Panchakarma in vatarakta

WELCOME

PANCHAKARMA IN VATARAKTA

By, Dr.Smitha.P.K. II year P.G. Scholar Department of Panchakarma KVGAMC Sullia

CONTENTS Introduction Nidana of vatarakta Samprapthi of vatarakta Lakshanas of vatarakta Chikitsa of vatarakta Discussion Conclusion References

INTRODUCTION

• Vatarakta is the major example of vatavyadhi, caused due to avarana pathology.

• Vatarakta signifies the association of vata along with vitiated pitta and rakta dathu.

• Panchakarma is cleansing of body according to Ayurveda.• The five techniques of panchakarma done through several

procedures purify the body system by removing toxic materials from the body. These purification methods are essential components of the curative management of those diseases that are not controlled by palliative management.

NIDANA OF VATARAKTA लवणाम्लकटुक्षारस्नि �ग्धोष्णाजीण�भोज�ैः| क्लि�लन्नशुष्काम्बुजा�ूपमांसपिपण्याकमूलकैः||५|| कुलत्थमाषपि�ष्पावशाकादि+पललेक्षुभिभः| +ध्यार�ालसौवीरशुक्ततक्रसुरासवैः||६|| पिवरुद्धाध्यश�क्रोधदि+वा वप्नप्रजागरैः| प्रायशःसुकुमाराणां मिमष्टान्नसुखभोजिज�ाम्||७|| अचङ्क्रमणशीला�ां कुप्यते वातशोभिणतम्| AÍpÉbÉÉiÉÉSzÉÑkrÉÉ cÉ mÉëSÒ¹ã zÉÉåÍhÉiÉålÉëÑhÉÉqÉç | | 8 | | MüwÉÉrÉMüOÒûÌiÉ£üÉsmÉ Â¤ÉÉWûÉUÉSpÉÉåeÉlÉÉiÉç | WûrÉÉå·írÉÉlÉ rÉÉlÉÉqoÉÑ¢üÏQûÉmsÉuÉlÉsÉlbÉlÉæ : | | 9 | | EwhÉã cÉÉirÉkuÉaÉqÉlÉÉSè urÉuÉÉrÉÉSè uÉåaÉÌlÉaÉëWûÉiÉç | (cÉ . ÍcÉ .29)

प्रायशः सुकुमाराणां मिमथ्याऽऽहारपिवहारिरणाम् |UÉåaÉÉkuÉmÉëqÉSÉqÉ±urÉÉrÉÉमैश्चापितपीड�ात् ||ऋतुसात्म्यपिवपया�सात् �ेहा+ी�ां च पिवभ्रमात् | अव्यवाये तथा स्थूले वातरकं्त प्रकुप्यपित ||WûxirÉµÉÉåwOíæûaÉïcNûiÉÉå AlrÉæ¶É uÉÉrÉÑ: MüÉåmÉqÉç rÉÉiÉ:MüÉUhÉæ: xÉåÌuÉiÉæ: xuÉæ:|iÉÏ¤hÉÉåwhÉÉqsÉ¤ÉÉUzÉÉMüÉÌSpÉÉåerÉæ: xÉliÉÉmÉÉkrÉæpÉÔïrÉxÉÉ xÉåÌuÉiÉæ¶É | | (xÉÑ.ÌlÉ.1)

ÌuÉSÉ½³É ÌuÉÂ® cÉ iÉ¨ÉŠÉxÉÚMçü mÉëSèwÉhÉqÉç | pÉeÉiÉÉ ÌuÉÍkÉWûÏlÉ cÉ xuÉmlÉeÉÉaÉUqÉæjÉÑlÉqÉç | | mÉëÉrÉåhÉ xÉÑMÑüqÉÉUÉhÉÉqÉcÉl¢üqÉhÉzÉÏÍsÉlÉÉqÉç | AÍpÉbÉiÉÉSzÉÑ¬å¶É lÉëÑhÉÉqÉxÉëÎeÉ SèÌwÉiÉå | | uÉÉiÉsÉæ : zÉÏiÉsÉæ. . . . . . . . . . . . | ( A .¾èû. 16 )

