Kayachikitsa 2 (A) PDF

This Document has been modified with Flexcil app (Android) https://www.fexcil.com वातव्याचि आवरण Ascites आशयगत & िातुगतवात उरुस्तम्भ तृष्णा...

This Document has been modified with Flexcil app (Android) https://www.fexcil.com वातव्याचि आवरण Ascites आशयगत & िातुगतवात उरुस्तम्भ तृष्णा सचधिवात Parkinsonism Fluid & Electrolyte पक्षाघात G.B. Syndrome Balance अर्दित M.D. अचिमाधय काय चिककत्सा 2 (A) गृध्रचस M.G. अरुचि हनुस्तम्भ M.N.D. अजीणि मधयास्तम्भ Neuralgia आनाह आक्षेपक कास आटोप अवबाहुक श्वास आध्मान चवश्वािी चहक्का अलसक खल्ली राजयक्ष्मा चवलचम्बका खंज & पंगु उरःक्षत चवसूचिका पाददाह पाश्विशूल छर्दि पादहर्ि Bronchitis ग्रहणी वातकण्टक Bronchiectasis भस्मक क्रोष्टु कशीर्ि Emphysema अम्लचपत्त कटटग्रह COPDs गुल्म उदावति शोथ शूल कम्पवात जलोदर Acid peptic dis. Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 1 वातव्याचि (Diseases of Vata-dosha) Samanya पूव िरू प  अव्यक्त लक्षणं तेर्ां पूविरूपचमचत स्मृतम् । (ि.चि.28/19) “वातेन जचनतो व्याचिः वात व्याचिः” Diseases produced by Vata-dosha Prodromal symptoms of Vatavyadhi are indistinct. Prodromal stage are called as Vatavyadhi. of Vatavyadhi is when the signs and symptoms of Vatavyadhi are 1. सामाधयज not manifested clearly. 2 types of diseases Samanya लक्षण  2. नानात्मज संकोि – सचधिस्तम्भ – सचधिभेद – अचस्थभेद – लोमहर्ि – प्रलाप – पाचणपृष्ठचशरोग्रह सामाधयज व्याचि  caused by combination of dosha – खञ्ज – पंगुत्व – कु ब्जत्व – शोर् – चनद्रानाश – गभिशुक्ररजोनाश – स्पधदन – नानात्मज व्याचि  caused by a single dosha गािसुप्तता – रुक् – तोद – संग – दौबिल्य – आक्षेप – मोह etc. (There are 80 vataja-nanatmaja vyadhi) Samanya Chikitsa  There are two major cause of वात-प्रकोप: 1. स्नेहन  स्नेहपान (घृत तैल वसा मज्जा) – स्नेह बचस्त – अभ्यंग 1. िातुक्षय (depletion of body elements) 2. स्वेदन  वातव्याचि can be treated by regular स्नेहन-स्वेदन 2. मागािवरोि (obstruction to channels of vata) 3. संशोिन  मृदुचवरेिन by एरण्ड तैल – चतल्वक घृत etc. 4. अनुलोमन  वातानुलोमन to clear the obstruction (हरीतकी िूणि) Samanya चनदान  आहारज 5. अनुवासन & चनरूह बचस्त  बचस्त is the best treatment रूक्ष शीत अल्प आहार – अचत लघु आहार – कटु चतक्त कर्ायरस अचतसेवन – चनदान अनुवासन बचस्त with क्षीरबला तैल / बृहद्सैंिवाकद तैल / सहिराकद तैल शुष्क शाक – शुष्क मांस – कोद्रव – मसूर – सतीन – आढकी – चशम्बी सेवन – अनशन – अध्यशन – चवर्माशन चनरूह बचस्त with एरण्डमूलाकद चनरूहबचस्त / मिुतैचलक बचस्त / क्षीर बचस्त चवहारज अचतव्यायाम – अचतव्यवाय – अचत अध्ययन – अचत िावन – उच्च भार्ण – चनदान 6. नस्य  Medicated oils to treat ऊध्विजिुगत वातचवकार वेगिारण – राचिजागरण – पंिकमि अचतयोग अणु तैल / र्डबबंदु तैल / क्षीरबला तैल / िधवंतरी तैल / कपिसास््याकद तैल मानचसक चिधता – शोक – भय – क्रोि 7. संशमन  संशोिनोत्तर स्नेहन स्वेदन – वातनाशक और्ि & आहार चवहार अधय आघात – िातुक्षय – आवरण – चिरकालीन रोग – वर्ाि ऋतु Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 2 Shamanaushadhi  घृत  मािा = 10 - 20 ml. अनुपान = दुग्ि / उष्ण जल 1 दशमूलाय घृत दशमूल-जीवनीयगण-द्राक्षा-खजूिर रसौर्चि  मािा = 125 - 250 mg. अनुपान = मिु 2 चििकाय घृत चििक-शुण् ठी-चपप्पली-रास्ना-पु ष्करमूल 1 चिधतामचण रस पारद-गंिक-स्वणि-अभ्रक-लोहभस्म-चििक-अजुिन 3 अश्वगधिा घृत अश्वगधिा 2 वातचिधतामचण रस स्वणि-रजत-अभ्रक-प्रवाल-मुक्ता-कु मारी 3 योगेधद्र रस स्वणि-मुक्ता-कु मारी गुग् गुल ु  मािा = 500 mg - 1 g. अनुपान = मिु / जल 4 वाताटर रस गुग्गुलु-चिफला-चििक-एरण्ड तैल 1 योगराज गुग्गुलु चििक-चिकटु -चिफला-त्वक-एला-यवानी-रास्ना 5 प्रवाल पंिामृत प्रवाल-मुक्ता-शंख -शुचक्त-कपदिभस्म-अकि क्षीर 2 महायोगराज गुग्गुलु चिकटु -चिफला-त्वक-एला-वंग-नाग-लौह-गुग्गुलु 3 कै शोर गुग्गुलु चिफला-चिकटु -गुडू िी-चवडंग-चिवृत्-गुग्गुलु िूण ि  मािा = 2 - 5 g. अनुपान = मिु / कोष्ण जल 4 बसंहनाद गुग्गुलु चिफला-गधिक-गुग्गुलु-एरण्डतैल 1 अश्वगधिा िूणि अश्वगधिा 5 शतावरी गुग्गुलु शतावरी-गुग्गुलु 2 पंिकोल िूणि चपप्पली-चपप्पलीमूल-िव्य-चििक-शुण् ठी 3 र्डिरण िूणि चििक-इधद्रयव-कटु की-पाठा-अचतचवर्ा-हरीतकी आसव / अटरष्ट  मािा = 10 - 20 ml. अनुपान = जल 1 दशमूलाटरष्ट दशमूल-चििकमूल-पुष्करमूल-गुडू िी-आमलकी-हरीतकी क्वाथ / कर्ाय  मािा = 20 - 40 ml. अनुपान = जल 2 अश्वगधिाटरष्ट अश्वगधिा-मूसली-रास्ना-चवदारी-साटरवा-िधदन 3 द्राक्षासव द्राक्षा-चनगुिण् डी-िातकी-लवंग-त्वक-पि-एला 1 रास्नाकद क्वाथ रास्ना-दशमूल-िव्य-चििक-अगरु-शुण् ठी 2 रास्नासप्तक क्वाथ रास्ना-गोक्षुर-एरण्ड-देवदारु-पुननिवा-गुडू ि ी-आरग्वि रसायन  मािा = 10 – 15 g. अनुपान = दुग्ि / जल 3 मार्बलाकद क्वाथ मार्-बला 1 ब्रह्म रसायन आमलकी-हरीतकी-दशमूल-जीवनीय गण 2 च्यवनप्राश आमलकी-दशमूल-जीवनीय गण तैल 3 चशलाजतु चशलाजतु आभ्यधतर प्रयोगाथि  मािा = 10 - 20 ml. अनुपान = दुग्ि / उष्ण जल 1 रसोन तैल लशुन -चतलतैल प्य अप्य 2 क्षीरबला तैल बलामूल-चतलतैल-दुग्ि आहार घृत , तैल, गोिूम, र्चष्टक शाचल, िणक, सतीन, आढकी, मुद्ग, 3 अश्वगधिा तैल अश्वगंिा-के शर-यचष्टमिु-साटरवा पटोल, चशग्रु, लशुन , दाचडम, मसूर, कोद्रव, चनष्पाव, 4 बृहद् सैंिवाकद तैल सैंिव-चवड्लवण-सजिक्षार-शतपुष् प-एरण्डतैल