Saturday, December 18, 2010

Ayurvedic pharmacy

AYURVEDIC PHARMACY
dear respected vaidyasi just want to know the formalities for running a ayurvedic pharmacy .is there any need for us to get drug license from drug inspectors? and is there any other formalities?hope i could get some insight,i am planning to open an outlet adjacent to my clinic.thanks in advance.
1) If planning to open an outlet of sales division for OTC and planning to give the bills, as Dr.Surendra bhaiyya stated, the TAN & TIN IS REQUIRED
2)Dear DOCTOR,If by pharmacy u mean a manufacturing unit then yes u have to register it as a company and accquire proper drug licence from state unit. U can download the complete procedure from website of AYUSH. If not found their just give me ur email i'll send u by attachement.If u wish to run a retail store then every state has it's own rule so please check with the autorities of ur state

3)Dear Sunil,Running an Ayurvedic pharmacy retail store does not requires any licence from department of Ayurveda nor from any drug inspectors .You just have to complete some formalities from sales tax department to acquire TAN and TIN numbers. And that is it....All the best for your new planning

Wednesday, December 8, 2010

Mahanimba

Namaste! Shall I present a small case before you all eminent Physicians and my dear friends which inclined me more towards our precious texts and Veda.

Certainly I should!

On 12-11-2010 a male pt.of 50 years-moderately obese complaining of pain over his Rt.gluteus regn. radiating to his right thigh attended the OPD on a fine morning. The history was since 20 years and before 12 years he had some Desi dawaai (stated as Ayurvedic) for 4 months and had remarkable relief then. But the pain recurred few years later and has become severe for the past few weeks.

The pain was such that it troubled the pt.on sitting from the lying downposition and even a while -sitting was problematic. Walking few meters discomforted him a lot.

Pers. His.: Short stature

Vegetarian , Non-smoker, Non- alcoholic

Manager in a big concern

Rides bike 40 km/day on avg.

Bowels-Normal

Wt. – 72 kgs

No other significant complaint.

He attended the dispensary thru one of his staff who is my patient too.

The prescription was so simple containing Yogaraja guggulu, Vatari guggulu and Mahamasha tail.

One text haunted my mind regarding Mahanimba which is widely available and adviced the patient to take the kalka in empty stomach .

During the follow-up on 3-12-2010 he said “ 80% improvement and halkaa sa dard letne se utne par”(sic).I accept- it was just an experiment done with a strong confident that the kalka can never hurt the pt in anyway. It was a surprise for me for I was under the impression that Our medicines work efficiently only on GIT and very less over the other systems of the body. (Frankly I was more excited than the pt which I had to hide with difficulty till I met my Better-half to whom I discuss such attributes of Ayurveda). I was unable to credit this success to the prescription of the compound medicines dispensed because the same was and is being administered to many cases of similar complaint with insignificant progress.

The reference is not being quoted here as the Eminent Physicians know it and my dear and respectful friends can explore new gems from the ocean on going search into the deep ocean .

I humbly request all our fraternity to guide me about what to be queried and what to be done during the next follow-up of the pt (The pt continues the prescription and the kalka presently).

MY HEARTY SALUTES TO THOSE GREAT SAGES AND OUR PIVOTS OF THE PANEL...........

Friday, October 15, 2010

pacahana kashaya --simple recipe

DHANYA NAGARAJA KWATHA PACHANO DEEPANAS TATHA

The patient is 3+ years old, was suffering with loose stools at the frequency of 3-5 episodes per day since 3-4 days. H/O-Nausea and 2 episodes of vomiting were present.

“LANGANAM PARAMAOUSHADHAM”-----------is the line of treatment followed and suggested. The tot denied the food and I too advocated very “LAGHU AAHAARAAS ” with profound caution against hypoglycaemia and dehydration.

But in the next 2 days the condition turned bad with increase in frequency and the volume of stools with foul odour and tenesmus.(The child took few pieces of kurkure).

Panic enough the mother thought of starting the antibiotics as the water supply around their area was the worst ever and all the disease scenarios were on the outbreak. I just requested the pitiful mother to give away the idea for at least for few days. During the past for a similar history, I had administered “KARPURA RAS” which I liked to avoid this time. I went through our “SAMHITAs”(Yes! We do get the desired gems with a goal in our mind only on searching from the treasures. Believe it.)

I was keen on using easily available drugs and easily processible formulation. It was found that almost all preparations indicated for “Atisara” containing either “SHUNTI and / or DHANYA/DHANYAKA “AND SO THE ABOVE STATED VERSE.

DEEPANA AND PACHANA would be the first line of treatment and why don’t we go alone on that?

Preparation of KWATH:

PANEEYAM SHODASHA GUNAM KSHUNNAE DRAVYAPALAE KSHIPAET

MRUTPATRAE KWATHAYED GRAHYAM ASHTAMAAMSHAAVASHESHITAM

Approximate derivation would be:

50 gms of coarse powder + 800 ml of water------boiling---------à100 ml of kashaya

(SUGGESTIONS AND CORRECTIONS ARE ENTERTAINED)

Dose of Kashaya:

2 palas (approx. 48 ml)

Time of administering Kashaya:

AAHARA RASAPAKAE CHA SANJATAE

Life span of kashaya: 12 hrs

Around 12 gms each of DHANYA AND NAGARA WERE BOILED IN 400 ML OF WATER AND REDUCED TO 5Oml.

Anupaana of kashaya:

Vata pitta kapha

Sugar ¼ 1/8 1/16

Honey 1/16 1/8 ¼

Here it was difficult to select the anupana for the dosha involved was difficult to evaluate. Apana vayu for certain is disturbed. Shall I go with sugar under vata’s dose of anupana?

At the first instance, just 10 ml of kashaya was administered along with 2 pinches of sugar (Bachchae ko kada pilaana aasaani cheez nahi hai.All gimmicks and probable facts told beyond her perceivable power.

My heaven! The child was craving for food within next few minutes and she didn’t purge for the next 4 hrs inspite of the porridge feeding (which she previously did) and the whole kashaya was thus given till night.........

The next day she did well except 1- 2 purges and then again the kashaya was restarted and 10 ml of MUSTA ARISHTAM -on and off (the latter is being given to the kid frequently as a routine Agni deepanam even before).No complain of loose stools thereafter. She is fine then.

Respected Panelists,

I pay my Special Thanks to Dr.G.S.Dehalji who thru his postings established the opinion of administering frequent doses of medicines during emergency in my mind........and Dr.Rangaprasad avargal and Dr.Divakargaru for creating confidence .I owe a lot to them.

Last but never the least to my daughter who took the medicine inspite of the pungentness and bitterness.

This article could have been stated in just 2 lines if I’Id have been a lay -woman........What made me to elaborate this is my MOTHERLIHOOD and to vaunt off the success through our MOTHER-SCIENCE.........

THANKS TO AC.COM..

THANKS TO THE ALMIGHTY...

JAI AYURVEDA.................................

Tuesday, September 7, 2010

Hepatitis-C

HEPATITIS C-BY DR SHRI DHAR
DEAR DRS
HERE IS SUMMARY OF HEPATITIS C
HEPATITIS C THIS VIRUS COMES MAINLY THROUGH BLOOD TRANSFUSION .
IF ANY PATIENT WHO HAS HAD A BLOOD TRANSFUSION AND NOW DEVLOPS AN ATTACK OF VIRAL HEPATITIS THINK OF HEPATITIS C
OR IF A PATIENT IS FOUND TO HAVE PERSISTENT ABNORMAL LIVER FUNCTION TEST ON TWO OR THREE OCCASIONS THEN THINK OF HEPATITIS C
SYMPTOMS OF HEPATITIS C ARE==There may no symptoms at at all it remain silent for a long until it causes cirrohsis of liver or liver cancerSymptoms of acute hepatitis C infection may be decreased in appetite, fatigue, abdominal pain, jaundice, itching, and flu-like symptoms (headache ,bodyaches,marked weakness and asthenia
Mode of transmission
1. Blood transfusion
2. Sharing needles
3. From dental procedures(through hepatitis c infected equipment)
4. Tattoo making
5. Nose and ear pierceing
6. Sharing tooth brush,razors,scisors etc
Note: Hepatitis c is not transmitted by sexual intercourse(rare if it occur),hugging,kissing,eating others food bites, using utensils of of an infected person.
it is not transmitted by brestfeeding to baby.
Diagnosis=Hepatitis C testing begins with serological blood tests used to detect antibodies to HCV. Anti-HCV antibodies can be detected in 80% of patients within 15 weeks after exposure, in >90% within 5 months after exposure, and in >97% by 6 months after exposureCourse and Prognosis =Hepatitis C may ends in cirrohsis of liver or liver cancer
NO VACCINATION IS AVAILABLE TILL TO DATECHAMPANZIANS WHICH RESEMBLES TO HUMANS ARE PROTECTED FROM HEPATITIS C, OTHERWISE IT’S VACCINATION MIGHT HAVE AVAILABLE TODAY.WHEN HEPATITIS C VIRUS IS INJECTED TO CHIMPENZEES THEY GOT ITS INFECTION BUT THE DISEASE DOES NOT PROGREES IN THEM THAT IS WHY IT’S VACCINATION IS NOT AVAILBLE ,HUMAN DNA RESEMBLE TO CHIMPENZEES IN A GREAT EXTEND

