Date post: | 18-Nov-2014 |
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Dr.R.Krishnakumar. MD(Ay)
Medical Officer
Govt .Ayurveda Dispensary , Vallikunnam
SELECTION OF YOGAS
w.s.r
RHEUMATOLOGY
CSM model of drug selection in the
Ayurvedic Management of
Rheumatologic conditions Howard Leventhal introduced the common
sense model (CSM) of self regulation of health
and Illness.
The CSM concept is adopted here in principle
, the term common sense refers to adherence
to basic principles of Ayurveda in simple
straight forward way, rather than hair splitting
juggleries .
Rheumatology
The term refers to branch of
medicine that which deals with the
medical disorders of the musculo-
skeletal system.
Rheumatology = Confusion
Rheumatoid arthritis = ? Vātarakta / Āmavāta
Āmavāta = Rheumatic fever ???????
Comparisons and Confusion ?????????
Concept of disease in routine
ayurvedic clinical practice ……….
कः पुनरसौ रोग इति । ऄवस्थातवतिष्टो दोषः। नरतसंहभाष्यम्.१-१
kaḥ punarasau roga iti. avasthāviśiṣṭo
doṣaḥ.
narasiṁhabhāṣyam. 1-1
बुद्ध्वा स्थानतविेषांश्च दोषाणां च बलाबलम् ।
तचतकतससितमद ंकुयाादहूापोहतवकल्पतवि् ॥
चरकसंतहिा तचतकससास्थानम् २९-१५५
Message from Caraka for
Dravyaguṇa experts
मात्राकालाश्रया युतिः तसतियुािौ प्रतितष्ििा ।
तिष्िसयुपरर युतिज्ञो द्रव्यज्ञानविां सदा ॥
चरक संतहिा सूत्रस्थानम् २-१६
Line of treatment………………
न यकु्तमवधारणममदमवे प्रधानममद ंनमेि मिमित्साया ंमह प्रधानमवस्थानमुवधानम ।्
R.V.Su.१-९३
PHARMACEUTICAL PARADIGM VERSUS
THERAPEUTIC PARADIGM
PHARMACEUTICALISATION OF AYURVEDA
coinage by Dr.Madhulika Banerjee.
Dr.Harilal Madhavan puts forth a very relevant
question for us : the future of therapeutic āyurveda
Rheumatology and Ayurveda
Daniel E Furst, Manorama M Venkatraman, B G
Krishna Swamy, P.Rammanohar et al
“Well controlled, double-blind, placebo-controlled
trials of classical Ayurvedic treatment are possible
in rheumatoid arthritis”
The major strength of this study was that the
Ayurvedic doctor was free to individualize treatment.
Rheumatoid arthritis
Diagnostic criteria
At least four of the following criteria should be present for the
diagnosis of rheumatoid arthritis:
Morning stiffness for ≥ 1 hour
Arthritis of ≥ 3 joints
Arthritis of hand joints (wrist, metacarpo-phalangeal joints or proximal interphalangeal joints)
Symmetric arthritis
Rheumatoid nodules
Positive serum rheumatoid factor. (Anti citrullinated peptide [ anti-CCP] andtibodies have high specificity and sensitivity for RA.)
Radiographic changes
The methodologies for research and evaluationof traditional medicine should be based on thefollowing basic principles.
On the one hand, the methodologies shouldguarantee the safety and efficacy of herbalmedicines and traditional procedure-basedtherapies.
On the other hand, however, they should notbecome obstacles to the application anddevelopment of traditional medicine. Thiscomplex issue has been a concern for nationalhealth authorities and scientists in recent years.
(p.2 Guidelines for methodologies on researchand evaluation of traditional medicine,WHO, 2000)
Ayurvedic Approaches to RA
1) Compare this to any of the Ayurvedic disease
state and randomly select medicines indicated for
that .(vyādhijnama hetu saṃprāpti)
2) Analyze the condition without ignoring its subtler
nuances. (dosetikartavyatarūpa saṃprāpti). This
approach is followed by most of the traditional
vaidyas of Kerala.
