Changes

#As regimens

#As regimens

As food materials: Use of oil-cakes of mustard and sesame, buttermilk, honey [Cha.Sa.[[Sutra Sthana]] 22/29], khala (curd preparation), uddalaka (rice preparation), Hordeum vulgare Linn. (yava), Echinochioa frumentacea Linn. (shyamaka), Paspalum scrobiculatum L. (kodrava) etc [A.Hr Sutra sthana 16/34]<ref name= Hridaya > Vagbhata. Ashtanga Hridayam. Edited by Harishastri Paradkar Vaidya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref> helps in rukshana. Overuse of substances having pungent, bitter and astringent tastes also provides rukshana.[Cha.Sa.[[Sutra Sthana 22/29]

As food materials: Use of oil-cakes of mustard and sesame, buttermilk, honey [Cha.Sa.[[Sutra Sthana]] 22/29], khala (curd preparation), uddalaka (rice preparation), Hordeum vulgare Linn. (yava), Echinochioa frumentacea Linn. (shyamaka), Paspalum scrobiculatum L. (kodrava) etc [A.Hr Sutra sthana 16/34]<ref name= Hridaya > Vagbhata. Ashtanga Hridayam. Edited by Harishastri Paradkar Vaidya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref> helps in rukshana. Overuse of substances having pungent, bitter and astringent tastes also provides rukshana.[Cha.Sa.[[Sutra Sthana]] 22/29]

As medicines/treatments:  This can be considered under two headings

As medicines/treatments:  This can be considered under two headings

*Rukshana is indicated as a measure to treat the complications caused by oleation ([[snehana]]). [A.Hr Sutra sthana 16/33-34]

*Rukshana is indicated as a measure to treat the complications caused by oleation ([[snehana]]). [A.Hr Sutra sthana 16/33-34]

==Signs and symptoms of optimum rukshana==  

=Signs and symptoms of optimum rukshana=

*Proper evacuation of flatus, urine and feces

*Proper evacuation of flatus, urine and feces

*Feeling of wellbeing [Cha.Sa.[[Sutra Sthana]] 22/34-35]

*Feeling of wellbeing [Cha.Sa.[[Sutra Sthana]] 22/34-35]

==Signs and symptoms of excessive administration of rukshana==

=Signs and symptoms of excessive administration of rukshana=

   

   

Pain in the joints, body aches, cough, dryness of the mouth, complete loss of hunger, anorexia, thirst, weakness of hearing and vision, confusion of mind, frequent eructation, fainting, frequent upward movement of [[vata]], loss of body weight, digestive power and strength.[Cha.Sa.[[Sutra Sthana]] 22/36-37]

Pain in the joints, body aches, cough, dryness of the mouth, complete loss of hunger, anorexia, thirst, weakness of hearing and vision, confusion of mind, frequent eructation, fainting, frequent upward movement of [[vata]], loss of body weight, digestive power and strength.[Cha.Sa.[[Sutra Sthana]] 22/36-37]

==Importance in preservation of health and prevention==

=Importance in preservation of health and prevention=

In spring (vasanta) season the person should indulge in rukshana activities like exercise and should undergo powder massage in order to prevent the diseases caused due to aggravation of [[kapha]] [[dosha]].[Cha.Sa.[[Sutra Sthana]] 6/24] To prevent the complications caused due to internal administration of fats and oils, especially in persons having more [[kapha]] and adipose tissue ([[meda dhatu]]), rukshana is advised prior to it. [A.Hr Sutra sthana 16/37]

In spring (vasanta) season the person should indulge in rukshana activities like exercise and should undergo powder massage in order to prevent the diseases caused due to aggravation of [[kapha]] [[dosha]].[Cha.Sa.[[Sutra Sthana]] 6/24] To prevent the complications caused due to internal administration of fats and oils, especially in persons having more [[kapha]] and adipose tissue ([[meda dhatu]]), rukshana is advised prior to it. [A.Hr Sutra sthana 16/37]

