Prerana. Inaugration of Asttitva. Fresher s Day. Editorial. na hi jyanenasadrishamkinchitehavidyate

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1 H.A.S.S. s Ayurveda Mahavidyalaya,Dept.of Post Graduate Studies Prerana the inspiration February 2013 Vol. 1 Issue 6 Editorial Dear Readers, World Cancer Day was celebrated on 4 th of February. The targets set on this occasion are Effective cancer control programmes. Reduced risk factors such as tobacco use, alcohol consumption and obesity. Universal vaccination programmes. A better informed public. Improved diagnosis methods. Universally available pain control. Improved training for medical staff. Better survival rates for cancer patients. The principles of Ayurveda if adopted properly, will certainly reduce the incidence of this disease. We shall all involve ourselves to implement these targets and help the suffering human beings to lead a quality life. - Dr.SrinivasBannigol Chief Editor Inaugration of Asttitva Fresher s Day Inside CLINICAL MANAGEMENT OF HANDIGODU SYNDROME (HANDIGODU DISEASE) THROUGH AYURVEDA INCORPORATION OF PHILOSOPHY IN UNDERSTANDING DISEASE IMPORTANT EVENTS AT AMV

2 CLINICAL MANAGEMENT OF HANDIGODU SYNDROME (HANDIGODU DISEASE) THROUGH AYURVEDA Author: DR.PRASHANTH.A.S,Professor Department of Post Graduate Studies in Panchakarma Ayurveda Maha Vidyalaya,Hubli continued from last issue PLAN OF TREATMENT Treatment should commence from the administration of Deepana and Pachana drugs,ultimate and due consideration should be given to Kostagni,Saamadosa should be targeted and treated. Formulations and drugs recommended for Deepana and Pachana 1. Vaishwanarachurna 2. Shaddharana yoga 3. Agnitundivati 4. Amruta arista The next step of treatment is to target and treat Asthidathugatavikriti. The following formulations may be recommended for the involvement of Asthidhatu. 1. Guggulutiktaka yoga 2. Abhaguggulu 3. Lakshaadichurna 4. Ketakyaaditaila 5. Bala,Amrutachurna 6. Bala, Amrutakshira 7. Sudhavargadravya (Pravalapanchamruta like yogas) Vedanasthapaka and ShotaghnaYogas Sandi shula, Parvashula, Parvabeda, Sthanikasopha, is the commonest finding. Following formulations may be recommended for these findings 1. Tab. Punarnavadiguggulu 2. Tab. Gokshuraadiguggulu 3. Tab. Amrutaadiguggulu 4. Tab. Trayodashangaguggulu 5. Tab. Kaisoraguggulu 6. Tab. Yogarajaguggulu 7. Tab. Swarnamahayogarajaguggulu

3 And the suitable Anupana may be:- 1. Maharasnaadikwatha 2. Punarnavadikwatha 3. Rasnasaptakakwatha 4. Dashamulakwatha 5. Guggulutiktakakwatha Once after, Aamajalakshanas are relieved, and then taila abhyanga over the Sthanikapradesha, Sarvangasharira can be planned. However in patients directly reporting with Niraamalakshanas, Tailaprayoga can be directly made. The following Sneha/Tailayogas can be recommended for Bahyaprayoga 1. Kottamchukkaditaila 2. Vishagarbhataila 3. Mahavishagarbhataila 4. Karpuraaditaila 5. Murivenna oil 6. Parinetakeraksheerataila 7. Panda taila Scope of Panchakarma Treatment in Handigodu syndrome After understanding the clinical aspects of Handigodu syndrome it can be said that Panchakarma line of treatment is having a wide scope in improving the quality of life among the suffering victims. It is useful to improve the rehabilitation status, which is preventive and curative also. In the following way the Purva karma, Pradana karma, and Paschat karma can be planned. 1. Amapachana 2. Snehapana with Guggulutitakaghrta/ Indukantaghrta/Karsakaraghrta for 3-7days. 3. AbhyangaSarvangasweda for 3days 4. Virechana with Erandataila/ Gandharvahastaaditaila/ Nimbaamrutaeranda/ Nirgundieranda/ Erandasukumara. 5. Samsarjanakrama and Vishranti. The plan of Peyaadikrama (Samsarjanakrama) is made according to the Shuddhi achieved by the patient and pradhana, madhayama and avarasudhilakshanas has to be observed, proper dietary planning should be made for Agni balavardhana.

