🔺CASE STUDY : NO 45 🔺 PART NO : 2 🔺ARUCHI ( ANOREXIA) 🔺 DIFFERENTIAL DIAGNOSIS OF ARUCHI (LOSS OF APPETITE) 📌 Gastrointestinal Causes -Chronic gastritis or peptic ulcer disease -GERD -Irritable bowel syndrome (IBS) -Hepatitis, cirrhosis -GI malignancy (gastric, pancreatic, colon) 📌 Infectious Causes -Tuberculosis -HIV/AIDS -Hepatitis -Chronic parasitic infections 📌Endocrine/Metabolic -Hypothyroidism -hyperthyroidism -Diabetes mellitus -Addison’s disease -Uremia (chronic kidney disease) 📌 Psychiatric -Depression (very common) -Anxiety disorders -Anorexia nervosa or other eating disorders -Substance abuse (alcohol, cannabis withdrawal) 🔺SAMPRAPTI (PATHOGENESIS) -Due to Nidana sevanam, Doshas (especially Kapha) become vitiated -Disturbance in Agni (digestive fire) -Impaired Rasa Dhatu formation -Vitiated Doshas localize in the Amashaya (stomach) and interfere with Jatharagni, leading to loss of appetite -In Manasika Aruchi, Rajas and Tamas disturb the Satva, leading to psychological aversion to food. (Reference: Ashtanga Hridaya Sutra 13) 🔺UPASHAYA (PALLIATIVE/RELIEVING FACTORS) -Use of Tikta (bitter) and Katu (pungent) substances -Use of Agni Deepana (digestive stimulants) -Fasting or light food in mild cases -Aromatic spices (e.g., ginger, black pepper) -Mental relaxation in Manasika Aruchi 🔺 ANUPASHAYA (Aggravating Factors) -Heavy, sweet, oily foods -Daytime sleep (which increases Kapha) -Cold and stale food -Stress and worry -Overeating or irregular meals 🔺 SAMANYA CHIKITSA (General Line of Treatment) 📌Agni Deepana and Ama Pachana -Use of drugs like Chitraka, Pippali, Maricha, Shunthi -Trikatu Churna, Hingwashtaka Churna -Panchakola Churna -Shadangapaniya with Musta for Ama 📌 Langhana (light diet) & Pachana (Ama removal) -Fasting or liquid diet (e.g., Manda, Yavagu) -Avoid heavy and oily foods 📌Manasika Aruchi -Satvavajaya Chikitsa (mental support, counseling) -Medhya Rasayanas: Brahmi, Shankhapushpi, Ashwagandha Reference: Charaka Chikitsa Sthana 15, Ashtanga Hridaya Sutra Sthana 13 🔺 VISHESHA CHIKITSA (SPECIFIC TREATMENT) 📌Herbal Formulations: -Chitrakadi Vati – excellent Deepana -Jeerakadyarishta – improves appetite and digestion -Lavanabhaskar Churna – improves appetite and relieves bloating -Draksharishta – useful in psychological causes -Hingwashtaka Churna – for Kapha-related Aruchi 📌 Ghritas & Avalehas: -Panchakola Ghrita – for deepana and pachana -Brahmi Ghrita – for Manasika Aruchi -Chyavanprasha – Rasayana and Agni-balancing in chronic cases 📌Diet & Lifestyle: -Use of appetizing soups, ginger, lemon water -Avoid snacking, day sleep, and mental stress -Practice regular meal timings and mindful eating (Reference: Charaka Chikitsa Sthana 15/60–65) -Chitrakadi Vati:1–2 tablets Twice daily before meals -Hingvashtak Churna:1–3 g Twice daily after meals -Trikatu Churna (Dry ginger, black pepper, long pepper):1–2 g Before meals,Warm water or honey,Increases metabolism and appetite -Lavana Bhaskara Churna:1–3 g,Twice daily after meals,Warm water or buttermilk -Jeerakarishta 10–15 ml Twice daily after meals -Draksharishta: 15–25 ml Twice daily after meals With equal water -Shankha Vati: 1–2 tablets Twice daily before meals,Warm water 🛑https://chat.whatsapp.com/JtHGdxv7A5SA9bAe8ZNIS2