DURDURAPATHRA KERAM IN DANDRUFF

Dandruff is a skin condition of scalp having flaking or itching. It is considering that males are more affected than females. Exact causes are unknown.

It can be divided into five.
1) Dry skin related problems.
2) Sebum related dandruff
3) Fungal related dandruff
4) Disease related such as Psoriasis, Seborrhoeic dermatitis etc
5) allergic reactions to some products used in scalp.


DURDURAPATHRA KERAM

This an oil widely used in Ayurveda for dandruff related to inflammation from fungus or bacteria to scalp.

Fungus are mainly grows in humid conditions in scalp. When skin eruptions occurs, swet and dust accumulates in the erupted dead skin and gradually becomes dirty in appearance. In this humid area, fungus grows rapidly (Malassezia globosa)

The oil is considered as Ushnaveerya. It is considering as anti fungal and anti bacterial in action (anti inflammatory). So by applying the oil over scalp reduces the skin conditions. And hence to improve hair growth.

How to prepare The oil:
Ingredients: Datura alba, and Kera tailam

Kalkam: Paste of seed of Datura (1 par)
Oil: Keratailam (4 part of kalkam)
Swarasam: Juice of datura leaf (16 part of Kalkam)

Procedure:
Take the above three in a pan and boil till get a clear oil over the fried kalkam. The kalkam should be in a stage of Kharapaka.


(You can see this in youYouT in Malayalam by clicking here)

APABAHUKAM

(Clinical Notes on Shoulder Pathologies)


APABAHUKAM



1.FROZEN SHOULDER

Observations:
•Amsa sandhi gata vata
•Chala guna kshaya
•Manda,sthabdha guna vridhi

Vital diagnostic points

•Pain and stiffness.
•Decreased range of  movements.
•Cannot raise arm beyond certain point due to stiffness and pain.
•Physical evaluation of joint and scapula(~winging) helps in primary diagnosis.
•Usually non-edematous.
•Usually presenting age group will be young adults/mostly male.

Underlying causes:-

1.Cervical disc diseases of neck.(directs =>to cervical pathologies)
2.Shoulder injury.
3.Diabetes mellitus.

Suggestive investigations
Blood RE
X-Ray
MRI (not essential in preliminary evaluation)

Line of Rx

Consider jadaragni,ama at dhatu level and other kaphanubandha lakshana.
Snigdha/Ushna chikitsa.

Rx Choices:-

Internal medicines:
1.Vaishwanara ch./Hingu vachadi tab(bipha)
2.Ashtavarga ksm
3.Mustharishtam
4.Dhanwantharam ksm/tab.
5.Snehana.
6.Prasaranyadi ksm


(Guggulu/Sallaki preperations not a must and can be safely avoided.Panion tab/Painoff not a good choice here.)
Stifain tab may be reserved for a later suggestion.

External treatment.

1.Exercise suggestions is a must.[Physio suggestions]Stretching over a wall,step wise raising on window rods.Abduction.Try to improve the comfort zone movement rather than trying for increasing range of movement.

2.Nasyam Karpasasthadi.(5-8drops max.)
3.Rooksha sweda followed by Abhyangam+Ushma Swedam.(Prasaranyadi thaila/ Karpasasthyadi thaila)
4.Jambeerapinda sweda/Patrapotala sweda.

A moderately build young male/29y presented with rt shoulder stiffness was managed in this treatment line.With 7days E/Rx. symptoms subsided with 90% improvement in r.o.m.
_________________________

2.GLENOHUMERAL ARTHRITIS

Observations:
•Vata vridhi in kapha sthana(sandhi)

Vital diagnostic points:

•Progressive shoulder pain.
•Stiffness and loss of motion.
•night pain,mostly postural.

Underlying causes
•O.A ; R.A
•Post trauma.

Suggested investigations:
•Blood routine
•X-Ray
•MRI

Line of treatment:
Vatakapha hara.
Ushna pradhana.
Abhayanthara Snehana.

Rx suggestions

Consider agni/dhatu gata ama before Rx

Internal medicines
1.Rasna saptakam ksm
2.Maharasnadi ksm
3.Aaba guggulu.
4.Gandha tailam Cap.
5.Ksheerabala.
6.Rasonadi ksm.

Ext Rx.
1.Nasyam -Karpasathyadi.
2.Dhanyamla dhara local.
3.Abhyanga with vathahara thailas like Dhanwantharam/Ksheerabala etc.