After taking 2 tabs of Icchabhedi rasa

One day, I had planned to take Ichabhedi rasa for vivechan purpose. It was supposed to be taken at empty stomach. Early in morning, I went for toilet once and then after took two tablets of Ichhabhedi rasa at about 7 am in morning. I was confused if the tablet disintegrated easily with water but I was also not willing to have it in powder form or by chewing. Usually Ayurvedic medicines gives bad taste in mouth.  So I kept the tablets in a cup of lukewarm water and noticed that it was disintegrating well. So I swallowed it with water.

Then I waited eagerly to see what and how it happens. I had a belief that I will start having purgation after half an hour. But nothing happened even after one hour of intake of the tablets. Then I drank about 2 glass of lukewarm water. I used to take lukewarm water whenever I had bowel upset in past. Half an hour after that I had loose motion once and the content was some what clear warm water.

Nothing significant happened in next one hour except having weak continuous pain in epigastric and periumbilical region. When there was no clear signs of purgation, I thought to have some food and go to unusual work. I had plain rice, dal and vegetables in half amount of my regular diet. But as soon as begin walking after meal, I had strong urge of nausea which was followed by vomiting. I vomited all of the food I had had.

Ten to fifteen minutes after vomiting ( about 3 hour after tablets intake), I begin having urge of bowel movement, loose motions and abdominal cramps. But these all went on increasing in severity such that I was unable to stay outside toilet. Earlier there were 4-5 bowel movement with forceful purgation. These all are almost normal for purgatory actions of Ichabhedi rasa. Later I begin to experience abdominal pain and cramps increasing in intensity. I had feeling something very hot in anal and rectal region. The burning sensation used to get temporarily relieved after loose motion episodes. The amount was however low in quantity. Then for next hour I had moderate abdominal cramps and pain, continuous urge for bowel movement with very low amount of fluid during loose motion. It was such that I could hardly stay one minute outside toilet. Whenever I tried to lie on bed or have some massage or walk, the cramping pain increased following toilet rush. Every time, I checked the loose motion contents. It was clear fluid with small pellets of stool only in beginning with no blood, mucus or froth in it.

I drank about two glass of cold water in several sips so that the purgatory actions stooped. But cold water didn't relieve anything. I started to panic a little and hoped that it stopped soon. I had one tablet Pantoprazole  40mg and one tablet of Buscopan and one more tablet half an hour later. After about 45 min of taking these medicines, I begin to feel gradually better. Burning sensation in anal canal with sense of fluid accumulation persisted next hour too.

After 2 hours of taking pantoprazole and buscopan (about 5.5 hours after taking two tables Ichabhedi rasa and 3 hours after onset of purgation), the abdominal cramps and loose motion begin to scatter and relieve. Though burning sensation in anus persisted for long. Finally I was able to lie on bed and took rest. It was all new experience with such strong acting Ayurvedic medicines.

I advice to take this medicine with caution and only upon Ayurveda doctor advise and prescription. Never have this medicine in over dose or self prescribe it. More over, keep PPI, antispasmodic, antidiarrhoeal, oral dehydration solution ready before you take this medicine.

Some informations about Ichhabhedi rasa
Ichhabhedi Ras is an Ayurvedic medicine in tablet form. It is used in the treatment of ascites, constipation and bloating.  This medicine contains heavy metal ingredient, hence should only be taken under strict medical supervision.

Ichhabhedi Ras Uses:

1. It is used in the treatment of ascites, constipation and bloating.
2.It is used to induce purgation.
3. It is used in Ayurvedic panchakarma treatment called Virechana.

Effect on Tridosha – Balances Pitta and Kapha.

Icchabhedi Ras dosage:

250  mg before or after food or as directed by Ayurvedic doctor. It is traditionally administered along with cold water. Till the time patient drinks cold water, there will be purgation.

After taking this medicine, patient is advised to take  rice with buttermilk.

Ichhabhedi Rasa side effects:
1. Self medication with this medicine may prove to be dangerous, since it contains Mercury as ingredient.
2. Take this medicine in precise dose and for limited period of time, as advised by doctor.
3. Over-dosage may cause sever poisonous effect and diarrhoea.
4.This medicine is not suitable during pregnancy, lactation and in children.
5. Keep out of reach and sight of children.
6. Store in a dry cool place.

Ichhabhedi Ras ingredients
10 g fine powder of each of
Shunti – Ginger Rhizome – Zingiber officinalis
Maricha – Black pepper – Piper nigrum
Shuddha Parada – Herbal purified Mercury
Shuddha Gandhaka – Herbal purified Sulphur
Tankana Bhasma – Borax
Shuddha Jayapala – Croton tiglium – 30 g
Fine power of above ingredient is ground with the juice extract, made into paste and pills are prepared.

