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Created page with "The word brimhana means building, nourishing or strengthening.<ref>Brimhana [Internet] [Updated 2020 Oct 21; cited 2020 Nov 11]. Available from https://www.wisdomlib.org/defin..."
The word brimhana means building, nourishing or strengthening.<ref>Brimhana [Internet] [Updated 2020 Oct 21; cited 2020 Nov 11]. Available from https://www.wisdomlib.org/definition/brimhana </ref> This is one among the six basic treatment principles. [Cha.Sa.[[Sutra Sthana]] 22/4] The drugs or procedures which possess this property increase the bulk of the body [Cha.Sa.[[Sutra Sthana]] 22/10] and makes the body strong and firm.
==Definition==
‘Brimhana’ is the procedure by which the tissues get nourished and the body becomes compact. [Dalhana on Su.Sa.Sutra Sthana 45/113]<ref name= Susruta> Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref>
==Synonyms==
Santarpana [A.Hr. Sutra Sthana 14/2]<ref name= Hridaya > Vagbhata. Ashtanga Hridayam. Edited by Harishastri Paradkar Vaidya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref>
==Properties of nourishing (brimhana) drugs==
The nourishing (brimhana) material possess the following properties
*Heavy
*Cold
*Soft
*Unctuous
*Thick
*Gross
*Slimy
*Sluggish
*Stable
*Smooth [Cha.Sa.[[Sutra Sthana]] 22/13-14]
==[[Panchamahabhuta]] constitution of nourishing therapy (brimhana)==
Drugs with [[prithvi]] and [[jala]] [[mahabuhta]] predominance are usually nourishing (brimhana) in nature. [A.Hr. Sutra Sthana 14/02]<ref name=Hridaya/>
==Action over [[dosha]]==
*Alleviate [[vata]] and [[pitta]] [A.Hr. Sutra Sthana 14/7]<ref name=Hridaya/>
==Indications for nourishing therapy==
*Based on body constitution: Persons with [[vata]] predominant constitution. [A.Hr. Sutra Sthana 14/8-9]<ref name=Hridaya/>
*Based on the strength and condition of person: Weak or emaciated persons, traumatized or injured person [Cha.Sa.[[Sutra Sthana]] 22/26], Pregnant woman, woman after delivery. [A.Hr. Sutra Sthana 14/8-9]<ref name=Hridaya/>
*Based on the age of person: Old aged
*Based on the daily activities: Who used to walk long distances, those who used to indulge in sexual intercourse daily, and those who used to take alcohol daily.
*Based on the season: In summer season (grishma) naturally the body strength tends to reduce, so nourishing therapy is indicated during this period. [Cha.Sa.[[Sutra Sthana]] 22/26] In winter season since digestive fire is more, one should take the diet which is more nourishing in nature. [A.S. Sutra Sthana 4/9]<ref name= Sangraha> Vridha Vagbhata, Ashtanga Sangraha. Edited by Shivaprasad Sharma. 3rd ed. Varanasi: Chaukhamba sanskrit series office;2012.</ref>
*Based on other treatment procedures: Those who became weak after undergoing purification therapies [Cha.Sa.[[Sutra Sthana]]16/22]
==Contraindications==
*Persons who are indicated for fasting/reducing therapy ([[langhana]]). [A.Hr. Sutra Sthana 14/15]<ref name=Hridaya/>
*If excessive aggravation of fat/adipose tissue ([[meda]]) or [[kapha]] is present. [Cha.Sa.[[Chikitsa Sthana]] 29/156]
==Methods for nourishing (brimhana) therapy==
Nourishment of the body can be achieved through the following means
#Diet
#Daily habits
#Psychological factors
#Therapeutic measures
==Diet which provides nourishment (brimhana)==
The best nourishing diet is meat. [A.S.Sutra Sthana 13/2]<ref name=Sangraha/> The meat of adult (mature) animals, fish, and birds which are found roaming in their suitable natural surroundings, which are healthy, is considered to be ideal for nourishing therapy. [Cha.Sa.[[Sutra Sthana]] 22/25] Especially meat of goat, sheep [Cha.Sa.[[Sutra Sthana]] 27/62] and hog [Cha.Sa.[[Sutra Sthana]] 27/78] provides nourishment. River fish is more stoutening than that of marine. [Su.Sa.Sutra Sthana 46/121]<ref name=Susruta/> The eggs of swan, rooster and peacock [Cha.Sa.[[Sutra Sthana]] 27/85] are also nourishing in nature.
