‘‘A CLINICAL STUDY TO EVALUATE THE

EFFECT OF CHANDRASHOOR LADOO IN THE

MANAGEMENT OF KARSHYA WITH SPECIAL
REFERENCE TO MALNUTRITION
(UNDERWEIGHT) IN CHILDREN.”

Name - Vd. Rahul Abhimanyu Guide - Vd. Mukund D. Bamnikar

Sonkamble
PG Scholar
SWASTHAVRITTA & YOGA DEPT
R. A. Podar Medical (Ayu) College,
Worli, Mumbai – 18
HOD & Professor
SWASTHAVRITTA & YOGA
DEPT
R. A. Podar Medical (Ayu) College,
Worli, Mumbai – 18
 INTRODUCTION

 Malnutrition is pathological state produced as a result of deficiency or excess supply of

any essential nutrients of food. It includes both undernutrition and over nutrition. But
general malnutrition is taken as synonym of under nutrition. India is one among the many
countries where child malnutrition is severe and also a major underlying cause of child
mortality. Malnutrition is defined as inadequate nutrition either as undernutrition or over
nutrition. Malnutrition refers to deficiencies, excess, or imbalances in a person’s intake of
energy and/or nutrients.
 In Ayurveda, Malnutrition can be clinically compared with condition Karshya, which is
considered as one among the Kuposhanajanya vyadhi. It is defined by Acharaya Dalhana
and Kaiyadeva as “Karshyam mamsakshayam.” In our society some people are ignored
because of their socially undesirable physical states. Acharya charaka has mentioned that
there are Asahtaunindiniya Purusha i.e. eight varieties of despicable personalities and
Atikrusha is considered to be one of them personality. Karshya as a vyadhi is described by
various Acharyas like Bhavmishra etc. It is clinically manifested by “vaat dusht” and “ras
-maans dushti”. Lack of nutritious diet is one of the major causes of karshya.
 Children whose height is below the average for their age are considered to be stunted.
Similarly, children whose weight is below the average for their age are considered thin for
their height or wasted. Together, the stunted and wasted children are considered to be
underweight. Underweight indicates a lack of proper nutritional intake and inadequate care
post childbirth.
 In Ayurveda classics, Brimhana chikitsa is considered to be best treatment of karshya.
According to chikitsa siddhanta of karshya, Brimhan (Pushtikar) chikitsa as well as Balya,
Vrishya and Vajikar chikitsa can be adopted for Karshya vyadhi. Brimhan means weight
promoting or strengthening and supplementation therapy is indicated for Baala, Krusha,
Ruksha, Durbala and for Vata prakruti persons.
 Chandrashoor is one such dravya having Brimhana, Pushtikar, Vrishya, Balya,
Vatashamaka etc. properties and can be used as food as well as therapeutic supplement,
along with Go-ghrita and Guda (also indicated for Karshya) in the form of Ladoo.
 Chandrashoor seeds are rich source of protein and also good source of fat, fibre, calcium,
iron, potassium, phosphorous, and phytochemicals which are known to provide miraculous
health benefits, hence chandrashoor can be helpful in karshya for brimhaan purpose. In
Ayurveda classics Go-Ghrita and Guda are advocated in treatment of Karshya. [17] They
have Madhura vipaka, Snigdha, Pushtuikar, Balya, Agnideepan, Vrishya, Medhya,
Rasayana, Vata-pttahara, Ojovardhaka, Chakshushya etc. properties.[18,19]
 Modaak means Ladoo is described under kritanna varga as a brimhaniya kalpana in
ayurveda classics.[20] It is easy to make, relatively cheap, easy to administer and effective.
Hence use of chandrashoor in the form of ladoo kalpana will be beneficial in the
treatment of karshya vyadhi.
 As, malnutrition is leading, burning problem in today’s scenario and till date no study has
been done systematically on efficacy of chandrashoor in the form of ladoo in karshya.
Hence I have selected this topic for my research study.
 PR E VAL E NC E

 According to UNICEF, India was at the 10th rank among countries with the
highest number of underweight children in the world. It is estimated that
malnutrition is a contributing factor in about one- third of all deaths of
children under the age of five. According to NFHS-4 the prevalence of
underweight children is 35.8% in India. The prevalence of underweight
children was found to be higher in rural areas (38.3%) than urban areas
(29.1%).
 According to Joint Child Malnutrition Estimates 2020, 21.3% children
under 5 years of age are stunted, 6.9% children under 5 years of age are
wasted and 2.1% children under 5 years of age are severely wasted.
 Both chronic and acute undernutrition were found to be high in all 7 states
for which reports have been received, Haryana, Karnataka, Maharashtra,
Orissa, Tamil Nadu, Uttar Pradesh and Goa.
AIM: -
• To study the effect of chandrashoor ladoo in the management
of karshya with special reference to malnutrition
(underweight) in children.

OBJECTIVE: -
• To assess the effect of chandrashoor ladoo on weight, height,
and Mid Upper Arm Circumference.

RESEARCH QUESTION -
• Whether chandrashoor ladoo has any effect in the
management of Karshya with special reference to malnutrition
(underweight) in children?
ALTERNATIVE HYPOTHESIS (H1)-
• The Chandrashoor ladoo is effective in management of
karshya with special reference to malnutrition (underweight) in
children.

NULL HYPOTHESIS(H0)-
• The chandrashoor ladoo is not effective in the management of
karshya with special reference to malnutrition (underweight) in
children.
 MATERIALS AND METHODS-

Type of Study –
Open Clinical Study.
Drug–
“Chandrashoor Ladoo”. It contains Chandrashoor, Go-ghrita and
Guda.
Medium of dissertation –
English, which is supported by Ayurvedic terminology in Sanskrit,
wherever necessary.
Ethical Clearance–
Clearance from Ethical Committee of R.A. Podar Medical College
was taken
Consent–
A written consent will be taken from all patient’s guardians included in the study
in the best language they understand. (For children under the age of 6 years –
Guardians consent form is required, there is no need of assent form for child -
According to OHRPP-Office of The Human Research Protection Program,
Guidance and procedures: Child assent and permission by parents or guardians,
last updated June-2016).
Case Record Form –
Record of patients were documented and follow up mentioned in Case Record
Form.
Clinical Examination –
Complete clinical examination was done to diagnose and assess the condition of
patient.
• STUDY DURATION- 90 days.
• DRUG ADMINISTRATION TIME- Prataha Kala i.e. in morning time.
• DOSE OF DRUG- One Karsha i.e. 12 gm of ladoo per day.
• ROUT OF ADMINISTRATION- Orally
• FOLLOW UP -
• Every monthly follow up and anthropometric parameter was measured every
monthly.
• Follow ups- Four follow ups
• 1. Day 1st
• 2. Day 30th
• 3. Day 60th
• 4. Day 90th
• STUDY CENTRE – Balaroga OPD , R. A. Podar Medical (Ayu) College, Worli
Mumbai - 18
• SAMPLE SIZE- Total no. of samples- 64
• SAMPLING TECHNIQUE- For Quantitative Data sample size is
calculated by formula: -
• SD = 0.2
• E (Allowable error) =0.05 n= Sample Size

• As 10% drop out sample size will be = 70.

