1

LAKSHANA

- Dark yellow coloured urine & stool.

- Ati sotha(oedema)

- Roughness & dryness of skin.

- Pain in joints. 

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 

3

VISHISTA NIDANA(CHARAKA)-

After some time if not treated properly, the Kamala [Jaundice] becomes

deep-seated (Kharibhuta – roughened, hardened) and thus, becomes

difficult of cure. This condition is called Kumbha-Kamala (a type of Jaundice).

The signs and symptoms of this Kumbh Kamala are:

1. Krishna pita shakrut mutra – The stool and urine of the patient become

black and yellow

2. Bhrusham shunashcha manavah- Excess of oedema in the body

3. Sa Rakta Akshi, Mukha – Blood appears in the eyes and face of the patient.

4.Chardi vin mutro rakta – His vomit, stool and urine are mixed with blood

5. The patient develops tremors

6. Daha, Aruchi, Trushna, Anaha,Tandra, Moha – He is afflicted with burning sensation, anorexia, morbid thirst, constipation drowsiness and fainting and

7. Nashta Agni – He loses Agni (the power of digestion and metabolism) and consciousness.

A person having this type of Kumbha-Kamala succumbs to death quickly.

4

SAMPRAPTI

Kamla roga-> jayada din hone se pitta duara mamsa dusti-> kumbhkamla

5

SAMPRAPTI GHATAKA

DOSHA- pittapradhana tridosha

DUSHYA-rakta,jeernavastha me mamsa

ADHISTHANA- tvak,netra,nakha,putra

SHROTAS- ratvaha

SVABHAVA- chirkari

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

6

UPADRAVA

- Halimaka

7

PRICIPAL OF CHIKITSA 

- nidana parivarjana

- tikta dravyo se siddha mridu virechana.

- Ghrita sevan paschat gomutra + dudha se virechana.

- Pratakal tripahal svarasa/guduchi svarasa/daruharidra svarasa/nimba svarasa sevana.

- Gomutra prayoga-gomutra me triphala milakar,godhudha me gomutra m,ilakar,bhaisa k dugdha me bhaisa ka mutra milakar15 din prayoga karna chahiye.

- Rogi yadi tila kalka saman mala tyaga kare to kapha nasak dravya ka prayoga karke pitta kisanti karni chahiye.

- Marga avrodha thik hone k baad jab tak mala prakrut varna ka na ho tab tak ati katu,tikshna, ushna,lavan duara chikitsa karni chaiye taki pitta adhik hoke kosta ga aa jaye 

8

SODHANA CHIKITSA 

Kumbha Kamala is an Asadhya or Kricch sadhya vyadhi.[11] Caraka has not mentioned any specific treatment. Sushruta – 1. Mandura with cow‟s urine + saindhava lavana- 1 month; 2. Mandura bhasma + Bibhitaka phala majja + Sunthi churna in equal propositions with cow‟s urine.[22] Vagbhata – 1. Shilajatu with gomutra – 1 month, 2. Svarnamakshika bhasma with gomutra – 1 month.[23] The snehana, virechana, basti and samshamana dravyas were

1  Snehana - Buffalo‟s ghee processed with Guduchi svarasa

2  Virecana - Trivrit with Amalaki svarasa

3  Basti - Yapana Basti with madhura dravya described in Siddhisthana

4 Samshamana -Drakshavaleha, Abhayavaleha, Milk processed with pippali, madhuka and bala according to dosha and bala of the patient

SVEDANA IS CONTRAINDICATED ****************

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.  

HERBAL FORMULATIONS FOR PANDU AND KAMALA

Haritaki kalka – Paste of Terminalia chebula with Gomutra (urine of cow)

Argwadhakalpa –

• Pulp of Aaragwadha (Cassia fistula) mixed with powders of shunti (ginger), pippali (long pepper) and maricha (black pepper)

• Pulp of Aaragwadha (Cassia fistula) mixed with ikshurasa (sugarcane juice

• Pulp of Aaragwadha (Cassia fistula) with vidari rasa (juice or decoction of Pueraria tuberose)

• Pulp of Aaragwadha (Cassia fistula) with Amalaka rasa (juice of Gooseberry fruit)

