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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]
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==== Mr̥ttikā bhakshana pāndu ====
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==== ''Mrittikā bhakshana pandu'' ====
    
मृत्तिकादनशीलस्य कुप्यत्यन्यतमो मलः|  
 
मृत्तिकादनशीलस्य कुप्यत्यन्यतमो मलः|  
 
कषाया मारुतं, पित्तमूषरा, मधुरा कफम्||२७||  
 
कषाया मारुतं, पित्तमूषरा, मधुरा कफम्||२७||  
 +
 
कोपयेन्मृद्रसादींश्च रौक्ष्याद्भुक्तं विरूक्षयेत् [१] |  
 
कोपयेन्मृद्रसादींश्च रौक्ष्याद्भुक्तं विरूक्षयेत् [१] |  
 
पूरयत्यविपक्वैव स्रोतांसि निरुणद्धि च||२८||  
 
पूरयत्यविपक्वैव स्रोतांसि निरुणद्धि च||२८||  
 +
 
इन्द्रियाणां बलं हत्वा तेजो वीर्यौजसी तथा|  
 
इन्द्रियाणां बलं हत्वा तेजो वीर्यौजसी तथा|  
 
पाण्डुरोगं करोत्याशु बलवर्णाग्निनाशनम्||२९||  
 
पाण्डुरोगं करोत्याशु बलवर्णाग्निनाशनम्||२९||  
 +
 
शूनगण्डाक्षिकूटभ्रूः [२] शूनपान्नाभिमेहनः|  
 
शूनगण्डाक्षिकूटभ्रूः [२] शूनपान्नाभिमेहनः|  
 
क्रिमिकोष्ठोऽतिसार्येत मलं सासृक् कफान्वितम्||३०||  
 
क्रिमिकोष्ठोऽतिसार्येत मलं सासृक् कफान्वितम्||३०||  
 +
 
mr̥ttikādanaśīlasya kupyatyanyatamō malaḥ|  
 
mr̥ttikādanaśīlasya kupyatyanyatamō malaḥ|  
 
kaṣāyā mārutaṁ, Pittamūṣarā, madhurā Kapham||27||  
 
kaṣāyā mārutaṁ, Pittamūṣarā, madhurā Kapham||27||  
 +
 
kōpayēnmr̥drasādīṁśca raukṣyādbhuktaṁ virūkṣayēt [1] |  
 
kōpayēnmr̥drasādīṁśca raukṣyādbhuktaṁ virūkṣayēt [1] |  
 
pūrayatyavipakvaiva srōtāṁsi niruṇaddhi ca||28||  
 
pūrayatyavipakvaiva srōtāṁsi niruṇaddhi ca||28||  
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indriyāṇāṁ balaṁ hatvā tējō vīryaujasī tathā|  
 
indriyāṇāṁ balaṁ hatvā tējō vīryaujasī tathā|  
 
pāṇḍurōgaṁ karōtyāśu balavarṇāgnināśanam||29||  
 
pāṇḍurōgaṁ karōtyāśu balavarṇāgnināśanam||29||  
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śūnagaṇḍākṣikūṭabhrūḥ [2] śūnapānnābhimēhanaḥ|  
 
śūnagaṇḍākṣikūṭabhrūḥ [2] śūnapānnābhimēhanaḥ|  
 
krimikōṣṭhō'tisāryēta malaṁ sāsr̥k kaphānvitam||30||  
 
krimikōṣṭhō'tisāryēta malaṁ sāsr̥k kaphānvitam||30||  
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mRuttikAdanashIlasya kupyatyanyatamo malaH|  
 
mRuttikAdanashIlasya kupyatyanyatamo malaH|  
 
kaShAyA mArutaM, pittamUSharA, madhurA kapham||27||  
 
kaShAyA mArutaM, pittamUSharA, madhurA kapham||27||  
 +
 
kopayenmRudrasAdIMshca raukShyAdbhuktaM virUkShayet [1] |  
 
kopayenmRudrasAdIMshca raukShyAdbhuktaM virUkShayet [1] |  
 
pUrayatyavipakvaiva srotAMsi niruNaddhi ca||28||  
 
pUrayatyavipakvaiva srotAMsi niruNaddhi ca||28||  
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indriyANAM balaM hatvA tejo vIryaujasI tathA|  
 
indriyANAM balaM hatvA tejo vIryaujasI tathA|  
 
pANDurogaM karotyAshu balavarNAgninAshanam||29||  
 
pANDurogaM karotyAshu balavarNAgninAshanam||29||  
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shUnagaNDAkShikUTabhrUH [2] shUnapAnnAbhimehanaH|  
 
shUnagaNDAkShikUTabhrUH [2] shUnapAnnAbhimehanaH|  
 
krimikoShTho~atisAryeta malaM sAsRuk kaphAnvitam||30||  
 
krimikoShTho~atisAryeta malaM sAsRuk kaphAnvitam||30||  
Person indulging in the habitual consumption of clay (mṛttikā) gets dośhā aggravated according to the taste of mud viz. astringent mud aggravates vāta, saline and alkaline mud aggravates pitta and sweet mud aggravates kapha dośha. 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, lusture, energy and ojas (vital essence of the tissues). This quickly manifesting pāndu 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 kośtha (gastrointestinal tract) and loose motions, the stool associated with blood and mucus (27-30).
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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]
    
==== Prognosis of pāndu ====
 
==== Prognosis of pāndu ====