1

RAKTAGATAVATA

Hypertension can be compared to a condition called RaktagataVata. In this condition the vitiated Vata gets lodged in the circulating RaktaDhatu (blood) and causes disturbances in its circulation. Since Rakta and Pitta are related in an inseparable relationship the disturbance of Rakta also leads to the disturbance of Pitta. In this context RaktagataVata is basically a disorder of blood caused by morbid Vata and Pitta. The Kapha component will also be disturbed leading to loss of support and integrity to the cardiac functions.

When the AvalambakaKapha Bhava (components) gains a pathological increase, they cause blocks in the arteries and arterioles leading to atherosclerosis and peripheral resistance. This further causes Hypertension and cardiac disorders.

The further pathological processes may lead to the aggravated Rakta blocking the normal movements and functions of Vata leading to a condition called RaktavritaVata. This may lead to many complications of Hypertension as mentioned above. The concept of Vatarakta or Vatashonita too can be included in studying Hypertension from an Ayurvedic perspective

OTHER BODY FACTORS CONTRIBUTING TO MANIFESTATION OF HYPERTENSION

The other Dosha’s can also be involved in the backdrop or in a later condition.

• Pachaka Pitta (Kayagni) and the associated Samana Vayu will be disturbed at the backdrop of Hypertension leading to disturbance of gross and tissue metabolism.

• The Prana Vayu disturbed due to stress, anxiety etc. factors might worsen the disease in a later condition.

• Apana Vayu functions when disturbed can cause Udavarta (upward and haphazard movement of Vayu) leading to increased pressure in the abdominal and chest organs putting them under physiological stress.

• Sadhaka Pitta in the Hridaya (Heart/Brain) and TarpakaKapha (Lubricants of nervous system) when disturbed – cause disturbances in heart functions and a disturbance of brain-heart coordination.

The involvement of mind factors in the causation of hypertension or as aggravating factors in the later context of an established disease cannot be ruled out. The disturbed Raja and Tama bhava’s (the mind factors responsible for morbidity according to Ayurveda) definitely contribute in the pathogenesis of Hypertension either in the initial or terminal stages.

VATA INVOLVEMENT

Basically Vayu or Vata is the force which drives and motivates all the activities in the body. It is a sum total of all the input and output mechanisms, sensory and motor functions taking place in the body. Vayu is also said to control the functions of mind, sense organs and other higher centres of thoughts and emotions.

Vayu is thus all pervading. All the other Doshas (Pitta and Kapha), Dhatu’s (tissues) and Mala’s (excreta – waste products) are dependent on Vayu for their normal or abnormal movements. When in equilibrium, VataDosha is responsible for all the normal life activities (psycho-somatic).

The same Vayu when gets disturbed is said to initiate the disease process in the body (and mind) by displacing, misplacing, pulling or pushing the other Dosha’s and Mala’s from their normal and natural seats to abnormal places.

The morbid Dosha’s getting lodged in the tissues cause tissue damage and thus cause disease process. Similarly the Mala’s (excreta, cellular toxins) can get held back in abnormal places, contaminate the body and cause diseases.

We can tell that High Blood Pressure or Hypertension is a result of abnormal functioning of Vyana and Udana Vayu, Ranjaka Pitta and AvalambakaKapha including loss of their functional integrity and coordination.

2

NIDANA

- AHARAJA-guru-vishyandi-snigdha-katu-amla-lavan sevan

- Ati bhojana-ksharati sevana-tikshna-madhya sevana

- Ati madhur-santarpan ahara sevana

- VIHARAJA-vega dharana

- Ativyayama-bhaya-soka-krodha-chinta

- Achesta-divasvapna-dhumrapana

3

LAKSHANA

- Burning in palm & soles

- Burning in body

- Tivra ruja

- Aruchi

- Boils over body

- Stiffness after meals

- Discolouration(vaivarnayata)

4

SAMPRAPTI

1)nidan sevana-> mana shobha-> kapha meda vriddhi-> dhamniyo me sthana sanchya-> margaavrodha-> vyan vayu prakopa-> rakt sanvahan ki mithya gati-> raktgata vata(uccha raktachap)

5

SAMPRAPTI GHATAKA

DOSHA- tridosha DUSHYA- rakt meda ADHISTHANA- dhamniya SHROTAS- raktvaha,rasa,manovaha SVABHAVA- chirkari SADHYAASADHYATA- kriccha sadhya but navin sadhya,purana kriccha sadhya, upadrava yukta asadhya

6

MEDICINE

SINGLE HERBS THAT ARE USEFUL IN HYPERTENSION

• Sarpagandha – Rauwolfiaserpentina – This is said to be the most powerful hypotensive plant. It has been traditionally used in Ayurveda to treat snakebite, insanity, insomnia and many other diseases apart from Hypertension. Reserpine, the purified alkaloid of R.serpentina was the first potent drug widely used in the long term treatment and management of HTN.

