🔺CASE STUDY NO : 50 🔺 PART NO : 2 🔺DAHA ( BURNING SENSATION) 🔺 SAMPRAPTI (Pathogenesis) - Nidana sevana → vitiation of Pitta dosa, especially Tīkṣṇa, Usna, and Drava gunas - Vitiated pitta enters Rasa and Rakta dhātu - Causes Daha in various srotas (especially Annavaha, Raktavaha, and Mutravaha) Reference:-Caraka Samhita Cikitsa Sthana 3/132) 🔺UPASAYA (RELIEVING FACTORS) -Intake of Sita, Madhura, Snigdha dravyas -Cold water, milk, sugarcane juice -Sitala lepa (cooling external pastes) -Rest in cool environment 🔺 ANUPASAYA (Aggravating Factors) -Usna ahara, usna jala, katu-rasa -Exposure to sunlight, heat, anger -Upavasa (fasting) or dehydration 🔺 SAMANYA CHIKITSA (General Line of Treatment) *Principles: -Pitta-samana with sheetala, madhura, snigdha and drava dravyas -Langhana (fasting) if āma is present *Internal: -Tiktaka Ghṛta -Kamadudha Rasa -Amalaka, Madhuka, Chandana, Usheera -Shatadhauta Ghrita, Gokshura, Guduchi *External: -Sitala pariseka (cold decoction pour) -Chandana–Usheera lepa for twak-daha -Mukhapaka: Triphala mouthwash (References:Caraka Samhita, CikitsaSthana 3/137) Astanga Hrdaya, Cikitsa Sthana 9/18-22) 🔺 VISHESHA CHIKITSA (Specific Treatment Based on Type of Daha) 📌Urah Daha -Sheetala, Snehana -Kamadudha Rasa, Pravala Pishti, Amalaki 📌Kostha Daha / Amlapitta Daha -Pittahara Chikitsa -Avipattikara Churna, Sootashekhar Rasa 📌Twak Daha (Skin) -Lepa & Rakta-prashamana -Sariva, Manjishtha, Usheera 📌Netra Daha -Sitalaa Anjana, Netratarpaṇa -Triphaladi Ghrita, Rose water 📌mutra Daha -Mutravirechaka, Sheetala -Chandana, Gokshura, -Yashtimadhu(References: Caraka Samhita, Cikitsa Sthana 3/140) Astanga Hrdaya, Cikitsa Sthana 9/24-31 📌Rx: *Sootashekhara RasaTablet 125–250 mg BD Warm water / honey *Kamdudha Ras (Moti Yukta) Tablet 125–250 mg BD Cow milk or ghee *Avipattikar Churna Powder 3–6 g BD before meals Lukewarm water *Shatavari Churna / Kalpa Powder / Granules 3–6 g BD Milk -Guduchi SatvaPowder 500 mg–1 g BD Water -Chandanasava Liquid 15–30 ml BD after meals Water -Usheerasava Liquid 15–30 ml BD -Paripathaadi Kadha Decoction Skin diseases with burning sensation 15–30 ml BDWater -Muktashukti Bhasma Bhasma 125–250 mg BD Ghee / Honey -Shankh Bhasma gastric Daha 125–250 mg BD 🛑https://chat.whatsapp.com/KLufxKFrXwbIIAXLxXDqOB