द्राक्षा, चनम्बू, नाटरके ल जल, कारवेल्लक, जम्बू, पूग, शुष्क बाह्य प्रयोगाथि  गोमूि, गोदुग्ि, जांगल मांस शाक, शुष्क मांस 1 प्रसाटरणी तैल गधिप्रसाटरणी-चििक-चपप्पलीमूल-रास्ना-भल्लातक 2 नारायण तैल चबल्व-अचिमंथ-श्योनक-बृहती-कण्टकारी-बला-रास्ना चवहार जल क्रीडा, अभ्यंग, संवाहन, राचिजागरण, अनशन, श्रम, 3 महामार् तैल मार्-दशमूल-अजामांस स्नान, वस्त्र िारण, बृंहण कमि वेगिारण, मैथुन , चिधता, शोक Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 3 कोष्ठगत वात मांस & मेद ोगत वात लक्षण  मूिावरोि – मलावरोि – ब्रध्नरोग – हृदरोग – गुल्म – अशि – पाश्विशूल लक्षण  अंग गौरव – अचत तोद – दण्डमुचष्टहत पीडा – श्रम चिककत्सा यवक्षार प्रयोग – दीपनीय पािनीय अम्ल द्रव्य प्रयोग चिककत्सा चवरेिन – चनरूहबचस्त – शमन चिककत्सा आमाशयगत वात अचस्थ & मज्जागत वात लक्षण  हृन्नाचभपाश्वोदर रुक् – तृष्णा – उद्गार – चवसूचिका लक्षण  सचधिभेद – अचस्थभेद – मांस बल क्षय – अचनद्रा – सधतत रुक् चिककत्सा वमन – चवरेिन – दोर्ानुसार चिककत्सा चिककत्सा बाह्य & आभ्यधतर स्नेह पक्वाशयगत वात शुक्र गत वात लक्षण  आंिकू जन – शूल – आनाह – आटोप – मूिकृ च्र – मलावरोि लक्षण  शुक्र-अवेग or अचतवेग – चनष्फल शुक्र – चवकृ त गभि चिककत्सा उदावति चिककत्सा चिककत्सा शुक्रल & बल्य और्ि-आहार-चवहार गुद गत वात लक्षण  चवण्मूिवात ग्रह – शूल – आध्मान – अश्मरी सचधिगत वात चिककत्सा उदावति चिककत्सा (Osteo-arthritis) वातपूणि दृचतस्पशिः शोथः सचधिगतेs चनले । त्विागत वात प्रसारणाकु ञ्चनयोः प्रवृचत्तश्च सवेदना ॥ (ि.चि.28/37) लक्षण  रूक्ष त्विा – स्फोट – सुप्तता – तोद – राग – सचधिशूल लक्षण On palpation- swelling over joint feels like air-filled bag. चिककत्सा स्वेदन – अभ्यंग- अवगाह – हृय आहार There will be pain and difficulty in movement of joints in Sandhigata vata. रक्तगत वात चिककत्सा लक्षण  तीव्र रुजा – सधताप – वैवण्यि – कृ शता – अरुचि – अरूंर्ी (फुं सी) कु याित् साचधिगते वाते दाह स्नेहोपनाहम् । (भा.प्र.म.ख.24/259) चिककत्सा शीत प्रदेह – चवरेिन – रक्तमोक्षण दाह कमि – स्नेहकमि (स्नेहपान/अभ्यंग/जानुबचस्त/अनुवासनबचस्त) – उपनाह Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 4 पक्षाघात चिककत्सा  स्वेदनं स्नेहसंयुक्तं पक्षाघाते चवरेिनम् । (ि.चि.28/100) (Hemiplegia) स्वेदन कमि & स्नेहयुक्त चवरेिन should be administered to treat पक्षाघात. लक्षण  हत्वैकं मारुतः पक्षं दचक्षणं वाममेव वा । कु याित् िेष्टाचनवृबत्तं चह रुजं वाकस्तम्भमेव ि ॥ (ि.चि.28/54) अर्दि त When the aggravated Vata paralyzes one side of the body either (Facial paralysis) right or left side of the body, it causes loss of function or immobility अचतवृद्धः शरीराििम ेकं वायुः प्रपयते । of that side along with pain, and loss of speech. यदा तदोपशोष्यासृग्बाहुं पादं ि जानु ि ॥ तचस्मन् संकोियत्यिे मुखं चजह्मं करोचत ि । वक्रीकरोचत नासाभ्रूललाटाचक्षहनूस्तथा ॥ (ि.चि.28/38-39) सम्प्राचप्त  गृहीत्वाsिं शरीरस्य चसराः स्नायूर्विशोष्य ि । When excessively aggravated Vata affects the half part of the body, पादं संकोियत्येकं हस्तं वा तोदशूलकृ त् ॥ (ि.चि.28/55) Due to etiological factors vata is aggravated and it vitiates blood it dries up the Rakta dhatu, and causes contraction of the arm, foot vessels or nerves and muscles, tendons in the left half or right half and knee of that part. It causes deviation of half of the face and of the body and produces their diminution. curvature of the nose, eyebeow, forehead, eye and mandible. भेद  लक्षण Deviation of half of the face, pain in extremities, temple, ear Depending on the type of organs affected it can be divided in and cheek, slurred speech, difficulty in speaking, difficulty in following types  swallowing, unable to close affected eye etc. 1. एकांग वात (Monoplegia)  Only one part of the body get affected like one hand or one leg. अर्दि त -भेद  अिे तचस्मन् मुखािे वा के वले स्यात्तदर्दितम्  (i) half of body 2. अिांग वात (Hemiplegia)  Either left half or right half of the body. affected, or (ii) half of face only. 3. अिरांग वात (Paraplegia)  Both the lower extremities. चिककत्सा अर्दिते नावनं मूर्ध्नि तैलं तपिणमेव ि । 4. सवांग वात (Quadriplegia)  All the body parts get affected or नाडीस्वेदोपनाहश्चाचप आनूपचपचशतैर्हिताः ॥ (ि.चि.28/99) both the arms and legs get paralyzed. नस्य कमि – मूर्ध्नि तैल (चशरोबचस्त-चशरोचपिू-चशरोिारा-चशरोsभ्यंग) – तपिण चिककत्सा (बृंहण) – नाडी स्वेद – उपनाह – आनूपमांसरस Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 5 गृध्र सी चिककत्सा  (Sciatica) If mouth remains open (चववृतास्यता)  स्वेदन & manual closing of लक्षण  चस्फक्पूवाि कटटपृष्ठोरुजानुजंघापदं क्रमात् । mouth with thumb and index finger of physician. गृध्रसी स्तम्भरुक्तोदैगृिह्णाचत स्पधदते मुहुः ॥ वाताद् वातकफात् तधद्रागौरवारोिकाचधवता ॥ (ि.चि.28/56) If mouth remains closed (संवृतास्यता)  स्वेदन & try to move the jaws Stiffness, pain and pricking sensation radiating through buttock, manually. lowback, back, thigh, knee, calf and foot is the लक्षण of gridhrasi. मधयास्तम्भ Types  (i) वातज, and (ii) वातकफज (तधद्रा-गौरव-अरुचि) (Torticollis) Due to improper posture, injury to the neck, or excessive travelling चिककत्सा  अधतराकण्डरागुल्फं चसरा बस्त्यचिकमि ि । (ि.