Pandu Chikitsa - Revision history

Agnivesha: /* Potential areas /scope for further research */

2025-11-01T06:09:08Z

Potential areas /scope for further research

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	The following drugs referred in management of ''pandu'' need to be researched more for providing evidences of its efficacy in anemia and related disorders in comparison to conventional management:		The following drugs referred in management of ''pandu'' need to be researched more for providing evidences of its efficacy in anemia and related disorders in comparison to conventional management:
	#''Dadimadya ghritam''		#Dadimadya ghritam
	#''Katukadyam ghritam''		#Katukadyam ghritam
	#~~''Pathyaghritam''~~		#Pathya ghritam
	#''Danti ghritam''		#Danti ghritam
	#~~''Drakshaghritam''~~		#Draksha ghritam
	#''Haridradi ghritam''		#Haridradi ghritam
	#''Darvyadi ghritam''		#Darvyadi ghritam
	#''Navayasa churnam''		#Navayasa churnam
	#~~''Manduravataka''~~		#Mandura vataka
	#''Tapyadi lauha''		#Tapyadi lauha
	#''Yogaraja''		#Yogaraja
	#''Punarnava Mandura''		#Punarnava Mandura
	#''Darvyadi leha''		#Darvyadi leha
	#''Dhatryavaleha''		#Dhatryavaleha
	~~#''Manduravatakah''~~		#Gaudo arishata
	#''Gaudo ~~arishah''~~		#Bijakarishta
	#~~''Bijakarisha''~~		#Dhatryarishta
	#''Dhatryarishta''

	<big>'''[[Special:ContactMe\|Send us your suggestions and feedback on this page.]]'''</big>		<big>'''[[Special:ContactMe\|Send us your suggestions and feedback on this page.]]'''</big>

Agnivesha: /* Treatment of mrittika bhakshanajanya pandu */

2025-11-01T05:31:28Z

Treatment of mrittika bhakshanajanya pandu

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	Likewise, ghee prepared with ''keshara, yashtamadhu, pippali, kshara'' (alkali preperation) and ''sadvala'' may be given to the patient suffering from ''mrittika bhakshana janya pandu''.		Likewise, ghee prepared with ''keshara, yashtamadhu, pippali, kshara'' (alkali preperation) and ''sadvala'' may be given to the patient suffering from ''mrittika bhakshana janya pandu''.

	If the patient is unable to give up his clay swallowing habits, he should be given clay impregnated with ''vidanga, ela, ativisha,'' neem leaves, ''patha, varataka, ~~katurohiṇī~~, kutaja'' or ''murva'' with a view of creating an aversion to clay. These drugs also counter act the adverse effects of eating clay. [117-123]		If the patient is unable to give up his clay swallowing habits, he should be given clay impregnated with ''vidanga, ela, ativisha,'' neem leaves, ''patha, varataka, katurohini, kutaja'' or ''murva'' with a view of creating an aversion to clay. These drugs also counter act the adverse effects of eating clay. [117-123]
	<div class="mw-collapsible mw-collapsed">		<div class="mw-collapsible mw-collapsed">

Agnivesha: /* Tridoshaja pandu */

2025-11-01T05:27:41Z

Tridoshaja pandu

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	Indulging in the etiological factors of all the three types of ''pandu'' leads to aggravation of the three [[dosha]] resulting in ''tridoshaja pandu'' with the features of all the three types of ''pandu roga''. This type of ''pandu'' causes much distress to the patient [26]		Indulging in the etiological factors of all the three types of ''pandu'' leads to aggravation of the three [[dosha]] resulting in ''tridoshaja pandu'' with the features of all the three types of ''pandu roga''. This type of ''pandu'' causes much distress to the patient. [26]

	=== ''Mrittika bhakshana pandu'' ===		=== ''Mrittika bhakshana pandu'' ===

Agnivesha: /* Prognosis of pandu */

2025-11-01T05:27:10Z

Prognosis of pandu

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	Chronic ''pandu roga'' is incurable. Other symptoms indicating the incurability are appearance of excessive dryness and edema; patient visualizes everything as yellow; passes very hard stool or less amount of stool or passes loose stool associated with mucus and green in color; feels exceedingly prostrated; 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.		Chronic ''pandu roga'' is incurable. Other symptoms indicating the incurability are appearance of excessive dryness and edema; patient visualizes everything as yellow; passes very hard stool or less amount of stool or passes loose stool associated with mucus and green in color; feels exceedingly prostrated; 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.

