tag:blogger.com,1999:blog-76547087070147602882011-11-28T06:46:18.482+05:30Ayurveda SriLankaThe Future Medicine..Ayurveda SriLankanoreply@blogger.comBlogger21125tag:blogger.com,1999:blog-7654708707014760288.post-75256613972038985512011-10-05T00:48:00.001+05:302011-10-05T14:03:54.711+05:302011-10-05T14:03:54.711+05:30Constipation<div dir="ltr" style="text-align: left;" trbidi="on">
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Constipation is one of the most
common gastrointestinal complaints in the world. Those reporting constipation
most often are women and adults ages 65 and older. <span class="Apple-style-span" style="font-size: small;"><o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><b>How it is defined the normal bowel
movement?</b><o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">The following bowel habits are
considered as normal;<o:p></o:p></span></div>
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<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Bowel movement once a day <o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Bowel movement thrice a day <o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Bowel movement once in every three days <o:p></o:p></span></li>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">According to Ayurvedic medicine,
stool [<i>Purisha</i>] is very important
since it is a component of <i>trimala</i> [three waste products] a main factor
that contributes to decide person’s health. Constipation occurs when there’s a
derangement of mainly <i>vata. </i>The
clinical definition of constipation is having any two of the following symptoms
for at least 12 weeks-not always consecutive-in the previous 12 months:<o:p></o:p></span></div>
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<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-0KKzvAB6v4s/TotVySTeLTI/AAAAAAAAAsg/QSt9cg2LG_M/s1600/constipation-3.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><img border="0" height="200" src="http://2.bp.blogspot.com/-0KKzvAB6v4s/TotVySTeLTI/AAAAAAAAAsg/QSt9cg2LG_M/s200/constipation-3.jpg" width="159" /></span></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif; font-size: x-small;">Image credit</span><br />
<span style="font-size: x-small;"><a href="http://gbengaadebayo.com/preventing-constipation/"><span class="Apple-style-span" style="font-family: Times,'Times New Roman',serif;">http://gbengaadebayo.com/preventing-constipation/</span></a></span></td></tr>
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straining during bowel movements<o:p></o:p></span></div>
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lumpy or hard stool<o:p></o:p></span></div>
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sensation of incomplete evacuation<o:p></o:p></span></div>
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sensation of anorectal blockage/obstruction<o:p></o:p></span></div>
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fewer than three bowel movements per week</span></div>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif; line-height: 18px;">Constipation is a symptom rather than a disease. There are several causes for the constipation. Mainly; dietary habits, impaired bowel movements, suppression of urge of defecation and lower GIT diseases like, haemorrhoids, fissures, anal stenosis etc. People who ignore the urge to have a bowel movement may eventually stop feeling the need to have one, which can lead to constipation. Some people delay having a bowel movement because they do not want to use toilets outside the home. Others ignore the urge because of emotional stress or because they are too busy. Children may postpone having a bowel movement because of stressful toilet training or because they do not want to interrupt their play.</span></div>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Constipation occurs when the colon
absorbs too much water or if the colon's muscle contractions are slow or
sluggish, causing the stool to move through the colon too slowly. As a result,
stools can become hard and dry. Common causes of constipation are;</span></div>
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<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font: 7pt 'Times New Roman';"> </span>Low fiber in the diet</span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Lack of physical activity
(especially in the elderly)</span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Medications: pain killers
(especially narcotics), antacids that contain aluminum and calcium,
hypertension medications (calcium channel blockers), iron supplements etc.</span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Changes in life or routine such as
pregnancy, aging, and travel</span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Abuse of laxatives- flushing out of
the body important vitamins, minerals and especially the friendly bacteria
known as flora.</span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif; line-height: 18px;">Dehydration</span></li>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">There some
specific diseases that cause constipation
including neurological disorders, metabolic and endocrine disorders, and systemic
conditions that affect organ systems. These disorders can slow the movement of
stool through the colon, rectum, or anus.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Neurological diseases</span></div>
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<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Multiple sclerosis</span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Parkinson's disease</span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Chronic idiopathic intestinal pseudo-obstruction<span style="font: 7pt 'Times New Roman';"> </span></span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Stroke<span style="font: 7pt 'Times New Roman';"> </span></span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Spinal cord injuries</span></li>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Metabolic and endocrine conditions</span></div>
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<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Diabetes</span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Uremia</span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Hypocalcaemia</span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Hypothyroidism</span></li>
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<b><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">How to prevent constipation?<o:p></o:p></span></b></div>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Add plenty of fruits, vegetables and
salads in your diet. Chew food thoroughly and eat only when hungry. High-fiber
foods include beans, whole grains and bran cereals, fresh fruits, and
vegetables such as asparagus, Brussels sprouts, cabbage, and carrots are good
for constipated people. For people prone to constipation, limiting foods that
have little or no fiber, such as ice cream, cheese, meat, and processed foods,
is also important.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Fiber-both soluble and insoluble-is
the part of fruits, vegetables, and grains that the body cannot digest. Soluble
fiber dissolves easily in water and takes on a soft, gel-like texture in the
intestines. Insoluble fiber passes through the intestines almost unchanged. The
bulk and soft texture of fiber help prevent hard, dry stools that is difficult
to pass. Both children and adults often eat too many refined and processed
foods from which the natural fiber has been removed. A low-fiber diet also
plays a key role in constipation among older adults, who may lose interest in
eating and choose foods that are quick to make or buy, such as fast foods, or
prepared foods, both of which are usually low in fiber. Also, difficulties with
chewing or swallowing may cause older people to eat soft foods that are
processed and low in fiber.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Other changes that may help treat
and prevent constipation include drinking enough water and other liquids, such
as fruit and vegetable juices and clear soups, so as not to become dehydrated,
engaging in daily exercise, and reserving enough time to have a bowel movement.
In addition, the urge to have a bowel movement should not be ignored.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Liquids add fluid to the colon and
bulk to stools, making bowel movements softer and easier to pass. People who
have problems with constipation should try to drink liquids every day. However,
liquids that contain caffeine, such as coffee and cola drinks will worsen one's
symptoms by causing dehydration. Alcohol is another beverage that causes
dehydration. It is important to drink fluids that hydrate the body, especially
when consuming caffeine containing drinks or alcoholic beverages.<o:p></o:p></span></div>
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<b><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Herbal Remedies for constipation<o:p></o:p></span></b></div>
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<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right; margin-left: 1em; text-align: right;"><tbody>
<tr><td style="text-align: center;"><span style="font-size: x-small;"><a href="http://2.bp.blogspot.com/-wlU6OjBR3U8/TotWBT_VrkI/AAAAAAAAAsk/LG1uBWYgKxg/s1600/natural-remedies-for-constipation.gif" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><img border="0" src="http://2.bp.blogspot.com/-wlU6OjBR3U8/TotWBT_VrkI/AAAAAAAAAsk/LG1uBWYgKxg/s1600/natural-remedies-for-constipation.gif" /></span></a></span></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif; font-size: x-small;">Image credit</span><br />
<span style="font-size: x-small;"><a href="http://www.health-reply.com/constipation-natural-remedies/"><span class="Apple-style-span" style="font-family: Times,'Times New Roman',serif;">http://www.health-reply.com/constipation-natural-remedies/</span></a></span></td></tr>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Ayurvedic remedies for constipation
are different than standard medications. While the traditional laxatives
provide relief, they do not cure the underlying causes. On the other hand the
particular Ayurvedic remedies tackle the problem from different fronts, balancing
the particular effected doshas in the process. Though I mention some of the
common remedies here, I highly recommend you to meet your Ayurvedic physician
for a better relief from constipation.<o:p></o:p></span></div>
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<ul style="text-align: left;">
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Infusion of Triphala powder [5g in 120 ml warm water] twice
a day.</span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Ripe bael fruit is regarded as best of all laxatives. It
cleans and tones up the intestines and a very effective home remedy for
constipation.</span></li>
<li><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">One or two teaspoons of aloe gel can be taken twice a day.</span></li>
</ul>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">You can find an interesting article about elimination </span><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">and some good herbal
medicines for constipation </span><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">here<br /><a href="http://www.kitchendoctor.com/midlife_tuneup/colon_cleanse.php">http://www.kitchendoctor.com/midlife_tuneup/colon_cleanse.php</a></span></div>
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<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><a href="http://www.ayurvedicbazaar.com/elimination.php">http://www.ayurvedicbazaar.com/elimination.php</a><o:p></o:p></span></div>
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<span style="font-family: Arial,Helvetica,sans-serif; line-height: 115%;">May all beings be healthy!<o:p></o:p></span></div>
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<span style="font-family: Arial,Helvetica,sans-serif; line-height: 115%;"><br /></span></div>
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<span style="line-height: 115%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Dr. Indunil Weerarathne</span><span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 12pt;"><o:p></o:p></span></span></div>
</div>
<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-7525661397203898551?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-73365096264185969732011-07-29T20:46:00.002+05:302011-10-05T20:29:38.405+05:302011-10-05T20:29:38.405+05:30Diarrhoea - Atisara<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://1.bp.blogspot.com/-eOLfJ2vJ6AY/TjK9OEB8LNI/AAAAAAAAAsc/37dDmVW2swo/s1600/Diarrhea-Treatment-Health-Article.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><img border="0" height="200" src="http://1.bp.blogspot.com/-eOLfJ2vJ6AY/TjK9OEB8LNI/AAAAAAAAAsc/37dDmVW2swo/s200/Diarrhea-Treatment-Health-Article.jpg" width="200" /></span></a></div>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Diarrhea- <em>Atisara</em> in Sanskrit means "excessive passage of watery
stools"- "<em>Ativa sarati iti Atisaram</em>". Diarrheal disease is the second
leading cause of death in children under five years old and is responsible for
killing 1.5 million children every year. It is defined as the passage of three
or looser or liquid stools per day or more frequently than is normal for the
individual [WHO].</span><br />
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">According to Ayurveda diarrhea is categorized
under the diseases caused by <em>Agni mandya</em>- impaired digestive power. If
we analyze the causes of diarrhea, we could conspicuously see almost all the
causes end up with <em>Agni mandya</em>. According to the Ayurvedic medicine, <em><a href="http://jeevthaya.blogspot.com/2010/08/concept-of-agni.html" target="_blank">Jatharagni</a></em> [digestive power] consists of mainly three
components; <em>Pachaka Pita</em>, <em>Samana Vata</em> and <em>Kledaka
Kapha.</em> Imbalance between any of these
<em>doshas</em> causes <em>Agni mandya,</em> mainly <em>Kledaka Kapha</em> and
<em>Samana Vata.</em> For instance, an oil lamp lights with the aid of oil, air
and fire. If there is excessive oil by any means, it would be extinguished as
well as with the excessive air. But the action of the air varies from time to
time. Here, air resembles with <em>Samana Vata</em> and oil with <em>Kledaka
Kapha</em>. The result of <em>Agni mandya</em> is the accumulation of
<em>ama</em> [undigested food particles] within the digestive tract, and it
leads to diarrhea.</span></div>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><br /></span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">You would ask about the infectious diarrhea. Does Ayurvedic Medicine describe
only about the concepts of <em>doshas</em>? The answer is "No". It describes that
diarrhea can also be caused by <em>Krimi</em>- worms/ micro-organisms. Like
modern medicine, Ayurvedic Medicine has also mentioned several types of
diarrhea. However, one of the latest types of diarrhea is radiation induced
Diarrhea. I am not going to compare both allopathic
and ayurvedic types, but I assume that radiation induced diarrhea co-relates
with <em>Vataja Atisara,</em> which is mainly due to vitiation of <em>Vata.</em>
Radiation damages the cells of the body. Any damage to the cells causes "<em>Dhatu Kshaya</em>" - destruction of <em><a href="http://jeevthaya.blogspot.com/2010/08/concept-of-dhatus.html" target="_blank">Dhatu</a></em>. With the destruction of <em>Dhatu,</em> absorption
of the food from the small intestines is defected. Then it causes a reverse effect on the <em>Jatharagni</em> [digestive power],
and the result is the accumulation of <em>ama</em></span><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">. According to some of
the modern concepts, radiation-induced diarrhea results from motility
disturbances. Radiation damages the smooth muscles of small intestines, and
hence bacterial overgrowth, which leads to diarrhea.<br /><a href="http://www.jci.org/articles/view/18326">http://www.jci.org/articles/view/18326</a></span><br />
<br />
<br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><br /></span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">How do you manage a patient suffering from diarrhea? In any event, the
patient should not be given heavy foods, but a light and thinly liquid diet.
Gruels [Yavagu] prepared with the admixture of digestive drugs can be given in
their proper order. In a case marked by colic and flatulent distension of the
abdomen, fasting should be first advised.</span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><br /></span><br />
<strong><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Herbal remedies for the diarrhea</span></strong><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Drinking a ginger tea digests <em>ama</em> and it increases appetite as well.
A mixture of ginger juice with honey is also useful. Hingwashtak, Trikatu
and Bilva fruit powders are good remedies, which increase appetite as well as digest <em>ama</em>.
Nutmeg is the households remedy for treating loose motions. It reduces unwanted
mobility of the intestine, relieves colic and controls loose motions. Infusion
of slightly toasted cumin in boiled water is also effective. Then Kutaja
(<em>Holarrhena antidysenterica</em>) powder can be given with honey.
Pomegranate juice/ powder cures the loose motion and also increases the
digestive capacity. Can these herbs use even in radiation-induced diarrhea? Probably
Yes, because almost all the herbs are radio-protective as well.</span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><br /></span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">You can find some good products for diarrhea from the following websites.</span><br />
<a href="http://www.ayurvedicbazaar.com/digestion.php"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">http://www.ayurvedicbazaar.com/digestion.php</span></a><br />
<a href="http://www.sacred-medicine.org/ayurveda/parasites.php"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">http://www.sacred-medicine.org/ayurveda/parasites.php</span></a><br />
<a href="http://www.sacred-medicine.org/ayurveda/fruit_powders.php"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">http://www.sacred-medicine.org/ayurveda/fruit_powders.php</span></a><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><br /></span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><br /></span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Dr. Indunil Weerarathne</span></div>
<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-7336509626418596973?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-84511307892094152282010-11-14T01:58:00.004+05:302011-10-05T20:31:12.721+05:302011-10-05T20:31:12.721+05:30Flood borne diseases<div dir="ltr" style="text-align: left;" trbidi="on">
<div dir="ltr" style="text-align: left;">
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<tr><td style="text-align: center;"><a href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TN7dXwbcZBI/AAAAAAAAAlc/SpwaXRPvTew/s1600/r3581096235.jpg" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><img alt="" border="0" height="198" src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TN7dXwbcZBI/AAAAAAAAAlc/SpwaXRPvTew/s320/r3581096235.jpg" width="320" /></span></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Image credit: www.lankapage.com</span></td></tr>
</tbody></table>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">This post is going to be little special as there's a special reason to write this. Colombo received highest rainfall in 18 years and many roads in Colombo and its suburbs have also been inundated as a result of the heavy rains. Nearly 186,900 people, the majority of them in Colombo, have been affected as of 11 November, according to the National Disaster Management Centre (DMC).</span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">However I'm not going to give you a report of the rain. But as you know, there is a possibility of epidemic diseases spreading in the country due to the recent floods in various parts of the island. The Epidemiology Unit of the Ministry of Health announced the risk of the spreading of dysentery diseases, skin diseases and respiratory diseases and especially they pointed out that their could be an increase in the spread of the Influenza A (H1N1) virus.</span></div>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">According to WHO, floods can potentially increase the transmission of the following communicable diseases:</span><br />
<ul class="disc">
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Water-borne diseases, such as typhoid fever, cholera, leptospirosis and hepatitis A</span></li>
</ul>
<ul>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Vector-borne diseases, such as malaria, dengue and dengue haemorrhagic fever, yellow fever. </span></li>
</ul>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">And also various skin and soft tissue infections such as;<br />Impetigo, Cellulitis, Furuncles (staphylococcal), Scabies, Lice, Athlete’s foot, Eczema, Fungi and other skin allergies.</span><br />
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" 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" width="400" /></span></a></div>
<strong><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Typhoid fever - </span></strong><br />
<ul>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">High fever</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Malaise</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Headache</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Constipation or diarrhoea</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Rose-coloured spots on the chest</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Enlarged spleen and liver.</span></li>
</ul>
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<a href="http://commons.wikipedia.org/wiki/File:Cholerabaracke-HH-1892.gif" style="clear: right; display: block; float: right; margin-left: 1em; margin-right: 1em;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><img alt="Cholerabaracke in Hamburg während der Cholerae..." height="136" src="http://upload.wikimedia.org/wikipedia/commons/f/fc/Cholerabaracke-HH-1892.gif" style="border: none; font-size: 0.8em;" width="200" /></span></a><span class="zemanta-img-attribution" style="clear: right; float: right; margin-left: 1em; margin-right: 1em; width: 200px;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"> <span class="Apple-style-span" style="font-size: x-small;">Image via <a href="http://commons.wikipedia.org/wiki/File:Cholerabaracke-HH-1892.gif">Wikipedia</a></span></span></span></div>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><strong>Cholera -</strong><br />Symptoms usually start suddenly, one to five days after ingestion of the bacteria.<strong> </strong></span><br />
