1

LAKSHANA

- Greenish blackish Yellowish discolouration of nails,skin,eyes,mouth.

- Mild jvar & atisara is vishista lakshana.

- Bala hani-santapa- pallor-anaemia

- Aruchi-bhram-trishna-mandagni-angamarda

- Maithuna asamartatha 

When anemia or jaundice is not treated properly or becomes chronic, it progresses into a condition called haleemaka.

When there is appearance of green, bluish black (grey) or yellow color in the body of the patient suffering from anemia (replacing pallor of anemia), the below mentioned symptoms are manifested

Balakshaya – decrease in strength and immunity of the person

Utsahakshaya – decrease in enthusiasm

Tandra – stupor, drowsy feeling

Mandagni – low digestion capacity

Mrudujwara – mild fever

Streeshuaharsha – loss of interest in sex

Angamarda – pain in the body parts, pain as if someone has beaten with sticks

Daha – burning sensation in the body or body parts

Trushna – thirst

Aruchi – tastelessness

Bhrama – giddiness

Such a disease which is formed from neglected anemia and has above mentioned symptoms is called haleemaka.

Haleemaka is predominant in vata and pitta.

Haleemaka is caused due to severe vitiation of vata and pitta in the advanced stage of panduroga.

2

NIDANA

- Kshar-Amla-Lavana-Atiushna-Virudha, Asatmaya Bhojana

- Atimadhyapana-divaswapna-maituna-vyayama-vegadharana

- Ritu vaimanasya

- Nishpava-masha,tila taila ati sevana

- Kama-chinta-bhaya-soka-krodha

- Ruksha-sheeta-guru-madhur dravya ati sevana

- Pandu rogi duara pitta vardhak bhojana sevana 

Some of these causes are –

• Indulgence in excessive exercise

• Consumption of excessive foods rich in sour and salt tastes

• Excessive consumption of alcohol / wine

• Consumption of mud

• Excessive consumption of spicy and corrosive foods

• Excessive indulgence in day sleep

3

INTRODUCTION

Some of the disease conditions which are caused as progressive stages of pandu (anemia), when pandu is not treated promptly or when pandu is neglected. They are –

• Kamala – jaundice

• Kumbha kamala – complicated jaundice with abdominal complaints

• Haleemaka – chlorosis / hypochromic anemia / chronic obstructive jaundice

• Panaki – disease presenting with symptoms of both anemia and jaundice along with raised temperature and loose stools

Owing to its relationship to anemia and jaundice, halimaka can be considered as a disease caused due to morbidity of channels responsible to carry blood and rasavahasrotas i.e. channels responsible to carry lymph or food juices of nutrition. It is also a blood borne disease.

Since liver is one of the root place of blood carrying channels, halimaka too can be considered to have its origin from and located primarily in the liver.

4

SAMPRAPTI

Kamla roga-> jayada din hone se pitta duara mamsa dusti-> kumbhkamla-> dhatu kshaya-> halimaka/panki

5

SAMPRAPTI GHATAKA

DOSHA- vata-pittapradhana

DUSHYA-dhatu kshaya

ADHISTHANA- tvak,netra,nakha,putra

SHROTAS- ratvaha

SVABHAVA- chirkari

SADHYAASADHYATA- vamana, jwara, aruchi, klam,svasa, atisarayuta(cirrhosis of liver) asadhya 

6

LAAGHAVAKA OR ALASA 

In Sushruta we can find the description of haleemaka in the name of Laaghavaka or Alasa.

Sushruta tells that the disease which is caused due to predominant vitiation of vata and pitta and presenting with greenish, yellowish or bluish discoloration of body or body parts is called Laaghavaka or Alasa.

Some authors also call it as Haleemaka.

LAAGHAVAKA PRESENTS WITH BELOW MENTIONED SYMPTOMS –

Jwara – fever

Angamarda – pain in body parts

Bhrama – giddiness

Daha – burning sensation

Tandra – drowsiness

Kshaya – depletion of tissues

LODHARA

Acharya Vagbhata in AshtangaSangraha explains Haleemaka in the name of Lodhara.

He tells that – the disease, in which green, blue or yellow discoloration appears in pandu disease due to predominance of vata and pitta, is called lodhara.

Some authors also call it haleemaka or alasa.

It is characterized by the manifestation of the below mentioned symptoms –

Bhrama – giddiness

Trushna – thirst

Streeshuaharsha – lack of interest in sex

Mrudujwara – mild fever

Tandra – drowsiness

Balabhramsha – deterioration in strength

Analabhramsha – diminution of digestive fire 

PAANAKI

Paanaki also is a type of anemia or jaundice

Anemia in which there is excessive rise in temperature, diarrhea, yellowish discoloration on the outer and inner parts of the body and pallor eyes is called Panaki.

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MODERN COMPARISON 

Comparison of above mentioned conditions with modern day diseases

It is very difficult to compare these Ayurvedic conditions exactly to any modern day diseases.

Below mentioned are the closest correlations.

Haleemaka is compared to chronic obstructive jaundice because even in this condition, the color of the body becomes green or yellow.

Other conditions with which haleemaka can be compared are

– advanced anemia,

– advanced jaundice

– neglected and complicated anemia

– hepatitis with anemia.

Some people have compared haleemaka with chlorosis. 

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SODHANA CHIKITSA 

PANCHAKARMA TREATMENT

Oleation – The patient of haleemaka disorder should be made to drink buffalo ghee processed with four times the quantity of each of Tinosporacordifolia juice and buffalo milk in metered doses until the person is saturated optimum consumption of ghee.

