1. Use of Herbal Medicines for Masses
Nature's Law of Cure
Herbal Medicines for the Masses
Conclusion

2. Research of Ayurvedic medicines
The limitations of the Ayurvedic System Need for clinical trials
Herbal research at NIMHANS: the treatment of anxiety
Herbal research at NIMHANS: the treatment of cognitive deficits
Future research

3. Study with a Herbal Drug-"Pippalli Rasayana" Preparation of drug

4. Commonly available Plants Tested for Lowering Blood Sugar

5. Cure of Goitre by Ayurvedic Herbal Medicines
History of disease
Cause
Symptoms

6. Use of Bryonia Laciniosa to get Male Child
Pathology
Preventive measures
Ayurvedic treatment

7. Histochemical Study in Rat Liver under the
Influence of Cannabis
Material and Methods
Drug preparation
Effect of the Drug

8. Vajikarana Yoga in the Management of Male Sexual Dysfunctions

9. Clinical Study of Calciprite Tables (Panchamruta Guti) in the Management of Common Symptoms of Acid Dyspepsia Amlapitta)

10. A Report on the Effect of Sookshma Triphala on Anjananamika

11. Clinical Study of Bhunimbadi Ghanasar Tablets (BNK) in the treatment of seven common Symtoms of Amlapitta (Acid Dyspepetic Disease)

12. Hepatitis-B Through Ayurvedic Medicines
Introduction
Materials & Methods
Notes from history
Signs & symtoms
Medication
Pathya
Discussion & Conclusion

13. Holistic Management of Bronchial Asthma
Introduction
Materials and Methods
B. Vardhamana pipplai Rasayana yoga
Management
Conclusion

14. Chronic Pancreatitis with Multiple Pancreatic
Ductal Calculi by Common Ayurvedic Preparation
Summary
Introduction
Clinical Profile of the Patient
Materials & Method
Drug selected for the study
Treatment Schedule
Diet
Observation and Results
Chronology of clinical observations
Discussion and Comment

15. Efficacy of Romasanjanana Lepa in 'Indralupta'
(Alopecia)
Introduction
Clinical study of the drug
Romasanjanana Lepa
Materials and Methods
General Observation
Observation and Result
Discussion

16. Anantavata-Trigeminal Neuralgia
Introduction
Clinical features
Clinical profile
Treatment adopted
Shamanoushadhi
Apathya
Discussion
Conclusion

17. Rasa Preparations
Groups of Medicines in Rasa-Ratna-Samucchaya
Maharasa
Uparasa
Sadharan rasa
Ratna-Uparatna
Dhatu
Kandavisha (Poisonous herbs)
Upavisha (Poisonous herbs)
Fascial Paralysis (Due to Polio)
Drugs for Polio

18. Impotency
Uttaravasti an ultimate treatment for ED
and unorgasm
1. Gastro Intestinal Tract
Antacid
Anti Diarrhoeal
Anthelmintics
Anti emetics
Appetite Stimulant
Colorectal Preparations
Enzymes and Carminatives
Gastric Disorders
Hepato Biliary Preparations
Laxatives

2. Cardio Vascular System
Anti Anginal Drugs
Anti-hypertensive
Anti-Coagulants and Haemostatics
Cardiac Disorders

3. Central Nervous System
Analgesics
Antipyretic
Memory Boosters
Anti Convulsants
C.N.S. Stimulants
Sedatives & Tranquilisers

4. Musculo skeletal system
Antiinflammatory
Topical Analgesics
Musculo Skeletal Drugs
Neuro muscular Drugs

5. Genito Urinary System
Urinary Anti-infectives
Diuretics
Uterine Anti-Infective
Menstrual Cycle Related Disorders
Uterine Sedative
Sexual Stimulants
Benign Prostate Hypertrophy

6. Respiratory System
Anti Asthmatics
Expectorants, Mucolytics & Decongestants
Respiratory Tract Infections

7. Skin
Drugs for Skin Allergy
Anti Allergic
Drugs for Psoriasis
Anti Fungal
Drugs for Acne Vulgaris
Pigmentation Disorders
Topical Soothing Agents
Miscellaneous Preparations

