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{{#seo:
{{#seo:
|title=Cancer
|title=Cancer
|label2 = Author
|label2 = Author
|data2 = Prof. Dilip Gadgil <sup>1</sup>
|data2 = Prof. Dilip Gadgil<sup>1</sup>
|label3 = Reviewer
|label3 = Reviewer
|data3 = Basisht G.<sup>2</sup>
|data3 = [[Gopal Basisht|Basisht G.]]<sup>2</sup>
|label4 = Editors
|label4 = Editors
|data4 = Deole Y.S.<sup>3</sup>, Aneesh E. G.<sup>2</sup>
|data4 = [[Yogesh Deole|Deole Y.S.]]<sup>3</sup>, Aneesh E. G.<sup>4</sup>
|label5 = Affiliations
|label5 = Affiliations
|data5 = <sup>1</sup> Chief consultant physician, Niramaya ayurvedic research and consultancy, Pune, India
|data5 = <sup>1</sup> Chief consultant physician, Niramaya ayurvedic research and consultancy, Pune, India
<sup>2</sup>[[Charak Samhita Research, Training and Development Centre]], I.T.& R.A., Jamnagar, Gujarat, India
<sup>2</sup>Rheumatologist, Orlando, Florida, U.S.A.
<sup>3</sup> Executive Editor and Professor in Kayachikitsa, G.J.Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Gujarat, India
<sup>3</sup> Executive Editor and Professor in Kayachikitsa, G.J.Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Gujarat, India
<sup>4</sup>[[Charak Samhita Research, Training and Development Centre]], I.T.& R.A., Jamnagar, Gujarat, India
|label6 = Correspondence emails
|label6 = Correspondence emails
|data6 = carakasamhita@gmail.com
|data6 = gadgil.dilip@gmail.com,
carakasamhita@gmail.com
|label7 = Date of first publication:
|label7 = Publisher
|data7 = January 24, 2022
|data7 = [[Charak Samhita Research, Training and Development Centre]], I.T.R.A., Jamnagar, India
|label8 = DOI
|label8 = Date of first publication:
|data8 = Under process
|data8 = January 24, 2022
|label9 = DOI
|data9 = 10.47468/CSNE.2022.e01.s09.083
}}
}}
<div style='text-align:justify;'>
<p style='text-align:justify;'>This article is based on lecture delivered by Prof. Dilip Gadgil as a part of Prof. M .S. Baghel Memorial Lecture Series on 09th March 2021. </p>
This article is based on lecture delivered by Prof. Dilip Gadgil as a part of Prof. M .S. Baghel Memorial Lecture Series on 09th March 2021.
==Cancer in Ayurvedic perspective==
==Cancer in Ayurvedic perspective==
When a patient suffering from cancer comes for [[Ayurveda]] therapies, there are two approaches towards it:
When a patient suffering from cancer comes for [[Ayurveda]] therapies, there are two approaches towards it:
1. [[Ayurveda]] therapies with conventional medicine can be named as ‘integrated approach’
1. [[Ayurveda]] therapies with conventional medicine, can be named as ‘integrated approach’
2. Only Ayurvedic therapy without any conventional medicine
'''Advantages and disadvantages'''
There are certain advantages and disadvantages for both these approaches.
There are certain advantages and disadvantages for both these approaches.
*In this approach, the diagnosis of cancer as per conventional medicine is accepted with its prognosis. Knowledge of experiences from Oncologists can be obtained to understand stages and prognosis.
*In this approach, the diagnosis of cancer as per conventional medicine is accepted with its prognosis. Knowledge of experiences from Oncologists can be obtained to understand stages and prognosis.
*The concepts from conventional medicine are correlated with Ayurvedic concepts. For e.g. multiplication of cells is associated with functions of [[shukra dhatu]] and [[ojas]]. Regeneration capacity is attributed to [[shukra]]. The main function of [[shukra]] is the regeneration of all body tissues or multiplication of cells. [A. Hr. Sutra Sthana 11/4]<ref name= Hridaya > Vagbhata. Ashtanga Hridayam. Edited by Harishastri Paradkar Vaidya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref> This is very well established in the treatment of wounds. [A. Hr. Sutra Sthana 29/33]<ref name=Hridaya/> This same principle can be applied while understanding pathology of cancerous growth.
