Gynecological Disorders and Ayurveda

AMENORRHOEA    

* Physiological causes- Pregnancy, Lactation and Menopause

* Psychological cause- Onset after a period of stress e.g. school examination, going to boarding school. Self limiting; cessation of menstruation in otherwise healthy girls, menses start spontaneously after a few months. Anorexia nervosa may be associated with amenorrhoea.

* Gynecological causes- Congenital maldevelopments of sexual organs such as: Imperforate hymen, Hypoplesia of uterus, Agenesis of ovaries, Chromosomal defects(XO): Turner Syndrome. Oprative removal of uterus; may have been undertaken for surgery. Infection of endometrium, especially endometrial tuberculosis.

* Medical causes- In severe iron deficiency anaemia, Amenorrhoea occurs as a physiological response to conserve iron. Suprasellar tumours like craniopharyngioma causes amenorrhoea. Congenital hypothalamic defects cause failure or delay in sexual development with consequent amenorrhoea. Pituitary infarction (Sheehan syndrome)cause severe postpartum hemorrhage. Persistant  oligomenorrhoea is one of the features of  multiple deficiencies of pitutory trophic harmones.
* Drugs- Cyclophosphamide, Heloperidol, Imipramine, Clordiazepoxide, Methyldopa, Oral contraceptive.

Useful Ayurvedic formulations
1. Decoction of seeds of Gajar ( Carrot ) 20 ml twice a day.
2. Powder of Krishan til 10 gm twice a day with Gur ( Jaggery )
3. Nasht Pushpantak Ras 500 mg twice a day with Warm Water.
4. Rajah Pravartini Vati 500 mg thrice a day with Warm Water or methi decoction or Dasmool kwath.
5. Boladi Vati 500 mg thrice a day with water.
6. Hingwadi Vati 500 mg twice a day with warm Water.

DYSMENORRHOEA ( Katsarava )

There are two types: 

(1) Spasmodic- 

 - Pain begins with flow or only just before it.

 - It is just aching in character often with griping or colicky exacerbation

- Pain is felt in the middle above the symphysis pubis and passing down the anterior surface of the thighs. It is associated with prostration, pallor, headache and vomiting. 

 - It continues for 6 to 12 hours till menstrual flow is well established.

 Causes;

 - Uterine

 - Congenital malformation

 - Ovarian dysfunction

 - Psychogenic
( 2 ) Secondary dysmenorrhoea
- This type of dysmenorrhoea is due to congestion in the pelvis.
- Usually found in the elderly patients beyond 30 years.
- Patients get dull ache in lower abdomen. Pain starts 3 to 5 days before onset of menstruation and usually relieved by onset of menstrual flow.
Causes
Extrauterine: Endometriosis, Pelvic inflammatory disease, Pelvic congestion syndrome, Adhesion's, Structural abnormalities of the genital tract.
Intramural: Adenomyosis, Fibroids/ leiomyostoma
Intrauterine: Submucous fibroids(fibroids projecting into the uterine cavity), Polyps, Intrauterine device, Cervical  stenosis, Infection.

Useful single ayurvedic formulations
1. Kasisa Bhasma 250 mg twice a day with Triphala kwatha.
2. Carpasa kwatha ( Gossypium Herbaceum / Carpus luteum ) 30 ml twice a day with Water.
3. Kumari Ghansara ( Aloe barbadensis ) 500 mg twice a day with Hot water.

Useful compound ayurvedic formulations
1. Saptsar Kasaya 30 ml twice a day with Water.
2. Rajahpravartini Vati 250 mg twice a day with Tila kwatha or kulattha kwatha.
3. Nastpuspantak rasa 250 mg twice a day with  Gud mixed tila kwatha.
4. Phalkalyanka Ghrita 10 gm twice a day with Luke warm milk.
5. Kumaryasava 20 ml twice a day after meal with equal quantity of water.
6. Jirakadyarista 20 ml twice a day after meal with equal quantity of water.

Regimen
1. Barley,  milk, meat juice, oil and long piper is recommended.
2. Manda, Diets and life style causing aggravation of Vata dosa is restricted.

Life style
Unction, sudation and therapeutic enema ( vasti )  is useful.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

LEUCORRHOEA ( Swetpradar )

Useful single ayurvedic formulations

1. Tanduliyaka swaras ( Amaranthus tricolour ) 20 ml twice a day with honey.
2. Rohitaka mula ( Tecomella undulata ) Curna 3 gm twice a day with rice water.
3. Lodhra ( Symplocos Racemosa ) twak 3 gm twice a day with water.
4. Vanga Bhasma 125 mg twice a day with honey.

Useful compound ayurvedic formulations
1. Chandrakala Rasa 250 mg twice a day with water.
2. Drakshadi Churna 3 gm twice a day with honey.
3. Pushyanug Churna 3 gm twice a day with  tandulodaka.
4. Patrangasava 20 ml twice a day after meal with equal quantity of water.
5. Ashokarishta 20 ml twice a day after meal with equal quantity of water.

