PANDU

UÉåaÉÇ ÌlÉSÉlÉ mÉëÉaÉëÔmÉ sɤÉhÉ EmÉzÉrÉ AÉÎmiÉÍpÉ:

Nidanam : Aetiology / Causative factors

Pragrupam : Prodromes / Premonitory symptoms
Lakshanam : Symptoms
Upasayam : Therapeutic diagnosis
Samprapti : Pathogenesis / Process of genesis of disease

Derivation:
nomenclature of Paanduroga is based on colour of the body, in which whole body become pallor

mÉÉhQÒûpÉÉuÉÉå rÉiÉÉåÍkÉMü: AiÉ: ZÉsÉÑ mÉÉhQÒûUÉåaÉ: (Su, Ut)

zsÉåwqÉÉ iuÉÍcÉ ÎxjÉiÉ: MÑürÉÉïiÉç xiÉÇpÉÇ µÉåiÉÉuÉpÉÉxÉiÉÉÇ

mÉÉhQèuÉÉqÉrÉÇ zÉÉåÍhÉiÉaÉå .. (As. Sam, Su. 19)

urÉÉrÉÉqÉqÉqsÉÇ sÉuÉhÉÉÌlÉ qɱqÉç qÉ×SqÉç ÌSuÉÉxuÉmlÉqÉiÉÏuÉ iÉϤhÉqÉç

ÌlÉwÉåuÉqÉÉhÉxrÉ mÉëSÕwrÉ U£Çü SÉåwÉÉxiuÉcÉÇ mÉÉhQÒûUiÉÉÇ lÉrÉÎliÉ (Ma. Ni)

 Panduroga Nidanam: Ca. Chi - 16

 Panduroga Samprapti: Ca. Chi – 16

In brief:

 All doshas are involved

 All Dhatus involved including
ojus
 Udbhavastanam - Hrudayam
 Whole body involvement
 Madhyama rogamarga
 A disease of Rasavahasrothus
• (रसवहानां ोतसां दयं मू लं
दश च धम य:)

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Panduroga Poorvaroopam: Ca.Chi - 16

व फोटनं ठ वन गा सादौ मृ णं े णकू टशोफ:

व मू पीत वं अथा वपाको भ व यत त य पु र सरा ण (Su. Sam / Ma. Nid)
Panduroga Samanya lakshanas: Ca. Chi – 16

Types: 5 (According to Caraka, Vagbhata, Madhava)

Vataja, Pittaja, Kaphaja, Sannipataja & Mrid Bhakshanajanya

Types: 4 (According to Susruta)

Vataja, Pittaja, Kaphaja & Sannipataja

Visesha lakshanas: Ca. Chi – 16

Vatika Pandu Lakshanam:

iuɉԧÉlÉrÉlÉÉSÏlÉÉÇ Ã¤ÉM×üwhÉÉÂhÉÉpÉiÉÉ:
uÉÉiÉmÉÉhQèuÉÉqÉrÉå iÉÉåS MüqmÉÉlÉÉWû pÉëqÉÉSrÉ: (Ma. Ni)

Paittika Pandu Lakshanam:

mÉÏiÉqÉÔ§ÉzÉM×ü³Éå§ÉÉå SÉWûiÉ×whÉÉeuÉUÉÎluÉiÉ:
ÍpɳÉÌuÉOèMüÉåÌiÉmÉÏiÉÉpÉ: ÌmɨÉmÉÉhQèuÉÉqÉrÉÏ lÉU: (Ma. Ni)

Kaphaja Pandu Lakshanam:

MüTümÉëxÉåMü: µÉrÉjÉÑ iÉlSìÉsÉxrÉÉÌiÉaÉÉæUuÉæ:
mÉÉhQÒûUÉåaÉÏ MüTüÉiÉç zÉÑYsÉæ: iuɉԧÉlÉrÉlÉÉlÉlÉæ: (Ma. Ni)

