WDS69: 'ALASAK & DANDALASAK' by Dr. Pawan Madaan, Vaidya Jayshree Kulkarni, Dr. D. C. Katoch, Prof. Kiran Mohite, Dr. Shashi Jindal, Prof. D. N. Pandey, Dr. Divyesh Desai, Dr. Narinder Paul, Vd. V. B. Pandey & Others.

[3/21, 07:42] pawan madan dr:

Good mng all ... 🙏🙏

A dilemma ...

Alsakamupadexyam: - Durbal al-Pagner bahushalamano VatamutraPuriform acceleration: stagnant guru bhuparakshit shishamnaadanpanamanilprapititam shalasamana vikramamamamamamamatrilamalasavnanna afarvakbhavti, tatashchartyadarvarjyyyyamprudashlinkganyyvvvrh The ultraproductive dosha: Pradrupatammiramagastyiraggachhanti kadchidev mere mamasi bodya dandavat pillambhanyanti, 1 in the form of a pencil bracelet. Conflicting Consciousness: Regarding remarriage, Contingent on behalf of 2: Spearhead, Poisonous; It is the supreme power, against the blessing of the evil. 12.

Is the lymphatic only a cell sickening ?

Which clinical presentation is this penalty ?

And this is a condition of the metabolic metabolism ?

[3/21, 12:07] Dr. Surendra A Soni:

Few hindi commentators corelate such condition with dry cholera or cholera sicca. I did not know Practically observed few cases who were rich housewives, not used to work physically and had c / o body stiffness etc. We can not say that this is similar to alasaka but pathology is same in milder form. Alasaka is very acute presentation with absence of digestion, tiryagami dosha, complete srotosanga with toxicity features. 

When it's a very acute and as well as a pradhanika pattern of nudan, it spreads / involves not only shakha but also Marmas to leading to incurable condition.

Pawan Sir !! 🙏

[3/21, 12:12] pawan madan dr:

Sir ...

Perhaps ur indicating about Visuchika ..

In shastra ... Alska has been said ..... when doshas get obstructed in the koshtha and doesnt come out from above or below ...

In that sence ..... it could be serious obstructibe pathology or something like that ...

but I am.thinking that ..... in this condition ... ama dosha gets obstructed or stuck in various channels and thus producing different systemic symptoms ..

We often try to incorporate or understand many syndroms on the name of the community ....... so we need to see whats it?

I hope you are getting my point .... 🤔🙏

[3/21, 12:48] Dr. Surendra A Soni:

Both alasaka and visucci are also included in vikaras including vilambika too.

[3/21, 12:49] Dr. Surendra A Soni:

I think your thinking is right.

[3/21, 13:07] pawan madan dr:

Yes ....

thats very clear ....

[3/21, 20:42] Dr. DC Katoch Sir:

The gastro-intestinal atonia arising from indigestible toxin (endogenous toxemia) is alaskar. At this stage there are no antiperistaltic reflex actions, as the peristaltic movements are closed. If only then it does not get damaged or diarrhea, and the treatment of this is not only medicine but it is not medicines.

[3/21, 20:46] Prof. Deep Narayan Pandey:

Very important explanation

In fact, if it goes long, then a condition of the patient comes such as when she says that her stool was washed out, she could not find it.

[3/21, 20:48] Vd VB Pandey Basti U. P:

Adopting classical thinking is justified, but the probability of practically perforation is very high and quick, in which the patient's expectation to survive is very little.

[3/21, 20:48] Prof. Deep Narayan Pandey:

To say it means that the involuntary expiration (in small quantities) becomes and the patient does not understand what is happening.

[3/21, 21:17] DC Katoch Sir:

That's why no medicine and general food should be given to the patient.

[3/21, 21:19] Vd VB Pandey Basti U. P: 

Yes sir.

[3/21, 21:20] DC Katoch Sir:

The heat and liquid food is only suitable in the alaskar.

[3/21, 22:17] DC Katoch Sir:

On the destruction of the movement of paralic colon colon colon, or excessive consumption of sedatives, there is no general dehydration, the secretion of the stool is spontaneously and unknowingly.

[3/21, 22:29] pawan madan dr:

 Ji sir

Meri bhi soch aisi.hai hai ...

Is that enough?

