Applications of Vatopakram’s in Vatavyadhi

[Find the meaning and references behind the names: Mala, Ama, Sneha]

REVIEW ARTICLE July-Aug 2020 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2020 | Vol. 5 | Issue 4 318 Applications of Vatopakram’s in Vatavyadhi Dr. Viajayalaxmi B. Benakatti 1 , Dr. Mallamma H. Biradar 2 , Dr. Prasadshakti Gannur 3 1 Associate Professor, Dept. of Kaumarabhritya, 2 Associate Professor, Dept. of Agadatantra, 3 Associate Professor, Dept. of Shalya Tantra, BLDEA’s AVS Ayurveda Mahavidyalaya, Vijayapur, Karnataka, INDIA. I NTRODUCTION Vata is the prime Dosha among Tridosha , because of its Asukaritwa and ability to carry on the life process in association with Pitta and Kapha Dosha , Sapta Dhatu and Trividha Mala . It is composed of Rajoguna , which is Pravarthaka and the other two Doshas are often described as Pangu without the involvement of Vatadosha . Vata causes more number of diseases in the body than other Doshas . Vata Dosha governs all movements and flow in the body. Vata Vyadhi means diseases caused by vitiated Vata Address for correspondence: Dr. Viajayalaxmi B. Benakatti Associate Professor, Dept. of Kaumarabhritya, BLDEA’s AVS Ayurveda Mahavidyalaya, Vijayapur, Karnataka, INDIA. E-mail: vbbenakatti 1981@gmail.com Submission Date: 09/07/2020 Accepted Date: 15/08/2020 Access this article online Quick Response Code Website: www.jaims.in Published by Maharshi Charaka Ayurveda Organization, Vijayapur, Karnataka (Regd) under the license CCby-NC-SA The disease which is caused by Vata or Asadharana Vyadhi caused by vitiated Vata is called as Vatavyadhi . According to causes and pathology, all the conditions of the Vatavyadhi can be classified into two types as Dhatukshayajanya and Margavrodhjanya [1] Dhatukshayajanya Vatavyadhi caused by intake of Ruksha, Sheet Ahara and Margavrodhjanya Vatavyadhi , caused by improper intake of food leading to formation of Ama that causes Margavrodha . In the pathology of Dhatukshayajanya , there is Dhatukshaya i.e. destruction in Dhatu , whereas in Margavrodhajanya there is obstruction. Dhatukshayajanya Vatavyadhi can be treated by controlling vitiation of Vata and correcting the destruction of Dhatus . Margavrodhajanya Vatavyadhi can be treated by removal of obstruction and correcting the direction of flow of Vata According to Astanga Sangraha Vatapokramas [2] are ▪ Sneha (Oleation) ▪ Sweda (Sudation) ▪ Samshodhana (Mild purgation) ▪ Madhura, Amla, Lavana and Ushna (Food which are sweet, sour, salt taste and hot) A B S T R A C T Vata is Prana of human as it is responsible for all Cheshtas i.e. movement. Acharya Charaka has mentioned the qualities of Vata in Vatakalakaliya Adhyaya that the Vata Dosha , when it is normal sustains the functioning of all the organs of the body, initiates all the actions and coordinates, stimulates all the sense organs. Gati is the unique feature of Vayu . The deranged Vata functions lead to different disorders related to movements; sensory organs etc and also affect the strength and span of life. Vata gets vitiated by Dhatukshaya , Avarana by Pitta and Kapha . Vata alone causes 80 diseases. Different treatment modalities are explained for each Doshas individually called Doshopakramas . Vatopakrama means treatment modalities helps in mitigating Vata Dosha and balance Vata Dosha . Snehana , Swedana , Basti are considered best therapies in all types of Kevala Vatajanyavyadhis . Considering the Nidana and Samprapti of Vata Vyadhi , one can treat Vata Dusti successfully by applying appropriate Vata Upakramas . In this article an attempt is made on application Vata Upakramas in Vatavyadhis . Key words: Vata, Vatopakrama, Vatavyadhi.

