Vrana Sopha - Techno Ayurveda

• Swelling / OedemaOVERVIEW• Consequent of an assault or injury – Traumaticswelling.• Consequent to accumulation of fluid under theskin – Dropsy• Consequent of infection – InflammatorySwelling.• Vranasopha – Inflammatory Swelling• Abhighataja Sopha – Traumatic Swelling• Sotha – Dropsy Swelling / Anasarca

Defination of Vrana shophaSu.Su.17•Inflammation is a tissue reaction in response to anirritant substance.•Inflammation is a series of complex pathological changesassociated with local vascular reaction and cellularresponse of the living tissue to an injury insufficient to killthe tissue. The effect of inflammation is at least two folds.•To destroy the causative organism.•To repair the damaged tissue.

Nidana of shopha•AgantujaChedana, bhedha, prahara,vadha, bandana,peedana, hima & agni sparsha, visha, krimi etc.•Nija shothaPanchakarm vyapat, improper samsarjanakrama, vega dharana, upadrava of vamana,visuchika, atisara, pandu,arsha etc.Excess intake of guru, amla, lavana, madya etc.

Samprapti of Ekanga shopha• Doshas situated in vaksha- Urdva bhaga shopha• Doshas situated in madhya-Madya bhaga shopha• Doshas situated in adho-Adho bhaga shopha• Doshas situated in sarvanga-Sarvanga shopha• Doshas situated in pratyanga-Respective anga shopha

Types• Ekavidha-Utseda• Dvividha-a) Nija b) Agantujaa) Bahya b) Abhyantara) Ekanga b) Sarvanga• Trividha-a) vata, pitta, kapha.b) Prutu, unnata, grathitha.• Chaturvidha - vata, pitta, kapha, agantuja• Panchavidha - vata, pitta, kapha, sannipataja, vishaja.• Saptavidha - vata, pitta, kapha, vp, vk, pk, vpk.• Astavidha - vata, pitta, kapha, vp, vk, pk, vpk, agantuj.• Navavidha - vata, pitta, kapha, vp, vk, pk, vpk, abhigat,vishaj

Purvarupa• Dravathu (burning sensation)• Sirayama• Anga gourava

Samanya laxanas• Utseda (swelling)• Usmana (burning sensation)• Sira tanutwa (dialatation of vessels)• Anga vivarnata (discolouration)• Lomaharsha

• Shyamaruna varna• Chala (spreading)• Spandana• Khara parusha• Bhinnatwak roma• Suchivathadi vedana• Pipilikabhirivasamprupyate• Chimchimayana• SankochaVataj laxanas

Pittaja laxanas• Kshiprothanaprashamana• Peetarakta krishna varna• Aso. with jwara, vdaha,sweda, kleda, thrushna• Sheetaabhilasha• Sparsha asihsnuta• Mrdhu• DurgandhaSu.su 17 / 4Su.su.17

Kaphaja laxana• Kandu• Pandu varna• Swetavabhasa• Kruchrotthan prashamana• Sparsha ushna sahan• Gurusnigdhaslakshna• Sthira

Dvandvaja & Sannipataja• Combined laxanas of involved dosahasAbhigataja laxana»Spreading nature»Ushna»Lohita varna»All pittaja laxanas

Vishaja• Chala• Mrudu• Avalambi• Dahakara• Rujakara• Sudden onset• Varies with different vishas

SADHYA VRANA LAXANA• Aheena mamsa• Ekadoshaja• Newly originated• Balavan rogiASADHYA VRANA LAXANA• Krusha• Balavan roga• Upadrvayukta• Over marma pradesh• Sarvanga shopha & jalasravayukta

LAXANA ACCORDING TOAVASTHA

WHY TREATMENT IS NEEDEDCHIKITSA SUTRANidana,Dosha,Rutu vipareeta chikitsa

TREATMENT PRINCIPLE• Depending on the adhikata of doshassamsargaja & sannipataj are treated• Ekadeshashrita shotha depending onarea involved plan the treatment• In Agantuja shotha – Vatarakta &visarpavat treatment• vishaja- vishaghna oushada prayoga

SAMANYA CHIKITSA• Amajanya shotha- langhana,pachana• In prvruddha dosha-shodhana• Shirapradesh shotha-shirovirechana nashya• Adhapradeshaja-Virechana• Urdvapradeshaja-vamana• Snehadhikajanya-Rukshana• Rukshadhikajanya-Snehana• Vibhanda In vatajashotha-Niruhabasti

VATAJASHOPHA CHIKITSA• Trivrit & Eranda tail for panartha invibhanda• Vatanashaka Abhyanga• Vatanashaka Sweda• In vatajanya Ekanga shopha-Lepa byMatulunga,agnimantha,shunthi,devadaru.

