Sutashekara Rasa

Formulation seminar on

S u t a s he ka r a rasa

b y

Dr. Santhosh B 1

introduction Three types of sutashekara rasa are available Yogaratnakara----amlapitta chikitsa Rasayana sangraha----amlapitta chikitsa Rasachandamshu---kapha roga chikitsa

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Cont…. Acharya Charaka: UÉåaÉqÉÉSÉæ mÉUϤÉãiÉç iÉiÉÉå AlÉliÉUqÉÉæwÉkÉqÉç

॥

Initially one has to understand the disease condition properly. 3

amlapitta

ÌlÉSÉlÉ : ÌuÉ® SÒ¹ AqsÉ ÌuÉSÉWû ÌmÉ¨É mÉëMüÉåÌmÉ mÉÉlÉɳÉ........ { rÉÉã. U. & MüÉwrÉmÉ } 4

Cont… xÉÇmÉëÉÎmiÉ:

uÉÉiÉÉSrÉÈ mÉëMÑümrÉÎliÉ iÉåwÉÉqÉlrÉiÉqÉÉå rÉSÉ । qÉlSÏMüUÉåÌiÉ MüÉrÉÉÎalÉqÉalÉÉæ qÉÉSïuÉqÉÉaÉiÉã ॥ ÌuÉSakÉÇ vÉÑ£üiÉÉÇ rÉÉÌiÉ vÉÑ£üqÉÉqÉÉvÉrÉã ÎxjÉiÉqÉç ।

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uÉÉiÉÉÌS mÉëMüÉåmÉ

Samprapti

AÎalÉ qÉÉl± ÌuÉSakÉ vÉÑ£üiÉÉ AÉqÉÉvÉrÉ ÎxjÉiÉ AqsÉÌmÉ¨É 6

Simile AÌuÉvÉÑwMüÉã rÉjÉÉ ¤ÉÏUÇ mÉëͤÉmiÉÇ SÍkÉpÉÉeÉlÉã । ͤÉmÉëqÉãuÉÉqsÉiÉÉqÉãÌiÉ MÔüÍcÉïpÉÉuÉÇ cÉ aÉcNûÌiÉ ॥ UxÉkÉÉiÉÉæ iÉjÉÉ urÉqsÉã pÉÑ£üÇ pÉÑ£üÇ ÌuÉS½iÉã । { MüÉwrÉmÉ xÉÇÌWûiÉ } 7

lakshanas AÌuÉmÉÉMü YsÉqÉ EiYsÉãvÉ ÌiÉ£üÉqsÉ EªÉU aÉÉæUuÉ ¾èiMühPû SÉWû

{ rÉÉå. U. } 8

Types FkuÉïaÉÉÍqÉ

AkÉÉãaÉÉÍqÉ

Ø iÉ×vlÉÉ Ø SÉWû Ø qÉÔNûÉï Ø pÉëqÉqÉÉåWû Ø WØûssÉÉxÉ Ø MüÉåPû Ø AÎalÉxÉÉS

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Cont… FkuÉïaÉ AqsÉÌmÉ¨É sɤÉhÉ :

uÉÉliÉÇ WûËUimÉÏiÉMülÉÏsÉM×üwhÉqÉÉU£üU £üÉpÉqÉiÉÏuÉ cÉÉqsÉqÉç । qÉÉÇxÉÉãSMüÉpÉÇ iuÉÌiÉÌmÉÎcNûsÉÉcNûÇ vsÉãwqÉÉlÉÑrÉÉiÉÇ ÌuÉÌuÉkÉÇ UxÉãlÉ ॥

pÉÑ£ãü ÌuÉSakÉãÅmrÉjÉuÉÉmrÉpÉÑ£ãü MüUÉåÌiÉ ÌiÉ£üÉqsÉuÉÍqÉÇ

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Prognosis UÉãaÉÉãÅrÉqÉqsÉÌmɨÉÉZrÉÉ ã rɦÉÉixÉÇxÉÉkrÉiÉã lÉuÉÈ । ÍcÉUÉãÎijÉiÉÉã pÉuÉã±ÉmrÉÈ Mü¹xÉÉkrÉÈ xÉ MüxrÉÍcÉiÉç ॥ { rÉÉã. U.} 11

