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Reading Material
for ASHA
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■National Health Programmes, AYUSH &
Management of Minor Ailments
JULY, 2006
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Ministry of Health and
Family Welfare
Government of India
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S. No.
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Particulars
Page Nos.
Acknowledgements
5
1.
Introduction
7
2.
Tuberculosis
9
3.
Malaria
13
4.
Wound Care
16
5.
Dog and.Other Animal Bites
18
6.
Burns: First Aid
21
7.
AYUSH
•*
24
Numerous people have contributed to the development of this reading
material for ASHA. We acknowledge the contribution of the Mentoring
Group of ASHA and other experts who have given their suggestions,
valuable time and labour to bring out this reading material for ASHA.
We are especially grateful to Shri Prasanna Hota, Secretary, Health ft
Family Welfare, Smt. S. Jalaja, Additional Secretary, Shri B.P. Sharma, Joint
Secretary and Dr. D.C. Jain, Additional Director (Public Health, NICD) for
their encouragement, constant support and guidance.
We would like to thank United Nations Population Fund (UNFPA) and
National Institute of Health ft Family Welfare (NIHFW), for rendering
support in organizing the reading material. We also acknowledge
the important contribution of Dr. Dinesh Agarwal, Technical Adviser
(Reproductive Health), UNFPA, India.
I gratefully acknowledge the hard labour and sincere efforts put in by
my colleagues Dr. Manoj Kumar, Assistant Commissioner (Training) and
Dr. Himanshu Bhushan, Assistant Commissioner (Maternal Health).
Dr. Narika Namshum
Deputy Commissioner
Training Division
Ministry of Health ft Family Welfare
Government of India
July 2006
1
{
You have by now learnt about how to help families in your village to
access available services for:
■ care in pregnancy, delivery and post-natal period
■ caring for the newborn, infant and child
■ prevention of unwanted pregnancy
■ early and safe abortion
■ prevention and management of RTIs/STIs
■ information and counselling for adolescents
In the village- there would be many other health problems like TB, malaria,
dengue, blindness etc. You may come across patients who may have minor
or major ailments and injuries, which need medical attention. Book number
4 provides you necessary information in helping people access services
available in the various National Health Programmes. In the past, programmes
have suffered due to lack of community participation. It is envisaged that
information available in' this book will facilitate in organizing community
action to achieve various National Health Programme objectives.
India has a rich tradition of indigenous system of medicines e.g., Ayurveda
and local health practices. Many people prefer to access and utilize
services available from such providers. You will also learn about some of
8
READING MATERIAL FOR ASHA
the remedies available in Ayurveda, Unani and Homoeopathy systems of
medicine in this book. This will help you to guide people who desire to
undergo treatment as per preference for the particular therapy.
i
♦
I
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’Ill-
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11 I'
Malaria is an illness caused
by the presence of malarial
parasite in the human body.
It spreads through the bite of
mosquito. When a mosquito
bites a person suffering from
malaria, the parasite enters
the body df the mosquito.
When the infected mosquito
bites a healthy person then
he/she may develop malaria.
.
A person with malaria
generally has fever with chills
daily/alternate day, generally
with headache, bodyache and vomiting. The fever comes down with
profuse sweating and leaves the person with generalized weakness
and discomfort.
■
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It is advised that all persons with wounds be given TT injection at the
earliest at health facility.
For bad wounds, give first level care and refer to health facilities.
Sometimes you may need to control bleeding
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First, stop the bleeding. Press the wound with gauze or a clean cloth
if the bleeding doesn't stop.
Clean the wound with cotton balls
soaked in clean water. Cotton swabs
should be just about wet. If you
have no cotton, soft clean cotton
cloth from sari or dhoti will do.
If there is continuous bleeding from
the wound then immediately refer
to the nearest'health facility.
Using local and home remedies
We have very good home remedies for wound care.
■
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Applicatipn of ice on bleeding wound until the bleeding stops.
Haldi in oil is an excellent anti-septic. For abrasions and small cuts,
application is enough. Dressing is not required in such cases.
Aloe is a good wound healer and a natural dressing too. Cut a piece
of aloe across its length and of the wound size. Put the raw cut side
of aloe and tie it on the wound with cloth. Replace aloe dressing
everyday.
Application of neem oil is a good substitute. For bigger wounds, you
may put it on the dressing pad.
Raw papaya pieces can be an effective dressing. This is especially good
for infected wounds.
