Ayurvedic treatment for psoriasis

Psoriasis is a chronic inflammatory disease of the skin with red raised lesions characterized by severe itching, dryness of the skin and white silvery scales. It is a non infectious disease which may go in remission for years and may become worse at times. Common sites of lesions are elbow, scalp, knees and lower back. Pitting of nails is very common. Continue reading “Ayurvedic treatment for psoriasis”

Ayurvedic drugs with their use in different disease

Essential Drug list of Ayurvedic medicine for Hospital

1. Ajeernahara (Digestive/Carminative)  i. Lashunadi vati  ii. Lavanavashkar churna  iii. Sandipana churna  iv. Hingavashtak churna  v. Shankha bhashma  vi. Chitrakadi vati

2. Aatisaraghnh (Antidiarrhoeal)  i. Bilwadi churna  ii. Dhatakyadi churna  iii. Mahashankha vati  iv. Bhuwaneshwor vati   v. Siddha praneshwor vati  vi. Brihad Gangadhar churna  vii. Aananda bhairav rasa  viii. Ramvana rasa  ix. Bhunimadi kwath  x. Jeerakadharishta  xi. Rato vari  xii. Kanaka sundar rasa  xiii. Karpura rasa

3. Apashmaarhara (Antiepileptics)  i. Brahmi ghrita  ii. Sarashwata churna  iii. Brihad kasturibhairav rasa  iv. Kalyanaka ghrita  v. Panchagavvya ghrita  vi. Sarashwatarishta  vii. Smritisagar rasa

4. Agnidagdhashamak (Drugs of Burns)  i. Seto malaham  ii. Jatyadi taila  iii. Jatyadi ghrita

Continue reading “Ayurvedic drugs with their use in different disease”

Ashmari in Ayurveda | Urinary Calculi Renal Stone in Ayurveda

Let’s discuss about Ashmari (urinary calculi) totally from Ayurvedic concept.

The disease admits of being divided into four several types, such as the Vataja, the Pittaja, the Kaphaja and the Sukraja (Seminal) concretions. An exuberance or preponderance of the deranged Kapha should be understood as the underlying cause of all invasions of this disease.

General aetiology:—The Kapha of a man, who neglects to cleanse (Samshodhana) the internal channels of his organism, or is in the habit of taking unwholesome food, enraged and aggravated by its own exciting causes, is carried into the urinary bladder. Here it becomes saturated with the urine, and gives rise to the formation of concretions or gravels in its cavity.

Premonitory Symptoms: — An aching pain in the bladder, with a non-relish for food, difficulty in urination, an excruciating pain in the scrotum, penis, and the neck of the bladder, febrile symptoms, physical lassitude, and a goat-like smell in the urine arc the symptoms, which indicate the formation of gravel in the bladder.

Metrical Text:—The deranged Doshas involved in a particular case respectively impart their specific colour to the urine, and determine the character of the accompanying pain. The urine becomes thick, turbid, and vitiated with the action of the aggravated Doshas, and micturition becomes extremely painful.

Leading Indications:—A sort of excruciating pain is experienced cither about the umbilicus, or   in   the   bladder,   or at the median rape of the perineum, or about the penis, during micturition when gravel is forming in the bladder. The urine is stopped at intervals in its out-flow, or becomes charged with blood, or flows out twisted and scattered like spray, leaving a sediment of clear, sand)’, red or yellow particles of stone, which resembles a Gomedha gem in colour. Moreover a pain is experienced in the bladder at the time of running or jumping or in swimming, or while riding on horseback, or after a long journey.

The Sleshma-asmari:—Stone or gravel, originated through the action of the deranged Kapha, saturated with an excessive quantity of that Dosha by the constant ingestion of phlegm-generating (Slesh-mala) substances, increases in size at the lower orifice of the bladder and ultimately obstructs the passage of the urine. The pressure and recoil of that incarcerated fluid on the walls of the urinary bladder gives rise to a kind of crushing, bursting, pricking pain in that organ, which becomes cold and heavy. A Kapha-origined stone or gravel is white and glossy, attains to a large size, to that of a hen’s egg, and has the colour of the Madhuka flower.   This type is called Sleshma-asmari.

