Wednesday, February 17, 2010

rasyana -full details

Concept of Rasayana Therapy
Rasayana Tantra is one of the eight major divisions of Astang Ayurveda
In Ayurveda, one of the major methods of presentation of positive health has been described i.e. Rasayana
Sushruta has defined a healthy man as one who has:-
• Equilibrium of the Doshas Sama dosha.
• Normal functioning of Agni Sama Agni
• Normal condition of 7 Dhatus Sam Dhatu
• Normal Excretion of waste products Sam Malkriya.
Beside this Atma (Soul), the Indriyas or sense organs and Mana or mind should be happy and cheerful Prasanatamendriya Mana (Su.Su.15/15). The current modern definition of health is also same “Health is a state of complete physical, mental and social well being and not merely absence of disease. (W.H.O.)
Healthy state of mind and body can be achieved by Rasayana Therapy or Rejuvenation Therapy
Rasayana Stands as an answer to solve the problem of healthful longevity including mental development and resistance against disease. That is why; Rasayanatherapy has been included as one of the eight major divisions of Ashtang Ayurveda. Rasayana Chikitsa or rejuvenation therapy helps to promote and preserve health and longevity in the healthy, and to Cure disease in sick. We all want to look forever young and increase our life span by staying healthy, Rasayans or vitalizers, as they are called, do exactly the same. They replenish the vital fluids of our body, thus keeping us away from diseases. Rasayana refers to the nutrition and its transportation in the body. Such a state of improved nutrition is claimed to lead to a series of secondary attributes like longevity, immunity against diseases, mental competence and delaying of aging.
Rasayana is actually that which increases the essence of each Dhatu, starting from Rasa. Taking Rasayana is helpful to increase the immunity of person to keep him away from diseases. The person become healthy and strong .Literally the term Rasayana refers to the means of obtaining the optimum nourishment to the Dhatu.
Meaning of Rasayana
The word Rasayana is composed of two words Ras + Ayan. The means by which one gets the excellence of Rasa (The nourishing fluid which is produced immediately after digestion) is known as Rasayana. Apart from the excellence of Rasa, the individual is endowed with Psychic excellence like sharp memory, by virtue of rejuvenation therapy. The term Rasayana connotes a specific meaning. Drugs, diet and regimens which promote longevity by delaying aging and preventing diseases are called Rasayana. The term Rasa has different connotation. In the present context, it means the body fluid which is responsible for nourishment of entire physique. Impairment of circulation of this body fluid results in diseases and decay. This body fluid of good quality should not only be present in adequate quantity, but also it should be able to permeate (circulate) throughout the various cells of the body to provide the type of nourishment they need.
Rasayana is a specialized type of treatment influencing the fundamental aspect of body viz. Dhatus, Agni and Srotansi and ojus etc. Rasayana Chikitsa boosts theojus and immune system. The adjective Ojaswiis used to describe those people who keep good health in all seasons and all stages of life. It is like obtaining a high rank in a physical or mental fitness. Ojus gives a bright look, sharp memory, high performance and every expected pleasure.
Historic Consideration of Rasayana
Rasayana therapy is as old as the Vedas because many references on Rasayana therapy are available in the Atharva Veda (atharvaveda 8/7/4). Extensive descriptions of divine Rasayana agents like Soma are available in classics. References about Achara Rasayna and Sadvrita are also available in the vedic texts similar to Charakadescription (Rig-Veda 5/1/7 and Atharvaveda 16/2/2)
Besides extensive references is available regarding the superiority of certain other common Rasayana drugs like Pippali, Jivanti and Punarnava etc. Similarly a concept of Ajasrika Rasayana also appears in vedic literature.
Vedas have seriously considered the problems of aging and its delaying. It has been the cherished wish of human race to achieve long life and to live at least 100 years in perfect health. “Jivema Sharadah Shatam” (Rigveda 10/39/8).
Probably all these ideas at a later stage necessitated the development of a full-fledged clinical discipline like Rasayana therapy to deal with the problem of aging, its delaying.
Rasayana Chikitsa in Samhita
Charak Samhita
Charak Samhita which is considered the earliest text of this period appears to have given extensive consideration on the subject. Charak in its section on Chikitsa starts with an exhaustive chapter on Rasayana therapy dealing with the physiological, pharmacological, therapeutic and clinical aspects of the Rasayana. Charaka appears to have correlated this with the fundamental principles of Ayurveda as related to the concept of Ras Samvahan, the concept of Dhatu, the Agni, the Srotansi, the Doshas and the Dosha Prakriti. Charaka has advocated Special the outdoor and indoor regimen and he has introduced a large number of Rasayana Drugs both the single and compounds, herbs and minerals (Ch.Chi 1/1/16). The knowledge appears to have been so much developed that Rasayana Therapy has to be designated as one of the eight major branches of Ayurveda. In the beginning of ChikitsaSthan Chapters on Rejuvenation therapy and Aphrodisiacs are explained. In beginning of Rasayanatherapy term Bheshja and its Synonyms are explained (Ch.Chi.1/1/3.)
Bheshaja (Medicines) are divided into 2 types:
1. Some of them tone up the health of healthy person i.e. “Swasthasyaurjaskara (Ch.Chi.1/1/4)
2. Some of them treat the ailments of the patients “Kinchit Artasya Rognut” (Ch.Chi.1/1/4)
Medicine belonging to first category is considered to be useful for a healthy person. There are certain natural conditions like old age, which affect even a healthy individual. The medicine belonging to this category helps to maintain excellent physique. Those medicines which invigorate a healthy person are mostly rejuvenators.
Bhel Samhita
Another text commonly referred to Samhita period is Bhel Samhita which appears to be a contemporary writing to Charak Samhita. This is not available in complete form. Achara Rasayana is described in this Samhita. There is specific indication of Rasayana therapy in “Rajyakshma” in this Samhita. Pippali Rasayana and Pippali Vardhman Rasyana are also described in this Samhita. The topics which are specifically described in Bhel Samhita are Rasayanas in the form of Shukra Shodhana Vasti , Rasayana Vasti.
Following Rasayanas preparations have been newly introduced by Bhel are
1. Jivakadi Rasayana Ghrita.
2. Mahasneha Rasayana
3. Shatavaryadi Rasayana Vasti.
4. Pancha mulyadi Rasayana.
5. Shatapaka sukumara Taila.
In Bhel Samhita there is no independent chapter on Rasayana Therapy. In Bhel Samhita Rasayana is described in chapter naming “Dirghayushyopaya”. The concept are similar to these described by Charaka.
Sushruta Samhita
Sushruta Samhita is next important text of Ayurveda. A critical study of this text in reference to Rasayana Therapy was almost same as described by Charaka. But the way of description of Rasayana in Sushruta Samhita is something different. Sushruta has omitted the philosophical aspects of subject and has given lesser importance to the physiological concepts. Sushruta has not given much importance to specialized regimen of Rasayana Therapy like Vatatpika and Kutipraveshika procedure ofCharaka. However, he has advocated the use of Ahara for Rasayana treatment similar to vranitagara described for the use of the wounded persons in a different context. Dalhana Considered this context comparable to Charka’s Kutipraveshika Procedure .The most important contribution of Sushruta and the great commentatorDalhana to the development of Rasayana therapy is the classification of Rasayana(Su.Su.1/10 Dalhana). They described that Rasayana therapy have two aspects:
1. Kamya Rasayana For healthy Person.
2. Naimitiika Rasayana For diseased person.
Sushruta has introduced a number of newer Rasayana drugs which have not been mentioned earlier in Samhitalike Charaka Samhita and Bhel Samhita.
Some drugs are
• Kalamegha
• Varahi Kanda
• Golomi
• Chhattra
• Atichhatra
• Gambhari Phala
• Shwetaksha
• Karvira
(Su.Chi.27-28 chapter)