Triphala powder pressed on the wound stops small bleeds and also
works as an antiseptic. You can wash the wounds also with Triphala
kadha.
Your role and responsibilities :
■
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To stop bleeding by application of pressure on the wound.
Refer all patients with continuous bleeding for stitches to nearest health
facility.
*
*
Vo^ and O-th&r
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Animal S>it#5
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Dog and animal bites: Will it be rabies?
Dog bite is greatly feared because it can give rise to a deadly illness,
which is called rabies. This is an illness, which affects the brain. The
victim fears water. This is due to severe spasm during swallowing. No
cure is available for rabies. Anti Rabies Vaccine (ARV) immediately after
the dog bite can prevent the fatal illness. These vaccines are available in
government hospitals.
Not all dogs are rabid. Germs are present in the saliva of infected dogs.
Some dogs get the infection from wild animals such as wolf or tiger. The
infected dog passes it on to the other dogs. All infected animals finally
die and may infect others in the meantime. Controlling stray dogs is the
key to prevent rabies. Monkeys and other animals can also be infectious
if they are rabid due to such bites.
Very effective and simple first aid for
any dog bite is to:
Wash the wound with soap and water
thoroughly. This is most important.
N
Do not disturb the wound. Leave
it open. Tie a loose dressing and
advise to consult doctor/other staff
in hospital.
1
i
SOAP
------
S^fCaoSBSSiii
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DOG AND OTHER ANIMAL BITES
How dangerous is the
bite?
People will ask you if the
bite is dangerous. A bite
can cause illness only if the
animal itself is infected. First
symptoms of rabies in bitten
person may appear early
within 10 days or more after
the bite.
A
v
Rabies infection is likely if a
pet dog dies within 10 days
of the bite or if it shows
any signs of rabies. Even
a scratch on the skin may give rabies infection. Each wound is
important. We can decide the risk of exposure as follows:
Mild: Licks on normal skin, scratches without blood, drinking raw milk of
suspect cattle.
*
, .
Moderate: Licks on fresh cuts, scratches with blood oozing, minor wounds
fewer than five, all wounds except those on face, neck, head, palms and
fingers.
Severe: All bites and scratches with oozing blood on neck, face, palms,
fingers, face and head, Lacerated wounds on any part of body, wounds
more than five, bites of wild animals.
«
X
If the biting animal is not seen or around, the case should be treated as
severe.
Bite or saliva of a rabies patient is also infective. The effect of ARV reduces
after a period of six months, so for any further occasions of dog-bite,
fresh vaccination is necessary.
Rabies in'dogs: Abnormal behaviour
Identifying and killing rabid dog5 is essential. Remember that there are
two types of rabid dogs - the aggressive and the silent. The aggressive
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READING MATERIAL FOR ASHA
kind keep biting and attacking humans and animals. They may refuse
feeds but bite at wood or iron objects. They look ferocious. There is
profuse salivation.
Usually rabid animals act strangely. Sometimes they are sad, sometimes
restless or irritable or attacking. Their mouth dribbles and froths and this
fluid is highly infectious.
An originally aggressive dog may turn docile. The silent type languishes
to death in neglected places. Wild animals may look friendly and turn to
habitations. In case there are such problems in your area these need to
be addressed and Gram Panchayats have to play the key role.
immunizing dogs
Immunization of dogs is essential. The protection given by vaccines used
in the government veterinary services lasts for six months. Protection
by newer vaccines lasts for one year. Those who handle dogs also need
immunization every six months. A common problem is whether to use the
milk of an animal bitten by a suspected dog or animal. The rabies germ is
not reported in the milk of animals. It is completely destroyed by boiling,
so milk of such animals is not harmful. However, the saliva of the animal
will contain germs if infected by rabies. The key issue is to avoid direct
contact of saliva of such animals.
Your role and responsibilities :
39
H
■
Wash the site of bite with soap and water thoroughly.
Refer all cases of dog/other animal bites to facility where an anti-rabies
vaccine is available.
Advise people to get pet dogs vaccinated against rabies.
Ft?. .
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First
if®»
Burns are common injuries in India and women are the common
victims.
In some cases, the pressure stove is the culprit. In others it can be gas
F=a
leak from the cylinder.
Children or women may suffer scalds due to spilling of boiling liquids
.
- like milk, oil, dal, chai etc.
