salad – Rasa &Virya viruddha
• Juice/ Ice‐cream/Alcohol after hot spicy meal – Upachaar
Viruddhahara Junk Foods01
/ / p y p
viruddha
• Cold water or softdrinks before hot tea – Koshta & Agni
ViruddhaViruddha
• Spicy Punjabi food with cold drink – Awastha & Koshta
virudhha
• Sizzling Browne ice‐cream with Hot Chocolate – Guna Agni• Sizzling Browne ice‐cream with Hot Chocolate – Guna, Agni
& Samyog virudhha
• Popcorn with watching movie – Matra virudhha
P l ith C ld d i k Vidhi i dhh• Popcorn along with Cold‐drink – Vidhi virudhha
• Madavi et al. CRITICAL REVIEW ON VIRUDDHA AAHARA AND ITS ASSOCIATION WITH JUNK
FOOD IN DAY‐TO‐DAY LIFE World Journal of Pharmaceutical Research, Volume 7, Issue 19,
292‐301.

Viruddhahara Junk Foods01 Viruddhahara Junk Foods01
Prabhat et al. CONCEPT OF VIRUDDHA AHARA AND ITS ROLE IN ORIGINATION OF
MANOVIKAR European Journal of Pharmaceutical and Medical Research
p f
ejpmr, 2020,7(1), 177‐181

Viruddhahara Management01
1. Vamana
Viruddhahara Management 01
2. Virechana
3. Nidana Viruddha Chikitsa
4. Vyadhi Viruddha Chikitsa
– The best is Virechana
वमनं िवरेचनं च, ति रोिधनां च
ाणां संशमनाथमुपयोगः,
तथािवधै ैः पवमिभसं ारः – The best is Virechana
– Vamana, Shamana and
Sansarjana krama is best
तथािवध पूवमिभस ार
शरीर ेित||१०४||
िव ाशनजान् रोगान् ितह
िववेचनम| वमनं शमनं चैव पूव Sansarjana krama is best िववचनम्| वमन शमन चव पूव
वा िहतसेवनम्||१०५||
आ ेयभ का ीयोऽ ायः १०४
आ यभ का ीयोऽ ाय १ ४

Diseases of Viruddha Ahara01
• Sonitabhishyandana
• Dhamani pratichaya
Dhamani pratichaya
• Bala‐Varna‐Tejo‐ Veerya‐ Avarodha
• Kushta
• Badhirya,
• Shankhaka
• Galaganda
षा ा वीसपदकोदराणां
िव ोटको ादभग राणाम्|
मू ामदा ानगल हाणां
पा वामय ामिवष Galaganda
• Shanda
• Vepadhu
पा ्वामय ामिवष
चैव||१०२||
िकलासकु हणीगदानां
शोथा िप रपीनसानाम्
स ानदोष तथैव
• Mooka, Minmina, Jadya
• Apasmara,
• Marana
स ानदोष तथव
मृ ोिव म ं वद
हेतुम्||१०३||
चरकसंिहता स थानम २६ Marana
चरकसिहता सू थानम् २६.
आ ेयभ का ीयोऽ ायः १०२-१०३

• Pandu
• Visarpa Visphota Kilasa Kushta
Visarpa, Visphota, Kilasa, Kushta,
• Jalodara
• Unmadaत ूलं िह
बािधया वेपथजा कलमक
• Bhagandhara
• Moorcha, Mada,
• Adhmana Amlapitta Grahani
बािधया वपथुजा कलमूक
तामै मथवा मरणमा ोित|
.... त ूलं िह
शोिणतािभ धमनी िव(ित)च
याप ारशङखकगलग रोिह • Adhmana, Amlapitta, Grahani,
• Galagraha,
• Ama visha
याप ारशङ् खकगलग रोिह
णीनाम तमं ा ो थवा
मरणिमित| .... कु ाबाधभयात्| .
.. . .एत मरणायाथवा
बलवणतेजोवीय परोधायालघ ा
• Shotha
• Jwara
I f tilit
बलवणतजोवीय परोधायालघु ा
धये षा ाय ....
े ी ो • Infertility
• Death (Marana)
आ ेयभ का ीयोऽ ायः ८४

Anemia ‐ Pandu01
• Pandu vis‐à‐vis Anaemia is a problem
of public health significance
Anemia Pandu01
• Anaemia is the most prevalent
nutrition problem
• Common susceptible are – Children,Common susceptible are Children,
Women
• It not only impacts the body but also
to the occupation as fatigue,to the occupation as fatigue,
inattention, impaired motor
coordination, etc. are common
symptomsy p
• Anemia is on the rise in India, says
NFHS report
http://www.expressindia.com/latest‐
news/Anemia‐is‐on‐the‐rise‐in‐India‐
news/Anemia is on the rise in India
says‐NFHS‐report/336854/

Anemia ‐ Pandu01
• Any condition presenting the
f P l i i
Anemia Pandu01
symptoms of Palpitation,
edematous Eyes, Sweat‐
l F i b i i ilessens, Fatigue by vitiating
the Rasavaha Srotas (Heart &
10 Dh i) i h10 Dhamani) with
manifestation of rough &
“Whi i h Y ll ” l ( ll“Whitish Yellow” color (pallor
Yellow) Skin is pandu.

