Grahani samanya chikitsa and according to their types chikitsa
Reading File
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Searching the Web
Grahani samanya chikitsa types Ayurveda treatment chikitsa
Reading Web Page
Grahani samanya chikitsa types vataja pittaja kaphaja sannipataja treatment
Searching the Web
Grahani samanya chikitsa vataja pittaja kaphaja sannipataja vishishta chikitsa Charaka
Reading Web Page
samanya chikitsa vataja pittaja kaphaja sannipataja treatment formulations
Now I have comprehensive information. Let me compile a thorough answer on Grahani Samanya Chikitsa and type-specific chikitsa.
ग्रहणी चिकित्सा (Grahani Chikitsa)
Reference: Charaka Samhita - Chikitsa Sthana, Chapter 15; Ashtanga Hridayam; Sushruta Samhita
पूर्व-परिचय (Introduction)
Grahani is the seat of Agni (Jatharagni), located between Amashaya and Pakwashaya (roughly the small intestine/duodenum). Its strength is Agni itself. When Agni becomes vitiated (Mandagni), the Grahani loses its power to hold and properly digest food, resulting in the disease Grahani Roga - food passes out either undigested or in alternating hard/loose stools.
The disease has four types based on dosha dominance:
- Vataja Grahani
- Pittaja Grahani
- Kaphaja Grahani
- Sannipataja Grahani
सामान्य चिकित्सा (Samanya Chikitsa - General Treatment)
The general principle of treatment is based on restoring Agni (Agnidipana), eliminating Ama (Amapachana), and removing vitiated doshas.
1. लंघन (Langhana)
Fasting/lightening therapy is the first step. Since Ama is the primary culprit, Langhana eliminates accumulated undigested material and allows Agni to rekindle.
2. दीपन-पाचन (Deepana-Pachana)
Medicines that kindle the digestive fire (Deepana) and digest Ama (Pachana) are the cornerstone of general treatment:
- Chitraka (Plumbago zeylanica) - Agni deepana
- Pippali (Piper longum)
- Pippalimoola (root of Piper longum)
- Shunthi (Zingiber officinale - dry ginger)
- Haritaki (Terminalia chebula)
- Nagakesara
- Trikatu (Shunthi + Maricha + Pippali)
- Haridra (turmeric)
3. वमन (Vamana - Emetic therapy)
Indicated when doshas are located in Grahani along with undigested food (Ama). Signs calling for Vamana:
- Vishtambha (abdominal distension)
- Praseka (excessive salivation)
- Arti (pain)
- Vidaha (burning)
- Aruchi (anorexia)
- Gaurava (heaviness)
Procedure: Vomiting is induced using warm water with Pippali + Sarshapa (mustard) or with decoctions of fruits.
4. विरेचन (Virechana - Purgation)
After Vamana, when doshas become "leena" (absorbed/mixed with tissues), Virechana is administered to remove them via the lower pathway.
5. बस्ति (Basti - Enema therapy)
- Niruha Basti (decoction enema) - especially for Vata-predominant conditions
- Anuvasana Basti (oil enema) - for nourishment and Vata pacification
6. तक्र प्रयोग (Takra Prayoga - Buttermilk therapy)
Takra (buttermilk) is universally praised by all Acharyas as a key remedy for Grahani:
- It is Deepana (kindles Agni) and Laghu (easy to digest)
- Kashaya-Ruksha guna helps manage Vataja Grahani (due to Madhura, Amla, Sandra guna causing Vata shamana)
- Madhura Vipaka pacifies Pitta despite Amla rasa (Pittaja Grahani)
- Kashaya Rasa, Ushna and Vikasi guna manages Kaphaja Grahani
Takrarishtha (fermented Takra preparation) is a specific formulation mentioned in Charaka for Grahani.
7. पंचकोलादि श्रित पेय (Panchakoladi Shritam Peya)
Peya (thin gruel/rice water) processed with Panchakoola drugs (Pippali, Pippalimoola, Chavya, Chitraka, Shunthi) is given as dietary medicine to gently stimulate Agni.
