Practitioners Course Level 2 Diploma in Ayurveda Practitioners Course Level 2 Medicine class 24th January 2019

Herbal supplements - 2

Triphala Haritaki (Terminalia chebula) Vibhithaki (Terminalia belerica) Amla (Phyllanthus emblica)

Triphala Available in the form of: Tablets Powder Decoction Guggulu Grita Rasayana Oil

Different combinations of triphala Haritaki Vibhitaki Amalaki 1. equal amounts 1 : 2 : 4 1 : 2 : 3 triphala kaphapittaghni- mehakushtahari sara chakshushya dipani ruchya vishamajwara nashani

Rasa panchaka of tripala Dravya Haritaki Vibhitaki Amalaki Tripala Rasa Pancharasa (kashaya) Katu Pancharasa (amla) Kashaya Guna Laghu, ruksha Laghu, ruksha, sita Laghu, ruksha, sara Virya Ushna Sita Anushna Vipaka Madhura Prabhava Rasayana Dosha karma Pacify tridosha, specially effective on vata Pacify tridosha, specially on kapha Pacify tridosha, specially on pitta Tridosha Karma Anulomana, chakshushya, dipana, hridya, medhya, sarva-dosha prashamana Chakshushya, keshya, bhedaka, kriminashana, kasahara Vrishya, chakshushya Rasayana, Chakshushya, dipana, vranaropana, ruchikara, Medohara, Anulomana

Guna of triphala Laghu (lightness)- reduces kapha and aggravates vata. Reduces tissue weight. Clears channels. Improves digestion. Provides activeness and inspiration to mind Ruksha (roughness)- subsides kapha and aggravate vata. Has negative effect on dhatus and malas hence reduce quantity of mala Sara- (mobility)- spreads all over the body easily and quickly. Aggravates vata and stimulates dhatus and malas to eliminate excess

1:2:3 (Haritaki, Vibhitaki, Amla) combination: - has less laxative effect than the equal amounts - ideal for pitta as it has more amla Triphala is classified as a tridoshic rasayana Hence effective in diabetes as it prevents dhatukshaya (wasting of tissues). It controls blood sugar levels without causing muscle wasting Equal amounts is good for external use- bath, face wash, head paste

Textual references Triphala Rasayana (Triphala with honey and ghee) daily has the potential to make a person live for one hundred years devoid of old age and diseases (cha) Sushruta indicated that the formula is useful for treating ulcers and wounds Triphala represents an essential foundational formula as it promotes efficient digestion, absorption, elimination, and rejuvenation.

Properties of tripala in Ayurvedic texts Rasayana- rejuvenator Tridosha shamaka - pacify tridosha Deepana Anulomana – stimulates downward movements (bowel tonic at low dose, purgative at high doses) Rochana- increase the sense of taste Shukrala- increase quality and quantity of sperms Mehaghna- control meha Vishamajwara nashana- cures different types of fever

Netrarogaghna- cures eye disorders Medohara- removes excess fat Contd.. Netrarogaghna- cures eye disorders Medohara- removes excess fat Kushtaghna- cures eczema Kanduhara – relieves itchiness Kledaapaharana- eliminates wastes Kapha nissaraka- expectorant, bronchodilator, removes excess water in the body Vranashodhana/ropana- clears and cures wounds Varnya - restores normal skin color Yonishulaprashamana - helps pains in vagina

Deepana Rasayana Vrishya Varnya Shukrala Sugar present RASA Infection / fungus Deepana Anulomana Kledaapahara Kriminashana kaphanissaraka FIVE ELEMENTS RAKTA Glucose Hyperglycaemia   MANSA First weight Then weight  Deepana Medohara Pittashamaka   MEDAS First muscle Then muscle  SROTAS BLOCKED Weakens, pain Calcium  Deepana Rasayana Vrishya Varnya Shukrala ASTHI MAJJA Immunity  SUKRA Libido Infertility Impotence