Anaemia01
Any condition in which the number of
RBC/cu mm, the amount of
Anaemia01
hemoglobin in 100 ml of blood, and
the volume of packed red blood cells
per 100 ml of blood are less thanper 100 ml of blood are less than
normal;
– clinically, generally pertaining to y, g y p g
the concentration of oxygen‐
transporting material in a
designated volume of blood indesignated volume of blood, in
contrast to total quantities as in
oligocythemia, oligochromemia,
1‐ Sharngadhara samhita, Pra.Knanda, 7‐19/
Adhamalla, AH Chi 13/3
2 –Stedman’s Electronic Medical dictionary
and oligemia.
2 Stedman s Electronic Medical dictionary,
1998, Novell Reference engine software

Pandu01
• Pandu is a Pitta predominant Plasma bound (Rasa
Pradooshaja)1 deficiency disorder, manifests at Skin & Blood
Pandu01
j ) y ,
(Rakta) by impaired nourishment
• The common routes of manifestation of the Pandu includes –
Dietetic Deficiencies (iron deficiency)– Dietetic Deficiencies (iron deficiency)
– Over Nourishment 2 (ingestion of High caloric / fat food)
– High utilization of Rasa 3 (excessive Sex, Exercise, day
sleep)
– Diseases where Blood is lost (Nidanarthakara Vyadhi –
viz. Piles, TB, Injury)viz. Piles, TB, Injury)
– Others – such as wrong schedule of Snehapana &
Panchakarma 4
1‐ Cha. Su 23/5‐7; 2 –Cha Su 28/9‐10; 3‐ Cha Chi 16/6‐10; 3 – Cha su 13/21

Pandu Nidana01 Pandu Nidana01
• Apathya Nimitta
– Excessive Use of
• Anya Nimitta
– Exercise (Vyayama)
• Salt
• Sour
• Alcohol
– Intercourse (Vyavaya)
– Suppression of urges (Vegarodha)
– Mud eating (Mrid bhakshana)Alcohol
• Fats
• Hot / Pungent
M h (Bl k )
– Day sleep when the food is not
digested
– Seasonal influences
• Masha (Black gram)
• Til (sesame)
• Asatmya (Allergic)
Seasonal influences
– Improper Panchakarma
– Krimi
R kt itt R kt ti
– Deficient use of
• Iron
• Calories
– Raktapitta, Raktatisara,
Raktarshas, Rakta Pradara,
Rajayakshma,
I j
Calories – Injury

Green Tea in Pandu01 Green Tea in Pandu01
A 48 year old businessman with a long history of regularly treatedA 48‐year‐old businessman with a long history of regularly treated
hypertension and type 2 diabetes mellitus was referred for evaluation of
persistent anemia first observed by a general practitioner during an
examination for progressiveexamination for progressive
exertional dyspnea 1 month prior.
However, drinking too much green tea may lead to iron deficiency, as
demonstrated in this case report.
p

Classification Pandu01
Pandu
There are several types of
anaemia from
contemporary science and
these are
Classification Pandu01
Abhyanta
Karana
Bahya Karana Abhighata
‐ Injury
these are:
• Aplastic Anemia
• Iron Deficiency
(Normolytic) Anemia
• Folic Acid Deficiency
Nija
Apathya
nimittaja
Mritbakshana
– Mud eating
Vataja
Bleeding
by Injury
l di
• Folic Acid Deficiency
Anaemia
• Pernicious Anaemia
• Fanconi Anemia
• Sickle Cell Anemia
Santarpana –
Hyper Nourished
Vataja
Pittaja
Bleeding
by worms
Bleeding
• Sickle Cell Anemia
• Sideroblastic Anemia
• Thalassemia
• Hemolytic Anemia
• Hemoglobin C DiseaseApatarpana –
Under nourished
Kaphaja
Tridoshaja
Bleeding
by Disease
• Hemoglobin C Disease
• G6PD (Glucose‐6‐
Phosphate
Dehydrogenase) Deficiency
AnemiaAnemia
• Polycythemia Vera

