﻿{"id":3837,"date":"2023-02-11T13:38:19","date_gmt":"2023-02-11T08:08:19","guid":{"rendered":"https:\/\/ayurvedanetworkbhu.com\/?p=3837"},"modified":"2023-02-14T14:07:14","modified_gmt":"2023-02-14T08:37:14","slug":"lecture-not-approach-to-ayurveda-treatmentpart-3-by-prof-muralidhara-sharma","status":"publish","type":"post","link":"https:\/\/ayurvedanetworkbhu.com\/?p=3837","title":{"rendered":"Lecture Note: &#8220;Approach to Ayurveda Treatment&#8221;(Part-3) by Prof. Muralidhara Sharma"},"content":{"rendered":"<h2 style=\"text-align: center;\"><strong><span style=\"color: #993366;\">Approach to Ayurveda Treatment<br \/>\n<\/span><\/strong><span style=\"color: #000000;\">(Part-3)<\/span><\/h2>\n<p style=\"text-align: center;\"><strong>Prof. Muralidhar Sharma<br \/>\n<\/strong><span style=\"color: #808080;\">based on the lecture available at<span style=\"color: #3366ff;\">&#8211;<\/span><\/span><span style=\"color: #00ccff;\"><a style=\"color: #00ccff;\" href=\"https:\/\/ayurvedanetworkbhu.com\/a-lecture-on-approach-to-ayurvedic-practice-by-prof-muralidhara-sharma\/\">Approach to Ayurvedic Practice<\/a><\/span><\/p>\n<p><strong>Rhinitis with post nasal drip [II] \u2013 Kshavathu<br \/>\n<\/strong>The presence of thicker and more profuse discharge may be present when patients visit after two to three days. In some patients, these symptoms may be present from the beginning itself.\u00a0 You can see the nasal discharge in the provided image. Patients tend to have more persistent sneezing and the number of sneezes may be 10, 20, or more in number. In these conditions, you may get <em>Vataja <\/em>Lakshan, many times<em> Vata Pittaja, or Vata Kaphaj Lakshan. <\/em>Depending upon the clinical presentation you have to use the medicine for a longer duration. If the patient is more febrile then I would prefer <em>Mritunjay Rasa, Tribhuvankirti, <\/em>and<em> Amrutarishta. \u00a0\u00a0<\/em><\/p>\n<p>If the patient has a comparatively lesser fever but more sneezing and nasal discharge are more I would prefer <em>Mrityunjaya Rasa, Laghusoota shekhara Rasa,<\/em> and <em>Amritarishta<\/em>. The duration of treatment would be of two weeks. Because in these conditions you won&#8217;t expect the results in three or four days. If you will advise the patient to continue these medicines for two weeks, definitely the patient will follow the treatment because at this stage Acetaminophen (Paracetamol) and Chlorpheniramine (CPM) won\u2019t help at all. That&#8217;s the limitation. Either patient would have already tried Acetaminophen (Paracetamol), Chlorpheniramine (CPM), or sometimes patients come in the beginning stages. An important issue is to predict the duration of treatment and give the correct advice.<\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0918\u094d\u0930\u093e\u0923\u093e\u0936\u094d\u0930\u093f\u0924\u0947 \u092e\u0930\u094d\u092e\u0923\u093f \u0938\u092e\u094d\u092a\u094d\u0930\u0926\u0941\u0937\u094d\u091f\u0947 \u092f\u0938\u094d\u092f\u093e\u0928\u093f\u0932\u094b \u0928\u093e\u0938\u093f\u0915\u092f\u093e \u0928\u093f\u0930\u0947\u0924\u093f ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0915\u092b\u093e\u0928\u0941\u092f\u093e\u0924\u094b \u092c\u0939\u0941\u0936\u0903 \u0938\u0936\u092c\u094d\u0926\u0938\u094d\u0924\u0902 \u0930\u094b\u0917\u092e\u093e\u0939\u0941\u0903 \u0915\u094d\u0937\u0935\u0925\u0941\u0902 \u0935\u093f\u0927\u093f\u091c\u094d\u091e\u093e\u0903 |<\/strong><\/span><br \/>\n<strong>Su.Ut.22\/11,12<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0906\u0928\u0926\u094d\u0927\u093e \u092a\u093f\u0939\u093f\u0924\u093e \u0928\u093e\u0938\u093e \u0924\u0928\u0941\u0938\u094d\u0930\u093e\u0935\u092a\u094d\u0930\u0935\u0930\u094d\u0924\u093f\u0928\u0940 |<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0917\u0932\u0924\u093e\u0932\u094d\u0935\u094b\u0937\u094d\u0920\u0936\u094b\u0937\u0936\u094d\u091a \u0928\u093f\u0938\u094d\u0924\u094b\u0926\u0903 \u0936\u0919\u094d\u0916\u092f\u094b\u0938\u094d\u0924\u0925\u093e |<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0938\u094d\u0935\u0930\u094b\u092a\u0918\u093e\u0924\u0936\u094d\u091a \u092d\u0935\u0947\u0924\u094d \u092a\u094d\u0930\u0924\u093f\u0936\u094d\u092f\u093e\u092f\u0947\u093d\u0928\u093f\u0932\u093e\u0924\u094d\u092e\u0915\u0947 |<\/strong><\/span><br \/>\n<strong>Su.Ut.24\/6,7<\/strong><\/p>\n<p><strong>Treatment:<\/strong><\/p>\n<p><em>Mrityunjaya Rasa<\/em> 1BD<br \/>\n<em>Tribhuvana keerthi<\/em> Rasa 1BD<br \/>\nOR<br \/>\n<em>Laghusoota shikhara rasa<\/em> 1BD<br \/>\n<em>Amritarishta<\/em> 2 tsf BD\u00a0 2 weeks<\/p>\n<p style=\"text-align: justify;\"><strong>Dosha -VATAKAPHA<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Chronic rhinitis \/Sinusitis:<\/strong><\/p>\n<p style=\"text-align: justify;\">Patients with chronic rhinitis or sinusitis who tried medicine of contemporary medicine but have not obtained satisfactory results often visit Ayurveda consultants. When the condition becomes more chronic, the patient would have thick and more discharges. You can see the discharge over the nasal area continuously and even there could be involvement of systemic features. Patients may have reduced appetite, lethargy, or complication of the febrile condition. These are the patients where it&#8217;s an Ayurvedic treatment that has an upper edge over contemporary medicine. Contemporary medicine prescription includes phenylephrine drops that give immediate relief but the congestion continued. With continuous use of phenylephrine, patients have relief for a transient period but in due course of time discharge becomes hard and consolidated. Afterward, patients would become patent patients for ayurvedic medicine. My prescription would be <em>Mrityunjaya Rasa Sootashekhara Rasa <\/em>and <em>Pippalyasava <\/em>or<em> Somasava. <\/em>I prefer<em> Somasava <\/em>when patients tend to have lower respiratory tract infections.<\/p>\n<p style=\"text-align: justify;\">This is the stage where the<em> Nasya<\/em> would help. I always prefer <em>Anutaila Nasya<\/em>.\u00a0 Any other <em>Nasya<\/em> would help. The use of<em> Nasya<\/em> in the initial stages of fever aggravates the condition. I don\u2019t recommend <em>Nasya<\/em> in the initial stages but only when discharge tends to become thicker along with predominant symptoms of <em>Pitta <\/em>or <em>Vata<\/em>. When the color of discharge becomes yellowish and thicker similar to the <em>Ghrita <\/em>the condition indicated for <em>Nasya. <\/em>Most of the time patients may feel worse if Nasya is used in earlier stages. Nasya would not harm the patient in long run but in the short duration, patients would not be convinced about the treatment. The patients may not continue with the treatment prescribed by you.