PG - Module 11 - Online e-Learning Module Application for Panchakarma

DISEASE PANCHAKARMA

AMAVATA

Name of the disease

Samprāpti Ghaṭaka

Conditions

Pañcakarma treatments

Treatment modalities

Āmavāta

Doṣa – Vāta (Vyāna, Samāna), Pitta (Pācaka), Kapha (Śleṣaka)
Dūṣya – Rasa, Meda, Asti, Majjā, Sirā, Snayu, Purisha
Agni – Jaṭharāgni and Dhātvāgni Māndya
Srotas – Annavaha, Rasavaha, medovaha, Asthivaha, Majjāvaha
Srotoduṣṭi – Saṅga
Udbhava Sthāna – Āmaśaya
Vyaktha Sthāna – Kapha Sthāna , Sandhis
Rogamārga – Madhyama

Samprāpti

Nidāna – Agni reduced – Āma increased – Rasa Duṣṭi in Āmaśaya – Vidagdhata of Rasa – Enters Dhamani – Along with Vāta , Pitta, Kapha and Dūṣita Annarasa travels through different Srotases – Abhiṣyanda in Srotases produce Gaurava and Daurbalya – Sthānasaṃśraya of Āma in Trika, Sandhi – Āmavāta

Sāmānya Cikitsā

Laṅghana

(Till Nirāma Avasthā attained)

· 4 types Śodhana – Vamana, Virecana, Basti, Śiro Virecana

· Pipāsa

· Māruta Sevana

· Ātapa Sevana

· Pācana

· Upavāsa

· Vyāyāma

Svedana

Svedana acts in 2 ways in Āmavāta

• Śamana – in Sāma Avasthā

• Śodhanāṅga– in Nirāma Avasthā

• Rūkṣa Sveda with Vālūka Poṭalī

• Upanāha without oil

• Kārpāsāsthyadi Saṅkara Sveda

• Uṣṇajala Pāna

Tikta Dīpana Kaṭu Dravya administration

(for Agni Sandukṣaṇa and Āmapācana)

• Pañcakola Cūrṇa

• Trikaṭu Cūrṇa

Snehapāna

(advised in Nirāma Avasthā)

Snehapāna with Eraṇḍa Taila / Ṣaṭpala Ghṛta / Indukānta Ghṛta

Virecana

• Eraṇḍa Taila with Guḍa and Kṣīra

• Trvrit Cūrṇa

• Phalatrikādi Cūrṇa

• Nāgara – Viḍaṅga – Trvrit Vataka with Uṣṇa Jala followed by Uṣṇa Kṣīra

Nirūha and Anuvāsana Basti

• Kṣāra Basti

• Saindhavādi Anuvāsana Basti

• Kṣāra Vaitaraṇa Basti

• Eraṇḍamūlādi Nirūha Basti

• Daśamūladi Nirūha Basti

AMLAPITTA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Amlapitta

· Doṣa – Pitta (Pācaka), Vāta (Prāna, Samāna, Apāna), Kapha (Kledaka, Bodhaka)

· Dūṣya – Rasa, Rakta

· Agni – Mandāgni, Viṣamāgni

· Srotas – Annavaha, Rasavaha, Purīṣavaha, Raktavaha

· Srotoduṣṭi – Saṅga , Vimārga Gamana, Atipravṛtti

· Udbhava Sthāna – Āmaśaya , Grahaṇi

· Rogamārga – Ābhyantara

Samprāpti

Nidāna – Vitiates Vāta and Pitta Doṣa – Produces Jaṭharāgni Māndya – Food consumed becomes Vidagdha – Then the food becomes Śukta and Vidagdhājīrṇa manifests (Pūrvarūpa) – Further vitiated Pitta gets mixed with Śukta and causes Pitta Āma Viṣa Samūrcchana – Cardinal symptoms of Amlapitta manifests

Sāmānya Cikitsā

Vamana

Vamana with Lavaṇāmbu, sukhosna, Dugdha, Ikṣurasa, Madhūdaka or Tiktadravyas

Virecana

· Mṛdu Virecana with Triphala, Trāyamāṇa, Kaṭuki along with Trivṛt

· Avipatti Cūrṇa

Anuvāsana Basti

Anuvāsana Basti with Tiktaka Ghṛta / Indukānta Ghṛta / Āragvadhādi Gaṇa Ghṛta / Madhuyaṣṭyādi Taila and Kṣīrabalā Taila

Nirūha Basti

Kṣīra Basti with Kṣīra Kvāthas with Guḍūcyādi Gaṇa, Tiktaka Kvātha, Indukānta Kvātha, Āragvadhādi Gaṇa

Raktamokṣaṇa

If even after Vamana and Virecana, if the aggravated Doṣas are not pacified, then Raktamokṣaṇa should be administered methodically

Ūrdhvaga Amlapitta

Vamana

Vamana with decoction of Paṭola, Nimba, and Madanaphala with Saindhava Lavaṇa

Adhoga Amlapitta

Virecana

Virecana with Trivṛt Cūrṇa, Madhu, and Āmalaki

ANANTA VATA

Name of the disease

Samprāpti Ghaṭaka

Conditions

Pañcakarma treatments

Treatment modalities

Anantavāta

· Doṣa – Tridoṣa

· Dūṣya – Rasa

· Agni – Jaṭharāgni Māndya

· Srotas – Rasavaha

· Srotoduṣṭi – Saṅga , Vimārga Gamana

· Vyaktha Sthāna – Akṣi, Bhrū, Ghāṭā, Śaṅkha

· Rogamārga – Madhyama

Samprāpti

Nidāna Seva – Tridoṣa Kopa – Pass through Manyā & Ghāṭā – Lodged in Akṣi, Bhrū, Ghāṭā

Snehana

Internal Snehana

Purāṇasarpi
Jīvanīya Ghṛta
Varaṇādi Ghṛta
Rasnā Daśamūla Ghṛta
Jīvantyādi Ghṛta
Kalyāṇaka Ghṛta

External Snehana

Abhyaṅga with Nārāyaṇa Taila / Māṣādi Taila / Prasāriṇyādi & Mahārājaprasāriṇyādi Taila / Dhānvantaram Taila / Balā Taila

Svedana

• Piṇḍa Sveda with Māṃsa & Dhānya

• Upanāha Sveda with Matsya Pisita + Saindhava / Kṛśara + Saindhava / Sukhoṣṇa Vātaghna Siddha Payas / Candanaagaruvadi Upanāha / Jīvanīya Gaṇa Siddha Upanāha

• Seka with Sukhoṣṇa Vātaghna Siddha Kṣīra / Traivṛta Taila / Balā Taila

Virecana

Basti

• Mustādi Yāpana Basti

• Kṣīra Basti

• Anuvāsana Basti with Vātahara Taila or Ghṛta / Traivṛta Taila / Balā Taila

Nasya

Snehana or Bṛṃhaṇa Nasya with

Varaṇādi Kṣīra sarpi
Varuṇādi Kṣīrapāka Mathita Sāra
Ṣaḍbindu Taila
Aṇu Taila
Kṣīrabalā Taila

Śirīṣamulādi Avapīḍa Nasya

Dhūmapāna

Snaihika Dhūmapāna with Madhūcchiṣṭa + Sneha

Kavala and Gaṇḍūṣa

Arimedādi Taila

Raktamokṣaṇa

Sirāvyadha

Agnikarma

Mūrdha Taila

• Kṣīrabalā Taila

• Balā Taila

• Traivṛta Taila

• Balāhaṭhādi Taila

• Baladhātryādi Taila

• Asanana Bilvādi

• Kārpāsāsthyādi Taila

Seka with

• Sukhoṣṇa Vātaghna Siddha Kṣīra

• Traivṛta Taila

• Balā Taila

• Takradhārā

Karṇapūraṇa

• Bilva Taila

• Vacālaśunādi

• Arka Taila

• Kṣīrabalā Taila

• Asana Bilvādi Taila

• Dhānvantaram Taila

Lepa

• Kuṣṭhādi Lepa

• Devadārvyādi Lepa

• Candanādi Lepa

• Eraṇḍabījādi Lepa

• Mucakundalepa

Talam

• Rasnādi Cūrṇa

• Kacchūrādi Cūrṇa

APASMARA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma treatment

Treatment modalities

Apasmāra

· Doṣa – Vāta (Prāna, Udāna, Vyāna and Samāna), Pitta (Sādhaka), Kapha (Avalambaka, Tarpaka), Rajas and Tamas

· Dūṣya – Rasa, Rakta, Majjā , Manas

· Agni – Jaṭharāgni and Dhātvāgni Māndya

· Srotas – Manovaha, Prānavaha, Annavaha, Rasavaha, Raktavaha, Majjāvaha

· Srotoduṣṭi – Ati Pravṛtti , Vimārga Gamana

· Udbhava Sthāna – Āmaśaya

· Vyaktha Sthāna – Jñānendriya and Karmendriya

· Rogamārga – Madhyama

Samprāpti

Nidāna – Citta Abhihata – Śarīra and Mānasa Doṣa Prakopa – Affect Hṛdaya and Sañjñāvaha Srotas – Abhihata of cetas – Apasmāra

Sāmānya Cikitsā

Tīkṣṇā Vamana and Virecana

Antaḥparimārjana

Snehapāna

Brahmī Ghṛta / Pañcagavya Ghṛta / Mahā Paiśācika Ghṛta / Kalyāṇakaand Mahā KalyāṇakaGhṛta

Vamana

(Avega Kāla – Kaphaja

Apasmāra)

Madana / Lambā / Viśāla / Ariṣṭā / Kuṭaja

Virecana

(Avega Kāla – Paittika

Apasmāra)

§ Gomūtra / Trivṛt / Danti / Dravantī / Sapthalā / Snuhī

Icchābhedi Rasa with Eraṇḍa Taila

Basti

(Avega Kāla – Vātaja

Apasmāra)

Daśamūla Nirūha Basti

Nasya

(Vega Kāla – Pūrvarūpa Avasthā / Paścāt Vega Avasthā)

• Pippalyādi / Triphalādi Pradhamana Nasya

• Nasya with Jyotiṣmatyādi Taila / Śatāvarī Taila

• Apamārgadi Nasya /Svetādi Nasya

Bahiḥparimārjana

Abhyaṅga

Sarsapa Taila / Palaṅkaṣādi Taila / Balā Taila / Lākṣādi Taila / Amṛtādya Taila

Añjana

(Vega Kāla – Pūrvarūpa Avasthā/ Paścāt Vega Avasthā)

Vyoṣādi Añjana / Apāmārgadi Añjana / Śūna Pitta (Param Añjanam) / Mustādi Vartī / Kāyasthādi Vartī

Dhūmapāna

(Vega Avasthā)

Nakulolukādi Dhūpa / Śūna Pitta / Kaiḍaryādi Dhūpa / Palaṅkaṣādi

Dhūpa / Nimbapatrādi Dhūpa

Utsādana

Siddhārthaka Yoga / Yava Triphala Cūrṇa / Jalauka Śakṛt / Dagdha Basta Roma Bhasma

Lepa

Āpotarakṣasī Yoga sprinkled with Gomūtra / Palaṅkaṣādi Yoga / Kaiḍaryādi Pradeha

Śastra Praṇidhāna

Sirāvyadha

Site – Uro Apāṅga Lalāṭa / Hanu Sandhi Madhye

ARDHAVABHEDAKA

Name of the disease

Samprāpti Ghaṭaka

Conditions

Pañcakarma treatments

Treatment modalities

Ardhāvabhedaka

· Doṣa – Vāta / Vāta – Kapha Pradhāna Tridoṣaja

· Dūṣya – Rasa, Rakta, Sirā

· Agni – Jaṭharāgni Māndya

· Srotas – Rasavaha, Raktavaha

· Srotoduṣṭi – Saṅga , Vimārga Gamana

· Vyaktha Sthāna – Ardha Śiras

· Rogamārga – Madhyama

Samprāpti

Nidāna Sevana – Vāta or Vāta Kapha Doṣa Prakopa – Vāta Avarodha at Sirās of Mastiṣka due to Pravṛddha Śleṣma – Aggravated Vāta associated with Pitta Doṣa – Does Sthānasaṃśraya at Sirās of head – Causes throbbing pain at half side of Śiras involving Manyā, Bhrū, Śaṅkha, Karṇa, Akṣi, Lalāṭa

Snehana

Internal Snehana

• Uttama Mātrā Catursneha

• Purāṇa Ghṛta

• Rāsna Daśamūla Ghṛta

• Jīvantyādi Ghṛta

• Balā Taila

External Snehana

• Śiro Abhyaṅga with Daśamūla Taila, Kanaka Taila, Rudra Taila etc.

Svedana

• Upanāha Sveda – Jāṅgala Māṃsa Upanāha

• Nāḍī Sveda – Auṣadha Siddha Kṣīra

• Pariṣeka – Auṣadha siddha Kṣīra Dhārā

Nasya

Avapīḍaka and Tīkṣṇa Nasya with

• Nirguṇḍī Patra Svarasa + Saindhava + Ghṛta Maṇḍa

• Śirīṣa Phala / Mūla

• Śirīṣamūla + Apāmārga Mūla + Balamūla

• Sthirā Rasa

• Vamśī Mūla + Vacā + Pippali

• Vamśī Mūla + Karpūra + Manaḥśilā + honey

• Yaṣṭī +honey

• Candana +honey

• Ajā Kṣīra

Sneha Nasya with

• Kākolyādi Ghṛta

• Mūrvādi Ghṛta

• Kṣīrabalā Taila

• Dhānvantaram Taila

• Kuṅkumādi Taila

• Aṇu Taila

• Ṣaḍbindu Taila

Lepa

• Sārivotpalādi Śirolepa

• Prapunnāta + Amla Dravya

• Vaya Viḍaṅgādi Lepa

• Candana + Karpūra + Jaṭāmāmsī

• Tila Kalka Lepa

Vamana

• Madanaphalādi Yoga

• Sadyo Vamana if Doṣas are in Utkliṣṭa Avasthā

Basti

Anuvāsana Basti with

• Pippalyādi Anuvāsana Taila

• Dhānvantaram Taila

• Sukumāra Ghṛta

Nirūha Basti

• Mādhutailika Basti

• Yāpana Basti

Kavalagraha

• Candanādi Taila

• Mahānārāyaṇa Taila

Mūrdha Taila

• Vāta Pittahara Tailas like Kṣīrabalā Taila / Candanādi Taila

• Kṣīra Dhārā

• Takra Dhārā

Agni Karma

• The Agnikarma is indicated on Bhrū, Lalāṭa and Śaṅkha Pradeśa at two Aṅgula area

ARSAS

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma treatment

Treatment modalities

Arśas

· Doṣa – Vāta Pradhāna Tridoṣa

· Dūṣya – Rasa(Tvak), Meda, Rakta, Māmsa , Sira, Dhamani, Tvacā

· Agni – Jaṭharāgni , Dhātvāgni , Bhūtāgnii Māndya

· Srotas – Purīṣavaha, Annavaha

· Srotoduṣṭi – Saṅga and Sirāgranthi .

· Adhiṣṭhāna – Meda, Māmsa and Tvak.

· Roga Mārga – Ābhyantara

Samprāpti

Obstruction of Adho Mārga – Apāna Kopa and that vitiates other Vāyu in Sarva Indriya and Sarva Śarīra – Cause vitiation of Kapha , Pitta, Mūtra and sakrut and Dhātus – Agnimāndya leads to Arśas

1. Stabdha Arśas associated with Śopha and Śūla

· Abhyaṅga

· Svedana

· Abhyaṅga with Chitraka Taila, Kshara Taila

· Yava masha kulatha potali Sveda

· Pariṣeka Sveda with vasa, bilva, arka patra kwatha

· Avagāha Sveda agnimantha, sigru, asmantaka kwatha

2. Arśas not relieved by Śīta, Uṣṇa, Snigdha, Rūkṣādi Cikitsā , Abhyaṅga , Pradeha etc

Raktamokṣaṇa

Jalaukāvacaraṇa

3. Arśas associated with Udavāta, Vāta – Mala Saṅga , Vāta Pratiloma

Anuvāsana Basti

Pippalyādi Taila / Ghṛtamaṇḍa

4. Arśas associated with Śūla and Picchā Srāva

Nirūha Basti

Daśamūla Kvātha + Gomūtra + Lavaṇa

5. Pitta Kapha Pradhāna Srāvi Arśas

Virecana

Trivṛt + Kaṭukī + Harītakī

6. Kapha Vāta Arśas with predominance of Rakta and Pitta

Pariṣeka Sveda

Yaṣṭīmadhu, Panchavalkala, Paṭola, Vasa, Arjuna Kvātha

7. Raktāti Pravritti, Dāha , Kleda

If Raktasrāva not stops

· Avagāha Sveda

· Picchā Basti

Avagāha Sveda with Kamala, Yaṣṭī, Candana, Kuśādi Kvātha

ASMARI

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Aśmarī

· Doṣa – Kapha Pradhāna Tridoṣa

· Dūṣya – Mūtra

· Agni – Jaṭharāgni Māndya

· Srotas – Mūtravaha

· Srotoduṣṭi – Saṅga

· Udbhava Stana – Āmaśaya and Pakvāśaya

· Vyaktha Sthāna – Mūtravaha Srotas and Basti

· Rogamārga – Ābhyantara

Samprāpti

Nidāna Sevana – Vitiation of Tridoṣa, predominantly Kapha – Increased Kledatva carried into circulation – Vitiated Doṣa carried in to Basti by Adho Mūtravaha Dhamani – Śoṣaṇa of Kapha Doṣa by Vāta and Pitta – Kapha Doṣa attains Saṅghatva (compactness) and becomes Parivṛddha (exaggerated) – Formation of Aśmarī

Snehapāna

Pāṣāṇabhedādi Ghṛta / Varaṇādi Ghṛta

Abhyaṅga

Svedana

· Avagāha in Uṣṇa Jala after Aśmarī Śastrakarma

· Avagāha Sveda in Vīratarādi Gaṇa Kaṣāya or in Dhānyāmla

· Dhāra to Adho Nābhi with Dhānyāmla or Yamaka Sneha

· Ṣāṣṭīka Piṇḍa Sveda in Vāta Kapha Pradhāna Aśmarī

Vamana

Virecana

Virecana with Iksu Rasa / Kṣīra / Drākṣārasa in Paittika Aśmarī

Basti

· Mustādi Yāpana Basti / Balādi Yāpana Basti

· Anuvāsana Basti with Śvadaṃṣṭrādi Trivṛt Yoga / Gokṣura Svarasa / Guḍa / Kṣīra / Nāgara in Taila

Uttara Basti

Uttara Basti with Kṣīrīvṛkṣa Kaṣāya

GRAHANI

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma treatment

Treatment modalities

Grahaṇī

Dosa – Pitta Pradhāna Tridoṣa (Samāna Vāta, Pācaka Pitta, Kledaka Kapha)
Dūṣya – Rasa
Agni – Jaṭharāgni Māndya
Agni Duṣṭi – Mandāgni
Srotas – Annavaha, Purīṣavaha, Rasavaha Srotas
Srotoduṣṭi – Saṅga , Vimārgagamana, Atipravṛttii
Udbhava Sthāna and Vyakta Sthāna – Grahaṇī
Svabhāva – Cirakāri
Roga mārga – Ābhyantara

Samprāpti

Nidāna Sevana – Doṣa Prakopa – Agni Duṣṭi – Apācana (indigestion) – Āmotpatti – Śukta Pāka – Āmaviṣa – Grahaṇī Doṣa