 Screening of patients
STUDY DESIGN

Inclusion criteria Exclusion criteria

Counseling will be done Patients will be excluded

Informed written consent will be taken,

Case will be diagnosed and recorded in special format of case paper

The Chandrashoor Ladoo will be given to the all patients.

Follow up assessment of the patient Every Month for 90 days.

Final assessment at the end of the treatment

Statistical assessment

Observations and results

Discussion

Conclusion and Summary

 INCLUSION CRITERIA

• Age group between 3 to 5 yrs irrespective of Gender, cast and

religion.
• Less than weight for age criteria i.e. weight for age to be
between 60% to 80%.[196]
• Moderate Malnutrition (Underweight) children = <-2SD to >-
3SD (Grade 1 and Grade 2 Malnutrition).
 EXCLUSION CRITERIA -

• Children whose expected weight for age - >80% and <60%.

• Severe malnutrition (underweight) children (i.e. <-3SD).
• Children suffering from severe malnutrition disorders,
kwashiorkor and marasmus.
• Children suffering from systemic disease or infectious disease or
congenital disease or malignancy.
• Children having secondary malnutrition.
• Inborn errors of metabolism.
 DIAGNOSTIC CRITERIA

• Children with weight for age between 60% to 80% of ideal weight
for age.
• Weight for age = (Age x 2) + 8 = Ideal weight for age.
 CRITERIA OF ASSESSMENT
A) SUBJECTIVE CRITERIA: -
• As per Ayurvedic texts- symptoms of karshaya will be assessed on the basis of scoring pattern.
• Pipasa-asahatwa.
• Kshudha-asahatva.
• Dourbalya
• Nidrakshaya

1) Kshudha-asahatva (intolerance appetite)

Grade
• 0 -as usual \ routine
• 1 -Slightly increased (1meal extra with routine diet)
• 2 -Moderately increased (2meal extra with routine diet)
• 3 -Markedly increased (3meals extra with routine diet)
• 4 -Severe increased (4 meals extra with routine diet)
2. Pipasa-asahatwa (intolerence thirst)
• Grade
• 0 -can tolerate thirst for more than 3hrs
• 1 -Can tolerate thirst for maximum 3hrs
• 2 -Can tolerate thirst for maximum 1hrs
• 3 -Can tolerate thirst for more than 30 min
• 4 -Can tolerate thirst for more than 15mi

3. Dourbalya (weakness)
• Grade
• 0 -no weakness
• 1 -Occasionally feeling of weakness without playing and Remains for sometimes
• 2 -Weakness without tiredness daily for sometime
• 3 -Weakness without tiredness daily for long duration
• 4 -Always feel weakness
4. Nidrakshaya
Grade
• 0 -normal sleep
• 1 -Sleep not more than 10hrs
• 2 -Sleep not more than 8hrs
• 3 -Sleep not more than 6hrs
• 4 -Not feeling of sleeplessness in whole
day

SCORES-:
Scores Symptoms
• 0-4 - No karshya
• 5-8 - mild karshya
• 9-12 - moderate karshya
• 13-16 - severe karshya
B) OBJECTIVE CRITERIA-
The criteria were assessed befor the treatment and during each follow
up.
1) Weight -Measured by weighing machine in kg.
2) Height – Measured by height measuring tape.
3) MUAC (Mid Upper Arm Circumference) – Measured by Shakir tape.
 D ISE A S E R E V IE W-

Karshya is Apatarpanajanya Vyadhi. Acharya Bhavamishra described unique Adhyaya on

Karshya. In this disease the body gets emaciated gradually. According to Acharya Charaka
Karshya is described under eight despicable personalities (Astau Ninditiya Purusha). [43] These
eight physical states are described considering its unwanted clinical and social complications.
Among the eight socially undesirable persons as mentioned by Acharya Charak, Karshya has
been categorised under nutritional deficiency.
• Rukshaannapan, Langhana, Pramitashana etc. are the main causative factors of Karshya. They
all causes aggravation of Vayu alteration of Agni leading to insufficient production of Rasa
dhatu along with other Dhatus chronologically. SushkaSphigaUdarGriba etc. are the main
clinical features of Karshya. The condition Karshya mentioned in Ayurveda has a similar
etiology and the features mentioned for undernutrition.
• Acharya Dalhana gives definition of Karshya- “Karshyam mansakshayam”.[46]
• It means mansakshaya (Mansa hinata) is main sign of karshya which is explained by dalhana.
• Acharya Kaiyadeva also gives definition of karshya [47]-
• Acharya Kaiyadeva defines Karshya as a person having Dourbalya and Amansa means
mansahinata in their Kaiyadeva Nighantu.
• From above explanation Karshya can be defined as a condition or disorder in which the body of
a person becomes emaciated, having a lesser amount of Rasa Dhatu additional causing a status
of Mamsahinata or Mamsa-kshaya.
 VIHARAJ NIDAN
AHARAJA NIDAN
MANASA NIDAM
Vega nigraha
Ruksha-annapaan Shoka
Nidranigraha
Langhana
Atiadhyayana Bhaya
Pramitashana
Rukshasnana Chinta
Vataj ahara sevan
Ativyavaya Krodha
Kashaya rasadhikya
Bhojana alpata Rukshaudvartana Dhyana

Kriya-atiyoga

Nityarogi
ANYA NIDAN
Ativyayam
Prakriti/Vata
Prakriti
Jara Avastha

Grishma Rutukala

Vikaranushaya
 DOSHA/LAKSHANA Ch. S. Su. S. A. S. B. P.
Vyayam asahatva + - + -
Atisouhitya asahatva + - + -
Pipasa asahatva + + + -
Kshudha asahatva + + + -
Atiaushadha asahatva + - + -
Atiushna asahatva + + + -
Atishita asahatva + + + -
Atimaithuna asahatva + - - -
Trupti asahatva - - + -
Vyadhi asahatva - - + -
Varsha asahatva - + + -
Bharadana - + - -
Prayah Vataroga - + - -
Alpa pranashcha kriyashu - + - -
Roga balavanto - + - -
Alpa pranatvata - + - -
Alpa Bala - - + -
 LAKSHANA Ch. S. Su. S. A. S. B. P.
Shushka Sphika + - + +
Shushka Udara + - + +
Shushka Griva + - + +
Dhamani jala santa + - + +
Twak asthi shisha + - - +
Vata roga prayah + - -
Sthula parva + - + +
Sthula-anan - - - +
Alpa Bala - - + -
UPADRAVA Cha. S. Su. S. A. S B. P.
Pliharoga + + + +
Kasa + + + +
Kshaya + - + +
Shwasa + + + +
Gulma + + + +
Arsha + - + +
Udararoga + + - +
Grahaniroga + - - +
Agnimandya - + + -
Jvara - - + -
Shosha - + - -
Raktapitta - + + -
Mrityu - + - -
 AHARAJA, VIHARAJA, MANASIKA HETU SEVANA

