TITLE:
VISARPA CURRENT DIAGNOSIS & MANAGEMENT.
Author : Dr. Chethan Jagalur. BAMS.
MD(Ayu) MSS&C,(Pshy) BPH (Pranic)
Secretary of Shree Ujwala
Ayurdhama®
Shree Ujawala Ayurvedic Hospital.
Shree Ujawala Ayurveda
Pharmaceuticals.
Post office Road, Jagalur-577 528
Davangere (Dist), Karanataka.
Phone
No. 7204737423 / 09844606423.
E-mail
Id: chethan03ayu@gmail.com
Branchs:- BANGALORE Malleswaram, MYSORE, HUBLI-DHARWAD, HASSAN, Rest of the days in JAGALUR Branch
On-line Consultation Timing:- 10Am to 10pm
Objective: Clinical condition of Visarpa and Nita group of virus with clinical experience
Introduction: Diagnosis of Visarpa in clinical practice is very controversial. Visarpa is an extreme forma viral and spread in similar to that of cobra venom. If not attended properly readily inflict as death. Hence Visarpa is known as extreme form of atyayika roga.
Clinical features:
Vatika Visarpana: The patient has same type of constitutional features as in vataja fever, inflammation, twitching, pins and needles, tearing sensation pain on movement, horripilation (Ah. Ni. 13/47).
· Giddiness, davathu (burning sensation in
eyes), thirst, pricking pain, malaise, cramps, tremors, fever, tamaksvasa,
kasa, pain in bones and joints and their dislocation, shivering, anorexia,
indigestion, cloudiness of the eyes, lacrimation and a feeling as if ants are
crawling over the body.
· The space through which the Visarpa
spreads becomes grayish or pinkish in colour and oedematous. The space become
excessively affected with pricking pain, breaking pain, colic pain, expansion, contraction and
tingling and throbbing sensation if not treated, the space become accumulated
with instantaneous cracking, pustules which are small in size and pink/grayish
in colour and secretion of liquid which is thin, transparent small quantity.
· Arrest of voiding of flatus, urine and
stool.
· The patient feels comfortable with
ingredients having opposite attribute to vata.
Paittika Visarpam :
The
pittaja Visarpa is rapidly spreading in character, deep red in color and the
patient presents with constitutional features of pittaja fever (Ah.Ni 13/48)
The discolouration of the affected part
will be haridra, harita, nila, krisnam, etc., with sravam. The space, in which this spreads, becomes coppery,
green, yellow, blue, black, or red coloured. The space becomes full of
pustules, which are excessively swollen and associated with excessive burning
sensation and breaking pain. The
exudates from these pustules have the colours like those of pustules. The pustules get suppurated very quickly. Factors described to cause pitta Visarpa are
not homologatory to such a patient.
Kaphaja Visarpa: The kaphaja Visarpa patient presents with the same constitutional feature as in care of kaphaja jvara.There is numbness, stiffness, heaviness and less pain the body. The space, in which Visarpa spreads, becomes oedematous, pale yellow, not very red and unctuous. The pustules in this space get suppurated very late, they become chronic, they appear in large number, the skin over these pustules get covered with sticky material and these pustule are either white or pale yellow in colour. When there is eruption of these pustules then exudates which is white, slimy, fibrous, dense, knotty and unctuous. After the eruption of these pustules, the space is covered with ulcer which is deep seated, stable, surrounded by the capillary network, unctuous and covered with many skin scabs. The ulcer continues to stay for long time.The upper part of the body (urdhva bhagam) becomes afflicted with the ulcer of the above mentioned symptoms, because the upper part of the body is the abode of kapha
Sannipatika Visarpa:
The sannipatika type of visarpa is
caused by the all-etiological factors, the signs and symptoms described in
respect of each of the vatadi verities Visarpa.
It pervades all the dhatus (tvak, lasika, rakta, mamsa). It spreads
instantaneously and is incurable in nature.
