NEED TO REVIEW MADHUMEHA CHIKITSA

ACCORDING TO
AYURVEDIC PATHOPHYSIOLOGY
FOR THE OPTIMUM BENEFIT OF THE PATIENT
Under the Guidance of By
Dr. N. Sridhar Dr. Vijaya Lakshmi Dwarampudi
Professor and HOD MS II Year
PG Dept of Shalya Tantra PG Dept of Shalya Tantra
Dr. BRKR Govt Ayurvedic College Dr. BRKR Govt Ayurvedic College
 EXPOSURE TO NIDANA – SANCHAYA BEGINS
USHNA-AMLA-LAVANA-KATU-KSHARA
AHARA - VIHARAS KRODHA

VIPRAKRISHTA KAPHA VATA

SANNIKRISHTA PITTA

MADHURA-AMLA-SNIGDHA-GURU
(SNIGDHADI + SHEETA) KASHAYADI RASAS
BEEJA DOSHA SHOKA-BHAYA
AVYAYAMA, DIVASWAPNA,
NO REGULAR SHODHANA
 INTERFERENCE AT SANCHAYA

PATHYA AHARA VIHARA

* FURTHER BUILD UP
ARRESTED
* EXISTING SANCHAYA
CLEARED
NIDANA PARIVARJANA
 PRAKOPA
DRAVATA OF KAPHA
INCREASES IN SWASTHANA
AT KOSHTA LEVELUTTAROTTARA
DHATU POSHANA
USHNA NIDANA PITTA DUSHTI HAMPERED

SANCHITA KAPHA AMA

VILAYANA MANIFESTS
 PITTA DRAVATA INCREASES NO SARAVAT DHATUS
RITU- AHARA- VIHARA  AGNI GUNA OF PITTA REDUCED
 JATARAGNI MANDYA
 INTERFERENCE AT PRAKOPA

NIDANA
PARIVARJANA

KAPHA-PITTA
PATHYA AHARA SHAMANA
VIHARA
 PRASARA
PROPELLS DUSHTA DRAVABHUTHA METABOLISMS AT CELLULAR
KAPHA AND PITTA LEVEL FALL

IN PLANES OF DOSHA GATI

VATA MAMSA-MEDAS-KLEDA KOSHTA → SHAKHA

PRASARA DHATU & BHUTAGATA

HETU AGNI MANDHYA
 PRAKOPAKA NIDANAS BECOMES EASY DUE TO ‘PRAG – ATI’ BHUYASTWA
 MARGAVARODHA BY KAPHA AND PITTA ASAARA- SHITHILA DHATUS OF DOSHAS IN PRAMEHA
INTERFERENCE AT PRASARA
• VRIDDHI - UTKLESHA • AGNI VARDHANA(DEEPANA
• VISHYANDANA – NIRAGNI PACHANA)
SWDANA (SWEDANA • NIDANA PARIVARJANA
contraindicated) • PATHYAHARA VIHARA
• (FOLLOWED BY SHODHANA) • SHAMANA
• PAAKA OF DOSHAS
• VAYU NIGRAHA

SHAKHA
OTHERS
TO KOSHTA
 STHANA SAMSHRAYA
ACCORDING TO THE SITE KARA-PAADA-ANGA
DAHA AND SUPTHI
KHA VAIGUNYA
LODGES MUTRAVAHA SIMILARLY ALL
THESE DOSHAS SROTAS SROTAMSI INVOLVED

LOCALISED RASAVAHA
SYMPTOMS SROTAS
MANIFEST
DOSHA-DUSHYA SHATPADA-PIPILIKA ABHISARANA OF MUTRA WITH LOCALISED
SAMMURCHANA OCCURS OTHER MUTRA DOSHAS SYMPTOMS TOO
INTERFERENCE AT STHANA SAMSRAYA