[Find the meaning and references behind the names: Bala]

Dr. Viaj ayalaxmi B. Benakatti et al. Applications of Vatopakram’s in Vatavyadhi ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2020 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2020 | Vol. 5 | Issue 4 319 ▪ Abhyanga (oil massage) ▪ Mardhana (Simple massage) ▪ Trasana (frightening) ▪ Deepana Pachana Siddha Sneha (Ghee, oil, fat prepared with drugs causing increase of hunger and improves digestion) ▪ Anuvasana Basti (Oil enema) ▪ Asthapana Basti (decoction enema) Snehana Which induces Sneha (unctuousness, oiliness), Vishyandana (liquifaction), Mardavata (smoothness), Kleda (moistnes) is called as Snehana [3] In Chaturvidha Sneha, Taila is considered as one of the best in Vatavikaras [4] Kevala Vata and Anavritta Vata can be managed with Ghrita, Taila, Vasa, Majja both internally and externally [5] 1. Internal application as Snehapana : According to the action of the Sneha , it has been divided into three varieties. ▪ Brihmana ▪ Shamana ▪ Shodhana 2. External applications: Abhyanga (massage) ▪ Pariseka (pouring of oil) ▪ Moordha Taila o Shiro Pichu o Shirodhara o Shiro Vasti ▪ Gandusha Indications 1 Snehapana ( Ghrita or Taila ) after taking food in Bahu, Shirshagata Vata. Mashasaindhavasadhita Taila [6] 2 Snehapana - Ghruta prepared by Anupamamsa, Dashamoola, Shatavari, Kulatha, Badara, Masha, Tila, Rasna, Yava, Bala should be cooked by adding Vasa, Dadhi, Amla - Vata Vyadhi [7] 3 Snehapana after meals - Avabahuka [8] 4 Avapeedana Snehapana (food has to be taken after consuming the Ghruta ) - Adhonabhigata Vata. [9] 5 Abhyanga with Mashasaindhavasadhita Taila - Sarvanga Vata , Twakgata Vata. [10] 6 Abhyanga with Mashasaindhava Sadhita Taila in Sankocha . Taila prepared by Anupmamsa , Dashamoola, Shatavari, Kulatha, Badara, Masha, Tila, Rasna, Yava, Bala should be cooked by adding Vasa, Dadhi, Amla - Vata Vyadhi [11] 7 Abhyanga with Katu Taila - Greevastambh [12] 8 Snehana - Kubja [13] 9 Ghruta with Yavakshara and Hingu – Tuni , Pratituni [14] 10 Murdhini Taila - Ardhita [15] 11 Snehapana and Abhyanga - Shrotradigata Vata [16] Ghruta used in Vatavyadhi SN Ghruta Indications References 1. Dashamooladi Ghruta Kevalavatavyadhi - Pana, Abhyanga, Basti Cha. Si. 119- 121. PN -753 2. Chitrakadi Ghruta Nanatmajavata Vyadhi Cha. Si. 122- 23. PN -753 3. Baladi Ghruta Murdhagata Vatavyadhi Cha. Si. 123- 124. PN -753 4. Panchatikta Guggulu Ghruta Astimajjagata Vata Sahasra Yoga 5. Dashamooladi Majjasneha Sira, Parva, Asti, Kostagata Vata - Navana Nasya, Abhyanga, Anuvasana Basti Cha. Si. 124- 127. PN -753 6. Triphaladi Chatusneha Sarvangavata, Ekangavata, Majja, Asti, Siragata Vata, Vepatu, Akshepa, Cha. Si. 129- 134. PN -753

[Find the meaning and references behind the names: Narayana, Ardita, Sam, Bhai]