Reference: Bheshaj Ratnavali Udara Rogadhikara 13 – 105

Manufacturers: Dabur, Baidyanath, Shree Dhootapapeshwar Ltd, Zandu

टाउको दुख्ने समस्या र आयुर्वेद उपचार

टाउको दुख्ने समस्या र आयुर्वेद उपचार

कहिले कुनै लक्षणका साथ त कहिले बिना अन्य लक्षण सामान्य दिनचर्यामा टाउको दुख्ने भई रहन्छ। व्यस्त जीवनशैलीमा पहिला त त्यों दुखाई सहिन्छ त कहिले बढ़ी हुँदा दुखाई कम गर्ने औषधि पसलबाट किनेर खाइन्छ। सामान्य जीवनमा यस्तो समस्या धेरै मानिसलाई भईरहेको हुन्छ।

तर समस्या तब विकराल देखिन्छ जब त्यों टाउको दुखाईको क्षण बार–बार दोहोरिन्छ, दुखाईको वेग तीव्र हुन्छ, बढ़ी समयसम्म भई रहन्छ र दैनिक क्रियाकलापमा बाधा हुन थाल्छ। बढ़ी समस्या हुँदा जाने भनेको अस्पताल हो। तर त्यहाँ पनि कतिपय मानिसको रगतको जाँच, एक्सरे, सिटी स्क्यान, एमआरआई आदि परीक्षण सामान्य हुन्छन।  औषधि खाइन्छ, ठीक भए जस्तो लाग्छ तर पछि दुखाई ज्युका त्युं हुन्छ। कतिपय अवस्थामा रगत, एक्सरे आदि असामान्य भई रोग पहिचान भईकन पनि औषधि उपचारले सुधार भईरहेको हुँदैन।

टाउको दुख्नुका विभिन्न कारणहरु हुन सक्छन। आँखा, नाक, कान, दाँतका समस्या, पिनास, उच्च रक्तचाप, कपाल र छालाको समस्या, चिसो, टाउकोमा चोटपटक, मस्तिष्ककै अन्य जटिल रोग, चिन्ता, तनाव, मानसिक समस्या आदि विभिन्न कारणहरुले टाउको दुख्ने भई रहेको हुन सक्छ। आयुर्वेदमा टाउको दुख्ने समस्यालाई शिरोरोग अन्तर्गत राखेर यसको कारण, लक्षण, वर्गीकरण र उपचार गरिन्छ।

वातज शिरोरोगमा बिना कुनै स्पष्ट कारण टाउको दुख्छ, दुखाई रातमा बढ़ी हुन्छ भने टाउकोमा कपड़ा कसेर बाँध्नाले र तातोपनको प्रयोगले दुखाई कम हुन्छ। यसमा सियोले घोचे जस्तो, टाउको फुट्न लागेजस्तो पीड़ाको अनुभूति हुन्छ। यस्तोमा कान कराउने र दुख्ने, आंखा दुख्ने, उज्यालोमा बस्न मन नलाग्ने, नाक बग्नेका साथै रिंगटा लाग्ने पनि हुन सक्छ। यस्तो दुखाई अचानक शुरू र शान्त हुने हुन्छ। टाउकोमा मालिस, तेल प्रयोग, तातोपना र कपड़ा बेर्नाले कतिपयलाई दुखाई कम भएको अनुभूति हुन्छ।

पित्तज शिरोरोगमा टाउको, आँखा, नाकमा तातोपना र पोलेको जस्तो अनुभतिका साथ टाउको दुख्छ। यसमा ज्वरो, पसिना आउनुका साथै बेहोसी जस्तो अनुभूति पनि हुन सक्छ। यस्तो किसिमको दुखाई चिसो र रातमा घटने हुन्छ।

कफज शिरोरोगमा टाउको र घाँटी भारी भएको अनुभूति हुन्छ। घाँटीमा कफ बसेजस्तो र चिपचिप हुने हुन्छ। टाउको चिसो भएको, आँखा मुनि र मुख सुन्निएको पनि हुन सक्छ। अर्को त्रिदोषज शिरोरोगमा माथिका सबै लक्षणहरुसंग मिल्दोजुल्दो हुन्छन ।

रक्तज शिरोरोगमा पित्तजजस्तै टाउको पोलेको अनुभूति, चिसो र रातमा दुखाई कम हुने हुन्छ। तर यसमा विशेष गरी टाउको छोई नसक्नु हुन्छ।

क्षयज शिरोरोग विशेषगरी पौष्टिक आहारको कमी, अन्य रोग, रक्तस्राव आदिका कारण शरीर कमजोर भएपछि हुने कष्टदायी र तीव्र किसिमको टाउको दुखाई हो। यस्तो दुखाई पसिना, बान्ता, धुँवा, नाकमा तेल हाल्नाले बढ़ने हुन सक्छ।

