Dissertation submitted for the degree ofDOCTOR OF MEDICINE

M.D.(Ayurved)Kayachikitsa

To

UNIVERSITY OF PUNE

The Effect of PanchalavanChurna With

Goghrut ln Malavshtambh

By

VD.Shweta D. Parve

GuideVD. Ravindra R. Chavan

L L B (,,fi"15:ffi$:13:[ Meda,)

2005

n* ;ts:m

Post Graduate Teaching Institute'Ayurved MahavidyalaYEr,

Shri shivaji Nagar, RahuriFactory, Rahuri.

CERTIFICATE

It is hereby certified that the work carried out and

incorparated in this disseration was done under my guid*

-?t1c€ by VD.Shweta D. Parve and is upto my satisfaction. She

is allowed to submit her dissertaion on :

'The Effect of Panchalavan ChurnaWith Goghrut In Malavshtambh

I forward this dissertation for the post graduate

degree of DOCTOR OF MEDICINE (AYURVED VACHASPATI)

VD. Ravindra R. ChavanM.D. (Kayachikitsa)

(ll), A.V.P. PhD., (Gold Medal)

whs.

L.L.B.

Post Graduate Teaching Institute,Ayurved Mahavidyalirya,

Shri shivaj i tr[agar,Rahuri Factory, Rahuri .

CERTIFTCATE

This is to certify that VD.Shweta D. parve has

studied the subject'The Effect of panchalavan churna

with Goghrut rn Malavshtambh" Under the guidance of

Vd. R.R. Chavan.

she has studied the subject thoroughly and gone

through the literarture.

She has completed the dissertation carefully.

I forward this dissertation for the post graduate

degTee of DOCTOR OF MEDICINE (AYURVED VACHASPATI)

for evaluation.

vd. AdhavP

Ayurved vidyalaya,Shri Shivaji Nagar,Rahuri Factory, Rahuri

S

Acknowledgement

Acknowledgement is just not a formality but really speaking, it is a great

feeling expressed for someone.

The great task like writing this dissertation could not be completed without

the Guidance, Blessings, Inspiration, Spiritual touch and Good Wishes.

The courage to write a dissertation could be gained only because

of constance Help, Encouregement, Supervision & Suggetions by my Guide

Vd. R.R. Chavan, who guided me heartedly whenever I approaches him with all the

respects.I am very much Thankfull to Dr. P.R. Adhav Sir, Principal, SVNH Ayurved

Mahavidyalaya for his timely precious support & encouragement to complete my Post

Graduate Studies. He has been very kind & Supportive

in providing me all possible facilities to complete research work.

I do not want to miss this apportunity to express my felling towards Dr. V.V.

Doiphode, Dean, Ayurved faculty, Pune University for his valuable suggestions &

guidance.

I take this apportunity to external my sincere thanks to Dr. Vishnu

Joglekar sir of Tilak Alurved Mahavidyalaya,Pune.

I feel lack of words while expressing my protound sence & gratitude &

regards to the chairperson of the Institute, who kind heartedly permitted me to do the work

and gave all co-operation to complete this work.

I am very much thankful to Dr. Dighe Madam H.O.D. Department of kayachikitsta

for her essential support

I am very much thankful to Mr. Kathar sir (Statistician) A'nagar for their valuable

guidence & help while appling statistics.

This Work is Dedicated to

My Parents

Mr. Dr. D.S. Parve&

Mrs. Dr. S.D. Parvet't.

I can't express my feeling in words for the helping attitude my seniors, Dr. Jaya

Gawande, Dr. Manish Mulley, Dr. Kalpana Jadhav Dr. Manoj Runghe, Dr. Naresh Kore. & my

friends Dr. Pallavi, Dr. Manisha" Dr. Priti, Dr. Sameer, Dr. Pravin, Dr. Guptesh,Dr. Asit &

Dr. Nilesh & specilly thanks to Dr. Pallavi Gole P.G. Students of Gune College A'nagar.

I am very much thankful to Dr. Kalpana Ayare without whoes help I iould not

complete my dissertation.

I wish to acknowledge each & every Lectures and offrce staff of college especially

Shd. Thakar & Librarian, Shri. Shelar sir & Shri Ghawate Sir, Mr. Amrutkar Sir for their

Co-opertation in completing this work directly or indirectly from time to time.

I am extermely thankfull to my elder sister Miss. Shital Parwe & younger brother

Dr. Swapnil Parwe, whoes affection & blessings have been fountain source of encouragement

dhroug[olhry life.

I am also thankfull to my patients, 'Urmila Creation'they gave me a good quality of

printing and scaning and also thanks to xerox.

I am also thankfull to all those who have helped directly or indirectly in completion

of this work.

Vd. Shweta Parwe.

AbbreviationBooks

Astang Hrudaya

Charak Samhita

Sushrut Samhita

Bhel Samhita

Bhavprakash NighantuSharangdhar Samhita

Yogratnakar

Harita Samhita

ChakrapanidattaDhanvantari NighantuRaj NighantuShaligram Nighantu Bhushnam

Madanpal NighantuRasatarrangini

Indian Mderia MediaDravya Guna VidnyanMateria Medica of Ayurveda

Volume -

SthanSutra SthanNidan SthanViman SthanSharir SthanChikitsa SthanSiddhi SthanKalpa SthanUttar Sthan

Vol

Su.Ni.vi.Sha.chi.si.Ka.IJ.

rt[DExIntroduction IAims & Obiects s

Review of Literature c.

A) About Malavshtambh +l)Modern Concept2)Ayurvedic Concept

B)Detail Study Of Menerals/ Medicine t j.1_)Sauvarchal2)Saindhav3)Bida)Audbhid5)Samudra5)Khadisakhar

C)About the Anuloman z 6 .

D)About Rasa, Vipak s?Material & Method Bs.

l)Concept of Churna2)Concept of Sneha3)Case Record form

Clinical Study sD

Observations

Statistical AnalysisDiscussion

+jConclusion+4Summary +sBibliography

?r*,

Master Chart -'-.'-

to.

lvttroductiow

Introduction

'Ayurveda ' is our ancient living heritage. The word 'Ayurveda' literally means

knowledge of life (Ayu:life, veda:knowledge) 'Ayurveda' aims at achiving happiness of the

body and mind are forms part of day to day life 'Ayurveda ' promotes a balanced state of

psycho somatic make - up of man which can help him achive everlasting happiness.

Hqdlir: sqrfiqgf, Tqengrdfrq' I

ns-fldfuqrfl: Rt-€rssftrftrrA 11 (su.su. ra / yr

)

In above defination, according to Sushruta he hold about the lakshana of ' Atma' & '

Indriya ' & remaining is the nolated with the disease of Malavstambh. ' trqrrdB-s: ' This is the

cause of it.

In patient of Malavstambh, we get mainly the disturbance of 'Purish' & 'Purishkriya' &

Including' Dosh' & 'Agni '. So due to this human being become Nirutsahi & so become the '

Malavstambhi Rugna'

Vagbhatacharya explained or mentioned the importance of mala ie'qdfraq tf,s'.

It is the regularly habit of our body that to excreate the waste product ie mala in the

morning hence we get clean the body (wftgtfi), freshness of mind (qi-JffiTfil3Tr;ift) & lightness

of body (fcbwn; But due to same reason, if mala did not excreted, it get stored at body and

due to this diseases get produced.

3tcJElr{:gQSs lldr. E. 99/q

gflsgr€FidTqFaEtrwia ll g. q,. iq/c,

In above sutra,' 3rd€ETq' it's the' Prakruti' fuction of ' Purish' 3ddEt{qmeans' Dharan

'But the opinion of Suhrutacharya is that'3qgsq'means'3i-dg:15' and also'Vayu'&' Agni '

co-realated with it Due to abnormal frrnction of vayu & agni, Malavqtambh get produced &

vlce versa.

In Ayurveda samhita, we get many' sutra'realated to 'Purish'ie.

gdq u Erdq{gftstds'i gk I u ft . c/a s

q-ffini Frtr Fdqilq ftftrffi: | | dT. 9,. a/i

While explaning the Dashvidha Pariksha in vimanstham of charaksamhita,

charkacharya has told that it is the normal firnction of body to excrete Vat, Mutra, Purish &

Shukra without any diffrculty.

In sutrasthan of Vagbhata sambita he mentioned-

According to opinion of Vagbhatacharya in the ' Dincharyavidhi ' Aadhyaya of SutraSthan,

'ffiqfoq1ffig' means tln above sutr4 '3t?JgEFr t it's the'Prakruti ' fuction of ' Purish' 3ild€lfi

means ' Dharan'But the opinion of Suhrutacharyais that'3qgpq'means' 3f,qEl{q' and also

'Vayu'& 'Agni' co-realated with it Due to expel the waste product ie mala and mutra.

Gnret eTrFq-dreft srq orffffi frdkq' I

uw1 ft eq+ mq gRdqr1 frqqmritq | | u.fr . a/e e

Charkacharya advised this in'Nidan sthan'.But because of fast life or changing life

style, society can't follow these consepts about'Aahar' & ' Vihar' (eg. Pav or Bread, fast food,

chinese, Ratri Jagarana.)

Hence now a days maximum people are suffering from problem of constipation ie

Malavstambh.

In Ayurvedic samhitas Malavstambh is mentioned as a lakshana & not as a disease. It

is explained in'Ashtang HridaY'

effiwrifr6rigft-atm, ll (3T. E.)

Many types of disease is caused by'Malavslambh' ,

This is the ' Prayojan' of Ayurveda ie

:

w€rs €l€ERHuI{ Sng*u B-orwee;i a I I q.

9,. a o/la

& I mention this for good health ie firstly, clean the mind & secondly clean the body.

3Tdffi +I-eot rpt-nqa-aqrErdT I

yrsr63qrTffi ffi a-gtren 1 1 urrr-*cftat s. tc

ddqd.rtqrg€ glurc-gtrdgfrbcT' I I q. g. ale/3 a affiuft

sTgduil fti ETeqgffidr*d stlT t t

3flo1ftfr5r;rq' gTunq*trrffiEo, : || q.fr.Iq/3.

L

, ln Ayurved samhita we get many suha of importance of Agni. But when it become

abnormal or'vikrut'then form'Vl*ut Ras'ie'Aahar Ras'& due to vikrut ras; Rasadi Dhatu

and '00J'become vikrut and many diseases produced.

sqrdmdnuirrfficwiDrdl I

ilsnftqn-fl{&--ll u.fr. q/rla .

In the Nutrition of body'Agni' is main cause &'Aahar'is the secondary cause.

tlrr' etsft dasrit gtr{rgc{fu q3rffiffiftiamraqE ll dr.fr. eve

In above sutra, we get the relation of Agni and Malasanchaya (Malarptambh)

Also' sqdsrsco-dq' (Agnimandya) to form' Aam' (erq)

3Trri 3r-i-<ti dftq& gqntuq | |

qT.q. aq i I

& due to this aam (sm) we get following lakshane.

r+alQ'€rd-dgvTTihrdfdga-drl

emsqffiq :lldT.$,. j3/aa

Due to Malavastambh - to form aam ie aamotpatti & due to amotpatti to form

Agnimandya & malasanchaya (malavstambh) - then again due to malasanchaya - aamotpatti &

then many diseases form or produced due to this cycle.

If this cycle is destroied in the stage of malasanchaya (malavstambh) then production

of many diseases get avoided.

Due to the treatment of malav;tambh already treated the poisonous iulm & then treated

the' Agni' so' dtrqgrf,{rdffimroffifuerl' aE 3o/ac uoqroft

According to this sutra, treatment, of malavaEtambh means 'kayachikitsa' ie treatrnent

of kaya (body) means the treatement of whole body .{ I am the student of kayachikitsa

' department. So I selected this topic for research. Beacuase of 90%o population suffering from

disease.

Instead consulting doctor or vaidyas, people are impressed by various product,

advertised on television, radio & magzines for relief from Malavstambh, which are having

temporary & unsatistactory results. Poor people can't affort this due to high cost.

3

So, I selected the topic for research which is low cost or satisfactory relief & available

in your own house.

The topic thus selected for research is entitled.

'The effect of Panchalavan in Malavstambh'

This simple chikitsta for Malavstambh is suggested by Vagbhatacharya in his

chikisasthan.gftiqvdFQurofumftqsufrlsW ddutfff rnssraqd R I I 3T.€ fr . q o/s q .

Reasearch, as a matter of fact, has no limits but for specification. I was constrained to

observe some limitation in work. In this dissertation, related & required description of

Malavstambh is given which is mentioned in Ayurved, as well as in Modern science for

clinical assessment I have taken Panchalavan chuma with goghrut as study group in Group'A'

& khadisakhar churna with goghurt in Group ' B '. Statistical data & each group will be

compared each other. I have selected the patients irrespective of sex, age, religion, etc.

=_=

=I=

=li

Aims & Obj ects

Aims & ObjectThe subject of dissertation is " The effect ofpanchalavan with goghrut in Malavshtambh

." For this study ,sixty patients of malavstambh have been treated. These sixty patients of

Malavstmbh were divided into two grcups.

First group was clinical Trial Group , in this trial goup 30 (thirty) patients of malavstambh

were treated by churna of Saindhav, Sauvarchal ,Bid, Audbhid & Samudra lavan i.e. Panchalavan

churna with ghoghrut & results were noted into a fixed proforma.

Second group was placibo group , in this group thirty (30) patient of malavqtambh treated

by khadisakhar churna with goghrut.

Results of two groups were compared with each other. Statistical analysis of the results

has been done & after that a conclulusion of this study has been made.

So, In short following are the Aims and objects in relation to the subject of dissertation -

1) To study the effect of panchalavan chuma with goghrut in Malavqtambh.

2) To $uggest proper dossage form & to find out adverse effect ifany.

3) To demonstrate the safety of the drug in old state.

4) To study the drug effrcacy as curative or preventive drug in Malavstambh.

5

Literature ReviewAyurveda belives in the doshik theory of disease. The balanced state of these doshas

is health and imbalanced state ofthe doshas is called disease. This imbalance is usally because

of the vitialbn of a particular dosha single or in combination of others. The causes pf the

imbalance of dosha have been described under ' Nidan or Hetu '. When causative factors

operate on the body, the doshas are excited and spread all over body through certatin channels

called as ' Strotas '. Ultimately they involve certain tissue structures of'a particular organ or

system and produce, signs and symptoms of a particular disease which are mentioned under

'Purvarupa and Rupa'.

