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Incompatible Diet and AnemiaIncompatible Diet and Anemia 
Ayurmitra Nadi Guru
P f KSR P d (T h d )Prof KSR Prasad (Technoayurveda)
Professor & Head, Panchakarma, LN Ayurved College, Bhopal, MP
9290566566/9503227966 h d @ h9290566566/9503227966 ‐ technoayurveda@yahoo.com
National webinar (3 & 4 September 2020) on 
Rasavaha Srotas Specially On Pandu
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
S.G.R. Ayurved Mahavidyalaya Solapur & Endorsed By MUHS, Nashik. 
Incompatible Diet & Anemia
Introduction01
• Incompatible diet is Viruddha Ahara
‐ an unique concept in Ayurveda
Introduction01
‐ an unique concept in Ayurveda.
• Viruddha Ahara referred in terms of 
food to food interactions or food 
processing interactions develops 
Toxicity because of antagonism.
आहारस वं व
• Ayurveda clearly defines Good Food 
habits along with certain diet and its 
combinations that create Toxicity in
आहारस व व ु
रोगा ाहारस वाः|
िहतािहतिवशेषा िवशेषः
सखदःखयोः||४५|| combinations that create Toxicity in 
the body tissues 
सुखदुःखयोः||४५||
चरकसंिहता सू थानम् २८.
िविवधािशतपीतीयोऽ ायः ४५
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 38
Incompatible Diet & Anemia
18 Types of Viruddha Ahara01
1. Desha (place) Viruddha Jangala
Mamsa with Anupa
18 Types of Viruddha Ahara01
Mamsa with Anupa
2. Kala Viruddha – Shita Kala
Shitala Ahara
3. Agni Viruddha - 4 Agni
Viruddha
देहधात नीक
4. Matra (quantity) Viruddha –
Madhu + Ghruta
दहधातु नीक
भूतािन ािण
देहधातुिभिवरोधमाप े;
5. Satmya (wholesome) Viruddha –
Non accustomed foods eg
चरकसंिहता सू थानम् २६.
आ ेयभ का ीयोऽ ायः ८१
Mashrooms
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 37
Incompatible Diet & Anemia
18 Types of Viruddha Ahara01
6. Dosha Viruddha -
7 Sanskara (mode of preparation)
18 Types of Viruddha Ahara01
7. Sanskara (mode of preparation)
Viruddha – Cooking Peacock on
Eranda Stick or with Eranda taila
8. Veerya (potency) Viruddha – Fish and
Milk
9 Koshtha Viruddha Giving Teekshana
पर रगुणिव ािन
कािनिचत्,
कािनिचत संयोगात 9. Koshtha Viruddha – Giving Teekshana
Aushadha for Mrudu koshta
10. Avastha (health state ) Viruddha
कािनिचत् सयोगात्,
सं ारादपरािण,
देशकालमा ािदिभ ापरा
िण तथा ( )
After Vata vardhaka kriya having
Vata Kara bhojana
िण, तथा
भावादपरािण||८१||
चरकसंिहता सू थानम् २६.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 36
ह ू ्
आ ेयभ का ीयोऽ ायः ८१
Incompatible Diet & Anemia
18 Types of Viruddha Ahara01
11. Krama / Niyama (sequence)
Viruddha Madhura Amla etc
18 Types of Viruddha Ahara01
Viruddha – Madhura – Amla etc
12. Parihara Viruddha – Mamsa
Bhojana following Ushna Jala orj g
Dadhi Ghruta sevana followed by
Cold water cause disease
पर रगुणिव ािन
कािनिचत्,
कािनिचत संयोगात
13. Upachara (treatment) Viruddha
14. Paaka (cooking) Viruddha –
K t ith S h t il
कािनिचत् सयोगात्,
सं ारादपरािण,
देशकालमा ािदिभ ापरा
िण तथा Kapota with Sarshapa tailaिण, तथा
भावादपरािण||८१||
चरकसंिहता सू थानम् २६.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 35
ह ू ्
आ ेयभ का ीयोऽ ायः ८१
Incompatible Diet & Anemia
18 Types of Viruddha Ahara01
15. Samyoga (combination) Viruddha
Dugdha with Amala varaga cause
18 Types of Viruddha Ahara01
– Dugdha with Amala varaga cause
disease
16. Hridaya Viruddha – Not lookingy g
good food
17. Sampada (richness of quality)
पर रगुणिव ािन
कािनिचत्,
कािनिचत संयोगात
Viruddha – more fatty or more sweet
or any taste specific
18 Vidhi ( l f ti ) Vi ddh
कािनिचत् सयोगात्,
सं ारादपरािण,
देशकालमा ािदिभ ापरा
िण तथा 18. Vidhi (rules for eating) Viruddha –
stading eating etc
िण, तथा
भावादपरािण||८१||
चरकसंिहता सू थानम् २६.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 34
ह ू ्
आ ेयभ का ीयोऽ ायः ८१
Incompatible Diet & Anemia
Examples of incompatibility01
1. Veerya (Guna) Viruddha
(potency incompatibility) —
Examples of incompatibility01
(potency incompatibility) —
fish + milk.
Both are Madhura Rasa and 
Vipaka but Veerya viruddha, 
Abhishyandi and Srotorodhaka
– there by Vitiates the Rakta
उभयं ेत धुरं
मधुरिवपाकं महािभ
ी ो ि ी there by Vitiates the Rakta
2. Sanskara Viruddha
(processing incompatibility) —
शीतो ाि वीय
िव वीय ा ोिणत दू
षणाय
महािभ ा ाग परो (processing incompatibility)
heated honey, processing in 
fish processed dish
महािभ ा ाग परो
धाय च||८२||
चरकसंिहता स थानम २६
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 33
चरकसिहता सू थानम् २६.
आ ेयभ का ीयोऽ ायः ८२
Incompatible Diet & Anemia
Examples of incompatibility01
3. Matra Viruddha (dose 
i ibili ) h
Examples of incompatibility01
incompatibility) — honey + 
cow’s ghee mixed in equal 
iproportion. 
(monosaccharide with 
l h id )
पर रगुणिव ािन
कािनिचत्,
कािनिचत संयोगात polysaccharide) 
4. Karma Viruddha — hot 
कािनिचत् सयोगात्,
सं ारादपरािण,
देशकालमा ािदिभ ापरा
िण तथा
water after taking honey.
िण, तथा
भावादपरािण||८१||
चरकसंिहता सू थानम् २६.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 32
ह ू ्
आ ेयभ का ीयोऽ ायः ८१
Incompatible Diet & Anemia
Examples of incompatibility01
5. Kala Viruddha — (seasonal 
incompatibility) pungent substance
Examples of incompatibility01
incompatibility) pungent substance 
in summer and cold substances in 
winter.
6. Krama Viruddha (Sequential 
incompatibility) —Taking Madhura 
Rasa food or Dravya at the end of 
meals and Tikta and Katu Rasa 
Dravyas at the starting of meals
सवदा सवभावानां
सामा ं वृ कारणम्| 
ासहेतुिवशेष ,
ि Dravyas at the starting of meals.वृि भय तु||४४||
चरकसंिहता सू थानम् १.
दीघ ीिवतीयोऽ ायः ४४
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 31
दीघ ीिवतीयोऽ ायः ४४
Incompatible Diet & Anemia
Examples of incompatibility01
7. Samyoga Viruddha (combinational 
incompatibility) —Amlavarga +
Examples of incompatibility01
incompatibility) —Amlavarga + 
Dugdha – milkshakes 
Anupa Mamsa with Masha, Kshoudra, p , ,
Ksheera, Virudhakai Virudhyate
Harita shaka with Milk is incompatible यत िकि ोषमा ा [१] न
8. Parihara Viruddha (contraindication 
incompatibility) — consuming cold 
t ft h i h t t ff
यत् िकि ोषमा ा [१] न
िनहरित कायतः| 
आहारजातं तत्
सवमिहतायोपप ते||८५||
water after having hot tea or coffee, 
consuming  hot water after Alcohol 
or Mamsa Bhojana
चरकसंिहता सू थानम् २६.