The patient of haleemaka disorder should be made to drink buffalo ghee processed with four times the quantity of each of Tinosporacordifolia juice and buffalo milk in metered doses until the person is saturated optimum consumption of ghee.

Purgation – after the patient has been subjected to oleation in the above said method, the patient should be administered with purgation using the powder of Operculinaturpethum mixed in the juice of Emblicaofficinalis.

Anti vata-pitta diet – After the signs of proper purgation are obtained following the administration of the above said medicines, sweetened foods which balances aggravated vata and pitta should be served to the patient.

MEDICINAL GHEE

Drakshaleham& sweetened ghee – After giving proper diet as said above, Drakshaleham and ghee prepared with herbs having sweet taste should be given to the patient.

BASTI

YapanaVastis – Following this, the life supporting or curing enemas explained in Siddhi Sthana section of Charaka Samhita should be administered to the patient. Along with this, the medicated milk enemas and oil enemas should be administered.

OTHER MEDICINES

Digestive fire enhancing drinks – Following this, the fermented drinks which is prepared with raisins etc herbs should be given to drink. These drinks will enhance the digestive fire and capacity of the patient.

Abhayaleha – Abhayaleha i.e. Agastya Haritaki explained in treatment of cough should be administered.

Medicated milk – Milk medicated with long pepper, licorice, roots of Sidacordifolia should be given to drink after properly deciding the predominant dosha and strength of the patient. 

Pathya(DO):

Palak, louki,muli,bathua, kaccha papita, kaccha kela, aalu, amla, dadima, munakka, anjeera, purana chaval papita, wheat, java, arhar,munga, masura, parval, goghrita, godugdha, takra, saka, paha aam

Virecha,snehan,agnikarma,vishram

Apathya(DON’T):

Vidahi,guru, sarso tail,udad,pan, garam masala, rai, hing, tila, matar,

Raktmokshana,dhumapana, vaman, svedana, divaswapna, vyayama, atimatra taila-ghrita sevana.  

RASODHI/BHASMA/PISTI-(120-250MG WITH MADHU/USHNODAKA)

- Navayas loham-(triphala,trikatu,trimada,loha)

- Dhatri loham-(amla,loha,trikatu,haridra)

- Nisha loham-(loha,haridra dvya,triphala,kutki)

- Vidangadi loham-(vayvidanga,triphala,trikatu,pippali,loha)

- Darvyadi loham-(daruharidra,triphala,trikatu,vidanga,loha)

- Yograja-(triphala,trikatu,trimada,shilajitu,svarnamakshik,rajatmakshik,loha)

- Shilajatu vatak-(indrayava,triphala,patolpatra,musatk,shilajatu)

- Icchabhedi rasa-(sunthi,marich,parad,gandhak,tankan,jaypal)

- Punarnava mandur-(punarnava,mandur,nisotha,trikatu,vidanga,triphala,danti)

- Mandur vatak-(triphala,trikatu,trimada,daruharidra,svarn makshika,mandur)

- Pranavallabh rasa-(hingul,parad,gandhak,kesar,loha,tamra,karpada,suddha tatya)

VATI-(250-500MG WITH USHNA JALA)

- Arogyavardhani vati-(triphala,shilajatu,trikatu,kutki,parad,gandhak,loha,abhrakh,tamra)

- Panchanan vati-(parad,gandhak,tamra,gugglu,jaypal)

CURNA-(3-6GM WITH MADHU/USHNODAKA)

- Darvyadi curna-(daruharidra,triphala,trikatu)

- Triphala curna-{haritaki(harad),bhibhitaki(behda),amla(amlaki)}

- Vishaladi curna-(indrayana,kutki,motha,meetha kuth)

- Motha curna-(mustak,loha)

KAVATH/ASAV/ARISHTA-(20-40ML WITH SAMABHAG WATER)

- Atrusadi kvatha-(adusha,draksha,harad)

- Phalatrikadi kvatha-(triphala,vasa,guduchi,kutki,chirayata)

- Beejakarista-(vaijaysara,triphala,munakka,triphala,trikatu)

- Kumaryasava-(ghrita kumari,chirayata,kutki,chitrak,mustak,trikatu)

- Vasakadi kvatha-(vasa,guduchi,nimba chala,chirayata,kutki)

- Draksharista-(draksha,mahua,dhatki,triphala,amlaki,trikatu)

GHRITA-(10-30ML WITH USNODAKA/DUGDHA)

- Panchtikta ghrita-(guduchi,nimb,vasa,chirayata,patol,ghrita)

- Drakshadya ghrita-(ghrita,manukka)

- Haridradhya ghrita-(haridra,triphala,neem,mulethi,ghrita)

- Vayoshadhya ghrita-(trikatu,bilva,haridra,ghrita)

- Danti ghrita-(danti,ghrita)

- Katukadhya ghrita-(kutki,mustak,haridra duya,indrayava,patol)

- Dadima ghrita-(anardana,dhaniya,trikatu,ghrita)

AVLEHA/PAKA/KHANDA-(15-20GM WITH DUGDHA)

- Amalkyadi leham-(amla,manukka,pippali,mulethi)

- Dravyadi leham-(daruharidra,triphala,trikatu,vidanga,loha)

- Dhatriyavaleham-(vanshlochan,sonth,mulethi,pipper,manukka,amla)