Some compound drugs are
• Shweta Vakuchi Rasayana Yoga.
• Krishan Vakuchi Rasayana Yoga
• Vacha Rasayana Yoga
• Rasayana Shatpaka Vachagharita
• Ayuvardhaka Rasayana
• Nilotpala Kwath Rasayana
• Vasa taila Rasayana Yoga.
• Rasayana Samartyaprad Yoga
• Daridrya Nashak Rasayan Yoga
• Yavadi Yog.
Certain drugs like Vidanga, Kashmari, Vacha, Brahmi, and the 24 types of somas are described (Su.Chi.27/5-8). But certain drugs like Amalaki, Pippalli, and Shankhapushpi have found priority consideration in Charaka Samhita but not described in Sushruta Samhita
Kashyapa Samhita
The other contemporary Samhita is the Kashyapa Samhita; this book is not available in complete form. However, the available Samhita does not show any separate description of Rasayana Therapy, of course there is scattered description of Rasayana therapy in different context. Similar to Bhel Samhita Rasayana therapy is specifically indicated in management of Rajyakshma. It has been indicated in cases of Kshaya and in Kshina.
Special drugs described by Kashyapa samhita are the following:
Single drugs
• Brahm
• Lashuna
Compound Drugs
• Shatpushpa Kalpa
• Lashuna Kalp
• Madhu - Sharkara Yoga
There is description of different types of Kshira and Mansa has been described. Nagbala, Mandukparni, Yashtimadhu, Brahmi, Rasona has been specially indicated in the treatment of Rajyakshama. While describing the properties of Shatapushpa, shatawari and Lashun Kalp, Kashyapa touch the concepts of Vrinhana, Balkara, Vrishya, Varna-Ojovardhana, Ayushya, Samriti Medha Vardhna & Vayasthapana effects of Rasayana therapy. Kashyapa also suggest Poorva Karma for Rasayana therapy.
The two later texts written by Vagbhatta namely Ashtanga Sangraha and Ashtang Hridaya appear to have largely adopted Charaka Samhita. Of course some newer drugs have been introduced in this text. Concepts of Achara Rasayana, Vatatpika Rasayana and kuti Praveshika Rasayana are similar to Charak Samhita. One distinct observation made by Vagabhattaregarding the age factor in selection of subjects for the use of Rasayana therapy is indicated in younger or middle age groups. No such emphasis has been put on the use of Rasayana therapy in younger age groups in earlier texts. Vagbhatta has also indicated the Poorvakarma before the administration of Rasayana drugs.
Chakradutta has emphasized the role of Sanshodhana therapy as a Poorvakarma for Rasayana therapy. He has also described popular Rasayana drugs like Chyavnaprash, Bhallataka yoga, Vardhmaan Pippali Rasayana, Agastya Haritaki, Vyaghri Haritaki and Loh Rasayana etc. He has described the special use of Haritaki in various seasons under the term Ritu Haritaki .Chakrdutta has described certain minerals like Loha, Shilajatu, Swarna, Rajat and Tamra. Chakradutta has also described use of Rasayana Drugs In younger and middle age groups.
Sharangadhara Samhita
Sharangadhara Samhita is a text mainly dealing with Kayachikitsa. Sharangadhara Samhita does not show a separate chapter on Rasayana therapy though essential information about Rasayana therapy is available in the text. The most significant description available in Sharangadhara Samhita on this subject is the definition of Rasayana:
Thus Sharangadhara conceived Rasayana as measures which may delay aging and prevent diseases and thus may maintain the positive health. The classical single Rasayana drugs described as Rasayana by Sharangadhara are:
• Amrita
• Rudanti
• Guggulu
• Haritaki
• Swarna.
Beside a number of Rasayana compounds have been described by Sharangdhara such as :
• Louha Rasayana
• Kamdeo Ghrita
• Chyavanprashavleha
• Kaishora Guggulu
• Yogaraj Guggulu
• Agastyaharitaki Avaleha
This book contributes a small but full-fledged independent chapter on Rasayana where one finds comprehensive definition of Rasayana and a number of Rasayanadrugs and preparations. BavaPrakash defines Rasayana as a measure which may delay aging and prevent disease. Longevity and improvement in mental faculties have been claimed as the classical Rasayana effects. Rasayana drugs like Mandukparni Punarnava, Ashwagandha and guggulu and Haritaki have been given special emphasis. However, a review of BhavaPrakash does not show mention of Acharya Rasayana. There is no description of the Classifications of Rasayana. There is no description of the administrative procedure of Rasayana therapy but there is genuine emphasis on the role of samshodhana Karma as a Poorvakarma of RasayanaTherapy.
Madhava Nidana
It is being a text purely dealing with the clinical and diagnostic medicine. It is not concerned with therapeutics and therapeutic procedures and accordingly there is no description of Rasayana therapy in this text.
In this text there is full separate chapter on Rasayana. The definition of Rasayana is same as described by Charaka. There is a description of Madhya Rasayana in this text. Jala, Dugdha, Madhu, and Ghrita have been indicated as Rasayana and special description on Haritaki is presented. There is also a description of Vardhamana Bhallataka Prayoga.
Classical Concepts about practice of Rasayana therapy
Rasayana therapy is not a simple drug therapy but is a specialized therapeutic procedure implicating the fundamental concept of
It may leading to Comprehensive clinical effects designated as Vaya Sthapana, Ayushkara, Medhakara, Balakara and Jara Vyadhi Nashana effects.In conformity with this comprehensive effect the practice of Rasayana therapy has been advocated to involve a number of specific considerations like.
• Prakriti(Constitutions)
• Vaya (Age)
• Satmya (Biological adaptability to Desha/Kala/Ritu.)
• Dhatus (Tissue and tissue nutrition.)
• Srotasa (Microcirculation)
• Agni (Digestive and metabolic factors)
• Ojus (Vitality)
In addition during Rasayana therapy a person desirous of optimum effects should consume a suitable regime of diet and should follow a suitable code of psychosocial conduct as prescribed under Achara Rasayana.
Consideration of Prakriti
Rasayana drugs are administered to person according to constitution or Prakriti. This has to be determined in view of the basic Pharmacodynamic properties of a particular Rasayana Drugs e.g. Bhallataka, Rasona, Guggulu and Pippali may be suitable Rasayana drugs for a person of Kaphaja Prakriti because these drugs have antiKapha Pharmacodynamic properties such as Ushana Veerya, Katu & Kashaya Rasa, Ruksha & Laghu Gunas. On the other hand drugs like Amalaki and Shatawari may be best Rasayana drugs for a person of Paittika Prakriti probably due to their Sheeta Veerya and other Pharmacodynamic properties. Through Prakriti described in Ayurvedais subtotal of the physique, Physiology and Psyche of a particular persons; Vatika Prakriti is specially predominated by neuropsychological components. In view of this fact an appropriate Rasayana Drugs for a person of Vatika Prakriti should be such which may have the restorative effects on the mind and the body. In present reference, Vacha, Nagabala and similar other drugs may be ideal Rasayana for a person of Vatika Prakriti. Similarly Ashwagandha and Shankhpushpi may prove useful for such persons from mental point of view.
Consideration of Vaya (Age)
In spite of the fact that Rasayana therapy exhibits the anti aging effects like Vaya Sthapna, Ayushkara and Jara Nashak the maximum utility of Rasayana therapy can be obtained when used during early adult and middle age life i.e. 3rd to 5th decades as suggested by Sushruta and Vagbhatta
Once there was irreversible aging changes the Rasayana may not be adequately effective. Thus early adult and middle age is the best period for Rasayana therapy.
In this reference Sharangadhara describes that a person loses his
• Balya
• Bridhi
• Chhavi
• Medha
• Twak
• Dristi
• Shukra
• Vikrama
• Budhi
• Karmendriya
in 1st ,2nd ,3rd ,4th ,5th, 6th ,7th, 8th, 9th,and 10th decades of life respectively.In relation to these features specific Rasayana drugs may be selected and administered in respective age groups. A study done by central council for Research in Indian medicine & Homeopathy New Delhi held at IMS BHU Suggests fallowing Schedule as regard to the Consideration of Vaya or age in Rasayana Therapy.
Study of Udupa K.N. and Singh R.S. (1995) Shows a guidance
Regarding use of Rasayana Drugs for different age groups
Age group Desired effect Suitable Rasayana Drug
1- 10 Balya
Vacha, Swarna, Kashmari
11-20 Briddhi Ashwagandha, Bala.

