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LAKSHANA

• Aayamyate – expansion of the heart

• Tudyate – Pricking. throbbing pain in the heart

• Nirmathyate – churning pain in the heart

• Deeryate – tearing pain in the heart

• Sphotyate – blasting pain in the heart

• Paatyate – cutting pain in the heart 

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PRINCIPLES OF TREATMENT – 

Snehana and Vamana – Snehana (oleation, giving medicated ghee and or oil to drink in metered doses) followed by Vamana (therapeutic emesis) is the main strategy of treating VatajaHridRoga.

After Snehana, emesis should be given by administering DashamulaKwatha (DwipanchamulaKwatha) i.e. decoction of Dashamula (10 roots) or Sa snehalavana (medicated ghee mixed with rock salt).

Classical formulations –

1. Pippalyadi Churna – is a good formulation which relieves VatajaHridRoga. This powder is made up by mixing together the powders or –

• Pippali – Long pepper

• Ela – Cardamom

• Vacha – Acoruscalamus

• Hingu – Asafetida

• YavaKshara – Alkali prepared by burning the whole plant of Barley

• SaindhavaLavana – Rock Salt

• SauvarchalaLavana – Sauchal salt

• Shunti – Dry Ginger

• Deepya (Yavani) – Trachyspermumammi

The resultant powder prepared from these herbs is called Pippalyadi Choorna. This should be served mixed with any one of the Phala rasa (fruit juice), Dhanyamla (sour fermented drink), Kulatta Rasa or Kwatha (Juice or decoction of horse gram), Dadhi (curds), Madhya (medicated alcohol) or Asava (herbal fermented drink). This should be given to a person who has been administered Vamana (therapeutic emesis) as explained above.

2. PushkaramooladhyaChurnam – is yet another useful formulation for Vataja Hrid Roga.

The ingredients of this powder are –

• PushkaraMula – Root of Inularacemosa

• Phalapooramoolam – Citrus medica

• Shunti – Ginger

• Shati – Hedychiumspicatium

• Abhaya – Terminalia chebula

The paste of the above mentioned herbs should be mixed with YavaKshara (alkali of barley), Kanji (fermented herbal drink), Ghrita (ghee) and SaindhavaLavana (Rock salt) and served to get rid of VatajaHridRoga 

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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)