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Handbook on Herbal Medicines (Ayurveda Cream, Oil, Pain Balm, Tablet, Herbal Capsules, Churna, Syrup, Medicines with Composition, Rasa Preparations with Production Process, Machinery, Equipment Details and Factory Layout)2nd edition

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Handbook on Herbal Medicines (Ayurveda Cream, Oil, Pain Balm, Tablet, Herbal Capsules, Churna, Syrup, Medicines with Composition, Rasa Preparations with Production Process, Machinery, Equipment Details and Factory Layout)2nd edition

Author: H Panda
Format: Paperback
ISBN: 978-81-7833-091-4
Code: NI36
Pages: 544
Price: Rs. 1,675.00   US$ 41.00

Published: 2024
Publisher: Asia Pacific Business Press Inc.
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Handbook on Herbal Medicines
(Ayurveda Cream, Oil, Pain Balm, Tablet, Herbal Capsules, Churna, Syrup, Medicines with Composition, Rasa Preparations with Production Process, Machinery, Equipment Details and Factory Layout)
About the Book
Herbal medicines, sometimes referred to as herbal remedies or botanical medicine, have a long history of use spanning centuries as a natural approach to addressing various health conditions. These treatments are derived from plants and their components, such as leaves, flowers, stems, roots, and seeds. Herbal medicines leverage the therapeutic properties found in nature to promote general health and well-being. One of the key advantages of herbal medicines is their holistic approach to health. Unlike pharmaceutical drugs that often target specific symptoms, herbal remedies aim to treat the underlying cause of the ailment by addressing the body as a whole. This integrative approach focuses on supporting the body's innate healing mechanisms and restoring balance.

The Herbal Medicine Market Size was valued at USD 148.5 Billion and is projected to grow from USD 165.13 Billion to USD 386.07 Billion in coming years, exhibiting a compound annual growth rate (CAGR) of 11.20%. The demand for herbal medicinal goods has grown as people become more aware of allopathic medications' side effects and the advantages of using them instead. The expanding population, coupled with an increase in the prevalence of chronic diseases, is another market driver impacting market growth.

The market of herbal medicines will rise due to consumer preferences for natural and herbal goods. Natural goods like herbal medications and health supplements are popular among young people and those close to retirement. As a result, healthcare spending has changed as more senior citizens use herbal medications to maintain their active lifestyles. According to the World Health Organization (WHO), around 80% of the world's population consults traditional health practitioners for plant-based medicines, as they believe that products labeled as 'natural' are safe to consume and do not have any side effects on their health.

The primary content of the book consists Herbal Plant Based Medicine, Herbal Plant-Made Pharmaceuticals, Potential Value-Added Products of Herbal Plants, Manufacturing of Ayurveda Cream, Oil, Pain Balm, Tablet, Herbal Capsules, Churna and Syrup. Rasa Preparations, Medicine for Gastrointestinal Tract, Impotency, Central Nervous System, Musculoskeletal Disorders, Genitourinary Disorders, Respiratory System, Skin, Women Care, Infection & Infestation, General Disease, Endocrinology Medicines, Nutritional Medicines, Cardiovascular Medications, Packaging of Herbal Medicine, Factory Layouts, Machinery, Equipment Details & photographs with Suppliers Contact Details.

This publication is a useful guide, thoroughly covering every important aspect of herbal medicine. It's set to be a go-to resource for professionals and budding entrepreneurs in this domain, providing an exhaustive insight into herbal medicine. The content is also immensely useful for consultants, entrepreneurs, start-ups, technocrats, research scholars, educational institutions, and established businesses. It presents a clear, step-by-step guide, leading from the foundational concepts to the stages of acquiring equipment.