I
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Please note that some of the burn cases can be suicide attempts or
attempt to murder. In any case, our priority should be to give first aid
and take the person to hospital at the earliest. Inform the doctor about any
information by the woman on the burn injury being intentional. In case, you
know, do let her know about NGOs or counsellors she can approach for help.
As necessary, the doctors will initiate legal measures in these cases.
Common causes
l(«
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Kitchen accidents - commonly bursting of pressure stoves
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Fire crackers
Explosion in work places
House fires
OVA \\O
*
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READING MATERIAL FOR ASHA
■
Chemical burns
■
Electric burns
■
Suicide attempts
■
Murder attempts
First aid and other help
First try to put out the flames. The
immediate first aid for all kinds of
burns is to pour plenty of cold water
on the affected part, except on acid
r.
burns. This helps to reduce damage
by absorbing heat from the skin. It
also reduces pain to some extent.
Water also helps by separating
burning clothes from the skin.
#1
Many people wrongly believe that
water causes blisters on the skin
and instead they wrap the victim
in blankets. This puts the fire off
after some seconds, but does not
absorb the heat. Water is far more effective than a blanket because
it cools instantly.
If you are using water-soaked folds of clothes, place them on the burnt
part and change them every three minutes. Help the victim to drink as
much water as possible. This helps to overcome the shock caused by fluid
loss from the body. Cover the burns with a clean cloth to protect from
dust, flies, etc. Unless the burns are minor, all burn cases must be referred
to hospitals. Facial burns and burn in hands should be referred.
You may have to treat small burns at home. Treat it like any other wound.
Herbal applications like neem oil, coconut oil, aloe or raw papaya dressings
are good.
Prevention of burns
Prevention is better than cure. Think and start from your own home.
Synthetic clothes catch fire quite quickly. They stick to the skin more
»
BURNS: FIRST AID
easily. Advise people to always take care regarding their clothes and sari
pallus etc, d.uring cooking.
Over-pumping the stove before pinning and igniting is dangerous. 'First
pin and then pump' is the correct method to light the stove.
Your role and responsibilities:
■
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t
1
Pour plenty of cold water on the affected part
Refer the patient to a hospital for further treatment
Educate about safety measures specially while working with stoves
23
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READING MATERIAL FOR ASHA
7
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c
In this chapter some remedies for AYUSH systems of healing are spelt out.
The knowledge about these remedies will be useful for ASHAs for their
day-to-day work in community.
Iron-deficiency disorders
Ayurveda has simple remedies to prevent iron-deficid'ncy anaemia. Use
of green leafy vegetables like spinach, Punarnnava, Sigru and fruits like
Amalki, Dadim, dry grapes etc. in daily diet is important to prevent blood
deficiency. 'Mandookparni' fried in ghee is also indicated to increase
the RBC. Therapeutically, use of ‘Punarnnavadi mandura' with water or
buttermilk is indicated for minor and moderate anaemia. Anaemia in girls
is a common cause for amenorrhoea. Therapeutically use of 'Rajapravartini
l/at/'500mg. two tabs per day upto the onset of menstruation is beneficial
in the condition. Three gms. powder of equal quantity of black tila (sesame),
Shunti and ghritakumari (aloe) and one gm. jaggery with tepid water twice
a day or decoction of above drugs including jaggery in the dose of 10-
20 ml. twice a day is indicated for scanty menstruation. Anaemia caused
due to excessive bleeding during menstruation could be managed by the
intake of ‘tanduliyaka1 (rice wash) with iron preparations like 'mandura
bhasma' 0.5 gm, or 'Punarnavadi mandura' 0.5 gm and ‘Shukti Bhasma'
0.5 gm. twice daily.
Homoeopathic medicines improve absorption and thereby help in
iron intake as supplement or from food rich in iron. Commonly used
4
AYUSH
homoeopathic medicines for iron deficiency anaemia are given below with
their indications.
Arsenic album: Anaemia due to malaria, excessive prostration, oedema,
violent and irregular palpitation.
■
Calcarea carbonicum: Palpitation Et tachycardia, vertigo, anorexia,
nausea, eructation; Pale, weak fatigue, lassitude, easily tired; Headache
and heaviness at morning, profuse sweating on head.
■
China: Chief remedy for anaemia resulting from loss of fluids, as in
lactation or haemorrhage, or from all exhausting discharges, such as
menstrual flow, long-lasting diarrhoea.