<ul>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Profuse painless diarrhoea which is "rice water" in nature and may have a fishy odor.</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Vomiting of clear fluid. </span></li>
</ul>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><strong>Leptospirosis - </strong>It<strong> </strong>is transmitted to humans by exposure of abraded skin or mucous membranes [nasal, oral or eye] to water or wet soil or food and water that has been contaminated by urine from asymptomatic chronically infected animals, especially rodents.</span><br />
<ul>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Initial symptoms - Abrupt onset of fever, Chills, Muscle pain esp. in calf muscles and back, Headache, Cough, Nausea, Vomiting, Diarrhoea and Red eyes.</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Second phase of disease occurs after a short period of relative well being. They can present with; Aseptic meningitis, Myocarditis, Pneumonia, Nephritis and Hepatitis with jaundice.</span></li>
</ul>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><strong>Hepatitis A</strong> - </span><br />
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<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Prodrome<br /> </span><ul type="circle">
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Patients may have mild flu like symptoms of anorexia, nausea and vomiting, fatigue, malaise, low-grade fever (usually <39.5°C), myalgia, and mild headache.</span></li>
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<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Icteric phase<br /> </span><ul type="circle">
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Dark urine appears first (bilirubinuria).</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Pale stool. </span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Jaundice occurs in most (70-85%) adults with acute hepatitis A virus infection </span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Abdominal pain occurs in approximately 40% of patients.</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Itch (pruritus) is generally accompanied by jaundice.</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Arthralgias and skin rash. Rash more often occurs on the lower limbs and may have a vasculitic appearance.</span></li>
</ul>
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</ul>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><strong>Malaria</strong> -<br />Caused by single-cell parasitic protozoa <em>Plasmodium</em>; transmitted to humans via the bite of the female Anopheles mosquito. Parasites multiply in the liver attacking red blood cells resulting;</span><br />
<ul>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Cycles of fever</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Chills</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Sweats</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Anemia</span></li>
</ul>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><strong>Dengue and Dengue hemorrhagic fever - </strong></span><br />
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<a href="http://commons.wikipedia.org/wiki/File:Aedes_aegypti.jpg" style="clear: right; display: block; float: right; margin-left: 1em; margin-right: 1em;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><img alt="Aedes aegypti in Dar es Salaam, Tanzania" height="133" src="http://upload.wikimedia.org/wikipedia/commons/thumb/d/d0/Aedes_aegypti.jpg/300px-Aedes_aegypti.jpg" style="border: medium none; font-size: 0.8em;" width="200" /></span></a><span class="zemanta-img-attribution" style="clear: right; float: right; margin-left: 1em; margin-right: 1em; width: 300px;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"> <span class="Apple-style-span" style="font-size: x-small;">Image via <a href="http://commons.wikipedia.org/wiki/File:Aedes_aegypti.jpg">Wikipedia</a></span></span></span></div>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">The clinical features of dengue fever vary according to the age of the patient.</span><br />
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<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Infants and young children may have a fever with rash.</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Older children and adults may have either a mild fever or the classical incapacitating disease with abrupt onset and high fever, severe headache, pain behind the eyes, muscle and joint pains, and rash.</span></li>
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Dengue hemorrhagic fever (DHF) is a potentially deadly complication that is characterized by high fever, often with enlargement of the liver, and in severe cases circulatory failure. The illness often begins with a sudden rise in temperature accompanied by facial flush and other flu-like symptoms. The fever usually continues for two to seven days and can be as high as 41°C, possibly with convulsions and other complications.</span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><strong><br /></strong></span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><strong>Yellow fever -</strong><br />Infection can occur in one or two phases.<br />The first, "acute", phase usually causes;</span><br />
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<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Fever </span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Muscle pain with prominent backache</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Headache </span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Shivers</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Loss of appetite</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Nausea or vomiting. </span></li>
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">However, 15% of patients enter a second, more toxic phase within 24 hours of the initial remission. High fever returns and several body systems are affected. The patient rapidly develops jaundice and complains of abdominal pain with vomiting. Bleeding can occur from the mouth, nose, eyes or stomach. Once this happens, blood appears in the vomit and faeces. Kidney function deteriorates. Half of the patients who enter the toxic phase die within 10 to 14 days, the rest recover without significant organ damage.</span><br />
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><strong>Swine flu</strong> -<br />It affects the upper respiratory tract and its symptoms are similar to that of the Human Influenza Virus.</span><br />
<ul>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Sore throat</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Headaches</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Fever with chills</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Aching limbs</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Fatigue</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Running nose</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Diarrhoea</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Vomiting</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Pneumonia and respiratory failure [signs of a more serious swine flu infection] </span></li>
</ul>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><strong>How to avoid Flood borne diseases:</strong><br />1. Hygiene and clean water:<br />Cleanliness is the most important aspect of protection against diseases. Clean food, air and surroundings are all essential aspects.<br />-Drink boiled water only.<br />-Wash vegetables with clean water and steam them well to kill germs.<br />-Avoid eating uncooked foods and salads.<br />-Drink plenty of water and keep your body well hydrated.<br />-Do not allow kids to play in stagnant polluted water filled puddles.<br />-Always wear dry and clean clothes.<br />-Lime juice, Cloves will help to prevent GIT infections like Cholera, Dysentery etc.</span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">2. Vector control:<br />Insect repellants may be used.<br />-Fumigating the house with smoke of dried Neem leaves in evenings for 1-2 minutes is an excellent ayurvedic method to keep mosquitoes away.<br />-Tulsi is also used as a mosquito repellant.</span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">3. Control of Skin diseases:<br />Walking in dirty water during rainy season leads to numerous fungal infections which affect toes and nails. Diabetic patients have to take a special care about their feet.<br />-Always keep your feet dry and clean.<br />-Avoid walking in dirty water.<br />-Keep your shoes, socks and raincoats dry and clean.<br />-Drying clothes with fumes of Loban and dry Neem leaves is recommended in ayurvedic texts.<br />-Apply castor oil or sesame oil for cracked feet and skin.<br />-A freshly prepared paste of turmeric, neem and sesame seeds is recommended in Ayurveda for fungal infection between toes.</span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">4. Control of respiratory diseases:<br />Precautions have to be taken to prevent dampness and growth of fungus (mold) on and around the house especially where asthmatic patients live.<br />-Spray the walls with cinnamon to prevent mold growth.<br />-A pinch each of long pepper powder and rock salt mixed in warm water reduces cough.<br />-Ginger tea is good in boosting immunity as well as digesting toxins.</span><br />
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<strong><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Herbs and drugs that can be used in epidemics: </span></strong><br />
<ul>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Cumin, Fennel, Coriander, Turmeric, Ginger and Asafoetida are good immune boosters in any condition.</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Nawarathna Kalka - Diarrhea, Abdominal pain and vomiting</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Buddaraja Kalka - Cough, Breathlessness and Bronchial Asthma</span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Seetharama Vati, Sudardhana powder- Fever </span></li>
<li><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Sarvavishadi Thailaya- Boils abscesses, Ulcers, Skin ailments </span></li>
</ul>
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Ayurveda Sri Lanka invites you to gather to help displaced people to return back their homes.</span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Finally I would like to thank my dear friend who reinforced me to share this post with you.</span><br />
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Dr. Indunil Weerarathne</span></div>
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<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-8451130789209415228?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com1tag:blogger.com,1999:blog-7654708707014760288.post-55962163985844322392010-09-06T14:13:00.007+05:302011-10-05T20:53:03.286+05:302011-10-05T20:53:03.286+05:30Vibhitaka - Terminalia Belerica<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="color: #999999; font-size: small;">For thousands of years Asians alike have used <em>Terminalia belerica</em> for its tonic effects. The Sanskrit name <em>Vibhitaka</em> means “The one who stays away from all illness”.<em> Terminalia belerica</em> is a large deciduous tree which is an ingredient in <em>Triphala</em> and has rejuvenating, cardio-protective, antacid, antioxidant and antibacterial properties.</span></div>
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<span style="color: #999999; font-size: small;"><strong>Kingdom</strong> : Plantae</span></div>
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<span style="color: #999999; font-size: small;"><strong>Division : </strong>Magnoliophyta</span></div>
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<span style="color: #999999; font-size: small;"><strong>Class :</strong> Magnoliopsida</span></div>
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<span style="color: #999999; font-size: small;"><strong>Family : </strong>Combretaceae</span></div>
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<span style="color: #999999; font-size: small;"><strong>Species : </strong><em>Terminalia belerica<strong> </strong></em></span></div>
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<span style="color: #999999; font-size: small;"><strong>P</strong><strong>art Used : </strong>Fruits</span></div>
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<span style="color: #999999; font-size: small;"><strong>Habitat : </strong>Grown throughout India, Sri Lanka</span></div>
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<a href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TISnbvVZVCI/AAAAAAAAAdE/D8uoBrHk0RE/s1600/20534_246721019203_217540509203_3074212_6314855_n.jpg" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="color: #999999;"><img alt="" border="0" height="320" src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TISnbvVZVCI/AAAAAAAAAdE/D8uoBrHk0RE/s320/20534_246721019203_217540509203_3074212_6314855_n.jpg" width="240" /></span></a><span style="color: #999999; font-size: small;"><strong>Common Name(s) : </strong></span></div>
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<span style="color: #999999; font-size: small;">Beleric, Belliric Myrobalan [English]</span></div>
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<span style="color: #999999; font-size: small;">Bulu [Sinhala]</span></div>
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<span style="color: #999999; font-size: small;">Vibhitaka [Sanskrit]</span></div>
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<span style="color: #999999; font-size: small;">Bahera [Hindi]</span></div>
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<span style="color: #999999; font-size: small;">Akkam [Tamil]</span></div>
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<span style="color: #999999; font-size: small;"><strong>Properties of <em>Vibhitaka</em>: </strong></span></div>
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<span style="color: #999999;"><span style="font-size: small;">Rasa [Taste]: Kashaya [astringent] <br />Guna [Attribute]: Ruksha [Dry] , Laghu [Lightness] <br />Veerya [Potency]: Ushna [Hot] <br />Vipaka [Post-digestive effect]: Madhura [Sweet</span><span style="font-size: small;">]</span></span></div>
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<span style="color: #999999; font-size: small;"><strong>Chemical composition: </strong></span></div>
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<span style="color: #999999; font-size: small;">Triterpenoids including belleric acid, b-sitosterol</span></div>
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<span style="color: #999999; font-size: small;">Saponin glycosides, bellericoside and bellericanin.</span></div>
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<span style="color: #999999; font-size: small;"><strong>Therapeutic actions:</strong></span></div>
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<span style="color: #999999; font-size: small;">Bhedana - Softenes the hard, impacted feces in the rectum</span></div>
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<span style="color: #999999; font-size: small;">Netrahita - Good for eyes</span></div>
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<span style="color: #999999; font-size: small;">Keshya - Rejuvenates hair</span></div>
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<span style="color: #999999; font-size: small;">Vaiswarya nashana - Useful in hoarseness of voice involving any etiology</span></div>
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<span style="color: #999999; font-size: small;">Madakari - Natural sedative, so very useful in disturbances like insomnia etc.</span></div>
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<span style="color: #999999; font-size: small;">Kasahara - Useful in management of cough</span></div>
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<span style="color: #999999; font-size: small;">Kriminashana - Helps in management of infectious conditions in general</span></div>
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<span style="color: #999999; font-size: small;">Trit Chardi hara - Relieves excessive thirst, nausea and vomitting</span></div>
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<tr><td style="text-align: center;"><span style="color: #999999; font-size: small;"><a href="http://www.helpfulhealthtips.com/wp-content/uploads/2010/06/Terminalia-Belerica4.jpg" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="http://www.helpfulhealthtips.com/wp-content/uploads/2010/06/Terminalia-Belerica4.jpg" border="0" height="211" src="http://www.helpfulhealthtips.com/wp-content/uploads/2010/06/Terminalia-Belerica4.jpg" width="320" /></a></span></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="color: #999999; font-size: small;"><span style="font-size: x-small;">Image via http://www.helpfulhealthtips.com/search/diarrhea/page/2/</span> </span></td></tr>
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<span style="color: #999999; font-size: small;">Terminalia belerica calms Pitta and Kapha and effectively frees energy flow. It cleanses digestion, blood, muscle and fatty tissue. Terminalia belerica is a highly respected Rasayana (tonic), especially for the eyes. Generally it increases the adaptability of the body. Charaka declared it ideal for balancing fire energy, <em>Pitta</em> and earth energy, <em>Kapha</em>. And also it has optimal influence on fat-metabolism and cholesterol.</span></div>
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<span style="color: #999999;"><span style="font-size: small;">Especially it helps in diseases of <em>Rasa, Rakta, Mamsa</em> and <em>Medas Dhatus</em>. </span><span style="font-size: small;"><em>Terminalia belerica</em></span><span style="font-size: small;"><strong> </strong>works specially on throat and</span><span style="font-size: small;"> upper GIT, and have curative effect on hoarseness of voice, excessive thirst, nausea and vomiting. (<em>Charaka Samhita</em>)</span></span></div>
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<span class="Apple-style-span" style="color: #999999;">Dr. Indunil Weerarathne</span><br />
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<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-5596216398584432239?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-79869419168223735002010-09-05T11:11:00.005+05:302011-10-05T20:55:03.500+05:302011-10-05T20:55:03.500+05:30Haritaki- Terminalia chebula<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-size: small;"><a href="http://www.facebook.com/photo.php?pid=3074212&id=217540509203" id="myphotolink" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img alt="" height="200" id="myphoto" src="http://sphotos.ak.fbcdn.net/hphotos-ak-snc3/hs198.snc3/20534_246721004203_217540509203_3074211_262467_n.jpg" width="150" /></a></span><span style="font-size: small;">Haritaki is described as the ‘remover of diseases’. Hara is also the name of Lord Shiva, thus reflecting the sacred nature and exalted position of the plant but it literally means ‘green’ like the fruit. It is also ‘Abhaya’ or ‘fearless’ of any disease. It is said to have originated when a d<span class="rg_ctlv"> </span></span><span style="font-size: small;">rop of immortal nectar (amrita) fell from heaven to earth. It is considered to be the best herb for the digestive system and lungs.</span><span style="font-size: small;"><span style="font-size: x-small;"><strong> </strong></span></span></div>
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<a href="http://t2.gstatic.com/images?q=tbn:rWnq5ksv843-LM:http://www.craftsinindia.com/newcraftsimages/medicine-buddha-statue-gold-plated.jpg&t=1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img alt="" border="0" height="200" id="il_fi" src="http://t2.gstatic.com/images?q=tbn:rWnq5ksv843-LM:http://www.craftsinindia.com/newcraftsimages/medicine-buddha-statue-gold-plated.jpg&t=1" style="padding-right: 30px;" width="200" /></a><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"></span><br />
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: small;">There are 7 types of Haritaki – vijaya, rohini, putana, amrita, abhaya, jivanti and cetaki – which grow in different areas of India. Vijaya, growing in the Vindhaya Mountains, is a rounder fruit and is said to be the best. Rohini grows in Northern India (Paithan), Putana grows in Southern Pakistan (Sindhu), Amrita and Abhaya varieties grow in Bhagalpur district in Eastern India in Bihar, Jivanti in Saurashthra and Cetaki in the Himalayas.</span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"><br />• Haritaki is a very large tree growing throughout the deciduous forests of India and Sri Lanka.<br />• Images of the Medicine Buddha show him holding Terminalia chebula. This represents the</span><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"> respect and awe that Haritaki was held in for maintaining health and curing disease.</span></div>
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<a href="http://2.bp.blogspot.com/_iTWYu-l8A0k/TIMrEIeRJAI/AAAAAAAAAc8/nEPaBIwC3pU/s1600/Aral.jpg" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img alt="" border="0" height="123" src="http://2.bp.blogspot.com/_iTWYu-l8A0k/TIMrEIeRJAI/AAAAAAAAAc8/nEPaBIwC3pU/s200/Aral.jpg" width="200" /></a><span style="font-size: small;"><strong>Popular Name(s):</strong> </span></div>
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<span style="font-size: small;">Chebulic Myrobalan [English]</span></div>
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<span style="font-size: small;">Aralu [Sinhala]</span></div>
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<span style="font-size: small;">Haritaki [Sanskrit, Bengali]</span></div>
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<span style="font-size: small;">Harad [Hindi]</span></div>
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<span style="font-size: small;">Kadukkaya [Tamil]</span></div>
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<span style="font-size: small;"><strong>Parts Used:</strong> Fruit, Root, Bark. </span></div>
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<span style="font-size: small;"><strong>Habitat:</strong> Grown throughout India, Sri Lanka at an altitude of 1000 - 3000 ft.</span></div>
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<span style="font-size: small;"><a href="http://video.lankadeepa.lk/videos/64/aralu">http://video.lankadeepa.lk/videos/64/aralu</a></span></div>
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<span style="font-size: small;"><strong>Properties</strong>: </span></div>
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<span style="font-size: small;">Rasa [Taste]- Madura [Sweet], Amla [Sour], Katu [Pugent], Tikta [Bitter], Kashaya [Astringent]</span></div>
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<span style="font-size: small;">Guna [Attributes]- Laghu [Lighteness], Ruksha [Dryness]</span></div>