<\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0909\u0937\u094d\u0923\u0903 \u0938\u092a\u0940\u0924\u0915\u0903 \u0938\u094d\u0930\u093e\u0935\u094b \u0918\u094d\u0930\u093e\u0923\u093e\u0924\u094d \u0938\u094d\u0930\u0935\u0924\u093f \u092a\u0948\u0924\u094d\u0924\u093f\u0915\u0947 ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0915\u0943\u0936\u094b\u093d\u0924\u093f\u092a\u093e\u0923\u094d\u0921\u0941\u0903 \u0938\u0928\u094d\u0924\u092a\u094d\u0924\u094b \u092d\u0935\u0924\u094d\u0924\u0943\u0937\u094d\u0923\u093e\u0928\u093f(\u092d\u093f)\u092a\u0940\u0921\u093f\u0924\u0903 |<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0938\u0927\u0942\u092e\u0902 \u0938\u0939\u0938\u093e \u0935\u0939\u094d\u0928\u093f\u0902 \u0935\u092e\u0924\u0940\u0935 \u091a \u092e\u093e\u0928\u0935\u0903 ||<\/strong><\/span><br \/>\n<strong>Su. Ut. 24\/ 7,8<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Treatment:<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>Mrityunjaya Rasa<\/em> 1BD<br \/>\n<em>Sootashekhara Rasa<\/em> 1 BD<br \/>\n<em>Pippalyasava \/ Somasava<\/em> 2 tsf BD<br \/>\n<em>Anutaila Nasya<\/em>\u00a0 3 weeks<\/p>\n<p style=\"text-align: justify;\"><strong><u>Dosha \u2013PITTAVATA,\u00a0 TRIDOSHA<br \/>\n<\/u><\/strong><strong>Chronic sinusitis \u2013 Bhramshathu<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u092a\u094d\u0930\u092d\u094d\u0930\u0936\u094d\u092f\u0924\u0947 \u0928\u093e\u0938\u093f\u0915\u092f\u0948\u0935 \u092f\u0936\u094d\u091a \u00a0\u0938\u093e\u0928\u094d\u0926\u094d\u0930\u094b \u0935\u093f\u0926\u0917\u094d\u0927\u094b \u0932\u0935\u0923\u0903 \u0915\u092b\u0938\u094d\u0924\u0941 ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u092a\u094d\u0930\u093e\u0915\u094d \u0938\u091e\u094d\u091a\u093f\u0924\u094b \u092e\u0942\u0930\u094d\u0927\u0928\u093f \u092a\u093f\u0924\u094d\u0924\u0924\u092a\u094d\u0924\u0938\u094d\u0924\u0902 \u092d\u094d\u0930\u0902\u0936\u0925\u0941\u0902 \u0935\u094d\u092f\u093e\u0927\u093f\u092e\u0941\u0926\u093e\u0939\u0930\u0928\u094d\u0924\u093f |<\/strong><\/span><br \/>\n<strong>Su. Ut.22\/13,14<\/strong><\/p>\n<p style=\"text-align: justify;\">\u00a0 \u00a0Frequent use of vasoconstrictor drops causes consolidation of discharge. This condition is described by<em> Sushruta<\/em> as <em>Bhramshathu<\/em>. In this condition, discharge is more and patients often may feel the salty taste of discharge in the throat.\u00a0 A patient giving a history of salty discharge coming through which we say is \u2018Post Nasal Drip\u2019 causing irritation at that area. Patients may have pain in the sinuses, mostly in the frontal sinus and later in the maxillary sinus. Slight variations in the clinical presentation do occur. Some patients may present with pain in the maxillary sinus from the beginning itself. In this condition, secretion gets hardened and the duration of treatment has to be enhanced. I prefer the same prescription discussed earlier for two months. At this stage, contemporary medicine does not help at all. Only potent analgesic Tramadol Hydrochloride (Ultracet) may help in relieving symptoms. A patient would not able to continue with treatment and one or other day patients come to an Ayurveda practitioner for taking treatment. Particularly those who have used antibiotics, in the beginning, reach this quite early. In viral condition antibiotic should not be prescribed in the initial period. But this kind of practice does exist very commonly. Plenty of patients of this category visit Ayurveda practitioners because of other systems&#8217; of malpractice.