चि.28/101) Vata gets aggravated and causes stiffness and pain in the neck. Venesection in between the Achiles-tendon and ankle joint, Enema चिककत्सा  (अनुवासन-चनरुह बचस्त) and Cauterization therepies (अचिकमि) should be रूक्ष स्वेदन (लवण पोट्टली / बालुका स्वेद) – नस्य कमि & स्थानीय अभ्यंग with adopted. चवर्गभि तैल – व्यायाम – वात नाशक और्ि-आहार-चवहार आक्षेप क हनुस् तम्भ or हनुग्र ह (Convulsions) (Locked jaw) When aggravated Vata causes frequent convulsions in different लक्षण  हनुम ूले चस्थतो बधिात् संस्रयत्यचनलो हनू । चववृतास्यत्वमथवा कु याित् संवृतवक्रताम् ॥ (ि.चि.28/49) parts of body due to drying up or constriction of hands & legs, The aggravated Vata located at the root of the jaw causes vessels, ligaments & tendons (पाचणपादं ि संशोष्य चसराः सस्नायुकण्डराः), dislocation of jaw-bones. It may cause- (i) चववृतास्यता  constant the disease is known as आक्षेपक (Convulsions or seizures). opening of mouth with stiffness, and (ii) संवृतास्यता  closed mouth चिककत्सा  अभ्यंग – स्वेदन – नस्य कमि – िूपन – बृंहण कमि – मेध्य रसायन प्रयोग Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 6 अवबाहुक खल्ली (Frozen shoulder) (Twisting pain in upper and lower limbs) लक्षण  अंसमूलचस्थतो वायुः चसरा संकोच्य तिगाः । लक्षण  खल्ली तु पादजंघोरुकरमूल्लावमोटनी । (ि.चि.28/57) बाहुप्रस्पचधदतहरं जनयचत अवबाहुकम् ॥ (अ.हृ.चन.15/43) Khalli is characterized by the twisting pain of the feet, calf regions, The aggravated vata vitiates the nerves in the shoulder region and thighs, and wrists. causes atrophy and contraction of the muscles in that region. The चिककत्सा  खल्ल्यां तूष्णोपनाहनम् । movements of shoulder become restricted and painful. पायसैः कृ शरैम ांसैः शस्तं तैलघृताचधवतैः ॥ (ि.चि.28/101) उष्ण उपनाह (hot poultice) prepared of तैल-घृतयुक्त पायस (kheer) or कृ शरा चिककत्सा  अवबाहौ चहतं नस्यं स्नेहश्चोत्तरभचक्तकः । (अ.हृ.चि.21/44) (khichari) or मांस (meat). नस्य कमि – स्नेहपान – स्नेहपान पश्चात भोजन – स्थानीय अभ्यंग & स्वेदन व्याघ्री तैल or शीत जल प्रयोग for नस्य खंज & पंगु महामार् तैल or प्रसाटरणी तैल प्रयोग for अभ्यंग (Limping by one leg or by both legs) लक्षण  वायुः कट्याचश्रतः सक््नः कण्डरामाचक्षपेयदा । चवश्वािी खञ्जस्तदा भवेज्जधतुः पंगुः सक््नोर्द्ियोवििात् ॥ (मा.चन.22/59) (Radio-ulnar Neuritis) खंज  When vata gets aggravated in the sacral region (कटट प्रदेश), लक्षण  तलं प्रत्यंगुलीनां याः कण्डरा बाहुपृष्ठतः । goes along with nerves and vitiates tendons (कण्डरा) in the thigh बाहवोः कमिक्षयकारी चवश्वािी िेचत सोच्यते ॥ (मा.चन.22/57) The aggravated vata affects the nerves in the upper extremity. Pain region (सचक्थ प्रदेश). The person becomes lame and unable to walk properly. starts from the backside of the shoulder, travels along the hand and palm upto the fingers. All the movements; flexion, extension, पंगु  When both thighs get affected and patient limping with both legs, it is called as Pangu. abduction, raising the hand are restricted and painful. चिककत्सा  उपािरेदचभनवं खञ्जंपंगुम थाचप ि । चिककत्सा  चवरेकास्थापनस्वेदगुग्गुलुस्नेहबचस्तचभः ॥ (भा.प्र.म.ख.24/152) स्थानीय अभ्यंग – नाडी स्वेदन – नस्य कमि – वात नाशक चिककत्सा स्वेदन – चवरेिन – चनरूह & अनुवासन बचस्त – गुग्गुलु प्रयोग (महायोगराज गुग्गुलु) Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 7 पाददाह क्रोष्टु कशीर्ि (Burning in Feet) (Sino-arthritis of Knee joint) Aggravated Vata along with vitiated Pitta and Rakta produces लक्षण  वातशोचणतजः शोथो जानुम ध्ये महारुजः । ज्ञेयः क्रोष्टु कशीर्िस्तु स्थूलः क्रोष्टु कशीर्िवत् ॥ (मा.चन.22/58) burning sensation in the feet. The aggravated Vata along with vitiated Rakta causes swelling and चिककत्सा severe pain in knee joint. The affected knee joint appears a head of वातरक्त नाशक चिककत्सा – मसूर+श्रृतशीतजल लेप – शतिौत घृत लेप a fox and hence called as Kroshtuka-sheersha. पादहर्ि चिककत्सा वातरक्त नाशक चिककत्सा – अभ्यंग – रूक्ष स्वेदन (Tingling Sensation the Feet) Aggravated Vata along with vitiated Kapha produces tingling कटटग्रह sensation in the feet and numbness in the legs. (Lowback pain) चिककत्सा Due to improper posture, excessive exercise, strainous work, or वात-कफहर चिककत्सा – गुग्गुलु प्रयोग – प्य सेवन injury, aggravated Vata gets localized in Kati-pradesha and causes pain and stiffness of the low back. वातकण्टक (Ankle Sprain) चिककत्सा चनदान पटरवजिन – वातहर चिककत्सा – लंघन (in आमावस्था) – स्थानीय अभ्यंग – Due to excessive walking or abnormal positioning of legs, the aggravated vata causes excessive pain and swelling in the ankle. स्वेदन – कटटबचस्त with पंिगुण तैल / महानारायण तैल योगासन  भुजंगासन – शलभासन – कटटिक्रासन चिककत्सा शमनौर्चि  रास्नाकद गुग्गुलु – ियोदशांग गुग्गुलु – अचितुण्डी वटी – दशमूलाटरष्ट