Friday, September 18, 2020

🔘 UNMADA ROGA


*UNMADA ROGA:-* 

👉🏻 Defination:-

• समुद्भ्रमं बुद्धिमनःस्मृतीनामुन्मादमागन्तुनिजोत्थमाहुः|

- Unmada refers to excessive affliction of intellect, mind and memory

👉🏻 Types:-

1.Vataja
2.Pittaja
3.Kaphaja
4.Sannipataja
5.Agantuja

👉🏻 Nidana:-

• विरुद्धदुष्टाशुचिभोजनानि प्रधर्षणं देवगुरुद्विजानाम्|
उन्मादहेतुर्भयहर्षपूर्वो मनोऽभिघातो विषमाश्च चेष्टाः|

- Food with incompatible, contaminated and unclean properties.

- Possession by spirits like gods, teachers and brahmanas

- Mental trauma due to recurrent exposure to fear or exhilaration and adopting difficult posture.

👉🏻 Purvaroopa:-

- Emptiness in head
- Congestion in eyes
- Noises in ears
- Hard breathing in excess
- Excessive salivation in the mouth
- Absence of inclination for food, anorexia and indigestion
- Spasm in cardiac region
- Meditation, fatigue, unconsciousness and anxiety in improper situations
- Continuous horripilation
- Frequent pyrexia
- Pain in the upper part of the body
- Manifestation of symptoms of facial paralysis resulting in movement in one half of the face.
- Frequent appearance of the following in dreams
Inauspicious objects that are wandering, moving and unstable.

👉🏻 Samprapti:-

- By nidana sevana the doshas get vitiated in the person possessing low level of sattva guna in turn vitiate hridaya, which is the seat of intellect. There from the channels carrying mental factors quickly delude the mind of the person and causes Unmada.

👉🏻 Samanya lakshana:-

- Perverted intellect, psychic agitation, restlessness in eyes, impatience, incoherent speech and feeling of emptiness in hridaya. 

- Thus, the person with deranged mind does not know pleasures, pain, ethics and eternal duties and does not get peace anywhere. 

- Therefore, he lets the mind wander here and there due to loss of memory, intellect and perceptions

👉🏻 Vishesha Lakhana:-

 *1. Vataja Unmada:-* 

• The distinctive features of vatika type of unmada are as follows:

- Constant wandering
Sudden spasm of eyes, eyebrows, lips, jaws, and irregular movements of shoulder, fore-arms and legs.

- Continuous, irrelevant and incoherent speech.

- Frothing from the mouth.

- Frequent smiling,laughing, dancing, singing and playing musical instruments in inappropriate situations.

- Loudly imitating the sounds of lute, flute, conch, samya and tala.

- Riding phantom vehicles.

- Adoration of self by false ornaments.

- Craving for food articles that are not available;
Disgust and hatred for food articles that are readily available.

- Emaciation and roughness.

 *2.Pittaja Unmada:-* 

- Intolerance, anger and excitement at inappropriate occasions.

- Inflicting injury on self or on others by weapons, brickbats, whips, sticks and fist.

- Running around

- Desire for shade, cold water and food having cooling effect.

- Prolonged anguish

- Ferocious eyes with coppery, green or yellow color

 *3.Kaphaja Unmada:-* 

- Prefers to live at one place

- Meek and mum, prefers not to speak

- Excessive salivation and nasal secretions

- Disinclination for food

- Prefers loneliness

- Frightening appearance

- Aversion for cleanliness

- Always drowsy

- Edematous face

- White and timid eyes full of dirt

 *4.Sannipataja Unmada:-* 

- In the unmada caused by the combined vitiation of all the three doshas, all the symptoms mentioned above are simultaneously manifested. 

- This type of unmada is considered to be incurable.

 *👉🏻 Agantuja Unmada:-* 

√ Nidana:-

- Possession by the gods, sages, gandharvas, pishachas, yakshas, rakshasas  and pitru

- Unmethodical performance of spiritual rituals and vows etc

- The deeds of past life  

√ Purvaroopa:-

- Desire for inflicting injury upon the gods, cows, Brahmins and ascetics.

- Anger and liking for mischievous work
Disliking attitude

- Impairment of Ojas Color complexion and physical strength and
Abuse and incitement by the gods.

√ Lakshana:-

- Untimely, uncertain and uncalled for manifestations

- Superhuman strength, valor, manliness, enthusiasm, power of understanding and retention, memory, spirituality, logical and scientific knowledge and power of speech.

- Celestial beings invisibly and swiftly enter into the body of a person by their own supernatural effect without affecting the body of the individual. 

- This simulates with as image enter the mirror and sunlight enters the sun-stone.

√ Chikitsa:-

- Incantation of mantras,
Wearing of gems and jewels according to astrological indications.

- Performance of auspicious and religious rites and sacrifices, oblations
Taking a vow, performing religious duties, penance, fasting, blessings, obeisance and pilgrimage.

👉🏻 Sadhyasadhyata:-

- Of the above varieties of unmadas, he who strikes at others or himself, without hesitation raising his hands with wrath and agitation should be considered as incurable.

- He who has tearful eyes, hemorrhage from penis, wounded tongue, running nose, a bruised skin, uninteractable hands, constantly groaning, deranged complexion, excessive thirst and foul smell should be known as maddened by a violent type of spirits (grahas) and should not be treated.