SAMPRAPTHI वायुर्विवQवृद्धोवृदे्ध� रके्त�ावारिरतः पथिथ ||

कृत् �ं सन्दूषयेद्रकं्त तज्ज्ञेयं वातशोभिणतम|् ( च.थिच. 29 )

VATA PRAKOPAKA NIDANA

RAKTA PRAKOPAKA NIDANA

RAKTA PRAKOPAVATA PRAKOPA

AVARANA OF VATAVAHA SROTHAS

FURTHER VATAVRIDDHI

VITIATION OF RAKTA

VATARAKTA

Samprapthi according to SUSHRUTHA : Vata Prakopa Nidana Pitta Prakopa Nidana

Vata vridhi Vidaaha of rakta

Rakta dislodges and accumulated in feet

VATA RAKTA

Paryayas Vatasrk, Vatabalasa, Vatashonitha, Adyavata, Khudavata

Dosha Vata

Dushya Raktha, Twak, Mamsa

Srothas Rakthavaha srothas

Adhistana Twak, Mamsa, Sandhi, Hastha, Paadha

Types of vatarakta A ) 1. Utthana 2.Gambeera

B ) 1.Vataja 2.Pittaja 3.Kaphaja 4.Dwandwaja 5.Rakthaja 6.Sannipataja

Utthana vatarakta lakshanas

कण्डू+ाहरुगायामतो+सु्फरणकुञ्च�ैः| अन्विन्वता श्यावरक्ता त्वग्बाहे्य ताम्रा तथेष्यते||२०|| (च. थिच 29/20) Gambeera vatarakta lakshanas

गम्भीरे श्वयथुः तब्धः कदिd�ोऽन्तभृ�शार्वितQमा�्|

श्याव ताम्रोऽथवा +ाहतो+सु्फरणपाकवा�्||२१|| (च. थिच 29/21)

ÍcÉÌMüixÉÉ of uÉÉiÉU£ü

ÌuÉUåcrÉ:xlÉåWûÌrÉiuÉÉSÉæ xlÉåWûrÉÑ£æü: ÌuÉUåcÉlÉæ: | Â¤ÉæuÉÉï qÉëÑSÒÍpÉ: zÉxiÉqÉç AxÉ¢ÑüiÉç oÉÎxiÉMüqÉÉï cÉ || xÉåMüÉ AprÉ…mÉëSåWûÉ³ÉxlÉåWûÉ: mÉëÉrÉÉå AÌuÉSÉÌWûlÉ: | uÉÉiÉU£åü mÉëzÉxrÉliÉå... (cÉ.ÍcÉ.29) After abyanthara sneha, mridhu virechana should be given.It may be snigdha or

ruksha. And basti is given for several times.Seka,abhyanga,pradeha,snehayuktha

avidaahi anna can be given.

ÌuÉUåcÉlÉæ: bÉëÑiÉ¤ÉÏUmÉÉlÉæ: xÉåMæü: xÉoÉÎxiÉÍpÉ: | sÉåmÉlÉqÉç zÉÉsqÉsÉÏMüsMüqÉÌuÉ¤ÉÏUåhÉ xÉÇrÉÑiÉqÉç | | (pÉÉ. mÉë.) Virechana,gritha and ksheera pana,seka,basti are to be administered to patient of

vatarakta.

uÉÉiÉmÉëkÉÉlÉ uÉÉiÉU£ü ÍcÉÌMüixÉÉ :- xÉÌmÉïxiÉæsÉ uÉxÉÉqÉ‹ mÉÉlÉÉprÉleÉlÉ oÉÎxiÉÍpÉ: | xÉÑZÉÉåwhÉæÂmÉlÉÉWæû¶É uÉÉiÉÉå¨ÉUqÉÑmÉÉcÉUåiÉç | | (cÉ. ÍcÉ.29) Sarpi,Taila,Vasa,Majja can be used in the form of Pana,Abyanjana,Basti and sukoshna upanaha is used in vatapradhana vatarakta.

