{"id":3841,"date":"2023-02-12T13:53:51","date_gmt":"2023-02-12T08:23:51","guid":{"rendered":"https:\/\/ayurvedanetworkbhu.com\/?p=3841"},"modified":"2023-02-14T14:07:18","modified_gmt":"2023-02-14T08:37:18","slug":"lecture-not-approach-to-ayurveda-treatmentpart-4-by-prof-muralidhara-sharma","status":"publish","type":"post","link":"https:\/\/ayurvedanetworkbhu.com\/?p=3841","title":{"rendered":"Lecture Note: &#8220;Approach to Ayurveda Treatment&#8221;(Part-4) 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-4)<\/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 style=\"text-align: justify;\">There could be a simple common cold that immediately turns out bleeding. I have given a name to this condition as hemorrhagic rhinitis. In contemporary medicine, it is mentioned as one of the complications the rhinitis rather than in a special category. Patients may appear with clinical presentation of hemorrhage I consider this condition <em>Raktaja Pratishyaya <\/em>where bleeding is one of the features. My prescription would be <em>Sootashekhara Rasa, Kamadudha, <\/em><em>Draksharishta \/ Usheerasava, <\/em>and <em>Anutaila Nasya.<\/em> This is one of the areas where we can have definite change.<em> Anutaila Nasya<\/em> has to be used only after the bleeding has stopped. Usually, the bleeding subsides within 2-3 days of starting the treatment. <em>Anutaila Nasya <\/em>can be used for a prolonged period and it prevents complications definitely.<\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0930\u0915\u094d\u0924\u091c\u0947 \u0924\u0941 \u092a\u094d\u0930\u0924\u093f\u0936\u094d\u092f\u093e\u092f\u0947 \u0930\u0915\u094d\u0924\u093e\u0938\u094d\u0930\u093e\u0935\u0903 \u092a\u094d\u0930\u0935\u0930\u094d\u0924\u0924\u0947 |<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0924\u093e\u092e\u094d\u0930\u093e\u0915\u094d\u0937\u0936\u094d\u091a \u092d\u0935\u0947\u091c\u094d\u091c\u0928\u094d\u0924\u0941\u0930\u0941\u0930\u094b\u0918\u093e\u0924\u092a\u094d\u0930\u092a\u0940\u0921\u093f\u0924\u0903 ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0926\u0941\u0930\u094d\u0917\u0928\u094d\u0927\u094b\u091a\u094d\u091b\u094d\u0935\u093e\u0938\u0935\u0926\u0928\u0938\u094d\u0924\u0925\u093e \u0917\u0928\u094d\u0927\u093e\u0928\u094d\u0928 \u0935\u0947\u0924\u094d\u0924\u093f \u091a |<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u092e\u0942\u0930\u094d\u091a\u094d\u091b\u0928\u094d\u0924\u093f \u091a\u093e\u0924\u094d\u0930 \u0915\u0943\u092e\u092f\u0903 \u0936\u094d\u0935\u0947\u0924\u093e\u0903 \u0938\u094d\u0928\u093f\u0917\u094d\u0927\u093e\u0938\u094d\u0924\u0925\u093e\u093d\u0923\u0935\u0903 ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0915\u0943\u092e\u093f\u092e\u0942\u0930\u094d\u0927\u0935\u093f\u0915\u093e\u0930\u0947\u0923 \u0938\u092e\u093e\u0928\u0902 \u091a\u093e\u0938\u094d\u092f \u0932\u0915\u094d\u0937\u0923\u092e\u094d |<\/strong><\/span><br \/>\n<strong>Su.Ut 24\/12,13,14<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Treatment<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>Sootashekhara Rasa<\/em> \u00a01 BD<br \/>\n<em>Kamadugha [Plain]<\/em> \u00a0\u00a0\u00a0\u00a0\u00a0\u00a01BD<br \/>\n<em>Draksharishta \/ Usheerasava<\/em> \u00a02 tsf BD<br \/>\n<em>Anutaila Nasya<\/em>\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a03 weeks<\/p>\n<p style=\"text-align: justify;\"><strong>Atrophic rhinitis<br \/>\n<\/strong>If the condition remain persistent for a prolonged duration and patient visits late to the physician then it may result in atrophic changes. This is one of the areas where there is a severe limitation and prognosis is poor. Neither contemporary system nor allopathic system produces any satisfactory relief but still patients may continue with Ayurvedic management.