Tuesday, September 15, 2020

🔘 Methanol Poisoning


METHANOL POISONING

👉🏻Introduction :-

Methanol is a nondrinking type of alcohol (also known as wood alcohol and
methyl alcohol) which is mostly used to create fuel, solvents and antifreeze. A colorless
liquid, it is volatile, flammable, and unlike ethanol, poisonous for human consumption.
This denatured spirit is used in hospitals & clinics to disinfect skin before surgery &
dressing process or before giving injections. It is also used in varnish, paint removal.

👉🏻Absorption & Metabolism:-

It is rapidly absorbed through the stomach & intestines & also through the lungs
& skin. through its action resembles that of Ethyl alcohol to greater extent, It is
metabolized more slowly & with repeated dose tends to accumulate in the blood.
80mg/100ml of blood is dangerous level. It does not completely disappear from the blood
fro 3 to 4 Days.

👉🏻Action:-

It Causes C.N.S. depression. It is less respiratory depressant than ethyl alcohol.
Its late effects are very dangerous, which includes optic nerve atrophy.

👉🏻Excretion:-

About 80% is excreted unchanged from the lungs & about 3% is excreted
unchaged in the urine.

👉🏻Signs and symptoms :-

💫 In small doses -

- Dizziness (vertigo)
- Headache
- Nausea & Vomitting
- Abdominal pain

💫 In Moderate doses -

- Tachy cardia
- Drowsiness
- Mydriasis (dilation of the pupil

💫 In High doses -

-Metabolic Acidosis
- Convulsions
- Retinal Oedema
- COMA
- Respiratory failure and death

👉🏻Fatal Dose:- 

60 ml to 140 ml.

To produce blindness - 15 ml

👉🏻Fatal Period:-

Usually between 24 - 36 hours.
 However
as in the 4th or 5th Day.
many cases, death occurs as late

👉🏻TREATMENT:-

The patient must be hospitalized & kept under close observation even after
several days of recovery. 

An ophthalic review should be ensured.

A)- According to Ayurved - 
In Ayurveda, use of different Medicinal Madya according
to Dosha is a main treatment.

B)- According to Modern

 - Patient should be admitted in ICU department &
following treatment should be administered.

1. To stop further absorption of methyl alcohol, stomach wash with 5%
bicarbonate solution in warm water should be given & after stomach wash 1/2 litre
solution is left in stomach.

2. To reduce acidosis, administer 2gm of sodabicarb in 250 ml DW slowly. If it
is no possible to give orally then 50 gm of Sodium bicarbonate in 1 litre of 5% dextrose
& 10-15 units of insulin should be administered through intravenous line.

3. Ethyl alcohol is a Specific antidote of Methyl alcohol.

4. Haemodialysis - In severe poisoning of methyl alcohol haemodialysis is a
effective treatment to remove toxic content.

5. Oxygen supply, artificial respiration & other symphomatic treatment should
be prescribed whenever necessary.

👉🏻Autopsy Findings:-

- Cyanosis (Specially in thorax region) is prominently seen.

- The blood is fluid & dark in colour, Coagulation of blood after death is not seen.

- The inflammation of brain & lungs are seen.

- The mucosal membrane of gastrointestinal tract is congested.

- The degenerative changes in liver & kidney are seen.

- Retinal oedema is found.

- The internal organs are preserved in saturated solution of salt.

👉🏻Medico-Legal Importance:-

Accidental Poisoning:-

 The poisoning is mostly accidental. 
-It is mixed in the from of
French polish, varnish, denatured spirit in country liquor to gain some profit.

-This liquor is called as Khopadi in Maharashtra.

Saturday, September 12, 2020

🔘 Samskara In Children


TO BE CONTINUED...... 

💫 KARNAVEDHANAM
 ( Ear Piercing) :

Karnavedhana is one of the important samskaaras with medical and socio-cultural relevance.
In addition to the cosmetic value (Karnaabhushana), it was believed that Karnavedhana protects the baby from untoward health complications like Grahas.
However , this is not medically proven. 

👉🏻 Time of Karnavedhana -

According to Sushrut and Astang Hrudaya, Karnavedhana has to be done in 6th,7th or 8th month of age, in the sisira ritu on an auspicious day, in the morning.
According to Gruhya Sutra, Karnavedhana has to be done on the 3rd or 5th month.

👉🏻 Pre Operative Measures -

After Poojaadikarmas and enchantment of mantra.
The baby is seated on the mother’s lap.
Made happy with sweet words and desired toys etc.
Then the ear is punctured.  

👉🏻 Procedure -

The right ear should be punctured first in case of a male child and left ear in a female child.
The physician holding the puncturing needle with his right hand and the ear lobe with the other.
The site of the puncture should be the middle of the ear lobe , slightly towards the cheek , where the maximum translucency from the light source.
This spot is marked by the Colour of laksha rasa. 
The puncturing should be done with a single and straight stroke; it should neither high up , sideward nor downward.
If the ear lobe is thicker, Aara Sastra should be used.

👉🏻 Inference -

By puncturing the correct site, there will not be severe pain , bleeding and immediate inflammatory reaction, local rise of temperature, swelling and redness.
 