स्थानीय अभ्यंग (महा लक्ष्मीनारायण तैल / दशमूल तैल) – नाडी स्वेदन (दशमूल क्वाथ) – पुनःपुनः रक्तमोक्षण – एरण्ड तैल पान – दाह कमि – हटरद्रा+सैंिव लेप Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 8 उदावति हृल्लास (nausea) चवकर्तिका (cutting type of pain in anal region) “उद् भूतेन वेग चविारणेनाव्रतस्य वायोवितनचमत्युदावतिः ।” (मिुकोश) तोद (pricking type of pain) Due to suppression of natural urges, the movement of Vata-dosha चवपाक (indigestion) gets inversed (प्रचतलोम). This abnormal Vata causes the diseases बचस्तशोथ (swelling of bladder) called Udavarta. मलसंग (constipation or delayed motion or very hard stool) Some authors give the meaning of Udavarta as the upward movement of Apana-vata. भेद ानुस ार लक्षण  चनदान  क्र भेद लक्षण अिारणीय वेग-िारण – कर्ाय चतक्त कटु रूक्ष आहार – उपवास – मैथुन etc. 1 अिोवात चनरोिज वात मूि पुरीर् अवरोि – आध्मान – शूल – क्लम 2 पुरीर् चनरोिज आटोप – शूल – पटरकर्तिका – मलावरोि – मुख मागेन मलप्रवृचत्त सम्प्राचप्त  मूि चनरोिज 3 मूिाशय & मेढ्र शूल – मूिकृ च्रता – चशरोरुजा – वंक्षणानाह 4 उद्गार चनरोिज कण्ठमुख पूणित्व & तोद – कू जन – वायु अवरोि स्रोतोsवरोि & चनदान सेवन वात प्रकोप छर्दि चनरोिज 5 कण्डू – कोठ – व्यंग – अरुचि – हृल्लास – पाण्डु – शोथ – ज्वर चवमागिगमन of वायु 6 क्षुिा चनरोिज अरुचि – श्रम – तमःप्रवेश – तधद्रा – अंगमगि 7 तृष्णा चनरोिज कण्ठमुख शोर् – बाचियि – हृदपीडा 8 जृम्भा चनरोिज मधयागलस्तम्भ – चशरोरोग – अचक्ष नासा कणि शूल – कम्प उदावति 9 अश्रु चनरोिज चशरःशूल – प्रचतश्याय – नेिरोग – भ्रम 10 क्षवथु चनरोिज मधयास्तम्भ – चशरःशूल – अिािवभेदक – अर्दित – इचधद्रयदौबिल्य सामाधय लक्षण  शुक्र चनरोिज 11 गुद वृर्ण मेढ्र शोथ & रुजा – मूिकृ च्रता – शुक्राश्मरी Severe pain in हृदय, कु चक्ष, उदर, पृष्ठ, and पाश्वि. श्वास चनरोिज 12 श्वासकृ च्रता – हृद्रोग – मूच्छाि आध्मान (distension of abdomen) 13 चनद्रा चनरोिज जृम्भा – अंगमदि – अचक्ष चशरो गौरवता – तधद्रा Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 9 उदावति चिककत्सा  आवरण तं तैल शीतज्वरनाशनाक्तं स्वेदैयिथोक्तै ः प्रचवलीनदोर्म् । उपािरेद् वर्ति चनरूहबचस्त स्नेहैः चवरेकैरनुलोमनान्नैः ॥ (ि.चि.26/11) Vata gets enveloped or encircled and obstructed with other dosha and dushya. अभ्यंग with शीतज्वरनाशक अगुवािकदतैल आवरक  the dosha-dushya those are causing avarana. स्वेदन with वातनाशक और्चि आवृत  obstructed vata फलवती प्रयोग – अनुवासन & चनरूह बचस्त – चवरेिन – वातानुलोमक आहार Ty pes of आवरण  उदावतिनाशक वती  श्यामाकद गुदवती – चपप्पल्याकद वती – कक्रचमघ्नाकद वती etc. 1. दोर्ावृत वात 13 और्ि योग  इच्छाभेदी रस – बहंग्वाकदिूणि – विाकद िूणि – पंिलवण िूणि – 2. िातु, अन्न & मलावृत वात  9 चपप्पल्याकद क्वाथ – चस्थराय घृत – शुष्क मूलाय घृत etc. 3. अधयोधयावरण  20 Total 42 types of आवरण are explained by Acharya Charaka  कम्पवात 13 दोर्ावृत वात  चपत्तावृत वात – कफावृत वात – चपत्तावृत प्राणवात – कफावृत प्राणवात (Parkinsonism) – चपत्तावृत उदानवात – कफावृत उदानवात – चपत्तावृत समानवात – कफावृत समानवात – लक्षण  चपत्तावृत व्यानवात – कफावृत व्यानवात – चपत्तावृत अपानवात – कफावृत अपानवात – करपादते कम्पो (Tremors in hands and feet) – देहभ्रमाणदुचखते (Irregular कफचपत्तावृत वात (चमश्रावरण) movements of body parts) – चनद्राभंगो (Insomnia) – मचतःक्षीण चमश्रावरण is again of 5 types  कफचपत्तावृत प्राणवात – कफचपत्तावृत उदानवात – (Reduced memory and intelligence) कफचपत्तावृत समानवात – कफचपत्तावृत व्यानवात – कफचपत्तावृत अपानवात 9 िात ु, अन्न & मलावृत वात  रक्तावृत वात – मांसावृत वात – मेदसावृत वात – अस््यावृत चिककत्सा  अभ्यंग with सहिराकद तैल / मार् तैल / महामार् तैल वात – मज्जावृत वात – शुक्रावृत वात – अन्नावृत वात – मलावृत वात – मूिावृत वात स्वेदन with र्चष्टक शाचल चपण्डस्वेद 20 अधयोधयावरण  उदानावृत प्राणवात – समानावृत प्राणवात – व्यानावृत प्राणवात – अपानावृत प्राणवात – प्राणावृत उदानवात – समानावृत उदानवात – व्यानावृत उदानवात – अनुवासन & चनरूह बचस्त अपानावृत उदानवात – प्राणावृत समानवात – उदानावृत समानवात – व्यानावृत समानवात चशरोबचस्त with ब्राह्मी घृत & चशरोिारा with मेध्य कर्ाय – अपानावृत समानवात – प्राणावृत व्यानवात – उदानावृत व्यानवात – समानावृत व्यानवात बल्य & मेध्य रसायन प्रयोग – अपानावृत व्यानवात – प्राणावृत अपानवात – उदानावृत अपानवात – समानावृत कचपकच्छू प्रयोग अपानवात – व्यानावृत अपानवात Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 10 दोर् आवरण लक्षण मल/ पुरीर् आवृत वात मलावरोि – स्वे स्थाने पटरकृ धतचत (cutting type of pain in चपत्तावृत वात दाह – तृष्णा – शूल – शीतकाचमता pakwashaya) – passing of hard stool with difficulty – कफावृत वात शैत्य (शीतता) – गौरव – शूल – उष्णकाचमता pain in lower abdomen and lowback चपत्तावृत प्राणवात मूच्छाि – दाह – भ्रम – शूल – शीतकाचमता – छर्दि मूिावृत वात मूिाघात – आध्मान in बचस्त कफावृत प्राणवात ष्ठीवन – क्षवथु – उद्गार – श्वासोच्छवाससंग्रह चपत्तावृत उदानवात मूच्छाि – दाह – भ्रम – क्लम – साद – ओजोभ्रंश अधयोधयावरण लक्षण चिककत्सा कफावृत उदानवात प्राणावृत व्यानवात सवेचधद्रयाणां शूधयत्वं – स्मृचतबलक्षय ऊध्विजिुगत चिककत्सा