8. पथ्य-अपथ्य (Pathya-Apathya - Diet regulations)
Pathya (Recommended):
- Old rice (Purana shali), Yava (barley), Mudga (green gram)
- Takra (buttermilk), Dadhi (curd - freshly prepared)
- Pomegranate (Dadima), Bilva (Aegle marmelos)
- Light, warm, easily digestible food
- Peya (thin rice gruel)
Apathya (Avoided):
- Guru (heavy) food, Snigdha (unctuous/oily) food
- Atibhojana (overeating), Vishamashana (irregular eating)
- Cold drinks, refrigerated food, ice cream
- Viruddha Ahara (incompatible food combinations)
- Diwa Swapna (daytime sleeping)
विशिष्ट चिकित्सा (Vishishta Chikitsa - Type-Specific Treatment)
1. वातज ग्रहणी चिकित्सा (Vataja Grahani Chikitsa)
Nidana (Causes):
- Katu (spicy), Tikta (bitter), Kashaya (astringent), Ati-Ruksha (overly dry), Sheeta (cold) food
- Pramitashana (eating very little)
- Atyadhwa (excessive walking/exertion)
- Vega nigraha (suppression of natural urges)
- Atimaituna (excessive sexual activity)
Lakshana (Symptoms):
- Talushosha (dryness of palate), Timira (blurred vision), Karnasawana (tinnitus)
- Pain in Parswa (flanks), Uru (thighs), Vankshana (groin), Greeva (neck)
- Visuchika (spasmodic abdominal pain/colic)
- Craving for all Rasas (Sarva-Rasesu Grudhi)
- Kshut (hunger), Trishna (thirst), Parikartika (cutting pain in rectum)
- Stools are passed after a long time - alternately hard and loose, thin, with undigested material (Chirad Dukham Dravam Sushkam)
- After digestion there is flatulence; after eating there is comfort
- Associated with Vata diseases - Hridroga, Gulma, Arsha, Pleeha, Pandu
Chikitsa:
- Niruha Basti - Decoction enema for Vata pacification (primary treatment)
- Anuvasana Basti - Oil enema (Sneha basti)
- Virechana - Mild purgation
- Nagaradi Kwatha - Decoction of Nagara (shunthi) to pacify Vata
- Panchmuladya Taila - Oil prepared with Dashamula for Vataja Grahani
- Dashamooladya Ghrita - Ghee preparation with Dashamula
- Abhayadikashaya - Decoction of Haritaki group
- Tarpana/Balya - Nourishing therapies (milk, ghee)
- Warm, unctuous (Snigdha), Vata-pacifying food
Key formulations:
- Dashamooladya Ghrita (Ch. Chi. 15)
- Tryushanadya Ghrita (with Trikatu base)
- Panchmuladya Taila
2. पित्तज ग्रहणी चिकित्सा (Pittaja Grahani Chikitsa)
Nidana (Causes):
- Katu (spicy), Ajeerna (indigestible), Vidahi (pyrogenic), Amla (sour), Kshara (alkali) food
- Food and drinks that aggravate Pitta
- The aggravated Pitta suppresses Agni just as hot water extinguishes fire
Lakshana (Symptoms):
- Stools: undigested, bluish-yellow or yellow (Nila-Peeta abha), loose/watery
- Pooty amla Udgara (foul-smelling and sour eructations)
- Hritkantha Daha (burning sensation in cardiac region and throat)
- Aruchi (anorexia), Trishna (thirst)
- Jaundice-like discoloration
Chikitsa:
- Chandanadya Ghritam - Cooling ghee with Chandana (sandalwood)
- Tikta Ghrita - Bitter-taste ghee preparations
- Virechana with Pitta-shamaka drugs - Milk medicated with Shyama and Trivritta for mild purgation, followed by Payasa (milk pudding) diet
- Cooling, Madhura (sweet) Rasa dominant diet and medicines
- Shatavari Ghrita - Nourishing and Pitta-pacifying
Key formulations:
- Chandanadya Ghritam
- Tikta Ghrita (Nimbadi, Patola-based bitters)
- Mahashatavari Ghrita
Pathya: Milk, ghee, Madhura, Tikta, cooling diet; avoid Amla, Katu, Lavana, fried food
3. कफज ग्रहणी चिकित्सा (Kaphaja Grahani Chikitsa)
Nidana (Causes):
- Guru (heavy), Ati-Snigdha (very unctuous), Sheeta (cold) food
- Atibhojana (overeating)
- Bhukta-matra Swapna (sleeping immediately after meals)
- These causes aggravate Kapha, which smothers/extinguishes Agni
Lakshana (Symptoms):
- Stools are white, slimy, with mucus (Picchila)
- Chardi (vomiting), Arochaka (aversion to food)
- Gaurava (heaviness in body), Tandra (drowsiness), Alasya (lethargy)
- Praseka (excessive salivation), Kapha-dominant oral symptoms
Chikitsa:
- Pippalyadyadi Choorna - Powder with Pippali group
- Madhukasava / Duralabhasava - Fermented preparations
- Haridradya Kshara, Duralabhadyakshara - Alkaline preparations
- Vamana - Emetic therapy (primary for Kapha)
- Dry, hot, sharp (Tikshna) medicines
Specific recipe (Charaka Ch.Chi.15/168-169):
Pippali, Pippalimoola, two types of Kshara (Yavakshara, Svarjikakshara), five Lavanas (salts), Matulunga, Haritaki, Rasna, Sati, Maricha and Nagara - taken in equal quantity, powdered and given with warm water in the early morning. Cures Kaphaja Grahani, improves Bala (strength), complexion and Agni.