21-30 Chhavi Louha, Amalaki.

31-40 Medha Jyotishmati, Shankhpushpi
41-50 Twak Bhringaraja, Priyalu, Somraji
51-60 Drishti Triphala, Saptamrita Lauha
61-70 Shukra Atamgupta & Vajikarna Drug
71-80 Vikrama
81-90 Buddhi
Drugs may not effective**.
91- Above Karmendriya
Consideration of Satmaya
Similar to Vaya and Prakriti, the Rasayana therapy demands a consideration of the Satmaya (Adaptability) in Ayurveda. Broadly one may need different Rasayana drugs in different Ritu or seasons and different Desha or climates. Here again the Pharmacodynamic properties of different Rasayana Drugs have to be taken into the consideration. Following table shows a list of suitable Rasayana drugs to be used in different Ritu or seasons..
Similarly in consideration with Desha Satmaya Snigdhoshna drugs may be good for Jangala Desha; Rukshoshna drugs for Anupa Desha and Sadharna drugs for Sadharna Desha and so on. In this entire context consideration of the Pharmacodynamic of Rasayana Drugs is to be implicated.
Consideration of Dhatus/ Agni/Srotamsi
Depending upon the status of different Dhatus and Dhatusara one has to select specific Rasayana drugs for the benefit of different specific Dhatus. This has to be determined in consideration of Pharmacodynamic properties and Panchmahabhautika Constitution of different Dhatu and different Rasayana drugs. In view of this fact following Rasayana Drugs may be considered specific for the respective Dhatu.
Sr. No Dhatu Rasayana Drug
1. Ras Kashmari, Kharjura, Draksha.
2. Rakta Lauhadi Rasayana, Amalaki