👉🏻 Post Operative Measures -

A cotton thread soaked in oil should be drawn through the puncture and the site bathed with unprocessed oil.
On each 3rd day the thread should be replaced with thicker ones for widening of the puncture.
Daily fomentation , massage , bathing with oil and nourishing foods should be adopted repeatedly.

👉🏻 Precaution -

The puncture should be at the correct site , be neither high up , sideward nor downward, since siras known by the names kaalika, marmari and rakta are situated there. 

👉🏻 Complications -

Following are the complications produced by injury to the siras.
Kaalika – Jwara, daaha, sopha,ruk.
Marmari – Jwara, ruk, granthi.
Lohitika – Manyaagraham, apataanakam, sirograha, karnasula.

💫 PHALAPRAASANAM
 (Feeding fruits/fruit juices to baby) :

Acharya Kashyapa is the only one who has explained phalapraasana.
Up to 6 months of age ,  the child is fed exclusively with breast milk.
There after, prior to the introduction of solid food, so as to make the GI Tract accustomed to it, liquid food is given.
Among them, fruit juices are considered ideal.
Besides, fruits are best sources of vitamin C and fibrous material.
The baby who is accustomed to madhura rasa alone will experience difficulty to adjust with the rasas like katu, tikta, etc. 
At this stage, Phalapraasana helps the baby to adapt with other rasas through madhura amla rasa of fruits. 
Kashyapa considers dental eruption as the endpoint of phalapraasana.
Initially , central incisors erupt during 6-7th month.
Eruption of teeth is indicative of GIT maturity to digest, absorb and assimilate nutrients 


💫 ANNAPRAASANA
( Feeding Ceremony) :

It is related to feeding of solid food for the first time to the baby.

After teeth eruption, the child should be gradually taken away from breastfeed.
At the same time , the child should be given ksheera(goat milk) alongwith laghu and brimhana aahara.

👉🏻 Time of Annapraasana -

According to Kashyapa, 10th month is the appropriate time for Annapraasana.

According to Astanga Samgraha, Vagabhata and Sushruta opines 6th month to be the time for Annapraasana.

👉🏻 Procedure -

Annapraasana should be done in an auspicious day in prajaapatya constellation after fulfilling the following conditions :
Worshiping Gods and Brahmins by cereals with meat and donations.
Reciting mantras.
Smearing the site with cow dung, spreading darbha.
Decorating with fragnances and garlands and signs of swastika in 4 places.
Preparing all the articles for making toys.
 
Next, the physician gets seated facing east and the child facing west.

After igniting fire, a delicious diet comprising of cereals and drinks made from meats of laavaka, kapinjala, tittiri, charanaayudha should be first offered as oblations to fire alongwith enchantment of mantras.

After oblations, the remaining food made soft by mashing, is given to the child(3/5th times) in a quantity equal to that of a thumb(angushta maatra).

👉🏻 Paschat Karma -

After feeding , the baby should be cleaned.

Wednesday, September 9, 2020

🔘 Samskara In Children


Samsakara

The important cultural events in an individual’s life from birth to death are grouped under the term ‘samskaaras’. 
The  number of samskaaras varies in different communities. 

The customary samskaaras are 16 in number which were put forward by Maharshi Dayananda.
All the samskaaras are not medically important; rather they posses much of a socio-cultural dimension. 
Only the medically important ones are dealt by the ancient medical scholars.

💫 NAAMAKARANA SAMSKAARA
(Naming Ceremony) :

👉🏻 Time of Naamakarana -

According to Ashtanga samgraha naamakarana can be done either on the 10th or 12th day. Kasyapasamhita and Ashtanga Hridayam mentions 10th day as appropriate for naamakarana. 

👉🏻 Preparation of the baby -

Mother and the baby having taken bath in water mixed with aromatic drugs, wearing light and clean cloth and ornaments should worship deity and receive blessings from braahmanas. 
Then the baby is made to sit over a pad of clothes with the head towards east or north.
There after, the father of the baby should utter that the child is offering salutation to the diety and braahmanas. 
Having said so, the child should be given two names.

👉🏻 Characters of names -

Out of the two names, one is based on the constellation present at the time of birth and the other should be a popular name for day to day use. The popular name should begin with ‘ghosha’ alphabets and end with ‘antastha’ alphabets.
There should not be a letter with vridddhi or parvam. 
The name should not be newly established. It should be similar to that of the preceding generation. 
The name should be denotable with baby’s star or devotee.

💫 NISHKRAAMANA SAMSKAARA
(Outing Ceremony) :

It is the ceremony of taking the baby out of the Kumaaraagaara. 
This samskara enables the baby to acclimatize with the external environment.

👉🏻 Time of Nishkraamana -

Kasyapa and Vagbhata considers 4th month as the appropriate time for niskraamana karma.

👉🏻 Preparation of baby -

The baby having bathed, adorned and worn new clothes and possessing the rakshoghna oushadhas like siddhaartaka, madhu, ghrita and gorochana on his body, should be brought out.

👉🏻 Nishkraamana vidhi -

The baby along with the mother should be taken out of the Kumaaraagaara and made to enter the temple. 
After worshiping the burning fire, braahmana, God Vishnu, skanda and receiving their blessing should re-enter their own house. 
Having entered, the physicians should chant mantras for offering prayer.