Read more about uses and side effects of Sarpagandha

• Lashuna / Rasona – Allium sativum – It is said to lower the blood pressure especially the systolic part. The sulphur containing compounds found in garlic including allicin is said to act on body’s nitric oxide system which relaxes the arteries and lowers systolic blood pressure. Doctor’s opinion should be taken because Garlic may not go good with other medications.

• Arjuna – Terminalia arjuna – It is said to be the best in the business of treating heart ailments. It is an ideal drug to correct circulation disturbances and also to alleviate stress.

Other useful drugs which can be used either singly or in combination, in essential HTN or as a co-prescription in secondary HTN –

Ashwagandha – Withaniasomnifera – Relieves stress, strengthens the muscles of the heart, good rejuvenator and anti-ageing medicine

• Amalaki – Emblicaofficinalis – Best anti-oxidant and anti-stress agent

• Bala – Sidacordifolia – Good anti-stress drug and strengthens the nervous system

The best Rasayana’s (rejuvenator, anti-ageing and anti-stress, health promoters and immune-modulators)

• Brahmi (Bacopamonnieri)

• Shankapushpi (Convolvulus pluricaulis)

• Ash gourd – winter melon Kushmanda

• Jatamansi (Nardostachysjatamansi)

• Gotu kola – Mandukaparni (Centellaasiatica)

• Giloy – Guduchi (Tinosporacordifolia)

Other drugs which have been proved to have antihypertensive property by research works are:

• Celery – Apiumgraveolens

• Bishop’s weed – CarumCapticum (Ajawain)

• Coliusforskohlii (Karpurvali)

• Carrot – Daucuscarota

• Flaxseed / Linseed – Linumusitatissimum

• Tomato – Lycopersiconesculentum

• Drumstick – Moringaoleifera (Shigru)

• Tulsi – Holy Basil – Ocimumbasilicum

• Bhumi Amla – Phyllanthusniruri

• Pome granate – Punicagranatum

• Radish – Raphanussativus

• Sesame – Sesamumindicum

• Triticumaestivum – Wheat bran

• Vitexdoniana – Black plum

• Ginger – Zingiberofficinale

EFFECTIVE FORMULATIONS FROM THE HOUSE OF AYURVEDA FOR HYPERTENSION AND CARDIOVASCULAR DISEASES

(Click on the medicine names to know more about them)

• Sarpagandhachurna, Sarpagandhavati – As explained above, Sarpagandha is very effective in controlling high BP. It can be consumed in churna (herbal powder) or Vati – tablet form. Your physician should fix the proper dose. Self medication with Sarpagandha can be very dangerous.

• Brahmi Vati – used in the treatment of depression, blood pressure etc.

• GiloySatwa – used in Ayurvedic treatment of burning sensation of feet, bleeding diseases etc.

• Ayaskriti – mainly used in anaemia, weight loss therapy, skin diseases etc.

• Kumaryasavam – used in the treatment of gastritis, urinary tract disorders etc.

• Draksharishtam – Balances Pitta Dosha. used mainly in the treatment of respiratory and intestinal disorders

• Partadhyarishtam – A very good cardiac tonic. Useful in the treatment of chest injury, weakness, fatigue etc.

• Punarnavasavam – useful in gastritis, oedema, fever and liver diseases.

• Lodhrasavam – used in leucoderma, anaemia, obesity etc.

• Balarishtam – used mainly in neurological conditions. vata imbalance.

• Sarivadyasavam – used in the treatment of many skin diseases.

• Saraswatharishtam – a very effective anti ageing medicine and a brain tonic.

• Ashwagandharishtam – used in the treatment of sexual disorders, depression etc.

• NayopayamKashayam – used in the treatment of respiratory diseases like bronchial asthma. It also relieves hiccups.

