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...........

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.................................

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

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

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