"Kaas series-1"- The Salient Features of Kaas(coughing) by Prof. Satyendra Ojha

[05/08 19:12] Satyendra Ojha sir:

Ch.Chi 18/ 7-9

Cough Reﬂex:

The bronchi and trachea are so sensitive to light touch that very slight amount of foreign matter or other causes of irritation initiate the cough reﬂex. The larynx and carina (the point where the trachea divides into the bronchi) are especially sensitive, and the terminal bronchioles and even the alveoli are sensitive to corrosive chemical stimuli such as sulfur dioxide gas or chlorine gas. Afferent nerve impulses pass from the respiratory passages mainly through the vagus nerves to the medulla of the brain. There, an automatic sequence of events is triggered by the neuronal circuits of the medulla, causing the following effect.

First, up to 2.5 liters of air are rapidly inspired.

Second, the epiglottis closes, and the vocal cords shut tightly to entrap the air within the lungs.

Third, the abdominal muscles contract forcefully, pushing against the diaphragm while other expiratory muscles, such as the internal intercostals, also contract forcefully. Consequently, the pressure in the lungs rises rapidly to as much as 100 mm Hg or more.

Fourth, the vocal cords and the epiglottis suddenly open widely, so that air under this high pressure in the lungs explodes outward. Indeed, sometimes this air is expelled at velocities ranging from 75 to 100 miles per hour. Importantly, the strong compression of the lungs collapses the bronchi and trachea by causing their non-cartilaginous parts to invaginate inward, so that the exploding air actually passes through bronchial and tracheal slits. The rapidly moving air usually carries with it any foreign matter that is present in the bronchi or trachea.

The above explanation holds true as a physiological as well as a disease process.

The main pathogenesis has 5 steps viz

(i) pratihatō vayu i.e obstruction or avarodh to the normal movement of vayu. It may occur due to the bronchospasm or due to mucus or due to tumour or any foreign body. As said by Chakrapani that kapha (mucus) etc are the cause for the obstruction to the natural movement of the vata.

(ii) urdhwa srota samasrita: this step explains the complete process of the afferent nerves taking the impulse to the cough centre leading to the epiglottis closure and shutting down of the vocal cords to entrap the air within the lungs.

(iii) udānabhāvamāpannaḥ: third and the important step is to gain bala to the urdhwa gati which is brought about by the contracture of abdominal muscle pushing against the diaphragm while other expiratory muscles, such as the internal intercostals, also contract forcefully.

(iv) khāni sarvāṇi pratipūrayan i.e. the pressure in the lungs rises rapidly. Khāni means srotas i.e air gets filled up in the complete pulmonary passage.

(v) vāyōḥ saraṁhasaḥ: Chakrapani comments on saraṁhasa as sa vegasya i.e. with full speed. The vocal cords and the epiglottis suddenly open widely, so that air under this high pressure in the lungs explodes outward. Secondly, the strong compression of the lungs collapses the bronchi and trachea by causing their noncartilaginous parts to invaginate inward, so that the exploding air actually passes through bronchial and tracheal slits.

The specificity of the sound depends on the obstruction caused to the movement of vayu (pratighāta viśēṣēṇa). The pratighātaviśēṣēṇa may be due to consolidation as seen in pneumonia, tuberculosis etc. Obstruction may also be caused due adenocarcinoma or by simple process of bronchospasm. The presentation on auscultation like fine crepts or rhonchii is nothing but the pratighāta viśēṣa which helps in diagnosis of the disease.

[05/08 19:14] Sanjay Lungareg Dr:

Nice interpretation गुरूवर्य।

[05/08 19:20] Satyendra Ojha sir:

प्रतिघात विशेष is very much clinically significant word..

[05/08 19:24] Satyendra Ojha sir:

Phonograms are based on pratighaata..

[05/08 19:24] ‪+91 70102 87704‬:

Awesome interpretation of the facts, sir.

[05/08 19:27] Satyendra Ojha sir:

Thanks.. it's glory of charak samhita..