3. Mansa Ashwagandha, Bala,Nagabala, Kashmari

4. Meda Amrita, Haritaki
5. Asthi
Vanshalochana, laksha,
6. Majja Lauha, Vasaa, Majja
7. Shukra Vajikarna Drugs
These specific Rasayana drugs are having same composition as the respective Dhatu. They cause Rasayana effect acting at level of Rasa by improving the specific nutritional values of Poshaka Rasa. Drugs are having effect at level of Agni or digestion, metabolism and at level of Srotansi or microcirculation. Drugs acting at level of Srotansi are Pippali, Guggulu, Rasona, and Bhallataka. Drugs activity at the level of Agni for Producing Rasayana effects are Pippali, Chitraka, Vidang.
Consideration of Ojus
It is saaransh of all Dhatus which are supposed to induce Bala, Vyadhikshamatva or immunity. Jivaniya classes of drugs, Yashtimadhu, Swarna are of classes of drugs which improves quality of ojus. Similarly improvement in mental faculties or medhakara effect is also achieved with Rasayana therapy. But certain specific Rasayana appear to have specific effect at this level (Medhya Rasayana). That is the reason why our classics have given priority to Medhya Rasayana such as Shankhpushpi, Jyotishmati, Brahmi etc. (Ch. Chi. ) thus Rasayana therapy has a very comprehensive basis.
Classification of Rasayana
Classification of Rasayana by Sharma A.K. and Singh R.H. 1992
Rasayana is Primarly divided in to two types :-
• Dravyabhuta Rasayana
• Adravyabhutas Rasayana ( Achara Rasayana)
(A) As per method of use (Chraraka)
• Kuti Praveshika (in door use)
• Vatatapika (out door use)
(B) As per Scope of use
• Kamya Rasayana (Promotor of normal health )
1. Prana Kamya (Promotes Longevity)
2. Medha Kamya (Improves mental faculties)
3. Shri Kamya (Improves lustre of body)
• Naimittika Rasayana
• Ajasrika Rasayana
(C) As per content of Rasayana
• Ausadha RasayanaDietary Rasayana
• Achara RasayanaConduct of Rasayana
(D) Specific Rasayana drugs and measures
• Medhya Rasayana
• Achara Rasayana
1. Buddhi Medha Vardhaka
2. Ayu Vardhaka
(E) According to Prabhava (Effect)
• Samshodhana Rasayana
• Samshamana Rasayana
(F) According to Satmya :-
• Ritu Satmya
1. Aadana kala
2. Visarga Kala
• Desh Satmya
1. Sadharana Desha
2. Jangala Desha
3. Anupa Desha
(G) According to Sapta Dhatus
• Rasa
• Rakta
• Mamsa
• Meda
• Asthi
• Majja
• Shukra
(H) Classfication According to Modern Medical Science :-
• To Promote Immunity
• To improve metabolism
• To improve endocrine and exocrine secretions
Kutipraveshika Rasayana
Thus type of Rasayana is administered in cottage constructed at a good site and where the required appliances can easily be procured. The cottage is three walled(Trigarbha Kutti). In a favorable Muhoorta, a person desirous of undergoing rejuvenation therapy should enter into the cottage. That individual should than be cleansed by the administration of elimination therapy. Thereafter, when he is happy and has regained his strength, the rejuvenation therapy should be administered. After administration of elimination therapy, normally the patient becomes a little weak. Therefore, proper diet (Sansarjana karma) should be given to patient by this he will regain his strength. (Ch. Chi. 1/1/17-23)
Vatatpika Rasayana
It is not administered in Trigarbha Kutti. It can be administered even if the individual is exposed to the wind and sun hence called Vatatpika Rasayana.
Kamya Rasayana
The most significant contribution of sushruta to Rasayana Vigyana is the comprehensive classification presented in the text which has been further appropriated by the great commentator “Dalhana” the text of Sushruta Samhita and the Dalhana’s commentary light the concept that Rasayana therapy may have two aspects:
• Kamya Rasayana :
To be used for improvement of health and vigor in normal state
• Naimitika Rasayana :
To be used in person suffering from specific disease.
Kamya means desire. The Rasayana used for achieving a specific desire is called Kamya Rasayana. It is further divided into Prana Kamya, Medha Kamya, Shri Kamya used in the healthy persons for promotion of Medha, Pran, Shri Naimitiika Rasayana
Naimitika Rasayana is to be used in person suffering from specific disease. This Rasayana is used as adjuvant along with treatment for specific ailments. Naimitika Rasayana is of more practical significance. Naimitika Rasayana is not the specific medical treatment for particular diseases, but it is used as adjuvant along with the specific management of disease e.g. Ashwagandha Churna, Ashwagandharishta is indicated in the treatment of tuberculosis (Su. U. 41/42-43)
Following table gives a list of popular Naimitika Rasayana
Sr. No. Disease Drugs
1. Drishti Mandya Triphala, Shatawari Jyotishmati,Yashtimadhu.
2. Kushtha Bhallataka Rasayana, Tuvaraka,Vidanga
3. Rajyakshama Ashwagandha, Pippali, Shilajatu, Nagabala