Regimen
1. Wheat, barley, old rice, masura, chickpea, bathua, chaulai, spinach, gourd
( lauki ), papaya, apple, pomegranate, grapes, banana, amalaki, dry dates, ginger (adrak ), coriander, cow's milk, goat's milk and buffalo's fresh ghee  is recommended.
2. Black gram ( urad ), onion, garlic, brinjal, alcohol, pickle, vinegar, sour curd, sour substance, jiggery and spicy food  is restricted.

Life style
Day sleeping, night awakening, excessive exercise, fasting, eating before indigestion of previous food, walking in sunlight, sadness and excessive sexual indulgence should be avoided.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

DYSFUNCTIONAL UTERINE BLEEDING ( Raktapradara )

Useful single ayurvedic formulations

1. Udumbar swarasa ( Ficus hispida ) 10 ml twice a day with honey.
2. Ashok valkala ksirapaka ( Saraka indica ) 30 ml twice a day.
3. Amla churna twice a day 3 gm with honey.
4. Dhataki Churna 3 gm twice a day with honey.

Useful compound ayurvedic formulations
1. Pradarantaka lauha vati 500 mg twice a day with durva swarasa.
2. Pradarantaka lauha 500 mg twice a day with kusamula kwath.
3. Asoka ghrta 10 gm twice a day with usnodaka.
4. Patrangasava 20 ml twice a day after meal with equal quantity of water.
5. Ashokarishta 20 ml twice a day after meal with equal quantity of water.
6. Lodhrasava 20 ml twice a day after meal with equal quantity of water.

Regimen
Sali rice, parol, lisora, pomegranate, amalaki, milk, goat's milk, honey and clarified butter ( ghrita ) processed with nyagrodhadi gana is recommended.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

PELVIC INFLAMMATORY DISEASE

* Dull pain or tenderness in the stomach or lower abdomen area, or pain in the right upper abdomen. Pain is worse just before onset of menstruation.

* Yellow or green abnormal vaginal discharge that has unusual odor.
* Deep dyspareunia.
* Nausea and vomiting
* Fever

Useful ayurvedic formulations for PID
1. Darviadi kwath 20 ml twice a day with equal honey.
2. Bang Bhasam 250 mg twice a day with honey.
3. Ras Manikya 120 mg twice a day with honey.
4. Pradarantaka lauha 500 mg twice a day with kusamula kwath.
5. Maha Yograj Guggul 500 mg twice a day with milk.
6. Chandraprabha Vati 500 mg twice a day with milk.
7. Arogyavardhini Vati 500 mg thrice a day with water
8. Dashmoolarishta 20 ml twice a day after meal with equal quantity of water.
9. Devdarvadirishta 20 ml twice a day after meal with equal quantity of water.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

VAGINITIS ( Yonishotha )

Useful ayurvedic formulations

1. Bang Bhasma 250 mg twice a day with milk.
2. Pushyanug Churna 3 gm twice a day with  tandulodaka.
3. Chandraprabha Vati 500 mg thrice a day with water.
4. Chandanadi Vati 500 mg thrice a day with water.
5. Chandanasava 20 ml twice a day after meal with equal quantity of water.
6. Kutajarishta 20 ml twice a day after meal with equal quantity of water.

Useful local application

Tampons lished with Jatyadi taila should be placed high in vagina.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

HABITUAL ABORTION  (Garbhasrava )

Habitual abortion is defined as three or more consecutive pregnancy losses before 20 weeks of gestation.

Useful ayurvedic formulations

1.Powder of Shatavari ( Asparagus ) 5 gm twice a day with milk.

2. Mukta Bhasma 250 mg twice a day with milk.
3. Chandrakala Ras 240 mg twice a day with water.
4. Pushyanug Churna 3 gm twice a day with milk.
5. Shatavariyadi Churna 3 gm twice a day with milk.
6. Chyawanprash avleh 10 gm twice a day with milk.
7. Vasavaleha 5 gm twice a day with milk.
8. Ashokarishta 20 ml twice a day after meal with equal quantity of water.
9. Garbhpal Ras 250 mg twice a day with milk till delivery.

Regimen
Avoid sour, pungent food articles like spicy pickle.

Life style
Complete bed rest, foot end raised.
Exercise and excessive sexual indulgence should be avoided.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

 MENOPAUSAL SYNDROME 

 It is a natural event that normally occurs in    women age 45 to 55. Menopause is time in 

woman's life when her periods (menstruation) eventually stops and her body goes through changes that no longer allow her get pregnant.

Premenopausal Syndrome
General symptoms;
. Irritability
. Anxiety
. Depression
. Mood swings
.  Insomnia
. Anorexia
. Weight gain
 Menstrual symptoms;
. Menorrhagia
. Metrorrhagia
. Poly menorrhea
. Amenorrhea
Early signs of;
. Hypertension
. Diabetes
. Heart disease

 CAUTION : Rule out malignancy. Investigate with PAP test.

