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Aids in Ay
1. ROLE OF AYURVEDIC SYSTEM OF MEDICINE IN AIDS
* Dr. S.K. Tiwari & * * Prof. Dr. K. Shiva Rama Prasad
* B.A.M.S., P.G.D. In H.C.A., (M.D.) Assistant Research Officer, R.R.I. Bangalore (C.C.R.A.S)
* * M.A. (Jyo), M.D. (Ayu), Reader in Kayachikitsa, PGARC, DGMAMC, Gadag
ABSTRACT
AIDS is a latest disease/ syndrome, which has no proper treatment as on today. But
Rasayana and Rakta Sodhana Chikitsa from Ayurveda can promise some relief for it. Here we
provide a rational treatment along with the pathophysiology explained in Verses.
INTRODUCTION OF THE DISEASE
AIDS is caused by a human immuno-deficiency virus, till now the cure is positively not avail-
able. In Ayurveda, treatment of this syndrome is possible through Rasayana (Brinhan) and Rakta
Sodhana Chikitsa as the symptoms directs. Mainly three types of HIV varieties are being de-
tected and still some more are coming up rapidly. Ayurveda treat the human body in total as a unit
including Atma, i.e. from inside and outside. In Ayurveda, immunity is described as a Vyadhi
kshamatwam and Vyadhi balavirodhitwam. The Kapha (Bala - strength of the body) includes the
Ojas, which is an essence of all the tissues, intended for the protection of the body. The Ojas is
of two types.
1. Para Ojas and
2. Apara Ojas.
Para Ojas is of 8 drops placed in the heart (Hridaya). The 8 units (Drops) are collected
one drop each from tissues, as essence. The Para Ojas control the Ardhanjali pramana Apara
Ojas. The Apara Ojas have kshaya, vyapati and vibhranshan as the phases of deficiency cause
the illness in the body. Human body has protective cells known as CD-4 helper cells. Its normal
range is 8 hundred -12 hundred /micro liter. If this is lesser than 800 than it can give rise the
immuno deficiency in the body. This can be considered as Ashtavindu Para Ojas. The depleted
Para Ojas disturb the Apara Ojas and give rise Ojas kshayam, in nutshell.
Description of the AIDS in Sanskrit
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Being from Rasa to sukra Dhatu, Ojas is the essence of all the Dhatus. As per Susruta,
bala is the synonyms of Ojas. Due to effect of Ojas, muscles have a strength and normal func-
tion, a person can discharge his duty. Signing of body voice and normal physiological activity will
depend upon ojah.
iÉjÉ ¤É±ÉäxÉ ÎºlÉ®úÉä{ÉÊSÉiɨÉÉƺÉiÉÉ ºÉ´ÉÇSÉä¹`öɺ´É|ÉÊiÉPÉÉiÉ: º´É®ú
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ºÉÖ ºÉÚ 15/20
Dalhan has commented on above-mentioned line in 10 century AD ºÉ´ÉÇSÉä¹]õɺ´É|ÉÊiÉPÉÉiÉ:
th
as loss of
defense from the another disease. Dalhan commentary as follows
+|ÉÊiÉPÉÉiÉÉä%|ÉÊiɽþiɶÉÊHòi´É¨ÉÂ, BiÉnÂù¦ÉÉ®ú½þ®úhÉÉÊnù¶ÉÊHò±ÉIÉhÉäxÉ ¤É±ÉäxÉ -
ºÉÖ*ºÉÚ*15/20 b÷±½þhÉ
In 11th century AD the great commentator of Charak samhita, Acharya chakrapani has given the
detail highlight of ojah and ojahkshaya. As per his description, ojah has divided in two part.
1. Para ojah - para= pradhan, main, para ojus is amounted 8 drops and his place in heart.
|ÉÉhÉɸɪɺªÉÉèVɺÉÉä%¹]õÉè ʤÉxnù´ÉÉä ¾þnùªÉɸɪÉÉ: <ÊiÉ*
BiÉSSÉɹ]õʤÉxnÖùEÆò {É®ú¨ÉÉäVÉÉäYÉäªÉ¨ÉÂ*
SÉ®úEò ºÉÚjÉ 17/73-75 SÉGò{ÉÉÊhÉ
2. Apara ojah - secondary important ojus amounting ardha anjali pramana. In madhumeha dis-
3. ease it will be come out through urination. Kshaya causes weakness but not death.
