Management of Pandu roga in Ayurveda

1. Amrit_talks #TRUE VEDA

2. Management of Pandu roga
Dr. Amrit Godbole
B.A.M.S (State Ayurvedic College, Lucknow)
M.D Kayachikitsa (FOA, IMS, BHU)
C.C.Y.P (BHU)

3. Prognosis of Pandu
 ऩाण्डुयोगश्चियोत्ऩन्नः खयीबूतो न सिध्मतत| कारप्रकर्ााच्छू नो ना मचि
ऩीतातन ऩचमतत||३१||
 फद्धाल्ऩविट्कं िकपं हरयतं मोऽततिामाते| दीनः
चिेताततददग्धाङ्गचछददाभूच्छाातृर्ाददातः||३२||
 ि नास्तत्मिृक्क्षमाद्मचि ऩाण्डुः चिेतत्िभाप्नुमात ्|
इतत ऩञ्िविधस्तमोक्क्तं ऩाण्डुयोगस्तम रषणभ ्||३३||

4.  Chronicity of any ailment leads to dhatu kshaya which results into vata
prakopa. Long standing Pandu rog due to vitiation of Vata dosha and
depletion of snehansh and oja which is represented as appearance of
excessive dryness over body leads to its incurable state.
 Precipitation of edema over body and patient visualizes everything to be
yellow in colour;
 Passes very hard stool or less amount of stool or passes loose stool
associated with mucus and green in color;
 Feels exceedingly prostrated;

5.  Body becomes excessively white as if be smeared with
whiteness; has vomiting, fainting and excessive thirst and
when the patient develops excessive whiteness in the body
as a result of loss of blood.
 All these features establishes the chronic and incurable stage
of the Pandu rog.

6. Principles of treatment
तत्र ऩाण्ड्वामयी स्ननग्धनतीक्ष्णैरूर्धवाानुऱोममकै ैः|
संशोर्धयो मृदुमिस्नतकतैैः कामऱी तु ववरेचनैैः||४०||
the order of treatment will be :-----
Snehana
Snehana is done by various Ghrita preparations in Pandu rog
reason behind is that it pacifies Vata and Pitta and at the same
time ignites the Agni.
Teekshna vaman and
virechana

7.  ताभमां िंशुद्धकोष्ठाभमां ऩथ्मान्मन्नातन दाऩमेत्|
शारीन् िमिगोधूभान् ऩुयाणान् मूर्िंदहतान्||४१||
भुद्गाढकीभिूयैचि जाङ्गरैचि यिैदहातैः|
मथादोर्ं विसशष्टं ि तमोबैर्ज्मभाियेत्||४२||
 After samyak sanshodhan i.e. Urdhwa (vamana) and anulomana
(virechana), pathya anna is advised to the patient so that
maintainence of agni takes place.
 And along with pathya anna dosha specific medicinal treatment is
also advised.

8. For maintainence of agni
Pathya anna sevana and Doshanusaar chikitsa
To expell out excess dosha
Vaman and virechan
For pacification of vata, pitta and ignition of agni
Snehana chikitsa

9. Role of Ghrita in Pandu as per modern science
 “Ghee (clarified butter) is known as Ghrta (commonly
spelled Ghrita) in Sanskrit. It is an excellent Anupana (therapeutic
vehicle) for transporting the properties of herbs to the deeper tissue
layers of the body. Proper digestion, absorption, and delivery to a
target organ system are vitally important for obtaining the maximum
benefit from any therapeutic formulation. ”
 https://www.sciencedirect.com/science/article/pii/B978
0124114623000187
 “Lipids increases the intestinal absorption of iron from the dietary
substances.”
 https://academic.oup.com/ajcn/article-abstract/105/6/1521/4569780

10. Role of Gomutra in Pandu
Samanya guna-karma of Mutra
 उष्णं तीक्ष्णभथोऽरूषं कटुकं रिणाश्न्ितभ्||९४||
भूत्रभुत्िादने मुक्क्तं मुक्क्तभारेऩनेर्ु ि|
मुक्क्तभास्तथाऩने भूत्रं मुक्क्तं िावऩ वियेिने||९५||
स्तिेदेष्िवऩ ि तद्मुक्क्तभानाहेष्िगदेर्ु ि|
उदयेष्िथ िाशाःिु गुश्ल्भकु श्ष्ठककरासिर्ु ||९६||
तद्मुक्क्तभुऩनाहेर्ु ऩरयर्ेके तथैि ि|
दीऩनीमं विर्घ्नं ि किसभघ्नं िोऩददचमते||९७||
ऩाण्डुयोगोऩिृष्टानाभुत्तभं शभा िोच्मते|
चरेष्भाणं शभमेत् ऩीतं भारुतं िानुरोभमेत्||९८||
कर्ेत् वऩत्तभधोबागसभत्मश्स्तभन् गुणिङ्रहः|

11. Properties of indigenous cow urine
 गव्मं िभधुयं ककश्ञ्िद्दोर्घ्नं किसभकु ष्ठनुत्|
कण्डूं ि शभमेत् ऩीतं िम्मग्दोर्ोदये दहतभ ्||१०१||
 The urine of cow is slightly sweet, alleviates discordance of dosha
and cures worms and chronic dermatoses (kushtha) and relieves
pruritis. Its proper intake cures disorders of abdomen
 “Gomutra is capable of removing all the imbalances in the body,
thus maintaining the general health. Cow Urine contains 95% water,
2.5% urea, minerals, 24 types of salts, hormones, and 2.5%
enzymes. It also contains iron, calcium, phosphorus, carbonic acid,
potash, nitrogen, ammonia, manganese, sulfur, phosphates,
potassium, urea, uric acid, amino acids, enzymes, cytokine and
lactose.”