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<span style="font-size: small;">Veerya [Potency]- Ushna [Hot]</span></div>
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<span style="font-size: small;">Vipaka [post-digestive effect]- Madhura [Sweet]</span></div>
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<span style="font-size: small;"><strong>Chemical composition:</strong></span></div>
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<span style="font-size: small;">Tannins – tannic acid up to 45%, gallic acid, chebulic acid<br />Mucilage<br />Anthraquinones - sennoside A<br />Triterpenoid glycosides - chebulosides, arjunin</span></div>
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<span style="font-size: small;"><span style="font-size: small;"><a href="http://www.herbalcureindia.com/herbs/terminalia-chebula.htm">http://www.herbalcureindia.com/herbs/terminalia-chebula.htm </a></span></span></div>
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<span style="font-size: small;"><strong>Bio-Medical action</strong>Laxative, astringent, anthelmintic, nervine, expectorant, tonic</span></div>
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<span style="font-size: small;"> <br /><strong>Specific Action:</strong> Rejuvenating</span></div>
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<span style="font-size: small;"> <br /><strong>Therapeutic Action:</strong></span></div>
<span style="font-size: small;"><span style="font-family: Arial, Helvetica, sans-serif;">Deepaniya- Increases appetite</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Rasayana- Rejuvenative; especially to vata and the large intestine (purishavaha srotas)</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Brimhana- Nourishing</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Yogavahi- Catalyst enhancing the action of other herbs</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Pachana- Digestive</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Grahi- Absorbs fluids from the intestines (water decoction)</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Lekhaniya- Scrapes accumulations from the tissues and channels</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Chakshushya- Improves the eyesight</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Anuloma- Corrects the flow of vata downwards</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Stanyashodhana- Purifies breast milk</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Rechan- Purgative</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Vibandha hara- Alleviates constipation</span><span class="rg_ctlv"> </span></span><span style="font-size: small;"><span style="font-family: Arial, Helvetica, sans-serif;"> </span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Kasahara- Anti-tussive</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Medhya- Improves intellect</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Ayurvardhak- Increases longevity</span><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;"> Arshoghna- Anti-haemorrhoidal</span></span><br />
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<span style="font-size: small;"><strong>Dosage:</strong><br />3–9g/day in a decoction, 250mg–5g as powder, or 3–12ml/day of a 1:3 @ 25% tincture.</span></div>
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<span style="font-size: small;"><strong style="font-family: Arial,Helvetica,sans-serif;">Contraindications:</strong><br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial, Helvetica, sans-serif;">Do not use during pregnancy due to its laxative and descending nature.</span></span><br />
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Dr. Indunil Weerarathne</span></div>
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<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-7986941916822373500?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-57597570614130369852010-08-28T22:48:00.004+05:302011-10-05T21:00:37.394+05:302011-10-05T21:00:37.394+05:30Ojas<div dir="ltr" style="text-align: left;" trbidi="on">
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<em>Ojas</em> is very important substance present in the body. It is the sap of one's life energy which is equated with immunity. Ojas is predominantly <em>Apya</em> in nature and resembles <em>Kapha</em>.<br />
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<strong>Qualities of <em>Ojas</em>:</strong><br /> * Shita [Cold]<br /> * Snigdha [Unctuousness, Viscidity]<br /> * Shlakshna [Smoothness]<br /> * Picchila [Slimy]<br /> * Mrudu [Softness]<br /> * Bahala [Thickness]<br /> * Guru [Heavy]<br /> * Madhura [Sweet]<br />
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<strong>What are the types of <em>Ojas</em>?</strong><br /> 1. Para Ojas : Present in Heart. The loss of Para ojas leads to loss of life, hence it is considered as one of the <em>Pranayatana</em> [Supports of life].<br />Quantity- 8 <em>bindus</em> [drops]. Colour- Slightly red or yellow. <br /> 2. Apara Ojas<em> </em>: Present in each of the <em>dhatus </em>as their saara <em>Rasojas, Raktojas</em> and so on, depending upon the name of the <em>dhatus</em>.<br />
<em>Apara Ojas</em> is responsible for the;<br />
<ul>
<li>Bala [Strenghth]</li>
<li>Sthiratwa [Stability]</li>
<li>Upacita mamsata [Good development of the muscles]</li>
<li>Svaravarna prasada [Bestowing of good voice and complexion]</li>
</ul>
<em>Bala</em> [Strength] of the body is of two kinds;<br /><em>Karya shakti</em> [Capacity to do physical and mental work] and <em>Vyadhikshamatwa</em> [Capacity to resist diseases].<br />
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<strong>Vyadhikshamatwa:</strong> There are two kinds of <em>Vyadhikshamatwa</em> [Resistance and Immunity];<br />
<ul>
<li>Vyadhyutpada pratibandhakatwa - Capacity to prevent the onset of a disease.</li>
<li>Vyadhi balanirodhakatwa - Capacity to restrain the severity of a disease.</li>
</ul>
It is also devided as;<br />
<ul>
<li> Sahaja [Inborn]</li>
<li>Kalaja [Tmely] - Related to season, periods of life eg: Childhood, middle age, old age.</li>
<li>Yuktikrta [Artificially produced] - By use of potent drugs, amulets, gems or administration of vaccines in the present day.</li>
</ul>
<strong>Features of the Increase of Ojas [Ojas Vrddhi]:</strong><br />
<ul>
<li>Tushti [Contentment / Satisfaction]</li>
<li>Pushti [ Nourishment]</li>
<li>Balodaya [Improvement of strength to resist diseases]</li>
<li>Prolonged life</li>
</ul>
<strong>Features of the decrease of Ojas [Ojas kshaya]:</strong><br />
<ul>
<li>Weakness of the body <strong> </strong></li>
<li>Short lifespan<strong> </strong></li>
<li>Death<strong> </strong></li>
</ul>
<strong>What are the causes of Ojas Kshaya?</strong><br />
<ul>
<li>Too much of physical activity</li>
<li>Absence of food</li>
<li>Very little food intake</li>
<li>Intake of dry food and alcoholic beverages</li>
<li>Hunger<br /><strong> </strong></li>
<li>Too much of thinking, worry, grief, anger, fear</li>
<li>Keeping awake</li>
<li>Injury</li>
<li>Micro-organisms eg: bacterias</li>
<li>Depletion of Dhatus [Tissues]</li>
<li>Too much of elimination of <em>Kapha</em>, blood, semen and waste products</li>
<li>Ingestion of poisons</li>
</ul>
So long as <em>Ojas</em> is present in sufficient quantity in the dhatus, it does not allow the doshas to cause abnormilities of the dhatus. It prevents <em>dosha-dushya sammurchana</em> [union of abnormal <em>doshas</em> and <em>dhatus</em>], offers resistance to any cause which brings about abnormalities in the <em>dhatus</em>, defends the body and prevents the onset of the diseases.<br />
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Dr. Indunil Weerarathne</span><br />
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<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-5759757061413036985?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-778231996531101052010-08-22T00:42:00.007+05:302011-05-15T08:27:09.938+05:302011-05-15T08:27:09.938+05:30The concept of 'Dhatus'<div style="text-align: left;" dir="ltr"><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"> </span><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"> </span><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"> </span><br /><br /><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The basic tissue elements of the body are known as <em>dhatus</em> in Ayurveda. The term dhatu etymologically means, one which assists the body or which enters into the formation of the basic structure of the body as a whole.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em>"Dadhati dharayati shareera samwardhanath iti dhatu:"</em> Su/ Chi/ 3/ 21 Dalhana</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><table class="tr-caption-container" style="float: right; font-family: Arial,Helvetica,sans-serif; margin-left: 1em; text-align: right;" cellspacing="0" cellpadding="0"><tbody><tr><td style="text-align: center;"><span style="font-size: small;"><a style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;" href="javascript:window.close()"><img src="http://ayurvedaposters.com/.media/955000443703.png" border="0" alt="sapta dhatu, ayurveda, seven tissues, rasa dhatu" /></a></span></td></tr><tr><td class="tr-caption" style="text-align: center;"><span style="font-size: x-small;">Image via http://ayurvedaposters.com</span></td></tr></tbody></table><div style="font-family: Arial,Helvetica,sans-serif; text-align: left;"><span style="font-size: small;"><strong>Primary Dhatus: </strong>There are seven types of <em>dhatus</em> called <em>Sapta dhatus</em><strong><br /></strong></span></div><ol style="font-family: Arial,Helvetica,sans-serif; margin-bottom: 0in; margin-top: 0in; text-align: left;" type="1"><li class="MsoNormal"><span style="font-size: small;"><strong> Rasa dhatu</strong></span><span style="font-size: small;"> (Chyle, including lymph, Nutrient fluid) </span></li></ol> <ol style="font-family: Arial,Helvetica,sans-serif; margin-bottom: 0in; margin-top: 0in; text-align: left;" type="1"><li class="MsoNormal"><span style="font-size: small;"><strong> Rakta dhatu</strong></span><span style="font-size: small;"> (Blood tissue- the haemoglobin fraction of blood) </span></li></ol> <ol style="font-family: Arial,Helvetica,sans-serif; margin-bottom: 0in; margin-top: 0in; text-align: left;" type="1"><li class="MsoNormal"><span style="font-size: small;"><strong> Mamsa dhatu</strong></span><span style="font-size: small;"> (Muscle tissue) </span></li></ol> <ol style="font-family: Arial,Helvetica,sans-serif; margin-bottom: 0in; margin-top: 0in; text-align: left;" type="1"><li class="MsoNormal"><span style="font-size: small;"><strong> Medas dhatu</strong></span><span style="font-size: small;"> (Adipose tissue) </span></li></ol> <ol style="font-family: Arial,Helvetica,sans-serif; margin-bottom: 0in; margin-top: 0in; text-align: left;" type="1"><li class="MsoNormal"><span style="font-size: small;"><strong> Asthi dhatu</strong></span><span style="font-size: small;"> (Bony tissue) </span></li></ol> <ol style="font-family: Arial,Helvetica,sans-serif; margin-bottom: 0in; margin-top: 0in; text-align: left;" type="1"><li class="MsoNormal"><span style="font-size: small;"><strong> Majja dhatu</strong></span><span style="font-size: small;"> (Bone marrow and nervous tissue) </span></li></ol> <ol style="font-family: Arial,Helvetica,sans-serif; margin-bottom: 0in; margin-top: 0in;" type="1"><li class="MsoNormal" style="text-align: left;"><span style="font-size: small;"><strong> Shukra dhatu</strong></span><span style="font-size: small;"> (Reproductive tissues including sperm and ovum)</span></li></ol><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span><br /><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>The <em>Mahabhutas</em> and <em>Saptha dhatus</em>:</strong></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The <em>Sapta Dhatus</em> are composed of the five <em>Mahabhutas</em>. The following list mentions just the predominant <em>dhatu</em> in a particular set of tissues.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Here are the instances;</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The fat and muscle tissues are composed of the <em>Prithvi Mahabhuta</em>.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The lymph and chyle are formed of the <em>Jala Mahabhuta</em>.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Haemoglobin (in blood) is made up of the <em>Tejas Mahabhuta</em>.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Bones are constituted of the <em>Vayu mahabhuta </em>where as the bone pores are built by the <em>Akasha Mahabhuta</em>.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><h3 style="font-family: Arial,Helvetica,sans-serif; text-align: left;"><span style="font-size: small;">Dhatu Transformation</span><span style="font-size: small;"><strong><span class="text"> [Dhatu Paripachana]:</span></strong></span></h3><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The most unique feature of Ayurvedic histology (concept of tissue formation) is that each human tissue is formed from the previous tissue in ascending order. </span><span class="text" style="font-size: small;">The sequence goes somewhat like this: </span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span class="text" style="font-size: small;"> Food, after ingestion, forms <em>Ahara rasa</em></span> </li><li><span style="font-size: small;"><em>Ahara rasa</em> forms <em>Rasa dhatu</em></span></li><li><span style="font-size: small;"><em>Rasa dhatu</em> forms <em>Rakta dhatu</em></span></li><li><span style="font-size: small;"><em>Rakta dhatu</em> forms <em>Mamsa dhatu</em></span></li><li><span style="font-size: small;"><em>Mamsa dhatu</em> forms <em>Meda dhatu</em></span></li><li><span style="font-size: small;"><em>Medha dhatu</em> forms <em>Asthi dhatu </em></span></li><li><span style="font-size: small;"><em>Asthi dhatu</em> forms <em>Majja dhatu</em></span></li><li><span class="text" style="font-size: small;"><em>Majja dhatu</em> forms <em>Shukra dhatu</em></span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span class="text" style="font-size: small;"><em> </em></span><span style="font-size: small;">When food is consumed, it undergoes preliminary digestion in the stomach under the influence of the <a href="http://jeevthaya.blogspot.com/2010/08/concept-of-agni.html"><em>jatharagni</em></a>, and is separated into <em>kitta</em> (waste) and <em>ahara rasa</em> (nutrient). <em>Ahara rasa</em> is that which enters into and nourishes the <em>dhatu</em> system, and is converted again, this time by the <a href="http://jeevthaya.blogspot.com/2010/08/concept-of-agni.html"><em>dhatvagni</em></a> (a dhatu specific subset of the<em> jatharagni</em>) into the first <em>dhatu</em>, i.e. <em>rasa dhatu</em>.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em> Rasa</em> literally means ‘taste,’ and in this sense, <em>rasa dhatu</em> is the essential nutrient quality of the food consumed. <em>Rasa</em> is then directed to the <em>hridaya</em> (heart) where it undergoes distribution throughout the body, by the actions of <a href="http://jeevthaya.blogspot.com/2010/06/specialities-of-trirosha-theory-in.html"><em>Vyana vayu</em></a>. <em>Rasa</em> is responsible for the nourishment of all the tissues of the body, circulating as a fluid that bathes the cells with vitality. You can think of it as the internal manifestation of the primordial ‘soup’ from which all life arose, in humans the amniotic fluid, on Earth the ocean. A secondary manifestation of <em>rasa</em> [<em>Upa dhatu</em>] is breast milk and menstrual blood (<em>artava</em>).</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em> Rasa dhatu</em> is then converted by the<em> rakta dhatvagni</em>, into <em>rakta dhatu</em>, which is the blood essence. The <em>upa dahtus</em> of the <em>rakta</em> is <em>Shira</em> and <em>kandara</em>. </span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em> Rakta dhatu</em> is then converted into<em> mamsa dhatu</em> by the <em>mamsa</em> <em>dhatvagni</em>, which gives rise to all connective tissues excluding blood and bone. The six layers of the skin and <em>vasa</em> are the <em>upadhatus</em> of <em>mamsa dhatu</em>.<em> </em></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em> Mamsa dhatu</em> is converted into <em>medas dhatu</em> by the <em>medo</em> <em>dhatvagni</em>, and can be thought of as the principle of adipose tissue.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em>Asthi dhatu</em> is the conversion of <em>medas</em> by the <em>asthi dhatvagni</em>, and is the principle of all osseous tissue in the body.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em>Majja dhatu</em> is the transformation of<em> asthi</em> by the <em>majja dhatvagni</em>, and is the principle of marrow, or that which fills the bones.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em>Majja</em> is converted by the <em>shukra dhatvagni</em> into the final <em>dhatu</em> of <em>shukra</em> in men, and <em>artava</em> in women.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"></div><div style="font-family: Arial,Helvetica,sans-serif; text-align: justify;"><span style="font-size: small;"><strong>The features Dhatus :</strong><strong> </strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif; text-align: justify;"><li style="text-align: left;"><span style="font-size: small;"><strong>Rasa dhatu-</strong><em> Rasa dhatu</em> displays a strong resemblance to the qualities of <em>kapha</em>, and in mental terms, relates to feelings of compassion and happiness. When functioning optimally <em>rasa</em> is an important component of vitality. If food is consumed that increases<em> kapha</em>, If the <em>jatharagni</em> is impaired, <em>rasa dhatu</em><em> </em></span>will become vitiated and display the symptoms of kapha increase, such as an increase of phlegm and mucus discharge. The symptoms of decreased [<span style="font-size: small;"><em>kapha</em><em> kashaya</em>] <em>rasa dhatu</em><em> </em></span> are dryness, fatigue, emaciation, impotency, infertility and an increased sensitivity to sonic vibrationsetc.</li></ul><p><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"><em> "Rasa kshaye harth peeda kampa: shunyatas trushnacha" </em>Su/ Su</span><br /><br /></p><ul style="font-family: Arial,Helvetica,sans-serif; text-align: justify;"><li style="text-align: left;"><span style="font-size: small;"><strong>Rakta dhatu -</strong> The primary function of<em> rakta</em> along with<em> rasa</em>, is the maintenance and nutrition of all bodily tissues, and is more closely associated with <em>pitta</em>. <em>Rakta dhatu</em> also gives rise to the hematopoeitic system, including the liver and spleen, and connective tissue. In health <em>rakta dhatu</em> provides for a clear complexion and a deep passion for life.<em> </em></span><span style="font-size: small;">An increase in </span><span style="font-size: small;"><em>rakta dhatu</em>, either inherited from a vitiated <em>rasa dhatu</em> or by direct influence, can manifest as skin diseases, hepatomegaly, splenomegaly, hepatitis, jaundice, abscess with infection and inflammation, arthritis, gout, hemorrhages of the mouth, nose or anus (<em>Rakta pitta</em>), and a reddish discolouration of the eyes, skin and urine. A decrease of <em>rakta dhatu</em>, transferred by a deficiency of <em>rasa dhatu</em> or other factors, manifests as a desire for sour and warming foods, anemia, hypotension, dryness of the body, and a sluggish and weak pulse. Thus, skin disorders are seen as a manifestation of impurities within the blood. </span></li></ul><p><span style="font-size: small;"> </span> <br /><br /></p><ul style="font-family: Arial,Helvetica,sans-serif; text-align: justify;"><li style="text-align: left;"><span style="font-size: small;"><strong>Mamsa Dhatu-</strong><span style="font-weight: normal;"><em> </em></span></span><span style="font-size: small;"><span style="font-weight: normal;"><em>Mams </em>means flesh, is most closely related to <em>kapha</em>. <em>Mamsa</em> is primarily responsible for “enveloping and covering” the bones, and includes muscles, tendons, ligaments, arteries, veins, lymphatic tissue and certain types of endocrine glands. In health <em>mamsa dhatu</em> provides for a strong musculature and endurance, and contributes to feelings of charisma and courageousness. An increase in <em>mamsa dhatu</em> can manifest as lymphadenitis, lymphadenopathy, goiter, malignant tumors, fibroids, abscesses and a general increase in body weight and musculature. A decrease in <em>mamsa dhatu</em> manifests emaciation, fatigue, a lack of coordination, and muscular atrophy</span></span><strong> </strong></li></ul><p><strong> </strong><br /><br /></p><ul style="font-family: Arial,Helvetica,sans-serif; text-align: justify;"><li style="text-align: left;"><strong>Medas Dhatu-</strong> The primary function of the <em>medas </em>in the body is lubrication and the storage of energy. It also bears similarity to the qualities of <em>kapha</em> and its vitiation is probably concurrent with <em>mamsa dhatu</em>. An increase in <em>medas dhatu</em> may manifest as, in addition to those symptoms described under <em>mamsa dhatu</em>, fatigue, shortness of breath, sagging of breasts, buttocks and abdomen, and obesity. A decrease in medas dhatu may manifest as nervous irritability, weak eyesight, dryness, osteoarthritis, poor mineralization, and emaciation. In health <em>medas dhatu </em>provides for a melodious voice, a sense of joyfulness and a playful, humorous nature. </li></ul><ul style="font-family: Arial,Helvetica,sans-serif; text-align: left;"><li> <span style="font-size: small;"><strong>Asthi Dhatu:</strong> </span><span style="font-size: small;">The primary function of the <em>Asthi dhatu </em>is the structure and support of the body. Whe it increases, general overgrowth of bone tissue as in gigantism and acromegaly, including bone cancer and bone spurs results. A decrease of <em>asthi dhatu</em> may manifest as osteoporosis, brittle bones, splitting or cracking fingernails, alopecia, and tooth decay. In health <em>asthi dhatu</em> provides for a flexible nature, self-assurance, confidence, mental stability and a hard-working nature.</span> </li></ul><div style="text-align: left;"><span style="font-size: small;"> </span></div><ul style="font-family: Arial,Helvetica,sans-serif; text-align: left;"><li style="text-align: left;"><span style="font-size: small;"><strong>Majja Dhatu:</strong><em> </em></span><span style="font-size: small; font-weight: normal;"><em>Majja</em> is considered to generate the nervous system by some modern Ayurvedic commentators, and in the sense that it ‘fills’ the spinal column this interpretation may be correct. If we look at<em> majja</em> in this way, it can be thought of as neural pathways along which the electrical impulses flow, but not the impulses themselves, which would be governed by <em>vata</em>. An increase of <em>majja</em> usually manifests in<em> kapha</em> conditions, such as heaviness, lassitude and hypertrophy, swelling of joints, and can manifest as obstinate ulcerous conditions. A decrease of majja may manifest as a sensation of weakness or lightness in the bones, joint pain, rheumatism, giddiness and blindness. In health <em>majja dhatu</em> provides for a sensitive and receptive mind, a good memory and a compassionate nature.