Agni Visarpa:
In this type vata and pitta
simultaneously aggravated because of their respective causative factor, gain
strength from each other and spread over the body along with burning sensation,
which is called agneya visarpa. Fever,
vomiting, attacks of swooning diarrhea, thirst, dizziness, splitting pain in
regional glands, diminished digestive power, respiratory distress and anorexia,
the patient feels as if the whole body is covered with burning charcoal, all
those sites where the Visarpa spreads, get quickly studded with blister as
after with thermal burn and appears blackish, bluish or reddish like an
extinguished charcoal.
On account of fast spreading tendency,
it quickly pervades into the vital areas (marmas) as result of which vata
becomes overwhelmingly powerful and gives rise to pain all over the body, loss
of consciousness, sleeplessness, dyspnoea and hiccough. The patient who has
reached this stage does not find any relief by any measures. He remains restless
and attempts to lie down on the ground or sit or adopt any other posture resulting
in extreme agony, mental confusion and bodily inactivity and finally results in
death.
Kardama Visarpa:
The disease generally spread in slow
speed in the amasaya and gets localized there.
The space, in which this type of Visarpa spreads, becomes as if studded
with eruption of red, yellow and pale yellow colour. The space looks muddy, black, dirty and
unctuous and it is excessively hot, heavy with dull pain, oedema and
deep-seated suppuration. These eruptions
are free from exudations and become sloughy very quickly. The skin and muscle
tissue over these eruption are shriveled, sticky and suppurated. The pain over this space is less and it
appears gradually. By rubbing, these
eruptions get cracked and when pressed sticky and purified muscle tissue comes
out of these eruptions. In the space at
the bottom of this eruption (after taking out the slough), one can visualize
vessels and ligaments and smells like cadaveric as emitted from this space. The patient loses consciousness and memory.
Granthi Visarpa
It is one of the Visarpa involving vata
and kapha as main vitiated dosa. Intake
of sthira, guru, kathina, madhura, sita, snigdha, abishyandi, Lack of exercise,
Habitually avoiding administration of elimination therapy (panchkarma
therapies) at the appropriate time. The channels
of circulation of vayu get obstructed by the aggravated kapha (which causes
further aggravation of vata). Both these vitiated dosas get excessively
aggravated and vitiate dusyas giving rise to Visarpa.
Aggravatd vata, in turn, causes
splitting of cough into several parts gradually giving rise to a series of
granthis (grandular enlargements) in the abodes of kapha (ura: pradesa). These
enlarged glands get suppurated very slowly and is difficult to cure.
In a person having excess of blood
(aggravated vata and kapha) vitiate the blood giving rise to a series of
glandular enlargements located in vessel, ligaments (or nerves), muscles and
skin. These enlarged glands are extremely painful; some of them might be big in
size and shape and some are red in colour.
Complication of Visarpa:
All types of Visarpa usually have
following complications: fever, diarrhea, vomiting, tearing of the skin, muscle
fatigue, anorexia, and indigestion.
Based on dosa
dominance: (C.Ci.21/42):
Single
dosa involvement: vatika, pittaja,
kaphaja, Visarpa types are curable.
Double dosa involvement; agniVisarpa
(vatapittaja) and kardamaVisarpa (kaphapittaja) can be alleviated by the
habitual use of general therapeutic measures (to counteract the respective
etiological factors) only when the vital organs (like heart) are not afflicted
and there is no softening of vessels, ligaments and muscle tissue. If not properly
treated. Any one of these two may cause instant death like snake poison.
Granthi Visarpa is treatable only when
it is without any complications otherwise difficult to treat.
Three dosas involvement:
Sannipatika type of Visarpa is incurable because it pervades all the tissue
elements, it spreads instantaneously and its treatment involves mutually
contractor therapeutic measures.
Differential Diagnosis:
Positive and complete findings are the tools to
arrive at a definite diagnosis, to estimate the prognosis and to adopt
appropriate line of treatment for the disease. Studying the various stages of
the disease and the consequential changes can make a correct diagnosis.