+vÉÉÇVÉʱÉ{ÉÊ®ú¨ÉÉhÉÆ iÉÖ ªÉnùÉäVɺiÉnù|ÉvÉÉxÉÆ ªÉSUôÉ®úÒ®äú ´ÉIªÉÊiÉ -
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SÉ®úEò ºÉÚjÉ 17/73-75 SÉGò{ÉÉÊhÉ
2000 year BC Acharya susruta has mentioned about the disease caused by ojahkshaya.
iɺ¨ÉÉnùÊiÉEòɺªÉȦɴÉÊiÉ*
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ʴɦÉäÊiÉ nÖù¤ÉDZÉÉä%¦ÉÒIhÉÆ vªÉɪÉÊiÉ ´ªÉÊlÉiÉäÎxpùªÉ:*
nÖù¶UôɪÉÉä nÖù¨ÉÇxÉÉ ¯ûIÉ: IÉɨɶSÉè´ÉÉèVɺÉ: IɪÉä*
¾þÊnùÊiɹ`öÊiÉ ªÉSUÖôrÆù ®úHò¨ÉÒ¹ÉiºÉ{ÉÒiÉEò¨ÉÂ*
+ÉäVÉ: ¶É®úÒ®äúºÉÆJªÉÉiÉÆ iÉzÉɶÉÉzÉÉ Ê´ÉxɶªÉÊiÉ*SÉ®úEò ºÉÚjÉ 17/73-74
Loss of imune power, patient have a very lean and thin body. His body is not able to
protect from other disease, viz. And that condition. These are loss of appetite, thirst, hot, cold,
rain, air/wind force, due to the above the patient can be suffered from swasa, kasha, sosha,
pleeha vriddhi, udarvriddhi, agnimandhya, gulma add raktapitta. Patient can be died by the effect
of any one disease which is mentioned above.
Charaka also mentioned in 5000 to 3000 year Bc about sign and symptom of the ojahkahaya
as unnecessary feared thinking mood/sad mood, dull sense organs and change of the complex-
ion. Charak and susruta both were described the sign add symptom of ojahkshaya which are
similar to AIDS. Aetiology of ojah kshaya which are mentioned in the text is also similar to AIDS.
These are
1. Excess of sukra - main cause of HIV infection.
2. Rakta - important factor of HIV infectio (professional blood doners)
3. Kapha - general power
4. Others are excess exercise, fasting, sadness, improper diet etc.
´ªÉɪÉɨÉÉä%xɶÉxÉÆ ÊSÉxiÉÉ ¯ûIÉɱ{É|ÉʨÉiÉɶÉxɨÉÂ*
´ÉÉiÉÉiÉ{ÉÉè ¦ÉªÉÆ ¶ÉÉäEòÉä ¯ûIÉ{ÉÉxÉÆ |ÉVÉÉMÉ®ú:*
Eò¡ò¶ÉÉäÊhÉiɶÉÖGòÉhÉÉÆ ¨É±ÉÉxÉÉÆ SÉÉÊiÉ´ÉiÉÇxɨÉÂ*
SÉ®úEò ºÉÚjÉ 17/76-77
Sushruta has mentioned that the aetiology as a first injury. Injury is the now a days one of
the factor for spreading the disease. Others aetiology are the similar to charaka.
+ʦÉPÉÉiÉÉiÉ IɪÉÉiÉ EòÉä{ÉÉSSÉÉäEòÉnÂùvªÉÉxÉÉSTɨÉÉiÉ IÉÖvÉ:
+ÉäVÉ: ºÉÆIÉÒªÉiÉä Á䦪ÉÉä vÉÉiÉÖOɽþhÉÊxÉ:ºÉÞiɨÉÂ*
ºÉÖ ºÉÚ 15/23
4. A comparative statement of Ojahkshaya with reference to AIDS is as follows
OJAHKSHAYA AIDS
It is because of deficiency of ojus It is by deficiency of CD-4 helper cells.
Body protective machanism Body immunity capacity lost.
(vyadhikshamatwam) and vyadhi
balabirodhitwam is lost.
Loss of apara ojus causes vyadhi of various Decrease of immunity causes various problem
process. in system.
Causes of ojahkshaya is ativyavaya and Source of infection is unnatural sexual inter-
agamyavyavaya (causes pratiloma kshya) course.
Appear with impair sequencal progress of One of the important root of spreading virus is
dhatus as rasa rakta etc. blood transfusion and appear malnourished
process.
Rasa kshaya lead to ojah kshaya causes AIDS causes uncontrolled Diarrhoea.
mantal confusion and mainly G.I.T problems
(annavaha srotojanya vikara).
Rasa viz twak as bahya rog marga causes So many skin disease viz fungal infections are
skin erruption or kushtha. common.
At sequencal progression of dhatus, Lack of CD-4 cells give rise disterbance in
dhatwagnis are going to be involve and others metabolic process and causes disease.
causes respective disease substantially.
Ojus is eaten by rajnichara. (is pishacha as a CD-4 cells is going to be infected by HIV virus.
agantuz karana) +ÉäVÉÉä¶ÉxÉÉxÉÉÆ
®úVÉxÉÒSÉ®úÉhÉɨÉɽþÉ®ú½äþiÉÉäxÉÇ ¶É®úÒ®úʨɹ]õ¨ÉÂ* SÉ®úEò ¶ÉÉ®úÒ®ú
2/10
TREATMENT
Till now there are no treatment accept to protect the non infected cells by introducing zidovidine,
AZI, ATC, DPT etc., of aelopathic system. These medicines are very costly and much toxic. Per
month expenditure for treatment is Rs. 20000/=. Result is not curative but only to delay in death.
