Changes

The rukshana therapy is applied in two ways like internal administration and external application

The rukshana therapy is applied in two ways like internal administration and external application

'''Internal administration:''' Arishta (self-fermented decoctions), pippali (Piper longum), pathya (Terminalia chebula), guggulu (Commiphora mukul), triphala (Phyllanthus emblica, Terminalia chebula, Terminalia bellirica), honey [A.Hr Sutra Sthana 16/34]<ref name=Hridaya/>, and lekhana basti (therapeutic enema with scrapping action). [Su.Sa.Sutra Sthana 15/32]<ref name= Susruta> Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref> acts as rukshana.

'''Internal administration:''' Arishta (self-fermented decoctions), pippali (Piper longum), pathya (Terminalia chebula), guggulu (Commiphora mukul), triphala (Phyllanthus emblica, Terminalia chebula, Terminalia bellirica), honey [A.Hr Sutra Sthana 16/34]<ref name=Hridaya/>, and lekhana [[basti]] (therapeutic enema with scrapping action). [Su.Sa.Sutra Sthana 15/32]<ref name= Susruta> Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref> acts as rukshana.

'''External application:''' Powder massage (udwartana), pouring sour fermented cereals liquid over the body (dhanyamladhara), pouring medicated buttermilk over the body (takradhara), fomentation with sand (valuka sweda), external application of dry powders imparts rukshana.

'''External application:''' Powder massage (udwartana), pouring sour fermented cereals liquid over the body (dhanyamladhara), pouring medicated buttermilk over the body (takradhara), fomentation with sand (valuka sweda), external application of dry powders imparts rukshana.

==Importance in management of disease==

==Importance in management of disease==

*Rukshana is the prime treatment for all diseases due to excess of [[kapha]] and [[meda]].

*Rukshana is the prime treatment for all diseases due to excess of [[kapha]] and [[meda dhatu]].

*If the site of origin of a disease is site of [[kapha]], then rukshana is the primary treatment. For example, if a disease originates in thorax (ura), a site of [[kapha]][[dosha]], then rukshana is the first treatment.  

*If the site of origin of a disease is site of [[kapha]], then rukshana is the primary treatment. For example, if a disease originates in thorax (ura), a site of [[kapha]][[dosha]], then rukshana is the first treatment.  

*Rukshana therapies treat the diseases caused due to excessive oleation.  

*Rukshana therapies treat the diseases caused due to excessive oleation.  

The hypo-lipidemic action of  powder massage (udwartana) and gruel prepared out of buttermilk (takra siddha yavagu) is observed. Udwartana mutilates and liquefied [[kapha]][[dosha]] and [[meda dhatu]] (fat). The property of dryness in buttermilk (takra) and shyamaka decrease excess unctuousness (sneha) in the body. Significant reduction in serum cholesterol levels and weight of the patient were observed in the study.<ref>Patel B, Kamble SB, Vyas HA, Vyas MK, Chinthala R. Hypolipidemic effect of Rukshana Upakrama in the management of dyslipidemia – A case study. Ayu 2018;39:72 5</ref>  

The hypo-lipidemic action of  powder massage (udwartana) and gruel prepared out of buttermilk (takra siddha yavagu) is observed. Udwartana mutilates and liquefied [[kapha]][[dosha]] and [[meda dhatu]] (fat). The property of dryness in buttermilk (takra) and shyamaka decrease excess unctuousness (sneha) in the body. Significant reduction in serum cholesterol levels and weight of the patient were observed in the study.<ref>Patel B, Kamble SB, Vyas HA, Vyas MK, Chinthala R. Hypolipidemic effect of Rukshana Upakrama in the management of dyslipidemia – A case study. Ayu 2018;39:72 5</ref>  

Powder massage (udwartana) followed by enema causing dryness (ruksha basti) effectively reduces the blood sugar levels and clinical features of type ll diabetes mellitus. The sliminess/moistness (kleda), [[kapha]][[dosha]] and [[meda dhatu]] vitiated in body are corrected by rukshana therapy.<ref>Ramteke RS, Thakar AB, Singh K.Hypoglycemic effect of Rukshana therapy: A case study. Indian jhealth sci 2016;9:114-6.</ref>  

Powder massage (udwartana) followed by enema causing dryness (ruksha [[basti]]) effectively reduces the blood sugar levels and clinical features of type ll diabetes mellitus. The sliminess/moistness (kleda), [[kapha]][[dosha]] and [[meda dhatu]] vitiated in body are corrected by rukshana therapy.<ref>Ramteke RS, Thakar AB, Singh K.Hypoglycemic effect of Rukshana therapy: A case study. Indian jhealth sci 2016;9:114-6.</ref>

==List of theses done==

==List of thesis done==

#Anand Buchake (2002). An assessment of the activities of rooksha guna w.s.r to sthaulya. Department of Dravyaguna. IPGT&RA Jamnagar

#Anand Buchake (2002). An assessment of the activities of rooksha guna w.s.r to sthaulya. Department of Dravyaguna. IPGT&RA Jamnagar

The list of references for rukshana in Charak Samhita can be seen [[Media:List_of_references_for_the_word_rukshana-converted.pdf|here]]

The list of references for rukshana in Charak Samhita can be seen [[Media:List_of_references_for_the_word_rukshana-converted.pdf|here]]

==References==

==References==