Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Acharya Sushruta, after explaining totally different teams of herbs which can be utilized as palliative medicines, explains concerning the supreme dose of taking the medicines and what components must be considered earlier than administration of medicines. These guidelines are relevant for ‘shamana aushadhas’ i.e. palliative medicines however may be typically understood as being supreme in administering numerous drugs kinds additionally, together with shodhana – purificatory medicines.
Ref – Sushruta Sutra Sthana, Chapter 39, verse 10 (Su.Su.39/10)
Perfect dose of Shamana Aushadhas: Palliative Medicines and the components to contemplate
तत्र सर्वाण्येवौषधानि व्याध्यग्रिपुरुषबलान्यभिसमिक्ष्य विदध्यात्। तत्र, व्याघिबलादधिकमौषधमुपयुक्तं तमुपशम्य व्याधिं व्याधिमन्यमावहति; अग्रिबलादधिकमजीर्णं विष्टभ्य वा वच्यते; पुरुषबलादधिकं ग्लानिमूर्च्छामदानावहति संशमनम् ; एवं संशोधनमतिपातयति। हीनमेभ्यो दन्तमकिंचित्करं भवति। तस्मात् सममेव विदध्यात् ॥१०॥
All medicines and herbs must be administered after contemplating the beneath talked about three components in every affected person. Contemplating these components could be very important and performs a significant half within the success of the remedy.
The components to be thought-about are –
1. Vyadhi bala – power of the illness,
2. Agni bala – power of the digestive fireplace and
3. Purusha / Atura bala – power of the physique of the affected person
Dose of medication vs power of illness
The dose of the drugs shouldn’t be in extra of the power of the illness. If the power of the illness is much less i.e. weak illness or average, if extreme dosage of palliative drugs is run than what’s required, the drugs would relieve the illness however however would additionally give rise to yet one more illness or complication. This isn’t desired within the remedy plan for any illness. We anticipate the drugs to alleviate the signs, mitigate the doshas and remedy the illness and to not worsen a illness or trigger a brand new one.
Dose of medication vs power of digestive fireplace
The dose of the drugs must be ideally in sync with the power of agni i.e. digestive capability of the person. If the digestion energy of the agni is low to average i.e. weak digestive fireplace, and if the palliative drugs is utilized in extreme dosage, it is going to lead to manifestation of painful situations within the stomach. Additionally, the drugs would get digested after a very long time for the reason that agni is weak and therefore the drugs won’t have the specified impact.
Dose of medication vs power of the physique of the affected person
Earlier than administering the drugs, the doctor must also analyse the bodily power of the affected person. The dose of the palliative drugs must be supreme to the power of the affected person. The medicines shouldn’t be utilized in extra of the power of the affected person. If the bodily power of the affected person is low or average, and if the drugs is given in massive dose, it will give rise to the beneath talked about signs / issues –
– Glani – exhaustion,
– Murcha – fainting and
– Mada – intoxication / toxicity
Ought to the identical rules be adopted in case of Shodhana Aushadha additionally?
Sure, even in case of shodhana aushadha i.e. purificatory medicines additionally the power of vyadhi, agni and bala must be thought-about. If shodhana medicines are administered in extra of power of the illness, digestive fireplace and physique of the affected person, they might cleanse the physique (evacuate) excessively and in flip bother the affected person immensely.
Ought to the identical components be thought-about in administering low dose medicines?
Sure, if the medicines (palliative) are administered in inadequate portions of the power of vyadhi, agni and atura won’t produce any impact i.e. the medicines would develop into futile.
Due to this fact, these medicines must be used solely in appropriate portions as applicable to the power of vyadhi – illness, agni – digestive fireplace and atura – affected person.
Aushada matra: Dose of medication
व्याध्यादिषु तु मध्येषु क्वाथस्याञ्जलिरिष्यते ॥
बिडालपदकं चुर्णं देयः कल्कोऽक्षसंमितः ॥१४॥
Beneath talked about are the doses of assorted drug kinds when the power of the illness, digestive fireplace and affected person are average –
Dosage type | Dose |
Kashaya – decoction | 1 anjali – 160 gm / ml |
Churna – powders | 1 bidalapadaka or aksha – 10 grams |
Kalka – paste | 1 aksha – 10 grams |