कृमिज शिरोरोगमा टाउकोमा सियोले घोचे जस्तो एकदम तीव्र पीड़ा हुन्छ। यसमा नाकबाट रगत जाने वा पातलो स्राव हुन सक्छ। रोगीलाई ज्वरो, खोकी, टाउकोमा घाउ, चिलाउने, टाउको भिजेको जस्तो हुने आदि लक्षणहरु देखिन सक्छन।

सूर्यावर्त शिरोरोगमा बिहान सूर्य उदयसँगै टाउको दुखाई मन्द रूपले शुरू भई दिउँसो तीव्र हुँदै जान्छ र सूर्य पश्चिम लाग्दै जाँदा अर्थात गर्मी कम हुँदा दुखाई पनि कम हुन्छ। दुखाई आँखा र आँखामाथि ललाटमा धेरै हुन्छ। भोक लाग्दा दुखाई बढ़छ। प्रायः शीतल द्रव्य र कुनै कुनै अवस्थामा तातो द्रव्यको प्रयोगले दुखाई कम भएको अनुभूति हुन्छ।

त्यस्तै अनन्तवात शिरोरोगमा घांटीको पछाडि भाग, आँखा र कान वरिपरि दुख्ने, काम्ने र घांटी–टाउको चलाउन गाह्रो हुन्छ।

अर्धावभेदक शिरोरोगमा टाउकोको आधा भागमा १०–१५ दिनको अन्तरमा वा अचानक हड्डी भांचेको जस्तो, सियोले घोचे जस्तो अत्यन्त तीव्र किसिमको पीड़ा हुन्छ, साथै वरिपरिको कुरा थाहा नपाउने गरी भ्रम पनि हुन सक्छ। केही मिनेट, घंटा वा दिन पछि दुखाई आफै शान्त पनि हुन्छ।

शंखक शिरोरोगमा शंख अर्थात दुवै कान पट्टी एकदम तीव्र दुखाई हुन्छ। यस्तो दुखाई पोल्ने, सियोले घोंचेजस्तो र समयमा उचित चिकित्सा नगरिए प्राणघातक समेत हुन सक्छ। यसमा तिर्खा बढी लाग्ने, बेहोशी र ज्वरो पनि आउने हुन्छ।

यी रोगहरुको चिकित्सामा निदान परिवर्जन (रोगको कारण पता लगाई तिनको त्याग गर्ने), संशोधन (वमन, विरेचन आदि कर्म), संशमन (विभिन्न औषधिको सेवन) र पथ्य–अपथ्य आहार विहार, योग, ध्यान र प्राणायामको प्रयोगले दुखाई निको पार्ने, दुखाईको वेग, समय र दोहिरिने अंतराल कम गर्न सकिन्छ।

शिरोरोगका सामान्य कारणहरु जस्तै धूलो, धुँवा, पानीमा धेरै पौड़ी खेल्ने, एकदम धेरै वा कम सुत्ने, गलत समयमा सुत्ने, अग्लो सिरानी, असजिलो ओछ्यानमा सुत्ने, चिन्ता, तनाव, धेरै रुने, शोक, रिस आदि मानसिक संवेग दबाउने, अधिक मद्यपान, शिरमा तेलको प्रयोग नगर्ने, टाउकोको अस्वाभाविक घुमाई, असात्मय गन्ध, दृश्य, आवाज आदि कारणहरुको त्याग गर्नुपर्छ।

संशोधन चिकित्साकर्म अन्तर्गत यसमा नस्य अर्थात शिरोविरेचन (नाकबाट औषधि दिने कर्म), शिरोसेक (औषधिको हल्का तातो क्वाथ, दूध आदिले शिर सेक्ने), शिरोलेप र प्रलेप (हल्का तातो औषधियुक्त तेल, घृत, दूधको शिरमा लेप गर्ने), शीतल लेप र प्रलेप, उपनाह (औषधि द्रव्य राखी कपड़ा आदिले बाँध्ने–बेड़ने), परिषेक (शिरमा औषधि द्रव्य छर्कने), शिरोवस्ति (शिरको वरिपरि माषको पीठोले घेरा बनाई त्यसमा द्रव्य औषधि राख्ने), शिरोधारा (औषधियुक्त क्वाथ, तेल, दूधको धारा निश्चित ऊचाईबाट  रोगीको टाउकोमा पार्ने), गण्डूष (मुखमा औषधि द्रव्य राखेर चलाउने), कवल (मुखमा औषधि द्रव्य नचलाईकन धारण गर्ने), धूमपान (औषधि द्रव्यको धूम–धुँवा सेवन), वमन, विरेचन, वस्ति आदिको आवश्यकता अनुसार प्रयोग गरिन्छ। यसका साथै संशमन चिकित्साकर्म अन्तर्गत औषधिको चूर्ण, क्वाथ, अवलेह आदिको पनि आभ्यन्तर सेवन गराईन्छ।
आहार विहारको रुपमा पुरानो घिउ, शालि र साठी धानको चामल, दालको पानी, परवल, सहिजन, किसमिस, बथुवा साग, करेला, आँप, अमला, अनार, कागती, मही, हर्रो, घिउकुमारी नागरमोथा आदि पथ्य छन।

