Role of panchakarma in Hridroga

1. HRIDROGA

2. INTRODUCTION
 ONE AMONG TRIMARMA
 KOSHTA AND MATRUJA AVAYAVA
 4th MONTH OF FETAL LIFE
 CHETANA ADHISHTANA (SEAT OF OJUS, MIND,
SOUL)
 MADE UP OF PESHI
 ORIGIN OF PRANAVAHA, RASAVAHA SROTAS

3.  अत्युष्ण गुर्वन्न कषायतिक्त श्रमातिघाि अध्यशन प्रसंगै:।
संतिन्तनै: र्ेगतर्धारणै: ि हृदामय: पंितर्ध: प्रतदष्ट:॥(M.Ni)
 व्यायाम िीक्ष्ण अतितर्रेक बस्ति तिंिा ियत्रास गदातििारा:।
छतदव आम संधारण कशवनातन हृद्रोग कत्रृतण िथा अतिघाि:।
(C.CHI 26/70)
NIDANA-

4.  Excessive exercise,vasti, virechana, intake of
sharp,hot,dry,virudha , uncooked, unaccustomed
substances, worry, fear, terror.
 Improper management of diseases.
 Suppression of natural urges, Vomitting,Ama.
 Emaciation, Injury.
 Eating more quantity of food often.
(S.U 43/3,
C.CHI.26/77)

5. TYPES & SAMANYA
LAKSHANHA-
 VATAJA
 PITTAJA
 KAPHAJA
 SANNIPATAJA
 KRIMIJA (CHARAKA)
 र्ैर्र्ण्यं मूर्च्ाव ज्वर कास तिक्का श्वास आस्यर्ैरस्य िृषा प्रमोिा: ।
छतदव : कफोत्क्लेश रुजो अरुतिश्च स्यु: तर्तर्धा: िथा अन्ये॥ (C.CHI. 26/71)
Discoloration of the skin
Bad taste in the mouth
Unconsciousness
Morbid thirst
Fainting
Vomiting
Anorexia
Nausea
Fever
Cough
Hiccup
Asthma
Pain

6. VISHESHA LAKSHANA
VATAJA(C.Su.17/30; S.U.43/6; C.Chi.26/79)
 Characteristic of pain is ayamyate (drawing pain)
 Tudyate (pricking pain),
 Nirmathyate (piercing pain),
 Diryyate (cracking pain)
 Patyate (pain like cutting by saw)
 Bhidyate (stabbing pain) and
 Uttama rujam (severe pain)

7. PITTAJA
 Hrida daha (Heart burn),
 Hridayo Klamah (Sense of heaviness of heart),
 Amla Pittasya (Sour taste),
 Chardanam(Vomiting) Sweda (Perspiration), and
 Daha (Burning pain),

8. KAPHAJA
 Hridaya Suptata (Numbness in Cardiac region)
 Hridaya Stimitata (Stiffness)
 Hridaya Bharikata (Heaviness in cardiac region)
 Ashmavrta Hridaya (As stone is kept over heart) and
 Dull Pain .

9. KRIMIJA
 Acute pain,
 Pricking pain and
 Itching
 Characteristic of pain is suchibhirivatoda (pain like
piercing by needles)
 Chidyamanam yatha shasthairjatam (as heart cut
by weapon)
 IN Sannipatika type of heart disease
have clinical features of all three types of
Hrida Roga.

10. SAMPRAPTI
 दू षातयत्वा रसं दोषा तर्गुणा हृदयं गिा:।
हृतद बाधा प्रक
ु र्ंस्तन्त हृद्रोगं िं प्रिक्षिे॥
( S.U 43)
NIDANA
RASADUSHTI
HRIDROGAM

11. SAMPRAPTI GHATAKA
 Dosha - Tridoshaja
 Dhushya - Rasa,Rakta
 Agni - Jadaragni, Dhatwagni,
Bhutagni
 Agnidushti - Mandagni
 Ama - Jadara gnijanya
 Srotas - Rasavaha,
Pranavaha
 Srotodushti - Sanga ,
Vimargagamana
 Sancharasthana - Rasa-Rakthavaha
sroto avayava
 Vyakthasthana, Udbhavasthana, Adhishtana-

12. CHIKITSA
 CHIKITSA SOOTHRA
 INTERNAL MEDICATIONS
 YOGA
 POSSIBLE BAHIPARIMARJANA CHIKITSA
 URO BASTHI
SHIRO DHARA
ABHYANGAM

13. ROLE OF PANCHAKARMA IN
HRIDROGA

14. CHIKITSA
 VATAJA-
ABHYANGA,SNEHAPANA,VIRECHANA*(C.CHI.
26/81)
 PITTAJA-
VIRECHANA, PRADEHA, PARISHEKA (C.CHI.
26/90)
 KAPHAJA-
LANGHANA, SWEDANA ,VAMANA, RASAYANA
(C.CHI 26/996)

15.  SANNNIPATAJA-
 KRIMIJA-
 In strong patients,mild vasti and mild vamana
karma can administer.
 Treatment of vatika hridroga can follwed in
Angina pectoris

16. PATHYA
 PURANA SHALI TRIPHALA PATOLA
 RAKTHA SHALI PURANA GUDA
KARAVELLAKA
 GODHUMA ARDHRAKA
KASTHURI
 MUDGA TAKRA
SAINDHAVA
 KULATHA AJA DUGDHA VISRAMA
 JANGALA MAMSA LASHUNA
 MOOLAKA VARSHA JALA
 DADIMA AJAMODA
 AMRA HINGU

17. APATYA
 VIRUDHA
 GURU BHOJANA
 KATU, USHNA ,KASHAYA, AMLA DRAVYA
 DADHI
 TAILA
 KSHARA
 MAHISHA KSHEERAM
 DHUSHITA JALA
 CHINTA, KRODHA, SHOKA, BHRAMA, DHOOPA,
TAAPA, VEGARODHA, UCHAIRBHASHYAM,
BLOOD LETTING , VYAVAAYA .

18. THANK YOU