Heart Disease From Ayurveda Literature From 3 Shamhvitha

1. )dya
)dya ivakara:
By
DR. S. R. JOSHI
AND

2. Hrudaya and Hrudaya Vikara
1. ËaoDao [it )dyasqaanama Èsau saU 46À130
TIka
To start with the Hrudaya is also known
as ‘Croda’ [Cardiac – Heart]
2.)dyaM puna: ElaoYma r@t p`saadt
saMBavaitÈ
AsaM Saa 5À28
p_ma kaoYa saMkaSaM sauYaIrM AQaaom
3.kf r@t p`saadat syaat )dyaM sqaanama Aao
maaMsa poSaIcayaao r@t p_maakarMAQaao

3. 3
2. Hrudaya is a lotus shaped, hallow organ,
red in color
3. It is situated in the chest and its Apex is
pointing downwards.
It is a totally Muscular Organ derived from
the most gracious fractions of Kapha
Humor and Rakta Dhatu. It is an
important center of Oja.

4. 4
4. ca%vaairMSat Qamanyaa: vaxaisa
tasaaM )dyao Wo È
Qmaanaat [it p`aNaainala pUrNaat sau Saa
7À22 TIka
5. )dya maaMsa ipNDat naaDyaao sava-
tao ivainasmaRt:
baR Aa. ]pinaYad

5. 5
4.There are about 24 Dhamnya in the Chest
and 2 out of them supply to the Heart
Muscle. The important function of these
Dhamnya is to supply Pran Vayu to the
Heart Musculature.
5. All the important Nadya (Blood Vessels)
of our body originate from the Heart
Musculature and spread all over the
Human Body.
6. The Hrudya is connected to the Fufus
(Lungs) via a couple of Nadi only.

6. 6
7. )id p`aNaao cak`sqa: ivamaanao kiNa-
ka yaqaa
ca%vaair kiNa-ka ivamaanao
)dyaoYau|ip tvdt
¤tsmaat ca%vaair )dya
p`%yaMgaaina¥ BaosaU
20|4
Elaoma p`saadat )dyaM AsaMSaa5|26
8. d`vaI BaUtao ElaoYmaa)dyaM

7. 7
7. Just like the four blades of the propeller
of an aero plane the hollow Hrudaya also
is composed of four chambers. Two
above and two below. (upper & lower)
8. The Hrudaya is encircled & covered by
fluid like Kapha Humour from all sides
(Pericardium & Pericardial fluid)
These are the references of the Hrudaya –
croda-heart-cardiac organ available from
Ayurvedic literature.

8. 8
Pericardium
HegâHeäHegâmevee[er

9. 9
1.p`aNaaEayasyaaojasaao AYTaO ibaMdvaao
)dyaaEaya:ÈcasaU 17À74
ttprsyaaOjasa: sqaanama t~ caOtnya
saMga`h:ÈcasaU 30À7
p`qamaM jaayato hyaaoja: SarIrM Aismana
SarIirNaama È
AYT ibanduksya tu Avayava naaSao Aip
marNaM Bavait È AaojaM isqarM
Sau@laM p`aNaayatanama ]%tmama È sausaU
15À33
2.)dyaM manasa: sqaanama Aaojasa: icaMittsya
yaaoiganaao ya~ pSyaint samyak jyaaoit samaai

10. 10
DeespemLeeveced
Bundle of His
Purkinje
Fibers

11. 11
In Ayurveda the Oja or the Ojus is said to
be the most precious, vital and radiant
element present in our body. It is
available in our body in four physical
forms viz. Teja, Soma, Sthira & Sara.
The Teja & the Soma forms are
concerned with storage and liberation of
caloric energy while the Sthira and Sara
are the stationery and the mobile
fractions of the Oja .

12. 12
The Ashta-Bindu Oja is stationery and it is
the most vital unit of Oja that is present
in our Hrudaya (Heart). It is the site for
the storage of the life time vital energy.
The very first life impluse (Praspanda or
the beginning of our life) starts from this
point only and the yogis with their super
human visual power are able to locate the
‘Jyoti’ , ‘TheDivine light’in this area
And thus even a slightest damage to this
Ashta-Bindu Oja area results in death.