योग र आसनमा प्राणायाम, अनुलोम–विलोम, हस्तपादासन, सेतुबन्धासन, शिशवासन, पश्चिमोत्तासन, पद्मासन, शवासन, अधोमुख शवासन, प्रातःकाल स्वच्छ वातावरणमा भ्रमण आदि रोगअनुसार गर्न सकिन्छ।

तर साइड इफ़ेक्ट हुँदैन भनेर जथाभावी जड़ीबूटी र आयुर्र्वेिदक औषधि खाने काम चाँहि गर्नुहुन्न । साथै पहिलादेखि सेवन गर्दै आएको औषधि बिना चिकित्सकको परामर्श चटक्कै छोड़ने काम पनि गर्नु हुन्न। आयुर्वेद चिकित्सा सेवा लिन चाहे त्रिवि आयुर्वेद शिक्षण अस्पताल, नरदेवी आयुर्वेद चिकित्सालय, जिल्लास्थित आयुर्वेद औषधालय लगायतका ठाउँमा उपचार र सेवा लिन सकिन्छ।

डॉ सर्वेश्वर सौरभ, (बि.ए.एम.एस )
त्रिभुवन विश्वविद्यालय, आयुर्वेद शिक्षण अस्पताल, कीर्तिपुरमा इन्टर्नशीप गर्दै
  

Physiological and biochemical effects of Vamana Karma

Vamana Karma (therapeutic emesis) primarily a Samshodhana Karma (purification procedure) is one of the five Pradhana Karmas (chief procedures) of Panchakarma. It is mentioned in Ayurvedic texts that a person after Samyak Vamana (proper Vamana) experiences lightness of the body, Hrit (precordium), Kantha (throat/voice), and Shirah (head) and weakness. This procedure is effectively used in healthy and ailing persons for purification of body and extraction of Doshas (especially Kapha) in Ayurvedic system.

Physiological and biochemical effects of Vamana Karma

Changes in blood pressure

A rise in systolic BP and diastolic BP is observed in the patient during the procedure of Vamana. However, after completion of the procedure, systolic BP comes to normal range.The rise in systolic BP is usually more marked as compared to the rise in diastolic BP during the procedure.

Changes in pulse rate

It has been observed that the pulse rate increases during the procedure and comes to normal after the procedure.

Changes in body temperature

A mild rise in temperature is noticed during the procedure and is normal after the procedure.

Changes in respiration rate

A mild rise in respiration rate is noticed during the procedure and it becomes normal after the procedure.

Effect of Vamana on appetite

There is significant improvement in appetite of the person after Vamana. The person with poor or irregular appetite benefits with significant improvement in their appetite.

Effect of Vamana on bowel habits

There is also marked improvement in the bowel habit of the persons after Vamana. Persons with hard, loose consistency stool and irregular timings of bowel evacuation show improvement in their symptoms leading to regular bowel habits with normal consistency.

Effect of Vamana on heaviness in abdomen after food

There is reduction in complains of heaviness of abdomen after Vamana. Persons feel abdominal lightness with no distension related discomfort in abdomen.

Effect of Vamana on sleep pattern

There is a mild improvement in duration of sleep in persons after Vamana, However, the gross sleep pattern among most of the persons remains unchanged.

Effect of Vamana on intestinal flora

(a)  Pus cells count of intestinal flora before Vamana and 15 days after Vamana:

The pus cells in stool of healthy persons before and after Vamana remain within normal range. There is no change after 15 days of Vamana.

(b)  Bacteroids count of intestinal flora before Vamana and 15 days after Vamana:

 In some person, the bacteroids which are present in stools before Vamana become absent after 15 days of Vamana. But the changes are statistically insignificant.

(c)   E. coli count of intestinal flora before Vamana and 15 days after Vamana:

E. coli is the normal flora of the human intestine. After Vamana, mild shift in count is noticed as the E. coli count decreases, though it remains within the normal limits. However the changes are statistically insignificant.

Effect of Vamana on hematological parameters

a)    Hematology before Vamana and after 5 min of Vamana:

Erythrocyte Sedimentation Rate (ESR) decreases significantly. Total Leukocyte Count (TLC) increases significantly after 5 min of Vamana.

b)    Hematology before Vamana and after 15 days of Vamana:

A significant decrease is observed in ESR.