1. Āma Pradhāna and Utkliṣṭa

Vamana

Madanaphalādi Yoga / Uṣṇa Jala / Sarṣapa Kvātha

2. Pakvāśayagata Līna Doṣa

Virecana

Dīpanīya Ghṛta

3. Vātaja Grahaṇī – patient is having weak Agni and Bala

· Snehana

· Svedana

· Virecana

· Nirūha Basti

· Anuvāsana Basti

· Śuṇṭhī Ghṛta / Citraka Ghṛta for Snehana

· Daśamūla Nirūha Basti

· Eraṇḍa Taila for Virecana

4. Pittaja Grahaṇī – Pitta at its site and in Utkliṣṭa Avasthā

· Vamana

· Virecana

5. Kaphaja Grahaṇī

Vamana

6. Udāvarttajanya Agnimāndya

· Nirūha Basti

· Anuvāsana Basti

· Daśamūla Nirūha Basti

· Anuvāsana Basti with Hiṅgvādi Taila

HRIDROGA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Hṛdroga

Doṣa – Tridoṣaja
Dūṣya – Rasa,Rakta
Agni – Jaṭharāgni , Dhātvāgni , Bhūtagni
Agni – Mandāgni
Srotas – Rasavaha, Prānavaha
Srotoduṣṭi – Saṅga , Vimārga Gamana
Udbhava Sthāna – Hṛdaya
Vyaktha Sthāna – Hṛdaya
Svabhāva – Āśukāri
Rogamārga – Madhyama

Samprāpti

Nidāna – Tridoṣa Duṣṭi – Rasa Dhātu Duṣṭi – Hṛdroga

1. Vātaja Hṛdroga

Snehapāna

· Balā Taila / Sukumāra Ghṛta / Yaṣṭyāhva Śatapāka Taila / Rāsnādi Mahā Sneha for Snehapāna

· Vidāryādi Ghṛta used for Snehapāna in Vāta Paittika Hṛdroga

· Abhyaṅga

· Uro Basti

· Uro Picu

Abhyaṅga, Uro Basti and Uro Picu with Dhānvantaram Taila/ Balā Taila

Svalpa Sveda

· Sveda with Snigdha Dravyas like Saṃskṛta Ghṛta

Mṛdu vamana

· Vamana with Dvipañcamūladi Kvātha + Sneha + Lavaṇa

Virecana

· Avipatti Cūrṇa with Ghṛta for Virecana

Anuvāsana Basti

· Anuvāsana Basti with Bhadradarvyādi Siddha Taila

2. Pittaja Hṛdroga

· Snehapāna

· Pariṣeka Sveda

· Mṛdu vamana

· Virecana

· Anuvāsana Basti

· Śreyasyādi Ghṛta / Svādu Varga Siddha Ghṛta / Śatāvarī Ghṛta for Snehapāna

· Pariṣeka Sveda with Daśamūla Kvātha

· Vamana with Śrīparṇi Madhuka Sitā – Utpala Jala

· Virecana with Drākṣā + Ikṣu Niryāsa + Sitā + Kṣaudra + Parūṣaka

· Avipatti Cūrṇa for Virecana

· Anuvāsana Basti with Madhuka Taila + Kṣaudra

3. Kaphaja Hṛdroga

· Mṛdu Vamana

· Virecana

· Anuvāsana Basti

· Vamana with Vaca – Nimba Kaṣāya

· Śyāmā – Trivṛt Kalkayuta Ghṛta

· Anuvāsana Basti with Balā Taila

4. Kṛmija Hṛdroga

· Virecana

· Virecana with Danti-Trivṛt-Śyāmā – Saptalādi Mūlā Virecana Dravya

JVARA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma treatment

Treatment modalities

Jvara

· Doṣa – Pittapradhāna Tridoṣa

· Dūṣya – Rasa, Rakta, Sveda

· Agni – Jaṭharāgni Māndya

· Srotas – Rasavaha and Svedavaha Srotases

· Srotoduṣṭi – Saṅga

· Udbhava Sthāna – Āmaśaya

· Vyaktha Sthāna – Sarva Śarīra

· Rogamārga – Bāhya Rogamārga

· Svabhāva – Āśukāri

Samprāpti

Mithyāhara Vihāra Sevana – Vāta, Pitta and Kapha get vitiated in Āmaśaya – A ffects Jaṭharāgni and produce Agni Māndya – Formation of Āma – The vitiated Doṣa combines with Āma and vitiated Rasa Dhātu circulates all over the body – Obstruct the body channels and sweat – Body temperature increases – Jvara

1. Taruṇa Jvara

Svedana

Anāgneya Sveda like Guru Prāvaraṇa, Uṣṇasadana, Kṣudhā, Ātapa

2. Aggravated Kapha located in Āmāśaya and Vāmya Rogi

Vamana

Madana, Saindhava, Vacā with hot water or honey

3. Jvara not relieved by Kaṣāya, ghritapana and patient without Bala and Māmsa Kṣaya

Virecana

• Mṛdvīka + Āmalaka Rasa

• Trivṛt Cūrṇa + Madhu Sarpi

• Triphala rasa + Madhu Sarpi

• Drākṣā Rasa with Uṣṇajala

• Avipatti Cūrṇa

• Decoction of Triphala, Trivṛt, Āragvadha or Harītakī or only milk

4. When Pitta or Kaphapitta located in Pittāśaya

Virecana

Sraṃsana with Drākṣā, Kaṭukī, Triphala, Trivṛt and Śarkara Cūrṇa

5. In Jīrṇa Jvara – weak patient having good Agni Bala, decreased Pitta and Kapha, dry and constipated stool

Anuvāsana Basti

Jīvantyādi Taila / Candanādi Taila can be used for Anuvāsana Basti

6. Doṣas in Pakvāśaya and Jvara Kṣīṇa

Nirūha Basti

• Paṭolādi Nirūha Basti

• Parṇinyādi Nirūha Basti

• Guḍūcyādi Nirūha Basti

• Āragvadhādi Nirūha Basti

7. Śiraśūla, Śiro Gaurava, Indriya Jāḍyata

Nasya

• Pradhamana Nasya with Trikaṭu, Kaṭphala Cūrṇa or Dhūma Nasya can be done

8. Jīrṇa Jvara with Dhātu Kṣaya and Śarīra Uṣṇata

· Abhyaṅga

· Pariṣeka Sveda

· Avagāha Sveda

· Abhyaṅga with Candanādi Taila

· Pariṣeka and Avagāha Sveda can be done with Śīta jala, Kṣīra and Ghṛta

9. Jīrṇa Jvara with coldness of the body

· Abhyaṅga

· Pradeha

Abhyaṅga and Pradeha with Agurvādi Taila

10. Jvara due to aggravation of Vāta Pitta and Kapha Kṣīṇa, Jvara in Nirāma Avasthā

Snehapāna

Pippalyādi Ghṛta/ Vāśādi Ghṛta/ Balādi Ghṛta

11. Karṇamūla Śotha occurring at the end of Sannipāta Jvara

Raktamokṣaṇa

Pracchāna / Jalaukāvacaraṇa

KAMALA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Kāmala

Doṣa – Pitta
Dūṣya – Rakta and Māmsa
Srotas – Rasavaha, Raktavaha, Annavaha, Purīṣavaha Srotas
Srotoduṣṭi – AtiPravṛTti, Saṅga , Vimārga Gamana
Adhiṣṭhāna – Koṣṭha (Mahā Srotas) and Śākhā

Samprāpti

Nidāna – Vāta and Kapha Prakopa – Vitiated Vāta and Kapha circulated through the Pittavaha Srotas – Pittavaha Sroto Avarodha by Kapha – Tilapiṣṭanibha Mala Pravriti – Pitta begins to accumulate in liver and causes yellow discoloration of eyes, skin and nails – Śākhāśrita Kāmala

संशोध्यो मृदुभिस्तिक्तै : कामली तु विरेचने : ||[CH.CH16/39]

1. Śākhāśrita

Snehapāna

Pañcagavya Ghṛta / Mahā Tiktaka

Ghṛta / Kalyāṇaka Ghṛta

Virecana

Kaṭukī / Trivṛt / Āragvadhā / Drākṣā

2. Koṣṭhāsrita

Snehapāna

Pañcagavya Ghṛta / Mahā Tiktaka Ghṛta / Kalyāṇaka Ghṛta

Virecana

Drākṣā / Āmalaki / Āragvadhā Svarasa

Nasya

Kumārī Jala Nasya

Añjana / Āścotana

• Haridra Gairika Āmalaka – Kāmalapaham Añjanam

• Droṇapuṣpī Svarasa Āścotana

• Ariṣṭaka Bīja Añjana

3. Halīmaka

· Virecana

· Yāpana Basti

· Trivṛt / Āmalaki Svarasa / Drākṣāvaleha for Virecana

KASA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Kāsa

· Doṣa – Vāta, Kapha

· Dūṣya – Rasa

· Agni – Jaṭharāgni Māndya

· Srotas – Rasvaha, Prānavaha

· Srotoduṣṭi – Saṅga

· Udbhava Sthāna – Āma – Pakvāśayotha

· Svabhāva – Āśukāri

Samprāpti

Nidāna Sevana – Kapha Prakopa – Prāna Vāyu Duṣṭi – Prāna Vāyu becomes Udāna Anugata – Prāna Vāyu forcefully moves into Srotas – Typical sound obtained – Kāsa

1. Vātaja Kāsa

Snehapāna

Kaṇṭakārī Ghṛta / Daśamūla Ghṛta / Pippalyādi Ghṛta for Ghṛta pana

Abhyaṅga

Sahacarādi Taila for Abhyaṅga

2. Sakapha Vātaja Kāsa

Snigdha Virecana

Eraṇḍa Taila / Trivṛt Lehya

3. Sapitta Vātaja Kāsa

Ūrdhva Bhaktika Ghṛtapāna

Kaṇṭakārī Ghṛta / Daśamūla Ghṛta / Pippalyādi Ghṛta / Śatāvarī Ghṛta for Ghṛtapāna

4. Vātaja Kāsa associated with Vibandha

Nirūha Basti

Mustādi Yāpana Basti

5. Vātaja Kāsa associated with Pīnasa

Snaihika Dhūmapāna

6. Pittaja Kāsa associated with Kapha

Vamana

· Ghṛta processed with Madana, Madhuka, Kāśmarya Kaṣāya

· Ghṛta with Madana , Yaṣṭyāhva Kalka mixed with Vidārī, ikṣu Svarasa

7. Pittaja Kāsa having Tanu Kapha

Virecana

Virecana with Trivrt + Madhura Dravya (Drākṣādi)

8. Pittaja Kāsa having Ghana Kapha

Virecana

Virecana with Trivrt + Tikta Dravya

(Kaṭukī)

9. Kaphaja Kāsa in Balavan Rogi

· Snehapāna

· Tīkṣṇā Śodhana – Vamana / Virecana/ Nasya

· Snehapāna with sura kashta Taila + Vyoṣa + Yavakṣāra

10. Vāta Kaphaja Kāsa

Mṛdu Virecana

Harītakī , HiṅGu , Śaṭhī

11. Kshataja Kāsa

· Nasya

· Snehapāna

· Snigdha Mṛdu Virecana

· Eraṇḍa Taila / Drākṣā Ghṛta for Virecana

12. Kṣayaja Kāsa in Bahudoṣavastha and Balavan Rogi

· Snehana

· Mṛdu Virecana

· Āragvadhādi Siddha Ghṛta / Mṛdvīkā Rasa / Tilvaka Kaṣāya + Vidārī Svarasa / Trivṛt Lehya / Śāmyāka Ghṛta for Virecana

KHALITYA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Khālitya

· Doṣa – Pitta (Pācaka, Bhrājaka); Vāta (Samāna, Vyāna); Kapha (Tarpaka)

· Dūṣya – Rasa, Rakta, Asthi, Sveda, Keśa

· Agni – Jaṭharāgni , Rasa, Rakta & Asthi Dhātvāgni

· Srotas – Rasavaha, Raktavaha, Asthivaha, Svedavaha, Manovaha

· Udbhava Sthāna – Āmaśaya

· Vyaktha Sthāna – Keśa Bhūmi

· Srotoduṣṭi – Saṅga

· Rogamārga – Bāhya

Samprāpti

Nidāna – Tridoṣakopa – Rasa, Rakta, Asthi Dhātvāgni Duṣṭi – Keśa Patana and Sirāmukha Avarodha – Khālitya

Mūrdhni Taila

Śiro Abhyaṅga

Śirodhāra

Śiro Basti

Bhṛṅgarāja Taila / Bhṛṅgāmalakādi / Kṣīrabala Taila for Mūrdhni Taila

Nasya

Nasya with Yaṣṭīmadhukādya Taila / Candanādya Taila / Prapauṇḍarikādya Taila / Mārkavādya Taila / Vidārīgandhadi Taila / Jambvādya Taila / Aṇu Taila

Raktamokṣaṇa

Raktamokṣaṇa by Pracchāna/ Sirāvyadha / scraping of scalp by Sūci, Kūrcchikā or rough leaves

KUSHTA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma treatment

Treatment modalities

Kuṣṭha

Doṣa – Tridoṣa
Dūṣya – Tvak, Rakta, Māmsa, Lasīkā
Agni – Jaṭharāgni Māndya, later Dhātvāgni Māndya
Srotas – Rasavaha, Raktavaha later all Srotas
Srotoduṣṭi – Saṅga
Rogamārga – Bāhya
Udhbava Sthāna – Āmaśaya
VyakthaSthāna –Tvaca
Roga Svabhāva – Cirakāri

Samprāpti

Nidāna – Tridoṣa Kopa – Doṣas moves in Tiryakgata Siras – Vitiates Tvak, rakta, Māmsa , Lasīkā – Doṣa Dūṣya Sthāna samsraya in Tvak – Maṇḍalotpatti in Tvak – Kuṣṭha

Sāmānya Cikitsā

वातोत्तरेषु सर्पिर्वमनं श्लेष्मोत्तरेषु कुष्ठेषु|
पित्तोत्तरेषु मोक्षो रक्तस्य विरेचनं चाग्रे||

(Cha. Chi. Kuṣṭha Cikitsā 39)

1. Vāta Pradhāna

Snehapāna

Tiktaka Ghṛta / Paṭolādi Ghṛta / Daśamūlādi Ghṛta

2. Pitta Pradhāna

Snehapāna

Tiktaka Ghṛta / Mahatiktaka Ghṛta / Khadirādi Ghṛta

Virecana

Trivṛt, Danti, Triphala Yogas / Māṇibhadra Gula / KalyāṇakaGula

Raktamokṣaṇa

• Pracchāna in Alpa Kuṣṭha

• Sirāvyadha in Lalāṭa Hasta Pāda Siras

3. Kapha Pradhāna

Snehapāna

Guggulutiktaka Ghṛta / Mahatiktaka Ghṛta /Nimbādi Ghṛta / Bṛhati Dvayādi Ghṛta

Vamana

• Madanaphala, Nimba, Paṭola

• Kṛtavedhana / Ikṣvāku Kalpa

4. Kṛmi , Kuṣṭha , Kilāsa

Nasya

· Pradhamana Nasya with Viḍaṅga Cūrṇa

· Vairecanika Dhūma Nasya

5. Sthira – Kaṭhina Maṇḍala Kuṣṭha with Kapha Prakopa

Svedana

Nāḍi Sveda / Prastara Sveda / Ānūpa Māmsa Poṭali Sveda

Raktamokṣaṇa

Pracchāna with Kūrcchā

KRIMI

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Kṛmi

· Doṣa – Tridoṣa ,

· Dūṣya – Āhārarasa in Kaphaja and Purīṣaja Kṛmi, Rakta in Raktaja Kṛmi

· Agni – Jaṭharāgni and Dhātvāgni Māndya

· Srotas – Rasavaha, Raktavaha, Annavaha, Purīṣavaha

· Srotoduṣṭi – Saṅga , Vimārga Gamana, Atipravṛtti, Granthi

· Udbhava Sthāna – Āmaśaya for Kaphaja Kṛmi, Pakvāśaya for Purīṣaja Kṛmi , Raktavaha Dhamani and Tvak for Raktaja Kṛmi

· Rogamārga – Ābhyantara

Samprāpti

Nidāna – Kapha Pitta Prakopa – Produce different types of Kṛmi – Localizing in different seats

Sāmānya Cikitsā

1. Apakarṣaṇa

Hasta Apakarṣaṇa

Bheṣaja Apakarṣaṇa

· Nirūha Basti

Nirūha Basti with

Arka Alarka Kuṭaja Kuṣṭha Kaiḍaryādi Kaṣāya
Śigru Pīlu Kustumburu Kaṭuka Sarṣapa Kaṣāya
Āmalaka Śuṇṭhī Dāru Haridrā Picumarda Kaṣāya
Kaṣāya – Surasādi Gaṇa drugs+ ½ Gomūtra + Kalka [ Pippali, Madanaphala, Viḍaṅga] + Taila + Svarjikā Kṣāra

· Vamana and Virecana

Ubhayatobhāgahara Yoga :

½ Añjali Madanapippali Kaṣāya + 1 Akṣa of Trivṛt Kalka

· After Saṃsarjana Krama, Anuvāsana Basti

Anuvāsana Basti with Viḍaṅga Taila
Aruṣkara Taila + ½ Viḍaṅga Cūrṇa – Bhānupāka in 1 day

· Śiro Virecana

· Dhmāpana Nasya with Viḍaṅga Kaṣāya Bhāvita Aśva Śakṛt Cūrṇa, Viḍaṅga Kaṣāya Bhāvita Ayo Cūrṇa

· Nasya with Oil prepared with Kāṃsya and decoction of Surasādi Gaṇa

2. Prakṛtivighātha

3. Nidāna Parivarjana

Śirogata Kṛmi

Sneha Sveda
Siro Virecana

Śiro Virecana with Apāmārga Taṇḍulīyādi Yoga

· Dhmāpana Nasya with Viḍaṅga Kaṣāya Bhāvita Aśva Śakṛt Cūrṇa, Viḍaṅga Kaṣāya Bhāvita Ayo Cūrṇa

· Nasya with Oil prepared with Kāṃsya and decoction of Surasādi Gaṇa

MADATYAYA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Madātyaya

· Doṣa – Śārīrika Doṣa – Vāta, Pitta, Kapha and Mānasa Doṣa – Rajas, Tamas

· Dūṣya – Rasa

· Agni – Tīkṣṇa Agni

· Srotas – Rasavaha, Raktavaha, Sanghyavaha srotas

· Srotoduṣṭi – Saṅga

· Vyaktha Sthāna – Hrudya (mastiska)

· Svabhāva – Cirakāri

Samprāpti

Excessive intake of Madya – By Vyavāyī , Vikāśī and sūkṣma Guṇa affects the Hṛdaya – Produces Pramoha, Vibhrama and Mada as Hṛdaya is the Sthāna of Ojas, Satva, Buddhi, Indriya and Manas – Madātyaya

Tīkṣṇa, Uṣṇa and Vidāhī Guṇa of Madya – Annarasa Utkleda – Produces Antardāha, Tṛṣṇā and Jvara – Madātyaya

