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Tarpana Chikitsa in Jwara

Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S

Tarpana contains something and all the pieces which gives vitamin or vitamin worth. That is an especially essential a part of Ayurveda therapy protocol, utilized in chosen circumstances as and when wanted, although in a roundabout way indicated in all ailments. They will also be well being drinks with dietary worth and looks like anybody can use it at any time from the outlook, however can’t be generalized from Ayurveda perspective. It has particular and particular worth in therapeutics.

Jwara is one situation whereby Tarpana has been particularly indicated for use in some circumstances. Allow us to see its applicability within the therapy protocol of jwara vis-à-vis fevers, on this article.

Ref – Charaka Samhita Chikitsa Sthana Chapter 3, Jwara Chikitsa Adhyaya, Verses 155-160 (Cha.Chi.3/155-160)

Use of Tarpana in Jwara

तत्र तर्पणमेवाग्रे प्रयोज्यं लाज सक्तुभिः||१५५||
ज्वरापहैः फल रसैर्युक्तं समधु शर्करम्|१५६|

In such circumstances whereby the administration of Yavagu / Peya – gruels can’t be utilized in Jwara therapy, the doctor ought to administer Tarpana proper at the start. The Tarpana needs to be ready with Laja Saktu – powder of area paddy / puffed grains and needs to be served blended with honey, sugar and juices which have ‘jwara assuaging’ properties / motion.

So, now we have sorted out the context of administration of Tarpana. Tarpana is selectively utilized in therapy of Jwara, solely in circumstances whereby you can not administer Yavagu (since the usage of it’s contraindicated).

Allow us to perceive the pre-context now.

Langhana – fasting is claimed to be the primary therapeutic measure talked about within the therapy of Jwara. It provides relaxation to amashaya – abdomen, the hometown of jwara. It additionally helps in kindling the agni and likewise digesting the ama.

Different measures indicated in Taruna Jwara (acute fevers of their first six days of manifestation) – Together with or following Langhana, Swedana – sudation, Yavagu – gruels, Tikta Rasa – bitter tasting herbs (used for processing Yavagu additionally) and Kala – time of first eight days from the day of manifestation of fever needs to be adopted. The mix of those measures helps in getting management over the jwara in its Taruna – acute part i.e. first six days of its manifestation. Kala is talked about as a self limiting time interval of jwara, threshold time or ‘wait and watch’ interval to see if fever goes away naturally or with easy measures like langhana, swedana and so on talked about above.

Vamana in Jwara – If kapha excitation is seen proper at the start of jwara, vamana – emesis needs to be administered to expel the morbid kapha. Later Langhana, Swedana and Yavagu needs to be administered.

Yavagu in Jwara – gentle digestible gruels are game-changers within the therapy of jwara. Since agni is low and hypo-active within the earlier levels of jwara (taruna jwara), it can not digest regular meals that we eat. So, we must always give it gas within the type of yavagu – gruels, that are gentle to digest and easy on agni. They’re additionally illness particular diets i.e. ‘jwara assuaging’. They induce starvation and lightness within the physique on the backdrop of what Langhana and Swedana have achieved in our physique.

Circumstances for administering Tarpana

However what if some sorts of Jwara ‘Yavagu’ can’t be given, being contraindicated?

In such circumstances, ‘Yavagu’ must be changed by ‘Tarpana’.

Contraindications for Yavagu

So, what are these circumstances whereby Yavagu is contraindicated?

नृते मद्य समुत्थितात्| मदात्यये मद्यनित्ये ग्रीष्मे पित्त कफाधिके||१५४||
ऊर्ध्वगे रक्तपित्ते च यवागूर्न हिता ज्वरे|१५५|

Yavagu / gruels are contraindicated in fevers

        Madya Samutthitat – induced on account of extreme consumption of alcoholic drinks

        Madatyaya – occurring in individuals affected by alcoholic intoxication

        Madyanitya – occurring in these consuming alcohol day by day – alcohol habit

        Grishma – occurring in summer season

        Pittadhike – related to extreme aggravation of pitta or excessive pitta fevers

        Kaphadhike – related to extreme aggravation of kapha or excessive kapha fevers

        Urdhwaga Raktapitta – related to or occurring in these affected by bleeding problems occurring from the higher passages / tracts (mouth, ears, eyes, nostril)

In all of the above talked about circumstances, yavagu shouldn’t be given. Which means to say that every one these circumstances of fever qualify for administration of Tarpana.

Publish-Tarpana procedures

ततः सात्म्यबलापेक्षी भोजयेज्जीर्णतर्पणम्||१५६||
तनुना मुद्गयूषेण जाङ्गलानां रसेन वा|
अन्नकालेषु चाप्यस्मै विधेयं दन्तधावनम्||१५७||
योऽस्य वक्त्ररसस्तस्माद्विपरीतं प्रियं च यत्|
तदस्य मुखवैशद्यं प्रकाङ्क्षां चान्नपानयोः||१५८||
धत्ते रसविशेषाणामभिज्ञत्वं करोति यत्|
विशोध्य द्रुमशाखाग्रैरास्यं प्रक्षाल्य चासकृत्||१५९||
मस्त्विक्षुरसमद्याद्यैर्यथाहारमवाप्नुयात्|१६०|

The doctor ought to wait and observe for indicators of digestion of Tarpana. After confirming that the Tarpana has been digested and within the annakala i.e. on the proper time for taking meals and when the individual is hungry, the affected person needs to be given with Mudga Yusha – skinny soup of inexperienced gram or Jangala Mamsarasa – meat soup of untamed animals / animals dwelling in desert like areas after having thought of the satmya – wholesomeness and bala – power of the affected person.

Danta Dhawana – Acharya Charaka mentions that the individual must also be suggested to brush his enamel earlier than consumption of the meals talked about above. The affected person ought to brush and clear his enamel with twigs of crops earlier than consuming meals. The style of the twigs of these crops needs to be such that they counteract the style of the mouth of the affected person and needs to be relishing.

It is very important clear the enamel as a result of the twigs create freshness within the mouth. It additionally generates an urge for food for consumption of meals and drinks. By taking the meals after cleansing the enamel and mouth with twigs, the individual turns into able to appreciating the tastes of the meals which he consumes.

The affected person ought to clear his mouth by rinsing it with water a number of instances after cleaning the enamel with the twigs.

Thereafter, the affected person needs to be given Mastu – skinny buttermilk, Ikshurasa – sugarcane juice, Madya – alcoholic drinks and so on. together with applicable food regimen.

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