complications euÉUÉiÉÏxÉÉUmÉÉlQÒûiuÉvÉÔs ÉvÉÉåjÉÉÂÍcÉpÉëqÉæÈ । EmÉSìuÉæËUqÉæeÉÑï¹È ¤ÉÏhÉkÉÉiÉÑlÉï ÍxÉSèkrÉÌiÉ

॥

{ MüÉwrÉmÉ xÉÇÌWûiÉ } 12

Line of treatment mÉÔuÉïÇ iÉÑ uÉqÉlÉÇ MüÉrÉïÇ mɶÉÉlqÉ×SÒ ÌuÉUãcÉlÉqÉç । M×üiÉuÉÉÎliÉÌuÉUãMüxrÉ xÉÑÎxlÉakÉxrÉÉlÉÑuÉÉxÉlÉqÉç ॥

{ rÉÉå. U.}

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Cont… urÉÉÍkÉUÉqÉÉvÉrÉÉãijÉÉãÅrÉÇ MüTüÌmɨÉã iÉSÉ´ÉrÉã । iÉxqÉÉSÉÌSiÉ LuÉÉxrÉ qÉÔsÉcNãûSÉrÉ oÉÑÌ®qÉÉlÉç ॥ A¤ÉÏhÉoÉsÉqÉÉÇxÉxrÉ uÉqÉlÉÇ xÉÇmÉëMüsmÉiÉã । lÉÉlrÉÉå qÉÉlrÉÈ ¢üqÉÉå ½xrÉ vÉÉliÉrÉã uÉqÉlÉÉSØiÉã ॥ qÉÔsÉcNãûSÉÌSuÉ iÉUÉåÈ xMülkÉvÉÉZÉÉÌuÉmÉrÉïrÉã ।

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Cont… AÉlÉÔmÉSãvÉã mÉëÉrÉãhÉ xÉÇpÉuÉirÉåwÉ SåÌWûlÉÉqÉç । iÉxqÉÉeeÉÉXçaÉsÉeÉæUãlÉqÉÉæw ÉkÉæÈ xÉqÉÑmÉ¢üqÉãiÉç ॥ AmÉëvÉÉqrÉÌiÉ cÉæiÉÎxqɳÉÌmÉ SãvÉÉliÉUÇ uÉëeÉãiÉç । { MüÉwrÉmÉ xÉÇÌWûiÉ } 15

Normal Condition AurÉÉmɳÉã iuÉÍkɸÉlÉã eÉÉaÉëiÉÈ xuÉmÉiÉÉåÅÌmÉ uÉÉ । mÉëãrÉïqÉÉhÉÈ xÉqÉÉlÉãlÉ mÉëµÉÉxÉÉåcduÉÉxÉrÉÉåaÉiÉÈ ॥ kÉqrÉqÉÉlÉ ESÉlÉãlÉ xÉqrÉMç mÉcÉÌiÉ mÉÉcÉMüÈ ।

xÉÇÌWûiÉ }

{ MüÉwrÉmÉ 16

Stomach It has two important tubular glands:

3. Oxyntic or gastric : Hcl and Pepsinogen 5. Pyloric : mucus Note : when stimulated, parietal cells of Oxyntic glands secrete an acid solution which contains about 160 millimoles of Hcl per litre. The pH of this acid is 0.8 17

Phases of Gastric secretion 3 phases:

3. Cephalic phase : v Before the food enters the stomach v Results from sight, smell, thought or taste of food v The greater the appetite, the more intense the stimulation v Neurogenic signals originate in cerebral cortex or hypothalamus 18

Cont… 2. Gastric phase: v The food enters the stomach and exites v Local nervous secretory reflexes v Vagal reflexes v Gastrin stimulation

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Cont… 3. Intestinal phase: v Food in upper portion of small intestine particularly in duodenum, will continue to cause the stomach to secrete small amount of gastric juice, probably partly because of small amount of Gastrin that are released by the duodenal mucosa.