Monday, September 6, 2010

Discussion of Alcoholic hepatitis

The patient is a 45 years old.
He used to take alcohol and non-veg occasionally.
On examination there was tenderness in whole abdomen and on percussion bloating.
He told me that he was on fast two days back and at night he had 5-6 large pegs of wine and non-veg.
So to clear the Ama condition i gave him Chitrakadi vati 2 tabs tds for 3 day with bland diet only.
On third day his tenderness reduced but there was yellowishness in his eyes.
There was no fever.
I send him for routine blood and LFT.
As the LFT readings were very high i send him for USG.
But in USG liver and other organs were Normal.
Then I applied a this formula—
SGOT(AST) > SGPT(ALT)=Alcoholic Hepatitis
SGOT < SGPT= Viral Hepatitis
As SGOT (2930) was more than SGPT(2200),which show it is a case of Alcoholic Hepatitis.
I am the only Ayurveda physician practicing purely in Ayurveda so my other colleagues told me to refer it to Allopathy hospital and even I was not confident to handle this alone. Even I consulted a reputed specialist of my town at my own.He told to hospitalize the patient immediately. But my patient refused and asked me to give my Ayurveda treatment only.
So i tried Liv 52 drops in high dose i.e 2 tsf twice a day and Drakshadi kashyam 3 tabs bd(for pitha dosha).
After 5 days of treatment his appetite improved and his dahaalso reduced.
I stopped Drakshadi tabs and switched to Liv 52 DS syp 2 tsf bd and Nirocil 1 tab tds
.Patient reported again after 5 day.
I repeated the test for progress of my treatment of 10 days.
And there was such a remarkable improvement in LFT.
ALT and AST were normal and bilirubin was still 4.
Now the patient is on Liv 52 DS syp 2 tsf bd only and has very gud relief in his symptoms.
This proves the efficacy of Ayurveda medicines even in acute cases and even strengthened my belief in Ayurveda.Jai AYURVEDA.

Coutesy: Dr.G.S.Dehal
dear dr

this is a case of viral hepatitis not alcholic hepatitis,please read article Heapatitis abcde on this site as i have written in my article it is self limiting disease only patience in dr and patient is required.very soon i shall write a short article on alcholic hepatitis,but for your knowledge PLEASE REMEMBER THIS LINE WHILE DIAGNOSING ALCHOLIC HEPATITIS

The ratio of aspartate aminotransferase to alanine aminotransferase should be 2 or more

In most cases, the liver enzymes do not exceed 500.

the formula is SGPT DIVIDED BY SGOT=VALUE SHOULD BE MORE THAN TWO (ONLY TRUE IN ALCHOLIC HEPATITIS)

BUT IN OTHER CASES IT SHOULD BE MORE THAN 1 -------Dr.Shridhar

I Agree with Dr ShriDhar that the ratio in alcoholic hepatitis is more then 2.Infact The SGOT/SGPT ratio is significantly elevated in patients with alcoholic hepatitis and cirrhosis (2.85 +/- 0.2) compared with patients with post necrotic cirrhosis (1.74 +/- 0.2), chronic hepatitis (1.3 +/- 0.17), obstructive jaundice (0.81 +/- 0.06) and viral hepatitis (0.74 +/- 0.07).But in your case the symptoms are more suggestive of alcoholic hepatitis rather then viral.Just ve a feeling the lab reports have been goofed up----------Dr.Rishi

Sunday, September 5, 2010

VARICELLA-CHICKENPOX

there r 6 common fevers with rashes in general practice
there is one formula to know the name of that fever,count the day of the apperance of rashes from the of day of the starting of fever
VERY SICK PEOPLE MUST TAKE DOUBLE TEA
1.very = varicella (chichen pox)
2.sick =scarlet fever
3.people=small pox
4.must.=measles
5.take=typhus
6.double=dengu fever
7.tea=typhoid fever
In chicken pox only symptomatic treatment should be given as it is a case of viral fever keep in mind complication of encephlopathy(viral encephlitis symptoms r stupor,coma,convulsion no doubt it is very rare complication only1-2% but still keep in mind)ANOREXIA MAY BE PRESENT DUE TO GASTRITIS (WHICH IS DUE TO THE TOXINS LIBRATED BY THE VARICELLA VIRUS)SO WHEN VIRUS BECOMES INEFFECTIVE EVERY THING WILL BE REVERSED AUTOMATICALLY

Hepatitis-D (Delta virus)

INFECTION OF HEPATITS D NEVER OCCUR ALONE .
HEPATITIS D VIRUS ALWAYS DEPEND ON HEPATITIS B OR C VIRUS .
THE INFECTION OF HEPATITS D OCCUR MAINLY BY THE INTRAVENOUS ROUTE OR DRUG USERS.
THIS VIRUS MAINLY CAME FROM SPECIAL SHORT STATURED PLANTS
THIS VIRUS COULD NOT CREATE ANY PROBLEM IF IT IS PRESENT ALONE IN THE BODY, BUT WHEN OCCUR ALONG WITH THE INFECTION OF HEPATITIS B OR C , IT MAKES THE INFECTION OF HEPATITIS B&C MORE FATAL,CHANCES OF DEVELOPING HEPATO-CELLULAR AND CIRROHSIS OF LIVER INCREASES MANY TIMES.

Footnote on Hepatitis-B

DEAR DRS,
HERE IS FOOT NOTE ON HEPATITIS BHEAPATITIS B
1 IT IS ALSO INFECTIOUS DISEASE
2.INCUBATION PERIOD IS 50-150 DAYS
3.TRANSMITTED THROUGH NEEDLE,BLOOD PRODUCTS,SEXUAL INTERCOURSE,DEEP FASINATING KISS,AND IN ANY CONDITION WHERE EXCHANGE OF FLUID OCCUR BETWEEN TWO BODIES,TATTO MAKING,FROM BARBAR SHOPS,PIRECING OF EAR AND NOSE ETC
4.GRADUAL ONSET
5.MORE SERIOUS
6.CHRONIC HEPATITIS MAY OCCUR AND MAY PERSIST FOR YEARS.CHRONIC ACTIVE HEPATITIS MAY OCCUR WHICH CAUSES LIVER DAMAGE AND THIS MAY LEAD TO FIBROSIS OF LIVER LEADING TO CIRROHSIS OF LIVER.
7.THE PATIENT MAY BECOME THE CARRIER OF HEPATITIS B.
8.RECOVRY IS 80%
9.AUSTRIALIAN ANTIGEN IS ALWAYS POSITIVE
IF AUSTRIALIAN ANTIGEN IS POSITIVE (HBsAG) THEN GO FOR HEPATITIS Be ANTIGEN IF IT IS POSITIVE------- IT MEAN THE VIRUS IS REPLICATING AND ACTIVE WHICH POSITIVELY NEED ANTI-VIRAL THERPY LIKE LAMIVADINE WHICH IS THE ONLY FDA APPROVED MEDICINE FOR HEPATITIS B
COMPLICATIONS=
A) CIRROHSIS OF LIVER---PORTAL HYPERTENSION OR HEPATO-CELLULAR FAILURE OR BOTH
B) CANCER OFLIVER
C) RECURRENT ACTIVE HEPATITIS
D) RENAL FAILURE
E) HEPATO-ENCEPHLOPATHYNOTE = IN 80% OF THE PATIENT AUSTRIALIAN ANTIGEN BECOME NEGATIVE WITH IN 6MONTHS
TREATMENT=Rasayana therapy(Pippali,Ashwagandha,Sariva,Jiraka,Draksha: for fatigue, immunomodulation and rejuvenation and to decrease the viral load.
Antiviral herbs:Bhumyamalaki,Kalmegha,Kutki..Hepatoprotective herbs:Punarnava, Bhringaraja,Pipali, Ghritakumari..
Liver Detoxyfying:Moolaka,Apamarga,Arka,Chirayata.
PLEASE PUT ONTAB LAMIDAC 100MG DAILY FOR 1YEAR IF HEPATITIA Be ANTIGEN IS POSITIVE

