A conceptual scientific analysis on graha roga. one of the most explained topic in Ayurveda related to child. its just an attempt to conceptualize graha roga under one heading and to understand the relation of mythological story associated with it....

3. Contents of the presentation
 Need of the study
 Definition
 Mythological concept and how they are made
 Classification
 Discussion of individual graha
 Their treatment in general
 Concept of odor
 conclusion

4. NEED OF STUDY
Separate entity from other general disorders
Different etiological factors, symptoms and
management
The knowledge still not getting used due to lack of
proper understanding

5. Definition
“ aÉëWûhÉÉiÉç aÉëWû: CirÉÑcrÉiÉå” (Dalhana)
 One which CAPTURES & SEIZES.
ग्रहैरपि हह जायन्ते प्रछन्नैर्वयााधय शििो।
कर्ािस्तर्तस्तेषु दैवयुक्त्याश्रयर् ्सदा॥(A.S.U.2/98)
 Indicates a hidden disease
 Both psychic and medical treatment is employed

6. History of Graha Rogas
 Kaushika sutra-prayer to get rid of graha
Mahabharata-morphology and physical characters and
symptoms of graha
 Varaha mihira-effect of worshiping the graha
Agani purana-2 terms have been explained: graha and
grahi (female graha) it also effects baby from first day to
17 years of life such a way 38 graha are explained
 Vaidya kalyanka also given similar explanation.

7. Markandeya purana-16 demons appeared from
nirmasti wife of dusaha out of this 8 are males and 8 are
females
 This may be affecting since womb or after birth
 P.V. Sharma-disease of childhood which are not
classified separately

8.  Mythological concept-
िुरा गहुस्य रक्षार्र्ा ्ननशर्ताा िूलिाणिना।
(A.S)
1. Produced from shiva and parvati
2. Purpose is as a body guards to his son.
3. Or probably these are just mythological ???

9. Narratod by God Shiv himself.(S.U. 37/17-20)
Not following the sadvritta and swasthavritta may
render the individual viable for grahavesha.
Vitiated milk of mother
धात्री मात्रो प्राक्प्प्रदिĶापचारात्शौचभ्रĶात् मङ्गलाचारहीनान्।
त्रस्तान् ह्रĶान् तदजितान्तादितान्वा पूजाहेतोदहिन्सस्युरेते कुमारान्॥
(S.U. 27/6)

10. Other causes
Fearful conditions for child
Disrespect to saints teachers
Improper indulgence in eating sex sleep exercise-by
mother and dhatri
Taking food in broken kasya patra
Child carried to lonely and inauspicious places
Phychologically unwell child

12. नह्यस्य- दवत्रासनं साधुतस्मात्तदस्मन् रुित्यभुञ्जाने वाऽन्सयत्र वाऽदवधेयतां गच्छदत
राक्षसदपशाचपूतनाद्यानां नामादन चाह्वायता कुमारस्य दवत्रासनार्थंनामग्रहणंन कायंस्यात्।
(Charak)
Hence the importance of phychological wellbeing is
equally important for maintaining the immunity of a child.
Hence charak has mentioned following psychological
aspect of causes even for grahavesh

13.  Microscopic nature of graha rogas
'आदवशन्सतश्च लक्ष्यन्सते के वलम्शास्त्रचक्षुष
ा'
(A.S.)
एश्वयिस्र्थास्ते न शक्प्या दवशन्सतो िेहम्द्रĶुम्मानुषैदविश्वरुपा ।
आप्तम्वाक्प्यम्तत्समीक्ष्यादभधास्येदलन्सगादन एषाम्यादन िेहेभवदन्सत'॥
(S.U. 27/7)
Hence its entry cannot be seen in the host via naked
eyes. And it can only be diagnosed on the basis of
symptoms like the infectious diseases also as per
modern.

14. Etio- pathology
No vitiation of dosha initially
They are invisible by naked eye
AGANTUJA IN NATURE
They enter the body Just like a suryakirana enter in
to earth as per Charaka
himsa rati archana

15. Graha are micro organism and bal graha have
been separately described
As skanda etc as they are specific to children
only or infect child only and the graha type as
devshatru gandharva etc have been
implicated for all in general. Causing more of
psychological disorders as explained in S.U.60
chapter.