Effect of Vamana on lipid profile

(a)  Changes in lipid profile before Vamana and after 5 min of Vamana:

Significant increase in High Density Lipoproteins (HDL) and significant decrease in Low Density Lipoproteins (LDL) is observed. Total cholesterol when noticed after 5 min of Vamana, there is statistically insignificant decrease in the value.

(b)  Lipid profile before Vamana and after 15 days of Vamana:

It is observed that, HDL, Very Low Density Lipoproteins (VLDL), and serum triglycerides is insignificantly increased. Statistically insignificant decrease in LDL and total cholesterol is also seen.

Effect of Vamana on electrolytes

(a)  Serum electrolytes before Vamana and after 5 min of Vamana:

There is insignificant fall in serum sodium and serum potassium levels. All other values of serum electrolytes before and after Vamana remain within the normal range.

As Upadrava, some persons develops Bhrama (giddiness) following fall in serum electrolyte level just after Vamana.

(b)  Serum electrolytes before Vamana and after 15 days of Vamana:

It is observed that there is statistically insignificant fall in the values. All other levels of serum electrolytes before and after Vamana remains within the normal range.

Effect of Vamana on Liver Functional Test (LFT) and Renal Functional Test (RFT)

(a)  Liver Functional Test (LFT) and Renal Functional Test (RFT) before Vamana and after 5 min of Vamana:

It is observed that Blood Urea Level (BUL) decreases significantly. Total serum protein and serum creatinine also decreases insignificantly. Serum Glutamic Oxaloacetic Trasminase (SGOT), Serum Glutamic Pyruvic Trasminase (SGPT) are found to be increase significantly though all the values remain within normal range. Serum bilirubin increases insignificantly.

(b)  LFT and RFT before Vamana and after 15 days of Vamana:

It is observed that BUL, total serum protein and serum creatinine decreases insignificantly. SGPT, serum bilirubin is found to increase insignificantly. SGOT is found to increase significantly though all the values of above parameters remain within the normal range.

Effect of Vamana on immunological status

(a)  Immunological status before Vamana and after 5 min of Vamana:

It is observed that plasma histamine and plasma adrenaline decreases insignificantly. Similarly plasma dopamine and plasma nor-adrenaline increases insignificantly.

(b)  Immunological status before Vamana and after 15 days of Vamana

It is observed that plasma histamine and plasma adrenaline decreases insignificantly. Similarly plasma dopamine and plasma Nor-adrenaline increases insignificantly.

Effect of Vamana on IgE

There is insignificant increase in Immunoglobulin E (IgE) level when compared before Vamana with just after 5 min Vamana and 15 days after Vamana.

Conclusion:

Thus, it can be concluded that, Vamana is a safe Panchakarma procedure if undertaken methodically. It is a cleansing process that improves appetite, regulates bowel habits and improves sleep pattern. It decreases LDL and serum cholesterol level as a part of its Kapha-hara action. Mild elevations in BP (systolic and diastolic), pulse, temperature and respiration during the Vamana procedure may be attributed to sympathetic stimulation. Thus its use in hypertensive subject may be avoided. It improves appetite and regularizes bowel habits. It also gives some relief to the feeling of heaviness of abdomen after taking food. It shows a mild cleansing action on intestinal flora, however, the bacteroids and E. coli remain within normal

limits after Vamana.


Dr. Sarveshwar Saurabh (BAMS, IOM, TU)

पाइल्स, फिस्टुला र फिसर

यी रोगहरुसंग प्रायः मानिसहरु परिचित हुन्छन । किनकी धेरै मान्छेलाई स्वयम, आफ्नो परिवारका सदस्य, साथीभाई वा छर–छिमेकीमा कोही न कोही आक्रांत भएको देखेकै हुन्छन । अझ सहरी परिवेश, अहितकर खानपान र अव्यवस्थित जीवनशैलीले यो रोग बढ्दो छ । यी तीनवटै रोग मलद्वार सम्बन्धी रोगहरु हुन । हुन त धेरै मानिसहरु यी सबैलाई पाइल्स भन्दै झुकी रहेका पनि हुन्छन । तर यी तीन रोगहरुमा भिन्नता छ । आयुर्वेदमा पाइल्स वा हेमोरहोइडलाई अर्श, फिस्टुला–इन–एनोलाई भंगन्दर र फिसर–इन–एनोलाई परिकर्तिका भनिन्छ ।

विभिन्न कारणले यी रोगहरु हुने भएता पनि कब्जियत अर्थात दिसा कड़ा हुनु नै यसका मुख्य कारण, बल्झीने कारण र रोग निको नहुने कारण पनि हो । आम मानिसहरुमा यी रोग सम्बन्धी व्यापक भ्रम, डर र जानकारीको कमी देखिन्छ । मानिसहरुले मलद्वारमा केही पनि समस्या हुँदा पाइल्स, क्यान्सर भयो भन्दै अस्पताल धाउदै गरेका भेटिन्छन ।