ÌmÉ¨ÉmÉëkÉÉlÉ and U£ümÉëkÉÉlÉ uÉÉiÉU£ü ÍcÉÌMüixÉÉ :- ÌuÉUåcÉlÉæ: bÉëÑiÉ¤ÉÏUmÉÉlÉæ: xÉåMæü: xÉoÉÎxiÉÍpÉ: | zÉÏiÉæ: ÌlÉuÉÉïmÉhÉæ¶ÉÉÌmÉ U£üÌmÉ¨ÉÉå¨ÉUqÉç eÉrÉåiÉç | | (cÉ. ÍcÉ.29) Virechana,Gritha and ksheera pana,seka,Basti,Nirvapana with Sheethadravyas are indicated in pitta and rakta pradhana vatarakta.

MüÄTümÉëkÉÉlÉ uÉÉiÉU£ü ÍcÉÌMüixÉÉ :- uÉqÉlÉqÉç qÉëÑSÒ lÉÉirÉjÉïqÉç xlÉåWûxÉåMüÉå ÌuÉsÉlbÉlÉqÉç | MüÉåwhÉÉsÉåmÉÉ¶É zÉxrÉliÉå uÉÉiÉU£åü MüÄTüÉå¨ÉUå | | (cÉ. ÍcÉ.29) Mridu vamana,mild snehana,Seka,Langana,Sukoshna lepa are indicated in kaphapradana vatarakta.

E¨ÉÉlÉ & aÉqpÉÏU uÉÉiÉU£ü ÍcÉÌMüixÉÉ :- oÉÉ½qÉÉsÉåmÉlÉÉprÉ… mÉËUwÉåMüÉåmÉlÉÉWûlÉæ:| ÌuÉUåMüÉxjÉÉmÉlÉ xlÉåWûmÉÉlÉæ: aÉqpÉÏUqÉÉcÉUåiÉç | | (cÉ. ÍcÉ.29) E¨ÉÉlÉ uÉÉiÉU£ü ÍcÉÌMüixÉÉ AÉsÉåmÉ,AprÉ…,mÉËUwÉåMü,EmÉlÉÉWû

aÉqpÉÏU uÉÉiÉU£ü ÍcÉÌMüixÉÉ ÌuÉUåcÉlÉ,AÉxjÉÉmÉlÉ oÉÎxiÉ,xlÉåWûmÉÉlÉ

Treatment measures of vatarakta includes both AliÉmÉËUqÉeÉïlÉ and oÉÌWûmÉËUqÉeÉïlÉ ÍcÉÌMüixÉÉ

AliÉmÉËUqÉeÉïlÉ ÍcÉÌMüixÉÉ includes,

xlÉåWûlÉ , xuÉåSlÉ , uÉqÉlÉ , ÌuÉUåcÉlÉ , oÉÎxiÉ , U£üqÉÉå¤ÉhÉ

oÉÌWûmÉËUqÉeÉïlÉ ÍcÉÌMüixÉÉ includes,

AprÉ… , mÉËUwÉåMü , AuÉaÉÉW , EmÉlÉÉWû , xÉåMü

SNEHANA IN VATARAKTA It includes abhyanthara and bahya snehana.

Abhyantata snehapana :Snehapana is carried out according to kosta bala,prakruthi of patient and also according to the

predominant of dosha present.

Snehapana is mainly indicated in gambeera vatarakta. Acharyas have mentioned many sneha yogas

like, ~ Purana Gritha

~ Shatapaka Balataila

~ Thiktaushadhi sidda grita

~ Guduchi taila

~ Madhu yashtyadhi taila

~ Nagabala taila –pana of this taila for 10 days cures severe vatarakta.

Snehana is contraindicated in Kapha Medo margavaranajanya vatarakta.

Bahya Snehana :It is mainly carried out in Utthana Vatarakta.