Loss of immune power is not a big issue, it can seen in case of diabeliease, leprosy and pandu
also, but main problem is that, HIV infected person can infect to others healthy persons by the
mode of infection and infected person have a no ability to discharge his duty. To study the above
situation, ayurvedist duty to search the new medicine for this unmentioned disease. As per folllowing
reference of charak samhita sustra 18/44-47. As per analysis of dosha, dusya, place and nidana
etc., a physician have to be identify the cases and select the tools for treatment.
Charak guide line as follows for the diagnosis and treatment of unmentioned cases.
Ê´ÉEòÉ®úÉäxÉɨÉEÖò¶É±ÉÉä xÉ ÊVÉ¿ÒªÉÉiEònùÉSÉxÉ*
xÉ Ê½þ ºÉ´ÉÇ Ê´ÉEòÉ®úÉhÉÉÆ xÉɨÉiÉÉä%κiÉ wÉÖ´ÉÉ ÎºlÉÊiÉ:*
ºÉ B´É EÖòÊ{ÉiÉÉä nùÉä¹É: ºÉ¨ÉÖilÉÉxÉʴɶÉä¹ÉiÉ:*
ºlÉÉxÉÉxiÉ®úMÉiɶSÉè´É VÉxɪÉiªÉɨɪÉÉxÉ ¤É½ÚþxÉÂ*
SÉ®úEò ºÉÚjÉ 18/44-45
On the base of analysis of above guideline of charaka we given the name of this disease ohah
kshaya. For treatment of this disease charak has given another guide line.
º´ÉºlɺªÉÉäVÉǺEò®Æú ªÉkÉÖ iÉ´qÞù¹ªÉÆ iÉpùºÉɪÉxɨÉÂ*
SÉ®úEò ÊSÉÊEòiºÉÉ 1/1/5
5. Rasayan chikitsa is swasthya (healthy) and urjaskar (a medicine which can grow ojus, known as
urjaskar). Therefore on the base of above we selected all the rasayan groups of single herbs. We
also taken some magazine and news paper description. And inter in the field of ojus kshaya
treatment. Maharshi sushruta have also given guide line as.
=i{ÉzÉä iÉÖ {ɪɺªÉÉ·ÉMÉÆvÉÉÊ´ÉnùÉÊ®úMÉvÉɶÉiÉÉ´É®úҤɱÉÉÊiɤɱÉÉ
xÉÉMɤɱÉÉxÉÉÆ ¨ÉvÉÖ®úÉhÉɨÉxªÉɺÉÉÆ SÉÉè¹ÉvÉÒxÉɨÉÖ{ɪÉÉäMÉ:,
IÉÒ®únùÊvɨÉÉƺɶÉÉʱɹÉι]õEòMÉÉävÉÚ¨ÉÉxÉÉÆ SÉ,
Ênù´Éɺ´É{xÉ¥ÉÀSɪÉÉÇ´ªÉɪÉɨɤÉÞƽþhɺiªÉÖ{ɪÉÉäMɶSÉäÊiÉ*
ºÉÖ ºÉÚ 15/33
Brahmacharya and exercise have to be followed alongwith brinhan (tonic) medication. Rasayan
is the best way of healthy medication.
Therefore following medicine has been selected. These medicines are under trial to nizeria and
some another countries.
Ref;
1. Ayurved answer of AIDS, indian exp. 15-5-93
2. Ayurvedic works on AIDS do 30-6-93
3. Prevention add control of communicable disease with a special reference to AIDS by Dr. S.K.
Tiwari (A thesis for P.G.D. in H.C.A. SJMCH Bangalore)
These medicines are
1. Tulasi - ocimum sanctum linn
2. Aswagandha - withania somnifera
3. Punarnava - boerrhavia diffusa
4. Giloia satwa - tinospora cordifolia
5. Shatavari - asparagus recemosus
6. Brahmi - centella asiatica
7. Neer brahmi - bacopa monnieri
8. Powders dose 2-4 gms with milk
Other medicine with combinatio as per condition for patient such as if fungal infection or skin
disease then decoctio of
1. Kiratatikta - swertia chirata
2. Nimba - azadirachta indica
As a rakta shodan and given as a decoction twice a day.
Another important combination can introduce with 1st seven as a vidarikhand - ipomcea digitata
Vibhitaki - terminalia belleric
Amalaki - emblica officinalis
It is also preferred to give haritaki churna as per katu charya by instruction of bhavaprakash
nighantu,
Haritaki churna like
Vasanta ritu haritaki with honey
Grishma ritu haritaki with guo
Varsha ritu haritaki with saindhava
Sharad ritu haritaki with gudasarkara
Shishira ritu haritaki with pippali
Hemanta ritu haritaki with sunthi
The above line for all the cses are indicated. Group of medicines as follows
1. 1st group - composed by first 7
2. 2nd group - decoction of kiratatikta and nimba root bark
3. 1st group + vidhari khanda
4. haritaki, vibhitaki and amlaki
our duty to select the treatment as per condition and requirement of patient.