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Contents

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Contents

1. INTRODUCTION
1.1 Herbal Medicine
1.2 Benefits of Herbal Medicine
1.3 Poly Herbal
1.4 Efficacy
1.5 Secondary Metabolites
1.6 Health Benefits of Herbal Medicines
1.7 Reasons for the Upsurge in the Use of Herbal Medicine
1.7.1 Personal Preferences for Herbal Medicine
1.7.2 Perception of Safety
1.7.3 Easy Accessibility
1.7.4 Low Cost
1.7.5 Efficacy of Treatments
1.7.6 As the Last Resort
1.8 Manufacturing Process
1.8.1 Raw Material Collection
1.8.1.1 Identification and Authentication
1.8.1.2 Sustainable Harvesting
1.8.1.3 Storage
1.8.2 Preliminary Processing
1.8.2.1 Cleaning
1.8.2.2 Sorting and Grading
1.8.2.3 Drying
1.8.3 Extraction
1.8.3.1 Maceration
1.8.3.2 Infusion
1.8.3.3 Decoction
1.8.3.4 Solvent Extraction
1.8.4 Concentration and Refinement
1.8.4.1 Evaporation
1.8.4.2 Filtration
1.8.5 Formulation
1.8.6 Quality Control
1.8.6.1 Potency Testing
1.8.6.2 Purity Testing
1.8.6.3 Stability Testing
1.8.7 Packaging
1.8.8 Labeling
1.8.9 Distribution
1.8.10 Conclusion
1.9 Standardization and Regulation
2. HOW TO START HERBAL MEDICINE BUSINESS
3. WHY TO START A HERBAL MEDICINE BUSINESS
3.1 Growing Demand for Natural Alternatives
3.2 Aligning with Holistic Health Trends
3.3 Environmental Sustainability
3.4 The Diverse Range of Products
3.5 Cultural Resonance
3.6 Low Entry Barriers
3.7 Opportunities for Education and Community Building
3.8 Profit Potential
3.9 Personal Fulfillment
3.10 Flexibility in Business Model
4. HERBAL MEDICINE MARKET
4.1 The Growing Popularity of Herbal Medicine
4.2 Market Overview
4.3 Challenges and Concerns
4.4 Future Prospects
4.5 Herbal Medicine and Sustainable Practices
4.6 The Role of Regulation and Standardization
4.7 Global Market Dynamics
4.8 The Impact of Modern Research
4.9 Consumer Education and Empowerment
4.10 The Future of the Herbal Medicine Market
4.11 Challenges and Opportunities in Herbal Medicine
4.12 The Role of Scientific Research in Herbal Medicine
4.13 Consumer Education and Empowerment in Herbal Medicine
4.14 Conclusion
5. MACHINERY AND EQUIPMENT USED IN HERBAL PLANT BASED MEDICINE PRODUCTION
5.1 Harvesting Equipment
5.2 Drying Equipment
5.3 Grinding and Milling Machinery
5.4 Extraction Equipment
5.5 Mixing and Blending Machinery
5.6 Tablet Presses and Capsule Filling Machines
5.7 Filtration and Separation Equipment
5.8 Distillation Apparatus
5.9 Packaging and Labeling Machinery
5.10 Quality Control and Testing Equipment
5.11 Waste Management Systems
5.12 Automation and Control Systems
5.13 Cleanroom Facilities
5.14 Conclusion
6. HERBAL PLANT BASED MEDICINE PRODUCTION
6.1 Selection of Medicinal Plants
6.2 Cultivation
6.3 Harvesting
6.4 Drying
6.5 Extraction
6.6 Quality Control
6.7 Formulation
6.8 Packaging and Distribution
6.9 Regulatory Compliance
6.10 Research and Development
6.11 Sustainability
6.12 Education and Awareness
6.13 Integration with Conventional Medicine
6.14 Challenges and Future Prospects
6.15 Embracing Cultural Diversity
6.16 Public Awareness and Education
6.17 Integration into Healthcare
6.18 Collaboration and Research
6.19 Sustainable Practices
6.20 Holistic Well-Being
6.21 The Power of Prevention
6.22 Bridging the Gap
6.23 Global Exchange of Knowledge
6.24 Herbal Medicine in a Changing World
6.25 Your Role in the Plant-Based Medicine Revolution