It is for the first time during Nishkraamanakarma that the child is exposed to some sort of ‘external environmental’ stimuli, mainly visual and auditory. This karma helps the physician to confirm the proper functioning of the sense organs especially the eye and the ear.

According to modern view, macular fixation and pupillary adjustment is attained during the same 4th month. 
During the early weeks eye movement and coordination may not be perfect. 
However, proper coordination should be achieved by 3-6 months.

💫 UPAVESANAM SAMSKAARA
(Sitting Ceremony) :

Upavesana is a ceremony of making the baby sit without support in a proposed manner to ensure the activity, growth and development of the baby.

👉🏻 Time of Upavesana -

Kasyapasamhita says upavesana at the age of 6th month. 
Ashtanga Samgraha mentions the same at 5th month.

👉🏻 Preparation of child -

The baby should be bathed, adorned and dressed in intact cloths. 
Before the ceremony, worshiping of gods and satisfying the beaahmanas by diets and donations has to be performed.

The site where baby is to be seated has to be smeared with cowdung. 
Toys used by the baby are to be placed nearby.

The baby should be made to sit for a muhurta(48 min.) at a time facing eastwards in the middle of site. 
After completion of a muhurta, the child should be carefully lifted up. 
The whole procedure has to be repeated everyday.


👉🏻 Precautions -

The duration of sitting should not be too long.

The child should always be assisted and never left alone.

This need not be performed while the baby is ill.

👉🏻 Complications of prolonged sitting -
Fixing
Weakness of hip
Hunch back
Tiredness
Fever
Retention of feces,urine and flatus develop due to sitting for longer duration.

👉🏻 Complications of early sitting -
If the baby is made to sit prior to the prescribed age, vitiation of vaata occurs which leads to fever, pain, hardness of body parts and even arrest of further growth and development.
 

TO BE CONTINUED....

Sunday, September 6, 2020

🔘 Menstrual Cycle


Menstrual Cycle 

👉 DEFINITION OF MENSTRUATION :- 

- Menstruation is the visible menifestation of cyclic physiological  uterine bleeding due to shedding of the endometrium .

👉 Duration of Menstruation :- 4-5 days 

👉 Blood loos amount :- 30-80 Ml 

👉 COMPONENTS :- 

1) Dark altered blood 
2) Mucus 
3) Vaginal epithelial cells 
4) Fragment of endometrium 
5) Prostaglandin 
6) Enzymes 
7) Bacteria 

👉 ENDOMETRIAL CYCLE :- 

- 1st day of bleeding is considered as 1st day of cycle .

4-Phases :- 

1) Stage of regeneration 
2) Stage of proliferation 
3) Secretary phase 
4) Menstrual phase 

1) Stage of regeneration :- 

- it's starts even before ceases of Menstruation & it's completed 2 days after end of Menstruation .
- the cubical epithelium , glands , vessels regenarate from the basal zone .
- Thickness is 2 MM

2) Stage of proliferation ( follicular stage ) :- 

- it extends from 5th to 6th day to 14th day .
- The proliferative changes occur due to rise in level of ovarian estrogen .
- thickness is 3-4 mm 

3) Secretary phase ( Luteal phase ) :- 

- It's begins on day 15 & ceases 5-6 day prior to Menstruation .
- changes due to combined effect of estrogen & progesterone liberated from the corpus luteum after ovulation .
- Thickness is 6-8 mm 
- prominent corkscrew - shaped glands & increase vascularity .
- Endometrial glands increase in size & exceeds thickness of endometrium .
- They secret thick viscous fluid containing glycogen .
- Blood vessels undergo armed spiralling . 

4) Menstrual phase :- 

- It's essential degeneration & casting of an endometrium prepare for a pregnancy .
- The flow stops as result of combined effect of prolonged vascontriction , mayometrial contraction & local aggregation of platelets with fibrin deposition them .
- If no embryo , the corpus luteum begins to disintegrate .
- progesterone level drop , uterine lining detaches , Menstruation can begin .
- Tissue , blood , unfertilized egg all discharge .
- It can take 3-7 days .

👉 OVARIAN CYCLE :- 

- Development & maturation of follicle ovulation & formation of corpus luteum & it's degeneration constitute an ovarian cycle .

4 phase :- 

1) recruitment of group of follicle .
2) selection of dominant follicle & maturation .
3) ovulation 
4) corpus luteum 

1) Recruitment of group of follicle :- 

- It's presumed that about 20 antral follicle proceed & develop in each cycle .

- The intial recruitment & growthof primordial follicle are not under control of any hormone after certain stage 2-5 mm in size the growth & differentiation of follicle are the control of FSH .
- The follicle are rescued by FSH at this stage they undergo atresia .

2) Selection of dominant follicle & maturation :- 

- one with highest antral concentration of estrogen.
- Androgen - estrogen  low 
- maximum receptor of FSH 
- fully mature grfian follicle just prior to ovulation means about 20 mm.

3) Ovulation :- 

- The follicular wall near the ovulation surface becomes thin .
- The stigma develops as a conical projection with penetrate the outer surface layer of ovary & persists for while 0.5 to 2 min as a thin membrane .
- The cumulus escapes out of the folical by a slow oozing process about 1-2 min.
- The stigma is soon closed by plug of plasma .