[3/21, 22:35] DC Katoch Sir:

The thinking is exactly what is practicable. Diagnostic and therapeutic area is not capsular imagination. Happy Holi and best wishes 💐😊

[3/22, 04:59] pawan madan dr:

Good mng everybody

आमदोष की वह अवस्था जिसे आचार्य अलसक कहते है उसमे दोष कोष्ठगत मल रहते है जो की अलसी भूत हो जाते है व उन्मार्ग एवम.अधोमार्ग किसी भी रास्ते से बाहर नही आते जैसे की paralytic illeus.

यही आम्दोष की स्थिति जिसमे के विष के समान सार्व्दैहिक लक्षण उपस्थित हो जाते है आम्विष की सन्ग्या से कहा जाता है. ऐसा विष जो के सार्वदैहिक लक्षण पैदा कर सकता है वह किसी भी प्रकार का multisystem syndrome पैदा करने मे सक्षम है क्या ?

🤔🤔

[3/22, 05:03] pawan madan Dr:

👇👇

आमदोष की चिकित्सा मे महत्वपूर्ण..

आमप्रदोषजानां पुनर्विकाराणा *मपतर्पणेनैवोपरमो भवति*, सति त्वनुबन्धे *कृतापतर्पणानां व्याधीनां निग्रहे निमित्तविपरीतमपास्यौषधमातङ्कविपरीतमेवावचारयेद्यथास्वम्* ।

सर्वविकाराणामपि च निग्रहे हेतुव्याधिविपरीतमौषधमिच्छन्ति कुशलाः, तदर्थकारि वा । विमु२क्तामप्रदोषस्य पुनः परिपक्वदोषस्य दीप्ते चाग्नावभ्यङ्गास्थापनानुवासनं विधिवत् स्नेहपानं च युक्त्या प्रयोज्यं प्रसमीक्ष्य दोषभेषजदेशकालबलशरीराहारसात्म्यसत्त्वप्रकृतिवयसामवस्थान्तराणि विकारांश्च सम्यगिति ॥१३॥

गुरुजन क्रिपया मार्गदर्श्न करे...🙏

[3/22, 05:48] Dr Shashi Jindal, Chandigarh:

sir musculoskeletal stiffness seems to be one stmptom of danalsak, even morning stiffness.

????🙏🏼

[3/22, 05:57] pawan madan Dr:

पर अगर ये ऐसा है तो फिर यहा इसके वर्णन का औचित्य क्या है ?

[3/22, 07:45] Prof. Deep Narayan Pandey:

I feel that दण्डालसक should be known when  दोष are excessively provoked and they vitiate and abstract the channels through which the undigested food particles could pass.

Once, being unable to move inside the body through appropriate channel, these दोष force the undigested food to move through   unnatural or inappropriate parts of the body. Accordingly,  whole शरीर turns stiff like a दण्ड of wood. And therefore named as  दण्डालसक.

This is a critical condition incurable.

It is a kind of intestinal disorder where in a patient of अलसक, दोष get further aggravated, then they may also cause severe colic pain and obstruction to the channels of circulation. The patient doesn't get vomiting or diarrhoea. Then they move sidewards to produce stiffness of the body, which becomes like a दण्ड. The patient suffering from this disease may rarely survive.

[3/22, 08:16] Prof. Deep Narayan Pandey:

*A sweetener's not-so-sweet effects*

Obesity increases an individual's risk of developing many types of cancer, including colorectal cancer. One of the factors driving the rise in obesity rates is thought to be the use of high-fructose corn syrup (HFCS) as a sweetener in soft drinks. Goncalves et al. found that ingestion of HFCS promotes the growth of intestinal cancer even in the absence of obesity in mouse tumor models. An enzyme in tumors (ketohexokinase) converts fructose to fructose-1-phosphate, which alters tumor cell metabolism and leads to enhanced cell growth. Whether a similar process occurs in humans remains to be seen.