Breast milk [Cha.Sa.[[Sutra Sthana]] 27/224] and milk generally because of its unctuous and cold nature provides nourishment to body. [Cha.Sa.[[Sutra Sthana]]1/107] Ghee, relishing soups prepared with cereals [Cha.Sa.[[Sutra Sthana]]16/22] rice, blackgram, sugarcane, wheat and jaggery preparations, [Chakrapani on Cha.Sa.[[Sutra Sthana]] 21/29-34] curd, [Cha.Sa.[[Sutra Sthana]] 27/225] butter [Su.Sa.Sutra Sthana 45/92]<ref name=Susruta/> and oil [Su.Sa.Sutra Sthana 45/113]<ref name=Susruta/> are nourishing in nature.
Fruits of date, common fig, Indian hog plum, coconut, ripe peach [Cha.Sa.[[Sutra Sthana]] 27/127-129, 133] mango [Su.Sa.Sutra Sthana 46/153]<ref name=Susruta/> wild lemon (madulunga) etc.[A.S.Sutra Sthana 7/176]<ref name=Sangraha/> have the nourishing property.
Food items having sweet [Cha.Sa.[[Sutra Sthana]] 26/43] or sour taste [A.S.Sutra Sthana 18/6]<ref name=Sangraha/> generally posses the nourishing property.
==Regimens which provides nourishment (brimhana)==
Oil massage, bath, [Cha.Sa.[[Sutra Sthana]]16/22][Chakrapani on Cha.Sa.[[Sutra Sthana]] 22/18], sleep and less physical activities [Chakrapani on Cha.Sa.[[Sutra Sthana]] 21/29-34] makes the body stout.
==Mental factors which promotes nourishment (brimhana)==
*Cheerfulness/happiness
*Contentment
*Avoiding mental worries, [Chakrapani on Cha.Sa.[[Sutra Sthana]] 21/29-34][A.Hr. Sutra Sthana 14/9]
==Therapeutic measures==
===Drugs having nourishing (brimhana) property===
The group of 10 drugs which possess the nourishing property [Cha.Sa.[[Sutra Sthana]] 4/8(2)] are as follows
#Euphorbia prostrate (kshirini)
#Brasica juncea (rajakshavaka)
#Withania somnifera (ashwagandha)
#Fritillaria cirrhosa (kakoli)
#Lilium polyphyllum (kshirakakoli)
#Sida rhombifolia (vatyayani/shwetabala)
#Sida cordifolia (bhadraudani/pitabala)
#Bhardwaji/vanakarpasi
#Pueraria tuberose (payasya/vidarikanda)
#Abutilon indicum (rishyagandha)
Holostemma annulare (jeevanti) [A.S.Sutra Sthana 7/120]<ref name=Sangraha/>, skin and pulp of Semecarpus anacardium (bhallataka) [A.S.Sutra Sthana 7/177]<ref name=Sangraha/> etc. also possess nourishing property.