16. Graha affects the child with three
aims
हहिंसार्यर्ानाकङ्क्क्षा ग्रहग्रहिकारिर्॥्
Himsa
Rati
Archana

17. Symptoms as explained in A.H. for
Graha Roga with Himsa as etiology
तत्र दहंसात्मके बालो महान् वा स्रुतनादसक ।
क्षदत्जह्व क्प्वणेद्वाढमसुखी साश्रुलोचन:॥
िुविणो हीनवचन पुदतगन्सधश्च जायते।
क्षामो मुत्रपुरीशं स्वम् मृद्नादत न जुगुप्सते॥
हस्तौ चोद्यम्य संरब्धो हन्सत्यात्मानम् तर्था परम्।
तद्वच्च शस्त्रकाश्ठाद्यैरद्नं वा दिप्तमादवशेत्

18.  It could be understood as an acute viral illness
 Elucidated via running nose, watering from eyes
 Along with jwara (fever) as a prodromal symptom
And this febrile viral illness is aggravating the febrile seizure
 As elucidated by tongue bite, loud noise, foul smell and
rubbing of stool and urine points towards child had
passed same during the attack.

19. Patients may present with seizures during the acute
encephalitic process but more often develop
neurological disability, including epilepsy, as a long-term
complication (Eeg-Olofsson, 2003).
Herpes simplex virus is the commonest and most
severe viral encephalitis in immunocompetent
subjects and epilepsy as its aftermath is particularly
devastating (Marks et al., 1992).

20. Symptoms as explained in A.H. for
graha Roga with Rati as etiology
रह: स्त्स्िरनतसिंल्लािगन्धस्रग्भूषिपप्रय:।
हृष्ट: िान्तश्र् दु:साध्यो रनतकार्ेन िीडित:॥ (A.H.2)

21. Interestingly, some cases of MTLE present without
the typical changes of mesial temporal sclerosis or
other abnormalities on MRI scans. This has been
termed paradoxical mesial temporal lobe
epilepsy. Studies have pointed to human
herpesvirus 6 (HHV-6) as a possible link between
febrile convulsions and later MTLE.
A infection with temporal lobe epilepsy as outcome

22.  “These lesions lie directly in structures with pathways into
the parts of the brain that are involved in emotional
behavior.“
 Individuals with temporal lobe epilepsy have a high
prevalence of depression
Neurologist Norman Geschwind, who noted a constellation
of symptoms, including hypergraphia,
hyperreligiosity, fainting spells, and pedantism, often
collectively ascribed to a condition known as Geschwind
syndrome.

23. Symptoms as explained in A.H. for
graha Roga with Archana as etiology
िीन: पररमृशन्वक्प्त्रंशुष्कौĶगलतालुक:।
शङ्दकतं वीक्ष्ते रौदत ध्यायत्यायादत भीतताम्॥
अन्सनमन्सनादभलाषेऽदप ित्तम्नादतबुभुक्षते।
गृहीतं बदलकामेन्तं दवद्यात्सुखसाधनम्॥
(A.S.U. 3/44-45)

24. Change in the taste of breast milk
Special contribution of kashyapa
Katu tiktha rasa –shakuni
Swadu katu-putana
All rasas- skanda ,shasti
Refers to many conditions –in
infection related to breast

25. Breast milk transmission of viral disease.
Stiehm ER, Keller MA Adv Nutr Res. 2001;10:105-22.
 Breast milk transmission of maternal viral infection is well
established for CMV and HIV-1.
 In other maternal viral diseases, e.g., other herpes viruses,
parvovirus, hepatitis A, B and C, and rubella, the virus is
often demonstrated in the breast milk, but transmission is
very rare.
 The highest risk is during an acute viral infection at the
time of birth, since the breast milk has a high titer of virus,
and a lack of antibody to neutralize the organism

26. Classification of Grahas
 Acc. to Sushruta
1. Skanda
2. Skand-apasmara
3. Sakuni
4. Putana
5. Andha-putana
6. Sita-putana
7. Mukha-mandika
8. Naigmesha
9. Revati

27. Acc. to Astanga Sangraha
 Skanda
Vishaka
 Sakuuni
 Putani
 Adrristi putana
 Sita putana
•Muka manditha
•Mesa
•Revati
•Suskka revati
•Pitra graha
•swagraha

28. Kashyapas classification
Skanda
 sksnda apasmara
Skanda pita
pundarika
Revati
 shuska revathi
Muka manditha
 Puthana
naigamesha

29. In bala graha chikistha adhyaya
1. Given more stress to revathi
2. While decribeing vamana sadhya rogas-
3. skanda pith
4. skanda
5. skanda apasmara
6. naigamesha

30. While describing Virechana
 Revathi
 Pundareeka
 Shakuni
 Puthana
 Mukha mandika
 While decribeing breast milk vitiation’s
1. Shakuni
2. Skanda
3. Shashti
4. Pootana
Considering all this it will be 13 in no.

