PANCHAKARMA CHIKITSA

IN DUSITA STANYA JANYA VYADHI

Dr. Siba Prasad MD(Panchakarma)Lec. In Guru Nanak Ayurvedic Medical College, Shri Muktsar Sahib, Punjab.

Presenter

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CONTENTS

• INTRODUCT ION

• PANCHAKARMA VS PED IATR ICS

• PANCHAKARMA STANDARDS IN PED IATR ICS

• PROPERT IES OF SUDDHA STANYA

• EXAMINAT ION OF DUSH ITA STANYA

• DUSH ITA STANYA L AK SHANA

• CH IK ITS A FOR DUSH ITA STANYA JANYA ROGA

• PATHYA

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• Kaumarabhritya, one of the Astangas of Ayurveda deals

with child care and treatment of disease of children.

• कौमारभृत्यं नाम कुमारभरण धात्रीक्षीरदोषसंशोधनार्थं� दुष्टस्तन्यग्रहसमुत्थानां च व्याधि�नामुपशमनार्थ�म् ॥

• 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

INTRODUCTION

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• शिशशोर्व्याा�धौ समुत्पने्न धात्रीणामेव शोधनम् ।

अलं बालसुखायेति% को लोके नावबुद्धये%े ॥

यस्%ु कायग%स्य दोषाणां पुव�संचयः ।

अनुद्ध%ृे कर्थंं %स्मिस्मन्.... (र्व्यााधिधस्%स्य)प्रसम्यति% ॥

• EpÉrÉÉåxiÉÑ rÉSÉ xÉqrÉMçü zÉÉåkÉlÉÇ

MÑüÂiÉå ÍpÉwÉMçü||

iÉSÉÅÅUÉåarÉÇ pÉuÉirÉÉzÉÑ

ÍzÉzÉÉåsÉåïZÉÉ rÉjÉÉÅÎxqÉlÉç |

• SÉåwÉÉhÉÉqÉÉzÉÉrÉÉå kÉɧÉÏ

pÉÑkÉUÉÈ xÉËUiÉÉ (ÍqÉuÉ) ||

Ref: Kasyapa

PANCHAKAMA VS PEDIATRICS

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pÉåwÉeÉÇ qÉkÉÑxÉÌmÉïprÉÉåï

qÉÌiÉqÉÉlÉÑmÉMüsmÉrÉåiÉç

SÎliÉzrÉÉqÉÉMüÎqmÉssÉMülÉÏÍsÉM

üÉxÉmiÉsÉÉuÉcÉÉÌuÉwÉÉÍhÉMüÉSÏ

lÉÉÇ mÉÑuÉÉåï£üÉlÉÉÇ sÉÉpÉiÉÈ

MüÌwÉïhÉÉÇpÉÉaÉÉlÉbÉïmÉÍsÉlÉÉ

Ç uÉÉ mÉëxjÉ

̲mÉëxjÉqÉɧÉÏwuÉmxÉÑ

cÉiÉÑpÉÉïaÉÉuÉzÉåwÉ...........qÉѧ

ÉrÉÑ£Çü lÉÉÌiÉSìuÉÉåwhÉÍzÉiÉÇ

mÉÉrÉrÉåiÉç

MüÉsÉoÉsÉuÉrÉÉåaÉSÉuÉå¤ÉqÉç

Ref: Ca. Ci 30; Ast. Hru. Ut. 2; Kashyapa. Siddhisthana; Sarangadhar

PANCHAKAMA STANDARDS IN PEDIATRICS

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Contd….xɱxiÉÉlÉç uÉqÉlÉÇ iÉxqÉÉiÉç

mÉÉrÉrÉålqÉÌiÉqÉÉlÉç qÉ×SÒ |

xiÉlrÉxrÉ iÉ×miÉÇ uÉqÉrÉåiÉç

¤ÉÏU¤ÉÏUɳÉxÉåÌuÉlÉqÉç

mÉÏiÉuÉliÉÇ iÉlÉÑÇ mÉårÉÉqɳÉÉSÇ

bÉ×iÉxÉÇrÉÑiÉÉqÉç|

uÉÎxiÉÇ xÉÉkrÉå ÌuÉUåMåühÉ

qÉzÉåïlÉ mÉëÌiÉqÉzÉïlÉqÉç ||

ÍzÉzÉÑlÉÉqÉÍzÉzÉÑlÉÉÇ cÉ

oÉÎxiÉMüqÉÉïqÉ×iÉÇ rÉjÉÉ |

(MüÉzrÉmÉ)

xÉÑMÑüqÉÉUxrÉ uÉ×®xrÉ oÉÉsÉxrÉ

cÉ qÉ×SÒÌWïûiÉÈ | (zÉÉUaÉÇkÉU)

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• 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

Ref:

Contd….