Post menopausal Syndrome
Symptoms;
. Hirsutism
. Hot flushes
. Mood swings
. Thyroid dysfunction
. Obesity
. Excessive perspiration
. Post menopausal bleeding is always a danger signal.

Nervous System, Psychiatry and Ayurveda

GRANDMAL EPILEPSY
( Apasmar )

Single formulations for Apasmar 
Powder of Vach 3 gm with honey.

Compound formulations for Apasmar

1. Vatkulantak Ras 120 mg twice a day with Decoction of Jatamansi.

2. Samritisagaar Ras 120 mg twice a day with Butter 1 tsf.

3. Yogendra Ras 120 mg twice a day with Decoction of Jatamansi.
4. Powder of Vach+Brahmi+Amla to be given 10 gm twice a day with milk.
5. Saraswata Churan 5 gm twice a day with Milk.
6. Brahmi Ghrit 5 gm twice a day with Milk.
7. Jyotismati Rasayan 5 gm twice a day with Milk.
8. Saraswarishta 20 ml twice a day after meal with equal quantity of water.  

Regimen

Constipation and indigestion should be checked. Green vegetable's, Fruit juices and early digestible food should be given.

Life style

Open air exercise in the morning. Patient should avoid places of danger.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

BELL'S FACIAL PALSY

( Ardit )

Useful Compound formulations for Ardit

1. Ekangveer Ras 120 mg twice a day with Honey followed by Maha Rasnadi Kwath 30 ml. 

2. Samirpanga Ras 60 mg twice a day with Jinger Jouice and Honey. Please note that Samirpanaga Ras is a Arsenic preparation. It should be used strictly under supervision of trained and qualified Docters. 

3. Mahanarayan Tail / Mahmash Tail ; To be massaged on affected parts as well as back of neck for about 30 minutes daily followed by nadi swed. It can be instilled in affected eyes and ears.
4. Dashmoolarist 20 ml twice a day after meal with equal quantity of water.
5. Aswagandhrishta 20 ml twice a day after meal with equal quantity of water.  

Regimen

Constipation and indigestion should be checked. Green vegetable's, Fruit juices and early digestible food should be given.

Life style

Open air exercise in the morning. Patient should avoid places of danger.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

SCIATIC NEURITIS

( Gridhrasi )

This illness has nothing to do with neuritis. It is a complication of degenerative diseases of the intervertebral disc.
Involvement of the sciatic nerve hardly ever occurs expect perhaps in very rare cases of diabetic neuritis or following an injection of emitine, quinine or any other drug into a wrong site.
Sciatica pain is really a root pain caused by pressure on the nerve root (in the spinal canal) by prolapsed disc itself or by the congestion, oedema and fibrosis occurring during different phases of the diseases.

Symptoms: 
1. Low backache 
2. Complaints of pain going from the buttock to the back of the thigh and the calf and often to the outer border of the foot. The pain always goes down below the knees.
3. All these area of lower extremity are more painful on bending, coughing or sneezing and walking for prolonged periods. Tingling and numbness may also be felt in the same areas.

Signs: 
On examination, the straight-leg-raising sign is positive. Normal people and patients with other types of pain, do allow 90 degree deviation with strait leg raising sign comfortably, but in patients with above disease, this angle is reduced and in severe attack the patient hardly allows 20 degree rise.

Useful single formulations for Sciatica 

1. Eranda Tail (Ricinus communis) 10 ml twice a day with Dasmool Kwath or Sunthi Kwath.

2. Sunthi Churna 3 gm twice a day with Hot water.
Useful compound formulations for Sciatica 

1. Rasnasaptak Kwath 30 ml twice a day with Water.
2. Brhat Vatchintamani Ras 65 mg twice a day with Honey followed by Maharashnadi Kwath.
3. Vatgajankush Ras 240 mg twice a day with Pipli powder 1/2 gm followed by Rasnasaptak Kwath.

4. Maha Yograj Guggul 500 mg twice a day with warm Water.

5. Trayodashang Guggul 500 mg twice a day with warm Water.

6. Punarnawadi Guggul 500 mg twice a day with warm Water.

Oils for massage over affected part

1. Narayan Tail

2. Prasarani Tail

Regimen

1. Rice, Wheat, Black gram(udada), Kulatha, Garlic, Brinjal, Parwala, Drumstic(sigru), Mango, Pomegranate, Phalsa, Lemon, Grapes, Milk, Coconut water, Sour vinegar(kanji),

Tamarind(imli)  Meat juice and Clarified butter are recomended.

2. Special variety of rice (kodavara, samvaka), Chickpea(chana), Peas(matar), Pigeon pea(arhar), Green gram(mung), Bitter gourd(karela), Lotus stem, Jambu, Beans, Udumbara, Betel nut, Honey and Leafy vegetables should be avoided. 

