Management of pandu roga (1)

Management of Pandu roga in Ayurveda

1. Amrit_talks#TRUE VEDA

2. Management of Pandu roga
Dr. Amrit Godbole
B.A.M.S (State AyurvedicCollege, Lucknow)
M.D Kayachikitsa(FOA, IMS, BHU)
C.C.Y.P (BHU)

3. Prognosis ofPandu
ऩाण्डुयोगश्चियोत्ऩन्नः खयीबूतो न सिध्मतत| कारप्रकर्ााच्छूनो ना मचि
ऩीतातन ऩचमतत||३१||
फद्धाल्ऩविट्कं िकपं हरयतं मोऽततिामाते| दीनः
चिेताततददग्धाङ्गचछददाभूच्छाातृर्ाददातः||३२||
ि नास्तत्मिृक्क्षमाद्मचि ऩाण्डुः चिेतत्िभाप्नुमात्|
इतत ऩञ्िविधस्तमोक्क्तं ऩाण्डुयोगस्तम रषणभ्||३३||

4. Chronicityofanyailmentleadstodhatukshayawhichresultsintovata
prakopa.LongstandingPandurogduetovitiationofVatadoshaand
depletionofsnehanshandojawhichisrepresentedasappearanceof
excessivedrynessoverbodyleadstoitsincurablestate.
Precipitationofedemaoverbodyandpatientvisualizeseverythingtobe
yellowincolour;
Passesveryhardstoolorlessamountofstoolorpassesloosestool
associatedwithmucusandgreenincolor;
Feelsexceedinglyprostrated;

5. Body becomes excessively white as if be smeared with
whiteness; has vomiting, fainting and excessive thirst and
when the patient develops excessive whiteness in the body
as a result of loss of blood.
All these features establishes the chronic and incurable stage
of the Pandurog.

6. Principles of treatment
तत्र ऩाण्ड्वामयी स्ननग्धनतीक्ष्णैरूर्धवाानुऱोममकैैः|
संशोर्धयो मृदुमिस्नतकतैैः कामऱी तु ववरेचनैैः||४०||
theorderoftreatmentwillbe:-----
Snehana
SnehanaisdonebyvariousGhritapreparationsinPandurog
reasonbehindisthatitpacifiesVataandPittaandatthesame
timeignitestheAgni.
Teekshnavamanand
virechana

7. ताभमां िंशुद्धकोष्ठाभमां ऩथ्मान्मन्नातन दाऩमेत्|
शारीन् िमिगोधूभान् ऩुयाणान् मूर्िंदहतान्||४१||
भुद्गाढकीभिूयैचि जाङ्गरैचि यिैदहातैः|
मथादोर्ं विसशष्टं ि तमोबैर्ज्मभाियेत्||४२||
Aftersamyaksanshodhani.e.Urdhwa(vamana)andanulomana
(virechana),pathyaannaisadvisedtothepatientsothat
maintainenceofagnitakesplace.
Andalongwithpathyaannadoshaspecificmedicinaltreatmentis
alsoadvised.

8. For maintainenceof agni
Pathyaannasevanaand Doshanusaarchikitsa
To expellout excess dosha
Vamanand virechan
For pacification of vata, pitta and ignition of agni
Snehanachikitsa

9. Role of Ghritain Panduas per modern science
“Ghee(clarifiedbutter)isknownasGhrta(commonly
spelledGhrita)inSanskrit.ItisanexcellentAnupana(therapeutic
vehicle)fortransportingthepropertiesofherbstothedeepertissue
layersofthebody.Properdigestion,absorption,anddeliverytoa
targetorgansystemarevitallyimportantforobtainingthemaximum
benefitfromanytherapeuticformulation.”
https://www.sciencedirect.com/science/article/pii/B978
0124114623000187
“Lipidsincreasestheintestinalabsorptionofironfromthedietary
substances.”
https://academic.oup.com/ajcn/article-abstract/105/6/1521/4569780

10. Role of Gomutrain Pandu
Samanyaguna-karma of Mutra
उष्णं तीक्ष्णभथोऽ�षं कटुकं रिणाश्न्ितभ्||९४||
भूत्रभुत्िादने मुक्क्तं मुक्क्तभारेऩनेर्ु ि|
मुक्क्तभास्तथाऩने भूत्रं मुक्क्तं िावऩ वियेिने||९५||
स्तिेदेष्िवऩ ि तद्मुक्क्तभानाहेष्िगदेर्ु ि|
उदयेष्िथ िाशाःिु गुश्ल्भकुश्ष्ठककरासिर्ु ||९६||
तद्मुक्क्तभुऩनाहेर्ु ऩरयर्ेके तथैि ि|
दीऩनीमं विर्घ्नं ि किसभघ्नं िोऩददचमते||९७||
ऩाण्डुयोगोऩिृष्टानाभुत्तभं शभा िोच्मते|
चरेष्भाणं शभमेत् ऩीतं भा�तं िानुरोभमेत्||९८||
कर्ेत् वऩत्तभधोबागसभत्मश्स्तभन् गुणिङ्रहः|

11. Properties of indigenous cow urine
गव्मं िभधुयं ककश्ञ्िद्दोर्घ्नं किसभकुष्ठनुत्|
कण्डूं ि शभमेत् ऩीतं िम्मग्दोर्ोदये दहतभ्||१०१||
The urine of cow is slightly sweet, alleviates discordance of dosha
and cures worms and chronic dermatoses(kushtha) and relieves
pruritis. Its proper intake cures disorders of abdomen
“Gomutrais capable of removing all the imbalances in the body,
thus maintaining the general health. Cow Urine contains 95% water,
2.5% urea, minerals, 24 types of salts, hormones, and 2.5%
enzymes. It also contains iron, calcium, phosphorus, carbonic acid,
potash, nitrogen, ammonia, manganese, sulfur, phosphates,
potassium, urea, uric acid, amino acids, enzymes, cytokine and
lactose.”