1. Vātaja Madātyaya

· Abhyaṅga

· Utsādana

With Snigdha and Uṣṇa Davya

2. Pittaja Madātyaya (Utkliṣṭa Kapha Pitta Avasthā)

Vamana

Drākṣā Rasa and Madya

3. Bahudoṣa and Tṛṣṇāyukta

Virecana

Virecana with Drākṣā rasa

4. Kaphaja Madātyaya

Vamana

Madhu

5. Dvamsaka and Vikṣaya

Snehapāna

Kṣīra Ghṛta Pāna

Abhyaṅga

Abhyaṅga with Māṣa Taila

Udvartana

Udvartana with Yava Cūrṇa / Māṣa Cūrṇa

Basti

Kṣīra Basti

MUKHADUSHIKA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Mukhadūṣikā

· Doṣa – Kapha, Vāta, Pitta

· Dūṣya – Rasa, Rakta, Māmsa, Medas, Sveda, Tvak

· Agni – Jaṭharāgni Māndya

· Srotas – Svedovaha

· Srotoduṣṭi – Atipravṛtti and Saṅga

· Udbhava Sthāna – Āmaśaya

· Vyaktha Sthāna – Tvak

· Rogamārga – Bāhya

Samprāpti

Āhāraja / Vihāraja / Mānasika Nidāna – Kapha, Vāta and Pitta/Rakta vitiation – Sthānasaṃśraya in Tvak – Disease process in Lomakūpa – Piḍaka Utpatti

Sāmānya Cikitsā

Lepana

Rakta Candanjādi Lepa
Jīraka Dvayādi Pralepa
Kola Majjādi Pralepa
Utpalādi Lepa
Kustumbaryādi Lepa

Vamana

In Aśāntāvasthā

Santarpaṇajanya Vyādhi – Madanaphala Majjā along with decoction of Pippalyādi Gaṇa / Madhuka – Kāśmarya – Drākṣā

Nasya

In Aśāntāvasthā

Kuṅkumādi Nasya
Mañjiṣṭādi Nasya
Yavādyādi Nasya
Śarapuṅkha Nasya

Raktamokṣaṇa

In Aśāntāvasthā

Sirāvyadha in Lalāta Pradeśa

Snehapāna

With Tiktaka Ghṛta / Mahātiktaka Ghṛta / Pañcatiktaka Ghṛta / Mañjiṣṭādi Ghṛta / Yavādi Ghṛta

Abhyaṅga

Abhyaṅga with Haridrādi Taila / Kustumbaryādi Taila / Mañjiṣṭādi Taila / Kuṅkumādi Taila / Madhukādi Taila / Yava Sarjarasādi Taila / Kanaka Taila

Svedana

Nādi Sveda / Pariṣeka Sveda

Virecana

With Avipatti Cūrṇa / Nimbāmṛtādi Eraṇḍa Taila

MURCCHA

Name of the disease

Samprāpti Ghaṭaka

Conditions

Pañcakarma treatments

Treatment modalities

Mūrcchā

· Doṣa – Tridoṣaja

· Dūṣya – Rasa, Rakta

· Agni – Tīkṣṇa Agni

· Srotas – Rasavaha, Raktavaha, Sañjñāvaha Srotas

· Srotoduṣṭi – Saṅga

Samprāpti

Nidāna – Vitiation of Vātādi Doṣas – Enters Nāḍīvaha Saṃsthāna – Leads to obstruction of Sañjñāvaha Srotas – Loss of consciousness of Sukha and Dukha – नरः पतति काष्ठवत् – Mūrcchā

Snehana

Snehapāna with Jīvanīya Gaṇa Siddha Ghṛta

Seka and Avagāha

With Śīta Jala

Śirovirecana

Avapīḍa / Dhmāpana Nasya

Śodhana

Tīkṣṇa Vamana and Virecana

Añjana

Tīkṣṇa Añjana

Dhūmapāna

With Tīkṣṇa Dravyas

Avagharṣaṇa

With Ātmaguptā

Kavalagraha

Raktamokṣaṇa

MUTRAGHATA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Mūtrāghāta

· Doṣa – Vāta (Apāna) Pradhāna Tridoṣa

· Dūṣya – Rasa, Kleda, Sveda, Mūtra

· Agni – Jaṭharāgni and Dhātvāgni Māndya

· Srotas – Mūtravaha

· Srotoduṣṭi – Saṅga , Vimārga Gamana, Sirāgranthi

· Udbhava Sthāna – Pakvāśaya

· Vyaktha Sthāna – Basti

· Rogamārga – madhyama

· Svabhāva – Cirakāri

Samprāpti

Nidāna – Vāta Pradhāna Doṣa prakopa – Srotoduṣṭi in Basti pradesha – Mūtrāghāta

· Basti

· Uttara Basti

· Punarnavādi Nirūha Basti

· Uttara Basti with Daśamūla Taila

MUTRAKRICCHRA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Mūtrakṛcchra

Doṣa – Tridoṣas (Pitta Pradhāna Apāna Vāta vaigunya)
Dūṣya – Mūtra, Rasa
Srotas – Mūtravaha
Duṣṭi Prakara – Saṅga
Agni – Jaṭharāgni & Dhātvāgni
Udbhava Sthāna – Pakvāśaya
Adhiṣṭhāna – Basti
Vyakta Sthāna – Mūtra Mārga
Rogamārga – Madhyama

Samprāpti

Nidāna Sevana – Tridoṣa Kopa – Sthānasaṃśraya in Basti – Mūtra Mārgavarodha – Kṛcchra Mūtrata

1. Vātaja Mūtrakṛcchra

Snehapāna

· Trikaṇṭhakādi Ghṛta / Sukumāra Ghṛta / Śvadaṃṣṭrādi Siddha Trivṛta Sneha for Ghṛta Pāna

Abhyaṅga

HiṅGu triguṇa Taila / Daśamūla Balā Trivṛta Sneha for Abhyaṅga

Svedana

Pariṣeka Sveda with Daśamūla Kvātha

Upanāha

Upanāha with sthirādi Gaṇa, Punarnava, Kulatha, Badara and Daśamūla

Basti

Eraṇḍamūlādi NirūhaBasti / Mustādi Yāpana Basti / Kṣāra Basti / Mādhutailika Basti / Pañca Prasṛta Yoga Basti / Dvi Pañcamūladi Nirūha Basti

Uttara Basti

Uttara Basti with Daśamūla Taila

2. Pittaja Mūtrakṛcchra

Snehapāna

Tṛṇa Pañcamūla Siddha/ Utpalādi Gaṇa / Kākolyādi Gaṇa/ Nyagrodhādi Gaṇa Siddha Ghṛta for Ghṛta Pāna

Virecana

Virecana with Kṣīra, Drākṣā and Ikṣurasa

3. Kaphaja Mūtrakṛcchra

Snehapāna

Surasādi / Mustādi / Ūṣakādi / Varuṇādi Gaṇa siddha Taila for Ghṛta Pāna

Svedana

Vamana

PADADARI

Name of the disease

Samprāpti Ghaṭaka

Conditions

Pañcakarma treatments

Treatment modalities

Pādadāri

· Doṣa – Vāta Pradhāna

· Dūṣya – Tvak, Rakta, Māṃsa, Ambu

· Srotas – Rasavaha, Raktavaha, Svedavaha

· Srotoduṣṭi – Saṅga , Vimārga Gamana

· Udbhava Sthāna – Āma pakwashaya

· Vyaktha Sthāna – Tvak

· Rogamārga – Bāhya

Samprāpti

Vāta Prakopa Nidāna – Vāta Kopa – Rasavaha, Raktavaha. Svedovaha Srotoduṣṭi – Saṅga and Vimāragamana of Doṣas – Pādahasta Doṣa Sthānasaṃśraya – Dryness of Pāda – Painful cracks on the sole

(Pādadāri)

Raktamokṣaṇa

· Sirāvyadha site – 2 Aṅgula above Kṣipra Marma (Vāgbhaṭa)

· Site of Sirāvyadha is Talaśodhini Sirā (B. R, Vaṅgasena Saṃhitā)

Snehana

· External Snehana

Pādābhyaṅga with

Piṇḍa Taila / Upodikādi Taila / Jivantyādi Yamaka / Dūrvādi Kera Taila / Jatyādi Taila or Ghṛta / Sarjarasa Malahara / Rasottamādi Lepa / Śatadhauta

Ghṛta / Māhiṣa Ghṛta / Murivenna

· Internal snehana

Taila Pāna / Indukānta Ghṛta / Tiktaka Ghṛta / Mahātiktaka Ghṛta / Kṣīrabalā 101 Avartī / Dhānvantaram 101 Avartī

Svedana

· Avagāha Sveda in lavanodaka, Taila or Vātaghna Kaṣāya

· Pādanimajjana – modified Avagāha Sveda in Taila / Ghṛta

· Bāṣpa Sveda

Lepa

· Guḍa+ lavaṇa+ Ghṛta+ Tintidika + 2 times Gomūtra – keep for some time – Malahara prepared – E/A on Pādatala

· Regular application of Lepa of Madanaphala, wax, Samudra lavaṇa mixed with butter of buffalo-milk

PALITYA

Name of the disease

Samprāpti Ghaṭaka

Conditions

Pañcakarma treatments

Treatment modalities

Pālitya

· Doṣa – Tridoṣa (Pitta – Bhrājaka Pitta Pradhāna )

· Dūṣya – Rasa, Asthi Dhātu

· Agni – Jaṭharāgni , Dhātvāgni Māndya

· Srotas – Rasavaha, Asthivaha

· Srotoduṣṭi – Saṅga , Vimārga Gamana

· Udbhava Sthāna – Āmāśaya

· Vyaktha Sthāna – Keśabhūmi

· Rogamārga – Bāhya Rogamārga

Samprāpti

Due to causative factors like Śoka, Krodha and Śrama – Pitta Doṣa is aggravated – Increases Pittoṣma and Śarīroṣma – Vāta which is also aggravated by Śoka and Śrama carries this Pittoṣma to the Śiras – Sthānika Kapha is also get vitiated as the Śiras is the important location of Kapha – Vitiated Tridoṣa settled in the Romakūpa – Locally settled Tridoṣa further vitiate locally available Bhrājaka Pitta, which gives colour to the hair – Akāla Pālitya

Mūrdha Taila

· Śiro Abhyaṅga, ŚiroDhārā, Śiro Basti with Bhṛṅgarāja Taila / Bhṛṅgāmalakādi / Kṣīrabalā Taila

· Takradhārā

Nasya

Nasya with Yaṣṭīmadhukādya Taila / Candanādya Taila / Prapauṇḍarikādya Taila / Markavādya Taila / Vidārigandhādi Taila / Jambuvādya Taila / Aṇu Taila / Nimba Taila

Śodhana

Vamana and Virecana

Lepa

With Priyālādi / Tilādi Lepa

PANDU

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Pāṇḍu

· Doṣa – Pitta Pradhāna Tridoṣa

· Dūṣya – Rasa, Rakta, Māmsa, Medas, in later stage all Dhātus

· Agni – Jaṭharāgni and Dhātvāgni Māndya

· Srotas – Rasavaha, Raktavaha,Māmsavaha, Medovaha

· Srotoduṣṭi – Saṅga , Vimārga Gamana

· Udbhava Sthāna – Āmaśaya

· Vyaktha Sthāna – Tvak

· Rogamārga – Bāhya

· Svabhāva – Cirakāri

Samprāpti

Nidāna – Pitta Pradhāna Tridoṣa Kopa – Hṛdayasrita Pitta Udīraṇa by Prakupita Vāta – Prakupita balavan Vāta drags out hridgata Kupita Pitta through dashadhamani – Dūṣaṇa of Kapha ,Vāta ,Tvak Rakta and Māmsa – Sthānasaṃśraya in Tvak Māmsantara – Discoloration of Tvak to Pāṇḍu Haridra and Harita Varṇa

Sāmānya Cikitsā

तत्र पाण्ड्वामयि स्निग्धैस्तीक्ष्णैरूर्ध्वानुलोमिकैः । (च.चि १६/४०)

Tīkṣṇā Śodhana

1. Vātaja Pāṇḍu

Virecana

Eraṇḍa Taila

2. Pittaja Pāṇḍu

Virecana

· Trivṛt Cūrṇa (ardha pala) with Śarkara (double quantity)

· Drākṣā – Āragvadhā Kaṣāya

3. Kaphaja Pāṇḍu

Virecana

GoMūtra Harītakī Lehya / Icchābhedi

Rasa

PARINAMA SHULA

Name of the disease

Samprāpti Ghaṭaka

Conditions

Pañcakarma treatments

Treatment modalities

Pariṇāma Śūla

· Doṣa – Pitta (Pācaka) Kapha (Kledaka) Vāta (Samāna, Prāṇa)

· Dūṣya – Annarasa, Rakta

· Agni – Jaṭharāgni Māndya

· Srotas – Annavaha & Rasavaha Srotas

· Srotoduṣṭi – Saṅga

· Udbhava Sthāna – Āmaśaya

· Vyaktha Sthāna – Āmaśaya / Grahaṇi

· Svabhāva – Cirakāri

· Rogamārga – Ābhyantara

Samprāpti

Nidāna – Vāta Prakopa – Prakupita Vāta produce Pracyuti of Kapha Doṣa – Prakupita Vāta and Pracyuta Kapha combines with normal / Prakupita Pitta – Kṣīṇa Kapha, Prākṛta Vāta and Vṛddha Pitta leads to Mārgāvarana of Vāta – Śūla

Sāmānya Cikitsā

Laṅghana

Vamana

Vamana with

· Decoction of Madanapippali / Nimba/ Yaṣṭīmadhu /Paṭola Patra

· Juice of Puṇḍrāka ( a Variety of sugarcane ) / Kośātaki / Kaṭutumbī

Virecana

Virecana with Trivṛt Lehya / Dantī / Eraṇḍa Tailam / Triphala / Drākṣā/ Āragvadha Phala Majjā

Nirūha Basti

· Kṣīra Bastis indicated as Kṣīra is Pitta Śamaka, Balya, Jīvanīya

· Yāpana Basti / Eraṇḍamūlādi / Mādhutailika Basti

Anuvāsana Basti

Anuvāsana Basti with Pippalyādi Taila, Nārāyaṇa Taila

Phalavartī

Vātika Pariṇāma Śūla

Snehana

Tila Taila + Drākṣā Svarasa

Svedana

· Snigdha Sveda with Pāyasa, Kṛśara Piṇḍa, Snigdha Piśitam, Utkārikā

· Uṣṇodaka Sveda

Paittika Pariṇāma Śūla

Snehana

· Ghṛtapāna

· Tila Taila + Sitā

Virecana

Virecana with Trivṛt Lehya / Dantī / Eraṇḍa Taila / Triphala / Drākṣā/ Āragvadha Phala Majjā

Vamana

Vamana with Śīta Jala + Sitā, Kṣīra + Sitā, Ikṣurasa

Kaphaja Pariṇāma Śūla

Vamana

Pippali Cūrṇa/ Saindhava + Uṣṇajala

Svedana

Rūkṣa Sveda

· Mṛttikā Sveda

· Piṇḍa Sveda with seeds of Kārpāsāsthi, Kulattha, Tila, Yava, Eraṇḍamūla, Atasī, Varṣābhu Mūla, Śaṇa Bīja + Kāñjika

PRAMEHA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma treatment

Treatment modalities

Prameha

· Doṣa – Kapha Pradhāna Tridoṣa

· Dūṣya – Rasa, Rakta, Māmsa, Medas, Majjā , Śukra , Vasā, Lasīkā , ambu, ojas

· Srotas – Mūtravaha, medovaha

· Srotoduṣṭi – Atipravṛtti

· Udbhava Sthāna – Āmaśaya and Pakvāśaya

· Vyaktha Sthāna – Basti and Sarva Śarīra

· Rogamārga – Madhyama

· Svabhāva – Cirakāri

Samprāpti

Nidāna – Aggravation of Vātadi Doṣas – Vitiates Dūṣyas – Get localized in Mūtravaha Srotas – Prameha

Negligence of Prameha leads to Madhumeha

1. Patient having Bahudoṣa Avasthā and good strength

Śodhana

Kalpa Sthānokta Yogas can be used for Śodhana

2. Kaphaja Prameha

Vamana

Madanaphalādi Yoga

3. Pittaja Prameha

Virecana

· Kalyānaka Gula

· Māṇibhadra Gula

· Sudhā Kṣīra

· Danti Dravantī Kalpa

· Harītakī Kalpa

4. Vātaja Prameha

Vātahara Taila and Snehapāna

· Kusumba Taila

· Atasī Taila

· Sarṣapa Taila

Basti

• Somavalkādi Nirūha Basti / Mādhutailika Basti / Mustādi Yāpana Basti / Pañcatiktaka Nirūha Basti

• Viḍaṅgādi Anuvāsana Basti

5. Madhumeha

Basti

• Somavalkādi Nirūha Basti / Mādhutailika Basti / Mustādi Yāpana Basti / Pañcatiktaka Nirūha Basti

• Viḍaṅgādi Anuvāsana Basti

Vātahara Taila and Snehapāna

· Kusumba Taila

· Atasī Taila

· Sarṣapa Taila

PRATISYAYA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Pratiśyāya

Doṣa –Tridoṣa
Dūṣya – Rasa, Rakta
Agni- Jaṭharāgni Dhātvāgni Māndya
Srotas – Rasa, Rakta, Prānavaha
Srotoduṣṭi – Saṅga , Vimārga Gamana, Atipravrti
Udbhava Sthāna – Āmaśaya , Pakvāśaya
Vyaktha Sthāna – Nāsa, Śira
Roga mārga – Bāhya

Samprāpti

Nidāna – Vātadi Doṣa Duṣṭi – Caya and Kopa in Śiras – Sthānasaṃśraya in Nāsa – Pratiśyāya

1. Pakva Pratiśyāya

Snehapāna

Rasnādi Ghṛta / Vidāryādi Ghṛta

Svedana

Saṅkara Sveda / Nādi Sveda / Pāni Sveda in Śaṅkha Mūrdhā Lalāta / Pariṣeka Sveda / Upanāha Sveda

Vamana

Avapeeda Nasya

Nasya with Bhṛṅgarāja Svarasa

2. Vātaja Pratiśyāya

Snehapāna

Rasnādi Ghṛta / Vidāryādi Ghṛta / Pañcalavaṇa Ghṛta for Snehapāna

Svedana

Saṅkara Sveda / Nādi Sveda / Pāni Sveda in Śaṅkha Mūrdhā Lalāta / Pariṣeka Sveda / Upanāha Sveda

Nasya

Nasya with Daśamūlādi Taila / Yaṣṭīmadhu Taila / Aṇu Taila

Śiro Abhyaṅga

3. Pittaja / Raktaja Pratiśyāya

Snehapāna

Tiktaka Ghṛta / Kākolyādi Ghṛta for Snehapāna

Svedana

Saṅkara Sveda / Nādi Sveda / Pāni Sveda in Śaṅkha Mūrdhā Lalāta / Śīta Pariṣeka Sveda and Pradeha

Virecana

Nasya

Nasya with Dhava Triphalādi Taila / Bhṛṅgarāja Svarasa

Dhūmapāna

Dhūmapāna with Devadāru Apāmārgādi / Śatāhva Tvak / Ghṛta Saktu / Trikaṭu Eraṇḍabījādi