Life style

1. Massage, Sudation, Therapeutic unctuous enema ( anuvasana vasti ),Therapeutic non unctuous enema ( niruha vasti ), Therapeutic pugation (virechana), Gentle pressing, Nourishing diet, Sunlight exposure and Sleeping on the ground saturation are recommended.

2. Sadness(sok), Night awakening, Fasting, Physical exercise, Suppression of natural urges and excessive walking should be avoided.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

VERTIGO( Bhram Rog )

Useful formulations for Vertigo 
1. Mukta Bhasm 120 mg twice a day with Butter.
2. Kamdudha Ras 240 mg twice a day with Milk. 

3. Brahmi Vati 500 mg thrice a day with Milk.
4. Brahmi Tail to be massaged in the scalp.
5. Saraswatarist 20 ml twice a day after meal with equal quantity of water.

6.  Drakshasav 20 ml twice a day after meal with equal quantity of water.

Regimen

1. Rice, Wheat, Black gram(udada), Kulatha, Garlic, Brinjal, Parwala, Drumstic(sigru), Mango, Pomegranate, Phalsa, Lemon, Grapes, Milk, Coconut water, Sour vinegar(kanji),

Tamarind(imli)  Meat juice and Clarified butter are recomended.

2. Special variety of rice (kodavara, samvaka), Chickpea(chana), Peas(matar), Pigeon pea(arhar), Green gram(mung), Bitter gourd(karela), Lotus stem, Jambu, Beans, Udumbara, Betel nut, Honey and Leafy vegetables should be avoided. 

Life style

In acute stage complete bed rest is necessary.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

HEADACHE

( Sirahsula )

Useful single formulations for Headache 
1. Godanti (Gypsum ) Bhasm 500 mg twice a day with Honey.
2. Apamarga Taila (Achyranthes aspera) 2 drops twice a day to be instilled in each nostril.

Useful compound formulations for Headache

1. Mahalaxmivilasa Rasa 125 mg twice a day with Honey.
2. Brahat Vatchintamani Ras 65 mg twice a day with Milk.
3. Swarn sootshekhar Ras 120 mg thrice a day with Honey.
4. Laghu sootshekhar Ras 240 mg thrice a day with Honey.  

5. Sirahsuladivajra Ras 250 mg twice a day with Honey.

Regimen

1. Wheat, Black gram(udada), Brinjal, Parwala, Drumstic(sigru), Mango, Pomegranate, Phalsa, Garlic, Grapes, Milk, Clarified butter, Coconut water, Sour vinegar(kanji) and Sesame are recomended.

2. Special variety of rice (kodavara, samvaka), Chickpea(chana), Peas(matar), Pigeon pea(arhar), Green gram(mung), Betel nut and excessively heavy food substance should be avoided. 

Life style

1. Massage on head,Gentle pressing and Rest are recommended. 

2. Night awakening, Exessive exercise, Suppression of natural urges and use of uneven bed should be avoided.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

PARALYSIS( Pakshaghat)

Single useful formulations for Paralysis 
1. Rasna (Pluchea lancolata) Kwath 30 ml twice a day with Water.
2. Lasuna (Alium sativam) Kalka 3 gm twice a day with Sandhava lavana.

Compound formulations for Apasmar

1. Brhat Vatchintamani Ras 65 mg twice a day with Honey.
2. Rasraj Ras 65 mg twice a day with Honey.
3. Ras Sindor 120 mg twice a day with Honey followed by Maharashnadi Kwath.
4. Sidh Makardhwaj 240 mg twice a day with Milk.
5. Ekangveer Ras 240 mg twice a day with Honey.
6. Trayodashang Guggul 500 mg twice a day with warm Water.

Oils for massage over affected part

1. Narayan Tail

2. Prasarani Tail
3. Vishgarbh Tail

Regimen

1. Sali rice, Wheat, Black gram(udada), Kulatha, Garlic, Mango, Pomegranate, Phalsa, Lemon, Jujube plum(badar), Grapes, Coconut water, Sour vinegar(kanji),Sesame, Alcohol, Tamarind  (imli), Milk and Clarified butter are recomended.

2. Special variety of rice (kodavara, samvaka), Chickpea(chana), Peas(matar), Pigeon pea (arhar), Green gram(mung), Bitter gourd(karela), Lotus stem, Jambu, Beans, Udumbara, Betel nut, Honey and Leafy vegetables should be avoided. 

Life style

1. Swimming, Gentle pressing, Sleeping on the ground, Bathing, Saturation and Sunlight exposure are useful.

2. Night awakening, Fasting, Suppression of natural urges and Excessive physical exercise should be avoided.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

PARKINSONISM( Kampvata )

Single useful formulations for Parkinsonism 
1. Kapikacchu (Mucuna pruriens) Churna 3 gm
twice a day with Water.
2. Aswagandha (Withania somnifera) Curna 3 gm twice a day with Water or Milk.