*The concepts from conventional medicine are correlated with Ayurvedic concepts. For e.g. multiplication of cells is associated with functions of reproductive fluid ([[shukra dhatu]]) and essence of all body tissues ([[ojas]]). Regeneration capacity is attributed to [[shukra]]. The main function of [[shukra]] is the regeneration of all body tissues or multiplication of cells. [A. Hr. Sutra Sthana 11/4]<ref name= Hridaya > Vagbhata. Ashtanga Hridayam. Edited by Harishastri Paradkar Vaidya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref> This is very well established in the treatment of wounds. [A. Hr. Sutra Sthana 29/33]<ref name=Hridaya/> This same principle can be applied while understanding pathology of cancerous growth.
*In leukemia, when white blood cells count goes very high, it is considered as the growth of immature cells. This can be understood in terms of decreased metabolism at the level of body tissues (dhatuagnimandya). [A. Hr. Sutra Sthana 11/34]<ref name=Hridaya/>
*In leukemia, when white blood cells count goes very high, it is considered as the growth of immature cells. This can be understood in terms of decreased metabolism at the level of body tissues (dhatuagnimandya). [A. Hr. Sutra Sthana 11/34]<ref name=Hridaya/>
*Based on the progress of disease, Ayurvedic prognosis can be judged and treatment is planned. In a cancer patient, liver and spleen was involved. The liver was palpable for 8 fingers and spleen 4 fingers and was stony hard. Milk diet and tamra (copper) and hiraka (diamond) basma was prescribed. The patient responded well. After 1 month the spleen was not palpable and liver was palpable for 4 fingers. In the etiology of pleehodara, Charak opines that morbidity of [[rasa]] and [[rakta]] in turn cause enlargement of spleen.[Cha.Sa.[[Chikitsa Sthana]] 13/36-37] The portion of body tissue (dhatu ansha) of muscle tissue ([[mamsa]]), fat ([[meda]]) and bones ([[asthi]]) may get diverted to blood ([[rakta]]) and results in disease in the process of transformation (dhatu agnivyapara). The treatment is changed to milk and ghee processed with Tinospora cordifolia ([[guduchi]]) to correct the same.
*Based on the progress of disease, Ayurvedic prognosis can be judged and treatment is planned. In a cancer patient, liver and spleen was involved. The liver was palpable for 8 fingers and spleen 4 fingers and was stony hard. Milk diet and copper (tamra) and diamond (hiraka) basma was prescribed. The patient responded well. After 1 month the spleen was not palpable and liver was palpable for 4 fingers. In the etiology of pleehodara, Charak opines that morbidity of [[rasa]] and [[rakta]] in turn cause enlargement of spleen.[Cha.Sa.[[Chikitsa Sthana]] 13/36-37] The portion of body tissue (dhatu ansha) of muscle tissue ([[mamsa]]), fat ([[meda]]) and bones ([[asthi]]) may get diverted to blood ([[rakta]]) and results in disease in the process of transformation (dhatu agnivyapara). The treatment is changed to milk and ghee processed with Tinospora cordifolia ([[guduchi]]) to correct the same.
Thus the integrated approach includes knowledge sharing of allopathic and ayurvedic system of medicine.
Thus the integrated approach includes knowledge sharing of allopathic and ayurvedic system of medicine.
'''Disadvantages of integrated approach'''
'''Disadvantages of integrated approach'''
*If the base of modern medicine changes drastically, the Ayurvedic concept based on those concepts will have no value.
*If the base of modern medicine changes drastically, the Ayurvedic concept based on those concepts will have no value.
*More over this approach ultimately leads to cessation of Ayurvedic way of thoughts. If we are carried away by the modern medicine diagnostic methods, then that is a very big loss to [[Ayurveda]]. As Ayurvedic practitioners, diagnosis of condition in Ayurvedic way is moral responsibility.
*More over this approach ultimately leads to cessation of Ayurvedic way of thoughts. If we are carried away by the modern medicine diagnostic methods, then that is a very big loss to [[Ayurveda]]. As Ayurvedic practitioners, diagnosis of condition in Ayurvedic way is moral responsibility.