	Thus, the signs and symptoms of all the five type of ''pandu roga'' have been described [31-33]		Thus, the signs and symptoms of all the five type of ''pandu roga'' have been described. [31-33]

	=== ''Koshthashakhashraya kamala'' ===		=== ''Koshthashakhashraya kamala'' ===

Agnivesha: /* Mrittika bhakshana pandu */

2025-11-01T05:26:36Z

Mrittika bhakshana pandu

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	</div></div>		</div></div>

	Person indulging in the habitual consumption of clay (''mrittika'') gets ~~dośhā~~ aggravated according to the taste of mud viz. astringent mud aggravates [[vata]], saline and alkaline mud aggravates [[pitta]] and sweet mud aggravates [[kapha]] [[dosha]]. The clay further because of its ununctuousness causes dryness in the ''rasa'' (nutrients of the digested food). The clay due to its undigestable nature fills and blocks the channels of circulation leading to decrease in the sharpness of the senses, luster, energy and [[ojas]] (vital essence of the tissues). This quickly manifesting ''pandu'' results in the loss of strength, complexion and digestive power. Its clinical features are edema of the cheeks, peri orbital edema and edema on the eyebrows area, feet, umbilical region and the pudendum; infestation of worms in the ''koshtha'' (gastrointestinal tract) and loose motions, the stool associated with blood and mucus [27-30]		Person indulging in the habitual consumption of clay (''mrittika'') gets [[dosha]] aggravated according to the taste of mud viz. astringent mud aggravates [[vata]], saline and alkaline mud aggravates [[pitta]] and sweet mud aggravates [[kapha]] [[dosha]]. The clay further because of its ununctuousness causes dryness in the [[rasa]] (nutrients of the digested food). The clay due to its undigestable nature fills and blocks the channels of circulation leading to decrease in the sharpness of the senses, luster, energy and [[ojas]] (vital essence of the tissues). This quickly manifesting ''pandu'' results in the loss of strength, complexion and digestive power. Its clinical features are edema of the cheeks, peri orbital edema and edema on the eyebrows area, feet, umbilical region and the pudendum; infestation of worms in the [[koshtha]] (gastrointestinal tract) and loose motions, the stool associated with blood and mucus. [27-30]

	=== Prognosis of ''pandu'' ===		=== Prognosis of ''pandu'' ===

Agnivesha at 10:19, 23 February 2024

2024-02-23T10:19:44Z

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	\|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]		\|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]
	\|label6 = Translator and commentator		\|label6 = Translator and commentator
	\|data6 = Kar A.C.,Rai S., Aladoriya N., Deole Y. S.		\|data6 = Kar A.C., Rai S., Aladoriya N., [[Yogesh Deole\|Deole Y. S.]]
	\|label7 = Reviewer		\|label7 = Reviewer
	\|data7 = Ojha S.N.		\|data7 = Ojha S.N.
	\|label8 = Editors		\|label8 = Editors
	\|data8 = Singh G., Goyal M., Deole Y.S., Basisht G.		\|data8 = Singh G., Goyal M., [[Yogesh Deole\|Deole Y.S.]], [[Gopal Basisht\|Basisht G.]]
	\|label9 = Year of publication		\|label9 = Year of publication
	\|data9 = 2020		\|data9 = 2020

Agnivesha at 13:03, 7 March 2023

2023-03-07T13:03:04Z

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	\|type=article		\|type=article
	}}		}}

	<big>'''[[Chikitsa Sthana]] Chapter 16. Management of Pandu (Anemia and diseases due to blood deficiency)</big>'''		<big>'''[[Chikitsa Sthana]] Chapter 16. Management of Pandu (Anemia and diseases due to blood deficiency)</big>'''
	{{Infobox		{{Infobox
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	\|data11 = [https://doi.org/10.47468/CSNE.2020.e01.s06.017 10.47468/CSNE.2020.e01.s06.017]		\|data11 = [https://doi.org/10.47468/CSNE.2020.e01.s06.017 10.47468/CSNE.2020.e01.s06.017]
	}}		}}


	<big>'''Abstract </big>'''		<big>'''Abstract </big>'''
	<~~div~~ style="text-align:justify;">		<p style="text-align:justify;">''Pandu roga'' (resembling with anemia) is characterized by pallor which is associated with different colors according to [[dosha]] involved. Besides ''pandu roga'', this chapter also describes two types of ''kamala'' (jaundice) which are two other associated diseases, caused by predominance of [[pitta]] [[dosha]] which causes alteration in normal colors of the body. The chapter describes general etiology, pathogenesis, symptoms etc of ''pandu roga'' (anemia) as well as each of its five types viz. [[vata]], [[pitta]], [[kapha]], sannipataja and ''mrittika-bhakshana'' (clay eating) ''pandu''. After describing general principle of treatment of ''pandu'' and ''kamala'', detailed treatment of each of the conditions mentioned above along with ''pathya'' (recommended diet) and apathya (prohibited diet) are given.
	''Pandu roga'' (resembling with anemia) is characterized by pallor which is associated with different colors according to [[dosha]] involved. Besides ''pandu roga'', this chapter also describes two types of ''kamala'' (jaundice) which are two other associated diseases, caused by predominance of [[pitta]] [[dosha]] which causes alteration in normal colors of the body. The chapter describes general etiology, pathogenesis, symptoms etc of ''pandu roga'' (anemia) as well as each of its five types viz. [[vata]], [[pitta]], [[kapha]], sannipataja and ''mrittika-bhakshana'' (clay eating) ''pandu''. After describing general principle of treatment of ''pandu'' and ''kamala'', detailed treatment of each of the conditions mentioned above along with ''pathya'' (recommended diet) and apathya (prohibited diet) are given.		<br/>

