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LAKSHANA

The person who is undisciplined and doesn’t have self control consumes in excess Tila (sesame and its products, preparations of sesame), Dugdha (milk), Guda (jaggery) etc out of greed while having HridRoga, a granthi (cystic swelling, nodule) is formed in a portion of HridayaMarma (heart which is also one of the delicate and sensitive organ of the body). Gradually the granthiges filled with kleda (vicious fluid, exudates). To this the rasa in circulation gets added and increases exudates and consequent dampness. This forms an ideal environment for the krimis to manifest (worms, microorganisms, bacteria etc). Krimis get manifest in this kleda in the person who consumes apathya (incompatible and unwholesome foods). Severe pain and discomfort gets manifest in the heart due to the development of these krimis. The person also experiences toda (pricking pain) in the heart region.

Below mentioned are the symptoms of KrimijaHridRoga –

• Utkleda – Nausea, feel to vomit

• Shteevana – Excessive spitting

• Toda – Pricking pain

• Shula – Colic, Pain in chest

• Hrillasa – Water brash, nausea

• Tama – feel of darkness in front of the eyes

• Aruchi – tastelessness, anorexia

• Shyaavanetratvam – Blackish brown discoloration (bluish black) of eyes

• Shosha – depletion of the body, excessive dryness of the body, wasting of the body 

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PRINCIPLES OF TREATMENT – 

Langhana – or lightening therapies should be initially done

Apatarpana – Following langhana, the patient should be kept on starvation or food which doesn’t provide nourishment to the tissues

Krimihara karma – All the treatments and medicines which destroy krimi as explained in KrimiRogaChikitsa should be done

Classical formulations –

Vidangadi Choorna – Powder of Vidanga (Embeliaribes) and Kushta (Saussurealappa) should be given mixed in Gomutra (cow’s urine) 

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OTHER TREATMENTS AND FORMULATIONS 

Erandamula Kwatha – Decoction of the root bark of Eranda (Castor plant) mixed with YavaKshara (alkali of whole plant of Barley)

Dashamuladi Kwatha – Decoction of Dashamula (10 roots) mixed with SaindhavaLavana (rock salt) and Yavakshara (alkali of whole plant of barley)

Pushkara Choorna – Powder of Pushkaramula (roots of InulaRacemosa) mixed in honey

Arjuna Churna – Powder of bark of Arjuna (Terminalia arjuna) should be given mixed with Ghrita (ghee) or Dugdha (milk) or Gudodaka (jaggery water)

Katukadi Churna – Powder of Katuki (Picrorhizakurroa) and Yashtimadhu (Indian licorice) should be given mixed in hot water

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EFFECTIVE DECOCTIONS FOR HEART DISEASES FROM SAHASRAYOGAM

1. Hridrogahara Kashayam

a. DhanyakadiKashayam

b. MashadiKashayam

2. PushkarahwadiKashayam

Ref – Sahasrayogam, ParishishtaPrakaranam, 38

3. VidalinVeradiKashayam

Ref – Sahasrayogam, ParishishtaPrakaranam, 67

4. TrayantyadiKashayam

Ref – Sahasrayogam, ParishishtaPrakaranam, 111 

PATHYA FOR HRIDROGA (BENEFICIAL AND WHOLESOME THINGS)

• Shali Dhanya – Rice

• Mudga – Green gram

• Yava – Barley

• JangalaMamsa Rasa – Meat soup of meat of animals living in the desert areas

• MarichaChoorna with Patola – Black Pepper powder mixed with pointed gourd

• Karavellakam – Bitter gourd 

APATHYA FOR HRIDROGA (UNWHOLESOME THINGS FOR HRIDROGA)

• Taila – Oil

• Amla – sour things or food substances and drinks

• Takra – butter

• Guru anna – heavy to digest foods

• Kashaya – astringent tastes, foods prepared with astringent substances

• Shrama – excessive physical exhaustion

• Aatapam – exposure to excessive heat of Sun

• Rosham – Anger

• Stree – Excessive indulgence in sex

• Chinta – Excessive thinking, stress, anxiety

• Bhaasya – Excessive speaking  

AYURVEDIC FORMULATIONS

FORMULATIONS FOR HRIDROGA

• DashamulaKashayam

• DrakshadiKashayam

• PunarnavadiKashayam

• NayopayamKashayam

• Punarnavayolepam

• Amrutayolepam

• ArjunaChurna

• NavayasaChurna

• VaishwanaraChoorna

• Arjunarishtam

• Draksharishtam

• Dashamoolarishtam

• PunarnavadiMandura

• SarivadiVati

• HridayarnavaRas

• NagarjunabhraRas

• NavayasLauh

• TrinetraRas

• PravalaPishti

• AkikaPishti

• MuktaPishti

• Rasa Sindura

• PravalaBhasma

• MuktaBhasma

• ShringaBhasma

• ShringarabhraRas

PROPRIETARY MEDICINES FOR HRIDROGA

• Tab Abana (Himalaya)

• Tab Arjin (Alarsin)

• Tab Cardostab (Nagarjuna)

• Tab Siledin (Alarsin)

• Cap Arjunin (Charak)

• Cap Garlicon (Phyto Pharma)

• Cap Punerjatu (Pavaman)

• Cap Digit (Vasu)

• Cap Hartone (Swadeshi)

• Cap Protect (Dhanwantari)