The Pittaj-asmari: —The Kapha charged (dried) with the deranged Pitta becomes hard (condensed) and large in the aforesaid way, and lying at the mouth of the bladder obstructs the passage of the urine. The bladder, on account of the flowing back of the obstructed urine into its cavity, seems as if it has been exposed to the heat of an adjacent fire, boiling with the energy of an alkaline solution. A kind of sucking, drawing and burning pain is experienced in the organ. This type of Ashmari is further marked by symptoms which characterize Ushna-vata (stricture). The concretion is found to be of a reddish, yellowish black colour like the stone of the Bhallataka fruit, or it is coloured like honey. This type is called Pitta;ja As man

The Vata-ashmari .—The deranged Kapham (mucus) inordinately saturated with the bodily Vata, acquires hardness and gains in dimensions, and these lying at the mouth of the bladder obstructs the passage of the urine. The incarcerated fluid causes extreme pain in the organ. The patient constantly under severe pain gnashes his teeth or presses his umbilical region, or rubs his penis, or fingers his rectum (Payu) and loudly screams. A burning sensation is experienced in the penis, and urination, belching and defecation become difficult and painful.* The concretions in this type of Ashmari are found to be of a dusky colour, rough, uneven in shape, hard, facetted and nodular like a Kadamva flower. This type is called Vata-ashmari.

Infants arc more susceptible to an attack of any of the three preceding types of Ashmari, inasmuch as they are fond of day sleep or of food composed of both whole-some and unwholesome ingredients, and are in the habit of eating before the digestion of a previous meal, or of taking heavy, sweet, emollient and demulcent food. In children the bladder is of diminished size and poor in muscular structure. These facts conti ibutc to the easy possibility of the organ being grappled (with a surgical instrument) and of the stone being extracted with the greatest ease in cases of infantile Ashmari.

The Sukra-ashmari :—Sukra-ashmaris or seminal concretions arc usually formed in adults owing to the germination of semen in their organisms. A sudden or abrupt stoppage of a sexual act or excessive coition tends to dislodge the semen from its natural receptacle * Stool and urine can be voided only with the greatest straining in the body. The fluid thus dislodged, but not emitted, finds a wrong passage. The Vata gathers up the fluid (semen), thus led astray, and deposits it (in a round or oval shape) at a place lying about the junction of the penis and the scrotum and dries up the humidity with which it is charged. The matter, thus formed, condensed, and hardened, is called the seminal stone (SukrAshmari), which then obstructs the passage of the urine, giving rise to pain in the bladder, painful micturition, and swelling of the scrotum. The stone vanishes under pressure in its seat.

Here only the introduction of Ashmari is given with their types.  The treatment portion shall be discussed on another post.

 

Migraine (Ardhavabhedaka) in Ayurveda | Migraine Headache Treatment in Ayurveda

Headache is caused by many situations like;  flues, indigestion, colds, constipation, , suppression of urges to urinate or pass stool, poor posture, muscle tension, mental conditions such as nervousness, worry, anxiety, anger, and high blood pressure.   Migraines  can be caused by heartburn, congenital factors and other conditions. The climate can further aggravate migraines.

In Ayurveda headache can be approached from three basic principle of Ayurveda; Tridosha – Vata, Pitta and Kapha.

Symptoms:

Vata: Anxiety, depression, dry skin, constipation, and extreme pain.

Pitta: Red complexion and eyes, light sensitivity, burning sensation, anger, irritability, and nose bleeds. Liver and blood toxicity are often associated with these symptoms.

Kapha: Dull headache, heaviness, fatigue, nausea, white or clear phlegm, vomiting, and excess salivation. Respiratory disorders are often associated with these symptoms.

 Therapies:

Vata: Triphala as a purgative, jatamashi , brahmí, and rest. Shiro dhaara (hot oil head massage) is very beneficial.