Kavala

Triphalādi Kaṣāya for Kavala

4. Kaphaja Pratiśyāya

Snehapāna

Tryūṣaṇādi Ghṛta / Śuṇṭhyādi Ghṛta for Snehapāna

Vamana

Vamana with Śṛta Kṣīra Tila Māṣa Yavāgu

Nasya

· Nasya with Bharngyadi Taila / Baladi Taila

· Manasiladi pradamana Nasya

Dhūmapāna

· Dhūmapāna with Devadāru Apāmārgādi / Śatāhva Tvak / Ghṛta Saktu / Trikaṭu Eraṇḍabījādi

Kavala

· Triphalādi Kaṣāya for Kavala

Śiro Lepa

· Śiro Lepa with Surasādi / Śveta Sarṣapa Lepa

RAKTAPITTA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma treatment

Treatment modalities

Raktapitta

· Doṣa – Pitta

Dūṣya – Rasa, Rakta, Māmsa, Sira
Agni – Rasa and Rakta Dhātvāgni Māndya
Srotas – Raktavaha
Srotoduṣṭi – Vimārga Gamana
Udbhava Sthāna – Āmāśaya, Raktavaha Srotomūla
Adhiṣṭhāna – Yakṛt, Plīha
Vyakta Sthāna – Ūrdhva and Adho Bāhya Srotas
Roga Mārga – Bāhya, Ābhyantara
Svabhāva – Āśukāri

Samprāpti

Nitya Abhyāsa of Nidāna produces Rasa Duṣṭi – Pitta Pradūṣaṇa in Āmaśaya produces Ūrdhvaga Raktapitta and in Pakvāśaya produces Adhoga Raktapitta

Pitta Pradūṣaṇa in Āmaśaya and Pakvāśaya – Ubhayaga Raktapitta

1. Bahudoṣa Avasthā, Balavān Rogi, Akṣīṇa Bala Māmsa, Santarpaṇajanya Ūrdhvaga Raktapitta

Virecana

Trivṛt, Harītakī, Āragvadha, Madhu, Śarkara

2. Bahudoṣa Avasthā, Balavān Rogi, Adhoga Raktapitta

Vamana

Madanaphalādi Yoga/ Ikṣurasa / Indrayava

3. Excess bleeding condition

· Snehapāna

· Abhyaṅga

· Pariṣeka

· Avagāha

· Vasa Ghṛtapāna

· For Bāhya Cikitsā Śīta Vīrya Dravyas can be used

4. Raktasrāva from nose

Nasya

Nasya with

· Nīlakamala, Gairika, Śaṅkha Bhasma, Candana triturated with Jala and Śarkara

· Āmrāsthi Svarasa

· Dhātaki Puṣpa Svarasa

· Drākṣārasa / Ikṣurasa / Dūrvā Svarasa

· Ghṛtamaṇḍa

· Kṣīra

· Ghṛta, Uśīra, Candana, Kamala

5. Raktapitta associated with Dāha

· Pariṣeka

· Avagāha

Pariṣeka and Avagāha Sveda with Udumbara Siddha Jala

SEETAPITTA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Śītapitta

Doṣa – Tridoṣa
Dūṣya – Rasa, Rakta
Agni – Mandāgni
Srotas – Rasavaha, Raktavaha
Srotoduṣṭi – Vimārga Gamana
Utbhava Sthāna – Āmaśaya
Vyakta Sthāna – Tvak
Svabhāva – Āśukāri
Rogamārga – Bāhya

Samprāpti

Śīta Mārutādi Nidāna – Prarakupita Vāta and Kapha being mixed with Pitta spreads internally and externally – Produce Śītapitta – Udarda – Koṭha

Bahiḥparimārjana Cikitsā

Abhyaṅga

Abhyaṅga with Kaṭu Taila/ Kaṭu Taila mixed with Yavakṣāra and Saindhava Lavaṇa

Svedana

Pariṣeka Sveda with Uṣṇa Jala

Udvartana

The Kalka of Sarṣapa, Haridrā, Prapunnāṭa and Tila mixed with Kaṭu Taila
Elādi Gaṇa Dravya Siddha Taila

Lepa

Paste made out of Dūrvā and Haridrā
Saindhava, Kuṣṭha Cūrṇa mixed with Sarpi

· Surasa Svarasa

Śodhana Cikitsā

Vamana

Vamana with

Paṭola, Ariṣṭaka, Vāśā Kvātha
Kaṣāya prepared out of Bhūnimba, Vāśā, Paṭola, Kaṭukī, Triphala, Candana and Nimba
Madanaphala, Vācā, Yaṣṭīmadhu

Virecana

Virecana with Triphala Kaṣāya mixed with Guggulu and Pippali

Raktamokṣaṇa

Raktamokṣaṇa done after Mahātikthaka Ghṛtapāna

SLEEPADA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Ślīpada

· Doṣa – Kapha Pradhāna Tridoṣa

· Dūṣya – Rasa, Rakta, Māmsa , Meda, Lasīkā

· Srotas – Rasavaha, Raktavaha, Māmsa vaha, Medovaha

· Srotoduṣṭi – Saṅga ,Vimārga Gamana

· Udbhava Sthāna – Āmaśaya

· Vyakta Sthāna – Adhobhāga, Karṇa, Netra, Śiśna, Oṣṭha and Nāsa

· Svabhāva – Cirakāri

· Rogamārga – Bāhya

Samprāpti

Dūṣita Deśa, Kāla, Jala, Āhāra Vihāras – Tridoṣa Prakopa – Āma manifestation – Rasavaha, Māmsavaha, Medovaha Srotoduṣṭi – Adhobhāgagamana of Prakupita Doṣa – Sthānasaṃśraya at Uru, Jānu, Jaṅghā – Kālantarena Pādāśritya – Śopha

Sāmānya Cikitsā

Laṅghana
Ālepana
Svedana
Virecana
Raktamokṣaṇa
Śleṣmahara & Uṣṇa drugs

Vātika Ślīpada

Snehapāna

With Trivṛt Ghṛta

Abhyaṅga

With Trivṛt Taila

Svedana

Nādi & Pariṣeka Sveda

Sirāvyadha

2 Aṅgula above the Gulpha (according to acharya Suśruta 4 Aṅgula above the Gulpha)

Virecana

Eraṇḍa Taila with Gomūtra

Nirūha Basti

after body attain strength

Agnikarma

in Aśāntāvasthā (last resort)

Paittika Ślīpada

Snehapāna

Tiktaka / Mahātiktaka Ghṛta

Abhyaṅga

Śatadhauta Ghṛta

Mṛdu Sveda

Pariṣeka Sveda

Sirāvyadha

Adah Gulphastha Sirāvyadhana

Virecana

With Njonganādi Eraṇḍam

Kaphaja Ślīpada

Snehapāna

With Guggulutiktaka Ghṛta

Abhyaṅga

With Sarṣapa Taila / Viḍaṅgamaricādi Taila

Sveda

Pariṣeka / Nādi Sveda

Vamana

Ikṣvāku processed with milk

Sirāvyadha

Aṅguṣṭha Sirāvyadhana

Lepana

With Sarṣapa , Vārttakī Mūla & Dhanvarasa in the leg

Lepa

Mañjiṣṭādi Lepa

Madanādi Lepa

Haridrādi Lepa

SOTHA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma treatment

Treatment modalities

Śotha

· Doṣa – Tridoṣa

· Dūṣya – Rasa, Rakta, Māmsa

· Agni – Jaṭharāgni , Rasa and Rakta Dhātvāgni Māndya

· Srotas – Rasavaha, Raktavaha and Māmsa vaha

· Srotoduṣṭi – Saṅga , Vimārga Gamana, Sirāgranthi

· Udbhava Sthāna – Āmaśaya and Pakvāśaya

· Vyaktha Sthāna – Ekāṅga and Sarvāṅga

· Rogamārga – Bāhya , Ābhyantara and Madhyama

Samprāpti

Nidāna – Vāta Prakopa along with other Doṣas – Vāta Gamana into Bāhya Siras – Dūṣaṇa of Kapha, Asṛk and Pitta Doṣa – Vāta Mārgavarodha by Prakupita Kapha, Pitta and Asṛk – Unmārga Gamana / Visarpaṇa of Vāta – Ūṣma , Sirāyāma and Utseda Utpatti – Śotha

Sāmānya Cikitsā

Śodhana after Laṅghana and Pācana

1. Śiro gata Śotha

Nasya

Viḍaṅga, Śigru, Śirṣa, Kaṭphala

2. AdhoŚarīragata Śotha

Virecana

Danti / Trivṛt Siddha Kṣīra / Eraṇḍa

Taila

3. Ūrdhva ga and Kaphaja Śotha

Vamana

4. Vātaja Śotha

Virecana

5. Vāta – Pittaja Śotha

Virecana

STHAULYA

Name of the disease

Samprāpti Ghaṭaka

Conditions

Pañcakarma treatments

Treatment modalities

Sthaulya

Doṣa – Kapha Pradhāna Vāta Pittanubandhi
Dūṣya – Rasa, Māṃsa, Meda
Agni – Jaṭharāgni , Rasa Medo Dhātvāgni
Srotas – Medovaha, Rasavaha, Svedovaha, Udakavaha
Rogamārga – Bāhya, Ābhyantra
Srotoduṣṭi – Saṅga
Udbhava Sthāna – Āmaśaya
Vyakta Sthāna – Sarva Śarīra
Svabhāva – Cirakāri

Samprāpti

Nidāna – MedoVṛddhi – Srothorodha – Vāyu Vimārga Gamana and Medho Dhātvāgni Māndya – Jaṭharāgni Sandukṣaṇa – KṣudhātiVṛddhi – Kṣipra Anna Pācana – Kevala Medo Dhātu Puṣṭi – Sthaulya

Snehana

For Snehapāna and Abhyaṅga

· Tila Taila

· Sarṣapa Taila

· Triphalādi Taila

· Pañcatikta Guggulu Ghṛta

Svedana

· Sāgni Sveda – Nāḍī Sveda, Pariṣeka Sveda, Piṇḍa Sveda

· Niragni Sveda – Guru Prāvaraṇa, Bahupāna, Kushdha Nigraha, Ātapa Sevana, Vyāyāma, Āhava, Krodha, Bhaya and Upanāha

Vamana

Vamana with Madanaphalādi Yoga

Virecana

Virecana Yogas like

· Triphala, Āragvadha, Kaṭukarohiṇi Yogas

· Pippalyādi Cūrṇa

· Harītakyādi Cūrṇa

· Trivṛtādi Guḍikā/ Leha

Basti

· Mainly Lekhana Basti

Other Bastis like

· Bhadrādi Asthāpana Basti

· Āragvadhādi Nirūha Basti DviPañcamūlādi Basti

· Eraṇḍamūlādi Nirūha Basti

Nasya

· Avapīḍa (Śiro Virecana)

Nasya with Triphalādya Taila

SVITRA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Śvitra

Doṣa – Tridoṣa ( Pitta Pradhāna)
Dūṣya – Rakta, Māmsa, Medas
Agni – Jaṭharāgni Māndya, Dhātvāgni Māndya
Srotas – Rasavaha, Raktavaha, Māmsavaha
Srotoduṣṭi – Saṅga
Udbhava Sthāna – Āmaśaya
Vyakta Sthāna – Tvak
Svabhabva – Cirakāri

Rogamārga – Bāhya

Samprāpti

Nidāna – Tridoṣa Kopa – Doṣas moves in Tiryakgata Sirās – Lodged in the skin – Vitiates Rakta, Māmsa and Medho Dhātu – Tvak Vaivarṇya

Sāmānya Cikitsā

· First line of management is Śodhana

संशोधनं विशेषात्प्रयोजयेत्पूर्वमेव देहस्य| (A.H.Chi.20)

Rūkṣaṇa

Kaṣāya Dhāra with Bākuci Kvātha / Khadirādi Kvātha

Snehana

Snehapāna with Tiktaka / Mahātiktaka Ghṛta / Paṭolamūlādi Ghṛta

Vamana

In Ūrdhva Bhāgaja Kuṣṭha with Ikṣvāku / Kṛtavedhana Kalpa

Virecana

श्वित्रे स्रंसनमग्र्यं……

(A.H.Chi.20)

Śvitra – Rakta Pradoṣaja Vyādhi, Tvak Vikāra – Bhrājaka Pitta affected – Virecana main line of treatment

• Malayū Rasa with Guḍa – Sraṃsana

• Āragvadha phalamajjā can also be used

• Kalyāṇaka Guḍa

• Māṇibhadra Guḍa

Raktamokṣaṇa

Sirāvyadha in Lalāta, Hasta and Pāda

In Alpa Doṣa – Pracchāna

In Bahudoṣa – Śṛṅgādi methods

Lepa

· Avalguja Bīja Lepa

· Thuthādi Lepa

Basti

NB and AB Contraindicated

if excess Vāta involved – Basti can be performed

· Pañcatiktaka Nirūha Basti

· Viḍaṅgādi Anuvāsana Basti

TAMAKA SWASA

Name of the disease

Samprāpti Ghaṭaka

Conditions

Pañcakarma treatments

Treatment modalities

Tamaka Śvāsa

· Doṣa – Vāta (Prāṇa and Udāna), Kapha (Kledaka and Avalambaka)

· Dhātu – Rasa Dhātu

· Agni – Mandāgni,

o Viṣamāgni

· Srotas – Prāṇa, Anna, Udaka and Rasavaha Srotas

· Srotoduṣṭi – Saṅga , Vimārga Gamana

· Udbhava Sthāna – Pitta Sthāna (Caraka), Adho Āmaśaya (Cakrapāṇi), Āmaśaya (Vāgbhaṭa)

· Vyaktha Sthāna – Prāṇavaha Sroto Avayava

· Rogamārga – Madhyama

Samprāpti

Nidāna – Kapha Prakopa – Mārgāvarodha to Vāyu – Vāta Prakopa – Vimārga Gamana of Vāyu – Tamaka Śvāsa

1. In Avegāvasthā for Āmaśaya Kapha Śamana and Agni Dīpana

Dīpana Pācana

• Vaiśvānara Cūrṇa

• Harītakī Cūrṇa

• Ṣaṭdharaṇa Cūrṇa

• Gandharvahastādi Kaṣāya

• Daśamūla Kaṭutraya Kaṣāya

2. For Vāta Śamana and Grathita Kapha Vilayana

Ābhyantara and Bāhya Snehana

Ābhyantara Snehana with

Dhānvantaram Ghṛta
Hapushadi Ghṛta
Rasna Daśamūla Ghṛta
Indukānta Ghṛta
Tila Taila
Kaṇḍakāri Ghṛta
Vāśā Ghṛta

Bāhya Snehana

· Abhyaṅga with lavaṇa Taila / Dhānvantaram Taila / Balā Taila

Svedana

Saṅkara/ Prastara/Nāḍī Sveda with Snigdha Dravyas

3. Patient is having good Dehabala and Satva Bala

Vamana

Pippali Madhu Saindhava Yukta and Vāta Avirodhi

Virecana

वातश्लॆष्महरैः युक्तं तमके तु विरॆचनं

Anna mixed with Mātuluṅga, Amlavetasa, Hiṅgu, Pīlu and Biḍa should be consumed, it is Anulomana
Virecanauṣadha mixed with Saindhava and Amla Phala in luke warm consistency
Kalyāṇaka Guḍa / Trivṛt Cūrṇa / Abhayādi Modaka

4. After Vamana – for sesha Doṣa nirharana

Dhūmapāna

· Haridrādi vartī

· Yava Vartī mixed with Ghṛta

· Madhūcchiṣṭa and Sarjarasa with Ghṛta

· Aguru or Candana with Ghṛta

· Guggulu and Ghṛta

· Padmaka with Ghṛta

Nasya

Nasya with

• Equal quantity of Guḍa and Śuṇṭhī

• Strī Dugdha added with Candana Svarasa / Laśuna Svarasa / Palāṇḍu Svarasa

• Sukhoṣṇa Maṇḍa + Saindhava

• Avapīḍa Nasya with Yaṣṭīmadhu / Pippali + Madhu

• Dhmāpana Nasya with Saindhava Cūrṇa

UDARA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma treatment

Treatment modalities

Udara

· Doṣa – Tridoṣa

· Dūṣya – Rasa, Udaka, Sveda

· Agni – Jaṭharāgni and Dhātvāgni Māndya

· Srotas – Rasavaha, Svedavaha, Ambuvaha

· Srotoduṣṭi – Saṅga , Vimārga Gamana

· Udbhava Sthāna – Āmaśaya

· Vyaktha Sthāna – Udara (Tvak Māmasāntara)

· Rogamārga – Ābhyantara, Bāhya

Samprāpti

Nidāna – Agni Māndya – Āma Sañcaya – Prāna Apāna Agni Dūṣya – Ūrdhva – Adho Bhāga Srotorodha – Sveda Ambu Vaha Srotoduṣṭi – Doṣa Dūṣya Samūrcchana – Tvak Māmsāntara Āsraya – Kukṣi Ādhmāpana – Udara

1. Vatodara in Balavān Rogi

Snehana

Vidāryādi / Citrakādi Ghṛta

Svedana

Tāpa Sveda / Nāḍi Sveda

2. Vatodara in Rūkṣa and associated with Udāvartta

Snehana

Vidāryādi / Citrakādi Ghṛta

Svedana

Sālvaṇa Upanāha

Snigdha Virecana

Virecana with Eraṇḍa Taila / Drākṣā Āragvadha phanta

Nirūha Basti

Daśamūla Nirūha Basti

3. Pittodara in Balavān Rogi

Anuvāsana Basti

Anuvāsana Basti with Bilva Taila

4. Pittodara in Durbala Rogi

Virecana

Virecana with Āragvadhadi

Nirūha Basti

Kṣīra Basti / Eraṇḍamūlādi Yāpana Basti

5. Pittodara in Durbala Rogi

Virecana

Virecana with Āragvadhadi

Nirūha Basti

Kṣīra Basti / Eraṇḍamūlādi Yāpana Basti

Anuvāsana Basti

Anuvāsana Basti with Mūrcchita Taila / Nyagrodhādi gana Siddha Taila

6. Pittodara in person with Sañjāta Bala and Sañjāta Agni

Virecana

Virecana with Āragvadha Kṣīra /Trivṛt Kṣīra

7. Sakapha Pittodara

Raktamokṣaṇa

Sirāvyadha / Jalaukāvacaraṇa / Śṛṅga

8. Savāta Pittodara

Virecana

Virecana with Tilvaka Ghṛta / Trivṛt Ghṛta

9. Kaphodara

Snehapāna

Pippalyādi Ghṛta

Virecana

Virecana with Gomūtra Harītakī Lehya

10. Plīhodara / Yakṛtodara

Snehana

Ṣaṭpala Ghṛta

Svedana

Virecana

Virecana with Tivaka Ghṛta / Trivṛt Ghṛta / KalyāṇakaGula

Raktamokṣaṇa

Raktamokṣaṇa by Sirāvyadha

• Vāma Bāhu Kūrpara Sirāvyadha in Plīhodara

• Dakṣiṇa Bāhu Sirāvyadha in Yakṛtodara

11. Baddhodara

Snehana

Svedana

Basti

· Daśamūla Nirūha Basti / Taila Lavaṇa Nirūha Basti

· Bilva Taila for Anuvāsana Basti

Virecana

Nārāyana Cūrṇa for Virecana

UNMADA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma treatment

Treatment modalities

Unmāda

· Doṣa – Sharirika Doṣa – Vāta, Pitta, Kapha and Mānasa Doṣa – Raja, Tama

· Dūṣya – Manas

· Agni – Viṣama Agni

· Srotas – Manovaha

· Srotoduṣṭi – Saṅga

· Vyaktha Sthāna – Hrudya (mastiska)