<\/p>\n<p style=\"text-align: justify;\"><strong>Treatment<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>Mrityunjaya Rasa<\/em> 1BD<br \/>\n<em>Sootashekhara Rasa<\/em> 1 BD<br \/>\n<em>Pippalyasava \/ Somasava<\/em> \u00a02 tsf BD<br \/>\n<em>Anutaila Nasya<\/em>\u00a0 \u00a08 weeks<br \/>\n<em>Dosha \u2013 Kaphapitta,\u00a0 Tridosha<\/em><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u092a\u094d\u0930\u092d\u094d\u0930\u0936\u094d\u092f\u0924\u0947 \u00a0\u0928\u093e\u0938\u093f\u0915\u092f\u0948\u0935 \u092f\u0936\u094d\u091a\u00a0 \u0938\u093e\u0928\u094d\u0926\u094d\u0930\u094b \u0935\u093f\u0926\u0917\u094d\u0927\u094b \u0932\u0935\u0923\u0903 \u0915\u092b\u0938\u094d\u0924\u0941 || <\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u092a\u094d\u0930\u093e\u0915\u094d \u0938\u091e\u094d\u091a\u093f\u0924\u094b \u092e\u0942\u0930\u094d\u0927\u0928\u093f \u092a\u093f\u0924\u094d\u0924\u0924\u092a\u094d\u0924\u0938\u094d\u0924\u0902 \u092d\u094d\u0930\u0902\u0936\u0925\u0941\u0902 \u0935\u094d\u092f\u093e\u0927\u093f\u092e\u0941\u0926\u093e\u0939\u0930\u0928\u094d\u0924\u093f |<\/strong><\/span><br \/>\n<strong>Su.Ut22\/13,14<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Allergic rhinitis:<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u092d\u0942\u0924\u094d\u0935\u093e \u092d\u0942\u0924\u094d\u0935\u093e \u092a\u094d\u0930\u0924\u093f\u0936\u094d\u092f\u093e\u092f\u094b \u092f\u094b\u093d\u0915\u0938\u094d\u092e\u093e\u0926\u094d\u0935\u093f\u0928\u093f\u0935\u0930\u094d\u0924\u0924\u0947 ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0938\u092e\u094d\u092a\u0915\u094d\u0935\u094b \u0935\u093e\u093d\u092a\u094d\u092f\u092a\u0915\u094d\u0935\u094b \u0935\u093e \u0938 \u0938\u0930\u094d\u0935\u092a\u094d\u0930\u092d\u0935\u0903 \u0938\u094d\u092e\u0943\u0924\u0903 |<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0932\u093f\u0919\u094d\u0917\u093e\u0928\u093f \u091a\u0948\u0935 \u0938\u0930\u094d\u0935\u0947\u0937\u093e\u0902 \u092a\u0940\u0928\u0938\u093e\u0928\u093e\u0902 \u091a \u0938\u0930\u094d\u0935\u091c\u0947 || <\/strong><\/span><br \/>\n<strong>Su.Ut24\/10,11<\/strong><\/p>\n<p style=\"text-align: justify;\">When condition became more chronic and patients have persistent symptoms, presentation is similar to that of allergic rhinitis. <em>Sushruta<\/em> has been described three different types of clinical presentation. \u00a0The first type of presentation include recurrent episodes of the nasal discharge, patients may have episodes of respiratory infection for a few days, relief with usual treatment, and episode tend to occur repeatedly.\u00a0 As the condition progresses the interval between episodes gets shorter. The duration of episodes continues to increase.<\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0915\u092b\u0903 \u0915\u092b\u0915\u0943\u0924\u0947 \u0918\u094d\u0930\u093e\u0923\u093e\u091a\u094d\u091b\u0941\u0915\u094d\u0932\u0903 \u0936\u0940\u0924\u0903 \u0938\u094d\u0930\u0935\u0947\u0928\u094d\u092e\u0941\u0939\u0941\u0903 |<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0936\u0941\u0915\u094d\u0932\u093e\u0935\u092d\u093e\u0938\u0903 \u0936\u0942\u0928\u093e\u0915\u094d\u0937\u094b \u092d\u0935\u0947\u0926\u094d\u0917\u0941\u0930\u0941\u0936\u093f\u0930\u094b\u092e\u0941\u0916\u0903 ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0936\u093f\u0930\u094b\u0917\u0932\u094c\u0937\u094d\u0920\u0924\u093e\u0932\u0942\u0928\u093e\u0902 \u0915\u0923\u094d\u0921\u0942\u092f\u0928\u092e\u0924\u0940\u0935 \u091a |<\/strong><\/span><br \/>\n<strong>Su.Ut24\/9,10<\/strong><\/p>\n<p style=\"text-align: justify;\">The second type of presentation includes systemic involvement in the form of itching and rashes seen over the body. You may also get severe nasal congestion.