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• 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.

Ref:

Contd….

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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 LMü WûÉå eÉÉrÉ

_ Mixed with water• lÉ iÉæUiÉÉ WûÉå lÉÉ QÒûoÉiÉÉ WûÉå -

Neither floats nor Sinks Ref: Su. Ni 10/25, Su. Ni. 10/33

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EXAMINATION OF DUSHITA STANYA• uÉÉiÉ

• MüwÉÉrÉ UxÉ (Astringent)• mÉÉÌlÉ qÉåÇ iÉæUlÉÉ (Floats on water)• Â¤É (Fat less Milk)

• ÌmÉ¨É • MüOÒû LuÉÇ AqsÉ UxÉ (Bitter & Acidic), • EwhÉ, SÉWûM×üiÉç (Hot & Burning sensation)• mÉÉÌlÉ qÉåÇ lÉÏsÉå UÇaÉ MüÉ kÉÉËUrÉÉÇ (Yellow

coloured lines will appear on water)• MüTü

• sÉuÉhÉ (Salty)• ÌmÉÎcNûsÉ, bÉlÉ (Slimy & Thick)• mÉÉÌlÉ qÉåÇ QÒûoÉ eÉÉiÉÉ Wæû (Sinks in water)

• xÉÉͳÉmÉÉÌiÉMü AÉãU AÍpÉbÉÉiÉ qÉåÇ xÉÍpÉ sɤÉhÉ ÍqÉsÉiÉå WæÇû

Ref: Su. Ni 10/26, Ast. Hru. Ut.2/3-4; Ca. Ci. 30

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DUSHITA STANYAPANA JANA LAKSHANA & CHIKITSA

• Vatadusta stanyapanajana Lakshana &

Chikitsa

• Pittadusta stanyapanajana Lakshana &

Chikitsa

• Kaphadusta stanyapanajana Lakshana &

Chikitsa

• Ksheeralasaka Lakshana & Chikitsa

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• Drugs & Dosage qÉ×SÒ iÉϤhÉ uÉåaÉ UÌWûiÉ AaÉÑÇÍsÉmÉuÉï²rÉaÉëWû

hÉxÉÇÍqÉiÉÉqÉç - ¤ÉÏUmÉÉ

MüÉåsÉÎxjÉxÉÇÍqÉiÉÉÇ MüsMüqɧÉÉÇ - ¤ÉÏUɳÉÉSÉ

MüÉåsÉxÉÇÍqÉiÉÉÇ – A³ÉÉSÉ

Ref: Su. Sa. 10/40,41; Su.Su.35/29,36; B. R. 71/1-2; Ca.Ci. 30

• pÉåwÉeÉÇ xuÉsmÉqÉɧÉÇ iÉÑ rÉjÉÉurÉÉÍkÉ mÉërÉÉåeÉrÉåiÉç||

• qÉkÉÑUÉÍhÉ MüwÉÉrÉÉÍhÉ ¤ÉÏUuÉÎliÉ qÉ×SÒÌlÉ cÉ |

• Administration ¤ÉÏUmÉÉ AÉåU

¤ÉÏUɳÉÉSÉ oÉÉsÉMü – SÒakÉ LuÉÇ bÉ×iÉ xÉÌWûiÉ ; kÉɧÉÏ – SÒakÉ xÉÌWûiÉ

A³ÉSÉ – MåüuÉsÉ oÉÉsÉMü

sÉåWû xiÉlÉsÉåmÉ

CHIKITSA FOR DUSHITA STANYAJANYA ROGA

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Vatadusta stanyapanajana Lakshana

Vataja rogaBadhata Of Mala, Mutra & Vata – Retention of Stool, Urine

Vairasya – Tastelessness of milkKrishanga – PEM

The child does not show interest in breast feeding

Phenasamghata Ksinaswara

Ruksha - Milk with less fatBalahrasa – Loss of Strength and Immunity

Ref: Ca. Chi. 30; Ast. Hru. Ut. 2; Ka. Su.