- ovulation occurs :- 

1) 10-12 hrs after LH peak 
2) 34-36 hrs after onset of LH surge 
3) 24-36 hrs after oestradiol peak 

- The combined LH / FSH mid-cycle surge is responsible for the final stage of Menstruation .

4) Corpus luteum :- 

- After ovulation the rupture grafian follicle develops into corpus luteum .

4 phases :- 

1) Proliferation 
2) Vascularization 
3) Maturation 
4) Regression 

1) Proliferation :- 

- the colour of corpus luteum at this stage is graish yellow colour .

2) Vascularization :- 

- Withing 24 hrs of rupture of follicle , small capillaries grow into granulosa layer 

3) Maturation :-

- By 4th luteal cell have attained the maximum size , thickness is 1-2 cm & yellowish in colour. 

4) Regression :- 

- on the day 22-23 of cycle , regression is occour

Thursday, September 3, 2020

🔘 NUTRITION IN CHILDREN


NUTRITION IN CHILDREN:-

👉🏻 Normal requirements of nutrients for newborn infant and children:-

- The infants show a dramatic rate of growth in the 1st year of life. 

- It continues further, though at a comparatively lower level, after the age of 1 year upto the adolescence. 

- During this stage of growth there occurs marked
developmental change in the organ structure and function. Owing to their higher metabolic rates and nutrient turnover rates, as compared to adults,
failure to provide adequate mutrients during this period adversely effects the growth and development of the child.

👉🏻 Satmya and Asatmya aahaara (compatible and incompatible diet):-

- Since infancy and childhood is the age of maximum growth and development, the most saatmya aahaara at this age is those having Madhura
rasa, Snigdha guna and Bramhana karma.

- Contrarily, this age group being a kapha predominant one the aahaara having above mentioned properties can lead to diseases in the child. 

- This paediatric age group generally presents
with kapha-vaata diseases.

- The diet has a major role to play in causation of
such diseases. Such food items in present day include:-

1.Fast foods
2.Chocolates, biscuits etc
3.Fried items eg chips etc.

- Such dietary items cause maximum kapha-vaata predominant diseases in the children. 

- So all such stuffs has to be avoided from the diet of the child.

- While classifying the dravyas acharyas mentioned 3 classes:-
1.Shamana
2.Kopana
3.Swasthahit.


- The dravyas coming under the swasthavritta group
comprises the saatmya or the hita-aahaara while the others are the asatmya aahaara.

👉🏻 Examples:-

- Some examples quoted in the classics are as follows:-

1.Asaatmya aahaara:-

- This group includes the 18 types of virudhha or
incompatible food stuffs that lead to many diseases.

2.Saatmya aahaara:-
- Those foods which are free from the 18 incompatibilities as mentioned above and thus do not produce diseases on consumption falls under this group, especially on the basis of guru-laghu guna virudhha.

- Those foods which are not so guru are satm
ya for the child as Saali,shashtika, godhuma etc.

👉🏻 Common food sources:-

√ Proteins:-

- Animal origin:- Milk, meat, egg, cheese, fish etc.
- Vegetable sources:- Pulses, cereals, beans, nuts, oil seed cakes

√ Fats:-

- Animal fats:- Ghee, butter, milk, cheese, eggsz fat of fish and meat etc.
- Vegetable fats:- Ground nut, mustard, sesame, coconut etc.

√ Carbohydrates:-

- Cereals, roots, tubers, fruits, sugars

√ Vitamins:-

• Vitamin A:-
- Animal liver, eros, butter, cheese, whole milk etc.
- Green leafy vegetables, papaya, mango, pumpkin etc.

• Vitamin D:-
- Sunlight
- Only in foods of animal origin liver, cee yolk, butter and cheese,

• Vitamin E:-
- Vegetable oils, cotton sced, sunflower veed, ese yolk and butter,

• Vitamin K:-
- Fresh green vegetables, cow's milk, fruits

• Thiamine:-
- Whole grain cereals, wheat, gram, yeast, pulues, sound nut

• Riboflavine:-
- Milk, egg, livet, kidney and green leafy vegetables

• Niacin:-
- Liver, kidney, mcat, poultry, fish, legumes, ground nut

• Vitamin B6:-
- Milk, liver, meat, egg yolk, fish, whole grain cereals, legumes and vegetables

• Pantothenic acid:-
- All foods contribute to dietary intake

• Folate:-
- Leafy vegetables
- Liver, mear, cs, fruits

• Vitamin B12:-
- Liver, kidney, meat, fish, eggs, milk, cheese.