Samprapti Ghatakas:
VATAVRIDDHI AGNIMANDYA
• Dosha- Vata
• Dushya- Rasa, Mansa, Meda
RUKSHAGUNAVRIDDHI

• Srotas- Rasavaha srotas

JATHARAGNU DUSHTI DHATAWAGNI DUSHTI
• Type of Srotodushti- Sanga UPASHOSHANA OF RASA DHATU

• Adhishthana- Pakvashaya MALFORMATION OF RASA DHATU MALFORMATION OF OTHER

DHATU
• Vyaktisthana- Whole body
RASAKSHAYA

• Rogamarga- Abhyantar
RASA KSHAYA DHATU KSHAYA
rogamarga

ABSENCE OF PRINANA or ALPA PRINANA

ALPA POSHANA OF DHATU

SPECIALY RASAKSHAYA, MANSAKSHAYA, MEDAKSHAYA

KARSHYA VYADHI
 CHIKITSA OF KARSHYA -
Ayurveda follows a more holistic approach to the
management of Karshya. Karshya being a Vata-Pradhana Vyadhi,
mainly occurring due to Dhatu Kshaya, the general line of
treatment i.e. Vata Upakrama can be adopted because we already
mentioned that Karshya is Vata-roga and also a first symptom of
Vata-vriddhi. Therefor management of Vata-dosha is first line of
treatment in the Karshya. Karshya is Apatarpanajanya vyadhi.
Therefor in Ayurveda Samhitas all the acharyas recommended
“Brimhana chikitsa” for Karshya. The Brimhana, Vrishya,
Rasayana, Pushtikar, Balya chikitsa indicated for Karshya.
 MALNUTRITION (UNDERWEIGHT) -
• Malnutrition refers to deficiencies, excess or imbalances in a person’s intake of energy
and/or nutrients. The term malnutrition classified in three groups of conditions.
• Undernutrition, which includes wasting (low weight-for-height), stunting (low height-
for-age) and underweight (low weight-for-age).
• Micronutrient related malnutrition, which includes micronutrient deficiencies (a lack of
important vitamins and minerals) or micronutrient excess.
• Overweight, obesity and diet related non-communicable diseases (such as heart disease,
stroke, diabetes and some cancers).

Underweight –
Children with low weight-for-age are known as underweight. A child who is underweight
may be stunted, wasted or both.
 DRUG REVIEW : CHANDRASHOOR LADOO

KARMA
DRUG RASA VIRYA VIPAKA GUNAS
Balya, Pushtikar (Brimhaniya),
Vrishya, Vajikar, Deepana,
Stannyapushtikara, Vatanulomak,
Vatashamaka, Vedanasthapana,
Chandrashoo Tikta, Snigdha, Jantughna, Raktashodhaka,
Ushna Katu
r Katu Picchil Hikkanigrahana, Kaphanissaraka,
Shoolaprashamana.

Pushtikara (Brimhaniya),
Guru,
Medhya, Balavardhaka,
Snigdha, Agnideepan, Rasayana, Balya,
Vrishya, Chakshushya,
Go-Ghrita Madhura Shita Madhura Shlakshna Rakshoghna, Ayushama,
, Soumya, Sumangal, Vayasthapaka, Ojo-
Kanti vardhaka etc.
Mrudu
Agnivardhan, Vrishya, Balya,
Guru, Sthoulyakrut, Asrukprasadan,
Guda (Jaggery) Madhura Ushna Madhura Mutrashodhak etc.
Snigdha
 PROCEDURE TO PREPARE CHANDRASHOOR LADOO -
• First made the course powder of chandrashoor seeds.
• Go-Ghrita was taken as required in pan and kept for melting and then added
chandrashoor seeds powder to melted ghrit.
• The roasting of powder continued for 10 to 12 minutes on low flame fire and
stirring continuously, till the mixture would start to give nice fragrance (Roasting
is a common process applied for seeds, to enhance their sensorial properties and
nutritional value).
• After getting nice fragrance switched off the fire.
• Then removed the pan from the stove and keep down.
• Added hot melted organic jaggery (i.e. two part of chandrashoor seeds powder)
to above mixture and mixed well so that no lumps are formed.
• Then mixture kept to room temperature for cool down.
• Made medium sized chandrashoor ladoos and stored in air tight container.
 Sr. Test Result Per 100 GM
No.
1.
Total energy 395.67 Kcal/100gm
2.
Carbohydrates 67.68% (g/g)
3.
Protien 17.22% (g/g)
4.
Fat 23% (g/g)
5.
Moisture 6.99%(g/g)
6.
Ash 1.88%(g/g)
7.
Sugar 27.30%(g/g)
8.
Zinc 147.74mg/kg
9.
Calcium 147.39mg/kg
10.
Iron 169.85mg/kg
11.
Magnesium 59.05mg/kg
12.
Potassium 162.85mg/kg
13.
Vitamin A 55.5mcg
14.
Vitamin C 42.0mcg
15.
Vitamin D 0.4mcg
16.
Vitamin E 1.1mcg
 O B S E R VAT I O N S

1.SEX –
• Out of 64 patients of Karshya, there were 41 males and 23 females. 64.06% of patients
included in the trial were male and remaining 35.93% patients were female.
2.AGE –
• It was observed that 36 (56.25%) patients were found in 3 to 4 years of age group and 28
(43.75%) patients belonged to 4 to 5 years of age group.
3.RELIGION –
• Out of 64 patients, 63 (98.43%) patients were belonged to hindu religion while one
(1.56%) patient was belonged to muslim religion.
4.ECONOMICAL STATUS –
• The majority was 36 (56.25%) patients from Poor class income group while 28(43.75%)
patients were from middle class income group.
5.DIET –
• Out of 64 patients studied, 31 (48.43%) patients were vegetarian and 33 (51.56%) were
consuming mixed diet.
6.PRAKRUTI –
• Out of 64 patients in the study, 23 (35.93%) I patients were of Vata-Pitta prakruti, 9 (14.06%)
patients were of Vata-Kapha prakruti, Pitta-Vata predominance were 11(17.18%) in number, 6
(9.37%) patients were of Pitta-Kapha predominance, 8 (12.5%) was of Kapha-Vata prakruti, 7
(10.93%%) patients was with Kapha-Pitta prakruti.
7.KOSHTA –
• Out of 64 patients, 10 (15.62%) individuals had mrudu koshtha, 39 (60.93%) patients had
madhyama koshtha and 15 (23.43%) patients had krura koshtha.
8.AGNI –
• Out of 64 patients, 19 (29.68%) individuals were found with manda agni, (36.66 112 %)
individuals were with vishama agni and 12 (40%) individuals had tikshna agni.
9.SATMYA –
• Out of 64 patients included in trials, 42 (65.62%) patients were having Avara satmya and 22
(34.37%) patients were having Madhyama satmya.
10.SARA –
• Out of 64 patients in the study, 43 (67.18%) patients were having Avara Sara while 21
(32.81%) patients were having Madhyama sara.
11.SAMHANANA –
• Out of 64 patients included in study, 45 (70.31%) patients were of Avara Samhanana and 19
(29.68%) patients were of Madhyama Samhanana.
 R E S U LT S