This entire phenomenon right from the vitiation of dosha to the production of disease

is known as ' Samprapti '. As defined by Vagbhata, silmprapti is the science of disease which

deals with theprocess of vitiation of dosha; they are spread all over the body with the

manifestation of signs and symptoms of the disease. Thus the study of entire changes taking

place in the body under the influence of etiological factors leading to the production of the

disease is known as 'Nidan panchaka' It deals with the body changes both at the clinical as

well as sub-clinical stages of the diseases.

In this connection, Vagbhata, pertiently states that,osqlBo.t{e-*-ftRrsFiTffirFTa t

gqot tdBtsiTd vftri gefgvoq 1

Fasi6ei6ffiq-i?iffiou' I

rr.ti srei aprrer<raenrs guF-ctlt' I I

qerqem, vfiedsi a\fisqFrcqm t

q) ffi ftfumrqi e y woft aqfuq I I Ua. su. e 3/aaasa.)

The physician should first seek the ndture of the disease, the derangement caused by

the dosha and dhatu, the organ where the derangement is manifested and the causes which are

responsible for this derangement, begin to start the disease. The physician examining the

patient must consider, the condition ofthe dhatu and the malas , the place of his residence, his

strength and the power of digestion, body constitute and diathesis, the age, the mental state,

the habit and idiosyncrasies, the food usually taken and other minute items related to the

patient and then arrive at a diagnosis and commence the treatment. One who will follow their

method will never commit any mistake.

G

(A) About The Malavshtambhal) MODERN CONCEPT

CONSTIPATION

Definition :Constipation implies irregular and incomplete evacuation of hard, dried feaces.

Etiology : Constipation may be associated with an orgnic local lesion or generalized systemic

disease. In the majority of cases constipation is a funtional disorder caused due to delay in the

passage of feacal matter or due to an insuffrcient bulk of the feaces. The irnportant cause is

the bad habits of neglecting the urge or nature's call for defection. Because of this the reflex is

lost. Due to intake of low residue diet or starvation there may not be enough feacal matter to

produce bowel evacuation. In some persons an autonomic imbalance of the nervous system

produces spasticity of the colon which results in the constipation. In some disease like

vomitting, pyloric obstruction, carcinoma, diverticulosis, painful defecation due to fissures,

thrombosed piles, abscess in the anal region etc tends to produce afear of defecation which

leads to constipation. Many drugs are commonly cause constipation. The persistent use of

purgatives and enemas are the commonest and routine causes, which convert an occasional

Jron-evacution of the bowel in chronic constipation. Rare cause of constipation is diabetes;

mlxodema etc. The main important cause is postute of dbfecation.

Along with these etiological factors responsible for constipation are lack of exercise,

inadequate allotment of time for full defecation and prolonged travel.When the patient also

has symptoms such as fatigue,malaise ,headache or anorexia, the possibility should be

considered whether such symptoms reflect an'underlying depression of which constipation

is one component . Decreased colonic motility is responsible for the constipation Insuffrcient

water intake is one of the major causes for constipation in lndia. Some times acute constipation

may be seen in acute intestinal obstruction, acute appendicitis, heamatemesis etc.

=

=

,l

Causes of Malavqtambh

Physically, there is three main causes for the diagnosis of constipation.

l.Obstruction in colon

For the peristaltic movements of the intenstine, enough quantity of liquid (H20) &

fibrous diet is necessary. The intenstine get exhausted because of the less quantity of these

two substances for expulsion of substances with less quantity of fibrous & H20 from

intenstine, the mucosal muscles of intenstine has to produce more spasmodic peristaltic

movement & patient feels sevear pain in abdomen. So excreted product did not expuled

quically. The stoared mala become dried. This stage is called as 'colonic stasis'.

2.Obstruction of Rectum

Normally, patient has naturally peristaltic movement. But inegular & modem life

style causes hezitation of malaveg pravrutti & due to irregular habit of malaveg pravrutti

muscles become weak & do not expul the mala. Then the sensesion of malaniskriman

decreases slowly & so this produce malavrodh. This stage is caled as'Rectal Stasis'

3. Intenstinal Obstruction

As irregular habits of eating & excreating are becoming common in todays life

style, abnormal dilatation & narration of colon get produced which inturn causes

obstruction of intestine . This obstruction decreases forword expulsion of mala &mala

retension get produced . This stage is as ' Intestinal Obstruction '.

4) Simple Constipation -

a) Dietary Factors - fibre deficiencyb) abuse of laxativesc) Diminished expulsive power due to weakness of abdominal muscle or of

pelvi'c floor.d) Atony or delay in the return due to suppressed call to stool

improper lavatory facilities.

5) Associated with disordered motilify -

Idiopathic slow transit constipation idiopathic megacolon & megarectum, initable

bowel syndrome

:=

==

==

I

, travelling,

6) Abnormal neurological control-

a) psychological factors can prouduce constipation through an inhibitory effect on the

extrinsic autonomic innervation in the large bowel'

b) Spinal or Pelvic nerve injurY -

c) Hirschspr,rrrg', disease in which there is an absence of nerves in wall of the bowel

& defective p"iirtulrir. Chronic laxative abuse ( possibly permanant damage to nerve

plexuses )

7) Obstruction - : Tumors,infl ammation'ischemia diverticular disease'

g) Drugs -: Narcotic analgesics ( codeine & Morphine) drugs with anticholinergic side effects

( tricyclic antidepressants, phenothiazines & drugs used to treat urinary incontinence ) &

aluminium salts.

9) Other causes - : Parkinson's disese hypothyroidism hypercalcemfa, depression'

10) Morning rush syndrome :- Where there is an urgent desire to defacecate several times

on rising & after breakfast is common in irritable bowel syndrome patient may use the word

constipation to express the sensation of incomplete defaecation.

Clinical Features: In severe condition, mechanical distention of rectum and colon by

feaces and colonic neurosis are seen

Pathology: Hard stools are usually due to increased absorption of fluid as a result of

'prolonged contact of the luminal content with the colonic mucosa constituent to delayed

transit.

=

In many instances emotional state and psychological strees is the

altered bowel habits. {

Types: usually it is.seen in chronic conditions but in some diseases it is seen in acute

phase. Davidson and Micleod (1973) mentioned that chronic constipation is genearlly

considered to be of two main tYPes,

1. Colonic constiPation'2. DY schezia constiPation'

physical Examination: -The finding of rectum distended with feaces coupled with an

absence of any desire to defecate is pathognomonic of dyschezia. Feaces may be palpated

in the sigmoid colon.

Investigations:- Radiological examination may be necessary, proctosigmidoscopy and a

barium enema are necessary to exclude associated conditions such as piles, fissere etc'

maln reason for

C.

D.

E.

Treatement: - Simple constipation :

A. Bowel habit - regular period of evacuation every morning.

B. Diet - high residue diet, plenty of brown bread, butter, fresh fruit, salads, vegetables, at

least four pints of fluids daily.

Treatment of cause - omission of causative drug. .

Hydrogogue preparations - to increase the bulk stimulation such as Isogel of Isobgol.

Laxatives - Busacody 5-20 mglday, senna 7.5-3}mglday or danthron 75-150mgl day.

Prolonged intake of these drugs may cause constipation by damaging the mesenteric

plexus.

Stool softener - dioctyl sodium or calcium sulphosuccinate.

Enema or suppository.

Surgery - for treatement of rectocele etc.

Psychotherapy and biofeedback traning to induce normal relaxationof pelvic floor

during defection may help in same with idiopathicconsipation.

Complication: The important complication of constipation is feacal impaction.

F.

G.

H.

L

to

2) AYURVEDIC CONCEPTMALAVSHTAMBH

Ayurveda respects the theories of creation of the Universe. Life begins when soul

enters the fertilised ovum and it relies on the dominance of mahabhuta . So all living beings

are created by combination of five basic elements and the Soul, Akash, Vayu, Tej. Apa &

Prithvi are the five basic eternal substances, designed as panchmahabuta. The glory of

Ayurveda lies in its evaluation of a theory of the maintenance of health and genesis of

disease. The Ayurvedic theory of tridosha stands for all times and circumstances and justifies

the ancient needs and caring for the future. These three doshas maintain the intergrity of the

human bady. The equilibrium of these three baseic substances is responsible for maintaining

good health. Similarly disequilibrium of these may cause disintegration of the body or may

lead to death.

There are three main malas,shakrut , sweda and mutra . Kitta is produced after the

digestion of food material in the large intestine . The undoigested food residue which is

expelled out of pakvashaya with the help of apan vayu is called purisha to which this topic is

related i. e. purishavastambha means malavstambha.

About MalaVyakhya:

d-cr-drgflad qs'fu-*cc u roreqqfirt{ff,d I

Effidegagts -- onftmsdqq' .................F.q.ac / u

After digestion, food is divided in two parts, sara and kitta. Sara bhag is known as

aharrasa, while kitta bhag is knopwn as mala, sweda,mutra,purisha etc. are nurished by this

second part of digestion i.e. kitta bhag.

Charka in sharirasthana has given clarification of mala i.e.

qtqw, g-ifdfrtrr, tiqtur Tlmn1 : gTrduf,Istl

a-* rcnpr€ d crft{slsr€rd{r' E' I I (cha.sha.a/lo.)

Body constituents ( dhatu ) are of two types, mala and prasad , Mala part is that which

is harmful to the body and it is produced in hollow space in the body and is evacuated through

the external opening i.e. 'kha'mala (wax formation in ear, slimy stcky discharge from eyes,

discharge from nose etc. ) vitiated dosha and any thing which are harmful to the body are

called as mala.

11

Samyak Malapravrutti :

Tsfqrrfu{r Tr u-d-$ Er rddi I

ffi {g atu.o ........1 m.fu.co / craThow having mutrapravrutti without malapravrutti gas excreted, Agni becomes

pradipta', kostha become light.Malavstambha is related with purishmala.

About Purishmala

Vyakhya:

@ er<sqcqmri' Tirxiqft ftmn r

tr*etfu-_aq+s {, frdqrd;i ?rfi il ?il.qrT.Q /ae

After divisiona of sara and kitta ,agunkitta is divided into two parts, the liquid part is

known as mutra, while the solid part is known as shakrut or purishaPraman:

qogffiriw*fdqrq,q q{ g-flurqfir+ti r

ila Esft-ersdfr ild-tq ildiqer........1qq gfiss ....................,.,...1

q,vrr re / 9qThe quantity of purisha is said to have owned seven anjaali

SwaruPa t gfrug*ooy arqFq€,our- r

g.E. iq/aEven though purish is panchabhutic in nature , vayu and agni are more dominant

" Rasa :

qffiraRi g gTHs vilwruT(q df{€TfifrFsdrtrs drg: Rr1-6 d$fu ll

d..F. iq/eeThe rasa of purisha is katu .

Varna and Gandha :

The normal colour of purisha is yellow and having a typical smell i.e. purisha gandha .

Purish aunsha :

It contains three main parts.

1. Annasya anusha : After digestion some part of food which is digested or not digested is

present in stool.

2. Dhatuna anusha : The process of digestion is continuously going on in the body, from which

formation of dhatus takes place. During this process waste products are formed which come

into intenstine and mix with purisha.

3. Malinvata aunsha : during digestion gases are formed and these gases come out with purisha.

lL

Koshtha:

Digestion is important in the formation of mala The process of digestion take place

in the koshtha. Three types of koshtha are mentioned i.e. krura koshtha having dominance of

vatakapha, in which the virechan should be given with tikshna dravyas in large quantity.

Mrudu koshtha is of dominance of pitta; in which virechan should be given with mrudu

dravyas in less quantity. Madyam koshtha is of samadoshaja, in which virechan should be

given in madhyam matra. In mrudu koshtha the symptoms of samyak sneha are seen within

3 days, in sadharan koshtha after 5 days and in krura koshtha after 7 days.

Purishvaha Strotas:

gfrsc-dqr d-dsi wmrvd qn epgE a

Roots of the purishvaha strotas are pakvashayaand,sthulaguda.

Dushti Karane:dercurrcdTqilcffrqqqdenilddTfrfrgvqrfrgffi' Fcrwa ll

d.fr.q/aeSuppression ofthe urge of defecation, consumption of excessive food, indigestion of

good, eating in quick succession, hampered digestive power and starvation are the etiological

factors to vitiate the purishvaha strotas.

Dushti Lakshane:pQurmai@rffaq< Errdr gts-ildtw riaifu rWffift freq r r

a.fr.q/0When purishavaha strotas is vitiated the purisha is evacuated with diffrculty or with

efforts. In that case the quantity is less and its movement is painful and with particular sound.

The stool defecated liquid or losse, hard, grandular and in excessive quantity.

Purishdhara kala:duft gts€r*r qlrr; zrTS{:ib16 qf,qFrfurf,A qmrsr+err

I

e-F-trsild 61s q 6efisarFr rTflfll-dr I

Ju-g(g)o.-{Pi ftrrfrA mi qoenr o-or t I

g.crT.8/ea,eb

d. ft. q/o

R

This purishadhara kala is of fifflr- This is in the anthakoshtha, between, last part of

laghwantra and starting part of brudantra known as unduka. Here the separation of rasa,

mutra and purisha takes place. This fimction of separation is due to vata and agni.

fai+qftqdlqrs{xgffiI,$.$,.ai/io

:

Separation of mala is more in pakvashaya. Here liquid waste material is seperated and it

sends towards basti and solid part of the waste remains there.

vtr{gd:qrgfi rdfr d*{gft ifr sTqft dqeKUEq

u.TFqrfiq[.0/1o

This Guda (anus)is divided into two parts - uttarguda and adharguda. In uttarguda

purisha mala is stored while by adharguda this stored purishmala is evacuated.

The guda is in apan region. While in uttarguda, purishmala is stored at the same time

adharguda remains empty. When food comes from digestion, the process starts under the

control of pran-vayu. Pran helps saman and apan vayu for forward movements of intenstine.