• KalyanakaGhritam– Herbal ghee, used for the treatment of cough, anaemia, epilepsy, psychosis, schizophrenia, etc

• MahakalyanakaGhritam – used for cough, anaemia, epilepsy, psychosis, schizophrenia,

• KsheerabalaTailam 101 – Balances Vata, a good nervine tonic.

• SarpagandhadiChurnam

• Lohasinduram

• SringaBhasmam – used in the treatment of gastritis, hiccup, intercostal neuralgia, asthma, etc.

• CheriyaChinchadiLeham

• DantiharitakiLeham – used in the treatment of skin diseases, fever, liver conditions etc.

• Chyavanaprasham – an all round anti oxidant rich rejuvenating product.

• NarasimhaRasayanam – Though it contains butter as its base, it is useful in hypertension caused by excessive Vata imbalance.

• BrihatVasavaleha – mainly used in the treatment of respiratory conditions.

• VidaryadiLeham

• Hridayarnava Rasa – used in the treatment of heart diseases associated with heaviness of chest and dyspnoea etc.

• Hemamruta Rasa

• LohaBhasma – used in Ayurvedic treatment of anaemia, eye disorders, skin diseases etc.

• ManduraBhasma – It is used in Ayurvedic treatment of anaemia, jaundice, inflammation etc.

• ManduraVataka – It is a powerful Ayurvedic medicine used in treating anaemia, liver and skin conditions.

• NavayasaChurna / Navayasaloha – used in the Ayurvedic treatment of anaemia, skin and liver conditions.

• PunarnavadiMandura – mainly used in the treatment of Anaemia, splenomegaly, piles, fever etc.

• Shiva Gutika – used for a variety of diseases like liver and spleen disorders, neuro-psychiatric conditions etc.

• ManikyaBhasma, MuktaVati

• MuktaPishti – used in Ayurvedic treatment of diarrhoea with bleeding, Mania, Psychosis etc.

• PrabhakaraVati – used in Ayurvedic treatment of heart diseases

• PravalaPishti – useful in high Pitta conditions – used in Ayurvedic treatment of cough, cold, Pitta related diseases etc.

• SuvarnaBhasma – prepared from Gold. It is used in Ayurvedic treatment of infertility, asthma, tissue wasting, poisoning etc. etc.

7

PRICIPAL OF CHIKITSA

1. Nidana parivarjana,

2. Laghu,supachya, sneha rahit, lavana rahit ahara sevana

3. Meda vardhak aahara sevan nhi karna chahiye.

4. Niyamit vyayam,sadvrit ka palana.

5. Lekhan basti.

6. Sirashoola ho to shirodhara

7. Vata nasak,kapha meda nasak chikitsa

8. Hridhya & balya aushadhi prayoga

ADARSH CHIKITSA PATRA

1. Jaharmohara-250mg + Hridyanava rasa-250mg + Sarpagandha ghana vati-250mg + Arjuna tvak curna-3 gm (2 times with madhu)

2. Arjunarista- 20ml (2 times with 20 ml jala)

3. Rason guggulu-2vati (3 times with jala)

4. Jatamansi curna-3gm (before sleep with jala)

DIET AND LIFESTYLE

Pathya(DO):

Rice,dugdha,sab,angura,papita, anar, kela, santara, alpa goghrita, saindhav, yava, kodo, arhar, munga, palak, laghu ahara,saka

Upavasa, vyayama,

Apathya(DON’T):

Lava, ghee, kapha meda vardhak, mithai, malaidar dugdha, garam masala, maida roti, egg, mamsahar, tambul sevan, adhyasana

Chinta, atishram, soka,ati snana

Asana-

pranayama

Panchakarma or Ayurvedic cleansing (detoxification) treatments are a must in throwing away the unnecessary morbid Dosha’s and Mala’s from the system so as to re-establish the heart health and cure Hypertension and Cardiac disorders.

• Virechana or therapeutic Purgation is an ideal way of controlling and eliminating the morbid Pitta (Kapha) and associated Vayu. Virechana also corrects the metabolism and provides lightness to the body. The blocks in the body cells and blood vessels will be removed. The functions including heart functions will be resuscitated. Virechana also removes the morbidity of blood and restores blood health.