</span><span style="font-size: small;"> </span></li></ul><div style="text-align: left;"><span style="font-size: small;"> </span></div><ul style="font-family: Arial,Helvetica,sans-serif; text-align: justify;"><li><div style="text-align: left;"><span style="font-size: small;"><strong>Shukra/Artava Dhatu:</strong> </span><span style="font-size: small; font-weight: normal;"><em>Shukra</em> is responsible for the generation of semen within a male, while <em>artava</em> indicates ovulation. While the menstrual blood is not in fact a <em>dhatu</em> but rather a kind of elimination, the nature of its flow is the best indication of the health of the <em>andanu</em>, the ova contained in the ovaries. Thus in all Ayurvedic texts what is actually the <em>andanu</em> (ova) <em>dhatu</em> is referred to as<em> artava </em>(menstrual blood).</span><span style="font-size: small;"><span style="font-weight: normal;"> </span></span></div><h3 style="text-align: left;"><span style="font-size: small;"><span style="font-weight: normal;">An increase of </span><em style="font-weight: normal;">shukra </em><span style="font-weight: normal;">can result in insatiable sexual urges, seminal calculi, odorous perspiration, greasy skin, greasy hair and acne. A decrease of </span><em style="font-weight: normal;">shukra </em><span style="font-weight: normal;">may result in impotency, premature ejaculation, prostatitis and urethritis. A metabolic increase of </span><em style="font-weight: normal;">artava</em><span style="font-weight: normal;"> can result in excessive sexual desire, a consistently short estrus cycle, odorous perspiration, greasy skin, greasy hair and acne, while a metabolic decrease in </span><em style="font-weight: normal;">artava</em><span style="font-weight: normal;"> may result in frigidity, infertility, amenorrhea, leucorrhea, dysmenorrhea, and menstrual blood which is malodorous. </span><em style="font-weight: normal;">Shukra</em><span style="font-weight: normal;"> and</span><em style="font-weight: normal;"> artava</em><span style="font-weight: normal;"> also generate the </span><em style="font-weight: normal;">ojas</em><span style="font-weight: normal;">, the final refinement of </span><em style="font-weight: normal;">ahara rasa</em><span style="font-weight: normal;"> by the body. In health </span><em style="font-weight: normal;">shukra </em><span style="font-weight: normal;">and </span><em style="font-weight: normal;">artava</em><span style="font-weight: normal;"> </span><em style="font-weight: normal;">dhatu</em><span style="font-weight: normal;"> provide for self-love and attractiveness.</span></span></h3><h3 style="text-align: left;"><span style="font-size: small;"><span style="font-weight: normal;">Here you can see an interesting reinterpretation for the concept of <em>dhatus; </em><a href="http://www.ingridnaiman.com/subscription_lists/ayurveda/dhatu_intro.html">http://www.ingridnaiman.com/subscription_lists/ayurveda/dhatu_intro.html</a></span></span></h3><div><span style="font-size: small;"><br /></span></div><div><span style="font-size: small;"><br /></span></div><div><span style="font-size: small;">Indunil </span></div><div dir="ltr"></div><p><span style="font-size: small;"><span style="color: black;"> </span></span></p></li></ul></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-77823199653110105?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-71409783917036917372010-08-21T10:04:00.002+05:302011-10-05T21:06:18.967+05:302011-10-05T21:06:18.967+05:30The concept of 'Agni'<div dir="ltr" style="text-align: left;" trbidi="on">
Every human being in this world takes food to survive. Food comes from the external world to the body is to be broken up, absorbed and assimilated. A heterogeneous substance has to be made homogeneous. The factors responsible for this in the body is called <em>Agni</em>. In the Rig Veda, the most ancient Vedic text, life or Ayur is defined as Agni or fire, which is our soul or life-essence.<br />
<em>"</em><em>Agnireva shareere pitta anthargata</em>:<em> "</em> - The word <em>agni </em>represents various types of enzymes in the gastro-intestinal tract, in the liver and in the tissue cells themselves.<br />
When the <em>doshas</em> of the body are in the state of equilibrium, <em>agnis</em> or enzymes function normally. When there is any disturbance in this equilibrium, there's impairment in the functions of <em>agnis</em>. Basically, there are 13 <em>Agnis</em> in the body;<br />
<ul>
<li>Jatharagni</li>
<li>Pancha Bhutagni (5)</li>
<li>Dhatvagni (7)</li>
</ul>
<em>Jatharagni </em>refers to the phenomenon of gastro-intestinal digestion. <em>Bhuthagnis</em> help in the transformation of the external <em>mahabhuthas</em> in to internal ones. That is to make the extraneous <em>mahabhutas</em> homologous. <em>Dhatvagnis</em> or enzymes are located in the tisssue elements of the body. They help the assimilation and transformation of the nutrient material recieved after the <em>bhutagnipaka</em> into substances homologous to the tissue elements.<br />
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<tr><td class="tr-caption" style="text-align: center;">Image via http://www.boloji.com/ayurveda/av056.htm</td></tr>
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<strong>The four states of the Agni </strong><span style="font-family: arial; font-size: xx-small;"><strong><span style="font-family: arial; font-size: x-small;"> [according to how they manifest in the human being]</span></strong></span><strong>: </strong><br />
<ul>
<li> <em>Vishamagni</em></li>
<li><em>Tikshnagni</em></li>
<li><em>Mandagni</em></li>
<li><em>Samagni</em></li>
</ul>
<strong>Vishamagni:</strong> An erratic state of Agni arising as a result of the influence of the <em>Vata</em>. It is most common in Vata types of Prakriti. Sometimes it digests slowly, sometimes normally. Sometimes produce,<br /> Adhmana [distension of abdomen]<br /> Shula [colicky pain]<br /> Udavarta [upward movement of vayu in the stomach]<br /> Samga [constipation]<br /> Atisara [diarrhoea]<br /> Antrakuj [gurgling sound in the intestines]<br /> Gaurava [heaviness]<br />
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<strong>Tikshnagni: </strong>The action of <em>jatharagni</em> in this state is influenced predominantly by Pitta. It is said to be excessively excited and hence it is known as<em> tikshnagni</em>. It easily digests even in a very heavy meal, in a very short of time. It makes possible for a glutton to digest his all too frequent meals. Consequently many nutrients are not absorbed by the small intestine, and loose stools result. There can also be dryness in the mouth or skin with irritability and burning sensations.<br />
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<strong>Mandagni:</strong> The action of <em>jatharagni </em>is considerably inhibited due to the dominent influence of<em> Kapha</em>. In this state the <em>agni</em> is unable to digest and metabolise even a small quantity of otherwise easily digestable food. It can results a feeling of heaviness following meals, sluggish bowels and sticky stools.<br />
<strong>Samagni: </strong>In the well equilibrated state of functioning of tridoshas, the jatharagni also functions normally, ensures complete digestion of food ingested at the proper time without any irregularities. When agni is strong and balanced, the enzymes and acids do a thorough job of breaking down and metabolizing the foods you eat so that they can provide proper nourishment for your cells and tissues to function and replenish themselves.<br />
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<strong>Agni and a disease:</strong><br />A disease is caused by the obstruction of the channels of circulation. The obstruction is caused by accumulation of waste products. When agni becomes impaired because of an imbalance in the tridosha, the metabolism is drastically affected. The body's resistance and immune system are impaired. Food components remain undigested and unabsorbed. They accumulate in the large intestine turning into a heterogeneous, foul-smelling, sticky substance. This material, which is called <em>ama</em>, clogs the intestines and other channels, such as capillaries ad blood vessels. These waste products can be eliminated if the agni or the enzymes of that locality are stimulated. Hence it is described as,<br /><em>"Kayasya antaragne chikitsa kaya chikitsa" C/ Su/ 30 - </em>Kaya Chikitsa [the treatment] is aimed at the optimal performance of <em>Agni</em>.<br />
Longevity depends upon <em>agni</em>. Intelligence, understanding, perception and comprehension are also the functions of <em>agni</em>. The colour of the skin is maintained by <em>agni</em>, and the enzyme system and metabolism totally depend upon <em>agni</em>. As long as <em>agni</em> is functioning properly, the processes of breaking down food and absorbing and assimilating it into the body will operate smoothly.<br /><span style="color: black;"> </span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Dr. Indunil Weerarathne</span></div>
<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-7140978391703691737?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-14302762189075901112010-08-14T21:13:00.003+05:302011-05-15T08:28:44.288+05:302011-05-15T08:28:44.288+05:30Tridosha<div style="text-align: left;" dir="ltr"><span style="font-size: small;"> </span><br /><br /><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>What are the Tridoshas?</strong></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">According to Ayurveda, the basic constituents of human body are</span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;"><strong>Vata</strong></span></li><li><span style="font-size: small;"><strong>Pitta</strong></span></li><li><span style="font-size: small;"><strong>Kapha</strong> </span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">These are called Tridosha or three Humors.Tridoshas influence in all movements, all transformations, all sensory functions, and many of the other activities in the human body and mind.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Definitions in Ayurvedic treatises<strong>-</strong></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em>"Shareera dushanat dosha - dhatavo deha dharanat</em></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em>Vata pitta kapam scheya - malini karanat mala: " Sa/ Pu/ 5</em></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em>"Vayu: pittam kaphashcheti - trayo dosha samasata:</em></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em>Vikurta'vikurta deham - ghnanti te vartayanticha" A.h/ Su /1</em></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><em><br /></em>Tridoshas are the three fundamental principles that sustain and regulate all physiologic functions of the body. Imbalance of Tridoshas causes impairment of normal physiological function- "disease".</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Elemental Composition of the three <em>doshas</em>:</span></div><div class="separator" style="clear: both; font-family: Arial,Helvetica,sans-serif; text-align: center;"><span style="font-size: small;"><a style="margin-left: 1em; margin-right: 1em;" href="http://www.globalholistic.com/cimages/tridosha.gif"><img src="http://www.globalholistic.com/cimages/tridosha.gif" border="0" alt="Tridosha" width="229" height="191" /></a></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Vata: <br /></strong></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The physical characteristics of Vata are; light, dry, mobile, cold, abundant, rough, swift etc.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Vata dosha is the most important of the three doshas. It is the main driver or mover of the body, including the other two doshas, all the tissues (dhatus) and all of the waste products (malas).</span> When Vata becomes imbalanced for long enough and sufficiently enough, it can also cause the other two doshas (Pitta or Kapha) to become imbalanced.</div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Physical functions of Vata: The two main functions of the vata is movement and sensation</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">It is responsible for,</span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Body movement</span></li><li><span style="font-size: small;">Speech</span></li><li><span style="font-size: small;">Blood circulation</span></li><li><span style="font-size: small;">Breathing</span></li><li><span style="font-size: small;">All eliminations: fetus, semen, feces, urine, sweat, and a few others</span></li><li><span style="font-size: small;">Brain functions- Relays all sensory input from the various sense organs to the brain</span> </li><li><span style="font-size: small;">Formation of fetus</span></li><li><span style="font-size: small;">Sexual act etc. </span> </li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Vata governs breathing, blinking of the eyelids, movements in the muscles and tissues, pulsations in the heart, all expansion and contraction, the movements of cytoplasm and the cell membranes, and the movement of the single impulses in nerve cells. Vata also governs such feelings and emotions as freshness, nervousness, fear, anxiety, pain, tremors, and spasms.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The primary seat or location of the Vata in the body is the colon [Pakvashaya]. It also resides in the hips, thighs, ears, bones, large intestine, pelvic cavity, and skin.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Types of Vata :</strong></span></div><ol style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Prana Vayu</span></li><li><span style="font-size: small;">Udana Vayu</span></li><li><span style="font-size: small;">Vyana Vayu</span></li><li><span style="font-size: small;">Saman Vayu</span></li><li><span style="font-size: small;">Apan Vayu</span></li></ol><div style="color: #93c47d; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Factors which increase Vata:</strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span class="bodytxt" style="font-size: small;">Excessive physical exercise</span><span style="font-size: small;"> </span></li><li><span style="font-size: small;">Fasting</span></li><li><span class="bodytxt" style="font-size: small;">Suppression of nature urges</span></li><li><span style="font-size: small;">Exposure to cold</span></li><li><span style="font-size: small;">Staying awake late at night</span></li><li><span style="font-size: small;">Rainy season</span></li><li><span style="font-size: small;">Old age</span></li><li><span style="font-size: small;">Evening and last part of the night</span></li><li><span style="font-size: small;">Eating dry food</span></li><li><span style="font-size: small;">Injury </span></li><li><span style="font-size: small;">Excessive sexual intercourse</span></li><li><span style="font-size: small;">Anxiety</span></li></ul><div style="color: #93c47d; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Sign of Vitiated Vata:</strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span class="bodytxt" style="font-size: small;">General stiffness and pain in the body</span></li><li><span class="bodytxt" style="font-size: small;">Lack of appetite</span></li><li><span class="bodytxt" style="font-size: small;">Constipation, Intestinal bloating, gas, Belching</span></li><li><span class="bodytxt" style="font-size: small;">Malaise</span></li><li><span class="bodytxt" style="font-size: small;">Dry skin</span></li><li><span class="bodytxt" style="font-size: small;">Bad taste and dryness in the mout</span></li><li><span class="bodytxt" style="font-size: small;">Fatigue</span></li><li><span class="bodytxt" style="font-size: small;">Dark color stool</span></li><li><span class="bodytxt" style="font-size: small;">Pain in temporal region</span></li><li><span class="bodytxt" style="font-size: small;">Giddiness</span></li><li><span class="bodytxt" style="font-size: small;">Hiccups</span></li><li><span class="bodytxt" style="font-size: small;">Withdrawn and timid behavior</span></li><li><span class="bodytxt" style="font-size: small;">Weight loss, under weight</span></li><li><span class="bodytxt" style="font-size: small;">Insomnia; wake up at night and can't go back to sleep</span><span style="font-size: small;"> </span></li><li><span style="font-size: small;">Very sensitive to cold</span></li><li><span style="font-size: small;">Generalized aches, sharp pains, Arthritis, stiff and painful joints</span></li><li><span style="font-size: small;">Agitated movement</span></li><li><span style="font-size: small;">Rough, flaky skin, Chapped lips</span></li><li><span style="font-size: small;">Fainting spells</span></li><li><span style="font-size: small;">Heart palpitations</span><span class="bodytxt" style="font-size: small;"> </span></li><li><span class="bodytxt" style="font-size: small;">Dry, sore throat, Dry eyes</span></li></ul><div style="color: #93c47d; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Treatment of Vitiated Vata</strong><strong>:</strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span class="bodytxt" style="font-size: small;">Oleation & fomentation</span></li><li><span class="bodytxt" style="font-size: small;">Sweet, sour and hot therapeutic measures</span><span style="font-size: small;"> </span></li><li><span style="font-size: small;">Enema</span></li><li><span style="font-size: small;">Vata decreasing diet</span></li><li><span style="font-size: small;">Massage</span></li><li><span style="font-size: small;">Anointing</span></li><li><span style="font-size: small;">Rest, relaxation and sleep</span></li><li><span style="font-size: small;">Peaceful atmosphere</span></li><li><span style="font-size: small;">Cheerful mental state</span><span class="bodytxt" style="font-size: small;"> </span></li><li><span class="bodytxt" style="font-size: small;">Controlling the Vata increasing factors etc.</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div class="zemanta-pixie" style="font-family: Arial,Helvetica,sans-serif; height: 15px; margin-top: 10px;"><span style="font-size: small;"><strong>Pitta:</strong></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The Pitta dosha is associated with fire or heat. Characteristics of Pitta; sharp, sour, pungent, fluid, soothing and mobile.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">It is responsible for,</span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Digestion</span></li><li><span style="font-size: small;">Vision -</span><span style="font-size: small;"> converts external images into optic nerve impulses</span></li><li><span style="font-size: small;"><a name="TOP" href="http://www.blogger.com/post-edit.g?blogID=7654708707014760288&postID=1430276218907590111">Appetite -</a>Hunger and Thirst</span></li><li><span style="font-size: small;">Intellect</span></li><li><span style="font-size: small;">Absorption, assimilation, nutrition, metabolism</span></li><li><span style="font-size: small;">Softness and luster in the complexion</span></li><li><span style="font-size: small;">Cheerfulness</span></li><li><span style="font-size: small;">Regulation of heat in the body</span><span style="font-size: small;"> 'Thermogenesis'</span></li><li><span style="font-size: small;">Sexual vigor</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"> Locations of Pitta are the small intestine, stomach, sweat glands, blood, fat, eyes, and skin.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Types of Pitta:</strong></span></div><ol style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Pachaka Pitta</span></li><li><span style="font-size: small;">Ranjaka Pitta</span></li><li><span style="font-size: small;">Sadhaka Pitta</span></li><li><span style="font-size: small;">Alochaka Pitta</span></li><li><span style="font-size: small;">Bhrajaka Pitta</span></li></ol><div style="color: #93c47d; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Factor which increase Pitta:</strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;"><span class="bodytxt">Sharp, alkaline, salty, oily food</span></span></li><li><span style="font-size: small;">Food or drink that creates burning sensations.</span></li><li><span style="font-size: small;">Sunbathing</span></li><li><span style="font-size: small;">Anger </span></li><li><span style="font-size: small;">Time of digestion</span></li><li><span style="font-size: small;"><span class="bodytxt">Time factors ;noon time,midnight,autumn</span><span class="bodytxt"> </span></span></li><li><span style="font-size: small;">Youth</span></li><li><span style="font-size: small;"><span class="bodytxt">Alcohol and cigarettes</span><span class="bodytxt"> </span></span></li><li><span style="font-size: small;"><span class="bodytxt">Overexertion</span> </span></li><li><span style="font-size: small;">Emotions like hostility, hatred, intolerance, and jealousy<span class="bodytxt"> etc.</span></span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span class="bodytxt" style="color: #274e13;"> </span><strong style="color: #93c47d;">Sign of Vitiated Pitta:</strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Burning sensation</span></li><li><span style="font-size: small;"><span class="bodytxt">Excessive perspiration</span> </span></li><li><span style="font-size: small;">Smell in the body</span></li><li><span style="font-size: small;">Abnormal hunger and thirst</span></li><li><span style="font-size: small;">Inflammation</span></li><li><span style="font-size: small;">Tearing and thickening of skin</span></li><li><span style="font-size: small;">Rash</span></li><li><span style="font-size: small;">Acne</span></li><li><span style="font-size: small;">Herpes</span></li><li><span style="font-size: small;">Excessive heat in the body</span></li><li><span style="font-size: small;">Weakness due to low blood sugar</span></li><li><span style="font-size: small;">Loss of contentment</span></li><li><span style="font-size: small;">Anger </span></li><li><span style="font-size: small;">Bloodshot eyes</span></li><li><span style="font-size: small;">Fevers, Night sweats</span></li><li><span style="font-size: small;">Acidity, heartburn, Stomach ulcer</span></li><li><span style="font-size: small;">Diarrhoea, Food allergies<span class="bodytxt"> </span></span></li><li><span style="font-size: small;"><span class="bodytxt">Fitful sleep, Disturbing dreams</span></span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span class="bodytxt" style="color: #274e13;"> </span><strong style="color: #93c47d;">Treatment of Vitiated Pitta:</strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;"><span class="bodytxt">Sweet, bitter, astringent and cold measures</span> </span></li><li><span style="font-size: small;">Cold bath and massage</span></li><li><span style="font-size: small;">Unction and purgation</span></li><li><span style="font-size: small;">Special Pitta decreasing diet</span></li><li><span style="font-size: small;">Avoiding the Pitta increasing factors </span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Kapha: </strong></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Kapha is the heaviest of the three doshas. It provides the structures and the lubrication that the body needs. It is smooth, cold, heavy, dull, and viscid</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The functions of the Kapha are;</span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Strength</span></li><li><span style="font-size: small;">Firmness</span></li><li><span style="font-size: small;">Unctuousness</span></li><li><span style="font-size: small;">Binding</span></li><li><span style="font-size: small;">Heaviness</span></li><li><span style="font-size: small;">Sexual potency -</span><span style="font-size: small;">to produce healthy offspring</span> </li><li><span style="font-size: small;">Forbearance</span></li><li><span style="font-size: small;">Restraint </span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Kapha cements the elements in the body, providing the material for physical structure. It lubricates the joints, provides moisture to the skin, helps to heal wounds, fills the spaces in the body; gives biological strength, vigor and stability; supports memory retention, gives energy to the heart and lungs, and maintains immunity.