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Vatadusta Stanyapanajana Roga Chikitsa

• Mother Dashamoola kwatha- 3daysSnehapana- 3 daysSnehena SwedanaVamana –Mrudu virechanaVasti

• BabyLehana- Ghee prepared with Rasna, Ajomoda, Saralakastha & Devdaru.

Ref:

• 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

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LEPA AND ITS APPLICATION

• 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.

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LEPA

• AgeÉlÉÉÌS sÉåmÉ AgeÉlÉ, lÉÉaÉU, SåuÉSÉÂ, ÌoÉsuÉqÉÑsÉÇ,

ÌmÉërÉÇaÉÑ

• rÉuÉrÉÉåkÉÑqÉÉÌS sÉåmÉrÉuÉ + aÉÉåkÉÑqÉ + xÉwÉïmÉ

• xiÉlrÉzÉÉåkÉlÉ sÉåmÉeÉÏuÉlÉÏrÉ qÉWûÉMüwÉÉrÉ- eÉÏuÉMü,

ÂwÉpÉMü, qÉåSÉ, qÉWûqÉåSÉ, MüMüÉåsÉÏ, ¤ÉÏUMüMüÉåsÉÏ, qÉѪmÉhÉÏï, qÉÉwÉmÉhÉÏï, eÉÏuÉliÉÏ, qÉkÉÑMü

oÉ×WûiÉç mÉgcÉqÉÑsÉ

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• YuÉÉjÉ

SìɤÉÉ+qÉkÉÑMü+xÉÉËUuÉÉ+¤ÉÏUÌuÉSÉUÏ

mÉÉPûÉ+xÉÉåÇPû+zÉÉ…¡åïû¹É+qÉÑuÉÉï

ÌMüUÉiÉMüÉÌS YuÉÉjÉ- aÉÑÂÍcÉ+ÌMüUÉiÉMü+xÉÉåÇPû

xiÉlrÉzÉÉåkÉlÉ qÉWûMüwÉÉrÉ – mÉÉPûÉ, xÉÉåÇPû, SåuÉSÉÂ, lÉÉaÉUqÉÉåjÉÉ, qÉÑuÉÉï, aÉÑQÒûÍcÉ, uÉixÉMü, ÌM UÉiÉÌiÉ£ü, MÑüOûMüÐ, xÉÉËUuÉÉ - The kalka of these drugs shohld processed with milk and advised/ Ghee could be prepared by using the kalka

Administration – All the formulas told above should be given with warm water to the Mother

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Pittadusta Stanyapaanajanya Roga

Pitta janita roga Vivarnata stanya- Geen, Yellow, Black

Swinno- Excess sweating Atisara – Diarrhoea Trushna – Thirsty Discolouration of Skin Liquid Stool Sarvanga ushna – High temperature

Durgandha stanya Pandu - Anaemia Kamala- Jundice

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Pittadusta stanyapanajana roga Chikitsa

• Mother– Decoction prepared of Guduchi, Shatavari, Patola,

Neem, Sariva/ Shatavari, Patola & Padmakadigana

– 7tola

– Snehapana – Ghrita prepared of Padmakadigana/

Sariva/ Patola/ Shatavari

– Virechana

– Sheetala Abhynga

– Sheetala Lepa Ref:

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Decoction prepared of Guduchi, Shatavari, Patola, Neem, Sariva, Lalchandana, Anantmoola & Padmakadigana- 1tola

Virechana

Abhynga

Lepa

SìɤÉÉÌS sÉåmÉ- SìɤÉÉ + qÉkÉÑMü

xÉÉËUuÉÉÌS sÉåmÉ – xÉÉËUuÉÉ+EzÉÏU+qÉÎgeɸÉ+cÉlSlÉ

mɧÉÉÌS sÉåmÉ – mɧÉ+xÉÑaÉlkÉoÉÉsÉÉ+sÉÉsÉcÉlSlÉ+EzÉÏU

BABY

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Kwatha

• rɹÏqÉkÉÑ + qÉ×̲MüÉ + ¤ÉÏUÌuÉSÉUÏ

+ ÍxÉlkÉÑuÉÉËUMüÉ

• MüÉMüQûÍxÉÇaÉÏ + qÉåwÉzÉ×ÇaÉÏ +

̧ÉTüsÉÉ + WûsSÏ + uÉcÉÉ

• Administration – All the formulas told above should

be given with cold water to the Mother

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Kaphadusta Stanyapaanajanya Roga zsÉåwqÉ UÉåaÉuÉÉlÉç Snigdha Stanya