• Basti (Medicated Enemas) – This is an unparalleled treatment to control Vayu which is the chief causative factor in Hypertension. If Vayu is controlled the other things will be put in place and the health will be restored.

• Raktamokshana – Bloodletting therapy is used to let out the contaminated blood and to relieve blocks in circulation. This further aids to free circulation, reestablishment of heart and circulatory functions and relief from peripheral resistance. This was used as a key remedy for RaktaDushtiJanyaVikara’s (Diseases caused due to contamination or morbidity of blood tissue) and is rarely administered now days.

BAHIR PARIMARJANA (EXTERNAL THERAPIES):

• TakraShiroDhara – This is a special treatment from the home of Ayurveda in relieving Hypertension. In this medicated buttermilk will be poured in streams on a shaved scalp while the patient sleeps on the Dhara table in supine position. The treatment is carried on for a period of 35-45 minutes.

• KsheeraDhara – This is a similar method like TakraDhara. Here the medicated milk shall be poured in streams not only on the head but also on the whole body.

• TailaDhara – Medicated oil is used for pouring on the body and head in streams. (Other forms like ShiroPichu – Keeping cotton pieces dipped in medicated oil on the scalp and tying it in place, ShiroVasti – Pooling of medicated oil in a cabin created on the head etc are also used alternatively)

Note: The above said Dhara’s help in relieving one from stress, calms the nerves, improves circulation, relieves hypertension and insomnia, relaxes the person physically and mentally and re-establishes health.

• ShiroLepa – Application of medicated pastes of herbs on the scalp

• Avagaha – Tub bath in medicated oil (Sitz bath)

AYURVEDIC HEALTH TIPS FOR HYPERTENSION:

Practice Pranayama at least for 2 -3 minutes in a day. Learn a simple pranayama

Quit alcohol and smoking.

Wake up before six, sleep at around 11 pm. Learn why?

Undergo Abhyanga – oil massage at least once a week. It keeps stresses and tensions at bay. Read more – Does massage work?

Avoid white sugar.

Go full vegetarian: If you are into excess of non vegetarian food, consider going fully vegetarian. It is scientifically proven that vegetarian diet cuts of high blood pressure. Research

Have more of – Vegetables, fruits, whole grains and low-fat dairy foods, includes meat, fish, poultry, nuts and beans.

Celery, carrot, garlic, flaxseed, flaxseed oil, Tulsi tea, green tea, ginger cardamom tea, orange juice, non fat yogurt, tender coconut water, water melon, wheat bran, black plum, ginger, pomegranate, drumstick (moringa), banana, almond, walnut, olive oil.

Have less of sugar-sweetened foods and beverages, red meat and added fats.

Beneficial foods

THE BELOW SAID ARE BENEFICIAL IN HYPERTENSION (GOOD FOODS):

• Studies have shown that Fish oil / omega-3 fatty acids, Hibiscus tea, Dark Chocolate (Cocoa, chocolate) reduce blood pressure

• Green Coffee extract – Raw coffee beans from Coffee fruits which have not been roasted is called Green Coffee. Chlorogenic acid and Ferulic acid present in Green Coffee extract is said to reduce Blood Pressure.

• Caffeine is said to increase blood pressure especially in those who are already having High Blood Pressure, therefore its use should be limited. Green Tea or Green tea extracts are found to reduce blood pressure. EGCG present in a compound in green tea is said to reduce diastolic blood pressure.

• Magnesium is also found to reduce blood pressure though in small proportions

• Vitamin D – This is naturally found in Sunlight, Fish, Eggs, Fortified Milk, Cod liver oil etc may help in reducing blood pressure. BP is often elevated when there is reduced exposure to sunlight / Vitamin D (during winter, greater distances from equator and dark skin pigmentation.

• Bananas in plenty – High salt or sodium can raise blood pressure. Potassium on the other hand counters sodium’s ill effects. People with hypertension can benefit from intake or supplementing Potassium. Good sources of Potassium are Bananas, a baked potato with skin, orange juice and non-fat or low-fat yoghurt

• Coconut Water has good quantities of Potassium and Magnesium and is found to be beneficial for those suffering from hypertension. It reduces the systolic pressure and also supports the functioning of cardiac muscles

• Eating Watermelon or drinking melon juice will be handy for those suffering from Hypertension. Citrulline, an amino acid present in Watermelon lowers vascular resistance and hence lowers BP. It should be consumed early in the morning

• Ginger-Cardamom tea is said to be beneficial for those having Hypertension

EXERCISE OPTIONS:

Brisk walking for at least 30 minutes a day.