• MEDICATIONS WITH • NIDANA PARIVARJANA

SPECIFIC AFFINITY COULD • PATHYA AHARA VIHARA
BE USED AS VEHICLES • SHODHANA
• EG. GOKSHURA – • DOSHA SHAMANA
MUTRAMARGA
• HRIDAYA - ARJUNA

SROTAS-
OTHERS
SPECIFIC
 VYAKTI
 PRABHUTA MUTRATA
 AAVILA MUTRATA OJO KSHAYA LAKSHANAS -
(MADHU-IVA MUTRASARANA MURCHAADI
IN MADHUMEHA)

ALL 10 DUSHYAS DHATU SARANA VATA

INVOLVED THROUGH MUTRA VRIDDHI

ONSET OF OJAS
PATHOGNOMONIC SARANA
FEATURES
MEDAS-MAMSA-SHAREERAJA RESPECTIVE TYPE BASED ON DHATUKSHAYA NIMITTA
KLEDA-LASIKA-KAPHA-MAJJA- NATURE AND DHATU LOST IN
RASA-OJAS-SHUKRA-SHONITHA MUTRA – 20
INTERFERENCE AT VYAKTI

• PRAMEHA HARA • JEEVINIYA GANA • NIDANA PARIVARJANA

KASHAYA-LEHYA- • MAMSA RASA • PATHYA AHARA VIHARA
CHURNA- GUTIKADI • KSHEERA ADI • SHODHANA
YOGAS
• DOSHA SHAMANA
• (ACCORDING TO THE
SEVERITY AND OTHER
ASSOCIATIONS)
VYADHI
OJOVRIDDHIKARA
VIPAREETHA OTHERS
CHIKITSA
CHIKITSA
 BHEDA
• Result of bahukala anubandha with the roga.
• “prameho anushanginam”- worst among diseases with long term
association.
• The Boiling Frog Fable :
The gradual and slow accustomisation of shareera
to the pathological changes at finer levels occurs.
Body starts to accommodate the disease.
When the pathology becomes deep seated,
and when the body can no longer tolerate
the chronic changes, upadravas manifest.
 BHEDA
AS RESPONSE TO THIS CHRONIC EG. MAMSA –
STIMULUS, UPADRAVAS MANIFESTACC TO SARAVIKADI PIDAKA

DOSHA OTHER
ANUSHANGITWA VISHESHA FACTORS

UNTIL ITS BASIC

ACC TO
FUNCTIONALITIES
DOOSHYA
BEGIN TO GET
SHAREERA ACCOMODATES DISTURBED •VATA – HRIDGRAHA •RASAYANI DAURBALYA
THE DISEASE •PITTA – VRISHANAVADARANA, PANDU •NIDANA GUNAS – PRITHVI AND AP
•KAPHA – MAMSOPACHAYA, PRADHANYA OF MADHURA RASA
(DHAMANI UPALEPA)
•MAKSHIKOPASARPANA
 INTERFERENCE AT BHEDA

• UPADRAVAS SUBSIDE • WHEN REQUIRED • BASTI

ON CONTROL OF • Eg: VIDHRADHI / • (Though
ASRAYA ROGA VRANA CHIKITSA FOR contraindicated)
APAKWA / PAKWA
PRAMEHA PIDAKA

REGULAR
UPADRAVA MARMA
PRAMEHA
CHIKITSA PARIPALANA
CHIKITSA
DIVERSITY OF YOGAS AND THEIR UTILISATION
• NISHAMALAKI
• TRIPHALA
• NISHAKATAKADI KASHAYA
• CHANDRAPRABHAVATI
• VIDANGADI GHANAVATI
• TRIVANGA BHASMA
• YASHADA PREPARATIONS
• VASANTA KUSUMAKARA RASA
• MAKARADWAJA
WHERE SHOULD THE TREATMENT FOCUS ?
GLUCOSE TOLERANCE ALONE IS
NOT THE MILESTONE TO
ACHIEVE

THE SUBJECTIVE OBSERVATION

OF SYMPTOMS AND SIGNS ARE
OF GREATER IMPORTANCE
THANK YOU