Pandu = anemia or low HB %?.....#Ayurvedic views

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Next topic for discussion: Pandu (anemia or low HB %??) #Ayurvedic views

Dr. Shantanandkumar: Lohasav

Dr. Daisy Kanabar: Sptamrita loha

Dr. Vasupradha R: Vasaguduchyadi kashayam

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Dr. Hemal Abhishek Bhatt: Tapyadi loha with avipattikar churna for garavishajanya pandu.

Dr. Vasupradha R: For Garbhini Pandu?

Dr. Hemal Abhishek Bhatt: Garaviahajanya means viruddhahara janya

Dr. Vasupradha R: Treatment for Garbhini Pandu?

Vd. Divyakumari solanki: Punarnava mandur, Phaltrikadi ghanvati, Navayas lauha

Dr. Shantanandkumar: For Garbini

Dr. Hiral Khakhar : Habit of eating soil in children is also one of the reason.

Dr Mario Herrera: Does any of these medicines produce constipation as secondary effect?

Dr. Hemal Abhishek Bhatt: It is iron which causes constipation

Dr. Hiral Khakhar: How's the result of prickly pear juice?

Ayulink: for anemia? Never heard.

Dr. Hiral Khakhar: Yes..Hathla Thor Na findla..

Dr. Piyush Dodiwadiya: Anemia is very big topic. We should understand the pathology first and try to co relate with Ayurveda. First we should diagnosed that type of anemia. Usually I observe in our hospital below listed anemia  1. iron deficiency 2. Megaloblastic (b12-folic acid deficiency) 3.mix... iron and megaloblastic i.e nutritional anaemia 4. Anaemia due to blood loss, usually due to menorrhagia or piles or trauma. 5. Drug induced  6. Some viral infections 7. Bone marrow suppression  8. Haemolytic anaemia

Mostly patient will from above types : Primary workup needed.Then plan for treatment.

Dr. Daisy Kanabar: Yes sir it gives very good result...

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Vd. Manhar Prajapati: Mostly ahar vihar ni aniyamitata, excessive intake of food hb saru thay aem vichari fruit dry fruit food milk lidha kare so main ras dhatu dusti na lidhe rakt dhatu joie atla praman ma thatu nathi. Female ma exceessive mc also cause for anemic condition..

 Dr. Piyush Dodiwadiya: Common blood test, CBC, Peripheral smear, S.iron, TIBC, UIBC, Transferin, Feritine, LDH, Bone marrow, Retic count.

Branko Markovic: How accurate can we determine by sparshana and darshana lack of haemoglobin and iron? And what means do you use to check it? I check paleness of: inner part of the lower eyelid, nails, tongue, skin. Nadi correlated to spleen and liver deficiency via ranjaka pitta.

Dr. Vishva Joshi: Also puffiness, Edema, C/o low grade fever, Malaise, Tachycardia.

Vd. Dhruti Kagrana: Our Aacharya mentioned that If pandu patient follow pittaj diet then it convert to kamla(jaundice). Means jaundice patient firstly suffer with Pandu(Anemia)  then it convert kamla. Anyone observed this?

In Pandu we seen the all symptoms of kshya of Rakta dhatu, Mamsa dhatu and oja and also dushti of sadhak pitta.

Vd. Pritam Bharat Veer: Pandu and Anaemia are two different concepts if we are thinking about Ayurveda point of view , pandu is ras rakt dushti , pitta prakopak vyadhi. In pandu we see pitta prakop symptoms. Symptoms ::  Shwet warn of nail , eyes, face, Dourballya , raskhayjanya lakshna like Hrutspand , hrutshul , bhay. To treat pandu just give ras and rakt paachan along with symptomatic treatment , hrudya aushadhi like dadimavleh.

Dr. Piyush Dodiwadiya: Pandu can leads to kamla. But not always

Ayulink: Interesting observation

Dr. Piyush Dodiwadiya: Now a days it is said that absorption of iron will increase with vitamin c. So in our ayurvedic iron preparation acharyas use aml dravy bhavna

Dr. Piyush Dodiwadiya: Can anyone noticed that in case of jaundice where liver is compromised, and if we give loha preparation then may lead to complications?