12. “The indigenous CU contains „Rasayana‟ tatva, which is responsible
for modulation of the immune system and also act as a bioenhancer.
This bioenhancingactivity of CU has been aptly and widely used in
various ayurvedicformulations like Mandurvatak, Darvighrita, and
Punnarvamandur.”
(RandhawaGK,SharmaR.Chemotherapeuticpotentialofcowurine:Areview.J
IntercultEthnopharmacol.2015;4(2):180‐186.doi:10.5455/jice.2015022210032)

13. Medicated water
श्स्तथयाददसबः शृतं तोमं ऩानाहाये प्रशस्तमते
Waterboiledwiththedrugsbelongingtosthiradi(laghu
panchmoola)groupisusefulfordrinkingandthepreparationoffoods
forpandurogi.
LaghuPanchamoolisvata-pittashamakatthesamemedicated
waterisgoingtododoshapachanaandagnideepanadueto
ushna guna of jala

14. Treatment ofmrittikabhakshanajanya
pandu
तनऩातमेच्छयीयात्तु भृवत्तकां बक्षषतां सबर्क्||११७||
मुश्क्क्तज्ञः शोधनैस्ततीक्ष्णैः प्रिभीक्ष्म फराफरभ्| शुद्धकामस्तम
िऩींवर् फराधानातन मोजमेत्||११८||
Teekshnasanshodhanain order to remove the swallowed
mud from the body as per the body built of the patient. This
is followed by medicated ghee for promotion of strength.

15. Ghritapreparation for oleation
purpose
Panchagavyaghrita,
Mahatiktaghrita
Kalyanakaghrita
Dadimadyaghritam
Katukadyamghritam
Pathyaghritam
Dantighritam
Drakshaghritam
Haridradighritam
Darvyadighritam

16. Preparations in Pandurogafor samshodhana
purpose
Milkwithcow‟surineormilkalone
lukewarminfusionofdantisprinkledwiththepowderof
oneanjaliofkashmarya
halfpalaoftrivittamixedwithonepalaofsugar
haritakichurnaimmersedincow‟surine.
decoctionoftriphalaalongwithcow‟surine
SuvarnakshiriYog
Go-mutraharitaki
Vishaladiphant

17. Lauhpreparations for Pandurog
Navayasachurnam
Manduravataka
Tapayadilauha
Yogaraja
PunarnavaMandura
Shilajatuvataka
Darvyadileha

18. Role of Arishtain Pandu
ArishtashavesomecharacteristicpropertieslikeSukshma,
Ushna,VyavayiGunas;theyareeasilyassimilatinginthe
body.Arishtashavingagnideepanapropertyandare
popularlyusedindifferentconditionssuccessfully.
(DigheDattatrayPandurangetal.Reviewonpharmacologicalpropertiesofarishta
kalpanawithglanceonarishtakalpasofbhaishajyaratnavali.Int.J.Res.Ayurveda
Pharm.2018;9(2):6-11http://dx.doi.org/10.7897/2277-4343.09226)
Gaudaarishta
Beejakarishta
Dhatryarishta

19. ModeofactionofArishta.

20. Correlation of Panduwith
different types of Anaemia’s

21. Correlation of VatajaPandu
Megaloblastic
anemias
(Vitamin B12
and folic acid
deficiency)
"Pins and
needles"
sensation
Blackish
discoloration
of the skin
Dryness of stool
or constipation
Dry skin or
body
Loss of
taste/aguesia
Tremors

22. Hemolytic
anemia/
Thrombocyto
-penia
Bloody
urine/Blackish
urine/stool
Reddish
discoloration of
body
parts/petechiae
Reddish or
Blackish
discoloration in
eyes, face and
nails
Correlation of PittajaPandu

23. Co-relation of KaphajaPandu
Agni mandyataleads to poor assimilatonof ahararasa and
production of rasa dhatuwhich furthrerleads to uttarottara
dhatukshayaand amamakes a coating over cells which creates
a kind of hindrance in absorption of nutrients per se iron.
Thus the resultant is iron deficinecyanaemia
amotpatti
Kaphavardhaknidansevanaleads to
Agni mandyata

24. Summary
http://www.carakasamhitaonline.com/mediawiki-1.32.1/index.php?title=File:Pandu.png

25. िाततके स्तनेहबूतमष्ठं, ऩैवत्तके ततक्क्तशीतरभ्||११६||
चरैश्ष्भके कटुततक्क्तोष्णं, विसभश्रं िाश्न्नऩाततके|११७|
Thetherapyshouldbedominatedbyunctuousdrugs(oil,gheeetc)
forvatikatypeofpandu;bybitterandcoolingdrugs
forpaittikatypeandbypungent,bitterandhotdrugs
forkaphajatypeofpandu.
Principles of treatment according
toDosha

26. CONCLUSION
Panducanberelatedwiththedisordersofimproperformationof
bloodtissueduetovitiationofpittadosha.Pittadoshaisconsidered
toberesponsibleforalldigestion,transformationandmetabolism
processesinthebody.Therefore,thedisorderslikeanemia,
nutritionaldeficiencyaremainlyconsideredunderpanduroga.
Thedisorderswhichincludepathologiesofimpairedmetabolism
andformationofplasma,blood,musclesandfatcanalsobereferred
undertheumbrellaofpanduroga.Theseincludethyroidfunction
disorders,hematologicaldisorderslikethalessemia,jaundiceetc.
Thereforeaclinicianneedstoassessthedosha,dhatudushti,status
ofagniandrogibalaandafterthatshouldplanthetreatment
accordingly.

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