Effect of Therapy on Subjective Parameters:

1. Pipasa-asahatva: At the start of the study total score was 74, while it came to 25 at end of
study. The difference between the scores was 49. Percentage of Relief in this symptom on an
average was 66.21%.
2. Kshudha-asahatva: At the start of the study total score was 76, at the end of study it came
down up to 31 and the difference found was 45. Percentage of Relief in the symptom on an
average was 59.21%.
3. Daurbalya: At the start of the study total score was 141 which came down to 47 the end
of study. The difference found was 94. Percentage of Relief in the symptom on an average
was 66.19%.
4. Nidraadhikya: At the start of the study total score was 154, at the end of study it came
down up to 80. The difference found was 74. Percentage of Relief in the symptom on an
average was 48.05%.
 EFFECT OF THERAPY ON OBJECTIVE PARAMETERS -
• 1) On Weight – The before treatment score was 685.8 and after treatment was 769.2. The
difference was 83.4. The percentage of relief was 12.17%.
• 2) On Height – The before treatment score was 6203.7 and after treatment score was
6266.7. This difference was 63. The percentage of relief was 1.01%.
• 3) On Mid Upper Arm Circumference – The before treatment score was 807.1 and after
treatment score was 850.9. The difference between it was 43.8. The percentage of relief
was 5.42.
 S TAT Y S T I C A L A N A LY S I S

The subjective parameters were assessed by Wilcoxon Sign Rank

test and the data obtained is as follows –
1) Pipasa-asahatva –The before treatment mean was 1.1560 and after treatment was
0.3906. This difference was 0.7654 with standard deviation difference 0.0945 with p
value obtained was < 0.0001.
2) Kshudha-asahatva –The before treatment mean was 1.1880 and after treatment was
0.4844. This difference was 0.7036 with standard deviation difference 0.4689 with p
value obtained was < 0.0001.
3) Daurbalya –The before treatment mean was 2.2030 and after treatment was 0.7344.
This difference was 1.4686 with standard deviation difference 0.1190 with p value
obtained was < 0.0001.
4) Nidrakshaya –The before treatment mean was 1.4060 and after treatment was 1.2500.
This difference was 1.1560 with standard deviation difference 0.0904 with p value
obtained was < 0.0001.
Sr. Symptoms Mean SD SEd Wilcoxon P Value
test
No.
(W value)
Pipasa-asahatva
B.T. 1.156 0.642 0.0809
1. 3236 <0.0001
A.T. 0.390 0.548 0.0690
Difference 0.765 0.094 0.0119
Kshuda-
asahatva
2. B.T. 1.188 1.130 0.1424 2716 <0.0001
A.T. 0.484 0.661 0.0833
Difference 0.703 0.468 0.0590
Daurbalya
B.T. 2.203 0.473 0.0596
3. 3932 <0.0001
A.T. 0.734 0.592 0.0746
Difference 1.468 -0.119 0.0150
Nidrakshay
B.T. 2.406 0.522 0.0657
4. 3670 <0.0001
A.T. 1.250 0.612 0.0771
Difference 1.156 -0.090 0.0114
The Objective parameters were assessed by Paired t test and the
data obtained is as follows –
1. Effect of Therapy on Weight: Weight was found to be increasing from 10.72±0.99 to
12.02±1.16, showing remarkable difference of 1.3±0.17. It was found statistically
significant as Paired t value was 6.8039, P < 0.0001.
2. Effect of Therapy on Height: Weight was found to be increasing from 96.93±2.39 to
98.75±2.41, showing remarkable difference of 1.82±1. It was found statistically significant
as Paired t value was 2.3021, P < 0.0001.
3. Effect of Therapy on Mid Upper Arm Circumference: Weight was found to be
increasing fro12.61±0.48 to 13.3±0.63, showing remarkable difference of 0.69±0.15. It
was found statistically significant as Paired t value was 6.8293, P < 0.0001.
 Mean
Mean±SD of Diff.
Sr. ± SD
Parameters SEd t P
No
BT AT

10.72 ± 12.02 ± 1.3 ±

1. Weight in kg 0.0662 6.803 < 0.0001
0.99 1.16 0.17

98.75 ±
96.93 ± 1.82 ±
2. Height in cm 2.41 0.0517 2.302 < 0.0001
2.39 0.01

Mid upper
arm 12.61 ± 13.3 ± 0.69 ±
3. 0.0419 6.829 < 0.0001
circumferenc 0.48 0.63 0.15
e in cm
 TOTAL EFFECT OF THERAPY –
Total effect of therapy has been evaluated in terms of Cured, Markedly improved,
Improved and Unchanged. In this study 49 (76.56%) patients were improved, 15
(23.43%) patients were unchanged.
Therefor the study shows that there was difference in the signs and symptoms of
karshya before treatment and after intervention of trial drug. Hence the null
hypothesis Chandrashoor ladoo is not effective in the management of karshya
with special reference to malnutrition (underweight) in children is rejected and
alternate hypothesis Chadrashoor ladoo is effective in the management of karshya
with special reference to malnutrition (underweight) in children is accepted.
.
TOTAL EFFECT OF THERAPY
90
80 76.56
70
60
50
40
30 23.43
20
10
0
Effect of Therapy

IMPROVED UNCHANGED
 CONCLUSION
• A significant result was observed on weight of the patient.
• A significant result was observed on height of the patient.
• A significant result was observed on mid upper arm circumference of the patient.
• A significant result has been observed in Pipasa-asahatva, Kshudha-asahatva, Daurballya
and Nidrakshaya.
• An increase in height has been observed in the present study, it is due to combine effect of
drug and their growing period because all the patients belonged to 3 to 5 years of age
group.
• According to nutritional analysis, chandrashoor ladoo is rich in carbohydrate, protein, fat,
iron, calcium, zink, vitamin etc. nutrients. (pg. 106)
• In this study the treatment was given for three months and in single cycle. It is possible
that if chandrashoor ladoo would have been given for long period then result would be
more better in karshya.
• Chandrashoor ladoo showed significant result in karshya patient without any side effects.
• At present undernutrition is most spreading condition which affecting health of children.
The patients included in study have undernutrition because of low socioeconomical
status, poor supply of nutrients and eating unhealthy food. Keeping this point into
consideration it was found that chandrashoor ladoo would be a good Ayurvedic
formulation in Karshya disease (Undernutrition).
 Further Scope of study
• The present study has shown effective result and the same can be
undertaken with a large sample.
• A study may be taken with more set up of duration so as to elicit
the effect of Chandrashoor ladoo on karshya (malnutrition).
• In future study two compare group has to be taken one without
giving any medicine and that group has to be compare with the
treated group.
CASE RECORD FORM PURVA-VYADHI VRITTANT (HISTORY OF PREVIOUS ILLNESS):

