Changes

The aggravated ''kapha vata doshas'' cause obstruction to ''shvasana'' (breathing) which should be cleared by ''tikshna pradhamana nasya'' (powder blowing into nostrils). This restores the ''sanjna'' (consciousness). ''Sirsha virechana'' (purification of head) should be given using very fine powder of ''maricha'' (black peper/Piper indicum), ''shigrubija'' (seeds of Moringa olifera), ''vidanga'' (Embelia ribes) and ''phaninjjaka'' (Marubaka- Origanum majorana). In ''hridgraha'' (stiffness or tightness in Heart) and ''apatantraka'' one should consume ''tumburu'' (Zanthoxylum alatum), ''abhaya'' (Terminalia chebula fruit), ''hingu'' (Asafoetida), ''pushkara'' (Inula racemosa), three types of ''lavana'' (''saindhava, sauvarcala'' and ''bida lavana'') with decoction of ''yava'' (Hordeum vulgare). Consume ''hingu'' (Asafoetida), a''mlavetasa'' (Garcinia pedunculata), ''sunthi'' (Zingiber officinale), with ''sauvarchala'' (sorchal salt) and ''dadima'' (juice of pomergranate/ Punica granatum) and employ treatment that alleviates ''vata kapha doshas'' and which cures ''hridroga'' (cardiac disorders). ''Tikshna shodhana basti'' (strong purificatory enemas) is totally unsuitable. ''Ghrita'' prepared by ''sauvarchala'' salt, ''abhaya'' (Terminalia chebula), ''vyosha'' (''pippali, maricha, sunthi'' i.e., Piper longum, Piper indicum and Zingiber officinale) is suitable. [16-20]

The aggravated ''kapha vata doshas'' cause obstruction to ''shvasana'' (breathing) which should be cleared by ''tikshna pradhamana nasya'' (powder blowing into nostrils). This restores the ''sanjna'' (consciousness). ''Sirsha virechana'' (purification of head) should be given using very fine powder of ''maricha'' (black peper/Piper indicum), ''shigrubija'' (seeds of Moringa olifera), ''vidanga'' (Embelia ribes) and ''phaninjjaka'' (Marubaka- Origanum majorana). In ''hridgraha'' (stiffness or tightness in Heart) and ''apatantraka'' one should consume ''tumburu'' (Zanthoxylum alatum), ''abhaya'' (Terminalia chebula fruit), ''hingu'' (Asafoetida), ''pushkara'' (Inula racemosa), three types of ''lavana'' (''saindhava, sauvarcala'' and ''bida lavana'') with decoction of ''yava'' (Hordeum vulgare). Consume ''hingu'' (Asafoetida), a''mlavetasa'' (Garcinia pedunculata), ''sunthi'' (Zingiber officinale), with ''sauvarchala'' (sorchal salt) and ''dadima'' (juice of pomergranate/ Punica granatum) and employ treatment that alleviates ''vata kapha doshas'' and which cures ''hridroga'' (cardiac disorders). ''Tikshna shodhana basti'' (strong purificatory enemas) is totally unsuitable. ''Ghrita'' prepared by ''sauvarchala'' salt, ''abhaya'' (Terminalia chebula), ''vyosha'' (''pippali, maricha, sunthi'' i.e., Piper longum, Piper indicum and Zingiber officinale) is suitable. [16-20]