13. 13
kayaqaa È
p`aNaao ih [h p`spMdnaona È
BaosaU20À4sausaU 15À4
4.doihnaa )dyaM doho sauKdu:K
p`kaSanama È
td saMkaocaMca ivakasacaM svat: kuyaa-
t puna: puna:È
naaiDiva&ana kaSyap

14. 14
It is the pran vayu that starts cyclical
impulse from this point and the impulse
spreads in a circular manner throughout
the heart muscle just like the propeller of
an aero plane .
And this produces the contractions &
dilatations of the upper two & lower two
chambers of the heart alternately &
rhythmically through out our life-time.
Chakrastha means circular rotatory motion
and in this motion the starting point and
the end point of this rotation is always
one and the same.

15. 15
Thus the Astha-Bindu Oja Sthanum is the
starting and the end point of each and
every cyclical impulse .In modern science
this is known as cardiac cycle and the
Astha-Bindu Oja Sthanum can be
compared with the pace-maker or the
Sino-Auricular node.
The shape of this pacemaker is Fusiform
and the size is about 2cm X 2mm that is
equal to eight drops of honey (Ashta-
Bindu).
Thus the Ashta-Bindu Oja Sthanum co-
insides perfectly with the pace maker of
the modern science.

16. 16
DeespemLeeveced
Bundle of His
Purkinje
Fibers
Pace
Maker

17. 17
5.)daorsaaoina:sarit ttevaca sava-Sa:È
isaraiBa:)dyaM vaOit tsmaat)d p`Bavaa isaraÈ
BaosaU 21À22
puYNaintcaainaSaMvayaao:saMyaaogaatsava-
QaatuiBa:È
rsaaoAmaRtaopma:puYNaMintQaatUnaAi#alaana È
SaapU5À6
mLeeveeblejmLemÙed jmemÙe ®efOejsCemeceb
cesuekeâes YeJeefle ~ jòeâmÙe Je=efOo: MeesefCele
®heleÙee jmesve efceueerlesve keâle&JÙee ~ Ûe. efJe. 5~3
šerkeâe

18. 18
6.karNaantroNa duYT r@t puna: SauQdM
Bavait ÈcasaU 24À3 fuFfusaao )dya naaiDka
lagna: È sauSaa4À25TI
rsaao r@tM ya: svacCtaM yaait sa t~Ova
AvaitYzto È
ttao vyaanaona ivaixaPt sava- doh p`pVto È
vaasaU12À15 TI
7. vyaanaona rsaQaatuih- ivaxaopaoicat kma-
Na:|

19. 19
8. sa vyaanaao rsa saMvahnaaodyat:
pMcaQaa caoYTya%yaip
AakuMcana p`sarNaM ]nnamanama
ivanamanama
tIqa-k gamanama tqaa ca maa~a vaoga
bala kala idga yau@tona pMcaQaa
caoYTya%yaipÈ
9. sa Sabdaica-jala saMtanavat ANaunaa

20. 20
In addition to Pran vayu the Vyan vayu is
also present in our Hrudaya .To eject the
Rasa Rakta Dhatu from the heart
chambers and throw them into circulation
via the Dhamanya, Nadya and Sira
through out our body including the Fufus
is the work attributed to this Vyan Vayu.
After supplying the nutrition and oxygen to
all the tissues and organs the Rasa Rakta
return back to Hrudaya via the Sira only [
In modern science this is known as
Systematic Circulation].
The returning Rasa Rakta Dhatu is known
as ‘Dushta rakta’ & it needs purifications.