• Vitamin C:-
- Fresh fruits. green leafy vegetables,
- Germinating pulses

√ Minerals:-

• Calcium:-
- Milk and milk products
- Eggs and fish
- Millet, ragi

• Phosphorus:-
- All vegetable foods

• Sodium:-
- Added in food as sodium chloride

• Iron:-
- Liver, meat, poultry and fish (haem iron)
- Green leafy vegetables, legumes, nuts, oil seeds (non haem iron)

• Iodine:-
- Sea foods
- Cod liver oil

Sunday, August 30, 2020

🔘 ASTANG YOGA


*ASHTANGA YOGA:-* 

👉🏻 Introduction:-

• यम नियमासन प्राणायाम प्रत्याहार धारणाध्यान समाधयोष्टावाङ्गानि ॥                                               (यो.सू. 2/29)

- Patanjali has propounded the comprehensive and multi-objective Anataranga and Bahiranga practices of Yoga through the classical Ashtanga Yoga in the form of; 

1)Yama
2)Niyama
3)Asana
4)Pranayama
5)Pratyahara
6)Dharana
7)Dhyana
8)Samadhi

👉🏻 Ashtanga yoga:-

1) YAMA:-

√ Defination:-

• अहिंसा सत्यास्तेय व्रह्मचर्यापरिग्रहा यमाः। (यो.सू. 2/30)

- Yama is the first step of Patanjali Ashtanga Yoga.

- Patanjali has described five Yamas.
- The literal meaning of word Yama is control or abstinence.

1. Ahimsa - non-violence
2. Satya - Truth
3. Asteya-non-stealing
4. Brahmacarya - Abstinence
5. Aparigraha - non-hoarding

- According to Hatha Yoga Pradipika described ten Yamas as:-

1. Ahimsa - non-violence
2. Satya - Truth
3. Asteya - non-stealing
4. Brahmacarya - Abstinence
5. Kshama- forgiveness
6. Dhruti - endurance
7. Daya-compassion
8. Arjava - meekness or straight forward
9. Mitahara - moderation in diet
10. Shaucha - cleanliness

√ Description:-

a.Ahimsa:-

• अहिंसा प्रतिष्ठा्यां तत्सनिरधौ वैरत्यागः । 

- It means to avoid causing pain or hurting any living being mentally, verbally. or physically.

- The practice of ahimsa generates a broad based feeling of love and brotherhood which purifies the mental beings, the Citta.

- Avoiding the feeling of hatred to an individual is also a kind of ahimsa or non-violence.

b.Satya:-

• सत्यप्रतिष्ठायां क्रियाफलाश्रयत्वम । 

- The literal meaning of Satya is truthfulness. One must be truthful in his speech, act and thought.

c.Asteya:-

• अस्तेयप्रतिष्ठायां सर्वरत्नोधस्थान । 

- It refers to the negation of the tendency of utilizing the wealth, belongings or thoughts of others in once own interest or benefits.

- This is essentially the practice of non-stealing in terms of money material or even thoughts and idea.

- The practice of Asteya not only brings about individual Citta Suddhi, but also reduces the amount of social tension and conflicts which may otherwise results due to stealing tendencies.

d.Brahmacharya:-

• ब्रह्मचर्यप्रतिष्ठायां वीर्यलाभः । 

- Brahmacarya means not to deviate from one's own Svadharma or one's own onginal nature. 

- It is not only abstinence from sexual pleasure although the same is an important aspect of Brahmacarya as it helps an aspirant to progress efficiently on the path of Yoga.

e.Aparigraha:-

• अपरिग्रहस्थैर्यं जन्मकधंता संबोधः |

The tendency of lustfully hoarding wealth and consumable materials in one's own selfish interest is called Parigraha and negation of this tendency is Aparigraha.

2) NIYAMA:-

√ Definition:-

• शौच संतोष तपः स्वाध्याययेश्वर प्रणिधानानि नियमा: । (यो.सू. 2/32)

- Niyama means observances.

-  Under the heading Niyama, Patanjali suggests certain good habits, which help the development of total personality.

- There are five Niyamas namely according to Patanjali:-

1. Shaucha - cleanliness
2. Santosha - contentment
3. Tapas - penace
4. Swadhyaya - self study
5. Ishvarapranidhana - dedicating to God

- According to Hatha Yoga Pradipika described ten Niyamas:-

1. Tapa - penance
2. Santosha - contentment
3. Astikya - belief in god
4. Dana - charity
5. Eshwarapoojana - worship of God
6. Sidhantavakyashravana - hearing discourse on the principles of religion
7. Hri - to be ashamed of doing undesirable acts
8. Mati - intellect
9. Japa - chanting mantras
10. Huta - scarifies the sensual experience for spiritual experience.

√ Description:-

a.Shaucha-cleanliness:-

- Shaucha refer to observance of cleanliness in physical, mental and social aspects o life.

- Cleanliness of the body, the clothing, the residences etc. is Bahya Shuddhi i.e. external cleanliness.

- Utilization of clean food and clean behavior with different individuals is also considered as Bahyashuddhi. 

- On the other hand purification of the Antah-Karana
by depleting emotions like Raga, Dvesha etc. with help of Japa, Tapa, clean thoughts and friendship etc. is considered Abhyantara Shaucha or internal cleanliness.

b.Santosha-contentment:-

• सन्तोषदनुत्तमः सुखलाभः । 

- Santosha is the second Niyama.

- Santosha means remaining contented with whatever facilities and circumstances, one is put to continuing the duties and remaining contented
with whatever rewards comes forth. 

- Contentment gives a superlative happiness.

c.Tapa:-

- Penance produces purity of body and Indriya, Mana Shuddhi etc. 

- Tapas is a practice of body and mind to perfect them.

- Constant practice of tapas enables Yogi to overcome the suffering caused by heat, cold, sun, rain, hunger and thirst. 