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Psychologically, Kapha is responsible for the emotions of attachment, greed, and long-standing envy. It is also expressed in tendencies toward calmness, forgiveness, and love. </span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Kapha is present in the chest, throat, head, sinuses, nose, mouth, stomach, joints, cytoplasm, plasma, and in the liquid secretions of the body such as mucus</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Types of Kapha.</strong> </span></div><ol style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Avalambaka Kapha</span></li><li><span style="font-size: small;">Kledaka Kapha</span></li><li><span style="font-size: small;">Bodaka Kapha</span></li><li><span style="font-size: small;">Tarpaka Kapha</span></li><li><span style="font-size: small;">Shleshaka Kapha.</span></li></ol><div style="color: #93c47d; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span class="bodytxt"><strong>Factor which increase Kapha:</strong></span></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Salty, sweet & alkaline food</span></li><li><span style="font-size: small;">Oily, Fatty & Heavy Nutrientional diet</span></li><li><span style="font-size: small;">Sedentary Life style</span></li><li><span style="font-size: small;">Lack of exercise</span></li><li><span style="font-size: small;">Day dreaming</span></li><li><span style="font-size: small;">Childhood</span></li><li><span style="font-size: small;">Spring Season</span></li><li><span style="font-size: small;">Morning Time</span></li><li><span style="font-size: small;">First part of the Night</span></li></ul><div style="color: #93c47d; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"> <span class="bodytxt"><strong>Signs of Vitiated Kapha:</strong></span></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TGa1hZEXkiI/AAAAAAAAAbg/u8dJrjn6ELU/s1600/ayurveda8fig.gif"><img src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TGa1hZEXkiI/AAAAAAAAAbg/u8dJrjn6ELU/s320/ayurveda8fig.gif" border="0" alt="" width="228" height="320" /></a></span><li><span style="font-size: small;">Drowsiness</span></li><li><span style="font-size: small;">Cold sensation</span></li><li><span style="font-size: small;">Heaviness in Body</span></li><li><span style="font-size: small;">Itchy feeling </span></li><li><span style="font-size: small;">Excessive Sleep</span></li><li><span style="font-size: small;">Sweet Taste in Mouth</span></li><li><span style="font-size: small;">Excessive Salivation</span></li><li><span style="font-size: small;">Nausea</span></li><li><span style="font-size: small;">Sluggish digestion, food "just sits" in the stomach</span></li><li><span style="font-size: small;">Whiteness in Urine, Eyes & Faces</span></li><li><span style="font-size: small;">Sleeping too much</span></li><li><span style="font-size: small;">Deformed body organs</span></li><li><span style="font-size: small;">Lassitude</span></li><li><span style="font-size: small;">Edema, water retention, Bloated feeling</span></li><li><span style="font-size: small;">Apathetic, no desire</span></li><li><span style="font-size: small;">Clingy, hanging on to people and ideas</span></li><li><span style="font-size: small;">Greedy, Possessive, Materialistic</span></li><li><span style="font-size: small;">Very tired in the morning, hard to get out of bed</span></li></ul><div style="color: #93c47d; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"> <span class="bodytxt"><strong>Treatment of Vitiated Kapha:</strong></span></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;"><span class="bodytxt">Pungent, Bitter, Astringent, Salt, Hot & Rough Measures</span> </span></li><li><span style="font-size: small;">Vomiting</span></li><li><span style="font-size: small;">Exercise</span></li><li><span style="font-size: small;">Keeping awake</span></li><li><span style="font-size: small;">Kapha decreasing Diet</span></li><li><span style="font-size: small;">Controlling the factors which increase Kapha</span></li></ul><div class="separator" style="clear: both; font-family: Arial,Helvetica,sans-serif; text-align: center;"><span style="font-size: small;"> </span></div><div style="font-family: Arial,Helvetica,sans-serif;"><a style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;" href="http://3.bp.blogspot.com/_iTWYu-l8A0k/TGa2TO7LtqI/AAAAAAAAAbk/-njFUZVWlr8/s1600/tridosha-pic2.jpg"><img src="http://3.bp.blogspot.com/_iTWYu-l8A0k/TGa2TO7LtqI/AAAAAAAAAbk/-njFUZVWlr8/s1600/tridosha-pic2.jpg" border="0" alt="" /></a></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong><br /></strong></span></div><p><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;">When the Tridoshas are balanced, the individual experiences health on all levels: mental, physical and spiritual. This is much more than the mere absence of disease.</span></p><p> </p><p> </p><p>Indunil <br /><br /></p><div dir="ltr"></div><p><span style="color: black;"> </span><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"> </span><br /><br /></p></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-1430276218907590111?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-89872602037190524552010-08-08T15:00:00.002+05:302011-05-15T08:40:53.040+05:302011-05-15T08:40:53.040+05:30Arsha [Hemorrhoids]<div style="text-align: left;" dir="ltr"><p>Word "Arsha" defines; "<em>Arshamsi tasmat ucchante guda marga nirodata</em>" - Something which obstruct Anal canal called 'Arsha'. However modern Ayurvedic scholars co-relate 'Arsha' with '<span style="font-size: small;">Hemorrhoid</span>s'. According to Ayurvedic medicine, "Arsha" is a Major disease [Maha Roga] which is difficult to treat.<br />"<em>Arivat pranan shrunati hinasti iti arsha:</em> " - Which Destroys the body like an enemy to life.</p><p><strong>Causes of Arsha :</strong></p><ul><li>Chronic constipation</li><li>Common in Pregnancy</li><li>Prolonged sitting and standing</li><li>Obesity</li><li>Heriditary factors</li><li>Anal cancer</li><li>Ovarian cyst</li></ul><p>These causative factors cause low digestive fire & then vitiation of all doshas- especially that of Apana vayu results accumulation of waste products and varicosity of veins in the rectum.</p><p><strong>Types of Arsha:</strong></p><ul><div class="zemanta-img separator zemanta-action-dragged"><a style="clear: right; display: block; float: right; margin-left: 1em; margin-right: 1em;" href="http://commons.wikipedia.org/wiki/File:Hemorrhoid.png"><img style="border: medium none; font-size: 0.8em;" src="http://upload.wikimedia.org/wikipedia/commons/thumb/7/7b/Hemorrhoid.png/300px-Hemorrhoid.png" alt="Diagram to show a variety of Hemorrhoids" width="300" height="222" /></a><span class="zemanta-img-attribution" style="clear: right; float: right; margin-left: 1em; margin-right: 1em; width: 300px;">Image via <a href="http://commons.wikipedia.org/wiki/File:Hemorrhoid.png">Wikipedia</a></span></div><li>External- Occur outside the anal verge, covered by squamous epithelium. Sometimes painful, [innervated by cutaneous nerves that supply the perianal area, include the pudendal nerve and the sacral plexus] and often accompanied by swelling and irritation. External hemorrhoids are prone to thrombosis.</li><li>Internal - Occur inside the rectum, lined with columnar epithelium. Internal hemorrhoids are not supplied by somatic sensory nerves and therefore cannot cause pain, however, may bleed when irritated.</li></ul><p>Internal hemorrhoids can be further graded by the degree of prolapse.<br />Grade I: No prolapse.<br />Grade II: Prolapse upon defecation but spontaneously reduce.<br />Grade III: Prolapse upon defecation, but must be manually reduced.<br />Grade IV: Prolapsed and cannot be manually reduced.</p><ul><li>Vataja - Caused mainly by vitiated Vata dosha, & shows features of Vata, i.e. </li></ul><ol><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://t2.gstatic.com/images?q=tbn:EXqKnJDVkjqYCM:http://www.procto-med.com/wp-content/gallery/hemorrhoids-pictures/thrombosed-external-hemorrhoids3.jpg&t=1"><img id="il_fi" src="http://t2.gstatic.com/images?q=tbn:EXqKnJDVkjqYCM:http://www.procto-med.com/wp-content/gallery/hemorrhoids-pictures/thrombosed-external-hemorrhoids3.jpg&t=1" border="0" alt="" width="200" height="171" /></a><li>Dry</li><li>Darker in color, almost blackish</li><li>Rough, Hard</li><li>Constipation is present - Hard, exiguous stool</li><li>Acute pain is present in back, flanks, umbilical & anal region</li></ol> <ul><li>Pittaja -</li></ul><ol><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://t1.gstatic.com/images?q=tbn:ANd9GcR31h7BK5S-9iKj3TxzoRkLwO0t7Idrxr6XbP-zMhr29B7xNFU&t=1&usg=__CcTR6yzCy4PlXeoGcNdgUN7uV3I="><img id="rg_hi" class="rg_hi" style="height: 137px; width: 134px;" src="http://t1.gstatic.com/images?q=tbn:ANd9GcR31h7BK5S-9iKj3TxzoRkLwO0t7Idrxr6XbP-zMhr29B7xNFU&t=1&usg=__CcTR6yzCy4PlXeoGcNdgUN7uV3I=" border="0" alt="" width="134" height="137" /></a><li>Reddish and yellowish in color</li><li>Smooth, Wet </li><li>Usually gets inflammed </li><li>Bleeding can be present</li><li>Burning sensation </li><li>Diarrhoea</li></ol> <ul><li>Kaphaja -</li></ul><ol><li>Large and whitish in colour</li><li>Itching occurs frequently</li><li>Smooth </li><li>Dyspepsia</li><li>Heavy, bulky stool </li></ol> <ul><div class="separator" style="clear: both; text-align: center;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://t1.gstatic.com/images?q=tbn:ANd9GcSPmDG9uN_50eBUisSmpV7-y4sShUcT9OwsaIbWhdSEhZYKUOo&t=1&usg=__yzwtc59-f5xNl6uux6bjQSRVmZI="><img id="rg_hi" class="rg_hi" style="height: 132px; width: 160px;" src="http://t1.gstatic.com/images?q=tbn:ANd9GcSPmDG9uN_50eBUisSmpV7-y4sShUcT9OwsaIbWhdSEhZYKUOo&t=1&usg=__yzwtc59-f5xNl6uux6bjQSRVmZI=" border="0" alt="" width="160" height="132" /></a><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://3.bp.blogspot.com/_iTWYu-l8A0k/TF47laJ06tI/AAAAAAAAAbQ/bMt9PV9ofJc/s1600/Pile.jpg"><img src="http://3.bp.blogspot.com/_iTWYu-l8A0k/TF47laJ06tI/AAAAAAAAAbQ/bMt9PV9ofJc/s200/Pile.jpg" border="0" alt="" width="171" height="200" /></a></div><li>Raktaja -</li></ul><ol><li>Similar to Pittaj arsha</li><li>Profuse bleeding</li><li>Reddish</li><li>Small </li></ol> <ul><li>Sannipataja -Features of all doshas </li></ul><ul><li>Sahaja - [Congenital]</li></ul><ol><li>Dark brown in colour</li><li> Mostly internal</li><li>Bleeding</li><li>Dyspepsia, Emaciated</li></ol><p><strong>Complcations of Hemorroids:</strong></p><ul><li>Ruptured hemorrhoid </li><li>Gastrointestinal bleeding </li><li>Anemia - if bleeding is severe </li><li>Thrombosis - clotting in the veins </li><li>Strangulation - blockage of the vein</li></ul><h2><span style="font-size: small;">Prevention of Arsha:</span></h2><ul><li> Do not control your natural urge to defecate. As soon as you feel the motion, you must pass it out; or else you will have to exert the rectal area more. This could lead to complications.</li><li>Obese people must work at losing their weight. This can be achieved with regular exercise.</li><li>Horseback riding must be avoided by people with piles. This can adversely affect the anal area.</li><li>Excessive sex must be avoided, especially that which involves the anus.</li><li>Anal hygiene is of the utmost importance. Water must be ideally used to keep the anal area clean as toilet paper may not clean the area completely.</li><li>It is not advisable to sit on hard surfaces for long periods of time. This could unduly exert the anal area. </li></ul><h2><span style="font-size: small;">Diet for People with Arsha:</span></h2><ul><li> Have lots of water. This facilitates easy expulsion of the wastes from the rectal canal, without subjecting the anus to much pressure.</li><li>Green vegetables must be a major component of the diet. These vegetables can provide roughage, which facilitates faster movement of bowels.</li><li>Vegetables with astringent and bitter tastes are of much benefit which prevent constipations.</li><li>Hemorrhoids relief can be obtained from the itching pain if ghee with warm milk is taken every night.</li><li>Barley, wheat and old rice are the carbohydrates that are beneficial for people with piles problems.</li><li>The papaya fruit is also very beneficial as it helps in easy digestion of foods.</li><li>Pungent, spicy, oily and salty foods must be avoided as they could make the digestion more difficult.</li></ul><p><strong>Treatment in Ayurveda:</strong></p><ol><li>Bheshaja - Medical</li><li>Shastra - Surgical</li><li>Kshar- Chemical cauterization</li><li>Agni - Thermal cauterization</li></ol><p>The Surgery unit of Ayurvedic Teaching Hospital, Borella, SriLanka has a special clinic for piles.<br />[every weekday 9.00- 12.00 noon at Room no 16]<br /><span style="color: black;"> </span><br /><br /></p><div dir="ltr"><p> </p></div><div class="zemanta-pixie" style="height: 15px; margin-top: 10px;">Indunil</div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-8987260203719052455?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-32681814051625787662010-08-06T21:42:00.006+05:302011-05-15T08:41:48.828+05:302011-05-15T08:41:48.828+05:30Kitibha [Psoriasis]<div style="text-align: left;" dir="ltr"><span style="font-size: small;"> </span><br /><br /><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span class="p14Tpti">Kitibha is a skin disease, </span>mainly caused by vitiation of the vata & kapha doshas.</span><span style="font-size: small;"><span class="p14Tpti"> It is corelated </span></span><span style="font-size: small;">with Psoriasis. Kitibha is more suitable to corelate with psoriasis as Acharya Caraka has described it as;</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TFwSXpzBV7I/AAAAAAAAAbE/i-oabydU8AI/s1600/PSORIASIS.jpg"><img src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TFwSXpzBV7I/AAAAAAAAAbE/i-oabydU8AI/s200/PSORIASIS.jpg" border="0" alt="" width="146" height="200" /></a></span><span style="font-size: small;">"<em>Shyavam kinkharsparsham parusham kitibham smritam</em>" </span><br /><span style="font-size: small;">Ca/Ci/7</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The lesions which are shyava (reddish-black), Kin- like Vrana sthana (scar), on touch it should be khara (hard) and looks Parusha (dry).</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">According to Acharya Sushruta, "Kitibha-kushtha" is the disorder, in which the skin becomes oily, grayish black with lot of itching and oozing.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span class="p14Tpti">Psoriasis is a prolonged inflammation of skin. </span>Patches of circular to oval shaped red plaques that itch or burn are typical of plaque psoriasis. The patches are usually found on the arms, legs, trunk, or scalp but may be found on any part of the skin. The most typical areas are the knees and elbows. </span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The symptoms of psoriasis vary depending on the type. Some common symptoms for plaque psoriasis include:</span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Plaques of red skin, often covered with loose, silver-colored scales. These lesions may be itchy and painful and sometimes crack and bleed. In severe cases, the plaques of irritated skin will grow and merge into one another, covering large areas.</span></li><li><span style="font-size: small;">Disorders of the fingernails and toenails, including discoloration and pitting of the nails. The nails may also begin to crumble or detach from the nail bed.</span></li><li><span style="font-size: small;">Plaques of scales or crust on the scalp.</span></li></ul><h3 style="font-family: Arial,Helvetica,sans-serif; font-weight: normal;"><span style="font-size: small;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://1.bp.blogspot.com/_iTWYu-l8A0k/TFwY_ufKx-I/AAAAAAAAAbI/1Bc1ry1MsdI/s1600/understanding_psoriasis_basics.jpg"><img src="http://1.bp.blogspot.com/_iTWYu-l8A0k/TFwY_ufKx-I/AAAAAAAAAbI/1Bc1ry1MsdI/s320/understanding_psoriasis_basics.jpg" border="0" alt="" width="246" height="320" /></a></span><span style="font-size: small;"><strong> </strong></span></h3><h3 style="font-family: Arial,Helvetica,sans-serif; font-weight: normal;"><span style="font-size: small;"><strong>Causes of Psoriasis:</strong></span></h3><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Abnormality in the immune system</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">According to Allopathic theory of Psoriasis,T cells (which normally help protect the body against infection) become active, migrate to the dermis and trigger the release of cytokines which cause inflammation and the rapid production of skin cells. But it is not known what initiates the activation of the T cells.</span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">family history</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Trigger factors of Psoriasis:</strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Injury to the skin: Associated with plaque psoriasis</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"> eg: skin infection</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"> skin inflammation</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"> excessive scratching</span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Sunlight: strong sunlight aggravates symptoms. </span><p> </p><div style="margin-right: 0px;" dir="ltr"><span style="font-size: small;">bad sunburn may worsen psoriasis.</span></div></li></ul><p><span style="font-size: small;"> </span><br /><br /></p><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Streptococcal infections: May cause a type of plaque psoriasis. These bacterial infections have been shown to cause guttate psoriasis, a type of psoriasis that looks like small red drops on the skin.</span><p> </p><div class="separator" style="clear: both; text-align: center;"><span style="font-size: small;"><a style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;" href="http://images.emedicinehealth.com/images/4453/4453-13248-30934-31265.jpg" target="_blank"><img title="Click to view original file" src="http://images.emedicinehealth.com/images/4453/4453-13248-30934-31265tn.jpg" alt="" width="200" height="125" /></a></span></div><div style="text-align: left;"><span style="font-size: xx-small;"><em>Guttate psoriasis. Red drop-like lesions are found on the skin. This type of psoriasis usually occurs after a streptococcal (bacterial) infection. Image courtesy of Hon Pak, MD.</em></span></div><div style="text-align: left;"><span style="font-size: small;"><br /></span></div><div style="text-align: left;"><span style="font-size: small;"><br /></span></div><div style="text-align: left;"><span style="font-size: small;"><br /></span></div><div style="text-align: left;"><span style="font-size: small;"><br /></span></div><div style="text-align: left;"><span style="font-size: small;"><br /></span><br /><span style="font-size: small;"><br /></span></div></li><li><span style="font-size: small;">HIV: Psoriasis typically worsens with HIV infection. However, psoriasis often becomes less active in advanced HIV infection.</span> </li><li><span style="font-size: small;">Drugs: A number of medications have been shown to aggravate psoriasis. eg:</span> <ul><li><span style="font-size: small;">Lithium - Drug that may be used to treat depression</span> </li><li><span style="font-size: small;">Beta-blockers - Drugs that may be used to treat high blood pressure</span> </li><li><span style="font-size: small;">Antimalarials - Drugs used to treat malaria</span> </li><li><span style="font-size: small;">NSAIDs - Drugs, such as ibuprofen (Motrin and Advil) or naproxen (Aleve), used to reduce inflammation</span> </li></ul></li><li><span style="font-size: small;">Emotional stress: Increase psoriasis in emotional stress.</span> </li><li><span style="font-size: small;">Smoking: Cigarette smokers have an increased risk of chronic plaque psoriasis. </span> </li><li><span style="font-size: small;">Alcohol: Alcohol a risk factor articularly in young to middle-aged males.</span> </li><li><span style="font-size: small;">Hormone changes;</span><br /><div style="margin-right: 0px;" dir="ltr"><span style="font-size: small;">Puberty and menopause- peaks</span></div><div style="margin-right: 0px;" dir="ltr"><span style="font-size: small;">Pregnancy -symptoms improve than worsen</span></div><div style="margin-right: 0px;" dir="ltr"><span style="font-size: small;">Postpartum period</span><span style="font-size: small;">- more likely to flare</span></div></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Causes of the Kitibha:</strong></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"> Same as in skin disease i.e.</span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Intake of mutually contradictory food, drinks which are liquid, unctuous and heavy.</span></li><li><span style="font-size: small;">Suppression of natural urges</span></li><li><span style="font-size: small;">Performance of physical exercise in excessive heat and after taking very heavy meals</span></li><li><span style="font-size: small;">Transgression of the prescribed order of the intake of food and with reference to heat and cold, as well as fasting</span></li><li><span style="font-size: small;">Use of cold water immediately after exposure to scorching sun, exertion, or exposure to frightening situations</span></li><li><span style="font-size: small;"> Intake of uncooked food and/or intake of food, before the previous meal is digested</span></li><li><span style="font-size: small;">Excessive intake of food prepared of freshly harvested grains, curd, fish, salt, and sour substances.