The time of administration of nourishing drugs (brimhana) is along with the food (sabakta annakala) [A.S.Sutra Sthana 11/54]<ref name=Sangraha/>
===Therapeutic measures with nourishing (brimhana) effect===
#Low dose unctuous enema (matra basti) [Cha.Sa.[[Siddhi Sthana]] 4/54]
#Oil massage (abhyanga)
#Fomentation with bolus of medicated rice (shashtikashali pinda sweda)
#Nourishing unction therapy (brimhana snehapana)
#Nourishing intra nasal drug administration (brimhana [[nasya]])
#Nourishing enema (brimhana [[basti]])
#Nourishing smoke inhalation (dhumapana)
#Rejuvenating therapy ([[rasayana]])
#Aphrodisiac therapy ([[vajikarana]])
==Signs and symptoms of optimal nourishing (brimhana) therapy==
*The person attains good strength and robustness
*Recovery from emaciation and related problems [Cha.Sa.[[Sutra Sthana]] 22/38]
*Clarity of sense perceptions
*Proper elimination of waste products
*Feeling of lightness of body and of taste [A.S.Sutra Sthana 24/15]<ref name=Sangraha/>
==Signs and symptoms of excessive administration of nourishing (brimhana) therapy==
*Excessive brimhana therapy results in obesity. [Cha.Sa.[[Sutra Sthana]] 22/38]
*Person may suffer from fever, scrofula, diabetes, abdominal enlargement, cough, accumulation of toxic metabolic waste ([[ama]]) and skin diseases (kushta). [A.Hr. Sutra Sthana 14/20]<ref name=Hridaya/>
==Importance in preservation of health and prevention==
Proper nourishment is essential to keep the body healthy. The therapeutic measures like elimination of [[dosha]]s in due time and regular use of rejuvenating and aphrodisiac formulations nourishes the body [Cha.Sa.[[Sutra Sthana]]21/33] thus it improves the health and prevents the diseases.
==Importance in the management of diseases==
Generally for [[vata]] disorders nourishing (brimhana) is the treatment of choice. [Cha.Sa.[[Chikitsa Sthana]] 28/106] Nourishing therapy (brimhana) itself acts as pacifying therapy (shamana) also. [A.Hr. Sutra Sthana 14/7]<ref name=Hridaya/> The diseases caused by the depletion of body constituents should be treated through nourishing therapy (brimhana) [Indu on A.S.Sutra Sthana 19/13]<ref name=Sangraha/>
For the management of leanness nourishing therapy is advised. [Cha.Sa.[[Sutra Sthana]]21/29-34] Meat soup of carnivorous animals and birds are nourishing in nature especially to persons who became lean as a result of diseases like assimilation disorders (grahani), piles (arsa) etc. [Cha.Sa.[[Sutra Sthana]] 22/27]
If body becomes weak by chronic fever, nourishing therapies should be done. [Cha.Sa.[[Chikitsa Sthana]] 3/292] In abdominal tumors caused by [[vata]] [Cha.Sa.[[Chikitsa Sthana]] 5/183], for lean diabetic patients [Cha.Sa.[[Chikitsa Sthana]] 6/15], in respiratory disorders (shwasa) and hiccups (hikka) [Cha.Sa.[[Chikitsa Sthana]] 17/150], in the beginning stages of cough produced as a result of depletion of body tissues (kshayaja kasa) [Cha.Sa.[[Chikitsa Sthana]] 18/150] and for poisoning which results in [[vata]] aggravation [Cha.Sa.[[Chikitsa Sthana]] 23/170] nourishing (brimhana) should be done.
It is a technique to remove foreign body from the fleshy body parts [A.S.Sutra Sthana 37/32]<ref name=Sangraha/> and for treating fractures [Su.Sa.Chikitsa Sthana 3/5]<ref name=Susruta/> also.
During loss of hunger due to fasting, gruel mixed with ghee given in between meals (annavapeditam) makes the body nourish. [Cha.Sa.[[Chikitsa Sthana]] 15/209]
==Current researches==
In a study 72 healthy students were divided into two groups. One group was provided with a nourishing compound having Pueraria tuberose (vidarikanda), Triticum aestivum (wheat), Hordeum vulgare (Barley), sugar and ghee as the ingredients; and the other group with placebo. The group administered with nourishing compound showed significant improvement in anthropometric parameters like body weight, chest, mid arm and mid thigh circumference. Significant improvement in muscular strength and endurance; and cardio-respiratory functions were also noted by administration of nourishing compound.