Compound formulations for Parkinsonism

1. Maharasnadi Kwath 30 ml twice a day with Water.
2. Brhat Vatchintamani Ras 125 mg twice a day with Milk.
3. Brahat kasturi Bhairav Ras 125 mg twice a day with Milk.
4. Vatgajankush Ras 250 mg twice a day with Honey.
5. Mahayograj Guggul 500 mg twice a day with warm Water.
6. Sarpgandha Ghan Vati 500 mg twice a day With Water.
7. Mahanarayan Tail 15 ml to be taken internally with milk. It should be used for massage also.

Regimen

1. Sali rice, Wheat, Black gram(udada), Kulatha , Patol, Shigru, Brinjal, Garlic, Mango, Pomegranate, Phalsa, Lemon, Jujube plum(badar), Grapes, Coconut water, Sour vinegar(kanji),Sesame, Alcohol, Tamarind  (imli), Milk and Clarified butter are recomended.

2. Special variety of rice (kodavara, samvaka), Chickpea(chana), Peas(matar), Pigeon pea (arhar), Green gram(mung), Bitter gourd(karela), Lotus stem, Jambu, Beans, Udumbara, Betel nut, Honey and Leafy vegetables should be avoided. 

Life style

1. Unction, Sudation, Exercise, Water exercises/

 Swimming, Gentle pressing, Sleeping on the ground, Bathing and Sunlight exposure are useful.

2. Sadness, Night awakening, Fasting, Suppression of natural urges and Excessive physical exercise should be avoided.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

ANXIETY NEUROSIS( Chhitodveg )

Useful formulations for Anxiety neurosis 

1. Brahat Vatchintamani Ras 120 mg twice a day with Honey followed bydecoction of Jatamansi.

2. Vatkulantak Ras 120 mg twice a day with Honey followed by decoction of Jatamansi.  

3. Brahmi Ghrit 10 gm HS with Milk.
4. Aswagandhadi Churn 5 gm thrice a day with Milk.
5. Aswagandhrishta 20 ml twice a day after meal with equal quantity of water.  

Regimen

Do not eat too much before bed time. A glass of warmish and crackers may be useful. Constipation and indigestion should be checked. Green vegetable's, Fruit juices and early digestible food should be given.

Life style
1. Massage on head,Gentle pressing and Rest are recommended. 
2. Night awakening, Exessive exercise, Suppression of natural urges and use of uneven bed should be avoided.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis. 

INSOMNIA( Anidra )

Insomnia is not a diseases. It is body's way to saying that something is not right. It cause trouble in sleeping, may not be able to fall asleep, may wake up during the night or may wake up early in the morning.
Is it a serious problem ?30 to 40% of adults have some amount of insomnia. As age advances the rate also increases. Females are more prone. It makes the people feel tense and anxious and irritable. It may lead to moter vehicle accident and other health problems.
How much sleep one should have?Sleep pattern changes with age. Adults need 8 hour of sleep. Some may need 6 hour and children 10 hour.
Causes* Stress* Too much caffeine* Depression* Change in work shifts and pain* Certain diseases such as arthritis


Useful formulations for Insomnia

1. Brahat Vatchintamani Ras 120 mg twice a day with Honey.

2. Nityodaya Ras 120 mg HS with Water.  

3. Sarpgandha Ghan Vati 500 mg HS with Water.
4. Aswagandha Churn 5 gm thrice a day with Milk.
5. Aswagandhrishta 20 ml twice a day after meal with equal quantity of water.  

Regimen
Do not eat too much before bed time. A glass of warmish and crackers may be useful. Constipation and indigestion should be checked. Green vegetable's, Fruit juices and early digestible food should be given.

Life style
1. If it is due to stress or depression stress management and counselling are needed.
2. Go to bed and wake up at the same time everyday.
3. Do the same thing every night before going to bed to help your body to get ready to sleep. 
4. Use bed room for sleeping. Don't eat, talk on phone or watch TV while you are in bed.
5. Make sure your bedroom is quiet and dark.
6. Avoid trying to fall asleep. The more you try to fall asleep the more trouble you may have.
7. Exercise more often. But do not exercise with in few hours before going to bed.
8. Do not start worrying about this when you go to bed.
9. Try eating a light snack before going to bed.
10. Don't nap(short period of sleep) during the day. It is likely to make your insomnia worse. 

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis.

MANIC DEPRESSIVE PSYCHOSIS 

( Unmaad Rog )

Useful formulations 

1. Brahat Vatchintamani Ras 120 mg twice a day with Honey followed by Manasyadi Kwath 30 ml.

2. Vatkulantak Ras 120 mg twice a day with Honey followed by Manasyadi Kwath 30 ml.  

3. Brahmi Ghrit 10 gm HS with Milk.
4. Aswagandhadi Churn 5 gm thrice a day with Milk.
5. Aswagandhrishta 20 ml twice a day after meal with equal quantity of water.  