Pitta: Purgatives (e.g., aloe vera gel, rhubarb, and fennel), liver cleansers (e.g., bhuamalaki and brahmi), sandalwood oil on the third eye, temples, heart, and under the nose, walks in the full moon and by water; and flower gardening reduce Pitta causes of migraines. Overexertion, heat and sun should be avoided. Shiro dhara (hot oil head massage) is also highly beneficial.

Kapha: Trikatu, brahmí, tulsi tea, inhaling eucalyptus oil, vomiting, exercise, nasal snuff of ginger or pepper. Shiro dhara (hot oil head massage) is also very helpful.

Cough, Cold, Flu, Allergy-Caused: Decongestant/ expectorant herbs—Vata and Kapha excesses (ginger, black pepper, licorice, vidanga,  etc.) are ingested or used as nasal snuff. Tulsí tea and inhaling eucalyptus oil are also very helpful. Ginger paste can be applied under the nose, and on the temples and forehead. Vomiting (if the person is strong) will help rid the head of congestion and pain arising from it.

Migraines (Ardhavabhedaka): Medicated oils or ghee, using guæúchí, balá, and ashwagandhá; fomentation, and saturating snuff are also advised. Long-term healing includes Chyavan prash, brahmí, and ashwagandha. Shiro dhara (hot oil head massage) is also beneficial. This is usually a Vata and Pitta excess, caused by lack of sleep, overwork, stress, worry, poor digestion, muscular tension, heartburn, or high blood pressure.

Gallstones | Types of gallstone | Treatment of gallstone in Ayurveda

The abnormal accumulation of bile acids, cholesterol and phospholipids in the bile can cause the formation of gallstones. The presence of gallstones is marked as  cholelithiasis. The data gives that one in ten people have the problem gallstones without knowing it.The symptoms often arise after the individual has eaten fried or fatty foods. In Ayurveda the gall stone are classified as the Vata type, or Pitta type or Kapha type.
Causes: Congestion obstructs the bile flow and inflames the gallbladder wall.

Symptoms:
General: Symptoms include acute pain in the liver and gallbladder, swelling, and tenderness.

Vata: Stones are black or brown, dry or rough; they cause severe pain but mild inflammation and fever.

Pitta: Stones are yellow, red, or green with sharp angles, painful and inflamed.

Kapha: Soft, round, whitish stones, rarely painful.

Therapies:

Purgation with aloe or rhubarb (mixed with fennel) is required in acute conditions. Bhuamalaki, turmeric, and manjishoha are next used to cleanse the liver and blood.

Certain herbs break up stones. These include gokshura, kaoukaa, and pashana bedha. Taken with coriander or turmeric, the herb’s actions are directed to the gall bladder.

 

Different types of fistula in ano and fistular ulcers according to Ayurveda | Bhagandar (fistula in ano and fistula ulcers) Types

Ayurveda now a days is getting popularity with the term Kshar- Sutra.  This is found a great procedure to cure problems like Piles.
So related to this, Bhagandar (fistula in ano and fistula ulcers) types are discussed here.

The deranged Vata, Pitta, Kapha and Sannipatah (a simultaneous derangement of the three bodily Doshas) and extraneous causes (such as a blow etc.) give rise to the types of Bhagandar known as Sataponaka, Ushtragriva, Parisravi, Samvukavarta and Unmargi. The disease is so named from the fact that it bursts the rectum, the perineum, the bladder and the place adjoning to them (thus setting up a mutual communica­tion between them). The pustules, which appear in these regions, are called as Pidakas in their unsupported stage, while they are called Bhagandar when they are in a stage of suppuration. A pain about the sacral bone and an itching about the anus, accompanied by a swelling and burning sensation, are the premonitory symptoms of this disease.