Abhyanga yogas: ~ Pinda Taila

xÉqÉkÉÔÎcNû¹ qÉÎleÉ¸qÉç xÉxÉeÉïUxÉ xÉÉËUuÉqÉç | ÌmÉhQûiÉæsÉqÉç iÉSprÉ…iÉç uÉÉiÉU£ü ÂeÉÉmÉWûqÉç | | (cÉ. ÍcÉ. 29/123) ~ Grita prepared with gomutra,kshara and sura

~ Saarivadi taila

~ Jeevaneeya gana sidda grita

~ Satadhouta grita

~ Kakolyadi gana sidda grita etc.

ACTION OF SNEHANA

xlÉåWûÉå AÌlÉsÉqÉç WûÎliÉ qÉëÑSÒMüUÉåÌiÉ SåWûqÉç qÉsÉÉlÉÉqÉç ÌuÉÌlÉWûÎliÉ xÉlaÉqÉç | (cÉ.ÍxÉ.1/7) Snehana helps in the proper gati of vata, brings gaatra mardavata and removes the srothorodha.

Sneha overcomes rukshatha by its snigdha property and the sanga is corrected.

(Acc.to su.chi.31/19,by gayadasa),

~ In paittika disorders,kevala gritha should be given.

~ In vatika disorders, it should be mixed with lavana.

~ In kaphaja disorders, it should combined with trikatu and yavakshara. The veerya of drugs present in sneha are absorbed into the skin which is the site for Brajaka pitta. Acc.to Dalhana,

The oil used in abhyanga can reaches upto the different dhatu if applied for the sufficient

time.When snehana drug reaches to the particular dhatu, it subsides or cures the diseases of that

particular dhatu.

SWEDANA IN VATARAKTA

Usually swedana is contraindicated in vatarakta.But in vatapradhana and

kaphapradana vatarakta,mridhu swedana is advised.

...................... ÌmÉ¨É xÉqxÉëÑ¹å SìuÉxuÉåS CÌiÉ | | (xÉÑ.ÍcÉ.32/14)Sushrutha mentioned drava sweda for pittaja disorders.

Acc. To Bhavaprakasha,

In vatapradhana vatarakta ,can go for Parisheka with Dashamoola ksheerapaka or

Ushna grita.It helps in the pain management in vatarakta.

In pittapradana vatarakta ,can go for seka.

In kaphapradana vatarakta , sechana with Kashaya of madhuka, usheera added

with aviksheera.

Other yogas:

Parisheka with , ~ Avi Ksheera,goksheera,chaaga ksheera mixed with oil.

~ Maha snehas processed with Madhura gana drugs.

~ Jeevaneeya pachamula kwatha.

~ Grita prepared with gomutra,ksheera,sura,shuktha and madhura gana drugs.

Upanaha yogas : ~ Vatagna sidda upanaha added with krishara and mudga payasa.

~ Tila sarshapa pinda upanaha

~ Godhuma choorna added with goats milk and gritha.

~ Veshavara prepared by Audaka,anoopa mamsa processed with jeevaneeya panchamula

added with sneha.

Avagaha yogas : ~ Balataila

~ Kakolyadi gana sidda kwatha

~ Karavellaka kwatha

ACTION OF SWEDANA xiÉqpÉaÉÉæUuÉ zÉÏiÉblÉqÉç xuÉåSlÉqÉç xuÉåSMüÉUMüqÉç | (cÉ.xÉç.22/11)Ushna guna of swedana does srothoshuddi and amapachana, so it relieves

stiffness.

Due to elimination of kleda, lightness is achieved.

Stamba, gourava,swayathu are the symptoms of vatarakta.To relieve these

symptoms swedana is helpful.

VAMANA IN VATARAKTA

In Gambeera and Kapha pradhana vatarakta, mridhu vamana is advised acc.to rogi and rogabala.

Acc. To Bavaprakasha,

……uÉqÉlÉqÉç qÉëÑSÒlÉÉ AirÉjÉïqÉç..... Repeated vamana with mridhu aushadhis is advised in kaphapradhana

vatarakta.

Acc. To vagbhata,

rÉjÉÉWïûxlÉåWûmÉÏiÉqÉç cÉ uÉÉÍqÉiÉqÉç qÉëÑSÒ Â¤ÉrÉåiÉç | After snehapana,one should go for vamana and rukshana.

