1

INTRODUCTION

Pureesha refers to faeces. This type of distension is caused due to constipation.

2

SYMPTOMS

Stiffness, pain in the waist and flanks, constipation, urinary retention, unconsciousness, faecal vomiting, dyspnoea, laziness, indigestion, lethargy, etc.

3

SPECIFIC TREATMENT

Since the cause lies in constipation, efforts are made to clear the feces out.

mild purgation is carried followed by oleation and sudation .

SANSAMANA CHIKITSA PATRA

1.(CURNA)

A. Hingustak curna 5gm +Haritaki curna 5gm (1tsp curna bid)

2. (VATI)

A. Rason vati 2vati bid

B. Agnitundi vati 2vati bid

C. Hingvadi vati 2vatibid

3.(constipation)

A. Erand bhrist haritaki- 1/2 tsp at night

B.Erand taila 20ml + goghrita 50ml hot --> weekly once in morning

4. Kumaryasava

ADARSHA CHIKITSA PATRA

1. Hingvastak curna- 3gm + Haritaki curna-3gm + Rason vati-250mg ( 2 times with koshna jala )

2. Agni tundi vati -2vati ( 3 times with water )

3. Kumaryasava-20ml ( 2 times with 20ml water )

4. Hingvadi vati ( 4-5 a day cushnarth )

5. Erand taila-20ml ( Before sleep with milk )

PATHYA-APATHYA

WHOLESOME DIET AND HABITS

1. Manda (gruel)

2. Mudgayusha (soup of green gram)

3. Kharjoora (date fruits)

4. Draksha (raisins)

5. Kshara (alkalis)

6. Ajamoda (celery)

7. Dhanyaka (coriander)

8. Shatapushpa (dil seed)

9. Lavanga(clove)

10. Ushtradugdha (milk of the camel)

11. Ardraka (ginger)

12. Vyayama (proper exercise)

13. Dugdha (warm milk)

14. Jala (plenty of water) etc

UNWHOLESOME DIET AND HABIT

1. Guru Ahara (heavy food intake)

2. Vishtambhiahara ( constipating food)

3. Viruddhara (incompatible food)

4. Alukakanda( potato)

5. Jambu (blue berry)

6. Mula-kanda -shaka (raw underground vegetable)

7. Suppression of the natural urges

8. Vati aggravating food and habits

9. Sleepless nights

10. Dry and pungent food etc

1. Snehana

2. Svedana

3. Virechana

4. Basti

OR

5. Niruha basti(tikshna basti kutki,erandmula,go mutra,yavkshar)

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

- Icchabhedi rasa-(kajjli,jayphala,sunthi)

- Sankh Bhasma

- Narach rasa-(kajjali,trikatu,tankana)

VATI-(250-500MG WITH USHNA JALA)

- Hingvadi vati-(hing,ajmoda,amlaveta,vrikshamla,pippali)

- Arogyavardhani vati (parad,gandhak,loha,abhrak,tamra,shilajatu,kutaki)

- Gandhak vati-(gandhak,chitrakmula,pippali,kali mirch,sunthi,saindhav,yavkshar)

- Arka vati-(kala namak,nausadar,kali mirch, arka puspa lavanga)

- Gandhak vati-(gandhak,chitrakmula,pippali,kali mirch,sunthi,saindhav,yavkshar)

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

- Panchsakar curna-(saindhav,sunthi,harad,sounf,sanaay)

- Haritquadi curna-(haritaki)

- Triphala curna-(harad(haritaki),behda(bhbhitaki),amla)

- Taruni sukumar rasa-(gulab,saidhav,souvarchal,jeerak dvya,yavkshar)

- Sukha virechana curna-(jeerak dvya,sunthi,lavang,ela,marich,ajmoda)

- Deendayal curna-(sanay,ajvain,samundra lavana)

GHRITA/TAILA-(15-20ML WITH USNA JALA/MILK)

- ERAND TAILA

SINGLE DRUGS RECOMMENDED IN DISTENTION OF ABDOMEN ARE-

1. Aragwada- Cassia fistula Linn.

2. Haritaki– Terminalia chebula Retz.

3. Draksha -Raisins- Vitisvinifera Linn.

4. Bilva – Aegle marmelos Corr.

5. Snuhi- Euphorbia neriifolia Linn.

6. Ajamoda- Trachyspermumroxburghianum (DC.) Sprague.

7. Jeeraka – Cumine seeds- Cuminumcyminum Linn.

8. Lashuna -garlic- Allium sativa Linn.

9. Saindhava – rock salt

10. Hingu-asafetida- Ferula narthex Boiss.

11. Devadaru- Cedrusdeodara (Roxb.) Loud.

12. Punarnava- Boerhaviadiffusa Linn.

13. Patola – TrichosanthesdioicaRoxb.

14. Katukarohini- PicrorhizakurroaRoyle ex. Benth.

15. Chavya – Piper chaba Hunter.

16. Karaskara- Strychnosnuxvomica Linn.

17. Changeri – Oxalis corniculata Linn.

AYURVEDIC MEDICINES

1. Lashunadivati

2. Abhayarishta

3. Narachachoorna

4. Icchabedi rasa

5. Ajamodadivati

6. Chitrakadivati

7. Chavikasava

8. Sukhavirechakavati

9. Mriduvirechakachoorna

10. Lavanabhaskarachoorna

11. Drakshasava

12. Pathyadichoorna

13. Yavakshara yoga

14. Trivritlehya

15. Abhayamodakaetc