Pueraria tuberose possess growth hormone inducing, nootropic, anxiolytic, adaptogenic, immunomodulatory and anti-oxidant properties. The similar properties of nourishing (brimhana) drugs might be the cause for its bulk promoting, strength enhancing and stress tolerating abilities (sport performance).<ref>Ingle NM, Ojha NK, Kumar A. Clinical study to evaluate the Brinhaniya effect of Vidarikandadi Yog to enhance the sport performance in children. J Ayurveda Integr Med 2013;4:171-5.</ref>
A case of Erb’s palsy treated with nourishing therapies like oil massage (abhyanga) and rice paste application (annalepa) associated with physiotherapy showed promising results. The power of the affected upper limb improved from zero to near normal. The disparity in length and mid arm circumference of affected and normal upper limbs was also reduced after the treatment.<ref>Srilakshmi D, Chaganti S. A holistic approach to the management of Erb's palsy. J Ayurveda Integr Med 2013;4:237-40.</ref>
In another study conducted on 34 patients having low BMI, supplementation of nutritional compound having Phoenix dactylifera (dates) and cow ghee as ingredients, showed highly significant improvement in weight, BMI and fat percentage. Skin fold thickness of biceps, triceps and abdomen was also increased. Dates are having high nutritional value as it contain abundant macro and micro nutrients.<ref>Dhoke SP, Dwivedi R, Vyas M. A placebo-controlled clinical evaluation of Kharjurapaka in Mamsakshaya. Ayu 2015;36:404-9.</ref>
==List of theses done==
#Nirali Doshi (2011). A clinical study on brumhan effect of prinan modaka and godhumadi modaka in the management of karshya in children. Department of Kaumarabrithya. IPGT&RA Jamnagar
#Shweta Patil (2013): A comparative study on the effect of vamana and virechana karma followed by brumhana snehapana (kantakari ghrita) in the management of tamaka shvasa w.s.r to Bronchial asthma. Department of Panchakarma, IPGT&RA Jamnagar
#Dobariya Nitinkumar Parsotambhai (2016): A study of Santarpaniya adhyaya of Charaka samhita in the context to principal of management for santarpan nimittaja vyadhi. Department of Basic Principles. IPGT&RA Jamnagar
==More information==
[[Langhanabrimhaniya Adhyaya]]
[[Ashtauninditiya Adhyaya]]
==References==
==Definition==
‘Brimhana’ is the procedure by which the tissues get nourished and the body becomes compact. [Dalhana on Su.Sa.Sutra Sthana 45/113]<ref name= Susruta> Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref>
==Synonyms==
Santarpana [A.Hr. Sutra Sthana 14/2]<ref name= Hridaya > Vagbhata. Ashtanga Hridayam. Edited by Harishastri Paradkar Vaidya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref>
==Properties of nourishing (brimhana) drugs==
The nourishing (brimhana) material possess the following properties
*Heavy
*Cold
*Soft
*Unctuous
*Thick
*Gross
*Slimy
*Sluggish
*Stable
*Smooth [Cha.Sa.[[Sutra Sthana]] 22/13-14]
==[[Panchamahabhuta]] constitution of nourishing therapy (brimhana)==
Drugs with [[prithvi]] and [[jala]] [[mahabuhta]] predominance are usually nourishing (brimhana) in nature. [A.Hr. Sutra Sthana 14/02]<ref name=Hridaya/>
==Action over [[dosha]]==
*Alleviate [[vata]] and [[pitta]] [A.Hr. Sutra Sthana 14/7]<ref name=Hridaya/>
==Indications for nourishing therapy==
*Based on body constitution: Persons with [[vata]] predominant constitution. [A.Hr. Sutra Sthana 14/8-9]<ref name=Hridaya/>
*Based on the strength and condition of person: Weak or emaciated persons, traumatized or injured person [Cha.Sa.[[Sutra Sthana]] 22/26], Pregnant woman, woman after delivery. [A.Hr. Sutra Sthana 14/8-9]<ref name=Hridaya/>
*Based on the age of person: Old aged
*Based on the daily activities: Who used to walk long distances, those who used to indulge in sexual intercourse daily, and those who used to take alcohol daily.