Sunday, August 29, 2010

Click photos

DOCUMENT YOUR CASES BY CLICKING PHOTOS… SOME BASICS ABOUT CHOOSING THE RIGHT CAMERA
Today is my day (sun-(Divakar)-day)…as usual I don't want to create panic in your both hemispheres of the brain by telling a long story, at least today. Reading books or knowing things other than our own subject…always create some continuous enthusiasm, which will enable me to read our subject more passionately…Enthusiasm is the only thing which keeps me get going…otherwise life is little bit boring..How to take authentic medical photos? Here are some tips…1. I strongly suggest that one should keep the record of the patients by clicking photos at regular intervals…it has 4 advantages (I think... many) …(i)Patient can see the difference( ii)It can be very useful to you for case presentation later...(iii)Collection of successful case studies with good photos create a very good opportunity to write a book(iv) It enhances your confidence2. Whenever you take photo of a patient...Some points are always to be remembered:A. Explain to the patient that what you are going to do B. For Ano-rectal cases you may require consent of the patient3. Never take photos exposing the face of the patient; you can cover the face by editing (photo morphing and editing softwares are available online..eg.freeonlinephotoeditor.com & morpheussostware.net, etc.)4. Always take the follow up photos at the same place and at the same angle (it looks authentic)5. Always try to incorporate date of the photo in it.(many cameras have this feature..Otherwise you can write on a card board)6. If you want to take the picture of a drug, leaf etc...Back ground should be in contrast color for better look… (E.g. Leaf...Background should be Red or pink (you can use butter paper)7. Patient should never feel that you are doing a sting operation on him/her...So, be gentle with the patient by making him/her comfortable…8. If you want to show skin lesions of the patient...Photo should always be a close angled one (you can use macro setting on, where you can show the healing tissue, discharge, etc. effectively)9. Fracture should always be shown with the x-ray film along with the photo.10. Don't swap the follow up photos (ilaaj se pehle ka photo (woh actually baad ka hota hai) ilaaj ke baad wala photo (woh pehle ka hota hai)..Avoid cheap slimming centre photo techniques…11. Discharge (blood, pus, serous discharge, etc.) should always be photographed in natural light.12. Use the right camera for the photos, as it should look good…even if you show it on a bigger screen… For that, you have to know the basics of digital cameras…I am not an expert in that field..I will try to tell some of the important functions and nomenclature of the camera which will be useful to you while purchasing a new one (remember what the Sales Man tells about any product is always insufficient ... and it's a deliberate move by him to sell a lesser known or not so good product)SOME BASICS ABOUT CHOOSING THE RIGHT CAMERA: HERE ARE THE TIPS…Never fall in to the trap of Mega pixel Mania (it doesn't mean that more pixels ... means more clarity) because the clarity of the picture depends on so many things other than pixels (capacity of the chip (image sensor), quality of the lens, memory card and nature of the exposure of the light, etc.)1. Image sensor is the vital device for capturing good photos...so see the details of its value (more than 2.5 cm will be good

2.There are basically 2 image sensors (i) CCD (charged coupled device) (ii) CMOS (compliment metal oxide semiconductor) Sony uses CCD and canon uses CMOS both are good …MORE WIDTH OF THE SENSOR…. MORE CLARITY3. Lens is another important part….in camera… (Sony uses Carl –Zeiss(reputed) Panasonic uses( Leica Lenses) canon uses its own lens and Nikon also uses its own lens(it’s called Nikkor)MY SUGGESTION IS… LENS SHOULD BE OF THE SAME COMPANY (THAT’S WHY CANON AND NIKON ARE SUPERIOR AND WIDELY USED)4. Camera should have a good optical Zoom (min.10x zoom is very good for all purposes) digital zoom only enhances the photo resolution by increasing the resolution digitally (Interpolation…)which means quality of the photo will be compromised…(look grainy..If you enlarge the photo) MORE OPTICAL ZOOM...MORE CLEAR RESOLUTION…5. Camera should always have a good flash (red eye is the main side effect of the flash) buy a camera with redeye reduction (most cameras have this function but canon and Sony are the best)..Don’t use flash in day light.6. Always buy camera with MACRO (Macroscopic) option for taking better (close up) medical photos...MACRO SIMPLY MEANS THAT IT MAGNIFIES SMALL OBJECTS OF THE PHOTO WHILE CLICKING... (Very imp. function)7. Image stabilization and Anti-blur, Anti-shake, smile shot and face detection are some other useful functions one should look for..(Sony cameras have all these functions in cameras below Rs.10, 000 range..But my feeling is except anti shake and anti blur most of the techniques are just cosmeticKaunsa camera mera chehra andhere mein detect kar sakta hai? It’s all marketing gimmicks…)8. Screen of the Camera should always be good for better viewing (Min.3 inches LCD screen is a good option)9. Higher ISO settings (sensitivity at which your cameras sensor reacts to the light when you open the shutter) in a camera is useful when you want to take a picture in low light (settings are like 100,200,400 and so on….you can adjust it manually in some cameras…..400 is for low light..100 is for day light, 200 is for night photography)10. Always try to buy a camera with a detachable lens option (so that you can have the freedom of using different lenses (wide angle lens ... (For wider picture) telescopic lens (to capture far away things)Range starts from 22,500(canon 1000D)12. Video Zoom (zoom in /out function while recording a video available) is necessary if you want to record a video of your case or any surgery for that matter..Remember most of the cameras including Sony, Fuji, Olympus, Casio, Kodak etc. lack this function where you have a fixed zoom (cameras below Rs.8,000…Video zooming feature in all cameras start above Rs.12,000 range)CANON AND NIKON ARE THE EXCEPTION...

Abuse of antibiotics abase India

ABUSE OF ANTI-BIOTICS ABASE INDIA
ABUSE OF ANTI-BIOTICS ABASE INDIAThe recent claim that NDM -1 (New Delhi Metallo beta lactamase), the anti-biotic resistant superbug, has originated in India has left the Union Health Ministry fuming.And as we go through the newspapers and other media it seems that the Govt .is worrying about India’s booming medical tourism. What ought to be really worried about is the Country’s high rate of HAI (Hospital Acquired Infections) and the abundant abuse of antibiotics.India , Our Sweet Country, stands strong and first among the abuse and overuse of antibiotics. Of course, other countries like Taiwan, Nigeria, etc. too are in the line....but after all We have to grieve about Our Country first as it is the home town of Great Aacharyas and is the mother state of the Great Science AYURVEDA(The LIFE SCIENCE) AND now here life itself is at trouble due to science. There is no regulatory mechanism to check the abuse.Over-usage of antibiotics and some of these which don’t have the dosage it claims (under dose) will automatically give rise to drug resistant organisms and thus arouse the SUPER-BUG. They have learnt the concept of “Survival of the Fittest’ and are at least fit enough to fight against the present antibiotics.In a single hospital there were 22 cases from whom superbugs were isolated. Note this is the case in a single hospital all over the country.Most of these bugs spread through contaminated hands, air-conditioners, contaminated surfaces and devices used on patients. Those who are on multiple antibiotics or the elderly are largely vulnerable. Superbugs have been around for decades all over the world. There is no record on how many lives are lost due to this. But the recent name given is NDM which has drawn flak from the Government.

Just three days back when one of a neighbour came to me for getting a pain killer administered parenterally, I saw his prescription. He is a patient of Renal calculus (left renal calculus-single ---as per the reports) who had a classical symptom of calculi pain and no other symptoms of infection or even nausea or vomiting. The prescription carried both Ofloxacin 400mg and Cefuroxime 500mg,a fluoroquinolone and a second generation cephalosporin respectively and Inj.Hydroxyprogesterone IM stat along with two pain killers. The Physician is a reputed Nephrologist and the hospital is definitely not a petty one. Is not one antibiotic-- sufficient in his line of prophylaxis/treatment? First day the patient came with Diclofenac injection for his pain and the second day he bought Inj.Hydroxyprogesterone for getting administered saying he got relieved with that. It was embarrassing to make him understand and was a different story .If any erudite Physician can back the medicines used in this case, kindly throw light for which I am obliged.The worst of the tale is with the children and the worser are with the infants for whom the antibiotics are prescribed under the name of anti-flu or antitussives , where virus may be the cause in most of the cases. Even educated and well-to-do mothers administer the same medicines whenever their kids exhibit one or the other symptom till the adolescence?????Presently in the case of NDM, a combination of antibiotics are used for treating and again the cycle starts while teams are working on a new class of antibiotics which may take years to deliver.The article definitely doesn’t imply abandoning of antibiotics but a check for the abuse.An uniform antibiotic policy is the need of the hour for the Allopaths.What should be our part to save Our Country err..... the world from them.KINDLY HELP

Saturday, August 21, 2010

Stanya-Breast milk

STANYA-BREAST MILK
Posted By : DR. V.SUJATHA delhi Dated : Friday, August 06, 2010

On the eve of World Breast Fedding week (1st-7th Aug.2010),wish to place down the array of benefits of breast milk(BM).
For the KID:
1)BEST IN NUTRIENT QUALITY
2)Right amount of FATS,PROTEINS and VITAMINS required for healthy growth and development of the child
3)EVEN FOR A PREMATURELY DELIVERED BABY the BM provides the nutrition according to tyhe baby's growth and digesative power and hence easily assimilable.
4)STRONG BONDING EXPERIENCE BETWEEN THE MOTHER AND THE CHILD
5)COMPRISES infection-fighting elements ie.,STRENGTHENS IMMUNE SYSTEM
6)Digestion and consumption are comparatively good than the formula food/milk
7)Babies never develop any allergy to BM
8)Prevents obesity and increasesthe intelligence of the child
FOR MOTHERS:
1)Nursing itself is a wonderful experience
2)Weight control(Ofcourse,size zero is impossible)
3)Prevents Breast Ca and other malignancies too
4)Reduces postpartal bleeding by contracting the uterus toits original size
5)Moreover the women @ the domestic work headaches find a time to relax and to bind with their tots carefreely......