4. Shwasa Agastya Rasayana, Bhallataka
5. Prameha Shilajatu, Amalaki, Rasayana, Haridra

6. Pandu Amalaki Rasayana Lauha Rasayana

7. Vata Vyadhi Rasona, Guggulu, vacha, Nagabala.
Ajasrika Rasayana
Ajasrika Rasayana can be used daily as diet Dugdha, Ghrita are commonly Rasayana.
Sanshodhana Rasayana/ Sanshamana Rasayana
The Rasayana Drugs which eliminate the vitiated Doshas by expelling from body called Sanshodhana Rasayana. Rasayana drugs expel Doshas out of body by Vamana, Virechana, and Swedna etc. Examples of Shodnana Rasayana are Pippali, Yashtimadhu etc. There are other drugs which producing Dosh Shaman effect. These drugs are called Sanshamana Rasayana.
Medhya Rasayana
Medha is to have proper correlation and understanding about the knowledge of the existing objects. Due to Medha a person will be able to obtain the knowledge of existing object and hence person becomes learned. Majority of Medhya Rasayana drugs possess varied properties. Hence it appears difficult to explain the effect of all the Medhya drugs.
Nagarjuna has mentioned that Medhya drugs mainly act by their Achintya Veerya i.e. Prabhava. The effect of Medhya Rasayana is also at different levels such as at level ofRasa, Agni, and Srotsa. At the level of Agni these drug act by stimulating and improving the function of Agni. At level of Srotsa, these drugs improve the circulation ofRasa by opening and cleaning the micro channel and then ultimately improve the function of Medha. These drugs have beneficial effect on body as well as on mind. Various Medhya Rasayana drugs used are Mandukparni Svarasa, Shankhpushpi Kalka, Guduchi Svarasa and Mulethi Churna. These Medhya Rasayana are described in Charaka Samhita. Some of the Rasayana drugs act by Panchbhautika composition, Some by Rasa, Guna Veerya, and Vipaka. Pharmacological properties of drugs are the resultant of different combination of Bhoota. Panchamahabhoot are said to have characteristic of three Mahaguna Satva, Raja, and Tama. Medha are attributed to predominance ofSatva Guna, Hence Aakashiya, Taijus, Aapya drugs having Satva guna predominance improve Medha. On the basis of Rasa Tikta Rasa has direct action on the promotion of Medha. It performs their function by its Laghu property and Deepana-Paachana and Srotoshodhaka action. Madhura Rasa also by promoting the formation of Ojanourishes five sense, mind and medha. Hence Medhya Rasayana Drugs appear to be predominantly Tikta-Madhura Rasa. Amla, Lavana and Katu Rasa are having least importance in Medhya action. Similarly Ushana Veerya drugs stimulate Saadhak Pitta which promotes Medha. Ushana Veerya drugs improve Grahan Shakti (power of reception) and Samriti (Power of recalling). Majority of drugs are having Madhura Vipaka which nourishes Medha by formation of Oja. So all the Medhya Rasayana drugs improve mental faculties, improve mental function and intellect.
Achara Rasayana
Achara Rasayana is described in various texts. It means good conduct. A careful analysis of qualities of Achara Rasayana reveal that most of them are related withMana, Dhi, Dhriti along with good conduct and these results in maximum benefit. A person must be truthful, free from anger, which is devoid of alcohol, sex indulgence; a person must not indulge in violence or exhaustion. A person may regularly offer prayers to Gods, Teachers, Preceptors and old people. A person must be absolutely free from barbarous acts, his period of awakening and sleep is regular, must take milk and Ghee regularly, should be free from ego, Whose conduct is good, must not be narrow minded, Should have love for spiritual Knowledge, must have excellent sense organ, having self control, who regularly read scripture, must have regard for elderly people, must take milk and Ghee regularly. If a person endowed with these qualities takes rejuvenation therapy they get all the rejuvenation benefit. (Ch. Chi. 1/4/30-35)
Benefit of Rasayana
A persons undergoing rejuvenation therapy attains longevity, memory, intellect, freedom from disease, youth, excellence of lusture, complexion, voice, excellent potentialities of the body and sense organs i.e. what he says comes true, respect and brilliance. The means by which one gets the excellence of Rasa is known as Rasayana or a Rejuvenation therapy. A part from excellence of Rasa, the individual is endowed with psychic excellence like sharp memory etc. by virtue of rejuvenation therapy.
Aim of Rasayana therapy is to achieve long and healthy life
Rasayana Chikitsa boosts the ojus (vital force of life) and immune System. It helps a person to maintain good health or to establish impaired or lost physical or mental health. Ojaswi is used to describe those people who keep good health in all seasons and all stages of life. It is like obtaining high rank in a physical or mental fitness. Ojus gives a bright look, sharp memory, high performance and every expected pleasure.
Rasayana Chikitsa is supposed to nourish blood, lymph, flesh, adipose tissue and semen, and thus prevent freedom from chronic degenerative disorders like Arthritis and disease of senility.
Rasayana is though to improve metabolic processes which results in best possible biotransformation and produce the best quality bodily tissue and delay senility and prevent other diseases of old age.
Rasayana which has a marked action on sexual organs are called Vrishya as Shukra Dhatu is best nourished by it.
Rasayana builds natural resistance against infection.
Rasayana drugs invigorate the body in general by sustaining the required balance between anabolism and Catabolism.
Rasayana drugs which may acts as Antioxidants as well as Immunomodulator may also act as antiaging.
Mode of Action of Rasayana Drugs
Rasayana drugs are used for preservation of positive health. Sushruta defines a healthy man as one who has equilibrium of Doshas, normal functioning of Agni, normal condition of seven Dhatus, beside his soul, the sense organs and mind should be happy and cheerful (Su. Su.15/15) Rasayana stands as an answer to solve the problem of healthful longevity including mental development and resistance against disease. Rasayana is a specialized type of treatment influencing the fundamental aspect of body i.e. Dhatu, Agni and Srotasa. It is a possible that different Rasayana drugs may act with predominance effect at different levels. These comprehensive effects are brought about with the help of the varied Pharmacodynamic properties of these drugs. Rasayana effect is not a specific pharmacological action but is a complex phenomenon operating through a Comprehensive mechanism involving the fundamental factors like Rasa-Samvahan, Dhatus, Agni and Srotsa. It may ultimately be leading to the achievement of the comprehensive effect as stated by Charaka “labhopayo Hi Shastanam - Rasadinam Rasayanum” (Ch. Chi. 1/1/7-8)
It produces the Rasayana effects mentioned in term of Vayasthapana and Ayushkara, Medhakara, Urjaskara so that Rasayana drugs acting at level of Rasa by improving Specific nutritional values of Poshak Rasa. Probably Rasayana drugs are having Madhura, Guru, Snigdha, and Sheeta properties act as Rasayana at level of Rasa by promoting the nutritional value of the Rasa which in term helps in obtaining the best qualities of Dhatus. The example of such drugs may be Shatawari, Madhuyashti,Bala, Dugdha, Ghrita etc. Rasayana drugs have a fundamental effect at level of Agni or digestion and metabolism. The Rasayana drugs possessing the Ushana, Laghu, Ruksha and Katu, Tikta, Kashaya Rasa may be acting at level of Agni, Vitalizing the organic metabolism leading to an improved structural and function pattern ofDhatus and Production of the Rasayana effects. Drugs such as Pippali, Guggulu, Rasona, Bhallataka, Rudanti mainly acts at level of Agni so improve the digestion and create excellence of Saptdhatu. The Rasayana Drugs like Vidang, Chitraka, and Haritaki are experienced to enhance Agni at level of Jaathragni. Similarly Amalaki, Amrita, Pippali, Kumari are supposed to act at level of Dhatu, Agni also causing excellence of all Dhatus.
The Rasayana drugs with Katu, Tikta, Kashaya Rasa, Vishada, Ruksha, Laghu Guna, Ushana Veerya and Katu Vipaka may cause Srotoshodhana and may help in the evaluation of the Rasayana effect in the body. Rasayana drugs which influence oja are supposed to induce Bala and Vyadhiksamatava or Immunity. Drugs used are Jivaniya Ganadrugs, Swarna and Pippali. Similarly improvement in mental faculty (Medhakara effect) is a benefit of Rasayana Therapy
Modern Aspect of Rasayana Therapy
Rasayana Chikitsa means rejuvenation therapy. Rejuvenation literally means to return to youthful conditions or to the normal from diseased state. Rejuvenation therapy helps to promote and preserve health and to Cure disease in sick. The therapy enhances one’s energy and is even known to have cured the sick. It also increases a healthy person’s mental and physical capabilities. It is known to have improved skin complexion and texture, modulates the voice and increases sensing capacity of sense organs. They replenish the vital fluids of our body thus keeping us away from diseases. Taking Rasayana is helpful to increase the immunity of the person to keep him away from diseases. The person became healthy and strong. Some of Benefits of rejuvenation therapy are as follows:
• Long life
• Increase in memory power
• Good health
• Young looks
• Glowing skin
• Modulated voice
• Calmness
• Resistance to disease
The possible mechanisms by which action of Rasayana can be interpreted with modern aspects is follow :
1. Antioxidant action
2. Immunomodulatory action
3. Hemopiotic effect.
4. Adaptogenic action
5. Antiaging action.
6. Anabolic action
7. Nutritive function
8. Neuroprotective action
Antioxidant Action
Rasayana drugs acts as Antioxidants. Antioxidants are substances that reduce oxidative damage such as that caused by free radicals. Free radicals are highly reactive chemicals that attack molecules by capturing the electrons and thus modifying chemical structures. Well known Antioxidants include a number of enzymes and other substances such as vitamin C, Vitamin E and beta carotene (which is converted to vitamin A) that are capable of counteracting the damaging effect of oxidation. Antioxidants are also commonly added to food products like vegetable oils and prepared foods
Researches show that Antioxidants are useful for protection of heart disease. This is because oxidation plays a big role in formation atherosclerotic plaque which is a main Pathological event in coronary heart disease. So there is significant role of antioxidant in coronary heart disease. Antioxidants are having role in preventing diabetes mellitus. Antioxidant rich diet may prevent Diabetes. Taking Antioxidants rich food especially vitamin E, may lower risk of Type II DM. A new study show that people whose diets had the highest levels vitamin E were 30% less likely to develop type II DM. In addition, researchers found that people who ate a lot of carotenoids, a type of antioxidant found in colorful fruits and vegetables, also had a lower risk of developing type II DM. Oxidative damage to cells is also important phenomenon in aging process. So Antioxidants are also helpful in delaying aging. Antioxidants may possibly reduce the risk of cancer and age related macular degeneration. Many Rasayana drugs like Amla, Ashwagandha acts are Antioxidants. Main constituents of Amla are vitamin C, carotene, and riboflavin. It is having a role in cellular oxidation reduction. They have also a role in collagen fibrin synthesis, helps in formation at fibrin, Absorption of iron. Withanolide in Ashwagandhaalso acts as Antioxidants by increasing levels of three natural Antioxidants like super oxide- dismutase, Catalase, Glutathione peroxidase
Immunomodulatory Action
Rasayana drugs also acts as immunomodulator. An immunomodulator is a drug used for its effect on the immune system. Clinical problems that require an evaluation of immunity include chronic infections, recurrent infection, unusual infecting agents and certain autoimmune syndromes. The type of Clinical syndrome under evaluation can provide information regarding possible immune defects
Certain Rasayana drugs at as Immunomodulator strengthening of immunity is done in various ways - by promoting bodily defense Mechanisms like increasing the WBC count, improving immune function. Bodily defense mechanism is promoted. Certain Rasayana drugs also increase number of immune cells known as T cells & B cells helping to fight infections.
Antiaging Action
Aging is progressive change related to passage of time. By age 50-60 age related changes to begin to reflect like reduced power of muscle, reduced vision, memory, locomotion function, there is gradual decline in homeostasis and immune function predisposes them to infection, digestive problem and malignancy.
Free radicals cause oxidative damage to various biological molecules e.g. hydroxyl radicals can damage cell membrane and lipoproteins by a process called lipid peroxidation which may contribute to aging process. Certain Rasayana drugs likes Ashwagandha inhibits copper induced lipid peroxidation and also inhibits oxidative protein modification. Rasayana also acts as Antioxidants so they help in delaying Aging.

