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Line 823: − • Langhana becomes the first line of treatment in chhardi as shamana chikitsa (pacificatory treatment). Samshodha can be preferred where doshas are in utklisht stage and ready to be expelled out. Vamana is recommended when doshas are accumulated in amashya or amashayottha (originating from stomach or upper gastro-intestinal tract). Whereas virechana is recommended in case of post-amashayottha (in lower gastro intestinal tract) accumulated doshas, considering nearest route of samshodhana. The choice of drugs should be done as per the doshanashakatva (capacity to subside the vitiated doshas) ( verse 20). + − • Haritaki is known for its laxative action (anulomaneeya). It not only tridoshahara but also posseses many more qualities (Charaka Chikitsa 1/1/29-34) which can be helpful for samprapti vighanatana (breaking pathogenesis) in chhardi. The choice of hridya dravya (liking to mind) is recommended in chhardi which should be given with madya (alcohol) and dugdha (cow milk) as an anupana. Madya due to its specific guna (Cha. Su. 27/ 193-195) results in quick absorption of the dravya and hastens the mode of action. Dugdha (cow milk) along with many other qualities (Cha su 27/217-18) is naturally saraka (purgative) in nature which makes anulomana gati (natural movements) of vayu. + − • As the doshas are already in utklishta avastha(stage of aggravation or ready to come out), the choice of valliphala for vamana is considered as a mridu (mild). On the other hand if the patient is weak and cannot tolerate the vamana effort, shamana chikitsa should be considered. The treatment planning should be done keeping manah as center point. The diet or pathya should be a manah prasannakara (mind pleasing) (Cha. Chi. 20/ 41-42) . It should be preferably mamsarasa, dry food or liquid diet which is easily digestible ( verses 21-22). + − • In vataja chhardi, laghu susanskrita mamsarasa (processed meat soup) is helpful in easy digestion and gives strength due to vatapacifying property. The yusha prepared from amlarasatmaka (sour taste) is not only vata pacifying but also stimulates the heart and leads to Anulomana gati of vayu. Ghrita as sanskaranuvartana (synergistically increases the properties of associated drugs) (Cha. Su. 27/231-32, Cha. Su. 13/13) can be benifitial in vātaja hridroga. + − • If the aggravated doshas are in distal part of amāshaya (post- amāshaya) the nearest route to remove pitta is through virechana procedure. If the aggravated pitta is in amāshaya then the nearest route to remove pitta is through vamana. Both these procedures should be adopted in balavan rogi (physically strong) judiciously clubbing with proper samsarjana krama (protocol after purification procedure) to prevent aggravation of vata dosha. + − • For shamana treatment the selection of drugs should be pitta pacifying, manapralhadakara (mind pleasing) and balya (strength of patient) criteria. The mechanism of action of these drugs can be through hetu viparita (anti-etiology), vyadhi viparita (anti-disease) or Hetu-vyadhi veeparita chikitsa (anti-cause & disease treatment). + − • For kaphaja chhardi chikitsa, as the doshas are situated in kaphashaya (amāshaya / ura) the nearest and ideal route is vamana. The choice of dravyas for vamana should be kaphahara like pippali, sarshapa, nimbatoya, madanaphala, etc. The choice of treatment is based on aggravated dosha, sanchayasthana (place of accumulation), sannikrishtha marga (nearest route), dosha-shamaka guna of dravyas, etc. + − • Various types of Yusha, Ragashadava, Panaka (Cha.Su.27/279-281) are kaphahara, madhura-amlarasatmaka (sweet & sour), deepaneeya-pachaneeya (appetizer & digestant) in nature. + − • For chhardinigrahana (anti-emetic group), the drugs should be kashaya rasatmaka (astringent taste), sheetaveerya (cool potency) and kaphaghna (kapha alleviators) in nature. The manahshiladi yoga (a formulation) is considered to be vyadhiviparitarthakari (anti-disease) measures.+ − • In case of dvistarthayoga chhardi (vomiting due to hate/ aversion) The treatment includes ashvāshana (assurance), vārtālāpa (conversation), mitramandali (friend circle), mananusarena ahara-vihara (preferable food & lifestyle). By doing so one can easily overcome the disease for the time being and once the Vegavastha (vomiting bouts) is overcome, actual conceptual treatment can be adopted. + − • The vegakalina or chronic chhardi, whether mild or severe, involves constant irritation of involved body parts/systems which leads to poor nourishment of dhatus resulting in dhatuksheenata. Such a long term dhatukshaya (loss of dhatus) increases vata in the body. The management should be purely vatashamaka treatment especially stambhana (which restricts the vamana vega) in combination with brimhana (nourishment to dhatus). + +
→Treatment
==== Treatment ====
==== Treatment ====
*Langhana becomes the first line of treatment in chhardi as shamana chikitsa (pacificatory treatment). Samshodha can be preferred where doshas are in utklisht stage and ready to be expelled out. Vamana is recommended when doshas are accumulated in amashya or amashayottha (originating from stomach or upper gastro-intestinal tract). Whereas virechana is recommended in case of post-amashayottha (in lower gastro intestinal tract) accumulated doshas, considering nearest route of samshodhana. The choice of drugs should be done as per the doshanashakatva (capacity to subside the vitiated doshas) ( verse 20).