आ ेयभ का ीयोऽ ायः ८५
j
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 30
Incompatible Diet & Anemia
Foods of Incompatibility01
• 1st place goes to the Milk and 
byproducts of it
Foods of Incompatibility 01
byproducts of it 
– Milk , Curd , Ghee 
• 2nd is Madhu – Honey 
• 3rd is Mamsa – All Mamsa
Varga & Matya, Kapota, 
MayuraMayura, 
• 4th is Gudam – Sugar Candy
• 5th is Masha – Udat dal5 is Masha Udat dal
• 6th is Kansya patra (Bell metal) 
storage 
जेत् कां म्
दशाहमुिषतं सिप
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 29
अ ांग दय सू थान ७/३६
Incompatible Diet & Anemia
Some of Don’t01
• Raw food with cooked food 
• Vegetables with Butter
Some of Don t 01
• Vegetables with Butter 
• Kheera with Lavana 
• Milk Shakes of Citrus friutsMilk Shakes of Citrus friuts
• Newly harvested with Old 
• Any Meat with Honey y y
• Food fried in Fish cooking pot 
• Alcohol with Til Chashkuli
• Milk pudding, Alcohol and 
Kichidi
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 28
Incompatible Diet & Anemia
Delicious But Deadly Foods01
• Deadly Mushrooms
• Cashew nuts shells are deadly, and have a coating 
Delicious But Deadly Foods01
of anacardic acid
• Ackee is picked before fully ripening, it can contain 
toxic levels of hypoglycin A, which may cause 
iti h l i d d thvomiting, hypoglycemia, and even death
• Kidney beans contain high levels of 
phytohemagglutinin, making them toxic.
G P t t t t i i ll d• Green Potato parts contains a poison called 
solanine, which can cause serious illness
• Peanut allergy, making it one of the most common 
kinds of allergykinds of allergy.
• Nutmeg cause convulsions, palpitations and 
nausea, not to mention visual distortions and a 
sense of paranoia.sense of paranoia.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 27
Incompatible Diet & Anemia
INCOMPATIBLE DIET IN VICHARCIKA01 INCOMPATIBLE DIET IN VICHARCIKA01
Manisha Talekar1*, Sisir Kumar Mandal2, Reetu Sharma3 CRITICAL ANALYSIS OF VIRUDDHA AHARA (INCOMPATIBLE DIET) IN CONTEXT 
TO VICHARCIKA (ECZEMA): AN EPIDEMIOLOGICAL STUDY Ayurpharm Int J Ayur Alli Sci Vol 4 No 5 (2015) Pages 109 116TO VICHARCIKA (ECZEMA): AN EPIDEMIOLOGICAL STUDY Ayurpharm Int J Ayur Alli Sci., Vol. 4, No. 5 (2015) Pages 109 – 116
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 26
Incompatible Diet & Anemia
Viruddha sevanajanya Sroto dushti01
• Annapoorani. A, Concept 
Of Samskara And Matra
Viruddha sevanajanya Sroto dushti01
Of Samskara And Matra
Viruddhatwa Of Madhuan
Analytical And 
E i t l St dExperimental Study, 
Department Of Post‐
graduate Studies In 
Ayurveda Siddhanta , 
Government Ayurveda 
Medical College, Mysore.Medical College, Mysore. 
2009
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 25
Incompatible Diet & Anemia
Viruddhahara in Psoriasis01
• Charmi S. Mehta  et.al., Viruddha Ahara as a 
Viruddhahara in Psoriasis 01
cause of Autoimmune diseases, Indian 
Journal of Ancient Medicine and Yoga, 
V l 4 N b 2 A il J 2011Volume 4 Number 2, April ‐ June 2011
• it is practically seen in research work of 
P i i th t i ti t i 36 93%Psoriasis that maximum patients i.e. 36.93% 
were taking Viruddha Ahara in which specific 
Viruddha Ahara found were taking milk +Viruddha Ahara found were taking milk + 
khichdi, milk+ fish, tila (seasame ) + guda
(jaggery) etc.(jagge y) etc
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 24
Incompatible Diet & Anemia
Viruddhahara Junk Foods01
• Milk shake, Fruit salad – Rasa &Virya viruddha
• Juice/ Ice‐cream/Alcohol after hot spicy meal – Upachaar
Viruddhahara Junk Foods01
/ / p y p
viruddha
• Cold water or softdrinks before hot tea – Koshta & Agni 
ViruddhaViruddha
• Spicy Punjabi food with cold drink – Awastha & Koshta 
virudhha
• Sizzling Browne ice‐cream with Hot Chocolate – Guna Agni• Sizzling Browne ice‐cream with Hot Chocolate – Guna, Agni 
& Samyog virudhha
• Popcorn with watching movie – Matra virudhha
P l ith C ld d i k Vidhi i dhh• Popcorn along with Cold‐drink – Vidhi virudhha
• Madavi et al. CRITICAL REVIEW ON VIRUDDHA AAHARA AND ITS ASSOCIATION WITH JUNK 
FOOD IN DAY‐TO‐DAY LIFE World Journal of Pharmaceutical Research,  Volume 7, Issue 19, 
292‐301.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 23
Incompatible Diet & Anemia
Viruddhahara Junk Foods01 Viruddhahara Junk Foods01
Prabhat et al.  CONCEPT OF VIRUDDHA AHARA AND ITS ROLE IN ORIGINATION OF 
MANOVIKAR European Journal of Pharmaceutical and Medical Research 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 22
p f
ejpmr, 2020,7(1), 177‐181
Incompatible Diet & Anemia
Viruddhahara Junk Foods01 Viruddhahara Junk Foods01
Prabhat et al.  CONCEPT OF VIRUDDHA AHARA AND ITS ROLE IN ORIGINATION OF 
MANOVIKAR European Journal of Pharmaceutical and Medical Research 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 21
p f
ejpmr, 2020,7(1), 177‐181
Incompatible Diet & Anemia
Viruddhahara Management01
1. Vamana
Viruddhahara Management 01
2. Virechana
3. Nidana Viruddha Chikitsa
4. Vyadhi Viruddha Chikitsa 
– The best is Virechana
वमनं िवरेचनं च, ति रोिधनां च
ाणां संशमनाथमुपयोगः,
तथािवधै ैः पवमिभसं ारः – The best is Virechana
– Vamana, Shamana and 
Sansarjana krama is best
तथािवध पूवमिभस ार
शरीर ेित||१०४||
िव ाशनजान् रोगान् ितह
िववेचनम| वमनं शमनं चैव पूव Sansarjana krama is best  िववचनम्| वमन शमन चव पूव
वा िहतसेवनम्||१०५||
चरकसंिहता सू थानम् २६.
आ ेयभ का ीयोऽ ायः १०४
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 20
आ यभ का ीयोऽ ाय १ ४
Incompatible Diet & Anemia
Diseases of Viruddha Ahara01
• Sonitabhishyandana
• Dhamani pratichaya
Diseases of Viruddha Ahara01
Dhamani pratichaya
• Bala‐Varna‐Tejo‐ Veerya‐ Avarodha
• Kushta
• Badhirya, 
• Shankhaka
• Galaganda
षा ा वीसपदकोदराणां
िव ोटको ादभग राणाम्|
मू ामदा ानगल हाणां
पा वामय ामिवष Galaganda
• Shanda
• Vepadhu
पा ्वामय ामिवष
चैव||१०२||
िकलासकु हणीगदानां
शोथा िप रपीनसानाम्
स ानदोष तथैव
• Mooka, Minmina, Jadya
• Apasmara, 
• Marana
स ानदोष तथव
मृ ोिव म ं वद
हेतुम्||१०३||
चरकसंिहता स थानम २६ Marana 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 19
चरकसिहता सू थानम् २६.