*Based on the season: In summer season (grishma) naturally the body strength tends to reduce, so nourishing therapy is indicated during this period. [Cha.Sa.[[Sutra Sthana]] 22/26] In winter season since digestive fire is more, one should take the diet which is more nourishing in nature. [A.S. Sutra Sthana 4/9]<ref name= Sangraha> Vridha Vagbhata, Ashtanga Sangraha. Edited by Shivaprasad Sharma. 3rd ed. Varanasi: Chaukhamba sanskrit series office;2012.</ref>
*Based on other treatment procedures: Those who became weak after undergoing purification therapies [Cha.Sa.[[Sutra Sthana]]16/22]
==Contraindications==
*Persons who are indicated for fasting/reducing therapy ([[langhana]]). [A.Hr. Sutra Sthana 14/15]<ref name=Hridaya/>
*If excessive aggravation of fat/adipose tissue ([[meda]]) or [[kapha]] is present. [Cha.Sa.[[Chikitsa Sthana]] 29/156]
==Methods for nourishing (brimhana) therapy==
Nourishment of the body can be achieved through the following means
#Diet
#Daily habits
#Psychological factors
#Therapeutic measures
==Diet which provides nourishment (brimhana)==
The best nourishing diet is meat. [A.S.Sutra Sthana 13/2]<ref name=Sangraha/> The meat of adult (mature) animals, fish, and birds which are found roaming in their suitable natural surroundings, which are healthy, is considered to be ideal for nourishing therapy. [Cha.Sa.[[Sutra Sthana]] 22/25] Especially meat of goat, sheep [Cha.Sa.[[Sutra Sthana]] 27/62] and hog [Cha.Sa.[[Sutra Sthana]] 27/78] provides nourishment. River fish is more stoutening than that of marine. [Su.Sa.Sutra Sthana 46/121]<ref name=Susruta/> The eggs of swan, rooster and peacock [Cha.Sa.[[Sutra Sthana]] 27/85] are also nourishing in nature.
Breast milk [Cha.Sa.[[Sutra Sthana]] 27/224] and milk generally because of its unctuous and cold nature provides nourishment to body. [Cha.Sa.[[Sutra Sthana]]1/107] Ghee, relishing soups prepared with cereals [Cha.Sa.[[Sutra Sthana]]16/22] rice, blackgram, sugarcane, wheat and jaggery preparations, [Chakrapani on Cha.Sa.[[Sutra Sthana]] 21/29-34] curd, [Cha.Sa.[[Sutra Sthana]] 27/225] butter [Su.Sa.Sutra Sthana 45/92]<ref name=Susruta/> and oil [Su.Sa.Sutra Sthana 45/113]<ref name=Susruta/> are nourishing in nature.
Fruits of date, common fig, Indian hog plum, coconut, ripe peach [Cha.Sa.[[Sutra Sthana]] 27/127-129, 133] mango [Su.Sa.Sutra Sthana 46/153]<ref name=Susruta/> wild lemon (madulunga) etc.[A.S.Sutra Sthana 7/176]<ref name=Sangraha/> have the nourishing property.
Food items having sweet [Cha.Sa.[[Sutra Sthana]] 26/43] or sour taste [A.S.Sutra Sthana 18/6]<ref name=Sangraha/> generally posses the nourishing property.
==Regimens which provides nourishment (brimhana)==
Oil massage, bath, [Cha.Sa.[[Sutra Sthana]]16/22][Chakrapani on Cha.Sa.[[Sutra Sthana]] 22/18], sleep and less physical activities [Chakrapani on Cha.Sa.[[Sutra Sthana]] 21/29-34] makes the body stout.
