Mixing combination Old Archived Cases

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Dear Dr i beieved that more than 70% of doctors in their practice prescribe to take mixing of two ariatam , or two kasayam like that for expample In respiratory roga Rx kanakasavam 15ml+vaasa aristam 10 ml like that Dasamoola kasayam 10 ml+jeerakathi ks 10 ml etc Is it right ,Our ancient aacharyas already desinged some combination for getting some prabava effect, again mix their combination is good? My opinion is , instead of mixing the combination better designed our own combintion ,after analysing rasa guna veerya vipaka , etc If it is no harmful then Which combination is best in what condition ? Please guide with proper explanation
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    Thursday, November 12 2009, 06:00 PM - #Permalink
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    dear doctor, vasarishtam contains so many drugs when our acharyas could have done only with vasa.so it all depends on the yukthi of the vaidya and the fact is that combination of the medicines gives better results.
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    Thursday, November 12 2009, 06:10 PM - #Permalink
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    In my opinion mixing of two Shastria yogas is not appropriate because our knowledge at present is not that much vast as to predict what the final outcome of mixing two mixtures would be. Instead we can give the two medicines separately after some time interval.
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    Thursday, November 12 2009, 06:12 PM - #Permalink
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    ur's opinion is good to design our own combination after analysing rasa,guna veera&vipaka but for that we should have detailed knowledge abt it.we can take help from rasa shastra specialist.
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    Thursday, November 12 2009, 06:18 PM - #Permalink
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    In each chapter pertaining to different ailments acharyas have themselves given many combinations/asavas and arishtas for each disease. It's entirely up to the physician's yukti to choose and mix. I don't see any harm in adding so far as you are familiar with the formulations and exact indications. Moreover practically also we are convinced to mix and get better results than single.

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    Thursday, November 12 2009, 06:22 PM - #Permalink
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    respecte doctor i agree with vaidya shambhu. the speciality of charak samhita is that it gives and more over encourages the scholars of ayurveda the liberty to use their own wisdom i.e yukti. it says that text is for illiterates, you can use your own wisdom.in sutra sthana chapter four of charak samhita while describing the mahakashaya etc. acharya charaka has commented that this number is just for example or you can say reference. a physician can use his / her own wisdom to design a formulation as per the need. Chetan
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    Thursday, November 12 2009, 06:27 PM - #Permalink
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    yes good idea,, i will definitely go for that.

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    Thursday, November 12 2009, 07:32 PM - #Permalink
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    thanks for your advised.
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    Thursday, November 12 2009, 08:33 PM - #Permalink
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    i think it is not wise to mix two kashya or asava togather becuse it will definately form a new yoga..and which may have adifferent ras ,guna veerya,vipak ,and truly it is also not so easy to clearly understand the gunas of each drvyas in each asavas etc.
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    Thursday, November 12 2009, 08:52 PM - #Permalink
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    doctor, with our micro brains first let's get perfect in using the medicines as told in shastras using the 4 pramanas (prathyaksham, anumanam, apthopadesham and yukthi). there are many numbers of asavas and arishtas told in shastra, the aim of every doctor is to use them aptly after correct diagnosis of the disease either singly or in combination. there is no need to put an extra brain to create new asavas and arishtas as we are nothing in front of the vast science of life - ayurveda.
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    Thursday, November 12 2009, 10:16 PM - #Permalink
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    this all depends on the yukti of vaidya regards