Seven dhatus and tridosa are involved in the
pathogenesis of Visarpa and kustha (a group of obstinate skin diseases). In spite of the identify of these seven
elements there is difference between these two diseases in as much as Visarpa
is characterized by its spreading nature, and kustha by its chronic condition. Visarpa
should also be differentiated from diseases in which rakta, lasika, tvak, mamsa
are vitiated i.e. from kushtan, vidhradhi, visphota, apaci.
Other:
·
When
are aggravated pitta together with rakta spreads within the skin, it causes red
swelling which known as Visarpa
·
When
the aggravated pitta is located in tvak (skin) and rakta, this will also causes
red swelling which known as pidika (vesicle).
·
When
the aggravated pita gets dried up in combination with rakta, this causes skin
diseases like tilaka (black moles), vyanga (red moles) and nilika (blue moles)
(C.su. 18/23-25).
·
In
Visarpa inflammation is without swelling (annunat sotha) while arbuda, granthi,
vidhadhi have swelling (sotha).
·
In
Visarpa clinical diagnosis is based on dosa dominance and morphological feature
therefore they should be differentiated from kushtha with similar dosa
dominance.
Nita group of viruses with Visarpa:
Visarpa is an inflammatory disease some
types of Visarpa are due to the Nita group of virus classified made according
to affecting chemical, physical and serological criteria.
·
Herpes simplex 1
·
Herpes simplex 2
·
Herpes zoster,
·
Vericella zoster
·
Vericella
·
Cytomogalo
virus are comes under this group
It is having particle size 100-200ยต
nucleic acid DNA, type of symmetry cubic number of cap so meters 162 sensitive,
Family-Herpes viridae, genomic type – DSDNA
Vericella zoster, herpes simplex – 1
Herpes simplex – 2 are concerned with skin eruption system.
Cytomegalovirus and epsein barr virus
are concerned with hematopoietic disorder.
And also some of the Visarpa are due
streptococcus pyogenes (hemolytic streptococci of group A). These streptococci
pyogenes (Hemolytic streptococci of Group A) are I. Gram positive cocci, these
are spherical or oval in shape, 0.5 to 1.0 in diameter, arranged in chains.
They are important human photogenes, causing pyogenic infections with a
characteristic tendency to spread. These may be sub divided into types based on
the protein (MTR) antigens present on the cell surface. About 80 types of
streptocci pyogenes have been recognised so far.
Even though the parisarpana is due to
sara and chala guna of vata property any our acharyas are not enumerate the
vataja Chikitsa, instead of that they explained the krimihara Chikitsa.
Visahara Chikitsa. It indicates that the parisarpana is may be due to microbial
infection spreding. The nature of spreading and the cliniical present of Nita
group of virus and streptococcal pyeogene (group A,B,C) and Visarpa are one the
same.
Visarpa is an infection disease which
spreads from place to place quickly involving the raktha twacha mamsa snayu and
lasika, having painful Visarpa on the twacha leads on to suppurating tumors,
gangrene and multilation of the body. It has been identified with several
discuss like erysipelas, cellulities, herpes zoster, moist gangrene, eczema
erpitivum, chicken pox, herpes labials, herpes simplex, acute myeloid leukemia,
acute lymphoid leukemia, carcinoma of stomach. Some kind of dermatitis etc., by
modern scholors.
Herpes simplex
Herpes simplex occurs naturally only in
man. There are two types of herpes simplex virus, herpes simplex virus 2. There
are different modes of visaprana or prisarpana are seen herpes simplex are
transmission occurs by close contact and may be venereal in genital herpes
after contact, the virus probably enters the tissue through defects in the skin
and mucus membranes. There is then phase of local multiplication with cell to
cell spread and local lymph nodes
are involved. The virus can also travel along with the nerve fibers and may be
able to reach CNS in man. In general primary infections are localized. The
avakasho Visarpa anusarpayatin of vataja Visarpa shows as that of typical
herpes lesion, they are thin walled humiliated vesicles that rapidly becomes
pustules and scabs and heal without scaring. In the vataja Visarpa davahuhu
indicates the morbidity presenting chakshuradi indrayas like commonest site
herpes simplex is the eyes, face on the cheeks, chin, around the mouth or on
the forehead. Lesions may also appear on the buttocks as napkin rash an
occupational variety of cutanious herpes is the herpetic whitlow.
