4. INTRODUCTION
Why Pandu roga is written after Grahani dosha chikitsa
adhyaya?
Grahani dosha chikitsa involves deepana and agni vardhan
chikitsa siddhant and this may lead to pitta prakaopa if not well
taken care off which may further lead to diseases due to pitta
prakopa/ agni vriddhi.
This is the possible reason why Acharya Charak mentioned and
described Pandu chikitsa adhyaya after Grahani dosha chikitsa.
5. The word Pandu is derived from “Pdi Nashne” dhatu by adding
“Ku” pratyaya to it. Thus the derivation of the word “Pandu”
indicates the abnormal coloration of the body
“Pandustu Peetabhagardhaha Ketaki Dhuli Sannibham”
Pandu is a mixture of shweta and peeta varna in equal proportions,
which resembles the colour of pollen grains of ketaki flowers
ऩाण्डुहारयद्रहरयतान् वर्ाान् फहुववधाांस्त्वचि||११||
स ऩाण्डुयोग इ्मुक्त्
The disease in which the twak/ twacha becomes pandu, haridra,
harita varna is known as Pandu roga
6. Types
ऩाण्डुयोगा् स्तभृता् ऩञ्ि वातवऩत्तकपै स्तरम्|
ितुर्ा् सन्ननऩातेन ऩञ्िभो बऺर्ानभृद्||३||
According to causative factors 5 types of Pandu roga are as follows:
Vataja,
Pittja,
Kaphaja,
Sannipataja, and
mrittika bhakshhana janya (due to clay-eating/PICA)
7. Overview of etiology
दोषा् वऩत्तप्रधानास्ततु मस्तम कु प्मन्नत धातुषु|
शैचर्ल्मां तस्तम धातूनाां गौयवां िोऩजामते||४||
Aggravated pitta predominant dosha vitiates the dhatu. This
vitiation of dhatus cause sluggishnesss (shithilata) and heaviness
(gaurava) in the dhatus.
ततो वर्ाफरस्तनेहा मे िानमेऽप्मोजसो गुर्ा्|
व्रजन्नत ऺमभ्मर्ं दोषदूष्मप्रदूषर्ात्||५||
resulting in diminution of complexion (varna), strength (bala),
unctuousness (sneha) and the qualities of ojas. Thus, the person
develops diminished blood (rakta) and the fatty tissue (medas) and
absence of the vitality of all the tissues (nihsara) decreases
functional status of sense organs (sithilendriyah) and discoloration
of the body.
9. The (excessive) intake of alkaline, sour, saline, hot and
mutually contradictory foods, unwholesome food, nishpava (a
type of pulses), masha, pinyaka (oil cake) and tila oil;
Indulging in day sleep, performing exercise and sex before
digestion of the food;
Improper administration of Panchakarma measures
(pratikarma vaishamya) and the disobedience of the seasonal
regimens (ritu vaishamya)
Suppression of the natural urges
Affliction of mind with passion, worry, fear, anger, grief
10. Indulgence in the above factors aggravates pitta seated in the cardiac
region and then this pitta is forcefully propelled by the vata into the
ten dhamanis (attached to the heart) and further into the whole body.
There, it gets located in between the tvacha (skin) and
the mamsa (flesh) and additionally vitiates the kapha, vata, rakta,
tvacha and mamsa resulting in the development of various
discolorations in the body
like pandu (pale), haridra (yellow),and harita (green). This is called
as pandu roga
11. Premonitory symptoms
रृदमस्तऩनदनां यौक्ष्मां स्तवेदाबाव्
िभस्ततर्ा||१२||
The premonitory symptoms of the disease
are palpitations, ununctuousness, absence
of sweating and fatigue
12. Differentiating features of dosha dominance
Changes in color and texture manifested in the whole
body and its parts
Vata dominant pandu Pitta dominant pandu Kapha dominant pandu
Blackish or dark
reddish discoloration
of the skin, blood
vessels, nails, face and
eyes
Yellowish
discoloration of skin,
the skin, blood
vessels, nails, face
and eyes
Whitishness
discoloration of skin,
the skin, blood
vessels, nails, face
and eyes
13. Features related to Agni
Vata dominant pandu Pitta dominant pandu Kapha dominant pandu
Tastelessness in the
mouth
Pungent taste in
mouth
Sweet taste in the
mouth
Does not relish food Anorexia
Abdominal distension Improper digestion of
food
Heaviness
Excessive salivation
Sour Eructation Laziness
Eructation associated
with burning sensation
Vomiting
Burning Sensation
14. Other features
Vata dominant pandu Pitta dominant pandu Kapha dominant pandu
Blackish urine & stool,
dry stools
Yellowish colored urine
& stool, foul smelling
and loose stools
Whitishness in the urine
& stool
Features related to urine and stool
Vata dominant pandu Pitta dominant pandu Kapha dominant pandu
Pain in the body,
pricking pain
Increased body
temperature
Drowsiness
15. Mrittika bhakshana pandu
भृवत्तकादनशीरस्तम कु प्म्मनमतभो भर्| कषामा भारुतां, वऩत्तभूषया, भधुया
कपभ्||२७||
कोऩमेनभृद्रसादीांश्ि यौक्ष्माद्बुक्तां ववरूऺमेत् [१] | ऩूयम्मववऩक्वैव स्रोताांलस
ननरुर्द्चध ि||२८||
इन्नद्रमार्ाां फरां ह्वा तेजो वीमौजसी तर्ा| ऩाण्डुयोगां कयो्माशु
फरवर्ाान्ग्ननाशनभ ्||२९||
Consumption of clay (mrittika) gets dośhā aggravated according to
the taste of mud viz. astringent mud aggravates vata, saline and
alkaline mud aggravates pitta and sweet mud aggravates kapha
dosha. The clay due to its undigestable nature fills and blocks the
channels of circulation leading to decrease in the sharpness of the
senses, luster, energy and ojas (vital essence of the tissues).
16. शूनगण्डाक्षऺकू टभ्ू् शूनऩाननालबभेहन्| क्रक्रलभकोष्ठोऽनतसामेत
भरां सासृक् कपान्नवतभ्|३०||
Its clinical features are edema of the cheeks, peri orbital edema and
edema on the eyebrows area, feet, umbilical region and the
pudendum; infestation of worms in the koshtha (gastrointestinal
tract) and loose motions, the stool associated with blood and mucus