Dr. Viaj ayalaxmi B. Benakatti et al. Applications of Vatopakram’s in Vatavyadhi ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2020 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2020 | Vol. 5 | Issue 4 320 Shoola 7. Jeevaniya Ghruta Sarvangavata, Ekangavata Cha. Si. 29/61- 70. PN -784 8. Panchatikta Ghruta Sandhi Vata, Majjagata Vata, Astivata, Prabala Vata. Yoga Ratnakara Vatavyadhi Chikitsa , 354- 57 PN – 433 9. Nimbadi Ghruta Astigata, Sandhigata, Majjagata Vata A.H. 21/58-61 P 811 10. Rasna Ghruta Vataroga A.H. 21/57 P 811 Taila’s used in Vatavyadhi SN Taila Mode Of Administration Indications Reference s 1. Nirgundi Taila Pana, Abhyanga Vatajanita Vedana Cha. Sam. Chi 28/34- 35 PN 753 2. Laghupanch amoola Taila Pana Vatavikara, Grudrasi, Vatakaphaj a Cha. Sam. Chi 28/138 39 P - 756 3. Sahachara Taila Pana, Abhyanga Kampa, Akshepaka, Stambha, Shosha, Vatavyadhi Cha. Sam. Chi. 28/143-45 P – 757 4. Bala Taila Vatavikara Cha. Chi 28/148- 156 P 757 5. Amrutaadi Taila Pana Vatavikara Cha. Chi 28/157- 164 P 759 6. Rasna Taila Vatavikara Cha. Chi 28/165- 166 P 760 7. Karpashtyad i Taila Pana, Abhyanga Pakshagata , Avabahuka Sahasraha yoga, Taila prakaran P-80 8. Ksheerabala Taila Abhyanga Pakshagata , Sandhigata Vata Sahasraha yoga Taila prakaran P-75 9. Narayana Taila Abhyanga Katigrahsa, Sarvanga Ghraha Hanustamb ha, Manyasta mbha. Yoga Ratnakara Vatavyadh i Chikitsa , 267-77 PN – 425 10. Mashabaladi Taila Pana, Nasya, Basti Manyasta mbha, Jihvagraha, Gatrakamp a Bhai. Ratnavali 27/551- 556,P- 538 11. Vishatinduka Taila Abhyanga Vataroga Bhai. Ratnavali 27/179- 181,P- 589 12. Dhanvantar a Taila Vata Vyadhi Sahasra yoga tailaprakar an, P-74 13. Laghuvishag arbha Taila Abhyanga Pakshaghat a, Hanustamb ha, Manyasta mbha, Katighaha, Kampa Yoga Ratnakara Vatavyadh i Chikitsa , 245-46 PN – 424 14. Mahamasha Taila Basti, Abhyanga, Pana, Navana Pakshgata, Hanustamb ha, Ardita, Avabahuka, Vishwachi, Kanja, Pangu Bhai. Ratnavali 27/543- 550,P- 567 15. Saindhavadi Taila Grudrasi, Sandhishoo la Yoga ratnakara Vatavyadi Chikitsa P – 522 16. Prasarini Taila Abhyanga Ekangavata , Sarvanga Vata, Pangu Yoga ratnakara Vatavyadh i Chikitsa -

[Find the meaning and references behind the names: Raja, Karna, Kalpana, Adi, Ajit, Sukumar, Anu]

Dr. Viaj ayalaxmi B. Benakatti et al. Applications of Vatopakram’s in Vatavyadhi ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2020 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2020 | Vol. 5 | Issue 4 321 P – 532 17. Mahamaash a Taila (Samisha) Pana, Abhyanga, Basti, Nasya. Sarvavatar oga, Shoola, Pakshaghat a, Ardita, Kalayakhan ja, Pangu Bhaihjya ratnavali 26/536- 542 P-566. 18. Hingwadya Taila Karna Shoola Bhaisajya Kalpana 62/14 Op- Ed 968 19. Bilwadya Taila Bhadirya Bhaisajya Kalpana 62/29 P- 970 20. Mashasaind havadi Taila Abhyanga Sankochita Avayava Cha. Chi 28/97 P - 794 21. Anu Taila Abhyanga Pakshaghat a Su. Sam. Chi 4/28 P 27 22. Agurvadi Taila Vataroga Cha chi sta 28/179 pp 718 23. Mulaka Taila Vataroga Cha Chikitsa 28/175 pp 717 24. Karpasakula tta Siddha Taila Vataroga Cha.Si.129 -134. PN - 753 25. Yavadi Taila Vataroga Cha. Si. 140-141. PN -756 26. Mulakadya Taia Vataroga Cha. Si. 167-169. PN – 760 27. Vrushamool adi Taila Vataroga Cha. Chi 170-171. PN -760 28. Sukumar Taila Sarvangava ta, Ekangavata , Vepatu, Akshepaka, Ch Chi 29/ 129-134. PN -753 Kanja, Pangu 29. Shatavari Taila Vatavyadhi Yoga Ratnakara Vatavyadh i Chikitsa , 291-92 PN – 427 30. Mahavishag arbha Taila Ghrudrasi, Sarvanga Grahana Yoga Ratnakara Vatavyadh i Chikitsa , 247-55 PN – 424 31. Eladi Taila Vatamaya, Bala Vrudhi, Mandanala Yoga Ratnakara Vatavyadh i Chikitsa , 297-99 PN – 427 32. Sugandhi Taila Pavanamay ajit, Useful In Bala, Vrudda, Raja Yoga Ratnakara Vatavyadh i Chikitsa , 295-96 PN – 427 33. Masha Taila Pana, Abhyanga, Basti, Nasya Hastakamp a, Shirakampa , Bahu Kampa, Avabahuka, Urdvajatru gata Yoga Ratnakara Vatavyadh i Chikitsa , 323-26 PN – 432 34. Rasnaputika Taila Pana, Lepa, Nasya, Shirobasti Dhanurvata , Antaryama, Grudrasi, Avabahuka, Viswachi, Pangu, Ardita, Padaharsh a. Yoga Ratnakara Vatavyadh i Chikitsa ,3 42-357 PN – 433 35. Vijayabhaira va Taila Pana, Abhyanga, Lepa Bahukamp a, Shirakampa , Jangha Kampa, Ekanga Yoga Ratnakara Vatavyadh i Chikitsa , 336-40 PN