31. 1. Two types of grahas-stri and purusha
2. Stri graha is-raja and tama guna pradhana
3. Skanda graha-shiva
4. Skanda-apasmara-Agni
5. Naigmesha- parvati
6. Putana-kartikeya
7. Mukhmandika – kartikeya

32. Prodromal features
तेषािं ग्रहीष्यतािं रुििं प्रततर् ्रोदनिं ज्वर:।
 Child cries continuously along with fever.
 Crying is the most common presentation among children in any
ailment.
 Fever suggest infectious nature of the disease justifying the
correlation of graha rog with pathogens

33. General Symptoms
सार्ान्यर् ्रुिर्िुासजम्ृभाभ्रक्षूेिदीन्ता:।
फ़ेनस्रावोध्वा दृष्टयोष्ठदन्तदिंिप्रजागरा:॥
रोदनिं कुजनिं स्तन्यपवद्वेष स्वरवैकृतर्।्
नखैरकस्र्ा्िररत स्वधात्र्यङ्क्गपवलेखनर्॥्
(A.H.U. 3/4-5; A.S.U. 3/9)

34. नष्टसिंज्ञो भवनत
दन्तान ्खादनत
दुर्ालो म्लानाङ्क्गो
र््स्य छुछुन्दररर््कुिुिगन्धो
(S.Sh. 10/51)

35. All these symptoms point toward seizures after an
attack of fever
That is acute infection cause high fever or some
neurological sequelae ending up into a seizure
attack

36. Bad prognostic signs (asadhya lakshana)
प्रस्तब्धो य: स्तन्द्वेिी र्ुह्यते र्ापविन्र्ुहु:।
तर् ्र्ालर्चर्रद्धस्त्न्त ग्रह: सम्िूिलाक्षि:॥

37. केििातोऽन्नपवद्वेष स्वरदैन्यिं पवविाता।
रोदनिं गृध्रगन्ध्विं दीर्काालानुवतनार्॥्
उदरे ग्रन्र्यो वत्तृा यस्य नानापवधिं िकृत।्
स्त्जह्वाया ननम्नता र्ध्ये श्याविं तालु र् तिं ्यजेत॥्
(A.H.U. 3/29-30)

38.  Tuberculosis in children can manifest with abdominal
lymphadenopathy as the sole anatomic manifestation of systemic
infection.
 Both M. tuberculosis and M. bovis can cause symptomatic infection
of the intestines, lymph nodes, peritoneum, omentum, liver, or
spleen.
 Children can have symptoms of weight loss, fatigue, and
intermittent abdominal pain in the absence of abdominal physical
findings. The clinical presentation can mimic inflammatory bowel
disease.

39. SKANDAGRAHA

40. Skanda Graha
िूनाक्ष: क्षतजसगस्त्न्धक: स्तनाट्पवड्
 वक्रस्यो हतर्शलतैकिक्ष्र्नेि:।
उद्पवग्न: सुलुशलतर्क्षुरल्िरोदी
स्कन्दातो भवनत र् गाढर्ुस्त्ष्टवर्ाा:॥ (S.U. 27/8)
तिैक्तनयनस्रावी
नतकन्धर
ऊध्वं ननरीक्षते

41. वसास्रगस्त्न्ध
र्शलतैकाक्षक्षगण्िभ्रू सिंरक्ततोभयलोर्न
स्कन्दार्तस्र्ेन वैकल्यं मरणं वा भवेद् ध्रुवम्(A.S.U. 3/10)
एकनेिस्य गािस्य स्राव: स्िन्दनकम्िनर्।्
ऊध्वं दृष्ट्या ननरीक्षेत वक्रास्यो रक्ततगस्त्न्धक:॥
(Y.R.Ba.Ro. 437)

42.  Excitablity with frightened look, teeth grinding anxious face and cry
with altered voice
 Conjugate deviation of eyes with n odding of head and sometimes
with edematous eyelids
 Monoplegia or hemiplegia indicate involvement of spine or brain
 Either kills the child or leave with permanent disability (as in polio)
 Emits smell like bone marrow or wound

43. Polio
Now the Skanda graha resembles infection with polio in
the following ways
 firstly considering sushruta symptoms
Symptoms point toward symptoms of facial palsy
associated with polio which can be attributed as bulbar
type of polio where paralysis of extraocular, facial and
masticatory muscles are present,
Absence of effective coughing and improper speech or
aphonia due to palsy of vocal cords

44. Poliovirus infection and Bell's palsy
in children.
Moses PD, Pereira SM, John TJ, Steinhoff M.
 In polio-endemic countries, poliomyelitis should be
considered when children present as 'Bell's palsy'.
 PMID: 2418767 [PubMed - indexed for MEDLINE]
 Here shoonaksha along with facial palsy can also be
attributed to non polio enteroviral infections even which
have hemorrhagic conjunctivitis as one of the common
symptom even.