आ ेयभ का ीयोऽ ायः १०२-१०३
Incompatible Diet & Anemia
Diseases of Viruddha Ahara01
• Pandu
• Visarpa Visphota Kilasa Kushta
Diseases of Viruddha Ahara01
Visarpa, Visphota, Kilasa, Kushta, 
• Jalodara
• Unmadaत ूलं िह
बािधया वेपथजा कलमक
• Bhagandhara
• Moorcha, Mada, 
• Adhmana Amlapitta Grahani
बािधया वपथुजा कलमूक
तामै मथवा मरणमा ोित| 
.... त ूलं िह
शोिणतािभ धमनी िव(ित)च
याप ारशङखकगलग रोिह • Adhmana, Amlapitta, Grahani, 
• Galagraha, 
• Ama visha
याप ारशङ् खकगलग रोिह
णीनाम तमं ा ो थवा
मरणिमित| .... कु ाबाधभयात्| . 
.. . .एत मरणायाथवा
बलवणतेजोवीय परोधायालघ ा
• Shotha
• Jwara
I f tilit
बलवणतजोवीय परोधायालघु ा
धये षा ाय ....
चरकसंिहता सू थानम् २६.
े ी ो • Infertility 
• Death (Marana) 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 18
आ ेयभ का ीयोऽ ायः ८४
Incompatible Diet & Anemia
Anemia ‐ Pandu01
• Pandu vis‐à‐vis Anaemia is a problem 
of public health significance
Anemia  Pandu01
• Anaemia is the most prevalent 
nutrition problem
• Common susceptible are – Children,Common susceptible are  Children, 
Women
• It not only impacts the body but also 
to the occupation as fatigue,to the occupation as fatigue, 
inattention, impaired motor 
coordination, etc. are common 
symptomsy p
• Anemia is on the rise in India, says 
NFHS report 
http://www.expressindia.com/latest‐
news/Anemia‐is‐on‐the‐rise‐in‐India‐
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 17
news/Anemia is on the rise in India
says‐NFHS‐report/336854/
Incompatible Diet & Anemia
Anemia ‐ Pandu01
• Any condition presenting the 
f P l i i
Anemia  Pandu01
symptoms of  Palpitation, 
edematous Eyes, Sweat‐
l F i b i i ilessens, Fatigue by vitiating 
the Rasavaha Srotas (Heart & 
10 Dh i) i h10 Dhamani) with 
manifestation of rough & 
“Whi i h Y ll ” l ( ll“Whitish Yellow” color (pallor 
Yellow) Skin is pandu. 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 16
Incompatible Diet & Anemia
Anaemia01
Any condition in which the number of 
RBC/cu mm, the amount of 
Anaemia01
hemoglobin in 100 ml of blood, and 
the volume of packed red blood cells 
per 100 ml of blood are less thanper 100 ml of blood are less than 
normal; 
– clinically, generally pertaining to y, g y p g
the concentration of oxygen‐
transporting material in a 
designated volume of blood indesignated volume of blood, in 
contrast to total quantities as in 
oligocythemia, oligochromemia, 
1‐ Sharngadhara samhita, Pra.Knanda, 7‐19/ 
Adhamalla, AH Chi 13/3
2 –Stedman’s Electronic Medical dictionary
and oligemia.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 15
2  Stedman s Electronic Medical dictionary, 
1998, Novell Reference engine software 
Incompatible Diet & Anemia
Pandu01
• Pandu is a Pitta predominant Plasma bound (Rasa 
Pradooshaja)1 deficiency disorder, manifests at Skin & Blood 
Pandu01
j ) y ,
(Rakta) by impaired nourishment
• The common routes of manifestation of the Pandu includes –
Dietetic Deficiencies (iron deficiency)– Dietetic Deficiencies (iron deficiency)
– Over Nourishment 2 (ingestion of High caloric / fat food)
– High utilization of Rasa 3 (excessive Sex, Exercise, day 
sleep) 
– Diseases where Blood is lost (Nidanarthakara Vyadhi –
viz. Piles, TB, Injury)viz. Piles, TB, Injury)
– Others – such as wrong schedule of Snehapana & 
Panchakarma 4
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 14
1‐ Cha. Su 23/5‐7;    2 –Cha Su 28/9‐10;    3‐ Cha Chi 16/6‐10;    3 – Cha su 13/21
Incompatible Diet & Anemia
Pandu Nidana01 Pandu Nidana01
• Apathya Nimitta
– Excessive Use of 
• Anya Nimitta
– Exercise (Vyayama)
• Salt
• Sour
• Alcohol
– Intercourse (Vyavaya)
– Suppression of urges (Vegarodha) 
– Mud eating (Mrid bhakshana)Alcohol
• Fats 
• Hot / Pungent 
M h (Bl k )
– Day sleep when the food is not 
digested 
– Seasonal influences
• Masha (Black gram)
• Til (sesame)
• Asatmya (Allergic)  
Seasonal influences 
– Improper Panchakarma
– Krimi
R kt itt R kt ti
– Deficient use of 
• Iron
• Calories
– Raktapitta, Raktatisara, 
Raktarshas, Rakta Pradara, 
Rajayakshma, 
I j
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 13
Calories  – Injury  
Incompatible Diet & Anemia
Green Tea in Pandu01 Green Tea in Pandu01
A 48 year old businessman with a long history of regularly treatedA 48‐year‐old businessman with a long history of regularly treated 
hypertension and type 2 diabetes mellitus was referred for evaluation of 
persistent anemia first observed by a general practitioner during an 
examination for progressiveexamination for progressive
exertional dyspnea 1 month prior.
However, drinking too much green tea may lead to iron deficiency, as 
demonstrated in this case report.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 12
p
Incompatible Diet & Anemia
Classification Pandu01
Pandu
There are several types of 
anaemia from 
contemporary science and 
these are
Classification Pandu01
Abhyanta 
Karana
Bahya Karana Abhighata 
‐ Injury
these are:
• Aplastic Anemia 
• Iron Deficiency 
(Normolytic) Anemia 
• Folic Acid Deficiency
Nija 
Apathya 
nimittaja
Mritbakshana 
– Mud eating
Vataja
Bleeding 
by Injury 
l di
• Folic Acid Deficiency 
Anaemia
• Pernicious Anaemia
• Fanconi Anemia 
• Sickle Cell Anemia
Santarpana –
Hyper Nourished 
Vataja 
Pittaja 
Bleeding 
by worms 
Bleeding
• Sickle Cell Anemia 
• Sideroblastic Anemia 
• Thalassemia
• Hemolytic Anemia 
• Hemoglobin C DiseaseApatarpana –
Under nourished
Kaphaja 
Tridoshaja 
Bleeding 
by Disease 
• Hemoglobin C Disease 
• G6PD (Glucose‐6‐
Phosphate 
Dehydrogenase) Deficiency 
AnemiaAnemia 
• Polycythemia Vera 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 11
Incompatible Diet & Anemia
Introduction01Symptom Vataja Pittaja Kaphaja Mrud-Bhakshana
JanyaIntroduction01 Janya
Twak Varna
(Skin Colour)
Krishna-Arunabha
(Blakish Red)
Peeta (yellowish) Shukla (whitish) *
Twak Stiti
(Skin status)
Rooksha (Dry) Daha (Burning) Sotha (Oedematous) Soonakshi Ganda bhru
(Oedematous Face)(Skin status) (Oedematous Face)
Annavaha srotas (GIT) Anaha (bloating) * Praseka (excess
salivation)
Aruchi (anorexia)
Krimikosts (worm
infestation))
General Toda (Body pains) Jwara (Fever) Alasya, Gourava
(Lethargic)
Alasya, Gourava
(malaise)
Neurological Kanpa (tremor) * * *
Endocrinal * Trushna (dehydration
thirst)
* *
Psychosomatic * * Tandra (Stupor) Tandra (Stupor)
Pranavaha * * * Kasa (Cough), swasa
(Respiratory)
g
(dyspnoea)
Pureesha vaha * Bhinna vitka (Broken
Stools)
* Mucosal loose stools
(sa-Kapha atisara)
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 10
Tridoshaja Pandu will have mixed symptoms based upon the proportions of Tridosha impairment
Incompatible Diet & Anemia
System Complication
Annavaha
srotas
Arochaka (Anorexia)
Hrillasa (salivation)