Because of this movements, mala comes into unduka and then it enters into the uttarguda,

which gets enlarged and produce an urge for evacuation of purishamala. This urge helps to

increase the function of apana and movements of guda. The contraction of abdominal muscles

and vitapa muscles helps to increases the pressure on the guda, due to which the adharguda

opens through which the purish mala is evacuated. Stopping a breath for some period by

udana, helps to put more pressure on guda. All these interconnected functions helps to normal

evacuation of purishamala.

The guda is made up of three folds i.e. Pravahini, Visarjani and Sanvarni. The last

part, sanvarni is under control of prana. So it is possible to control the urge for sometime. If

this happens recurreritly its affects the sensations ofurge leading to malavstambha. This clearly

indicates that, three is relation between body and mind.

ltt

Purisha Karma:

Purishamala should remain in pakvashaya or purishdharakala for sometime to

maintain proper functions of dhatus. If this purishamala is evacuated in large quantity,

recurrentely, it affects all dhatus.

ffir${: gftss lar.g. t tl .l

gftqgqsriaroaF+nruiq | :

E.q,.cq/aThe fuction of purishamala is to support or to stabilize the body.

Purisha formation takes place in pakvashaya. In third stage of digestion katu rasa is

formed, which helps to support vata. This vata controls the movements of intelstine. The

movement of large intenstine is comparatively less than that of duodenum and small

intestines. If the movements of intenstines get disturbed, it affects digestion process, due to

which ,undigested food materials evacuated through guda. To stop this process of

undigestion, movements should be balanced by purisha with the help of vata and agni.

qftEi Tcflci s{Td erci urfrffia'qdffirserqlEt&fts{, I I

EI.E. e 9/aq

If purishmala is evacuated in less quantity then it causes accumulation of

purishamala and if it is evacuated in large large quantity then it causes decrease in

purishmala. The decrease of purishamala is harmfull to body vis-a-vis the increase of

purishmala, so purishakshaya should be controlled.

Purisha Vrudhikar Lakshane :

g'&TrqrErilTqrdd rit<i tcai w-ga /

dT.g. e e/ea

If purisha increases, it causes flatulance, heaviness and pain in abdomen.

Purisha Kshaya Lai<shane:gftSilg{qrFrwrd}ffid I

g;efr sqft qqsd E*"4 frs"1 Uq I IdT.g.1e/ec

If purisha is decreased it causes, flatulence, twisting like pain iri abdomen. Gases

distention causes pain in chest, sternum and heart.

L5

ABOUT AVASTAMBHANirukti:

3Iq+RIF{+qParyayi Nam:

Adhar, Roka, Ashraya, Sahasa, Ahankar, Drudhanicbhaya, stambha, Pakshaghata,

Sona, Stabdhata, Upakram, Aramba" Thehrana'

Vyakhya:

The meaning rokana, thehrana, stambha and stabdhata are realated with malavstambha'

In Ayurvedic literature Avastambha means Dharan. This avastambha is marathi version

meaning avarodha. Malavstambha means there is change in natural evacuation of stool i'e'

irregular evacuation of hard stool.

ABOUT MALAVSTAMBHAHetu:

Vishamashan, adhyashan,langhan, guru, ruksha, vistambhi, picchil, fermented food'

night works, sleeping in day time, ati-vyayam' ati-maithuan, vega-vidhafan' mansik chinta'

vyagrata, agnimandya, ati-sheet padartha sevan etc'

Purva - RuPa:

Heaviness in lower abdomen, irregular bowel habbits' loss of appetite' bad smell or

gases etc.

Rupa:

Pravahan, Shushka and grathil mala,adhaman, atup, udar-shool, shir-shool' and

unustah4 aniyamita and sakashtha malapravruti' ajima, hrulasa, udar-daha' amloudgar' uro-

daha, anidra, swapandhikya, alasya, mana-aswasthya'

Prakar:

l. Vata pradhan malavstambha:- Stool is shushkha, grathil, shul' flatulence and pravahan'

2. Vatakapha pradhan malav;tambha:- Stool is picchil, sheethil' pravahan, adhodar-guruta'

mukha-dourgandha, mukha-prasek' and kshudha - alpata'

116

=:

:iIIils

tFI

I

it

I

I

i

I

II

ItIt

trI

tt

tlI

lIt

FtIIr1.!

!ta

tb

IIt

F

l

Ii!iI*$

t

IlitlF

I

tttt

t

Samprapti:.mtgtt$ftiqqbelils$fidq I

fa;sfiftt's)6= qigdgil t t t I t

dtr gffi drgss{ Eilfr}: sq6qe I

qrsil duaiag$uEcaanftrd I I a I I

er<ruurwaC5roFcoRtlg€s6+ t

drRrdftrfu{ilfrqfrrwrqqPnfr I ta I I

serki66drsreffir@r{qasftd' t :

rdtssqrraaldt$vkurwaa: I II I I

tadtrilqf,€rrq qr/c-s

When the stools become hardened, dense, knotted, dry and waffed on by Vata, the

channel become closed up causing a rectal edema aggtavated by this reason only; Vayu

moves upwards and stay blocked in the pelvic region, back and cardiac or chest region. It

also gathers up at the head and causes many types of distortions - deafness, darkness,

catanah and so on. In addition, this vata also disturbs pitta and kapha from their own

natural sites and as it is running out (hither and thither), the seven dhatus like ras and

others become vitiated.

Chikista:rnardfwduiq t

$eTT$ffigmar-er*rfu fdqfi qTfliR ftfrenfr u t

Fq-drqgffrFlrcoffiftq-61 I I

3{r€rwiilddriuqgamq t

a rrqk ft-orr R q-{s gFrolRq' t t

troriicoga-ena aa/a-c

Therefore when a person develops tenible malavqtmbha, he should give up eating

dry fruits and he should never be purgated. Unctous and charming foods are varied types of

meats accompanied with Kulattha rasa.. should be given .rr"-u with decoctions as well as

medicated oils. For a person who counteracts, no distortions (due to hardened stools) will

arise. Do not give hard purgatives just treat this patient with anuloman'

t1

Upadrava:rdwnssqqrydatftsrqilvaugwutcw*oftargqft I I

rhdRar=*ernqa/q

A powerfull fever, pallor may also eised and the sneezing occurs and the grahini get

vitiated. Nidranash, shirshul, udarshul, udavarta" arsh4 parikartika, gudabhransha.

" Ne$.futav-starnbha is sukh-sadhyawhile chronit malavstambha is kastha-sadhya. In

old 6!e; ttiis ls.yapya or asadhya.

.'. Diet - Milk, raw food green vegetables, mainly vegetable food which is easy to digest.

Exercis'e, walking, Yogasana.

18

J JJ',,rll I

c) Paryayi Name

Sanskrit Tffi-dq F"ibft-dib {drqrmroq I

3Teil{xl FuTdrdui 5..di65tftb cP11 ll s9 ll {r.ft.

Sauvarchal, Ruchak, Tilak, Ikudyagandhak, Aksha, Krishnalavan, Ruchya and

Kaudravik all of these the sanskrit name of Sauvarchal According to Rajnighantu.

s@uw,frAksha, Sauvarchal , Ruchya, Durgandha, Shulnashan (Ruchak,Krishnalavan , Tilak,

Hrudyagandhak,Kodravik,Pakya, Mechak,Manthpak )

ffii equoaauni; d €ngrd I (ttT.fr.)

Sauvarchal , Ruchak ,Akshapak & Dhatumat. These are Sanskrit name, according to

Bhavprakash Nighantu.

#?i a Fd?b rad rcqrr*roq t

3TeilEI Fwltrsvi d6rd-mdui qdq, ll lq? ll (. a.

Sauvarchal, Ruchak, Ruchyak, Hrudyagandhak, Aksha,KrushnalaVan & Kal - lavan

all are these the Sanskrit name of Sauvarchal according to Rasatarangini.

#d gq-€rw wati; 6csn+roq. ll ao ll (uq.sq.t.)

Sauvarchal , Sugandha , Ruchyaka and Hrudyagandhaka all are these Sanskrit name of

'sauvarchal according to Materia Medica of Ayurvida Based on M.N.

3{d ffii trffi' sad Fdqrruq I

fuftb Fwm-dui ildrird-dui T[dc,ll 30 ll el.fr.

Aksha,Sauvarchal ,Ruchak, Hrudyagandhak , Tilak, Krushna lavan & Kal - lavan all

are these Sanskrit name of Sauvarchal according to Dhanvantari Nighantu.

Latin name-: Anaqua Sodichloridium (cr.ft ,rrt fr.)- Unqua Sodii Chloredum ( vn.fr,rrr.fr.)- Black salt

Pradeshikname - : "

(a. ft. )

Hindi - Kalanon ( w.ft. , rt.fr., cn.ft .)

Soncharnon ( cfi.ft ., t]T .F ,TI .ft .. q .fr ., 3Tr s $r .)English - Bldck Salt ( t{r. fr., rr. fr.)

- Sonchal Salt (w. fr.)- Unaqua Sodium chloride (w.ft.)

Marathi - Padelon (vn.ft.)- Sonchak mith ( r+r. ft.)

Sancharlavan ( Bengali ) . Sancharlun ( Gujarati ), Naluupu,Nalppu( Telgu ), Namak syah ( Farasi ), NtrlaAswad ( Arebi ), Sovarchal

26.(Karnataki ) - ( w.fr.,tr.ft.)

d) Gunakarmavidyan :-dg +nfti wb ffiI"i fu og I

geqpfrd=uEi 6a g-rft viu{q n Qe l q.fr.(g.H.)

Laghu , Viryaushna, Vishadkatu these are the guna of Sauvarchal according to

Dhanvantari Nighantu and Sushrut acharya .

Gulmaghna , shulaghna , Vibandhaghna , Hrudya and Ruchya theseare the karma of

Sauvarchal,

ffiffiffiHffi",,u,,,fff+rmec;oEi rattroilcmq' t

@ -- frski dfuq*Gdq n equ-iqq l (r.d.)

Sauvarchal is Hrudya, Uttam Dipan, Pachan, Ruchikar Snigdha Lagupaki , Vishad.

These are properties of Sauvarchal.

Also working as Bhedan, Vatshamak,Gulmahar, Urdhvavatanulomak . According

these guna and karma of sauvarchal is Rasatarangini .

ffii mg ail-{ o.-{yr gwa-qfrq t

redomryffi ftfi+l +ildq adq t I QQ I I <r.F.

Guna of Saurarchal is laghu,kshariya,Ushna,katupaki & karma is Gulmarogohar,

fuimiroghar, Urvadhavathar, Vibandhagna, Arochakaghna .

mg ffii 6cd grqpr<eilwt. t

o-ggrcbfrs{rEiift@ I I ( qr.E.a )

According to Vagbhatacharyaguna of Sauvarchal is laghu, Hrudya, sugandhi ,

katuvipaki ,Ruchikarak & karma is vibandhanashak, Agnipradiptak,Vatanashak.

deron duurcog'dTa Shr+qt@ tPunaq. t

ffii fuiqq 6eugdTrnfu a lt d.q. ao

Guna of Sauvarchal is sukshma,Ushna,Laghu & sugandhi. karma is vibandhanashak,

Hrudya, Ruchipada, Udgarshudihkar

Ras : katu (pungent) ( fl.ft.,{r.ft.)Virya: Ushna (vn.fr.,qr.fr.,q.fr.,q.ft.)Vipak - katu (dr.q,.,vn. fr., q.fr.)

2-I

e) Chemical Composition :-Including Nacl, small value of sodium sulphare and little value of Iron and sulphar

( 3Tr S.sn .)Including Nacl and sodium sulphate or costic soda not a sodium corbonate (vudgr< )

F) Uses :- (rTl'ft')

It is used in Gulma, shula,Antrakrumi , sangrahini,cleaneses udgaq aanaha& cures

vibandha(constipation) :

L2

Saindhav $eid)a) Nirukti -'qqd3r+qgft ddu;q'

which acts as a chhedaniya draya

b) Utpatti - Found in nature in extensive beds mostly associated with clay & calcium sulphate

(r.M.M.)

Saindhav is found in mine of sindh desh. It is so famous in the east of sindhu river

which is radish in Colour named 'LAHOTI NAMAK' in the west named 'KOHAII' or.NAMAK SABJ, (rTr.fr.)

ua qaffi+, fucfr g{rni ftdwo, t

ffiktrdsy-drq-i I teat I (r{r.ft.)

In the east of sindhu river which is situated in the Punjab, there are vallies of mountain

from which it is especially obtained. ({.d.)

c)Paryayi Name

Sanskrit t*rdsdsftdRriqfrm;Tflfu"J;tq (tr.fr.)

Shitshiv, Manimantha & Sindhuj these are the Sanskrit name of Saindhav according to

Bhavprakash Nighantu .

@l(cn.F.)Sindhubhav, Manimantha, Nadeya, Lavanottma (Sitshiv, Shishir, Sindhuj, Sindhupal,

Vashir, Sindhudeshaj, Manibandha, Simbrumanthan, Sindhulavan, Sindhubhav,

Sindhusambhav, Nadesha, Shiv Siddha, Shivatmaj, Pathya, Manimantha, Shudha)

, There are Sanskrit name of Saindhav according to Shaligram Nighantu Bhusham.

tqti sraffi ,i iTtii fugsi Rrdq I

c$aRrdTffiiqeqfirr€I;ffirFT€rqll ccll Fr ft )

Saindhav, Shitshiv, Nadeya, Sindhuja, Shiva, Shudha, Shivatmaj, Pathya, Manimantha

all are the Sanskrit name of Saindhav, according to Raj Nighantu .

d-+ra,fu+Jrcurft-qeifugtvrs1t

kqrdkqqdfudfrqqeldq I te rsl I

ffidffiTdcrtqf,ffitroq t

Rr.iffiadRnaFmui I I I rd I I ({.d.)

+{ri fsq RIRI qTt{t fimFi Rtdq t

go.i-ofuar-qqFrqciRrersoqt trq t t (er.fr.)

Latin name - Sodii Chloridum (n.ft..w.fr', tTr.ft.)

Sodium chloride Q.Iacl) (a.fr., sTr.r.w.)

Impura Rock salt (e.fr.)