• sÉÉsÉÉsÉÑÈ – Excess salivation• ÌlÉSìÉÎluÉiÉ - Excess Sleeping• µÉÉxÉ - Asthma• MüÉxÉ - Cough• NûÌSï- Vomiting

Picchila syanya• sÉÉsÉÉsÉÑÈ – Excess salivation• eÉQûÈ - Lazy/ Not showing interest in

Physical activity • zÉÑlÉuÉY¢üɤÉzNûSïlÉÈ- Swelling over the

eyes/whole body Gurustanya

Hrudaya Roga

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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

Ref:

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• 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

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Kwatha & Aristha

• zÉÉ…¡åïû¹É + ApÉrÉÉ + uÉcÉÉ • qÉÑxiÉÉ + lÉÉaÉU + mÉÉPûÉ • iÉ¢üÉËU¹• §ÉÉrÉqÉÉhÉ + AqÉ×iÉÉ + ÌlÉqoÉ

+ mÉOûÉåsÉ + ̧ÉTüsÉÉ• ÌmÉmmÉsÉÏqÉÑsÉ + cÉurÉ +

ÍcɧÉMü + lÉÉaÉU

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Tridosha dusta stanyapaanajanya Roga/ Ksheeralasaka

• qÉsÉ– SÒaÉïlkÉ – AÉqÉ rÉÑ£ü – eÉsÉÉåmÉq

ÉqÉç– ÌuÉoɮǖ ÌuÉÎcNû³ÉÇ– TåüÌlÉsÉÇ– lÉÉlÉÉurÉjÉÉ– lÉÉlÉÉuÉhÉï

• qÉѧɖmÉÏ

sÉÉ– xuÉ

åiÉ– bÉlÉ

qÉç

• UÉåaÉ– euÉU– AUÉåcÉMü– iÉ×whÉÉ– NûÌSï– zÉÑwMü EªÉU– ÌuÉeÉ×ÎqpÉMüÉ– A…¡ûpÉ…¡ûÉå– A…¡ûÌuɤÉåmÉ– MÑüeÉlÉÇ– uÉåmÉjÉÑ– pÉëqÉÈ– bÉëÉhÉÉͤÉqÉÑ

ZÉmÉÉMü

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Ksheeralasaka Chikitsa

• Mother & Baby

• iɧÉzÉÑ kÉɧÉÏÇ oÉÉsÉÇ uÉqÉlÉålÉÉåmÉmÉÉSrÉåiÉç||

ÌuÉÌWûiÉÉrÉÉÇ cÉ xÉÇxÉarÉÉïÇ uÉcÉÉÌSÇ rÉÉåeÉrÉåªhÉqÉç |

ÌlÉzÉÉÌSÇ uÉÉÅjÉuÉÉ qÉÉSìÏmÉÉPûÉÌiÉ£üÉbÉlÉÉqÉrÉÉlÉç ||– Vamana

– Vachaadi gana – Vacha, Nagaramotha, Devdaru, Sounth, Atisa,

Haritaki

– Nishadigana - Haldi, Daruhaldi, Yastimadhu, Prushniparni, indrajou

– Kwatha- Atisa, Patha, kutaki, mothaa , Kutha

– Management according to the disease

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mÉjrÉ• A³É

– zÉÉsÉÏwɸÏMü

– zrÉÉqÉMüÉ– ÌmÉërÉ…

¡ûuÉ– MüÉåUSÒw

É– uÉåhÉÑrÉuÉ

• zÉÉMü– uÉÇzÉ– uÉå§É– MüsÉÉrÉ

• rÉÑwÉ– qÉѪ– qÉxÉÑU– MÑüsÉijÉ

• xiÉlrÉ zÉÉåkÉMü rÉÑwÉ– ÌlÉqÉ

AÇMÑüU– uÉå§É

AÇMÑüU– mÉOûÉåsÉ

mĘ́ÉrÉÉÇ– uÉÉiÉÉïMü– AÉqÉsÉMü

• qÉÉÇxÉ UxÉ– zÉzÉ– M

ÌmÉgeÉsÉ– LhÉ

• Yusha- Trikatu & Saindhava should be added before administration

• Mamsarasa – It should be fried with Ghee

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