45.  Considering ashtang symptoms now
 Symptoms of hemiplegia are there or probably varying type of
paralysis have been elucidated here. As in spinal type of paralytic
poliomyelitis one two or more muscle palsy can be there.
 There is weakness of some of the muscle of the neck abdomen trunk
 OR EXTREMETIES thus causing natkandhara
 Also paralysis cause bowel and bladder dysfunction causing
constipation also
 Most importantly lack of improvement within one week or two is
evidence of permanent paralysis with permanent deformity
 5 to 10% mortality rate

46. Common symptoms of graha roga can
be justified as per the following study
Findings suggest that paralytic polio survivors are at a
higher risk for epilepsy compared to normal subjects.
Epilepsy Res. 2012 Jan;98(1):72-5. doi:
10.1016/j.eplepsyres.2011.08.019. Epub 2011 Oct 12.
Demir CF, Berilgen MS, Mungen B, Bulut S.

47. On vitiated milk causing skand
graha aavesh
Breast milk contains secretory IgA which imparts
immunity from polio. If in certain conditions the
breast milk got vitiated or immune system is not that
much active of mother due to apathya and these
IgA are not being made ample enough to impart to
develop immunity then the baby will automatically
be more prone to develop polio and other
infections as compared to the counterpart.

48. SKANDAPASMARA

49. Skanda-Apasmar Graha
ननसिंज्ञो भवनत िुनभवाेत ्ससिंज्ञ: सिंरब्ध: करर्रिैश्र् न्ृयतीव।
पवण्र्ूिे सृजनत पवनद्य जृन्भर्ाि: फ़ेनञ्र् प्रसृजनत
त्सखाशभिन्न:॥(S.U. 27/9)
केिलुञ्र्निं कन्धराननत।
फ़ेनाद्वर्नर्ूध्वेक्षा हस्तभ्रूिादनतानर््
िूयिोणितगन्धश्र् (A.H.U. 3/9-11)

50.  High grade fever
 Recurrent loss of consciousness
 Typical aural cry
 Upward deviation of eyes
 Stool and urine voiding
 Frothing
 All these symptoms are pointing toward epilepsy.

51. Negamesha Graha
य: फ़ेनं वमदत दवनम्यतेच मध्येसोद्वेगंदवलपदत चोध्विमीक्षमाण।
ज्वयेत प्रततमर्थो वसासगदन्सधदनि:सञ्ञो भवदत दह नै्मेष्जुĶ:॥ (S.U. 27/16)
पादिपािस्य स्पन्सिनं फ़ेनदनविम:।
तृण्मुदĶबन्सधातीसारस्विैन्सयदववणिता:।
ओष्टिंशाङ्गसङ्कोचस्तम्भबस्ताभगन्सधता:
मध्येदवनमनं ज्वर:
मूच्छैकनेत्रशोफश्च (A.H.U. 3/12-14)

52.  Vomiting frothy like
 Stiffness of the body especially at neck and the body
stoops in the middle.
 With upward gaze and typical face like laughing or
weeping
 Leading to coma or convulsions with tight fists and jaw
and rhythmic convulsive movements of limbs.
 Smells like a goat???

53. Meningitis
 It could be understood as meningitis
Having symptoms fever with neck rigidity
 Swelling of the brain tissue due to fluid accumulation.
 vomiting, weight loss, headache and photophobia.
 Irritability, mood swings and listlessness.
 Low blood pressure, slow irregular pulse.
Papilledema is also one of its symptom

54.  In babies and infants fever with hands and feet feeling
cold, vomiting, refusing feeds, high pitched crying, a dislike
of handling, neck retraction, a staring expression, difficulty
in waking and a pale or blotchy complexion.
 Enteroviruses, the most common cause of viral meningitis
 The virus is spread through this route mainly among small
children who are not yet toilet trained. It can also be
spread this way to adults changing the diapers of an
infected infant.

55. SHWAGRAHA

56. Shwagraha
कम्पो हृदषतरोमत्वं
स्वेिश्चक्षुद
निमीलनम्।
बदहरायामनं
दजह्वािंशोऽन्सत: कण्ठकूजनम्।
धावनं दवट् सगन्सधत्वं
क्रोशनं च श्ववच्छुदन॥(A.H.U. 3/15-16)

57. क्रोशनं च श्ववच्छुदन ??
 Croup (or laryngotracheobronchitis) is a respiratory
condition that is usually triggered by an acute viral
infection of the upper airway. The infection leads to
swelling inside the throat, which interferes with normal
breathing and produces the classical symptoms of a
"barking" cough, stridor, and hoarseness.