==Importance in management of disease==

=Importance in management of disease=

Rukshana is the treatment of choice for persons having excess of [[kapha]] and adipose tissue ([[meda dhatu]]) present in the body. If the site of the disease is that of [[kapha]], rukshana must be done as the first line of treatment. The diseases caused as a result of excessive administration of oleation ([[snehana]]) also should be treated by rukshana therapies. In vitiligo (switra) treatment, rukshana is adviced after purificatory therapies.[Cha.Sa.[[Chikitsa Sthana]] 7/172] If the edema is caused due to unctuousness then rukshana is the treatment of choice. [Cha.Sa.[[Chikitsa Sthana]] 12/17] Cough due to [[vata]] or [[kapha]] if associated with expectoration of sputum, rukshana therapies should be implemented as treatment. [Cha.Sa.[[Chikitsa Sthana]] 18/132]

Rukshana is the treatment of choice for persons having excess of [[kapha]] and adipose tissue ([[meda dhatu]]) present in the body. If the site of the disease is that of [[kapha]], rukshana must be done as the first line of treatment. The diseases caused as a result of excessive administration of oleation ([[snehana]]) also should be treated by rukshana therapies. In vitiligo (switra) treatment, rukshana is adviced after purificatory therapies.[Cha.Sa.[[Chikitsa Sthana]] 7/172] If the edema is caused due to unctuousness then rukshana is the treatment of choice. [Cha.Sa.[[Chikitsa Sthana]] 12/17] Cough due to [[vata]] or [[kapha]] if associated with expectoration of sputum, rukshana therapies should be implemented as treatment. [Cha.Sa.[[Chikitsa Sthana]] 18/132]

==Current researches==

=Current researches=

The efficacy of rukshana treatment in transverse myelitis is reported in a study. The patient with predominance of [[kapha]] is being treated with rukshana methods including valuka sweda (sudation with sand bolus) and other internal medicines. The patient shows remarkable recovery within 10 days of treatment.<ref>Nithin Jindal, Manoj KS, Sadhana Berry. Importance of rukshana karma (dehydrating therapy) in the management of transverse myelitis. Ayu. 2012 Jul-Sep; 33(3): 402–405.doi: 10.4103/0974-8520.108852</ref> Administration of powder massage (udwarthana) along with gruel prepared out of buttermilk (takra siddha yavagu) is reported to be having hypolipidemic effect. Udwartana possess the quality to mutilate and liquefy the [[kapha]] and fat (meda). Buttermilk (takra) which is ruksha in quality and the drug used, shyamaka is also ruksha and it possess the property of decreasing the excess oil/fat from the body. There was significant reduction in serum cholesterol levels and weight of the patient.<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> Udwartana followed by ruksha basti (a type of [[basti]] treatment) is reported to be effective in reducing the blood sugar levels and signs and symptoms in type ll diabetes mellitus patient. Prameha which can be correlated as type ll diabetes mellitus, is having predominance of sliminess/moistness (kledha), [[kapha]] and [[medha]] in body. Rukshana is having the opposite qualities of kledha, [[kapha]] and [[medha]].<ref>Ramteke RS, Thakar AB, Singh K. Hypoglycemic effect of Rukshana therapy: A case study. Indian j health sci 2016;9:114-6.</ref>  

The efficacy of rukshana treatment in transverse myelitis is reported in a study. The patient with predominance of [[kapha]] is being treated with rukshana methods including valuka sweda (sudation with sand bolus) and other internal medicines. The patient shows remarkable recovery within 10 days of treatment.<ref>Nithin Jindal, Manoj KS, Sadhana Berry. Importance of rukshana karma (dehydrating therapy) in the management of transverse myelitis. Ayu. 2012 Jul-Sep; 33(3): 402–405.doi: 10.4103/0974-8520.108852</ref>  

==List of theses done==

 

 

=List of theses 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

==More information==

=More information=

[[Langhanabrimhaniya]]

[[Langhanabrimhaniya]]

==References==

=References=