</span></li><li><span style="font-size: small;">Untruthfulness, ungratefulness, insult of preceptors, sinful acts, misdeeds of past</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span><br /><span style="font-size: small;">According to Ayurveda, when Vata & Kapha doshas get vitiated due to causative factors, vitiated doshas affect the skin and blood tissues.</span><span style="font-size: small;"> They also influence water element of the affected region on skin. Then </span><span style="font-size: small;">the symptoms of Kitibha appear. But Pitta also can be interfere in this pathogenisis & results much redish appearance & even pus formation.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong><span class="fn">Types of Psoriasis:</span></strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://2.bp.blogspot.com/_iTWYu-l8A0k/TFwpbx0ec-I/AAAAAAAAAbM/E0KGp4-QUz0/s1600/Psorisis.jpg"><img src="http://2.bp.blogspot.com/_iTWYu-l8A0k/TFwpbx0ec-I/AAAAAAAAAbM/E0KGp4-QUz0/s200/Psorisis.jpg" border="0" alt="" width="200" height="150" /></a></span><li><span style="font-size: small;">Plaque psoriasis - small, water-drop-shaped sores on your trunk, arms, legs and scalp</span></li></ul><p><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"> </span><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"> </span><br /><br /></p><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Scalp pso</span><span style="font-size: small;">riasis</span><span style="font-size: small;"> - flakes of dead skin in hair</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://www.psoriasisguide.com/images/psoriasis_11.jpg"><img src="http://www.psoriasisguide.com/images/psoriasis_11.jpg" border="0" alt="Nail Psoriasis" width="200" height="108" /></a></span><span style="font-size: small;"> </span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Nail Psoriasis - common in people who also have psoriatic arthritis </span></li></ul><p><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"> </span><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"> </span><br /><br /></p><ul style="font-family: Arial,Helvetica,sans-serif; text-align: center;"><li style="text-align: left;"><span style="font-size: small;">Inverse Psoriasis - smooth patches of red, inflamed skin primarily in the armpits, groin, under the breasts and around the genitals</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://www.psoriasisguide.com/images/psoriasis_5.jpg"><img src="http://www.psoriasisguide.com/images/psoriasis_5.jpg" border="0" alt="Inverse psoriasis - Groin area" width="173" height="200" /></a> </span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;"> Guttate Psoriasis</span><span style="font-size: small;"> - usually triggered by a bacterial infection such as strep throat</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><p><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"> </span><br /><br /></p><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Pustular Psoriasis - pus-filled blisters appears, skin becomes red and tender</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><a style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;" href="http://www.mayoclinic.com/images/slideshow/mcdc22_pustular_psoriasis.jpg"><img src="http://www.mayoclinic.com/images/slideshow/mcdc22_pustular_psoriasis.jpg" border="0" alt="Pustular psoriasis picture" width="200" height="200" /></a> </span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;">Psoriatic Arthritis -occurs in approximately 5-10% of people who have psoriasis. The small joints of the hands and feet may be swollen and deformed, nail changes are common if the arthritis affects the hands and feet. Back pain may indicate arthritis of the spine and/or sacroiliac joints. If you have joint pain or swelling. This occurs when psoriasis associates Gambhira dhatus like Asthi [Bones] & Majja [Bone marrows]</span><span style="font-size: small;"> </span> </li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Ayurvedic treatment for Kitibha:</strong></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong> </strong></span><span style="font-size: small;">This aims at the detoxification of the body or elimination of toxins from the body fluids. It is achieved mainly by "<em>Panchakarma</em>" treatments. Ayurvedic treatment for psoriasis goes through several stages viz. lepana (application of ointments), abhayanga (oil massage), snehapana (taking medicated ghee), pizhichil (full body massage), avisnana (medicated steam bath), sirovasti (keeping oil on head) and other bastis (enema).</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">A psoriatic patient is also given a strict diet regime called 'Pathya'.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">It is proud to say that the Panchakarma unit of Ayurvedic Teaching Hospital Borella, SriLanka has a succesful treatment in Psoriasis.</span><br /><span style="font-size: small;"><br /></span><br /><span style="font-size: small;"><br /></span><br /><span style="font-size: small;"><br /></span><br /><span style="font-size: small;">Indunil</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><div dir="ltr"></div><p><span style="color: black; font-size: small;"><span style="color: black;"> </span></span></p></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-3268181405162578766?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-80246649012368405842010-07-24T21:31:00.006+05:302011-05-15T08:42:53.138+05:302011-05-15T08:42:53.138+05:30VataRakta<div style="text-align: left;" dir="ltr"><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"> </span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">VataRakta is a combination of two words Vata & Rakta. In VataRakta, aggrevated Vata is obstructed by the deranged blood, & thus it further vitiates the blood. Due to the fluidity & flowing of the blood & the subtle & pervasive nature of Vata, they spread all over the body through the circulatory channels [Srotas] & localise in the joints. This pathogenisis of VataRakta is completed due to several causative factors.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Causes:</strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Intake of diet consisting of an excess of sour, pungent, alkaline, fatty, hot & uncooked articles, moist or dried things. </span></li><li><span style="font-size: small;">Excessive use </span><span style="font-size: small;">meat of aquatic & marshy animals, oil-cakes, radish, horse gram, black gram, nishpava and other leguminous</span><span style="font-size: small;">, seasum paste, sugar cane, curd, sour gruel, sauvira, shukta (vinegars), butter milk, sura & asava [Alcoholic preperations]</span></li><li><span style="font-size: small;">Contradictory food</span></li><li><span style="font-size: small;">Eating during indigestion</span></li><li><span style="font-size: small;">Anger</span></li><li><span style="font-size: small;">Day-sleep</span></li><li><span style="font-size: small;"> Insufficient sleep at night</span></li><li><span style="font-size: small;">Excessive travel</span></li><li><span style="font-size: small;">Not exerting physically</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Prodromal symptoms:</strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;"> Excess or absence of perspiration</span></li><li><span style="font-size: small;">Blackish discolouration</span></li><li><span style="font-size: small;">Laxity in joints</span></li><li><span style="font-size: small;">Lassitude</span></li><li><span style="font-size: small;">Appearance of boils</span></li><li><span style="font-size: small;">Numbness & itching in knee, shanks, thigh, waist, shoulder, hands, feet & joints of body</span></li><li><span style="font-size: small;">Unstable pain in joints</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong> Classification:</strong><strong> </strong></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong> </strong> Based on the seat (root) / location</span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;"><strong>Uttana (superficial)</strong><br />This is located in the twak (skin) & mamsa (muscle).</span> </li><li><span style="font-size: small;"><strong>Gambhir (deep)</strong><br />This is located in the deeper dhatus</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Symptomatology:</strong></span></div><ol style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;"><strong>Superficial type of VataRakta</strong><strong> </strong></span></li></ol> <ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Itching </span></li><li><span style="font-size: small;">Burning sensation</span></li><li><span style="font-size: small;">Pain<strong> - </strong>Pricking pain</span></li><li><span style="font-size: small;">Pulsation</span></li><li><span style="font-size: small;">Contraction</span></li><li><span style="font-size: small;">Extension</span></li><li><span style="font-size: small;">Greyish, red or coppery discolouration</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"> 2. <strong>Deep-seated VataRakta</strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://2.bp.blogspot.com/_iTWYu-l8A0k/TEsDHuNwZfI/AAAAAAAAAa4/bdy2AH6zDAw/s1600/gout_hands_s6.jpg"><img src="http://2.bp.blogspot.com/_iTWYu-l8A0k/TEsDHuNwZfI/AAAAAAAAAa4/bdy2AH6zDAw/s320/gout_hands_s6.jpg" border="0" alt="" width="320" height="217" /></a><li><span style="font-size: small;">Swelling in joints</span></li><li><span style="font-size: small;">Rigidity</span></li><li><span style="font-size: small;">Hardeness in joints</span></li><li><span style="font-size: small;">Intense pain within joints</span></li><li><span style="font-size: small;">Greyish or coppery discolouration</span></li><li><span style="font-size: small;">Suppurative tendency</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">This<strong> </strong>disease manifests in the joints epecialy of the hands, feet, fingers & toes.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">If Vata is excessively aggrevated (Vatadhika), there is Distention of veins, Sharp & pricking pain, Blackish discolouration & Aversion to cold.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Predominance of Rakta (Raktadhika) results, Coppering with pricking sensation, Swelling with severe distress.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">When Pitta is predominant (Paittika) , Sweating, Thirst, Redness & Inflammation results.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">If Kapha is excessively aggrevated (Kaphadhika), there is Feeling of wetness, Heaviness, Unctuousness, Numbness & mild pain.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Complications:</strong></span></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Asvapna- Sleeplessness</span></li><li><span style="font-size: small;">Arochaka- Anorexia</span></li><li><span style="font-size: small;">Swasa- Dyspnoea</span></li><li><span style="font-size: small;">Mansa kotha- Gangrene</span></li><li><span style="font-size: small;">Shiro graha- Stiffness in head</span></li><li><span style="font-size: small;">Murchhaya- Fainting</span></li><li><span style="font-size: small;">Mada- Narcosis</span></li><li><span style="font-size: small;">Ruk- Distress</span></li><li><span style="font-size: small;">Trushna- Thirst</span></li><li><span style="font-size: small;">Jwara- Fever</span></li><li><span style="font-size: small;">Moha- Mental confusion</span></li><li><span style="font-size: small;">Pravapaka- Trembling</span></li><li><span style="font-size: small;">Hikka- Hiccup</span></li><li><span style="font-size: small;">Pangulya- Lameness</span></li><li><span style="font-size: small;">Visarpa- Erysipelas</span></li><li><span style="font-size: small;">Paka- Inflamation</span></li><li><span style="font-size: small;">Toda- Piercing pain</span></li><li><span style="font-size: small;">Angulivakrata- Crookedness in fingers</span></li><li><span style="font-size: small;">Sfota- Blisters</span></li><li><span style="font-size: small;">Daha- Burning Sensation</span></li><li><span style="font-size: small;">Marmagraha- Stiffness in Vital parts</span></li><li><span style="font-size: small;">Arbuda- tumour</span></li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Modern Ayurvedic scholars compare VataRakta with Gout. Gout is a common, painful form of arthritis.</span><span style="font-size: small;"> It results from an overload of uric acid in the body. This overload of uric acid leads to the formation of tiny crystals of urate that deposit in tissues of the body, especially the joints.</span></div><div class="separator" style="clear: both; text-align: center;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://1.bp.blogspot.com/_iTWYu-l8A0k/TEsDoSSCVXI/AAAAAAAAAa8/Amh1NLIT7nY/s1600/gout_urate_crystals_s10.jpg"><img src="http://1.bp.blogspot.com/_iTWYu-l8A0k/TEsDoSSCVXI/AAAAAAAAAa8/Amh1NLIT7nY/s320/gout_urate_crystals_s10.jpg" border="0" alt="" width="320" height="217" /></a></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">While an elevated blood level of uric acid may indicate an increased risk of gout, the relationship between hyperuricemia and gout is unclear. Many patients with hyperuricemia do not develop gout (asymptomatic hyperuricemia), while some patients with repeated gout attacks have normal or low blood uric acid levels.</span><br /><br /><h3 class="slide_inline_header" style="font-weight: normal;"><span style="font-size: xx-small;">Needle-shaped urate crystals diagnostic of gout from an acutely inflamed joint (left) as seen under polarized microscopy and unpolarized microscopy (right).</span></h3><h3 class="slide_inline_header" style="font-weight: normal;"><span style="font-size: x-small;"> </span></h3></div><h3 style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Risk factors of gout?</span></h3><h3 style="font-family: Arial,Helvetica,sans-serif; font-weight: normal;"><span style="font-size: small;">Risk factors for developing gout include obesity, excessive weight gain, especially in youth, moderate to heavy alcohol intake, high blood pressure, and abnormal kidney function. Certain drugs and diseases can also cause elevated levels of uric acid. A recent study demonstrated an increased prevalence of abnormally low thyroid hormone levels (hypothyroidism) in patients with gout.</span></h3><div class="separator" style="clear: both; text-align: center;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TEsCnbDhzeI/AAAAAAAAAa0/tV15OnWZkFY/s1600/gout_big_toe_s5.jpg"><img src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TEsCnbDhzeI/AAAAAAAAAa0/tV15OnWZkFY/s320/gout_big_toe_s5.jpg" border="0" alt="" width="320" height="217" /></a></div><h3 style="font-family: Arial,Helvetica,sans-serif;">Symptoms of gout?</h3><div style="font-family: Arial,Helvetica,sans-serif;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TEsCGgL_VAI/AAAAAAAAAaw/w2iSRq9lwLI/s1600/gout_xray_s4.jpg"><img src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TEsCGgL_VAI/AAAAAAAAAaw/w2iSRq9lwLI/s320/gout_xray_s4.jpg" border="0" alt="" width="320" height="217" /></a>The small joint at the base of the big toe is the most common site for a gout attack. Other joints that can be affected include the ankles, knees, wrists, fingers, and elbows. Acute gout attacks are characterized by a rapid onset of pain in the affected joint followed by warmth, swelling, reddish discoloration, and marked tenderness. In some people, the acute pain is so intense that even a bed sheet on the toe causes severe pain. These painful attacks usually subside in hours to days, with or without medication. In rare instances, an attack can last for weeks. Most patients with gout will experience repeated attacks of gouty arthritis over the years.</div><div style="font-family: Arial,Helvetica,sans-serif;"><strong class="head">Treatment:</strong></div><ul style="font-family: Arial,Helvetica,sans-serif;"><li>The blood is letting out, in small quantities, at many times after oleation therapy </li></ul><ul style="font-family: Arial,Helvetica,sans-serif;"><li>Blood letting being appropriate to the dosha </li></ul><ol style="font-family: Arial,Helvetica,sans-serif;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://2.bp.blogspot.com/_iTWYu-l8A0k/TEsKfcfvLlI/AAAAAAAAAbA/Gl3Wfz4hWgA/s1600/13022008675.jpg"><img src="http://2.bp.blogspot.com/_iTWYu-l8A0k/TEsKfcfvLlI/AAAAAAAAAbA/Gl3Wfz4hWgA/s320/13022008675.jpg" border="0" alt="" width="320" height="202" /></a><li>When pain, redness, pricking pain and<span style="font-size: x-small;"> </span>sensation are present, blood should be got sucked by jalauka (leeches). </li><li>When tingling sensation, itching, pain and burning sensation are present, the use of srnga-alabu (sucking horn or gourd) is indicated.</li><li>When the disease / lesion is found spreading from place to place, either pracchana (scratching the skin) or siravyadha (venesection) is recommended. </li></ol> <ul style="font-family: Arial,Helvetica,sans-serif;"><li>Purgation therapy is given, oleation therapy first and then administered purgative drugs mixed with fats (medicated ghee / oil).</li></ul><ul style="font-family: Arial,Helvetica,sans-serif;"><li>The Uttana kind of VataRakta is treated with lepana (application of pastes), abhyanga (anointing with fats) parisheka (pouring liquids on the body) and avagaha (immersing the body in liquids) </li></ul><ul style="font-family: Arial,Helvetica,sans-serif;"><li>The Gambhira kind of VataRakta by Vireka (Purgation), Asthapana (decoction enema) and snehapana (drinking of fats).</li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><p>One of the speciality in Ayurvedic medicine is it has a logical approach of treatment in every disease. If you are suffering from VataRakta, experience the benifits of Ayurvedic treatments in VataRakta from a qualified Ayurvedic physician.</p><p> </p><p>Indunil</p></div><div dir="ltr"><div dir="ltr"></div></div><p><span style="color: black;"> </span></p></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-8024664901236840584?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com1tag:blogger.com,1999:blog-7654708707014760288.post-35406830588035892432010-07-17T13:04:00.004+05:302011-05-15T08:43:58.868+05:302011-05-15T08:43:58.868+05:30Panchakarma - Complete Detoxification and Cleansing<div style="text-align: left;" dir="ltr"><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: x-small;"> </span><span style="font-size: x-small;"> </span><span style="font-size: x-small;"> </span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Panchakarma </span><span style="font-size: small;">means "five actions" or "five treatments". </span><span style="font-size: small;">This process is used to clean the body of toxic materials left by disease and poor nutrition. </span><span style="font-size: small;">This fivefold therapy is aimed at Shodhana, the eradication of the basic cause of disease. </span><span style="font-size: small;">Normally the body has the innate ability to efficiently process and remove these waste materials, including the vitiated doshas. </span><span style="font-size: small;">However due to one's repeated dietary indiscretions, poor exercise patterns, lifestyle, and genetic predisposition the digestive enzymes, metabolic co-factors, hormones, and agnis which regulate the body's internal homeostasis become disorganized. This can lead to the accumulation and spread of toxins throughout the physiology resulting in disease.</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Panchakarma will remove the excess doshas and correct imbalances in them as well as eliminate the harmful 'ama' [</span><span style="font-size: small;">foul-smelling, sticky, harmful </span><span style="font-size: small;">waste matter] </span><span style="font-size: small;">out of our system through the body's own organs and channels of elimination (colon, sweat glands, lungs, bladder, urinary tract, stomach, intestines, etc).</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">According to Charaka, the five actions are;</span></div><ul style="color: white; font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Nasya (nasal therapy)</span></li><li><span style="font-size: small;">Vamana (emesis or vomiting)</span></li><li><span style="font-size: small;">Virechana (purging)</span></li><li><span style="font-size: small;">Two kinds of Vasti (therapeutic enema)- Nirooha Vasti and Sneha Vasti.</span></li></ul><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">According to Sushruta;</span></div><ul style="color: white; font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;">Vamana</span></li><li><span style="font-size: small;">Virechana</span></li><li><span style="font-size: small;">Nasya</span></li><li><span style="font-size: small;">Basti</span></li><li><span style="font-size: small;">Raktamoskshana.</span><span style="font-size: small;"> </span></li></ul><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span><span style="font-size: small;">It is highly individualized based on the needs of the individual depending on the Ayurvedic constitutional type, doshic imbalances, age, digestive strength, immune status, and many other factors. Depending on each individual's needs all or only parts of the five therapies are utilized.</span><span style="font-size: small;"><br /></span></div><h2 style="color: white; font-family: Arial,Helvetica,sans-serif; font-weight: normal;"><span style="font-size: small;"><span id="Three_stages_of_treatment" class="mw-headline">Three stages of treatment -</span></span></h2><ul style="color: white; font-family: Arial,Helvetica,sans-serif;"><li><span style="font-size: small;"><span id="Three_stages_of_treatment" class="mw-headline"> </span></span><span style="font-size: small;">Purva Karma (pre-treatment)</span><span style="font-size: small;"> </span> </li><li><span style="font-size: small;">Pradhana Karma (primary treatment)</span> </li><li><span style="font-size: small;">Paschat Karma (post-treatment </span> </li></ul><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Pre treatment [Purva karma]</strong> -</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong><strong> </strong></strong></span><span style="font-size: small;">The general purpose of the Poorvakarma Therapies is to begin to loosen, liquefy, and move the vitiated doshas from their abnormal sites in peripheral tissues to the appropriate central site within the alimentary canal.</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://2.bp.blogspot.com/_iTWYu-l8A0k/TEFaENPw8WI/AAAAAAAAAaE/v67QdooLQ0U/s1600/nasya_Page_32.jpg"><img src="http://2.bp.blogspot.com/_iTWYu-l8A0k/TEFaENPw8WI/AAAAAAAAAaE/v67QdooLQ0U/s320/nasya_Page_32.jpg" border="0" alt="" width="320" height="316" /></a><span style="font-size: small;">During Purva karma, Sneha [taila or gritha] prepared with herbs is given in the early morning for a maximum of seven days in specific diseases. If sneha is given in a pure form without adding herbs its called Achcha sneha, and is considered the most effective.</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Oil massage and fomentation are also administered. </span><span style="font-size: small;">Fomentation covers both dry and sticky materials (snigdha dravyas). It is said to help in the liquifaction of doshas; it is given after Abhyanga or massaging the body, so after the seventh day of oleation, the patient is made ready for Vamana and other procedures.