58.  It can be understood as an acute viral URTI along with croup.
 Sudden rise in temperature will cause shivering and horiplication
can be elucidated.
 Opisthotonos may occur in infants with meningitis. It may also occur
as a sign of reduced brain function or injury to the nervous system.
 As per john clark (commentaries on disease of children) while
describing acute glotitis and laryngitis has described condition
where child seized with spasmodic inspiration, consisting of distinct
attempts to fill the chest, between which a squeaking noise is
made the eyes staring, and the child if paroxysm continue long the
head is thrown back and the spine bent as in opisthotonus.

59.  Viruses that may cause croup include
metapneumovirus, adenovirus, rhinovirus,
enterovirus, measles virus, and herpes simplex virus.
Airways are narrowed by inflammation of the larynx,
trachea, and bronchi, as well as by heightened
production of mucus.

60. Pitra graha
रोम्हषो मुहुस्त्रास: सहसा रोिनं ज्वर।
कासादतसारवमर्थुजृम्भातृट् शवगन्सधता:॥
अङ्गेष्वाक्षेपदवक्षेपाशोषस्तम्भदववणिता:।
मुदĶबन्सध: श्रुदतश्चाक्ष्णोबािलस्य स्यु: दपतृग्रहे॥(A.S.U. 3/16-17)

61. The initial cough, fever, vomiting and loose motions
and restlessness in the form of disoriented
movements
It is a very common scenario for a child with
enterovirus infection to develop fever and vomit a
few times on the first day of the illness.
Then shortly later develop mild abdominal pain and
mild diarrhea followed by symptoms of runny nose,
cough and a mild sore throat.

62. Symptoms of viral pneumonia
Cough (with some pneumonias you may cough up mucus,
or even bloody mucus)
 Fever, which may be mild or high,Shaking chills
 Shortness of breath (may only occur when you climb stairs)
 Other symptoms include:
 Confusion
 Excessive sweating and clammy skin
 Low energy, and fatigue
 Sharp or stabbing chest pain that gets worse when you
breathe deeply or cough
 Fatigue

63. Putana graha
स्रस्ताङ्ग: स्वदपदत सुखं दिवा न रात्रौ
दवि् दभन्सनं सृजदत च काकतुल्य गदन्सध:।
छद्यािऽऽतो हृदषततनुरुह कुमास्तिष्ृणालभुविदत च पतूनागदृहत:॥(S.U.27/12)
हहध्र्ाऽऽध्र्ानिं िकृद्भेद पििसा र्ुिननग्रह।(A.H.U. 3/20-21)
नतयाक्तप्रेक्षिरोदनिं।(M.Ni. BalRog.Chi. 25; Yo.R.)

64.  First of all the fever is not present indicating toward non infectious
etiology of git symptoms but that will be not justified being a graha
roga
 As the symptoms suggest the स्रस्ताङ्ग can be understood as loose
body to skin which is a sign of dehydration
 Or many authors consider it to be laxed abdomen which is found in
case of hypokalemia but if that be the case here then diarrhea
wont be evident has that would have caused paralytic ileus.

65.  Considering dehydration following diarrhea and vomiting in acute
infection like enterovirus will cause sudden loss of body fluids and
dehydration causing स्रस्ताङ्क्ग, this condition if with hyponatremic
dehydration due to plain water intake despite diarrhea may
cause
 CNS irritability thus causing sleeplessness and making baby even
prone to seizures, which also justify graha roga general symptoms
even.
 And in later stage may advance to dizziness and comatose like
condition probably described here as gaze at a particular point.

66.  Serum sodium levels less than 120 mEq/L may result in seizures.
 cerebral edema
 bicarbonate loss in stool and ketone production

67. Sheetputana Graha
उदद्व्नो भृशमदतवेपते प्ररूद्यात्
संलीन स्वदपदत च यस्य चान्सत्रकूज।
दवस्राङ्गो भृशमदतसायिते च यस्तं
जादनयादिषदगह शीतपूतनात्तिम्॥(S.U. 27/14)

68. नतयगीक्षिर््
वसावद्पवस्रगन्धता॥
िाश्वास्यैकस्य िीत्वर्ुष्ि्वर्िरस्य र्॥
(A.H.U. 3/22-23)
नेिरोगो पवगस्त्न्धता (M.N. 68/15 ; Y.R.)

69.  Now this can be understood as an acute viral gastroenteritis causing very
severe diarrhea as compared to putana even
 Elucidated by circulatory failure like symptoms
 The line related with shivering like symptoms can be either due to sudden rise
in temperature
 It could be pointing toward hypocalcemia
 In such case shock like symptoms wont be there.
 Hence compiling up it could be a acute diarrhea with sudden loss of heavy
fluid which is causing shivering as in general also passage of stool do cause
loss of heat also from body. This explains the shivering best

70. Final correlation of graha with each
other
Now again since it is a viral etiology we are
considering here hence being taking unhygienic
condition and mental condition together immune
compromised state is constant here also hence this
disease even can advance to CNS.