Saturday, January 2, 2010

ayurvedic cure for diabetes

Ayurvedic cure for madu meha -diabetes

Diabetes Mellitus or Prameha or Madhumeha or Asrava has become the most dangerous killer disease across the globe. Though thousands of people are dying with Diabetes around the world every year, yet there is no discovery of the cure of this disease. The more unfortunate part is that there is very less awareness among people on the capabilities of Ayurveda, to not only prevent these disease (even for them who have history in family) but it can also be cured to a certain extent in more than one ways like frequency of taking insulin injections is reduced drastically or improving functioning of pancreas that generates insulin or reducing the requirement of insulin by body etc.

We all know that Diabetes Mellitus is the medical condition in which there is an accumulation of glucose in the blood and urine of the person. So, it is a metabolic disorder, which is caused due to malfunctioning of pancreas – which is responsible for production of an important hormone called insulin.

According to Ayurveda, Diabetes is divided in 4 major types (and total 21 types)

  • Kapha type (again divided into 10 type

  • Pitta type (again divided into 6 type

  • Vata type (divided into 4 types)

  • Juvenile diabetes for children

 It is categorized by Ayurveda as 'maharoga  (major disease) because it affects most part of the body and every cell of the human physiology. The ancient Indian physicians described not only the sweetness of urine as one of the major symptoms but also the relationship of the disease with disturbance of the 5 sheaths of the body – Annamaya kosha (Food sheath), Pranamaya kosha (Energy sheath), Manomaya kosha (Mind Sheath), Vijnanamaya kosha (Intellectual Sheath) and Anandamaya kosha (Bliss Sheath).

Though Prameha (Diabetes) is a tridoshaja vyadhi, the relative predominance of any one dosha and dooshya enables its classification in to Vathaja, Pithaja and Kaphaja pramehas. These have further been classified in to twenty sub categories (as highlighted above) in all the three classics of Ayurveda. Kaphaja and Pittaja prameha have been sub classified in to ten types and six types respectively. These sixteen types have the physical characteristics of urine that is colour, density and volume depending up on the different gunas of Kapha and Pitta. Vataja prameha has been sub classified in to four types depending up on dhatu being excreted through urine.

The prodromal symptoms of this disease are:

  • Profuse sweating
  • Foul smell of the body
  • Looseness the body
  • Feeling of lethargy
  • Heavy heart feeling
  • Feel like something coated on eyes
  • Excessive growth of nails and hair
  • Affinity toward cold
  • Dryness of throat and palate
  • Sweet taste in mouth
  • Burning sensation in palms and foot soles
  • Sweetness in urine
After catching Diabetes, the main symptoms are:

  • Increased thirst, increased urination, increased appetite are the initial signs

  • Blurred vision, skin irritation or infection, weakness or loss of strength, and decreased healing capability 

  • Sugar in urine

If diabetes is not identified at the right time advanced symptoms like fluid and electrolyte imbalance, acidosis, coma are also seen.

Role of Ojus in Prameha: Ojus is the essence of life, an extract of the seven dhathus (Elements) represented as bala (strength) of the body. The ojus in a healthy person determines the physical, psychic, sensory motor functions of the body. This is a biochemical component of the body which is reddish-white in color and residing in heart & other vital organs of the body. If ojus is disturbed, degeneration will be fast and will result in decreased life span. In prameha, ojus is expunged from the body through all navadwaras (Nine Exits of human body) especially through urine & sweat.