Common symptoms ultimately 
getting are –
Agni nashanam
(GIT)
( )
Chardi (Vomiting)
Pureeshavaha
(Lower GIT)
Baddhavit (Constipation)
Haritavit (Green stool)
S k h it (M l t l)
g
Varna Nashanam
Tejo haratwam
Ojo haratwam
V h tSakapha vit (Mucosal stool)
Atisara (Diarrhoea)
Udakavaha Trishna (Thirst)
Soonam (edematous)
Veerya haratwam
Bala Nashanam
Indriya bala nashanam
( )
Rasavaha Jwara (Fever)
General Kharibhoota (hyper dryness)
Pandu Darshi (palor look)Pandu Darshi (palor look)
Chirakari (chronic)
Swedavaha Atisweda (excessive sweat)
Raktavaha KamalaRaktavaha Kamala
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 9
Incompatible Diet & Anemia
Ahara
Amashaya 
(Stomach) 
Pachakapitta
Prasada Rasa
Sthayi Rasa Raktagni Amashaya (Liver) 
Ranjakapitta
3
4
2
Prasada Rasa
Asthayi Rasa Rakta
Hridaya 
(Heart/Brain) 
Sadhakapitta
10 Dhamani
Kitta Rasa Sweda, Mootra, 
Pureesha
5
1
V t
Apathya
Lavana
A l Sadhakapitta
Vyanavata
Shareera 
Chankramana
6 Krimi, Disease, Injury, 
Bleeding, Etc
Vata ‐
Dhatusaithilyata
7
Kapha ‐ Ojokshaya
Amla
Kshara 
Madya
Sneha
Normal Functions (C Su24/4 S Sa 7/14)
Pandu in Twak‐mamsa 
madhyam Adhistana
Mrit (Mud)
7Rakta ‐
Raktalpatwam
Mamsa –
Medolpatwam Bala
Tila
Masha
Normal Functions (C Su24/4, S Sa 7/14)
Jeevana, Ayush, bala, Varna 
prasadanam, Sukha, Mamsa pusti, 
Dhatu poorana, Sparsha 
Poorvaroopa 
(Hritspandanam, 
Roukshyam, Aswedam, 
Avipakam)8 Tri Dosha
Doshaja 
Pandu
Medolpatwam, Bala 
varna Kshaya
Avipakam)8 Tri‐DoshaPandu
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 8
Incompatible Diet & Anemia
Treatment in Pandu01 Treatment in Pandu01
• The treatment should be planned according to the aetiology
– At the level of Apatarpana / Santarpana / Apathya Ahara
– At the level of Bahya Karana – Mrit Bhakshana / Abhighata
– At the level of Nidanarthakara Roga
– At the level of Amashaya – Pachakapittay p
– At the level of Liver ‐ Raktagni / Bhutagni / Ranjakapitta
– At the level of Hridaya – Rasagni / Vyanavata / 
SadhakapittaSad a ap tta
– At the level of Dosha 
• When the dosha is strong or patient is capable – Dosha 
elimination is plannedelimination is planned 
• Otherwise patient is selected for the palliative therapy
• In common – Snehana – Vamana – Virechana – Shamana 
chikitsa are the patronized management methods
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 7
chikitsa are the patronized management methods  
Incompatible Diet & Anemia
Treatment in Pandu01 Treatment in Pandu01
• Anulomana is indicated – understood as Urdhwa Anuloma (Vamana) and 
Adho Anulomana (Virechana)
V U dh A l• Vamana – Urdhwa Anulomana
– Susruta contraindicated  – but Dalhana doesn’t accept it 
– Why Vamana? – Amashaya samutha, Bahudosha, Rasa (Kapha) predominant 
Pandu requires conditionally – when the patient is acceptablePandu requires conditionally  when the patient is acceptable 
– Vagbhta ‐ Charaka   ‐ Susruta indicated Teekshna Vamana  
• Vamana with – Yastimadhu
• Vamana with – small quantity of Madana Yoga 
• Virechana – Adho Anulomana
– Most common practice as there is no effort is exerted by the patient  ‐ is 
given as to pacify the Pitta Dosha and Pittsthana udbhava vyadhi
• Pathya GhritaPathya Ghrita
• Danti Ghrita
• Tilvaka Ghrita
• Trivrut Churna with Sharkara
di i h
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 6
• Swadista virechana
Incompatible Diet & Anemia
Formulation in Pandu01 Formulation in Pandu01
• As the aetiology could be – Santarpana (AHchi 16/1‐Arunadatta)
• Clarify the unction in patient by skin examination 
– If the patient is Apatarpana (malnourished) / Apathya Nimitta
looking at Dry‐skin – Snehana is done 
• Kalyanaka Ghrita
P h Gh it• Panchagavya Ghrita
• Mahatiktaka Ghrita
• Aragwadhadi Gana Ghrita
Why the Ghrita?– Why the Ghrita?
• Ghrita is Pittaharam – as the Pandu is with vitiated Pitta 
predominant 
• Ghrita is Ojo vardhaka – as the Pandu is with Ojo kshaya andGhrita is Ojo vardhaka as the Pandu is with Ojo kshaya and 
rough skin
• Ghrita is Sneha vardhaka – as the Pandu is with rough/dry skin
• Sweda is contra indicated as the Pandu is Pittaja vyadhi (AHS17/21‐24)
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 5
• In case of palliative management Initially Kosta‐Shuddhi is
Incompatible Diet & Anemia
In case of palliative management Initially Kosta Shuddhi is 
done
– It means – Laghu Virechan with 
• Swadista Virechana• Swadista Virechana
• Rechakavati
• Offer Ghrita for attaining Strength in case of palliative management 
– Amritadi Ghrata
– Vyoshadi Ghrita
– Nagakesharadi Ghrita
• Based upon the Dosha
– Vata – Sneha
Pitta Tikta Rasa Sheeta veerya– Pitta – Tikta Rasa, Sheeta veerya
– Kapha – Katu, Tikta rasa, Ushna veerya
– Sannipata – Vyamishra chikitsa
M it Bh k h Vid P th Chit l t– Mrit Bhakshana – Vidanga, Patha, Chitramoola, etc
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 4
Incompatible Diet & Anemia
• Santarpana i.e. fatty ingestion cause inactive bone marrow that 
is infiltrated with fat is called yellow marrow, which results in to 
A iAnaemia.
• Overgrowth of bacteria (Mrit‐bhakshana /Krimi) within the 
intestinal lumen can cause macrocytic anaemia. The cause of 
the anaemia is mal‐absorption (Srotas Block) of 
cyanocobalamin. Steatorrhea (Passage of fat in large amounts in 
the feces) is due to excessive hydrolysis of conjugated bile salts 
by the bacteria.
• Iron (Loha) is essential for hemoglobin synthesis; if blood is lost 
from the body and the iron deficiency is not corrected ironfrom the body and the iron deficiency is not corrected, iron 
deficiency anemia results.
• Excess production of bilirubin (Malaroopa Pitta) from Liver leads 
t h l ti ito haemolytic anaemia. 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 3
Incompatible Diet & Anemia
• Acid‐secreting cells of the stomach are damaged (Agni kshaya)  in 
pernicious anaemia. 
P i t l ll i th t i (A h th ) t• Parietal cells in the gastric mucosa (Amashaya samutha) secrete 
intrinsic factor, a 49‐kDa glycoprotein that binds to cyanocobalamin 
(vitamin B12). Deficiency of it results Anaemia and deterioration of 
i h i h S ( id )certain sensory pathways in the CNS (Hridaya).
• Rh incompatibility cause sensitization during pregnancy haemolysis 
in the fetus develops anaemia. 
• Cobalt is part of the vitamin B12 molecule, and vitamin B12 
deficiency leads to megaloblastic anaemia.
• Copper deficiency causes anaemia and changes in ossification• Copper deficiency causes anaemia and changes in ossification.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 2
Incompatible Diet & Anemia
Conclusion01
• The body is built by food and 
h b d i h f
Conclusion 01
the same body is the seat of 
disease. 