7. HERBAL PLANT-MADE PHARMACEUTICALS PRODUCTION
7.1 Production Process
7.2 Feasibility and Techno-Economic Viability Study
7.3 Why Invest in this Manufacturing Industry
7.4 Market Analysis
7.5 SWOT Analysis
7.6 Profitability Analysis
7.7 Global Expansion and Localization
7.8 Supply Chain
7.9 Branding and Marketing
7.10 Regulatory Changes and Industry Compliance
7.11 Technological Innovation
7.12 Competitor Analysis
7.13 Future Opportunities
7.14 Global Expansion and Localization
7.15 Supply Chain Optimization
7.16 Branding Strategies
7.17 Regulatory Compliance
7.18 Technological Advancements
7.19 Benefit of Herbal Plant-Made Pharmaceuticals
8. POTENTIAL VALUE-ADDED PRODUCTS OF HERBAL PLANTS
8.1 Herbal Extracts
8.1.1 Benefits of Herbal Extracts
8.1.2 Examples of Herbal Extracts
8.2 Essential Oils
8.2.1 Benefits of Essential Oils
8.2.2 Examples of Essential Oils
8.3 Dietary Supplements
8.3.1 Benefits of Plant-Based Dietary Supplements
8.3.2 Examples of Plant-Based Dietary Supplements
8.4 Herbal Teas
8.4.1 Benefits of Herbal Teas
8.4.2 Examples of Herbal Teas
8.5 Natural Cosmetics and Skincare Products
8.5.1 Benefits of Natural Cosmetics and Skincare Products
8.5.2 Examples of Plant-Based Skincare Ingredients
8.6 Natural Cleaning Products
8.6.1 Benefits of Natural Cleaning Products
8.6.2 Examples of Plant-Based Cleaning Ingredients
8.7 Plant-Based Pharmaceuticals
8.7.1 Benefits of Plant-Based Pharmaceuticals
8.7.2 Examples of Plant-Based Pharmaceuticals
8.8 Plant-Based Agriculture
8.8.1 Benefits of Plant-Based Agriculture
8.8.2 Examples of Medicinal Plants in Agriculture
8.9 Research and Development
8.9.1 Research Areas in Plant-Based Medicine
8.9.2 Promising Research Findings
8.10 Challenges and Considerations
8.11 Conclusion
9. AYURVEDA CREAM MANUFACTURING PROCESS
9.1 Benefits of Ayurveda Cream
9.2 Manufacturing Process
9.2.1 Raw Material Collection
9.2.2 Herb Purification and Processing
9.2.3 Preparation of the Base Oil
9.2.4 Cream Formation
9.2.5 Addition of Preservatives
9.2.6 Cooling and Setting
9.2.7 Quality Control
9.2.8 Packaging
9.2.9 Storage and Dispatch
9.3 Conclusion
10. HOW TO START AYURVEDA CREAM MANUFACTURING BUSINESS
11. DESCRIPTION OF PLANT LAYOUT-AYURVEDA CREAM PRODUCTION
12. AYURVEDA OIL MANUFACTURING PROCESS
12.1 Benefits of Ayurvedic Oils
12.2 Manufacturing Process
12.2.1 Selection of Raw Materials
12.2.2 Preparation of the Herb
12.2.3 Mixing the Base Oil and Herb
12.2.4 Boiling and Cooking
12.2.5 Filtration
12.2.6 Aging or Maturation
12.2.7 Packaging and Storage
12.2.8 Conclusion
13. HOW TO START AYURVEDA OIL MANUFACTURING BUSINESS
14. DESCRIPTION OF PLANT LAYOUT-AYURVEDA OIL PRODUCTION
15. AYURVEDIC PAIN BALM MANUFACTURING PROCESS
15.1 Origins and Philosophy
15.2 Benefits of Ayurvedic Balms
15.2.1 Natural Ingredients
15.2.2 Pain Relief
15.2.3 Anti-inflammatory Properties
15.2.4 Skin Healing
15.2.5 Relaxation and Stress Relief
15.2.6 Reduced Side Effects
15.2.7 Enhances Blood Circulation
15.3 Manufacturing Process
15.3.1 Raw Materials Used
15.3.2 Sourcing of Raw Materials
15.3.3 Pre-Processing of Raw Materials
15.3.4 Extraction Process
15.3.5 Mixing and Formulation
15.3.6 Testing
15.3.7 Packaging
15.3.8 Storage and Distribution
15.3.9 Conclusion
16. HOW TO START AYURVEDIC PAIN BALM MANUFACTURING BUSINESS
17. DESCRIPTION OF PLANT LAYOUT-AYURVEDIC PAIN BALM PRODUCTION
18. AYURVEDIC TABLET MAKING PROCESS
18.1 Intricacies of Ingredients
18.1.1 Herbs
18.1.2 Bhasmas
18.2 Significance of Ayurvedic Tablets
18.2.1 Holistic Healing
18.2.2 Digestive Fire (Agni)
18.2.3 Dosha Balancing
18.3 Modern Applications and Challenges
18.3.1 Integration with Modern Medicine
18.3.2 Quality Assurance and Standardization