Introduction01Symptom Vataja Pittaja Kaphaja Mrud-Bhakshana
JanyaIntroduction01 Janya
Twak Varna
(Skin Colour)
Krishna-Arunabha
(Blakish Red)
Peeta (yellowish) Shukla (whitish) *
Twak Stiti
(Skin status)
Rooksha (Dry) Daha (Burning) Sotha (Oedematous) Soonakshi Ganda bhru
(Oedematous Face)(Skin status) (Oedematous Face)
Annavaha srotas (GIT) Anaha (bloating) * Praseka (excess
salivation)
Aruchi (anorexia)
Krimikosts (worm
infestation))
General Toda (Body pains) Jwara (Fever) Alasya, Gourava
(Lethargic)
Alasya, Gourava
(malaise)
Neurological Kanpa (tremor) * * *
Endocrinal * Trushna (dehydration
thirst)
* *
Psychosomatic * * Tandra (Stupor) Tandra (Stupor)
Pranavaha * * * Kasa (Cough), swasa
(Respiratory)
g
(dyspnoea)
Pureesha vaha * Bhinna vitka (Broken
Stools)
* Mucosal loose stools
(sa-Kapha atisara)
Tridoshaja Pandu will have mixed symptoms based upon the proportions of Tridosha impairment

System Complication
Annavaha
srotas
Arochaka (Anorexia)
Hrillasa (salivation)
Common symptoms ultimately
getting are –
Agni nashanam
(GIT)
( )
Chardi (Vomiting)
Pureeshavaha
(Lower GIT)
Baddhavit (Constipation)
Haritavit (Green stool)
S k h it (M l t l)
g
Varna Nashanam
Tejo haratwam
Ojo haratwam
V h tSakapha vit (Mucosal stool)
Atisara (Diarrhoea)
Udakavaha Trishna (Thirst)
Soonam (edematous)
Veerya haratwam
Bala Nashanam
Indriya bala nashanam
( )
Rasavaha Jwara (Fever)
General Kharibhoota (hyper dryness)
Pandu Darshi (palor look)Pandu Darshi (palor look)
Chirakari (chronic)
Swedavaha Atisweda (excessive sweat)
Raktavaha KamalaRaktavaha Kamala

Ahara
Amashaya
(Stomach)
Pachakapitta
Prasada Rasa
Sthayi Rasa Raktagni Amashaya (Liver)
Ranjakapitta
3
4
2
Prasada Rasa
Asthayi Rasa Rakta
Hridaya
(Heart/Brain)
Sadhakapitta
10 Dhamani
Kitta Rasa Sweda, Mootra,
Pureesha
5
1
V t
Apathya
Lavana
A l Sadhakapitta
Vyanavata
Shareera
Chankramana
6 Krimi, Disease, Injury,
Bleeding, Etc
Vata ‐
Dhatusaithilyata
7
Kapha ‐ Ojokshaya
Amla
Kshara
Madya
Sneha
Normal Functions (C Su24/4 S Sa 7/14)
Pandu in Twak‐mamsa
madhyam Adhistana
Mrit (Mud)
7Rakta ‐
Raktalpatwam
Mamsa –
Medolpatwam Bala
Tila
Masha
Normal Functions (C Su24/4, S Sa 7/14)
Jeevana, Ayush, bala, Varna
prasadanam, Sukha, Mamsa pusti,
Dhatu poorana, Sparsha
Poorvaroopa
(Hritspandanam,
Roukshyam, Aswedam,
Avipakam)8 Tri Dosha
Doshaja
Pandu
Medolpatwam, Bala
varna Kshaya
Avipakam)8 Tri‐DoshaPandu

Treatment in Pandu01 Treatment in Pandu01
• The treatment should be planned according to the aetiology
– At the level of Apatarpana / Santarpana / Apathya Ahara
– At the level of Bahya Karana – Mrit Bhakshana / Abhighata
– At the level of Nidanarthakara Roga
– At the level of Amashaya – Pachakapittay p
– At the level of Liver ‐ Raktagni / Bhutagni / Ranjakapitta
– At the level of Hridaya – Rasagni / Vyanavata /
SadhakapittaSad a ap tta
– At the level of Dosha
• When the dosha is strong or patient is capable – Dosha
elimination is plannedelimination is planned
• Otherwise patient is selected for the palliative therapy
• In common – Snehana – Vamana – Virechana – Shamana
chikitsa are the patronized management methods
chikitsa are the patronized management methods