[Find the meaning and references behind the names: Harsha, Sankar]

Dr. Viaj ayalaxmi B. Benakatti et al. Applications of Vatopakram’s in Vatavyadhi ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2020 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2020 | Vol. 5 | Issue 4 322 Vata – 432 36. Masha Taila Abhyanga Pakshagata Yoga ratnakara Vatavyadh i Chikitsa - P – 518 37. Mashdya Taila Abhyanganasy a, Parisheka Avabahuka, Ardhanga Vata, Shosha, Bahukamp a, Shirkampa, Yoga ratnakara Vatavyadh i Chikitsa - P – 519 38. Madhuparn aydi Taila Pana, Abhyanga, Basti, Nasya Vatavikara Cha. Chi 29 Swedana Procedure that relieves the body from Stambha (stiffness), Sheeta (cold), Gourava (heaviness) and it is Swedakaraka . Swedana is a essential Purvakarma. Before the administration of fomentation therapy, the body should be oleated properly and thereafter fomentation therapies namely Nadisweda, Prastara Sweda, Sankar Sweda as well as other types of appropriate fomentation should be administrated. Swedana can also be administered as Pradhana Karma and Paschata Karma in many Vatavyadhi ’s. Swedana has benefits as Malapaham (removes toxins from the body through sweat), Rogapaham (cures many Vatavyadhis as Pradhan Karma ), Bala, Varna Prasadanam (increases strength and colour by stimulating sweat glands, removing toxins and increasing blood circulation) Applications of Swedana 1 The hot poultice - In Vatavyadhi having predominance of Shula, Sankocha, Stambha. 2 The hot poutice - in Vatodwestana (cramps). 3 The hot poultice prepared by Head of a goat, meat of aquatic, marshy land, pishita animals made free of bones, cut into small pieces, steam boiled and added with oil, ghee and sour ingredient [17] 4 The hot poultice prepared by Mamsa of Anupamamsa, Dashamoola, Shatavari, Kulatha, Badara, Masha, Tila, Rasna, Yava, Bala should be cooked by adding Vasa, Dadhi, Amla [18] 5 The hot poultice prepared with Payasa and Krushara, Mamsa, Taila, Ghrita are beneficial - Vataroga 6 Salwana Upanaha - Pakshagata [19] 7 Mustadi Upanaha - Vatavyadhi [20] 8 Nadisweda, Upanaha with Vatahara Dravyas - Ardita [21] 9 Avagahana Sweda - with Vatahara Kwatha, Dugdha, Taila - Twakagata Vata [22] 10 Avagaha Sweda in Vataroga - Kwatha, Ksheera, Taila [23] 11 Nadisweda - with Mamsa of Anupmamsa, Dashamoola, Shatavari, Kulatha, Badara, Masha, Tila, Rasna, Yava, Bala should be cooked by adding Vasa, Dadhi, Amla [24] 12 Shastika Swedana, Parisheka, Annalepa - Karmakshaya Pradhana Vatavyadi like Pakshaghata . 13 Bhaspha Swedana - In Katishoola, Ghrdrasi. 14 Valuka Swedana - Ama Pradhana Shotha. 15 Sankar Sweda - Kevala Vata [25] 16 Ruksha Sweda - Manyastambha [26] 17 Patra Pinda Sweda - Effective in the management of painful conditions caused by Vatadosha , usually in degenerative diseases. 18. Niragni Sweda - Kaphamedavruta Vataroga. 19 Avagaha, Kuti, Karshu Sweda, Prastara Sweda [27] - Sarvanga Sweda 20 Harsha,Toda, Ayama, Shopha, Stambha, Graha [28] Mridu Shodana Virechana Karma is the process of expelling vitiated Doshas through Adhobhaga i.e. Guda . Virechana Karma is a specific process for elimination of Pitta Dosha , it also capable of mitigating Vata Dosha . In

[Find the meaning and references behind the names: Guna, Rasa, Anup]