8. Nutrition
Haematinics and Haematipoietics
Tonics
Immunomodulators
Anti Obesity Drugs

9. Care
Antenatal
Postnatal

10. Infection & Infestation
Anti Malarial and Anti Filarial
Anti-Viral Anti-Infective

11. Endocrinology
Oral Hypoglycaemics
Fertility Agents
Goitre

12. Miscellaneous Diseases
Dental
Eye
E.N.T. & Oropharynx
Hair & Scalp
Paediatric Preparations
Makkala Abhyanjana

19. Role of Ayurveda in Veterinary Science
Hymn to the plants Rig Veda, 1500 B.C.

20. Ayurvedic Medicine in Veterinary
Alimentary System
Respiratory System
Reproductive System
Drugs Acting on Uterus & Overies
Drugs Acting on Spermato Genesis
Urinary System
Nutrition & Metabolism
Galactogogues
Musculo Scelital Disorders
Topically used Products & Miscellaneous Products
Cardio Vascular System
Manufacturers Index

21. Botanical Name of Drugs

22. Research Abstracts

23. Ayurveda on the WEB

24. Databases

25. Drugs (Dravyas) and their Equivalents

Directory Section

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[h1]CHAPTER 12[/h1]
[h1]HEPATITIS-B THROUGH AYURVEDIC MEDICINES[/h1]

[p]Summary: Clearance of HbsAg from the serum of Hepatitis B
patient by the judicious application of "Arogyavardini Rasa" and
a tablet containing "Bhumyamalaki" has been studied in this case.
This combination has considerably reduced the clearance time and
re-established the Liver function with complications. Hence this
has opened an alternative vista for the management of Hepatitis
B. 'Hepatitis B' and 'HbsAg+ve' are the much familiar and
honyfying words among the public and medical fraternity now a
days. Hence an attempt has been made to treat the 'HbsAg+ve'
patient through Ayurvedic medicines.[/p]

[h3]Introduction[/h3]

[p]Liver is the largest organ in the human body with wide range
of integrated functions. This vital organ is the soft target for
many pathogens. Viruses are one among them. These viruses causes
both morphological and physiological changes in the Liver. The
process of change may be slow or rapid, leading to various
clinical manifestations. HBV is one of the dangerous virus which
cause severe alterations in the liver and some times leads to
death. This is the only hepedna virus which cause infection in
humans. They enter the hepatocytes of liver and replicate to
cause hepatitis which is a diffuse microinflammatory disease,
where in liver parenchymal cells face the wrath of the virus.
Depending upon the severity of the infection and clinical
features, person is treated either at O. P. D. or I. P. D.
Faliure of clearance and virus from the serum is mainly due is
lack of an adequate immune response.[/p]

[h3]Materials & Methods[/h3]

[p]A serologically confirmed HbsAg strongly positive (++++) case
has been referred for the management through Ayurvedic medicines.
The management of "Hepatitis B" cases is mainly supportive and
aimed at speedy regeneration of damaged hepatocytes, inhibition
of the vital replication and stimulating immune system to produce
an adequate immune response. Clinical features such as Icterus,
Anorexia (Aruchi), Dark urine & stools (Raktapeeta Shakruth,
mootra), yellow tint of Sclerae, loss of appetite (Agni sada),
Debility (dourbalya). Skin rashes (Kandu, twak vikara) are taken
as parameters. L. F. T. value and serological clearance/presence
of HbsAg are taken as prime evidence of assess the progress of
the disease.[/p]

[h3]Notes from history[/h3]

[p]The probable mode of infection as per history was a blood
transfusion done about four months prior to the manifestation of
clinical features, when the patient underwent a surgery for
urinary calculus.[/p]

[h3]Signs & symptoms[/h3]

[p]The presenting signs and symptoms were icterus, fever, loss of
appetite, debility, dark urine and stools, yellow tints of
sclerae, joint pain and pruritis since ten days and liver was
slightly palpable on examination. Ultrasonography report has
favoured slight hepato-splenomegaly.[/p]

[h3]Medication[/h3]

[olist]
[li]Arogyavardhini Rasa, one tablet three times a day after food.[/li]
[li]Two tablets "Bhumyamalaki" three times a day after food.[/li]
[/olist]

[p]Medication should be continued till HbsAg becomes negative in
serum. Later tablet of [b]'Bhumyamalaki'[/b] three times a day
after food may be given as prophylaxis for one to three
months.[/p]

[h3]Pathya[/h3]

[p]Patient was advised to take Laghu Aahara, more Dravyapadartha.
Phalarasa (fruit juices), boiled vegetables and diet more of
carbohydrate and moderate quantity of proteins.[/p]

