Pandu Chikitsa: Difference between revisions

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{{#seo:

|title=Pandu Chikitsa

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|type=article

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<big>'''[[Chikitsa Sthana]] Chapter 16. Management of Pandu (Anemia and diseases due to blood deficiency)</big>'''

{{Infobox

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|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]

|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

|data7 = Ojha S.N.

|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

|data9 = 2020

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|data11 = [https://doi.org/10.47468/CSNE.2020.e01.s06.017 10.47468/CSNE.2020.e01.s06.017]

}}

<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

</~~div~~>

</p>

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</div></div>

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'' ===

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</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'' ===

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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.

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'' ===

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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''.

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]

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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:

#''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>

@@ Line 1: / Line 1: @@
+{{CiteButton}}
 {{#seo:
 |title=Pandu Chikitsa
@@ Line 8: / Line 9: @@
 |type=article
 }}
 <big>'''[[Chikitsa Sthana]] Chapter 16. Management of Pandu (Anemia and diseases due to blood deficiency)</big>'''
 {{Infobox
@@ Line 22: / Line 22: @@
 |data5 = [[Sutra Sthana]], [[Nidana Sthana]],  [[Vimana Sthana]],  [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]
 |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
 |data7  = Ojha S.N.
 |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
 |data9 =  2020
@@ Line 34: / Line 34: @@
 |data11 = [https://doi.org/10.47468/CSNE.2020.e01.s06.017 10.47468/CSNE.2020.e01.s06.017]
 }}
 <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
-</div>
+</p>
@@ Line 433: / Line 430: @@
 </div></div>
-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'' ===
@@ Line 476: / Line 473: @@
 </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'' ===
@@ Line 512: / Line 509: @@
 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'' ===
@@ Line 1,693: / Line 1,690: @@
 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">
@@ Line 2,648: / Line 2,645: @@
 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>