.- : li

2s

Pradeshik Name :-

Hindi - SendhaNamak (tr.fr.,rn.fr.,sil.q.w.,{r.ft.,q-r.ft.)

Lahaurinimak (qT.fr.,3Tr.{.w.)

Marathi- Shendelon (3rT.{.sTr.)

SaindhaVrnith (tTr.fr.)

English - Chloride of sodium (fi.ft.,{.fr.,w.fr.)Rock salt - (rn.fr.r.rra.u, M.M.A.,q.fr.)

Sea salt G.M.M.)

Saindhalavan @engali) Sendhalun (Gujarat), lndu-uppu (Tamil) Sindhu upu(Telgu),

Saindhav (Karnataki), Namak - A- sang (Farsi), Mil-he-Tabzard (Arbi)g.M.M.r{r.fr.,<r.ft., vn.ft. )

d) Gunakarmavidyan

detti a-qsi €E fiqi qmi dg r

fuai atq Bd' Euq qefr +{i Bdq-ac t I (ril.fr . )

Guna of Saindhav according to Bhavprakash Nighantu is Snigdha, Lagltu, Sukshma,

Panchan, Ruchya, Guru, Karma is Vrushya, Netrya & Tridoshghna

+;eriftRnfutiqwqffit€€igffitTui@naaud-edwqaqwEvrffir+et3ffiFrs{rd$carQnfusfrq I I aot I (q.fr.)

Guna of saindhav, according to Dhanvantari Nighantu is snigdha,Laghu, Madhur, Hrudya,

Pin*, Avidahi, Sarak, Chakshushya it helps in Vajikaran.

+{rd daui g{i EEq ixi srusq I t

qrd;iffidhdsvffiiu,rq I I e e s I I

nurdq-rt vtt funi ag to*tftqt t

TgftdfrFarttcget, vRdffio+t I e ao I I ({.i.)

According to Rastarangini, Guna of Saindhav is snigdha Laghu. Karma is Dipan, Pachan,

Tridoshghna

S-qtic* sraq ev eu hdvga I I e Ba I I

mwgwiqsr'q?a-qfudrflfiTftq{qtt (arE )

According to Vagbatachrya Saindhav is Laghu, Madhur, Vrushya, Hrudya, Kinshit

ushna, Vidahi & Agnipradipak.

Working as Tridoshhar, Netrya (Netraroghar) & Vrushya i.e. helps in vajikaran.

uqv det?i 6ti cai naftAcc{ r r

fu€inqrfrEeivittdeugaw u eaqu (E g )

According to Sushrut, the Guna of saindhav is mainly Hrudya & Shit including snigdha,

Laghu, Madhur.

Work as Tridoshaghna, Vrushya, Chaksushya.

24

f*ifiq=iqqd{qqfatrd r

ff,dsei HqE{ d*n rqsfdqq I I fd. g. a d/a o o )

According to charakachary4 Saindhav is Madhur & better than other lavanas

Work as Tridoshghna, Chakshushya, Dipu.o, Rochan" & Vrushya.

Ras - Lavart, Madhur,

Virya - Shit, r\nchit Ushnq

Vipak - Madhur

E) Chemical Composition :-

Nacl (Sodium Chloride)

(dr.g.,g g,rTr.ft.,q.F.)

1ar.9.,w.fr.1

(u.F.,ar.g.,u.g.,en.r.vn. )

(3n.{.s[r.)

F) Uses :-

It helps in digestion, Increase appetite, causes salivation & liquifies the sputus. Itrelieves vata & constipation.

It is used in Vrunadosha.

26

Bid (ks)a) Nirukti -

tffift-mtRrqfuFft'@tt e.fr.

In Raj Nighantu & Bhavaprakash, Bid lavan is called as 'Prasarini Kshar'

b) Utpatti -

The writer of Rasratnsamucchaya, Shri. DattatrayaAnant Kulkami described.

following types in his book.

1. In Egipt, Bid lavan is obtained by burning the camels stool

2. In east Zone, it is obtained from urine of the camel .

3. [n Urope, it is obtained from excretion (Urine) of human being so called as oNarkshar'

Artificial method of Bid lavan *ssflftrffidmouiffiRr€qlgof tlqfl61w asrfrd.6-flFrd{l I qqo I I

@sm.Rrigtcqrqrwkenffinigrautrsrafuffiqttse-ggdsfrgw'roris<iq-6rRrf,: I I ret I ({.ti.)

Take 80 tola churna of sambhar namak (Romaklavan) and 10 tola churna ofAmalki and mixed both of thsn & then delivered it in the soil pot whos neck is narrow

which is covered by 7 covering then for 6 hrs it must be kept on the continious fire (strong

fire) the pot had completely cooled down then break the pot & collect the Bid lavan

In Rasendrachudamani, the writer Samdev named Bid lavan as Nausadar which is

formed from the excrete materials of human being, camel cow & goat

C) Paryayi Name :-

Sanskrit :- frstrffidgvtmqFo-so{rT t

$rg{fl ft-.-TEr1fdp"-6qaqr r euo I r (r i )

According to Rasatardnagini, the Sanskrit name of Bid lavan is Bid krutrimakDravid,

Asur Vit, Dhurta or Krutak. It is also called as krutak lavan & krutrimlavan.

According to Shaligram Nighantu Bhushnam

frefrqo-quitnfisrtcitr-drirdEr t t sTr.fr.

The sankrit name of Bidlavan is Bid, Vidlavan, Dhurta, Vidgandha, Krutak.

Latin name :-

Hindi - Nausadar (Dha. NI,IMM)

English - Ammonium chloride @ha. Ni)

sal ammoniac

Marathi - Bidlon

Navsagar (IMM)

itliitl

i!ti1Fl:.

Ld

,:')I

I.iIIiI.

26

D) Gunakarmdvidyanft-s n-tra fiqpiur qcnT d{g q fiq{q t

eern aqt€dfq: tntr-drdqa}+FTl l e s g I I

3r-ffistrrrtv5oFac+thatEnwarffi-oqt I es1 I I ({.ci)

Guna of Bid lavan is Tikshna, Ushna, Sukshma, Laghu & karma of bid is Agnidipak,

Vataghna, Kaphavatanulomanam according to Rasatarangini

fiwi mg fieuitut oa eat qrarfu i t

@lles\ell(rrr.fr.)According to Bhavprakash, Guna of Bid is Tikshna, Ushna, Laghu, Ruksha, Vyavayi

& Karma is Vibandhaghna, Aanahghna Vishtam bhghna, Shulanashak, Hrudya'

Risertrogffi'teiaarfivnffisrq,1l

@'t@:llsroowaqi ucrvrd Aftdffq t (F.r. )

According to Nighantu Ratnakar, Guna.of Bid is Laghu, Ushna, Tikshna, Ruksha,

Guru. Karma of Bid is Agnidipak, Vatanuloman, Vatnashak, Ruchikarak, Gulmaghna.

iildgqamauifr qd'Errfl srqqt

nai ar$ufqnui ggfafdnqqqt I so I I (q.fr.)

According to Raj Nighantu, Guna of Bid is Ushna, Ruchya, & Karma is Dipan,

Vatnashak, Shulnashak, Prameh nashak.

Rasa - Lavarr

Virya - Ushna

Vipak - Madhur

(3{I.{.VIT,M.M.A)

e) Chemical composition :

In it, get 95% Saindhav & little value of Sodium Sulphate, Allumina, Magnesia, Feric oxide

& Iron sulphide

It is ammonium chloride (NH4CL).

(Bha.Ni)

(Aa.Ra.Sha)

0 Uses - It is used in Prameha, Gulma, Ajirna, mainly Malavstambh.

It is used in spleenomegali, liver diseases, flatulence. It is used in Udarshul, Hrudrog,

kaphavatanulomak.

L'T

Audbhid silqFrd

a) Nirukti - ar{eraunvsan*qffid I

..... TmTihft: IFI€FI t t w.ft.

b) Utpatti - It found naturally in earth.

In another are ie we get kshariya mitti, collect it, dissolved in water & kept on Agni. The

remaining products are called Audbhid lavan (Kharalavan).

C) Paryayi Name

Sanskrit - ofdFft i cisffdqtftb Tgo' dg I

sil{qisdeTKdlderfguiaw I I Qa I I ( q,fr.)

According to Dhanvantari Nighantu, The Sanskrit name of Audbhid is Audbhid,

Panshulavan, Romak, Vasuk, VaSu, Vushar, Pansavkshar, Aurva, Sarvaguna etc.

.....qisToffifipddqTdfla5i I I e oa I I cr.fr.

Pansav, AusharAairin, Aaurva& Sarvasahall ofthese are the Sanskritname of Audbhid

according to Raj Nighantu.

tc?b ftrirdui {qsa qtqd rdq t

sfld'qQqand ernxqn&'r-qql I eao I I ({..i. )

According to Rastarangini, the Sanskrit name of Audbhid is Romak, Romlavan, Rauma,

Raumak, Shakmbhariya, Gad, Sambhar & Sambhardbhav etc.

3ildFkiUftodqcrRtdgRrfrqq I lqal I F.fr )

According to Madanpal Nightantu the sanskrit name of Aubdhid is Bhumij, Bhauma,

Parthir, Pruthivibhav etc.

.t

Iilittl

-u

tsilt1l,!i1:l

j

LatinName -

Hindi -

Kharanon

Marathi -

English -

Bengali -

Pot Nitre

Rehgawa non

Fassil solt

Phula Lavan

(Dra.vi.)

(Bha. Ni)(Dha.Ni.)

(Dra.vi.)

(Bha. Ni)

d) GunakarmavidYan

enrgsogfureifrroqrerqRFrql la3o I I (l{r.ft.)

According to BhavprakashNighantu, the Guna of Audbhid is Guru, katu, Snigdha, Shit

& Vatnashak.

28

i

t!

rI

I ogftevilurg66frfrqetildqdr'-{llsfrniqtsent@ llsall (q'fr.)

The Guna of Audhid is Laghu, Tikshna, Ushnq Sukshma & Vatanahak, Kshariya

according to Dhanvantari Nighantu.

Karma is Utkaledkarak, Vatanulomak ete.

emcugoeTFifteurgrdRdeftqtliuql I (at E.) i

According to Vagbhatacharya,the Guna of Audbhid is Tikta, Tikshna & Karma is

Utkledak.

nrnb fteurqqwT og F-*i u fruq I t

anqilsdtqrRftrcro1cd{ryl llo0l r (vr.fr.)

According to Raj Nighantu, the Guna of Audbhid is Tikshna, Ushna, Tikta,

Pittaprakopak & karma is Dipak, Shoshkarak, Grahi, Kaphahar etc'

Ras -

Virya -

Vipak -

Lavan, Katu

Shit (Bha.Ni) Ushna (Dha. Ni.)

Madhur, Katu (Ra.Ta)

D) Chemical Composition

In this, we get lot of quantrty of soda sulpha & small value of sodium corbonet &

Magnesium suphate.

E) Uses -

It is used in Maladosha, Koshtashodhak.

It is used in Arsha, vat kaphanashak.

- It helps in the downword movement of Vayu.

In normal value it is used in Mutral.

L1

Samudralavan gtTd

A) Nirukti - s5rtfrqqdvqdql

Latin name - sodii muras

Sodium chloride

Sodii muris

Hindi - Samudranon

Ponga namak

ponga

Marathi -

English -

Common salt

F.fr.1

Fn.fr.,t{r.ft.)(r.M.M.)

Fr.ft.)(vn.ft.,rlr.ft.,n.ft.)

(Dha.Ni.)

(3il.{.w.,vr.fr .,r+.fr.,fl .fr . )

(3il.{.crT. .vt.F.,qT.ft .,$r.fr . )

(IMM vr.fr.,r+r.ft.,tr.ft. )

j

ili!,

rtitrti,t

it

$fi1t

it

.,1

B) Utpatti - Sodium chloride or salt is found in natures forming 2.5 p.c. of the waters of the

ocean. It is obtain by lixiviation of saline soil or by elaporation of sea water. When obtained

from sea water it is known as 'samudra lavan' GMM)

rrgffiffishsrffi-dutanoiguqt :

mgca-ouirqsqrskiFlqrdt: I I i 33 I I (c.i.)

It is formed in'Gujrat state' i.e. in Jamnagar, Mithapur' Kathiyawad etc.

6) Paryayi Name

Sanskit

rsTTd f,dui qRi slgdildTl{qq I

qryffrHFr€ixivrgroaaql I isel I ({.t )

According to Rastarangini, the Sanskrit name of Samudra lavan is Samudrajalasambhav,

Samudraj, Sagraj, Samudrak etc.

vrga ug aaur+afti oRrta q t t

sgffiRTTREidauiqRffiErql la88l I (tTl.ft.)

The Sanskrit name of Samudra lavan, according to Bhavprakash is Akshir, Vashir,

Samudraj, Sagraj & Lavanodadhisam bhav etc.

WiafiqnFqeAa rrg{ deTI I I as I I

According to Madanpals Nighantu, the Sanskrit name of Samudra lavan is varisambhuta,

Aksiva & Asura etc' affisrrrfearafrrRxewilRrsqr rgoo r r 1n.ft.y

Including Samudrak, Samudra, another name of Samudra lavan is Vashir, Sagrottha,

Shishir & Lavanobdhija according to Raj nighantu,

(fi-d)

Salt

Dariyailun(Gujrathi), Karchaknun(Bengali), Uppu (Telgu), Uppu (Tamil)' Badagarlavan

(Kamataki), Mil-he-shori (Arebi), Namak (Farasi)

3o

d) GunakarmavTtrdui €ti t-di fuIsa fiqqq t t

qeilRt}ftdldtiarqqilftr$q I Iisal t (t'i')

According to Raj Nighantu, the Guna of Samudra lavan is Ruchya,Hrudya, Snigdha,

Agnidipak, Kshariya, Bhedi, Ushna & Samshitoshna etc. karma is Bhedan vatanashak,

Ruchikarak

sg<ftriegqqsTttdio-E I

seqEi dr@ffiqsei qrftft-iilf,q I I qe I I (q.ft.)