4 Basti in Handigodu Syndrome There is a wide scope for the basti karma in the clinical management of Handigodu syndrome.basti being an important vataharachikitsa, and basti is also advised for the rectification of the doshas seated in Asthidhathu, is useful as tarpan of Asthi (ksheerabasti).the rogaafflicatingmadhyamarogamarg is also treated by basti karma. SAGHRITHA KSHEERA BASTI 1. Guduchyadikashayasidhaksheera 2. Gugguluthikthaghritha 3. Madhu 4. Saindhava 5. Kalka(shathahva) Sidhaksheerabasti in yoga basti or in kalabasti schedule The ksheerabastikalpana can be modified according to the need 1. Manjishtadiksheera 2. Kethakyaditaila or Madhuyashtitaila 3. Madhu : saindhava 4. Kalka (sathahva and Balamoolachoornam) SPECIALISED PROCEDURES Since Dhatukshayavatakopa involvement of Asthisandhi and lakshanas of khubjatva are observed specialized procedures like patrapindasveda,pizhichil (kayaseka, shashtikasalipiundasveda,dhanyuamlaparisheka) upanahasveda and abhyangaksheerabashpasweda may be recommended according to the need. 1. Rasnadichoornam 2. Aswagandhachoornam 3. Sudhaguggulu 4. Lashunadivati 5. Tab Kokilaksha 6. Ksheerabalataila 101 Other shaman yogas

5 RASAYANA Rasayanachikitsa is aimed as a preventive as well as curative recipe, rasayana yoga can be recommended in vatatapikavidhana,rasayanachikitsa is very much useful in improving the nutritional status of the patient. The following yogas may be recommended:- 1. Chyavanaprash 2. Aswagandhaavaleha 3. Amalakirasayana 4. Swarnamalinivasantha The schedule of Panchakarma procedures like Basti karma, Abhyangaswedana etc., procedures are repeated as per the need. EXTABLISHMENT OF AYURVEDA TREATMENT CENTRE In the Handigodu syndrome affected area, an independent hospital setup with well-equipped Panchakarma theatre, rehabilitation center can be established for the benefit of the patients. Separate sections for male and female patients along with the well-trained panchakarma therapist should be posted for this ayurveda treatment centre the therapy should be conducted under the observation of a qualified Ayurveda physician. For the Samsarjanakrama and to advice Pathya during the course treatment a kitchen providing essential pathyakalpana and peyadivarga has to be designed. Outpatient Ayurveda Panchakarma therapy has to be started in the nearby Community medical centre, Primary health centreand Taluk hospital HASSAyurveda Mahavidyalaya Hospital, Hubli has been working for the last 58 years consisting about 200 bed with post graduation courses in 3 clinical branches namely Panchakarma, Kayachikitsa and Shalyatantra, has taken interest in providing the essential treatments for the Handigodu Syndrome affected Population.