*Haritaki is known for its laxative action (anulomaneeya). It not only tridoshahara but also posseses many more qualities (Charaka Chikitsa 1/1/29-34) which can be helpful for samprapti vighanatana (breaking pathogenesis) in chhardi. The choice of hridya dravya (liking to mind) is recommended in chhardi which should be given with madya (alcohol) and dugdha (cow milk) as an anupana. Madya due to its specific guna (Cha. Su. 27/ 193-195) results in quick absorption of the dravya and hastens the mode of action. Dugdha (cow milk) along with many other qualities (Cha su 27/217-18) is naturally saraka (purgative) in nature which makes anulomana gati (natural movements) of vayu.
*As the doshas are already in utklishta avastha(stage of aggravation or ready to come out), the choice of valliphala for vamana is considered as a mridu (mild). On the other hand if the patient is weak and cannot tolerate the vamana effort, shamana chikitsa should be considered. The treatment planning should be done keeping manah as center point. The diet or pathya should be a manah prasannakara (mind pleasing) (Cha. Chi. 20/ 41-42) . It should be preferably mamsarasa, dry food or liquid diet which is easily digestible ( verses 21-22).
*In vataja chhardi, laghu susanskrita mamsarasa (processed meat soup) is helpful in easy digestion and gives strength due to vatapacifying property. The yusha prepared from amlarasatmaka (sour taste) is not only vata pacifying but also stimulates the heart and leads to Anulomana gati of vayu. Ghrita as sanskaranuvartana (synergistically increases the properties of associated drugs) (Cha. Su. 27/231-32, Cha. Su. 13/13) can be benifitial in vātaja hridroga.
*If the aggravated doshas are in distal part of amāshaya (post- amāshaya) the nearest route to remove pitta is through virechana procedure. If the aggravated pitta is in amāshaya then the nearest route to remove pitta is through vamana. Both these procedures should be adopted in balavan rogi (physically strong) judiciously clubbing with proper samsarjana krama (protocol after purification procedure) to prevent aggravation of vata dosha.
*For shamana treatment the selection of drugs should be pitta pacifying, manapralhadakara (mind pleasing) and balya (strength of patient) criteria. The mechanism of action of these drugs can be through hetu viparita (anti-etiology), vyadhi viparita (anti-disease) or Hetu-vyadhi veeparita chikitsa (anti-cause & disease treatment).
*For kaphaja chhardi chikitsa, as the doshas are situated in kaphashaya (amāshaya / ura) the nearest and ideal route is vamana. The choice of dravyas for vamana should be kaphahara like pippali, sarshapa, nimbatoya, madanaphala, etc. The choice of treatment is based on aggravated dosha, sanchayasthana (place of accumulation), sannikrishtha marga (nearest route), dosha-shamaka guna of dravyas, etc.
*Various types of Yusha, Ragashadava, Panaka (Cha.Su.27/279-281) are kaphahara, madhura-amlarasatmaka (sweet & sour), deepaneeya-pachaneeya (appetizer & digestant) in nature.
*For chhardinigrahana (anti-emetic group), the drugs should be kashaya rasatmaka (astringent taste), sheetaveerya (cool potency) and kaphaghna (kapha alleviators) in nature. The manahshiladi yoga (a formulation) is considered to be vyadhiviparitarthakari (anti-disease) measures.
*In case of dvistarthayoga chhardi (vomiting due to hate/ aversion) The treatment includes ashvāshana (assurance), vārtālāpa (conversation), mitramandali (friend circle), mananusarena ahara-vihara (preferable food & lifestyle). By doing so one can easily overcome the disease for the time being and once the Vegavastha (vomiting bouts) is overcome, actual conceptual treatment can be adopted.
*The vegakalina or chronic chhardi, whether mild or severe, involves constant irritation of involved body parts/systems which leads to poor nourishment of dhatus resulting in dhatuksheenata. Such a long term dhatukshaya (loss of dhatus) increases vata in the body. The management should be purely vatashamaka treatment especially stambhana (which restricts the vamana vega) in combination with brimhana (nourishment to dhatus).
The selection of drugs plays very important role here. Most of the dravyas mentioned here are vichitrapratyarabhadha (extraordinary) in nature which achieve stambhana but won’t increase vata. The description about sarpiguda (a formulation), kalyanaka ghrita (a formulation), vrishya yoga (a formulation), avalehas (a formulation) etc. are the desired formulations for the management may have synergistic action.
The selection of drugs plays very important role here. Most of the dravyas mentioned here are vichitrapratyarabhadha (extraordinary) in nature which achieve stambhana but won’t increase vata. The description about sarpiguda (a formulation), kalyanaka ghrita (a formulation), vrishya yoga (a formulation), avalehas (a formulation) etc. are the desired formulations for the management may have synergistic action.