According to Madanpal Nighantu, the Guna of Samudra lavan is Ushna, Snigdha,

Shit & Karma is Malabhedak, Agnipradipak.qTTdqgtqlbffi-ciugsStt

ilqwiftEFi,1ftsq{Kqmu I

sdq?ia-cgfr.rffiqsetqlftRtfld{ I laaal I (lTr.F.)

The Guna of Samudra lavan is Guna, Ushna, Ruksha, Shit, Katu, Snigdha etc'

Karma is Bhedak, Dipak, Vatnashake, Dah*rin, Kaphakarak .According to Bhavprakash

Nighantu

vrgi ag aei a qftrcrwftoes. t

frerFocn-orcrqfiwi$fa-fdql I loe I I (T.fr')

According to Rajnighantu, the Guna of Samudra is Laghu, Hrudya, Vidahi & Karma is

Agnipradipake, Ruchikarak, Raktapittahar, Palitroghar.

cTgqgrqTbilqsnft-drfta t

, rld=ifu€rftEdgffiiffif,asoqtl 3eall (8.8.3T.84.)

According to Sushrutacharya, Samudra is Madhur Vipaki, Ushna, Avidahi, Snigdha.

Karma is Malabhedak, Pittakarak, Shulaghna

ffi vqqqag{ {Mffhql I cgq I I (qr.g.)

Samudra lavan is Madhur vipaki, Guru & kaphavardhak, according to Vaghatachrya.

Ras = Madhur, Katu

Virya = Ushna

Vipak = Madhur

C) Chemical comPosition

Including Saindhav, Pottasium Chloride, Magnesium Chloride, Magnesium sulphate &

Calcium sulphate etc.

D) uses:-

In due to the presence of Iodine it is used in Goiter. Bathing of this water i.e.

(samudra Jal), get increasing Blood circulation, Stamina. lnjection Samudra Jal is used for

Ajirna, Shosha, Jirna Charmavikar, Digestive system of child.Samudra jal is also used in

pandu, Aamashaik vruna, Pratishaya, Vatnadishoth & Weakness of digestive system.

gt

Khadisakhar/ rrdn

rlarr*n - futrq-frqftcqlq-S gft TflqrdFrqut t

fudr R{r qtr Eqr qil{ftrt.fr dg : I

EwqerqffittqttSanskrit Name & Guna :-

According to Madanpal Bilnantu the sanskrit name of sharkara is sita,

Matsyandika and palli, guna of sharkara is shit, sarak, viryavardhak, Bala &

Truptihar, laghu, Trusha, Klanti, Shram, Raktapitta,Daha,Moha & Vayu nashak.

1fr.i.)

rlrGldl: rrtn frtr: vqf qr€qun{Hr:l

rrdfu{qaqqrroffRtsfgqTq€r' I I t qz I I

tg.qoi.urt

According to sushrut, all types of sharkara are Dahashamak, Raktapittashamak

& Vaman, Murccha & Trusha Nashak.

qrdfu Tfta furi Eqi gqfu{q]qq"i gF i <f€ qqdd Tn{lltsll

(g.qsi.8\)

Khanda (candied sugar)

Khanda alleviates vayu & pitta. It is cooling, unctuous, cardiac tonic, de-

licious, promotor of eycsight noursishing & strenght promoting. It is an

aphrodisiacpar excellence.

(MMA)

31

Breakdownofthepathogenesis:-ofPanchalavani'e'sauvarchal,saindhav

bid, audbhid & samudra lavan.

l) Churna of sauvarchal, saindav, bid, audbhid and samudra lavan with

goghrut have vatanulomak action on dosha.

2) The main initiative aetiological factor is vata-prakopa in Malav;tambh.

3) Due to ingredierts/ M&nerals

sauvarchal - vata shamak & vatanulomak, Sukshma Guna.

ljrdhva vatanulomak.

Saindhav - Tridosh shamak & Snigdha guna.

Bid - Yatanashak, Vatanulomak, Kaphanashak

Urdhva Adha vatanulomak.

Audbhid - Vatanashak, Snigdha guna.

Samudra - Kaphavardhak, Snigdha guna.

Goghrut - Vat-Pitta shamak, & Snigdha guna

All these act as Vatanulomak and also helps in distruction of initiatiative

aetiological factor i.e. Vibandha, Vat-nashak and Vishtambh.

4) a) Sauvarchal

Due to vatanulomak and Urdhva Vatanulomak it helps

shudha udgar.

Due to Vatashamak it helps in Udarshul, sukshma

srotogami.

It is Ruchikar, Bhedan.

b) Saindh""

::;andya so it herps in Agnidipak

Alleviator of all the three doshas.

Due to its use, Secretion get produed and malavqtambha

destroied.

c) Bid

Due to Ushana and Sukshma guna it act as a shulaghna

and due to sukshma guna it act as a Urdhva and Adha

Vatanulomak, Gaurav nashak.

B3

d) Audbhid -

It is Vatanulomak so it helps in malavstambha i.e.

downword movements.

e) samud.u -tto-otes Rakta'

Alleviator of vayu due to Vatashamak or vatanulomak. -

It aggravates kapha and does not aggravate pitta in excess.

f) Goghrut -

Due to Madhur ras it is Vata-Pitta shamak

It keeps the body soft and hepls to evacuate the obstructed

mala due to snigdha guna.

5) All the minerals -

Sauvarchal - Vibandhanashak, Shulnashak, Urdhva vatanulomak

Saindhav - Tridoshagttna, Vrushya, Hrudya, Chakshushya'

Bid - Vibandhghna, Vishtambhaghana, Vatanuloman,

Shulaghna.

Audbhid - Vatanashak, Utkleshak, Vatanulomak

Samudra - Bhedan, Shulaghna, Agnidipak.

Goghrut - Dipan, Rasayan, Shulaghana, Vatashamak

All the above guna-karma of mdnerals helps in destruction of Malavstambh.

34

Summary of Guna -Karma of Individual

bid, audbhid & samudra with goghruta.

ErdsqEq gur

f )ffirrd ag-gF

t{r Rqrs

E tsg swT

i.e. sauvarchal, saindhav,

{,c

fuiq-{rils,TflF

{a;nfli5, gflTFil1T.5, "

Fftforta.FrElqa, qqq,ge[,

ffi{uq, fiqqE{.

foiq-{r{rs, ftqf,l{a,qrdrgdrT{S,{F[FT.

qTiffir{r€F, s-*{rs

rt+q,rf,aa,sTfrfrqs

eTISq,ilffq,

ElrffflFtrfi, ftnnnqq.

in menerals

frd

R)frTd

1)fts

B)sfr{tq

\)vrgq

a)ga

dg-fuu aqq,qg{-qgi-ssuT

gFag-ftWr trqq qgi ssuT

FH,gurT

frqot,go FtEM,rFg qgi {ftd

frq,gwFq,5€,Rdftr Hg(,sg qg{ $ut

gu, frnu qg{ qgi {ftd

35

C)About the Anuloman:-

The meaning of the terminology anuloman is having different angles and is used

mainly in all the Ayurvedic literatures for to remove any part or any material out of the body

or to introduce any material in the body through lower pathway of the body i.e. yoni (Va

gina), Guda (Anus) and Mutramarga (Urinary tract) to maintain the health :

It is clearly mentioned in Sushruta that if we have to remove Mudhagarbha it should

be removed from lower pathway of the body i.e. vagina.

srSrrmr gauuffrvren<uq t t

g.YIL i o/1o

Here Anuloman is used to remove part (harmful part) of the bodyto maintain the health.

gtnt-cq-o-q qfuddrqf,s u t t

HffigsffisgcRdddqiql I

9.fu. rt/s

Again Sushruta mentioned that anuloman dravyas should be used to remove the

remaining mala's in udar diseases. It means this terminology is used to remove the vitiated or

unused material from the body. It is also mentioned that 'ffi qlflq9d-&{ " means removal

of gases, stool, urine.semen, menstrual flow through lower pathway'

Ayurveda chikitsa is of two main types they are shodhan & shaman. To remove the

vitiated dosha from the body is known as shodhan which is having some specific procedures

known as panchkarma. Out of these five procedures, Basti and Uttarbasti are the karma in

which material should be introduced in the body through lower pathway to remove the

vitiated dosha. This is also called Anuloman.

p-or wo rcrni op";il s{Iq€i {*d t

darydwiiiiqelfrmraffi tt

cn.s.<i I3T. 8/3

Another angle of anuloman is mentioned in Bhavaprakash and Sharangdhar.The

definition of anuloman made by these two is same. It seems that this difinition is having a

connection with drugs. The drugs which digest, remove the blockade and evacute the mala

is known as anuloman drug.

jI

,il

I

96

j

I'i.;

tliii.4ii:ttlnc,"tr

;r"r

r'i

D)About RasLavan Ras

1) Utpatti - qffi{t1fu6-iqr ddur' t u.E. ea/vo

Lavan Ras is produced due to JaIa & agni mahabhuta. Due to Jala &

Agni lavan ras having Guru, Snigdha, Sara, Mrudu, Guna & Ushna, Tikshna Guna irre-

spectively.

2) Gunakarma

trcur' wcrriqrdderfr€HlEH' gfiap-a t

€d{: ddq: fiepilltil{' dcttcOqt I 3T.€.q.. eo/ga

Lavan ras has properties to destroied the stambha kathinya &

srotorodha & it also works as agnipradipak, Ruchiprada, Swedajanak & Mardavkarak,

Tikshna

6duirt*iqd*ffiF<Iefi I

vjlsd' rtdFi dfr dcianerroqt I aB I I (Eqfisd

All types of lavan has Rochak, Dipak.Pachak,Bhedan, Chhedan, Kledan &

Vatshamak.

ffiffiutTdqedEvroqg t

atdEiqrffiesilEitsiosFffifi n ?IT.g. a/c8a

All types of lavan has vish$andi, sukshma, srotogami, malastravi,vatnashak,

mardavkarak, pachak, tikshna, ushna, ruchak & Increases Guna of Kaph &Pitta.

ooui, dqil€tq: rnrril: ffiquy: deq: dF]gFd3ut:

s-&T9-dFffiMffi'tn,sdsfi3raf,ffiqrCr6-{a?sftt g.S.ga/eg

Lavanras has sanshodak of dosha, pachak of aamadi, vishleshak of sandhi, kledak

of body, shithilatajanak, ushna apposit the all ras ie madhur amla katu, Tikta & kashaya,

Vishodak of excreted materials ie Mala & mutra etc. & softness the whole body.

qAf Sffiugt kni qet{ sirtwdq t

ffia*i6*o$frinFrffhqtt?Bll (w d )

All types of lavan (Panchalavan) has Ruchikarak, Mala-Mutra - Nishkasak, snigdh,

sukshrna, Balanashak, lJshna, Dipan, Tikshna & Kaph pitta vardhak'

3?

Madhur VipakVipakNiruktti -

Vipak Lakshana -

frqr6: d{F6dqr I a.g.ra/ra

After digestion ofthe substance work we get a specific work ofthese substance -means

vipak. It is identified from work.

Rasvipakrelation -

After eating the (7) seven ras, we get 3 ras after the digestion'

1) Madhur Vipak - It get mahly in Madhur &LavanRasa eg. Milk,saindhav

2) Amla Vipa{- It get mainly in Amla ras eg. Leman

3) KatAVipak - It get -uitty in Katu Tikta & Kashaya ras eg. Chandan Nimba, Lodlra.

3finqtqrdieilflfrRtEd'tll-6:fr9r6:l a.g.ea RircccBor

q.g.aa/ae

Gunakarma of Vipak

Especially Madhur Vipak

vpaet@ftcrro}arrm,og,lqQF,EEftqIr,frsrtD'' 6tE.gFd I I

Bhutadhikya- Earth&Water

Due to earth it has Guruguna & due to water it has shit, snigdha & picchil guna.

Guna -

Rasa -

Virya -

Karma -

Gurur shitrsnigdha, Picchil -

Especially ras of Madhur &Lavan

Shit

Dosha - Vatshamak

Pittashamak

KaPhavardhak

(Dhatu) - Malamutrautpatti - due to guru & snigdha guna

(Internal) - I Malarshtambhanashak - due to vatshaman &

. ShrushtamalotPatti

2 Hrudya - Increases nutrition & Rakta & Mansa so

, Hrudya

(external) - 1) snehan - due to snigdha & picchil guna

2) Vranaropan - Increases the Dhatu so Vranaropak

Milk,Batter, Ghee (Ghru| (Madhurasatmak)

Saindhav, sauvarchal, samudra etc. (Lavanarasatmak)

38

Dravya -

Material & MethodsAccording to Vagbhatacharya churna of Panchalavan ie sauvarchal,saindhav.bid,audbhid

& samudra e goghrut should be given for the treatment of Malavgtambh.

Available in chip cost & available in your own house or simple method of making. Due

to this, I selected this toPic.

I have taken the Panchalavan According to Samhitas

Materials / Menerals.

- Sauvarchal

- Saindhav

- Bid

- Audbhid

- Samudra

All lavan are collected on the guidance of my guide

Each lavan was taken 25 mgto form the churna'

3e

About Churna -Firstly, the drug is crushed into powered form then it is filtered from the required type

of mesh.

This time, powder is said to the Chum4 Raja & Kshoda. The quantity of churna

given to the patient is I karsh a ie l0 gm or as required.

For crushing or churning grindar, mixer or khala etc. can be used.

The mesh is selected accordingly to the method fineness of churna'

Mostly churna should be prepared in summer it can be prepared in winter also.

The potenty of churna is said to be only till 4 to 6 months.

Classification of churna

1) According to fineness.

2) According to the contents of chuma

It depends upon the mesh selected for receiving the churna

Sthula chuma: coarse powder

Pruthu churna: Fine than above

Pata churana: Fine than above

Sukshmatar chuma: More than above

Sukshmatam chuma: Most fine than above

2. I have selected sukshmtar churna

It's sakshmata is between 85 to 100 & used in guti, vati, parpati, anjan etc.

But I have selected because it get dissolved in goghrut quickly & it is easily swolled'

l.2.

J.

4.

5.

