A seminar presentation on Scope of panchakarma in mutravahasrotas : A seminar presentation on Scope of panchakarma in mutravahasrotas by: Dr.Viraj MANERIKAR
M.D.(sch)
P.G. Panchkarma Dept.
GOVT.AYU.MED.COL
Bangalore.
11-8-06
Topics undertaken : Topics undertaken 1.mutravahastotas sharir-prakruti
2.mutravahasrotas- vikruti
3.singnificance of apanvayu
4.mutravahastrotas chikitstsa sutra
5.role of pancharama in mutravahasrotas
6.conclusion
Introduction : Introduction As a consequence of modern lifestyle & altered dietary practices,the prevalance of Mutavahasrotas dieseases & systemic diseases for example-prameha is seen alarming in India.
Modern medicine & Ayurvedicshamanausha
-dhis are affective in preventing the complication & progress of the renal diseases.Moreever, Charak mentions “PRAMEHAANUSHANGINAM”i.e.the dieseas who has yhe highest reoccuring rate thus longterm use of shamanmedicine is recquired which is neither favourable nor appreciated by the patient. Panchakarma being a “APUNARBHAV-CHIKITSA”can be one of the solution in such cases.
Mutravahastoto-sharir : Mutravahastoto-sharir 1.rachanasharir
2.kriyasharir-mutrotpatti
rachanasharir : rachanasharir Mutravahasrotas mula sthan:-
1.vrukka & vangshan (ch.v.5/8)
2.basti & medra (su.sh.10/12)
.mutravahadhamani /gavini
Mutrotpatti : Mutrotpatti stulpachan Rasa,mala,udak Absorptionof udak
In pakvashay Nishyandan takes
place rasaraktadisanchar Brought in to vrukka by 2
toyavahadhamani Filtered udak is brougt
Into basti through
mutavahadhamanya Termed as mutra &
stored Eliminated trh medra
Mutrotpatti : Mutrotpatti Modernmedicine gives atmost importance to kidneys in the urine formation but Ayutvedic treatise we learn that the formation of mutra starts from pakvashay & there is no direct reference of vrukka participating in mutrotpatti.
At the end of sthulpachan of chaturvidhaahar by pachakpitta in grahani, it is separated into rasa, mala& mutra.
cont.
Mutrotpatti cont. : Mutrotpatti cont. mutra here accordingly dalhana is the udak or poshak mutra or the precursor for urine. In the pakvashay this udak is absorbed by innumerable udakvahidhamani having minute openings.the modernscience have similar concept of absorption of 80% of water in large intestine through various capillaries.the absorbed udak comes in the circuylation in different dhatus(tissues & cells) of the bodyconstantly producing several waste products of metabolism called kleda.this mixture is brought to the vrukka by the 2 toyavahadhamanis which can be confirmed by the statements from kashiramvaidya quoting that vrukka& tila are mulasthan of aharjalavahisira & of dalhan that udakvahasrotas ends by joining mutravahasrotas
Mutrotpatti cont. : Mutrotpatti cont. .( In vrukka) nishyandan of mutra takes place by thosands of mutravahinadis to separate udak & kleda.the transformed udak or the kleda when reaches to basti is called as mutra.
acharyasushruta ,vagbhat & atharvaveda while mrntioning mutraotpatti didnotmeant that there are direct nadya from the pakvashay to basti, which can be known by below cross reference-
Mutrotpatti cont. : Mutrotpatti cont. 1.presence of pit/harit mutra in shakhashrit kamala in presence of tilapishtanibha purish,(which signifies presence of udak-poshak mutra in rasaraktasanchar.)
2.sharirkiedam punah dushayan mutratvenaparinamayati!
sharirkledastu shleshma medo mishrah pravishan mutrashayam mutratvamapadyate! (ch.ni.4/8)
mutrastu kledavahanam! (a.h.su)
Mutrotpatti cont. : Mutrotpatti cont. 3.in the udarroga, there is ambuvahasrotorodha causing mutrasang
4.chikitsasutra of mutravasrotas & svedavahasrotas is same
5.acarya chakrapani opines that sveda is formed from udak dhatu
from above referrence we can know that mutra is related to sveda, leda & udak in the body.
other factors that influence mutra are:-
pranvayu-as it controls the mutrakarmendriya
vyanvayu-as it circulates udak, rasa e.t.c.
samanvayu & pitta- as they take part in kittavibhajan.
nehrontubules : nehrontubules
Mutravahasroto-vikruti : Mutravahasroto-vikruti 1.mutravahasroto-dushti-hetu
2.mutravahasroto-dushti-lakshanani
3.mutra-vruddhi-lakshanani
4.mutra-kshaya-lakshanani
5.viddha-lakshanani
6.samanya-dushti-lakshanani
7.vyadhis
Mutravaha-sroto-dushti-hetu : Mutravaha-sroto-dushti-hetu Mutritodakbhakshyastrisevanatmutranigrahat!