■
Ferrum metallicum: Paleness of the face and puffiness of the extremities,
weakness, easily exhausted.
Ferrum phosphoricum: Anaemia and chlorosis; it removes the underlying
dyscrasia giving rise to the anaemic or chlorotic conditions and cures
the trouble.
■
Kali carbonicum: Anaemia after loss of fluid or vitality; Pallor; Aversion
to be alone; Backache, weakness, profuse menses, irregular with clots,
weak before menstruation; Backache; Vertigo.
Natrum muriaticum: Anaemic and debilitated conditions due to loss
of fluids, especially in women who suffer from menstrual disorders.
■
Phosphorus: Anaemia; Morning diarrhoea; Restlessness; Weakness
and prostration; Nervousness, debility and trembling; Nausea and
vomiting.
Pulsatilla: Anaemic condition produced by large or continued doses of
iron; System is relaxed and worn out; Patient suffering from gastric
and menstrual .derangements.
Some Unani medicines are also commonly used for supplementing iron in
pregnant ladies, mothers and children. Sharbat-d-Faulad 15ml. twice daily
is indicated for pregnant ladies and mothers. In children the medicine
could be given in the dose of 5 ml. twice daily. Qurs-e-Damvi two tablets
with butter id also useful for this 'purpose.
Iron deficiency disorders can be managed as well as prevented by a proper
intake of iron rich natural foods ft the intake of foods, which enhances
the absorption and utilization of iron from the intake of foodstuffs.
25
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READING MATERIAL FOR ASHA
Iron rich foods
Green leafy vegetables, spinach, ragi, jaggery, drumstick, dates raisins, amla
and figs etc. For enhancing the absorption of iron, one must take whole
grams, sprouts, fresh fruits and fresh raw vegetables. Intake of tea, coffee
and other preservatives in the food interfere in the absorption of iron. So
by avoiding all the beverages, we can enhance the iron absorption.
Diseases of gastro-intestinal system
Gastro-intestinal system plays an important role in the normal and
abnormal states of health. Ayurveda describe that the use of wholesome
diet is the only factor that promotes the healthy growth of man. Food
should be taken at proper time, when the body feels light after the
digestion of previous meals, after the clearance of bowels and urine and
when the mind is free from worries. Clean and hygienic food should be
taken in optimum quantity. The food should not be too hot or too cold,
too heavy or too light.
Diseases of the gastro-intestinal system are primarily caused by the food
and water that we take. The root causes of many chronic diseases are
also related to factors derived from partially digested or undigested food
materials. Therefore, the disorders arising from gastro-intestinal tract
should be promptly managed. If digestive capacity is low simple remedies
like 'Trikatu' and 'Panchakola' powders 2 gms.twice daily are indicated
for use along with warm water before meals. In abdominal pain due to
indigestion, Hinguvachadi Churna, Lashunadi Vati, Chitrakadi Vati etc. is
indicated in the dose of two tablets twice daily with warm water.
Constipation is a common symptom of many illnesses, which can be
managed by powder of 'Triphala' (equal quantity of fruits of amla, harada
and baheda) 5 gms. with tepid water at bedtime. 8-10 dried grapes of
bigger variety boiled with about 250’ml. of milk is also indicated at
bedtime for relieving constipation.
Unani medicines are widely used for the management of abdominal
distension and gastritis. Qurs-e-Tankar or Qurs-e-Kabid is indicated one
tablet twice daily in this condition. Qurs-e-Alkali one tablet twice daily
may be used as an antacid. In non-specific diarrhoea Qurs-e-Zaheer one
tablet twice daily is useful. In case of amoebiasis Qurs-e-Deedau one
tablet twice daily is indicated.
AYUSH
HOMOEOPATHIC DRUGS IN DIARRHOEA, NAUSEA
AND VOMITING
Nausea and vomiting especially when
the tongue is clean
Ip. 30 every 2 hours
Ars. 30 every 2 hours
Thirst for small quantities but very
frequent and when the above remedy
does not work
Ip 30 every 1 to 3 hours depending
In case of gastro-enteritis, when
vomiting and diarrhoea occur, either upon severity of disease
of the above remedies may be
indicated and also if no indication of
one remedy is clear
*
Vomiting after over eating, especially
spicy food. Diarrhoea after rich spicy
food.
Nux 30 every 2 hours
Diarrhoea after rich, greasy food,
pastry, cocoa etc.