Moderate intensity dynamic aerobic exercise like walking, jogging, cycling or swimming

Isometric resistance exercise, aerobic exercise, resistance exercise and device guided breathing.

DASH diet

DASH (DIETARY APPROACHES TO STOP HYPERTENSION) DIET:

• This is a dietary pattern prompted by the U.S. based National Heart, Lung, and Blood Institute to prevent and control hypertension.

• The DASH diet is rich in – vegetables, fruits, whole grains and low-fat dairy foods, includes meat, fish, poultry, nuts and beans. The diet is limited in sugar-sweetened foods and beverages, red meat and added fats.

• It is designed to be a well-balanced approach to eating for general public in addition to its effect on blood pressure. Reference

Effective physical exercises – Isometric resistance exercise, aerobic exercise, resistance exercise and device guided breathing

Stress reduction techniques – Biofeedback or transcendental meditation

Preventive measures

PREVENTIVE MEASURES:

Population strategies, awareness about this global epidemic and preventive counselling for those prone to get hypertension is basically aimed at reducing the consequences of high blood pressure and the need for antihypertensive drugs.

Even before starting high BP treatment, lifestyle changes are recommended as a natural measure.

Below mentioned are the proposed lifestyle changes (2004 British Hypertension Society guidelines) for the primary prevention of hypertension:

• Body weight maintenance – Adults should maintain normal body weights (BMI 20-25kg/m2)

• Reduction of Dietary Sodium intake – To less than 100mmol/day (less than 6 gram of sodium chloride or less than 2.4 gram of sodium per day)

• Regular aerobic physical activity such as brisk walking (more than or equal to 30 minutes per day on most days of the week or almost daily) Moderate intensity dynamic aerobic exercise like walking, jogging, cycling or swimming should be done on 5 to 7 days per week basis

• Limiting alcoholic consumption to not more than 3 units/day in men and no more than 2 units / day in women

• Consumption of a diet rich in fruit and vegetables (at least 5 portions per day) People with high blood pressure are advised to eat fish at least twice a week and between 300 and 400 grams of fruit and vegetables a day

• Giving up smoking should also be considered

• Dinacharya and Rutucharya: Following the principles of diet, lifestyle, ethics, code and conduct of ideal living on a daily regimen (Dinacharya) and seasonal (Rutucharya) basis and Sadvritta – wholesome daily regimen as explained in Ayurveda

• AcharaRasayana – Principles,behaviour and conduct of life which by themselves act as rejuvenation. Example: Brahmacharya – celibacy, courteous behavior etc.

• Vega Dharana and Udeerana – Helping the body in releasing the naturally manifested reflexes and urges by not forcibly controlling them (Reflexes of Hunger, Thirst, Sleep, Defecation, Urination etc). We should also not force the non-impending reflexes from the body. We should forcibly control within ourselves the urge for emotional reflexes like those of greed, enviousness, anger, lust etc

• Properly following Trayopasthamba – Rules and regulations laid on Diet, Sleep and Celibacy

• NidanaParivarjana (Avoiding the causative factors) – Avoid taking foods and activities which disturb the equilibrium of 3 Dosha’s (Vata, Pitta and Kapha) which are the primary culprits in the causation of Hypertension. 3 Dosha balancing diet (good, healthy, fresh and balanced nutrition) – should be taken on a regular basis (predominant in fruits and vegetables). Mainly excessive cold or hot, dry or oily, stale, preserved and packed foods, spicy, sour, heavy to digest foods and junks should be avoided.

TAKRADHARA FOR HYPERTENSION TREATMENT:

Takradhara is a traditional procedure where a stream of herb-processed buttermilk is flown over head. Among many options of treatment and medications available in Ayurveda for the management of Hypertension, TakraDhara is the best choice.

Thus TakraDhara is a treatment in which the medicated (processed with herbs, medicines) buttermilk is poured in stream over the target area. forehead and scalp of the patient suffering from Hypertension for a fixed duration of time while the patient lies on his or her back over a specially designed table meant for the treatment.