Regimen

Do not eat too much before bed time. A glass of warmish and crackers may be useful. Constipation and indigestion should be checked. Green vegetable's, Fruit juices and early digestible food should be given.

Life style
1. Massage on head,Gentle pressing and Rest are recommended. 
2. Night awakening, Exessive exercise, Suppression of natural urges and use of uneven bed should be avoided.

Note: The above are certain suggested choices only. Mentioned dose is for the use of adults. However, dose and duration therapy, regimen, panchakarma and other procedures if any required may be rationally adopted by Physician on case to case basis. 

Therapeutic Index

BHASMA

Abhrak (Mica) Bhasma

Indication:
* General weakness                
* Breathlessness due to chronic bronchitis, asthma and chest congestion
* Initial stage of TB 
* Restlessness * Anaemia
Dose: 120 to 360 mg to be taken in the morning and evening or as directed by Physician.

Akik (Agate) Bhasma

Indication:

* Mental disorders 

* Palpitation

* Hypertension

Dose: 120 to 380 mg to be taken in the morning and evening or as directed by Physician.

Vanga Bhasma

Indication:

* Urinary tract disease

* Frequent urination

* Improves stamina and vitality

Dose: 60 to 120 mg to be taken in the morning and evening or as directed by Physician.

Varatak Bhasma

Indication:

* Colic

* Hyperacidity

* Flatulence

* Improves appetite and digestion

 Dose: 120 to 240 mg to be taken in the morning and evening or as directed by Physician.

Godanti ( Harital ) Bhasma

Indication:

* Acute fever

* Recommended in Typhoid, Malaria and Pneumonia for symptomatic relief

Dose: 120 to 260 mg to be taken in the morning and evening or as directed by Physician.

Loh Bhasma

Indication:

* Anaemia

* Enlargement of liver and spleen

* General debility

Dose: 30 to 240 mg to be taken in the morning and evening or as directed by Physician.

Mandoor Bhasma

Indication:

* Anaemia

* Jaundice

* Piles

* Intestinal Worms

* Liver and spleen enlargement

Dose: 30 to 240 mg to be taken in the morning and evening or as directed by Physician.

Mukta (Moti) Bhasma

Indication:

* Relieves mental fatigue and optimises concentration and memory

* As general tonic

Dose: 30 to 120 mg to be taken in the morning and evening or as directed by Physician.

Muktasukti (Motiseep) Bhasma

Indication:

* As a natural calcium supplement during dentition, childhood and pregnancy

* As general tonic

Dose: 120 to 240 mg. to be taken in the morning and evening or as directed by Physician.

Prawal (Coral)Bhasma

Indication:

* Hyperacidity

* Abdominal pain

* Palpitation

Dose: 60 to 120 mg to be taken in the morning and evening or as directed by Physician.

Rajat(Silver) Bhasma

Indication:

* Pitta vikar like burning sensation all over body

* Lack of concentration and retention

Dose: 30 to 120 mg to be taken in the morning and evening or as directed by Physician.

Shankh(Turbinella Rapa Shells) Bhasma

Indication:

* Hyperacidity

* Abdominal pain

* Flatulence

Dose: 120 to 240 mg to be taken in the morning and evening or as directed by Physician.

Swarnmakshik Bhasma

Indication:

* Pitta vikar like burning sensation all over body

* Lack of concentration and retention

* Burning urination and burning sensation of eyes, chest etc

* Anaemia

* Jaundice

* Chronic fever

* Sleeplessness

Dose: 600 to 240 mg to be taken in the morning and evening or as as as directed by Physician.

Tamra(Copper) Bhasma

Indication:

* Gastric ulcer

* Duodenal ulcer

Dose: 15 to 60 mg to be taken in the morning and evening or as directed by Physician.

PISHTI

JAHARMOHARA PISHTI 

Suddha Jaharmohara (Purified Serpentine) processed in Gulab jal and Chandanadi Ark.  

Indication:

* Palpitaion

* Weakness of heart
* Burning sensation in the body
* Vomitting
* It is nourishing drug for the children

Dose: 125 to 250 mg to be taken in the morning and evening or as directed by Physician.

KAHARVA PISHTI ( TRINKANTMANI ) 

Trinkant mani ( Amber of succinite ) 1 Part and Turuni ( Rosa centifolia ) 1 Part  

Indication:

* Bleeding Piles

* Bleeding wounds

* Bleeding from Nose and Mouth 

Dose: 120 to 260 mg to be taken in the morning and evening with Butter or as directed by Physician.

MUKTA ( MOTI ) PISHTI 

Mukta ( Mytilus margaritiferus ) 1 Part Trinkant mani ( Amber of succinite ) 1 Part and Turuni     ( Rosa centifolia ) 1 Part processed in Ghrit Kumari and Cow's milk.  