</span><br /><br /><div class="separator" style="clear: both; text-align: center;"><span style="font-size: small;"> </span></div></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Therapeutic Vomiting [Vamana] </strong>-</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://1.bp.blogspot.com/_iTWYu-l8A0k/TEFaP6jzLAI/AAAAAAAAAaI/7Jlq762szAg/s1600/nasya_Page_33.jpg"><img src="http://1.bp.blogspot.com/_iTWYu-l8A0k/TEFaP6jzLAI/AAAAAAAAAaI/7Jlq762szAg/s320/nasya_Page_33.jpg" border="0" alt="" width="320" height="319" /></a><span style="font-size: small;"> Vamana removes Kapha toxins collected in the body and the respiratory tract.</span><span style="font-size: small;"> </span><span style="font-size: small;">On the morning of the vamana., kapha aggravating foods such as basmati rice and yogurt with salt is given to further aggravate the kapha.</span><span style="font-size: small;"> And then the emetic drug is given. Vomiting will either occur spontaneously or is induced by rubbing on the tongue. 4-8 vomiting is the target</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Benefits of Vamana: Bronchial Asthma, Chronic Allergies, Hay Fever, Vitiligo, Psoriasis, Hyperacidity, Chronic Indigestion Nasal Congestion, Edema, Obesity, Psychological disorders, Skin disorders.</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">After vomiting the patient will feel very comfortable; most of the congestion, wheezing and breathlessness will disappear along with the clearing of the sinus.</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><div class="separator" style="clear: both; text-align: center;"><span style="font-size: small;"> </span></div><p><span style="font-size: small;"><br /></span></p></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Purgation Therapy [</strong></span><span style="font-size: small;"><strong>Virechana] -</strong></span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"> Virechana is the cleansing of the pitta and the purification of the blood</span><span style="font-size: small;"> toxins</span><span style="font-size: small;">. </span><span style="font-size: small;">Virechan cleanses the sweat glands, small intestine, colon, kidneys, stomach, liver and spleen.</span><span style="font-size: small;">Generally, it is administered three days after the Vamana treatment. </span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Benefits of Virechana: </span><span style="font-size: small;">Skin diseases, chronic fever, piles, abdominal tumors, worms, gout, jaundice, gastrointestinal problems, constipation and irritable bowel syndrome. </span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TEFab6Ykk9I/AAAAAAAAAaM/_Ogu8htwvjA/s1600/nasya_Page_09.jpg"><img src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TEFab6Ykk9I/AAAAAAAAAaM/_Ogu8htwvjA/s320/nasya_Page_09.jpg" border="0" alt="" width="303" height="320" /></a><span style="font-size: small;"><strong>Enema or Colonic Irrigation </strong></span><span style="font-size: small;"><strong>[Vasti] -</strong></span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"> This treatment is used to promote elimination of the loosened Vata dosha out through the rectum.</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif; margin: 0pt 10px 8px;"><span style="font-size: small;">Types of Enemas:</span></div><blockquote style="color: white; font-family: Arial,Helvetica,sans-serif;"><ol><li><br /><p><span style="font-size: small;">Nirhua Basti (Decoction Enema) - mainly herbal decoction and small amounts of oil </span></p></li><li> <span style="font-size: small;">Anuvasana Basti (Oil Enema) - mainly warm oils with small amounts of herbal decoction</span> </li><li> <span style="font-size: small;">Brihmana Basti (Nutrititive Enema) - warm milk, meat broth, bone marrow soup, etc.</span> </li></ol></blockquote><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">This procedure is usually applied for 8 to 30 days, based on the medical condition of a person.</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Benefits of Vasti: </span><span style="font-size: small;">constipation, distention, chronic fever, the common cold, sexual disorders, kidney stones, heart pain, vomiting, backache, neck pain and hyperacidity, vata disorders as sciatica, arthritis, rheumatism, neurodegenerative conditions, and gout.</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span><br /><span style="font-size: small;"><br /></span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Nose Cleaning [</strong></span><span style="font-size: small;"><strong>Nasya] -</strong></span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TEFcDukvHtI/AAAAAAAAAaY/sNqznJa8dyg/s1600/nasya_Page_31.jpg"><img src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TEFcDukvHtI/AAAAAAAAAaY/sNqznJa8dyg/s320/nasya_Page_31.jpg" border="0" alt="" width="311" height="320" /></a><span style="font-size: small;"> This treatment is the administation of herbalized oils and liquids into the nostrils </span><span style="font-size: small;">to cleanse accumulated Kapha toxins from the head and neck region.</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Benifits od Nasya:</span><span style="font-size: small;"> Dryness of the nose, sinus congestion, hoarseness, migraine headache, neurodegenerative conditions (i.e. multiple sclerosis), convulsions and certain eye and ear problems</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><div class="separator" style="clear: both; text-align: center;"><span style="font-size: small;"> </span></div><p><span style="font-size: small;"><br /></span><br /><span style="font-size: small;"><br /></span></p></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><strong>Blood Letting [Raktamokshana] -</strong></span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><div class="separator" style="clear: both; text-align: center;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://1.bp.blogspot.com/_iTWYu-l8A0k/TEFa3wrlJVI/AAAAAAAAAaU/T-HudK6mDmk/s1600/nasya_Page_18.jpg"><img src="http://1.bp.blogspot.com/_iTWYu-l8A0k/TEFa3wrlJVI/AAAAAAAAAaU/T-HudK6mDmk/s320/nasya_Page_18.jpg" border="0" alt="" width="320" height="292" /></a></div><p><span style="font-size: small;"> It is used to eliminate toxins that are absorbed into the bloodstream through the gastrointestinal tract. This process purifies the blood.</span></p></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Benifits of Raktamokshana: </span><span style="font-size: small;">Urticaria, rash, eczema, acne, scabies, leucoderma, chronic itching and hives. It is also often effective for enlarged liver and spleen, hemochromatosis, and for gout.</span></div><div style="color: white; font-family: Arial,Helvetica,sans-serif;"><div class="separator" style="clear: both; text-align: center;"><span style="font-size: small;"> </span></div><p><span style="font-size: small;"><br /></span></p></div><h2 style="color: white; font-family: Arial,Helvetica,sans-serif; font-weight: normal;"><span style="font-size: small;"><strong><span id="After_treatment" class="mw-headline">After treatment [</span>Paschat Karma]<span id="After_treatment" class="mw-headline">-</span> </strong></span></h2><h2 style="color: white; font-family: Arial,Helvetica,sans-serif; font-weight: normal;"><span style="font-size: small;">Dietary regimens, restricted bodily exertion and the intake of herbs believed to promote health come under the Paschat Karma (post-treatment). Paschatkarma is administering required food for the body after the purification of the body, to intensify the agni (digestion power) which will subside after Panchakarma.</span></h2><h2 style="color: white; font-family: Arial,Helvetica,sans-serif; font-weight: normal;"><span style="font-size: small;"> </span></h2><h2 style="color: white; font-family: Arial,Helvetica,sans-serif; font-weight: normal;"><span style="font-size: small;">Like all medical procedures, Panchakarma Therapy always must begin with an initial consultation by a qualified health professional who can determine the individual's prakriti (constitutional type), the nature of the health problem (if any), and the appropriate degree of intensity of the prescribed therapies.</span><span style="font-size: small;"> These procedures must be administered by specially trained therapists in a definite sequence for a specified period of time.</span></h2><h2 style="color: white; font-family: Arial,Helvetica,sans-serif; font-weight: normal;"><span style="font-size: small;">There are certain special circumstances in which panchakarma should be administered only with strict medical supervision: recovering drug addiction, alcoholism, hypertension, diabetes, and eating disorders are the most common. </span></h2><h2 style="color: white; font-family: Arial,Helvetica,sans-serif; font-weight: normal;"><span style="font-size: small;"> Panchakarma may also not be appropriate for individuals who are significantly underweight or physically weak or for persons with inadequately treated (or undiagnosed) hypothyroidism or hypoglycemia. The same is true of persons with cancerous diseases, immune deficiency states, or those recovering from recent surgery.</span></h2><div style="color: white;"><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"> </span></div><div style="color: white;" dir="ltr"><div><p>Indunil </p></div></div><div style="color: white;"><span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><br /></span></div><div style="color: white;"><input id="gwProxy" type="hidden" /><input id="jsProxy" onclick="if(typeof(jsCall)=='function'){jsCall();}else{setTimeout('jsCall()',500);}" type="hidden" /></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-3540683058803589243?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-5528255093033250812010-07-16T22:03:00.003+05:302011-05-15T08:44:18.124+05:302011-05-15T08:44:18.124+05:30Skin Diseases<div style="text-align: left;" dir="ltr"><p>Ayurvedic medicne has considered all types of skin diseases under "Kushta Roga". Name "Kushta" refers;<br />'<em>Kushnati vapuh iti kushtam</em>' means the roga which causes discolouration, disfiguration, bringing disgrace upon the bearer. This emphasis skin is the reflection of underlying metabolism of the body. The more the skin is disfigured in colour, texture, touch & radiant; the more we get the hint of a serious faulty metabolism going on inside the body.</p><p>Skin is the large organ of the body.<br />Functions of the skin-</p><ul><li>Thermoregulation</li><li>Protection</li><li>Metabolism</li><li>Sensation</li><li>Absorption</li><li>Excretion</li></ul><p>Ayurveda has also mentioned 7 layers of skin & different type of skin diseases involved in different layers of the skin. There are 18 types of skin diseases involves 3 Doshas [Vata, Pitta, Kapha], 4 Dhatus [ Twak , Rakta, Mamsa, Ambu] in the body. [Sapta dravya Samgrahaya]</p><p><input id="gwProxy" type="hidden" /><input id="jsProxy" onclick="if(typeof(jsCall)=='function'){jsCall();}else{setTimeout('jsCall()',500);}" type="hidden" /><br />Here we are going to describe not the types, but the causes of skin diseases, to emphasis how to prevent from skin diseases.</p><p><input id="gwProxy" type="hidden" /><input id="jsProxy" onclick="if(typeof(jsCall)=='function'){jsCall();}else{setTimeout('jsCall()',500);}" type="hidden" />Causes of Skin diseases-</p><ul><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://2.bp.blogspot.com/_iTWYu-l8A0k/TEBzZ6Hl9HI/AAAAAAAAAZw/ikbS-hRWe_A/s1600/skin.jpg"><img src="http://2.bp.blogspot.com/_iTWYu-l8A0k/TEBzZ6Hl9HI/AAAAAAAAAZw/ikbS-hRWe_A/s400/skin.jpg" border="0" alt="" width="400" height="278" /></a><li>Intake of mutually contradictory food, drinks which are liquid, unctuous and heavy.</li><li>Suppression of natural urges</li><li>Performance of physical exercise in excessive heat and after taking very heavy meals</li><li>Transgression of the prescribed order of the intake of food and with reference to heat and cold, as well as fasting</li><li>Use of cold water immediately after exposure to scorching sun, exertion, or exposure to frightening situations</li><li> Intake of uncooked food and/or intake of food, before the previous meal is digested</li><li>Excessive intake of food prepared of freshly harvested grains, curd, fish, salt, and sour substances.</li><li>Untruthfulness, ungratefulness, insult of preceptors, sinful acts, misdeeds of past lives.</li></ul><p>This realises Kushta is not only due to somatic factors, but also due to some psychological imbalances as well as spiritual.<br />According to Ayurvedic medicine, skin disease are also communicable . Sushruta has described it as;<br />'<em>Prasamgad gaatra samsparshad - Nihshvasat sahabhojanat</em><br /><em>Saha shayyasanacchapi - vastramalyanulepanat</em><br /><em><strong>Kushtam</strong> jvarahcha shoshashcha - netrabhishyanda evacha</em><br /><em>Aupasargika rogashcha - samkramanti narannaram</em>'<br /><br /></p><div style="text-align: center;">Su/Ni/5</div><div style="text-align: left;">Having Sexual activities , touching, inhalation, eating together, sleeping together, sharing clothes etc. with a diseased person cause the spread of Kushta [Skin diseases], Jvara [Fever], Shosha [T.B] & Netrabhishyanda [Conjunctivitis].</div><div style="text-align: left;">This is the best example for the concept of communicable diseases in Ayurveda.</div><div style="text-align: left;">Avoid above causing factors & prevent from skin diseases.</div><div style="text-align: left;"><p>May all you have a healthy life!</p><p>Indunil<br /><br /></p><div dir="ltr"></div><p><span style="color: black;"> </span></p></div><p><input id="gwProxy" type="hidden" /><input id="jsProxy" onclick="if(typeof(jsCall)=='function'){jsCall();}else{setTimeout('jsCall()',500);}" type="hidden" /><br /><br /></p><p><input id="gwProxy" type="hidden" /><input id="jsProxy" onclick="if(typeof(jsCall)=='function'){jsCall();}else{setTimeout('jsCall()',500);}" type="hidden" /><br /><br /></p><p><input id="gwProxy" type="hidden" /><input id="jsProxy" onclick="if(typeof(jsCall)=='function'){jsCall();}else{setTimeout('jsCall()',500);}" type="hidden" /><br /><br /></p></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-552825509303325081?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-38660856802164509382010-07-10T22:41:00.003+05:302011-05-15T08:44:58.040+05:302011-05-15T08:44:58.040+05:30Ravana - The Great King, Alchemist & Physician of SriLanka<div style="text-align: left;" dir="ltr"><span style="font-size: small;"><span style="font-family: Arial, Helvetica, sans-serif;">Ravana was the king of Lanka. His prosperity could be judged by the fact that his Lanka - capital city - was built in gold. Everyone had enough of food and shelter in his period. </span></span><br /><br /><div style="font-family: Arial,Helvetica,sans-serif;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TDibWXUqbqI/AAAAAAAAAXY/04mE3683QME/s1600/Ravna.JPG"><img src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TDibWXUqbqI/AAAAAAAAAXY/04mE3683QME/s400/Ravna.JPG" border="0" alt="" width="400" height="290" /></a><span style="font-size: small;"> </span><br /><span style="font-size: small;"><span style="font-size: small;"><br /></span></span><br /><span style="font-size: small;">Ravana was the eldest of the sons of Brahmin called ‘Vishrava’ and a princess called ‘Kaikesi’. He was named “Dasagriva” or “Dashanana” since it is believed that he had ten heads. But this may be because he had the power and strength of ten men. Some say the ten heads were due to the reflections of a crystal necklace gifted to him by his father at the time of his birth or he had the mental strength of 10 people. Ravana had two brothers, Vibhishana and Kumbhakarna and one sister, Meenakshi (Later named Shoorpanakha).</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">It is said there were 11 Ravans found in Sinhalese history such as Nala Ravana, Manu ravana, Punu ravana and Dasis Ravana. The most famous Ravana is the king who fought with Indian hindu prince Rama is Dasis Ravana.His queen was Mandodari, children were known as Upendraminika / Indrajith [Son] & Sohili [Daughter] .</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="color: #660033; font-size: small;"> </span></div><div class="separator" style="clear: both; font-family: Arial,Helvetica,sans-serif; text-align: center;"><span style="font-size: small;"> </span></div><div style="font-family: Arial,Helvetica,sans-serif;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TDifGcGTvFI/AAAAAAAAAXo/ViYlHwsclGk/s1600/Note.jpg"><img src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TDifGcGTvFI/AAAAAAAAAXo/ViYlHwsclGk/s320/Note.jpg" border="0" alt="" width="236" height="320" /></a><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span><br /><span style="font-size: small;">King Dasis Ravana was a great Scholar in Ayurvedic medicine. He was the person who invented Arka Shastra. The book Arka Prakshaya reveals this truth to the present world. As his willing to research in Ayurvedic medicine he wrote several books revealing the cures for many diseases.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Some of his books are; Oddisa Tantra, Kumara Tantra etc.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">In one book he wrote "Eating beef cause to infect ninety eight new diseases to human beings".The book "Kumara Tantraya" which reveals the treatments for infant diseases was written by him accepting the request of his pregnant queen Mandodari. </span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><div class="separator" style="clear: both; text-align: center;"><a style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;" href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TDiir3dAWkI/AAAAAAAAAXw/uWyeR8JQ-Fs/s1600/Pushpaka+yana.jpg"><img src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TDiir3dAWkI/AAAAAAAAAXw/uWyeR8JQ-Fs/s320/Pushpaka+yana.jpg" border="0" alt="" width="320" height="240" /></a></div><p><span style="font-size: small;">He was the first king flew over the world with his aeroplane, known Dandumonaraya or Vimanaya, Kashtawahana. Some evidence of Dandumonaraya the aeroplane is found in Rock inscriptions, Jataka Stories and Ola manuscripts. It is believed he used Mercury as the fuel for that Dandumonaraya- the aeroplane. He was a "Siddha" person- who belonged & had ability to use Mercury [Parada]. </span></p></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">King Ravana was continuing a vegan oriented life style and was a real nature lover. According to Lankavatara sutta he was Buddhist and worshipped Kashyapa Buddha. Once he invited Kashyapa Buddha to visit Lanka and deliver his sermon to Sri Lankan citizens who practice yoga and follow Buddhism.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><a style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;" href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TDigvCwlY-I/AAAAAAAAAXs/HeEHHXUxnWM/s1600/Ravana+3.jpg"><img src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TDigvCwlY-I/AAAAAAAAAXs/HeEHHXUxnWM/s320/Ravana+3.jpg" border="0" alt="" width="254" height="320" /></a><span style="font-size: small;"> </span><br /><span style="font-size: small;"><span style="font-size: small;"><br /></span></span><br /><span style="font-size: small;"><span style="font-size: small;"><br /></span></span><br /><span style="font-size: small;"><span style="font-size: small;"><br /></span></span><br /><span style="font-size: small;"><span style="font-size: small;"><br /></span></span><br /><span style="font-size: small;"><span style="font-size: small;"><br /></span></span><br /><span style="font-size: small;">Today the time has changed and many of us do not know the real history of king Ravana and throw our folk tales away without considering any valuable parts of them. King Ravana was one of the best emperors found in Sri Lankan History.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"></div><div dir="ltr"><div><p>Indunil </p></div></div><p><span style="color: black;"> </span><input id="gwProxy" type="hidden" /><input id="jsProxy" onclick="if(typeof(jsCall)=='function'){jsCall();}else{setTimeout('jsCall()',500);}" type="hidden" /><br /><br /></p></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-3866085680216450938?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-53971454241268800972010-07-04T12:52:00.002+05:302011-05-15T08:54:43.495+05:302011-05-15T08:54:43.495+05:30Ayurvedic Psychology<div style="text-align: left;" dir="ltr"><div style="font-family: Arial,Helvetica,sans-serif;">The ancient system of Ayurveda offers a holistic approach to mental health that integrates the mind, body and soul. Sushruta defines health as "Svasthya" -a state of total biological equilibrium, where the sensory, mental, emotional and spiritual elements are harmoniously balanced. <span style="font-size: small;"> This shows that ancient Ayurvedic physicians have given their attention to physical health as well as mental health. </span>Ayurveda defines mental health as a state of mental, intellectual and spiritual well-being.</div><div style="font-family: Arial,Helvetica,sans-serif; text-align: center;"><p>"<em>Sama dosha sama agnishca - Sama dhatu malah kriya</em><br /><em><strong>Prasannatmendriya manah </strong>- Swasta ityabhidiyate</em>"</p></div><div style="font-family: Arial,Helvetica,sans-serif;">World Health Organization defines mental health as a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.</div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br /></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">There is a great theory in Ayurveda about mind.</span> The ancient classical ayurvedic expert, Charaka places the mind in the heart though other texts locate it at the head and the navel. These various views are considered complementary rather than contradictory. The mind is functionally divided into ahankara (ego), ichha (desire, will) and buddhi. Ichha, directed by ahankara, controls the mind. Buddhi, or the intellect, takes the decisions.</div><div style="font-family: Arial,Helvetica,sans-serif;">There are three gunas (sattva, rajas, tamas) of mind that connected to tridosha in ayurveda. The ideal state of mind is sattvic, marked by equanimity. An agitated mind is in the rajasic state, while the lethargic and gloomy mind is in the grips of tamas.</div><div style="font-family: Arial,Helvetica,sans-serif;">Further describing, Sattva is the quality of clarity and purity. When our minds are sattvic, or pure, there is a natural innate connection between ourselves and God. With this awareness, our highest most virtuous qualities manifest.</div><div style="font-family: Arial,Helvetica,sans-serif;">Rajas is a state of activity and distraction where we forget our true nature as spirit and get wrapped up in the dramas of our lives. As a result we get caught in the experience of emotion and the challenging feelings of fear, worry, anxiety, anger, resentment, and attachment. When rajas dominates the mind & this imbalance more pronounced, hyperactivity, anxiety, insomnia & inability to concentrate can manifest.