==== Etiopathology and treatment of tandra (drowsiness) ====

==== Etiopathology and treatment of ''tandra'' (drowsiness) ====

मधुरस्निग्धगुर्वन्नसेवनाच्चिन्तनाच्छ्रमात् |  

मधुरस्निग्धगुर्वन्नसेवनाच्चिन्तनाच्छ्रमात् |  

शोकाद्व्याध्यनुषङ्गाच्च वायुनोदीरितः कफः||२१||  

शोकाद्व्याध्यनुषङ्गाच्च वायुनोदीरितः कफः||२१||  

यदाऽसौ समवस्कन्द्य हृदयं हृदयाश्रयान्|  

यदाऽसौ समवस्कन्द्य हृदयं हृदयाश्रयान्|  

समावृणोति ज्ञानादींस्तदा तन्द्रोपजायते||२२||  

समावृणोति ज्ञानादींस्तदा तन्द्रोपजायते||२२||  

हृदये व्याकुलीभावो वाक्चेष्टेन्द्रियगौरवम्|  

हृदये व्याकुलीभावो वाक्चेष्टेन्द्रियगौरवम्|  

मनोबुद्ध्यप्रसादश्च तन्द्राया लक्षणं मतम्||२३||  

मनोबुद्ध्यप्रसादश्च तन्द्राया लक्षणं मतम्||२३||  

कफघ्नं तत्र कर्तव्यं शोधनं शमनानि च|  

कफघ्नं तत्र कर्तव्यं शोधनं शमनानि च|  

व्यायामो रक्तमोक्षश्च भोज्यं च कटुतिक्तकम्||२४||

व्यायामो रक्तमोक्षश्च भोज्यं च कटुतिक्तकम्||२४||

madhurasnigdhagurvannasēvanāccintanācchramāt |  

madhurasnigdhagurvannasēvanāccintanācchramāt |  

śōkādvyādhyanuṣaṅgācca vāyunōdīritaḥ kaphaḥ||21||  

śōkādvyādhyanuṣaṅgācca vāyunōdīritaḥ kaphaḥ||21||  

yadā'sau samavaskandya hr̥dayaṁ hr̥dayāśrayān|  

yadā'sau samavaskandya hr̥dayaṁ hr̥dayāśrayān|  

samāvr̥ṇōti jñānādīṁstadā tandrōpajāyatē||22||  

samāvr̥ṇōti jñānādīṁstadā tandrōpajāyatē||22||  

hr̥dayē vyākulībhāvō vākcēṣṭēndriyagauravam|  

hr̥dayē vyākulībhāvō vākcēṣṭēndriyagauravam|  

manōbuddhyaprasādaśca tandrāyā lakṣaṇaṁ matam||23||  

manōbuddhyaprasādaśca tandrāyā lakṣaṇaṁ matam||23||  

kaphaghnaṁ tatra kartavyaṁ śōdhanaṁ śamanāni ca|  

kaphaghnaṁ tatra kartavyaṁ śōdhanaṁ śamanāni ca|  

vyāyāmō raktamōkṣaśca bhōjyaṁ ca kaṭutiktakam||24||

vyāyāmō raktamōkṣaśca bhōjyaṁ ca kaṭutiktakam||24||

madhurasnigdhagurvannasevanAccintanAcchramAt |  

madhurasnigdhagurvannasevanAccintanAcchramAt |  

shokAdvyAdhyanuSha~ggAcca vAyunodIritaH kaphaH||21||  

shokAdvyAdhyanuSha~ggAcca vAyunodIritaH kaphaH||21||  

yadA~asau samavaskandya hRudayaM hRudayAshrayAn|  

yadA~asau samavaskandya hRudayaM hRudayAshrayAn|  

samAvRuNoti j~jAnAdIMstadA tandropajAyate||22||  

samAvRuNoti j~jAnAdIMstadA tandropajAyate||22||  

hRudaye vyAkulIbhAvo vAkceShTendriyagauravam|  

hRudaye vyAkulIbhAvo vAkceShTendriyagauravam|  

manobuddhyaprasAdashca tandrAyA lakShaNaM matam||23||  

manobuddhyaprasAdashca tandrAyA lakShaNaM matam||23||  

kaphaghnaM tatra kartavyaM shodhanaM shamanAni ca|  

kaphaghnaM tatra kartavyaM shodhanaM shamanAni ca|  

vyAyAmo raktamokShashca bhojyaM ca kaTutiktakam||24||

vyAyAmo raktamokShashca bhojyaM ca kaTutiktakam||24||

Due to consumption of anna (foods) that are madhura (sweet), snigdha (unctuous), guru (heavy to digest), chintana (excessive thinking), srama (exertion), shoka (grief), vyadhyanushanga (chronicity of diseases) the kapha aggravated by the vata in association when gets lodged in hridaya, obscures the process of jnana, tandra (drowsiness) occurs. The symptoms of tandra are hridaye vyakulibhava (uneasiness or discomfort in the region of heart), sluggishness of speech and physical activity, decreased acquity of the sense organs, clouding of mind and intellect. This condition should be managed by shodhana and shamana measures that are kaphahara, vyayama (exercise), raktamokshana (blood letting) and intake of foods that are predominantly katu (pungent) and tikta (bitter).(21-24)

Due to consumption of ''anna'' (foods) that are ''madhura'' (sweet), ''snigdha'' (unctuous), ''guru'' (heavy to digest), ''chintana'' (excessive thinking), ''shrama'' (exertion), ''shoka'' (grief), ''vyadhyanushanga'' (chronicity of diseases), ''kapha'' aggravated by ''vata'' in association when gets lodged in ''hridaya'', obscures the process of ''jnana, tandra'' (drowsiness) occurs. The symptoms of ''tandra'' are ''hridaye vyakulibhava'' (uneasiness or discomfort in the region of heart), sluggishness of speech and physical activity, decreased acuity of the sense organs, clouding of mind and intellect. This condition should be managed by ''shodhana'' and ''shamana'' measures that are ''kaphahara, vyayama'' (exercise), ''raktamokshana'' (blood letting) and intake of foods that are predominantly ''katu'' (pungent) and ''tikta'' (bitter).[21-24]

==== Thirteen types of urinary disorders ====

==== Thirteen types of urinary disorders ====