The Sataponakah Type:—The Vayu, excited, condensed, and rendered motionless by a course of unwholesome food, gives rise to a pustule within one or two fingers’ length from the rectum (anal region, —Guda), by vitiating the flesh (areolar tissue) and b’.ood (of the locality). It assumes a vermilion colour and is characterised by a variety of pricking, piercing pain. If neglected at the outset, the pustule runs into suppuration. Owing to its vicinity to the bladder, the abscess or the suppurated pustule exudes a kind of slimy secretion and becomes covered with hundreds of small sieve-like holes, through which a constant frothy discharge is secreted in large quantities. The ulcer, thus formed, seems as if it is being thrashed with a rod, pierced with a sharp instrument, cut with a knife, and pricked by needles. The region of the anus cracks and bursts, and jets of urine, fecal matter, flatus (Vata) and semen arc emitted through these sieve-like holes. This type of fistula is called Sataponakah (Sieve-like fistula in ano).

The Ushtra-grivah Type:—The enraged Pitta,carried down by the Vayu (into the rectum) finds lodgmcit therein, and there gives rise to a small, raised, red pustule, which resembles the neck of a camel in shape, and is characterised by a varied kind of pain, such as sucking etc. The pustule,not medicinally treated at the beginning, runs into suppuration. The incidental ulcer seems as if it is being burnt with fire or alkali, and emits a hot, fetid discharge. Jets of urine, flatus (Vata), fecal matter and semen flow out of the ulcer in the event of it not being healed up with proper medicinal remedies.This type is called Ushtragrivah.

The Parisravi Type:—The enraged Kapha, carried down by the Vayu (into the rectum) and lodged therein, gives rise to a white, hard, itching pustule in that locality, characterized by a variety of itching pains, etc. If neglected at the outset, it soon runs into suppura­tion. The incidental ulcer becomes hard and swollen, marked by excessive itching and a constant secretion of slimy fluid. Jets of urine, fecal matter, flatus and semen are emitted through the ulcer in the event of it not being well cared for at the outset. This type is called Parisravi.

The Samvukavartah Type :— The en­raged Vayu, in conjunction with the aggravated Pitta and Kapha, is carried down, and finds lodgment (in the region of the rectum), giving rise to a pustule of the size of the first toe, and characterized by a piercing pain, and burning, itching sensations etc. Such a pustule, neglected at the outset, speedily suppurates, and the incidental ulcer exudes secretions of diverse colours, characterized by a kind of whirling pain, which revolves about, in the direction of the involuted indentures (within the grooves of the rectum) such as are found within the body of a river or fresh water mollusc. This is called Samvukavartah.

The Unmargi Type :—Particles of bones, eaten with (cooked) meat by an imprudent, greedy, glut­tonous person, may be carried down with the hard and constipated stool by the Apana Vayu (into the rectum), thus scratching or abrading the margin of the anus, or burrowing into the rectum in the event of their being evacuated in improper directions through (transverse or horizontal postures). The scratch or abrasion is soon transformed into a fetid and putrid ulcer, infested with worms and parasites, as a plot of miiy ground will soon swarm with a spontaneous germination of similar parasites. These worms and parasites eat away the sides of, or largely burrow into, the region of the anus, and jets of urine, fecal matter, and flatus (Vayu) are found to gush out of these holes. This type of Bhagandar is called Unmargi.

Authoritative verses on the sub­ject:—A pustule, appearing about the region of the anus and characterised by a slight pain and swelling, and spontaneously subsiding, should be regarded as a simple pustule, which is of a quite different nature from a fistula in ano, which has contrary features {i.e., invariably found to be attended with a violent pain and swelling etc., and takes a long time to heal). A Fistula-pustule crops up within a space of two fingers’ width of the Payu proper (distal end of the rectum), is sunk at its root, and attended with pain and febrile symptoms. Pain, itching and burning sensations are experienced about the anus after a ride in a carriage, or after defecation. The anus becomes swollen, and the waist painful in the premonitory stages of Bhagandar.

Prognosis:- Almost all the types of this disease (Fistula in ano) yield to medicine after a prolonged course of treatment, and arc hard to cure, except the Sannipatah and traumatic ones, which are incurable. The best treatment method would be Kshar-sutra treatment (esp. for piles).