PITTAJA SHOPHA CHIKITSA• Tiktakaghrita & Nyagrodhadi ganasiddhaghritha for pana• Sheetaveerya drvya lepa• Sheetaveerya drvya Abhyanga• Dugda pana if ass. with thrisna, daha,moha etc

KAPHAJASHOPHA CHIKITSA• Aragvadadi gana siddha tail• Kulattha, shunti siddha quatha withgomutra-Parisheka & Snana• Pippali, tila, shigrutwak, athasi- lepa• Bhallatakarishta• Gomootraharitaki

AGANTUKA SHOPHACHIKITSA• Always main cause will be abhigata.Shotha develops by vata & rakta sotreat it likeVisarpavat chikitsaVataraktavat chikitsa

Vishaja shopha chikitsa• Use visha nashaka aushadhi in respectto perticular vishaAnukta shotha chikitsa• On the basis of vatadi laxanas treataccordingly

Overall management

Pathya• Kulattha, pippali yusha• Jangala mamsarasa• Suvarchala, patola, mulaka,agnimantha, nimbapatra• Puranashali anna

Apathya• Pond water• Anupa mamsa• Tila tail siddha padartha• Guda & guru padartha• Amla lavana padartha• Madya, prakrutivipareeta ahar

Classical yogas• Churnas– Navayasa churna,– Bhunimbadi ch,– Amrutadi churna– Devadaru & shunthi ch with gomutra– Shunthi & guda with punarnava kashaya– Haritaki ch & guda– Trikatu, Triphala, Yavakshara,Lohabhasma with Triphala kashaya– Punarnava mula kalka & Shunthi ch withGodugdha– Vardhamana guda-rdraka yoga

yogas• Ksheerapakadevadaru siddha ksheerapakapanchakola, apamargasiddha ksheerapak• Ghritha :Hareethaki churnadi ghrithaChavyachitrakadi ghrithaTilvakaghrithaMahavrukshksheeradi ghrithaardraka, kalyanaka, danvantara, abhaya,mahatiktaka,

• Parisheka: Kutaja, Arka, Karanja, Nimba,Punarnava kwatha, Patolamuladi kwatha• Pradeha:Sarshapa, Suvarchala, Saindhava,Kakajangha• Arishtas: Gandeeradhy arishtaPunarnavadhy arishtaTriphaladhy arishta• Avalehas: Dashmoolahareethaki avaleha

Indications of raktamokshana• Vivarnayukta• Hard• Vishayukta• Preferably use jalouka & shiravyadh

Upadrvas of vranashopha• Vamana• Shwasa• Aruchi• Thrushna• Jwara• Athisara• Dourbalya

Arishta laxanas• Shopha started at legsspreading upwords• Shopha started at mukhaspreading downwords• Shopha started at kukshi &guhyabhaga spreading nature• Swelling in mukha,hasta pada

Poorvakarma to shastrakarma• Before doing any procedure feed thepatient properly• If patient is alcoholic and pain sensitivethen give concentrated alcohol (Tikshanamadhya)• Once person is paanamatta he dosen’tfeel any pain• In moodhagrbha etc diseases bhojana iscontraindicated

Effect of inadequate management• When bahu dosha are involved invranashopha and bahyaabhyantaratreatment modalities fails to control thevranashopha. then it goes to becomepakva.

List of references• Su.su.17 th chap• Su.ch.23 rd chap• As.hr.su.13 th chap• As.hr.ch.17 th chap• As.sa.ch.19 th chap• Ch.su.18 th chap• Ch.ch.12 th chap