Eczema herpectium is a generalized
eruption caused by herpes infection in children suffering from eczema. Vagbhata
Visarpa mainly straps from the affected area with wide spread ulceration. A
clinically indistinguishable picture in also produced by vaccine virus
infection both designated kaposis karicelliform eruption.
Herpes virus simiae infects monkey in the same manner that herpes simplex
infexts in man, herpes virus simiae is similar to herpes simplex properties.
The disease in man is usually fatal. The rare patients who survive have serious
neurological sequelae.
Vericella –
Zoster virus
Mode of spread:
Very rapidly whole body is sprinkled with live charcol
In pathology of agni Visarpa aggravated
the vata and pitta simultaneous aggreavated with each other. These doshas shows
effect in all over the body within a short period of time along with burning
sensation. The incubation period of V-Z virus is 14-16 days, prodromal symptoms
are minimal. These include mild favour malaise and impaired appetite as that of
agni Visarpa. These rashes appear on the first day.
Management:
Samanya Chikitsa with clinical interpretation:-
Chikitsa
sutra : - “Langanam ullekanam shaste tikta nam cha sevanam” ||(cha, chi)
Langana:-
One who fit for the langana, langana
pachana, dashava sechanaand accourding to ama which is particular stana,
rogabala, rogibala and also as per the doshas. The different langana therapies
are to be adopted. Langana causes vata vruddi, jataragni vardana, amarpachana
in the Visarpa patient. The adoption of different types of langana reduces the
jwara, swayathu, angamardu etc lakshanas of Visarpa and by the langana therapy,
avakasho Visarpa anusarpati have the lakshanas like svayathu, paka, kleda are
also reduces. Langan is a therapy which
has the natural auto ammune power enhancing property in the body which helps in
fight aginest the Nita group of virus (herpes viruses) and streptococci
pyogenes infection which reduces the symptoms up to som extents.
Langana Tiktakam Cha Sevanam
Compounds with a tikta rasa pradana
may reflexly increases the flow of gastric juice in the stomach acts as ama
pacana and also having the Visarpa hara property. So our acharya highlighted
the lagana Chikista with tikta dravya is ideal one. The drugs having the
properties like langana-Visarpahara tikta rasa pradanya are to selected. E.g guduchi,
musta, patola, nimbi, ushira, kirata tikta, nishi and katuki. In the purvarupa
and amavasta of the Visarpa. These dravyas can be adopted as a front the
treatment along with the peya mandadi ahara dravyas which are used for
langana as well as the kwatadi oushadis.
Langana Rukshana
Other acharyas also enlighten about
langana rukshana. In the purvaropa Chikitsa langana followed by rukshana or rukshana rupi langana chikitsa should be
carried out so, the drugs having the properties like langana rukshana Visarpa
hara are to be selected example, trivruth, musta, nimba, patola, kiratatikta,
chandana, amalaki, usheera, lodra,
draksha, shunti, katuki.
Ullekana
chikitsa in Visarpa:-
Ullekanam iti vamanam (chakrapani)
The ama which is present in pithastana
and kaphastana vamana should be conducted.
If Visarpa is caused by rather kapha or pitha or both kapha and
pitha. Then vamana should be conducted.
Kardama Visarpa should be treated by quickly by administration of
vamana.
Sneha pana:
11) Mahatiktaka
ghruta, 2) Trayamana ghruta
Vamana yogas:
·
Madana, maduka, nimba, vatsaka patra
kwata,
·
Madana patola, pippali, nimba should be
made into kwata and used.