18.3.3 Sustainability
18.3.4 Globalization
18.3.5 Education and Awareness
18.4 Manufacturing Process
18.4.1 Selection of Ingredients
18.4.2 Preparation of Ingredients
18.4.3 Blending of Ingredients
18.4.4 Formation of Tablets
18.4.5 Drying
18.4.6 Coating (Optional)
18.4.7 Packaging
18.4.8 Labeling
18.4.9 Storage
18.4.10 Quality Control & Testing
18.5 Conclusion
19. HOW TO START HERBAL TABLET MANUFACTURING BUSINESS
20. DESCRIPTION OF PLANT LAYOUT-AYURVEDIC TABLET MAKING PROCESS
21. HERBAL CAPSULES MANUFACTURING PROCESS
21.1 Advantages of Herbal Capsules
21.2 Manufacturing Process
21.2.1 Raw Material
21.2.2 Drying and Storage
21.2.3 Size Reduction
21.2.4 Extraction
21.2.5 Concentration and Drying
21.2.6 Blending and Granulation
21.2.7 Encapsulation
21.2.8 Quality Control
21.2.9 Packaging
21.2.10 Labeling and Distribution
21.3 Conclusion
22. HOW TO START HERBAL CAPSULES MANUFACTURING BUSINESS
23. DESCRIPTION OF PLANT LAYOUT-HERBAL CAPSULE MANUFACTURING PROCESS
24. HERBAL CHURNA MANUFACTURING PROCESS
24.1 Benefits of Herbal Churna
24.1.1 Holistic Health
24.1.2 Customization
24.1.3 Natural and Safe
24.1.4 Versatility
24.1.5 Preventive and Curative
24.2 Manufacturing Process
24.2.1 Raw Material Sourcing
24.2.1.1 Identification and Selection
24.2.1.2 Procurement
24.2.1.3 Quality Check
24.2.2 Pre-Processing
24.2.2.1 Cleaning
24.2.2.2 Sorting
24.2.2.3 Washing
24.2.2.4 Drying
24.2.3 Grinding
24.2.3.1 Initial Grinding
24.2.3.2 Fine Grinding
24.2.3.3 Sieve Analysis
24.2.4 Blending
24.2.5 Packaging
24.2.5.1 Storage
24.2.5.2 Packaging Material Selection
24.2.5.3 Filling and Sealing
24.2.6 Quality Control and Assurance
24.2.6.1 Testing
24.2.6.2 Batch Numbering
24.2.7 Distribution
24.3 Conclusion
25. HOW TO START HERBAL CHURNA MANUFACTURING BUSINESS
26. DESCRIPTION OF PLANT LAYOUT-HERBAL CHURNA PRODUCTION
27. HERBAL SYRUP MANUFACTURING PROCESS
27.1 Historical Context
27.2 Composition of Herbal Syrups
27.3 Benefits and Uses
27.3.1 Elderberry Syrup
27.3.2 Ginger Syrup
27.3.3 Chamomile Syrup
27.4 Syrup Making Process
27.4.1 Selection of Raw Materials
27.4.2 Cleaning and Sorting
27.4.3 Extraction
27.4.4 Filtration
27.4.5 Concentration
27.4.6 Addition of Preservatives
27.4.7 Sweetening
27.4.8 Testing and Quality Control
27.4.9 Bottling and Packaging
27.4.10 Storage and Distribution
27.5 Challenges in Herbal Syrup Manufacturing
27.5.1 Standardization
27.5.2 Regulation and Quality Control
27.5.3 Preservation without Compromising Efficacy
28. HOW TO START HERBAL SYRUP MANUFACTURING BUSINESS
29. DESCRIPTION OF PLANT LAYOUT-HERBAL SYRUP PRODUCTION
30. RASA PREPARATIONS
30.1 Groups of Medicines in Rasa-Ratna-Samucchaya
30.1.1 Maharasa
30.1.2 Uparasa
30.1.3 Sadharan Rasa
30.1.4 Ratna-Uparatna
30.1.5 Dhatu
30.1.6 Kandavisha (Poisonous Herbs)
30.1.7 Upavisha (Poisonous Herbs)
30.2 Fascial Paralysis (Due to Polio)
30.2.1 Drugs for Polio
31. IMPOTENCY
31.1 Uttaravasti an Ultimate Treatment for ED and Unorgasm
31.1.1 Yoga for Uttarvasti
32. MEDICINE FOR GASTROINTESTINAL TRACT
32.1 Antacid
32.2 Anti Diarrhoeal
32.3 Anthelmintics
32.4 Anti-Ulcer
32.5 Anti Emetics
32.6 Appetite Stimulant
32.7 Colorectal Preparations
32.8 Enzymes and Carminatives
32.9 Gastric Disorders
32.10 Hepato Biliary Preparations
32.11 Laxatives
33. CARDIOVASCULAR MEDICATIONS
33.1 Anti Anginal Drugs
33.2 Anti-Hypertensive
33.3 Anti-Coagulants and Haemostatics
33.4 Cardiac Disorders
34. MEDICINE FOR CENTRAL NERVOUS SYSTEM
34.1 Analgesics
34.2 Antipyretic
34.3 Memory Boosters
34.4 Anti Convulsants
34.5 C.N.S. Stimulants
34.6 Sedatives & Tranquilisers
35. MEDICINE FOR MUSCULOSKELETAL DISORDERS
35.1 Antiinflammatory
35.2 Topical Analgesics
35.3 Musculo Skeletal Drugs