46

Method -

1)TotalsixtypatientsofMalavgtambhweretreated.Theyweredividedinto two groups.

a) Group 'A' clinical trial group - 30 patients

b) Group 'B' placibo group - 30 patients

2) Thirty patients of clinical trial group were treated with churna of panchalavarie

sauvarchal,saindhav, bid, audbhid, samudra with goghrut while thirty patients of

placibo Group well treated with khadisakar churna'

3) These patients were selected according to following selection criteria'

A) Inclusive criteria

1'patientsreadyforthisstudy&willingforthetreatment.2.Patientwereselectedthespecificagegroupi.e.15toT0years.

3. Selection was irrespective to religion, occupation,habitat.

4. Patients with irrespective to sex' & prakruti'

5.Patientswithvatanubandhitmalavqtambhlakshane.

B) Exclusive criteria

1. Patients having kshaYa'

2. Patients having Hypertensive, Renal failure'

3. Patients suffering from diabq[se4gellitus'

4. Garbhini should be excluded'

4) A special case taking sheet was prepared for Malavqtambh disease

Astavidha pariksha, srotasa pariksha were done & observation were recorded on the paper'

& After studying the symptoms of malavqtambh rryadhi given in the samhita' symptoms

were graded accordingly so that the intensity of all disease would be studied'

5) Diagnosis was made with the help of clinical signs of symptom present in patients &

granthokta vyadhi lakshane as follows'

4L

Gradation & disease stage -

l't Stage - Sakashta malapravnrtti '+'SashaMa & Alpalpa Malapravnrtti

Waranwar Malapravtutti

Pravahan

Malavrodha

2nd Stage - Symtoms signs of I't Stage plus '++'

Gaurav / Agnimandya

Aanah

Atop

Aadhman

3'd Stage - Symtoms signs of l't & 2"d Stage plus '#+'Hrillas

Apachan

Udgar / Cchardi

Shula lDah4ft Stage - Symtoms signs of l't ,2nd & 3'd Stage plus '++++'

Parikartika

Katiprushta stambha

Mala mutrasang

6) All these sixty patients were examined & treated in OPD of SVNH Trust's Ayurvedic :{

college Hospital, Shivajinagar at Rahuri factory.

7) Medicines for both clinical trial group & clinical placibo group were supplied with

free of cost.

8) Treatment was given in the following manner

Manner of Treatment Clinical trial group Placibo group

Panchalavan churna Khadisakhar churna

Dose 125 mg. 125 mg.

Anupan . Goghrut Goghrut

Anushdha seYenkala Apankal Apankala

Treatment

Medicine

Durationlr

Follow up

Swarup Churna

\t

30 patients 30 patients

15 days 15 days

After every 3 days After every 3 days

Churna

9) The main clinical features of the disease & there criteria of measurement before & after

treatment result obtained by the treatment & follow - up observation etc. are noted on the

case paper according to the following observation & Results table

Methods

For deciding Upasaya (Relief) & Anupasaya (No Relief) of individule clinical

features of the disease, following Criteria are made.

The relief categories inpercentage were calculated according to following tables.(A) (B)Before After % Relief Before After oh rcliefTlr Tlt Category Tlt Tlt Category++++C4) ++++(+) }Yorelief +++(z) +++tt 0%relief++++Ctr) +++(3) 25Yorelief +++c3) ++ c2) 33Yorelief++++C1) ++ (z) 50%relief ***c.j + c1j 66o/orelief i

++++{r) + c!) T'Yorelief +++(o Nil c") 99Yorelief+ + + +1r) Nil co) l0O%relief

(c) (D)Before After % Relief Before After Yo reliefTlt Tlt Category Tlt Tlt Category++(2) ++ Cz) }Yorelief + cJ) + Cr) }Yorelief+ +(t) + G) 50 % relief + () Nil (') l00%relief

l

+ + ct) Nil c") lO0%relief ..

Through this percentage relief criteria,the upasaya (relief) & Anupashaya (No relief) were

decided as

Uttam Upasaya - 75% - 100% Relief

Madhyama Upasaya - 50 % - 7 s%ReliefHina Upasaya-25o/o - 4gRelief

Anupasaya - less than 25oh relief

III] Lastly, comparison of result, obtained in group A & group B patient were made, detailed

statistical analysis of dates (obtained by result) was done & conclusion is made.

44

CONCEPT OF SNEFIA@r3fiq€i*siqrdffiiFccerurqt I

dT.g. ea/e

In Ayurveda, the concept of sneha is broadly elaborated in all the samhitas. The

characteristics of the snehas are guru, sheeta, sara, snigdha,manda, sukshma, mrudu, '

dravam, theses are the properties exactly opposite to ruksha guna.

ddsfui ek TE-o.-nft ad TdHi ffi drlq I t

d.fu. iite

This sneha is having properties to normalise vitiated vata,it keeps the body soft

and helps to evacuate the obstructed mala.

effi;a1 qrT fti rilg raq qaq t t

a-flfr *dd Hffs dwr-{ragildilq I I

dr.g 1a/a

Sarpi, majja, vasa and tail are four snehas having good property, Sarpi being the

supreme amoung them as it has samskar-anuvertan guna.

Concept of Ghruta :-

Importance of Ghruta

qd g qqF HtRi qg sffi {qk *eqgdradfqnr qwr<

@qFrewi+lsmoiqrgq qui ttri aq,Rnqq 5 aqw vMradi' qqr dsft scIT+

M{dEaa rlg.g.8q/sa

In general, all the ghrut have Madhur rasa, Saumya, Mrudu-, Shit,rityu,

Alpakledkarak, Snehan, Udavarta, Unmad, Apasmar, Shula, Jwar, Aanah & Yata,

Pittanashak, Agnidipak & Increaes Smruti, Mati, Medha, Kanti, Swar, Lavanya,

Saukumarya, OOj, Tej & Bala,. Also Ayurvardhak, Vrushya, Medya, Vayasthapak, Guru'

Chakshushya, lncreases kapha. Pap or Alakshmi nashak, Vishanashak, Rakshasanashak.

About Goghrut :-ffiqgteftciEnftffisrrdqtdqqqrci ssrq rrq sff{utrtrtq t t

s.q,.8q/s0

Goghruta have Madhur vipak, Shitprakrutik, Vata, PiIta, & Visha nashak,

Chakshushya Balavardhak. Goghrut is better than other ghruta. (Sarvottam)

Art L:

CASE RECORD FORM

TITLE:TheEffectofPanchlavaninMalavshtambh

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€runfrsfr

Name of the Patient:

Address:OccupationReligion:Education:

Date of Commencement:

Diagnosis:

Chief comPlaint with duration:

Associated ComPlaints :

Consent of Patient:

Date of ComPlition:

OPD No.

Age:

Case No.

Sex:Male/FemaleMarital Status:

45

;..1 .i

IUO Present illness:

H/O Past illness:

Family History:1. Pitrukula2. Matrukula3. Swakula

NIDAN/IIETU:1. Aharaj Hetu:

Water intake2. Viharaj Hetu

Sleep after eatingVegadharanaOver exercise

3. Manasik HetuPERSONAL HISTORY:

1. Ahar (Diet) - Vegetarian/ Non-vegetarianAvlixed

a) Rasa- Madhur AmalaLavan Katu

Tikta KashaYa

b) Time - Regular/Iregular

c) Viruddhaharasevan2. Addiction (OkasatmYata)

3.Drug History:4. Appetite - Poor/ModerateiGood

5. Koshtha Mrudu/MadhYam/Krura

6.Sleep: Sound/Good/IftanditaiAkhandita/SwapnadarshanamDay time- hours Night time hours

7. Exercise: No/Less/Proper/Excess/Irregular/Regular

8. Emotional influences:Anxiety/Tension /Depression/Irritation/Ange r lF eat'

9. Occupational History:Nature of work - Working hours Shifts (if any)

10. Gynecological History:Menarche Years; MenoPause Years

Menstrual History: Days/Month Regular/Inegular

Memorrho ealMetrorrhagia./Dysmenorrhoea./Leucorrho eal S ashula

11. Obstetric History:No. of deliveribs NormalilSCS/forcepAbortions: ;Miscarriags ll-ast Delivery ;

46

AATUR BALA PRAMANA PARIKSI{A1. Prakrutitah: Sharir - Vata/Pitta/Kapha

Mansik - Satva/Raja/Tamas2. Saratah: Pravar/lvladhya/Avn3.Samhanantah: Pravar/Ivladhya/Avar4.Pramantaha: Pravar/\4adhyalAvar5. Satmyatah: PravarilV1 adhya/ Avar6. Satvatah: Pravar/IvladhyalAvar7. Aahar Shakatitah

Abhayavaran Shakti Jaran ShaktiAgni - S amalVi sham alMandal T lkshna

8. Vyayama Shakatitah: Pravar/IVladhya/ AvarVISHESH STROTAS PARIKSHAN

Purishvaha Strotas Parikshan1. Darshan - Udarparikshan2. Sparshan - Udarparikshan3. Prashnam:

a) Bowel Habit -

b) Consistancy -

c) Colour of stool -

d) Malapravritti

SROTAS PARIKSHANA (SROTODUSHTI etc.)

Micturation-Colour of Urine -Any other symptoms

RegularAregularNo. of Vega per dayTime taken to defaecateGrathita/Drava/Pi cchila/S amalNiramaPita/Krishna/OtherKrucchrata/Alpa/Drava/S ashabda/AnahaSadaha/Pravahana/S ashula.

RR-

Oshta - Kantha - Pipasa -

1. Pranvaha:Nasa -

2. Annavaha:Shwasan -

Annabhilasha/Aro chaka/Chhardi/Annadve sha/P ipasa

3. Udarkvaha:Jivha - Talu -

4. Rasavaha:Hri I I as/Gaurr av al J w ar al Agnimandhya

5. Raktavaha:Yakrut - Pleeha -

6. Mansavaha:Shotha/Mansashosha

7. Medovaha:S weda/ S ni ghdhamagata/ S thul atalS hithi I angatalMadhurrasyata

8. Asthivaha:Asthi shula/Dantashula/

9. Majjavaha:S andhi shula/Bhrama/ S andhipari gh

10. Shukravaha:l l.Mutravaha:

Lome

No. of Vega in daySweta./Peeta/Other.

S adaha/Kruchhra./Urgency.

11. Swedavaha:Perspiration - Al{MadhVama/Bahu

; in night

ASHATAVIDHA PARIKSHANA (PHYSICAL EXAMINATION)

Nadi

Sparsha

Druk

Akruti

Shabda

Mutram

Jihva

Malam

Respiration

B.P.

INVETIGATIONS:

Stool Examination:

DTAGNOSIS:

Avastha - Ashukari/ChirkariDoshanubandha -

TREATMENT:

Aushadidravya kalpanaAnupanamSevan KalaMatra

Pathyyapathya:

qa

Symtoms Signs

1)Sakashta mala

prawrutti

2)Sashabda &Alpalpa mala

prawrutti

3)Pravahan

4)Waranwar

mala prawrutti

5) Malavrodha

l)$ymtoms Signs

of Ist stage Plus

2)Gaurav/

AgnimandYa

3)Aanah4)Atop

5)Aadhnrart

1)Symtoms si;",of Ist & IInd stage

plus

2)Hrillas3)Apachan

4)Udgar

5)Shula/Daha

l)Symtonrs Signs

of Ist,llnd & IIIrd

stage Ph-rs

2)Parikartika

3)KatiPrushta stanrb

4)Malarnutra sang

IV$tag

OB.$EBVATION TAFLB

No.

IstSta

IIndStag

IIIrdStag

Signature of Student

k9

Signature of Guide

Obsfiuatiowc;wd, Results

OBSERVATIONl) Malavqtambh was found frequently in MALE, Student, It's frequency in

male found7l.66%while in female was only 28'33%

2) Malavgtambh was found more.

l) When we see the frequency of Malavgtambha patients according to $'ge,

we found that Malavqtambh was more frequency found in Age Group 15-

25 yrs & next higher frequency found in Age group 45-55 yrs. frequency

among sixty patients according to age' was found as -

Age No. of Patents

( out of60 )

Percentage

15 - 25 yrs.

25 - 35 yrs.

35 - 45 yrs.

45 - 55 yrs.

55 - 65 yrs.

65 - 75 yrs.

l4

8

8

12

7

l1

23.33 %

13.33 %

13.33%

20.00%

11:66 Yo

18.33 o/o

2) Malavqtambh was found frequently in MALE, It's frequency in male was

found 71.66 % while in Female was only 28.33%

Sex No. of Patents

( out of60 )

Percentage

MALE

FEMALE

43

1,7

71.66 %

28.33 %

3) When we see the frequency of Malavstambh Patients according to occu-

pation, we found that it was more cornman in Housewifes i.e. Gruhini9 Stu-

dents than others. The frequency among sixty patients,

According to occupation was found as - \ (-toP|' "!*" 4 "1

$o

Occupation No- of Patents

( out of60 )

Percentage

Gruhini

Service

Student

Worker

Bussiness

Retired

t7t213

7

5

6

28.33 %

20.00%

21.66%

1r.66%

8.33%

10.00%

4) Malavstambh was found more frequency in Rural habitation than Urban

l) Rural Habitatio's Frequency was found 85 o/o

2)IJrbanHabitatio's frequency was found 15 % &-"Pn No .3J

Habitation No. of Patents

( out of60 )

Percentage

Urban

Rural

9

5l15.00o/o

85.00%

We found that changes of Malavgtambh according to Aahar, more fre-

quency in mixed (i.e. Non-Vegetarian & Vegetarien) & others i.e. vegetar

ian is 21.660/o

higher frequency in vatapitta is 23.333Yo f &"oph No . 7 J

5)

6)

Aahar No. of Patents

( out of60 )

Percentage

Vegetarian

Mixed

13

47

2l.66Yo

78.33Yo

Malavstambh was more commonly found in Vatakapha prakrutirs2lo/o &

next hlgher ffequency m vatapltta LS /.J. D,

Prakruti No. ofPatents

( out of60 )

Percentage

Vatapitta

Vatakapha

Pittakapha

Pittavata

Kaphavata

l415

7

t2

t2

23.33 o/o

2s.00%

11.66%

20.00%

20.00%

5t

7) When we see the frequency of malavstambh rugna, according to koshta, we

found that it was more cornmon in krura koshta & next madhyam koshta 48.33%

&38.33% irespectively. k*fb No. 6l

Koshta No. of Patents

( out of60 )

Percentage

Mrudu

Madhyam

Krura

8

23

29

13.33 %

38.33 %

48.33%

8) We found the frequency of pt's according to disease stage. we get more. pt

sufffering form stage IIndf stage IIIrd.