Vamanopaka
dravya:
·
nimba,
musta, patola kwata (C.S)
·
Patoladi phanta (A.S)
In
pitha pradana Visarpa after the vamana virechana should be administer.
Virechana:
In
both dosha dushta Visarpa and initial stage virechana should be selected
Sneha pana:
The medicated ghruta for sneha parartha
should be administered which are having purgation property, otherwise which
causes the paka of the twak, mamsa, rakta.
After ama pachana sneha pana should be administered with tikta rasa
pradana ghrutas.
1) Triphala
ghruta 2) Traya mana ghruta
The virechana yogas:
Trivruth, draksha, triphala, trayamana (A.S)
Trivruth churna should be boiled by
adding ghruta or ksheera and administered with warm water or mrudvika
swarasa. Similarly boiled with
trayamana (C.S) in kardama Visarpa for producing virechana should be made to
drink trivruth churna along with either ghruta ksheera draksha rasa or ushna
jala. If pitha is aggravated greatly
should drink milk boiled with trayamana.
Mode of action of virechana in Visarpa:
The main action of Visarpa dravya is
adobaga hara. The vitiated pitha dosha is alleviated and expelled out through
the mechanism of virechana so, the disease process is arrested. The virechana dravya spreads through the body
at cellular level due to its pharmacological action. Ushna and theekshna
properties of virechana drugs produces chetana of dosha durshya sambanda, which
are already soften due to snehamsha of shodananga snehapana. Thus, liquid doshas are dragged towards to
koshta due to the predominance of pruthvi and jalamahabhoota present in
virechana kalpa.
Rakta mokshana in Visarpa:
Rakta mokshana should be administered as
a front line treatment because of rakta dusti is the main factor of
pathogenesis in Visarpa. According to
predominance of doshas associated with rakta, different methods of rakta
mokshana should be conducted. If dushta
rakta associated with vata then avasechana should be done with the shrunga
yantra. If dushta rakta is associated
with kapha alabu karma should be administered. If Rakta dusti with is assocated with pitha
jalauka charana should be administered.
Rakta mokshana acts as auto
immune enhancing property. So, develop
the resistance against the Nita group of virus and strepto coccus pyogenes. Jaluka is having haparin which climes to
exert some anti inflammatory activity and wound healing property.
Tiktanam cha sevanam:
Tikta dravya having the dosha
prashamana, thrushna prashamana sheeta ruksha lagu and vidagda pitha hara
property. So, recipies which are
dominant of tikta dravya pecifies the vitiation of rakta and pitha, which are the
main causative factor for Visarpa. The
role of ama is cause in Visarpa is most important. Due to the deepana pachana rukshana langana
property of tikta dravya are acts as avapachana in Visarpa. tikta dravya which
acts as samprapti vigatana with the property of tawk in mamsa sthira karana
which gives stability immunity and also increases brachaka pitta. If we administered the virechana and other
shodana therapies from the tikta dravya. Visarpa is mainly due to Nita group of
virus and strepto coccus pyogenes. The Use of tikta dravya by internally and externally
which acts against these microbes due to the krimi hara property. Due to the vishagna property of tikta dravya
acts as the anti dote for virus and toxins produced by these infetion.
Shamana Yogas:
1. Kasisadi
ghruta for external application tid.
2. Balaguduchyadi
kashaya (anubhutha yoga) 15 ml.
bid, before food.
(In
clinically experienced that balguduchyadi kashaya 15 ml per every one hour once
Visarpa
in initial stage relived that symptoms and lesions. Within 3 days).
3. Panchatikta
guggulu ghruta without ballataka 10 ml with milk twice a day after food.
4. Triphala
churna 1 tea spoon with hot water at bed time.
5.
kustagna vati (anubhutha yoga): 1
tablet bid after food.