35.4 Neuro Muscular Drugs
36. MEDICINE FOR GENITOURINARY DISORDERS
36.1 Urinary Anti-Infectives
36.2 Diuretics
36.3 Uterine Anti-Infective
36.4 Menstrual Cycle Related Disorders
36.5 Uterine Sedative
36.6 Sexual Stimulants
36.7 Benign Prostate Hypertrophy
37. MEDICINE FOR RESPIRATORY SYSTEM
37.1 Anti Asthmatics
37.2 Expectorants, Mucolytics & Decongestants
37.3 Respiratory Tract Infections
38. MEDICINE FOR SKIN
38.1 Drugs for Skin Allergy
38.2 Anti Allergic
38.3 Drugs for Psoriasis
38.4 Anti Fungal
38.5 Drugs for Acne Vulgaris
38.6 Pigmentation Disorders
38.7 Topical Soothing Agents
38.8 Miscellaneous Preparations
39. NUTRITIONAL MEDICINES
39.1 Haematinics and Haematipoietics
39.2 Tonics
39.3 Immunomodulators
39.4 Anti Obesity Drugs
40. MEDICINES FOR WOMEN CARE
40.1 Antenatal
40.2 Postnatal
41. MEDICINES FOR INFECTION & INFESTATION
41.1 Anti Malarial and Anti Filarial
41.2 Anti-Viral Anti-Infective
42. ENDOCRINOLOGY MEDICINES
42.1 Oral Hypoglycaemics
42.2 Fertility Agents
42.3 Goitre
43. MEDICINES FOR GENERAL DISEASE
43.1 Dental
43.2 Eye
43.3 E.N.T. & Oropharynx
43.4 Hair & Scalp
43.5 Paediatric Preparations
43.6 Makkala Abhyanjana
44. PACKAGING OF HERBAL MEDICINE
44.1 Selection of Materials
44.2 Preservation from Environmental Factors
44.3 Vacuum Sealing and Air-tight Containers
44.4 Incorporation of Desiccants
44.5 Safety Seals
44.6 Labeling
44.7 Child-Resistant Packaging
44.8 Packaging for Different Dosage Forms
44.9 Sustainable Packaging
44.10 Testing
44.11 Automation in Packaging
44.12 Conclusion
44.13 Importance of Herbal Medicine Packaging
44.13.1 Protection from External Factors
44.13.2 Information and Branding
44.13.3 Safety and Tamper Evidence
44.13.4 Sustainable Use
45. GUIDELINES FROM WHO ON GOOD MANUFACTURING
PRACTICES (GMP) FOR HERBAL MEDICINES
45.1 Introduction
45.2 General
45.3 Glossary
45.4 Quality Assurance in the Manufacture of Herbal Medicines
45.5 Good Manufacturing Practice for Herbal Medicines
45.6 Sanitation and Hygiene
45.7 Qualification and Validation
45.8 Complaints
45.9 Product Recalls
45.10 Contract Production and Analysis
45.11 Self-Inspection
45.12 Personnel
45.13 Training
45.14 Personal Hygiene
45.15 Premises
45.15.1 Storage Areas
45.15.2 Production Areas
45.16 Equipment
45.17 Materials
45.17.1 Recommendation Examples and Standards
45.18 Documentation
45.18.1 Specifications
45.18.2 Herbal Materials
45.18.3 Finished Herbal Products
45.18.4 Herbal Preparations
45.18.5 Processing Instructions
45.19 Good Practices in Production
45.19.1 Selection of the First Production Step Covered by these Guidelines
45.19.2 General Considerations
45.19.3 Mixing of Batches and Blending
45.20 Good Practices in Quality Control
45.20.1 General
45.20.2 Sampling
45.20.3 Testing
45.20.4 Stability Studies
45.20.5 Packaging Materials and Labelling
46. ISO STANDARDS
47. FACTORY LAYOUT AND PROCESS FLOW CHART & DIAGRAM
48. PHOTOGRAPHS OF PLANT AND MACHINERY WITH SUPPLIERS
CONTACT DETAILS
• Homogenizer Stirrer
• Herbs Chopping Machine (Shredder)
• Automatic Plastic/Laminated Tube Filling & Sealing Machine
• FBD Machine
• Root Washing Machine
• Cream Mixer
• Colloid Mill
• Raw Herbs Grinder
• Oral Syrup Filling Line
• Wet Grinder
• Leaf Crushing Extruder
• Automatic Rotary Bottle Washing Machine -Glass and PP Bottles
• Reaction Vessel
• Powder Filling Machine
• Double Cone Blender Herbal Machinery
• High Efficiency Tablet Film Coating Machine
• Cold Form Alu - Alu Blister Packing Machine
• Bottle Labelling Machine
• Vibratory Screening Machine
• Mass Mixer Machine
• Automatic Capsule Filling Machine
• Pulverizer Machine
• Ayurvedic Pills Cutting Machine
• Rapid Mixer Granulator
• Spray Dryer