Ghrita medicated with the above - for Kapha + Vata associated Grahani.
Pathya: Light, dry, hot, spicy (Katu), pungent food; old barley, Yava, Mudga, hot water; avoid heavy, sweet, unctuous, cold food.
4. सन्निपातज ग्रहणी चिकित्सा (Sannipataja Grahani Chikitsa)
Nidana: Simultaneous vitiation of Vata, Pitta and Kapha - all the above causes acting together.
Lakshana: Mixed symptoms of all three doshas appear together - making it the most difficult type to treat (Krichrasadhya).
Chikitsa:
- Treatment is based on the dominant dosha at any given time (Pradhana dosha chikitsa)
- Chitrakadya Gutika - A compound formulation specifically for Sannipataja Grahani; contains Chitraka, Pippali, Chavya, Panchlavana and many other ingredients; given with ghee; indicated in Kapha + Vataja Arsha, Grahani, Pandu, Pleeha and many disorders
- Recipes containing Triphala, Kadabhi, Chavya, bilva pulp, Mandura (iron), Katuki, Musta, Kushtha, Patha, Hingu, Yavakshara - prepared and administered carefully
- Takrarishtha - Fermented Takra is useful across all types but especially beneficial here
Summary Table: Type-Wise Key Formulations
| Type | Primary Panchakarma | Key Formulations |
|---|---|---|
| Vataja | Niruha Basti, Anuvasana Basti, Virechana | Dashamooladya Ghrita, Nagaradi Kwatha, Panchmuladya Taila, Abhayadikashaya |
| Pittaja | Virechana (mild, with Pitta-shamaka) | Chandanadya Ghritam, Tikta Ghrita |
| Kaphaja | Vamana | Pippalyadyadi Choorna, Madhukasava, Duralabhasava, Kshara preparations |
| Sannipataja | As per predominant dosha | Chitrakadya Gutika, Takrarishtha |
योग और जीवनशैली (Yoga and Lifestyle)
Acharyas also recommend:
- Bhujangasana - heats body, improves digestion
- Mayurasana - removes undigested material
- Paschimottanasana - boosts Gastric fire
- Matsyendrasana - stimulates Jatharagni
- Sarvangasana - pacifies Kapha and Pitta, relieves indigestion
Note: The Ayurvedic library was not available in this database, so this answer is compiled from Charaka Samhita (Ch. Chi. 15), Ashtanga Hridayam (Ni. 8), and peer-reviewed Ayurvedic review articles. For exam purposes, always cross-check with your prescribed textbook (Charaka Samhita Chikitsa Sthana Chapter 15, verses 42 onwards).
Grahani samanya chikitsa and according to their types chikitsa
Searching the Web
Grahani samanya chikitsa vishishta chikitsa vataja pittaja kaphaja Charaka Samhita
Searching the Web
Grahani chikitsa formulations Dashamooladya ghrita Chitrakadya gutika Takrarishtha Ayurveda
Here is the complete, detailed answer on Grahani Samanya Chikitsa and Vishishta (Type-wise) Chikitsa based on Charaka Samhita (Chikitsa Sthana, Chapter 15), Ashtanga Hridayam (Nidana Sthana 8), and Sushruta Samhita.
