INTRODUCTION
Tikshnagni is the cause of Bhasmak Rog. Tikshnagni due to Pittaprakopa. Lakshanas of Pittaprakopa are same as Bhasmak Rog. In various Ayurved Samhitas, various Acharya had mentioned about Bhasmak Rog in various Centuries. Acharyach Charak had mention Bhasmak Rog as Tikshnagni in Grahanirog Chikitsa Adhyay. Charak says, Ksheen Kapha and Prakopa of Vata Pitta responds to Jatharagni vruddhi .Because of this Jatharagni vruddhi, Kshuddhavruddhi and Trushnadi lakshanas are seen. If the Bhasmak Rogi not taken food then this Jatharagni leads to Dhatu Pachan-Karshytva & Mrutyu. Acharya Madhavkar in Rogvinishchay also mentioned about Bhasmak Rog in 7th Century. Acharya Sharangadhar in 13th century, under Sharangadhar Samhitha Purvakhanda, Rog-Ganana Prakaran Agnivikar, had given four types of Agni with its respective Dosh Prakop. In that Vishamagni-Vata, Tikhnagni-Pitta, Mandagni-Kapha & Bhasmakagni-Vata Pitta. Hence Bhasmak Rog caused by Vata Pitta Prakop was mentioned in Sharangadhar samhita also. Acharya Bhavprakash in 16th Century says about Bhasmak Rog under Madhyam khand Jathragni vikar that after Aahar seven of Atiruksha anna & Ativyayamadi Hetu Kapha get Ksheen with Vata Prakop, so this Prakupit vata leads to Pitta Prakop with the help of Ashayapkarsh gati, and Bhasmak rog with Swedadi lakshanas happens. Acharya Vangsen also told about Bhasmak Rog. In 17th Century Acharya Yogratnakar gives a separate Bhasmak Rog Chikitsa Adhyay. Where he mentioned Trushna, daha, Murcha, Bhram,Kasa, shofadi Lakshanas & Chikitsa of Bhasmak Rog. Hence Bhasmak Rog is one of the Marak rog so the study of Bhasmak Rog is very important.
NIDANA
1. Ushna-tiksha-vidahi dravya sevana
2. Ruksha anna sevana
3. Ratri jagrana
4. Ati shram
5. Vata –pitta vardhak samast nidana
6. Kapha nasak dravya sevana
LAKSHANA
In Charak Samhita- Kshudha Vruddhi, trushna, swash, murcha, daha, Daurbalya, murtru
In Yogratnakar- Trushna, Daha, Murcha, Bhram, Kasa, Shoph, Vitshosh, Moha, Shramkarmakari, Swhash, Kasa
Bhavaprakash- Trushna, Sweda, Daha, Murcha
1 Trushna
2 Daha
3 Moha
4 Shwas
5 Kasa
6 Sweda
7 Shoph
8 Murcha
9 Bhrama
10 Dina
11 Shramakarmakari
12 Vitshosh (Constipation, increase frequency of stool )
13 Kshudha vruddhi
SAMPRAPTI
When in human body, Kapha get ksheen & Pitta Prakop occurs and this Prakupit Pitta because of vatas due to Ashayapkarsha Gati Pitta with Vata dhosh goes to pitta sthan i.e Grahani and gives bala to Jatharagni. In this way by merging Agni with Vayu, Tikshnata of Jatharagni digest all the food. If there is no food then Agni start to digest Raktadi Dhatu. Because of Dhatu pachan Sharir Daurbalya occurs, which leads to various Vyadhi then Mrutyu. After taking food for some time patient fell relived but after Aahar pachan feels Glani and Vyagrata and other Lakshanas.
Kapha Ksheen, Pitta Prakopa -> Pitta Marutanugat (Pitta with Vata goes to Pitta sthan) -> Pitta Goes to Grahani -> Jatharagni Bala Vruddhi -. Kshudha Vruddhi -> If not given food -> Raktadi Dhatu Pachan Mrutyu -> Bhasmak Rog
SAMPRAPTI GHATAKA
DOSHA- vata-pitta
DUSHYA- agni rasadi dhatu
ADHISTHANA- grahani
SHROTAS- annavaha
SVABHAVA-daruna
SADHYAASADHYATA- sadhya
CONCLUSION
Bhasmak Rog & Hyperthyroidism both these conditions effects on body metabolism. Pitta Prakop takes important role in Samprapti & Lakhanas of both these conditions are same. T3&T4 can be work in the Body as Pitta. So Bhasmaka Rog can be correlated with life style disorder Hyperthyroidism.
DISCUSSION
In Ayurveda Equilibrium of Dosha, Dhatu, Mala & Agni are considered as Healthy state of an individual. From 5 Vyadhiutpattikarbhav Agni is most important and Bhasmak Rog is Causes due to Agni Vikruti i.e Tikshnagni. There is kheen Kapha and Vata-Pitta Prakop gives Lakhanas of Vata-pitta Prakop such as Kshuddha Vruddhi, Trusna, Daha Murcha, bhram etc. As done Comparison in modern Disease same type of Lashanas has present in Hyperthyroidism. As in Hyperthyroidism T3&T4 level are increases and gives symptoms i.e. Increase appetite, loss of weight, thrust, Sweating etc. This all symptoms of Hyperthyroidism are same as Pitta Prakopa so in Samprapti of Hyperthyroidism Pitta Prakop i.e Pitta Vruddhi occurs. So we can say T3&T4 work in the Body as Pitta. And increase level of T3&T4 same a Pitta Prakop Lakshanas. Hence Bhasmak Rog can be correlated with life style disorder Hyperthyroidism.
SODHANA CHIKITSA
- Virechana
1. wheat flour with milk - prepare with ghrita & sugar give twice a day
1. tila + sarsapa + badam --- curna -- 2tsp biad with milk
1. gular chal + women milk or ajamilk-- prepare kalka bid
1. apamarga tandul ksheer
2 . trivrit 20gm + 100ml milk + 100ml water-- preapare 120ml ---virechanartha-- at night
2. amaltas guda 30gm + 4 cup water --prepare 1cup at night or early morning for virechanartha
3. apamarga curna 5gm bid with milk
3. laksha curna 5gm bid
4. vidarikanda ghrita -20ml at bhojan kaal(1/2 hr before meal) bid
4. ashvagandha ghrita -20ml at bhojan kaal(1/2 hr before meal) bid
lakshanik chkisa aslo adopted
1. Apamarga curna 5gm bid with milk
1. laksha curna 5gm bid
2. apamarga tandul ksheer
2. gular chal + women milk or ajamilk-- prepare kalka bid
3. vidarikanda ghrita -20ml at bhojan kaal (1/2 hr before meal) bid
CURNA-(3-6GM WITH DUGDHA)
- Apamarga curna
- Laksha curna
GHRITA/TAILA-(15-20ML WITH USNA JALA/MILK)
- Vidarikand ghrita-(vidarikand,jeevniyagana,ghrita,dugdha)