Article by Dr Raghuram Y.S. MD (Ayu)
Kamala is a term used in Ayurveda to describe a disease which resembles Jaundice. Pandu and Kamala are said to be the diseases which are interrelated. They are also said to be have common origin. Pandu is said to be nidanarthakara for Kamala, i.e. When Pandu is not treated properly it can lead to Kamala. Thus Kamala can be considered as an effect of untreated Pandu or Pandu which runs a chronic course. Pandu and Kamala thus have cause and effect relationship. Pandu Roga and Kamala are treated on same principles and same formulations.
Table of Contents
Causes, Pathogenesis of Kamala
Paandu rogee tu yo atyarthama pittalaani nishevate
Tasya asruk maamsam dagdhwaa rogaaya kalpate (Ref – Charaka Chikitsaa 16/34)
When the patient who is suffering from Pandu, during the process of recovery or after getting cured, consumes pitta aggravating foods and life activities in excess, the blood gets severely aggravated and burns the muscles.
This leads to the manifestation of Kamala vis-à-vis jaundice. Since the disease manifests on the backdrop of neglected or improperly cured Pandu roga, the same causes which cause Pandu roga are also the causes for Kamala.
Symptoms of Kamala
Haaridra netraha sa bhrusham haaridra twak nakha aananaha
Rakta peeta shakrut mootro bheka varno hata indriyaha
Daaha avipaaka dourbalya sadana aruchi karshitaha
Kaamalaa bahu pitta usha koshta shaaka aashrayaha mataa (Charaka Chikitsa 16/35-36)
Pandu Roga and Kamala will be treated on same lines. The treatment and medicinal formulations are applicable to only those types of pandu and kamala which are sadhya (curable).
Snehana (oleation, intake of ghee prepared with medicinal herbs) followed by teekshna vamana (strong emesis) and teekshna virechana (strong purgation) in curable Pandu disease
Mridu Tikta Virechana (mild purgation with formulations prepared using herbs which bring about mild purgation) in curable Kamala
Pathya anna – After cleansing with the help of proper vamana and virechana, pathya anna or suitable diet should be administered to the patients of pandu and kamala
Pathya anna includes –
For Snehana, the below mentioned ghritas (medicated ghee) shall be used:
Herbal formulations for Pandu and Kamala
Haritaki kalka – Paste of Terminalia chebula with Gomutra (urine of cow)
Argwadha kalpa –
Trivrit kalka – paste of Trivrit (Operculina turpethum) with Triphala Kwatha (decoction of 3 fruits of Terminalia chebula, Terminalia bellirica and Emblica officinalis)
Triphala kwatha – Decoction of Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica) and Amalaki (Emblica officinalis) mixed with honey
Guduchi swarasa – Decoction or juice of Guduchi (Tinospora cordifolia) mixed with honey
Daruharidra rasa – Juice or decoction of Daruharidra (Berberis aristata) mixed with honey
Nimba rasa – juice of neem leaves mixed with honey
Godugdha (milk of cow) mixed with Go mutra (urine of cow)
Mahisha dugdha (milk of buffalo) mixed with Mahisha mutra (urine of buffalo)
Triphala kwatha (decoction of 3 fruits, Haritaki, Bibhitaki and Amalaki) mixed with gomutra (urine of cow)
Gomutra Haritaki – powder of Haritaki (Terminalia chebula) mixed with gomutra (urine of cow)
Mandura yoga– Mandura bhasma (Iron oxide or Ferric oxide calx) mixed with purana guda (old jaggery), shunti churna (ginger powder), tila churna (sesame powder) and pippali churna (long pepper powder)
Darvyadi leha – Powders of Daruharidra (Berberis aristata), Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica), Amalaki (Emblica officinalis), Shunti (ginger), Pippali (long pepper), Maricha (black pepper), Vidanga (Embelia ribes) and Loha Bhasma (iron calx or ash) mixed in ghee and honey so as to make their confection
Ayorajadi yoga – ayoraja (iron calx), powders of Haritaki (Terminalia chebula) and Haridra (turmeric) mixed in ghee and honey
Haritaki Churna – powder of Haritaki (Terminalia chebula) mixed with guda (jaggery) and madhu (honey)
Triphaladi Yoga – Powder prepared using Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica), Amalaki (Emblica officinalis), Haridra (turmeric), Daruharidra (Berberis aristata), Katuki (Picrorhiza kurroa) and Loha bhasma (ash of iron) mixed in honey and ghee.
Vasa Guluchyadi Kashaya – Contains Neem, Guduchi, Licorice, Vasa, Kataka – Strychnos potatorum and Amrutavalaka / Hribera – Pavonia odorata
It is recommended to be used along with honey.
Nimbadi Kashaya / Nimbatwagadi Kashayam –
How to use?
It is should be consumed mixed with honey, powder of long pepper and Shilajatu i.e. Asphaltum for five days.
Indications – Kumbha kamala & Halimaka i.e. complicated stages of jaundice
3. Yashtivasadi Kashaya
Ref – Sahasrayogam, Parishishta Prakarana, Kashaya
Method of administration – The decoction prepared with the above said ingredients should be administered internally early in the morning.
Ref – Sahasrayogam, Parishishta Prakarana, Kashaya, 111
Read more here – Trayantadi Kashayam – Benefits, Dose, Side Effects And Ingredients
Drakshadi Kashaya – also called Vatapitta Jwarahara kashaya
It is used to treat hangover produced after having excess alcohol.
It also reduces the ill effects of alcohol and helps in quick metabolism of alcohol from liver.
It protects liver.
It is used to treat fever of Vata and Pitta origin.
It relieves tiredness and dizziness.
Click to consult Dr Raghuram Y.S. MD(Ayu)
Yogas for Kamala from Sahasra Yoga Text Book
Vatapitta Jvarahara Kashaya
Dasa Swarasa Ghrita