Indication:

* Recomended in Mental disorders like Tension, Restlesness, Weakness and Palpitation.
* Rasayan

Dose: 50 to 125 mg to be taken in the morning and evening or as directed by Physician.

MUKTA SHUKTI ( MOTISEEP ) PISHTI 

Mukta Shukti ( Mytilus margaritiferus Shells ) processed in Ark Gulab and Chandanadi ark.  

Indication:

Hyperacidity associated with burning sensation in chest and eye, loss of taste and Cough

Dose: 240 to 480 mg to be taken in the morning and evening with Butter or as directed by Physician.

PRAVAL PISHTI 

Prawal ( Coral ) 1 Part and Gomutra 4 Part processed in Nimbu Swaras.

Indication:
* Nervous weakness

* Heaviness in the head
* Haemtemesis
* Bleeding and Weakness

Dose: 120 to 240 mg to be taken in the morning and evening with Butter or as directed by Physician.

PARPATI

BOL PARPATI 

Kajjali(Black sulphide of Mercury) 1 Part

Bol churna(Commiphora myrrha) 1 Part

Indication:

* Bleeding from Nose, Mouth and Anus.

* Recommended in bleeding Piles and Dysentery.

Dose: 240 to 720 mg to be taken in the morning and evening with Honey or as directed by Physician.

PANCHAMRIT PARPATI 

1. Shuddh Gandhak(Sulphur)  16 Parts 

2. Shuddh Parad(Mercury)        8 Parts 

3. Lauh Bhasma(Calcined Iron) 4 Parts

4. Abharak Bhasma(Calcined Mica) 2 Parts

5. Tamra Bhasma(Calcined Cooper) 1 Part

Indication:

Dysentery associated with Fever, Weakness and Anaemia

Dose: 120 to 480 mg to be taken in the morning and evening or as directed by Physician.

SWARNA PARPATI 

1. Shuddh Gandhak(Sulphur)       4 Parts 

2. Shuddh Parad(Mercury)           4 Parts 

3. Suddh Swarna(Calcined Gold) 1 Part

Indication:

* Stomatitis

* Duodenal Ulcer

* Chronic Dysentery

* Ulcerative Colitis  

* Sprue. It also relieves weakness associated with sprue and helps in faster recovery. 

Dose: 60 to 480 mg to be taken in the morning and evening with Butter milk or as directed by Physician.

KSHAR PARPATI 

1. Shorak ( Potassium nitrate )      16 Parts 

2. Sphatik ( Alum )                          2 Parts 

3. Navasadar(Ammonium chloride) 1 Part

Indication:

* Urine retention

* Dysuria

* Renal lithiasis 

Dose: 600 mg to 1.2 gm to be taken in the morning and evening with or as directed by Physician

KUPIPAKVA-RASAYAN

MAKARADHWAJ 

1. Shuddh Gandhak ( Sulphur )            16 Parts 

2. Shuddh Parad ( Mercury )                  8 Parts 

3. Suddh Swarna Bhasma(Calcined Gold)1 Part Processed in Kumari Swaras

Indication:

As a Rejuvenator ( Rasayan )

Dose:  to be taken in the morning and evening with Honey or Milk or as directed by Physician.

SIDDH MAKARADHWAJ 

1. Shuddh Gandhak ( Sulphur )            4 Parts 

2. Shuddh Parad ( Mercury )                 2 Parts 

3. Suddh Swarna Bhasma(Calcined Gold)1 Part Processed in Kumari Swaras and Rakt Kapas pushp.

Indication:

Provides strength and energy.

Dose:  to be taken in the morning and evening or as directed by Physician.

RAS SINDOOR ( Sadgunjarit )

1. Shuddh Gandhak ( Sulphur )    1 Part 

2. Shuddh Parad ( Mercury )        1 Part

Processed in Kumari Swaras 

Indication:

* Fever

* Weakness associated with Typhoid, Cough, Cold, Pneumonia and Pleurisy.

Dose: 30 to 120 mg be taken in the morning and evening or as directed by Physician.

RAS SINDOOR ( Samgunjarit )

1. Shuddh Gandhak ( Sulphur )            4 Parts 

2. Shuddh Parad ( Mercury )                4 Parts

3. Navasadar ( Ammonium Chloride )   1 Part

Processed in Nimbu Swaras 

Indication:

Restorative after Typhoid, Asthma, Pneumonia, Pleurisy, Anaemia and Jaundice.

Dose: 30 to 120 mg be taken in the morning and evening with Butter milk or as directed by Physician.