===Ayurvedic approach===
===Ayurvedic approach===
When a cancer patient comes for Ayurvedic treatment the following points need to be considered. Usually they are in advanced stage and generally incurable. The life span is very less. Along with the symptoms of the disease, the symptoms due to chemo or radiotherapy also should be considered. The economical condition may also be poor. [[Ayurveda]] treatments, if started in initial stage, might prove better efficacy with affordable healthcare.
When a cancer patient comes for Ayurvedic treatment the following points need to be considered. Usually they are in advanced stage and generally incurable. The life span is very less. Along with the symptoms of the disease, the symptoms due to chemo or radiotherapy also should be considered. The economical condition may also be poor. [[Ayurveda]] treatments, if started in initial stage, might prove better efficacy with affordable healthcare.
'''Objectives of Ayurvedic treatment of cancer'''
*Pain relief
*Pain relief
*Improve the quality of life
*Improve the quality of life
Disease free interval with a good quality of life should be the goal of treatment. The goals can be achieved by following methods.
Disease free interval with a good quality of life should be the goal of treatment. The goals can be achieved by following methods.
'''1. Cause oriented treatment(hetu-pratyanikachikitsa):'''
'''Cause oriented treatment (hetu-pratyanika chikitsa):'''
Tobacco, stress, psychological shock, improper food habits, surgery, FNAC, biopsy, heredity etc. are common causes. Avoidance or removal of causative factors is the foremost treatment of a disease. [Su.Sa. Uttar tantra 1/25]<ref name= Susruta> Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref> For that, in Ayurvedic perspective, the causes of cancer shall be elucidated. If cause is known, etiopathogenesis ([[samparati]]) also can be judged and treatment can be decided.
Tobacco, stress, psychological shock, improper food habits, surgery, FNAC, biopsy, heredity etc. are common causes. Avoidance or removal of causative factors is the foremost treatment of a disease. [Su.Sa. Uttar tantra 1/25]<ref name= Susruta> Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref> For that, in Ayurvedic perspective, the causes of cancer shall be elucidated. If cause is known, etiopathogenesis ([[samprapti]]) also can be judged and treatment can be decided.
'''1.1 Avoiding the causes and reversing their effect'''
'''Avoiding the causes and reversing their effect'''
Emphasizing on the use of desi cow (A2) milk with natural/organic food only is a primary and important requirement. Only natural and organically grown farming was in practice for thousands of years, till last 4-5 decades. Returning to natural food is most important to regain health. Intake of milk and ghee is considered as most important [[rasayana]] (rejuvenator). So only desi cow milk and ghee should be used for this purpose. [Cha.Sa.[[Sutra Sthana]] 25/40] If the food is proper, then the tissues formed from this food won’t have any abnormalities.
Emphasizing on the use of desi cow (A2) milk with natural/organic food only is a primary and important requirement. Only natural and organically grown farming was in practice for thousands of years, till last 4-5 decades. Returning to natural food is most important to regain health. Intake of milk and ghee is considered as most important rejuvenator ([[rasayana]]). So only desi cow milk and ghee should be used for this purpose. [Cha.Sa.[[Sutra Sthana]] 25/40] If the food is proper, then the tissues formed from this food won’t have any abnormalities.
==Treatment==
==Treatment==
Detoxification with [[panchakarma]] in tobacco addicted patients is advised. Shirodhara, counseling, yoga and massage are advised for patients having stress and psychological shock. Life style correction including food habits for improper food habits is important.
Detoxification with [[panchakarma]] in tobacco addicted patients is advised. Pouring medicated liquid over forehead (shirodhara), counseling, yoga and massage are advised for patients having stress and psychological shock. Life style correction including food habits for improper food habits is important.
spiritual therapies (adidaivika treatment) for those who are having bad destiny. I had a recent case of cancer for a 3 ½ year old child. Alpha fetoprotein was 57000 units. How a child at this age get cancer? Here we have to think about the past life (purvajanma) of patient and should treat accordingly.