ग्रहणी चिकित्सा (Grahani Chikitsa)
परिचय (Introduction)
Grahani is the seat (Adhisthana) of Agni (Jatharagni), located between Amashaya (stomach) and Pakwashaya (large intestine), corresponding roughly to the duodenum and small intestine. Its strength IS Agni - when Agni becomes Manda (weak), the Grahani loses its power to hold, digest and properly process food, leading to Grahani Roga - characterized by alternating loose and hard stools, undigested food in stools, and abdominal distress.
Four types (Charaka Chi. 15/58, A.H. Ni. 8/18):
- Vataja Grahani
- Pittaja Grahani
- Kaphaja Grahani
- Sannipataja Grahani
सामान्य चिकित्सा (Samanya Chikitsa)
The core therapeutic principle: restore Agni, eliminate Ama, remove vitiated Doshas.
1. लंघन (Langhana)
The very first step. Since Ama is the root cause, Langhana (fasting/lightening) clears accumulated undigested material and allows Agni to rekindle naturally. Even when the patient is weak, mild Langhana is recommended initially before giving heavy nourishing therapies.
2. दीपन-पाचन (Deepana-Pachana)
Medicines that kindle Agni (Deepana) and digest Ama (Pachana) form the backbone of Grahani treatment. Key drugs:
| Drug | Botanical Name | Action |
|---|---|---|
| Chitraka | Plumbago zeylanica | Agni Deepana, Kapha-Vata hara |
| Pippali | Piper longum | Deepana, Pachana, Rasayana |
| Pippalimoola | Root of Piper longum | Deepana, Vata-Kapha hara |
| Shunthi | Zingiber officinale | Deepana, Pachana, Vata-Kapha hara |
| Haritaki | Terminalia chebula | Tridoshaghna, Deepana |
| Trikatu | Shunthi+Maricha+Pippali | Agni Deepana, Ama Pachana |
| Nagakesara | Mesua ferrea | Deepana, Grahi |
| Haridra | Curcuma longa | Deepana, Ama pachana |
3. वमन (Vamana - Emetic Therapy)
Indication (Charaka Chi. 15/73-74): When doshas are located in Grahani along with undigested food (Sama Dosha), Vamana is given.
Signs indicating Vamana:
- Vishtambha (abdominal distension)
- Praseka (excessive salivation)
- Arti (pain)
- Vidaha (burning sensation)
- Aruchi (anorexia)
- Gaurava (heaviness in body)
Method: Induced by warm water with Pippali + Sarshapa (mustard), or with decoction of fruits with Pippali.
Primarily indicated in Kaphaja Grahani but used when Ama signs are present in any type.
4. लीन दोष चिकित्सा (Leena Dosha Chikitsa)
After Vamana, when doshas become "Leena" (absorbed into dhatus, no longer actively causing symptoms but still present), they must be expelled by Virechana and Basti.
5. विरेचन (Virechana - Purgation)
- Used to expel Leena doshas via Adhomarga (lower pathway)
- Given after Vamana, when digestion is slightly restored
- Mild, Anulomana (downward-directing) Virechana is preferred
Procedure (Charaka): After Niruha + Virechana + Anuvasana, light diet (Laghvanna) with ghee (Sarpi) is taken repeatedly.
6. त्रिविध बस्ति (Basti - Enema Therapy)
Three types are mentioned for Grahani (Ch. Chi. 15/81):
| Type | Purpose |
|---|---|
| Niruha Basti (Decoction enema) | Removes Vata, expels Leena doshas |
| Virechana | Expels Pitta-dominant doshas |
| Anuvasana Basti (Oil enema) | Nourishes, pacifies Vata, restores tissues |
"After appropriate administration of Niruha, Virechana and Anuvasana, light diet should be taken daily and ghee should be taken repeatedly." (Ch. Chi. 15/81)
7. पञ्चकोलादि श्रित पेय (Panchakoladi Shritam Peya)
Thin rice gruel/Peya processed (Shrita) with Panchakoola (Pippali, Pippalimoola, Chavya, Chitraka, Shunthi) is administered as both food and medicine. It gently rekindles Agni without straining a weakened digestive system.