Dr. Viaj ayalaxmi B. Benakatti et al. Applications of Vatopakram’s in Vatavyadhi ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2020 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2020 | Vol. 5 | Issue 4 323 Vatavyadhi Mridushodana [29] is recommended, as Teekshna Virechana cause vitiation of Vata Dosha again. Mridu Shodana means Mridu Virechan . The drug used in the form of oil or the preparation containing Sneha is known as Sneha Virechana eg: Eranda Taila. Virechan drugs eliminate the Doshas from the body, eradicate the diseases and restore normal strength and complexion of the body Indication 1 Because of inappropriate administration of therapies i.e. Snehana , Swedana the diseases caused by Vata do not get subside. Then elimination therapy with the help of Mridu Virechana Dravya with Sneha , commenting on Sadoshatwa , Chakrapani explained that sometimes appropriate administration of therapies may leads to accumulation of morbid matter that has to be eliminated by Mridu Virechan [30] 2 Intake of food which is Snigdha Guna, Amla, Lavana Rasa Yukta, Ushna Guna Yukta , the morbid material gets accumulated and it obstructs the Srotus , lead Avarodha to Vatadosha . In that condition Virechan (elimination therapy) will help [31] 3 Pakvashayagata Vata [32] 4 Mamsamedagata Vata [33] 5 Pakshaghata [34] 6 Krostukashirsha - Eranda Taila with Ksheera Mrudu Shamshodhana has been mentioned in the treatment of Margaavarodha Vatavyadhi. Yogas for Mrudu Virechana Because of inappropriate administration of therapies ( Snehana , Swedana ) the ailments do not subside, then for elimination, the mild drugs added with unctuous ingredients should be given. For this purpose, medicated ghee prepared by boiling, either with Tilvak or Saptala or Eranda Taila with milk [35] They help in the elimination of vitiated Doshas and produce beneficial effects. Basti in Vata Vyadhi Basti Chikitsa is regarded as the prime treatment in Vatavyadhi among the Panchakarma . It is having not only curative action but also preventive and promotion actions. The medicine administered with a Basti used as instrument. Anuvasana Basti , Asthapana Basti are considered as best Upakrama in Vatavyadhi . After Snehapana of Chatursneha and again Snehana should be administered with the help of Payasa, Yusha, Gramya, Anup, Ambuja Mamsarasa after adding Sneha . Payasa and Krushra added with Amla, Lavana, then after Anuvasana Basti should be administered with medicated Dravya or Sneha [36] Indications for Basti 1 If the patient is weak and unsuitable for the administration of purgation therapy, then Niruha Basti medicated with ingredients, which are Pachana and Deepana [37] should be given. 2 Sarvangavata 3 Mamsamedagata Vata 4 Adogata Vata 5 Grudrasi 6 Pakshagata 7 Bastigata Vata 8 Pakwashayagata Vata 9 Vataapravrutti 10. Adhika Udagara 11 Antrakujana etc. Yoga’s for Anuvasana Basti and Niruha Basti Anuvasana Basti Niruha Basti Dashamooladi Taila Guduchyadi Niruha Basti Mahamasha Taila Rasnadi Niruha Basti Narayana Taila Erandamooladi Niruha Basti Bala Taila Baladi Niruha Basti Guduchyadi Taila Dashamooladi Niruha Basti

[Find the meaning and references behind the names: Sara, Ana, Main, Guru, Kala, Sura]