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Therefore….. Shodhana is the prime treatment in amlapitta As it is yapya vyadhi, rasoushadhis are effective

especially parada preparation Sutashekara rasa is one among them

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Yogaratnakara vÉÑ®Ç xÉÔiÉÇ qÉ×iÉÇ xuÉhÉïÇ OûÇMühÉÇ

uÉixÉlÉÉpÉMüqÉç । urÉÉåwÉqÉÑlqɨÉoÉÏeÉÇ cÉ aÉlkÉMüÇ iÉÉqÉëpÉxqÉMüqÉç ॥ cÉiÉÑeÉÉïiÉÇ vÉXçZÉpÉxqÉ ÌoÉsuÉqÉeeÉÉ MücÉÉåUMüÇ । xÉuÉïÇ xÉqÉÇ Í¤ÉmÉãiZÉsuÉã qɱïÇ pÉ×XçaÉUxÉæÌSïlÉqÉç ॥ aÉÑgeÉÉqÉɧÉÉÇ uÉOûÏÇ M×üiuÉÉ Ì²aÉÑgeÉã qÉkÉÑxÉÌmÉïwÉÏ । pɤÉrÉãSqsÉÌmɨÉblÉÉ 22 uÉÉÎliÉvÉÔsÉÉqÉrÉÉmÉWûÈ ॥

Cont… All the ingredients are taken in a khalva Proper Mardana is done with Brungaraja

swarasa for one day Dose : 1 Gunja Anupana : 2 Gunja Madhu or Sarpi

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Rasayana samgaraha UxÉÇ ÌuɵÉgcÉ MüwÉÉï®ïÇ cÉiÉÑÈ MüwÉïgcÉ aÉæËUMüqÉç । qÉSïrÉã²ãSrÉÉqÉÇ iÉÑ iÉÉqoÉÔsÉÏSsÉuÉÉËUhÉÉ ॥ UÌ£üMüÉ mÉëÍqÉiÉÇ rÉÉåerÉÇ ÍxÉiÉrÉÉ qÉkÉÑlÉÉÅjÉuÉÉ । AqsÉÌmɨÉÇ pÉëqÉÇ qÉÔ§ÉM×ücNíûgcÉ WûUÌiÉ kÉëÑuÉqÉç ॥

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Cont… All the ingredients in said quantity are taken a

khalva Mardana with Tambula patra swarasa is done

for 2 Yama { untill the parada dissappears }

Dose : 1 Ratti Anupana : sugar or madhu

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Rasachandamshu ApÉëMüÇ UxÉÍxÉlSÕUÇ xÉÑuÉhÉïÇ vÉÑsuÉqÉѨÉqÉqÉç । sÉÉåWûÇ MüqoÉÑeÉpÉÔÌiÉgcÉ ÌuÉwÉÇ MülÉMüoÉÏeÉMüqÉç ॥ cÉiÉÑeÉÉïiÉÇ OûXçMühÉgcÉ vÉÑhPûÏÇ urÉÉåwÉgcÉ MãüvÉUqÉç । xÉuÉïÇ xÉqÉÇ iÉÑ MüxiÉÔrÉÉïxcÉiÉÑjÉÉïÇvÉÇ

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Cont… aÉÑgeÉÉqÉÉlÉãlÉ qÉkuÉ£üÉå qÉkuÉÉSìïMüUxÉãlÉ uÉÉ । eÉrÉã²ÉiÉMüTüÉåSìãMüÇ iÉjÉÉ ZÉhQûÉSìïrÉÉåaÉiÉÈ ॥ uÉÉiÉÌmɨÉÉqÉrÉÇ WûlrÉɨÉjÉÉ UÉxlÉÉMüwÉÉrÉiÉÈ । uÉÉiÉÇ aÉÑQÕûcÉÏxɨuÉålÉ qÉkÉÑlÉÉ xÉuÉïqÉãWûlÉÑiÉç ॥ aÉÉåSÒakÉZÉhQûrÉÉåaÉãlÉ ÌmɨÉÉåSìãMüÇ eÉrÉåkÉëÑuÉqÉç । 27