चववणिता – वाक् -स्वरग्रह – दौबिल्य – गुरुता – अरुचि चपत्तावृत समानवात व्यानावृत प्राणवात अचतस्वेद – लोमहर्ि – त्वक चवकार स्नेहयुक्त चवरेिन अचतस्वेद – तृष्णा – दाह – मूच्छाि – अरुचि कफावृत समानवात प्राणावृत समानवात जडता – गद्गद – मूकता यापनाबचस्त & अस्वेद – अचिमांय – लोमहर्ि – अचतशीतता चपत्तावृत व्यानवात सवांगदाह – क्लम – गािचवक्षेपसंग – सधताप ितुष्प्रयोग of स्नेह समानावृत अपानवात ग्रहणीदोर् – हृदरोग – पाश्विपीडा अचिदीपक घृत कफावृत व्यानवात सविगािगौरव – सविसधध्यचस्थरुजा – गचतसंग प्राणावृत उदानवात चशरोग्रह – चनःश्वासोच्छवाससंग्रह ऊध्विजिुगत चिककत्सा चपत्तावृत अपानवात हाटरद्रमूिविि – तापगुदमेढ्रयो – अचतरजःस्राव उदानावृत प्राणवात ओज कमि बलवणि नाश – मृत्यु शीतजलसेिन आश्वासन कफावृत अपानवात चभन्न आम श्लेष्मसंसृष्ट गुरु वििः – कफजप्रमेह उदानावृत अपानवात छर्दि – श्वास – कास बचस्त & अनुलोमन कफचपत्तावृत वात चपत्त-कफ चमश्रावरण लक्षण िातु आवरण लक्षण अपानावृत उदानवात मोह – अचिमांय – अचतसार दीपन-ग्राही & वमन रक्तावृत वात त्वक् मांसाधतर अचतदाह & पीडा – सराग शोथ – मण्डल व्यानावृत अपानवात छर्दि – आध्मान – उदावति – गुल्म – चस्नग्ि & अनुलोमन मांसावृत वात कटठन चववणि चपडका – शोथ – हर्ि – चपपीचलकानां संिार इव पटरकर्तिका मेदसावृत वात (known as आढ्यवात) िलचस्नग्िमृदश ु ीत शोथ – अरुचि अपानावृत व्यानवात चवण्मूिरेतस अचतप्रवृचत्त संग्राही-स्तम्भक द्रव्य अस््यावृत वात समानावृत व्यानवात मूच्छाि – तधद्रा – प्रलाप – अंगसाद – व्यायाम & लघु भोजन उष्णस्पशि & पीडन अचभनधदचत – अंग भंजन – सूिीचभटरव तोद मज्जावृत वात अचि ओज बल क्षय चवनाम – जृम्भा – शूल – पाचणभ्यां पीड्यमाने सुख लभते उदानावृत व्यानवात स्तब्िता – अस्वेद – िेष्ट ाहाचन प्य & लघु भोजन शुक्रावृत वात शुक्र-अवेग or अचतवेग – चनष्फल शुक्र Remaining 8 types of Anyonyavarana should be understood on the basis of लक्षणs of above avarana. अन्न & मलावरण लक्षण अन्नावृत वात भुक्ते उदरशूल & जीणे शाम्यचत Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 11 आवरण चिककत्सा  ऊरुस्तम्भ सम्प्राचप्त  आवरक दोर् or दूष्य should be treated first, then आवृत वात should be treated अवरुद्ध & प्रकु चपत आम संिय in कोष्ठ चनदान सेवन वात-चपत्त as per general line of treatment of वातव्याचि. + मेद-कफ संगचत Though root-cause is वात, the obstruction should be cleared before treating आवृत वात. स्थानसंश्रय in  चपत्तावृत वात चिककत्सा  शीत-उष्ण व्यत्यासक्रम (alternate) – जीवनीय घृत ऊरुस्तम्भ सचक्थ-अचस्थ कफपूणिता ऊरु प्रदेश  कफावृत वात चिककत्सा  वमन & चवरेिन – तीक्ष्ण स्वेद – यव – चतल – सर्िप  रक्तावृत वात चिककत्सा  वातरक्त चिककत्सा ऊरुस्तम्भ लक्षण   आमावृत वात चिककत्सा प्रमेह चिककत्सा – वात & मेद नाशक चिककत्सा Stiffness, continuous pain & burning sensation in the thighs  मांसावृत वात चिककत्सा  स्वेदन – अभ्यंग – मांस रस – क्षीर – घृत – तैल Patient feels as if thigh region is broken  अचस्थ मज्जावृत वात चिककत्सा  महास्नेह प्रयोग(घृत -तैल-वसा-मज्जा) Difficulty in standing and walking  शुक्रावृत वात चिककत्सा  शुक्रल & बल्य और्ि-आहार-चवहार Unable to perceive cold touch  अन्नावृत वात चिककत्सा  वमन – दीपन & पािन – लघु आहार ऊरुस्तम्भ चिककत्सा   पुरीर्ावृत वात चिककत्सा  एरण्ड तैल पान – चस्नग्ि द्रव्य – उदावति चिककत्सा This is the only disease where पंि क मि is c ont raindic at ed.  मूिावृत वात चिककत्सा  मूिल और्ि – उत्तरबचस्त – स्वेदन स्नेहन is contraindicated in ऊरुस्तम्भ  when applied, causes सदन (lassitude), रसायन प्रयोग in आवरण चिकक त्सा सुचप्त (numbness) & कृ च्रादुद्ध रण (difficulty in lifting legs). चशलाजतु – गुग्गुलु – च्यवनप्राश – ब्रह्म रसायन – अभयामलकी रसायन तस्य संशमनं चनत्यं क्षपणं शोर्णं तथा । ऊरुस्तम्भ युक्त्यपेक्षी चभर्क् कु यािदचिकत्वात्कफामयोः ॥ (ि.चि. 27/25 ) (Stiffness of thighs) संशमन रूक्षण चिककत्सा ऊरुस्त म्भ चन दान  Measures which subside कफ & आम, but should not increase वात. Intake of चस्नग्ि, उष्ण, लघु, शीत आहार during indigestion और्ि योग  हरीतकी+चपप्पली+मिु – शार्ङ्गेष्ट ाकद िूणि – मूवािकद योग – स्वणिक्षीयािकद योग अचत द्रव, शुष्क आहार, दुग्ि, दचि सेवन – ग्राम्य आनूप औदक मांस सेवन – अश्वगंिाकद उत्सादन – वत्सकाकद लेप etc. / ऊरुस्तम्भनाशक कल्क  लंघन, अध्यशन, कदवास्वप्न, राचिजागरण भल्लातक+चपप्पली+चपप्पलीमूल / देवदारु+हटरद्रा+दारुहटरद्रा+विा+कटु की ऊरुस्तम्भनाशक तैल  कु ष्ठाकद तैल – सैंिवाकद तैल – पीलुपण्यािकद तैल भय, वेगिारण, अचतस्नेह प्रयोग Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 12 Parkinsonism Guillain Barre Syndrome Parkinsonism is a clinical syndrome characterized by tremor, GBS is a rapid-onset muscle weakness caused by the immune bradykinesia, rigidity, and postural instability. It is found in system damaging the peripheral nervous system. Parkinson's disease (PD). It is characterized by ascending paralysis, changes in sensation or A wide range of causes may lead to this set of symptoms, including pain along with muscle weakness at the beginning in the feet and neurodegenerative conditions, drugs, toxins, metabolic diseases, hands, and migrating towards the trunk. and neurological