Dr. Viaj ayalaxmi B. Benakatti et al. Applications of Vatopakram’s in Vatavyadhi ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2020 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2020 | Vol. 5 | Issue 4 324 Dashamooladi Taila Shatavhadi Taila Saindhava Ghruta Vitrasana, Vismarana, Vismapana Commenting on Vitrasana , Arunadutta explained as Trasana means fearing, this is done by showing Vyaghra, Rajapurusha, Graham etc. Chakrapani explained Vitrasana are Vatakaraka Nidana and it is told in Vataja Unmada as Hetuviparitharthakari Chikitsa Snigdha, Madhura, Amla, Lavana These three Rasa’s are said as potent Vata Shamaka Rasa. Madhura Vipaka, Snigdha Guna of Amla and Lavana Rasa acts on Ruksha, Laghu, Khara Guna’s of Vata . Chakradatta explain all patients of Vatavyadhi should be treated with Madhura, Amla, Lavana, Snigdha Ahara. Surasava , Asava is prepared in cold water without boiling the drugs. Sura - The fermented liquor prepared by using cooked rice, barley etc DISCUSSION Snehana Both the internal and external use of Sneha helps in Vatavyadhi . Sneha Dravya possesses Drava , Sukshma, Sara, Snigdha, Picchila, Guru, Sheeta, Manda, Mrudu properties, which are opposite to the Guna’s of Vata Dosha like Ruksha, Laghu, Sheeta, Daruna, Khara, Vishada. So by these properties Sneha Dravya’s alleviates Vata Dusti . Sneha helps in promotion and regulation of Vata Dosha . In Chatursneha , Taila is considered best for Vatadosha . Continues use of Taila alleviates Vata Dosha , as it is having Snigdha, Guru, Ushna Guna . Sneha ’s when administered, it provides nourishment of Dhatu , which are Shushka , because of Ruksha Guna of Vata . Abhyanga (application of Taila ) specific Taila is selected according to disease and body is massaged in specific manner for a specified period of time. Dalhana explained Taila entered into Uttarottara Dhatu , 300 Matra Kala reach to hair follicles, 400 Matrakala to Rakta , 500 Matrakala to Mamsa , 600 Matra Kala to Meda Dhatu , 700 to Asthi Dhatu and 800 Matrakala to Majja Dhatu . By regular practice of Abhyanga degenerative changes can be slow down, helps in preventing degeneration of tissue and helps in regeneration of tissue. Abhyanga with Taila prepared by using Vatashamaka specific drugs decoction relieves Shoola and Vatavyadhi ’s. When Sneha is administered externally, drugs undergoes Pachana by Bharajaka Pitta and the Virya of drugs are absorbed through Romakupa and Dhamani , circulated all over the body. Snehana helps in nourishing Dhatus by increasing Agnibala and increases strength of the body. Repeated Snehana and Swedana , as a result of which the Kosta becomes soft and the diseases of Vata do not get lodged there permanently. Snehana Karma plays an important role in management of Dhatu Kshayaja Vikara . In Margavarodha Vatavyadhi ’s, Sneha administered internally it reaches to Srotamsi and act as a solvent to remove the obstruction by dissolving Dosha in it and resulting in removal of Strotorodha , which is important in Samprapti Vighatana of disease. Swedana Swedana has the main role in treatment of Vatavikara. Guru, Tiksh ana, Ushna Dravya’s induces Swedana and the drugs having opposite qualities like Laghu, Sheeta relieves stiffness. Harsha, Toda, Ruk, Ayama, Shotha, Stambha, Daha etc. immediately get alleviated, produces Mardhavata in body. Swedana has Teekshana, Ushna Guna , its main action like Sthambagna, Gouragna, Sheetagna , which are quite opposite to the symptoms of the Vata disease. Swedana Stambhanigraha , Sheetagnata, Gowravagnata, Swedakaraka, Vatashamana, Gatravinamana, Agnideepana, Twakmardava, Twak Prasadana, Nidra and Tandranasha, Bhkthashradha, Srotoshudhi, Sandhichesta, Doshashodhana. Swedana helps in delocalizing the Sthanika and Sarvadaihika Dosha . Also helps in Srotomukha Vishodhana (Vasodilatation), Ama Pachana (Increased metabolic rate), removes Swedavaha Srotorodha (Stimulation of sweat glands). Swedana increases sweat and throw out waste products along with sweat; it decreases Kleda in the body resulting in the reduction of Sthamba (stiffness), is common symptom of Vata

[Find the meaning and references behind the names: Sun, Deep, Madhu]