	'''Keywords''': Pandu roga, kamala, koshthashakhashrita kamala, shakhashrita kamala, panaka, kumbhakamala, haleemaka, anemia, jaundice		'''Keywords''': Pandu roga, kamala, koshthashakhashrita kamala, shakhashrita kamala, panaka, kumbhakamala, haleemaka, anemia, jaundice
	</~~div~~>		</p>

Agnivesha at 06:39, 20 September 2022

2022-09-20T06:39:53Z

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	\|title=Pandu Chikitsa		\|title=Pandu Chikitsa

Agnivesha at 11:59, 23 February 2022

2022-02-23T11:59:29Z

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	==== Types of ''kamala'' ====		==== Types of ''kamala'' ====

	==== 1. ''Shakhashrita Kamala/Alpa [[pitta]] (''Dhatu ashrita'') ====		==== 1. ''Shakhashrita Kamala/Alpa'' [[pitta]] (''Dhatu ashrita'') ====

	The passage of [[pitta]] is obstructed by vitiated [[kapha]] and not allowing [[pitta]] to enter ''kostha'', it will cause excess of [[pitta]] in body tissues in ''Shakhasrita Kamala''. This involves the obstructive pathologies at hepatic circulation. As the [[pitta]] cannot enter the gastro-intestinal tract, it leads to clay colored stools. In obstructive jaundice, bilirubin has no access to the intestine and it is the reason for pale stools.		The passage of [[pitta]] is obstructed by vitiated [[kapha]] and not allowing [[pitta]] to enter ''kostha'', it will cause excess of [[pitta]] in body tissues in ''Shakhasrita Kamala''. This involves the obstructive pathologies at hepatic circulation. As the [[pitta]] cannot enter the gastro-intestinal tract, it leads to clay colored stools. In obstructive jaundice, bilirubin has no access to the intestine and it is the reason for pale stools.

Agnivesha at 11:57, 23 February 2022

2022-02-23T11:57:14Z

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	This description of stools being clay colored, but the urine being yellow shows that they were very close in concept to the modern day physiopathology of obstructive jaundice especially hepatocellular ones (wherein due to an inability of the bile to pass into the gastrointestinal tract it circulates into the blood and the conjugated bilirubin being water soluble fraction is filtered and passes out into the urine). Further the description of [[pitta]] being the bi-product of [[rakta]] is also very similar to the fact of bile being produced as a result of Red Blood Cell destruction. The most common cause is gall stones in the common bile duct and pancreatic cancer in the head of pancreas. Also, a group of parasites known as liver flukes can live in common bile duct causing obstructive jaundice. Biliary atresia, cholanjiocarcinoma, pancreatitis, cholestasis of pregnancy and pancreatic pseudocysts are causes for obstruction of bile flow into the duodenum.		This description of stools being clay colored, but the urine being yellow shows that they were very close in concept to the modern day physiopathology of obstructive jaundice especially hepatocellular ones (wherein due to an inability of the bile to pass into the gastrointestinal tract it circulates into the blood and the conjugated bilirubin being water soluble fraction is filtered and passes out into the urine). Further the description of [[pitta]] being the bi-product of [[rakta]] is also very similar to the fact of bile being produced as a result of Red Blood Cell destruction. The most common cause is gall stones in the common bile duct and pancreatic cancer in the head of pancreas. Also, a group of parasites known as liver flukes can live in common bile duct causing obstructive jaundice. Biliary atresia, cholanjiocarcinoma, pancreatitis, cholestasis of pregnancy and pancreatic pseudocysts are causes for obstruction of bile flow into the duodenum.

	==== 2. ''Kostha Shakhashrita Kamala/bahu [[pitta]] (''Maha Srotasashrita'') ====		==== 2. ''Kostha Shakhashrita Kamala/bahu'' [[pitta]] (''Maha Srotasashrita'') ====

	''Bahupitta kamala'' or ''Kostha-shakhasrita kamala'' mostly resembles the pre-hepatic and hepatocellular jaundice. Pre-hepatic jaundice is caused by anything which causes haemolysis. Pre-hepatic cause include severe malaria, certain genetic diseases such as sickle cell anemia, spherocytosis, thalassemia, pyruvate kinase deficiency and glucose 6-phospate dehydrogenase (G6PD) deficiency, which lead to increased destruction of red cells and therefore hemolytic jaundice. Hepato-cellular Jaundice can be caused by acute or chronic hepatitis, hepatotoxicity, cirrhosis, drug induced hepatitis and alcoholic liver disease.		''Bahupitta kamala'' or ''Kostha-shakhasrita kamala'' mostly resembles the pre-hepatic and hepatocellular jaundice. Pre-hepatic jaundice is caused by anything which causes haemolysis. Pre-hepatic cause include severe malaria, certain genetic diseases such as sickle cell anemia, spherocytosis, thalassemia, pyruvate kinase deficiency and glucose 6-phospate dehydrogenase (G6PD) deficiency, which lead to increased destruction of red cells and therefore hemolytic jaundice. Hepato-cellular Jaundice can be caused by acute or chronic hepatitis, hepatotoxicity, cirrhosis, drug induced hepatitis and alcoholic liver disease.