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[h1]CHAPTER 12[/h1]
[h1]HEPATITIS-B THROUGH AYURVEDIC MEDICINES[/h1]

[p]Summary: Clearance of HbsAg from the serum of Hepatitis B
patient by the judicious application of "Arogyavardini Rasa" and
a tablet containing "Bhumyamalaki" has been studied in this case.
This combination has considerably reduced the clearance time and
re-established the Liver function with complications. Hence this
has opened an alternative vista for the management of Hepatitis
B. 'Hepatitis B' and 'HbsAg+ve' are the much familiar and
honyfying words among the public and medical fraternity now a
days. Hence an attempt has been made to treat the 'HbsAg+ve'
patient through Ayurvedic medicines.[/p]

[h3]Introduction[/h3]

[p]Liver is the largest organ in the human body with wide range
of integrated functions. This vital organ is the soft target for
many pathogens. Viruses are one among them. These viruses causes
both morphological and physiological changes in the Liver. The
process of change may be slow or rapid, leading to various
clinical manifestations. HBV is one of the dangerous virus which
cause severe alterations in the liver and some times leads to
death. This is the only hepedna virus which cause infection in
humans. They enter the hepatocytes of liver and replicate to
cause hepatitis which is a diffuse microinflammatory disease,
where in liver parenchymal cells face the wrath of the virus.
Depending upon the severity of the infection and clinical
features, person is treated either at O. P. D. or I. P. D.
Faliure of clearance and virus from the serum is mainly due is
lack of an adequate immune response.[/p]

[h3]Materials & Methods[/h3]

[p]A serologically confirmed HbsAg strongly positive (++++) case
has been referred for the management through Ayurvedic medicines.
The management of "Hepatitis B" cases is mainly supportive and
aimed at speedy regeneration of damaged hepatocytes, inhibition
of the vital replication and stimulating immune system to produce
an adequate immune response. Clinical features such as Icterus,
Anorexia (Aruchi), Dark urine & stools (Raktapeeta Shakruth,
mootra), yellow tint of Sclerae, loss of appetite (Agni sada),
Debility (dourbalya). Skin rashes (Kandu, twak vikara) are taken
as parameters. L. F. T. value and serological clearance/presence
of HbsAg are taken as prime evidence of assess the progress of
the disease.[/p]

[h3]Notes from history[/h3]

[p]The probable mode of infection as per history was a blood
transfusion done about four months prior to the manifestation of
clinical features, when the patient underwent a surgery for
urinary calculus.[/p]

[h3]Signs & symptoms[/h3]

[p]The presenting signs and symptoms were icterus, fever, loss of
appetite, debility, dark urine and stools, yellow tints of
sclerae, joint pain and pruritis since ten days and liver was
slightly palpable on examination. Ultrasonography report has
favoured slight hepato-splenomegaly.[/p]

[h3]Medication[/h3]

[olist]
[li]Arogyavardhini Rasa, one tablet three times a day after food.[/li]
[li]Two tablets "Bhumyamalaki" three times a day after food.[/li]
[/olist]

[p]Medication should be continued till HbsAg becomes negative in
serum. Later tablet of [b]'Bhumyamalaki'[/b] three times a day
after food may be given as prophylaxis for one to three
months.[/p]

[h3]Pathya[/h3]

