Types of Pandu-rog: 5 types(according to causative factors) such as- caused by vata, pitta, kapha, sannipata and earth-eating.
Etiology, prognosis and character: The person in whom doshas with predominanace of pitta are vitiated in dhatus is affected with the laxity of dhatus and heaviness in body. Complexion, strength, unctuousness and other properties also get too much diminished due to morbidity of doshas and dushyas. Thus he gets affects with deficiency of blood, fat, ojas,looseness of body parts and abnormality of complexion.
Etiology: By intake of alkaline, sour, salty, too hot, incompatible and unsuitable food, excessive use of nishpava, black gram, oil cake, tila and oil, day-sleep, exercise and sexual intercourse during burning(indigestion) of food, faulty management of evacuative measures and seasons; suppression of natural urges particularly in persons inflicted with sexual desire, anxiety, fear, anger and grief. Pitta situated in heart is aggravated and propelled by the strong vayu in ten arteries which spread it in the whole body. This pitta, located in the space between twak(skin) and mamsa(muscle) affects kapha, vata rakta, twak and mamsa and thereby produces various shades of colours like pale yellow, deep yellow, green in skin. This is called as Pandurog.
Prodromal symptoms: Premonitory symptoms of panduroga are- Palpitation of heart, roughness, absence of sweat and exhaustion.
General symptoms: When the disease is manifested the patient suffers from tinnitus, loss of digestion, debility, malaise, aversion to food, exhaustion, giddiness, pain in body, fever, dyspnoea, heaviness and anorexia. He feels as if his limbs are kneaded, pressed or churned. Moreover, he has swelling on orbit, green complexion, falling of skin hairs, loss of lustre, irritability, aversion to cold, oversleep, spitting, diminished speech, on exertion by climbing(stairs etc.) he suffers from cramps in shanks, pain in waist, thighs and legs and lassitude.
|Vataj||Blackish paleness, roughness and reddishness in body, bodyache, pain, piercing pain, trembling, pain in sides and head, dryness of stool, distaste in mouth, oedema, hardness in bowels and debility.|
|Pittaj||Patient becomes yellow or with greenish tinge, associated with fever, burning sensation, vomiting, fainting, thirst and yellow urine and stool. He perspires profusely, has desire for cold and aversion to food. He has pungency in mouth, hot and sour things do not suit him. He suffers from acid eructation and burning sensation during burning of food along with foul odour, loose motions, debility and feeling of darkness.|
|Kaphaj||Heaviness, drowsiness, vomiting, whitish complexion, excessive salivation, horripilation, malaise, fainting, giddiness, exhaustion, dyspnoea, cough, lassitude, anorexia, obstruction in speech and voice, white urine, eyes and stool, desire for pungent, rough and hot things, oedema and sweetness in mouth.|
|Sannipataj||Symptoms of all the three doshas. It is very troublesome.|
|Mrudbhkshanjanya||Earth fills up and obstructs the channels without undergoing change and thus by destroying the strength of senses, lustre, energy and ojas produces panduroga which further destroys strength, complexion and power of digestion. The patient suffers from swelling on check, orbit, and eyebrows, feet, navel and private parts, intestinal parasites and diarrhoea passing stool with blood and mucus.|
Treatment modality: The patient of pandurog after unction should be subjected to strong emesis and purgation while that of jaundice to mild purgation with bitter drugs. After evacuation both types of cases should be managed with wholesome diet such as old Sali rice, barley and wheat with soups of green gram, pigeon pea and lentils or meat soup of wild animals and birds. For unction, panchagavya, mahatikta or kalyaanak grut should be used.