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    Thursday, November 12 2009, 10:45 PM - #Permalink
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    doctor, the indications for asava and arishthas are different and mentioned separately... the questions of combination doesn't arise here... and we can't assess about what happens when they are mixed together. so better according as indications one can use...
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    Thursday, November 12 2009, 10:51 PM - #Permalink
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    ** formulations that personify sanyoga, offering the dual benefits of synergy and balance. .An Ayurvedic formulation can often contain twenty or more herbs and spices -- primary herbs that target the area of imbalance,supporting herbs to enhance the benefits of the primary herbs,balancing herbs to counter any possible side-effects from the actions of the main herbs,and bio-availability enhancers to expedite the transfer of the benefits of the formulation to the parts of the physiology.The most complex of the traditional Ayurvedic herbal combinations are an elite group called rasayanas. .Using the whole herb rather than the isolated ingredient also contributes to a balanced formula less likely to have side-effects. .the best results from Ayurveda come to those who are patient and persistent,who diligently adopt the associated dietary and lifestyle changes needed,and take a degree of responsibility for their own well-being.
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    Thursday, November 12 2009, 11:19 PM - #Permalink
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    surely, its a good case to discuss. we can mix two or more than two medicines for added results. example for a patient of kricchartava, lohasava and ashokarishta can be given in combination, similarly, for a patient of mandaagni, kumaryasava and abhyarishta can be given. so its all a matter of the wisdom of vaidya and how a vaidya takes a desicion wih respect to a roga. ayurveda is a vast science and the more we explore the possibilities, the more we shall learn from it. however the bottom line is that one should learn from the past mistakes and never repeat them.
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    Friday, November 13 2009, 10:25 AM - #Permalink
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    we normally mix drugs in our practise. like some mix sarivadayasava+mahamanjishthadi kawath+khadirarisht in chronic skin diseases, famous panchasva made by mixing of 5 asava together namely balarisht,drakshava,kumariasava,dashmoolarisht,lohasava, one more prep is tringaasva,made up from 3 asavas collectively. and their results is better. so it is completely yukti of treating physician on opting the stantdard classical or patent drug. to cure patient is our supreme goal,thats y we are physicians.and we should aim to provide the standarised medicine to ailing people.
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    Friday, November 13 2009, 10:49 AM - #Permalink
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    Depend on severity we can mix the kasaya or aristha. In case the medicine which do not contain all herbs which mentiond in clasical text, its better to mix other combination for better results.
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    Friday, November 13 2009, 11:01 AM - #Permalink
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    A good question raised. Some 10 years back I used to prescribe aristas in single entity alone, because even 10 ml of aristas used to give a good result. But now a days I am not confident of the virya of the medicines prepaed ! (may be because of non availability of certain drugs and usage of substitutes for those drugs?). The point is, let me not openly say the name of the drug, the efficacy of a famous proprietary medicine indicated for nephrolithiasis, which had a tremendous effect some 7 to 8 years ago, now a days is not having that uch an effect. Thanks to the globalisation of Ayurveda and the current marketing developments with in the Ayurvedic fraternity!? We are loosing the credentiality of prescribing some of the otherwise called good medicines. Hence, now a days, i too have satrted prescribing aristas and kashayams in combination. This, personal view of mine, may or may not be the same of other fellows of our forum. With regards to the harmfulness raised in your question, i found it rather beneficial to the patients than being harmful them. Regards to everybody in the forum.

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    Friday, November 13 2009, 11:21 AM - #Permalink
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    there r many views already discussed here . these r personal experiences of the self practice . as the practice progresses , the practical knowledge increases . this will always make u think more widely & apporpriately for the benefit of the patient . the granthokta medications r the most standard preperations for us . we have to use them without any doubt . the combination medicines can be done for some reasons either as dr . ranga stated or for research purposes . this can be told like to use granthokta aushadhis & patented medicines . it is upto the personal experience what to use .
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    Friday, November 13 2009, 07:05 PM - #Permalink
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    Soory i am still 90 % against mixing , out Acharyas are AAPTA they know the BRABAVAA because they are RAJAS TAMO NIRMUKTA Now a days most doctors considered himself wrongly as AAPTA , We still don't know the prabava

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    Friday, November 13 2009, 07:10 PM - #Permalink
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    Thank all doctors Please considered the word PRABAVA PRABAVA PRABAVA PRABAVA PRABAVA PRABAVA PRABAVA doctor, vaithya, aapta, yogi, sithar they are all totally different words Ancient ayurveda teacing , modern yoga teaching totally different they calculate the effect of combination through GNANAM We 99% calculate through VIGNANAM PLease Again go trough your answer honestly , if i say anything wrong please forgive
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    Friday, November 13 2009, 07:15 PM - #Permalink
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    i believed that the merits and demerits of ayurveda is this deciding freedom non standardization different dharsana& vaatha ohm namo bhagavathe vaasudevaaya dhanwanthrayae amirtha kalasa hasthaya sarva aamaya vinasanaaya sri maha vishnuvae namaga !

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    Saturday, November 14 2009, 01:35 AM - #Permalink
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    thanx dr sunder for raising a very healthy discusion over this very sensitive issue...personally i feel it is not advisable to go for multi drug therapy as if the diagnosis is correct then only the right medicine does the trick.but with changing life styles and our life being overshadowed with so many factors like pollution,adulteration and deteriorating quality of medicines non-availability of som dravyas force us to mix more than one medicine to get the desired results but i think in the process we loose the track and standardisation of drugs as per wt,etc is compromised.
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    Saturday, November 14 2009, 08:47 AM - #Permalink
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    Dear dr adding one medicine is ok but some doctors adding two medical combination , This is not digestable for me
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    Thursday, March 11 2010, 08:56 PM - #Permalink
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    our sent given these in their disease and very good result no need to mix as kankasav for ashtama jai ayurveda
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    Thursday, March 11 2010, 09:37 PM - #Permalink
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    i think "munirev jaanati sayogasya falam.." so we should not mix two granthokta medicines. e.g. ref. - sharangadhara samhita- trifala quath with madhu - works on sthaulya and same preparation added with khadir twak works on bhagandar and not sthaulya. so we should not mix granthokta medicines. second thing that many times we are not sure about medicine is approriate/ so on safer side and to get more results we use combinations. but as experiance increases need of combination decreases. then we go for less medicines-more results.
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