🔺CASE STUDY : NO 46 🔺PART NO: 2 🔺MADATYAYA(ALCOHOL INTOXICATION) 🔺DIFFERENTIAL DIAGNOSIS (MODERN PERSPECTIVE) 📌Acute Alcohol Intoxication 📌 Alcohol Withdrawal Syndrome 📌 Wernicke’s Encephalopathy 📌Hepatic Encephalopathy 📌 Drug Overdose / Poisoning 📌Psychiatric Disorders 📌 Metabolic Encephalopathies 📌 Head Injury 🔺 SAMPRAPTI (PATHOGENESIS) -Manas (mind) through aggravation of Rajas and Tamas -Sharira (body) through deranged Agni, causing Ama formation -The Ojas, Buddhi, and Indriyas are weakened -Chronic usage leads to dependency, degeneration, and madatyaya roga with doshik dominance. Reference: Charaka Chikitsa Sthana 24/15–17 🔺UPASHAYA (RELIEVING FACTORS) -Consumption of cold, sweet liquids like grape juice, milk, sugarcane juice -Shirodhara, Nasya with cooling and calming herbs -Intake of Medhya Rasayanas (Brahmi, Shankhapushpi) -Sattvic food, rest, and healthy lifestyle 🔺 ANUPASHAYA (AGGRAVATING FACTORS) -Repeated alcohol intake -Hot, spicy, dry, or fried food -Exposure to heat and sun -Overexertion, sexual excess, mental agitation -Day sleep (Kapha-prakopa) -Loud noise, conflict 🔺SAMANYA CHIKITSA (GENERAL TREATMENT) -Sadyomadatyaya (Acute intoxication): -Mridu Virechana (mild purgation) to remove Pitta -Sita, Madhura Dravyas: Cold and sweet substances -Sheetala Jala Sevanam (cold water) -Light, nourishing diet: Manda, Yusha -Promote natural sleep -Application of chandana, usheera on forehead and body -Reference: Charaka Chikitsa Sthana 24/44–54 - CHRONIC MADATYAYA: -Nidana Parivarjana: Stop alcohol -Shodhana Chikitsa: Panchakarma – Vamana, Virechana, Basti as per doshic involvement -Rasayana therapy: -Medhya Rasayana: Brahmi, Mandukaparni, Yashtimadhu -Balya Rasayana: Ashwagandha, Shatavari, Guduchi -Satvavajaya Chikitsa: Mental therapy, self-control, counseling -Daivavyapashraya Chikitsa: Spiritual therapies (e.g., mantra, dhyana) 🔺 VISHESHA CHIKITSA (SPECIFIC TREATMENT) -Classical Formulations: -Drakshadi Kashaya: Cooling, antioxidant, brain tonic -Haritaki + Draksha decoction: Detox and mental clarity -Panchagavya Ghrita: Detox and Rasayana -Brahmi Ghrita, Saraswata Churna: Nerve tonics -Ashwagandhadi Churna: Strengthens nervous system -Chandanasava, Usheerasava: Pitta-pacifying, cooling 📌PANCHAKARMA THERAPIES: -Nasya: For calming Vata and Kapha in the head -Shirodhara: Using Brahmi Taila or Ksheerabala Taila -Basti: Especially Anuvasana and Niruha Basti for Vata balancing Proper nidana parivarjana, shodhana, medhya-rasayana, and satvavajaya chikitsa are key to effective treatment. -kamadugdha rasa Dose: 125–250 mg twice daily With honey or cold water - Guduchi Decoction: 40–80 ml per day Tablet: 500 mg twice - Arogya vardhini vati -Dose: 250–500 mg twice daily -Adjuvant: With warm water after meals Bringaraj -Dose: Juice: 10–15 ml with water twice daily Capsule: 500 mg twice daily -Draksha -Dose: 20–30 g soaked overnight in water, taken in the morning 🛑https://chat.whatsapp.com/JtHGdxv7A5SA9bAe8ZNIS2