***********************************************************************************************************

Prof. Satyendra Narayan Ojha

MD PhD

(Kayachikitsa)
Director

Yashwant Ayu. College & P.G.Training&Research Center

Kodoli, Kolhapur, Maharashtra, India.

Mobile No.- +91 9822177155

email: drsnojha@rediffmail.com

Comments

Case-presentation : 'Pittashmari' (Gall-bladder-stone) by Vaidya Subhash Sharma

[1/20, 00:13] Vd. Subhash Sharma Ji Delhi: 1 *case presentations - पित्ताश्य अश्मरी ( cholelithiasis) 4 रोगी, including fatty liver gr. 3 , ovarian cyst = संग स्रोतोदुष्टि* *पित्ताश्य अश्मरी का आयुर्वेद में उल्लेख नही है और ना ही पित्ताश्य में gall bladder का, आधुनिक चिकित्सा में इसकी औषधियों से चिकित्सा संभव नही है अत: वहां शल्य ही एकमात्र चिकित्सा है।* *पित्ताश्याश्मरी कि चिकित्सा कोई साधारण कार्य नही है क्योंकि जिस कार्य में शल्य चिकित्सा ही विकल्प हो वहां हम औषधियों से सर्जरी का कार्य कर रहे है जिसमें रोगी लाभ तो चाहता है पर पूर्ण सहयोग नही करता।* *पित्ताश्याश्मरी की चिकित्सा से पहले इसके आयुर्वेदीय दृष्टिकोण और गर्भ में छुपे सूत्र रूप में मूल सिद्धान्तों को जानना आवश्यक है, यदि आप modern पक्ष के अनुसार चलेंगें तो चिकित्सा नही कर सकेंगे,modern की जरूरत हमें investigations और emergency में शूलनाशक औषधियों के रूप में ही पड़ती है।* *पित्ताश्याशमरी है तो पित्त स्थान की मगर इसके निदान में हमें मिले रोगियों में मुख्य दोष कफ है ...* *गुरूशीतमृदुस्निग्ध मधुरस्थिरपि

Case-presentation: Management of Various Types of Kushtha (Skin-disorders) by Prof. M. B. Gururaja

Admin note: Prof. M.B. Gururaja Sir is well-known Academician as well as Clinician in south western India who has very vast experience in treatment of various Dermatological disorders. He regularly share cases in 'Kaysampraday group'. This time he shared cases in bulk and Ayu. practitioners and students are advised to understand individual basic samprapti of patient as per 'Rogi-roga-pariksha-vidhi' whenever they get opportunity to treat such patients rather than just using illustrated drugs in the post. As number of cases are very high so it's difficult to frame samprapti of each case. Pathyakram mentioned/used should also be applied as per the condition of 'Rogi and Rog'. He used the drugs as per availability in his area and that to be understood as per the ingredients described. It's very important that he used only 'Shaman-chikitsa' in treatment. Prof. Surendra A. Soni ®®®®®®®®®®®®®®®®®®®®®®® Case 1 case of psoriasis... In this

Case presentation: Vrikkashmari (Renal-stone)

On 27th November 2017, a 42 yrs. old patient came to Dept. of Kaya-chikitsa, OPD No. 4 at Govt. Ayu. College & Hospital, Vadodara, Gujarat with following complaints...... 1. Progressive pain in right flank since 5 days 2. Burning micturation 3. Dysuria 4. Polyuria No nausea/vomitting/fever/oedema etc were noted. On interrogation he revealed that he had h/o recurrent renal stone & lithotripsy was done 4 yrs. back. He had a recent 5 days old USG report showing 11.5 mm stone at right vesicoureteric junction. He was advised surgery immediately by urologist. Following management was advised to him for 2 days with informing about the possibility of probable emergency etc. 1. Just before meal(Apankal) Ajamodadi choorna - 6 gms. Sarjika kshar - 1 gm. Muktashukti bhasma - 250 mgs. Giloyasattva - 500 mgs. TDS with Goghrita 20 ml. 2. After meal- Kanyalohadi vati - 2 pills Chitrakadi vati - 4 p