Some special clinical case presentation:
Case 1:
Patient
name Anjali aged 14 years complaining of blisters as a avakasho visarpa
anusarpa yathi with full of water, pain, daha over the anterior shoulder since
3 days. She undergone allopathic
treatment but not relived. This
condition is diagnosed as Herpes zoster Vataja Visarpa
Treatment:
1. Kasisadi
ghruta for external application tid.
2. Balaguduchyadi
kashaya. 15 ml every one hour once
3. Panchatikta
guggulu ghruta without ballataka 10 ml with milk twice a day after food.
4. Triphala
churna 1 tea spoon with hot water at bed time.
It will gives virechana effect.
5.
kustagna vati: 1
tablet bid after food.
 |
Patient
named Marakka aged 75 years w/o Durgappa, uneducated complaining of granthi
mala with tipical avakasho visarpa anusarpayathi over the back, daha, jvara,
kandu lakshanas Since 6 months. A granthi like peedakas with puya srava starts
in the left buttock and gradually developed over the right buttock then spreads
into all over the back.
Vikruti
taha, primary infection due to herpes zoster virus and secondary to
streptococci pyogens. Kapha and vata dosha, mamsavaha, lasikavaha,& rasvaha
srotas, are involved sangha, vimargamana ati pravrutthi, as srotho dusti. Due
to the nidana sevana, kapha avatha dosha prokapa takes place which
anusaprayathi over the back, Due these lakshanas as per acharyas diagnosed as
granthi visarpa, through the modern perspective which is originated from herpes
zoster virus and secondary to streptococcal auras it is one of the daruna,
kasta sadya and bahya roga margasritha vyadhi.
Result: Treatment is started with sukha virechana, orally tikta dravya pradhana dravas and externally applications. Because of the vrudda, bahu dosha ukta and also chronic disease was considered as the yapya roga.
Case
3:
Patient
name lakshmi w/o lakshmana aged 26 years, complaining of shopha, vrana, shula, Kunapa
Gandhi, jwara, daha, kandu, srava, avkasho visarpa anusarpayathi lakshanas in
the vrana since 7 months, these lakshanas are transferred through the buffalos
while milk squeezing 8 to 9 months back
and also since 3 to 4 months her family members also suffered from these type
of problems. Patient lakshmi already under gone the allopathic treatment but
not improved.
Vikruthi
taha pariksha shows due to herpes virus similes (B virus) caused by buffalos.
In
this condition kapha, vatha dosha dusti takes place, rasa, raktha, mamsa, thwak, lasikadi dhatus are involved. There are no abnormalities seen in the
general examination. Due to these lakshanas as per our acharya this disease can
be diagnosed as agni Visarpa. Through
the modern perspective which is originated from the Herpes simplex B virus or Herpes
virus simile . It is one of the daruna, kasta sadya vyadi.
 |
CASE
4 :-
Patient
name kousar bai w/o panduranga aged 34 years, complaining of blisters, shopha,
vrana, shula, Kunapa Gandhi, jwara, daha, kandu, srava, avkasho visarpa
anusarpayathi lakshanas in the vrana since 3 days , these lakshanas are
transferred through the while paper collection in garbage. This case simmilor
to previous one (Case3)
Vikruthi
taha pariksha shows due to herpes virus similes (B virus).
In this
condition kapha, vatha dosha dusti takes place, rasa, raktha, mamsa, thwak, lasikadi dhatus, mamsa vaha srotas,
rasa vaha srotas, lasika vaha srotas are involved. This shows the sroto dusthi
lakshanas are sanga, vimarga gamana and athi pravruthi. There are no abnormalities seen in the mala
and general examination. Laboratory investigations done. Due to these lakshanas
as per our acharya this disease can be diagnosed as agni Visarpa. Through the modern perspective which is
originated from the Herpes simplex B virus or Herpes simile. It is one of the
daruna, kasta sadya vyadi.
Case 5:-
Patient
name shivanandappa aged 72 years complaining of blisters as a avakasho visarpa
anusarpa yathi with block pimple, pain, daha over the back since 3 days. This
condition is diagnosed as post hepatic neuralgia (Herpes zoster) Vataja Visarpa.
