Changes

== Tattva Vimarsha (Fundamental Principles) ==

== Tattva Vimarsha (Fundamental Principles) ==

*The important pathological factors in ''pandu'' are aggravated three ''dosha'' with dominant ''pitta'' leading to slow metabolism at level of blood (''rakta''), the fatty tissue (''medas'') ''dhatu'' and ''ojas'' qualities (affecting the vitality).  

*The important pathological factors in ''pandu'' are aggravated three [[dosha]] with dominant [[pitta]] leading to slow metabolism at level of blood ([[rakta dhatu]]), the fatty tissue [[meda dhatu]]) and [[ojas]] qualities (affecting the vitality).  

*The dietary factors like alkaline, sour, saline, hot and mutually contradictory foods, unwholesome food, ''nishpava'' (a type of pulses), ''masha, pinyaka'' (oil cake) and ''tila'' oil; lifestyle factors like indulging in day sleep, performing exercise and sex before digestion of the food, disobedience of the seasonal regimens (''ritu vaishamya''), suppression of the natural urges; iatrogenic factors like Improper administration of [[Panchakarma]] measures (''pratikarma vaishamya'') and the psychological factors like affliction of mind with passion, worry, fear, anger, grief are responsible for ''pandu''.  

*The dietary factors like alkaline, sour, saline, hot and mutually contradictory foods, unwholesome food, ''nishpava'' (a type of pulses), ''masha, pinyaka'' (oil cake) and ''tila'' oil; lifestyle factors like indulging in day sleep, performing exercise and sex before digestion of the food, disobedience of the seasonal regimens (''ritu vaishamya''), suppression of the natural urges; iatrogenic factors like Improper administration of [[Panchakarma]] measures (''pratikarma vaishamya'') and the psychological factors like affliction of mind with passion, worry, fear, anger, grief are responsible for ''pandu''.  

*Heart and circulatory system are involved in the pathogenesis of ''pandu'' which is presented at the sites of skin and ''mamsa'' (flesh).

*Heart and circulatory system are involved in the pathogenesis of ''pandu'' which is presented at the sites of skin and [[mamsa dhatu]] (flesh).

*The specific features are observed as per the ''dosha'' dominance in pathogenesis.  

*The specific features are observed as per the [[dosha]] dominance in pathogenesis.  

*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''. These factors cause ''pandu'' by affecting the ''dhatu'' and ''ojas''.  

*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]]. These factors cause ''pandu'' by affecting the [[dhatu]] and [[ojas]].  

*Chronic ''pandu roga'' is incurable. The prognosis depends upon involvement of ''dhatu'' and its intensity.  

*Chronic ''pandu roga'' is incurable. The prognosis depends upon involvement of [[dhatu] and its intensity.  

*If a patient of ''pandu roga'' excessively consumes pitta vitiating diet and regimen, the aggravated ''pitta'' causes ''kamala'' by involving the ''rakta'' and the ''mamsa''.  

*If a patient of ''pandu roga'' excessively consumes [[pitta]] vitiating diet and regimen, the aggravated [[pitta]] causes ''kamala'' by involving the [[rakta]] and the [[mamsa dhatu]].  

*First principle of management of ''pandu'' is administration of internal oleation (''snehana'') followed by strong (''teekshna'') emetic and purgation therapies for cleansing of the body (''shodhana''). In patients of ''kamala'', mild purgation therapy with bitter drugs is advised.

*First principle of management of ''pandu'' is administration of internal oleation ([[snehana]]) followed by strong (''teekshna'') emetic and purgation therapies for cleansing of the body (''shodhana''). In patients of ''kamala'', mild purgation therapy with bitter drugs is advised.

*''Kamala'' is of two types: ''Koshtha-shaksha shrita'' and ''shakhashrita''. In ''koshtha-shakhashrita kamala'' there is excess increase in ''pitta''.  

*''Kamala'' is of two types: ''Koshtha-shaksha shrita'' and ''shakhashrita''. In ''koshtha-shakhashrita kamala'' there is excess increase in [[pitta]].  

*In ''shakhashrita kamala'', ''pitta'' is obstructed by ''kapha'' and improperly circulated by ''vata''. Therefore the treatment principles differ in both.  

*In ''shakhashrita kamala'', [[pitta]] is obstructed by [[kapha]] and improperly circulated by [[vata]]. Therefore the treatment principles differ in both.  

*In ''koshtha-shaksha shrita kamala'', mild purgation is administered with bitter drugs with a focus on pacification of ''pitta''.  

*In ''koshtha-shaksha shrita kamala'', mild purgation is administered with bitter drugs with a focus on pacification of[[pitta]].  

*In ''shakhashrita kamala'', principles of management are pacification of ''kapha'', and ''anulomana'' of ''vata'' to derive ''pitta'' to its own natural site. Therefore ''ruksha, amla, katu'' drugs are used in the treatment.  

*In ''shakhashrita kamala'', principles of management are pacification of [[kapha]], and ''anulomana'' of [[vata]] to derive [[pitta]] to its own natural site. Therefore ''ruksha, amla, katu'' drugs are used in the treatment.  

*Suitable changes (combinations and permutations) in the treatment should be prescribed depending upon the strength of the ''dosha'' in the patient. The therapy should be dominated by unctuous drugs (oil, ghee etc) for ''vatika'' type of ''pandu''; by bitter and cooling drugs for ''paittika'' type and by pungent, bitter and hot drugs for ''kaphaja'' type of ''pandu''.

*Suitable changes (combinations and permutations) in the treatment should be prescribed depending upon the strength of the [[dosha]] in the patient. The therapy should be dominated by unctuous drugs (oil, ghee etc) for ''vatika'' type of ''pandu''; by bitter and cooling drugs for ''paittika'' type and by pungent, bitter and hot drugs for [[kapha]]ja type of ''pandu''.

*Strong elimination therapy is advised to remove the swallowed mud from the body after considering the strength of the patient. After the body is cleansed, different types of medicated ghee should be prescribed to the patient for promotion of strength.  

*Strong elimination therapy is advised to remove the swallowed mud from the body after considering the strength of the patient. After the body is cleansed, different types of medicated ghee should be prescribed to the patient for promotion of strength.  

*''Haleemaka'' and is caused by the aggravation of ''vata'' and ''pitta dosha''. Hence the treatment focus on pacification of ''vata'' and ''pitta dosha''.

*''Haleemaka'' and is caused by the aggravation of [[vata]] and [[pitta]] [[dosha]]. Hence the treatment focus on pacification of [[vata]] and [[pitta]] [[dosha]].

== Vidhi Vimarsha (Applied Inferences ) ==

== Vidhi Vimarsha (Applied Inferences ) ==