21. 21
For purification by the Pran Vayu this Dushta
Rakta is thrown into fufus and the purified
Rasa Rakta Dhatu also returns back to
Hrudaya again via the Sira. [ In Modern
Science this is known as Pulmonary
Circulation ]. Here again the Vyan Vayu
ejects this purified Rasa Rakta Dhatu in all
direction to all the organs and parts of our
body. During this Vikshepanam the Vyan
Vayu has to perform about thirteen functions
of ejections and circulations and they are –

22. 22
AakuMcanama Contraction of the heart
chambers.
P`asarNama Dilatation of the Heart
chambers
]nnamanama Ejections of Rasa Rakta Dhatu
in upward direction towards the head
ivanamanama Ejections of the Rasa Rakta
dhatu in downward direction toward the feet
tIqa-kvaamanama Ejection of Rasa Rakta

23. 23
maa~a ¹ maa~a AMjaila p`maaNaona To
maintain the volume of the ejected Dhatu
during each and every contraction. 70 C.C.
Lt. Ventricle
vaoga ¹ xaNa p`amaaNaona ¹ xaNaat
pURNaa- ir@ta isara To produce the
essential number of contractions of each and
every chamber of the heart per minute. 72
beats per minute
bala ¹ snaayau balaona ¹ vaatona bailanaa

24. 24
kala ¹ caË _YTaMtona ¹ pirvaRi<a kala
inayamaona To maintain the rhythm of
contraction & dilatation
idga ¹ Sabd Aica- jala _YTaMtona ¹ ]Qva-
AQaao itya-ga To eject the Rasa Rakta
Dhatu in all the three directions.
SabdsaMtana Production of sound waves [
Lub-Dub ] continuously during each and
every contraction & dilatation of the heart
muscle chambers (Echo-Cardeography is
Diagnostic)

25. 25
Aica-saMtana Production of essential
amount of caloric heat to maintain the
uniform body temperature
jalasaMtana Maintenance of flow and
fluidity of the Rasa Rakta Dhatu during
health and to avoid intravascular clotting

26. 26
functional references we find that there are
six Vital Components of the Hrudaya and
the derangement of these components is
likely to produce Hrudayavikara. And the
six vital components are –
1. )dyamaaMsapoSaI
2.vdo )dya Qamanyaa:
3.)dya ElaoYma vyapilaMpna
4.AYT ibaMdU Aaojasqaanama ¹ caOtnya
saMga`h:

27. 27
)dyaxaNanama
1. )dyamaaMsapoSaI ivakRit xayaivakRtI –
A.AtIpItaona maVona ivahItonaaOjasaa ca yat
È )dyaM yaait ivakRitM t~sqaa yao ca
Qaatva: È
caica24À36
ba .icarkailana: sainnapat jvaraid vyaaQayaa: )dya
xaNanama kraoit È
xaNanama [it sausaUxma xat v/aNa

28. 28
k . )dyao p`aNaa: p`itiYzta: È
caisa9À9
D . P`aaNamaaMsaxayaO: ]pd`vaO:
jauYTa AsaaQyaa
Bavaint È
sausaU 33À5 TI

29. 29
The diseases of the musculature of the heart.
The degenerative changes in the
Heart Musculature :-
‘Charaka’ says that “The poisonous effects of
the excessive Alcoholic addiction for a longer
time produces deficiency of Oja and
degenerative changes in the heart muscle”,
while ‘Kashyap’ says that “The diseases like
Hyper Pyrexias (sannipat jwara) of longer
duration produces multiple micro ulcerations

30. 30
[Kshananum] in the heart musculature and
the heart muscles become thin, weak and
dilated. And Sushrut Says that This sort
of loss of vitality [Pran Mamsa Kshaya]
in the heart musculature is incurable. In
modern science this known as dilatation
of the heart and congestive cardiac failure
[C.C.F.]. Resulting in Tachy Cardia
Breathlessness & Oedema on dependant
parts. And Liver Enlargement.

31. 31
C.C.F.

32. • The treatment of C.C.F.
• Treament =Ionotrophic agent:-Tila Pushpi
• Tabs Digoxin(Lanoxin) 0.25 mg O.D.or
B.D. this drug improves the Cardiac output
• and reduces Tachy Cardia (pulse rate).
• This is a Cardiac glycoside and has some
cumulative effect and may. produce toxic--
-
32

33. 33
may produce toxic effect, there fore the
drug is dis-continued for two to three
days intermitanly for better results. I.M.
injs are irritant and painful.
2) Tabs or Injs. Deriphyllin (Theophyline)
(A Tea leaves Alkaloid) increase cardiac
output. It is a systemic and coronary
vasodilator and Broncho dilator also.