मलद्वार भित्र र वरिपरि रक्तशिराहरु हुन्छन । यी रक्त शिराहरु सुन्निने, मासु पलाए झै ठुलो हुने समस्यालाई अर्श अर्थात पाइल्स भनिन्छ । यो भित्री र बाहिरी गरी दुइ प्रकारको हुन्छ । मलद्वार भित्र हुने अर्शमा दिसा कड़ा हुँदा घाउ भई दुखाइ रहित मलद्वारबाट रगत जाने हुन्छ । ठुलो हुदै जाँदा दिसा बस्दा त्यों मासु बाहिर आउने, शुरू शुरूमा आफै भित्र जाने, पछिपछि औलाले धकेल्नु पर्ने वा बाहिर नै बसी राख्ने पनि हुन्छ । बाहिरी अर्श÷पाइल्स भने मलद्वार वरिपरिका शिराहरु सुन्निएर हुने गर्दछ ।

भगन्दर अर्थात फिस्टुला–इन–एनो भनेको दुइ मुख भएको बाटो जस्तो हो जसको भीतरी मुख मलद्वार भित्र वा पक्वाशयमा हुन्छ भने बाहिरी मुख मलद्वारको बाहिरी भागमा हुन्छ । पटक पटक संक्रमण भइ बाहिरी मुखबाट पिप, रगत, दिसा आदि आउने हुन्छ । संक्रमण हुँदा अत्यन्त कष्टकर हुने र पिप निस्कि सकेपछि केही दिन आराम हुने हुन्छ । तर पछि फेरी संक्रमण भइ यो प्रक्रिया लगातार चलिरहने हुन्छ ।

परिकर्तिका अर्थात फिसर–इन–एनो भनेको दिसा कड़ा भइ निस्किदा मलद्वारको छाला च्यातिनु हो । यसमा अत्यन्त पीड़ा हुनुका साथै जलन, चिलाउने, दिसामा धर्को जस्तो रगत देखिने हुन्छ । यस्तो धेरै लामो समयसम्म भइ रहंदा त्यहाँ मासु पनि पलाउने हुन्छ जसलाई सेंटिनल टैग भनिन्छ ।

नेपालको मौलिक चिकित्सा पद्दतिका रूपमा रहेको आयुर्वेद चिकित्सामा यी रोगहरुको अत्यन्त प्रभावकारी, सरल, सस्तो, भरपर्दो र उपद्रव रहित उपचार उपलब्ध छ । पेट सफा राख्ने, दिसा नरम, खुलस्त र नियमित बनाउने जड़ीबूटीयुक्त औषधिहरु एकदम प्रभावकारी र दुष्प्रभाव (साइड इपÞmेक्ट) रहित छन । त्यस्तै स्नेहन, स्वेदन, लेप, विरेचन, वस्ति, घृत, लेप आदिको पनि प्रयोग गरिन्छ । आवश्यक परे शस्त्र कर्म अन्तर्गत क्षारसूत्र विधिको  प्रयोग अर्श, भंगन्दर र परिकर्तिकाको सेंटिनल टैगमा गरिन्छ । रोगीलाई पूरै बेहोश गर्नु नपर्ने, घाउ कम हुने, कम दिन अस्पताल भर्ना भइ बस्नु पर्ने, कम समयसम्म औषधि खानु पर्ने, फेरि बल्झिने वा रोग पुनः हुने अवस्था अत्यन्त न्यून हुने भएकाले आजकल यो विधि एकदम प्रचलित छ ।

स्वस्थ मानिसलाई स्वस्थ राख्ने र रोगीको रोग शमन गर्ने यी दुइ मुख्य उद्देश्य रहेको आयुर्वेदमा हरेक रोगको उपचारमा कारण परित्याग प्रथम चिकित्सा सूत्र विधान रहेको छ । तसर्थ रोगको मुख्य कारणका रुपमा रहेको कब्जियत हटाउने उपाय गर्नुका साथै मलद्वारको सर सफाइमा विशेष ध्यान दिनु पर्छ । विशेष गरी दशँैमा माछा, मासु, अण्डा, जाड़ रक्सी, चुरोट, मर मसला, गुरु भोजनको अत्याधिक सेवनका कारण कब्जियत हुन सक्छ । त्यसैले कब्जियत गराउने यी खानेकुराहरुका साथै मरिच, अदुवा, खुर्सानी, चिल्लो पिरो, मैदा परिकारहरु जस्तै मम, चाउमीन, बिस्कुट, दही, केरा, पिडालु, अनार, चिउरा, कालो दाल, सुपारी, पान, बाहिरी खानेकुरा, तैलीय पदार्थ, चिसो पेय पदार्थ, चिया कफी आदिको सेवन नगर्ने वा गर्नै परे एकदम कम मात्रामा गर्नुपर्छ । त्यस्तै प्रशस्त पानी, झोल पदार्थ, हरियो सागपात, सलाद,काक्रो, मुला, गाजर आदि, आटाको रोटी, रहर, मूँगको दाल, तर रहित दूध, फलफूल आदि सेवन गर्नुपर्छ । कदाचित कब्जियत भई हाले त्रिफला चूर्ण, पंचसकार चूर्ण, त्रिवृत्त चूर्ण, अभयारिष्ट आदि औषधिको प्रयोग अल्प समयसम्म गर्न सकिन्छ । केही समस्या भए चिकित्सकलाई देखाइ अरु औषध–उपचार गराउनु पर्छ । 

