Dr Mahesh Kundagol Dr.

* Brahma Deva designated g the four types yp of the disease, , as 1)Apatanakah. 2) Samsrishta Akshepakah. 3) Samanya Akshepakah. 4)Abhighataja (traumatic).

Charaka Samhita Chikitsa Sthana 28/50

Sushruta Samhita Nidana Sthana 1/50/51

Akshepaka p is of 4 types, yp , they y are1) one due to the enraged bodily Vyu and Kapham 2)The one due to the enraged bodily Vyu &Pittam. 3)The one due to the single action of the agitated Vyu 4) & the one due to any external injury or blow (Abhightaja).

 (. .) 1) Shiravyadhana. 2) Teekshana Pradhamana Nasya. 3) Vaatgna Upahara. 4) Mahabala taila- Bala, Dashamoola, kullatha,Tila taila etc. 5) Ashwagandaadi ghritam. ghritam 6) Sarpagandha Ghana Vati. 7) Brihat Kasturi Bhairava rasa.

Madhava Nidana 22/28-30 /

Madhava Nidana 22/30-31

 An attack of Apatnkah p due to excessive haemorrhage, g or following closely upon an abortion or miscarriage at pregnancy (difficult labour), or which is incidental to an external blow or injury (traumatic), (traumatic) should be regarded as incurable. incurable 51 - 52. 52

Charaka Samhita Chikitsa Sthana 28/51,52 /

Madhava Nidana 22/32-33

 (. ) 1) 2) 3) ) 4) 5) Abhyanga with Abh i h vaatagna tailas. il Swedana. Teekshana ( (Pradamana) )N Nasya. y Ghrita paana. Chaturmukha Rasa-Parada, Gandhaka, Abhraka Bhasma, S Svarna bh bhasma, Bh Bhavana with ith Kumari, K i Trikatu, T ik t Chitrakamoola Chit k l Kwatha, dose- 150mg bidwith ashwagandaadi ghritam. 6) Ashwathaphalaadi Khwata.

 1) ) Apatantrakari p vati- 500mg g bid. 2) Bramhi Vati 250 mg bid. 3) Brihat Vata Chintamani rasa -250 mg bid. 4) Rasaraja rasa -250 mg bid. 5) Mriga Shringa Bhasma- 500mg bid. 6) Mamsyaadi kwatha 20 ml tid. ( Jatamamsi) 7) Saarasvataaritha 20 ml tid. 8) Himasaagara taila shiro abhyanga. abhyanga 9) Narayana Choorna 5gms Hs. 10) Katphala ch. nasya SOS SOS during attacks. (max 3times/day)

1) ) Mahayogaraja y g j guggulu g gg -500 mg g bid. 2) Sidhamakaradhwaja rasa - 150 mg bid. 3) Rasaraja Rasa - 150 mg bid. 4) Shringa Bhasma -500 mg bid. 5) Ashwagandhaadi Ch.- 500mg with madhu. 6) Ashwaganhaaristha -25 ml bid. 7) Chagaaladi Ghrita 10gms Hs with milk , or 8) Dasahamooladi ghritam 10gms Hs with milk. milk

1. Vataraktha line of treatment. 2. Abhynga. 3. Rooksha sweda. Kaishora Guggulu Amrutadi guggulu. Dashamoolaristha.

 . (. ) Virechana. Asthapana Vasthi. Snehavasthi. Swedana, Guggulu Prayoga. Prayoga

 Treatment As that of Khanjata and Panguta. Specially Sneha Vasthi can be administered

Rakthmokshana- Repeated p sittings. g Eranda Taila Pana. Agnidagdha Chikitsa. Guggulu Prayoga. Isthika Sweda.

 Vataraktha and Vata Kantaka Chikitsa. Dhanwantara Taila Abhyanga. Pinda TailaBrihat Vata Chinta Mani Rasa.

 Vatahara Chiktsa. Kapha Nashaka Chikitsa.

Kalyanaka y Ghrita Prayoga y g after food. Balakwatha+Saindhava Mishrana Prayoga. Sahacharadi Taila Prayoga. Brihmana.

Snehana, , Swedana. Sthanika Abhyanga. Panas Patra Sweda. Greeva Basthi. Brihmana. Nasya Karma.

Snehana. Abhyanga. Snigdha sweda. Brihmana. Vatahara Chikitsa.

Snehana. Kavala Gandoosha Prayoga. Nasya Karma. Balya Aushadi Prayoga, Lashoonadi Taila. Smrita Sagara Rasa. Vacha Rudraksha Lepa. Bala Samvardhana Ghrita, Ghrita Sarasvata Choorna , Ghrita. Speech Therapy.

Uttara Basthi. Sneha Basthi. Mootra Virechana Aushadi Prayoga. Vata Anulomana Chikitsa.

Snehana. Swedana. Virechana. Basthi. Yapana Basthi. Kapikacchu.