CONTRA -INDICATION OF AYURVEDIC

MEDICINES

Dr M S Krishnamurthy M.D Ph.D

Associate Prof and Head,Post Graduate Dept of Bhaishajya

Kalpana Alva’s Ayurveda Medical College

Moodabidri 574227srimuliya@gmail.com

+919448984445

Are they safe ?Are they cause side effects?

Are they efficacious ?Are they genuine ?Are they prepared properly ?

Are they presented properly ?

Are they affordable ?

AYURVEDIC MEDICINES

IF NOT –WHY?

IF YES-HOW?

IS IT APPLICABLE UNIVERSALLY ?

ARE WE AWARE OF ORIGINAL REFERENCES ? DO WE KNOW THE INGREDIENTS AND THEIR

HYPERSENSIVITY?

DO WE ARE CONFIDENT REGARDING AYURVEDIC PRESCRIPTIONS?

DO OUR MEDICINES HAVE CONTRA INDICATOINS ?

CONTRA INDICATIONS –HOW AND WHY ?

Dosage form specificFormulation specificDisease specific

Dose specificDoshic affinityManufacturing method

Bala – Desha – Kala – Agni – Prakriti – Satwa – Satmya etc

DOSAGE FORM SPECIFIC CONTRA INDICATIONS

Fresh Drug – Acute conditions (Psychological Setup), Children, Susceptible individuals (Garlic, Onion, Ajawain, Colour specific,Cow’s urine etc)

Decoction – Children, women, poor mental ability,Minor sufferings,Non accustomed,Religious

Tablets-Younger age group(size of tablet),Higher society, Extraawareness, Vomitting, Tastelessness, Constipation, Indigestion etc

Powders-Younger age group,women,Nausea,Mental disliking

Syrup-DM, Disliking towards Preservatives and colouring agents,Consistancy specific

DOSAGE FORM SPECIFIC CONTRA INDICATIONS……

Asava-Arishta-Religious,Women,Nausea/Succeptible,Paittic individuals,DM

Leha-DM,Haftyness,Indigestion

Ghee and Oil-Haftyness,Indigestion and Nausea,Liver disorders,Renal insufficiency

Rasoushadhas-Renal –Cardiac-Hepatic-Neurological-Pancreatic disorders

FORMULATION SPECIFIC CONTRA INDICATIONS

Choorna-

Sitopaladi,Talisadi-DMAvipattikara-DiarrhoeaPushyanuga-ConstipationHingu vachadi, Hingwashtaka-Leucorrhoea, Bleeding disorders, BPHVaishwanara-APDShivakshara –Urinary incontinency, BPHShatavari-Sore throat

FORMULATION SPECIFIC CONTRA INDICATIONS

Tablets-Dhanvantari –ConstipationYogaraja guggulu-Constipation, Reduced urine outputGokshuradi and Punarnavadi- Diuresis,

SleeplessnessChitrakadi –StomatitisLaghu sootashekhara – Constipation, mouth ulcerRasnadi-ConstipationLashunadi-Constipation, Burning

FORMULATION SPECIFIC CONTRA INDICATIONS

Nimbadi-Paittic disorders and individualsShirashooladi vajra rasa-Paittic disordersArogyavardhini-Paittic disorders,Reduced urine

outputBolabaddha rasa-ConstipationShwasakutara, Kaphaketu Rasa-Mouth ulcers, APD, Back ache, Reduced urine output, Gaseous distention of abdomenKombanchadi gulika-Reduced urine outputGandhaka rasayana-Mouth ulcerRaja pravartini vati-Burning sensation, abdominal pain

FORMULATION SPECIFIC CONTRA INDICATIONS

Leha-Shatavari-Sore throat, Cold, Cough,

Asthama, IndigestionChyavana prasha,Dashamula hareetaki- Constipation, Burning of the body, Non specific headacheManibhadra guda-Nausea

Ajamamsa Rasayana-Indigestion

Pancha jeeraka guda-Excess appetite

FORMULATION SPECIFIC CONTRA INDICATIONS

Trivrit lehya-UlcerationHaridrakhanda rasayana-Dry skinMadhusnuhi Rasayana-Acute skin diseases,Burning sensationAsava-ArishtaLodhrasava,Saraswatarishta-DMDashamula-ConstipationSariva,Usheera-Kaphaja disordersKharjoora,Shreekhanda-DMKutaja-Constipation,Vatic disordersKumari no 1-MenorrhagiaAshoka-Constipation

FORMULATION SPECIFIC CONTRA INDICATIONS

Ghrita and Taila-Kalyanaka-MenorrhagiaShatavari-Cold,Sore throatPinda taila-Internal administrationKBT Avartana-Hyper cholesterolMost Taila/Ghrita-Rhumatoid arthritisMaharaja prasarini-Burning chestGelatinous capsules-Indigestion,Nausea

FORMULATION SPECIFIC CONTRA INDICATIONSRasaushadhas-Shwasakutara , Shwasananda, Kaphaketu,

Kasakutara-Lethergy, Shivering, Burning chest, APD, Sleep disturbance, Stomatitis,Constipation

Makaradhwaja, Rasa sindura-Renal insufficiency, Recent recovery from Hepatic disorders