34. 34
3) Salt Restriction especially sodium
(common salt) and diuretics such as
Lasix 40 mg (Frusemide) or Ditide to
reduce oedema on dependant parts.
4) Ayurvedic drugs.
Depeg&ve, DeblecetU, (Tilospora Asthamatica)
De[tUmee iees#egj, hegveveJee&, ÙeJe
(yeeueea), heg<keâj, penjceesnje,
ue#ceerefJeueemejme.

35. 35
-: ùodÙeceebmemebIeele:-
2) ùodÙe ceebme hesMeer efJeke=âefle-mebIeele
efJeke=âefle~
ceebmemebIeelecedFefleßues<ceCeeog°b ceebmeb
`ceebme mebIeeleced‘ Deeng:~ Yes.Fb. 4~9 meg. efve.
16~44.
Mamsa Sanghat means thickening of the muscle
tissue. Hruday mamsa Sanghat means
Hypertrophy of the Cardiac Muscle also known
as Cardeomegaly. And this is a Non-Inflamatory,
degenerative type of disease only. It may

36. 36
-- Symptomless also.
Hypertrophy of cardiac muscle (cardeo megaly)
may be produced by exercise over load,
Hypertension, excessive Alcoholic addiction,
Pregancy etc. But the exact cause is not known.
Congenital Heart diseases like A.S.D.V.S.D.
Ventricular diastolic dysfunction, valvular
diseases also produce ‘Cardeomegaly’.
‘X-Ray’ chest and ECG are diagnostic.
Treatment :- Improve circulation and oxygen
supply by using cardiac vasodilators.

37. 37
1)Nitroglycerin (Nitrocontin) 2.6 or 6.4 mg.
T.D.S
2)Adrenergic B Blockers. ( Metoprolol) Betabloc
50 mg.
3) ‘Ca’ Channel Blockers (Diltazam) 30 mg. B.D.
4)Anti pletlet aggragation Drug (Ecosprin) 75mg.
B.D. Ayurvedic-papaya-leaves&chhag-mootra
Depeg&veemeJe,Depeg&veeefj°,Úeiecet$eIeveJešer,
ÚeieesojkesâMeceefme.
Female sheep’s urine is very rich in
Nitrates. cha.chi.10-6-26 tikas

38. 38

39. 39
QamainaivakRtI
QamanaI : ca%vaairMSat Qamanyaa: vaxaisa
tasaaM )dyao vdoÈ
sauSaa7À22
rsa¤r@t¥ vahnaM kuva-int Qmanya: sattma È
sauSaa9À11 TIka
r@tM jaIvayait ¤jaIvar@tM¥ [it
p`aNaanauvat-nama kraoit È

40. 40

41. 41

42. 42
Meaning that out of the 24 Dhamanya that
are present in the Thorax, two supply the
Heart. They maintain a continuous blood
flow to the Heart muscle and supply Pran
Vayu. The Pran Vayu centre is in the
brain & from there also it controls the
Heart.

43. 43
saU 26À9 isara QamanaInaaM mau#a$psya
Ag`asya pirmaaNaM ANausva$pM È
ca Saa
7À14
SaakM kpaotana saYa-p tOla B`aYTana
maQaupyaaogaaByaaM È TIka
SaaoiNataByaYyaMd Qamaina p`itcayaM kraoit
Èca saU 26 À84 Qamaina p`itcaya [it QamanaI
]plaop: È ca saU 26À84 TIka
vaRQdSlaoYmaa ]plaopaMSca *Rd`aogaM

44. 44
Meaning that Dhamanya are hollow blood vessels
and the diameters of their terminal ends are Anu-
swaroop i.e. Ultra-microscopic in nature and a
regular habit of eating sweets along with
vegetables & chicken fried in sarshap oil
produces a Kapha vikara known as Dhamani
Pratichaya. Pratichaya means Upalep and Upalep
means coating or plastering of the Dhamani from
inside. This makes the Dhamani wall thick and
its lumen narrow. And this narrowing of the
lumen and increased shleshma (Kapha) produces
Hrudroga. And the different features of this
Hrudroga are hrud-shoola / Hrud- Sanghat.

