Pandu -rog (Anaemia)

• Introduction
• Hetu
• Roopa
• Treatment
• Commonly used drugs

Introduction
Predominantly caused by pitta, the disease pandu roga is because of the prominence of pallor in skin called 'Pandu'. 'Pandu' is said to be 'Piitapradhana' indicating that in all types, pitta is the root cause. Based on the causative factor Panduroga is classified into five following types: caused by Vata, Pitta, Kapha, Sannipata & Mritbhakshana (earth eating.) Hetu (causes)

• Excessive intake of alkaline, sour, salty, too hot, incompatible & unsuitable food
• Excessive use of nispava, black gram, tila oil
• Day-sleep
• Exercise
• Sexual intercourse during indigestion
• Faulty management of evacuative measures
• Suppression of natural urges particularly in persons inflicted with sexual desire, anxiety, fear, anger & grief.

Poorvarupa (premonitory symptoms)

• Palpitation of heart
• Dryness of skin
• Loss of taste / appetite
• Yellow colored urine
• Absence of sweating
• Poor digestive activity
• Weakness & exertion

Roopa (clinical features)

• body becomes flabby & has a feeling of being squeezed
• Felling of limbs kneaded, pressed or churned
• Heart rate increases
• Swelling of the eye sockets & area surrounding the eyes
• Debility
• Anger
• Expectoration of sputum
• Diminution in speech results
• Hatred towards food & cold things
• Falling of skin hair
• Loss of luster
• Irritability
• Oversleep
• Spitting
• Exertion on climbing (stairs etc)
• Cramps in shanks
• Pain in waist, thighs, legs & lassitude.

Vataja Panduroga (clinical features)

• Body aches
• Piercing pain & tremors
• Discoloration of veins, nails, feces, urine & eyes
• Swelling
• Flatulence
• Astringent taste in the mouth
• Dryness of feces
• Pain in flanks & head.

Pittaja Panduroga (clinical features)

• Green / yellowish color in the veins etc
• Fever
• Unconsciousness
• Thirst
• Perspiration
• Fainting
• Desire for cold things
• Bad smell (of the body, mouth etc)
• Bitter taste
• Loose bowels
• Acidity
• Burning sensation.

Kaphaja Panduroga (clinical features)

• White color of the veins etc
• Stupor
• Salty taste in the mouth
• Horripilation
• Loss of voice
• Cough
• Vomiting.

Sannipataja (clinical features)
There is a mixture of symptoms & the disease is difficult to bear.

Mritbhakshanaja (earth -eating) (clinical features)
In persons who eat mud (habitually for a long time) astringent mud aggravates Vata, alkaline mud aggravates Pitta, sweet mud aggravates Kapha. Mud vitiates rasa & other tissues by its dryness & produces dryness in the channels of the tissues & without undergoing digestion it fills & blocks them & produces pandu roga as before. The person develops swelling of the umbilicus, feet, face & genitals, expels feces containing worms, not well formed mixed with blood & kapha (mucus).

Treatment

• Oleation Therapy
  • Medicated ghee prepared with decoction of dadima and of dhanyaka boiled in one water and paste of chitraka and shringabera, pippali and ghrita cures diseases of the heart, anemia, abdominal tumor, hemorrhoids, disease of the spleen, pain (diseases) arising from vata and kapha. It is best suited for women who have difficulty in delivery and the sterile women.
  • After oleation therapy, administered strong emesis therapy. There after he should be administered strong purgative therapy, using fatty (oil / ghee) purgatives added with milk and cows urine or milk only.
  • Ayoraja (iron filings) soaked either in cow's urine or milk for seven days should be consumed.
  • Decoction of vaasa, guduchi, triphala, bhunimba, and nimba consumed with honey cures anaemia, bleeding disease and jaundice.
  
  
  
• Mandura Vatak
  • Equal quantities of guda, nagara, mandura (iron slag) and tila, and pippali double the quantity (of all the other put together) made into pills should be administered to patients of anaemia. Tapya, darvi tvak, cavya, granthika, devadaru, are converted into nice powder. Mandura, resembling anjana (antimony sulphide) double the quantity (of the powder) is boiled in cows urine, when it become suitable to prepare pills, the powder is mixed with it and rolled into pills dried in shade and consumed, the patient taking buttermilk as food. These mandura vataka bestows life to patients of anemia, they also cure leprosy, poor digestion, dropsy, stiffness of the thighs, loss of taste/appetite, hemorrhoids, jaundice, diabetes and diseases of the spleen.
  • That arising from kapha with those which are predominantly pungent, dry and hot; and that arising from the combination of all the doshas by combination of drugs (or treatments). Mud should be expelled out from the body (in anaemia caused by eating mud habitually) first, by strong sansodhana (purifactory therapies); when the alimentary tract becomes purified, medicated ghee recipes which bestow strength should be administered.
  • Medicated ghee prepared with decoction of vyosha, bilva, the two rajani, triphala, the two punarnava, musta, ayoraja, pathya, vidanga, devadaru, vrscikali, and bharngi, added with equal quantity of milk and (quarter part of) ghrita (ghee). This recipe mitigates all the disorders produced by mud quickly.

Commonly used drugs

• Lauha Kalpa
  • Navayas Lauha (Bhaishajya Ratnavali) (Pandu- Chikitsa)
  • Dhatri Lauha (Bhaishajya Ratnavali) (Pandu- Chikitsa)
  
  
  
• Mandur Kalpa
  • Punarnavadi Mandur (Bhaishajya Ratnavali) (Pandu- Chikitsa)
  • Trayushanadi Mnadur (Bhaishajya Ratnavali) (Pandu- Chikitsa)
  
  
  
• Rasa Kalpa
  • Prana Vallabha Rasa (Bhaishajya Ratnavali) (Pandu- Chikitsa)
  • Vasant Malati Rasa (Bhaishajya Ratnavali) (Pandu- Chikitsa)
  • Piyush Valli Rasa (Siddhayog Sangraha)
  • Vasant Kusumakara Rasa (Siddhayog Sangraha)
  
  
  
• Ghruta
  • Haridradya Ghruta (Siddhayog Sangraha)
  • Draksha Ghruta (Siddhayog Sangraha)
  
  
  
• Arishtra
  • Dhatryarishtra (Siddhayog Sangraha)
  
  
  
• Bhasma
  • Abhrak (Ras Raj Sunder)
  • Kaasish Bhasma (Siddha yog Sangraha)
  • Kantalauha (Ras Tarangini)
  • Mandur Bhasma (Rasendra Saar Sangraha)
  • Raupya Makshik (Rasendra Saar Sangraha)
  • Lauha Bhasma (Ras Tarangini)
  • Swarnamakshik Bhasma (Rasendra Saar Sangraha)
  
  
  
• Guggul Kalpa
  • Kaishor Guggul (Sharangdhar Samhita)
  • Punarnavadi Guggul (Bhaishajya Ratnavali)
  • Mahayogaraj Guggul (Sharangdhar Samhita)
  
  
  
• Churna
  Triphala (Bhavaprakash)