Ojus gets imbalanced in prameha in two ways:

  • Through obstruction in blood vessels (srothorodha)
  • Degeneration of the body components is dhatu kshaya which can cause both cardiac & nervous system disorders - all this is ojakshaya meaning an imbalance in Ojus
Let us now talk about the various treatments suggested by Ayurveda that have the potential to reduce and sometimes remove Prameha or Diabetes.

Bitter Gourd: This can be utilized quite effectively in treatment of Diabetes as it contains a hypoglycemic or insulin-like principle, designated as plant-insulin, which has been found precious in lowering the blood and urine sugar levels. The best method is to take the juice of about four or five Karelas (bitter gourd) each morning on an empty stomach. Alternatively (or additionally), the seeds can be added to food in a powdered state. Diabetics can also use bitter gourd in the state of a decoction by boiling the pieces in water or in the form of dry powder.

Indian Gooseberry: Since it is high in vitamin C content, it is helpful in reducing blood sugar levels. Researches have shown that the anti-oxidants such as Vitamin C taken with other supplements has a great effect on diabetics, helping them lowering high sugar blood levels. It also helps reducing the risk of atherosclerosis too, that often occurs in diabetics. In this way the onset of heart stroke is easily delayed, and you may be well protected.

Blackberry: Jamun or black berry is quite useful in Diabetes treatment. Since pancreas malfunctioning is one of the characteristics of Diabetes and Jamun positively impact pancreas, it is an effective treatment of Diabetes. Its seeds contain a glucoside 'jamboline' which is supposed to have the power to check the pathological conversion of starch into sugar in cases of increased production of glucose. In addition of blackberry fruit, the tree bark is also useful for diabetic patients. The method of taking Jamun is to dry and powder its fruit seeds. One teaspoon of this powder should be mixed in one cup of milk or water or half a cup of curd, and taken two times daily. The internal bark of Jamun tree can also be dried and burnt after which it will be converted to white color ash. This ash must be pestled in mortar, strained and bottled. And then the diabetic patient should be given ten grams of this ash on an empty stomach with water in the morning, and twenty grams in the afternoon, and in the evening an hour after taking meals.

Other herbal remedies that are helpful in treating Diabetes are:
Cumin Seeds: Take Wild jeera (cumin seeds) black colored 60 gm and mix in 1 litre of water everyday. Boil and reduce it to 1/4th litre and take half part. Divide it into two equal parts and drink  one part in the morning and one in the evening 2 times daily.
Bengal Gram: Water extract or soup of kala chana (Bengal Gram) enhances the use of glucose and the insulin requirement goes down in the body considerably. Diabetes patients who are on a set diet which does not severely limit the intake of carbohydrates, but includes liberal amounts of Bengal gram extract, have shown significant improvement in their fasting blood sugar levels, glucose tolerance, urinary excretion of sugar, and general condition. Pulses from the same family like black gram are also quite useful in Diabetes treatment. In fact, two tablespoons of germinated black gram, taken with half a cup of fresh bitter gourd juice and a teaspoon of honey, is quite effective if taken everyday once for at least 100 days. Only thing that needs to be taken care of, in this case is that the intake of carbohydrates should be controlled.
Mango Leaves: The tender leaves of the mango tree are measured useful in diabetes. An infusion is prepared by soaking 15 gm of fresh leaves in 250 ml of water overnight, and squeezing them fine in the water in the morning. This filtrate should be taken every morning to manage early diabetes. As an option, the leaves should be dried in the shade, powdered and preserved for use when necessary. Half a teaspoon of this powder should be taken two times in a day everyday.
As Ayurveda healing principles are based on three main methods of treatment that are Ahaar (Food), Vihar (Exercise) and Aushadh (Medicine), there are other prescribed treatments of this disease in Ayurveda. We will discuss these treatments now:
In Type 1 Diabetes Mellitus {Vathaja prameha} Patients are advised to have Bhrimhana medication & diet which increases dhathus in the body. 
In Type 2 Diabetes, obese diabetic patient with optimal body strength having intense increase of doshas, Purification of the body is advocated whcich is dependent on dosha predominance (Kaphaja are advised to have emetics, Pittaja are advised to have purgation.)
  • Snehanam (prescription of oils internally & externally)
  • Sodhana (Purification therapy under category three) – The treatment activities that are part of Sodhna are a) Vamanam (Induced Vomiting), b) Virechanam (Induced lose motions) and c) Vasthi (This process is the application of medicine through the anal route. This is indicated only in specific condition
  • Shamanam (Suppression of symptoms)
  • Pathya – Apathyas (Prescribed Diet)
  • Vyayamam (exercises)
In strong prameha patients, but with   increased doshas, sodhana chikitsa (treatment) is prescribed. The Purification Therapies are most important treatment in this condition. Snehana karma should be done before giving sodhana chikilsa.generaly  swedana is contra indicated in prameha as swethathi pravruthy (profuced sweating) and is one of the main symptom of prameha. Moreover swedana induces kleda which is a causative factor for this disease. Different snehanas (oliations) are advised in different stages of prameha 

The most common problem in diabetic patient is a general body weakness & a fast deterioration of the major organs affecting all physiological systems including the mind.
Mild forms of snehana, shodhana & Shamana treatments accompanied with drugs formulated for this protocol has been very effective in controlling Kaphapitta type of prameha. The rugs or herbs that can be taken as treatment for diabetes are

  • Arogyavardhini

  • Vasanta Kusumakar Ras

  • Chandraprabhavati

  • Triphala with Amalaki juice

  • Gudmar

  • Shilajit
Last but not the least, the role of yogasana in controlling diabetes is enormous and one of the asana that is seen to be giving best results, paschimottana–asana. If this asana is practiced daily without fail, it generates related energy that reduces the insulin requirement in the body and hence helpful in reducing the need of insulin injections. Other helpful asanas are halasana, pranayam and meditation.

how to control the madhu meha

Diabetes is a chronic metabolic disorder in which the body is unable to make proper use of glucose resulting in hyperglycemia (high blood sugar) and glycosuria (sugar in urine). Poorly managed diabetes can lead to a host of long-term complications like Heart attacks, strokes, blindness, nerve damage and even impotence in men.
Diabetes can be controlled and it has been verified by various studies. As per Ayurveda There are 20 forms of this disease: 4 are due toVata, 6 result from Pitta, and 10 are caused by Kapha. But prameha is mainly kaph domianant disorder


  • Diet- increasing kapha dosha such as sugar, fats, potatoes, rice

  • Lack exercise

  • Mental stress and strain

  • Excessive sleep etc


  • Excessive urine formation & Frequent urination

  • Burning of palms and soles

  • Increased hunger

  • Excessive Thirst

  • Sweet taste to mouth etc.

