WhatsApp Discussion Series 40: 'Post-herpes-neuralgia' Dr. D.C. Katoch, Dr. Raghuram Bhatta, Dr. Rangaprasad Bhat, Dr. Pawan Madaan, Dr. Deepak Bassi, Dr. Jyothi, Dr. J.K. Pandey & Others.

[6/9, 12:08] Deepak Bassi Dr: 

Teachers please guide on management of post herpes neuralgia.

[6/10, 22:27] Dr Surendra A Soni: 

Deepak ji 

Please give little bit details like area/duration etc. ??

[6/10, 23:08] Dr Jyothi: 

Cap palcyneuron gives great relief in post herpatic neuralgia.

[6/10, 23:10] Vd Ranga Prasad Ji Chennai:

Valiya Madhusnuhi Rasayanam had been of much help in my clinical practice. 

Correlate clinically.

[6/10, 23:11] Deepak Bassi Dr: 

Sir patient is experiencing pain from last 1 year after herpes zoster.

He is having pain on right arm over biceps.

It was relieved by use of rasnasaptak kwath with ashwganda and sustshekar ras.

But again he is experiencing same. 

Even with treatment undergoing.

[6/10, 23:12] Vd Ranga Prasad Ji Chennai: 

Is the pain burning in nature or stretching associated with numbness ?

[6/10, 23:13] Deepak Bassi Dr: 

Burning in nature.

[6/10, 23:15] Deepak Bassi Dr: 

Thank you very much Ranga Sir.

[6/10, 23:19] D.C. Katoch Sir: 

Karskar Gutika with milk + ghee or badam rogan may help in effectively controlling the hypersensitiveness of nerves of herpes affected area.

[6/10, 23:20] Deepak Bassi Dr: 

[6/10, 23:22] Deepak Bassi Dr: Sir Reference ?

[6/10, 23:51] D.C. Katoch sir: 

Karskar is Kuchla- rest is logic considering samprapti of the implication and therapeutic properties required to check neuralgia.

[6/11, 06:34] Shivam Sinwar Dr.: 

I hv experienced of 1 pt of  post herpes neuralgia 

Pt hv pain & and burning sensation after Herpes zoster occurred 3 yr before, I did pitta  sahamak t/t with help of Drakashadi Lehman and Arogayvardhani + Amrita satva + Sutasekhar + aamlaki + sarkara, applied this t/t for 20 days, after t/t 3 month passed still there is no pain & burning.

[6/11, 07:06] Dr Jyothi: 

First line of treatment in visarpa is removing the excess pitta by virechana. Then u can start with gritha int & ext. 

suvarna sutashekhara rasa is also v. good. If pitta is removed like this then it is unlikely to develop neuritis.

Along with this I usually give pittarechaka kashaya or patola katukarohinyadi kashaya.

[6/11, 07:14] D.C. Katoch sir: 

Classical line of treatment !

[6/11, 07:42] Deepak Bassi Dr: 

Thank you sir !

  

[6/11, 11:18] Pawan Madaan Dr: 

I use KAMDUDA RASA 500 MG qds for fifteen days.

Gives excellent results.

[6/11, 11:22] Dr Surendra A Soni: 

Yes Sir !

Some time KR with Mukta is needed.

Massage with mahanarayan/ mahamash/ bala etc tail is also fruitful.

In this condition of nerve inflammation , ksheer pak of ashwagandha/shatavari/ bala/guduchi/ punarnava etc together also gives good results if it suits to patient.

[6/11, 11:26] D.C. Katoch Sir: 

In post herpes neuralgia there could be three possible backgrounds- pure Vatolavan, Vaatpittolvan or Pittavatolavan.  In all three pure Vaatshamak or Pittashamak aushadh does not work to the desired extent unless snigdh aushadh or anupan is added. Ghrit being param yogavahi and ideal  vaat -pittashamak must be added in the prescription.

