For increasing the Agni, excretion of Aama and removal of vitiated and accumulated Doshas, purification or Shodhana and pacifying or Shamana treatments are given. This category of treatment comes under Panchkarma therapy. It consists of
• Medicated or retention enemas.
• Medical emesis.
• Medical purgation
• Nasal medication.
• Bloodletting.
Out of these five treatments the medicated enema is considered to be the most effective and specific therapy for this category of diseases. Emesis and purgation may reduce Agni and hence are not much used in Aamavata. Bloodletting is effective but because of its invasive nature is not used much. Medicated or retention enemas include herbal retention enemas and oil retention enemas. Herbal retention enemas remove Aama and accumulated Doshas. Various herbs used are Dashmoola, Rasna, Eranda (Ricinis communis) Bala (Sida cordifolia), Shatavari (Asparagus racemosus), Guduchi (Tinospora cordifolia), Ashwagandha (Withania somnifera), and Gokshura (Tribulus terrestris).
Oil retention enemas help to replenish the depleted body constituents. Various oils used are Panchkola Ghrita, Rasnadi Ghrita, Ashwagandha Ghrita, Castor Oil, Dhanvantara Tailam, and Narayana Tailam.
Based upon the clinical condition of the patient and judgment of the treating physician these enemas can be prescribed every other day or less frequently.
Pacifying treatments are called “Shamana treatments” and are recommended when the patient is not able to tolerate the Shodhana or purifying treatments. These are also given as maintenance treatments following the purifying treatments. These treatments help eliminate accumulated Doshas, Aama, and toxins and to regain strength. The following are various Ayurvedic herbal preparations used in the management of Aamavata.
DECOCTIONS
Maha Rasnadikwatha, Ashwagandharistha, Bhallatakasava-this can give rise to severe reactions in some patients especially with Pitta Prakriti hence it has to be used under medical supervision, Rasna Panchak Kwatha, Rasna Saptaka Kwatha, Dashamoolarishta, and Amritarishta.
HERBAL POWDER MIXTURES/CHURNAS
Ajmodadi Churna, Panchakol Churna, Shunthi Churna, Ashwagandha Churna, Dashamool Churna, Rasna Churna, Musta Churna, Vaishwanara Churna, Kariramoola.
TABLETS
Simhanad Guggulu, Mahayogaraja Guggulu, Yogaraja Guggulu, Punarnava Guggulu, Triphala Guggulu.
GHEE/OIL
Panchakola Ghrita, Rasnadi Ghrita, Ashwagandha Ghrita, Dashamula Taila, Eranda Taila (castor oil), Narayana Taila, Dhanvantara Taila.
AVALEHA
Bhallataka Avaleha, Gorakha Avaleha. Various preparations of Bhallataka can be used in Aamavata.
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