==Mental factors which promotes nourishment (brimhana)==
*Cheerfulness/happiness
*Contentment
*Avoiding mental worries, [Chakrapani on Cha.Sa.[[Sutra Sthana]] 21/29-34][A.Hr. Sutra Sthana 14/9]
==Therapeutic measures==
===Drugs having nourishing (brimhana) property===
The group of 10 drugs which possess the nourishing property [Cha.Sa.[[Sutra Sthana]] 4/8(2)] are as follows
#Euphorbia prostrate (kshirini)
#Brasica juncea (rajakshavaka)
#Withania somnifera (ashwagandha)
#Fritillaria cirrhosa (kakoli)
#Lilium polyphyllum (kshirakakoli)
#Sida rhombifolia (vatyayani/shwetabala)
#Sida cordifolia (bhadraudani/pitabala)
#Bhardwaji/vanakarpasi
#Pueraria tuberose (payasya/vidarikanda)
#Abutilon indicum (rishyagandha)
Holostemma annulare (jeevanti) [A.S.Sutra Sthana 7/120]<ref name=Sangraha/>, skin and pulp of Semecarpus anacardium (bhallataka) [A.S.Sutra Sthana 7/177]<ref name=Sangraha/> etc. also possess nourishing property.
The time of administration of nourishing drugs (brimhana) is along with the food (sabakta annakala) [A.S.Sutra Sthana 11/54]<ref name=Sangraha/>
===Therapeutic measures with nourishing (brimhana) effect===
#Low dose unctuous enema (matra basti) [Cha.Sa.[[Siddhi Sthana]] 4/54]
#Oil massage (abhyanga)
#Fomentation with bolus of medicated rice (shashtikashali pinda sweda)
#Nourishing unction therapy (brimhana snehapana)
#Nourishing intra nasal drug administration (brimhana [[nasya]])
#Nourishing enema (brimhana [[basti]])
#Nourishing smoke inhalation (dhumapana)
#Rejuvenating therapy ([[rasayana]])
#Aphrodisiac therapy ([[vajikarana]])
==Signs and symptoms of optimal nourishing (brimhana) therapy==
*The person attains good strength and robustness
*Recovery from emaciation and related problems [Cha.Sa.[[Sutra Sthana]] 22/38]
*Clarity of sense perceptions
*Proper elimination of waste products
*Feeling of lightness of body and of taste [A.S.Sutra Sthana 24/15]<ref name=Sangraha/>
==Signs and symptoms of excessive administration of nourishing (brimhana) therapy==
*Excessive brimhana therapy results in obesity. [Cha.Sa.[[Sutra Sthana]] 22/38]
*Person may suffer from fever, scrofula, diabetes, abdominal enlargement, cough, accumulation of toxic metabolic waste ([[ama]]) and skin diseases (kushta). [A.Hr. Sutra Sthana 14/20]<ref name=Hridaya/>
==Importance in preservation of health and prevention==
Proper nourishment is essential to keep the body healthy. The therapeutic measures like elimination of [[dosha]]s in due time and regular use of rejuvenating and aphrodisiac formulations nourishes the body [Cha.Sa.[[Sutra Sthana]]21/33] thus it improves the health and prevents the diseases.
==Importance in the management of diseases==
Generally for [[vata]] disorders nourishing (brimhana) is the treatment of choice. [Cha.Sa.[[Chikitsa Sthana]] 28/106] Nourishing therapy (brimhana) itself acts as pacifying therapy (shamana) also. [A.Hr. Sutra Sthana 14/7]<ref name=Hridaya/> The diseases caused by the depletion of body constituents should be treated through nourishing therapy (brimhana) [Indu on A.S.Sutra Sthana 19/13]<ref name=Sangraha/>
For the management of leanness nourishing therapy is advised. [Cha.Sa.[[Sutra Sthana]]21/29-34] Meat soup of carnivorous animals and birds are nourishing in nature especially to persons who became lean as a result of diseases like assimilation disorders (grahani), piles (arsa) etc. [Cha.Sa.[[Sutra Sthana]] 22/27]
If body becomes weak by chronic fever, nourishing therapies should be done. [Cha.Sa.[[Chikitsa Sthana]] 3/292] In abdominal tumors caused by [[vata]] [Cha.Sa.[[Chikitsa Sthana]] 5/183], for lean diabetic patients [Cha.Sa.[[Chikitsa Sthana]] 6/15], in respiratory disorders (shwasa) and hiccups (hikka) [Cha.Sa.[[Chikitsa Sthana]] 17/150], in the beginning stages of cough produced as a result of depletion of body tissues (kshayaja kasa) [Cha.Sa.[[Chikitsa Sthana]] 18/150] and for poisoning which results in [[vata]] aggravation [Cha.Sa.[[Chikitsa Sthana]] 23/170] nourishing (brimhana) should be done.