• So the cautious food 
consumption avoiding 
आहारस वं व
antagonism is necessary for 
the healthy long living 
आहारस व व ु
रोगा ाहारस वाः|
िहतािहतिवशेषा िवशेषः
सखदःखयोः||४५||सुखदुःखयोः||४५||
चरकसंिहता सू थानम् २८.
िविवधािशतपीतीयोऽ ायः ४५
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 1
01 Thank You
Incompatible Diet & Anemia
01 Thank You
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 0

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viruddha ahara-ksr

  • 1. Incompatible Diet and AnemiaIncompatible Diet and Anemia  Ayurmitra Nadi Guru P f KSR P d (T h d )Prof KSR Prasad (Technoayurveda) Professor & Head, Panchakarma, LN Ayurved College, Bhopal, MP 9290566566/9503227966 h d @ h9290566566/9503227966 ‐ technoayurveda@yahoo.com National webinar (3 & 4 September 2020) on  Rasavaha Srotas Specially On Pandu Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ S.G.R. Ayurved Mahavidyalaya Solapur & Endorsed By MUHS, Nashik. 
  • 2. Incompatible Diet & Anemia Introduction01 • Incompatible diet is Viruddha Ahara ‐ an unique concept in Ayurveda Introduction01 ‐ an unique concept in Ayurveda. • Viruddha Ahara referred in terms of  food to food interactions or food  processing interactions develops  Toxicity because of antagonism. आहारस वं व • Ayurveda clearly defines Good Food  habits along with certain diet and its  combinations that create Toxicity in आहारस व व ु रोगा ाहारस वाः| िहतािहतिवशेषा िवशेषः सखदःखयोः||४५|| combinations that create Toxicity in  the body tissues  सुखदुःखयोः||४५|| चरकसंिहता सू थानम् २८. िविवधािशतपीतीयोऽ ायः ४५ Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 38
  • 3. Incompatible Diet & Anemia 18 Types of Viruddha Ahara01 1. Desha (place) Viruddha Jangala Mamsa with Anupa 18 Types of Viruddha Ahara01 Mamsa with Anupa 2. Kala Viruddha – Shita Kala Shitala Ahara 3. Agni Viruddha - 4 Agni Viruddha देहधात नीक 4. Matra (quantity) Viruddha – Madhu + Ghruta दहधातु नीक भूतािन ािण देहधातुिभिवरोधमाप े; 5. Satmya (wholesome) Viruddha – Non accustomed foods eg चरकसंिहता सू थानम् २६. आ ेयभ का ीयोऽ ायः ८१ Mashrooms Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 37
  • 4. Incompatible Diet & Anemia 18 Types of Viruddha Ahara01 6. Dosha Viruddha - 7 Sanskara (mode of preparation) 18 Types of Viruddha Ahara01 7. Sanskara (mode of preparation) Viruddha – Cooking Peacock on Eranda Stick or with Eranda taila 8. Veerya (potency) Viruddha – Fish and Milk 9 Koshtha Viruddha Giving Teekshana पर रगुणिव ािन कािनिचत्, कािनिचत संयोगात 9. Koshtha Viruddha – Giving Teekshana Aushadha for Mrudu koshta 10. Avastha (health state ) Viruddha कािनिचत् सयोगात्, सं ारादपरािण, देशकालमा ािदिभ ापरा िण तथा ( ) After Vata vardhaka kriya having Vata Kara bhojana िण, तथा भावादपरािण||८१|| चरकसंिहता सू थानम् २६. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 36 ह ू ् आ ेयभ का ीयोऽ ायः ८१
  • 5. Incompatible Diet & Anemia 18 Types of Viruddha Ahara01 11. Krama / Niyama (sequence) Viruddha Madhura Amla etc 18 Types of Viruddha Ahara01 Viruddha – Madhura – Amla etc 12. Parihara Viruddha – Mamsa Bhojana following Ushna Jala orj g Dadhi Ghruta sevana followed by Cold water cause disease पर रगुणिव ािन कािनिचत्, कािनिचत संयोगात 13. Upachara (treatment) Viruddha 14. Paaka (cooking) Viruddha – K t ith S h t il कािनिचत् सयोगात्, सं ारादपरािण, देशकालमा ािदिभ ापरा िण तथा Kapota with Sarshapa tailaिण, तथा भावादपरािण||८१|| चरकसंिहता सू थानम् २६. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 35 ह ू ् आ ेयभ का ीयोऽ ायः ८१
  • 6. Incompatible Diet & Anemia 18 Types of Viruddha Ahara01 15. Samyoga (combination) Viruddha Dugdha with Amala varaga cause 18 Types of Viruddha Ahara01 – Dugdha with Amala varaga cause disease 16. Hridaya Viruddha – Not lookingy g good food 17. Sampada (richness of quality) पर रगुणिव ािन कािनिचत्, कािनिचत संयोगात Viruddha – more fatty or more sweet or any taste specific 18 Vidhi ( l f ti ) Vi ddh कािनिचत् सयोगात्, सं ारादपरािण, देशकालमा ािदिभ ापरा िण तथा 18. Vidhi (rules for eating) Viruddha – stading eating etc िण, तथा भावादपरािण||८१|| चरकसंिहता सू थानम् २६. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 34 ह ू ् आ ेयभ का ीयोऽ ायः ८१
  • 7. Incompatible Diet & Anemia Examples of incompatibility01 1. Veerya (Guna) Viruddha (potency incompatibility) — Examples of incompatibility01 (potency incompatibility) — fish + milk. Both are Madhura Rasa and  Vipaka but Veerya viruddha,  Abhishyandi and Srotorodhaka – there by Vitiates the Rakta उभयं ेत धुरं मधुरिवपाकं महािभ ी ो ि ी there by Vitiates the Rakta 2. Sanskara Viruddha (processing incompatibility) — शीतो ाि वीय िव वीय ा ोिणत दू षणाय महािभ ा ाग परो (processing incompatibility) heated honey, processing in  fish processed dish महािभ ा ाग परो धाय च||८२|| चरकसंिहता स थानम २६ Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 33 चरकसिहता सू थानम् २६. आ ेयभ का ीयोऽ ायः ८२
  • 8. Incompatible Diet & Anemia Examples of incompatibility01 3. Matra Viruddha (dose  i ibili ) h Examples of incompatibility01 incompatibility) — honey +  cow’s ghee mixed in equal  iproportion.  (monosaccharide with  l h id ) पर रगुणिव ािन कािनिचत्, कािनिचत संयोगात polysaccharide)  4. Karma Viruddha — hot  कािनिचत् सयोगात्, सं ारादपरािण, देशकालमा ािदिभ ापरा िण तथा water after taking honey. िण, तथा भावादपरािण||८१|| चरकसंिहता सू थानम् २६. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 32 ह ू ् आ ेयभ का ीयोऽ ायः ८१
  • 9. Incompatible Diet & Anemia Examples of incompatibility01 5. Kala Viruddha — (seasonal  incompatibility) pungent substance Examples of incompatibility01 incompatibility) pungent substance  in summer and cold substances in  winter. 6. Krama Viruddha (Sequential  incompatibility) —Taking Madhura  Rasa food or Dravya at the end of  meals and Tikta and Katu Rasa  Dravyas at the starting of meals सवदा सवभावानां सामा ं वृ कारणम्|  ासहेतुिवशेष , ि Dravyas at the starting of meals.वृि भय तु||४४|| चरकसंिहता सू थानम् १. दीघ ीिवतीयोऽ ायः ४४ Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 31 दीघ ीिवतीयोऽ ायः ४४
  • 10. Incompatible Diet & Anemia Examples of incompatibility01 7. Samyoga Viruddha (combinational  incompatibility) —Amlavarga + Examples of incompatibility01 incompatibility) —Amlavarga +  Dugdha – milkshakes  Anupa Mamsa with Masha, Kshoudra, p , , Ksheera, Virudhakai Virudhyate Harita shaka with Milk is incompatible यत िकि ोषमा ा [१] न 8. Parihara Viruddha (contraindication  incompatibility) — consuming cold  t ft h i h t t ff यत् िकि ोषमा ा [१] न िनहरित कायतः|  आहारजातं तत् सवमिहतायोपप ते||८५|| water after having hot tea or coffee,  consuming  hot water after Alcohol  or Mamsa Bhojana चरकसंिहता सू थानम् २६. आ ेयभ का ीयोऽ ायः ८५ j Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 30