Cont… All ingredients are taken in equal parts Kasturi is added { 1/4th of total ingredients } Bhavana with Ardraka swarasa and Markava

rasa is given, one day with each liquid media

Dose : 1 Gunja

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Cont… Anupana :

2. Madhu/madhu + ardraka rasa --- vata-kapha hara 4. Khanda + ardraka rasa --- vata-pitta hara 6. Rasna kwatha --- vata hara 8. Guduchi satwa + madhu --- madhumeha hara 10.Khanda + godugdha--- pitta hara 29

On screening the ingredients Common rasoushadhis are:

Parada, Gandhaka, Swarna, Tamra, Loha. Common kashtoushadhis are:

Dattura, Vatsanabha, Along with these Deepana, Pachana and

Aromatic drugs{ Trikatu, chaturjataka }

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Cont…  Parada (Hg): Yogavahi, tridosha hara,

rasayana,balya, drug of choice for incurable diseases { B.P. }  Gandhaka (S ): Useful for rasa bandha, rasayana,

dipana, pachana, visha hara  Swarna bhasma (Au) : Sheeta virya  Tamra bhasma (Cu) : Given as emetic drug in

artificial poisoning , lekhana property  Loha bhasma (Fe) : Pitta hara, raktavardhaka 31

Cont… 

Dattura bija (Dattura metal ) : Agni dipaka, Madakrit, Vanti krit, Murcha janana, Harsha vardhana, pitta nashana

 Vatsanabha (Aconitum ferox Wall) : vyavayi, vikasi, visha hara,

sweda janana ie sroto shodhaka  Tambula patra ( Piper betle Linn) : Apart from dipana,

pachana, ruchi kara, etc it has calcium, phosphorous, iodine, etc which regulate Acid-base ratio in the body, its an potent anti-viral plant  Bhrungaraja (Eclipta alba Hask) : Ecliptine and Wedelo-lactone

which are Alkaline and it is anti-microbial  Bilwa majja (Aegle marmelos Corr) : Aegelin, Aegelinin which

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are alkaline. Also Yakrut uttejaka ,pitta saraka & anti-microbial

Pharmacopoeal standards Description : a fine black powder, faint odour,

tasteless Identification :

vcarbon disulphide extract yields the reactions characteristic of free sulphur vsolution obtained after destruction of organic matter yields the reactions characteristic of Mercury, Copper, Calcium, Gold and Borate  Loss on drying at 110o c = not more than 11% w/w 33

Cont… Acid insoluble ash = not more than 6 % w/w

Assay for : mercury

sulphur copper calcium gold

= = = =

= 3-6 % w/w 4-6 % w/w 1-3 % w/w 2-3 % w/w 3-4 % w/w

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Cont…

The most common complication of

vamana/virechana is abdominal cramps Hence, shodhana dravya are always given

in combination with Aromatic drugs, which reduce the chance of complications Example A: Lavanga in Avipattikara churna

indicated in Amlapitta itself Example B: Eranda taila with Shuntyadi

kashaya in Amavata chikitsa { Chakradatta }

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conclusion The sour taste is caused by acids i.e. by the

Hydrogen ion concentration and the intensity of the taste sensation is approximately proportional to the logarithm of hydrogen ion concentration. The more acidic the food, the stronger becomes the sour sensation.

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Cont… Hence an alkaline or a basic preparation is

required after Shodhana in Amlapitta condition. Sutashekara rasa is a good example for such

an alkaline combination to maintain the Hydrogen ion concentration.

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