Puls. 30 every 6 hours.
Diarrhoea with involuntary passage
of stools while passing flatus
______________________ i__________
•
Diarrhoea, effensive stools or even
otherwise with insecurity or rectum
(it may also be given when no
definite indication of the above
drugs are available)
Aloe 30 every 2 hours
Abdominal colic due to wind and
patient presses the abdomen or
bends forward for relief.
Coloc. 30 every half an hour
If patient is relieved by hot water
bag and pressure
Mag-p 30 in warm water every half
an hour.
Cyn-d. 30 every 2 hours
(give mother tincture 5 drops a dose,
if 30 does not help)
Naturopathy .and yoga systems provide various ways to keep the gastro
intestinal tract in a good condition. Naturopathy teaches us to take the
foods, which are natural, easy to digest, absorb and eliminate. According
to naturopathy, nutritious and harmless food should be taken for proper
digestion, absorption and elimination. Hydrotherapy, mud therapy and
massage therapy helps to strengthen the digestive system and to eliminate
the toxins from the digestive system.
27
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READING MATERIAL FOR ASHA
Yoga plays an important role in the management of digestive disorders.
Asana helps to strengthen the weak abdominal muscles and improves the
function of the digestive system. Kriyas, the cleansing process, eliminates
the toxins and waste materials from the GIT.
Rational drugs
Ayurveda explains the therapeutics as basically two kinds - one kind is
promotive of vigour in the healthy; the other, destructive of the disease
in the ailing. A drug while inducing therapeutic effect, should not evoke
untoward effects. In this regard, herbal drugs like Ashwagandha, Shatavari,
Guduchi, Vasaka, HareeTaki, Amalki, Vibheetaki, Ginger etc. could be
considered as safe drugs.
Some common AYUSH medicines
We have seen that the knowledge about the use of medicinal plants
obtained from our surroundings is valuable. Let us study about some more
remedies commonly used in the country.
Hingu (Ferula foetida Regel.)
Hingu consists of gum resin obtained from rhizomes and roots of a
perennial herb occurring in Persia and Afghanistan. Hing is commonly
found in our kitchens and is used as a condiment. However, it would be
interesting to know that it is also used as a digestive and is useful in
common disorders like abdominal pain, flatulence and worm infestation.
In infants, hing mixed with breast milk is given orally for relieving pain
abdomen. Hing mixed with a little mustard oil can be applied gently over
the abdomen and a little piece of hing can be put over umbilicus for
relieving pain in abdomen. Hingwashtaka Churna, which contains hing as
main ingredient, half teaspoon mixed with luke warm water could be given
two-three times a day in abdominal pain and worm infestation.
Jatiphala (Myristica fragrans Houtt.)
Jatiphala consists of kernels of fruits from Myristica fragrans, an aromatic
tree commonly found in southern India. The fruit kernels are commonly
used in dysentery, diarrhoea and vomiting. For vomiting, powder of Jatiphal
mixed with tulsi juice and 1 gm. honey could be given two-three times
a day. In diarrhoea and dysentery, powder of equal quantity of parched
saunf (Shatapushpa), Jatiphala and sugar in the dose of 2 gm. three or
four times with cold water or scum of rice should be given.
»
AYUSH
Kulattha (Dolichos biflorus)
Kulattha or horse gram is a commonly found dal in our households and
has therapeutic benefits in many common ailments. In Urinary calculi,
1-2 gms of the powder of these seeds is indicated with warm water.
14-28 ml. of decoction of seeds thrice daily is also indicated in dysuria
and dsymenorrhoea. 50-100 ml. dal soup thrice daily is beneficial in
haemorrhoids and Rheumatoid arthritis.
Kushmanda (Benincasa hispida)
Popularly known as Petha, Kushuanda is familiar with households and
has medicinal properties. 7-14 ml. fresh juice of fruit with 3 gms. of
Yashtimadhu powder twice daily is useful in fits or epilepsy. It is also
indicated in peptic ulcer, acidity and burning sensation.10-20 ml. juice of
fruit-pulp with 10 gm. of sugar-candy two to three times a day is useful
in these conditions. In dysuria, 60 ml. of fruit-pulp with 5 gm. Yavakshara
and 25 gm. sugar twice daily is beneficial.