6 Incorporation of philosophy in understanding disease process The Ayurveda way Authors: Dr.K.T.Jayakrishnan* Dr.Paritosh Bhatt**.continued from last issue Disease is a state of dysfunction of any system of the body. Function is the result of movement and its failure is attributed to vata. This is created because of the structural weakness in lack of assimilation of nourishment. Generally the nourishment is Snigda,Sita dominated which is nothing but Kapha,and assimilation is done by Ushna nature of Pitta which breakdown the food into assumable form. Hence the healthy state of the body is reflected by Snigda, Sita and Agneya properties. In such a healthy state the movements become very smooth and functions take place without any friction. This state of Snigda,Sita, Agneya properties have to be continuously maintained to sustain health in all organs which are made up of dhatus. These properties have to be supplied and maintained from the kosta where the preliminary breakdown of food takes place. In any form of digestion Koshtam will maintain the madhura, Amla and Katu nature implying the properties of kapha, pitha, vata in different parts of the Koshta.It is based on the maintainence of these states in the koshta at the optimum level, that similar states can be maintained / supplied to the entire structures of the body. If there is a domination of katu vipaka in this koshta, that will reflect too much of dryness and movement in the koshta. After a long period of time the same properties will be dominating in dhatus and organs. Then we claim that vata is spreading from koshtad sakhasthi marmanam. This state of dryness or roughness is a weakness as far as an organ is concerned since it is opposite to the natural state i.e snigda, sita of the body. That will gradually induce dysfunctions in different systems and then that is termed as diseased status.in small disease the dysfunction due to vata will be more serious and that may be happening because of pitta and kapha nature. If this weakness / dryness in the koshta is managed properly it will lead to similar atmosphere in dhatus. If it is not managed there the madyama roga marga will be affected with similar atmosphere. This is the subtle or deepset part and hence dominated by vata. If this part is dried or weakened its dysfunctions will be dominated with loss of movements( major or minor) which is main function of vata. Then only it is termed as VATAVYADHI.

7 In any disease weakness / dryness is created in the structures either due to lack of nourishment, (Ruksha Aharas ), lack of assimilation or due to the accumulation by kapha. All these states are resulted according to how kapha, pitta, and vata are maintained in the koshta. Disease are named differently according to the different ways it creates dysfunction in different systems in the body. Few examples have been given as major diseases as affecting Koshta, shakha, and Madhya roga margas. All these states vata symptoms / dysfunction are more significant. These dysfunctions themselvels become the main symptoms of the disease,there it is a vatavyadhi. Koshta,sakha and asthisandhi are the normal routes for the nourishment which will have reflections of panchamahabhoothas ie three doshas. So kapha, pitta, and vata are first formed in the koshta and then migrate to dhatus on a regular basis. The dhatus form organs and gain functional importance, hence become Asthi sandhi or marmas. These routes have been constantly nourished to ensure a smooth conduction / movement throughout the body. Any structural weakness in such areas will result in restricted movements of gross structures in the body. Direct manifestations of such a state is known as Vatavyadhi, all other diseases also will be moving towards such situation if they are not properly dealt with. Few typical vatavyadhis are explained in samhithas as an example only, definitely more number and varieties of vatavyadhis are treated by physicians. Diseases are explained from Jwara to Vatavyadhi and then Vatarakta which is also a vatavyadhi with degeneration induced by Raktha. This will be clearer if we try to analyze what is happening in Diabetic stroke (Prameha Vatavyadhi). Prameha is a state of the body where more kleda is formed during the transformation of dhatus. All dhatus are kapha dominated and prominently snigdha in nature. During process of normal transformation, Snigdha content is changed into next dhatu and the by product of this transformation is also a snigdha content, called kleda which has to be excreted through urine, since it is an unwanted state of snigdha. This state of kleda is more produced, the healthy state of snigdha content in the dhatus is less produced in Prameha, due to various factors capable of producing similar kleda atmosphere. In the initial stages the formation of kleda will be the main factor to deal with and this state is known as kapha dominant. This is not going to create any major difficulty because kleda is a waste of snigdha which is satmya to the body. After some years kleda gets less important as gradually there is deficiency in snigdha nature or ruksha nature gets dominated, hence the nature is known as vata dominant.this vata dominant atmosphere can spread from dhatu to any other organ which is a part of madhyama Rogamarga. If it is affected with same level of ruksha atmosphere, at one stage it will result in a total dysfunction or movement and results in Vatavyadhi.