conditions other than PD. It may leads to life-threatening complications, in particular if the Parkinson’s disease (PD) is a neurodegenerative disorder that respiratory muscles are affected or if the autonomic nervous system affects predominately dopamine-producing (“dopaminergic”) is involved. neurons in a specific area of the brain called substantia nigra. The symptoms generally come on slowly over time. Early in the Types  disease, the most obvious are shaking, rigidity, slowness of 1. Acute inflammatory demyelinating polyneuropathy (AIDP) movement, shuffling gait and flexed posture. It is the most common form of GBS, characterized by sensory Dementia becomes common in the advanced stages of the symptoms and muscle weakness, often with cranial nerve disease. Depression and anxiety are also common, occurring in weakness and autonomic involvement. more than a third of people with PD. Other symptoms include sensory, sleep, and emotional problems. 2. Acute motor axonal neuropathy (AMAN) Isolated muscle weakness without sensory symptoms in less than Treatment  10%; cranial nerve involvement uncommon. There is no cure for Parkinson's disease, with treatment directed at improving symptoms. Initial treatment is typically with the 3. Acute motor and sensory axonal neuropathy (AMSAN) antiparkinson medication levodopa (L-DOPA). Severe muscle weakness similar to AMAN but with sensory loss. Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 13 4. Acute panautonomic neuropathy (APN)  Muscle weakness in the legs that travels to upper body and gets It is the rarest variant of GBS, sometimes accompanied by worse over time. encephalopathy. Symptoms include impared sweating, lack of tear  Difficulty walking steadily. formation, photophobia, dryness of nasal & oral mucosa, itching &  Difficulty moving your eyes or face, talking, chewing, or peeling of skin, nausea, dysphagia, and constipation unrelieved by swallowing. laxatives or alternating with diarrhea.  Severe lower back pain.  Loss of bladder control. 5. Miller Fisher syndrome (MFS)  Tachycardia. It manifests as descending paralysis, proceeding in the reverse  Difficulty breathing. order of the more common form of GBS. It usually affects the eye  Paralysis. muscles first and presents with the triad of ophthalmoplegia, ataxia, and areflexia. Investigations   Spinal tap  high protein level in CSF 6. Bickerstaff’s brainstem encephalitis (BBE)  Electromyography (EMG), Electrocardiography (ECG) It is the further variant of GBS, which is characterized by acute  Nerve conduction test onset of ophthalmoplegia, ataxia, disturbance in consciousness, hyperreflexia of Babinski’s sign. Treatment  Clinical Features  There is no specific treatment for GBS. Treatment is aimed at  The first symptoms of Guillain-Barre syndrome are numbness, reducing symptoms, treating complications, and speeding up tingling, and pain, alone or in combination. This is followed by recovery. weakness of the legs and arms that affects both sides equally  Physiotherapy and worsens over time.  Plasmapheresis (Plasma exchange)  Tingling or prickly sensations in the fingers and toes.  Intravenous Immunoglobulin Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 14 Muscular Dystrophy walking and by age 12, most patients are unable to walk. Lifespans range from 15 to 45. MD is a group of muscle diseases that weakens the musculo- 2. Becker’s muscular dystrophy  skeletal system and hampers locomotion. Becker muscular dystrophy is a less severe variant of Duchenne It is a group of genetic diseases in which muscle fibers are muscular dystrophy. It usually starts around age of 12 years. unusually susceptible to damage. It is characterized by progressive 3. Facioscapulohumeral muscular dystrophy  skeletal muscle weakness, defects in muscle protein, and the death Initially affects the muscles of the face, shoulders, and upper arms of muscle cells and tissue. with progressive weakness. Symptoms develop in early adulthood Clinical Features  (late teens); affected individuals become severely disabled.  Progressive muscular wasting 4. Limb-girdle muscular dystrophy   Drooping eyelids Weakness in the hips or shoulders. Muscle weakness starts in the  Scoliosis pelvic area and moves to the shoulders and other body parts.  Inability to walk 5. Emery -Dreifuss muscular dystrophy   Limited range of movement Wasting of the muscles in the lower legs as well as the upper arms.  