71. Now yogratnakar has added netra roga here.
Likewise other acarya have explained netra roga in
andhaputana referring to vit.A deficiency (vide
infra)
It could be possible the yog ratnakar has added the
symptoms here or some patient with this graha roha
must be developing vitamin a deficiency even

72. Andha Putana (Gandha Putana)
यो द्वेदĶ स्तनमदतसारकासदहक्प्काच्छदििदभज्वरसदहतादभरद्यिमान:।
िुव
िणि: सततमध:शयोऽम्लगदन्सधस्तं ब्रूयुदभिषज इहान्सधपूतनातिम्॥(S.U.27/13)
अङ्गशोषणम्
दृĶेसािादतरुककण्िूपौर्थकीजन्समशून्सता।
मतस्यगन्सधत्वमर्थवा साम्लगन्सधता॥(A.H.U.3/23-25)

73.  Emaciation loss of appetite with fever point toward a chronic
diarrhea with infective etiology or
 In long course due to malabsorptions, fat malabsortption to be
particular will cause deficiency of fat soluble vitamins in body.
 i.e. Vitamin A,D,E,K
 Vitamin A in particular will cause ocular manifestations as
 Xerosis
 Making eye vulnerable to conjunctivitis

74.  Also Vitamin A deficiency will cause loss of skin continuity
and epidermal damage
Making skin dry and itchy
 Also Vitamin A deficiency is a major cause of URTI as
render the mucous membrane with less resistance thus
explaining symptoms of kasa hikka and jwar .

75. Revati graha
रक्तास्यो हररतमलोऽदतपाण्िुिेह: श्यवो वा ज्वरमुखपाकवेिनाऽऽत्ति:।
रेवत्या व्यदर्थततनश्चुकणनिासंमद्नृादत ध्रवुमदभपीदित कुमार:॥ (S.U. 27/11)
रेवत्या श्यावनीलत्वंकणिनासादक्षमििनम्।
कासदहध्मादक्षदवक्षेपवक्रवक्प्त्रत्वरक्प्त्ता:।
बस्तगन्सधो ज्वर: शोष: पुररषं हररतं द्रवम्॥ (A.H.U.3/27-28)
व्रणै: स्फ़ोटैदश्चतंगात्रं पङ्कगन्सधं स्रवेिसृक्॥ (Y.R.; M.N. 68/24)

76.  Like in Crohn's disease, the bile does not get a chance to react
and the end result is dark green colored diarrhea.
 Crohn's disease causes inflammation of the digestive tract. This
inflammation can prevent the absorption of vitamin B12, leading
to deficiency.
 A study found that children suffering from Crohn's disease had
significantly higher numbers of enteroviruses in their
intestines compared to those in the control group - without
Crohn's disease.

77. Receptors for a group of enteroviruses were found in the intestinal
mucous linings and nerve cell ganglia, which gives insight into how
the virus enters the system of nerves in the intestine.
Interestingly, they also found that enteroviruses are also be stored in
nerve cells in the intestine and then spread via nerve fibers to other
parts of the intestine.
The authors said the results from this study "show, for the first time,
significant presence of HEV-B in the mucosa and enteric nervous
system of patients with ileocecal Crohn's disease (ICD)."

78. Synonyms as describes in kashyapa
samhita.

79. Symptoms of Revati as per
Kashyapa Samhita

81.  Enteroviruses affect millions of people worldwide each year, and
are often found in the respiratory secretions (e.g., saliva, sputum, or
nasal mucus) and stool of an infected person.
 Poliovirus, as well as coxsackie and echovirus are spread through
the fecal-oral route. Infection can result in a wide variety of
symptoms ranging from mild respiratory illness (common cold),
hand, foot and mouth disease, acute hemorrhagic conjunctivitis,
aseptic meningitis, myocarditis, severe neonatal sepsis-like
disease, and acute flaccid paralysis.

82. ShushkaRewati Graha
जायते शुष्करेवत्यांक्रमात्सवािङ्गसंक्षय:।
के शशातोऽन्सनदवद्वेष: स्वरिैन्सयं दववणिता॥
नानावणिपुररषत्वमुिरे ग्रन्सर्थय: दसरा:।
रोिनं गृि्ध्रगदन्सधत्वं िीर्िकालानुवतिनम्॥(A.S.U.3/21)

83. The characteristic nodular feeling over abdomen
Variegated stools and progressive emaciation
Make the diagnosis of shushka revati toward
abdominal tuberculosis or hodgkins lymphoma
Or it could be chronic IBD (Revati) with stricture
developed looking as a palpable mass. i.e.
advanced stage of Revati

84. Signs of childhood Hodgkin lymphoma include
swollen lymph nodes, fever, night sweats, and
weight loss.
Fatigue, Anorexia, Itchy skin.
Fibrotic type TB - masses composed of mesenteric &
omental thickening, with matted bowel loops.