Dr. Viaj ayalaxmi B. Benakatti et al. Applications of Vatopakram’s in Vatavyadhi ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2020 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2020 | Vol. 5 | Issue 4 325 Vyadhis . Swedana increases blood circulation to the affected area, corrects Dosha imbalances, strengthens the muscles and improves the tissues capacity within the body. Mrudu Shodana By Shodana , morbid Doshas accumulated in Srotus , which obstructs the movement of Vata is get relieved and helps in proper function of Vata Dosha . In Vata Vyadhi , Mrudu Shodana is indicated, so the medicine prepared with oil base is preferable, to prevent further vitiation of Vata Dosha . As excessive passage of Mala and Dosha is one of the Nidana for Vatavyadhi , so Tikshna Shodana is contraindicated.The Virechana Karma clears the Margavarodha by eliminating the morbid Doshas and regulates the activity and movement of Vata Dosha . Virechana evacuates all morbid Doshas from all micro to macro dhatu channels and regulates Vata Snigdha, Amla, Lavana, Ushna Ahara Sevana Lavana generates Kledata (moistness) and removes Avarodha in Vata Marga . Ushna Guna counteracts Seeta Guna of Vata . Guru Guna nullifies Laghu Guna of Vata . Amla dilates Srotasa by Tikshna, Ushna and Snigdha thus causes Anulomana of Vata . Madhura pacifies Vata by its Snigdha, Guru and Picchila being opposite to Vata . Madhura Rasa by nourishing Dhatus pacifies Vata caused by Dhatu Kshaya. Basti Basti is considered as best procedure for Vatavyadhi . The site of action of Basti is Pakwashaya . It is the main site of Vata Dosha . Hence Basti is mainly useful for the treatment of vitiated Vata . Basti Karma helps to reset and maintain the balanced state of Vata Dosha and thus helps in treatment of Vatavyadhi’s . Anuvasana Basti and Niruha Basti is mentioned in all Tridoshas , but it is specially indicated for Vataja Vikaras . Basti is the best therapy to control the Vata and thus control Pitta and Kapha , as it is responsible for all the functions of the body and also the diseases. Hence Basti is said as Ardha Chikitsa . Basti is not only cleansing process, it also performs various functions according to the type of Basti implemented ex. Shodhan Basti acts as a cleansing process, Bruhan Basti is nutritive in function. In Sushruta Samhita explained that Virya of Basti Oushada reaches all over the body through Srotus in the same way as the water pour at the root of the plant reaches up to leaves. Even though Basti Dravyas comes out with Mala , but their Virya acts all over the body by the action of Pancha Vata , just as sun draws moisture from the earth. Acharya Vagbhata in Astanga Sangraha explained that Virya of Basti reaches Apana Vata and nourishes it, then acts on Samana Vata . After nourishing Samana Vata , then Vyana Vata , thereafter act on Udana Vata and Prana Vata and nourishes them. When all Pancha Vata gets nourishes it promotes health. By subside of Vata Dosha , all diseases located in the other parts of the body also become pacified. The Virya of Basti also acts on Pitta and Kapha Dosha brings to normalcy. The Virya of Basti is carried to Tiryak Pradesha by Vyana Vata , to Adha Pradesha by Apana Vata , and to Urdhwa Pradesha by Prana Vata (A.S.5/68). According to Parashara , anus is the root of the body and through the vessels spread entire body upto Murdha , does nourishment, also alleviates the Dosha ’s from body. Most of the Vatavyadhi ’s can be treated by Basti Chikitsa . Effect of Basti is not only limited upto rectum and Samshodhana of Malas , it helps to improve regeneration of nerves, functioning of neural system. Anuvasana Basti nourishes all the channels after reaching the Nabhi . Basti can go deep into GIT and produces wide spread effects. Proper volume of Basti Dravya produces mechanical pressure effect and helps in various mobility disorders. In Niruha Basti , as Basti Dravya become as hypertonic solution due to its ingredients like Madhu, Saindhav, Kalka, Kashaya introduced into the body through anus, get absorbed by intestinal epithelial cells by the process of osmosis, throws out Doshas from the body. Thus Basti is helpful in both types of Vata Vyadhi , but one should administer after assessing Kevala Vata or any Samsrusta Dosha , also assess Bala of Rogi and Roga. CONCLUSION The principle of advocating of any Upakrama is Dosha Samyata . Vatopakrama works on the principles of

[Find the meaning and references behind the names: Vidya, Gupta, Deepika, Krishna, Prakashan]