  • 11. Incompatible Diet & Anemia Foods of Incompatibility01 • 1st place goes to the Milk and  byproducts of it Foods of Incompatibility 01 byproducts of it  – Milk , Curd , Ghee  • 2nd is Madhu – Honey  • 3rd is Mamsa – All Mamsa Varga & Matya, Kapota,  MayuraMayura,  • 4th is Gudam – Sugar Candy • 5th is Masha – Udat dal5 is Masha Udat dal • 6th is Kansya patra (Bell metal)  storage  जेत् कां म् दशाहमुिषतं सिप Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 29 अ ांग दय सू थान ७/३६
  • 12. Incompatible Diet & Anemia Some of Don’t01 • Raw food with cooked food  • Vegetables with Butter Some of Don t 01 • Vegetables with Butter  • Kheera with Lavana  • Milk Shakes of Citrus friutsMilk Shakes of Citrus friuts • Newly harvested with Old  • Any Meat with Honey y y • Food fried in Fish cooking pot  • Alcohol with Til Chashkuli • Milk pudding, Alcohol and  Kichidi Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 28
  • 13. Incompatible Diet & Anemia Delicious But Deadly Foods01 • Deadly Mushrooms • Cashew nuts shells are deadly, and have a coating  Delicious But Deadly Foods01 of anacardic acid • Ackee is picked before fully ripening, it can contain  toxic levels of hypoglycin A, which may cause  iti h l i d d thvomiting, hypoglycemia, and even death • Kidney beans contain high levels of  phytohemagglutinin, making them toxic. G P t t t t i i ll d• Green Potato parts contains a poison called  solanine, which can cause serious illness • Peanut allergy, making it one of the most common  kinds of allergykinds of allergy. • Nutmeg cause convulsions, palpitations and  nausea, not to mention visual distortions and a  sense of paranoia.sense of paranoia. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 27
  • 14. Incompatible Diet & Anemia INCOMPATIBLE DIET IN VICHARCIKA01 INCOMPATIBLE DIET IN VICHARCIKA01 Manisha Talekar1*, Sisir Kumar Mandal2, Reetu Sharma3 CRITICAL ANALYSIS OF VIRUDDHA AHARA (INCOMPATIBLE DIET) IN CONTEXT  TO VICHARCIKA (ECZEMA): AN EPIDEMIOLOGICAL STUDY Ayurpharm Int J Ayur Alli Sci Vol 4 No 5 (2015) Pages 109 116TO VICHARCIKA (ECZEMA): AN EPIDEMIOLOGICAL STUDY Ayurpharm Int J Ayur Alli Sci., Vol. 4, No. 5 (2015) Pages 109 – 116 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 26
  • 15. Incompatible Diet & Anemia Viruddha sevanajanya Sroto dushti01 • Annapoorani. A, Concept  Of Samskara And Matra Viruddha sevanajanya Sroto dushti01 Of Samskara And Matra Viruddhatwa Of Madhuan Analytical And  E i t l St dExperimental Study,  Department Of Post‐ graduate Studies In  Ayurveda Siddhanta ,  Government Ayurveda  Medical College, Mysore.Medical College, Mysore.  2009 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 25
  • 16. Incompatible Diet & Anemia Viruddhahara in Psoriasis01 • Charmi S. Mehta  et.al., Viruddha Ahara as a  Viruddhahara in Psoriasis 01 cause of Autoimmune diseases, Indian  Journal of Ancient Medicine and Yoga,  V l 4 N b 2 A il J 2011Volume 4 Number 2, April ‐ June 2011 • it is practically seen in research work of  P i i th t i ti t i 36 93%Psoriasis that maximum patients i.e. 36.93%  were taking Viruddha Ahara in which specific  Viruddha Ahara found were taking milk +Viruddha Ahara found were taking milk +  khichdi, milk+ fish, tila (seasame ) + guda (jaggery) etc.(jagge y) etc Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 24
  • 17. Incompatible Diet & Anemia Viruddhahara Junk Foods01 • Milk shake, Fruit salad – Rasa &Virya viruddha • Juice/ Ice‐cream/Alcohol after hot spicy meal – Upachaar Viruddhahara Junk Foods01 / / p y p viruddha • Cold water or softdrinks before hot tea – Koshta & Agni  ViruddhaViruddha • Spicy Punjabi food with cold drink – Awastha & Koshta  virudhha • Sizzling Browne ice‐cream with Hot Chocolate – Guna Agni• Sizzling Browne ice‐cream with Hot Chocolate – Guna, Agni  & Samyog virudhha • Popcorn with watching movie – Matra virudhha P l ith C ld d i k Vidhi i dhh• Popcorn along with Cold‐drink – Vidhi virudhha • Madavi et al. CRITICAL REVIEW ON VIRUDDHA AAHARA AND ITS ASSOCIATION WITH JUNK  FOOD IN DAY‐TO‐DAY LIFE World Journal of Pharmaceutical Research,  Volume 7, Issue 19,  292‐301. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 23
  • 18. Incompatible Diet & Anemia Viruddhahara Junk Foods01 Viruddhahara Junk Foods01 Prabhat et al.  CONCEPT OF VIRUDDHA AHARA AND ITS ROLE IN ORIGINATION OF  MANOVIKAR European Journal of Pharmaceutical and Medical Research  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 22 p f ejpmr, 2020,7(1), 177‐181
  • 19. Incompatible Diet & Anemia Viruddhahara Junk Foods01 Viruddhahara Junk Foods01 Prabhat et al.  CONCEPT OF VIRUDDHA AHARA AND ITS ROLE IN ORIGINATION OF  MANOVIKAR European Journal of Pharmaceutical and Medical Research  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 21 p f ejpmr, 2020,7(1), 177‐181
  • 20. Incompatible Diet & Anemia Viruddhahara Management01 1. Vamana Viruddhahara Management 01 2. Virechana 3. Nidana Viruddha Chikitsa 4. Vyadhi Viruddha Chikitsa  – The best is Virechana वमनं िवरेचनं च, ति रोिधनां च ाणां संशमनाथमुपयोगः, तथािवधै ैः पवमिभसं ारः – The best is Virechana – Vamana, Shamana and  Sansarjana krama is best तथािवध पूवमिभस ार शरीर ेित||१०४|| िव ाशनजान् रोगान् ितह िववेचनम| वमनं शमनं चैव पूव Sansarjana krama is best  िववचनम्| वमन शमन चव पूव वा िहतसेवनम्||१०५|| चरकसंिहता सू थानम् २६. आ ेयभ का ीयोऽ ायः १०४ Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 20 आ यभ का ीयोऽ ाय १ ४
  • 21. Incompatible Diet & Anemia Diseases of Viruddha Ahara01 • Sonitabhishyandana • Dhamani pratichaya Diseases of Viruddha Ahara01 Dhamani pratichaya • Bala‐Varna‐Tejo‐ Veerya‐ Avarodha • Kushta • Badhirya,  • Shankhaka • Galaganda षा ा वीसपदकोदराणां िव ोटको ादभग राणाम्| मू ामदा ानगल हाणां पा वामय ामिवष Galaganda • Shanda • Vepadhu पा ्वामय ामिवष चैव||१०२|| िकलासकु हणीगदानां शोथा िप रपीनसानाम् स ानदोष तथैव • Mooka, Minmina, Jadya • Apasmara,  • Marana स ानदोष तथव मृ ोिव म ं वद हेतुम्||१०३|| चरकसंिहता स थानम २६ Marana  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 19 चरकसिहता सू थानम् २६. आ ेयभ का ीयोऽ ायः १०२-१०३
  • 22. Incompatible Diet & Anemia Diseases of Viruddha Ahara01 • Pandu • Visarpa Visphota Kilasa Kushta Diseases of Viruddha Ahara01 Visarpa, Visphota, Kilasa, Kushta,  • Jalodara • Unmadaत ूलं िह बािधया वेपथजा कलमक • Bhagandhara • Moorcha, Mada,  • Adhmana Amlapitta Grahani बािधया वपथुजा कलमूक तामै मथवा मरणमा ोित|  .... त ूलं िह शोिणतािभ धमनी िव(ित)च याप ारशङखकगलग रोिह • Adhmana, Amlapitta, Grahani,  • Galagraha,  • Ama visha याप ारशङ् खकगलग रोिह णीनाम तमं ा ो थवा मरणिमित| .... कु ाबाधभयात्| .  .. . .एत मरणायाथवा बलवणतेजोवीय परोधायालघ ा • Shotha • Jwara I f tilit बलवणतजोवीय परोधायालघु ा धये षा ाय .... चरकसंिहता सू थानम् २६. े ी ो • Infertility  • Death (Marana)  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 18 आ ेयभ का ीयोऽ ायः ८४