Respiratory difficulty Usually the muscle contractures appear before the muscle  Cardiomyopathy weakness appears. Types of MD  6. Distal muscular dystrophy  1. Duchenne muscular dystrophy (DMD)  It usually occurs after age 35 and causes weakness in the ankles, Duchenne muscular dystrophy (DMD) is the most common making it difficult to walk. childhood form of muscular dystrophy; it generally affects only boys 7. Myotonic muscular dystrophy  (with extremely rare exceptions), becoming clinically evident when a An autosomal dominant condition that presents with myotonia child begins walking. By age 10, the child may need braces for (delayed relaxation of muscles), as well as muscle wasting and weakness. Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 15 Investigations  Myasthenia Gravis  Enzyme tests  increased creatine phosphokinase (CpK3) Myasthenia Gravis (MG) is a chronic autoimmune disorder that  Electromyography results in progressive skeletal muscle weakness.  ECG  Muscle biopsy MG causes rapid fatigue and loss of strength on exertion that improves after rest. In early stages, myasthenia gravis primarily Treatment  affects muscles that control eye movement (extra-ocular muscles) There is no known cure for muscular dystrophy. Physical therapy, and those that control facial expression, chewing, and swallowing. occupational therapy, orthotic intervention, speech therapy, and orthopedic instruments may be helpful. If untreated, the disorder may affect respiratory muscles, causing  The two most commonly prescribed drugs for muscular acute respiratory failure. dystrophy are: Investigations  a. Corticosteroids  This type of medication can help increase  Anti–acetylcholine receptor (AChR) antibody (Ab) test muscle strength and slow progression, but long-term use can  Electromyography, ECG, X-ray chest weaken bones and increase weight gain.  Pulmonary Function test b. Heart medications  If the condition impacts the heart, beta blockers and angiotensin-converting enzyme (ACE) inhibitors Treatment  may help.  Cholinesterase inhibitor  Pyridostigmine, or Neostigmine  Immunosuppressant  Corticosteroid therapy, or Methotrexate  Intravenous Immunoglobulin  Plasmapheresis  Thymectomy Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 16 Motor Neuron Disease (MND)  progressive muscular atrophy (PMA)  progressive bulbar palsy (PBP) The motor neuron diseases (MNDs) are a group of progressive neurological disorders that destroy motor neurons, the cells that Clinical Features  control essential voluntary muscle activity such as speaking,  The patient’s grip weakens. Sometimes picking up and /or walking, breathing, and swallowing. holding things can be difficult.  Fatigue – Muscle pains – Muscle cramps – Muscle twitches – Normally, messages from nerve cells in the brain (called upper Slurred speech – Weakness in the limbs etc. motor neurons- UMNs) are transmitted to nerve cells in the brain  In advanced stage, movements in affected limbs become more stem and spinal cord (called lower motor neurons- LMNs) and from difficult, limb muscles start to shrink and breathing problems them to particular muscles. develop. When there are disruptions in the signals between the lower motor  In end stage the patient’s body eventually becomes totally neurons and the muscles and the muscle, the muscles do not work paralysed. Breathing difficulties worsen and become serious. properly; the muscles gradually weaken and may begin wasting Investigations  away and develop umcontrolable twitching (called fasciculations). Blood test, EMG, ECG, MRI, Spinal tap, Muscle biopsy etc. When there are disruptions in the signals between the upper motor neurons, the limb muscles develop stiffness (called spasticity), Treatment  movements become slow and effortful, and tendon reflexes such as  There is no cure or standard treatment for the MND. knee and ankle jerks become overactive. Over time, the ability to  Symptomatic and supportive treatment can help people be more control voluntary movement can be lost. comfortable with maintaining their quality of life.  Medications like muscle relaxants etc. Forms of motor neuron disease   Ventilator support for breathing problems.  amyotrophic lateral sclerosis (ALS)  Physiotherapy.  