</div><div style="font-family: Arial,Helvetica,sans-serif;">Tamas is a state of darkness and inertia. In this state of being, not only are we unaware of our connection with God or spirit, but we spiral down into our own darkness and become harmful to ourselves or others. With our darker nature being dominant, we take actions such as violence or vindictive behaviors, or possibly addiction and suicide. When tamas dominates the mind, the result is lethargy, depression, dullness, negitivity & lack of motility.</div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"> </span></div><div class="separator" style="clear: both; font-family: Arial,Helvetica,sans-serif; text-align: center;"><a style="margin-left: 1em; margin-right: 1em;" href="http://1.bp.blogspot.com/_iTWYu-l8A0k/TDAmoJYf_II/AAAAAAAAAWw/AiMaVVR7_kM/s1600/freudian_iceberg.jpg"><img src="http://1.bp.blogspot.com/_iTWYu-l8A0k/TDAmoJYf_II/AAAAAAAAAWw/AiMaVVR7_kM/s320/freudian_iceberg.jpg" border="0" alt="" width="320" height="291" /></a></div><div class="zemanta-pixie" style="font-family: Arial,Helvetica,sans-serif; height: 15px; margin-top: 10px;"><a class="zemanta-pixie-a" title="Enhanced by Zemanta" href="http://www.zemanta.com/"><img class="zemanta-pixie-img" style="border: medium none; float: right;" src="http://img.zemanta.com/zemified_e.png?x-id=a7b93981-bc4b-49bf-8342-2bf94a1231af" alt="Enhanced by Zemanta" /></a></div><div style="font-family: Arial,Helvetica,sans-serif; text-align: left;">When we think of Freudian theory of mind,<strong> Id</strong>, <strong>ego</strong>, and <strong>super-ego</strong> are the three parts of the psychic apparatus. They are the three theoretical constructs in terms of whose activity and interaction mental life is described. According to this model of the psyche, the <strong>Id</strong> is the set of uncoordinated instinctual trends; the <strong>ego</strong> is the organised, realistic part; and the <strong>super-ego</strong> plays the critical and moralising role.</div><div class="separator" style="clear: both; font-family: Arial,Helvetica,sans-serif; text-align: center;"><a style="margin-left: 1em; margin-right: 1em;" href="http://4.bp.blogspot.com/_iTWYu-l8A0k/TDAoImgCYHI/AAAAAAAAAW0/DmGc0poc4e8/s1600/id_ego_superego_by_surreal32.jpg"><img src="http://4.bp.blogspot.com/_iTWYu-l8A0k/TDAoImgCYHI/AAAAAAAAAW0/DmGc0poc4e8/s320/id_ego_superego_by_surreal32.jpg" border="0" alt="" width="250" height="320" /></a></div><div style="font-family: Arial,Helvetica,sans-serif;"><strong>Concept of mental illness in Ayurveda</strong>:</div><div style="font-family: Arial,Helvetica,sans-serif;">Bhutavidya is the special branch of psychiatry in Ayurveda dealing with mental diseases.</div><div style="font-family: Arial,Helvetica,sans-serif;">The accumulation of toxins in the body is termed ama. Psychologically, ama arises from holding on to negative emotions and undigested experiences.</div><div style="font-family: Arial,Helvetica,sans-serif;">It is said in Ayurveda that Rajas and Tamas are the causes of disease. The actions taken and the emotions felt by the rajasic and tamasic mind upset the balance of the three Doshas -Vata, Pitta and Kapha, thus leading to physical disease. Sattva is the sole cause of health. Disease cannot affect the sattvic person--the one who has awakened into the light, therefore we could say that disease is the end result of forgetting our true nature as spirit.</div><div style="font-family: Arial,Helvetica,sans-serif;">Charaka describes eight essential psychological factors that are negatively affected in various ways in all psychiatric disorders. The psychopathological condition is a function of these factors, which are;</div><ul style="font-family: Arial,Helvetica,sans-serif;"><li>manas (mind)</li><li>buddhi</li><li>smriti (memory)</li><li>sajna jnana (orientation and responsiveness)</li><li>bhakti (devotion)</li><li>shila (habits)</li><li>cheshta (psychomotor activity)</li><li> achara (conduct). </li></ul><div style="font-family: Arial,Helvetica,sans-serif;"><strong>Signs of Mental Health as per Ayurveda</strong>:<br />o Good memory<br />o Taking the right food at the right time<br />o Awareness of one's responsibilities<br />o Awareness of the self and beyond self<br />o Maintaining cleanliness and hygiene<br />o Doing things with enthusiasm<br />o Cleverness and discrimination<br />o Being brave<br />o Perseverance<br />o Maintaining cheerfulness irrespective of the situation<br />o Fearlessness in facing situations<br />o Sharp intellectual functioning <br />o Self-sufficiency<br />o Following a good value system<br />o Ability to proceed steadfastly against all odds</div><div style="font-family: Arial,Helvetica,sans-serif;"><strong>Primary psychological conditions caused purely by mental disorders</strong>:</div><div style="font-family: Arial,Helvetica,sans-serif;">Kama (lust), krodha (anger), lobh (greed), moha (delusion), irshya (jealousy), mana (pride), mada (euphoria), shoka (sorrow, grief), chinta (anxiety), udvega (neurosis), bhaya (fear), harsha (happiness).</div><div style="font-family: Arial,Helvetica,sans-serif;"><strong>The psychiatric conditions caused by a combination of physical and mental (psycho-physical) disorders:</strong></div><div style="font-family: Arial,Helvetica,sans-serif;">Unmada (psychosis), apasmara (convulsive disorder), apatantraka (hysteria), atattvabhinvesha (obsession), bhrama (illusion, vertigo), tandra (drowsiness), klama (neurasthenia), mada-murchha-sanyasa (loss of sensory perception leading to coma), madatyaya (alcoholism), gadodvega (hypochondriasis).</div><div style="font-family: Arial,Helvetica,sans-serif;">The third classification consists of prakriti or personality disorders. There are sixteen manasa prakriti (psychological personality) representing sixteen types of behavioral traits.</div><div style="font-family: Arial,Helvetica,sans-serif;"> Other conditions are buddhimandya or mental retardation of varying degrees, jara-janya-manasa vikara (psychiatric problems of the aged or gerontological disorders), and manodaihika vyadhis or psychosomatic diseases where the cause of disease is mental but the manifestation is somatic.</div><div style="font-family: Arial,Helvetica,sans-serif;"><strong>Ayurvedic Treatment Methods:</strong></div><div style="font-family: Arial,Helvetica,sans-serif;">Ayurveda has widely described prevention methods of physical & mental illnesses. Those are dinacharya (daily) and ritucharya (seasonal activities), involving diet (ahara tatva), vyayam (exercise), meditaion and virtuous qualities (sadvrutta).</div><div style="font-family: Arial,Helvetica,sans-serif;">Ayurveda<span style="color: #ff9966;"> </span>prescribes the ayurvedic daily routine, beginning with abhyanga (oil massage), which removes toxins and stimulates the flow of natural intelligence in the body. Transcendental Meditation that dissolves deep-rooted stress and promotes harmony, creativity and clarity of mind through bliss consciousness, is an essential component of this routine. A proper diet in tune with the ayurvedic body type is also important.</div><div style="font-family: Arial,Helvetica,sans-serif;">Ayurveda has a comprehensive system of curative medicine too. Ayurveda classifies herbs with a stabilizing effect on the mind as 'medhya rasayanas'. These herbs promote the intellect and deeply nourish the neurological tissues. </div><div style="font-family: Arial,Helvetica,sans-serif;"><p>Especially in the system of Traditional Medicine in SriLanka, there is a special field for Traditional Psychiatry. Today the speciality of Ayurveda in SriLanka is that the SriLankan Ayurvedic physicians practice a combination of both traditional & Ayurvedic system which is very effective.</p><p> </p><p>Indunil</p></div><p> </p><div style="font-family: Arial,Helvetica,sans-serif;"><span style="color: black;"> </span></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-5397145424126880097?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com1tag:blogger.com,1999:blog-7654708707014760288.post-85409787304313123792010-07-03T21:18:00.002+05:302011-05-15T08:54:58.938+05:302011-05-15T08:54:58.938+05:30Ayurvedic Surgery<div style="text-align: left;" dir="ltr"><p>Sushruta is the father of surgery in Ayurveda as well as Allopathic Surgery. He was the first surgeon to develop cosmetic surgery in ayurveda. The karna sandhana (building earlobe) ,nasa sandhan (building nose) and oshta sandhan (correcting lips) are the first examples of plastic surgery. His surgical treatment for trichiasis can be reckoned with some of the modern operative techniques used for eye this disease. It is because of this contribution that Sushruta is called as father of surgery. <br />In sushrut samhita all the focus is upon the surgical procedures. The majority of instruments that are used till date are somewhat modified form of the yantra (blunt instrument) and shastra (sharp instrument).<br /><br /></p><div class="zemanta-img separator zemanta-action-dragged" style="clear: both; text-align: center;"><a style="display: block; margin-left: 1em; margin-right: 1em;" href="http://en.wikipedia.org/wiki/File:Shushrut_statue.jpg"><img style="border: medium none; font-size: 0.8em;" src="http://upload.wikimedia.org/wikipedia/en/thumb/7/74/Shushrut_statue.jpg/300px-Shushrut_statue.jpg" alt="Shushrut Statue In Patanjali Yogpeeth ,Haridwar" width="300" height="225" /></a><span class="zemanta-img-attribution" style="clear: both; margin-left: 1em; margin-right: 1em;">Image via <a href="http://en.wikipedia.org/wiki/File:Shushrut_statue.jpg">Wikipedia</a></span></div><p> </p><p> The surgical practice is mostly same both in Ayurveda & in modern system of medicine. In sushruta samhita all the focus is upon the surgical procedures. It has got all the necessary details about instrument, surgical procedure, pre-operative, and post-operative measures. Though more than 100 blunt instruments & many sharp instruments have been described in Ayurveda, now a days the modified form of these instruments are used to practice surgery.<br />Today, to practice surgery, advanced life support systems, anesthetic & analgesic drugs are essential but Sushrutha has described the use of medicated decoction to heal up the wounds as well as prevent them from infection is the basic ideology of anti septic and anti biotic type of herbs in Ayurveda. Modern Ayurvedic surgeons use these Ayurvedic drugs & therapies during the pre-oprative & post-operative periods for better care of the patient.</p><p>Ayurvedic surgery doesn't mean Instrumental operations only. There are some other methods like Kshara karma [Chemical cauterization], Agni karma [Thermal cauterization] & Rakta mokshana [Blood letting]</p><p>Though the modern surgery is derived from Ayurveda, we can not satisfy with the state of modern Ayurvedic Surgery presently. So every Ayurvedic surgeon is responsible to continue the great work of Sushrutha & serve the world with their skills in Ayurvedic Surgery.</p><p> </p><p>Indunil<br /><br /></p><div dir="ltr"></div><p><span style="color: black;"> </span><br /><span style="color: black;"> </span></p></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-8540978730431312379?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-59200971782548693232010-06-26T10:28:00.003+05:302011-05-15T08:55:25.502+05:302011-05-15T08:55:25.502+05:30Specialities of Tridosha Theory in Ayurveda: [Conclusion of Poona conference]<div style="text-align: left;" dir="ltr"><p><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">1. Dosha - Dhatu - Mala Vijnana [knowledge of Tridosha] is the foundation of the whole Ayurveda. Its embryological, anatomical, physiological, pathological & therapeutical conceptions rest upon this foundation.</span><br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"><br /></span><br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">2. The tridosha Theory is very wide in its application. It is applicable to every living entity from microbes to men. The Ayurvedic sholars have applied it to elephants, horses, cows, plants. In other words, this theory has been applied to & it explains every aspect of the phenomenon of life.</span><br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"><br /></span><br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">3. Tridoshas are present in every cell as well as moving through every channel of the body. Thereby they perform bodily & mental functions of every individual. Thus this theory explains an indissoluble connection between the Doshas & the mental functions as well.</span><br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"><br /></span><br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">4. To achieve this end, the Doshas act through several specialized apparatuses, which are more & more integrate anatomically, when we come up the ladder of life.</span><br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"><br /></span><br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">5. The functions of these Doshas in health & disease reveal themselves in an admirable way, when they are collected from extant Ayurvedic literature & classified in terms of modern science.</span><br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"><br /></span><br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">6. When such collection is made, we find that at least 141 normal functions &832 abnormal symptoms of Vayu can be attributed to the Vayu acting through the Nervous system [Vata sansthana - Vayu Apparatus]</span></p><p><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">7. All the physiological aspects of the human body can be divided under these 4 sections-</span></p><ul><li><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">Neuromuscular physiology</span></li><li><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">Physiology of respiration, circulation, digestion & secretion</span></li><li><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">Metabolism: functions of ductless glands & reproduction</span></li><li><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">Physiology of nervous system & special senses</span></li></ul><p><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">8. Functions of Doshas-</span></p><ol><li><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">Prana Vayu:</span></li></ol> <ul><li>Mental functions</li><li>functions of the special senses</li><li>Functions of heart, lungs deglutition</li></ul><p> <span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">2 . Udana Vayu:</span></p><ul><li><span style="font-family: Times, 'Times New Roman', serif;">Speech </span></li></ul><p><span style="font-family: Times, 'Times New Roman', serif;"> <span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">3. Samana Vayu:</span></span><br /><br /></p><ul style="font-family: Times,"Times New Roman",serif;"><li>food</li></ul><p><span style="font-family: Times, 'Times New Roman', serif;"><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> 4. Apanaa Vayu:</span></span><br /><br /></p><ul style="font-family: Times,"Times New Roman",serif;"><li>excretion of urine, menstrual blood, faeces & foetus</li></ul><p><span style="font-family: Times, 'Times New Roman', serif;"><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> 5. Vyana Vayu:</span></span><br /><br /></p><ul style="font-family: Times,"Times New Roman",serif;"><li>Circulatory functions</li><li>Locomotion</li><li>Sensation</li></ul><p><span style="font-family: Times, 'Times New Roman', serif;"><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> 6. Pachaka Pitta:</span></span><br /><br /></p><ul style="font-family: Times,"Times New Roman",serif;"><li>Digestive secretions of digestive tract</li><li>Enzymes of the tissues</li></ul><p><span style="font-family: Times, 'Times New Roman', serif;"><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> 7. Ranjaka Pitta:</span></span><br /><br /></p><ul style="font-family: Times,"Times New Roman",serif;"><li>Hematopoietic principle in the liver</li></ul><p><span style="font-family: Times, 'Times New Roman', serif;"><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> 8. Alochaka Pitta:</span></span><br /><br /></p><ul style="font-family: Times,"Times New Roman",serif;"><li>Visual purple of the retina</li></ul><p><span style="font-family: Times, 'Times New Roman', serif;"><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> 9. Sadhaka Pitta:</span></span></p><ul><li>Different Hormones</li></ul><div style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"> 10. Bhrajaka Pitta:</div><ul><li>Substances in the skin regulations</li><li>Surface temperature</li><li>Absorption of oil & ointments</li><li>Complexion</li></ul><div style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"> 11. Avalambhaka Kapha:</div><ul><li>Pleural & pericardial fluid</li><li> Mucus secretion of the respiratory tract</li></ul><div style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"> 12. Kledaka Kapha:</div><ul><li>Mucus secretion of the digestive tract</li></ul><p> <span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">13. Bodhaka Kapha:</span></p><ul><li>Mucus secretion of the mouth</li></ul><div style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"> 14. Shleshaka Kapha:</div><ul><li>Synovial fluids</li></ul><div style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"> 15. Tarpaka Kapha:</div><ul><li>Cerebrospinal fluid</li></ul><p>Abstracted by "Dosha - Dhatu - Mala Vijnana" Dr.R.R.Patak</p><p> </p><p>Indunil<br /><br /></p><div dir="ltr"></div><p><span style="color: black;"> </span><br /><span style="color: black;"> </span></p></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-5920097178254869323?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-15097884303872896222010-04-04T12:17:00.003+05:302011-05-15T08:55:48.554+05:302011-05-15T08:55:48.554+05:30What is Ayurveda<div style="text-align: left;" dir="ltr"><div id="pd1" class="n3" style="font-family: Arial,Helvetica,sans-serif;"><strong>How Do You Define Ayurveda?:</strong></div><div style="font-family: Arial,Helvetica,sans-serif;"><p>Ayurveda can be defined as a system, which uses the inherent principles of nature, to help maintain health in a person by keeping the individual's body, mind and spirit in perfect equilibrium with nature</p></div><div id="pd2" class="n3" style="font-family: Arial,Helvetica,sans-serif;"><strong>What is the Meaning of Ayurveda?:</strong></div><div style="font-family: Arial,Helvetica,sans-serif;"><p>Ayurveda is a Sanskrit term, made up of the words "<em>ayus</em>" and "<em>veda</em>." "<em>Ayus</em>" means life and "<em>Veda</em>" means knowledge or science. The term "<em>ayurveda</em>" thus means 'the knowledge of life' or 'the science of life'. According to the ancient Ayurvedic scholar Charaka, "ayu" comprises the mind, body, senses and the soul.</p><div id="pd4" class="n3"><strong>What does Ayurveda do to you?:</strong></div><div>The aim of this system is to prevent illness, heal the sick and preserve life. This can be summed up as follows: <br /> <ul><li> To protect health and prolong life ("<em>Swasthyas swasthya rakshanam</em>") </li><li> To eliminate diseases and dysfunctions of the body ("<em>Aturasya vikar prashamanamcha</em>")</li></ul><div></div><div></div><div>Indunil </div><div dir="ltr"><div dir="ltr"></div></div><p><span style="color: black;"> </span></p></div></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-1509788430387289622?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-48031382505099791272010-03-13T11:05:00.002+05:302011-05-15T08:58:32.800+05:302011-05-15T08:58:32.800+05:30Useful Details<div style="text-align: left;" dir="ltr"><div style="color: #444444;"><p><span style="font-size: small;">Ministry of Indigenous Medicine<br /><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">Old Kottawa Rd, Nawinna, Maharagama.</span><br style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;" /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> Tel :+94 11 2850093, +94 11 2850247</span><br style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;" /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> Fax +94 11 5651966</span></span> </span></p><p>Department of Ayurveda<br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">Old Kottawa Rd, Nawinna, Maharagama.</span><br style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;" /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> Tel :+94 11 2896910</span><br style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;" /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> Fax +94 11 2845537</span><br style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;" /></p><p>Institute of Indigenous Medicine<br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">University of Colombo</span><br style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;" /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> Nawala, Rajagiriya- Sri Lanka. </span><br style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;" /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> Telephone: (94-01)-697175, (94-01)-694308, (94-01)-692385</span><br style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;" /></p><p>Ayurveda Teaching Hospital – Borella<br /><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">Tel: +94 11 2691724 </span></p><div dir="ltr"><div dir="ltr"></div></div><p><span style="color: black;"> </span></p><p> </p><p><span style="color: black;">Indunil</span></p></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-4803138250509979127?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0tag:blogger.com,1999:blog-7654708707014760288.post-21712684868822408712009-09-15T21:22:00.006+05:302011-05-15T08:58:15.716+05:302011-05-15T08:58:15.716+05:30Fields of Ayurveda<div style="text-align: left;" dir="ltr"><ul style="color: #666666; font-family: Arial, Helvetica, sans-serif; text-align: left;"><li>Surgery (Shalya)</li><li>Ear, Nose, Throat & Opthalmology (Shalakya)</li><li>Medicine (Kaya Chikithsa)</li><li>Psychatry (Bhutha vidya)</li><li>Paediatrics (Kaumarabhruthya)</li><li><span style="color: #666666; font-family: Arial, Helvetica, sans-serif;">Toxicology (Agada thanthra) </span></li><li><span style="font-size: 19px;"><span class="UIStory_Message" style="font-size: small;">Prevention diseases and improving immunity and rejuvenation (Rasayana tantra)</span><span class="UIStory_Message" style="font-size: small;"> </span></span></li><li style="font-family: Arial, Helvetica, sans-serif; font-weight: normal;"><span style="color: #666666; font-size: small;">Aphrodisiacs and improving health of progeny (Vajikarana tantra)</span></li></ul><p><span style="color: #666666; font-family: Arial, Helvetica, sans-serif;"><br /></span></p><div><span style="color: #666666; font-family: Arial, Helvetica, sans-serif;">Indunil</span></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/7654708707014760288-2171268486882240871?l=jeevthaya.blogspot.com' alt='' /></div>Ayurveda SriLankanoreply@blogger.com0