  • 23. Incompatible Diet & Anemia Anemia ‐ Pandu01 • Pandu vis‐à‐vis Anaemia is a problem  of public health significance Anemia  Pandu01 • Anaemia is the most prevalent  nutrition problem • Common susceptible are – Children,Common susceptible are  Children,  Women • It not only impacts the body but also  to the occupation as fatigue,to the occupation as fatigue,  inattention, impaired motor  coordination, etc. are common  symptomsy p • Anemia is on the rise in India, says  NFHS report  http://www.expressindia.com/latest‐ news/Anemia‐is‐on‐the‐rise‐in‐India‐ Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 17 news/Anemia is on the rise in India says‐NFHS‐report/336854/
  • 24. Incompatible Diet & Anemia Anemia ‐ Pandu01 • Any condition presenting the  f P l i i Anemia  Pandu01 symptoms of  Palpitation,  edematous Eyes, Sweat‐ l F i b i i ilessens, Fatigue by vitiating  the Rasavaha Srotas (Heart &  10 Dh i) i h10 Dhamani) with  manifestation of rough &  “Whi i h Y ll ” l ( ll“Whitish Yellow” color (pallor  Yellow) Skin is pandu.  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 16
  • 25. Incompatible Diet & Anemia Anaemia01 Any condition in which the number of  RBC/cu mm, the amount of  Anaemia01 hemoglobin in 100 ml of blood, and  the volume of packed red blood cells  per 100 ml of blood are less thanper 100 ml of blood are less than  normal;  – clinically, generally pertaining to y, g y p g the concentration of oxygen‐ transporting material in a  designated volume of blood indesignated volume of blood, in  contrast to total quantities as in  oligocythemia, oligochromemia,  1‐ Sharngadhara samhita, Pra.Knanda, 7‐19/  Adhamalla, AH Chi 13/3 2 –Stedman’s Electronic Medical dictionary and oligemia. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 15 2  Stedman s Electronic Medical dictionary,  1998, Novell Reference engine software 
  • 26. Incompatible Diet & Anemia Pandu01 • Pandu is a Pitta predominant Plasma bound (Rasa  Pradooshaja)1 deficiency disorder, manifests at Skin & Blood  Pandu01 j ) y , (Rakta) by impaired nourishment • The common routes of manifestation of the Pandu includes – Dietetic Deficiencies (iron deficiency)– Dietetic Deficiencies (iron deficiency) – Over Nourishment 2 (ingestion of High caloric / fat food) – High utilization of Rasa 3 (excessive Sex, Exercise, day  sleep)  – Diseases where Blood is lost (Nidanarthakara Vyadhi – viz. Piles, TB, Injury)viz. Piles, TB, Injury) – Others – such as wrong schedule of Snehapana &  Panchakarma 4 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 14 1‐ Cha. Su 23/5‐7;    2 –Cha Su 28/9‐10;    3‐ Cha Chi 16/6‐10;    3 – Cha su 13/21
  • 27. Incompatible Diet & Anemia Pandu Nidana01 Pandu Nidana01 • Apathya Nimitta – Excessive Use of  • Anya Nimitta – Exercise (Vyayama) • Salt • Sour • Alcohol – Intercourse (Vyavaya) – Suppression of urges (Vegarodha)  – Mud eating (Mrid bhakshana)Alcohol • Fats  • Hot / Pungent  M h (Bl k ) – Day sleep when the food is not  digested  – Seasonal influences • Masha (Black gram) • Til (sesame) • Asatmya (Allergic)   Seasonal influences  – Improper Panchakarma – Krimi R kt itt R kt ti – Deficient use of  • Iron • Calories – Raktapitta, Raktatisara,  Raktarshas, Rakta Pradara,  Rajayakshma,  I j Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 13 Calories  – Injury  
  • 28. Incompatible Diet & Anemia Green Tea in Pandu01 Green Tea in Pandu01 A 48 year old businessman with a long history of regularly treatedA 48‐year‐old businessman with a long history of regularly treated  hypertension and type 2 diabetes mellitus was referred for evaluation of  persistent anemia first observed by a general practitioner during an  examination for progressiveexamination for progressive exertional dyspnea 1 month prior. However, drinking too much green tea may lead to iron deficiency, as  demonstrated in this case report. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 12 p
  • 29. Incompatible Diet & Anemia Classification Pandu01 Pandu There are several types of  anaemia from  contemporary science and  these are Classification Pandu01 Abhyanta  Karana Bahya Karana Abhighata  ‐ Injury these are: • Aplastic Anemia  • Iron Deficiency  (Normolytic) Anemia  • Folic Acid Deficiency Nija  Apathya  nimittaja Mritbakshana  – Mud eating Vataja Bleeding  by Injury  l di • Folic Acid Deficiency  Anaemia • Pernicious Anaemia • Fanconi Anemia  • Sickle Cell Anemia Santarpana – Hyper Nourished  Vataja  Pittaja  Bleeding  by worms  Bleeding • Sickle Cell Anemia  • Sideroblastic Anemia  • Thalassemia • Hemolytic Anemia  • Hemoglobin C DiseaseApatarpana – Under nourished Kaphaja  Tridoshaja  Bleeding  by Disease  • Hemoglobin C Disease  • G6PD (Glucose‐6‐ Phosphate  Dehydrogenase) Deficiency  AnemiaAnemia  • Polycythemia Vera  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 11
  • 30. Incompatible Diet & Anemia Introduction01Symptom Vataja Pittaja Kaphaja Mrud-Bhakshana JanyaIntroduction01 Janya Twak Varna (Skin Colour) Krishna-Arunabha (Blakish Red) Peeta (yellowish) Shukla (whitish) * Twak Stiti (Skin status) Rooksha (Dry) Daha (Burning) Sotha (Oedematous) Soonakshi Ganda bhru (Oedematous Face)(Skin status) (Oedematous Face) Annavaha srotas (GIT) Anaha (bloating) * Praseka (excess salivation) Aruchi (anorexia) Krimikosts (worm infestation)) General Toda (Body pains) Jwara (Fever) Alasya, Gourava (Lethargic) Alasya, Gourava (malaise) Neurological Kanpa (tremor) * * * Endocrinal * Trushna (dehydration thirst) * * Psychosomatic * * Tandra (Stupor) Tandra (Stupor) Pranavaha * * * Kasa (Cough), swasa (Respiratory) g (dyspnoea) Pureesha vaha * Bhinna vitka (Broken Stools) * Mucosal loose stools (sa-Kapha atisara) Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 10 Tridoshaja Pandu will have mixed symptoms based upon the proportions of Tridosha impairment
  • 31. Incompatible Diet & Anemia System Complication Annavaha srotas Arochaka (Anorexia) Hrillasa (salivation) Common symptoms ultimately  getting are – Agni nashanam (GIT) ( ) Chardi (Vomiting) Pureeshavaha (Lower GIT) Baddhavit (Constipation) Haritavit (Green stool) S k h it (M l t l) g Varna Nashanam Tejo haratwam Ojo haratwam V h tSakapha vit (Mucosal stool) Atisara (Diarrhoea) Udakavaha Trishna (Thirst) Soonam (edematous) Veerya haratwam Bala Nashanam Indriya bala nashanam ( ) Rasavaha Jwara (Fever) General Kharibhoota (hyper dryness) Pandu Darshi (palor look)Pandu Darshi (palor look) Chirakari (chronic) Swedavaha Atisweda (excessive sweat) Raktavaha KamalaRaktavaha Kamala Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 9