[6/11, 11:27] Dr Surendra A Soni: 

[6/11, 11:27] Rakesh Salve Vd.: 

Kamdudha Rasa or Chandrakala Rasa with Amalaki churna also give excellent results..!

[6/11, 11:28] Katoch sir: 

[6/11, 11:28] Rakesh Salve Vd.: 

[6/11, 11:36] Raghuram Dr Banguluru:

In few cases I hv seen and administered, *Ksheera-Dhara* with either of -

Dashamoola siddha ksheera 

Yashtimadhu siddha ksheera

Dashamoola-Bala-Laksha-siddha Ksheera - Dhara can be preferred.

Nitya virechana will help.

Like to add *Ksheerabala tailam 101, Dhanwantaram 101* for internal consumption to the prescription (along with other useful remedies mentioned by other members)

Application of *Shatadhauta Ghrita* is highly beneficial. *Pinda taila* also has given excellent results in few conditions.

[6/11, 11:37] Pawan Madaan Dr: 

Sir...kamdudhaa rasa acts as good vaata pitta shaamakk.

[6/11, 11:39] Pawan Madaan Dr: 

[6/11, 11:39] Raghuram Dr Banguluru: 

[6/11, 12:03] Deepak Bassi Dr: G sir 

[6/11, 12:04] D.C. Katoch Sir: 

Thanks Dr Pawan for informing that KD Ras is Vaatshamak also. I  always used it as Pittashamak and antisecretary in acid-peptic disease.

[6/11, 12:35] Hariomgupta ji dr: 

[6/11, 12:45] J K Pandey Dr. Lukhnau:

Superbly  said sir..

I hv got satisfactory results in PHN 

by giving chandrakala, mukta, giloy-sattva in ghee..

local application of chandan bala lakshadi tail is superbly benificial in any type of neurogenic burning sensation..including diabetic neuropathy..

erand tail mixed with a cup of milk at bedtime.

[6/11, 13:00] Dr Surendra A Soni: 

Raghu Sir ! Covered all aspects with variety of options.

[6/11, 13:01] Dr Surendra A Soni: Pandey ji 

[6/11, 13:24] Deepak Bassi Dr: 

Thank you. Gurujan for guidance..

Blessed

[6/11, 13:39] Dr Surendra A Soni:

लवणाम्लकटूष्णानां रसानामतिसेवनात् ।

दध्यम्लमस्तुशुक्तानां सुरासौवीरकस्य च ॥१६॥

व्यापन्नबहुमद्योष्णरागषाडवसेवनात् ।

शाकानां हरितानां च सेवनाच्च विदाहिनाम् ॥१७॥

कूर्चिकानां किलाटानां सेवनान्मन्दकस्य च ।

दध्नः शाण्डाकिपूर्वाणामासुतानां च सेवनात् ॥१८॥

तिलमाषकुलत्थानां तैलानां 'पैष्टिकस्य' च ।

ग्राम्यानूपौदकानां च मांसानां लशुनस्य च ॥१९॥

प्रक्लिन्नानामसात्म्यानां विरुद्धानां च सेवनात् ।

अत्यादानाद्दिवास्वप्नादजीर्णाध्यशनात् क्षतात् ॥२०॥

क्षतबन्धप्रपतनाद्धर्मकर्मातिसेवनात्१ ।

विषवाताग्निदोषाच्च विसर्पाणां समुद्भवः ॥२१॥

एतैर्निदानैर्व्यामिश्रैः कुपिता मारुतादयः ।

दूष्यान् सन्दूष्य रक्तादीन् विसर्पन्त्यहिताशिनाम् ॥२२॥

Dr Deepak 

These nidans must be avoided as following the principal of Nidan-parivarjan if you want quick recovery.

Now I understand that why many old traditional vaidya restrict the patient to eat any kind of flour. They suggest the whole grain in any form but not the flour.

[6/11, 13:42] Deepak Bassi Dr: 

Thank you Sir !

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Above discussion held on 'Kaysampraday" a Famous WhatsApp discussion group  of  well known Vaidyas from all over the India. 

Compiled & edited 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