12.  “The indigenous CU contains „Rasayana‟ tatva, which is responsible
for modulation of the immune system and also act as a bioenhancer.
This bioenhancing activity of CU has been aptly and widely used in
various ayurvedic formulations like Mandurvatak, Darvi ghrita, and
Punnarvamandur.”
(Randhawa GK, Sharma R. Chemotherapeutic potential of cow urine: A review. J
Intercult Ethnopharmacol. 2015;4(2):180‐186. doi:10.5455/jice.2015022210032)

13. Medicated water
 श्स्तथयाददसबः शृतं तोमं ऩानाहाये प्रशस्तमते
Water boiled with the drugs belonging to sthiradi (laghu
panchmoola)group is useful for drinking and the preparation of foods
for pandu rogi.
Laghu Panchamool is vata-pitta shamak at the same medicated
water is going to do dosha pachana and agni deepana due to
ushna guna of jala

14. Treatment of mrittika bhakshanajanya
pandu
 तनऩातमेच्छयीयात्तु भृवत्तकां बक्षषतां सबर्क्||११७||
मुश्क्क्तज्ञः शोधनैस्ततीक्ष्णैः प्रिभीक्ष्म फराफरभ ्| शुद्धकामस्तम
िऩींवर् फराधानातन मोजमेत्||११८||
 Teekshna sanshodhana in order to remove the swallowed
mud from the body as per the body built of the patient. This
is followed by medicated ghee for promotion of strength.

15. Ghrita preparation for oleation
purpose
 Panchagavya ghrita,
 Mahatikta ghrita
 Kalyanaka ghrita
 Dadimadya ghritam
 Katukadyam ghritam
 Pathya ghritam
 Danti ghritam
 Drakshaghritam
 Haridradi ghritam
 Darvyadi ghritam

16. Preparations in Pandu roga for samshodhana
purpose
 Milk with cow‟s urine or milk alone
 lukewarm infusion of danti sprinkled with the powder of
one anjali of kashmarya
 half pala of trivitta mixed with one pala of sugar
 haritaki churna immersed in cow‟s urine.
 decoction of triphala along with cow‟s urine
 Suvarnakshiri Yog
 Go-mutra haritaki
 Vishaladi phant

17. Lauh preparations for Pandu rog
 Navayasa churnam
 Mandura vataka
 Tapayadi lauha
 Yogaraja
 Punarnava Mandura
 Shilajatu vataka
 Darvyadi leha

18. Role of Arishta in Pandu
 Arishtas have some characteristic properties like Sukshma,
Ushna, Vyavayi Gunas; they are easily assimilating in the
body. Arishtas having agni deepana property and are
popularly used in different conditions successfully.
(Dighe Dattatray Pandurang et al. Review on pharmacological properties of arishta
kalpana with glance on arishta kalpas of bhaishajya ratnavali. Int. J. Res. Ayurveda
Pharm. 2018;9(2):6- 11 http://dx.doi.org/10.7897/2277-4343.09226)
 Gauda arishta
 Beejakarishta
 Dhatryarishta

19. Mode of action of Arishta.

20. Correlation of Pandu with
different types of Anaemia’s

21. Correlation of Vataja Pandu
Megaloblastic
anemias
(Vitamin B12
and folic acid
deficiency)
"Pins and
needles"
sensation
Blackish
discoloration
of the skin
Dryness of stool
or constipation
Dry skin or
body
Loss of
taste/aguesia
Tremors

22. Hemolytic
anemia /
Thrombocyto
-penia
Bloody
urine/Blackish
urine/stool
Reddish
discoloration of
body
parts/petechiae
Reddish or
Blackish
discoloration in
eyes, face and
nails
Correlation of Pittaja Pandu

23. Co-relation of Kaphaja Pandu
Agni mandyata leads to poor assimilaton of ahara rasa and
production of rasa dhatu which furthrer leads to uttarottara
dhatukshaya and ama makes a coating over cells which creates
a kind of hindrance in absorption of nutrients per se iron.
Thus the resultant is iron deficinecy anaemia
amotpatti
Kapha vardhak nidan sevana leads to
Agni mandyata

24. Summary
http://www.carakasamhitaonline.com/mediawiki-1.32.1/index.php?title=File:Pandu.png

25.  िाततके स्तनेहबूतमष्ठं, ऩैवत्तके ततक्क्तशीतरभ ्||११६||
चरैश्ष्भके कटुततक्क्तोष्णं, विसभश्रं िाश्न्नऩाततके |११७|
The therapy should be dominated by unctuous drugs (oil, ghee etc)
for vatika type of pandu; by bitter and cooling drugs
for paittika type and by pungent, bitter and hot drugs
for kaphaja type of pandu.
Principles of treatment according
to Dosha

26. CONCLUSION
 Pandu can be related with the disorders of improper formation of
blood tissue due to vitiation of pitta dosha. Pitta dosha is considered
to be responsible for all digestion, transformation and metabolism
processes in the body. Therefore, the disorders like anemia,
nutritional deficiency are mainly considered under pandu roga.
 The disorders which include pathologies of impaired metabolism
and formation of plasma, blood, muscles and fat can also be referred
under the umbrella of pandu roga. These include thyroid function
disorders, hematological disorders like thalessemia, jaundice etc.
 Therefore a clinician needs to assess the dosha, dhatu dushti, status
of agni and rogi bala and after that should plan the treatment
accordingly.

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