===General guidelines for the treatment of cancer===
===General guidelines for the treatment of cancer===
*Nourishment/depletion therapies (santarpana/apatarpana)
*Nourishment/depletion therapies (santarpana/apatarpana)
*purification/pacification therapies ([[shodhana]]/[[shamana]])
*Purification/pacification therapies ([[shodhana]]/[[shamana]])
*Disease specific treatments (vyadhipratynika)
*Disease specific treatments (vyadhipratynika)
*[[Dosha]] specific treatments (dosha pratyanika)
*[[Dosha]] specific treatments (dosha pratyanika)
====Nourishing therapies (santarpana treatment)====
====Nourishing therapies (santarpana treatment)====
'''Indications:''' Weight loss, emaciation, weakness, stress, depression and anxiety
'''Indications:''' Weight loss, emaciation, weakness, stress, depression and anxiety.
'''Treatment:''' Counseling, only milk diet, medicines like Vasantakusumakara rasa, shatavari, vidari, ashwagandha etc. can be used. Peya / yusha/ vilepi etc. may also be used as santarpana.
'''Treatment:''' Counseling, only milk diet, medicines like Vasantakusumakara rasa, Asparagus racemosus (shatavari), Pueraria tuberosa (vidari), Withania somnifera (ashwagandha) etc. can be used. Thin gruel (peya)/vegetable soup (yusha)/thick gruel (vilepi) etc. may also be used as santarpana.
====Depletion therapies (apatarpana treatment)====
====Depletion therapies (apatarpana treatment)====
'''Indications:''' [[Ama]], poor digesion and metabolism (agnimandya), vitiation of [[vata dosha]] (vataprakopa) due to obstruction of channels (margavarodha) caused by [[dosha]]/tumor.
'''Indications:''' [[Ama]], poor digesion and metabolism (agnimandya), vitiation of [[vata dosha]] (vataprakopa) due to obstruction of channels (margavarodha) caused by [[dosha]]/tumor.
Other treatments:
====Other treatments====
Mild fasting therapy ([[langhana]]) can be done for those who are indicated for nourishing therapy ([[brimhana]]).
Mild fasting therapy ([[langhana]]) can be done for those who are indicated for nourishing therapy ([[brimhana]]).
Improving digestion ([[pachana]]), fomentation ([[swedana]]), application of medicated paste (lepa), leech application (jalaukavacharana) etc. can be done as per the conditions. Particularly when there is skeletal metastasis, fomentation with bolus of leaves of herbs (patrapotalli sweda) can be done in condition associated with [[ama]] ( samaavastha). Keeping heated oil over lowback (Katibasti) with kottamchukkadi/sahacharadi oil is followed by patrapotalli sweda. Fomentation (seka) can also be done with oil (taila), kanji etc. Leech application (jalukavacharana) will help particularly in oral cancers. Where there is a tendency of bleeding the pain gets relieved after bleeding. In a malignant melanoma case, treatment started with leech application and fumigation showed good results.
Improving digestion ([[pachana]]), fomentation ([[swedana]]), application of medicated paste (lepa), leech application (jalaukavacharana) etc. can be done as per the conditions. Particularly when there is skeletal metastasis, fomentation with bolus of leaves of herbs (patrapotalli sweda) can be done in condition associated with [[ama]] ( samaavastha). Keeping heated oil over lowback (Katibasti) with kottamchukkadi/sahacharadi oil is followed by patrapotalli sweda. Fomentation (seka) can also be done with oil (taila), fermented rice water (kanji) etc. Leech application (jalukavacharana) will help particularly in oral cancers. Where there is a tendency of bleeding the pain gets relieved after bleeding. In a malignant melanoma case, treatment started with leech application and fumigation showed good results.
====Vyadhipratynika (disease specific)====
====Vyadhi pratynika (disease specific)====
*Diamond powder (Hiraka basma) is used in every patient. It is very safe without any side effects. Dosage is 0.04mg/day.
*Diamond powder (Hiraka basma) is used in every patient. It is very safe without any side effects. Dosage is 0.04mg/day.
*Pippali rasayana can be used. It can be given in escalating dose either from 10 pipers to 100 or from 6 to 60 or 3 to 30. In lung cancer and liver cancer, when there is low digestive power (agnimandya) and in cold season, it is ideal to use.
*Pippali rasayana can be used. It can be given in escalating dose either from 10 pipers to 100 or from 6 to 60 or 3 to 30. In lung cancer and liver cancer, when there is low digestive power (agnimandya) and in cold season, it is ideal to use.