Chemical analysis Contains potent antioxidants like tannins gallic acid ellagic acid chebulinic acid Rich with bioactive compounds like flavonoids -quercetin and luteolin saponins anthraquinones amino acids fatty acids various carbohydrates

Scientific evidence for Triphala Improves digestion, absorption, assimilation and elimination Effective on wide variety of bacteria and virus Reduces serum cholesterol Improves circulation (potentiates adrenergic function) Cardio-protective effect Reduces high blood pressure Improves liver function Anti-inflammatory and anti-viral properties

Expectorant Anti- cataract effect Reduces blood glucose levels Cancer chemo-preventive activity prevent and reverse DNA damage and mutagenesis Adaptogenic Antioxidant Immunomodulatory Reduction of hyperacidity Prevention of dental caries. 

Why triphala is not effective for everything? Quality of tripala Comparatively less pachana property Comparatively less purgative effect Most prominent action is rasayana Lot of ama in the body can slow down the rasayana effect Pathyapathya for triphala People expect something more than triphala

Tripala in different seasons Sisira (late winter)- mid Jan-mid March- with 1/6th of long pepper powder Wasanta (spring)- mid March- mid May- with 1/6th honey Grishma (summer) - mid May- mid July- with 1/6th Jaggery Varsha (rainy)- mid July- mid Sept- with 1/6th rock salt Sarat (autumn)- mid Sept- mid Nov- with 1/6th sugar Hemanta (early winter)- mid Nov- mid Jan- with 1/6th ginger powder

Triphala for VPK constitutions Vata - with ghee/ milk Pitta - sugar/ ghee Kapha - hot water/honey

Haritaki (Terminalia chebula) Ginger (Zingiber officinale) Paaka choorna 1 (manufactured) Paaka choorna 2 (home made) Haritaki (Terminalia chebula) Ginger (Zingiber officinale) Long pepper (Piper longum) Ajamoda (Tachyspermum ammi) Jeera (Cuminum cyminum) Rock salt Fenugreek (Trigonella foenum) Ajamoda (Tachyspermum ammi) Black cumins (Nigella sativa)

Paaka choorna 1 Main ingredients – haritaki, ginger, long pepper Dosage – ½ teaspoon twice a day before meals Not suitable for children under 16 Anupana (vehicle for herb): - vata disorders – 30ml lukewarm or hot water or ½ tspn ghee - pitta disorders – 30ml lukewarm or hot water, 30ml coriander water, 30ml butter milk, ½ tspn ghee - kapha disorders – 30ml lukewarm or hot water

Deepana, pachana-Indigestion , abdominal pain due to indigestion, abdominal distention, bloating, acidity, heart burn Virechaka- purgative Rasayana – general weakness, wasting disorders Meha nashaka- diabetes

Paaka choorna 2 Main ingredient- fenugreek Dose- ½-1 teaspoon, 1-2 times a day depending on patient’s strength Anupana - hot water Not suitable for children Most suitable before bed

Therapeutic uses Kapha - pitta shamaka - indigestion, acidity, skin disorders Medohara (removes excess fat)- obesity, PCOS, high cholesterol Meha nashana - diabetes Anulomana – constipation, bloating Shulahara (relieves pain)- pain due to acidity, indigestion, menstrual pain

Hingwashtaka Avipattikara Paaka 1 Paaka 2 Ajamoda Maricha Long pepper Ginger Haritaki Black cumin Cumin Rock salt Hingu Bibhitaki , Amla , Vidanga, teja patra, Trivrut , ela, musta, lawanga sharkara Fenugreek

Pittahara tablet (sudarshana shoorna) Main ingredient- kiratha (Andrographis paniculata) 53 ingredients in equal amounts Most of them are bitter in taste Pacify tridosha vata disorders- arthritis, body aches, back ache pitta disorders- fever, dizziness, vertigo, confusion, excess thirst, jaundice, anaemia kapha disorders- respiratory disorders, heart disorders

Promotes bile flow Normalizes liver functions Improves immunity Used to prevent and cure epidemic disorders of flues (swine flue, chikungunya), communicable disorders