primary lateral sclerosis (PLS) Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 17 Neuralgia Glossopharyngeal neuralgia  Glossopharyngeal neuralgia is an irritation of the ninth cranial nerve causing extreme pain in the back Neuralgia refers to intense, typically intermittent pain along the of the throat, tongue and ear. Attacks of intense, electric shock-like course of a nerve, especially in the head or face. pain can occur without warning or can be triggered by swallowing. Neuralgia is a stabbing, burning, and often severe pain due to an Occipital neuralgia  Occipital neuralgia is characterized by irritated or damaged nerve. The nerve may be anywhere in the chronic pain in the lower neck, back of the head and behind the body and the damage may be caused by several things, including: eyes. These areas correspond to the locations of the lesser and aging, diseases such as diabetes or multiple sclerosis, an infection, greater occipital nerves. Wrapped around the greater occipital such as shingles. nerve is the occipital artery, which can contribute to the neuralgia. Classification  Post-herpetic neuralgia  Postherpetic neuralgia is a complication Trigeminal neuralgia  Trigeminal neuralgia (TN or TGN) is a of shingles, which is caused by herpes zoster virus. Postherpetic chronic pain disorder that affects the trigeminal nerve. There are neuralgia affects nerve fibers and skin, causing burning pain that two main types: typical and atypical trigeminal neuralgia. The typical lasts long after the rash and blisters of shingles disappear. form results in episodes of severe, sudden, shock-like pain in one side of the face that lasts for seconds to a few minutes. Treatment  Treatment varies depending on many things, including the cause, Atypical trigeminal neuralgia  Symptoms of atypical trigeminal location, and severity of the pain. neuralgia can be confusing. They may mimic other conditions such  Analgesics as migraine, sinus infections or dental problems. The symptoms of  Nerve-blocks atypical trigeminal neuralgia include: a constant, chronic dull ache  Physiotherapy or boring pain on one side of the face and jaw.  Surgery to relieve pressure on the nerve Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 18 Diseases of प्राणवह स्रोतस पूव िरू प  पूविरूपं भवेत्तेर्ां शूकपूणिगलास्यता । कण्ठे कण्डू श्च भोज्यानामवरोिश्च जायते ॥ (ि.चि.18/5) कास (Cough) Sensation of congestion or bristles-filled in the throat and mouth, “कसचत चशरःकण्ठात् उध्वि गच्छचत वायुटरचत कासः” itching in throat, and obstruction or difficulty to swallow food. “शुष्को वा सकफो वाsचप कसनात् कास उच्यते” लक्षण  When aggravated prana vata forcefully come out of the mouth with क्र. कास-भेद लक्षण typical noise then it is called as Kasa. This can be shuska (dry 1 वातज कास हृत्पाश्वोरःचशरःशूल – शुष्क कास – स्वरभेद – दौबिल्य – क्षोभ – मोह cough) or sakapha (productive cough). 2 चपत्तज कास पीतचनष्ठीव – पीताचक्षत्वं – चतक्तास्यता – दाह – तृष्णा – मोह – भ्रम सामाधय चनदान  3 कफज कास बहुल मिुर चस्नग्ि चनष्ठीव – घन कफ – मिुरास्यता – गौरव – अरुचि िूम – रज – अचतव्यायाम – रूक्षान्न – भोजनचवमागिगमन – वेगावरोि etc. 4 क्षतज कास पूवि शुष्ककास – पश्चात रक्तष्ठीवन – कण्ठ उरः शूल – पारावत् कू जन चवशेर् चनदान  5 क्षयज कास दुगिधि हटरत रक्त ष्ठीवन – पूय कफ – बहवाशी दुबिल कृ श – पाश्विशूल वातज  रूक्षशीतकर्ाय अल्पभोजन – उपवास – अचतव्यायाम-मैथुन – वेगावरोि साध्यासाध्यता  चपत्तज  कटु ऊष्ण तीक्ष्ण चवदाही अन्नसेवन – अचि आतप सेवन – क्रोि वातज, चपत्तज & कफज कास  साध्य कफज  मिुरचस्नग्िगुरु अचभष्यचधद आहार – अचतचवश्राम – चनद्रा सविलक्षणयुक्त क्षतज & क्षयज कास  असाध्य क्षतज  रूक्षान्न अल्प भोजन – अचतमैथुन – अचतभार वहन – अध्व – युद्ध वृद्ध रोगी  कृ च्रसाध्य क्षयज  चवर्म असात्म्य भोजन – अचतमैथुन – वेगिारण – घृणा – चिधता वातज कास चिककत्सा  सम्प्राचप्त रुक्षस्याचनलजं कासमादौ स्नेहैरुपािरेत् । सर्पिचभविचस्तचभः पेयायूर्क्षीररसाकदचभः ॥ चनदान सेवन वायु attains वातघ्नचसद्धैः स्नेहायैिूम ैलेहैश्च युचक्तकः । अभ्यंगै पटरर्ैकश्च चस्नग्िैः स्वेदैश्च बुचद्धमान ॥ ऊध्विगमन of वायु उदानवायु characters (ि.चि. 18/32-33) स्नेहन  by घृतपान, बचस्त, पेया-यूर्-मांसरस, वातनाशक द्रवचसद्ध घृत-तैल स्वेदन  चस्नग्ि स्वेद Leads to आक्षेप & पीडा स्रोतो संग कास In case of मल & अपानवात अवरोि  चस्नग्ि बचस्त in हनुप्रदेश मधया & नेि in कण्ठ & उर:स्थल In case of चपत्तानुबधि  घृतसेवन after food In case of कफानुबधि  चस्नग्ि चवरेिन Rabin Singh Flexcil - The Smart Study Toolkit & PDF, Annotate, Note  This Document has been modified with Flexcil app (Android) https://www.fexcil.com Kayachikitsa 2 19 और्ि योग  कासाधतक रस – लक्ष्मीचवलास रस – पंिामृत रस – व्योर्ाकद वटी – क्षतज कास चिककत्सा  कासमात्यचयकं मत्वा क्षतजं त्वरया जयेत् । मिुरैजीवनीयैश्च बलमांसचववििनैः ॥ मटरच्याकद वटी – लवंगाकद वटी – शट्याकद िूणि – चसतोपलाकद िूणि – तालीसाकद (ि.चि. 18/134) िूणि – कण्टकारी क्वाथ – कण्टकारीघृत – चपप्पल्याकदघृत – अगस्त्यहरीतकी – आत्यचयक चिककत्सा मनःचशलाकद िूम मिुर जीवनीय बलमांसवििक और्ि प्रयोग चपत्तजकासवत चिककत्सा  घृत & दुग्ि प्रयोग चपत्तज कास चिककत्सा  तृणपंिमूल चसद्ध अजादुग्ि प्रयोग पैचत्तके सकफे कासे वमनं सर्पिर्ा चहतम् । हृतदोर्स्ततः शीतं मिुरं ि क्रमं भजेत् ॥ (ि.चि. 18/83) क्षयज कास चिककत्सा  (दुबिल & सविलक्षणयुक्त  अचिककत्स्य) चवरेिन दीपनं बृंहणं िैव स्रोतसां ि चवशोिनम् । वमन if associated with कफ व्यत्यासात् क्षयकाचसभ्यो बल्यं सवं चहतं भवेत् ॥ (ि.चि.18/187) घृत प्रयोग  घृतपाक of माचहर्- आचवक- गोदुग्ि with आमलकी स्वरस & घृत In नव क्षयजकास  मृदुशोिन & बृंहण मिुररस अनुपान प्रयोग  शकि रा+जल / द्राक्षा स्?