SWARNA VANGA

1. Shuddh Gandhak ( Sulphur )           4 Parts 

2. Shuddh Parad ( Mercury )               4 Parts

3. Navasadar ( Ammonium Chloride )  1 Part
4. Shuddh Vanga ( Stannum )             1 Part  
5. Sandhav Lavan                            1/4 Part 

Indication:

* Urinary disorder such as Urine associated with incontinence.
* Restorative tonic for both male and female.
Dose: 120 to 240 mg be taken in the morning and evening or as directed by Physician.

VATI-GUTIKA

AGNITUNDI VATI/RAS

1. Suddh Parad(Purified Mercury)

2. Suddh Vatsanabh(Purified Aconitun ferox)

3. Suddh Gandhak(Purified Sulphur)

4. Ajmoda(Apium graviolens)

5. Hareetaki(Terminalia chebula)

6. Vibheetak(Terminalia belerica)

7. Amlaki(Emblika offinalis)

8. Sajikashar(Sodium carbonate)

9. Yavakshar(Potassium carbonate)

10. Chitrak Mool(Plumbago zeylanica)

11. Saindhav Lavan(Rock salt)

12. Suvarchala Lavan(Sodium sulphate mixed with sodium chloride)

12. Samudra Lavan(Sea salt)

14. Sweta Jeerak(Cuminum cyminum)

15. Vidanga(Embelica ribes)

16 Suddh Tankan(Purified Sodium biborate)

Each of these 1 Part + Suddh Vismushti(Purified Nux vomica) 16 Parts processed in Jambiri Nimbu swaras.

Indication

* Poor appetite

* Indigestion

* Abdominal colic

Dose: 65 to 125 mgbe taken in the morning and evening or as directed by Physician.

Mahayograj Gugulu

 Reference: Sharangdhara Samhita madhyamakhanda 7/56-69

1.Ginger – 3 g
2.Long pepper – 3 g
3.Chavya – Piper cubeba – 3 g
4.Pippalimoola – Long pepper root – 3 g
5. Hingu – Asa foetia – 3 g
6. Chitraka – Plumbago zeylanica – 3 g
7. Ajamoda – Trachyspermum roxburghianum – 3 g
8. Sarshapa – Mustard – 3 g
9. Shwetajeeraka – Cuminum cyminum – 3 g
10. Krishnajeeraka – Carum carvi – 3 g
11. Renuka – Vitex agnus-castus – 3 g
12. Indrayava – Holarrhena antidysenterica – 3 g
13.Patha – Cyclea peltata / Cissampelos pariera – 3 g
14.Vidanga – Embelia ribes – 3 g
15. Gajapippali – Piper chaba – 3 g
16. Katuka – Picrorrihiza kurroa – 3 g
17. Ativisha – Aconitum heterophyllum – 3 g
18. Bharngi – Clerodendron serratum – 3 g
19. Vacha – Acorus calamus – 3 g
20. Murva – Marsdenia tenacissima – 3 g
21. Triphala – Haritaki – Terminalia chebula, Vibhitaki – Terminalia bellirica, Amla – Emblica officinalis 40 g each
22. Shuddha guggulu – Purified resin of Commiphora mukul 180 g
23. Vanga Bhasma – 48 g
24. Roupya Bhasma – 48 g
25. Naga Bhasma – 48 g
26. Loha Bhasma – 48 g
27. Abhraka Bhasma – 48 g
28. Mandura Bhasma – 48 g
29. Rasasindhura – 48 g

Doses; 1 – 2 tablets 2 – 3 times a day, before or after food or as directed by Ayurvedic doctor.
Special co-drinks
Based on the target disease, special co drinks are explained for mahayogaraja guggulu.
For Vata diseases like arthritis it is usually co prescribed with Rasnadi Kashayam
For Pitta imbalance diseases, it is administered with decoction of Kakolyadi group of herbs.
For kapha imbalance disease, it is administered with Aragwadhadi kashayam
For treating diabetes, it is used along with kashayam of Daruharidra – Berberis aristata.
For treating anemia, it is administered along with cow urine
For treating obesity, it is administered along with honey
For treating skin diseases, it is given along with neem decoction
For treating gout, it is given with Giloya – Tinospora cordifolia
For treating pain and inflammation, it is given with kashayam of long pepper.
For treating rat bite, it is given with kashayam of Patala – Stereospermum suaveolens
For treating eye diseases, it is given along with Triphala kashayam 
For treating ascites, it is given along with Punarnavadi kashayam.
There are no known side effects with this medicine.
This medicine is manufactured with herbal-processed heavy metal ingredients within the limits defined in traditional Ayurvedic text books. Hence it should only be taken under strict medical supervision.
Self medication with this medicine is discouraged.
Very high dose than prescribed may lead to stomach irritation.

 Ingredients: 

benefits: 

It is widely used in the Ayurvedic treatment of joint diseases, skin diseases, piles, sprue, diabetes, gout, fistula, bloating, emaciation, low digestion power, asthma, cold, cough, anorexia, male and female infertility.

Effect on Tridosha – Calms all the three Doshas – Vata, Pitta and Kapha.

1.