Case 6:-
Patient
name govinda aged 32 years complaining of blisters as a avakasho visarpa
anusarpa yathi with full of water, pain, daha over the neck, unable to flex the
neck & unable to sit properly, since 8 days. She undergone allopathic &
fockler treatment but not relived. There family members concluded that he daid
within 3 days. This condition is diagnosed as vericella pittaja visarpa.
Patient
name manju aged 8 years complaining of blisters as a avakasho visarpa anusarpa
yathi with full of water, pain, daha over the around the eye since 3 days. This
condition is diagnosed as herpes orbitalis vataja visarpa.
Case 8:-
Patient name hruthik aged 4 years complaining
of blisters as a avakasho visarpa anusarpa yathi with full of water, pain, daha
over the pennies since 2 days. This
condition is diagnosed as Herpes genitals Vataja Visarpa.
Case 9:-
Patient name harish aged 16 years
complying of blisters all over the body burning, discomfort, diagnosed
vericella zoster –small pox –agni visarpa as at time of SSLC exams, luckily
having 1 days gap for next paper, he wrote an exam and got distension marks.
Case 10:-
Patient
name mallakka aged 50 years complaining of blisters as a avakasho visarpa
anusarpa yathi with previously full of water, after 10 bisters become dry &
crocks, pain, daha around the lips. She undergone allopathic treatment but not
relived every one treat like lip crock.
This condition is diagnosed as Herpes labialis Vataja Visarpa.
CONCLUSIONS:
Visarpa is still a relevant clinical
condition in general and specialty practice.
Visarpa is vector born inflammatory spreading disease, Inflammation is mainly due to Nita of viruses
this classification made according to afflicting chemical, physical, and
serological criteria. Herpes simplex 1, Herpes simplex 2, Herpes zoster,
Vericella zoster, Vericella, Cytomogalo virus and secondary infection to streptococcus
pyogenes (Hemolytic streptococci of group A)
80 types of streptococcus pyogenes
are have been recognized so far.
The general line of treatment of
visarpa includes langhana, langana rukshana, tikta dravya sevana ama pachana,
ullekhana, shamana, and bahir parimarjana.
Tikta rasa is predominanat herbs like Musta, Bala, Guduchi, Yashti, Chandana, Usheera are
formed effective in many ways, due their anti-viral, anti-bacterial,
anti-inflammatory, anti-oxidant, anti-tumor activity.
Kasisadi ghruta for external
application gives in excellent result in Nita group of virus.
Agni Visarpa is herps simile virus
induced disease and it is diagnosed and it is clinically diagnosed and
managed. Vataja Visarpa is disease of
herpes zoster virus it is also clinically diagnosed and managed. Granthi
visarpa is disease of herpes virus and secondary infection to streptococci
pyoens group A.
So, every physician must try to
evaluating the cases of Visarpa based on the evidence.
DGM Ayurveda Hospital GADAG Every SATURDAY. From 9AM to 3PM
Ganesh Nursing Home KAKAPURA Every 2nd Thursday
rest of the days in Jagalur Branch
Available at :- Dr. Chethan Jagalur BAMS. MD. MSS&C. Award winner of “VAIDYARATNAM P.S WARRIERS”
Shree Ujwala Ayurveda Hospital, panchakarma centre & pharmaceticals, JAGALUR-577528, Davanagere(dist), Karnataka Contact:- 9844606423 e-mail chethan03ayu@gmail.com
Dr. Chethan Jagalur Consultation:- ISHAYU (Shree Ujwala Ayurvedic Hospital) BANGALORE Malleswaram every THURSDAY.DGM Ayurveda Hospital GADAG Every SATURDAY. From 9AM to 3PM
Ganesh Nursing Home KAKAPURA Every 2nd Thursday
rest of the days in Jagalur Branch
On-line Consultation Timing:- 9Am to 9 Pm (Phone calls or Whatsup)
Contact:- 9844606423