[p]Patient was advised to take Laghu Aahara, more Dravyapadartha.
Phalarasa (fruit juices), boiled vegetables and diet more of
carbohydrate and moderate quantity of proteins.[/p]

[h3]Discussion & Conclusion[/h3]

[p]This combination of drugs has proved once again the supremacy
of Ayurvedic drugs in hepatoprotective activity, and also given
reassurence to the suffering humanity against HBV. Some of the
other factors in the management of HBV are protecting other
persons who came in close contact with infected person viz.
wife/husband, children and relatives through vaccination. Usually
patients needs counselling and reassurance along drug
therapy.[/p]

[p]Patient recovered rapidly during first two months of
treatment, and became very weakly positive from the strongly
positive. At the end of the third month patient become HbsAg
negative which was confirmed by two different laboratories. "
Better the immunity of the persons faster the recovery and
clearance". One important factor observed during the treatment
was no complications Patient well tolerated the medication.[/p]

[p]This study has suggested that this combination of drugs has a
definite role in the play in providing adequate immune response
against HbsAg. Since study sample is too small, this needs
further evolution.[/p]

[h1]CHAPTER 13[/h1]
[h1]HOLISTIC MANAGEMENT OF BRONCHIAL ASTHMA[/h1]

[h3]Introduction[/h3]

[p]Bronchitis is one of the most common respiratory diseases,
significantly seen in the tropical areas. Bronchiolitis, acute
bronchitis, chronic bronchitis/bronchial asthma bronchiectesis
and bronchial fibrosis are the progressive advanced stages of a
pathological stage characterised by dyspnoea (krichra swasa)
cough with or without expectoration (ardra kasa or shushka kasa),
and wheeze (Ghur ghurayana with thamaha pravesha).[/p]

[p]In Ayuvedic texts, the symptoms and sings of bronchial asthma
has been described under the title Tamaka swasa a variety of
swasa (respiratory disorder). Acharya Caraka has described five
varieties of swasa namely Mahaswasa, Urdhwa Swasa, Chinna Swasa,
Thamaka Swasa and Prathamaka Swasa.[/p]

[p]The etio-pathological and clinical features of Thamaka shwasa
corelated with that of the Bronchitis/Bronchial ashtma. The
present study is a documentation of 60 cases of well established
Bronchial asthma and its management through an integrated
approach. It comprises of the selective line of treatments and
drugs of modern systems of medicine Ayurveda, Yoga and
Naturopathy. The present study is a record of cases and their
management over a period of 10 years.[/p]

[h3]Materials and Methods[/h3]

[olist]

[li][p][b]Selection of patients[/b]: Patients with complaints of
difficult breathing, cough with or without expectoration and
wheezing who visited 'Sumana Arogya dhama' were treated according
to the requirement through an integrated approach of different
systems of medicine and drugs. Patients were subjected for a
thorough clinical examination and findings were recorded in a
specific case proforma. Patients were also investigated with
relative and equired Biochemical, Haematological, Microbiological
and Roentogenographical procedures. All the dates were analysed
by giving due importance to the differential diagnosis and the
final diagnosis of Bronchial asthma was arrived. Cases were
divided in to two groups for the convenience of treatment namely
Acute asthmatics and Chronic Asthmatics based on the history,
symptoms and sings. Cases between the age group of 4 to 40 years
were selected for the study. Both female and male; adults and
children were randomly selected. The cases selected were
Bronchial asthmatic and were free from the associated diseases,
such as Pneumonia, Cardiac problems, Pulmonary kochs, Emphysema,
Corpulmonale and also Diabetes mellitus and Congenital
deformities. The Acute and severe stage Bronchial asthma was
managed with modern line of treatment, and the chronic stage of
Bronchial asthma was treated with the alternative lines of
treatment which included administration of 'Vardhamana pippali
rasayana yogi' as aushadha (Medicine). Dietary restrictions
(Ahara), practises such as Yoga, Pranayama, Honey pulling,
Fasting etc., (Vihara) and meditation (Vichara) with an objective
of preventing relapse by regulating the whole immune system.[/p]
[/li]