Mrid Bhakshanajanya Pandu lakshanas – Ca. Chi - 16

Pica is a medical disorder characterized by an appetite for substances largely non-nutritive (e.g. clay, coal,
sand, dirt, soil, feces, chalk, pens and pencils, paper, soap, mucus, ash, gum, etc.) or an abnormal appetite for
food ingredients (e.g. flour, raw potato, raw rice, starch, ice cubes, salt)

Upadrava rogas:

उप वा ते व चः पपासा छ द वरो मू ध जाऽि नसादः |

शोफ तथा क ठगतोऽबल वं मू छा लमो यवपीडनं च ||१३|| (Su. Sam, Uttaratantram)

Asadhya lakshanas of Pandu: (Ca. Chi, Ma. Ni)

Some formulations:

 Kalyanaka Ghritam – In Pitta predominance

 Pancagavya Ghritam – In Vata Kapha

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  Aragwadhadi Ghritam – In Kapha
 Mahatiktam Ghritam – In Vata Pitta
 Dadimadi Ghritam – Deepanam, as Samanoushadhi
Ghrita (as a medium) has significant role
 Navayasam, Lohasavam, Vasaguloochiadi Kashayam etc.

ANEMIA
Prevalence: (NFHS -3)
In Children – 80 %; In Male – 24 %; In Female – 51.8
Components of Blood

Anemia: Decreased level of Hb in blood below reference level

Reference values: (WHO standard)

Age or gender group Hb Threshold (g/dl)

Children (0.5–5.0 yrs) 11.0
Children (5–12 yrs) 11.5
Teens (12–15 yrs) 12.0
Women, non-pregnant (>15yrs) 12.0
Women, pregnant 11.0
Men (>15yrs) 13.0

IRON DEFFICINECY ANEMIA (IDA)

 Commonest cause of Anemia in the world

 Iron deficiency Anemia is a decrease in the number of red cells in the blood caused by too little iron.
 Iron is a key part of haemoglobin, the oxygen-carrying protein in the blood. Our body normally gets
iron through diet. Without iron, the blood cannot carry oxygen effectively. Oxygen is needed for
every cell in the body to function normally.

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Causes

 Poor intake (strict Vegetarians, Poverty etc.)

 Decreased absorption (Crohn’s disease, taking antacids etc.)
 Blood loss (heavy menstrual bleeding, CA of Oesophagus, Stomach etc.)
 Excessive demand (Pregnancy, Lactation etc.)

Symptoms
• Koilonychia - Spoon shaped nail
• Brittle nail
• Decreased appetite
• Fatigue
• Headache
• Pale skin
• Shortness of breath
• Sore tongue
• Pica
• Paresthesias in the arms and legs etc.

FURTHER READING: Journals

1) Kerala Ayurveda Vaidyam – Oct – Dec 2009

Discussions with Padmasree Dr. K. Rajagopalan
2) Bulletin of Indian Institute of History of Medicine, Hyderabad, India. 2000 Jan issue
Panduroga: a medico-historical study. Prasad PV

RESEARCH WORKS:

1) Erythropoietic activity of Asteracantha longifolia (Nees.) (KOKILAKSHA) in rats.

Pawar RS, Jain AP, Lodhi S, Singhai AK.
VNS Institute of Pharmacy, Vidhya Vihar, Neelbud, Bhopal, MP, India.

2) Pharmacological and toxicological studies of an ayurvedic formulation ("Lauhasava") on the

biological system of rats and mice.
Ullah MO, Shrestha T, Munira TS, Choudhuri MS.
Department of Pharmacy, Southeast University, Banani, Dhaka-1213, Bangladesh.

3) Sustainable effect of Ayurvedic formulations in the treatment of nutritional anemia in adolescent

students.
Prakash VB, Prakash S, Sharma R, Pal SK.
Vaidya Chandra Prakash Cancer Research Foundation, Dehradun, Uttarakhand, India.

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