*This is a surprising Discovery published today in the world's best journal. You may like to read for your good health* 👇

[3/22, 08:16] Prof. Deep Narayan Pandey:

*High-fructose corn syrup enhances intestinal tumor growth in mice*

http://science.sciencemag.org/content/363/6433/1345

[3/22, 08:35] Dr Divyesh Desai:

प्रयाति न उर्ध्वह, न अधः तदआहारों न पच्यते,

आमशयो अलसी भूतेन

स अलसको इति स्मृता।।

आमाशय से यहाँ आमाशय ओर ग्रहणी का अगर ग्रहण किया जाय तो आमविष से जब

Gastric Perforation /

Peptic Perforation  होता है तब न तो वमनं या न तो विरेचन होता है, दोषो उदर में संचित होकर Peritonitis होकर severe pain होता है,ये कंडीशन में अलसक की प्रवृद्ध अवस्था या दंडालसक से मिलती जुलती है, शायद सभी आचार्य ने ये अवस्था को असाध्य बताया है,

हमारे सोनी सर ने यहां नवसारी CME में उदररोगो से कई रोगों की उत्पन्न सम्प्राप्ति बताई थी तभी मेरे दिमाग में अलसक की ये सम्प्राप्ति आई थी, शायद मेरा मानना ये है,मेरे विचार से आप असहमत भी हो सकते हो।।

दोष सन्निपात with आम वृद्धि अवस्था मे जब perforation होता है तो कायचिकित्सा वालो को ये केस Refer करना चाहिए ।।

जय आयुर्वेद, जय धन्वंतरि ।।

[3/22, 08:40] Dr Shashi Jindal, Chandigarh:

sir dosh may be in lumen of intestines but intestinal muscle functions effects their propulsion or non propulsion from lumen.

Function of intestinal muscles depend on dhatus, ie if aam is in mans dhatu(shakhagt), it may cause hypertonia, atonia or muscle twitching.

🙏🏼🙏🏼🙏🏼

[3/22, 08:41] Dr Divyesh Desai:

अलसक को आमाशयोत्थ व्याधि बताया है, पक्वाशयोत्थ व्याधि नही बताया है ।

[3/22, 08:49] pawan madan Dr:

पर अलसक मे दर्द या ज्वर जैसा कोई लक्षण नही बताया गया जैसा के अकसर perforation मे होता है.

🤔

[3/22, 08:53] Dr Divyesh Desai:

सर अलसक ज्यादातर उपद्रव के रूप में होता है, जब तुरंत perforation होता है, तब ज्वर भी तुरंत नही होता ।

दंडालसक में तो दोनों बताया है।

[3/22, 08:54] pawan madan Dr:

🙏🙏🙏🙏

When Doshas will abstract the channels.....undigested particles are not absorbed....🤔

Alsaka me Dosha.....yaane Aama dosha.....yaane undigested food particles itself..

ततश्छर्द्यतीसारवर्ज्यान्यामप्रदोषलिङ्गान्यभिदर्शयत्यतिमात्राणि ।

अल्सक मे आम प्रदोष जनित सब लक्षण अति मात्रा मे होन्गे...

क्या शूल आम प्रदोष का एक अनिवार्य लक्षण है?

[3/22, 09:01] Dr. D C Katoch sir:

Undigested particles will not be absorbed even if channels are not blocked. It is bio-converted material which gets absorbed not the undigested.

[3/22, 09:02] pawan madan Dr:

Thats why I raised the question...

[3/22, 09:09] Dr Shashi Jindal, Chandigarh: 


👌

Perforation is different pathogenisis, inflammatory, amla pitt, etc cause localised inflammed and thinning of intestinal muscles.🙏🏼

[3/22, 09:38] Dr Divyesh Desai:

अलसक एवं दंडालसक में acute ओर chronic सम्प्राप्ति अलग अलग है ऐसा मेरा मानना है, ओर अलग अलग प्रकृति के हिसाब से सब मे अलग अलग सिम्पटम्स मिलते है।।

गृहणी,आमाशय,आम,indigested फ़ूड,अवस्था पाक ,अजीर्ण, रस धातु,क्लेदक कफ,पाचक पित, समान वायु, अग्नि, कोष्ठ इन सब के बारे मे सोचकर मैने ये विचार रखा है।

[3/22, 09:46] Vd V. B. Pandey Basti U. P:

Perforation is almost the last stage of intestinal infection including carcinoma .Appendix Paratyphoid.even some med.also.

[3/22, 09:48] Dr Vinod Mittar, Bhiwani:

Peptic ulcer perforation is also common in surgery icu.

[3/22, 09:49] Dr Vinod Mittar, Bhiwani:

Gen. Pts. Comes in shock /unconscious state.

[3/22, 09:51] Dr Shashi Jindal, Chandigarh:

uncontrolled alsak  visoochika grahni etc. may get  complicate into udar rog, badhgudodar or peforation etc.