[li][p][b]Vardhamana pipplai Rasayana yoga[/b][br/]This is a course of
administration of pippali (Piper lomgu) in the prescribed
quantity for a prescribed period by altering the dosage in and
ascending and descending order described by Acharya Charaka in
the third chapter of chikitsasthana known as Kara Prachithiyam
Rasayana pada. According to the texts, fruits of pippali should
be administered over a period of twenty days, beginning with 10
fruits on the day one; increasing 10 fruits every day upto the
10th day and later decreasing with same number till it reaches to
ten on 20th day. This dose is for people who have good tolerance
(uthama Mathra). The author has recommended to start with 6
fruits and 3 fruits of pippali for people having moderate and low
tolerance (Madhyama and Alpa matra) respectively. It has been
adviced to administer pippali in the form of kshira paka.
Acharaya charaka has attributed immunostimulants, growth
promoting, geriatric, strength promoting, vitalizing, vivifying,
rejuvenating, lifespan increasing and memory boosting
pharmacological actions and therapeutic effects to pippali. In
the present study a slight modification has been done from the
classical 'Vardhamana pippali Rasayana yoga' of Charaka with
regard to the ingredients, dosage and duration of the course of
treatment by keeping in view the specific purpose of providing
relief and specific immunity among Bronchial asthmatics.
Tolerance of the patients and convenience of administration.
Pippali was administered along with 2.5 gm, turmeric rhizome
powder (Curcuma longa) 2.5 gm. liquorice root powder (Glycerrhiza
glabra) one fruit of cordamom (Elettaria cordamomum) and
sufficient quantity of Jaggery in the form of medicated milk
(Kshira paka). The treatment course was start with six fruits of
pippali on day one and increased one fruit every day upto 24th
day and later decreased by one fruit of pippali a day till the
number reached six, completing one Mandala (48 days) and
administration of 900 fruits of pippali in a course. However, the
quantity of turmeric, liquorice and cordamom were kept constant
but the quantity of Jaggery was altered and adjusted depending
upon the number of fruits of pippali, the needs of individual
patients. Children below the age of 12 years were administered
half the dose of Adults.[/p] [/li]

[/olist]

[h3]Management[/h3]

[p]Management of Bronchial asthma through an Integrated approach comprises of the following:[/p]

[p][b]Medicine (Ausadha)[/b][/p]

[p]Patients with acute bronchial asthma and severe chronic
bronchila asthma were treated and managed with the conservative
line of treatment depending upon the severity of disease and
response of the patients. The line of treatment and drugs
included the following:[/p]

[olist]

[li][b]Broncho-dilators[/b]: Theophylline, Salbutamol,
Terbutaline sulphate, Amino phylline, Adrenaline, Ephedrine
hydrochloride, Kanakasava, Vasakarista. Mruthasanjeevini sura,
Shwasa kuthara, Shwasananda.[/li]

[li][b]Antibiotics[/b]: Penicillin, Amoxycillin, Tetracycline,
Pefloxacin, Cepholosporins, Septilin.[/li]

[li][b]Anti-Inflammatory and Anti Allergic/Steroids[/b]:
Betamethasone, Dexamethadsone, Prednisolone, Hydrocortisone,
Trimacinaline aceta manide (Oral, Parenteral and Aerosal
form).[/li]

[li][b]Anti-histamines[/b]: Cetrizine di-hydrochloride,
Phenaramine maleate, Chloro phenaramine maleate Haridra kanda
Karpuradi churna, Gorochanadi vati, Kasturyadi vati.[/li]

[li][b]Mucolytics[/b]: Bromhexine hydrochloride, Taleesadi curna,
Dasamula katutrayadi kasaya, Balajeerakadi kasaya and
Gudapippali.[/li]

[li][b]Expectorants[/b]: Ammonium chloride, Ginaphansein,
Pushkaramulasava, seems to be rendering the same. This is seen
based on the percentage of cure, no relapse and less significant
relapse even after an year.[/li]

[/olist]

[p]Diet restrictions, practises such as pranayama, yoga,
meditation, listening to music etc., help in quality of mental
and physical health by improving both physical and mental
resistance. Honey pulling is like oil pulling (which is being
practised widely) is administrated with an objective of easy
expectoration of sputum and mucolysis.[/p]

[h3]Conclusion[/h3]

[p]Since no particular system of medicine has been able to
provide total cure for Bronchial asthma which has been revealed
in the various studies, it is advisable to augment all the good
and beneficial factors from the available different systems of
medicine with an objective of establishing Asthmatic free
society. This conclusion is very much in accordance with the
slogan of Holistic medicine and also the Rigveda 'Anobhadhraha
kanthavoyantha vishwathaha'-'Let noble thoughts come to us from
every side.' Because we are interested in Lokaha samasthaha
sukhinobhavanthu sarvesanthu niramayaha.' 'Let the entire world
remain in pleasure and happiness and let there be a society free
from all sorts of diseases.'[/p]

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