Haritaki -?STANYA SHOSHANA DRAVYA

HARITAKI--?STANYA SHOSHAKA DRAVYA As the World is celebrating Braest feeding week,contemplating on Stanya is irresistible.It happened long back (in 2000) one of my patient's relative, a 30 yrs. old parous female having her LCB ab. 3-4 months back came into my cabin(when I was alone) and wept (she neeeded some convincing soul).She ended with saying ''Dr.!When I was lactating my first child, My breast milk(BM) was abundantly secreting and whiile weaning the child after certain periodmy mother applied(/adviced to apply)KADUKKAI (HARITAKI) paste over the breasts so that the secretion wld reduce and baby wld easily resent.But even after my 2nd labour(FTND) BM is not secreting even a little and the organs are very much shrunken in size inspite of the gestation.My query since then ;Is HARITAKI such a stanya shoshaka?{Note:I didnt meet the lady again nor any medicine nor any advice was prescribed .She was in need of a canal to drain her emotion of not feeding her beloved child.)

Replies : 12 / Views : 211 Monday Aug.9, 2010 »thanks for all the Experts for their respectable replies.Hereby all of them r requested to pour their experiences and experiments on the topic whenever they comeacro

»hi suja single application of hareetaki will not be the reason for her condition,it may be due ahara&vihara(during pregnancy&after delivary) Comments to Reply of Dr. (mrs.) Prabhakantham

» Its not a single application Dear !...........for weaning is a difficult task .people used to apply the substances over the organs for over few weeks .....Thanks for ur reply dr. v.sujatha - 8/9/2010

» Idu yaaru VAC, Prabhakantham-aa? Sujathaavoda classmate-aa!? dr. rangaprasad bhat - 8/9/2010

» Yes,Sir!!!!!!!!!adhe Great kantham thaan!!!! dr. v.sujatha - 8/13/2010 Posted By Dr. (mrs.) Prabhakantham bengaluru Add Comments to Reply of - DR. (MRS.) PRABHAKANTHAM Monday Aug.9, 2010

»Dear Dr.Sujatha,I think there is no mention regarding the soshan effect of haritaki on sthanya in classical textbooks.But I do remember having read that it acts as लेखनीय , not in context of ob&G, but in the context of pharmacology & pharmako-kinetics of ayurveda.-Sarve santu niramayaa: Posted By Dr. Rangaprasad Bhat chennaiAdd Comments to Reply of - DR. RANGAPRASAD BHAT Monday Aug.9, 2010

»Dear Dr.Suajatha,Your mention of application of Pathya choorna in the LCB(Last Child Birth) causing dessication of breast milk, is possible. Since, I too have heard about it's practice by the elderly persons of the family (Paati vaiddhiyam- Home remedies).I remember one peculiar & particular incident,which happened,when I was in the initial stages of my practice.I was much interested in ekamooliya prayoga. Hence thoought of preapring the vati of hareetaki as an experiment, making the paste of it with water. To my dismay, I could not prepare the vati, because whenI tried to roll n the bolus of kalka to make the shape of vati, inspite of smearing ghrta in my palm and fingers, I frustratingly found my fingers sticking with each other as if they were glued with the help of Fevi-Quix. I feared of tearing my skin, whlie trying to forcibly separate the glued fingers. Later, they were some how separated by dipping them in a mug of water for a few minutes to moisten them.It is this incident, which made me rationally think of about the usage of 2 of my fav. aushadhas viz.., parusakady lhym & Agastya rsynm. They both contain pathya as their ingredients. I find that the pathya acts a demulcent, by coating a protective layer over the otherwise irritated mucous membrane, respectively in cases of Pepetic ulcer & URTI each respectively causing pyrosis & reflex cough.And I noticed remarkable clinical improvement in those two conditions with those 2 medicines.Since then, I value the clinical SOSHSAN effect of the Haritakee.ut, in this particular case, the Haritaki may not be the culprit for non production of breast milk or otherwise shrivelled breasts. The cause may be with in the jurisdiction of Retained placenta / hypothyroidism / PCOD. Warm regards to you. Please do keep posting your clinical observations in future too. Comments to Reply of Dr. Rangaprasad Bhat

» kott. Ary.vd.sal prepares them. dr. rangaprasad bhat - 8/9/2010

» Iam privileged,Sir!Thanks for utr new inputs about Parushakadi lehyam and Agasthya rasayan.Please can u mention the good brands ifor them? dr. v.sujatha - 8/9/2010 Posted By Dr. Rangaprasad Bhat Add Comments to Reply of - DR. RANGAPRASAD BHAT Sunday Aug.8, 2010

»Good question Dear Dr Sujatha, I doubt the action of ‘Haritaki’ as Sthanya Shoshaka Drug. Modern and urbanized women only complain about the decrease of milk secretion and is not seen in real village women, adiwasi’s, tribals etc- I think it is the mindset of the people that is causing ‘Stanyanasa’ and proper counseling and education from our side will definitely cure this ‘menace’. Coming to the causes of ‘Stanyanasa’ Tantrakaras have described it clearly, i.e. // Krodha shoka avathsalyadibhishcha streeya sthanyanasho bhavathi // (su.sa). // Rukshannapana karshana krodha shoka kaamadhibhih stanyanasa // (As. Sa. Utta) //Shukkrodha langhanaayasah stanyanasasya hethavaha // (As. Hru. Utt) // Shodhanadhwa swabhavadhwa yasya ksheeram visushyathi // (kashy. Sam. Su)Anger, Grief, Absence of Affection of the child, Fear, Fasting, Excessive Exercise, Consumption of dry foods, emaciation, over panchakarma and re pregnancy etc. are the causes of decreased milk. The chikitsa for this is 1) Sleshma vardhaka dravya prayoga; sura, shali anna, mamsa, goksheera, sharkara, asava, dadhi prayoga abhyasa. 2) Use of Ghritha, Thaila, Milk prepared from ‘Vajikarana’ drugs. 3) Increased use of Lasuna & Palandu 4) Use of Sugarcane Juice and Manda (Scum of boiled rice) will increase the milk secretion – I have observed instantaneous milk production in many a case and this health tip is usually told by our grandparents, elders etc for this condition. Comments to Reply of Dr. Kranthi R Vardhan

» Dear Dr.Krantiji,thanks for the pain and time taken for replying.The lady was a typical village woman in whom I doubt a negative thought ab feeding.Sir,IN FEW CASES, Haritaki chooran didnt work in reducing the stana size(non-lactating) dr. v.sujatha - 8/9/2010 » Can u please Substantiate either theoretically or with ur clinical experiences... dr. v.sujatha - 8/9/2010 » xlent sir dr. t. divakar rao - 8/8/2010

» Thats Dr. Kranthi ji at his very best.....Sir I enjoy your replies as if sachin is hitting sixes on every ball of brett lee. vaidya rajinder pal singh - 8/8/2010

» wat u said is 100% correct,i fully agree with u dr. (mrs.) prabhakantham - 8/9/2010 Posted By Dr. Kranthi R Add Comments to Reply of - DR. KRANTHI R VARDHAN Saturday Aug.7, 2010 no way dr sujatha. just once application can never do any effect leave apart any long term effect. hav eu ever heard any body saying weight gain after cs? easy human behavior. Comments to Reply of Dr. Meenakshi Joshi

» Dear Dr.,The pt has applied it for few times it seems...Infact, she was an illiterate and I culdnt think of any intended aversion of non-feeding in that lady(stiill I cld remember her grief-striken face.Thank u so much for ur kind reply,Dr. dr. v.sujatha - 8/9/2010 Posted By Dr. Meenakshi Joshi gurgaon Bhavaprakash told that Haritaki astringes all leakages from the body.But no clinical experience so far. Posted By Dr. G. S. Dehal dear sujataji,very nice observation...but I dont think the external application can make that much difference..although haritaki is known for the rooksha guna..and the action of haritaki should not affect her second labour....I may be wrong..expert opinion awaited..good topic... Comments to Reply of Dr. T. Divakar Rao

» Dr.,For a few who were keen on decreasing their stana size haritaki chooran's application didnt prove significant........Thanks for the inspiration..........IT Works in all minds...... dr. v.sujatha - 8/7/2010 Posted By Dr. T. Divakar Rao delhi Add Comments to Reply of - DR. T. DIVAKAR RAO Saturday Aug.7, 2010

»agree with all Comments to Reply of Dr. Nitin Mishra

» thank u ,Sir! dr. v.sujatha - 8/7/2010 Posted By Dr. Nitin Mishra Add Comments to Reply of - DR. NITIN MISHRA Saturday Aug.7, 2010

»Difficult to state about this. It could be understood that Haritaki is Kashay rasatmak. It could have the outome. But just by applying it once or twice would not meant to reduce it till next gestation. Comments to Reply of Dr. Gandhi Sachin

» Dear Gandhiji(sounds very good),during weaning they apply the substances many times to make the child avert..... dr. v.sujatha - 8/7/2010 Posted By Dr. Gandhi Sachin ahmednagarAdd Comments to Reply of - DR. GANDHI SACHIN Saturday Aug.7, 2010

»वैसे ये कहना मुश्किल है की स्तन्य शोषक परिणाम हरीतकी से आया है,और कारण हो सकता है.मुस्ता-लेपन करने से स्तन्य बढ़ता है और धत्तूर-३दिन/नागवेल पत्र५-७दिन गरम कर बाँधने से स्तन्य कम होता है. [मैंने एक बार स्तन्य कम होनेवाले स्त्री को शतावरी कल्प बंद कर साम-पित्तज-स्तन्य दुष्टि निदान कर फलत्रिकादी क्वाथ दिया था उससे स्तन्य प्रवर्तन उत्तम होने लगा था.आपके pt में शायद वाताधिक्य होगा जिसके कारण कम हुआ स्तन्य का आगे प्रवर्तन नहीं हुआ.] Comments to Reply of Vaidya Paresh Dange

» tx for sharing ur views,Dr.Yes,Sir!She was a typical Vata prakriti dr. v.sujatha - 8/7/2010 Posted By Vaidya Paresh Dange Add Comments to Reply of - VAIDYA PARESH DANGE Friday Aug.6, 2010

»**हरितकी(हर:स्वयं शिवजी का पर्याय है) को स्वयं धात्री एवं योगवाहिनी कहा गया है.... कषाय रस/ उष्ण वीर्य कारण हो सकता है...some other etiology might have been also in process. Disclaimer: Replies and Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on the opinions or information posted on this page. ALWAYS check with your personal physician or health care provider before taking any action regarding your health!

