Avapeedaka Snehapana is a unique and special method of internal
administration of Sneha dravya (unctuous medicine) mentioned in the
classical ayurveda texts. It is mainly indicated in mutravegarodha janya
vikara (diseases due to the suppression of urge of micturition). Because of the
lack of adequate review and analysis, this method of administration of
snehapana (internal administration of lipid) is losing its significance
from the practices and the concept remains unexplored. The reasons for not being practiced
like other snehana (oleation therapy) procedures are because of the less
understanding of the concept of administration, scattered and minimal textual references.
Through this review, we intend to have a detailed analysis on the concept of
avapeedaka snehapana mentioned in the Brihatrayees
(Caraka Samhita, Sushruta Samhita, and Ashtanga Hridaya—the 3 main texts of ayurveda) with
its possible practical methods of administration. The role of ghrita
(ghee) in inducing the ketogenesis is also analyzed. Being a ketogenic diet, the benefits
of ghrita are interpreted. These efforts may help bring down
avapeedaka snehapana into the mainstream of practice.
ObjectivesKeratosis pilaris (KP) is the condition of the skin with extensive keratin follicular plugging. It may be associated with the erythema. The upper arm extensor area, shoulders, back of neck and thighs, as well as face and the upper trunk are the areas of presentation. Available medications for KP give only symptomatic relief, while some produce serious side effects. There is no proven universal treatment for the disease that can provide complete recovery. Āyuṛveda management of KP is not yet reported.Case presentationA 26-year-old male patient, presented with main complaints started with papular lesions over his right shoulder, chest and upper back along and later with pustular lesions in the past 2 weeks. The condition was associated with redness, mild swelling and itching. The case was diagnosed as Keratosis pilaris based on its presentation, site, and pathogenesis. Also by analyzing the extent of vitiation of doṣas (morbidities), the Vata kapha pitta hara line of treatment was adopted, which was accomplished in two phases i. e. Śodhana Cikitsa and Śamana Cikitsa.ConclusionBoth internal and external treatments along with diet restrictions were found effective in arresting the pathogenesis and recovery in a short period. All the symptoms associated with the condition were completely cured with no signs of re-occurrence.
Background
Plaque Psoriasis is very embarrassing condition of skin as it produces itchy rashes and scaly lesions which may not respond well to the treatment. It can be correlated with Kitibhakushta which is one among the 18 types of Kushta (skin diseases). Several corticosteroids for skin applications are used now a day’s which gives only temporary relief.
Case presentation
A 36 years old moderate built male patient complains of blackish skin rashes with itching, pain and scaling all over the body for three months. Based on the symptoms, Dosha (Biological humors) involved were assessed as Kapha (binding factors) and Vata (vital force of life) and suggestive of Kitibhakushta. Diagnosis of the Plaque psoriasis was further confirmed by biopsy. Classical Kushta treatment was adopted here. As Poorvakarma (pre-operative procedures), Rukshana (Dehydrating therapy) was done and then Snehapana (intake of medicated ghee) was administered. Then classical Vamana (emetic therapy) and Virechana (purgative therapy) were performed. This took almost one month. After Samsarjana (special diet) patient was administered Manibhadragula as Shodhana Rasayana for a period of one month.
Results
At the end of Manibhadragula intake, remarkable changes were observed in all the symptoms. There were significant changes seen in PASI, DLQI and photographs taken before and after treatment.
Conclusions
Here the special mode of administration of Manibhadragula as mentioned in Ashtanga Hridaya helps for Shodhana and the Shodhana itself has Rasayana action. Drugs also have Rasayana property. This made the authors to propose a new concept called Shodhana Rasayana. Classical treatment by considering the condition of Roga (disease) and Rogi (patient) helps for management of Kushta.
<strong>Background and Aim:</strong> Parkinson's Disease (PD) is a neurodegenerative condition of motor nervous system. The symptoms of PD are similar to <em>KampaVata</em> (a disease of <em>Vata Dosha</em>) such as <em>Karapadatala kampa</em> (tremors in hands and foot), <em>Dehabhramana</em> (postural instability), <em>Nidrabhagna</em> (insomnia) and <em>Matiksheena</em> (dementia) referred by Ayurvedic classics. The most effective management of PD in Allopathic system is dopamine replacement therapy but long-term use of L-Dopa is associated with motor complications. Available medications for PD provides only symptomatic relief and there is no treatment proven to cure the disease or delay its progression. The present case report is a known case of young onset asymmetric Parkinsonism who was on 700mg L-Dopa, managed with Ayurveda therapies. The line of treatment included <em>Vatanulomana</em> (pacifying morbid VataDosa), <em>Srotoshodhana</em> (clearing of the obstructed bodychannels) and <em>Rasayana</em> (rejuvenation). <strong>Management and results:</strong> It included both internal and external Ayurveda therapies. Therapies were performed every year for around 20 days in 3 consecutive years. The assessment was done by Parkinson’s disease questionnaire 39 and Schwab and England Activities of daily Living scale. Reduction in the dose of L-Dopa, improvement in tremor, bradykinesia, rigidity, regaining the perception of taste and smell was observed at the end of 3 years of treatment. <strong>Conclusion:</strong> The dose of L-Dopa was reduced from 700mg to 100mg/day and the quality of life improved.
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