<\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0905\u091c\u0938\u094d\u0930\u092e\u091a\u094d\u091b\u0902 \u0938\u0932\u093f\u0932\u092a\u094d\u0930\u0915\u093e\u0936\u0902 \u092f\u0938\u094d\u092f\u093e\u0935\u093f\u0935\u0930\u094d\u0923\u0902 \u0938\u094d\u0930\u0935\u0924\u0940\u0939 \u0928\u093e\u0938\u093e ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0930\u093e\u0924\u094d\u0930\u094c \u0935\u093f\u0936\u0947\u0937\u0947\u0923 \u0939\u093f \u0924\u0902 \u0935\u093f\u0915\u093e\u0930\u0902 \u0928\u093e\u0938\u093e\u092a\u0930\u093f\u0938\u094d\u0930\u093e\u0935\u092e\u093f\u0924\u093f \u0935\u094d\u092f\u0935\u0938\u094d\u092f\u0947\u0924\u094d |<\/strong><\/span><br \/>\n<strong>Su.Ut 22\/16,17<\/strong><\/p>\n<p style=\"text-align: justify;\">The third type of presentation includes persistent continuous discharge, where a patient would be using two or three handkerchiefs as an essential part of routine life. Patients may present with any of the three conditions. <em>Sushruta<\/em> has identified these three conditions separately. In contemporary medicine anti-allergic, membrane stabilizing drugs are used instead of chlorpheniramine maleate. Reduction in space of turbinate is one of the important criteria. It may tend to develop a polyp but does not establish a polyp.<\/p>\n<p style=\"text-align: justify;\">My choice of drugs would be <em>Mrityunjaya Rasa, Laghusoota Shekhar, Amritarishta, <\/em>and<em> Anutaila Nasya. <\/em>There could be some patients who are resistant to usual medical treatment. You may require procedures like Virechan or <em>Vamana <\/em>in certain patients or prolong treatment for years with <em>Haridrakhanda, and Chyavanaprasha <\/em>to prevent a recurrence. In case of severe nasal congestion with distress, I prefer <em>Makaradwaja<\/em> as the second-line treatment. \u00a0I do prefer mixing <em>Makaradwaja 1gm\/week<\/em> with 25 gm <em>Laghusootshekhar. <\/em>Prolonged treatment along with dietary restriction is necessary.<\/p>\n<p style=\"text-align: justify;\"><em>\u00a0<\/em><strong>Basic management<\/strong> \u2013<\/p>\n<p style=\"text-align: justify;\"><em>Mrityunjaya Rasa <\/em>1BD<br \/>\n<em>Laghusoota shikhara <\/em>1BD<br \/>\n<em>Amritarishta <\/em>4 tsf BD<br \/>\n<em>Anutaila Nasya\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/em>3 months<\/p>\n<p style=\"text-align: justify;\"><strong>Specific management<\/strong><\/p>\n<p style=\"text-align: justify;\">1] <em>Tridoshaja \u2013 Virechana \/Vamana<br \/>\n<\/em>2]<em>Kaphaja \u2013 Haridrakhanda, Chyavanaprasha<br \/>\n<\/em>3] <em>Nasa parisrava \u2013 Makaradwaja 1gm\/week<\/em><\/p>\n<p style=\"text-align: justify;\">\n","protected":false},"excerpt":{"rendered":"<p>Approach to Ayurveda Treatment (Part-3) Prof. Muralidhar Sharma based on the lecture available at&#8211;Approach to Ayurvedic Practice Rhinitis with post nasal drip [II] \u2013 Kshavathu The presence of thicker and more profuse discharge may be present when patients visit after two to three days. In some patients, these symptoms may be present from the beginning [&hellip;]<\/p>\n","protected":false},"author":20,"featured_media":3838,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[70,40,55],"tags":[],"class_list":["post-3837","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-prof-muralidhara-sharma","category-shalya-tantra","category-text"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"Approach to Ayurveda Treatment (Part-3) Prof. Muralidhar Sharma based on the lecture available at-Approach to Ayurvedic Practice Rhinitis with post nasal drip [II] \u2013 Kshavathu The presence of thicker and more profuse discharge may be present when patients visit after two to three days. 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