· Svabhāva – Cirakāri

Samprāpti

Nidāna – Prakopa of Śarīra and Mānasa Doṣa – Vitiate Hṛdaya which is the seat of intellect – Āvarana of Manovaha Srotas – Mano Vibhrama and Pramoha Utpatti – Unmāda

1. Vātaja Unmāda

Snehapāna

Brahmī Ghṛta / Pañcagavya Ghṛta / Kalyāṇaka Ghṛta / Mahā Kalyāṇaka Ghṛta / Mahā Paiśācika Ghṛta

Śodhana

Śodhana with Āragvadha , Drākṣā, Harītakī

2. Pittaja Unmāda

Virecana

Gomūtra / Trivṛt / Danti / Dravantī / Sapthalā / Snuhī

Raktamokṣaṇa

Sirāvyadha – site

· Uro Apāṅga Lalāṭa Sira

· Śaṅkha Keśānta Sandhi

3. Kaphaja Unmāda

Vamana

• Madana / Lambā / Viśāla / Ariṣṭā / Kuṭaja

4. Sarva Unmāda after Śodhana

Nirūha Basti

· Daśamūla Nirūha Basti

· Mustādi Yāpana Basti

Anuvāsana Basti

Anuvāsana Basti with Kaṭu Taila / Aśvagandha Taila

Nasya

Brahmī Ghṛta / Sarṣapa Taila / Siddhārthaka Ghṛta
Avapīḍa Nasya – Sarṣapa Sneha Yuktha
Dhmāpana Nasya – Sarṣapa Cūrṇa / Hiṅgu Vyoṣādi Cūrṇa / Pippalyādi Cūrṇa

Abhyaṅga

Abhyaṅga with

Sarṣapa Taila / Balā Taila / Lākṣādi Taila / Amṛtādya Taila / Aśvagandha Taila / Brahmyādi Taila /

Himasāgara Taila

Dhūmapāna

Vairecanika Dhūma with

Svethādi Vartī / Hiṅgu Vyoṣādi Vartī / Apāmārgadi Vartī / Brahmyādi Vartī

Pariṣeka

· Hiṅgu Vyoṣādi Pariṣeka

· Apamārgadi Pariṣeka

· Tailadhāra with Dhanvantaram Taila

Udvartana and Pradeha

Brahmyādi Cūrṇa / Siddhārthakādi / Aparājitha Cūrṇa

VATARAKTA

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Vātarakta

· Doṣa – Vāta Pradhāna (TriDoṣa )

· Dūṣya – Rakta

· Agni – Jaṭharāgni and Dhatavagni Duṣṭi

· Srotas – Rasavaha, Raktavaha

· Srotoduṣṭi – Saṅga (stasis of Doṣa ), Atipravṛtti

· Adhiṣṭhāna – Tvak, Māmsa , Sandhi

· Vyādhi – Pakvāśayotha

· Svabhāva – Cirakāri

Samprāpti

Nidāna – Vāta Prakopa and Rakta Duṣṭi – Vitiated Rakta produce Mārgāvarodha – Vimārga Gamana of Vāta – The vitiated Vāta first vitiates Rakta Dhātu – Anyonya Āvaraṇa of Vāta and Rakta – Vātarakta

1. Sāmānya Cikitsā

Snehapāna

Guggulutiktaka / Mahātiktaka Ghṛta for Snehapāna

Abhyaṅga

Abhyaṅga with Piṇḍa Taila / Mahānārāyaṇa Taila / Balāguḍūcyādi Taila

Svedana

Pariṣeka Sveda – Dhānyāmla / Daśamūla Kṣīra Dhāra

Virecana

· Snigdha Virecana with Gandharvahastādi Eraṇḍa Taila / Nirguṇḍyādi Eraṇḍa Taila / Nimbāmṛtādi Eraṇḍa Taila

· Ishat Snigdha Virecana with Trivṛt Cūrṇa / Avipatti Cūrṇa

Nirūha Basti

· Kṣīra Basti like Guduchyadi kṣīra Basti / Pañcathiktaka kṣīra Basti / Mustādi Yāpana Basti

Anuvāsana Basti

· Anuvāsana Basti is mentioned if Vāta gets increased after Raktamokṣaṇa

• Anuvāsana Basti with Balā Taila / Madhuyaṣṭyādi Taila

Raktamokṣaṇa

• Jalaukāvacaraṇa done in symptoms such as Ruk, Rāga, Toda, Dāha

• Śṛṅga / Alābu used in symptoms like Supti, Kaṇḍu, Cimicima

• Pracchāna / Sirāvyadha done in Deśadeśāntare Avasthā ( pain spreading from one part to other)

Lepa

Gṛhadhūmādi/ Jaḍāmayādi/ Ellumniśādi Lepa

2. Vātādhika Vātarakta

· Snehapāna

· Abhyaṅga

· Basti

· Sukhoṣṇa Upanāha

3. Pittādhika Vātarakta

· Virecana

· Snehapāna

· Pariṣeka Sveda

· Basti

· Raktamokṣaṇa

4. Kaphādhika Vātarakta

· Mṛdu Vamana

· Na Atyartha Snehana / Seka

· Laṅghana

Madanaphala + Yaṣṭī + Madhu + Kṣīra / Kuṭaja Kalpa used for Vamana

VATAVYADHI

Name of the Disease

Samprāpti Ghaṭaka

Condition

Pañcakarma Treatment

Treatment modalities

Vātavyādhi

· Doṣa – Mainly Vāta Doṣa (Samāna, Vyāna, Apāna Vāyu), Pitta Doṣa (Pācaka pitta), Kapha Doṣa (Kledaka, Śleṣaka Kapha)

· Dūṣya – Rasa, Meda, Asthi, Sirā, Kaṇḍarā, Snāyu, Purīṣa, Sveda

· Agni – Jaṭharāgni and Dhātvāgni Māndya

· Srotas – Annavaha, Rasavaha, Medovaha, Asthivaha, Purīṣavaha, Svedavaha

· Srotoduṣṭi – Saṅga and Vimārga Gamana

· Udbhava Sthāna – Āmaśaya

· Vyakta Sthāna – Asthi, Sandhi

· Rogamārga – Madhyama

· Svabhāva – Cirakāri

Samprāpti

Nidāna – Dhātu kṣaya produces Rikta Srotas and

Mārgāvaraṇa produces Srotorodha – Kha Vaiguṇya – Vāta Kopa – Sthānasaṃśraya in Asthi, Sandhi – Vātavyādhi

1. Kevala Vāta

Snehana

· Ābhyantara Snehana with Guggulutiktaka Ghṛta / Indukānta Ghṛta

· Bāhya Snehana with Kṣīrabalā Taila / Dhānvantaram Taila

Svedana

· Patra Piṇḍa Sveda

· Ṣāṣṭika Śālī Piṇḍa Sveda

· Nādi Sveda

· Bāṣpa Sveda

· Upanāha Sveda – Sālvaṇa Upanāha, Tila Upanāha

Basti

· Vātahara and Bṛṃhaṇa Basti like Kṣīra Basti / Eraṇḍamūlādi NB / Mustādi Yāpana Basti / Vaitaraṇa Kṣīra Basti

· Anuvāsana Basti with Kṣīrabalā Taila / Mahāmāṣa Taila / Sahacarādi Taila

2. Āmaśayagata Vāta

Vamana

3. Pakvāśayagata Vāta

Snigdha Virecana

Virecana with Gandharvahasta Eraṇḍa Taila + milk / Tilvaka Ghṛta

4. Sandhigata Vāta

· Snehana

· Svedana

· Dahana

· Basti

· Ābhyantara Snehana with Guggulutiktaka Ghṛta / Indukānta Ghṛta

· Bāhya snehana with Kṣīrabalā Taila / Dhānvantaram Taila

· Patra Piṇḍa Sveda

· Ṣāṣṭika Śālī Piṇḍa Sveda

· Nādi Sveda

· Bāṣpa Sveda

· Upanāha Sveda – Sālvaṇa Upanāha, Tila Upanāha

· Vātahara and Bṛṃhaṇa Basti like Kṣīra Basti / Eraṇḍamūlādi NB / Mustādi Yāpana Basti / Vaitaraṇa Kṣīra Basti

· Anuvāsana Basti with Kṣīrabalā Taila / Mahāmāṣa Taila / Sahacarādi Taila

· Agni Karma

5. Sarvāṅga Vāta

· Snehana

· Svedana

· Nirūha Basti

· Anuvāsana Basti

· Ābhyantara Snehana with Guggulutiktaka Ghṛta / Indukānta Ghṛta

· Bāhya Snehana with Kṣīrabalā Taila / Dhānvantaram Taila

· Patra piṇḍa Sveda

· Ṣāṣṭika Śālī piṇḍa Sveda

· NādiSveda

· Bāṣpa Sveda

· Upanāha Sveda – Sālvaṇa Upanāha, Tila Upanāha

· Bala guduchyadi NB / Kṣīra Basti / Eraṇḍamūlādi NB / Mustādi Yāpana Basti / Vaitaraṇa Kṣīra Basti

· Anuvāsana Basti with Kṣīrabalā Taila / Sahacarādi Taila

6. Tvakgata Vāta

· Abhyaṅga

· Sveda

· Kṣīrabalā Taila / Dhānvantaram Taila

· Avagāha Sveda / Pariṣeka Sveda with Daśamūla Kaṣāya

7. Raktagata Vāta

· Raktamokṣaṇa

· Nirūha Basti

· Sirāvyadha

· Kṣīra Basti / Mustādi Rājayāpana Basti

8. Māmsa – Medogata Vāta

· Snehapāna

· Abhyaṅga

· Ābhyantara Snehana with Guggulutiktaka Ghṛta / Indukānta Ghṛta

· Bāhya snehana with Kṣīrabalā Taila / Dhānvantaram Taila

9. Asthi – Majjāgata Vāta

· Snehapāna

· Basti

· Snehapāna with Guggulutiktaka Ghṛta / Indukānta Ghṛta

· Bṛṃhaṇa Basti like Pañcatikta Kṣīra Basti / Mustādi Yāpana Basti

· Anuvāsana Basti with Kṣīrabalā Taila / Sahacarādi Taila

10. Śukragata Vāta

Virecana

· Eraṇḍa Taila

11. Saṃkoca Pradhana Vātavyādhi

· Upanāha Sveda

· Abhyaṅga

· Sālvaṇa Upanāha

· Abhyaṅga with Saindhavādi Taila / Māṣa – Saindhava Taila

12. Bāhugata Vāta

· Nasya

· Śirobasti

· Nasya with Karpāsāsthyādi Taila / Kṣīrabalā Taila / Mahārājaprasāriṇī Taila / Māṣa Taila

· Śirobasti with KṣīrabalāTaila / Karpāsāsthyādi Taila / Dhānvantaram Taila

13. Apabāhuka

· Uttarabhaktika Snehapāna

· Abhyaṅga

· Svedana

· Nasya

· Snehapāna with Guggulutiktaka Ghṛta / Indukānta Ghṛta

· Abhyaṅga with Balā Taila / KṣīrabalāTaila

· Svedana – Patra Piṇḍa Sveda / Jambīra Piṇḍa Sveda / Upanāha Sveda

· Nasya with Karpāsāsthyādi Taila / KṣīrabalāTaila / Mahārājaprasāriṇī Taila

14. Śirogata Vāta

· Śirobasti

· Nasya

· Śirobasti with KṣīrabalāTaila / Karpāsāsthyādi Taila

· Nasya with Karpāsāsthyādi Taila / KṣīrabalāTaila / Mahārājaprasāriṇī Taila

15. Ardita

· Śiro Abhyaṅga

· Śiro Picu

· Śirobasti

· Śirodhāra

· Svedana

· Nasya

· Karpāsāsthyādi Taila / Dhānvantaram Taila / Himasāgara Taila used for Śiro Abhyaṅga and Śiropicu

· KṣīrabalāTaila / Mahānārāyaṇa Taila used for Śirobasti

· Svedana – Daśamūla kṣīradhooma

· Nasya with Karpāsāsthyādi Taila / KṣīrabalāTaila / Dhānvantaram Taila 101 Āvartti

16. Pakṣāghāta

· Snehana

· Svedana

· Snigdha Virecana

· Abhyaṅga with Sahacarādi Taila / KṣīrabalāTaila / AnuTaila

· Moordhni Taila – Śirobasti with KṣīrabalāTaila / Karpāsāsthyādi Taila / Dhānvantaram Taila

· Bāṣpa Sveda / Ṣāṣṭika Śālī Piṇḍa Sveda/ Kāyaseka / Sālvaṇa Upanāha

· Virecana with Eraṇḍa Taila

17. Gridhrasi

· Āmāvasthā

Virecana

Vamana

· Nirāmāvasthā

Nirūha Basti

Anuvāsana Basti

· Snehana

· Svedana

· Raktamokṣaṇa

· Agnikarma

· Abhyaṅga with Mahānārāyaṇa Taila / Prasāriṇī Taila / Dhānvantaram Taila

· Patrapiṇḍa Sveda / Nādi Sveda / Upanāha Sveda

· Eraṇḍamūlādi Nirūha Basti / Vaitaraṇa Basti / Daśamūla Nirūha Basti

· Anuvāsana Basti with Dhānvantaram Taila / Balā Taila / Mahānārāyaṇa Taila / Sahacarādi Taila

ALZHEIMER’S DISEASE

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Alzheimer’s disease:

is an irreversible, progressive brain disorder that slowly destroys memory and thinking skills, and, eventually, the ability to carry out the simplest tasks.

Unmada

Atatvabhinivesa

Majjadhātu kshaya

Smriti bhramsha

Doṣa – manasika doṣa- raja tama, vāta doṣa

Dūṣya – Manas

Agni – Jaṭharāgni

Srotas – Manovaha

Sroroduṣṭi – Saṅga

Adhiṣṭhāna – Manas

Due to nidāna affects the vāta in the tissues of body and after that brain slowly becomes imbalanced. Carrier of three Gunasatvik, Rajasik, Tamsik gets disturbed and may be imbalanced and produce the disease.

Stress and anxiety

Snehana

Bāhya and ābhyantara

Sneha with Purāna ghṛta, Kalyanaka ghṛta, Mahākalyanaka ghṛta, Brahmī ghṛta

Abhyaṅga, śiro dhāra, śirobasti, pizhichil

With Kṣīrabala taila, Tungadrumadi taila, Himasagara taila, Bala taila, māṣa taila

Vamana

Virecana

Basti

Yāpana basti – Mustādi yāpana basti, Raja yāpana basti, Kṣīra basti (guḍūcī )

Matrabasti

Nasya

Brahmī ghṛta, Jyothishmati taila, Anu tailam

Rasāyana

Lashuna rasāyana, Chitraka rasāyana, Āmalakī Rasāyana

Medhya rasāyana: mandookaparni, guḍūcī kalka, sankapushpi kalka.

ALLERGIC RHINITIS

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Allergic rhinitis: an inflammation of the nasal mucosa caused by an allergen.

Pratishyaya

Doṣa – K, V, alpa P

Dūṣya – Rasa, Rakta

Srotas – Rasa, Rakta, Prāṇavaha

Srotoduṣṭi – Saṅga, Vimārgagamana, Atipravrti

Agni- Jaṭharāgni dhātvagni māndya

Doṣa mārga – shaka

Roga mārga – bāhya

Udbhava sthāna – Amāṣaya, Pakwashaya

Adhiṣṭhāna – Nasa, Shira

Pratyatma lakṣaṇa- Kaphotkleśa, Ghrana viplava, Shira śūla, Nasa avarodha, Swara bheda.

Due to nidāna Vāta and other doṣas either individually or in combination and also with rakta, getting aggravated accumaulate in the śiras and produce pratishyaya.

Vātaja

Pittaraktaja

Kaphaja

Sannipataja

Snehanam

Sneha with Patupanchaka sarpī, Vidāryādi ghṛta

Sneha with madhura sadhitha sarpī

Sneha with Sakṣāra sarpī

Katu thiktha dravya ghṛta

Vātaja

Pittaja

Sveda

Sankara,Paani,Upanāha

Seeta pariṣeka & pradeha

Kaphaja

Vamana

Pittaraktaja

Virecana

Tila māṣa avipakwa yavagu

Vātaja

Pittaja

Kaphaja

Sannipataja

Nasya

Avapīḍaka nasya

Taila,Aja kṣīra, Yasthi, Saindhava +Daśamūla kaṣāya

Dhava, triphala, syama,nisa,yaṣṭi..+ 10 x kṣīra

Bastamutra +Lavana,vyosha,vella, vatsaka, jeeraka

Rasanjanāḍī taila (rasanjana, ativiṣa,musta,daru in taila)

Pittaraktaja

Kaphaja

Sannipataja

Kavala

Sreevestaka,sarjarasa,pattanga,priyangu,madhu and sarkara

Katutheekshna ghṛta

ANKYLOSING SPONDYLOSIS

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Ankylosing spondylosis: Is a degenerative condition where stiffening of the spinal column happens from any cause.

Kaṭīgraha

Asthi majjagata vāta

Doṣa – vāta, kapha

Dūṣya – rasa, asthi, snayu, kaṇḍara

Udbhava sthāna- pakvāśaya

Vyakta sthāna – kaṭīpradeśa

Rogamārga – madhyama

Due to the nidāna seva – the vitiated suddha vāta takes its aashraya in the lumbar

Initial stage- involvement of vāta and kapha (saama avastha)

Nirupastambhita vāta cikitsa

Rūkṣaṇa

Pariṣeka sveda –

with balāmūla Kaṣāya, eraṇḍamūla kaṣāya

Daśamūla Kaṣāya.

Dhānyamla dhāra

Vālukā sveda

Niraama avastha

Snehapāna

Guggulutiktaka ghṛtam.

(Kaṭī)and sacroiliac joints (trikasthi)- causes ruja and stambha producing kaṭīgraha.

Asthisāravardhana dravyas must be administered.

Mrudu Virecana.

Trivṛt lehyam

Gandharvahastādi taila

Nimbāmṛta eraṇḍa.

Gandharvahastādi eraṇḍa.

Eraṇḍa sukumāram

Bṛṃhaṇa

Bāhya sneha

Abhyaṅga

Kaṭī basti

Kaṭī picu can be done using – kṣīrabala taila, kottamchukkadi and karpūrādi taila, Dhānvantara taila, Sahacarādi taila

Svedana

Patrapiṇḍa sveda

Jambeera piṇḍa sveda

Sashtika shali piṇḍa sveda

Upanāha sveda

Basti

Bṛṃhaṇa basti –

Panchaprasritika

Kṣīra vasti

Tiktha kṣīra vasti

Here Apana vāta anuloma cikitsa must be adopted by basti. Hence basti treatment plays a significant importance.

cikitsa

Anuvāsana basti

Dhānvantaram taila

Sahacarādi taila

Kṣīrabala taila

BELL’S PALSY

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Bell’s Palsy:

Paralysis of the facial nerve causing muscular weakness in one side of the face.

Ardita

Doṣa: Vāta dominant tridoṣa

Dūṣya: Rasa, rakta, māmsa, sira, snāyu, kaṇḍara

Adhiṣṭhāna: Half of the face

Srotas: Rasa, rakta and vātavaha srotas

Types of Srotoduṣṭi: Saṅga, Vimārgagamana

Status of Agni:Viṣamāgni

Nature of disease: In early stage -curable

In chronic Stage- difficult to cure

Due to nidāna vāta gets aggravated and localized in places such as head, nose, lips, chin, forehead and eyes and develops pain in these areas and cause ardita.