Sunday, August 8, 2010

Botanical names of some common herbs

Common Herbs / plants Used in Ayurveda Treatment
Botanical Name Ayurvedic Name
Acacia Concinna ---------Shikekai
Acorus Calamus---------- Vekhand (Sweet Flag)
Adhatoda Vasica---------- Adulsa
Alpini Galangal --------------Kashtha (Galanja Grand)
Aloe Indica------------ Korphad(Aloe wet)
Allium sativum------------ Lashuna(Rasona)
Andropogon Muricatus ---------Wala(Khus)
Asparagus Racemoses ------------Shatavari (Wild Asparagus)
Azadirachta Indica------------ Kadunimb(Neem)
Balsamodendron Mukul -------------Guggul
Berberis Aristata--------------- Daruhalad
Boerhavia Diffusa-------------- Punarnava
Carica Papaya------------- Papai
Cinnamomum Cassia--------------- Dalchini
Citrus Aurantium ---------------Santra sal(Tangerine)
Curcuma Amada-------------------- Ambehalad
Curcuma Longa--------------- Haridra
Curcuma Zedoaria-------------- Kachur Sugandhi(Zeodary)
Cyperus Scariosus------------- Nagarmotha
Eclipta Prestrata ------------Maka(Bhringraj)
Embelia Ribes -----------------Vavding(False Pepper)
Eugenia Jambos-------------- Jambhool Seed(Jambolana)
Fagonia Arabica----------- Dhamasa
Ficus Religiosa-------------- Pimpal mool
Glycyrrhiza Glabra-------------- Jeshthmadh(Licorice)
Hedychium Spicatum ---------------Kapur Kacherii
Herpestis Monniera --------------Brahmi
Hibiscus Rosa-sinensis ----------------Jaswand
Holarrhena Antidysenterica----------------- Kuda (Cinkona)
Lagenaria siceraria -------------Bottle gourd
Lausonia Alba---------------- Mehndi
Mesua Ferrea------------------ Nagkeshhar
Momordica Charantia --------------------Karle(Bitter Melon)
Ocimum santum -Seed --------------Tulas bee(Holy Basil)
Ocimum Senclum-Leaves--------------- Tulasi(Holy Basil)
Phyllanthus Embelica----------------- Avalkathi(Amla)
Phyllanthus niruri ----------------Bhuiamla , Bhumiamalaki
Piper Nigrum-------------- Black Mire(Black Pepper)
Piper Longum-------------------- Pimpli
Psoralea Corrglifolia -------------Bawchi
Rose Petal Pwd---------------- Rose Petal Pwd
Rubia Cordifolia ----------------------Manjeestha
Santalum Album--------------------- Chandan
Sapindus Trifoliatus-------------------- Ritha(Soapnut tree)
Saraca Indica----------------- Ashoka
Swertia Chirata ---------------------Kadechirayat
Symploccs Racemosa----------------- Lodhra
Terminallia Bellerica---------------------- Behada
Terminallia Arjuna ------------------Arjuna
Terminalia Chebula--------------------- Haritaki
Tinospora Cardifolia--------------------- Guduchi
Tribulas Terrestris ---------------------Gokhshura
Trigonella----------------------- Methi
Triphala---------------------- Three herbs- Amalaki, Bibhitaka, Haritaki
Vernoia Anthelmintica------------------- Kadujire
Withania Somnifera----------------------- Ashwagandha
Zingiber Officinale------------------------- Soontha (Ginger Pwd)

Saturday, August 7, 2010

kaishora guggulu and amrita guggulu

Medicine
Kaishora Gugulu
Amrutha Gugulu
Ingredients
Triphala,Trikatu,Vidanga,Danti,Trivrit,Guduchi,Gugulu
Triphala,Trikatu,Vidanga,Danti,Trivrit,Guduchi,Gugulu and Twak.
Dosha
Tridosha esp.Kapha vata ghan
Vata pitha ghan
Dushya
Rasa,Rakta and Lasika
Rasa,Rakta and Lasika
Mala
Sweda
-
Action
Does the pachan of Vikrit Kapha,removes sweda dorgandhya
Does the pachan of Raktashrita doshas.
Indications
Vata rakta(utaan & Gambhir),Kushta,Sheet pitha,nadi vran,kapha anubandhi rakt vikara,
All types of Santarpan krit Kushta in association with Malavibandha,Amla pitha,pitha anubandhi rakt vikara esp in fatty person,kandu yukt Sravi kushta
Anupaan in different diseases
Inflammatory Arthritis: With Amavatari kash, Rasnadi kash. (S), GT kash.Utan vata rakta: With Mahatiktakam kash, Aragwadhadi kash.Vat kantak: With Sahacharadi kashaym, G.T kashayam.Vata rakta(gambhir): Manjishtadi ksh.Shotha: Punarnavashtak kwathGulma:Varanadi kashyamThis is a rasayan and Kanthi vardhak.
Vidradhi: With Nimbadi Kashayam, Trayantyadi KashayamMedo roga : With Varadi Kashayam, Varanadi KashayamNadi vrana : With Gulgulutiktakam Kashayam

Though all the ingredients are almost same but it is Triphala pradhan yoga.
This is a guduchi pradhan yoga


Hello Dr DehalI would like to add that there is lot more difference in both not only in terms of the quantity of the ingrediants but also in the method in which they should be prepared. this is the reason they produce different action pharmacologically.---KAISHORE GUGULU------take triphala 2 kg with giloy 750 gm in 20 kg water --make kadha---add 750 gm shudha guggulu-----in the end add triphala 80 gm, giloy 40 gm, saunth, marich, peepal, vaividang each 20, danti mool & nishoth each 10 gmAMRITADI GUGGULU------giloy 1 kg, guggulu 1/2 kg, amla, harad, baheda each 1/2 kg, dantimool, trikatu,vaividang, giloy, triphala, dalchini each 20 gm + nishoth 10 gmAnd practically amritadi gives very good results in no time in all the cases of wet eczema, but kaishore is good in dry eczema.Both are effective in all types of vatrakta conditions but u will get more fame when u use amritadi in vatarakat.thanks

Wednesday, August 4, 2010

Rajayapana Vasti

raja yapana vasti ingredients are :
Makshikam-200ml
Lavanam-15gm
sneham-200ml(yamakam)
kalkam-30gm(balya drugs)
ksira kasayam-400ml
kasaya dravyas may be musta,patha,guduchi,bala,rasna,madanaphala,manjista,eranda,aragwadha etc.
300ml of mamsa rasa should be added to the above 900ml but we add only 100ml of mamsa rasa.ref:c.s.si.12/16 also you can refer a.h.kal.4/31

ACIDIC VALUES OF OILS

Dear Drs.,
I have a query regarding acid value of oil.
I understand that the higher the acid value of edible oil, it impacts the heart. But of what importance is acid value of oils like naryana taila or ksheerabala taila. And on what basis is it standardised in AFI?
Dear Dr Nitin,
If you see the composition of Ayurvedic oils they will have a base oil --like Sesame oil --which is on a higher acidic value or coconut oil --with medium chain fatty acids and a lower acidic value.
When we do a moorchana --we mix oleoresins of various herbs in the base oil .
The oleoresins may be alcoholic, phenolic, esters, ethers, terpenoids, ketones, sesquiterpenes which are complex organic compounds.
These compounds affect the overall ph of the oil.
So most of the oils which reduces vata and kapha-- should have a higher aciidc value
----while oils like ksheerbala which reduces pitta dosha or oils which work on rakta dhatu should have a lower acidic ph.
As of now there is no standardization because the chemistry is still poorly studied.
The more acidic oils (oils pacifying vata and pitta) will act as irritants leading to increased blood circulation to that specific area.
The same helps in washing off of toxins or antigen antibody complexes (Aam) and clearing of the vata channels leading to cleansing.The less acidic oils (pitta pacifying oils) soothes the tissue and provide rest to the already inflamed area leading to pitta shaman.