डाँ सर्वेश्वर सौरभ, बि.ए.एम.एस
त्रिभुवन विश्वविद्यालय, आयुर्वेद शिक्षण अस्पताल, कीर्तिपुरमा इन्टर्न डाक्टरका रुपमा कार्यरत

Ayurveda (BAMS) Study in Nepal

Introduction to BAMS

Q. What is BAMS?

BAMS is a bachelor level course in Ayurveda that stands for Bachelor in Ayurvedic Medicine and Surgery. After completion of which students are awarded with Doctor title (Ayurveda) to practice Ayurveda Medicine.

Q. Why should I study BAMS or Ayurveda?

Choosing an appropriate field/subject for your career should be solely based on your true interest, enthusiasm and ability to labor. In the era of 21^st  century, every field/subject has the scope and ability to grant you name, fame, money, success and satisfaction if you truly devote to it and become pioneer.

So choose a subject that you are ready to give 100% of yours. Ayurveda is a subject that will give you everything if you devote to it.

Some reasons for choosing (BAMS):

• If you have keen interest in Ayurveda

• To discover old jewels of medicine already prevalent and developed in own land.

• If your interested to herbs, medicinal plants, yoga, philosophy along with medical treatment.

• If you are frustrated with failure in MBBS entrance and still want to study medicine o, BAMS is the best alternative.
• 
  
• If you want to get combined knowledge of Ayurvedic, Allopathic medicine, Naturopathy and Yoga.

• If you are interested in research then there are many unfold mystery yo discover and justify in Ayurveda.

Q. Will I be able to write Dr. in front of my name and practice medicine like other MBBS doctors?

Yes, after completion of course, you will be awarded Dr. degree and will be a certified Ayurveda practioner registered in Ayurvedic Council of Nepal. You can practice medicine, treat patient off course.

Q. Are Ayurvedic doctors allowed to practice modern allopathic drugs?

Yes, they are allowed to practice common allopathic drugs according to necessity and beneficence of patient. However, first preference is to be given for Ayurvedic drugs.

Q. What are the scopes after BAMS completion?

After BAMS completion, you can practice medicines or opt for further higher study.

Practice

• You can set up own clinic and start practice as doctor.

• You can join several hospitals.

• You can appear for Lok Sewa Ayog exam to competite for government medical officer job, where you will be head of Ayurveda Aushadhalaya of respective district.

•  Join different Ayurveda college’s universities and start teaching profession.

• Join different Ayurveda Pharmaceutical companies.

• Practice and teach yoga and natural lifestyle.

• Set up medicinal plant farming and produce raw material manufacture medicine.

Higher Study:

You can join for Post graduate level degree e. MD/MS in Ayurveda in different branches like

·        MD Kaya Chikitsa (Internal Medicine)

·        MD Panchakarma

·        MD Salakya Tantra (ENT and head)

·        MD Stri Rog (Gynecology and Obstetrics)

·        MD Balrog (Pediatrics)

·        MD Drabyaguna (Medicinal Plant)

·        MD Rasa-shastra (Herbo-mineral drugs)

·        MD Bhaisajya Kalpana  (Drug preparation)

·        MD Maulik Sidhanta (Principle of Ayurveda)

Besides these Ayurveda degree, you can also study other non-clinical subject like

·        MPH

·        M.Sc. Anatomy

·        M.Sc. Physiology, etc.

Q. How hard or easy is studying Ayurveda?
It solely depends upon level of your enthusiasm, devotion and labor. If you will give the best of yourself to Ayurveda, you will get the best of it as well.
However in general, a student with at least 1st division in grade 12 or +2 can easily study and pass Ayurveda provided that he'she continues same labor as before.