Snehana

Uttarabhaktika sneha-Vidāryādi gana

Mukha abhyaṅga-Kṣīrabala taila

MūrdhniTaila:

Śiro abhyaṅga

Śiropicu

Śirobasti

Śirodhāra

Kārpāsāstyādi taila / dhanvantaram taila / himasāgara taila used for śiro abhyaṅga and śiropicu

Kṣīrabala taila /Mahānārāyaṇa taila used for śirobasti

Stiffness

Muscular atrophy

Svedana

Nādi sveda- Daśamūla kṣīradhūma

Upanāha-Ānūpamāmsa

Śopha

Vamana

Nasya

Kṣīrabala tailam, Kārpāsāstyādi taila, māṣa taila, mahāmāṣa taila

Dāha and rāga

Sirāvyadha

Difficulty to close eye/dry eye

Akṣitarpaṇa

Kṣīrasarpī

Pain

Karṇapūraṇa

Bala tailam

CALCANEAL SPUR

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Calcaneal spur:

is a calcium deposit causing a bony protrusion on the underside of the heel bone.

Vātakantaka

Doṣa – Vāta associated with Kapha/Pitta

Dūṣya – Snayu Sandhi and asthi

Rogamārga – madhyama

Vyakthasthāna -Pada

Adhiṣṭhāna – Gulpha sandhi

Due to nidāna vāta prakopa occurs. This kupita vāta gets localised in gulpha sandhi produce vātakantaka.

Snehana

Vātahara ghṛta

Vidāryādi ghṛta

VasāSneha

Abhyaṅga

Mardana

Svedana

Upanāha

Iṣṭikā sveda, nāḍī sveda

Vātakapha

Virecana

Eraṇḍa taila

Basti

Eraṇḍamūladi nirūha basti

Mustādi yāpana basti

Kṣīra vaitaraṇa basti

Rakta duṣṭi

Raktamokṣaṇa

Sirāvyadha

Jalaukāvacaraṇa

Vātakaphaja

Agnikarma

CARPEL TUNNEL SYNDROME

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Carpel tunnel syndrome:

Is a painful condition of hands and wrist caused by compression to the MEDIAN nerve

Apabahuka

Viswachi

Amsa phalaka marma abhighata

Manibandha marma abhighata

Sandhigata vāta

Twak gata vāta

Rakta gata vāta

Majjāasthi gata vāta

Sira gata vāta

Aakshepa

Ekanga roga

Vātaja vāta rakta

Kaphaja vātarakta

Doṣa: Kapha Vāta

Dūṣya: Māmsa, Medas

Roga mārga : Madhyama

Sthānasaṃśraya: Manibandha Sandhi

Due to nidāna kaphavāta prakopa occurs at manibandha sandhi. Kapha causes obstruction to normal gati of vāta in hasta pradeśa. So further vitiation of vāta occurs leading to Supti, Ruja, Sosha at hasta.

Initial stage

(kapha)

Rūkṣaṇa

Tikshna sveda

DD, vālukā, churna

Sneha

Purāna sarpī, tila taila/ sarshapa taila

Vamana

Virecana

Nirūha basti

Later stage

(kapha and vāta)

Snigdha-Ushna cikitsa

Sneha

Taila

Taila dhāra

Nirūha basti

Ushna, gomutra yukta (Kṣāra basti)

Final stage

(vāta)

Snehana

Bāhya snehana with

Piṇḍa taila, Kṣīrabala taila, prasarani taila

Sneha (Chatuhsneha)- Uttarabaktika- eg. māṣa saindhava sādhita taila

Svedana

Sankaradi- PPS, SSPS, Sth. Avagāha, salvana upanāha

Mridu sodhana- Virecana

Aragwadhadi

Snigdha Virecana- Eraṇḍa taila + kṣīra, Tilwaka ghṛta, Satala ghṛta

If Avirechya

Ruk, daha, śūla, toda

Basti

Nirūha Basti

Anuvāsana basti

Nasya

Uttarabaktika- māṣasaindhavasādhitataila

Agnikarma

On the transverse carpal ligament

Raktamokṣaṇa

Jalouka, Sirāvyadha

CEREBRAL PALSY

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Chronic obstructive pulmonary disease: is a chronic inflammatory lung disease that causes obstructed airflow from the lungs.

Tamaka swasa

Rajayakshma

Dosa: vāta, kapha

Dūṣya: Rasa

Agni: Jatharagni, rasa dhatwagni

Agni duṣṭi: Agni māndyata

Ama: Jathragni,rasa dhātvagnimāndya janya

Srotas: Prāṇa, anna, udaka, rasa vaha

Srotoduṣṭi: Saṅga, vimārgagamana

Udbhava sthāna: Amāṣaya

Vyakta sthāna: Aasya, greeva, prushta, uras

Sañcāra sthāna: Prāṇavaha sroto avayava

Adhisthāna: Uras

Swabhava: Cirakāri

Rogamārga: Ābhyantara

Sadhyaasadhyata: Yapya

Apathya viharas like raja, dhuma, vayu, śīta asana, marmaghata cause direct vitiation of the Prāṇa vaha srotas leading to kapha duṣṭi which is sthanika doṣa. This vikruta kapha causes saṅga of the prāṇa vaha srotas and also saṅga of normal movement of vāta leading to its vimārga gamana and thus shwasa urdhwagamita resulting in the disease Shwasa roga.

Vegavastha

Snehana

Salvana Sneha

Graditha kapha

Svedana

Nāḍī sveda, saṅkarasveda, prastara sveda

Vamana

Pippalichurna, saindhava lavana, madhu

Visudha srotasam

Dhūmapāna

Haridra eraṇḍamūla, manasila

P sthāna samudbhava, sopha harana, phuphusa sonitaja, Apānaviagunya followed by prāṇa, Udakavaha srotoduṣṭi janya kleda.

Virecana

Kanda sthāna gata kapha

Kavala

Gaṇḍūṣa

Avegavastha

Deepana pachana

Vātanulomana

Balya-bṛṃhaṇa

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Chronic obstructive pulmonary disease: is a chronic inflammatory lung disease that causes obstructed airflow from the lungs.

Tamaka swasa

Rajayakshma

Dosa: vāta, kapha

Dūṣya: Rasa

Agni: Jatharagni, rasa dhatwagni

Agni duṣṭi: Agni māndyata

Ama: Jathragni,rasa dhātvagnimāndya janya

Srotas: Prāṇa, anna, udaka, rasa vaha

Srotoduṣṭi: Saṅga, vimārgagamana

Udbhava sthāna: Amāṣaya

Vyakta sthāna: Aasya, greeva, prushta, uras

Sañcāra sthāna: Prāṇavaha sroto avayava

Adhisthāna: Uras

Swabhava: Cirakāri

Rogamārga: Ābhyantara

Sadhyaasadhyata: Yapya

Vegavastha

Snehana

Salvana Sneha

Graditha kapha

Svedana

Nāḍī sveda, saṅkarasveda, prastara sveda

Vamana

Pippalichurna, saindhava lavana, madhu

Visudha srotasam

Dhūmapāna

Haridra eraṇḍamūla, manasila

P sthāna samudbhava, sopha harana, phuphusa sonitaja, Apānaviagunya followed by prāṇa, Udakavaha srotoduṣṭi janya kleda.

Virecana

Kanda sthāna gata kapha

Kavala

Gaṇḍūṣa

Avegavastha

Deepana pachana

Vātanulomana

Balya-bṛṃhaṇa

CIRRHOSIS OF LIVER

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Cirrhosis of liver: is a slowly progressing disease in which healthy liver tissue is replaced with scar tissue, eventually preventing the liver from functioning properly.

Yakṛtodaram

Doṣa – Vāta and Pitta Pradhāna

Dūṣya – Rasa, Rakta, Purīṣa

Srotasa – Rasavaha, Raktavaha, Udakavaha,

Annavaha, Purīṣavaha

Srotoduṣṭi Prakara – Saṅga, Vimārgagamana

Agni – Jaṭharāgni and

Dhātvagni

Ama – Jaṭharāgnijanya and Dhātvagnijanya

Udbhavasthāna – Amāṣaya

Adhisthāna – Yakṛt, Plīha, koṣṭhāṅga

Due to nidāna yakṛt situated on right side gets displaced from its place and becomes enlarged, the blood rasa and other tissues which have increased also bring about its enlargement, it getting enlarged becomes very hard like the cobbler’s stone in the beginning, then increasing gradually resembling the shell of the tortoise, occupies the entire abdomen starting from its upper portion and producing abdominal enlargement.

Snehana

Māhiṣaghṛta processed with Guḍūcī svarasa

Svedana

Cow’s urine

Āma, Vitiated doṣas and accumulated water.

Virecana

Trivṛt with Āmalakī svarasa

Weak persons and patients having low tolerance for purgatives

Basti

Anuvāsana basti

Yāpana Basti, madhura dravya siddha basti

Nasya

Karkoṭa mūla nasya

Raktamokṣaṇa

Anjana

Niṣa, Gairika & Āmalaki

DIABETES MELLITUS

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Female infertility: is a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse

Vandhyata

Doṣa: Tridoṣa with pre dominant Vāta.

Dhātu: Rasa, Rakta Upadhātu: Artava

Srotas: Artavavaha Srotoduṣṭi: Saṅga Udbhavasthāna: Pakvāśaya

Adhiṣṭhānaa: Trayavarta Yoni

Mārga: Ābhyantara

Snehana

Nārāyaṇa taila, Śatāvarī taila, Laghuphala ghrta, Phala ghrta etc.

Svedana

Daśamūla kvātha

Ovulation, PCOS

Virecana

Avipathi cūrṇam, Trvrt lehya, Gandharva hastādi eraṇḍam

To correct ovulatory factor , tubal factor, uterine factor and cervical factor

Kṣetra Nirmāṇa

To patent the tubes

Conception, stability of pregnancy, to regulate HPO axis.

Basti

Uttarabasti

Āsthāpana basti, anuvāsana basti

Mustādi yāpana basti, Mādhutailika basti

Traivṛta sneha vasti, Śatāvariyādi anuvāsana basti, Guḍūcyādi rasāyana basti,

Sahacarādi anuvāsana basti

Brahmī ghṛta, phala ghṛta, śatāvarī ghṛta

Kṣāra ghṛta, pañcagavya ghṛta, dhanvantaram taila

To regulate HPO axis

Nasya

Aṇutaila

Śirodhāra

Daśamūla kvātha, takra etc.

FEMALE INFERTILITY

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Female infertility: is a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse

Vandhyata

Doṣa: Tridoṣa with pre dominant Vāta.

Dhātu: Rasa, Rakta Upadhātu: Artava

Srotas: Artavavaha Srotoduṣṭi: Saṅga Udbhavasthāna: Pakvāśaya

Adhiṣṭhānaa: Trayavarta Yoni

Mārga: Ābhyantara

Snehana

Nārāyaṇa taila, Śatāvarī taila, Laghuphala ghrta, Phala ghrta etc.

Svedana

Daśamūla kvātha

Ovulation, PCOS

Virecana

Avipathi cūrṇam, Trvrt lehya, Gandharva hastādi eraṇḍam

To correct ovulatory factor , tubal factor, uterine factor and cervical factor

Kṣetra Nirmāṇa

To patent the tubes

Conception, stability of pregnancy, to regulate HPO axis.

Basti

Uttarabasti

Āsthāpana basti, anuvāsana basti

Mustādi yāpana basti, Mādhutailika basti

Traivṛta sneha vasti, Śatāvariyādi anuvāsana basti, Guḍūcyādi rasāyana basti,

Sahacarādi anuvāsana basti

Brahmī ghṛta, phala ghṛta, śatāvarī ghṛta

Kṣāra ghṛta, pañcagavya ghṛta, dhanvantaram taila

To regulate HPO axis

Nasya

Aṇutaila

Śirodhāra

Daśamūla kvātha, takra etc.

ECZEMA

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Eczema : Is an inflammatory skin condition, that causes itchiness, dry skin, rashes, scaly patches, blisters.

Vicharchika

Doṣa – tridoṣa

Dūṣya – twak, rasa, rakta, māmsa, lasika,

Srotas – rasavaha, raktavaha, māmsavaha,

Agni – jaṭharāgni māndya

Ama- sama

Srotoduṣṭi prakara – saṅga

Udbhava sthāna- amāṣaya

Vyakta sthāna – twak.

Rogamārga – bāhya

Atopic dermatitis. – results from overactive immune system that causes the skin barrier dry and itchy.

Contact dermatitis. – results from contact with any substance, the skin becomes inflamed or irritated.

Dyshidrotic eczema – results to small blisters on the hands, feet, edges of the fingers and toes.

Seborrheic dermatitis – usually affects the scalp with constant itching, and rashes.

Stasis dermatitis – also called as venous stasis dermatitis.it occurs due to poor circulation in the legs. Associated with itching, redness, and dryness.

Neurodermatitis

Commonly occurs on feet, ankles, hands, wrists, elbows, shoulders, neck and scalp.

Nummular eczema (discoid eczema) – scattered circular patches associated with discharge or dry and sensitive.

Snehapana

With Panchatiktaka ghṛta.

Mahātiktaka ghṛta

Virecana

With manibhadra gudam

Trivṛt lehya

Aragvadadi kaṣāya

Svedana

Pariṣeka sveda

With aragvadha Kaṣāya

Takradhāra

Lepa

Pralepa with triphala choorna

Utsadanam

Utsadana – haridra choorna mixed with tiktaka ghṛtam.

Sidhartaka choorna,Rajani, with tila taila

Eladi gana choorna with nimbadi taila

Snehana

Sarvanga abhyaṅga – with mahā marichadi taila

Pamari taila

Dantapala taila

GB SYNDROME

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

GB syndrome:

Is an autoimmune disorder where the body’s defense mechanism mistakenly attacks parts of nervous system.

Majjaasthigata vāta

Māmsagata

Vāta/medogatavāta

Kaphāvṛta vyāna

Pakshaghata

Doṣa-Vātakaphapradhāna tridoṣa

Dūṣya-Rasa, Rakta, Māmsa, Meda, Snayu, Kaṇḍara

Srotas- Rasavaha,

Asthi majjagata

Snehana

Bāhya snehana

Abhyaṅga with Sahacarādi taila, kṣīrabala taila

Śirobasti

Arohana Krama sneha can be done

Guggulu tiktakam Ghṛtam

Mūrchita Ghṛtam

Raktavaha, Māmsav aha, Medovaha

Srotoduṣṭi- Saṅga

Agni- Jaṭharāgni, Dhatwagni

Ama- Jaṭharāgni and Dhātvagnimāndya janya ama

Udbhavasthāna- Amāṣaya, Pakwashaya

Sañcārasthāna-rasayani

Vyaktasthāna- śākhā

Rogamārga-Madhayama

Sadhya-asadhyata- Krichrasadhya

Due to nidāna vāta prakopa occurs. The aggravated vāta gets filled in the rikta srotas, susceptible channels of the body. On occupying the susceptible srotas, the vitiated vāta will produce the disease.

Asthi majjagata

Sveda

Snigdha sveda

Salvana upanāha

Māmsa medogata, pittanubandha

Māmsa medogata

Virecana

Gandharvahastādi eraṇḍa, nirgundyadi eraṇḍam, daśamūla haritaki lehyam

Muscle wasting and muscular weakness

Basti

Nirūha basti

Mustaadi yāpana basti, Kṣīra basti

and Kṣīra Vaitarana Basti

Matrabasti with dhanvantaram dhanvantaram taila, Sahacarādi taila

Nasya

Bruhmana nasya, samana nasya

Kṣīrabala taila

Ṣaḍbindu taila

GENERAL ANXIETY DISORDERS

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

General anxiety disorders: Is a group of mental disorders characterized by feelings of anxiety and fear.

Unmadam

Apasmaram

Doṣa – Vāta, tamas, pitta, kapha

Dūṣya – rasa,

Srotas – rasavaha, manovaha

Srotoduṣṭi prakara – saṅga, vimārgagamana

Agni – jaṭharāgni māndya

Ama- sama

Utbhava sthāna – amāṣaya

Vyaktasthāna – manas

Generalized anxiety disorder.

Panic disorder with or without agoraphobia

Social phobia

Obsessive compulsive disorder

Post-traumatic stress disorder

Acute stress disorder

Sneha

With kalyanaka ghṛta

Panchiktaka ghṛta

Mahātiktaka ghṛta

Pañcagavya ghṛta

Brahmni ghṛta

Virecana

Gandharvahastādi

Eraṇḍa

Eraṇḍa sukumāram

Abhayādi modaka

Abhayādi vati

Nasya

Anutaila

Kṣīrabala taila

Brahmi ghṛta

Snehana

Abhyaṅga – śiroabhyaṅga

Mukhabhyaṅga

Pada abhyaṅga

Svedana

Bāṣpasveda

Pariṣeka sveda

Lepa

Pradeha

Lepa

Śirolepam

Thalam

Murdhini taila

śiroabhyaṅga

śirodhāra

śiropicu

śirobasti

GOUT

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Gout: is a hereditary condition of disturbed uric acid metabolism in which urate salts gets deposited in articular, perarticular and subcutaneous tissues.

Vātarakta

Doṣa – Vāta Pradhāna Tridoṣa

Dūṣya – Rakta

Agni – Jaṭharāgniand Dhātvagni duṣṭi Srotasa – Rasavaha, Raktavaha

Srotoduṣṭi – Saṅga (stasis of doṣa), atipravṛtti

Adhisthāna – Tvaka, Māmsa, Sandhi,

Vyadhi-Pakvaśayotha and Cirakāri.

Due to nidāna vāta and rakta aggravated. Aggravated vitiated Rakta quickly obstructs the path of already aggravated vāta. On obstruction of passage of vāta its gati is hindered making it greatly aggravated. This vitiates the whole rakta and manifest as Vātarakta.

Vātothara

Snehana

Ābhyantara Snehana

Purāna Ghṛta

Pittotharam

Madhura thikta oushada siddha ghṛtam

Gambheera vāta rakta.

Snehapana

Pradhāna karma

Uthana vātarakta

Bāhya Snehana

Abhyaṅga with Piṇḍataila.

Ghṛta – prepared with mootra, kṣāra and sura.

Ghṛta with Shukta and maksika

Uttana Vātarakta

Svedana

Pariṣeka, Avagāha Sveda

Dāha

Drākṣā rasa, ikṣu rasa, Mastu, dadhi, amlakanjika

Sthambham

Jīvaneeya Kwata / Panchamūla Kwata

Sthambha, Akshepaka, Sthoola

Kṣīra of cow, goat or sheep mixed with taila

Śūla

Daśamūla kṣīra

Vatika

Koshna sarpī

Gambeera and kapha pradhāna vātarakta

Vamana

Mrudu vamana

Gambeera, pitta, kapha and raktha pradhāna vātaraktha

Virecana

Mridu Virecana

Eraṇḍa taila + Kṣīra, then Kṣīra odana

Dharoshna Kṣīra missed with either gomutra or trivrut choora.

Kvātha with ghṛta brishta haritaki.

Trivrut choorna with Kṣīra or draksha rasa as ānū

Pain in payu, parswa, uru, parva, asthi, and jadara

Basti

Kṣīrabasti

If Vāta gets increased after rakta mokshana.