*Narasinha rasayana is used particularly in lung cancer.
*Narasinha rasayana is used particularly in lung cancer.
*Tamra and Vanga is better for shukradushti.
*Copper (tamra) and tin (vanga) is better for vitiated reproductive fluid (shukradushti).
====[[Dosha]] pratyanika ([[dosha]] specific)====
====[[Dosha]] pratyanika ([[dosha]] specific)====
*Bringing [[vata dosha]] to its normalcy (Vatanulomana) by pacifying ([[shamana]]) or purificatory ([[shodhana]]) procedures is most important for dosha pratyanika treatments. In a case of esophagus and stomach cancer, puncture of esophagus and metastasis to right humerus was present. The patient was in agony. Per abdominal examination revealed the presence of fecal matter. The case was admitted and therapeutic enema([[basti]]) was given. When the fecal matter came out, gradually the pain subsided. Within a week, the patient was absolutely pain free. It was a clear case of obstruction induced vitiation of [[vata dosha]] (margavaranaganyavataprakopa). We can at least relive the pain, which is most important.
*Bringing [[vata dosha]] to its normalcy (Vatanulomana) by pacifying ([[shamana]]) or purificatory ([[shodhana]]) procedures is most important for dosha pratyanika treatments. In a case of esophagus and stomach cancer, puncture of esophagus and metastasis to right humerus was present. The patient was in agony. Per abdominal examination revealed the presence of fecal matter. The case was admitted and therapeutic enema ([[basti]]) was given. When the fecal matter came out, gradually the pain subsided. Within a week, the patient was absolutely pain free. It was a clear case of obstruction induced vitiation of [[vata dosha]] (margavaranaganyavataprakopa). We can at least relive the pain, which is most important.
*[[Pitta]] pacifiying ([[shamana]]) or purification ([[shodhana]]) in [[pitta]] predominant conditions is advised.
*[[Pitta]] pacifiying ([[shamana]]) or purification ([[shodhana]]) in [[pitta]] predominant conditions is advised.
*[[Kapha]] pacifiying ([[shamana]]) or purification ([[shodhana]]) in [[kapha]] predominant condition is advised.
*[[Kapha]] pacifiying ([[shamana]]) or purification ([[shodhana]]) in [[kapha]] predominant condition is advised.
*Even in acute cases, different therapeutic enemas like anuvasana/asthapana/yapan/uttarbasti can be used. In bladder cancer, uttarabati is used particularly.
*Even in acute cases, different therapeutic enemas like anuvasana/asthapana/yapan/uttarabasti can be used. In bladder cancer, enema through uretheral route (uttarabasti) is used particularly.
====Symptomatic treatment====
====Symptomatic treatment====
'''Indication:''' Treatments can be given based on the symptoms of disease, symptoms due to chemotherapy and radiation, depression and fear.
'''Indication:''' Treatments can be given based on the symptoms of disease, symptoms due to chemotherapy and radiation, depression and fear.
'''Treatment:''' Symptoms like pain, constipation, loose motion etc. should be treated. For adverse effects of chemotherapy such as nausea, vomiting etc. kamadugha, Cynodon dactylon (durva) etc. can be used. For adverse effects of radiation like burning sensation, ghee, Aloe vera (kumari) and Cynodon dactylon (durva) can be used. Aloe vera (kumari) is a better choice since it is cold in potency, rejuvanating [[rasayana]], good for liver and lungs and is easily available. To combat, fear and depression food/medicines which increases the essence of all body tissues (ojo vardhaka) can be given. E.g. milk
'''Treatment:''' Symptoms like pain, constipation, loose motion etc. should be treated. For adverse effects of chemotherapy such as nausea, vomiting etc. kamadugha, Cynodon dactylon (durva) etc. can be used. For adverse effects of radiation like burning sensation, ghee, Aloe vera (kumari) and Cynodon dactylon (durva) can be used. Aloe vera (kumari) is a better choice since it is cold in potency, rejuvanating [[rasayana]], good for liver and lungs and is easily available. To combat, fear and depression food/medicines which increases the essence of all body tissues (ojo vardhaka) can be given. E.g. milk
As rejuvanator ([[rasayana]]) only milk diet can be advised. The patient can take upto 2 liters/day. If the patient continues to take milk, the immunity increases and regression of disease happens gradually. By taking the Ayurvedic medicines, there may not be notable changes in markers and size of tumors. But there will be stagnation of disease progression for a period and later tumor also may get cured. We have some cases in which the tumor gets cured completely. Diamond powder (Hiraka bhasma), bhallataka rasayana, vardhamanapippali rasayana and chyavanaprasha also can be given.