In hypertension the raktadhatu or blood element is abruptly handled by the disturbed Vayu. The blood and Pitta have an inseparable relationship as Pitta resides in the blood. When the pitta gets disturbed, the rakta too gets disturbed and vice versa. Takradhara by the virtue of its coolant effect pacifies the hot, intense and penetrating nature of both pitta and rakta. It also controls Vayu by the virtue of its combination.

TakraDhara relaxes & revitalizes the central nervous system, balances the brain and hormonal functions and thus regularises and relaxes all the functions of the body. The stress in each and every cell and passage of the body is removed. It has a soothing effect on the endocrine system.

TakraDhara improves the supply of blood and nutrition to the brain

The pressure and temperature effect of the medicament cannot be ruled out

With an Ayurveda perspective TakraDhara might communicate with the deepest recesses of the brain by soothing the Marmas (vital points of convergence of bones, muscles, blood vessels, soft tissues and joints) located in the head viz Apanga, Avarta, Shanka, Utkshepa, Seemantha and SthapaniMarma’s with which the dhara liquid comes into contact with.

Most of these Marma’s are related to the eye and blood circulation to the brain. By activating the Marma’sTakraDhara might make a strong impact on the functioning of central nervous system and important glands within the brain.

Alochaka Pitta (Pitta subtype) which is located in the Eye is said to be of 2 types. One is ChakshuVaisheshika (located within the eye and maintains its well being) and the other is BuddhiVaisheshika (the part of Alockhaka Pitta which has its connectivity with higher centres of the brain and thus monitors the higher functions like intelligence, memory etc). Apanga and Avartamarma’s are related to the eye. Dhara might make a soothing impact on buddhivaisheshikaalochaka pitta through these Marma’s and in return soothe the nervous system.

The injury of SeemanthaMarma (joints of the skull) is said to cause ChittaNasha (psychological abnormality) and Bhaya (fear complex). Thus when the same Marma is healed through Dhara, it may reverse the ChittaNasha and Bhaya, i.e. it might relieve stress, anxiety and depression. With this the relaxed nervous system will take care of heart functions and circulation patterns. This in turn will benefit in reversing the events in hypertension.

The soothing of these Marma’s and in turn soothing of Nervous system and endocrine glands as an effect of TakraDhara will definitely relax Prana Vayu, Sadhaka Pitta and TarpakaKapha in the brain (head). These inturnwill have a relaxing effect over the Vyana Vayu, Ranjaka Pitta, AvalambakaKapha and Udana Vayu controlling the heart functions and circulation. The ultimate effect will be a good relief from Hypertension.

What is Hypertension (High Blood Pressure)?

When the blood flows, it exerts a force against the walls of the blood vessels (muscular tubes carrying the blood). This force is called Blood Pressure. This force depends on the Cardiac output (amount of blood ejected out of heart, each time it beats) and the resistance of the blood vessels to the flowing blood.

Hypertension is a condition wherein the blood pressure is higher than 140 over 90 mm of Hg (millimetres of mercury).

High Blood Pressure is seen to be an ominous sign for cardiovascular health. The more the pressure, the more is the risk to the heart. High blood pressure also puts pressure on kidneys. Hence, it is often seen that the patients who are prone for kidney disorders are monitored for their BP very regularly.

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

- Chandrakala rasa-(kajjali,abhrak,tamra)

- Jahar mora pisti

- Praval pisti

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

- Prabhakar rasa

- Nagarjunarbh rasa-(abhrak,arjuna)

- Sveta Parpati-(sora phitkari)

VATI-(250-500MG WITH USHNA JALA)

- Sarpagandha vati-(sarpagandha)

- Bramhi vati-(brahmi,guduchi,vacha)

- Pusker brahmi guggulu-(puskermula,brahmi,guggulu)

- Rason guggulu-(rason,guggulu)

- Navakguggulu-(triphala,trikatu,trinmada,guggulu)

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

- Sarpagandha curna

- Ashvagandha curna

- Jatamansi curna

- Sankhapuspi curna-(sankhpuspi,jatamansi)

- Vachadi curna-(vacha,guduchi,sankhpuspi)

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

- Dashamula kvatha –(dashmula)

- Rasana kvatha-(rasna,guduchi,devdaru)

- Masyadi kvath-(jatamansi,vacha,guduchi)

- Sarasvatarista-(dasamula,jatamansi,sankhpuspi)

- Dasamularista-(dasamula,devdaru,seeta)

- Arjunadhyarista

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