45. 45
Hrud-shoola
kf ip%taiva$Qdstu maa$tao rsamaUic-Ct: È sau]
42À132
)RdSaUlaM Aotd )Rd`aogaat iBannaM
saMp`aiPt Baodat ca È TIka
Meaning that obstruction caused by Kapha with
Pitta to the flow of Rasa (Rakta) and vayu to
the Heart muscle, produces a severe chest pain
(Anginal Pain) & breath holding. And this
disease is known as Hrud Shool.
It differs from other Hrudrog because of its

46. 46
yada Aatursya )Rdyao vaayausaMga`hya itYzit|Bao.[M
4|1
dmanaI ¤QamanaI¥ saaM pirpIDya saVaojahyaatsa
jaIivatma| Myocardial Infarction
)Rdsya tu saMGaatMpirxaINasyadoihna: | ¤dmanyaa:¥
Bao.[M 4|1
A%yaqa-M pIDyaot SaUlaMsaMV:p`aNaanajaihitsa: |
Angina – Pectoris. Spasmodic, Ischemic, Stable,
Unstable, Abdominal.
)Rid saMGaatSaUlavaana[itAYzIlaavatsaMhtvastU
Hrud-Sanghat.

47. 47
The further complication of “Dhamani
Upalep” is “Dhamani Paripeedanum”
which means tubular, circular, obstructive
injury to Dhamani & complete
obliteration of its lumen which may result
in immediate death. Or it may produce a
solid blood clot (Ashtheelawat) inside the
Dhamani, which in turn may produce
acute precordial pain, or it may result
even in immediate death. And the name
of this disease is Hrud-Sang-Sanghat-
Shool.

48. 48

49. 49
Infarction

50. 50

51. 51
In medical Terminology this is known as
MI=myocardial infarction. And Infarction
means Coagulation necrosis in a tissue
(formation of dead tissue) to which the
Blood Supply is cut off as a result of local
obstruction to circulation by a thrombus or
an Embolus. (Intra Arterial thrombosis). The
patient may die immidiately or may survive
with a shock.
Treatment :- Thrombolytic injection I.V.
immidiately to dissolve the thrombus and --

52. 52
-- recanalyse the occluded Coronary Artery,
which will re-establish the Blood Supply and
Oxygen supply to infartion area and save
patient’s life.
1) Inj. Streptokinase or Urokinase 7.5 lac units
to be Infused I.V. slowly for one hr. second
dose may be added if necessary. This.
Treatment is effective during first 5 to 10
hrs. after the attak, it is ineffective after 24
hrs. Streptokinase is every effective but may
produce severe Allergic reactions also,
urokinase is safe.

53. 53
2) Inj. Lomohep (low molecular wt. Heparin)
20 to 40 mg. I.M. or I.V. this is anti-
coagulant and help thromolytic (fibrinolytic)
agents to dissolve thrombus, but may
produce Hemorrhage / Bleeding also.
3) This treatment is followed by coronary
vasodilators (Nitroglycerins – Nitrocontin)
and thrombus preventing agents. ( Ecosprin
+ clopidogrel) And these drugs are to be
used as lifetime supportive treatment.
4) Cardio-Angiography – means to visualise --

54. 54
-- the patency of the coronary arteries with the
help of a radio – opaque dye injected at the
root of the Aorta via a Cardiac catheter
passed through the Rt. femoral artery
retrograde into the Aorta. The blocked
coronary artery is reanalised by a probe and
a stent (spring like coil) is introduced at the
site of the Blockage to maintain it’s petancy
(Angioplasty). This is followed by thrombus
preventive treatment as mentioned above
(Ecosprin + Clopidogrel).