Dr.Nitin ji,

Acid value or the acid numbers are the European standards and is presumed that fats available in oils converts into fatty acids thus increases the acid numbers, but this can not be applicable on Tail standardization as Tail Murchhan is entirely different with modern oil preparations.

As far as standardization in AFI is concerned there is no specific method are described, only method of prepration of oil is standradize in general and specific references are given for the individual Tail process if some thing different is there.

Both Tail you mentioned here totally have pure classical references in AFI also.1.Ksheerr bala tail -अष्टांग संघ्रह -वात रक्त चिकित्सा-अध्याय २२:४५-४६.(AFI-Part-I)2.Narayan Tail-भैश्यज्य रत्नावली -वात व्याधि अधिकार (AFI-Part-I).There are certain parameters which are not possible to measure on modern scientific methods so are not necessary to standardize.

Thanks

Friday, July 30, 2010

Legal aspects of self prepared medicines

Courtesy:Dr.Surenderji
I m giving here the clause which deals with this provision.
Please copy it and keep for further references..
33EEC. Prohibition of manufacture and sale of certain Ayurvedic, Siddha and Unani drug.—From such date as the State Government may, by notification in the Official Gazette, specify in this behalf, no person, either by himself or by any other person on his behalf, shall—
(a) manufacture for sale or for distribution—
(i) any misbranded, adulterated or spurious Ayurvedic, Siddha or Unani drugs;
(ii) any patent or proprietary medicine, unless there is displayed in the prescribed manner on the label or container thereof the true list of all the ingredients contained in it; and
(iii) any Ayurvedic, Siddha or Unani drug in contravention of any of the provisions of this Chapter or any rule made thereunder;
(b) sell, stock or exhibit or offer for sale or distribute, any Ayurvedic, Siddha or Unani drug which has been manufactured in contravention of any of the provisions of this Act, or any rule made thereunder;
(c) manufacture for sale or for distribution, any Ayurvedic, Siddha or Unani drug, except under, and in accordance with the conditions of, a licence issued for such purpose under this Chapter by the prescribed authority: Provided that nothing in this section apply to Vaidyas and Hakims who manufacture Ayurvedic, Siddha or Unani drug for the use of their own patients: Provided further that nothing in this section shall apply to the manufacture, subject to the prescribed conditions, of small quantities of any Ayurvedic, Siddha or Unani drug for the purpose of examination, test or analysis.

LICENCE for sale of Ayurveda medicines

MANUFACTURE FOR SALE OF AYURVEDIC (INCLUDING SIDDHA) OR UNANI DRUGS.
Manufacture on more than one set of premises:- If Ayurvedic (including Siddha) or Unani drugs are manufactured on more than one set of premises, a separate application shall be made and a separate license shall be obtained in respect of each such set of premises.
Licensing authorities: For the purpose of this part the State Govt. shall appoint such licensing authorities and for such areas as may be specified in this behalf by notification in the Official Gazette.
Application for license to manufacture Ayurvedic (including Siddha) or Unani Drugs:
(i) An application for the grant or renewal of a license to manufacture for sale any Ayurvedic (including Siddha) or Unani drugs shall be made in Form 24-D to the licensing authority along with a fee of rupees sixty:Provided that in case of renewal the applicant may apply for the renewal of the license before its expiry or within one month of such expiry. Provided further that the applicant may apply for renewal after the expiry of one month but within three months of such expiry in which case of fee payable for renewal of such license shall be rupees sixty plus additional fee of rupees thirty.
(ii). A fee of rupees fifteen shall be payable for a duplicate copy of a license issued under this rule, if the original license is defaced, damaged or lost.

Wednesday, July 28, 2010

BHAGANDARA PIDAKA --Peri-anal abscess


  • You all know the great achaarya susruta described beautifully about various types of abscesses and their management...being the greatest surgeon himself he always advocated medicinal preparations whenever he felt the need of it.
He gave equal importance to the medicines as well as surgery..Which is a rare quality of any surgeon (they are always restless...they can’t wait)his beauty of treatment lies in his observation of the disease and its management accordingly...
The most surgical advanced books of our era still follows his parameters...
Here I would like to share my practical experiences regarding peri-anal abscess (I always skip theory part thinking you all know better than me...It’s true also) and treatment modalities.. Some of them you may not find in text books..
Bhagandar pidaka you can compare it as peri anal abscess....There are so many internal reasons for abscess in that reason known to you but sometimes(external) infection of the hair root (furunculosis) can also create a deep abscess there (remember arvaacheen and paracheen type of bhagandar mentioned by susrut)
1. Dont put knife on apakwa state
2. Never give antibiotics in apakwa state...sometimes it will be hardened and may create bigger problem when the bad time comes.
.3. In vaataj type of abscess shigru patra lapam is very useful for making it pakwa..
2. In pittaj type you can apply mulethi +saariba +milk...lep is very useful
3. Jalouka prayog is very useful and safest method in pittaj vidhradhi (all types vidhradhi)4. Althoguh sira vyadhan is indicated in vidhradhi but I didn’t find any benefit...it can be very well managed with medicinal and surgical therapies
5. kaphaj vidhradhi-lep it with simple clay (you can use multani mitti) mixed with gomutra
Coming to surgical aspect
1. Once it is in pakwa state...
2. Always make a kakapada(cruciate +) incision without any hesitation care should be taken and avoid sphincter injury...
3. Always drain out entire pus
4. Try to destruct pus locules inside(pus compartments) by putting your finger or artery forceps
5. Never use spirit or betadine and strong other chemicals ...sometimes you may need hydrogen peroxide...(you can use it if there is any excessive slough and if couldn’t be managed with surgical debridement.
6. After cleaning(syringing technique) the wound with vrana sodhanand ropan kashayas(you can prepare it ...nimba ..karanja..panvha valkaa..triphala...shigru...there so many options and all are better than our so called betadine ..)
7. Always remember to put fresh gauze piece (roll) should stuffed inside the wound without any medication for 2 to 3 days (because dry gauze piece has more squeezing capacity (hydrophilic property) of the secretions and pus of the abscess than the medicated one...because with medicine it ...It cannot squeeze the pus effectively)
8. Never seal the pus outlet with microspore and leucoplast...Air ventilation is best maintained by putting a thin gauze piece over the wound and use a micro pore ribbon close it is in plus mark fashion
9. Dressing twice daily is must for this type of abscesses otherwise risk of becoming fistula is not uncommon...I think I should end here..It’s an endless topic
(Twist of the tale...one young girl (known to me) came to my OPD and said innocently...doc!doc! I have pimple at my bottom..Then I immediately said..Don’t apply Clearasil to it..Leave it to us..It’s our headache now)THIS ARTICLE IS DEDICATED TO THE INNOCENT PATIENT OF MINE...OFCOURSE! SHE IS FINE NOW...



Courtesy:
Dr. T. Divakar Rao

Friday, July 23, 2010

Goodness of Honey

Dear friends,
I wanted to discuss a controversial topic …which is still being considered as one of the most debatable topics of all time…in this case study….I am trying to discuss some points regarding honey in our as well as modern view…you cannot compare our divine science to other systems… but…sometimes it is necessary for us to explain… to others… using the medical language they know well and they can understand well.. I always try to post my discussions which normally arises when I attend OPD...we have a Hospital set up (CGHS AY Hospital, Lodhi Road New Delhi...This is the only Ayurvedic Hospital in India for CGHS employees and for their family members) and there is also one allopathic dispensary..Under one roof (cafeteria approach)..So naturally allopathic doctors do get interact with us... (esp…with me..Because I always put more questions to them than they do)..One day one allopathic doctor (his OPD is next to my room).. Came and said “ do you advice the diabetic patients to avoid eating sugar…?’I said “yes I do”?He said “well! Then you might also advice not to take honey?I said “No “He said “why”?I said”Because according to ayurveda it can be given to diabetic patients”He said “I follow your web site (I once told him about our web site) and your case studies..But you people end up or close any discussion saying we cannot question our achaaryas or what is written in ayurveda cannot be explained in modern para meters..Why? People like us are very much interested in knowing ayurveda…if you cannot describe things…how it can be understood by people like us…? Which will serve your system better..Because we recommend cases to you if we you got better treatment than us (he is right.. he refers each and every fistula /piles patient to me)I said “ok I will tell you in your language ‘honey contains simple sugars (fructose) which can be directly converted in to liver glycogen…IT PRODUCES OPTIMUM BLOOD GLUCOSE AND INSULIN RESPONSE IN THE BODY(lower glycemic index)...as if you take sugar for that matter the insulin levels are low..So honey can be given...”He said “sir, I know you wrote bio chemistry exam at BHU and passed with good marks(in BHU every ayurvedic PG student has to pass BIO-CHEMISTRY ANATOMY,PHYSIOLOGY,PHARMACOLOGY,PATHOLOGY ETC IN FIRST YEAR OF PG) don’t you aware it has got a good caloric value than sugar ..And one more thing honey also contains glucose (approximately 31 to 35 % fructose is 38 to 40 %)….so because of high caloric value and glucose in it..It definitely …increases blood sugar….so it is as harmful as sugar..I said” you are wrong my friend..Because honey tastes sweeter than sugar but you need very less honey to make anything sweet..Than sugar..So you need less honey to sweeten any food….so it is better option in diabetes...”He said’ what about excess calories which can be converted in to fat and it can be fatal to diabetics with heart diseases?”I said “there you are.. Actually honey contains lot of anti oxidants which are actually good for heart..Sugar decreases immunity (lowers the WBC) so it not useful in diabetes but…honey can be given as it increases immunity…..it can also useful in reducing obesity and for sore throat..Has got wound healing properties..There are so many positive factors are there..And certainly it can replace sugar in diabetic patients…”The Doctor went to his OPD nodding his head and was not convinced with my explanation…Dear friends …what do you think about this in ayurvedic and modern parameters…? Can it be given or not….? Please give your valuable opinions…thank you