8 In this Vatavyadhi will be more important and Prameha less important. This explains the way in which we will be evaluating the pathogenesis of Vatavyadhi and it will have a definite role in the scheme of things as far as the management of stroke is concerned. Since diabetic stroke is a prevailing condition the above understanding is reasonable. All other diseases, right from Jwara have a similar effect on the body. Especially diseases such as Gulma, Grahani, Arsas, Atisaram etc are having their main impact in koshta. The vata atmosphere is more prominent in the koshta in the above conditions and if they are not managed properly, the vata atmosphere will have to spread to dhatus and Madyama Rogamargas. It will ultimately lead to vata dominant atmosphere in madyama Rogamargas to have a Vatavyadhi, whenever body is strained too much. This understanding of Vatavyadhi will help a lot in differentiating the Vatavyadhi and accordingly in making different programs for the same disease in two individuals for the effective management. Briefly speaking, the snigda, sita atmosphere of the gross structures is maintained by usna, snigda nature on one side and sita, ruksha nature on the other side. Once the snigda nature is emaciated it is a weakness for the structure or Vata. If the vata prominent parts are dominant with such atmosphere it may result in a dysfunction with regard to a major movement and then it is known as Vatavyadhi. The Snigda sita atmosphere of the body (Madura) is gradually turned into ushna Snigda nature( Amla) and later into ruksha sita nature ( kadurasa). Acute state of this kind of change is known as Jwara and all other diseases this process is repeated. Vatavyadhi reflects the emaciated nature of dhatus and Madhyamarogamarga, and its management will be a programme to reverse the emaciated state. Since, emaciation is a state attained over a long period of time through different ways for different persons. As samprapti vighatanam is the treatment, the programme to achieve this wiil be different in the same diseases. Once we clear the way by which the emaciation was effected, then the induction of sneha dravya will be an easier programme. Over all understanding of the background atmosphere is more important because rest of the part is almost same for all individuals. The state where we can directly induce snehadravya has to be achieved and that state is known as Kevalavata. Management of vata dosha is described in sootrastana as Snehanam, Swedanam, Sodhanam etc. Same programme is further elaborated in Vatavyadhi chikitsa and in the context of different diseases, many variations of these treatments are explained. What exactly happens when snigda dravyas are introduced. Snigda is indicated because of two reasons 1. In Vatavyadhi snigda guna is reduced and naturally ruksha guna is prominent and to relieve it snigda has to be induced. 2. To maintain the normal state of snigda nature of the body, a normal person also can undertake this therapy.

9 Vatavyadhi will reflect ruksha and sita properties and sita nature will create constriction (stambanam) because of which srotases will be partially closed. *Former Principal, SJS Ayurveda College, Chennai ** PG scholar, Dept of Rasa Shastra, AMV, Hubli Events at Ayurveda Mahavidyalaya, Hubli Asttitva A workshop on synopsis and dissertation writing The institution has come up with yet another fruitful workshop on synopsis and dissertation writing. 9 th and 10 th Jan 2013 were the dates when the best brains were gathered under the umbrella. Dr.Prashanth Kumar Jha was the chief guest. Dr.Akash Khambavi, Dr. Suhas Kumar Shetty and Dr.Madhav diggavi were the key speakers for the scientific sessions. We emphasized on giving more time to the speaker, providing more dialogue between the presenter and the delegates. Dr.R.N.Joshi has formally inaugurated the workshop. Fresher s Day Celebrations for New PG Scholars Institution welcomes fresh PG scholars. On Jan 10 th 2013 we all have formally welcomed our new friends to the respective departments. With the presence of two eminent personalities of the city, Dr.R.N.Joshi and Dr.Bharat Kshatri, we received kind blessings in the form of their intellectual speeches. The activities and future plans of various departments were presented in the form of PPTs and videos, which were very well accepted.

10 Dear readers, We are celebrating one year of Prerana. The special issue is scheduled in April We request you to kindly contribute your esteemed intellectual work for the special issue. Also, we request our members to renew their subscription. To, - Team Prerana Chief Editor Editor - Co Editors - Dr.S.K.Bannigol Dr.M.A.Hullur Dr.A.I.Sanakal Dr.B.B.Joshi Dr.J.R.Joshi Dr.A.S.Prashanth Dr.Paritosh Bhatt VijetaTalikoti Bi monthly news letter Price: INR Annual subscription: INR (Students) INR (Individuals) INR (Institutions) Conceptual articles, research papers, or any other intellectual work is invited. For further details please contact as under. Contact: Dr.S.K.Bannigol, Dean, Dept. of PG Studies Phone prerananews2012@gmail.com Published by, Dept. of Post Graduate Studies Ayurveda Mahavidyalaya Heggeri Ext. Old Hubli Hubli