[h3]Discussion & Conclusion[/h3]

[p]This combination of drugs has proved once again the supremacy
of Ayurvedic drugs in hepatoprotective activity, and also given
reassurence to the suffering humanity against HBV. Some of the
other factors in the management of HBV are protecting other
persons who came in close contact with infected person viz.
wife/husband, children and relatives through vaccination. Usually
patients needs counselling and reassurance along drug
therapy.[/p]

[p]Patient recovered rapidly during first two months of
treatment, and became very weakly positive from the strongly
positive. At the end of the third month patient become HbsAg
negative which was confirmed by two different laboratories. "
Better the immunity of the persons faster the recovery and
clearance". One important factor observed during the treatment
was no complications Patient well tolerated the medication.[/p]

[p]This study has suggested that this combination of drugs has a
definite role in the play in providing adequate immune response
against HbsAg. Since study sample is too small, this needs
further evolution.[/p]

[h1]CHAPTER 13[/h1]
[h1]HOLISTIC MANAGEMENT OF BRONCHIAL ASTHMA[/h1]

[h3]Introduction[/h3]

[p]Bronchitis is one of the most common respiratory diseases,
significantly seen in the tropical areas. Bronchiolitis, acute
bronchitis, chronic bronchitis/bronchial asthma bronchiectesis
and bronchial fibrosis are the progressive advanced stages of a
pathological stage characterised by dyspnoea (krichra swasa)
cough with or without expectoration (ardra kasa or shushka kasa),
and wheeze (Ghur ghurayana with thamaha pravesha).[/p]

[p]In Ayuvedic texts, the symptoms and sings of bronchial asthma
has been described under the title Tamaka swasa a variety of
swasa (respiratory disorder). Acharya Caraka has described five
varieties of swasa namely Mahaswasa, Urdhwa Swasa, Chinna Swasa,
Thamaka Swasa and Prathamaka Swasa.[/p]

[p]The etio-pathological and clinical features of Thamaka shwasa
corelated with that of the Bronchitis/Bronchial ashtma. The
present study is a documentation of 60 cases of well established
Bronchial asthma and its management through an integrated
approach. It comprises of the selective line of treatments and
drugs of modern systems of medicine Ayurveda, Yoga and
Naturopathy. The present study is a record of cases and their
management over a period of 10 years.[/p]

[h3]Materials and Methods[/h3]

[olist]

[li][p][b]Selection of patients[/b]: Patients with complaints of
difficult breathing, cough with or without expectoration and
wheezing who visited 'Sumana Arogya dhama' were treated according
to the requirement through an integrated approach of different
systems of medicine and drugs. Patients were subjected for a
thorough clinical examination and findings were recorded in a
specific case proforma. Patients were also investigated with
relative and equired Biochemical, Haematological, Microbiological
and Roentogenographical procedures. All the dates were analysed
by giving due importance to the differential diagnosis and the
final diagnosis of Bronchial asthma was arrived. Cases were
divided in to two groups for the convenience of treatment namely
Acute asthmatics and Chronic Asthmatics based on the history,
symptoms and sings. Cases between the age group of 4 to 40 years
were selected for the study. Both female and male; adults and
children were randomly selected. The cases selected were
Bronchial asthmatic and were free from the associated diseases,
such as Pneumonia, Cardiac problems, Pulmonary kochs, Emphysema,
Corpulmonale and also Diabetes mellitus and Congenital
deformities. The Acute and severe stage Bronchial asthma was
managed with modern line of treatment, and the chronic stage of
Bronchial asthma was treated with the alternative lines of
treatment which included administration of 'Vardhamana pippali
rasayana yogi' as aushadha (Medicine). Dietary restrictions
(Ahara), practises such as Yoga, Pranayama, Honey pulling,
Fasting etc., (Vihara) and meditation (Vichara) with an objective
of preventing relapse by regulating the whole immune system.[/p]
[/li]