CRF No.: Date of commencement:

Reg. no.: Date of completion:

Name: BIRTH HISTORY:

Age:

Sex:
KULAJ VRITTANT (FAMILY HISTORY):
Religion:
Matrukula -
Occupation:
Pitrukula –
Marital Status: M/U/W/D
Swakula –
Educational Status:
PERSONAL HISTORY:
Economical Status:
a) Appetite - Poor/ Moderate/ Good.
Desha:
b) Diet - Vegetarien/ Non- Vegetarien/
Postal Address and Phone No: Mixed.
c) Dominant Rasa in Diet - M/ A / L / T / K/ Ksh
SADYO VYADHI VRUTTANT (PRESENT COMPLAINTS WITH
d) Dietary Habits - Sama/ vishama/ Adhyaashana/
DURATION):
Anashana.
e) OtherHabits - Tea/ Coffee/ Cold drinks/ Others
f) Addictions: - Smoking/ Alcohol/ Tobacco

Complaints: Kala prakarsha:

GENERAL PHYSICAL EXAMINATION –

1) Pulse - 4) B.P.-

2) Temperature - 5) R.R.-

Anubandhi Vedana: Kala prakarsha: 3) Height - 6) Weight –

SYSTEMIC EXAMINATION - 1. Asthivaha Srotasa:
Respiratory System -

Cardiovascular System–
2. Majjavaha Srotasa:
Central nervous system-

Per abdomen-
3. Shukravaha Srotasa:
ASHTAVIDHA PARIKSHANA -

1) Nadi- 2) Mala-
4. Artavvaha Srotasa:
3)Mutra- 4) Jivha-

5) Shabda- 6) Sparsha-
5. Swedovaha Srotasa:
7)Druk- 8)Akruti-

6. Purishavaha Srotasa:
PRAKRUTI:

7. Mutravaha Srotasa:
STROTASA PARIKSHANA:

1. Pranavaha Strotasa:

Measurements:
2. Udakvaha Srotasa:

1) Weight in kg- 4) Weight in %-

3. Annavaha Srotasa:
2) Height in cm-
4. Rasavaha Srotasa: 3) MUAC (Mid Upper Arm Circumference)-

5. Raktavaha Srotasa:

6. Mansavaha Srotasa:

7. Medovaha Srotasa:
Assessment:

1) Subjective –

Sr. Variables Day 0 Day 30 Day 60 Day 90

1. Pipasa-asahatwa
2. Kshudha-asahatwa
3. Dourbalya
4. Nidrakshaya

Sr. Scores
No. Variables Day 0 Day 30 Day 60 Day 90
1 Normal (0-4)
2 Mild (5-8)
3 Moderate (9-12)
4 Severe (13-16)

2) Objective -

Sr. Variables Day 0 Day 30 Day 60 Day 90

No.
1. Weight
2. Height
3. MUAC (Mid Upper
Arm Circumference)

Student sign- Guide sign-

 CONSENT FORM

I willingly permit my child to participate in the Study. It is fully

explained by the concerned doctor to me about the benefits and
complications of the therapy in the language best understood by me. I also
permit to perform any kind of investigations of my child necessary for the
studies and reserve my right to withdraw his/ her presence from the study
at any time.

Date :- Signature:-
Name of the patient-

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Masterchart – 1 Demographic Details of 64 Patients –

Pr
Eco. Kos
Sr. Reg. Se ak Ag Sar Sat
Age Religion Stat Diet hth
No No. x rut ni a mya
us a
i
1 56794 4.5yr M HINDU M MIX VK V MD AV AV
2 57032 3.2yr M HINDU M VEG VP T MD AV AV
3 58029 3 yr Fe HINDU M VEG PK V MD MD MD
4 57965 4yr M HINDU P MIX VP V K AV AV
5 58301 3.6yr M HINDU P VEG KV M MD MD MD
6 58600 3 yr M HINDU P MIX VP V K AV AV
7 59223 3.2yr M HINDU M MIX VK M M AV AV
8 59638 3 yr Fe HINDU P VEG VK V MD AV AV
9 60093 3.3yr M HINDU P MIX VP V MD AV AV
10 12338 4 yr Fe HINDU P MIX PV T K AV AV
11 53095 4.6yr Fe HINDU P MIX VP T K AV AV
12 60468 4.5yr Fe HINDU P VEG VP V MD AV AV
13 60986 3 yr M HINDU M VEG VK M M AV AV
14 8604 3 yr Fe HINDU P MIX VK M MD AV AV
15 56510 3.5yr M HINDU M MIX VP V MD AV AV
16 44907 3.6yr M HINDU P VEG PV V MD AV AV
17 2286 4 yr Fe HINDU M MIX KP S MD MD MD
18 3116 3.2 Fe HINDU P MIX VK V MD AV AV
19 36647 4 yr M HINDU M MIX VP V K AV AV
20 51504 3.6yr Fe HINDU M MIX VK M M AV AV
21 2283 3.6yr M HINDU P VEG PK M MD AV AV
22 62621 4 yr M HINDU P MIX VP T K AV AV
23 62921 4.4yr Fe HINDU P MIX VP T K AV AV
24 63273 3.6yr Fe HINDU P MIX VP V MD AV AV
25 63331 4 yr M HINDU P VEG KP M MD AV AV
26 63644 4 yr M HINDU P MIX VP V K AV AV
27 63661 3.2yr M HINDU P VEG PV V MD AV AV
28 64100 3 yr Fe HINDU P VEG KP M MD MD MD
29 64060 4 yr M HINDU P VEG VP V MD AV AV
30 63549 4 yr Fe HINDU M VEG KV S MD MD MD
31 64312 3 yr M HINDU P VEG VP V MD AV AV
32 64698 4 yr M HINDU M VEG PK S MD MD MD
33 65065 3 yr M HINDU M VEG KV S MD MD MD
34 64545 4 yr M HINDU P MIX PK M M MD MD
35 13160 4 yr Fe HINDU M VEG PV V MD AV AV
36 66467 3.4yr Fe HINDU M MIX KP M MD AV AV
37 43086 4 yr M HINDU M MIX KP S MD MD MD
38 8774 3 yr M HINDU M MIX PV V M MD MD
39 1704 3 yr M HINDU P MIX PV V MD AV AV
40 68944 4 yr M HINDU P MIX KV M MD MD MD
41 69904 4 yr M HINDU P MIX VP T K AV AV
42 63937 4.2yr Fe HINDU P VEG VP V MD AV AV
43 36617 3 yr Fe HINDU M VEG KP M MD MD MD
44 70181 4 yr M HINDU M VEG KV S MD MD MD
45 41198 3.5yr Fe HINDU P MIX PV V K AV AV
46 65870 3.5yr M HINDU P MIX PV V MD AV AV
47 70472 4 yr Fe HINDU M VEG PK M M MD MD
48 70778 4 yr Fe HINDU M MIX KV M MD MD MD
49 70804 4 yr Fe HINDU M MIX KP S MD MD MD
50 70839 4 yr M HINDU P MIX VP V MD AV AV
51 71188 4 yr M HINDU P VEG VP V K AV AV
52 27529 4.5yr M HINDU M VEG PV V MD MD MD
53 4489 3 yr Fe HINDU P VEG VP V MD AV AV
54 71704 3 yr M HINDU P VEG VP T K AV AV
55 72012 4 yr M HINDU P VEG KV M M AV AV
56 71922 3 yr Fe HINDU M VEG PV V MD MD MD
57 68957 4.2yr M HINDU M MIX VK M M AV AV
58 54112 3 yr M MUSLIM P MIX VP V K AV AV
59 72755 4 yr Fe HINDU M VEG VP T K AV AV
60 73145 4 yr M HINDU P MIX VP V K AV AV
61 54870 4 yr M HINDU M VEG PK S MD MD MD
62 73312 3.6yr Fe HINDU M VEG PV M MD MD MD
63 4058 4 yr M HINDU M MIX KV M M MD MD
64 73807 4 yr M HINDU P VEG VK M M AV MD
Masterchart no. 2 – Subjective Parameters –