[3/22, 11:40] Dr Surendra A Soni:

Perforation is close to 'aabhyantar-vidradhi'/chhidroudaar. It has no connection with Alasak etc.

Divyesh Sir  !!

🙏

[3/22, 11:41] Dr Surendra A Soni:

🙏🌹Shashi  madam  !!

[3/22, 11:47] Kiran Mohite Ji Dr:

In acid peptic disorder perforation is due to fragility of mucosa and submucosal layer rather than infection, in other infective conditions , toxins and inflammation leads to fragility and lastly perforation if not treated within time

Hare Krishna 🙏

[3/22, 11:48] Dr Surendra A Soni:

Genuine description of pathology in short and sweet.

Namo namah respected Katoch Sir  !!

🙏🌹

[3/22, 11:48] Dr Divyesh Desai :

Fir Alsak ko aap describe kare sir

Jay Ayurved Jay Gurudev.

[3/22, 11:49] Kiran Mohite Ji Dr: 🙏

[3/22, 11:52] Dr Surendra A Soni:

🙏🙏🌹

Perfect  !!  Kiran Mohite Sir  !!

Tissue necrosis, in first condition by aggravated pitta without infection while in second with inflammation with  infection and further tissue necrosis if not treated.

🙏🌹

[3/22, 11:55] Dr Surendra A Soni:

 I ve tried in my first post in starting of discussion. Now hon'ble Katoch Sir have concluded very well.

👇👇👇

अजीर्ण जन्य विष ( endogenous toxemia) से उत्पन्न gastro-intestinal atonia है अलसक । इस अवस्था में peristaltic movements बन्द हो जाने के साथ साथ antiperistaltic reflex actions भी नहीं होते। तभी तो अलसक होने पर न छर्दि होती है न अतिसार और इस की चिकित्सा केवल लंघन  है औषधियां नहीं ।

Divyesh Sir  !!🙏

[3/22, 11:56] pawan madan Dr:

 Lets see the version of Sushrut about Alsak....

कुक्षिरानह्यतेऽत्यर्थं प्रताम्यति विकूजति ।

निरुद्धो मारुतश्चापि कुक्षौ विपरिधावति ।।७।।

वातवर्चोनिरोधश्च कुक्षौ यस्य भृशं भवेत् ।

तस्यालसकमाचष्टे तृष्णोद्गारावरोधकौ ।।८।।

.....vikoojati means.....avyakta shabda karoti....Dalhan.....

 Su uttar 56

[3/22, 12:10] Dr Surendra A Soni:

Paralytic illeus may be caused by various spinal and other pathologies. This must be considered. Alasak like condition have been categorized as pseudo intestinal obstruction in modern that may be a one of corelations. This has been also mentioned by katoch sir briefly.

🙏

[3/22, 12:16] Dr Surendra A Soni:

This also indicates obstructive pathology.

Pawan sir  !!

[3/22, 12:16] Kiran Mohite Ji Dr:

Hare Krishna

Most of the time in toxaemia of both type leads to increased peristaltic movements to get free from toxins this is body's natural protective mechanism, but when this mechanism is lost , then peristaltic movements become standstill .. This is last critical stage but whatever in alasaka is given is not that much serious condition by just giving langhana, deepana , pachana chikitsa for aama dosha after aampachana,  anulomana patient can be treated  ... So I think Alasaka is simply Avritta Vata by Aama and Anna but we can consider Dandalasaka is due to complications of various GIT disorders in which abdominal muscles becomes contracts e.g. abdominal rigidity in peritonitis.

[3/22, 12:18] pawan madan Dr: 

Physiological obstruction........

👉🏻👉🏻👉🏻

leading to anatomical....

[3/22, 12:22] Kiran Mohite Ji Dr:

In obstruction Vomiting is there .. Urdhvagati which is not in alasaka.

[3/22, 12:22] pawan madan Dr:

Aavritta vaat....seems logical.

[3/22, 12:22] Kiran Mohite Ji Dr: 🙏

[3/22, 12:24] Dr Narinder Pal, Jammu:

 Alsam and dandalsam is near to food borne botulism toxicity.

Perforation is chhidroudar.

[3/22, 12:26] Satish Sharma ji Dr:

alsak dandalsak aur vilambika teeno par vichar kar hi uchit nirnay par pahucha ja sakta hai.