Vātarakta model
vāyurvivr ̥ddho vr ̥ddhena raktenāvāritaḥpathi.
kruddhaḥ sa dūṣayedraktaṃ taṃ jñeyaṃvātaśoṇitaṃ. Cikitsāmañjari .1
kṣipraṃ raktaṃ duṣṭimāyāti tacca vāyor
mārgaṃ saṃruṇddhyāśu……S.S.Ni.1.43
ऄमृिा संग्राहणीय दीपनीय वािश्लेष्मिोतणितवबन्धप्रिमनानाम् । A.S.Su
ऄमृिा संग्रातहक वािहर दीपनीय श्लेष्मिोतणितवबन्धप्रिमनानम्। c.s.
गुडूची वािास्रे । A.H
तवबन्धः स्रोिोतभभूािानामवहनम् ।
Stage which requires Pāncana
ऄमृिानागरधान्याककषात्रयेण पाचनं तसिम् ।
जयति सरिं वािं सामं कुष्िान्यिेषातण ॥ चक्रदत्तम्-३
ṣaḍaṃgaṃ cukku kūṭṭāte sāmr̥taṃ pibatāṃ
nr̥ṇāṃ.
panikkuṃ vātaraktatte ttaṭukkuṃ novumillayāṃ . Cikitsāmañjari. 16
Aṣṭavaidya tradition ṣaḍdharaṇacūraṇa modified as citrakādi kvātha
Two yogas……………….
śatāvarī chinnaruha amalatvak balekṣu rāsnāvihita
kaṣāyaḥ.
dugdhena vātāsravikāra śāntyai martyena peyaśca
tatha aṅgamardde.
śatāvarī chinnaruha amalatvak balekṣukāṇḍekṣura
saṃbhr̥tāṃbhaḥ.
kalkena yaṣṭīmadhukasya miśraṃ dhunoti
vātāśramathāśrapittaṃ
balā nālamr̥tā ṣaḍ ca dāru raṇḍu kazñcumāyi.
sapāl kaṣāyaṃ pātavyaṃ vātarakta aṅgamarddajit.
Cikitsāmañjari.17
Rāsnairandādi kaṣāyam
Vaṅgasena
Sahasrayoga
Single drugs
Duḍūcī :
kātu, tiktā, madhuravipāka,rasāyanā, saṃgrāhiṇī, kaṣāya, uṣṇa,laghu, balya, agnidīpani, tridoṣahara,amahara, tr̥ṣṇahara, mehahara,kāsahara, kāmala paṇḍuharaṃ,kuṣṭhahara, kr̥mihara, vātāraktahara,jvarahara, vāmihara.
Haritaki:
uṣṇa,laghu,br̥haṃana, anulomana, kaṣāya,rūkṣa, medhya, dīpana, sarā, madhura vipāka,rasāyani, cakṣuṣya, srotovibandhahara,śvāsa,kāsa,prameha, arśas, kuṣṭha, śopha,udara, kr̥mi, vaisvarya, grahaṇi, roga,vibandha, viṣmajvara, gulma, ādhmana
haritakī jayet vyādhīṃstāstāśca kaphavātajān
sarveṣu ca guḍaharītakīmāseveta
Bodhivr̥kṣa : durjara,hima, rukṣa, pittahara
ślesmahara, vr̥ṇahara, asrahara, guru, kaṣaya
rasa,varṇya, yoniviśodhana.
Kokilakṣa: śītala, vr̥ṣya, madhura,amla,
picchila, tikta, śophahara, āmahara,
vātahara, tr̥ṣṇahara, netrarogajit,
vātaraktahara.
guḍūcī vā yathā tathā
guḍa harītakī
pippalī vardhamānaṃ
स्ममृिमान ् हिेयुमुक्तज्ञो मििात्मप्रमिऩमिमान।्मिषगौषधसयंोगमैिमित्सा ंिि ुमुहमुि॥ ि-स-ंस-ू २-३६smṛtimān hetuyuktijño jitātmapratipattimān|bhiṣagauṣadhasaṁyogaiścikitsāṁkartumarhati|| ca-saṁ-sū- 2-36
śubhaṃ