PIPASA- KSHUDHA-
DOURBALYA NIDRAKSHAYA
ASAHATVA ASAHATVA
SR.NO BT AT BT AT BT AT BT AT
1 1 0 1 0 2 1 2 1
2 2 1 3 2 2 1 2 1
3 1 0 1 0 1 0 2 1
4 1 0 2 1 2 0 2 1
5 1 0 0 0 2 0 2 1
6 1 1 2 1 1 1 1 1
7 2 1 0 0 2 0 2 1
8 2 1 0 0 3 1 3 3
9 2 1 3 2 2 1 2 2
10 1 0 2 0 2 1 3 1
11 2 1 3 2 2 1 2 2
12 1 0 2 1 2 1 3 1
13 1 0 0 0 2 1 2 1
14 2 1 0 0 2 1 2 1
15 1 0 2 1 2 0 3 2
16 2 1 2 1 3 1 2 1
17 1 0 0 0 2 1 2 0
18 0 0 2 1 3 1 2 0
19 2 1 2 1 2 2 3 2
20 2 1 0 0 3 1 2 1
21 2 1 0 0 2 0 3 1
22 2 1 3 1 2 1 3 2
23 2 2 3 2 3 1 2 2
24 0 0 3 2 2 2 3 2
25 1 0 0 0 2 1 2 1
26 2 2 3 2 3 2 2 1
27 0 0 1 0 2 1 3 1
28 1 0 0 0 2 1 3 1
29 1 0 2 1 2 0 2 1
30 1 0 0 0 2 0 2 1
31 1 0 2 1 3 1 2 1
32 1 0 0 0 2 1 2 1
33 1 0 0 0 2 0 2 1
34 1 0 0 0 2 1 2 2
35 0 0 2 1 2 0 2 1
36 1 1 0 0 2 0 3 1
37 1 0 0 0 2 0 2 1
38 1 1 1 0 2 0 2 1
39 1 0 2 1 2 1 2 2
40 1 0 0 0 2 1 2 2
41 2 1 2 0 3 1 3 2
42 1 0 3 1 2 0 3 1
43 1 0 0 0 2 1 3 1
44 1 0 0 0 3 1 2 0
45 2 1 2 1 2 0 3 1
46 1 1 2 1 2 0 3 1
47 1 0 0 0 2 1 3 1
48 0 0 0 0 2 1 3 2
49 2 0 0 0 2 0 2 1
50 1 1 2 1 2 0 2 1
51 1 0 2 1 2 1 3 3
52 0 0 2 0 2 1 3 1
53 1 0 2 1 2 0 3 2
54 2 1 2 0 2 0 3 1
55 2 1 0 0 3 1 3 2
56 1 0 2 0 2 0 2 1
57 1 0 0 0 3 1 2 1
58 1 0 2 0 3 1 2 0
59 0 0 2 1 3 2 2 1
60 1 0 2 0 3 1 3 1
61 0 0 0 0 2 0 3 1
62 0 0 0 0 2 1 3 2
63 1 0 0 0 2 1 2 1
64 2 1 0 0 3 2 3 2
40 11.8 12.5 98 99.5 13.2 13.5
41 10.2 11 99 100 11.6 12
42 10.5 10.7 99 100 12.2 12.4
43 10.6 12.4 96.2 97 13 14
44 12.3 13.5 99.2 100.3 13 13.5
45 10 11 96.5 97.5 12 12.6
46 9.8 11.5 95.5 96.5 12.1 13
47 11.8 13.5 99.5 100.5 13.1 14
48 12.1 13 98 99 13.3 13.5
49 12.3 14.2 99 100 13.4 14.2
50 11.1 12.5 99.5 100.5 12.5 13
51 10.3 11.5 98 99 12.1 12.6
52 12.4 13.8 100 101.5 12.6 13.5
53 9.1 10.8 94 95 11.7 12
54 9.5 11.2 94 95 11.8 12.6
55 11 12.1 98 98.5 11.8 12
56 10.2 12 94.5 95 12.7 13.8
57 11.1 12.5 98 99.5 12.4 13.3
58 9 10.8 94 94.5 12.3 13.2
59 10.8 12.5 98 99.5 12.5 13
60 10.6 12.2 99 100 12.2 13
61 12.1 13 100 101 13.2 13.6
62 11.3 12.5 94 95.5 12.7 13.2
63 11.9 13.2 100.5 101 13 13.4
64 10.2 10.3 99 100 11.7 11.7
Masterchar no. 3 – Objective Parameters –