[3/22, 12:28] Dr Surendra A Soni:

No vomiting in Pseudo obstruction with paralytic illeus.

It is seen in true obstruction like baddhodar.

[3/22, 12:30] Kiran Mohite Ji Dr: True

[3/22, 12:32] Kiran Mohite Ji Dr:

No vomiting in physiological obstruction

[3/22, 12:35] Dr Narinder Pal, Jammu:

 Peritonities followed by perforation is explained well in shidroudaar chikista while explaining its sadhya asadhytva.

[3/22, 12:35] pawan madan Dr: ✅

[3/22, 12:56] Dr Divyesh Desai:

👏🏽👏🏽किसी भी सदस्य के पासअलसक, विलम्बिका, दंडालसक का pt हो तो इसका केस presentation करने की विनंती है या फिर उसकी सम्प्राप्ति भेजे !

जय आयुर्वेद जय धन्वंतरि !

[3/22, 13:00] Dr Shashi Jindal, Chandigarh:

alsak ch vim 2

vayu peedyati may mean it becomes moorh , and obstruct shleshma and cause leenatv of ann, all symptoms of aam vish r there but vaman and atisar are absent.

Normally in aanah such types of symptoms are there, pt donot pass even flatus, so uncomfortable.

🙏🏼

[3/22, 13:05] Dr Shashi Jindal, Chandigarh:

once a 30 yr old, with h/o stale cold food late night came in morning with no vomiting , passage of stool etc. only tight abdomen and respiratory distress, I gave dulcolax suppository and hingwashtak churn to lick, was relieved after 1hr.

I thought it was a pt of alsk.

[3/22, 13:09] Vd V. B. Pandey Basti U. P:

Sorry mam i dont think its Alsak the cardinal sign for alsak is abdominal distension with no vowel sound.

[3/22, 13:20] Dr Shashi Jindal, Chandigarh:

sir bowel sounds not absent, even more, because vayu is there it is in gati also cause dystonia due to its moorh gati.

[3/22, 13:22] Dr Shashi Jindal, Chandigarh: 

asymmetrical intestinal contractions cause obstruction

[3/22, 13:26] Dr Kapil kapoor: We can consider alasak & allied disorders as Functional disorders of the intestinal track.

There is not much scope for structural(organic) deformities under this .

[3/22, 13:27] Dr Kapil kapoor: 

Structural (organic) disorders will get different terminology such as-

Udara roga, gulma etc.

[3/22, 13:31] Dr Divyesh Desai: 

Madam, which medicine are better HINGVASHTAK CHURN OR Dulcolax suppository ? Shayad ye food poisoning ka case hoga ya fir over eating induce indigestion (Ajirn) ka nidan hoga

Ya fir aapne provisional diagnosis me alsak nidan kiya tha ?

[3/22, 13:33] Dr Divyesh Desai: 

Thanks madam

Your diagnosis are right.

[3/22, 13:38] Vd V. B. Pandey Basti U. P: 

अलसक एक आशुकारी तथा घातक रोग है अलसक में मल और अपान वायु की परवती नहीं होती ।

[3/22, 13:40] Dr Shashi Jindal, Chandigarh: 

sir there was no symptom of infection, I just regularised the intestinal movements.

[3/22, 13:42] Dr Divyesh Desai: 

अलसक में तो वमन /विरेचन देने के बाद भी दोष लिन होने की वजह से जल्दी नही निकल सकते ऐसा लिखा है,

Respected Katoch Sir's views are perfect,

Only langhan are tt

But in my 24yrs practice I am not capable to diagnose alsak, Vilambika,  dandalsak etc.

[3/22, 13:43] Dr Divyesh Desai: 

Same tt prefer in Vishtabdhajirna by me.

[3/22, 13:44] Dr Shashi Jindal, Chandigarh: 

Pt was advised to take nothing orally before feeling of proper hunger, and to take moong daal soup first.

[3/22, 13:47] Dr Divyesh Desai: 

रसशेषाजीर्ण नही हो सकता? अलसक कि सम्प्राप्ति 1 ही दिन में बन सकती है? अगर ऐसा हो तो अलसक का निदान करना सरल है....