  • Weight Loss

  • Blurry Vision

  • Wounds that take time to heal

  • Skin Infections

  • Unexplained extreme fatigue


  • Diet planning- is the cornerstone of managing diabetes.The diabetic diet is an otherwise normal balanced diet, with a few modifications and proper spacing between food intakes. Avoid diet increasing kapha dosha such as sugar, fats, potatoes, rice. Avoid alcohol

  • Daily exercise- One of the methods to heal prameha include strenuous exercises. Regular exercise in any form is a must. In 'Yogasanas' - Forward bending asanas like 'Paschimottanasan','Halasan' etc. are effective

  • Restrict and reduce weight

  • Avoid sleeping during daytime.

  • Avoid smoking

  • Try to reduce stress by implementing & practicing Yoga

Useful herbs

  • Jambhul (Eugenia jambolana) Powder from jamun core is useful.\

  • Gurmar(gymnema sylvestre)

  • Sagar gota (Ceasalpinia crista)\

  • Bel (Aegle marmelos)

  • Shilájit

  • Turmeric

  • Neem

  • Triphala


Constipation (Anaha)   according to AYURVEDIC MEDICINE
Constipation means an undue delay in the evacuation of the faeces. This may be due to abnormal retention of faecal matter or delay in the discharge of excreta from the rectum.
·         Lack of green vegetables, roughage.
·         Abuse of laxatives.
·         Diminished expulsive power due to weakness of abdominal muscles or pelvic floor.
·         Excess intake of astringent foods.
·         Sedentary lifestyle and lack of exercises.
·         Lack of Peristaltic movement or piles.
·         A feeling of rectal fullness.
·         Left sided abdominal pain.
·         Passage of mucus through the rectum.
·         Rectal bleeding.
·         Anorectal discomfort.
·         Headache.
Undigested food and occult stool get slowly accumulated in the stomach and large intestines respectively and vitiate vata dosha which results in obstruction of digestive tract.
Types of Constipation:
·         Amaj anah
·         Purishaj anah
Amaj anah:
In this type of constipation, the patient has symptoms like thirst, coryza, burning sensation in head, abdominal pain and heaviness, nausea, no clear belching.
Purishaj anah:
This is due to retention and putrification of faeces in the large intestines. It causes spasm and colic pain in the lumbar region. Retention of urine and stools, unconsciousness, sometimes faeces in the vomitus, breathing difficulty etc.
General guidelines for diet.
·         Rice can be eaten with steamed vegetables, which should be garnished with spices. Khichari also should be used. Strict attention to diet is essential for recovery.
·         Starchy, protein and fatty foods should be restricted.
·         Meats, sugar, tea, coffee, condiments, pickles, refined and processed foods, white flour and white sugar products should be avoided.
·         Heavy gravies, puddings, cakes, chocolates, pastries and alcohol should be avoided. Soft drinks, candies, ice creams and products made with sugar and white flour should be avoided.
·         Non-vegetarian foods should be avoided.
·         Pomegranate fruit, buttermilk, soup of reddish are beneficial.
Tips for improving digestion
·         A very simple way to is to give up the habit of eating too much. Try to regulate eating hours and always leave part of the stomach empty for movement of food during digestion.
·         Eat fresh and natural foods. Avoid preserved, canned, or fast foods.
·         Never suppress natural urges, such as passing urine, stool or flatus, sneezing, belching, yawning and even crying. Suppression of such urges aggravates toxins in the body.
·         Create regular meal times. Maintain at least 4 hours of interval between two meals.
·         Eat dinner before 2 hours of sleeping. Take a walk after dinner.
Dietary guidelines
·         Consume food in proper quantity.
·         Eat when you are hungry.
·         Foods should complement, not contradict each other.
·         Eating in a pleasant environment is preferable.
·         Eating should be paced properly (not too fast or slow).
·         Minimize distractions while eating.
·         Food should be eaten according to constitution.
·         Eat freshly prepared foods as much as possible. If you have to eat leftovers, make sure they are not more than a day old.
·         Avoid poor food combinations, such as very hot and very cold foods; raw and cooked food; milk and fish; or milk and meat.
·         Avoid microwave cooking. It disperses energy and is ultimately weakening over time. This has been scientifically and empirically proven.
·         Food should look and smell appetizing. Pleasant garnishes and attractive table settings helps to instill a sense of harmony at the dinner table.
·         Drink spring or purified water. Avoid distilled water, which does not contain any minerals and have a tendency to accumulate them from your system. This weakens bones, teeth, hair, nails and skin. However, various mineral formulations are nowadays available. These can be added to the distilled water to rectify this problem.
Lifestyle Practices
·         Try to get up early in the morning and drink two to three glasses of water the first thing in the morning. It is preferable to store the water in a copper pot on the previous night. It helps to remove toxins from the body. In winters you may warm this water.
·         Regular meditation, yoga and exercise are advisable. Exercise promotes circulation and helps to maintain the blood flow to every part of the body. Exercise to half of your strength.
·         Proper rest and sound sleep are advisable.
·         Keep your mind relaxed.
·         Avoid keeping awake late into nights and try to get up early in the morning.
·         Add morning and night walk to daily routine.
·         Avoid too hot and too cold temperature.
Specific guidelines
·         Drink two glasses of water in the morning, gradually increasing the volume up to six glasses.
·         Drink buttermilk after meals.
·         Meals should be of light, easily digestible food and should be eaten when hungry.
·         Heavy and spicy foods should be avoided.
·         Fresh fruits and vegetable soups should be increased in diet.
·         Sprouts, salads, turnips, prunes, apple, pears etc are good.
·         Herbs used are ginger, terminalia chibulis, plumbago zeylanica, calotropis.
Medicinal treatment
Herbal powders
·         Hingwashtak churna
·         Haritakvadi churna
·         Narach churna
·         Arogyavardhini vati
·         Triphala ghee
·         Pippalyadi ghee
·         Abhayarishta
·         Drakshasav
·         Panchkarma treatment
·         Snehan/swedan
·         Virechan
·         Vasti