Disease Stage No. of Patents

( out of60 )

Percentage

Stage Ist

Stage IInd

Stage IIIrd

l4

24

22

23.33 %

40.00 %

36.66 %

9) The results obtained by the medicine panchalavan churna & khadisakhar

churna i.e. Trial Group & placibo group are shown below. The Upashaya (Relief)

in a individual stages of disease has been decided according to following eriteria.

l) 75 % - 100 Yo relief in the stages - Uttam upashaya

2) 50 % - 75 % relief in the stages - Madhyam upshaya

3) 25 % - 50 % relief in the stages - Hina Upashaya

4) less than 25 % relief in the stages -Anupashaya.

10) When we see the frequency of Malavqtambh rugna according to age group,

the cure rate by trial group, 10006 result in 15-25 yrs., 35 -45 yrs. & 45 -55 yrs. &

75 % in25 - 35 yrs. t(r"pl' /r.lo. lz]-

52

Age No. of Patents

( out of30 )

Cured Patients Percentage

15 - 25 yrs.

25 - 35 yrs.

35 - 45 yrs.

45 - 55 yrs.

55 - 65 yrs.

65 -75yrs.

Total

5

4

aJ

7

4

7

30

5

J

J

7

2

2

22

100 %

75%

100%

t00%

50.57 %

33.33 %

73.33 %

19 Cure rate according to Sex by trial group we get 79.16 o% result in male $

50 % result in Female iargf, N o . tZ)

Sex No. of Patents

( out of30 )

Cured Patients Percentage

MALE

FEMALE

24

06

9

aJ

79.16 %

50.t3 %

According to occupation, cure rate is 100% in service group & students, &

83 % result in worker, 75 % in Bussinessman, { only 50 % in female i.e.

gruhini S less result i.e. only 25 % in retired LC-fl"1, rrlo. lql

t2)

Cured Patients PercentageNo. of Patents

( out of30 )

Gruhini

Service

Student

worker

Bussiness

Retired

6

5

5

'6

4

4

50.00%

r00%

t00%

83.33o/o

7 s.00%

25.00%

tr3

t4)

l3) When we see Cure rate, of according to habitation, we get 40 % in Urban

area$ higher results i.e.76 o/o in Rural area. tC"r"pt, No. lsl

Habitationt

No. ofPatents

( out of30 )

Cured Patients Percentage

Urban

Rural

5

25

2

20

40.r0%

76.0r%

According to Aahar i.e. Vegetarian * mixed Non-vegetarianthe cure rate

rs'/6.92 7o rn mixed & 50 o/o inYegetarian. f G"ra-ph Al t . 16

Aahar No. of Patents

( out of30 )

Cured Patients Percentage

Vegetarian

Mixed

4

25

2

20

50.00%

76.92%

when we see the cure rate according to Prakruti, we get r00% result in

pittavkapha prakruti & pittavata & 70 Yo invatapitta & 69.23 % in

vatakapha prakruti LA'eytr No . l] ]

Prakruti No. of Patents

( out of30 )

Cured Patients Percentage

Yatapitta

Vatakapha

Pittakapha

Pittavata

Kaphavata

10

13

5

ll1

7

9

5

7L

0

70.00%

69.23%

100 %

t00 %

0.00%

16) According to Koshta, we get L}}%results in Mrudu Koshta, 62o/oinKrura

Koshta we get higher rate i.e. 83.33 % in madhyam koshta. LQroyn rvo. tg 7

Prakruti No. of Patents

( out of30 )

Cured Patients Percentage

Mrudu

Madhyam

Krura

2

I2

t6

2

t0

10

100%

83.33%

62.0s%

s4

ts 76.92 r

1s)

il

I

il

ti

i!'lii

l'

i

-

17) Lastly we observed that, we get 100% result in stage Ist, 63.63 o/oinstage

IInd & lastly we get 55.55 o/oinstage IIIrd. fCrapi-' No. n f

Disease Stage No. of PaGnts

( out of30 )

Cured Patients Percentage

Stage Ist

Stage IInd

Stage IIIrd

l01l

I

10

7

5

100%

63.33%

55.55%

dil55

I ) Patient rrequency o..",P,3:?I:ffiloN

16

14 l

12rl

10 1

8

6

4

2

0

I

Age No. of Patients (out

of60 )

Percentage

15 - 25 Yrs. l4 23.33%

25 - 35 Yrs. 8 13.33%

35 - 45 Yrs. 8 13.33%

45 - 55 Yrs. l2 20.00%

55 - 65 Yrs. 7 rt.66%

65 - 75 Yrs. 11 18.33%

No. of Patients (out of 60 )

15 - 25 Yrs. 25 - 35 Yrs. 35 - 45 Yrs. 45 - 55 Yrs. 55 - 65 Yrs. 65 - 75 Yrs.

-5'6

2 ) Patient frequency According to Sex.

No. of Patients (out of 60 )

50

40 ,,

30 ]

20 ),

j

10 ,l

l

0r

3) Patient frequency According to Habitation (Urban / Rural)

No. of Patients (out of 60 )

60,I

50r40-302010 1

0!Urban

l

L

Sex No. of Patients (out

of60 )

Percentage

MALE 43 7 r.66%

FEMALE t7 28.33%

Habitation No. of Patients (out

of60 )

Percentage

Urban 9 1s.00%

Rural 5l 8s.00%

5?

4) Patients Frequency according to Occupation

No. of Patients (out of 60 )

18r

16,

14 ),

12.10

8

6

4lI

I

i 21,

0iI

@ffiBussiness

Occupation No. of Patients (out

of60 )

Percentage

Gruhini t7 28.33%

Service t2 20.00%

Student 13 2r.66%

Worker 7 tr.66%

Bussiness 5 8.33o/o

Retired 6 10.00%

58

5 ) Patient frequency According to Aahar

No. of Patients (out of 60 )

50

40

30-20

10,0i

AaharNo. of Patients (out

of60 )Percentage

Vegetarian 13 21.660/o

Mixed 47 78.33%

6 ) Patient frequency According to Koshta

No. of Patients (out of 60 )

35

30 l

25 1

2o -t

15 l

10i

5lg

KoshtaNo. of Patients (out

of60 )Percentage

Mrudu 8 13.33%

Madhyam 23 38.33%

Krura 29 48.33%

5J

7) Patients Frequency According to Prakruti

t No. of Patients (out of 60 )

't6 iI

14 ll

12 I

10

8

6

4)i

2)l

l0l

PrakrutiNo. of Patients (out

of60 )Percentage

Vatapitta t4 23.33%

Vatakapha 15 25.00%

Pittakapha 7 tt.66%

Pittavata T2 20.00%

Kaphavata T2 20.00%

6a

tri

I

I

8 ) Patient frequency According to Disease stage

No. of Patients (out of 60 )

30

25

20

15

10

5

0Stage llnd

ffiStage lst

l

.

Disease StageNo. of Patients (out

of60 )Percentage

Stage Ist t4 23.33%

Stage IInd 24 40.00%

Stage IIIrd 22 36.66%

61

9 ) Patient frequency According to Upashaya / Anupashaya

No. of Patients (out of 30 )

25

20

15

10

5

0

rlal uroUpshaya /Anupashaya

No. of Patients (out

of30 )Percentage

Uttama 22 7333%Madhyam 4 t3.33%Hina aJ r0.00%Anuoashva I 3.33o/o

IGTri

-]No. of Patients (out of 30 )

20

15

10

5

0-,

i

ffiffiffiffiffiUttama Madhyam Hina

acrDo urouUpshaya /Anupashaya

No. of Patients (out

of 30')Percentage

Uttama 6 20.00%

Madhyam 2 6,660/o

Hina 7 23.33%Anupashva 15 s0.00%

Placibo G

6z

10 ) The Cured and Not-Cured rate of MalavEtambh by both the

medicines ile sumrurised below -

By Trial Group

ffiNot Cured

80

60r

40

20

r 0-

Cured / Not Cured Bv Trial Grouo By Placibo Group

Cured 73.33 20.000/o

Not Cured 26.66 80..%%

11 ) The Cured and Not-Cured rate of Malavstambh out of 60 Patients

30,25 ),

20)I

15 |

10 r

5,0

Not Cured

Drug Not Cur'ed Cured Total

Placibo Group 24 6 30

Trial Group 8 22 30

32 28 60

63

LMfr25 - 35 Yrs. 35 - 45 Yrs. 45 - 55 Yrs. 55 - 65 Yrs. 65 - 75 Yrs.

8

7

6

5lI4l

.)\rll-

l1)0i

12 ) Cured rate According to Age Group by Trial Group

15 - 25 Yrs.

I No. of Patients (out of 30 ) N Cured Patients I

Age Group No. of Patients (out

of30 )Cured Patients Percentage

15 - 25 Yrs. 5 5 t00%

25 - 35 Yrs. 4 J 7 5o/o

35 - 45 Yrs. JaJ t00%

45 - 55 Yrs. 7 7 r00%

55 - 65 Yrs. 4 2 500h

65 - 75 Yrs. 6 2 33.33%

Total 30 22 73.33%

64

13 ) Cured Rate According to Sex by Trial Group

il

llii

I1

{IJ

l

30

25

20

15

10

5

0

No. of Patients (out of 30 ) Cured Patientsl

I

I El MALE SI FEMALE

i;iil;i;l;li

llltllllltll

:;i;i;i;i;:;

lllllllllt

Sex No. of Patients (out

of30 )Cured Patients Percentage

MALE 24 19 79.16%

FEMALE 6 3 50.00%

Total 30 22 7333%

65

14) Cured rate according to Occupation by Trial Group

tuRetired

7

6.

5r

4-,

3ll

2)i

1,i

0lGruhini Service Student Worker Bussiness

l-

in No. of Patients (out ot gO ) E Cured Patientil

Occupation No. of Patients (out

of30 )Cured Patients Percentage

Gruhini 6aJ 50.00%

Service 5 5 t00%

Student 5 5 r00%

Worker 6 5 83.33%

Bussiness 4 3 7 s.00%

Retired 4 I 25.00o/o

Total 30 22 73.33%

66

5) Cured rate according to Habitation by Trial Group

:l

li,1i

il

lI

I

30

25

20

15

10

5

0

No. of Patients (out of 30 ) Cured Patients

ftlrlqgrrqll

Habitation No. of Patients (out

of30 )Cured Patients Percentage

Urban 5 2 40.00%

Rural 25 20 76.00%

16) Cured rate according to Aahar by Trial Group

f

I30,25

20

15

10

5

0 l

1

i

t

No. of Patients (out of 30 )

EYeq"!e!el!tre4

Cured Patients

Aahar No. of Patients (out

of30 )Cured Patients Percentage

Vesetarian 4 2 s0.00%

Mixed 26 20 76.92o/o

6?

17) Cured rate according to Prakruti by Trial Group

14

12

10

8

6

4

2

0Vatakapha Pittakapha Pittavata

| tr No. of Patients (out of 30 ) E Cured Patietl

]

PrakrutiNo. of Patients (out

of30 )Cured Patients

Percentage

Vatapitta 10 7 70.00%

Vatakapha 13 9 69.23%

Pittakapha 5 5 rc0%

Pittavata I I 100%

Kaphavata 1 0 0o/o

68

18) Cured rate according to Koshta by Trial Group

,1l

'ji'l

',14).

20 .,

I

15iI

10f

Mrudu MadhYam Krura

i * *e jfle,*rl.leelt[9! ) q._{eq t45l1!a]

Koshta No. of Patients (out

of30 )Cured Patients Percentage

Mrudu 2 2 r00%

Madhyam t2 10 83.33%

Krura t6 10 62.05%

19) Cured rate according to Disease Stage by Trial Group

12

10

8

6

4

2

0

l

L

Stage lst Stage llnd

El No. of Patients (out of 30 ) E Cured Patients

Stage lllrd

Disease StageNo. of Patiehts (out

of30 )

Cured Patients Percentage

Stage Ist 10 10 rc0%

Stage IInd 11 7 63.63%

Stage IIIrd 9 5 55.55%

69

STATISTICAL ANALYS$An Assumpation is made - 'Null Hypothesis which is to be proved by chi-square Test.

Null Hypothesis - cure-rates are independent of the drugs used

i.e. there is no difference between cure rares obtained by both the treatment.

Result obtained in clinical features

i.e. Malavtambh & AnuPshaYa

Treatment

ResultNot cured Cured Total

By Trial group Medicine8p, : t t.Sl 22Er:18157=30 -By Placibo group Medicine 15LE3 :7.5-1 l5fEo: 7 '51 = 30

23 37 60

Degree of freedom: (C-1) (r-1)

Chi square (X') : Sum [ (observed - expected)2]

Expected

(22-18.s)'z (!5-7A)'

18.5 7.5 as 7.5

€l)' Q-5)'

11.5 7.5

t.0652,7.5 7.5

: (E1l-5)'

I1.5: (-3.5)2

11.5

:1.0652

X2 :17.1304

Q5J5)'+'5

Q-D'

7.5

Kc fec+t""rf- Rff*, X- l,< 3'841

At one degree of freedom, X2Table value for I d.f. at5Yolevel of significant is 3'841. X2 1,d

€(-" o.os

. calculated value is 17.1304 is much higher, hence significant at 5Yo level.

Therefore Null-Hypothesis must be rejected.

Conclusion -

There is significant difference between cure - rates (Result) and medicines'

7a

Discl,rssion

fl,f

l

I

ln,l

DiscussionNow a days, Malavstambh is a social problem. To solve this problem

Panchalavan churna e gogbrat is selected as a medicine for the present study.

1) Sixty patients of Malav-shbh were studied for the effect of panchalavan chuma with

goghrut.