[3/22, 14:00] Dr Divyesh Desai: 

वाग्भट्ट का अलसक आमाशयोत्थ व्याधि है, जबकि सुश्रुत आचार्य ने विलम्बिका को पक्वशयोत्थ ,अपान वायु दृष्टि से बताया है।

ज्यादातर ऐसे केसो में अजीर्ण ओर वात प्रकृति या वात प्रधान प्रकृति विप्रकृष्ट कारण है और संनिकृष्ट निदान अध्यशन, विषमाशन, विरुद्ध अन्न, रात्रि जागरण आदि हो सकता है ।

जय आयुर्वेद, जय धन्वंतरि !

[3/22, 14:19] Dr Divyesh Desai:

 पवन सर,अब आप ने ही query की थी तो आप ही Solution बताने की कृपादृष्टि करे

अलसक की तरह आलसी न बनिये ओर इस पर प्रकाश डाले,

मयूर सर आपके जवाब का भी इन्तजार है, तद्वित संभाषा को विगृह्य संभाषा होने से बचाइये।।

जय आयुर्वेद, जय धन्वंतरि !

[3/22, 14:47] Dr. D C Katoch sir: 

सुश्रुत संहिता में शूल, अन्नद्रवशूल और परिणामशूल के उपद्रवों का प्रकरण भी देख लें ।

[3/22, 15:38] Dr Shashi Jindal, Chandigarh: 

https://www.kumc.edu/AMA-MSS/Study/phys4.htm#motility

[3/22, 15:41] Dr Shashi Jindal, Chandigarh: 

Lacking or uncoordinated peristalsis; or no peristalsis at all. Spastic uncoordinated contractions following meal.👆

[3/22, 16:54] Vd V. B. Pandey Basti U. P: 

In clinical practice majority of the patient of udar rog came with a comman complain ..Gas bahut banti hai and majority of them already have tried hingwasthak panch sakar or pancharistha et.

[3/22, 16:58] Dr Jayshri Kulkarni, Latur: 

I have diagnosed दण्डालसक, presented that case as a online lecture. Soon will find out and post, please wait........!

[3/22, 17:10] Mayur Surana Dr: 

Thanks mam !

[3/22, 18:29] Dr. R S. Soni, Delhi: 

*क्या अलसक को हम एक दिन या 24 घंटे के भीतर ही निदानित कर सकते है?*

प्रधान स्नेह की मात्रा को पचने में एक अहोरात्र क् समय चाहिए। इसके पाचन काल में मलप्रवृत्ति होना या वमन होना आवश्यक नहीं। उदर में गौरव स्वभाविक है।

तो क्या अलसक जैसे लक्षणों को 24 घण्टे से पूर्व *आनाह, आटोप, उदावर्त* जैसे रोग और कालांतर में इस स्थिति का उपचार सम्यक ना हो पाने पर उसे *अलसक* माना जाए ! 

[3/22, 19:36] Dr. D C Katoch sir: 

अलसक के बारे में बड़ी diverse चर्चा हुई जो रोचक भी थी और अरोचक भी, पर चर्चा फलित नहीं हुई निष्कर्ष तक पहुंचने में । जरा गौर करिए ग्रीष्म या वर्षा काल में typhoid toxemia, severe विष्टम्भ और  अजीर्ण होने पर अतिमात्रा में गुरू -शीत भोजन करने पर जो स्थिति होती है वही अलसक है जो सम्यक रूपेण उपचारित न होने पर water-electrolytes  की  absorption - assimilation को प्रभावित करके  voluntary muscles  में cramps-stiffness  उत्पन्न  करते हुए दण्डालसक कहलाता है । अजीर्ण की इन दो प्रवृद्धावस्थाओं की चिकित्सा आशुकारी औषधियां नहीं बल्किं क्रमशः लंघन-दीपन-पाचन-अनुलोमन आदि निरौषध उपक्रम हैं ।

[3/22, 19:48] Vd V. B. Pandey Basti U. P: 

लंघन दीपन पाचन अनुलोमन आदि निरौषध उपकरम तो सभी रोगों की चिकित्सा है किंतु फिर भी रोगी तो औषधि ही की इच्छा रखता है और सबसे ज्यादा लंघन आदि से बचना चाहता है।

[3/22, 23:34] Prof Prakash Kabbra, Nagpur: 

Soniji ! I will further elaborate that necrosis is the part of vitiated Pitta. Sveda Kleda Sruti Koth Sadan Murchhan Mada just as Vagbhat.

