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→Tattva Vimarsha
Thus ends the sixteenth chapter in [[Chikitsa Sthana]] dealing with the treatment of ''pandu roga'' in the work of Agnivesha which was redacted by Charaka and because of its unavailability was supplemented by Dridhabala [140]
Thus ends the sixteenth chapter in [[Chikitsa Sthana]] dealing with the treatment of ''pandu roga'' in the work of Agnivesha which was redacted by Charaka and because of its unavailability was supplemented by Dridhabala [140]
=== Tattva Vimarsha ===
=== ''Tattva Vimarsha'' ===
*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 dietary factors like alkaline, sour, saline, hot and mutually contradictory foods, unwholesome food, ''nishpava'' (a type of pulses), māśa, piṇyāka (oil cake) and til oil; lifestyle factors like indulging in day sleep, performing exercise and sex before digestion of the food, disobedience of the seasonal regimens (ṛtu vaiśamya), suppression of the natural urges; iatrogenic factors like Improper administration of panchakarma measures (pratikarma vaiśamya) 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 mānsa (flesh).
• Heart and circulatory system are involved in the pathogenesis of pandu which is presented at the sites of skin and mānsa (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.
• Suitable changes (combinations and permutations) in the treatment should be prescribed depending upon the strength of the dośhā in the patient. The therapy should be dominated by unctuous drugs (oil, ghee etc) for vātika type of pāndu; by bitter and cooling drugs for paittika type and by pungent, bitter and hot drugs for kaphaaj type of pāndu.
• Suitable changes (combinations and permutations) in the treatment should be prescribed depending upon the strength of the dośhā in the patient. The therapy should be dominated by unctuous drugs (oil, ghee etc) for vātika type of pāndu; by bitter and cooling drugs for paittika type and by pungent, bitter and hot drugs for kaphaaj type of pāndu.
• 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.
• Halīmaka and is caused by the aggravation of vāta and pitta dośha. Hence the treatment focus on pacification of vata and pitta dosha.
• Halīmaka and is caused by the aggravation of vāta and pitta dośha. Hence the treatment focus on pacification of vata and pitta dosha.
=== Vidhi Vimarsha ===
=== Vidhi Vimarsha ===