As rejuvanator ([[rasayana]]) only milk diet can be advised. The patient can take upto 2 liters/day. If the patient continues to take milk, the immunity increases and regression of disease happens gradually. By taking the Ayurvedic medicines, there may not be notable changes in markers and size of tumors. But there will be stagnation of disease progression for a period and later tumor also may get cured. We have some cases in which the tumor gets cured completely. Diamond powder (Hiraka bhasma), bhallataka rasayana, vardhamanapippali rasayana and chyavanaprasha also can be given.
====Holistic approach====
====Holistic approach====
A case of CA bladder with muscle invasion, advised for bladder removal was treated with oral medication and uttarabasti. Avapeedaka snehapana was also done considering suppression of urine as one of the causative factor for disease. Further spread of disease was arrested and could retain the bladder also. Since last 21 years, the person is completely disease free.
A case of CA bladder with muscle invasion, advised for bladder removal was treated with oral medication and uttarabasti. Avapeedaka snehapana was also done considering suppression of urine as one of the causative factor for disease. Further spread of disease was arrested and could retain the bladder also. Since last 21 years, the person is completely disease free.
A 57year old renal cell carcinoma patient, treated with only milk diet for 9 months. For three years, the general condition was satisfactory. Kidney started functioning but he developed hydronephrosis due to ureteral obstruction. This was misunderstood by patient as aggravation of disease, which leaded to depression. The patient suffered from brain metastasis and hemiplegia, making the condition worse and the patient died. However, the patient survived for three years due to [[Ayurveda]] treatments.
A 57 year old renal cell carcinoma patient, treated with only milk diet for 9 months. For three years, the general condition was satisfactory. Kidney started functioning but he developed hydronephrosis due to ureteral obstruction. This was misunderstood by patient as aggravation of disease, which leaded to depression. The patient suffered from brain metastasis and hemiplegia, making the condition worse and the patient died. However, the patient survived for three years due to [[Ayurveda]] treatments.
Another patient had the symptoms of hyperacidity and stomach ulcer. Underwent surgery for that and was revealed as CA stomach. Subtotal gastrectomy was done. The chance of survival was only for 2 months. Then the patient came to me and I kept him on milk diet. He used to consume 2 liters of milk a day. There was weight gain and restoration of normal activities. After six months, the patient started vomiting without pain. So he is referred back to surgeon for resecting the adhesions. The patient further survived for one more year.
Another patient had the symptoms of hyperacidity and stomach ulcer. Underwent surgery for that and was revealed as CA stomach. Subtotal gastrectomy was done. The chance of survival was only for 2 months. Then the patient came to me and I kept him on milk diet. He used to consume 2 liters of milk a day. There was weight gain and restoration of normal activities. After six months, the patient started vomiting without pain. So he is referred back to surgeon for resecting the adhesions. The patient further survived for one more year.
A patient aged 50 years, was unconscious, primary focus unknown and secondaries in liver and lung. His bilirubin level was 32 mg/dl and was in intensive care unit (ICU). Supplementary oxygen and intravenous fluids were given. Life expectancy was only few hours. Relatives of the patient requested me to see the patient and on their compulsion the patient was shifted to a smaller hospital. Instead of ICU, patient was admitted in a special room. Along with oral medication, lajamanda and mudgayusha was started. Even though the intake was less, it was possible to stop saline and oxygen supply. After that cassia fistula (aragwadha) and a combination of Terminalia chebula (haritaki), Terminalia bellirica (vibitaki) and Phyllanthus emblica (amlaki) (triphala) was used for mild purgation (mridu stramsana). After passing 5 to 6 loose bowels, the patient became semi-conscious and could recognize some relatives. Bilirubin came down to 20 mg/dl. But still hallucinations were present. He died after 6 days. During these 6 days, the quality of life of that patient improved and could provide economical treatment.