Arogyavardhini-Constipation, Burning chest, Paittic disorders, Haemorrhoids

FORMULATION SPECIFIC CONTRA INDICATIONSTribhuvanakeerti,Vettumaran,Ananda bhairava

rasa-Paittic disorders and Prakriti, Constipation, Burning chest, APD, Reduced urine output / Burning micturition, Migraine headache

Vatsanabha,Hingula formulations-Debility, Excess perspiration, Stomatitis

Tamra bhasma, Naga bhasma, Vanga bhasma, Loha bhasma-Constipation, Dysuria, Lethergy, Excess perspiration, Haemorroids, APD

FORMULATION SPECIFIC CONTRA INDICATIONSManashila, Haratala, Somala formulations-

APD, Sleep disturbance, Thirst, Peripheral neuritis

Bilva gulika-Constipation, Severe vomittingVishamushti vati-Constipation, Paittic

headache, HypertensionIcchabhedi rasa-Ulcers, h/o perforation,

Recent affliction of Typhoid

DISEASE SPECIFIC CONTRA INDICATIONSHepatic/ Biliary Disorders-Haratala, Manashila,

Vatsanabha, Naga, Vanga, Dhattura, HingulaAnaemia-Constipatives, Hingula, Vatsanabha,

Gandhaka, NavasagaraFever-Gastric irritants,Khadira-Ashoka-Lodhra-

Arjuna-Bilva-ShilajatuMouth ulcers-Haratala, Manashila, Dhattura,

Hingula, Dashamula katutraya, Kanakasava, TBKR, A Bhairava

Back ache-Constipatives, Causing reduced UOP

DISEASE SPECIFIC CONTRA INDICATIONSAphrodisiacs-Vatsanabha, Jayapala, Navasagara, Kshara,

LavanaHead ache-Constipation, Dysuria, Irritant drugsPeripheral neuritis-Hingula, Manashila, VangaScanty menstruation-Chandrakala rasa, Bolabaddha rasa,

Ashokarishta(mere)Menorrhagia-Formulations containing Manashila, Haratala,

Jayapala, Hingu, Kumari, ShanapushpiEye disorders-Manashila, Naga, Vanga, BhallatakaEar disorders-Unless specified oils(mridupaka),Acidic

substancesTonsilitis-Shatavari yoga, Coolants to scalp, Ghrita preparationsCold, Cough, Asthama-Coolants, medicated Ghee –if not

specifiedCardiac diseases-Hingula, Vatsanabha, Jayapala, DhatturaUrinary calculi-Hingula, Tamra bhasma, Vanga, Naga,

Dhattura

DISEASE SPECIFIC CONTRA INDICATIONS

Oligospermia-Irritants and depending upon other associated complaints

PCOD-Careful usage of irritants

Lactation-Anti diabetic, Sthoulyahara medicaments

Gynaeco-mastia- Galactogogues

DOSE SPECIFIC CONTRA INDICATIONS

Sanjeevani vati ,Shwasakutara, Kaphaketu, Icchabhedi,

Sameerapannaga, TBKR, AB, Swarna vanga, Arogya

vardhini, GR, Ekangaveera, Rajapravartini, Nimbadi

guggulu, Chitrakadi vati, Trayodashanga guggulu,

Mamajjaka ghanavati, Vasantakusumakara, Various

bhasmas

Chyavana prasha, Dashamoola hareetaki, Kachhoradi choorna, Karpooradi choorna

Katakakhadiradi, Asanadi, Patolakaturohinyadi KS

DOSHIC AFFINITY RELATED C/IVatadhika-Asanabilvadi tailaPittadhika-Durdurapatradi tailaKaphadhika-Himasagara taila

Obstructed Vata-Saptavimshati gugguluObsructed Pitta-Lavana preparationsObstructed Kapha-Leha preparation (nutritive) /

Rasayana

Vidagdha Vata-ConstipativesVidagdha Pitta-Ghrita preparationsVidagdha Kapha-Taila preparations

BE CAUTIOUS while penningYastimadhu,KantakariSarpagandhaBilva, Dhattura, Vacha, Bakuchi, BhallatakaTrivrit, Danti, Sonamukhi, KatukarohiniVatsanabha, VishatindukaNaga, Vanga, Tamra, Parada, Hingula, Haratala,

ManashilaUn known/Less known

Manufacturing method related C/I

Amapaka-Jatyadi taila,Amalaki taila-Increase itching

Kharapaka-KBT, Gomutrarka,Thenginpookuladi

rasayana-Cause burning sensation, Nausea

Dagdhapaka-Dhanvantara, Kottamchukkadi-Burning,

increase dryness and body ache

Much moisture/Not dried-Shirastoda gulika,

Marmani, Karuttha gulika-Increase the complaints

MISCELLANEOUS aspects….BalaDeshaKalaAgniPrakritiSatwaSatmya

LET ME KNOW…..C/ISaptamrita lohaChandraprabhaDhatri lohaTapyadi lohaKaishora gugguluBalarishtaChandanasava…..

Last sip….A look into original classical references

Knowledge of recipe and related ingredients

Thinking before acting

A thorough re-view/case study

Faith and confidence

Acceptance of truth

Self limitation and limitation of science

Thank You!Dr MS

KrishnamurthyAyurblog.com