 

Ten Ayurvedic Herb Mixtures

Here are the list of 10 important and most common Ayurvedic herbal mixtures with their uses.

*The symbols V, P, K stand for Vata, Pitta, and Kapha. For example, VP- K+ is read the following way: Vata and Pitta are reduced; Kapha is increased.

*[VPK= means good for all doshas; vat a, pitta and kapha]

 

1. Triphala– VPK=, for all tridoßhic diseases, constipation, diarrhea, eyes, cleansing or detoxing the colon, good for Kapha conditions, gas, distention, diabetes, parasites.

2. Trikatu- VK- P+, for colds, flu, fevers, stimulates appetite, cough, congestion, for low agni and áma, thyroid, detoxification.

3. Chyavan Prash– VPK=, general tonic, cough, strengthening lungs from asthma etc., longterm healing migraines, good for pregnant mothers, post-partum strength, and for babies; anemia, debility, T.B.

4. Sitopaladi– VPK=, colds, flu, fevers, increases appetite, reduces burning sensations in the extremities.

5. Lavaan Bhaskar– VK- P+, stimulates appetite, malabsorption, constipation, abdominal pain, tumors.

6. Mahasudarshan– P- VK+, for Pitta fevers, nausea, enlarged liver and spleen.

7. Dashmul– VPK = V-, arthritis, strengthens tissues, debility, postpartum condition of females, cold, flu, body pain, and stiffness.

8. Avipattikar Churna– P- VPK=, used for hyperacidity, heartburn, ulcers, colitis, stomach pains, indigestion, chronic constipation.

9. Hingwastak– VPK= mainly V-, indigestion, bloating (upward-moving apána).

10. Yogaraj Guggul– VK- P+ (in excess), arthritis, joint pains, stiffness, cholesterol, arteriosclerosis, rheumatism, gout, lumbago, back pain, hernia, goiter, sciatica, acts on the pituitary gland and hormone swelling, immune system, all Vata disorders including nerve disorders, depression, and insomnia; heals bone fractures. It is also good for circulation, blood purifying, reduces masses, breaks up stagnation, cardiac tonic (reduces myocardial necrosis), antiseptic, respiratory conditions, pulmonary TB, enlarged and inflamed lymph glands, urinary disorders, endometritis, hemorrhoids, inflamed colon, hepatitis, ulcerated mouth, throat, tooth, and gum problems (gargle), skin conditions, increases white blood cell count. Do not use with acute kidney infections or acute stages of rashes.

(Kaishore Guggul is for Pitta-gout, inflammations, burning joints, herpes, and all blood diseases; Pure Guggul is for Kapha. They have similar actions).

Triphala Guggul is best for weightloss and cholesterol.

Kanchanar Guggul is best for lymph glands

Hyperacidity treatment in Ayurveda

In present days a lot of people have the problem of Hyperacidity. Excessive gastric juice activity results in acidic or sour taste in the mouth.  So here is the Ayurvedic solution for the Hyperacidity problem.

Causes:

Vata: A variable digestion cannot always digest foods. When food is not digested, ama develops. These undigested food toxins begin to ferment, causing burning sensations.

Pitta: Eating too many hot, spicy, sour, greasy foods and spices (e.g., onions, garlic, red peppers); incompatible foods, alcohol, and overeating. Other causes include eating too many sweets, such as cakes, which ferment and produce acid in the stomach.

Kapha: Weak digestion allows ama to develop when food is not digested. Thus, toxins ferment and cause burning sensations.

Symptoms:

Heartburn, belching with sour taste or fluids, nausea, vomiting.

Therapies:

Vata: Hingwastak, rock salt, lashunadi vati, draakshya, along with antacids like sankha bhasma, avipattikar churna , fennel, and praval pishti.