A patient aged 50 years, was unconscious, primary focus unknown and secondaries in liver and lung. His bilirubin level was 32 mg/dl and was in intensive care unit (ICU). Supplementary oxygen and intravenous fluids were given. Life expectancy was only few hours. Relatives of the patient requested me to see the patient and on their compulsion the patient was shifted to a smaller hospital. Instead of ICU, patient was admitted in a special room. Along with oral medication, scum of gruel prepared with fried paddy (lajamanda) and green gram soup (mudgayusha) was started. Even though the intake was less, it was possible to stop saline and oxygen supply. After that cassia fistula (aragwadha) and a combination of Terminalia chebula (haritaki), Terminalia bellirica (vibitaki) and Phyllanthus emblica (amlaki) (triphala) was used for mild purgation (mridu stramsana). After passing 5 to 6 loose bowels, the patient became semi-conscious and could recognize some relatives. Bilirubin came down to 20 mg/dl. But still hallucinations were present. He died after 6 days. During these 6 days, the quality of life of that patient improved and could provide economical treatment.
==Importance of concept of health==
==Importance of concept of health==
'''Q.''' (Dr Manisha Sharma) If desi cow milk is not available then can we prescribe other milk?
'''Q.''' (Dr Manisha Sharma) If desi cow milk is not available then can we prescribe other milk?
'''A.''' We have to go for Desi cow milk only. Jersey cow milk is the culprit, it cause cancer. So it cannot be used. Buffalo milk or goat milk are the other options. If these are not available, go for organic foods. That is the only solution.
'''A.''' We have to go for Desi cow milk only. Jersey cow milk is the culprit, it cause cancer. So it cannot be used. Buffalo milk or goat milk are the other options. If these are not available, go for organic foods. That is the only solution.
'''Q.''' What is the option for milk in cancer patients in case of lactose intolerance?
'''Q.''' What is the option for milk in cancer patients in case of lactose intolerance?
'''A.''' Generally it is not found. There can be some problems like flatulence, loose motions, hiccups in some cancer patients with milk diet. This can be treated easily with pippali rasayana or by adding shunti or haridra with milk.
'''A.''' Generally it is not found. There can be some problems like flatulence, loose motions, hiccups in some cancer patients with milk diet. This can be treated easily with pippali rasayana or by adding shunti or haridra with milk.
'''Q.''' (Dr Arpitha Konana) Are gold preparations or suvarna bhasma is useful in treatment of cancer?
'''Q.''' (Dr Arpitha Konana) Are gold preparations or suvarna bhasma is useful in treatment of cancer?
'''A.''' That can be used. I emphasized on hiraka bhasma. There can be other gold preparations like suvarnasutasekara rasa, suvarnamalinivasant rasa etc. if needed. We generally tried to go for siddha kshira, suvarnaguduchikshira. 1 cup of milk, 1 cup of water, 1 golden bangle or ring and [[guduchi]], boil it, reduce to 1 cup. Have that milk as anupana with whatever medicines we are giving. I was using mahakalyanaka grita. But rakta dushya is very commonly seen in most of the cancer patients. So we now prepare raktakalyanakaghrita which raktapachaka and kalyanakaghrita combination. We prepare it by ourself. Every week I require 5 to 10 kgs of ghrita. This is to be given as anupana followed by suvarnaguduchiksheera. That helps better.
'''A.''' That can be used. I emphasized on hiraka bhasma. There can be other gold preparations like suvarnasutasekara rasa, suvarnamalinivasant rasa etc. if needed. We generally tried to go for siddha kshira, suvarnaguduchikshira. 1 cup of milk, 1 cup of water, 1 golden bangle or ring and [[guduchi]], boil it, reduce to 1 cup. Have that milk as anupana with whatever medicines we are giving. I was using mahakalyanaka grita. But rakta dushya is very commonly seen in most of the cancer patients. So we now prepare raktakalyanakaghrita which raktapachaka and kalyanakaghrita combination. We prepare it by ourself. Every week I require 5 to 10 kgs of ghrita. This is to be given as anupana followed by suvarnaguduchiksheera. That helps better.
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==References==
==References==