VIRECHANA IN VATARAKTAIn Gambeera, pitta,kapha and rakta pradhana vatarakta, mridhu virechana is indicated acc. to roga

and rogi bala.

(Acc.to pÉÉ.mÉë.) ¤ÉÏUåhÉæUlQûiÉæsÉqÉç uÉÉ mÉërÉÉåaÉåhÉ ÌmÉoÉå³ÉU: | oÉWÒûSÉåwÉå ÌuÉUåMüÉjÉïqÉç eÉÏhÉåï ¤ÉÏUÉæSlÉÉzÉlÉ | | Virechana by Eranda taila mixed with ksheera ,then ksheera odana is advised.

................. oÉWÒûzÉ¶É ÌuÉUåcÉlÉqÉç | Repeated virechana should be carried out.

Other virechana yogas:

~ Dharoshna ksheera mixed with either gomutra or trivrit choorna.

~ Kwatha prepared with gritha brista harithaki.

~Trivrit choorna with ksheera or draksha rasa as anupana.

BASTI IN VATARAKTABasti is considered as the main treatment in vatarakta.

ÌlÉWïûUå²É qÉsÉqÉç iÉxrÉ xÉbÉëÑiÉæ: ¤ÉÏUoÉÎxiÉÍpÉ: | lÉ ÌWû oÉÎxiÉxÉqÉqÉç ÌMüÎlcÉiÉç uÉÉiÉU£ü ÍcÉÌMüÎixÉiÉqÉç | | (cÉ. ÍcÉ.29) Basti is given with gritha and ksheera to eliminate doshas from the body. Nothing is equal to basti

chikitsa in vatarakta.

oÉÎxiÉqÉç uÉq¤ÉhÉ mÉÉµÉÉåïÂ mÉuÉÉïÎxjÉ eÉPûUÉÌiÉïwÉÑ | ESÉuÉiÉåïïç cÉ zÉxrÉliÉå ÌlÉÂWûÉ: xÉÉlÉÑuÉÉxÉlÉÉ: | | (cÉ. ÍcÉ.29) When vatarakta patient c/o pain in basti, vankshna, parshva, uru, parvasthi, jatara and udavartha, Niruha and Anuvasana basti are administered.

……oÉxiÉrÉ: ¤ÉÏU xÉÌmÉïÌwÉ ÌiÉ£üMüÉåmÉÌWûiÉÉÌlÉ cÉ | (cÉ. xÉç.28 ) When asthi is involved, basti with tiktha dravya sidda ksheera or sarpi is given.

Basti yogas : ~ Basti with rooksha or mridhu aushadis.

~ Basti with vasa,majja of mayura, krouncha, lava birds.

~ Madhu yastyadi taila used for both asthapana and anuvasana.

~ Nagabala taila – Basti for 7days with this taila cures severe vatarakta.

~ Musthadi yapana and hapushdi yapana basti etc.

Administration of ksheera basti is widely emphasized in all types of vatarakta.

¤ÉÏUÉ²Éæ mÉëxÉëÑiÉÉæ MüÉrÉÉæï qÉkÉÑiÉæsÉbÉëÑiÉÉ§ÉrÉ | ZÉeÉålÉ qÉÍjÉiÉÉå oÉÎxiÉUç..........| | (cÉ. ÍxÉ. 8/4 ) Ksheera - 2 prasrutha (192 ml )

Madhu - 1 prasrutha (96 ml)

Taila - 1 prasrutha (96ml )

Grita - 1 prasrutha (96ml)

ACTION OF BASTIBasti is the best therapy to control the vata and thus it controls the pitta and kapha also.

AÉmÉSiÉsÉ qÉÔkÉïxjÉÉlÉç SÉåwÉÉlÉç mÉYuÉÉzÉrÉå ÎxjÉiÉ:| uÉÏrÉåïlÉ oÉÎxiÉUÉS¨Éå ZÉxjÉÉå AMüÉåï pÉÔUxÉÉÌlÉuÉ | | (cÉ.ÍxÉ.7/64) The given basti when enters the pakvashaya by its veerya,draws the vitiated

doshas lodged in the entired body from foot to the head, just as the sun situated in the

sky sucks up the moisture from the earth.