55. 55
5) C.A.B.G. = Coronary Artery Bi-pass Graft.
Commonly known as ‘Bypass Surgery’.
Here an Autogenic venous or an Arterial
graft (a small place of vessel – a vein or
Internal mammary artery) is used for
implantation. One end of the graft is sutured
(Anastomosed) to Aorta directly and the
other end is stured to the coronary artery
distally beyond the Blockage. Thus the
Blood supply is reestablish to the Heart
muscle beyond the Blockage Area, which
saves the Patient’s Life.

56. 56
Vyan Vayu Vikruti
maa~a ivaÌit ¹ hIna maa~a ApUNa- naaDI –
Low Volume
Pulse
vaoga ivaÌit ¹ SaIG`agatI maMd gatI vaa
Tachycardia
/Brady Cardia
bala ivaÌit ¹ xaINabala A%yaaiQak bala –
Hypotension
Hypertension

57. 57
Treatment –
1. Cordarone (Amiodarone) 100mg B.D.
for Cardiac Arrhythmias.
2. Nux-Vom Q drops for low volume pulse,
Hypotention.
3. Metoprolol, Sarpagandha for Hypertension.
High B.P.

58. 58
idga vahna ivakRtI – Oedema on depend parts
Treatment – Lasix (frusemide) Head low position
during night.
Sabd ivakRtI – Foreign sounds & murmurs. And
collectively these abnormalities produce, fainting
palpitation, restlessness, headache, vomiting and
missing beats, excessive sweating & general
Anasarca.
maaMsasaMsqaanav`aNaanaaMsaSabdpvana
vaaih%vaMSabdvaOkR%va
M sausaU28À16 TIka

59. 59
ElaoYma vyapilaMpna ivakRtI
)dya vyapilaMpnama [it )dya
p/cCadnama È
sau k 179 TI
vaRQd ElaoYmaa ]plaopaEca )d`aogaM
gaa~ gaaOrvama È
A saM saU 20À30
vaRQd ElaoYmaa ¹ ]rsaao AiBaYaMd: È

60. 60
‘Vyapalimpan’ means invagination of the –
Heart and it is done by pericardium. The
deranged ‘Kapha Humor’ produces
inflammation of pericardium which
produces pericardial pain and it is usually
followed by pericardial effusion i.e.
excessive fluid in pericardial cavity.
Treatment – Aspiration of fluid from
pericardial cavity. Antibiotics to Control
infection. Anti Inflammatory drugs.
Corticosteroids if necessary.

61. 61
Pericardial
Aspiration
HegâHeäHegâmevee[er

62. 62
AYTibaMdU Aaoja - caOtnya
saMg`ah ivakRtI
p`aNavaayaU ivakRtI È
)dI p`aNaao cak/sqa: È p`aNaaoih [h
p`spMdnaona È
P`aaNaao cak/sqa: [it caOtnya saMga`h
samau%pnna
P`aaNasya AivaEaaMt spMdnaona
cak`vat pirvaRi<a È

63. 63
(A) caOtnya samau%pnna BaMga:
saat%yaBaMga: tona
naaDI ivakRtI- isqa%vaa isqa%vaa calait|
Ectopic Beats
Saa.pU.3
(ba) pirvaRi<a KMiDt%vaona
)dyaaopraoQa:tona saMkaoca ivakasa
vaOSamyama caica 23/114

64. 64
These two are the disorders of origination of
cardiac impulse and .it’s conduction through
the Heart Musculature when the origination
of impulse do not come from the ‘Chaitanya
Sangraha Pace-maker’. It is known as
‘Ectopic Beat’ and missing beat .While the
obstruction to the conduction of the impulse
in the cardiac musculature is known as
Heart Block and this produces
asynchronized contractions & dilatation of
the Heart Chambers. E.C.G. is Diagnostic.
Treatment – Implant Artificial Electronic
Pace-maker.

65. 65
DeespemLeeveced
Bundle of His
Purkinje
Fibers
Pace
Maker
Atrial
Ectopic
Block
Block

66. Presentation Prepared
by
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