Mutravahinidushyantikshinsyabhikshatasya cha! (ch.v.5/20)
Mvs-dushti-lakshanani : Mvs-dushti-lakshanani Pradushtanam tu khalvesham visheshvidnyanabhavanti tadyatha-
Atisrushtam atibaddham prakupit
amalpaalpaabhikshnam va bahalam sa shulam mutrayantam drushtva mutravahanyasya srotamsi ptadushtaniti vidyat! (ch.v.5/8)
mutra-vruddhi-lakshanani : mutra-vruddhi-lakshanani Mutram tu bastinistodam kruteapiakrutasamdnyata ! (ah.su.11/13)
Mutra-kshaya-lakshanani : Mutra-kshaya-lakshanani Mutrealpam mutrakkrucchatvivarnam sasrameva! (ah.su11/21)
Mvs-viddha-lakshanani : Mvs-viddha-lakshanani Viddhasyanaddhabastita mutranirodhahstabdhamedrata cha! (su.sh.9/12)
Samanya-dushti-lakshanani : Samanya-dushti-lakshanani Malanashrityakupita bhedshoshapradushanam!Doshmalanam kurvanti sangotsargavtiva cha! (ch.v.5/22)
Vyadhis of mutravahasrotas : Vyadhis of mutravahasrotas Prameha
Mutraghat
Mutrakrichra
Vrukkavidhradhi
Mutragranthi
mutravruddhi
Significance of apan in mutravahastrotas : Significance of apan in mutravahastrotas Location & function:-
Pakvadhanalayoapanahkalekarshatichapyadhah!
Samiranah shakrutmutram shukragarbhartvani cha! Kruddhastu kurute rogan ghoran bastigudashrayan! (su.n.1/19-20)
Samanya chikitsa:
Apanenavritesarvedipanm grahibheshajam!
Vatanulomanam yatchapakvashayvishodhanam! (ch.ch.28/243)
Mvs-chikitsa-sutra : Mvs-chikitsa-sutra Naveganndharaneaddhyaye chikitsasangrahah krutah!
Malajanam vikaranam siddhischokta kvachit kvachit! (ch.v.5/28)
Svedavgahanbhyangan sarpischavpidake!
Mutre pratihate kuryattrividhambastikarmacha!
(ch.su.7/7)
Mutravitsvedavahanam chikitsa mautrkrucchaki!
(ch.v.5/28)
Mutraghatanyathadosham mutrakrucchraharaijayet!
Bastimuttarbastischa dadyatsnigham virechanam! (chakradatta)
Panchakarma & mutravahastrotas : Panchakarma & mutravahastrotas Ehavamanadishu karmalakshanam bavhatikarvyata yogidoshanirharanshakti jyayastvam! (chakra-ch-su2/15)
Doshanirharane vamanadisampadyate!(same)
Panchakarma-Preventive-aspect : Panchakarma-Preventive-aspect Shitdbhavam doshchayamvasante vishodhayangrishmajabhrakale!
Ghanataye varshikmayu samyak prapnoti roganrutujannjatu! (ah.su.5/36)
panchakarma-curative- aspect : panchakarma-curative- aspect Niruhabasti
Anuvasanbasti
Uttarbasti
Virechan
Vaman
niruhabasti : niruhabasti Indication & contraindication
Karmukta
bastiyogas
niruhabasti : niruhabasti Indication:-
Abhyangsnehaniruhbasti svedopnahottarbastisekan!
sthiradibhirvatharaischsiddhan dadyadrasaschanilmutrakricchi! (chakradatta)
Contraindication:-
Madhumeha- (ch.si.2)
Prameha - (ah.su.19/5)
niruhabasti : niruhabasti Karmukta
Pakvashayetathashronyam nabhyadhastacchasarvatah!
Samyakpranihitobastihi sthaneshvhateshutishthate!
Pakvashayatbastiviryamkhaidehaianuvisarpati!
Vrukshamulenishiktanam apamviryamivadruvam!
(su.ch.35/25)
Tampavanamsapittakaphavitkam shuddhikaroanulomayatibasti!
Sarvasharirgaschagadasanghattatprashamat prashantimupayati! (ch.si.11/18)
Tatrashapananuvasnm tu khalu sarvatropkramebhyo vate pradhantam manyante bhishak!
