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Pāndu roga (resembeling with anemia) is characterized by pallor which is associated with different colours according to dosha involved. Besides pandu roga, this chapter also describes two types of kāmalā (jaundice) which are two other associated diseases, caused by predominance of pitta dośa  which causes alteration in normal colors of the body. The chapter describes general etiology, pathogenesis, symptoms etc of pāndu roga (anemia) as well as each of its five types viz. vāta, pitta, kapha, sannipataja and mruttika-bhakshana (clay eating) pāndu. After describing general principle of treatment of pāndu and kāmala, detailed treatment of each of the conditions mentioned above along with pathya (recommended diet) and apathya (prohibited diet) are given.  

Pāndu roga (resembeling with anemia) is characterized by pallor which is associated with different colours according to dosha involved. Besides pandu roga, this chapter also describes two types of kāmalā (jaundice) which are two other associated diseases, caused by predominance of pitta dośa  which causes alteration in normal colors of the body. The chapter describes general etiology, pathogenesis, symptoms etc of pāndu roga (anemia) as well as each of its five types viz. vāta, pitta, kapha, sannipataja and mruttika-bhakshana (clay eating) pāndu. After describing general principle of treatment of pāndu and kāmala, detailed treatment of each of the conditions mentioned above along with pathya (recommended diet) and apathya (prohibited diet) are given.  

Keywords – Pāndu roga, kāmalā, koshthashākhāshrita kāmalā shākhāshrita kāmalā pānakī, kumbhakāmalā, halīmaka, anemia, jaundice

Keywords – Pāndu roga, kāmalā, koshthashākhāshrita kāmalā shākhāshrita kāmalā pānakī, kumbhakāmalā, halīmaka, anemia, jaundice

Introduction  

 

=== Introduction ===

 

After the description of grahaṇī doṣha, the chapter on pāndu roga is given, as the causative factors of pāndu roga are quite similar to that of grahaṇī doṣha. Probably it is because that the various gastrointestinal problems can also lead to development of pāndu roga. The chapter deals with general discoloration of the body such as pallor, yellowish, greenish and whitish discoloration which is seen in skin, eyes, lips, face, nails, urine feces etc.  

After the description of grahaṇī doṣha, the chapter on pāndu roga is given, as the causative factors of pāndu roga are quite similar to that of grahaṇī doṣha. Probably it is because that the various gastrointestinal problems can also lead to development of pāndu roga. The chapter deals with general discoloration of the body such as pallor, yellowish, greenish and whitish discoloration which is seen in skin, eyes, lips, face, nails, urine feces etc.  

Kāmala (jaundice) and halīmaka (severe obstructive jaundice) have also been included in this chapter as they are also characterized by the discoloration and may relate to pāndu roga. Kamla is of two types, swatantra (primay) and partantra (secondary). The etiological factors of primay kamla are described later. Secondary kamla develops in chronic phase of pandu in which vitiated pitta is seated in rasa dhatu and in kamla, pitta goes deeper in rakta dhatu and continues to go deeper in mans and medha dhatu, then it is called halimaka and kumbha kamla respectively. Kamla is of two types in repect to location, shakhshrit kamla located in body tissues in the form of obstructed pitta and koshthashrit kamla, localized to gut and can be easily removed by purgation while shakhashritkamla needs to be brought to gut for removal.  

Kāmala (jaundice) and halīmaka (severe obstructive jaundice) have also been included in this chapter as they are also characterized by the discoloration and may relate to pāndu roga. Kamla is of two types, swatantra (primay) and partantra (secondary). The etiological factors of primay kamla are described later. Secondary kamla develops in chronic phase of pandu in which vitiated pitta is seated in rasa dhatu and in kamla, pitta goes deeper in rakta dhatu and continues to go deeper in mans and medha dhatu, then it is called halimaka and kumbha kamla respectively. Kamla is of two types in repect to location, shakhshrit kamla located in body tissues in the form of obstructed pitta and koshthashrit kamla, localized to gut and can be easily removed by purgation while shakhashritkamla needs to be brought to gut for removal.  

 

 

अथातः पाण्डुरोगचिकित्सितं व्याख्यास्यामः||१||  

अथातः पाण्डुरोगचिकित्सितं व्याख्यास्यामः||१||  

इति ह स्माह भगवानात्रेयः||२||  

इति ह स्माह भगवानात्रेयः||२||  

Now, we shall explain the chapter on the treatment of ‘pāndu roga’ said Lord Ātreya (1-2).

Now, we shall explain the chapter on the treatment of ‘pāndu roga’ said Lord Ātreya (1-2).

Five types of pāndu:

 

==== Five types of pāndu ====

 

पाण्डुरोगाः स्मृताः पञ्च वातपित्तकफैस्त्रयः|  

पाण्डुरोगाः स्मृताः पञ्च वातपित्तकफैस्त्रयः|  

चतुर्थः सन्निपातेन पञ्चमो भक्षणान्मृदः||३||  

चतुर्थः सन्निपातेन पञ्चमो भक्षणान्मृदः||३||  

Pāndu roga is classified into five types as vātika, paittika, kaphaja, tridośaja and mrittikā bhakśhaṅa janya pāndu (3).

Pāndu roga is classified into five types as vātika, paittika, kaphaja, tridośaja and mrittikā bhakśhaṅa janya pāndu (3).

Pathogenesis of pāndu:

==== Pathogenesis of pāndu ====

 

दोषाः पित्तप्रधानास्तु यस्य कुप्यन्ति धातुषु|  

दोषाः पित्तप्रधानास्तु यस्य कुप्यन्ति धातुषु|  

शैथिल्यं तस्य धातूनां गौरवं चोपजायते||४||  

शैथिल्यं तस्य धातूनां गौरवं चोपजायते||४||