<\/p>\n<p style=\"text-align: justify;\">Some of the patients may continue their management for one or two months then go to another doctor and so on. So they will be having experience with many doctors and they tend to be eternal patients. Usually when a patient of an atrophic rhinitis comes to me, I sent the patient to the ENT Specialist. When contemporary medication does not provide satisfactory results, patient return to Ayurveda physician. While dealing with atrophic rhinitis patients your communication ability to convince the patient is one issue and your management is another issue.<\/p>\n<p style=\"text-align: justify;\"><em>Virechan<\/em> is one of the procedure which can often produce a significant changes.\u00a0 It could be a chance factor. Many times repeated <em>Virechan<\/em> produce significant changes. <em>Sushruta<\/em> has very clearly mentioned changes that could be observed in atrophic rhinitis while explaining\u00a0\u00a0 \u2018<em>Dushtapratishyay\u2019<\/em> or \u2018<em>Aanah\u2019<\/em> and also mentioned about poor prognosis.<\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u092a\u094d\u0930\u0915\u094d\u0932\u093f\u0926\u094d\u092f\u0924\u093f\u092a\u0941\u0928\u0930\u094d\u0928\u093e\u0938\u093e \u092a\u0941\u0928\u0936\u094d\u091a \u092a\u0930\u093f\u0936\u0941\u0937\u094d\u092f\u0924\u093f ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u092e\u0941\u0939\u0941\u0930\u093e\u0928\u0939\u094d\u092f\u0924\u0947 \u091a\u093e\u092a\u093f \u092e\u0941\u0939\u0941\u0930\u094d\u0935\u093f\u0935\u094d\u0930\u093f\u092f\u0924\u0947 \u0924\u0925\u093e |<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0928\u093f\u0903\u0936\u094d\u0935\u093e\u0938\u094b\u091a\u094d\u091b\u094d\u0935\u093e\u0938\u0926\u094c\u0930\u094d\u0917\u0928\u094d\u0927\u094d\u092f\u0902 \u0924\u0925\u093e \u0917\u0928\u094d\u0927\u093e\u0928\u094d\u0928 \u0935\u0947\u0924\u094d\u0924\u093f \u091a ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u090f\u0935\u0902 \u0926\u0941\u0937\u094d\u091f\u092a\u094d\u0930\u0924\u093f\u0936\u094d\u092f\u093e\u092f\u0902 \u091c\u093e\u0928\u0940\u092f\u093e\u0924\u094d \u0915\u0943\u091a\u094d\u091b\u094d\u0930\u0938\u093e\u0927\u0928\u092e\u094d | <\/strong><\/span><br \/>\n<strong>Su. Ut24\/14.15,16<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Treatment:<br \/>\n<\/strong><strong>Poor prognosis<br \/>\n<\/strong><em>Mritytunjaya Rasa<br \/>\n<\/em><em>Soota shekhara rasa<br \/>\n<\/em><em>Godanti+Avipathikara Choorna<br \/>\n<\/em><em>Virechana<\/em><\/p>\n<p style=\"text-align: justify;\"><strong>Nasal polyp formations<br \/>\n<\/strong>Patient having allergic tendency may end up either with atrophic changes or with the polyp formation. When polyp formation occurs we consider it as <em>Tridoshaja<\/em> variety or <em>Nasarsha <\/em>where a typical standard polyp would be visible, shapes of the polyp could be any it could be a non pedunculated bulging or pedunculated hanging sort of bulging<\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0926\u094b\u0937\u0948\u0938\u094d\u0924\u094d\u0930\u093f\u092d\u093f\u0938\u094d\u0924\u0948\u0903 \u092a\u0943\u0925\u0917\u0947\u0915\u0936\u0936\u094d\u091a \u092c\u094d\u0930\u0942\u092f\u093e\u0924\u094d\u0924\u0925\u093e\u093d\u0930\u094d\u0936\u093e\u0902\u0938\u093f \u0924\u0925\u0948\u0935 \u0936\u094b\u092b\u093e\u0928\u094d ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0936\u093e\u0932\u093e\u0915\u094d\u092f\u0938\u093f\u0926\u094d\u0927\u093e\u0928\u094d\u0924\u092e\u0935\u0947\u0915\u094d\u0937\u094d\u092f \u091a\u093e\u092a\u093f \u0938\u0930\u094d\u0935\u093e\u0924\u094d\u092e\u0915\u0902 \u0938\u092a\u094d\u0924\u092e\u092e\u0930\u094d\u092c\u0941\u0926\u0902 \u0924\u0941 |<\/strong><\/span><br \/>\n<strong>Su.Ut 22\/18.19<\/strong><\/p>\n<p>When polyp develops after middle age or above 40 years age, it need to have surgical exploration in the form of biopsy is needed. Chances of having a malignant growth are higher. Most of time malignancy cannot be predicted simply by visual perception. Usually we have some conventional feeling regarding malignancy like surface is fragile and so on. But the actual presentation may be quiet misleading. Therefore it is always safer to have confirmation whether patient is having tumour pathology or not. If it is malignant growth then our treatment would not be helpful as it is considered to be incurable (<em>Asadhya).<\/em><\/p>\n<p style=\"text-align: justify;\">If patient comes to us at terminal stage then approach to the management will be different. If you have proved case of non-malignant condition then <em>Mrityunjaya Rasa,Triphala Guggulu,Amritarishta ,Anutaila Nasya<\/em> may help to the patient.In case of children chances of malignancy are rare but in case elderly patient its better to rule out malignancy.<\/p>\n<p style=\"text-align: justify;\"><strong>Nasal polyps<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0915\u092b\u093e\u0935\u0943\u0924\u094b \u0935\u093e\u092f\u0941\u0930\u0941\u0926\u093e\u0928\u0938\u091e\u094d\u091c\u094d\u091e\u094b \u092f\u0926\u093e \u0938\u094d\u0935\u092e\u093e\u0930\u094d\u0917\u0947 \u0935\u093f\u0917\u0941\u0923\u0903 \u0938\u094d\u0925\u093f\u0924\u0903 \u0938\u094d\u092f\u093e\u0924\u094d ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0918\u094d\u0930\u093e\u0923\u0902 \u0935\u0943\u0923\u094b\u0924\u0940\u0935 \u0924\u0926\u093e \u0938 \u0930\u094b\u0917\u094b \u0928\u093e\u0938\u093e\u092a\u094d\u0930\u0924\u0940\u0928\u093e\u0939 \u0907\u0924\u093f \u092a\u094d\u0930\u0926\u093f\u0937\u094d\u091f\u0903 |<\/strong><\/span><br \/>\n<strong>Su. Ut 22\/15,16<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0915\u092b\u093e\u0935\u0943\u0924\u094b \u0935\u093e\u092f\u0941\u0930\u0941\u0926\u093e\u0928\u0938\u091e\u094d\u091c\u094d\u091e\u094b \u092f\u0926\u093e \u0938\u094d\u0935\u092e\u093e\u0930\u094d\u0917\u0947 \u0935\u093f\u0917\u0941\u0923\u0903 \u0938\u094d\u0925\u093f\u0924\u0903 \u0938\u094d\u092f\u093e\u0924\u094d ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0918\u094d\u0930\u093e\u0923\u0902 \u0935\u0943\u0923\u094b\u0924\u0940\u0935 \u0924\u0926\u093e \u0938 \u0930\u094b\u0917\u094b \u0928\u093e\u0938\u093e\u092a\u094d\u0930\u0924\u0940\u0928\u093e\u0939 \u0907\u0924\u093f \u092a\u094d\u0930\u0926\u093f\u0937\u094d\u091f\u0903 |<\/strong><\/span><br \/>\n<strong>Su. Ut. 22\/15,16<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Treatment:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong><em>Mrityunjaya Rasa<br \/>\n<\/em><\/strong><strong><em>Triphala Guggulu<br \/>\n<\/em><\/strong><strong><em>Amritarishta<br \/>\n<\/em><\/strong><strong><em>Anutaila Nasya<\/em><\/strong><\/p>\n<p style=\"text-align: justify;\"><strong><em><u>Dosha \u2013 TRIDOSHAJA , Yapya <\/u><\/em><\/strong><\/p>\n<p style=\"text-align: justify;\">Mostly palliative management<br \/>\nSurgical intervention to rule out tumours<\/p>\n<p style=\"text-align: justify;\"><strong>Vatakapahaja jvara \u2013 Tendency to involve lower respiratory tract?? Bronchitis<\/strong><\/p>\n<p style=\"text-align: justify;\">We are often referred to<em> Jwara<\/em>, certain other issues of variables of<em> Jwara<\/em> which we can have clinically are considered here with minimal academically theory. One of the common fever would be where the patient continued to have fever and nasal discharge might not significant but patient tends to develop lower respiratory tract involvement within a day or shorter duration. On the first day patient may have some feeling like cold. Second day patient may have pain in throat. Next day patient may have cough and wheezing and so on. In such condition I would start combination of <em>Laghusoot Shekhar<\/em> and <em>Talisadi<\/em> \u00a0\u00a0in the beginning itself so that next complications can be prevented. This presentation is similar to symptoms explained under <em>Vata Kapha Jwara<\/em>. In case of <em>VataKaphaja Jwara<\/em> where patient would have more sever systemic symptoms like joint pain, lethargy and cough developed within a day.\u00a0 Use of antibiotics found quiet frequent in this type of patients. Many times patient may some other systemic factors which made them susceptible for virulent infection. In that patient it could be safer to start with <em>Laghusoot Mishran<\/em> in the beginning itself before patient develops symptoms.\u00a0 In that condition instead of <em>Amrutarishta<\/em> I would prefer Pippalyasava \/ Kumari asava that would have more <em>Pachan to <\/em>help in resolution of cough.<\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0938\u094d\u0924\u0948\u092e\u093f\u0924\u094d\u092f\u0902 \u092a\u0930\u094d\u0935\u0923\u093e\u0902 \u092d\u0947\u0926\u094b \u0928\u093f\u0926\u094d\u0930\u093e \u0917\u094c\u0930\u0935\u092e\u0947\u0935 \u091a ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0936\u093f\u0930\u094b\u0917\u094d\u0930\u0939\u0903 \u092a\u094d\u0930\u0924\u093f\u0936\u094d\u092f\u093e\u092f\u0903 \u0915\u093e\u0938\u0903 \u0938\u094d\u0935\u0947\u0926\u092a\u094d\u0930\u0935\u0930\u094d\u0924\u0928\u092e\u094d |<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0938\u0928\u094d\u0924\u093e\u092a\u094b \u092e\u0927\u094d\u092f\u0935\u0947\u0917\u0936\u094d\u091a \u0935\u093e\u0924\u0936\u094d\u0932\u0947\u0937\u094d\u092e\u091c\u094d\u0935\u0930\u093e\u0915\u0943\u0924\u093f\u0903 || <\/strong><\/span><br \/>\n<strong>Su. Ut 39\/48,49<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Treatment<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>Mrityunjaya Rasa<br \/>\n<\/em><em>Tribhuvanakeerthi Rasa<br \/>\n<\/em><em>Laghusoota Mishrana<br \/>\n<\/em><em>Pippalyasava \/ Kumari Asava<\/em><\/p>\n<p style=\"text-align: justify;\"><strong>Septic and atrophic changes [Nasapaka]<\/strong><\/p>\n<p style=\"text-align: justify;\">Severe atrophic or septic changes in nasal mucosa could be complications of chronic rhinitis or sinusitis. In such conditions, nasal examination reveals lots of pus-like discharge and hardened calcification. This condition has been described by <em>Sushruta<\/em> as <em>Nasapaka<\/em> where typical pus formation occurs and the patient would have tenderness and visible swelling. According to <em>Sushruta\u00a0\u00a0 Nasapak<\/em> is an incurable condition. The use of antibiotics would be necessary for this condition. \u00a0Either refer the patient to others for prescription or you prescribe it. Most of the time it would be gram-positive infections. \u00a0You can prescribe suitable antibiotics for gram-positive infection or you can refer the patient. Simply managing alone with Ayurveda treatment may not be possible because <em>Sushruta <\/em>described this condition as incurable.