The Tikshna Guna of Basti helps in overcoming the Sroto dushti resulting due to

Sanga. Thus Basti dravya after reaching to large and small intestine get absorbed ,

due to Laghu, Ushna, Tikshna, and Ruksha Guna of dravyas, it breaks the

obstruction and expel out the morbid material from all over the body.

(Acc.to su.chi.5/7,dalhana comm.):

Vatarakta located in paani(hands) is caused by upward dosha and in paada (feet) is due to downward dosha.

In the disease with kapha, pitta(kapha pittanubandaja) and located in hands,Vamana and Virechana are indicated and purana grita pana is also used therein.

In the disease with vata and located in paada, Anuvasana basti preceded by Astapana is prescribed.

In the procedure of Shodana ,

1 day for Shodana

6 days for dietry regimen(anna samsarjana)

On 8th day sneha bhojana

On 9th day purana grita pana.

RAKTHAMOKSHANA IN VATARAKTARakthamokshana is one among panchakarama as per susrutha and

Astangakara. तत्र वातपिपत्तकफदुष्टशोभिणतं यथासङ्ख्यं शृङ्गजलौकालाबुभिभ अवसेचयेत्, सवा�भिण सवlवा� ( पिवशेष तु पिवस्राव्यं शृङ्गजलौकालाबुभिभगृ�ह्णीयात्)||४|| (सु.सु13/4) Jalauka-pitta

Srunga-vata

Alabu – kapha

रक्तमागp ÌuÉहirÉÉzÉÑ शाखासस्निqषु मारुतः| पि�पिवश्याÌlÉ ElrÉमावाय� वे+�ाभिभह�रे+सू�्|| तत्र मुञ्चे+सृक् शृङ्गजलौकःसूच्यलाबुभिभः| प्रच्छ�ैवा� थिसराभिभवा� यथा+ोषं यथाबलम्|| (cÉ.ÄÍcÉ.29) In vatarakta,the aggravated vata located in shaakha and joints causes obstruction to Raktamarga. Then the vayu and blood enters and cause obstruction of each other giving rise to pain and even death. Therefore depending upon the doshas involved and the strength of the patient bloodletting should be done using shringa, jalouka, suchi and alaabu or by siravyadhana.

Jalookavacharana in Vatarakta (ch.chi.29)

Indicated in conditions such as: Ruk

Daha

Shoola

Todha

Sringavacharana In Vatarakta (ch.chi.29) Indicated in conditions such as: Supti

Kandu

Chimichimayana

Siravyadhana and Prachaana in vatarakta (ch.chi.29)

Indicated in conditions such as:

Pain moving from one part of body to the other

Contraindication of Raktamokshana in Vatarakta (ch.chi.29) Angaglaani Shareera Rukshata

If raktamokshana is done in above condition it leads to : Swayathu Sthambha Kampa Snayu and sira gata vyadhi Glaani Sankocha

Atiyoga of Raktamokshana in Vatarakta ( ch.chi.29)

Leads to conditions like:

Vataroga

Khanja

Mrityu

Acc. to SUSRUTHA (as preliminary remedial measures) तत्र, आ+ावेव बहुवात रूक्षम्ला�ाङ्गादृते मागा�वरणाद्दषु्ट शोभिणतमसकृ+ ल्पाल्पमवथिसञ्चेद्वात कोपभयात् II ( सु थिच .5) In first stage of the disease , except when the body become extremely dry or have

lost its natural healthful glow or complexion, the blood vitiated by obstruction in its

course (by unusually vayu) should be let out repeatedly in small quantity , to avoid the

excessive aggravation of vata

Samanya vatarakta chikitsa:

........... शोभिणतमोक्षणं च अभीक्ष्णं कुव}तं ............. II (सु.थिच.5)Raktha pradhana vatarakta chiktsa:

रक्तप्रबलेऽप्येवं, बहुशश्च शोभिणतमवसेचयेत्,

शीततमाश्च प्र+ेहाःकाया� इपित ||९|| (सु.थिच.5)

Indication of rakthamokshana:

कुष्ठपिवसप�पिपडका मशक�ीथिलकापितलकालकन्यच्छ

व्यङे्गन्द्रलुप्तप्लीहपिवद्रमिधगुल्मवातशोभिणताश�ऽबु�+ाङ्गम+ा�सृग्+र

रक्तपिपत्तप्रभृतयोरक्त+ोषजाःगु+मुखमेढ्रपाकाश्च I ( सु सु 24)

Acc.to vagbhata,

वात शोभिणपित�ो रकं्त स्नि �ग्ध य बहुशो हरेत् | अल्पाल्पं रक्षयेत् वायंु यथा+ोषं यथा बलम् I | (अ. थिच.22) Depending on the dosha and strength, repeated raktamokshana should be

done in small quantities after getting proper snigdhata by snehana without

disturbing vata.

ÂMçüUÉaÉiÉÉåSSÉWåûwÉÑ eÉsÉÉæMüÉå भिभर्विवQपि�ह�रेत् | ´ÉÑ…iÉÑqoÉæ:ÍcÉÍqÉÍcÉqÉ कण्डुरुक् वे+�ान्विन्वतं I (अ. थिच.22)Vataraktha with ugra daha and toda – Jalauka

Vatarakta with numbness, itching, severe pain – Thumbi, srunga

प्रच्चने्न� ÍxÉराभिभuÉÉï +ेशादे्दशान्तरqÉç uÉëeÉåiÉç I (अ. थिच.22) If vyaktha sthana changes from one to other – Siravyadha or Pracchanna

अङ्ग ग्लाlÉÉæ तु � xÉëÉurÉqÉç Â¤Éå uÉÉiÉÉå¨ÉUå cÉ rÉiÉç | | गम्भीरं वयथुम् तमं्भ कम्प xlÉÉrÉÑÍxÉUÉqÉrÉÉlÉç I ग्लापि� मन्याश्च uÉÉiÉÉå¨jÉÉlÉç कुया�द्वायु असृक् क्षयाiÉç || (अ.थिच.22) Rakthamokshana should not be performed in Angaglani, Rukshatha or vathadika

vata raktha condition. If done , raktha kshaya results in swaythu, sthamba, kampavata

and other vata vikaras.

Acc to chakradatta: दुयोमु�चे्छ+् श्रुन्गै सुच्चलाबु जलौकसा | +ेशा+ +ेशं व्रजेत् स्रवं्य थिशरभिभ: प्रच्छ्�े� वा | असुग्ला�ौ च � स्रावं्य रूकं्ष वातोत्तरे च यiÉç I (च. +त्त 23) In both the type of vataraktha, rakthamokshana can be performed with sringa, suchi, alabu, jalauka.

If vyaktha sthana changes its position then pracchanna or siravyadha should be done.

In case of durbala shareera and vata aggravated condition rakthamokshana is contraindicated.

DISCUSSION• Vatarakta is mentioned in ayurvedic classics as a raktasrotho vikara

produces due to sanga.

• The occurance of vataraktha is also possible when the gathi of vata

is hindered by morbid kapha and medas.

• After proper diagnosis for the better result panchakarma modality

should be selected in accordance to the condition.

CONCLUSION• Compared with the other vatavyadhi,vatarakta pocessess a special place in

the literature, due to its high prevalence in the society increased incidence as age

advances.

• Whatever be the grounds, an obstruction in the path of rakta dhatu is the core

pathology of the disease.

• In vatarakta , eventhough all pancakarmas are mentioned, basti considered as

the shreshta chikitsa .

REFERENCESCHARAKA SAMHITHA

SUSHRUTA SAMHITHA

ASTANGA HRUDAYA

BHAVAPRAKASHA

YOGARATNAKARA

CHAKRADATTA

VANGASENA

PRINCIPLE AND PRACTICE OF PANCHAKARMA BY Dr.VASANTH.C

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Panchakarma in vatarakta