- By destroying the impurity of internal organ and the body gets the powers to withstand the extreme situations.

d.Swadhyaya:-

• स्वाध्यायादिष्ट देवतासं प्रयोगः । 

- A regular time is to be devoted for the study of scriptures texts. 

- Swadhyaya has stated that Japa is Swadhyaya. It includes both Swara and Mana.

- Japa has two types Vachika and Manasika. 

- In Manasika Japa are also two types without Dhyana and with Dhyana. While doing Japa of particular Mantra, Omkara etc and reading spiritual texts are means salvation. 

- Person can unite himself with desired God.

e.Ishvarapranidhana:-

- Dedicating to Eshvara one can attain ultimate Samadhi. 

- Dedicating to divinity or surrender to the God is an important methods to attain the highest state of existence Moksha or liberation.

- This path of yoga is called Bhakti yoga.

3) ASANA:-

√ Introduction:-

- Asana is third part of Yoga, the synonyms for Asana is Mudra, Bhangima, Havabhava, Kayikaceshtha, Samsthiti, Sthiti ete. which includes different yogic postures.

- It helps to attain further steps of Yoga. Control over physical body leads to control over mind, which enhance all over development of being. 

- The detailed description of Asanas is available only in the texts of Hatha-Yoga. 

√ Defination:-

• स्थिरम् सुखमासनम् । 

- Asana is a posture in which an individual may stay stably and comfortably for a prolong period. 

√ Total number of Asanas:-

- There are eighty-four lakhs of Asanas described by Shiva the postures are as many in number as there as number of species of living creatures in this universe.

- Among them eight-four are best and among these eighty four thirty two have been found useful for mankind in this word.

- Total 32 Asanas explained by Gheranda Samhita

√ Classification of Asanas:-

1. Meditative Asanas:-

-  These'are the postures which åre considered conducive to practice of meditation. 

- Dhyana if he is comfortably stabilized in meditative postures like Padmasana, Siddhasana, Bhadrasana, Swastikasana, Vajrasana etc.

2. Relaxative Asanas:-

- These are the posture which produce mental and physical relaxation such as Shavasana, Makarasana etc.

3. Cultural Asanas :-

- The Asanas like Simhasana, Gomukhasana, Dhanurasana,Matsyendrasana, Mayurasana, Kurmasana, etc. practised for physical culture. 

√ Asana and its importance:-

- Control on the body by Prayatna, Prayasa, Cheshta, cause Shaithilyata.

√ Utility of Asana and their effect on the health:-

1. One can control his mind efficiently, only when he controls his body properly. This is brought about by Asana and thus helps in attaining the ultimate goal the salvation or Moksha.

2. By practicing Asana one can develop mental equilibrium, balance, endurance and great vitality.

3. Each Asana helping to stretchrand stimulate specific group of muscles and finally make them relax deeply.

4. Asanas will help to reduce the Basal Metabolic Rate. Along with the reduction in Basal metabolic rate most of the vital organs gets relaxed.

5. Asanas are not just strengthening the muscles. But they also train the muscle to loosen and relax.

6. Asanas not only develop the body and soul, they prevent diseases, gave one relief from diseases. They invigorated the nerves, the lungs the muscles, the skin, and the various glands inside the body.

7. Many chronic diseases which could not be cured by drugs have been successfully cured by Asanas.

4) PRANAYAMA:-

√ Introduction:-

- The word Pranayama is a combination of "Prana" and "Ayama". Prana means breath and Ayama means to extent. Pranayama is an exact science.

- It is the fourth Anga or limb of Ashtanga Yoga.

√ Defination:-

• तस्मिन सति श्वासपश्चासयोगति विच्छेदः प्राणायामः ।

- Regulation of breath or the control of Prana is the stoppage of inhalation and exhalation, which follows after securing that steadiness of posture or seat, Asana. 

- Prana is the vital energy required for sustaining the dynamic operation and coordination of each organ within a body.

-  The continuous flow of Prana in the Nadis, or subtle nerves in the body, is important for a disease-free body.

- Pranayama is control and smooth flow of Prana through Yoga exercises. 

- Pranayama helps to establish control over mind and thus helps in the mastery of the other Angas of
Yoga.

√ Stages of pranayama:-

- Generally there are four stages in Pranayama according to patanjali:-

1. Bahya Vritti/ Rechaka- Exhalation
2. Abhyantara/ Puraka - Inhalution
3. Stambha Vritti/ Kumbhaka - Holding of the breath
4. Caturthaka- There is also a fourth stage called caturthaka which is beyond inhalation and exhalation.

- According to Hatlayoga Pradipika, Pranayama is of three types:-

1. Rechaka/Exhalation-
2. Puraka'Inhalation
3. Kumbhaka/ Retention

√ Benefits of Pranayama:-

- Doing Pranayama does not mean only taking the air in the body (inhalation) and throwing it out (exhalation) but along with oxygen, we also take in our body the vital energy. 

- This vital energy permutes the entire universe and what we inhale and exhale is a fragment of it,
The control of regulation of Prana is called Pranayama.

- Ali function of our body are directly or indirectly related to Prana without, Prana there would be no life. It is Prana which is the cause of life and death

- Pranayama has the capacity of freeing the mind from untruthfulness, ignorance and all other painful and unpleasant experience of the body and mind. 