\u00a0 If any condition described in<em> Samhita<\/em> as incurable then I consider that as a limitation for Ayurvedic treatment.\u00a0 The number of patients suffering from this condition is lesser. My advice would be to refer a patient to contemporary medicine.<\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0918\u094d\u0930\u093e\u0923\u093e\u0936\u094d\u0930\u093f\u0924\u0902 \u092a\u093f\u0924\u094d\u0924\u092e\u0930\u0942\u0902\u0937\u093f \u0915\u0941\u0930\u094d\u092f\u093e\u0926\u094d\u092f\u0938\u094d\u092e\u093f\u0928\u094d \u0935\u093f\u0915\u093e\u0930\u0947 \u092c\u0932\u0935\u093e\u0902\u0936\u094d\u091a \u092a\u093e\u0915\u0903 |<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0924\u0902 \u0928\u093e\u0938\u093f\u0915\u093e\u092a\u093e\u0915\u092e\u093f\u0924\u093f \u0935\u094d\u092f\u0935\u0938\u094d\u092f\u0947\u0926\u094d\u0935\u093f\u0915\u094d\u0932\u0947\u0926\u0915\u094b\u0925\u093e\u0935\u092a\u093f \u092f\u0924\u094d\u0930 \u0926\u0943\u0937\u094d\u091f\u094c |<\/strong><\/span><br \/>\n<strong>Su.Ut22\/8,9<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Rhinitis with purulent discharges [Pootinasa]<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0926\u094b\u0937\u0948\u0930\u094d\u0935\u093f\u0926\u0917\u094d\u0927\u0948\u0930\u094d\u0917\u0932\u0924\u093e\u0932\u0941\u092e\u0942\u0932\u0947 \u0938\u0902\u0935\u093e\u0938\u093f\u0924\u094b \u092f\u0938\u094d\u092f \u0938\u092e\u0940\u0930\u0923\u0938\u094d\u0924\u0941 ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0928\u093f\u0930\u0947\u0924\u093f \u092a\u0942\u0924\u093f\u0930\u094d\u092e\u0941\u0916\u0928\u093e\u0938\u093f\u0915\u093e\u092d\u094d\u092f\u093e\u0902 \u0924\u0902 \u092a\u0942\u0924\u093f\u0928\u093e\u0938\u0902 \u092a\u094d\u0930\u0935\u0926\u0928\u094d\u0924\u093f \u0930\u094b\u0917\u092e\u094d |<\/strong><\/span><br \/>\n<strong>Su. Ut 22\/7,8<\/strong><\/p>\n<p style=\"text-align: center;\"><em>Tridoshaja , Yapya <\/em>or<em> Asadhya<\/em> condition.<\/p>\n<p style=\"text-align: justify;\"><strong>Treatment<\/strong><\/p>\n<p style=\"text-align: justify;\">A course of antibiotics is necessary. Surgical exploration may be needed.<\/p>\n<p style=\"text-align: justify;\"><strong>Pittaja jvara<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ffcc00;\"><strong>\u0935\u0947\u0917\u0938\u094d\u0924\u0940\u0915\u094d\u0937\u094d\u0923\u094b\u093d\u0924\u093f\u0938\u093e\u0930\u0936\u094d\u091a \u0928\u093f\u0926\u094d\u0930\u093e\u0932\u094d\u092a\u0924\u094d\u0935\u0902 \u0924\u0925\u093e \u0935\u092e\u093f\u0903 |<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u0915\u0923\u094d\u0920\u094c\u0937\u094d\u0920\u092e\u0941\u0916\u0928\u093e\u0938\u093e\u0928\u093e\u0902 \u092a\u093e\u0915\u0903 \u0938\u094d\u0935\u0947\u0926\u0936\u094d\u091a \u091c\u093e\u092f\u0924\u0947 ||<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u092a\u094d\u0930\u0932\u093e\u092a\u0903 \u0915\u091f\u0941\u0924\u093e \u0935\u0915\u094d\u0924\u094d\u0930\u0947 \u092e\u0942\u0930\u094d\u091a\u094d\u091b\u093e \u0926\u093e\u0939\u094b \u092e\u0926\u0938\u094d\u0924\u0943\u0937\u093e |<\/strong><\/span><br \/>\n<span style=\"color: #ffcc00;\"><strong>\u092a\u0940\u0924\u0935\u093f\u0923\u094d\u092e\u0942\u0924\u094d\u0930\u0928\u0947\u0924\u094d\u0930\u0924\u094d\u0935\u0902 \u092a\u0948\u0924\u094d\u0924\u093f\u0915\u0947 \u092d\u094d\u0930\u092e \u090f\u0935 \u091a ||<\/strong><\/span><br \/>\n<strong>Su. Ut 39\/31,32<\/strong><\/p>\n<p style=\"text-align: justify;\">In <em>Pittaja Jwara<\/em> patient may have yellowish discolouration of skin. I would consider viral hepatitis as <em>Pittaj Jwara<\/em>. If liver function tests are suggestive of obstructive pathology then it is another limitation for Ayurveda treatment. In non-obstructive condition even if bilirubin level is raised and at the same time transaminase levels are also raised (AST&gt;1000) then Ayurveda treatment would definitely help. If AST levels are lowered upto 200 -300 and bilirubin level tends to rise then prognosis would be poor. Either refer the patient to someone else or go for further level of investigation as simple liver function test would not be enough. You have identify cause of obstruction and treatment would be more specific. In case of\u00a0\u00a0 my treatment would be <em>Mrityunjaya Rasa,Arogya vardhini rasa,Kumari asava. <\/em>If it is viral hepatitis, we can manage the patient Ayurveda treatment as long as patient does not having altered sensorium or cerebral irritation signs.\u00a0 It is advisable to do serum electrolytes if patient has sever vomiting. \u00a0It is not possible to manage patient alone with Ayurveda treatment if there is electrolyte imbalance. Electrolyte replacement may be needed therefore it is better to admit the patient and keep under observation. OPD level treatment may be risky because changes occur very rapidly. A patient who seems to be healthy now may become very sick in few hours, so it is better to keep patient under observation till the febrile condition is over. A simple causal regular practice may not possible in this situation still we can manage with Ayurvedic treatment alone. We have to give importance to investigation and investigations may have to be repeatedly seen and follow up has to be done. Depending upon patient\u2019s status supplementation of electrolytes, vitamin K may require.<\/p>\n<p style=\"text-align: justify;\"><strong>Investigations<\/strong> \u2013 Haemogram, Liver function tests<\/p>\n<p style=\"text-align: justify;\"><em>Mrityunjaya Rasa<br \/>\n<\/em><em>Arogya vardhini Rasa<br \/>\n<\/em><em>Kumari Asava<\/em><\/p>\n<p style=\"text-align: justify;\"><em>\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Approach to Ayurveda Treatment (Part-4) Prof. Muralidhar Sharma based on the lecture available at&#8211;Approach to Ayurvedic Practice There could be a simple common cold that immediately turns out bleeding. I have given a name to this condition as hemorrhagic rhinitis. In contemporary medicine, it is mentioned as one of the complications the rhinitis rather than [&hellip;]<\/p>\n","protected":false},"author":20,"featured_media":3842,"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-3841","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-4) Prof. Muralidhar Sharma based on the lecture available at-Approach to Ayurvedic Practice There could be a simple common cold that immediately turns out bleeding. I have given a name to this condition as hemorrhagic rhinitis. 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