8. तक्र प्रयोग (Takra Prayoga - Buttermilk)
Universally praised by ALL Acharyas (Charaka, Sushruta, Vagbhata) as the single most important dietary remedy for Grahani:
- Deepana - kindles Agni; Laghu - easy to digest
- Kashaya-Ruksha guna + Madhura-Amla-Sandra guna = manages Vataja Grahani
- Amla rasa but Madhura Vipaka = pacifies Pitta = manages Pittaja Grahani
- Kashaya Rasa + Ushna + Vikasi guna = manages Kaphaja Grahani
- Triphala and Takra together (Triphala Churna with Takra) is a classical combination
9. घृत प्रयोग (Ghrita Prayoga)
Regular intake of medicated Ghrita (after Panchakarma) is recommended to nourish weakened Dhatus and maintain restored Agni. Plain cow's ghee is given with light food as Anupana after treatment.
10. पथ्य-अपथ्य (Pathya-Apathya)
Pathya (Recommended):
- Purana Shali (old rice), Yava (barley), Mudga (green gram)
- Takra (buttermilk), fresh Dadhi (curd)
- Dadima (pomegranate), Bilva (Aegle marmelos) pulp
- Peya (thin rice gruel), warm water
- Light, warm, freshly prepared food
Apathya (To be avoided):
- Guru (heavy), Snigdha (oily), Sheeta (cold) food
- Atibhojana (overeating), Vishamashana (irregular meals)
- Diwa Swapna (daytime sleeping - especially immediately after eating)
- Viruddha Ahara (incompatible food combinations)
- Cold drinks, refrigerated food
विशिष्ट चिकित्सा (Vishishta Chikitsa - Type-Specific Treatment)
1. वातज ग्रहणी चिकित्सा (Vataja Grahani Chikitsa)
Nidana (Causes) - Ch. Chi. 15/59
- Katu (spicy), Tikta (bitter), Kashaya (astringent), Ati-Ruksha (very dry), Sheeta (cold food)
- Pramitashana - eating too little / fasting
- Atyadhwa - excessive walking/exertion
- Vega Nigraha - suppression of natural urges
- Ati-Maithuna - excessive sexual activity
These aggravate Vata, which covers and suppresses the Agni (Manda + Vishama Agni).
Lakshana (Symptoms) - A.H. Ni. 8/21-24
- Talushosha (dryness of palate), Timira (blurring of vision), Karnasawana (tinnitus)
- Pain in Parswa (flanks), Uru (thighs), Vankshana (groin), Greeva (neck)
- Visuchika (spasmodic colicky pain)
- Sarva Rasesu Grudhi (craving for all tastes), Kshut (hunger), Trishna (thirst)
- Parikartika (cutting pain in rectum)
- Characteristic stool: After a long time - alternately dry/hard and loose, thin, with undigested particles, frothy, passed with sound ("Chirad Dukham Dravam Sushkam Tanu Amam Sabda Phenavat")
- After digestion of food - flatulence (Adhmana); but immediately after eating - comfort (Swasthyam)
- Associated conditions: Hridroga, Gulma, Arsha, Pleeha, Pandu
Chikitsa
Panchakarma:
- Niruha Basti (primary treatment - decoction enema)
- Anuvasana Basti (oil enema with Vata-shamaka oils)
- Virechana (mild)
Key Formulations:
| Formulation | Reference | Action |
|---|---|---|
| Dashamooladya Ghrita | Ch. Chi. 15/82-86 | Vata-hara, Agni-deepana, Bala-vardhana |
| Tryushanadya Ghrita | Ch. Chi. 15/87 | Trikatu-based, Deepana-Pachana |
| Panchamooladya Ghrita + Choorna | Ch. Chi. 15/88-91 | Vatahara, nourishing |
| Nagaradi Kwatha | - | Shunthi decoction, Vata-shamaka |
| Panchmuladya Taila | - | Oil enema base |
| Abhayadikashaya | - | Haritaki group decoction |
Dashamooladya Ghrita composition (Ch. Chi. 15/82-86):
Dve Panchamula (Brihat + Laghu Panchamula = Dashamula) + Sarala, Devadaru, Nagara, Pippali, Pippalimoola, Chitraka, Hastipippali, Shanabija, Yava, Kola, Kulatha, Sushavi - all cooked with Aranala (sour fermented liquid), Dadhi or Sauviraka; then Ghrita is prepared, with Svarjika-Yavashuka Kshara and five types of Lavana added. Action: Increases Agni, Bala, Varna; destroys Vata; aids digestion of eaten food.
Diet: Warm, Snigdha (unctuous), Vata-pacifying food; milk with ghee; Yavagu with ghee.