- When mind becomes clean it becomes easy for the yogi concentrate on the desitred object and it becomes possible for him to progress further in the direction of Dharana, Dhyana and Samadhi.

- Accroding to hathayoga pradipika, by proper practice of pranayama all diseases are eradicated. Through improper practice all diseases can arise.

√ Duration of Pranayama:-

- According to Gheranda samhita,  The practice of Yoga should not be commenced in these four seasons out of six-Hemanta, Sisira, Grishma and Varsha. If one begins in the se seasons, one will contact diseases.

- The practice of Yoga should be commenced either in Vasanta and Sarada, For in these seasons success is attained without much trouble.

- Accroding to hathayoga, Pranayama or Kumbhaka can be performed four times in a day. i. e. mornings, mid afternoon, evening and mid night are the time ideal for practice of Pranayama. 

- One should gradually practice Pranayama for one time 80 and per day and night together it is 320.

√ Pranayama Tividha Lakshana:- 

a. Kanishtha Pranayama - This is the beginning stage of Pranayama, in this there will be sweda.

b Madhyama Pranayama - Middle stages Pranayama in this there will Kampa.

c. Uttama Pranayama - The last stage of Pranayama, Yogi will attain steadiness and Vayu reaches Bramharandhra which is the best seat. But this is very difficult task.

- In general the ratio of puraka, kumbhaka and rechaka is 1:4:2.

5) PRATYAHARA:-

√ Introduction:-

- Pratyahara is as one of the eight limbs (Ashtanga Yoga). 

- Pratyahara enhances the power of concentration of senses Pratyahara is drawing in of the senses by giving up own objects and settled in the original state of mind.

√ Defination:-

स्वविषयासम्प्रयोगे चित्तस्वरूपानुकार इवेन्द्रियाणा प्रत्याहारः । (प.यो.सू. 2/54)

- Withdrawal of the senses from all wordily desires and temptations and keeping them fixed in the pure nature of Citta or mind is called Pratyahara.

- Pratyahara is a bridge between the Bahiranga and Antranga phases of Ashtanga yoga.

√ Types of pratyahara:-

1.Control of the Senses (Indriya-Pratyahara)
2.Control of the prana(Prana- pratyahara)
3.Control of action(Karma-pratyahara)
4.Withdrawl of the mind (Mano-pratyahara)

√ Pratyahara and the Other Limbs of Yoga:-

- Pratyahara is related to all the limbs of yoga. All of the other limbs-from asana to Samadhi-contain aspects of Pratyahara. 

- For example, in the sitting poses, which are the
most important aspect of asana, both the sensory and motor organs are controlled.

- Pratyahara is the negative and Dharana the positive aspect of the same basic function.

6) DHARANA:-

√ Introduction:-

- Dharana or concentration is the fixing the mind on one place. 

- Dharana is the fixing of the mind on something external or internal. 

- The mind can be fixed externally on the picture of Lord Hari, Lord Krishna or Lord Rama or on any other object or point. Internally it can be fixed on any Chakra or any part of the body or on any abstract idea. 

- Having controlled the Prana through Pranayama and the Indriyas through Pratyahara, you should
try to fix the mind on something.

- In Dharana you will have only one Vritti or wave in the mind-lake.

√ Defination:-

• देशबन्ध चित्तस्य धारणा |  (प.यो.सू. 3/1)

- Dharana is the confining (fixing)of the mind within a point or area".

7) DHYANA:-

√ Introduction:-

- Dhyana is a term used for the seventh Anga (limb or level) in the eight-step Yoga practice of Sage Patanjali. 

√ Defination:-

• तत्र प्रत्ययैकतानता ध्यानं । (प.यो. सू. 3/2)

- Unbroken continuation of that mental ability is meditation.

- By practicing Dharana in the region of Akasha, he obtains certainly the power of levitating in the Akasha (ether). 

- Wherever he stays, he enjoys supreme bliss. The
proficient in Yoga should and he does not know death.

- That great-minded man does not die even during the deluge of Brahma.

√ Types of dhyana:-

- The dhyana is of 3types:-

1.Sthula
2.Jyoti
3.Sukshma

8) SAMADHI:-

√ Introduction:-

- The fruit of meditation is samadhi.

- Samadhi is super conscious state, wherein the yogi gets super intuitional or super sensual knowledge and super sensual bliss.

- Samadhi is eighth step of the Yogic ladder. 

- Intuition, revelation, inspiration and ecstasy are all
synonymous tems.

√ Defination:-

• तदेवार्थमात्रनिर्भासंस्वरूपशून्यमिव समाधि:|  (यो सू. 3/3)

- Samadhi is that state in which the Jivatman (lower self) and the Paramatman (higher Self) are ditlerence less (or of equal state).

- If he desires to lay aside his body, he can do
so. 

√ Types of samadhi:-

- Samadhi is of two types:-

1.Savikalpa samadhi
2.Nirvikalpa samadhi

√ Folds of samadhi:-

1.Dhyana samadhi
2.Nada samadhi
3.Rasananda samadhi
4.Laya samadhi
5.Bhaktiyoga samadhi
6.Rajayoga samadhi

🔘 Dasha Vidha Pareeksha

Dasha Vidha Pareeksha  👉🏻 Introduction:  As a rule, before starting any treatment, the disease and diseased should be thorough...