MID UPPER ARM

SR.NO WEIGHT HEIGHT
CIRCUMFERENCE
BT AT BT AT BT AT
1 12 13 101 102 13.2 13.7
2 9 10.3 94 94 12.5 13.2
3 11 12.5 92 93 13.5 14.4
4 11 12 98 99.5 12.5 13
5 11.2 12.5 93 94.5 13.3 14
6 10 11.5 95 96.5 13.2 14
7 10 11.9 95 95.5 13.4 14
8 9 10 94 95.5 12.3 13
9 9 10.5 94 95 12.1 13
10 11.1 12 99 100.5 12.4 13
11 10.5 12.6 100 101 12.9 14
12 12 13.8 98 99.5 12.3 13.6
13 10 10 92.2 93.5 12.6 12.6
14 9.8 10.5 93.5 94 12.4 12.8
15 10.2 11.8 94.4 95.5 12.6 13.5
16 10.2 11.5 92.5 93.5 12.2 13
17 13 15 99.3 100.5 13.4 14.6
18 10.2 11.5 94.5 95.5 12.3 13.5
19 10.6 11 98.9 99 12.5 12.9
20 10 12 98 99 13.2 14.5
21 10.2 11 96.2 97 12.7 13.5
22 11 12.5 99.7 100.5 13.5 14
23 10.3 11 100 100 12.6 13
24 10.1 11.5 96 97 12.5 13
25 11.6 13 98.6 98.5 12.7 13.2
26 9.9 10 97.3 97.4 11.9 12
27 10.3 12.5 95.5 96.5 12.4 13.8
28 10.2 10.5 93.5 94.5 12.2 12.3
29 11.5 12.6 98 99.5 13.1 13.6
30 12 14 98 99.5 12.6 13.9
31 9 10 95 96 12.3 13
32 12.2 13.5 99 100.5 12.8 13.6
33 10.7 13 95.8 97 12.4 13.6
34 11.6 13 98.9 99.5 12.8 13.6
35 11 12.5 99 100 12.5 13.4
36 10 12 95.5 96.5 12.6 13.5
37 12.3 13.5 99 99.5 12.9 13.5
38 10.4 12 96 97.5 13.2 14
39 9.7 11 96 97 12.5 13.5
Thank
You !
 xÉÇSpÉï ´sÉÉåM
“CWû ZÉsÉÑ zÉUÏUqÉÍkÉMüirÉɹÉæ mÉÑÃwÉÉ ÌlÉÎlSiÉÉ pÉuÉÎliÉ-
iɱjÉÉ- AÌiÉÌSbÉï¶É, AÌiÉWïûxuɶÉ, AÌiÉsÉÉåqÉÉ cÉ, AsÉÉåqÉÉ cÉ,
AÌiÉ¢×üwhɶÉ, AÌiÉaÉÉæU¶É, AÌiÉxjÉÔsɶÉ, AÌiÉM×üzɶÉåÌiÉ||” - (cÉ.xÉÔ. 21/3)

“MüÉzrÉï मांxÉç¤ÉrÉqÉç ꓲꓲ” (सु. सू. 15/13)

“zÉÑwMüÎxTüaÉÑSUaÉëÏuÉÉå kÉqÉlÉÏåeÉÉsÉxÉÇiÉiÉç: |
iuÉaÉÎxjÉzÉåwÉÉåÅÌiÉM×üzÉ: xjÉÑsÉmÉuÉÉï lÉUÉå qÉiÉ: ||” - (cÉ.xÉÔ.21/15)

“zÉÑwMüÎxTüMüaÉÑSUaÉëÏuÉÉkÉqÉlÉÏeÉÉsÉxÉliÉÌiÉ: | iuÉaÉÉÎxjÉzÉÉåwÉÉå
AÌiÉM×üzÉÈ xjÉÔsÉmÉuÉÉïlÉlÉÉåqÉiÉÈ |” - (pÉÉ. mÉë. qÉkrÉqÉZÉhQû 40/3)

“urÉÉrÉÉqÉqÉÌiÉxÉÉæÌWûirÉÇ ¤ÉÑÎimÉmÉÉxÉÉqÉÉæwÉkÉqÉç |

M×üzÉÉå lÉ xÉWûiÉå iɲSÌiÉÍzÉiÉÉåwhÉqÉæjÉÑlÉqÉç | - (cÉ.xÉÔ.21/13)

“सोऽतिकृ शः क्षुत्पिपासाशीतोष्णवातवर्षभारादानेष्वसहिष्णुवातरोगप्रायोऽल्पप्राणश्च क्रियासु

भवति, श्वासकासशोषप्लीहोदराग्निसादगुल्मरक्तपित्तानामन्यतममासाद्यमरणमुपयाति, सर्व एव चास्य

रोगा बलवन्तो भवन्त्यल्पप्राणत्वात्; अतस्तस्योत्पत्तिहेतुं परिहरेत् ।“ (सु. सू. 15/38)

शूलतोदकषायत्वशौषिर्यखरकम्पनम् |

साद हर्षौ कार्श्य वर्त व्यास संस्रन भेदनम् || - ( का. सं. सू. 27/32

UxÉÌlÉÍqɨÉqÉåuÉ xjÉÉæsrÉÇ MüÉzrÉïÇ cÉ |” -xÉÑ.xÉÔ 15/38

न त्वेव बालस्य विशोषणं हितं नैवाति संशोधन रक्तमोक्षणे |

स्निग्धैः सुशीतैर्मधुरैरदाहिभिस्त त्रोपचारोऽशनलेपसेचनैः || ( का. सं. सू. 27/66)

oÉ×WûhÉÇ zÉqÉlÉÇ iuÉåuÉ uÉÉrÉÉåÈ ÌmɨÉÉÌlÉsÉxrÉ cÉ|” -A. ™. xÉÔ.14/7

oÉ×WûrÉåSè urÉÉkÉÏpÉæwÉerÉqɱ x§ÉÏzÉÉåMüMüÍzÉïiÉÉlÉç|

aÉÍpÉïhÉÏ xÉÔÌiÉMüÉoÉÉsÉçuÉ×®ÉlÉç aÉëÏwqÉåÅmÉUÉlÉÌmÉ||” - A. ™. xÉÔ.14/8

xÉiÉiÉÇ urÉÉÍkÉiÉÉuÉåiÉÉuÉÌiÉxjÉÔsÉM×üzÉÉæ lÉUÉæ |

xÉiÉiÉÇ cÉÉåmÉcÉrÉÉå ÌWû MüzÉïlÉåoÉ×WûhÉæUÌmÉ ||” -cÉ.xÉÔ.21/16.

aÉÑ cÉÉmÉiÉmÉïhÉÇ cÉå¹Ç xjÉÑsÉÉlÉÉÇ MüzÉïlÉÇ mÉëÌiÉ |

M×üzÉÉlÉÉÇ oÉ×WûhÉÉjÉïÇ cÉ sÉbÉÑ xÉÇiÉmÉïhÉÇ cÉ rÉiÉç ||” -cÉ.xÉÔ.21/20

¤ÉɳÉÉÌSÌlÉÍqɨÉå iÉÑ M×üzÉå rÉÑgeÉÏiÉç pÉåwÉeÉqÉç |

oÉ×WûhÉÇ oÉsÉM×üSè uÉ×wrÉÇ iÉjÉÉ uÉÉeÉÏMüU¶É rÉiÉç ||” -

pÉÉ.mÉë.Ëca.40/7

UxÉÉrÉlÉÉÇ uÉ×wrÉÉhÉÉÇ rÉÉåaÉÉlÉÉqÉÑmÉxÉåuÉlÉqÉç |

WûiuÉÉÅÌiÉMüÉzrÉïqÉÉkɨÉå lÉ×hÉÉqÉÑmÉcÉrÉÇ mÉUqÉç || -cÉ.xÉÔ.21/33

बृंहणं लंघनं नालमतिमेदोऽग्निवातजित् । मधुरास्निग्धसौहित्यैर्यत्सौख्येन विनश्यति ।।

कृ शिमा स्थविमात्यन्तविपरीतनिषेवणैः ।योजयेद् बृहणं तत्र सर्व पानान्न भेषजम् ꓲ (अ. हृ. सू. 14/31-33)