Anuvāsana Vasti

Balatailam, madhuyashtyadi tailam

Gambheera vātaraktam

Nirūha basti

Mushtadi yapaana basti, hapushadi yāpana basti

When asthi is involved

Basti is mixed with Tiktaka dravyas siddha Kṣīra or sarpī is given.

Ruk, daha, shola, toda, supti, kandu

Raktamokṣaṇa

Śṛṅga , jalouka, suchi and alaabu or by siravyada.

HEMIPLEGIA

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Hemiplegia :

Paralysis of one side of the body due to pyramidal tract lesion at any point from its origin in the cerebral cortex down to the 5^th cervical segment

Pakshaghata

Doṣas : Vāta (All five types; Prāṇa, Udāna Vayu especially) : Pitta (Panchak Pitta, Ranjak Pitta especially) : Kapha (Shleshak and Avalambaka Kapha especially)

Dūṣyas : Rasa, Rakta, Māmsa, Meda Dhātu and Manas Agni : Jatharaagni, Dhatvaagni

Ama : Dhatwaagni-Maandya-Janya

Strotas : Rasavaha, Raktavaha, Māmsavaha, and Medavaha

Strotoduṣṭi : Atipravrutti, Saṅga, Siraagranthi & Vimaarga Gamana Udbhava Sthāna : Pakwaashaya Sañcāra Sthāna : Urdhwa, Adhah, Tiryak Dhamanis Adhisthāna : Shira Rogamārga : Madhyam Roga mārga Vyakti Sthāna : Either Dakṣina or Vama Paksha

Due to nidāna vāta prakopa occurs causing sthāna saṃśraya in sira and snayu leads to soshana of sira snayu causes pakshaghata

Snehana

Bāhya and ābhyantara Sneha prayogas

Abhyaṅga -Sahacarādi taila, kṣīrabala taila, anutaila

Moordha taila

Sirobasti

Svedana

Snigdha sveda

Salvana upanāha

Mārgavaraṇa by pitta and kaphanubandha,

Impairement of mana, indriya, buddhi

Virecana

Eraṇḍa taila

To protect marma

Basti

Nirūha basti – bṛṃhaṇa basti like kṣīrabasti, yāpana basti

Anuvāsana basti with bala taila

Unconscious

Nasya

Avapīḍaka nasya

Anu taila, Kṣīrabala 101, Karpasthyadi taila, Mahāmāṣa taila

HYPERTENSION

Disease	Possible Correlations	Samprapti Ghataka	Stage/Condition	Panchakarma Treatment	Treatment Modalities
Hyperthyroidism: Hyperthyroidism is a clinical state characterized by excessive serum T4 or T3 or both with suppression of TSH	Pittāvṛta vāta Bhasmaka roga	Due to nidāna kapha get ksheen & pitta prakop occurs and this prakupit pitta because of vātas due to ashayapkarsha gati pitta with vāta doṣa goes to pitta sthāna i.e grahani and gives bala to jatharagni. in this way by merging agni with vayu, tikshnata of jaṭharāgnidigest all the food. if there is no food then agni start to digest raktadi dhātu. because of dhātu pachan sharir daurbalya occurs, which leads to various vyadhi.		Snehana	Abhyaṅga with Danwantaram tailam, Nārāyaṇa tailam, mahānārāyaṇa tailam Mūrdhnitailam Sneha with vidāryādi ghṛta, kalyanakam ghṛta, tikthakam ghṛta
				Sveda	Kayaseka with bala taila, ghṛta, kṣīra, panchamūla kaṣāya, śīta jala
				Virecana	Nitya Virecana with Avipatti cūrṇam Snigdha Virecana with Gandarvahastaadi eraṇḍam, Hingutrigunam tailam Mridu Virecanam- Trivṛt lehyam with kṣīram
				Basti	Kṣīrabasti, yāpana basti
				Thalam	Rāsnāḍī cūrṇam with kṣīrabala tailam/danwantaram tailam Kachooradi cūrṇam with kṣīrabala tailam/danwantaram tailam
				Sirāvyadha

HYPERTHYROIDISM

Disease	Possible Correlations	Samprapti Ghataka	Stage/Condition	Panchakarma Treatment	Treatment Modalities
Hyperthyroidism: Hyperthyroidism is a clinical state characterized by excessive serum T4 or T3 or both with suppression of TSH	Pittāvṛta vāta Bhasmaka roga	Due to nidāna kapha get ksheen & pitta prakop occurs and this prakupit pitta because of vātas due to ashayapkarsha gati pitta with vāta doṣa goes to pitta sthāna i.e grahani and gives bala to jatharagni. in this way by merging agni with vayu, tikshnata of jaṭharāgnidigest all the food. if there is no food then agni start to digest raktadi dhātu. because of dhātu pachan sharir daurbalya occurs, which leads to various vyadhi.		Snehana	Abhyaṅga with Danwantaram tailam, Nārāyaṇa tailam, mahānārāyaṇa tailam Mūrdhnitailam Sneha with vidāryādi ghṛta, kalyanakam ghṛta, tikthakam ghṛta
				Sveda	Kayaseka with bala taila, ghṛta, kṣīra, panchamūla kaṣāya, śīta jala
				Virecana	Nitya Virecana with Avipatti cūrṇam Snigdha Virecana with Gandarvahastaadi eraṇḍam, Hingutrigunam tailam Mridu Virecanam- Trivṛt lehyam with kṣīram
				Basti	Kṣīrabasti, yāpana basti
				Thalam	Rāsnāḍī cūrṇam with kṣīrabala tailam/danwantaram tailam Kachooradi cūrṇam with kṣīrabala tailam/danwantaram tailam
				Sirāvyadha

HYPOTHYROIDISM

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Hypothyroidism : Is an endocrine disorder in which the thyroid gland does not produce enough thyroid hormone

Kaphaja and medaja Galaganda

Doṣa – tridoṣa

Dhātu -rasa, meda, and uttarottara dhātu vaishamya.

Agni- jaṭharāgni māndya, dhātvagnimāndya

Ama- saama.

Srotas – all srotas are involved.

Srotoduṣṭi – saṅga, vimārga gamana.

Udbhava sthāna – amāṣaya.

Vyakta sthāna- Śarīra.

Rogamārga – bāhya

Primary hypothyroidism

Central hypothyroidism

Congenital hypothyroidism

Vamana

With madanaphala pippali

Svedana

Dhūmapāna

Virecana

Mostly mrudu Virecana- gandharvahastdadi taila

Trivrut lehya

Pralepa

Langhana

Nasya

Aṇutaila

Sneha – Purāna ghṛta paana

Amrutādya taila

Plain Go ghṛta

Tumbi taila

Sirāvyadha

INSOMNIA

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Insomnia : Is a condition of difficulty in initiating, maintaining, and waking up too early from sleep.

Nidranasha

Alpanidra

Doṣa – vāta, pitta(vruddhi) kapha (kshaya) manasika doṣas- satwa and raja(vrudhi),tama (kshaya).

Dūṣya – rasa

Agni – Jaṭharāgni māndya.

Srotas – rasavaha, manovaha, samnjavaha

Srotoduṣṭiprakara – atipravrutti

Udbhavasthāna – hṛdaya

Due to the mithya ahara vihara sevana, agnimāndya occurs resulting in aama. Here vāta pitta vriddhi and kapha kshaya happens. And, by the involvement of manovaha doṣa vikaras, mainly by increased satwa and raja and decreased tama, there will be lack of kapha or tama avaraṇa occurs to the hṛdaya or samnjavaha srotas resulting nidranasha.

Vāta pitta shamaka

Abhyaṅga

Utsadana

Samvahana

Paadabhyaṅgam

Śiroabhyaṅgam

Mukhaabhyaṅgam

Sarvanga abhyaṅgam

Bāhya upachara

Moordhii taila

Lepa

Thalapothichil

Śiro dhāra

Nasya

With brahmī ghṛta

Manasika upchara

Manonukula vishaya grahana, geeta

grahana,gandha grahana, shabda grahana.

Ahara upacharas – mainly to pacify vāta and pitta and increase kapha.

Ānūpamāmsa rasa,māhiṣakṣīra, piyusha

Sushupti kṣīrapakam

Śatāvarī kṣīrakaṣāyam.

IRRITABLE BOWEL SYNDROME

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Irritable bowel syndrome: is a chronic symptom complex of altered bowel habits and abdominal pain.

Grahani

Dosa :Pitta pradhāna tridoṣa (samana vāta, pachaka pitta, kledaka kapha)

Dūṣya: Rasa

Agni: jatargni

Agni duṣṭi: maṇḍagni

Ama :agnimāndya janya

Srotas : annavaha

Srotoduṣṭi: saṅga, vimārga gamana, atipravrutti

Adhistana, Udbhava sthāna and vyakta sthāna: grahani

Sancara sthāna: mahāsrotas, annavaha srotas

Swabhava: cirakāri

Roga mārga : ābhyantara

Due to nidāna weakens the agni. This weak Agni is unable to digest even the laghu anna , this apakva ahara gets acidified & toxic. When it moves in adhah mārga either in pakva or apakva avastha, it is said as Grahani Roga.

Ama pradhāna and utklishta

Vamana

Madanaphalādi yoga / uṣṇa jala / sarṣapa kvātha

Pakvāśayagata leena doṣa

Virecana

Deepaniya ghṛta

Vātaja grahani – patient is having weak agni and bala

Snehana

Śuṇṭhī ghṛta / chitraka ghṛta for snehana

Svedana

Nādi sveda

Virecana

Eraṇḍa taila for Virecana

Nirūha basti

Daśamūla nirūha basti

Anuvāsana basti

Pittaja grahani – pitta at its site and in utklishta avastha

Vamana

Virecana

Kaphaja grahani

Vamana

Udavartajanya agnimāndya

Basti

Daśamūla nirūha basti

Anuvāsana basti with hingvadi taila

JAUNDICE

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Jaundice: is a Condition characterised by yellowish discolouration of the tissue due to disposition of bilirubin which occurs in presence of hyperbilirubinemia.

Kāmala

Doṣa-Pitta.

Dūṣya-Rakta and Māmsa.

Adhisthāna- koṣṭha(Mahāsrotasa) and śākhā.

Srotas- Rasavahasrotas, Raktavahasrotas, Annavahasrotas, Purishavahasrotas.

Srotoduṣṭi- Atipravritti, Saṅga, Vimārgagamana.

Due to nidāna, aggravation of pitta located in cardiac region takesplace. Pitta being forcefully propelled by vayu, enters into the ten vessels attached to heart and circulates in the entire body. Being located between the twak and muscle tissue, this aggravated pitta vitiates kapha, vayu, asrk, skin and muscles as a result of which different types of coloration, like pandu, haridra and harita appears in skin. This causes Panduroga.

Sakhasrita

Virecana

Katuki / Trivṛt / Aragvadha / Draksha

Koshtasrita

Virecana

Draksha / Āmalakī / Aragvadha swarasa

Haleemaka

Virecana

Trivṛt / Āmalakī svarasa / Drakshavaleha

Yāpana basti

LUMBAR DISC DISORDERS

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Lumbar disc disorders:

when a disc in the low back area of the spine bulges or herniates from between the bony area of the spine.

Grudrasi

Khalli-pangu

Kaṭīgraham

Pakwasayagata Vāta

Gudagada vāta

Asthi sandhigata vāta

Asthi-Majjāvṛta vāta

Prishtagraha

Doṣa : Vāta (Vyāna and A) predominant K(Kledaka) P

Dūṣya: Rasa, rakta,māmsa, Asthi

Udbhava sthāna : Pakwasaya

Sañcāra sthāna : Adha kaya

Vyktha sthāna :Adha kaya

Agni: Maṇḍa

Ama : Jaṭharāgni Dhātvagnimāndya.

Due to nidāna riktha srotas get filled by vāta and leads to vāta vyadhi

Disc herniation

Rūkṣaṇa

Dhānyamla dhāra, kaṣāya dhāra

Vāta vridhi and kapha kshaya

Snehana

Bāhya Snehana:

Abhyaṅga with bala taila, Jīvaniyasidha ghṛta, Kārpāsāstyādi taila, Ketakimūladi taila, DH taila, Nārāyaṇa taila

Kaṭībasti

Ābhyantara snehana

Samana sneha with Mahāmāṣa taila, Chatusneha m

Seeta, shola, stambha

Svedana

Kukkutanda Piṇḍa sveda, PPS, JPS

Upanāha sveda – salvana –godhuma, kanjika, saindhava, churna, KC myrrah lepa etc

Vātakaphaja, vyāna vāta

Vamana

Upasthambha

Virecana

Snigdha Virecana with Tilwaka ghṛta, Satala ghṛta, Eraṇḍataila with milk, gomutra eraṇḍa

Stabdha, sankuchitha

Ruksha kevalavātartta

Basti

Nirūha basti with eraṇḍamūladi, mustādi, kṣīravaitaraṇa basti, sarva vātahara basti, ardhamātrika basti

Sneha basti

Nārāyaṇa taila, Prabhanjana vimardanam, Māṣa taila

Rakta avaraṇa

Raktamokṣaṇa

Sirāvyadhana is done between the kaṇḍara & gulpha pradeśa/ is 4 A above or below jānu

Sthnika – śṛṅga , Jalouka, Alābu

Agnikarma

Site similar to Sirāvyadha

MALE INFERTILITY

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Male infertility: Refers to a sexually matured males’ inability to impregnate a fertile female.

Vandhyata

Doṣa – (shareerika) tridoṣa

(Manasika)- rajas, tamas

Dūṣya – rasa, śukra

Agni – jaṭharāgni māndya, rasadhātvagnimāndya, śukradhātvagnimāndya

Āma – sāma

Srotas – rasavaha, manovaha, śukravaha

Udbhavasthāna – hṛdaya

Sañcārasthāna – dashadhamani

Sarvaśarīra,śepha, vṛṣaṇa

Srotoduṣṭi prakara – snaga

Vyaktasthāna – sarvaśarīra, vṛṣaṇa, śepha

Rogasvabhāva – āśukāri, cirakāri

Oligospermia – decreased number of spermatozoa in semen.

Aspermia – lack of semen.

Hypospermia – reduced seminal volume.

Azoospermia- absence of sperm cells in semen.

Teratospermia – increase in sperm with abnormal morphology.

Asthenozoospermia – reduced sperm motility.

Necrozoospermia – dead sperm in the ejaculated.

Leucospermia – increased white blood cells in semen

Sneha

With phala ghṛta

Vājīkaraṇa ghṛta

Vṛṣya ghṛta

Vamana

With madanaphala

Virecana

Trivṛt lehyam

Eraṇḍa sukumāram

Gandharvahastādi eraṇḍam

Nirūha basti

Vājīkaraṇa basti

Anuvāsana basti

Phalghṛta

MIGRANE

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Migraine :

is a widespread, chronic and intermittently disabling disorder characterized by recurrent headaches with or without aura.

Ardhāvabhedaka

Doṣa : Vāta / vāta-kapha pradhāna tridoṣaja

Dūṣya: Rasa, rakta, sira

Srotas : Rasavaha, Raktavaha

Srotoduṣṭi: Saṅga, Vimārgagamanam

Rogamārga: Madhyama

Agni: Jaṭharāgni māndya

Adhiṣṭhāna: Ardha śiras

Due to nidāna, vāta or vātakapha doṣa prakopa occurs causes vāta avarodha at śiras of mastiṣka due to pravṛddhaśleṣma. aggravated vāta associated with pitta doṣa does sthānasaṃśraya at śiras of head causes throbbing pain at half side of śiras involving manya, bhrū, śaṅkha, akṣi, karṇa, lalāṭa

Vātaja

Snehana

Purāna ghṛta

Rāsna daśamūla ghṛta

Jīvantyādi ghṛta

Śiro abhyaṅga with daśamūla taila, kanaka taila, rudra taila etc.

Svedana

Upanāha sveda – Jāṅgala māmsa upanāha

Nādi sveda – Auṣadha siddha kṣīra

Pariṣeka – Auṣadha siddha kṣīra dhāra

Migraine attacks

Vamana

Virecana

Basti

Pippalyādi anuvāsanam, dhanvantaram taila, Sukumāra ghṛta, etc. are used for snehabasti

Madhu tailika basti

Yāpana basti

ŚiroVirecana

Avapīḍaka and tīkṣṇa nasya

Nirguṇḍī patra svarasa + saindhava + ghṛta maṇḍa

Śirīṣa phala, Śirīṣa mūla, Aja kṣīra, Yaṣṭi +honey, candana +honey

Aṇu tailam, ṣaḍbindu tailam

Kavala

Candanādi tailam

Mahānārāyaṇa tailam

Mūrdha taila

Vātapitta hara tailas, Kṣīrabala taila

Candanādi taila

Śiroveṣṭana with a thick utkarikā (poultices) made of meat of animals of ānūpa deśa (Marshy region) cooked or yava, taila, māṣa, kulattha, kuṣṭha, dāruharidra, ativiṣa, saindhava should be done. Afterwards milk medicated with Daśamūla dravyas can be useful for Pariṣeka.

Śleṣma pradhāna

If rakta and pitta aggravated more

Agni karma

Pippali for dahana karma

Lepa

prapuṃnaṭa + amla dravya

vayāviḍaṅgādi lepa

Candana + karpūra + jatamāmsi

tila kalka lepam

MULTIPLE SCLEROSIS

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Multiple sclerosis: is an autoimmune disease of

central nervous system characterized by chronic

inflammation, demyelination, gliosis and neuronal loss.

Anukta Vātavyādhi

Doṣa- Kapha-Pitta Doṣa

Dūṣya- Rasa, Rakta, Māmsa, Meda, Majjā Srothas- Rasavaha, Raktavaha, Māmsavaha, Medovaha, Majjāvaha. Srotoduṣṭi Lakṣaṇa- Saṅga

Adhiṣṭhāna- Sarvaśarīra mainly Urupradeśa Utpattisthāna- Amāṣaya pakvasayottha

Rogamārga- Madhyama

Nidāna sevana causes

dhātu kshaya and mārgavaraṇa leads to Vātaprakopa causes sthānasamshraya in snayu and produce vātavyadhi.

Snehana

Abhyaṅga with kṣīrabala taila, mahāmāṣa taila, dhanvantaram taila

Snehapāna with Vidāryādighṛta, Rāsnāḍīghṛta, jivantyādi ghṛta

Svedana

Māṣapiṇḍa Sveda, Shashtikashali Piṇḍa Sveda, Nāḍī Sveda, Prastara and Saṅkara Sveda.

Virecana

Snigdha Virecana with gandharvahastādi eraṇḍam

Basti

Yāpana basti, kṣīrabasti

Nasya

Bṛṃhaṇa nasya

Mūrdhni taila

Śirobasti, Śiropicu , śiro dhāra, śiro

abhyaṅga

Talam

Jīvantyādi cūrṇam, Vidāryādi cūrṇam

+ Kṣīrabala, Sahacarādi 3āvarti

Akṣitarpaṇam

Triphala ghṛta, Jīvantyādiighṛta

MUSCULAR DYSTROPHY

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Muscular Dystrophy: is a group of inherited disorders that involve muscle weakness & loss of muscle tissue characterised by fibre necrosis & replacement of muscle by fat & fibrous connective tissue.

Doṣa: Vāta and Kapha

Dūṣya: Māmsa Srotasa: Māmsavaha Srotoduṣṭi: Saṅga Agni: Māmsa-Dhātvagni

Due to avaraṇa of kapha aggravates vāta causing vitiation of māmsa, meda and asthi produces symptoms.