85.  Epstein–Barr virus (EBV) and Bartonella henselae infection are the
most commonly reported infectious causes of abdominal
lymphadenopathy in otherwise healthy children. In mononucleosis,
the accompanying malaise, pharyngitis, systemic
lymphadenopathy, and hepatosplenomegaly often lead to the
diagnosis.
 Approximately one-half of children with an EBV-related abdominal
lymphoproliferative disorder have abdominal pain; one-quarter
have enlarged liver or spleen, or present with an abdominal mass.

87. Mukhamandika Graha
म्लानाङ्ग: सुरुदचरपादणपािवक्प्त्रो बह्वाशी कलषुदसरावतृोिरो य:।
सोद्वेगो भवदत च मूत्रतुल्यगदन्सध: स ञेय: दशशुररह वक्प्त्रमदण्िकाऽऽत्ति:॥ (S.U.28/15)
मुखमदण्ितय पादणपािास्यरमणीयता।
दसरादभरदसताभादभरादचतोिरता ज्वर:॥
अरोचकोऽङ्ग्लपनं गोमुत्रसमगन्सधता॥(A.H.U. 3/26-27)

88.  The vague features of altered pattern of appetite and
fever, with a dirty abdomen and prominent veins over it,
followed by irritability and generalized edema, giving a
bright shiny appearance to face and limbs. In
MUKHAMANDIKA
Resembles the picture of Indian Childhood cirrhosis
 The urinary smell might be due to excessive sweating of
improper care of the child in changing the soiled lenin.

89. Haemagglutination test of Hoyt and Morrison was
recorded in 100 cases of Indian childhood cirrhosis
and was positive in 83 cases as against 2 out of 25
controls. The high rate of positivity favours a viral
aetiology

90. Shakuni Graha
स्रस्ताङ्गो भयचदकतो दवहङ्गगदन्सध: संस्रादवव्रणपररपीदित: समन्सतात्।
स्फोटैश्च प्रदचततनु: सिाहपाकै दविञेयो भवदत दशशुक्षत: शकुन्सया॥ (S.U. 27/10)
स्रस्ताङ्गत्वमतीसारो दजह्वातालुगलेव्रणा:।
स्फोटा: सिाहरुक्प्पाका: सदन्सधषुस्यु: पुन: पुन:॥
दनश्यदि प्रदवलीयन्सतेपाको वक्प्त्रेगुिेऽदप वा।
भयं शकुदनगन्सधत्वं ज्वरश्च शकुदनग्रहे॥ (A.H.U. 3/18-19)

91. Common peculiar enterovirus infection syndrome is known
as hand, foot and mouth disease, in which the child
develops ulcers and blisters on the hands, feet and in the
mouth.
 Child with hand foot and mouth disease may also have
blisters on the buttocks.
 The most common cause of hand, foot and mouth disease
is coxsackievirus A16, although sometimes, the infection is
caused by enterovirus 71 or other enteroviruses.

95. What could be the cause be
odour????

96.  In contrast to popular belief, sweat or perspiration has no smell. Yes, that is
certainly true, sweat doesn’t stink.
 Our body produces 2 kinds of sweat: First is the apocrine, a thick substance
that is formed by glands in the scalp, underarm, and groin parts. Next one is
the eccrine. This is an odourless, clear sweat that appears on our entire body,
performing the important role of regulating the body’s temperature.
 Body odour would then occur when perspiration is exposed to bacteria on our
skin. It is the combination of bacteria and sweat that causes the bad smell. This
arises in places wherein sweat could not evaporate easily for instance the
genital area or the underarm.
 Toxins in the body can produce a bad odour. Eating a balance diet and
eliminating waste efficiently will prevent excretions

97.  The key to getting rid of most body odours is to restrain the body’s
apocrine production and to reduce bacteria on the surface of our
skin.
 Use anti-bacterial deodorant soap: Use antibacterial soap
everyday.
 Thoroughly dry the feet after bathing: Bacteria increases in damp
places for example between the toes. To absorb moisture, use
powders like baking soda, cornstarch, or foot powders.

98. Treatment

99.  हन्तुकार्िं जयेद्धोर्:ै शसद्धर्न्िप्रवनतताै:।
 इतरौ तु यर्ाकार्िं रनतर्ल्याहददानत:॥
(A.S.U.3/28)
 Here treatment with mantra and
hawan have been emphasized and
similar adravyabhoota treatment for
rati also.