AÍcÉliÉÉrÉÉ WûwÉïhÉålÉ kÉëÑuÉÇ xÉÇiÉmÉïhÉålÉ cÉ| xuÉmlÉÉmÉëxÉX¶É

M×üzÉÉå uÉUÉWèû CuÉ mÉÑwrÉÌiÉ|

गुरुचातर्पणं स्थूले विपरितं हितं कृ शे। यवगोधुममृभयोस्तदयोग्या हित कल्पनम्।।“ - (A. ™. xÉÔ.14/33,36)

उत्पन्ने तु पयस्याश्वगन्धाविदारिगन्धाशतावरीबलातिबलानागबलानां मधुराणामन्यासां चौषधीनामुपयोगः क्षीरदधिघृतमांसशालिषष्टिकयवगोधूमानां च,

दिवास्वप्नब्रह्मचर्याव्यायाम-बृंहणबस्त्युपयोगश्चेति ॥“ (सु. सू. 15/38)
प्रीणनं पुष्टिवर्धनम् ꓲ - (कै . दे. नि. मिश्रक वर्ग ८/२११

oÉsÉÇ mÉÑwšÑmÉsÉqpÉ¶É MüÉzrÉï SÉåwÉÌuÉuÉeÉïlÉqÉç | sɤÉhÉÇ oÉ×ÌWûiÉå

xjÉÉæsrÉqÉÌiÉ cÉÉirÉjÉïoÉ×ÇÌWûiÉå ||” - cÉ.xÉÔ.22/38

cÉlSìzÉÔUÇ ÌWûiÉÇ ÌWû‚üÉuÉÉiÉzsÉåwqÉÉÌiÉxÉÉËUhÉÉqÉç |

AxÉ×aÉuÉÉi²åÌwÉ oÉsÉmÉÑ̹ÌuÉuÉkÉïlÉqÉç||” -pÉÉ.ÌlÉ.WûËUiÉYrÉÉÌS uÉaÉï-97

cÉlSìzÉÔUÇ ÌWûiÉÇ uÉÉeÉÏlÉÉÇ uÉÉeÉM×üS | U£üuÉÉiÉÇ aÉiÉÇ WûÎliÉ ÌWû‚üÉ iÉjÉÉ ||

zsÉåwqÉuÉÉiÉÉæ ÌlÉWûlirÉÉzÉÑ mÉÑÇxÉÉÇ xÉSÉ | mÉÑ̹qÉaêrÉÉÇ ÌuÉkɨÉå

oÉsÉgcÉÉAÉqÉsÉqÉç|| - ÌmÉë.ÌlÉ.zÉUÉÌS uÉaÉï-10

bÉ×iÉÇ ÌmɨÉÉÌlÉsÉWûUÇ UxÉzÉÑ¢üÉæeÉxÉÉÇ ÌWûiÉqÉç |

ÌlÉuÉÉïmÉhÉÇ qÉ×SÒMüUÇ xuÉUuÉhÉïmÉëxÉÉSlÉqÉç || -cÉ.xÉÔ.13/14

वातघ्नश्रमनाशन स्वरकर पित्तापहं पुष्टितम् वन्हिवृद्धिकरं विपाक मधुरं वॄष्यं वपु स्थैर्यद

सेव्यगव्यघृतोत्तम बहुगुणं सद्यः समावर्तितम्ꓲꓲ - (यो.र. घृतगुण/१)

घृतं तु मधुरं सौम्यं मृदु शीतवीर्यमनभिष्यन्दि स्नेहनमुदावर्तोन्मादापस्मारशूलज्वरानाह-

वातपित्तप्रशमनमग्निदीपनं स्मृतिमतिमेधाकान्तिस्वरलावण्यसौकु मार्योजस्तेजोबलकरमायुष्यं वृष्यं

मेध्यं वयःस्थापनं गुरु चक्षुष्यं श्लेष्माभिवर्धनं पाप्मालक्ष्मीप्रशमनं विषहरं रक्षोघ्नं च॥ (सु. सू. 45/96)
aÉÑQûÉå uÉ×wrÉÉå aÉÑQûÈ ÎxlÉakÉÉå uÉÉiÉblÉÉå qÉѧÉzÉÉåkÉlÉÈ| lÉÉÌiÉÌmÉ¨É WûUÉå qÉåSÈ
MüTüÌ¢üqÉÏ oÉsÉmÉëSÈ||” -pÉÉ.ÌlÉ.C¤ÉÑuÉaÉï 24/25

xÉÇxM×üiÉÉÌlÉ cÉ qÉÉÇxÉÉÌlÉ SÍkÉ xÉÌmÉï: mÉrÉÉÇÍxÉ cÉ || C¤ÉuÉ: zÉÉsÉrÉÉå qÉÉwÉÉ

aÉÉåkÉÑqÉÉ aÉÑQûuÉæM×üiÉqÉç |” - cÉ.xÉÔ. 21/31

गुडःसमधुरक्षारो गुरु उष्ण कफवातनुत् अहितःपित्तरक्ते च जीर्णश्चैव रसायनः ꓲ ( यो. र. गुड गुण /१)

qÉÉåSMüÉ ÌS iÉÑ ÍqɹɳÉÇ zsÉåwqÉsÉÇ aÉÑ oÉ×WûhÉqÉç |

ÎxlÉakÉÇ xjÉÉæsrÉmÉëqÉåWûÉÌSlÉç eÉlÉrÉirÉÅÌiÉxÉåuÉlÉÉiÉç || -ÌmÉë.ÌlÉ.M×üiɳÉ

uÉaÉï-63

cÉÔçÑhÉåïwÉÑ cÉÔhÉï̲aÉÑhÉÉ ÍxÉiÉÉ cÉÔhÉÉï xÉqÉÉå aÉÑQû | qÉÉåSM åüwÉÑ

̲aÉÑÍhÉiÉÉå aÉÑQû: µÉåiÉÉ cÉiÉÑaÉÑïhÉÉ ||

mÉYuÉålÉç uÉOûMü: MüÉrÉï: aÉÑQåûlÉç ÍxÉiÉrÉÉÅjÉuÉÉ | mÉUÇ ÌWû

uÉÎlWûxÉqmÉMüÉïssÉɱqÉÉlÉÇ pÉeÉÎliÉ iÉå || - (Mæü. ÌlÉ. ÍqÉ´ÉMü uÉaÉï 8/82, 83)

aÉÑQûÉÌSuĘ́ÉïiɶÉÔhÉÉåï uÉÌiÉïÈ xrÉÉSè aÉÑÌQûMüÉ aÉÑQûÈ | qÉÉåSMüÉå

uÉOûMüÈ ÌmÉhQûÏ iÉiqÉÉlÉÇ cÉÔhÉïuÉlqÉiÉqÉç|| - (Mæü.ÌlÉ. ÍqÉ´ÉMü uÉaÉï 8/77)