WhatsApp Discussion Series: 24 - Discussion on Cerebral Thrombosis by Prof. S. N. Ojha, Prof. Ramakant Sharma 'Chulet', Dr. D. C. Katoch, Dr. Amit Nakanekar, Dr. Amol Jadhav & Others

[14/08 21:17] Amol Jadhav Dr. Ay. Pth: What should be our approach towards... Headache with cranial nerve palsies.... Please guide... [14/08 21:31] satyendra ojha sir: Nervous System Disorders » Neurological Disorders Headache What is a headache? A headache is pain or discomfort in the head or face area. Headaches vary greatly in terms of pain location, pain intensity, and how frequently they occur. As a result of this variation, several categories of headache have been created by the International Headache Society (IHS) to more precisely define specific types of headaches. What aches when you have a headache? There are several areas in the head that can hurt when you have a headache, including the following: a network of nerves that extends over the scalp certain nerves in the face, mouth, and throat muscles of the head blood vessels found along the surface and at the base of the brain (these contain delicate nerve fibe

WhatsApp Discussion Series:18- "Xanthelasma" An Ayurveda Perspective by Prof. Sanjay Lungare, Vd. Anupama Patra, Vd. Trivendra Sharma, Vd. Bharat Padhar & others

[20/06 15:57] Khyati Sood Vd. KC: white elevated patches on eyelid.......Age 35 yrs...no itching.... no burning.......... What could be the probable diagnosis and treatment according Ayurveda..? [20/06 16:07] J K Pandey Dr. Lukhnau: Its tough to name it in ayu..it must fall pakshmgat rog or wartmgat rog.. bt I doubt any pothki aklinn vartm aur klinn vartm or any kafaj vydhi can be correlated to xanthelasma..coz it doesnt itch or pain.. So Shalakya experts may hav a say in ayurvedic dignosis of this [20/06 16:23] Gururaja Bose Dr: It is xantholesma, some underline liver and cholesterol pathology will be there. [20/06 16:28] Sudhir Turi Dr. Nidan Mogha: Its xantholesma.. [20/06 16:54] J K Pandey Dr. Lukhnau: I think madam khyati has asked for ayur dignosis.. [20/06 16:55] J K Pandey Dr. Lukhnau: Its xanthelasma due to cholestrolemia..bt here we r to diagnose iton ayurvedic principles [20/06 17:12] An

WhatsApp Discussion Series 47: 'Hem-garbh-pottali-ras'- Clinical Uses by Vd. M. Gopikrishnan, Vd. Upendra Dixit, Vd. Vivek Savant, Prof. Ranjit Nimbalkar, Prof. Hrishikesh Mhetre, Vd. Tapan Vaidya, Vd. Chandrakant Joshi and Others.

[11/1, 00:57] Tapan Vaidya: Today morning I experienced a wonderful result in a gasping ILD pt. I, for the first time in my life used Hemgarbhpottali rasa. His pulse was 120 and O2 saturation 55! After Hemgarbhapottali administration within 10 minutes pulse came dwn to 108 and O2 saturation 89 !! I repeated the Matra in the noon with addition of Trailokyachintamani Rasa as advised by Panditji. Again O2 saturation went to 39 in evening. Third dose was given. This time O2 saturation did not responded. Just before few minutes after a futile CPR I hd to declare him dead. But the result with HGP was astonishing i must admit. [11/1, 06:13] Mayur Surana Dr.: [11/1, 06:19] M gopikrishnan Dr.: [11/1, 06:22] Vd.Vivek savant: Last 10 days i got very good result of hemgarbh matra in Aatyayik chikitsa. Regular pt due to Apathya sevan of 250 gm dadhi (freez) get attack asthmatic then get admitted after few days she adm

DIFFERENCES IN PATHOGENESIS OF PRAMEHA, ATISTHOOLA AND URUSTAMBHA MAINLY AS PER INVOLVEMENT OF MEDODHATU

Compiled by Dr.Surendra A. Soni M.D.,PhD (KC) Associate Professor Dept. of Kaya-chikitsa Govt. Ayurveda College Vadodara Gujarat, India. Email: surendraasoni@gmail.com Mobile No. +91 9408441150

