DIAGNOSIS IN SIDDHA:
S. NO Name Location Physiological function 1 Abanan Lower abdomen
and extremitis
Responsible for urination, defecation, parturition, menstruation and ejaculation of the sperm.
2 Viyanan Heat Responsible for movements of all parts of the body and sensation.
3 Samanan Stomach Responsible for proper digestion.
NOI KANIPPU VIVATHAM (Differential Diagnosis):
Vali Azhal Keel Vayu is differentiated from the following diseases,
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!!sf<K!uikl<)sf<K!uikl<)sf<K!uikl<)Santhu Vatham*!sf<K!uikl<) *!*!*!!!!!
“osb<jg!kie<!sf<KgT!lqgk<!kqlqi<f<K!
smolr<Gl<!ofik<KOl!lqgu!px<xq!
jfjgbib<!fZk<KOl!lbqi<g<!%s<szqm<M!
! fi{qOb!Le<Ohiz<!fjm!ogimiK!
jljgkie<!lbg<goliM!uib<!fqVXl<!
! uv{<cMOl!fiUkiecg<g!cg<Gg<!
jggiz<kie<!kv{qkeqx<!xvqg<!ogi{iK!
! sR<siqg<GR<!sf<Kuil<!uikr<!OgOt”/!
Pain in joints, body pain, pilo erection, inability to walk, giddiness, dryness of togue, excessive salivation and unable to keep the limbs in floor are the features of the disease.
npz<!gQz<!uiB!) npz<!gQz<!uiB!)npz<!gQz<!uiB!)
npz<!gQz<!uiB!)Azhal Keel Vayu):
“hqk<kg<gz<!uib<U!ke<eix<!hqxr<GgQe<!&m<M!uQr<gqs<!
! sqk<kI!osb<!lVk<K!uk<KR<!sQvhmik<!ke<jlk<!kigqk<!
kk<kX!gib<s<sz<!g{<M!sizOu!kjekie<!kf<Ok!
! olk<kX!sqgqs<js!ke<eiz<!ole<Olz<!fQr<G!lh<hi”!
....!!!shihkq!jgObM!sqk<k!lVk<Kul<!)ohiK*!!!!!!shihkq!jgObM!sqk<k!lVk<Kul<!)ohiK*!!!!!shihkq!jgObM!sqk<k!lVk<Kul<!)ohiK*!!!!!shihkq!jgObM!sqk<k!lVk<Kul<!)ohiK*!!!!!!!!!
!!!!!!!!!!!!!!!!!!!
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!!!!!!!!!!!!!!!!!!!!!! )hg<gl<!w{</737*!! )hg<gl<!w{</737*!)hg<gl<!w{</737*!)hg<gl<!w{</737*!!!
It is characterized by swelling of joint associated with severe pain and fever.
In later stages joints gets fused to one another and result in inability to using joints leading to deformities. !
Jb!gQz<!uiB!) Jb!gQz<!uiB!)Jb!gQz<!uiB!)
Jb!gQz<!uiB!)Iya Keel Vayu):
“gVkVr<!ghg<gqz<!uiB!g{<cce<!dmzqjtg<Gl<
shihkq!jgObM!sqk<k!lVk<Kul<!(ohiKohiKohiKohiK) (hg<gl<!w{</738hg<gl<!w{</738hg<gl<!w{</738hg<gl<!w{</738)!!! !
It is characterized by severe pain in the joints associated with loss of weight, anorexia, insomnia, cough, hiccough, vomiting, anemia and dropsy. The common sites are spinal cord, hip joint and knee joints.
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fiqk<kjz!uikl<
fiqk<kjz!uikl<fiqk<kjz!uikl<
fiqk<kjz!uikl<!!!))))Narithalai Vatham****!! !!!
“Li<g<glib<!Lbe<X!Lpr<giz<kie<!uqr<gq!
Swelling of the knee joint with hyperemia, difficulty to stand, palpitation will be seen, the swelling looks like the head of the fox are the features of this disease.
utq!Jbg<!gQz<!uiB!) utq!Jbg<!gQz<!uiB!)utq!Jbg<!gQz<!uiB!)
utq!Jbg<!gQz<!uiB!)Vali Iya Keel Vayu):
“ubr<<!uikg<!ghg<gQz<!uiBuie<!uzq!lqGf<Ok!
! dbr<G!fQI!Ogik<K!gQz<gt<!yiqbqe<!kjzOhix<!gi[l<!
fbr<ogit<t!Lmg<gz<!fQm<mz<!f{<{qmiolb<!Br<giBl<!
! lbg<GX!Lxg<glqe<eil<!le<eqb!ofiqg<gm<!miOl”!
shihkq shihkq shihkq
shihkq!!!jgObM!sqk<k!lVk<Kul<!)ohiK*!jgObM!sqk<k!lVk<Kul<!)ohiK*jgObM!sqk<k!lVk<Kul<!)ohiK*jgObM!sqk<k!lVk<Kul<!)ohiK*!!!! )hg<gl<!w{</739*!
)hg<gl<!w{</739*!
)hg<gl<!w{</739*!
)hg<gl<!w{</739*!!!!!
It is characterized by pain in the joints associated with effusion of joint, swelling, restricted joint movements, pyrexia, fainting, insomnia, asymmetrical presentation lymphadenopathy, generalized malaise, atrophy of the affected limb etc.,
TREATMENT : (Pini neekkam / parikaram) The aim of pini neekam is,
To bring the three doshas in equilibrium
Treatment of disease and topical application of medicated oils, ottradam (Fomentation) thokkanam (Message) etc.
Diet and prevention of the diseases.
Since siddha system of medicine is based on mukkutra theory ,the treatment is mainly aimed to bring down the increased dosha to its equilibrium state and thereby restoring the physiological condition of various thathus.
“tpNurdj;jhy; thje; jhOk;”
Vali Azhal Keel Vayu is a vatha diseases. Therefore laxatives or mild purgatives are to be administered on the first day or in the early morning respectively according to patient’s tolerance to the drug .
Thokkanam may be advised in case of atrophy or wasting of muscle.
PATHIYAM :
During the course of treating according to the drug administered to the patient and nature of the diseases, the patient is advised to follow certain precautions regarding diet and physical activities. This form of medical advice in siddha system of medicine is termed as ‘pathiyam’.
Pathiyam for vatha diseases as mentioned in ‘Patharthaguna Chinthamani’ is as follows
“nrq;fO ePu;Nfhl;le; Njd;kpsF ey;nyz;nza;
jq;FngUq; fhae; jOjhio – vq;nfq;Fk;
$l;LrpW Kj;Jnea; Nfhjpy; cOe;jpitfs;
thl;Lkzp yj;ij kjp”
Root of water lily, costus root, honey collected on branches of trees, black pepper, gingelly oil, asafoetida, leaves of clerodendron phlomoides, caster oil black gram etc cure vatha diseases.
ePf;f Ntz;bait:
ePf;f Ntz;bait:ePf;f Ntz;bait:
ePf;f Ntz;bait:
Gspg;G> Jtu;g;Gr; RitAs;s czTfs;.
In Theraiyar venba, under the heading Itcha pathiyam mentioned to avoid ghfw;fha;> khq;fha;> fj;jhpf;fha;> nfhj;jtuq;fha;> fy;ahzg;g+rzpf;fha;>
mfj;jpf;fPiu> ke;jKs;s gjhHj;j tiffs; and also underground tubers , coconut, mustard and sexual intercourse should be avoided.
2.5. MODERN ASPECT:
RHEUMATOID ARTHRITIS