Treatment in Pandu01 Treatment in Pandu01
• Anulomana is indicated – understood as Urdhwa Anuloma (Vamana) and
Adho Anulomana (Virechana)
V U dh A l• Vamana – Urdhwa Anulomana
– Susruta contraindicated  – but Dalhana doesn’t accept it
– Why Vamana? – Amashaya samutha, Bahudosha, Rasa (Kapha) predominant
Pandu requires conditionally – when the patient is acceptablePandu requires conditionally when the patient is acceptable
– Vagbhta ‐ Charaka   ‐ Susruta indicated Teekshna Vamana
• Vamana with – Yastimadhu
• Vamana with – small quantity of Madana Yoga
• Virechana – Adho Anulomana
– Most common practice as there is no effort is exerted by the patient  ‐ is
given as to pacify the Pitta Dosha and Pittsthana udbhava vyadhi
• Pathya GhritaPathya Ghrita
• Danti Ghrita
• Tilvaka Ghrita
• Trivrut Churna with Sharkara
di i h
• Swadista virechana

Formulation in Pandu01 Formulation in Pandu01
• As the aetiology could be – Santarpana (AHchi 16/1‐Arunadatta)
• Clarify the unction in patient by skin examination
– If the patient is Apatarpana (malnourished) / Apathya Nimitta
looking at Dry‐skin – Snehana is done
• Kalyanaka Ghrita
P h Gh it• Panchagavya Ghrita
• Mahatiktaka Ghrita
• Aragwadhadi Gana Ghrita
Why the Ghrita?– Why the Ghrita?
• Ghrita is Pittaharam – as the Pandu is with vitiated Pitta
predominant
• Ghrita is Ojo vardhaka – as the Pandu is with Ojo kshaya andGhrita is Ojo vardhaka as the Pandu is with Ojo kshaya and
rough skin
• Ghrita is Sneha vardhaka – as the Pandu is with rough/dry skin
• Sweda is contra indicated as the Pandu is Pittaja vyadhi (AHS17/21‐24)

• In case of palliative management Initially Kosta‐Shuddhi is
In case of palliative management Initially Kosta Shuddhi is
done
– It means – Laghu Virechan with
• Swadista Virechana• Swadista Virechana
• Rechakavati
• Offer Ghrita for attaining Strength in case of palliative management
– Amritadi Ghrata
– Vyoshadi Ghrita
– Nagakesharadi Ghrita
• Based upon the Dosha
– Vata – Sneha
Pitta Tikta Rasa Sheeta veerya– Pitta – Tikta Rasa, Sheeta veerya
– Kapha – Katu, Tikta rasa, Ushna veerya
– Sannipata – Vyamishra chikitsa
M it Bh k h Vid P th Chit l t– Mrit Bhakshana – Vidanga, Patha, Chitramoola, etc

• Santarpana i.e. fatty ingestion cause inactive bone marrow that
is infiltrated with fat is called yellow marrow, which results in to
A iAnaemia.
• Overgrowth of bacteria (Mrit‐bhakshana /Krimi) within the
intestinal lumen can cause macrocytic anaemia. The cause of
the anaemia is mal‐absorption (Srotas Block) of
cyanocobalamin. Steatorrhea (Passage of fat in large amounts in
the feces) is due to excessive hydrolysis of conjugated bile salts
by the bacteria.
• Iron (Loha) is essential for hemoglobin synthesis; if blood is lost
from the body and the iron deficiency is not corrected ironfrom the body and the iron deficiency is not corrected, iron
deficiency anemia results.
• Excess production of bilirubin (Malaroopa Pitta) from Liver leads
t h l ti ito haemolytic anaemia.

• Acid‐secreting cells of the stomach are damaged (Agni kshaya) in
pernicious anaemia.
P i t l ll i th t i (A h th ) t• Parietal cells in the gastric mucosa (Amashaya samutha) secrete
intrinsic factor, a 49‐kDa glycoprotein that binds to cyanocobalamin
(vitamin B12). Deficiency of it results Anaemia and deterioration of
i h i h S ( id )certain sensory pathways in the CNS (Hridaya).
• Rh incompatibility cause sensitization during pregnancy haemolysis
in the fetus develops anaemia.
• Cobalt is part of the vitamin B12 molecule, and vitamin B12
deficiency leads to megaloblastic anaemia.
• Copper deficiency causes anaemia and changes in ossification• Copper deficiency causes anaemia and changes in ossification.

Conclusion01
• The body is built by food and
h b d i h f
Conclusion 01
the same body is the seat of
disease.
• So the cautious food
consumption avoiding
आहारस वं व
antagonism is necessary for
the healthy long living
आहारस व व ु
रोगा ाहारस वाः|
िहतािहतिवशेषा िवशेषः
सखदःखयोः||४५||सुखदुःखयोः||४५||
चरकसंिहता सू थानम् २८.
िविवधािशतपीतीयोऽ ायः ४५

01 Thank You
01 Thank You

viruddha ahara-ksr

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