• Pulp of Aaragwadha (Cassia fistula) with Bilwapatraswarasa (juice of Aegle marmelos)

Trivritkalka – paste of Trivrit (Operculinaturpethum) with TriphalaKwatha (decoction of 3 fruits of Terminalia chebula, Terminalia bellirica and Emblicaofficinalis)

Triphalakwatha – Decoction of Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica) and Amalaki (Emblicaofficinalis) mixed with honey

Guduchiswarasa – Decoction or juice of Guduchi (Tinosporacordifolia) mixed with honey

Daruharidra rasa – Juice or decoction of Daruharidra (Berberisaristata) mixed with honey

Nimba rasa – juice of neem leaves mixed with honey

Godugdha (milk of cow) mixed with Go mutra (urine of cow)

Mahishadugdha (milk of buffalo) mixed with Mahishamutra (urine of buffalo)

Triphalakwatha (decoction of 3 fruits, Haritaki, Bibhitaki and Amalaki) mixed with gomutra (urine of cow)

GomutraHaritaki – powder of Haritaki (Terminalia chebula) mixed with gomutra (urine of cow)

Mandura yoga– Mandurabhasma (Iron oxide or Ferric oxide calx) mixed with puranaguda (old jaggery), shuntichurna (ginger powder), tilachurna (sesame powder) and pippalichurna (long pepper powder)

Darvyadileha – Powders of Daruharidra (Berberisaristata), Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica), Amalaki (Emblicaofficinalis), Shunti (ginger), Pippali (long pepper), Maricha (black pepper), Vidanga (Embeliaribes) and LohaBhasma (iron calx or ash) mixed in ghee and honey so as to make their confection

Ayorajadi yoga – ayoraja (iron calx), powders of Haritaki (Terminalia chebula) and Haridra (turmeric) mixed in ghee and honey

HaritakiChurna – powder of Haritaki (Terminalia chebula) mixed with guda (jaggery) and madhu (honey)

Triphaladi Yoga – Powder prepared using Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica), Amalaki (Emblicaofficinalis), Haridra (turmeric), Daruharidra (Berberisaristata), Katuki (Picrorhizakurroa) and Lohabhasma (ash of iron) mixed in honey and ghee.

USEFUL KASHAYA FOR JAUNDICE

VASA GULUCHYADI KASHAYA – Contains Neem, Guduchi, Licorice, Vasa, Kataka – Strychnospotatorum and Amrutavalaka / Hribera – Pavoniaodorata

It is recommended to be used along with honey.

NIMBADI KASHAYA / NIMBATWAGADIKASHAYAM –

Ingredients –

• Nimbatwak – bark of Azadirachtaindica / neem tree

• Triphala – fruits of Terminalia chebula, Terminalia bellirica&Emblicaofficinalis

• Patola – Trichosanthesdioica

• Rajani / Haridra – Curcuma longa / turmeric

• Vasa – Adhatodavasica

• Amruta – Tinosporacordifolia

• Sariva – Hemidesmusindicus

• Shyama – Ocimumtenuiflorum

• Tamalaki / Bhumyamalaki – Phyllanthusniruri

• Palamkasha / Gokshura – Tribulusterrestris

• Bala – Sidacordifolia

• Nili – Indigoferatinctoria

• Sthira / Prishniparni – Urariapicta

• Yashti – Glyzyrrhizaglabra

It is should be consumed mixed with honey, powder of long pepper and Shilajatu i.e. Asphaltum for five days.

Indications – Kumbha kamala &Halimaka i.e. complicated stages of jaundice

YASHTIVASADI KASHAYA

Ref – Sahasrayogam, ParishishtaPrakarana, Kashaya

Ingredients –

• Yashtimadhu – Glyzyrrhizaglabra

• Vasa – Adhatodavasica

• Amruta / Guduchi – Tinosporacordifolia

• Balaka / Hribera – Pavoniaodorata

• Kataka – Strychnospotatorum

• Hatha / ArdraAmalaki – Emblicaofficinalis

• Ikshu – Saccharumofficinarum

• Gokshura – Tribulusterrestris

Method of administration – The decoction prepared with the above said ingredients should be administered internally early in the morning.

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)