2. पित्तज ग्रहणी चिकित्सा (Pittaja Grahani Chikitsa)
Nidana (Causes) - Ch. Chi. 15/64-65
- Katu (spicy), Ajeerna (indigestible food), Vidahi (food causing burning), Amla (sour), Kshara (alkaline) substances
- All foods and drinks that aggravate Pitta
"The aggravated Pitta suppresses Agni just as hot water extinguishes fire" (Ch. Chi. 15/65)
Lakshana (Symptoms) - Ch. Chi. 15/66; A.H. Ni. 8/25
- Characteristic stool: Undigested food particles, Nila-Peeta abha (bluish-yellow or yellow color), loose/watery
- Putyamla Udgara (foul-smelling, sour eructations)
- Hrit-Kantha Daha (burning sensation in cardiac region/chest and throat)
- Aruchi (anorexia), Trishna (thirst/excess thirst)
- Jaundice-like discoloration (Peeta varna of stools)
Chikitsa
Panchakarma:
- Virechana - mild purgation with Pitta-shamaka drugs
- Milk medicated with Shyama + Trivritta for Virechana, followed by Payasa (milk pudding) diet
Key Formulations:
| Formulation | Reference | Action |
|---|---|---|
| Chandanadya Ghrita | Ch. Chi. 15/125-128 | Cooling, Pitta-shamaka, Deepana |
| Tikta Ghrita | - | Bitter-taste ghee; Pitta-pacifying |
| Kshara Ghrita | Ch. Chi. 15/171-172 | For Kapha-Pitta mixed type |
Chandanadya Ghrita composition (Ch. Chi. 15/125-128):
Chandana (Santalum album) + other Pitta-shamaka cooling drugs; Ghrita prepared in cooling manner. Relieves Pittaja Grahani, reduces burning sensation, restores Agni.
Additional treatments:
- Bhunimbadya Kshara - Bhunimba (Andrographis paniculata) + Rohini (Kutki) + Patola + Nimba + Parapata, triturated with buffalo urine and cooked by Antardhuma method - promotes Agni
- Haridradya Kshara - Haridra, Daruharidra, Vacha, Kushtha, Chitraka, Katuka-rohini, Musta, triturated with goat's urine and cooked by Antardhuma method - promotes Agni
- For persistent Pitta: Repeated milk with sweet, cooling diet (Payasa)
Diet: Madhura (sweet) and Tikta (bitter) dominant food; milk, ghee, pomegranate; avoid Amla, Katu, Lavana, fried food, alcohol.
3. कफज ग्रहणी चिकित्सा (Kaphaja Grahani Chikitsa)
Nidana (Causes) - Ch. Chi. 15/67
- Guru (heavy), Ati-Snigdha (very unctuous), Sheeta (cold) food
- Atibhojana (overeating)
- Bhukta-matra Swapna - sleeping immediately after eating
These aggravate Kapha, which smothers/extinguishes Agni (like water drowning fire).
Lakshana (Symptoms) - A.H. Ni. 8/26-27
- Dukhena Annam Pachyate - food is digested only with great difficulty (very delayed)
- Varchas: Bhinna (loose), Ama yukta (with undigested particles), Kapha samsrishta (mixed with mucus/slime), Shweta (white/pale), Picchila (slimy/sticky)
- Chardi (vomiting), Arochaka/Aruchi (aversion to food)
- Asyopadeha (coating/stickiness in mouth), Nishteeva (excessive spitting)
- Kasa (cough), Hrillasa (nausea), Peenasa (nasal catarrh)
- Gaurava (heaviness), Tandra (drowsiness), Alasya (lethargy)
Chikitsa
Panchakarma:
- Vamana (emetic therapy) - PRIMARY treatment for Kaphaja Grahani
- After Vamana: pungent, sour, saline, alkaline and bitter drugs are administered
Key Formulations:
| Formulation | Reference | Action |
|---|---|---|
| Pippalyadyadi Choorna | - | Pippali-group powder; Kapha-Vata hara, Deepana |
| Madhukasava | - | Fermented honey preparation; Kaphahara |
| Duralabhasava | - | Fermented Duralabha; relieves Kapha Grahani |
| Haridradya Kshara | - | Alkaline prep; Kapha + Ama pachana |
| Duralabhadyakshara | - | Kaphahara Kshara |
Special Kaphaja Grahani recipe (Ch. Chi. 15/168-169):
Pippali + Pippalimoola + Yavakshara + Svarjikakshara + five Lavanas (Saindhava, Sauvarchala, Vida, Samudra, Romaka) + Matulunga + Haritaki + Rasna + Sati + Maricha + Nagara (Shunthi) - equal quantities, powdered and given with warm water early morning.