It is a technique to remove foreign body from the fleshy body parts [A.S.Sutra Sthana 37/32]<ref name=Sangraha/> and for treating fractures [Su.Sa.Chikitsa Sthana 3/5]<ref name=Susruta/> also.
During loss of hunger due to fasting, gruel mixed with ghee given in between meals (annavapeditam) makes the body nourish. [Cha.Sa.[[Chikitsa Sthana]] 15/209]
==Current researches==
In a study 72 healthy students were divided into two groups. One group was provided with a nourishing compound having Pueraria tuberose (vidarikanda), Triticum aestivum (wheat), Hordeum vulgare (Barley), sugar and ghee as the ingredients; and the other group with placebo. The group administered with nourishing compound showed significant improvement in anthropometric parameters like body weight, chest, mid arm and mid thigh circumference. Significant improvement in muscular strength and endurance; and cardio-respiratory functions were also noted by administration of nourishing compound.
Pueraria tuberose possess growth hormone inducing, nootropic, anxiolytic, adaptogenic, immunomodulatory and anti-oxidant properties. The similar properties of nourishing (brimhana) drugs might be the cause for its bulk promoting, strength enhancing and stress tolerating abilities (sport performance).<ref>Ingle NM, Ojha NK, Kumar A. Clinical study to evaluate the Brinhaniya effect of Vidarikandadi Yog to enhance the sport performance in children. J Ayurveda Integr Med 2013;4:171-5.</ref>
A case of Erb’s palsy treated with nourishing therapies like oil massage (abhyanga) and rice paste application (annalepa) associated with physiotherapy showed promising results. The power of the affected upper limb improved from zero to near normal. The disparity in length and mid arm circumference of affected and normal upper limbs was also reduced after the treatment.<ref>Srilakshmi D, Chaganti S. A holistic approach to the management of Erb's palsy. J Ayurveda Integr Med 2013;4:237-40.</ref>
In another study conducted on 34 patients having low BMI, supplementation of nutritional compound having Phoenix dactylifera (dates) and cow ghee as ingredients, showed highly significant improvement in weight, BMI and fat percentage. Skin fold thickness of biceps, triceps and abdomen was also increased. Dates are having high nutritional value as it contain abundant macro and micro nutrients.<ref>Dhoke SP, Dwivedi R, Vyas M. A placebo-controlled clinical evaluation of Kharjurapaka in Mamsakshaya. Ayu 2015;36:404-9.</ref>
==List of theses done==
#Nirali Doshi (2011). A clinical study on brumhan effect of prinan modaka and godhumadi modaka in the management of karshya in children. Department of Kaumarabrithya. IPGT&RA Jamnagar
#Shweta Patil (2013): A comparative study on the effect of vamana and virechana karma followed by brumhana snehapana (kantakari ghrita) in the management of tamaka shvasa w.s.r to Bronchial asthma. Department of Panchakarma, IPGT&RA Jamnagar
#Dobariya Nitinkumar Parsotambhai (2016): A study of Santarpaniya adhyaya of Charaka samhita in the context to principal of management for santarpan nimittaja vyadhi. Department of Basic Principles. IPGT&RA Jamnagar
==More information==
[[Langhanabrimhaniya Adhyaya]]
[[Ashtauninditiya Adhyaya]]
==References==