USA Gary Yuen: That is true. I think the study of increased iron absorption was done by an Indian and used foods such as amchur powder. Garlic and onions are supposed to also help. Capsicum is also high in vitamin C and likely also works.

Shri Minoo parabia:  But Ayurveda knew this. Saptamrit has Trifala. Not only has that FeSO4, iron source caused severe constipation making pregnant lady victim of piles, so trifala.

Dr. Bhavesh Modh:

शोणितवहानां  स्त्रोतसां  यकृन्मूलं प्लीहा च । ( च वि अ 5 )

रस  + रक्तधात्वाग्नि  = रक्तउपादन धातु  (= Produce  RBC)

रक्तउपादन धातु  +    रंजकपित्त  = रकत  ( संपूर्ण  रकत )

According to ayu.  In anemia  (पांडु) first of all given medicated Ghee ...

After विरेचन ( purification  process  of पाचक  पित्त & पित्तवह स्त्रोतस  )Than given आंवला ( phyllanthus emblica) which is best sorce  of vitamins C with naturally  iron. Recommended with  Protin rich Diet

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Dr. Ujwala Said: http://www.stritch.luc.edu/lumen/MedEd/MEDICINE/medclerk/2004_05/level1/CBCAnemia/cbclesson.htm

USA Ami Keyur shah: Great topic..Would love to learn more about this..chronic anaemia and chronic constipation....and always low BP..how do you handle?? Even with healthy lifestyle..Yoga and meditation. HB is 10-12 ..most of the time..Specially Ferritin is very low so iron binding capacity is very high.feeling tired and irritated. Cannot handle iron supplement because it messes up the bowel movement.

Shail H. Bhavsar: What is the cause of sickle cell anemia??

Dr. Bhavini Raja: Which med is useful for anemia due to menorrhagia? All common medicines or is there any specific?

Dr. Supratim Bir: Most of the time menorrhagia is associated with dismenorrhoea. The contributing dosha is Vata mainly along with pitta n kafa respectively. In such a case snigdha virechan do control both pain and bleeding.

Dr. Supratim Bir: Pradarantak lauha & Gynemforte - a combo of multiple pradar rogadhikar med work good in my experience.

 Dr. Ravi Goyal: Sir pandu is all about ras chay its different from anaemia. Anemia and pandu rog are 2 different things

Vd. Dhruti Kagrana: Yes, Pandu is not anemia. But we involved anemia in Pandu.

Dr. Ravi Goyal: I have seen many pandu rogi whose HB lv is normal

Dr. Sharmila Kulkarni: In menorrhagia.....one aspect of treatment is considering symptoms of Adhog Raktapitta also...so I give Nagkeshar n Lodhra aong with Pravalpiahti

22864: I found many patients, whose Hb were normal. Anaemia is totally different from pandu. Pandu is rasa kshaya and anaemia is rakta alpata. We can say that every low Hb we can consider as pandu but in pandu it is not necessary that there will be low Hb.

Dr. Ravi Goyal: Erectly pandu or anemia dono ka treatment alag h

Vd. Pritam Bharat Veer: I don't think so In AYURVEDIC preparations we Add amla vargiy dravyas bcz they are hrudya means good for heart and sadhak pitta's sthan. So to correct sadhak pitta amla gun is added. Don’t get confused with allopathy concepts if we are discussing AYURVEDIC views.

22864: In many texts Hridya means palatable. In treatment also, many combination for rakta alpata we use amla drvya, like amaalaki rasayan. It is best for rakta alpata.

Dr. Sharmila Kulkarni: Acharya mentioned ...Amleshishirpreeti in Raktkshaya lakshana. And now it is proven that Vitamin C in needed for the absorption of iron in he system. I think this is the correlation between Raktakshaya n Amla...ie Vitamin C

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Compiled by: Vd. Dhruti Kagrana