Introduction
Predominantly caused by pitta, the disease pandu roga is because of the
prominence of pallor in skin called 'Pandu'. 'Pandu' is said to be
'Piitapradhana' indicating that in all types, pitta is the root cause. Based
on the causative factor Panduroga is classified into five following types:
caused by Vata, Pitta, Kapha, Sannipata & Mritbhakshana (earth eating.)
Hetu (causes)
- Excessive intake of alkaline, sour, salty, too hot, incompatible &
unsuitable food
- Excessive use of nispava, black gram, tila oil
- Day-sleep
- Exercise
- Sexual intercourse during indigestion
- Faulty management of evacuative measures
- Suppression of natural urges particularly in persons inflicted with
sexual desire, anxiety, fear, anger & grief.
Poorvarupa (premonitory symptoms)
- Palpitation of heart
- Dryness of skin
- Loss of taste / appetite
- Yellow colored urine
- Absence of sweating
- Poor digestive activity
- Weakness & exertion
Roopa (clinical features)
- body becomes flabby & has a feeling of being squeezed
- Felling of limbs kneaded, pressed or churned
- Heart rate increases
- Swelling of the eye sockets & area surrounding the eyes
- Debility
- Anger
- Expectoration of sputum
- Diminution in speech results
- Hatred towards food & cold things
- Falling of skin hair
- Loss of luster
- Irritability
- Oversleep
- Spitting
- Exertion on climbing (stairs etc)
- Cramps in shanks
- Pain in waist, thighs, legs & lassitude.
Vataja Panduroga (clinical features)
- Body aches
- Piercing pain & tremors
- Discoloration of veins, nails, feces, urine & eyes
- Swelling
- Flatulence
- Astringent taste in the mouth
- Dryness of feces
- Pain in flanks & head.
Pittaja Panduroga (clinical features)
- Green / yellowish color in the veins etc
- Fever
- Unconsciousness
- Thirst
- Perspiration
- Fainting
- Desire for cold things
- Bad smell (of the body, mouth etc)
- Bitter taste
- Loose bowels
- Acidity
- Burning sensation.
Kaphaja Panduroga (clinical features)
- White color of the veins etc
- Stupor
- Salty taste in the mouth
- Horripilation
- Loss of voice
- Cough
- Vomiting.
Sannipataja (clinical features)
There is a mixture of symptoms & the disease is difficult to bear.
Mritbhakshanaja (earth -eating) (clinical features)
In persons who eat mud (habitually for a long time) astringent mud
aggravates Vata, alkaline mud aggravates Pitta, sweet mud aggravates Kapha.
Mud vitiates rasa & other tissues by its dryness & produces dryness
in the channels of the tissues & without undergoing digestion it fills &
blocks them & produces pandu roga as before. The person develops
swelling of the umbilicus, feet, face & genitals, expels feces
containing worms, not well formed mixed with blood & kapha (mucus).
Treatment
- Oleation Therapy
- Medicated ghee prepared with decoction of dadima and of dhanyaka
boiled in one water and paste of chitraka and shringabera, pippali
and ghrita cures diseases of the heart, anemia, abdominal tumor,
hemorrhoids, disease of the spleen, pain (diseases) arising from
vata and kapha. It is best suited for women who have difficulty in
delivery and the sterile women.
- After oleation therapy, administered strong emesis therapy. There
after he should be administered strong purgative therapy, using
fatty (oil / ghee) purgatives added with milk and cows urine or milk
only.
- Ayoraja (iron filings) soaked either in cow's urine or milk for
seven days should be consumed.
- Decoction of vaasa, guduchi, triphala, bhunimba, and nimba
consumed with honey cures anaemia, bleeding disease and jaundice.
- Mandura Vatak
- Equal quantities of guda, nagara, mandura (iron slag) and tila,
and pippali double the quantity (of all the other put together) made
into pills should be administered to patients of anaemia. Tapya,
darvi tvak, cavya, granthika, devadaru, are converted into nice
powder. Mandura, resembling anjana (antimony sulphide) double the
quantity (of the powder) is boiled in cows urine, when it become
suitable to prepare pills, the powder is mixed with it and rolled
into pills dried in shade and consumed, the patient taking
buttermilk as food. These mandura vataka bestows life to patients of
anemia, they also cure leprosy, poor digestion, dropsy, stiffness of
the thighs, loss of taste/appetite, hemorrhoids, jaundice, diabetes
and diseases of the spleen.
- That arising from kapha with those which are predominantly
pungent, dry and hot; and that arising from the combination of all
the doshas by combination of drugs (or treatments). Mud should be
expelled out from the body (in anaemia caused by eating mud
habitually) first, by strong sansodhana (purifactory therapies);
when the alimentary tract becomes purified, medicated ghee recipes
which bestow strength should be administered.
- Medicated ghee prepared with decoction of vyosha, bilva, the two
rajani, triphala, the two punarnava, musta, ayoraja, pathya,
vidanga, devadaru, vrscikali, and bharngi, added with equal quantity
of milk and (quarter part of) ghrita (ghee). This recipe mitigates
all the disorders produced by mud quickly.
Commonly used drugs
- Lauha Kalpa
- Navayas Lauha (Bhaishajya Ratnavali) (Pandu- Chikitsa)
- Dhatri Lauha (Bhaishajya Ratnavali) (Pandu- Chikitsa)
- Mandur Kalpa
- Punarnavadi Mandur (Bhaishajya Ratnavali) (Pandu- Chikitsa)
- Trayushanadi Mnadur (Bhaishajya Ratnavali) (Pandu- Chikitsa)
- Rasa Kalpa
- Prana Vallabha Rasa (Bhaishajya Ratnavali) (Pandu- Chikitsa)
- Vasant Malati Rasa (Bhaishajya Ratnavali) (Pandu- Chikitsa)
- Piyush Valli Rasa (Siddhayog Sangraha)
- Vasant Kusumakara Rasa (Siddhayog Sangraha)
- Ghruta
- Haridradya Ghruta (Siddhayog Sangraha)
- Draksha Ghruta (Siddhayog Sangraha)
- Arishtra
- Dhatryarishtra (Siddhayog Sangraha)
- Bhasma
- Abhrak (Ras Raj Sunder)
- Kaasish Bhasma (Siddha yog Sangraha)
- Kantalauha (Ras Tarangini)
- Mandur Bhasma (Rasendra Saar Sangraha)
- Raupya Makshik (Rasendra Saar Sangraha)
- Lauha Bhasma (Ras Tarangini)
- Swarnamakshik Bhasma (Rasendra Saar Sangraha)
- Guggul Kalpa
- Kaishor Guggul (Sharangdhar Samhita)
- Punarnavadi Guggul (Bhaishajya Ratnavali)
- Mahayogaraj Guggul (Sharangdhar Samhita)
- Churna
Triphala (Bhavaprakash)