Pitta: Pitta-reducing foods and herbs, antacid foods like milk and ghee. Acidic and sour foods are avoided, including bananas (sour post-digestive taste), pickles, wine, and yogurt. Useful herbs include shatavarí, licorice, aloe gel, chiraayata, and antacids like shankha bhasma (conch shell ash) and avipattikar churna.

Kapha: Hingwastak, rock salt, lashunadi bati, draksha; and antacids like sankha  bhasma (conch shell ash) and avipattikar churna.

Hiccup (Hikka) treatment in Ayurveda

In daily routine of our life sometime hiccup creates a great problem. So lets approach hiccups according to Ayurveda. There are 5 kinds of hiccup. Their causes, premonitory symptoms, kinds, and development are the same as diseases of difficult breathing.

Type 1. Food-caused (annaa hikka): Vata becomes aggravated by eating too quickly and improperly, or eating and drinking dry, penetrating, rough, and unaccustomed foods. This produces a painless hiccup. It is quiet, then followed by sneezing. It ceases when foods and drinks that one may be accustomed to are ingested.

Type 2. Exertion-caused (kähudrá hikka): Vata becomes mildly increased from exertion. This causesa slight hiccup from the base of the shoulders. It ceases after eating food.

Type 3. Indigestion-caused (yamalá hikka): This type arises when one hasn’t eaten for many hours or when digestion is not working properly. These hiccups come in pairs, causing tremors in the head and neck, gas, severe thirst, nonsensical speech, vomiting, diarrhea, unsteady eyes, and yawning.

Type 4. (mahatí hikka): Rigidity develops in the eyebrows and sides of neck, eyes become red and teary, there is loss of body movements, speech, memory, and awareness. Food is obstructed from moving, causing the vital organs to feel like they have been hit. The body bends backwards and emaciation develops. These types of hiccups arise from deep inside the body, forcefully, with great sounds. Type 5 (gambhírá hikka): This hiccup begins either in the colon or in the navel region.  Symptoms are similar to Type 4, but with more yawning, body expansion, and vibrating sounds.

Hiccups caused by food and exertion are most easily healed. Severe hiccups should be taken seriously.

Treatments of hiccup: For both difficult breathing and hiccup oil and sweat (náæí, bolus or steam tent) are required. First, persons undergo an oil massage with black salt (with Pitta constitution) When there are Pitta problems, such as burning, excessive bleeding or sweating, weakness and tissue depletion, or pregnancy, black salt should not be used. Oil loosens and dissolves the thick phlegm blocking the breathing channels, softening them, and rebalancing Vata.

Afterwards, a light diet of basmati rice and ghee or sesame oil is taken to increase Kapha. Then one is ready for emesis with pippali, rock salt, and honey (reducing Kapha and Vata). After emesis releases the excess Kapha, the channels are cleared, and the Vata begins to flow properly. Should there be any remaining Kapha, turmeric and barley grain are mixed with ghee and smoked.

When either of these illnesses is associated with a weak voice, diarrhea, internal bleeding, or burning, one eats foods that are sweet, oily, and cold.  Short periods of fomentation are applied to the chest and throat. Warm oil is mixed with cane sugar, orpoultices are made with sesame and whole wheat, Vata-reducing herbs, foods, sour herbs (e.g., ámalakí), and milk are ingested. Other herbs include dashmúl, pippali, trikatu, balaa, chitrak, dry ginger, gokshura, guæúchí, black salt; along with yogurt,ghee, dry radish, ghee, rice, and barley. Dashmúl also removes complications of thirst.

A general herbal recipe includes bilwa, gokshura, guæúchí, balaa, trikatu, chitrak, pippali, ginger decoction with ghee, black pepper, and black salt.

If a strong fever with toxins (áma) develops, reduction therapy (langana) is used (i.e., Pancha karma, exercise, sun bathing, etc.). Emesis with salt water is especially useful.

Should these therapies cause a Vata excess, balanced can be regained through Vata-reducing foods and warm massage.

If gas, distention, and constipation develop owing to Vata, foods with black salt, ámlavetasa, or hingwasták are recommended.