[3/22, 23:43] Ravi Nagpal Dr: 

Right explanation Sir 🙏🙏🙏

[3/23, 13:53] Dr Jayshri Kulkarni, Latur: 

Good afternoon!

 I am very thankful to dear Vd. Manish Joshi, who co-operated for locating this 2 year old lecture , inspite of his busy schedule!!😌

[3/23, 13:54] Dr Jayshri Kulkarni, Latur: 

Audio Lecture Part 1

👆👆Dandalasak Case Audio Part 1

[3/23, 13:54] Dr Jayshri Kulkarni, Latur:


Audio Lecture Part 2

👆👆Dandalasak Case Audio Part 2

[3/23, 14:23] Dr Yogesh Gupta:
🌹🌹🌹

[3/23, 15:27] Vd V. B. Pandey Basti U. P: 

आडियो के लिए बहुत बहुत धन्यवाद एक बार फिर इस आडियो मे निदान व निराकरण दोनों का ही शासत्रीय वरणन बहुत ही तरीक़े से आपने किया है।

[3/23, 15:44] Dr Jayshri Kulkarni, Latur: 😌

[3/23, 17:46] Dr Shashi Jindal, Chandigarh: 

Thanku very much madam, you explained dandalsk so well clinically. Really a best explanation with best references. 

[3/23, 17:49] Dr. Dayanand R. D, Mysore: 🙏

[3/23, 18:22] Prof. Mrinal Tiwari, Pune: 

Wonderfully explained. I had an experience of seeing the pt in front of me.Also application of sutra in clinical practice.Stage wise explanation of treatment very well told.

[3/23, 18:25] Vd V. B. Pandey Basti U. P: 

Well but it would have been diffential diagnosis with Aamvaat.

[3/23, 18:33] Dr Divyesh Desai: 

खूब खूब धन्यवाद,चलो कलकी अरोचक चर्चा से इतना रोचक केस प्रेजेंटेशन तो सुनने को मिला, जय आयुर्वेद, जय धन्वंतरि !

[3/23, 18:43] Dr Deepak Saxena, Kurukshetra:

 Very nice audio clip ,thanks for sharing such a wonderful presentation👌👌👍💐🙏🙏

[3/23, 18:45] R. Soni, Delhi: 

Jayshree Madam !

You made an intriguing inscription of the practical treatment of maltreatment. 

Thank you very much !

[3/23, 18:52] Dr. Deepak Saxena, Kurukshetra:

 👍👍👌👌👌🙏🙏right sir

[3/23, 21:12] Vd. Subhash Sharma Ji Delhi: 

*Excellent presentation is welcome. *
Vd. Jayshree ji !

 👌🌺🌹💐👌

[3/23, 22:14] DC Katoch Sir: 

Thank you Madam Jaishree Kulkarni ji !

[3/24, 15:24] Dr. Jayshri Kulkarni, Latur: 

For the long lectures of "Dandaalasak", all the doctors (Guptaji, Pandey, Shashimam, Gyanendraji, Mrinalaji, Divyeshji, Saxena, Soni sir ji, Guruvrya Sharma, Dineshji Katoch)

Hearty thank you!

In fact, all the credit is from the path of Charak Sanghita, I am the only one devoted to devotion.

Namo Charakaya ! 

[3/24, 15:25] Dr Deepak Saxena, Kurukshetra: 

🙏🙏👌👌👍💐

[3/30, 22:39] Dr Surendra A Soni: 

सभी को सादर प्रणाम  ।।

🙏🙏🌹

दण्डालसक चिन्तन के प्रसंग मे दण्डक/ दण्डापतानक भी विचारणीय है  ।
👇

कफान्वितो भृशं वायुस्तास्वेव यदि तिष्ठति ।।५२।। 
स दण्डवत् स्तम्भयति कृच्छ्रो दण्डापतानकः । 
सु नि 1/51

पाणिपादशिरःपृष्ठश्रोणीः स्तभ्नाति मारुतः ॥५१॥
दण्डवत्स्तब्धगात्रस्य दण्डकः सोऽनुपक्रमः ।
Ch. Chi. 28

What is Stiff-Person Syndrome ?
Stiff-Person Syndrome (SPS) is an autoimmune disease that affects the nervous system, specifically the brain and spinal cord. Symptoms may include muscle stiffness in the trunk and limbs and heightened sensitivity to noise, touch, and emotional distress, which can set off muscle spasms. People with SPS may also have abnormal postures, such as being hunched over. The syndrome affects twice as many women as men. It is frequently associated with other autoimmune diseases such as diabetes, thyroiditis, vitiligo, and pernicious anemia. SPS may be diagnosed by a blood test for glutamic acid decarboxylase (GAD) antibodies because people with SPS usually have elevated levels of GAD antibodies. Treatment may involve high-dose diazepam, anti-convulsants, or intravenous immunoglobulin (IVIG).