Q. Where can I study BAMS?

You can study BAMS at different Ayurveda colleges in Nepal, India and abroad. In Nepal, currently Tribhuvan university and Nepal Sanskrit University are running BAMS course

Colleges Under Tribhuvam University, Institute of Medicine (IOM)
1.     Ayurveda Campus, Kirtipur (affliated campis of IOM, Maharajgunj)
2.     National Ayurveda Medical College (NAMC), Birgunj (Private)

Colleges under Nepal Sanskrit University:
1.     Central Ayurveda Campus, Dang
2.     Mithila Ayurveda College, Janakpur (Private) 
3.     Patanjali Ayurveda College, Dhulikhel (Private)

Q. What is course duration and course division?

BAMS is a total 5.5 year course. After completion of 4.5 year course, students have to complete 1 year intership in Tribhuvan University Ayurveda Teaching Hospital (TUATH).

The 4.5 year study course is divided into 3 professional of 1.5 year each as:

•  1^st Proff. – Basic Science (Modern and Ayurveda)
•   2nd Proff. – Pre-clinical study
• 3^rd Proff. – Clinical study

Q. How can I join BAMS course in IOM, Ayurveda Campus, TU?

You need to appear in entrance exam conducted by IOM , Maharajgunj, which is held on nect day after MBBS entrance exam (usually on Sunday)

For this you need to fill up entrance form at IOM website online.

Q. How many seats are there in IOM, Ayurveda Campus?

There are altogether 31 seats

15- Scholarship seat

15 – Paying seat

1 – Staff Quota

Q. How is entrance exam question pattern?

There are 100 MCQ with no negative markings. The 100 MCQs are in following format

1. Ayurveda – 20 marks
2.   Physics - 20 marks 
3.   Chemistry - 20 marks 
4.   Zoology - 20 marks
5.   Botany - 20 marks
6. TOTAL – 100marks

Q. What is medium of study in Ayurveda BAMS course?

Chief medium of study is English and Nepali for some subjects with a separate Sanskrit Subject only in the first proff.

Books are available in English, Nepali and Hindi medium

Q What subject will I have to study under BAMS course in IOM, Ayurveda campus?

1^st Proff.

• Sharir rachana – Human Anatomy (Both Ayurvedic and Modern)
•  Sharir Kriya – Human Physiology (Both Ayurvedic and Modern)
• Astang Sangraha (A treatie of Ayurveda)
• History of Ayurveda
• Sanskrit
• Padartha Vigyab (Fundamental and Physiology Of Ayurveda)

2^nd Proff

•  Rog tatha Vikriti Vigyan - Human Physiology and diseases (Both Ayurveda and Modern)
• Swasthavritta – Community Medicine and Yoga
• Drabya Guna – Medicinal Plant and modern Pharmacolgy
• Rasa-shastra – Herbo-mineral drugs
• Bhaisajya Kalpana – Preparation of Ayurvedic drugs
• Charak Samhita Part I – A treatie of Ayurveda

3rd Proff.

• Kaya Chikitsa - Internal Medicine, Epedemics, Emergency and Psychiatry (Both Ayurveda and Modern part)
• Salya Tantra - Surgery (Both Ayurveda and Modern part)
• Shalakya Tantra - ENT, Head, Neck diseases and dentistry - (Both Ayurveda and Modern part)
• Stri Rog tatha Prasuti Tantra - Gynaecology and Obstetrics (Both Ayurveda and Modern part)
• Kaumarbhritya - Pediatrics (Both Ayurveda and Modern part)
• Charak Samhita 2nd Part - A treatie of Ayurveda

Q. Where do students get Junior Intership and Intership during study? 

Q. How is hospital or clinical posting and educational visit?

In Ayurveda Campus, IOM, TU students get posted in different hospitals, visit in Pharma factory, botanical garden for medicinal plant study. All are summarized as follows:

2nd Proff

• Field visit to Godavari Botanical Garden, Dolalghat, Panchkhal and other places for identification, collection and study of medicinal plants
• About 7-10 days Community Health Research Tour in different places of Nepal
• Visit to Singha Durbar Vaidhyakhana, the oldest Ayurveda Drug manufacturer in Nepal for knowledge of medicine preparation, packaging, etc.
• About 15 days posting/class in a Naturopathy Hospital
• About 1 month posting in Forensic Department of Tribhuvan University Teaching Hospital, Maharajgunj 

3rd Proff

• Junior Intership in Tribhuvan University Ayurveda Teaching Hospital, Kirtipur - About 1 month
• Junior Internship at Sukraraj Tropical Hospital, Teku - About 15 days
• Junior Internship at Central Ayurveda Hospital, Nardevi - About 15 days
• Junior Intership in Tribhuvan University Teaching Hospital - rotating posting in different Departments for about 9 months

Internship

• Internship in Tribhuvan University Ayurveda Teaching Hospital, Kirtipur - About 6 months
• Internship at Central Ayurveda Hospital, Nardevi - 6 months
• All India Educational Tour - About 1 month

Q. Where can I know more about BAMS/Ayurveda Study?

Follow these links for the purpose:

• TU IOM Website
• Wikipedia, Ayurveda Campus, IOM