[li][p][b]Vardhamana pipplai Rasayana yoga[/b][br/]This is a course of
administration of pippali (Piper lomgu) in the prescribed
quantity for a prescribed period by altering the dosage in and
ascending and descending order described by Acharya Charaka in
the third chapter of chikitsasthana known as Kara Prachithiyam
Rasayana pada. According to the texts, fruits of pippali should
be administered over a period of twenty days, beginning with 10
fruits on the day one; increasing 10 fruits every day upto the
10th day and later decreasing with same number till it reaches to
ten on 20th day. This dose is for people who have good tolerance
(uthama Mathra). The author has recommended to start with 6
fruits and 3 fruits of pippali for people having moderate and low
tolerance (Madhyama and Alpa matra) respectively. It has been
adviced to administer pippali in the form of kshira paka.
Acharaya charaka has attributed immunostimulants, growth
promoting, geriatric, strength promoting, vitalizing, vivifying,
rejuvenating, lifespan increasing and memory boosting
pharmacological actions and therapeutic effects to pippali. In
the present study a slight modification has been done from the
classical 'Vardhamana pippali Rasayana yoga' of Charaka with
regard to the ingredients, dosage and duration of the course of
treatment by keeping in view the specific purpose of providing
relief and specific immunity among Bronchial asthmatics.
Tolerance of the patients and convenience of administration.
Pippali was administered along with 2.5 gm, turmeric rhizome
powder (Curcuma longa) 2.5 gm. liquorice root powder (Glycerrhiza
glabra) one fruit of cordamom (Elettaria cordamomum) and
sufficient quantity of Jaggery in the form of medicated milk
(Kshira paka). The treatment course was start with six fruits of
pippali on day one and increased one fruit every day upto 24th
day and later decreased by one fruit of pippali a day till the
number reached six, completing one Mandala (48 days) and
administration of 900 fruits of pippali in a course. However, the
quantity of turmeric, liquorice and cordamom were kept constant
but the quantity of Jaggery was altered and adjusted depending
upon the number of fruits of pippali, the needs of individual
patients. Children below the age of 12 years were administered
half the dose of Adults.[/p] [/li]

[/olist]

[h3]Management[/h3]

[p]Management of Bronchial asthma through an Integrated approach comprises of the following:[/p]

[p][b]Medicine (Ausadha)[/b][/p]

[p]Patients with acute bronchial asthma and severe chronic
bronchila asthma were treated and managed with the conservative
line of treatment depending upon the severity of disease and
response of the patients. The line of treatment and drugs
included the following:[/p]

[olist]

[li][b]Broncho-dilators[/b]: Theophylline, Salbutamol,
Terbutaline sulphate, Amino phylline, Adrenaline, Ephedrine
hydrochloride, Kanakasava, Vasakarista. Mruthasanjeevini sura,
Shwasa kuthara, Shwasananda.[/li]

[li][b]Antibiotics[/b]: Penicillin, Amoxycillin, Tetracycline,
Pefloxacin, Cepholosporins, Septilin.[/li]

[li][b]Anti-Inflammatory and Anti Allergic/Steroids[/b]:
Betamethasone, Dexamethadsone, Prednisolone, Hydrocortisone,
Trimacinaline aceta manide (Oral, Parenteral and Aerosal
form).[/li]

[li][b]Anti-histamines[/b]: Cetrizine di-hydrochloride,
Phenaramine maleate, Chloro phenaramine maleate Haridra kanda
Karpuradi churna, Gorochanadi vati, Kasturyadi vati.[/li]

[li][b]Mucolytics[/b]: Bromhexine hydrochloride, Taleesadi curna,
Dasamula katutrayadi kasaya, Balajeerakadi kasaya and
Gudapippali.[/li]

[li][b]Expectorants[/b]: Ammonium chloride, Ginaphansein,
Pushkaramulasava, seems to be rendering the same. This is seen
based on the percentage of cure, no relapse and less significant
relapse even after an year.[/li]

[/olist]

[p]Diet restrictions, practises such as pranayama, yoga,
meditation, listening to music etc., help in quality of mental
and physical health by improving both physical and mental
resistance. Honey pulling is like oil pulling (which is being
practised widely) is administrated with an objective of easy
expectoration of sputum and mucolysis.[/p]

[h3]Conclusion[/h3]

[p]Since no particular system of medicine has been able to
provide total cure for Bronchial asthma which has been revealed
in the various studies, it is advisable to augment all the good
and beneficial factors from the available different systems of
medicine with an objective of establishing Asthmatic free
society. This conclusion is very much in accordance with the
slogan of Holistic medicine and also the Rigveda 'Anobhadhraha
kanthavoyantha vishwathaha'-'Let noble thoughts come to us from
every side.' Because we are interested in Lokaha samasthaha
sukhinobhavanthu sarvesanthu niramayaha.' 'Let the entire world
remain in pleasure and happiness and let there be a society free
from all sorts of diseases.'[/p]

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