Courtesy----- Dr. T. Divakar Rao
delhi

BED SORES

Dear friends,
As per the request of Dr Deepak Bhanotji...I would like to discuss some points regarding bed sores...I am sure you are all well versed with theory…here I want to discuss about my practical experiences…this topic needs space..so I will give you some practical outlines…most them you know…and some of them …I tried myself…which you won’t find in our text books(exception…Dr manish Dr pravin and Dr pareshji)Bed sores are nothing but pressure sores…so its management varies according to the condition of the wound… its blood supply…area…local infection..associated diseases…general condition of the patient etc..For any type of wound first approximation is necessary for perfect wound closureFirst if the wound is irregular in shape (dushta vrana) you have to make it regular by cutting unwanted edges…Debridement of slough is the essential part of ulcer management for this technique you need patience ….you have remove slough on every day basis But I would suggest you to go for jalouka prayog for this…it has an excellent results…When I was in BHU …I used MAGGOTS for this..(But you have to collect the maggots first ...at universities it is very much available..But if you want it for your personal use…the better place would be agricultural institutions)Third one is use of moist foams (you can impregnate foams with karanja tel (seeed oil) nimba tel (seed oil) etc… gel foams are available in the market..Look out wound edges…1. If there is a silver or white line along the wound edges..You have to remove it…2. If the edge is undermined…you have to cut its underneath to enhance blood supply…3. If it looks dry…you have to apply moist dressings with vrana sodhan aushadhis…4. If it doesn’t grow…trimming the edges is the best method Base of the wound1. Always it should look pale red or red in colour…2. It shouldn’t have any slough…. (If you look tendons or muscles as a base…it’s very difficult to cure...You need a skin flap or skin graft for proper healing)In Vrana ropana period…As I earlier said never apply chemicals once you think it is free from infection…Vrana kshaalan with hot water is the best method… (You can add vrana ropan dravyas) Triphala kashaaya, pancha valkal kwath are the best…One patient of mine didn’t get relief with conventional method…Once I used OXYGEN 70%...AND SPRAYED on the surface of the wound daily for 4 weeks..I got excellent results…the wound miraculously started healing…The second method I used was (don’t tell anybody)…I had simply put veinflon on the patients wrist…and used to draw patients own blood (every day less than 1 ml) and used to smear it on the wound surface got an excellent results….But for conventional methods….nobody can compete with our own susruta…he was at his best…describing ulcer management…This actually a rough idea about bed sore management..I think its incomplete...Try to adapt my techniques if you think they are worth trying……thank you

Thursday, July 22, 2010

Treatment of Brachial plexus Injury

TREATMENT OF POST SURGICAL TRAUMATIC BRACHIAL NERVE INJURY
12 years ago, this gentleman aged 24 years came to my consulting room with a complaint of weakness of Rt.Upper Limb. He had supported his R.U.L, with a brace supporting his affected elbow. On enquiring I came to know that he met with an R.T.A (Road Traffic Accident) 11 months back and had a complete Rupture of Brachial nerve. He was subjected immediately to Reconstructive Surgery of Brachial nerve and counseled that he would regain the lost motor and sensory functions with in the next 5 to months, with due medications and physiotherapy.But, that didn't happen in his case and the person was much worried about his future, since he had not even gained his sensory functions of the R.U.LO/E I found negative results for touch/pressure/heat/pain sensations ;paralyzed arm ;lack of muscle tone in the arm, hand, & wrist ;claw hand.I pressed the Supra-clavicular region and asked him to try moving his Upper limb and found to note that he was able to initiate some action of flexion of the little finger, but not in any of the proximal group of muscles.This gave me the slightest hope regarding the prognosis and I felt that the otherwise hindered re-innervation process, can be enhanced.Once in two days I did मर्म चिकित्सा to him by manipulating the following points क्रुकाटिका ; अंस ; बाह्वी ; कूर्पर ; इन्द्रबस्ती ; मणिबन्ध ; क्षिप्रा & तलह्रदय , along with the following medications,१) प्रसरन्यादी कषायं ३० ml b.d.s in E/S (Empty stomach)+ ३० ml बलारिस्टं अरिष्टम+ ६ बिंदु of क्षीरबला (101) २) सुवर्न मुक्तादी गुलिका १ b.d.s A/फ३) योगराज गुग्गुलु 500 mg २ t.d.s B/FClinical Observations -The strengthening of the nerves and enhancement of muscle tone was observed retrogresively, in the sense the movement was felt starting from the fingers and gradually seen in the proximals structures like wrist- fore arm - elbow - shoulder and neck.In a matter of 20 days he recovered from the दौर्बल्यं and started going to the work happily.
- सर्वे जना :सुखिनो : भवन्तु :


Courtesy
Dr. Rangaprasad Bhat
chennai

Wednesday, July 21, 2010

Financial help from Banks for BAMS Doctors

Courtesy: Dr.Sachin Rewar,
Delhi

Dear friends greetings.
scheme DOCTOR PLUS - bank is providing easy loan upto 10 lacs to without any collateral security to ayurvedic doctor's to establish own clinics.Almost all the banks have attractive schemes of providing loans to doctor's without any security. Below is the copy of the scheme for reference.
DOCTOR PLUS Reference CirCO/Adv/195/2002-03 DATED 18.01.2003 CirCO/Adv/233/2002-03 DATED13.3.2003 CCO/Adv/47/2003-04, CCO/Adv/264/2003-04 CCO/Adv/67/2003-04, CCO/Adv/311/2003-04 Cir CO/Adv/13/2004-05 DATED 07.04.2004 CirCO/Adv/201/2004-05 DATED 29.10.2004 CCFO/Adv/8/2007-08 DATED 13.04.07 CCFO/Adv/44/2007-08 DATED 23.05.07 Target Group Medical practitioners of any discipline, promoters of hospitals and nursing homes, pathological clinics, polyclinics, X-Ray labs, etc. Eligibility · Individuals/ partnerships / Corporates /Trusts (with powers to borrow) · Promoters should be registered practitioners and should possess minimum qualification to practice in a discipline such as MBBS/ BDS/BAMS/ GAMS/BHMS Purpose To finance qualified medical practitioners · For buying equipments (For dentists, the loan also covers dental implants besides equipments; For orthopedists, the loan also covers various replacements/implants for hip/knee/shoulder/spine etc.) · Setting up clinic, nursing home pathology labs, drug store, ambulance, computers, vehicles, etc. · Expansion/renovation/modernization of existing premises Type of Facility · Medium Term Loan · Cash Credit Loan Amount Maximum of Rs.5 crores of which a sub ceiling for WC limits at · 10% of total loan amount for upto Rs.1 crore · 5% of total loan amount for above Rs.1 crore- Minimum Rs.10 lakhs Repayment · Minimum DSCR 1 : 1.5 · Maximum period upto 7 years · Maximum moratorium 12 months Interest Based on credit scoring model. SCORE INTEREST RATE 65 & Above 2.00% below SBAR 55-64 1.50% below SBAR 45-54 1.00 % below SBAR 35-44 0.50% below SBAR Below 35
Please check with the Banks and go ahead for the blog may not be responsible for the good and the bad.
This is an information passed with good heart.........
ALL THE BEST!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Wednesday, July 7, 2010