Lavanga (Syzygium aromaticum)
Lavanga is the dried flower bud of Syzygium aromaticum Linn, cultivated
in many parts of the country. For cough, it could be chewed frequently.
125 mg. powder of fried Lavanga with honey twice daily could be given to
small children in cough. In vomiting of pregnant ladies, 1-4 gm. of Lavanga
powder with 14-28 ml. of sharbat of sugar twice daily could be given. In
diarrhoea, the water soaked with Lavanga is given for repeated drinking.
Maricha (Piper nigrum Linn.)
*
Pepper is a common spice found in our houses having medicinal values. 1
gm. powder of seeds with ghee and honey twice daily is useful in cough.
In hoarseness, 1 to 2 gms. powder of seeds fried with ghee twice daily is
'useful. In hiccough,. 1-2 gms. powder of seeds with sugar twice daily is
beneficial. It is one'among the 'three pungents' (Trikatu) popularly used
in many gastro-intestinal and respiratory disorders. It is also useful in
reduced appetite and distaste.
Musali (Asparagus abscendense Roxb.)
Musali is a cultivated rhizome extensively used by the local physicians.
3-6 gm. powder of equal parts of Musali and Salmali root with 5-10 gms.
sugar and 5 gms. ghee thrice daily is used in weakness and debility. In
urinary disorders, 14-28 ml. decoction of Musali with 5 ml. of milk thrice
29
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READING MATERIAL FOR ASHA
daily is recommended. In Oligospermia, 3-6 gms. powder of Musali with
equal quantity of sugar-candy and 100 ml. milk is indicated twice daily.
I
Nimbu (Citrus limon Linn.)
Nimbu is a common citrus fruit used in our houses having various
therapeutic activities. In distaste and indigestion, it is indicated as 7-14
ml. juice of fruits three times a day after meals. In jaundice, 12-24 ml.
juice of fruit should be taken twice a day. In vomiting, syrup of sugar in
water with lemon juice is useful. In pain on heels, the use of nimbu cut
in two halves, warmed in sauce pan and applied as fomentation at ankle
joints and heels is indicated. In abdominal pain, 7-14 ml. fruit juice with
1 gm. Yavakshara thrice daily could be given.
Nirgundi (Vitex negundo Linn.)
Nirgundi is a small shrub seen all over the country and is used in various
ailments. In simple fevers, 14-28 ml.decoction of leaves with honey thrice
daily is useful. In rheumatic disorders and Sciatica 14-28 ml. decoction
of leaves thrice daily is recommended.
Pippali (Piper longum Linn.)
This is a perennial climber with slender branches. It grows wild in the rainy
parts of the country. This is one of the ingredients of 'Three Pungents'
(Trikatu). It is commonly used in low digestive capacity in a combination
of Igm. of fruit powder with 2 gms. salt and lemon juice after meals twice
daily. In productive cough, 2 gm. of powder of fruit with honey twice daily
is useful. In dry cough, 60 mg. powder of fruit and 120 m'g. Saindhava
(rock-salt) with warm water twice daily is beneficial. In mucous diarrhoea,
mix 5 gm. powder of fruit in 1 litre buttermilk and divide equally into 4
parts. Take 1 part 6 hourly.
Some compound formulations
Lashunadi Vati
In indigestion, diarrhoea' and cholera," Lashunadi Vati 250 mg. is
recommended. Two Tablets thricc'daily with warm water could be given.
Garlic is the main ingredient of the formulation. Plenty of boiled water
and ORS liquid also could be given in this'condition.
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Khadiradi Vati
In soreness, irritation of throat and mouth, cough, stomatitis, and dental
disorders, Khadiradi Vati is indicated. One 250 mg. tablet may be kept in
the mouth four to six times a day as per the severity of the symptoms.
It could be given along with honey also. The 'Khadira' (Acacia catechu)
in this medicine acts as^an astringent agent.
Haridra Khanda
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Haridra Khanda is indicated in urticaria, itching skin rashes, skin disorders,
and allergic rhinitis. Four tables of 500 mg. thrice daily with water or
milk could be advised in these conditions. The main ingredient turmeric
has anti-allergic properties.
Pushyanuga Churna
In Menorrhagea, Leucorrhoea, Haemorrhoids and Vaginal disorders,
Pushyanuga churna is commonly indicated. 3 gms. of powder is taken
along with honey and rice washs (tandulodaka). mung, wheat, fruits, whey,
etc. could be given sufficiently.
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