Tadvyadhitaeva palvashamanupraveshya kevalam vaikarikam vatmulam chinnanti!
Tatravjiteapi vate sharirantargata vata vikarah prashantimapadyante! (ch.s (ch.su.20/13)
continued : continued Shakhagatah koshthagatascharoga marmadhwasarvavayavangjascha!
Ye santi tesha na hi kaschidannyo vayoho param janmanihetorasti! (ch.si.1/38)
Vinmutrapittadimalashanam vitshepsanghatkarah sa yasmat!
Tasyativruddhasya shamay nanyabasti vina bheshjamastikinchit
(ch.si.1/33)
Vitshleshmapittanilamutrakarshu dardyavah shukrabalapradascha!
Vishvaksthitam doshchayamnirasya sarvanvikaran shmayrtniruhah!
(ch.si.1/28)
Prasrshtavinmutrasamiranatvam………..!
(ch.si.1/41)
niruhayogas : niruhayogas 1.Ksharbasti--shukra,vitsang,anah,mutrakrichra (chakra-basti)
2.manphaladibasti--pakvashayvishodhan (ch.si.10/27)
3.hapushadiyapanbasti--shakritabhighataj (ch.si.12/7)
4.muatadiyapanbasti—kundal,kukshishul,mutrakrichra,ashmari (ch.si.12/1)
5.shatapushpadiniruhabasti—pittajmutrakrichra,medrabastivangshanshool
(ch.si.12/11-14)
6.shampakadi N.B.—ashmari,mutrasang (su.ch.38/46)
7.vrushashmabhedadi—sharkara,ashthila,tuni
(su.ch.38/70)
8.rasnadi—vatkundal,sharkara,ashthila,kukshishool
(su.ch.38/75)
anuvasanbasti : anuvasanbasti Natailadanat paramasti kinchitdravyam visheshen samiranarte!
Snehanam roukshyam laghuta gurutvadoushnyaccha shaityam pavanasya hatva!
Mulenishikto hi yatha drumah syannilachadaah klompallavagrayah!
Kalemahan pushpaphalapradashch tatha narah syadanuvasanen!
(ch.si.1/31)
Mulamgudamsharirasya sirastatrapratishtithah!
Sarvasharirampushnati murdhanyavadashritah!
(parashar)
anuvasanyogas : anuvasanyogas Tvakpatrapushpasyavarunatsatrikantakat!
Kashayenapachettailam bastinasthapanencha!
Sharkarashmarishulaghnam mutrakrucchranivaranam!
(chakradatta-ashmarichikitsa)
Vaman & virechan : Vaman & virechan Snehonilamhantimrudukarotidehammalanamvinihantisangam!
(ch.sh.1/7)
Snehapurvaprayukten svedenavjitanile! Mutrapurishretamsi na sajjanti katanchan!
(ch.su.14/4)
virechan : virechan Indication&contraindication
Karmukata
virechanyogas
virechan : virechan Indication:-
Allmutraghat &mutrakricchra,prameh
Contraindication:-
Vatajprameha (ch.si.2)
Virechan : Virechan Karmukata:-
Saratvasaukshmyataikshnaunya vikashitvaivirechnam! (su.ch.33/33)
Pakvashayegatedoshevirekartham pradushayet!
(ch.su.2/16)
Yadyanen sadoshatvat karmana naprashamyati!
mrudubhihi snehasiyuktairoushadhaitamvishodhayet!
(ch.ch.28/83)
virechanyogas : virechanyogas Kalyanakguda—mutrakricchra
(ch.k.8/45)
Vyoshadimodak—mutrakricchra
(ch.k.8/49)
Eradtaila + triphalaras(twice) / dugdha
( bhavprakash-mutrakriccra
vaman : vaman Indication:-
kaphajprameha, kaphajmutrakricchra &kaphapradhansannipatmutrakricchra
(ch.si.2),(ch.ch.6),(ch.ch.26)
Conraindication:-
vatapittajprameh
(ch.si.2)
vamanyogas : vamanyogas Eha kushta hita garagaro hitamikshwaku tu mehine matam! (ch.s.11/12)
Ikshvaku is advised in prameha
CONCLUSION : CONCLUSION In Mutravahasrotodushti involvement of all the 3 doshas has to be ruled out as
Kapha: ken jalen phalati iti; (mutra is aapya)
Pitta: necessary for conversion of kleda into mutra
Vata: formed & excreted from the vata site
Thus according to the dosha dominance panchakarma has to be administerd properly.