Clevelandclinic.org

[3/30, 22:41] pawan madan Dr: 

वाह जी वाह
नयी बात...🙏

[3/30, 22:45] Dr Surendra A Soni: 

Both modern and ayurveda don't describe GI symptoms.

[3/30, 22:50] Dr. D C Katoch sir: 

क्या SPS की background indigestion ( अजीर्ण ) है ?

[3/30, 22:55] Dr Surendra A Soni: 

अजीर्ण विप्रकृष्ट हेतु हो सकता है  सन्निकृष्ट नहीं क्योंकि ये वात व्याधि मे वर्णित है  ।।

🙏🌹

[3/30, 22:58] Dr. D C Katoch sir: 

तो फिर SPS दण्डालसक नहीं,  दण्डापतानक हो सकता है।

[3/30, 23:02] Dr Surendra A Soni: 

Pattern of pathogenesis in Dandalasak will start with GI usually acute type,  possible in healthy one while Dandak /dandapatanak dhatu kshay is an essential phenomenon;  visible in both descriptions. 

🙏🌹

[3/30, 23:06] Dr Sanjay khedekar: 

I think Auto-immune disorders having involvement of Sukshma Pachan...Sara Dhatu Nirmana process... a crucial factor.

[3/30, 23:06] Dr Surendra A Soni: 

Dandapatanak presentations  does not include GI symptoms and obstruction  of flatus and stool etc essentially/cardinality, as it is seen in Dandalasak . 
🙏

[3/30, 23:09] Dr Surendra A Soni:

 It's applicable on each and every disease. 

[3/31, 08:10] Dr Surendra A Soni: 

Prof. S. N. Ojha ji on Dandak /dandapatanak. 
👇👇👇👇
------------------------------------------------------------ [3/31, 07:19] satyendra ojha sir: 

yes, it's good.. dandaka also can be seen in bamboo spine cases.

[3/31, 07:22] satyendra ojha sir:  

dandaka is very close stiff - person syndrome , dystonia , etc.
------------------------------------------------------------ [3/31, 08:41] Dr Surendra A Soni:

 दोषाः सन्निचिता यस्य विदग्धाहारमूर्च्छिताः ।
अतीसाराय कल्पन्ते भूयस्तान् सम्प्रवर्तयेत् ॥१४॥
न तु सङ्ग्रहणं देयं पूर्वमामातिसारिणे ।
विबध्यमानाः प्राग्दोषा जनयन्त्यामयान् बहून् ॥१५॥
*दण्डकालसका* ध्मानग्रहण्यर्शोगदांस्तथा ।
शोथपाण्ड्वामयप्लीहकुष्ठगुल्मोदरज्वरान् ॥१६॥
तस्मादुपेक्षेतोत्क्लिष्टान् वर्तमानान् स्वयं मलान् ।
कृच्छ्रं वा वहतां दद्यादभयां सम्प्रवर्तिनीम् ॥१७॥
तया प्रवाहिते दोषे प्रशाम्यत्युदरामयः ।
जायते देहलघुता जठराग्निश्च वर्धते ॥१८॥

👆👆👆👆👆👆
दण्डालसक के सन्दर्भ में आचार्य चरक के उक्त वचन दृष्टव्य हैं जो कि अत्यन्त महत्वपूर्ण है ।
Loperamide ने वैद्यों के लिए बहुत रूग्णों की व्यवस्था की है  ।

🙏🙏

[3/31, 08:59] Prof. Deep Narayan Pandey: 

✅👌

True indeed !







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

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) 
Professor & Head

P.G. DEPT. OF KAYACHIKITSA

Govt. Akhandanand Ayurveda College

Ahmedabad, GUJARAT, India.

Email: surendraasoni@gmail.com

Mobile No. +91 9408441150