UNDERSTANDING THE DIFFERENTIATION OF RAKTAPITTA, AMLAPITTA & SHEETAPITTA

UNDERSTANDING OF RAKTAPITTA, AMLAPITTA & SHEETAPITTA AS PER VARIOUS CLASSICAL ASPECTS MENTIONED IN AYURVEDA. Compiled by Dr. Surendra A. Soni M.D.,PhD (KC) Associate Professor Head of the Department Dept. of Kaya-chikitsa Govt. Ayurveda College Vadodara Gujarat, India. Email: surendraasoni@gmail.com Mobile No. +91 9408441150

Case-presentation: 'रेवती ग्रहबाधा चिकित्सा' (Ayu. Paediatric Management with ancient rarely used 'Grah-badha' Diagnostic Methodology) by Vd. Rajanikant Patel

[2/25, 6:47 PM] Vd Rajnikant Patel, Surat: रेवती ग्रह पीड़ित बालक की आयुर्वेदिक चिकित्सा:- यह बच्चा 1 साल की आयु वाला और 3 किलोग्राम वजन वाला आयुर्वेदिक सारवार लेने हेतु आया जब आया तब उसका हीमोग्लोबिन सिर्फ 3 था और परिवार गरीब होने के कारण कोई चिकित्सा कराने में असमर्थ था तो किसीने कहा कि आयुर्वेद सारवार चालू करो और हमारे पास आया । मेने रेवती ग्रह का निदान किया और ग्रह चिकित्सा शुरू की।(सुश्रुत संहिता) चिकित्सा :- अग्निमंथ, वरुण, परिभद्र, हरिद्रा, करंज इनका सम भाग चूर्ण(कश्यप संहिता) लेके रोज क्वाथ बनाके पूरे शरीर पर 30 मिनिट तक सुबह शाम सिंचन ओर सिंचन करने के पश्चात Ulundhu tailam (यह SDM सिद्धा कंपनी का तेल है जिसमे प्रमुख द्रव्य उडद का तेल है)से सर्व शरीर अभ्यंग कराया ओर अभ्यंग के पश्चात वचा,निम्ब पत्र, सरसो,बिल्ली की विष्टा ओर घोड़े के विष्टा(भैषज्य रत्नावली) से सर्व शरीर मे धूप 10-15मिनिट सुबज शाम। माता को स्तन्य शुद्धि करने की लिए त्रिफला, त्रिकटु, पिप्पली, पाठा, यस्टिमधु, वचा, जम्बू फल, देवदारु ओर सरसो इनका समभाग चूर्ण मधु के साथ सुबह शाम (कश्यप संहिता) 15 दिन की चिकित्सा के वाद

Case-presentation- Self-medication induced 'Urdhwaga-raktapitta'.

This is a c/o SELF MEDICATION INDUCED 'Urdhwaga Raktapitta'. Patient had hyperlipidemia and he started to take the Ayurvedic herbs Ginger (Aardrak), Garlic (Rason) & Turmeric (Haridra) without expertise Ayurveda consultation. Patient got rid of hyperlipidemia but hemoptysis (Rakta-shtheevan) started that didn't respond to any modern drug. No abnormality has been detected in various laboratorical-investigations. Video recording on First visit in Govt. Ayu. Hospital, Pani-gate, Vadodara. He was given treatment on line of 'Urdhwaga-rakta-pitta'. On 5th day of treatment he was almost symptom free but consumed certain fast food and symptoms reoccurred but again in next five days he gets cured from hemoptysis (Rakta-shtheevan). Treatment given as per availability in OPD Dispensary at Govt. Ayurveda College hospital... 1.Sitopaladi Choorna- 6 gms SwarnmakshikBhasma- 125mg MuktashuktiBhasma-500mg Giloy-sattva- 500 mg.

Search This Blog