Hiccup is predominated by Kapha, and is healed through emesis, purgation, a wholesome diet, and pacification therapy, using herbal smoking (for strong persons only).

When weak children or elderly persons develop excess Vata, oil therapies are used to reduce excess air. It is important not to use laxatives when there is not an excess of Kapha. To do so may dry up the vital organs and threaten the person. Refer difficult breathing section for specific dosha therapies.

For hiccup, ghee mixed with triphala, or castor oil quickly stops the situation. Suddenly sprinkling cold water on persons with hiccups is helpful. Slowly drinking water nonstop for 30 seconds or until the hiccups cease is another option. Other therapies include frightening or causing surprise, anger, exhilaration, or separation from loved ones.

All foods and herbs should simultaneously reduce excess Kapha and Vata. Ghee is used in all situations. These are some of the Ayurveda tips for hiccup (hikka)

Treatment of Blocked sub-vatas and Doshas

There are different types of vata as discussed in earlier posts. Here is the tabulation of symptoms and treatments of different types of Vata. Hope this would be helpful.

All sub-types of Vata can and do cover each other, for a total of 20 types of mutual covering.

Treatment of Blocked sub-vatas and Doshas

Covering Sub-type Covered Sub-type Symptoms  Treatment
prana vyana vacantness of all senses, diminution of intellect, memory and strength manage like supraclavicular disorders
vyana prana excessive sweating, horripilation, skin diseases, numbness in body parts unctuous purgatives
samana prana disorders of grahani, sides and heart, and pain in stomach appetizing ghritas
prana samana stunning, stammering, dumbness uncting substances used in 4 ways (intake, massage, snuffing + enema), and also in sustaining enemas.
prana udana stiffness in head, coryza, difficulty in respiration, cardiac disorder, dryness in mouth Treatment as in supraclavicular diseases, consoling at the same time.
udana prana loss of activity, immunity, strength, and complexion or even death. Sprinkled slowly with cold waters, consoled, and given all comforts.
prana apana Vomiting, dyspnoea, etc. Enema, etc. (the 5 karmas?), and carminitive, light diet.
apana prana Mental confusion, diminution of digestive fire, diarrhoea Emesis, appetising and astringent diet.
vyana apana vomiting, tympanitis, usavarta, gulma, distress, cutting pain Unctuous measures
apana vyana excessive discharge of stool, urine and semen Astringent measures
samana vyana fainting, drowsiness, delirium, malaise, loss of agni, immunity, and strength. physical exercise and light food
udana vyana Stiffness, poor digestion, absence of sweating, loss of activity, and closing of eyes. Wholesome, measured and light food.

Mastering the information on the above chart on Vata Sub-types will take great skill. The best place for the novice to start may be to memorize the symptoms associated with the various combinations of sub-type coverings.  By repeated practice in identifying these combinations, one should eventually become proficient at identifying the workings of the V sub-types directly.

General Treatment for The Vata Sub-types: Udana should be led upwards, apana should be directed downwards,   samana should be brought back to the middle [umbilical region] and vyana should be moved in all these three directions. Prana should be protected most carefully, because it’s location in its normal location is essential.  Those Vata sub-types dosha which are covered or moving in the wrong course should be brought back to their normal positions.

Importance of Prompt Treatment of Vata sub-type dosha

The wise, in case of a disease, gets relief by external or internal or surgical measures. The childish, due to confusion or carelessness do not know about the emerging disorder in early stage as fools about the enemy. The disorder, though having a minute start, advances afterwards and gradually becoming deep-rooted takes away the strength and life of the foolish one. The fool does not realize till he is afflicted and only then he decides to control the disease. Then he collects son, wife and kin and requests them to bring some physician even at the cost of his entire possession, but who can save him, the devoid of life, weak, afflicted, emaciated, anxious and with the sense organs waned away. Thus not finding a savior that fool leaves his life like an iguana with her tail bound and dragged by a strong person. Hence one, who wishes happiness, should counteract with medicines before the disorder is produced or when it is newly arisen.