Dr. Viaj ayalaxmi B. Benakatti et al. Applications of Vatopakram’s in Vatavyadhi ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2020 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2020 | Vol. 5 | Issue 4 326 Samanya and Vishesha Siddhanta . Roga must be assessed carefully for Kevala Vata and Avrutta Vata and Rogi must be examined, based on that Upakrama should be planned. Snehana , Swedana , Basti are prime line of treatment of Vatavyadhi . Vatopakrama can also be used as both prevention and cure of a Vata Vyadhi REFERENCES 1 Charak Samhita of Agnivesa elaborated by Charaka and Dridabala with Ayurveda deepika commentary, Edited by Yadavji Trikamji Acharya, Published by Chaukambha surabharati prakashan, Edition: Reprint 2011 Varanasi, Cha.chi.28/59 P-619. 2 Astanga sanghraha, edited by Kaviraj Atridev Gupta, Chaukhamba Krishnadas Academy, Varanasi, Su 11/03 P - 166 3 Charaka Samhita, edited by Kasinatha Sastri , Chaumkhambha Bharati Academy, Varanasi,reprint 2001, Sutra stathan 22/10, P - 424 4 Charak samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003, Cha chi 28/180 P - 714 5 Charak samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003, Cha chi 28/75 P - 701 6 Charak samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003 Cha Chi 28/98 P -704 7 Charak samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003, Cha chi 28/ 110-111 P -706 8 Charak samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003 Cha Chi 28/ 98 P -704 9 Charak samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003 Cha chi 28/97 P -704 10 Charak samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003 Cha chi 28/ 110-111 P -706 11 Charak samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003 Cha chi 28/ 99 P -705 12 Charak samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003 Cha chi 28/99 P -705 13 Yogaratnakara, edited by Dr. Indradev Tripathi, Chaukhambha Sanskrit Sansthan, Varanasi, 6 th ed, s 1997, 146-47 P - 415 14 Yogaatnakara, edited by Dr. Indradev Tripathi, Chaukhambha Krishna Academy, Varanasi, reprint 2007, Shloka No. 148 P - 415 15 Charak Samhita, edited by Vidya Laxmipati Sastri, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003 Cha chi 28/97 P -704 16 Yogaatnakara, edited by Dr. Indradev Tripathi, Chaukhambha Krishna Academy, Varanasi, reprint 2007, Shloka No. 9 P -517 17 Charak samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003 Cha chi 28/ 108 P -706 18 Charak Samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003 Cha 110- 112 P 19 Sushruta Samhita, edited Kaviraj Ambhikadutta Shastri, reprint 2014, Chaukhambha Publication Varanasi, Su Chi 4/19 P - 42 20 Charak Samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003 Cha chi 28/113 P – 707 21 Sushruta Samhita, edited Kaviraj Ambhikadutta Shastri, reprint 2014, Chaukhambha Publication Varanasi, Su Chi 4/22 P - 33 22 Charak Samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003, Cha 28/91 P – 702 23 Charak Samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003. Ch. Chi. Sta 28/109 P - 703 24 Charak Samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003, Cha 110- 112 P -707 25 Astanga Hrudaya, edited Dr. Brahmananad Tripathi, Chaukhambha Sanskrit Pratisthan, Delhi, reprint 2007, Chi 21/3 P -497 26 Sushruta Samhita, edited Kaviraj Ambhikadutta Shastri, reprint 2014, Chaukhambha Publication, Varanasi, Su chi 4/20 P - 43 27 Sushruta Samhita, edited Kaviraj Ambhikadutta Shastri, reprint 2014, Chaukhambha Publication Varanasi, Su Chi 4/10 P - 34 28 Astanga Hrudaya, edited Dr. Brahmananad Tripathi, Chaukhambha Sanskrit Pratisthan, Delhi, reprint 2007, Chi 21/3 P -804 29 Charak Samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003, Ch Chi 28/83 P -702 30 Charak Samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003, Ch Chi 28/83 P - 702 31 Astanga Hrudaya, edited Dr. Brahmananad Tripathi, Chaukhambha Sanskrit Pratisthan, Delhi, reprint 2007, Chi 21/11 P - 804 32 Yogaratnakara, edited by Bhisagratna Brahmasankar Sastri, Chaukhambha Sanskrit Sansthan, Varanasi, 6 th ed 1997, Shloka no. 1 P -517

[Find the meaning and references behind the names: Nil, Med]

Dr. Viaj ayalaxmi B. Benakatti et al. Applications of Vatopakram’s in Vatavyadhi ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2020 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2020 | Vol. 5 | Issue 4 327 33 Yogaratnakara, edited by Bhisagratna Brahmasankar Sastri, Chaukhambha Sanskrit Sansthan, Varanasi, 6 th ed 1997, Shloka No. 1 P- 517 34 Charak Samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003, Cha chi 28/100 P - 705 35 Charak Samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003,Ch Chi 28/84 P -701 36 Charak Samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003,Ch Chi 28/77 P -700 37 Charak Samhita, edited by Vidyadhara Shukla, Chaukhamba Sanskrit Pratishtan, Delhi, reprint 2003,Ch Chi 28/86 P - 701 ******************************* How to cite this article: Dr. Viajayalaxmi B. Benakatti, Dr. Mallamma H. Biradar, Dr. Prasadshakti Gannur. Application s of Vatopakram’s in Vatavyadhi . J Ayurveda Integr Med Sci 2020;4:318-327. Source of Support: Nil, Conflict of Interest: None declared. Copyright © 2020 The Author(s); Published by Maharshi Charaka Ayurveda Organization, Vijayapur (Regd). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Vayu, Gati, Vata, Pitta, Kapha, Lavana, Abhyanga, Tridosha, Amla, Nidra, Taila, Samanavata, Apanavata, Rajoguna, Vatavyadhi, Dhatukshaya, Snehapana, Madhurarasa, Niruhabasti, Anuvasanabasti, Vatadosha, Dosha imbalance, Virechana Karma, Ushna guna, Basti Dravya, Ama Pachana, Pakwashaya, Srotorodha, Dhatukshayajanya vatavyadhi, Mridu Virechana, Morbid Doshas, Agnideepana, Guru guna, Basti Chikitsa, Ardha Chikitsa, Asthapana Basti, Vatashamana, Margavrodhjanya Vatavyadhi, Srotomukha Vishodhana, Vataja Vikara, Dosha Samyata, Vata disease, Sneha virechana.