"It cures Kaphaja Grahani Dosha and improves Bala (strength), complexion and Agni."
Ghrita prepared with these same drugs is given for Kapha + Vata combined Grahani.
Diet: Light (Laghu), dry (Ruksha), hot/warm food; Katu (pungent), Tikta (bitter) rasa; Yava (barley), Mudga, old rice; hot water; avoid heavy, sweet, unctuous, cold food; no daytime sleeping.
4. सन्निपातज ग्रहणी चिकित्सा (Sannipataja Grahani Chikitsa)
Nidana
Simultaneous vitiation of all three Doshas (Vata + Pitta + Kapha) together - when all the above Nidanas act together.
Lakshana
Mixed symptoms of all three Doshas appear together - making this the most difficult (Krichrasadhya) type.
Chikitsa
- Treatment is directed by the Pradhanata (predominant dosha) at any given time - treat the most prominent dosha first
- Chitrakadya Gutika (Ch. Chi. 15/96-97) - the classical compound formulation for Grahani, especially useful here
Chitrakadya Gutika composition:
Chitraka, Pippalimoola, Yavakshara, Svarjikakshara, five types of Lavana (Saindhava etc.), Shunthi, Pippali, Maricha, Hingu (asafoetida), Ajamoda (Trachyspermum ammi), Chavya (Piper retrofractum)
All powdered, triturated with juice of Matulunga (Citrus medica) or Dadima (Punica granatum) and made into pills.
Actions of Chitrakadya Gutika:
- Deepana, Pachana (Agni-stimulating, Ama-digesting)
- Rochana (improves taste/appetite)
- Vata-Anulomana (normalizes Vata movement)
- Shoolahara (relieves colic pain)
- Due to Madhura rasa + Snigdha guna: balances Pitta
- Indicated in: Kapha-Vataja Arsha, Grahani, Pandu, Pleeha, Mutragraha, Svasa, Hikka, Krimi, Jwara, Sosha, Atisara, Prameha, Anaha and all types of toxicity
Takrarishtha (Ch. Chi. 15/120-121):
Yavani + Amalaki + Haritaki + Maricha (3 pala each) + Panchalavana (1 pala) - powdered and fermented in Takra (buttermilk) until sour.
Actions: Stimulates Agni; relieves Shotha (edema), Gulma, Arsha, Krimi, Prameha and Udara Roga - useful across all types of Grahani.
Summary Table
| Type | Predominant Dosha | Primary Panchakarma | Key Formulations |
|---|---|---|---|
| Vataja | Vata | Niruha Basti, Anuvasana Basti, Virechana | Dashamooladya Ghrita, Tryushanadya Ghrita, Nagaradi Kwatha |
| Pittaja | Pitta | Virechana (Pitta-shamaka) | Chandanadya Ghrita, Tikta Ghrita, Bhunimbadya Kshara |
| Kaphaja | Kapha | Vamana (primary) | Pippalyadyadi Choorna, Madhukasava, Haridradya Kshara |
| Sannipataja | Tridosha | Pradhanata-based | Chitrakadya Gutika, Takrarishtha |
| All types | - | Langhana, Deepana-Pachana | Takra, Panchakoladi Peya, Trikatu, Haritaki |
Universal Formulations for All Types
| Formulation | Indication |
|---|---|
| Takra (Buttermilk) | Universal; pacifies all three doshas through different mechanisms |
| Takrarishtha | Deepana, Pachana; relieves secondary complications |
| Chitrakadya Gutika | Especially Sannipataja; also Kaphaja + Vataja |
| Trikatu Churna | Agni Deepana across all types |
| Triphala Churna with Takra | Bowel regulation, Deepana |
| Panchakoladi Peya | Gentle Agni-rekindling in acute phase |
References:
- Charaka Samhita Chikitsa Sthana Ch. 15 (Grahani Chikitsa, verses 58 onward)
- Ashtanga Hridayam, Nidana Sthana 8/18-27
- Sushruta Samhita, Uttara Tantra 40
This is a shared conversation. Sign in to Orris to start your own chat.