Rūkṣaṇa

With Shastika Churna, Kolakulatthadi Churna

Snehana

Chandanbalalakshadi Taila, Balaguḍūcyādi Taila, Mahāmāṣa Taila, Sashtik Taila

Mridu Svedana

Dhānyamla dhāra

Basti

Yāpana basti, panchathikthaka kṣīra basti

Matrabasti with Sahachar Taila, Kshirbala Taila, Mahāmash Taila, Balaashwagandhadi Taila

OSTEOARTHRITIS

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Osteoarthritis: Is a degenerative disorder arising from the biochemical breakdown of articular in the synovial joints.

Sandhigata vāta

Doṣa – vāta pradhāna.

Dūṣya – rasa, rakta, Sira, Snayu, kaṇḍara, Asthi.

Samprapti swabhava – asthigatavāta and dhātukshaya

Adhiṣṭhāna – Asthi Sandhipradeśa

Srotas – rasa, asthi and Majjāvaha. srotas.

Srotoduṣṭi – saṅga

Rogamārga – Madhyama

Udbhava sthāna- pakvāśaya

Agni – jaṭharāgni māndya.

It is a asthidhātukshaya disease. Vāta will be associated with śopha. Thus, prasarana and akunchana will be affected more. The khara guna of asthi will be undergoing degeneration

Vātaja

Primary OA

– presence or absence of Heberden’s nodes on the distal interphalangeal joints.

They are nodal and non-nodal types.

Secondary OA

Can be caused due to preexisting joint disease, obesity, orthopedic deformities, endocrine disorders like – hyperparathyroidism,

Diabetes mellitus etc.

Hereditary – aging, excessive usage of the joints etc.

Snehana

Abhyaṅga –

Bala taila

Kethakimūladi

Murivenna

Kṣīrabala

Kottumchukkadi

Mahārajaprasarini taila

Tila taila

Svedana/ upanāha

Svedana–bāṣpasveda

Nāḍī sveda

Patra piṇḍa sveda

Tila upanāha

Salvana upanāha

Kukkuṭāṇḍa sveda

Lepa

Lepa –

Nāgarādi lepa

Jatmayadi lepa

Kottumchukkadi lepa

Bṛṃhaṇa / balya cikitsa

Bandaging

With murivenna

Kṣīrabala taila

Kethakimūladi taila

Yamaka sneha

Mahā sneha

Basti

Eraṇḍamūladi basti

Tikta rasa kṣīra basti

Pañcaprāsṛtika basti

Yāpana basti.

Mustādi yāpana basti

PARAPLEGIA

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Paraplegia:

Impairment in motor function of the lower extremities with or without involvement of sensory system.

Pakshaghata

Doṣas : Vāta (All five types; Prāṇa, Udāna Vayu especially) : Pitta (Panchak Pitta, Ranjak Pitta especially) : Kapha (Shleshak and Avalambaka Kapha especially)

Dūṣyas : Rasa, Rakta, Māmsa, Meda Dhātu and Manas Agni : Jatharaagni, Dhatvaagni

Ama : Dhatwaagni-Maandya-Janya

Strotas : Rasavaha, Raktavaha, Māmsavaha, and Medavaha

Due to nidāna vāta prakopa occurs causing sthāna saṃśraya in sira and snayu leads to soshana of sira snayu causes pakshaghata

Snehana

Bāhya and ābhyantara Sneha prayogas

Abhyaṅga -Sahacarādi taila, kṣīrabala taila, anutaila

Moordha taila

Svedana

Sirobasti

Snigdha sveda

Salvana upanāha

Mārgavaraṇa by pitta and kaphanubandha,

Impairement of mana, indriya, buddhi

Virecana

Eraṇḍa taila

To protect marma

Basti

Nirūha basti – bṛṃhaṇa basti like kṣīrabasti, yāpana basti

Anuvāsana basti with bala taila

Unconscious

Nasya

Avapīḍaka nasya

Anu taila, Kṣīrabala 101, Karpasthyadi taila, Mahāmāṣa taila

PARKINSON’S DISEASE

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Pañcakarma Treatment

Treatment Modalities

Parkinson’s disease:

Degenerative neurological disorder characterised by resting tremors, slowness of movements, rigidity, gait disturbances/ postural instability.

Kampavāta

Doṣa : Vāta ( prāṇa, udāna, vyāna)

Dūṣya : Mastulunga majjā, snāyu

Srotas : Vātavaha

Srotoduṣṭi : Atipravṛtti

Udbhavasthāna : Pakvāśaya

Adhiṣṭhāna : Mastiṣka

Sañcārasthāna : Rasāyani Vyaktasthāna : Sarva śarīra

Vyādhi Mārga : Madhyama

Due to nidāna vāta gets aggravated, vitiated vāta circulates through rikta srotases causes doṣadūṣyasamūrchana and leads to kampavāta.

Body pain, sleep disturbance, eye sight

Kleśasaha

Snehana

Abhyaṅga with Mahāmāṣa taila, kṣīrabala taila, balātaila etc.

Stambha, guruta, śītata, saṅkoca, āyāma, śūla, stambha

Svedana

Nāḍīsveda, piṇḍasveda like SSPS,PPS, avagāha sveda,

pariṣeka sveda

Balavān

Virecana

Mṛdu sramsana

Kaphāvṛta vāta

Svedana

Nāḍīsveda, piṇḍasveda like SSPS,PPS, avagāha sveda,

pariṣeka sveda

Nirūha Basti

Vātahara and bṛṃhaṇa basti

Kṣīra basti

Eraṇḍamūladi nirūha basti

Mustādi yāpana basti

Anuvāsana basti

Kṣīrabala taila, mahāmāṣa taila, sahacarādi taila

Gadgada, kratanada,vātaja śūla, vāgsaṅga

Nasya

Kṣīrabala taila, Mahāmāṣa taila Kārpāsāstyādi taila

Śirobasti

Mūrchita tila taila, Kṣīrabala taila, Mahāmāṣa taila, Mahānārāyaṇa taila

Śirodhāra

Kṣīrabala taila

Mahānārāyaṇa taila

PLANTAR FASCIITIS

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Plantar fasciitis:

Is a painful foot condition caused by inflammation of insertion of the plantar fascia on the medial process of the calcaneal tuberosity.

Vātakantaka

Doṣa – Vāta associated with Kapha/Pitta

Dūṣya – Snayu Sandhi and asthi

Rogamārga – madhyama

Vyakthasthāna -Pada

Adhiṣṭhāna – Gulpha sandhi

Due to nidāna vāta prakopa occurs. This kupita vāta gets localised in gulpha sandhi produce vātakantaka.

Snehana

Vātahara ghṛta

Vidāryādi ghṛta

VasāSneha

Abhyaṅga

Mardana

Svedana

Upanāha

Iṣṭikā sveda, nāḍī sveda

Vātakapha

Virecana

Eraṇḍa taila

Basti

Eraṇḍamūladi nirūha basti

Mustādi yāpana basti

Kṣīra vaitaraṇa basti

Rakta duṣṭi

Raktamokṣaṇa

Sirāvyadha

Jalaukāvacaraṇa

Vātakaphaja

Agnikarma

PSORIASIS

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Psoriasis : is a skin disease that causes a rash with itchy, scaly patches, most commonly on the knees, elbows, trunk and scalp.

Kushta

Dosa: Tridoṣa

Dhātu: Rasa, Rakta, Māmsa, and Lasika initially;later all the seven Dhātus.

Agni: Jatharagni, Dhātvagni

Srotas: Rasavaha, Raktavaha, Māmsavaha, Svedavaha–Later all the remaining Dhātuvaha Srotases are involved

Srotoduṣṭi: Saṅga, Vimārgagamana, Athipravrthi, Siragandhi

Sañcārasthāna: Dhamani, Tiryak Sira

Udbhavasthāna: Amāṣaya

Vyaktasthāna: Tvak

Adhisthāna : Tvak, Lasika, rakta

Svabhāva : Cirakari

Due to nidāna causes tridoṣa prakopa then the vitiated doṣas enters thiryak siras, twak, lasika, rakta, māmsa duṣṭi and causes shlathana leads to śarīra bahirgamanam causing discolouration of twak produceskuṣṭha.

Vāta pradhāna

Sneha

Tiktaka ghṛta / Patoladi ghṛta

Pitta pradhāna

Sneha

Tiktaka ghṛta and khadiradi ghṛta for sneha

Virecana

Trivṛt, Danti, Triphala for Virecana

Raktamokṣaṇa

Raktamokṣaṇa by Pracchāna / Sirāvyadha

Kapha pradhāna

Sneha

Guggulutiktaka ghṛta / Mahātiktaka ghṛta for sneha

Vamana

Vamana with madanaphala, nimba, patola

Krimi,kuṣṭha, kilasa

Nasya

Pradhamana nasya with viḍaṅga choorna

Vairechanika dhūma nasya

Sthira – kadina maṇḍalakuṣṭha with kapha prakopa

Svedana

Nāḍī sveda / prastara sveda / ānūpa māmsa potali sveda

Raktamokṣaṇa

Pracchāna with koorcha

RHEUMATOID ARTHRITIS

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Rheumatoid arthritis: is a chronic progressive disease causing inflammation in the joints and resulting in painful deformity and immobility, especially in the fingers, wrists, feet, and ankles.

Amavāta

Doṣa: Vāta – Vyāna, samana

Pitta – Pachaka

Kapha – Shleshaka

Dūṣya: Dhātu – Rasa, Meda, Asti, Majja

Upadhātu – Sira, Snayu

Mala – Purisha

Dhātumala – Kapha

Agni: Jaṭharāgni, Dhatwagni

Agniduṣṭi: Maṇḍa

Ama: Agnijanya

Srotas: Annavaha, Rasavaha, medovaha, Astivaha, Majjāvaha.

Srotoduṣṭi: Saṅga

Udbhavasthāna: Amāṣaya

Adhistana: Kaphasthāna, Sandhis

Rogamārga: Madhyama

Swabhava: Kashtasadhya

Nidāna leads to indigestion and formation of amarasa. Further the vitiated vāta stimulates this amarasa and takes this to various kapha sthānas like ura, kanta, śiras etc, through raktavahini dhamanies. During the course this amarasa also mixes with three doṣas and finally becomes picchila and kleda. Even after reaching the śleṣmasthānas, trikasandhi etc. region due to similarity with kapha its intensity increases more and finally causes amavāta.

Sama vāta

Langhana

Deepana, pachana

Panchakola Churna

Trikatu Churna

Nirama avastha

Sneham

Shatpala ghṛta

Indukanta ghṛta

Stambha, gaurava, jadya, sita and śūla

Svedana

Ruksha sveda – vālukā pottali

Upanāha without oil

Kārpāsāstyādi SaṅkaraSveda

Ushnajala

Kapha pitta elimination and Vātanulomaka

Virecana

Eraṇḍa taila with guda and kṣīra

Trvrit churna

Phalathrikadi churna

Nagara- viḍaṅga-trvrit vātaka with ushna jala followed by ushna kṣīra

Anaha, antrkujana, vibandha

Basti

Kṣāra basti

Kṣāra vaitarana basti

Eraṇḍamūladi nirūha basti

Dashamūladi nirūha basti

Saindhavadi anuvāsana

SLE

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

SLE: is a chronic inflammatory disease characterized by affection of multiple organ systems, body tissues and the presence of auto antibodies.

Vāta rakta Pittānubandhi āmavāta

Doṣa – Vāta Pradhāna Tridoṣa

Dūṣya – Rakta

Agni – Jaṭharāgni and Dhātvagni duṣṭi Srotasa – Rasavaha, Raktavaha

Srotoduṣṭi – Saṅga (stasis of doṣa), atipravṛtti

Adhisthāna – Tvaka, Māmsa, Sandhi,

Vyadhi-Pakvaśayotha and Cirakāri.

Āma and kapha

Rūkṣaṇa

Udwarthana

Dhānyamla dhāra

Snehana

Snehapāna withindukāntaghṛta, Tiktaka ghṛta, gugguluthikta ghṛta etc.

Abhyaṅga with piṇḍataila, tiktaka ghṛta etc.

Svedana

Mild svedana

Kaphānubandha

Vamana

Virecana

Snigdha and rooksha Virecana

Sukumāra eraṇḍam

Nirguṇḍī eraṇḍam

Nitya Virecana for srotośuddhi

Bastiśūla, vaṅkṣaṇa śūla, parsvaśūla and udaraśūla

Basti

Eraṇḍamūladi nirūha basti

Mustādi yāpana basti

Kṣīra basti

Pain, redness, pricking pain and burning sensation.

Raktamokṣaṇa

Jalaukāvacaraṇa

Itching, pain and burning sensation

Raktamokṣaṇa

Śṛṅga and alābu

When lesion is found spreading from place to place.

Raktamokṣaṇa

Pracchāna and Sirāvyadha

Mārgāvaraṇa due to accumulation of kapha and medas

Rasāyana

Śilājatu, guggulu, mākṣikadhātu

SPONDYLOLISTHESIS

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Spondylolisthesis: Is the forward displacement of the vertebra over the other. Commonly occurs after a fracture.

Abhighataja kaṭīgraha.

Intervertebral disc prolapse.

Gridhrasi

kaṭīvāta

Doṣa – vāta

Dūṣya – rasa, rakta, asthi, majja, snayu, kaṇḍara

Agni – jaṭharāgni māndya

Utbhavasthāna – pakwashaya

Adhiṣṭhāna – kaṭī sandhi

Srotas – rasavaha, raktavaha, asthiMajjāvaha..

Rogamārga – madhyama.

Due to the severe injury or trauma, there will be a sudden contraction of kaṭī sandhi, which leads bramsha to the kaṭī sandhi and causes kaṭīvāta (mentioned in basavarajeeyam) in kikkasavāta

Trauma or injury.

Avāta vaigunya.

Last stage

Pradeha

Manjishtadi, nagarādi, Jadamayadi, Kottumchukkadi

Gruhadhūmadi

Virecana

Gandharvahastādi eraṇḍam,

Nirgundadi eraṇḍam

Nirūha Basti

Tikta kṣīra basti

Manjishtadi kṣīra basti

Mādhutailikabasti

Anuvāsana basti

Dhānvantara tailam

Madhuyashtyadi tailam

Kayaseka – for the purpose of bṛṃhaṇa

Dhānvantara taila

Murivenna

TRIGEMINAL NEURALGIA

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Trigeminal Neuralgia:

Sudden, usually unilateral, severe brief stabbing recurrent pain in the distribution of one or more branches of Vth cranial nerve.

Anantha vāta

Doṣa – Vāta (Prāṇa), Kapha/ Vāta only/Tridoṣa

Dūṣya- Rakta

Strotas- Prāṇavaha Strotodushti-Atipravriti Rogamaarga–Madhyama

Adhisthāna- Mūrdha Sadhyasdhyata-Kruchhrasadhya / Yapya

Due to nidāna lead to Vitiation of tridoṣas, these vitiated tridoṣas pass through manya and ghata at last these will get lodged in the region of akṣi, bhrū and śaṅka.

Śiraśūla

Virecana

Trivṛt Lehya

Basti

Musthādi yāpana basti

Kṣīra basti

Anuvāsana basti with Traivṛt taila & Bala taila

Nasya

Anutaila, kṣīrabala taila, bala taila

Śirīṣamūladi avapeeda nasya

Purāṇa

Bilva taila

Kṣīrabala taila

Dhūmapāna

Snaihika Dhūma

Kavala

Gaṇḍūṣa

Arimedādi taila

Lepam

Kuṣṭādi lepam

Devadārvyādi lepa

Candanādi lepa

Raktāvṛta vāta:

Pain and numbness

Raktamokṣaṇa

Sirāvyadha

Dāha

Agnikarma

Other treatment options

Vātaja śiraśūla cikitsa

Abhyaṅga

Taila/ghṛta

Snehapāna

Varunathighṛta with kṣīram and sarkara

Svedana

Secana with Daśamūla ksh,Vātahara drugs

Dashamūlakṣīram, Bhadradārvyādiganakṣīra

Nasya

Kulīrarasam, meat of crab, madhuragana siddhaghṛta, varaṇādighṛta, ṣaḍbindutaila (as pratimarśanasya)

Saindhava + Vasāof ānūpamāmsarasa

Śirobasti

Kṣīrabala taila

Bala taila

Pūraṇa

Bilva taila

Kṣīrabala taila

Lepa

Kuṣṭādi lepam

Devadārvyādi lepa

Candanādi lepa

Dhūmapāna

Snaihika Dhūma

Agnikarma

Basti

Ananta vāta

Snehana

Purāna sarpī, Jīvaniyaghṛta,

Varaṇādi ghṛta

Abhyaṅga with Nārāyaṇa taila,

Māṣadi taila

Svedana

Piṇḍa Sveda: Māmsa & dhānya

Upanāha sveda

Matsya piśita+ saindhava

Kṛśara + saindhava

Seka with Traivṛt taila, Balātaila

Sūryāvartacikitsa

Virecana

Trivṛt Lehya

Nasya

Trikaṭu Cūrṇa / Apamārga Svarasa

Raktamokṣaṇa

Sirāvyadha

ULCERATIVE COLITIS

Disease

Possible Correlations

Samprapti Ghataka

Stage/Condition

Panchakarma Treatment

Treatment Modalities

Ulcerative colitis: is a type of inflammatory bowel disease characterised by chronic inflammation involving the mucosa of rectum and extends proximally to involve all or part of rectum.

Raktatisara

Grahani

Doṣa: Vāta pradhāna tridoṣa

Dhātu: Rasa, rakta, māmsa, meda

Agni:Jaṭharāgni, dhātvagni

Agni duṣṭi: Maṇḍagni

Ama: Agnijanya

Srotas: Annavaha, purishavaha, udakavaha srotas

Srotoduṣṭi: vimārgagamana, atipravritti

Udbhava sthana: Amāṣaya, pakvāśaya

Vyakta sthāna: Guda

Rogamārga: Ābhyantara

Nidāna Sevana leads to vitiation of Pitta along with Vriddhi of Kapha and Vāta. Vriddha Kapha and Vāta cause the vitiation of Agni leading to Agnimāndya. Excessive consumption of Pittaja–Ahara (Pitta aggravating foods) and Pitta aggravating regimen leads to vitiation of Pitta Doṣa which further cause the vitiation of Rakta Dhātu. DoṣaSanchaya takes place in Grahani and Pakwashaya which results in Śūla, Shotha, Atisara, Vrana and Raktasraava etc.

Vitiated Kapha blocks the channels causing further inflammation, mucous accumulation and oedema. Thus it produces symptoms.

Ama pradhāna and utklishta

Vamana

Madanaphaladi yoga / ushna jala / sarshapa kvātha

Pakvāśayagata leena doṣa

Virecana

Deepaniya ghṛta

Vātaja grahani – patient is having weak agni and bala

Snehana

Sunti ghṛta / chitraka ghṛta for snehana

Svedana

Virecana

Eraṇḍa taila for Virecana

Nirūha basti

Daśamūla nirūha basti

Anuvāsana basti

Pittaja grahani – pitta at its site and in utklishta avastha.

Vamana

Virecana

Kaphaja grahani

Vamana

Udavartajanya agnimāndya

Basti

Daśamūla nirūha basti

Anuvāsana basti with hingvadi taila

Atisara marked by painful and frequent emission of blood.

Basti

Picchabasti

DISEASE PANCHAKARMA

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