  • 32. Incompatible Diet & Anemia Ahara Amashaya  (Stomach)  Pachakapitta Prasada Rasa Sthayi Rasa Raktagni Amashaya (Liver)  Ranjakapitta 3 4 2 Prasada Rasa Asthayi Rasa Rakta Hridaya  (Heart/Brain)  Sadhakapitta 10 Dhamani Kitta Rasa Sweda, Mootra,  Pureesha 5 1 V t Apathya Lavana A l Sadhakapitta Vyanavata Shareera  Chankramana 6 Krimi, Disease, Injury,  Bleeding, Etc Vata ‐ Dhatusaithilyata 7 Kapha ‐ Ojokshaya Amla Kshara  Madya Sneha Normal Functions (C Su24/4 S Sa 7/14) Pandu in Twak‐mamsa  madhyam Adhistana Mrit (Mud) 7Rakta ‐ Raktalpatwam Mamsa – Medolpatwam Bala Tila Masha Normal Functions (C Su24/4, S Sa 7/14) Jeevana, Ayush, bala, Varna  prasadanam, Sukha, Mamsa pusti,  Dhatu poorana, Sparsha  Poorvaroopa  (Hritspandanam,  Roukshyam, Aswedam,  Avipakam)8 Tri Dosha Doshaja  Pandu Medolpatwam, Bala  varna Kshaya Avipakam)8 Tri‐DoshaPandu Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 8
  • 33. Incompatible Diet & Anemia Treatment in Pandu01 Treatment in Pandu01 • The treatment should be planned according to the aetiology – At the level of Apatarpana / Santarpana / Apathya Ahara – At the level of Bahya Karana – Mrit Bhakshana / Abhighata – At the level of Nidanarthakara Roga – At the level of Amashaya – Pachakapittay p – At the level of Liver ‐ Raktagni / Bhutagni / Ranjakapitta – At the level of Hridaya – Rasagni / Vyanavata /  SadhakapittaSad a ap tta – At the level of Dosha  • When the dosha is strong or patient is capable – Dosha  elimination is plannedelimination is planned  • Otherwise patient is selected for the palliative therapy • In common – Snehana – Vamana – Virechana – Shamana  chikitsa are the patronized management methods Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 7 chikitsa are the patronized management methods  
  • 34. Incompatible Diet & Anemia Treatment in Pandu01 Treatment in Pandu01 • Anulomana is indicated – understood as Urdhwa Anuloma (Vamana) and  Adho Anulomana (Virechana) V U dh A l• Vamana – Urdhwa Anulomana – Susruta contraindicated  – but Dalhana doesn’t accept it  – Why Vamana? – Amashaya samutha, Bahudosha, Rasa (Kapha) predominant  Pandu requires conditionally – when the patient is acceptablePandu requires conditionally  when the patient is acceptable  – Vagbhta ‐ Charaka   ‐ Susruta indicated Teekshna Vamana   • Vamana with – Yastimadhu • Vamana with – small quantity of Madana Yoga  • Virechana – Adho Anulomana – Most common practice as there is no effort is exerted by the patient  ‐ is  given as to pacify the Pitta Dosha and Pittsthana udbhava vyadhi • Pathya GhritaPathya Ghrita • Danti Ghrita • Tilvaka Ghrita • Trivrut Churna with Sharkara di i h Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 6 • Swadista virechana
  • 35. Incompatible Diet & Anemia Formulation in Pandu01 Formulation in Pandu01 • As the aetiology could be – Santarpana (AHchi 16/1‐Arunadatta) • Clarify the unction in patient by skin examination  – If the patient is Apatarpana (malnourished) / Apathya Nimitta looking at Dry‐skin – Snehana is done  • Kalyanaka Ghrita P h Gh it• Panchagavya Ghrita • Mahatiktaka Ghrita • Aragwadhadi Gana Ghrita Why the Ghrita?– Why the Ghrita? • Ghrita is Pittaharam – as the Pandu is with vitiated Pitta  predominant  • Ghrita is Ojo vardhaka – as the Pandu is with Ojo kshaya andGhrita is Ojo vardhaka as the Pandu is with Ojo kshaya and  rough skin • Ghrita is Sneha vardhaka – as the Pandu is with rough/dry skin • Sweda is contra indicated as the Pandu is Pittaja vyadhi (AHS17/21‐24) Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 5
  • 36. • In case of palliative management Initially Kosta‐Shuddhi is Incompatible Diet & Anemia In case of palliative management Initially Kosta Shuddhi is  done – It means – Laghu Virechan with  • Swadista Virechana• Swadista Virechana • Rechakavati • Offer Ghrita for attaining Strength in case of palliative management  – Amritadi Ghrata – Vyoshadi Ghrita – Nagakesharadi Ghrita • Based upon the Dosha – Vata – Sneha Pitta Tikta Rasa Sheeta veerya– Pitta – Tikta Rasa, Sheeta veerya – Kapha – Katu, Tikta rasa, Ushna veerya – Sannipata – Vyamishra chikitsa M it Bh k h Vid P th Chit l t– Mrit Bhakshana – Vidanga, Patha, Chitramoola, etc Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 4
  • 37. Incompatible Diet & Anemia • Santarpana i.e. fatty ingestion cause inactive bone marrow that  is infiltrated with fat is called yellow marrow, which results in to  A iAnaemia. • Overgrowth of bacteria (Mrit‐bhakshana /Krimi) within the  intestinal lumen can cause macrocytic anaemia. The cause of  the anaemia is mal‐absorption (Srotas Block) of  cyanocobalamin. Steatorrhea (Passage of fat in large amounts in  the feces) is due to excessive hydrolysis of conjugated bile salts  by the bacteria. • Iron (Loha) is essential for hemoglobin synthesis; if blood is lost  from the body and the iron deficiency is not corrected ironfrom the body and the iron deficiency is not corrected, iron  deficiency anemia results. • Excess production of bilirubin (Malaroopa Pitta) from Liver leads  t h l ti ito haemolytic anaemia.  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 3
  • 38. Incompatible Diet & Anemia • Acid‐secreting cells of the stomach are damaged (Agni kshaya)  in  pernicious anaemia.  P i t l ll i th t i (A h th ) t• Parietal cells in the gastric mucosa (Amashaya samutha) secrete  intrinsic factor, a 49‐kDa glycoprotein that binds to cyanocobalamin  (vitamin B12). Deficiency of it results Anaemia and deterioration of  i h i h S ( id )certain sensory pathways in the CNS (Hridaya). • Rh incompatibility cause sensitization during pregnancy haemolysis  in the fetus develops anaemia.  • Cobalt is part of the vitamin B12 molecule, and vitamin B12  deficiency leads to megaloblastic anaemia. • Copper deficiency causes anaemia and changes in ossification• Copper deficiency causes anaemia and changes in ossification. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 2
  • 39. Incompatible Diet & Anemia Conclusion01 • The body is built by food and  h b d i h f Conclusion 01 the same body is the seat of  disease.  • So the cautious food  consumption avoiding  आहारस वं व antagonism is necessary for  the healthy long living  आहारस व व ु रोगा ाहारस वाः| िहतािहतिवशेषा िवशेषः सखदःखयोः||४५||सुखदुःखयोः||४५|| चरकसंिहता सू थानम् २८. िविवधािशतपीतीयोऽ ायः ४५ Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 1
  • 40. 01 Thank You Incompatible Diet & Anemia 01 Thank You Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 0