A Study Of RaktajaPravahika and Its Treatment.

Pravahika is the PakwasahayagataKaphajavikara with symptoms of Sarakta mala, Sapravahana mala, Sakapha mala, Daah,Jwara, BhramaDaurbalya Anannabhilsha, Sweda and Trishna,Excessive intake of Katu, Amla, Lavana Rasa, Guru (not easily digested), snigdha (fatty), Ruksha (very dry), Ushna, Sheeta, excessively liquid, Teekshana foodstuffs promote Pravahika disease.While deciding line of treatment, Ama and Pakwa stages of disease should be taken into consideration. In Ama Avastha, amapachana and Agnivardhana is the main line of treatment while ‘Sangrahana' will be main line of treatment in PakwaAvastha. Ama if not treated properly leads to Anaha, Prameha, Udar, Jwara, Shotha, Gulma, Arsha, Shoola, Hridgraha. Negligence towards passage of ‘Ama Mala' is golden line of treatment. Haritaki is the drug of choice in AmaAvastha. Once Ama is completely removed Deepana, Pachana, Grahi drugs can be used. 'Sanjeevanivati' 250 mg, ‘Loknath Rasa' 120 mg, ‘Jatiphaladivati', ‘KutajaParpati' are some Kalpas useful in Pravahika. In jeernaPravahika ‘BhallatakaParpati' and ‘SuvarnaParpati' are found to be useful. ‘Dadimavaleha', 'Kutajarishta' can be used as Anupana along with these above mentioned drugs. If rectal prolapsed, ChukraTailaSnehana along with NirgudiPatrasweda gives best results.