Ulcerative colitis-herbal treatments

A small clinical study found that people with UC taking 550 mg of boswellia gum resin three times daily for six weeks had similar improvement in symptoms and the severity of their disease as people with UC taking the drug sulfasalazine.42 Overall, 82% of patients receiving boswellia, along with 75% of patients taking sulfasalazine, went into remission.In a preliminary trial, people with UC remained in remission just as long when they took 20 grams of ground psyllium seeds twice daily with water as when they took the drug mesalamine.43 The combination of the two was slightly more effective than either alone. Controlled trials are now needed to confirm a therapeutic effect of psyllium for UC.In a controlled trial, supplementation with wheat grass juice for one month resulted in clinical improvement in 78% of people with ulcerative colitis, compared with 30% of those receiving a placebo.44 The amount of wheat grass used was 20 ml per day initially; this was increased by 20 ml per day to a maximum of 100 ml per day (approximately 3.5 ounces).German doctors practicing herbal medicine often recommend chamomile for people with colitis.45 A cup of strong tea drunk three times per day is standard, along with enemas using the tea when it reaches body temperature.Curcumin is a compound in turmeric (Curcuma longa) that has been reported to have anti-inflammatory activity. In a preliminary trial, five of five people with chronic ulcerative proctitis (a condition similar to ulcerative colitis) had an improvement in their disease after supplementing with curcumin. The amount of curcumin used was 550 mg twice a day for one month, followed by 550 mg three times a day for one month.46 In a double-blind trial, supplementation with curcumin in the amount of 1 gram twice a day for six months decreased the relapse rate in patients with ulcerative colitis in remission. The relapse rate was 4.7% among people receiving curcumin and 20.5% in the placebo group, a statistically significant difference. All patients in the study also received conventional therapy.47Enemas of oil of St. John’s wort may also be beneficial.48 Consult with a doctor before using St. John’s wort oil enemas.Aloe vera juice has anti-inflammatory activity and been used by some doctors for people with UC. In a double-blind study of people with mildly to moderately active ulcerative colitis, supplementation with aloe resulted in a complete remission or an improvement in symptoms in 47% of cases, compared with 14% of those given a placebo (a statistically significant difference).49 No significant side effects were seen. The amount of aloe used was 100 ml (approximately 3.5 ounces) twice a day for four weeks. Other traditional anti-inflammatory and soothing herbs, including calendula, flaxseed, licorice, marshmallow, myrrh, and yarrow. Many of these herbs are most effective, according to clinical experience, if taken internally as well as in enema form.50 Enemas should be avoided during acute flare-ups but are useful for mild and chronic inflammation. It is best to consult with a doctor experienced with botanical medicine to learn more about herbal enemas before using them. More research needs to be done to determine the effectiveness of these herbs.

Lichen Planus-Allopathic views

Lichen planus (LP) is a self-limited disease that usually resolves within 8-12 months. Mild cases can be treated with fluorinated topical steroids. More severe cases, especially those with scalp, nail, and mucous membrane involvement, may need more intensive therapy.
Medication
The first-line treatments of cutaneous lichen planus (LP) are topical steroids, particularly class I or II ointments. A second choice would be systemic steroids for symptom control and possibly more rapid resolution. Many practitioners prefer intramuscular triamcinolone 40-80 mg every 6-8 weeks. Oral acitretin has been shown to be effective in published studies.12 Many other treatments, including mycophenolate mofetil (CellCept) at 1-1.5 g twice daily, are of uncertain efficacy because of the lack of randomized controlled trials.For lichen planus of the oral mucosa, topical steroids are usually tried first. Topical and systemic cyclosporin have been tried with some success13 ; however, a randomized double-blind study indicated that topical cyclosporin was a less effective but much more costly regimen than clobetasol.14 Newer topical calcineurin inhibitors have replaced topical cyclosporin for the treatment of lichen planus. Other options include oral or topical retinoids. Even with these effective treatments, relapses are common.Patients with widespread lichen planus may respond to narrow-band or broadband UV-B therapy.15 Psoralen with UV-A (PUVA) therapy for 8 weeks has been reported to be effective. Risks and benefits of this treatment should be considered. PUVA is carcinogenic. Long-term risks include dose-related actinic degeneration, squamous cell carcinoma, and cataracts. A phototoxic reaction with erythema, pruritus, phytophotodermatitis, and friction blisters could occur.UV-A therapy combined with oral psoralen consists of oral psoralen (0.6 mg/kg), 1.5-2 hours before ultraviolet light, which usually starts at 0.5-1 J/cm2 and is increased by 0.5 J/cm2 per visit. Use of topical ointment at the time of receiving UV-A treatment may decrease the effectiveness of PUVA. Precaution should be taken for persons with a history of skin cancers or hepatic insufficiency.CorticosteroidsThese agents have anti-inflammatory properties and cause profound and varied metabolic effects. In addition, these agents modify the body's immune response to diverse stimuli. Topical steroids may be as effective as systemic steroids. Class I or II steroids in ointment form reduce pruritus in cutaneous lichen planus, but they have not been proven to induce remission.

Tuesday, July 6, 2010

Yellow fever vaccination details,Delhi

COURTESY : DR. T. DIVAKAR RAO ,DELHI


Information for Yellow Fever Vaccination Certificate
Yellow fever vaccination certificate mandatory for all person (including infant) who have been traveling to following country even in Transit AFRICA Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Democratic Republic of Congo (Zaire), Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea Bissau, Ivory Coast (Cote D’Ivoire), Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, Sao Tome and Principe, Senegal, Sierra Leone, Somalia, Sudan (South of 15 ° N), Togo, Uganda, Tanzania, Zambia. AMERICA Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Peru, Suriname, Trinidad and Tobago, Venezuela, Panama.
Yellow fever vaccination certificate issue for 10 years and certificate becomes valid after 10 days vaccination.A person arriving in India who is require to possess a Yellow Fever Certificate as per requirements will, in the absence of a valid Vaccination certificate be quarantined for a period of six days, without exception.
Inoculation Centers:
DELHI :
Yellow Fever Vaccination Centre,
Airport Authority of India Quarters,
T1 BuildingNear Mahipalpur Fly Over
Ph : 011 - 2565 2129 Timings = 2-4PM
(Registrations from 10AM, best to register early as it's only done in batches of 10..)
Day = Tue/Thu
Public Health Laboratory Municipal Corporation,
Town Hall, Alipur Road
Timings: Fri :1000 - 1200 hrs
Tel: 2397 2058
Dr. Ram Manohar Lohia Hospital.
Room No. 11 & 12 Timings: Wed & Sat 1100 to 1230 hrs
Tel: 2336 5525
International Inoculation Center ,
Mandir Marg,
New Delhi - 110001
Timings: Wed & Fri : 1330 to 1400 hrs
Tel: 2336 2284
DELHI Health Organization
Palam Airport
Timings: Tue. And Thursday. 1400 - 1600 hrs
Tel: 2329 5507
This place has shifted to new location. Address: T1 Building, AAI Housing Complex, Near BCAS Office, Mahipalpur. New Delhi.

Saturday, January 2, 2010

BASICS OF GUDUCHI


GILOY

Back
Botanical Name : TINOSPORA CORDIFOLIA
Family Name : MENINSPERMACEAE
Common Name : GULANSHE TINOSPARA, GULANCHA TINOSPARA, TINOSPARA, GILOY
Part Used : StemHabitat : North And South India.
Uses :It is Antiperiodic, Antipyretic, Alterative, Diuretic, Anti-inflammatory. It is a contituent of several compound preparations. It is used in fever, urinary disorders, dyspepsia, general debility and urinary diseases. It is also used in treatment of rheumatism and jaundice.

INGREDIENTS,USES & MORPHOLOGY OF GUDUCHI

Guduchi : IngredientsThe most active ingredients of Guduchi supplements include – Tinosporin, Diterpenoid furanolactone tinosporidine, Columbin, Beta-sitosterol, Tinosporide, Tinosporaside, Cordifolide, Cordifol, Heptacosanol, Clerodane furano diterpene, Diterpenoid
Uses of the Guduchi
The main indication of the Tinospora and its Satva includes:* Immunity booster. The herb builds up immunity to remain unaffected by infections that we face daily.* General debility* Fever and common colds* Urinary problems
The Guduchi plant- Tinospora cordifolia is a large, hairless, broadleaf climbing shrub. Its stems are rather succulent with long filiform fleshy aerial roots coming out of the branches. Guduchi’s bark is grey-brown in color and warty. The shrub’s leaves are membranous and cordate. Where as the flowers are small, yellow or greenish yellow. The male flowers are clustered and females are usually solitary. The drupes are oval, glossy, succulent, red and pea-sized and the seeds curved

GUDUCHI

Guduchi or tinospora cordifolia is an ayurvedic herb well-known for its numerous medical benefits. Guduchi is used in homes to treat various medical situations. Guduchi helps to boost your immune system and prevents you from the repeated attacks of the infection. Guduchi increases the function of the macrophages which prevents us from infection. It is recommended to treat the urinary tract infections, gastric disorders as well as fever.
It helps in treating the stomach disease with worms. It helps to deal with the renal infection. It acts as a diuretic. Guduchi has antibacterial properties along with anti-inflammatory action. Guduchi helps to inhibit the growth of bacteria in the body and helps in the easy and fast healing of the immune system.
It is a useful product for increasing the protective action of the white blood cells. White blood cells are called as soldiers of our body as they help us to protect from any infection and also strengthen our immune system.
It is very useful Ayurvedic herb to treat the kidney infection. It acts as a diuretic and helps to remove urinary stones without causing any discomfort and also helps to bring down the normal levels of blood urea. It is an excellent herb that acts as an anti-infective, antibacterial, anti-viral and it is believed to be a wonderful herb for liver. It helps to prevent any liver infection such as hepatitis, jaundice, etc. It helps to increase the memory. It helps to sharpen the brain and bring back the lost memory. Guduchi increases the concentration.
It is also an herbal product for joint pains. It is a very good product indicated in joint pains. It gives you immediate relief from pain and inflammation. Regular intake of the drug helps in quick recovery of the suffering.
It is also known for its action on the skin. It is a very good natural remedy for various skin infections such as eczema, psoriasis, acne etc.