100. र्तृादन भदूत्वद्यायांवक्ष्यन्सतेयादन तादन च।
युञ्ज्यात्तर्था बदलं होमं स्नपनं मन्सत्रतन्सत्रदवत्॥
अनुबन्सधान्यर्थाकृच्रं ग्रहापायेऽप्युपद्रवान्।
बालामयदनषेधोक्तभेषजै: समुपाचरेत्॥ (A.H.U. 3/58-60)

102.  Ayurveda is a descendent of Atharvaveda so and it is
quite natural that Ayurvedic expounders thought it is
essential to include the faith methods as recognized
methods of treatment. Faith healing is practiced all over
the world with different methods aiming at single goal.
Daiva vyapashyraya methods create confidence and
remove the fear and passismistic tendencies. So much can
be achieved it may in some way directly help the patient
in gathering confidence.

103. ♨Vrata, yama, tyaga, seva maitribhava gurupuja etc.
(A.S.chi.22/88)
♨Daivavyapasraya was also done along with medical one. For
this fumigation, prayers, worship, oblation, japa of maha
mayuri, mrutyunjaya were commonly used
(harshacharita262-263:265)

104. ♨Usage of bali, homa, Havana etc as a shanty karma for the
grahas as one of the Ashtanga of Ayurveda called as bhuta
vidya.
(su.su.1/12)
♨The root ‘Man’ in the word Mantra comes from the first
syllable of the word meaning “to think” and ‘tra’ from ‘trai’
meaning “to protect or free” from the bondage of the
phenomenal world. A mantra generates the creative force and
bestows eternal Bliss.

105. ♨The fumigation, vaporization and subtlisation of specific substances in
the yajna fire constitute a verifiable scientific method of Sublimation
of matter and expansion of its colloidal state, generates ions and
energy with positive effects in the surrounding atmosphere through the
specific sonic waves of the mantras.
♨Experimental studies show that the incidences of physical
ailments, sickness and/ or diseases become less in the houses
where the yajna or agnihotra is regularly performed because it
creates a pure, hygienic, nutritional and healing atmosphere. It
renews the brain cells, revitalizes the skin, purifies the blood and
prevents growth of pathogenic bacteria. Agnihotra is basically a
healing process.

106. ♨Vaporized products diffused in the atmosphere are also subjected
to photochemical reactions in the sunlight. They undergo
photochemical decomposition, oxidation and reduction reactions.
♨To some extent even CO2 is also reduced to formaldehyde as
follows:
CO2 + H2O + 112,000 cal = HCHO + O2
♨From an environmental angle, the reduction of CO2caused by
yajóa as explained above and the liberation of oxygen cannot be
overemphasized. Similar kinds of other useful reactions take place
in the presence of specific radiations from the sunrays.

107. Isolation
 Baby with graha roga is strongly suggested for complete
isolation
 This room should be cleaned repeatedly twice or thrice. Fire
should be kept on burning with sarshapa taila & water should be
sprinkled to avoid dust. Those drugs which are having strong
aromatic smell & antiseptic properties and having Katu &
Kashaya Rasa are kept inside the room in the form of ash etc.
 Bath with medicated water is also advised which can serve as
topic bacteriostatic thus helping in odour problem

108. “Heal the
atmosphere and
the healed
atmosphere will
heal you

109. CONCLUSION

110.  Graha roga is a field yet to explored
 It could’nt be related exactly to any disease or microbes.
 But as the above conceptual analysis picornaviredae comprising
of enterovirus as its subclass resembles most with the graha roga
 As earlier some non infectious disease were also correlated with
graha roga but the major treatment of isolation seems to be
illogical then.
 Moreover an effort is being made by me to justify the common
symptoms and asadhya symptoms by showing some relation of
each graha with them

111.  The concept of micro organism do also well with relating all graha
with viral etiology unless earlier some are thought to be non
infectious
 One more concept support viral etiology, as they were being
made to safegyuard the kartikay. And it’s a well known point that
even ganges river are considered of safeguard via its bacterio
phagic virus similarly it could be said probably lord shiva only have
made some bacterio phagic virus to safe guard kartikay which
later on deployed as disease causing virus among children.

112.  On average, enteroviruses cause about four infections per child per
year during the first several years of a child's life. Once a child has
had an infection with a specific enterovirus, the child is typically
immune to that particular virus for life
 So, these are truly "pediatric viruses" primarily affecting children.
This is why a child may become ill with a certain enterovirus and the
parent usually will not become ill with that virus

113.  The younger the infected person, the more severe the disease. Some very
young infants infected with an enterovirus may have the appearance of
sepsis (a severe bacterial infection of the blood) with high fever and
lethargy, requiring tests to investigate what is causing the illness.
 Newborns who become infected with an enterovirus may rarely develop
an overwhelming infection of many organs, including liver and heart, and
die from the infection.

114. THANK YOU

115. Any
Queries!!!!