2) Malavtambh is not a disease but it is 'lakshan'. But according to Charakacharya.

flilPf qTfrffiqrftrft'ffitiG t

q€r+$iltrAgftffiq1qq: ll u.fr.c/so

In above sutras the disease get identified by sign & symptoms, but when these sign &

symptoms are not dependant on other's thing, Then it is called as disease'

In producing of Malavgtambh, we get many Hetus dependantly in Granths, also we get self

Dosh, Dushy4 Samurchhana of Malavstambh. Hence we treat the Malavstambh by giving

Anulomak, Virechana & Vatanashak treatment so we say Malavqtambh is a disease'

ln Sharangdhar Samhita he explained Malavstambh is a vatvikar.

$rRrfrrdf-m-flr trn ' oea-d gFnnfrar, t

........@ouatc.coo tt qn.€.T.s/qro

In above Sutras Sharangdharcharya@du .fdd63l mentioned in 80 types of vatvikar.

So we say that Malavqtambh is disease

3) In samprapti of the Malav;tamb mainly 'vat' are the aetiological factor specialy

prakopak of Apana vayu, Saman Vayu & also Pachak pitta'

In sthansanshrya Annavaha, strotasrPurishrah strotas it's mulasthan

i.e. Pakvashaya strotodusti: Mainly Annavaha strotas & then purishvah strotas.

4) Following are the hetu's related to disease pathogenesis of Malavstambh.

a) Iregular diet mainly vatprakopak aahar, vihar'

b) Irregular habit of Malanissaran.

c) Irregular habit of sleeping including Divaswap'

d) Lack ofexercise.

e) Stressful dailY routine.

0 Percentage of drinking less

g) Habit of smoking Tobacco, Gutaka sevan'

5) Following are the main clinical Features observed in the Malavqtambh

a) sakashtaMalaPravrutti

b) Sashabda MalaPravnrti

c) Pravahan

d) Waranwar & alpalpamalapravrutti

e) Gaurav / AgnimandYa

f) Adhman, atoP & anah

g) Hrillas, aPachan, Cchardi, Urodah

h) Udarshula, Udgar & in sevear condition We get parikartika i.e. fissur in ano

al

6) Malavstmbh is a common disease irrespective to religion, caste & age

7) This disease is mostly observed in patient of vatapitta & vatakapha prakruti & cure

rates is higher in it.

S) The disease is found in most of the age group between 15-25 yer 45-55 yer

9) Malavqtambh is most commonly found in male than female especialy in students.

10) After studying the effrcacy of panchalavan is more effective in krura Koshta & madhyma

koshta.

"d,

11) panchalavan are easy to available, prepare & also economically cheap for providing the

patients of Malavqtambh.

12) Both the medicines ie of Trial group medicine are given in the same dosage to respec-

tive group of patient ie 125 mg BD (twice a day) at apankal i.e. before lunch & befor

dinner with goghrut 15 days for both group'

13) Trial group medicines individual drug i'e'

Saurvarchal - Bhedan, Vibandhaghna, Vatashamak, Snigdha, Sukshma

Saindhav - sarak, snigdha, Sukshma, Tridoshghna, Malavstambh.

Bid-Vibandhghna,shulaghna,sukshmaa,Vatanulomak'

-Audbhid-snigdha,sukshma,Vatanashak,VatanulomakSamudra - Bhedak, Vatnashak, Snigdha, Shulaghna'

13) Trial group medicines individual drug i.e.

Saurvarchal - Bhedan, Vibandhaghna, Vatashamak, Snigdha, Sukshma

Saindhav - sarak, Snigdha, Sukshma, Tlidoshghna, Malavstambh.

Bid-Vibandhghna,shulaghna,sukshmaa,Vatanulomak'

Audbhid-Snigdha,sukshma,Vatanashak,Vatanulomak

Samudra - Bhedak, Vatnashak, Snigdha, Shulaghna'

Due to all properties ofPanchalavan. It's acts as Vatanulomak & due to Snigdha

guna it get snigdhata & moistness to mala. Due to it's sukshma guna it acts as a

sukshma srotogami. Due to vatanashak it's act as a shulaghna. So all it's properties

like sarak, Bhedak, Snigdha, Sukshma, & mainly Vatanulomak it's useful in

Malavptambh Ghruta is'a sarak, snigdha, balya & mainly vata

pittanashak so it's useful in Malavstambh. Ghruta is a sarak, srigdha, balya mainly

vata &piuanashak. So its usefull in malavgtambh'

14) As individual ingredients are useful for Malavgtambh trial group medicine ie

panchalavan of these m,inerals has obiviously betters results in Malavstambh. It has

no side effects.

15) Placibo group medicine i.e. Khadisakhar churna'

It is a sarak, Daha & ratanashak,balya viryavardak'

Due to it's Sarak & Vatanashak property it useful Malavstambh. But less ef-

fective than Panchalavan.

7z

16) The cure rate of panchalavan is73t/t& Hradisakhar ie placibo group is20 %o

17) After observing all results of 30 pafients of trial group through the results are en-

couraging more detailed futrne shdy with increasing sample size ie patients &

Comparing it's result with other standard medicine, will help to enlighten, 'The

effect of panchalavan in Malavqtambh.'

73

C,owclusiow

Conclusion6o Patients of Makargtamsh were studied for the effect of Panchalavan churna of

Sauvarchal, Saindhav, Bid Audbhid {sarnudra with Goghrat.

After that following conclusion can be made

1. Panchalvan churna with Goghrat are more effective in male than female i.e.79.16%o

2. When treated patients are classified based on the age group it is found that there are more

no. of patients suffering from this element |5-25 yea.rs. The age group 15-25 years, 35-45

years, 45-55 years shown better response to Panchalavan i.e. I00%

3. Classification according to prakrutti revealed that, the no of patients having Vatapitta

Vatakaphqi possibility are more prone to malavgtambh.

The patients among enrolled in pittavata prakruti the pittakapha 100Yo have been cared.

The leads to conclude that the PanchalaFvan churna Goghrat works more effective inpiltav ata prakruti & p ittakapha prakruti.

4. Percentage of patients cured with the treatment irrespective of their occupation is signifi

cantly higher in student & service group i.e.l00%5. Panchalavryr are more effective in nonvegetarian than vegetarian.

6. Panchalavan having better response in Mrudukoshta & madhyam koshta. It is also useful

or efficacious in Krura Koshta.

7. Panchalavan having better response in stage Jst& IInd of disease & also effrcacious in

stage III8. The total cured rate of Malavqtambh is73o/oby the Panchalavan &2017oby Placibo group

is Khadisakhar chuma.

Degree of freedom: (C-1) (R-l)

{Chisquare} X2: Sum [(observed - Expected)2]

Expected

The degree of freedom X2table value for 1 d.f. at1oh level of significance is 3.841 X2 E .

Calculated value is I 7.1304 is ryuch higher, hence significant at 5o/o level.

Therefore null-hypothesis must be rejected.

Conclusion :- There is significant difference between cure rates (Result) & medicines.

9. There were no side effects or adverse reactions of the Panchalavan. It is safe drug in the

age group of I 5-70 years and also In pittaprakrutti.

10. Panchalavan is economically cheap and easily available.

11. It is easy to take orally.

12. The total dose of Panchalavan in 24 hrs. is 250mg (125mg. Twice a day at apan kal i.e.

before lunch and before dinner) the duration of medicine is 15 days.

7\

Summary

\

i

_j

Summary:-A dissertation for a M.D. Ayurveda June 2006 has been presented " The Effect

of Panchalavan churna with goghrut In Malavstambh" It conisits of 10 chapters spread

over g s pages. It has 19 tables & 19 graphs, necssary certif,rcaters have been

attached. It has been submitted December.2O05.

Chapter I describe as an lndroduction, in whtich basic concept of Ayurveda,

Importance of Mala, Importance of Agni. Relation of Agni & Malavptambh and selec

tion of topic are discribed.

Chapter II described Aims & Objects in which the relation to the subject of

dissertation.

Chapter III deals with theoretical aspects which are divided into 4 parts Viz.

a)Introduction of the theoretical aspects is mentioned.

b) Malavstambh according to Modem and Ayurvedic concept is mentioned.

In modern concept, etiological factors, symtoms & treatment etc. are mentioned

while in Ayurveda, Nidan Panchak & Purishvaha strotas. Purishmala, Purishadhamkala

etc. are mentioned deeply.

c) This part of theoretical aspects deals about the m6nerals Here Saindhav Sauvarchal,

Bid, Audbhid & Samudra desuibed in detail.

d) In this part I described details about the concept of Anuloman mentioned in Ayurveda

e) In this part the concept of Rasa & Vipak is described.

Chapter IV Gives information of material and methods which is divided into 2 pafts.

a)Introduction to material & methods

b)Concepts of churna in Ayureda.

c)Concepts of sneha in Ayureda.

Chapter V narrates the way the patients were examined & recorded under the heading

clinlcal study. In this chapter clinical observations statistical data are discribed. After

these analysis according to the sex, age, prakruti, occupation, aahar, habitation, koshta

& disease stage are discribed with tables and graphs.

15

Chapter VI Tries to correlate the recordings and the discription noted in chapter V are

discussed with results in this chapter under the heading Discussions.

Chapter VII deals with the conclusive remarkes on the effect of the panchalavan on

Malavstambh. No doubt that panchalavan in Trial group prove more efficacious.

Chapter VIII contain sunmary of dissertation.

Chapter IX Bibliography, where the name of all refferenced books, magazines, disserta

tions, etc are mentioned.

Chapter X deals with master chaper.

This dissertation could not have been possible generosity offered by

S.V.N.H.Trust and Ayurveda Mahavidyalaya,Rahuri. and above all my guide R.R.

Chavan - My deepest gratitude.

7e

Bibliography

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tion 1983)

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print edition 2001)

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first edition 2000)

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COMMENARY OF SHRI. DHALANACHARYA (Sanskrit) (Varanasi : Chaukhamba

Orientaliya reprint 4ft edition 1980)

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(Varanasi Chaukhamba Bharti Academy 9'h Wedition 1993.)

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Ayurved Bhavan Lit. 4th edition 1994.

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(Pune : Ayurveda Research Institute 5*,6*, Feb. 2000)

13. Gogate vishnu Mahadev (DRAVYAGTINA VIDNYAN (Marathi) (Pune : continental

prakashan l't edition 1982)

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Shrikrishnadas Prakashan, edition 1 998)

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edition 2054)

16. Acharya priyavat sharma DHANVANTARI NIGHANTU (hindi) (Varanasi :

Chaukhamba orientaliya l't edition 1982)

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prakashan edition 197 6)

18. Shri. Mathur, SHALIGRAM NIGHANTU BHUSHANAM ARTHAT

BRUHTRIGHANTURATNAKARANTARGATAU, 7-8 Part (Hindi) (Mumbai :

Khemraj Shrikrishnadas prakasan edition 2002)

77

lg. Vd. Bhagwan Das, MAIERIA MEDICA OF AYURVEDA based on Madanpals Nighantu

(English/Sanskdt) (Delhi : B,Jaiq publisher (p) LJd. l't edition 1991)

20. AcharyaPriyavat ShaTmaPRIYAMGHANTU (Hindi) (Varanasi : Chaukhambasurbharati

prakashan II"d edition 1995)

21. Shri. Sadananda Shri. Haridatta shastri RASTARANGINI (Hindi)(Varanasi : Chaukhamba

prokashan edition 1979)

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prakashan, 3'd edition 1999)

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(Varanasi : Chaukhamba prakashan II'd edition 26 lan 1987)

24. Shri. Lakshmipati Shastri YOGRATNAKARA (Hindi) (Varanasi : Chaukhamba Sanskrit

Sansthan, edition 2005)

B) MODERN1. Anita, F.P. & Shegal, A.K. API TEXTBOOK OF MEDICINE VO I (Mombai : Chief editor

K.K. Datye published by Association of phy sician of India 3'd edition 1979

2. Davidson standley & Micleod John THE PRINCIPLES AND PRACTICE OF MEDICINE,

( Edinburgh published by ELBS & churchill Livigstone 5'h edition 1973)

3. Dorland's pocket MEDICAL DICTIONARY a bridged from Dorland's illustrated Medical

Dictionary (Bombay Oxford & IBH publishing co. Pvt. Ltd. 1989 24'h edition)

4. Ghai O.P. ESSENTIAL PAEDIATRICS (I.{ew Delhi : Published by interprint 16,{, Nuraina

2 New Delhi 20A, l0'h print 1989)

5. Goldfingure stephen HARISON'S PRINCIPLE OF INTENRNAL MEDICINE PART - I

(Published by M egraw Hill book campany, 1lft lnternational edition 1987)

6. Golwala F.A. & Golwala S.A. MEDICINE FOR STUDENTS Bombay : Published by A-F

Golwala Back Bay reclamation Charchgate 15ft edition 1992)

7. Mehta Pradip PRACTICAL MEDICINE for students practitonars (Published by MESH

publication house pvt. Ltd. 1994 10th edition

78

c) M.D. DISSERTATION1 . Ambekar Leena G. SUKHASARAK CHURNA AND MALAVARODHA, (M.D.

Dissertation) Pune : Pune University 1993)

2. Mulley Manisha EFFICACY OF CHINCHA LAVAN TAIL INMALAVSTAMBHA WTTH SPECIAL REFERENCE TO ANULOMAN (M.D.

Dissertation) (Rahuri : Pune University 2004)

3. Patil Gajendra JIRNA MALAVSHTMBHAT RILIF TABLET (M.D. Disserta-

tion) (Ahmednagar : Pune University 1993)

D) MAGAZINES1. Dr. Chawala V. NIROGDHAM (Hindi) AAJ KI VYAPAK VYADHI KABJ,

(Grishma Ratu Anka, APril 2002)

2. Shrimati Anita Joshi NIROGDHAM (Hindi) AAMTAUR PAR HONE WALI

VYADHI MALAVARODHA (Varsh Rutu Amka July 2001)

3. Vd. Vadodkar Ph. D. (Ayu) AYURVED CHIKITSA (Marathi) MALAVSTAMBH

(Constipation) May 200 1

E) OTHERS1. Mahajan B.K. METHODS IN BIOSTAIISTICS (New Delhi Medical Publish-

ers Private Ltd., 6th edition, reprint 1999)

2. MALAVARODHA (Pure : Vd. Khadiwale Vaidgak samshodhan santha 1995)

3. A pate vaman shivram SANSKRIT HINDI KOSH (Delhi Motilal Banarasidas

edition 1966)

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