Mahamanjishthadi kashayam is an Ayurvedic medicine for many ailments from rheumatoid arthritis to eczema. It is beneficial in many inflammatory conditions.
Benefits of Mahamanjishthadi kashayam
It is beneficial in conditions like pain and stiffness in the small joints with redness and swelling.
In rheumatoid arthritis it is used to heal the inflammation and improve the function of the affected joints.
It is very effective in some pitta-rakta dominant skin diseases. Can be related with poorvarupa (prodromal signs) of vaatasonita.
It is beneficial even in some cases of varicose veins where burning sensation and muscle cramps are evident. This combination helps in healing wounds and ulcers related to varicose veins. Once the wounds are healed, mahamanjishthadi kashayam restores the normal skin over the scar tissue.
Being a blood purifier, this medicine helps in healing skin problems like acne, blisters, pustules, eczema, psoriasis etc. It is also found efficient in removing scars and improving complexion.
As it improves the function of circulatory system, it is advised in Neuro-muscular conditions like hemiplegia. It is useful in numbness and other nervous ailments.
In many inflammatory diseases of eye, this combination is found effective.
Indications of Mahamanjishthadi kashayam
18 types of Kushtha – 18 types of skin diseases
Vatarakta – Rheumatoid arthritis
Ardita – Facial palsy/Bell’s palsy
Upadamsa -Vanerrheal disease
Sleepada – Filariasis
Prasupti -Numbness
Pakshaghata -Stroke/Hemiplegia
Medodosha – Deranged fat metabolism, hyperlipidaemia, obesity
Netraroga -Eye diseases
Ingredients of Mahamanjishthadi kashayam
| Indian madder | Manjishtha | Rubia cordifolia L. |
It is a blood purifier. Used in the treatments of almost all skin diseases. It improves complexion. It enhances the liver functions. Beneficial in diarrhoea and eye diseases.
| Coco grass, nut grass, purple nutsredge | Musta | Cyperus rotundus L. |
It has marked anti-inflammatory action. It also has anthelmintic, antioxidant and antifungal properties. The drug improves lactation, relieves fever, burning sensation, and excessive thirst. It is also used in treating diarrhoea, dyspepsia and skin diseases.
| Conessi | Kutaja | Holarrhena antidysentric). Wall. |
It has been used in bleeding piles, diarrhoea, eczema, fever and colic. It is beneficial in amoebic dysentery and many other gastro-intestinal disorders.
| Heart leaved moonseed | Guduchi
|
Tinospora cordifolia (WILLD.) HOOK.F. & THOMS |
It is effective anti-ulcer drug in action. It is a well-known anti-oxidant and has significant anti-inflammatory property.
| Indian costus root | Kushtha
|
Saussurea lappa
|
It is a carminative, aphrodisiac, anthelmintic, and tonic. It stimulates the brain. It is used in the diseases of liver and kidney. It is also useful in the treatment of deafness, headache, paralysis, asthma, cough, chronic fever, inflammation, and ophthalmic conditions.
| Dried ginger | Naagara
|
Zingiber officinalis |
It is unctuous and hot in potency with pungent taste but becomes sweet after digestion. It is an aphrodisiac and balances Vata and Kapha.
It improves ability to taste and promotes digestion. Relieves cough cold and other respiratory problems. It is not a laxative, rather causes constipation.
| Blue-flowered Glory Tree | Bharngi
|
Clerodendrum serratum (L.) MOON
|
The plant is considered as having antitoxic and antiseptic properties. Juice of leaves is used with ghee as an application in skin conditions like herpetic eruptions and pemphigus. It is given in fever and is useful in sinusitis. The drug is also useful as an expectorant in respiratory diseases like asthma and cough.
| Yellow-berried nightshade | Kshudra | Solanum xanthocarpum |
It has anti-oxidant and anti-cancer activities. It possesses anti-asthmatic, hypoglycaemic, hepatoprotective, anti-bacterial and insect repellent properties.
| Calamus root/sweet flag | Vacha | Acorus calamus L. |
The root is aromatic. It has stimulant, emetic, expectorant, emmenagogue, aphrodisiac, laxative, diuretic, antispasmodic, carminative, and anthelmintic properties. It is slightly tonic, and excitant, and forms a useful adjunct to other tonics and stimulants. It may be used in cases of flatulent colic, atonic dyspepsia etc.
| Margosa, Neem | Nimba | Azadirachta indica A. JUSS.
|
The important health benefits of this drug include its ability to treat dandruff, soothe irritation, protect the skin, boost the immune system, and reduce inflammation. It also speeds up wound healing, treats gastric conditions, slows the aging process, improves hair and scalp health, maintains sexual organ health, has anti-cancer potential, and helps treat diabetes.
| Turmeric
|
Haridra | Curcuma longa L.
|
Turmeric is used to help with heartburn or bowel problems like diarrhoea, intestinal gas, and bloating. It is famous for its anti-cancerous and detoxification effects. It is widely used in skin diseases. Some may use it to help with memory problems or problems with the liver or gallbladder. It may also help to lessen swelling and help with signs of arthritis. It has marked anti-inflammatory and antiseptic action.
| Indian barberry/chutro/tree turmeric | Daruharidra
|
Berberis aristata |
It has anti-bacterial, anti-fungal anti-diarrhoeal and anti-cancerous properties. It is used in the treatment of ophthalmic infections.
Thriphala-a group of 3 drugs namely,
| Chebulic myrobalan | Pathya | Terminalia chebula RETZ. & WILLD. |
It is one of the main drugs in Ayurveda, one of the Rasayana and a member of an important group, Triphala. It is used in a wide variety of diseases as it possesses anti-bacterial anti-fungal anti-viral anti-diabetic anti-mutagenic anti-oxidant anti-ulcer and wound-healing properties.
| Amla, Indian gooseberry | Dhatri | Emblica officinalis GAERTN.
|
Amla exhibits strong antioxidant activity. It is one of the most important plants in the traditional Ayurvedic medical system as well as in other traditional health systems for immunomodulatory, anti-inflammatory, antiulcer and hepatoprotective actions. It is widely used for anti-diabetic effect.It is a part of the famous group of drugs called Thriphala.
| Beleric myrobalan, Bahera | Kalitaru | Terminalia bellirica (GAERTN.) ROXB.
|
A very good healer of gastric diseases, common cold, leukoderma and also cures digestive disorders. It has laxative and anti-inflammatory actions. It is one of the important ingredients in triphala an Ayurvedic preparation. Other properties for which it is used are as a health tonic and as rejuvenator. It is used in treatment of piles also.
| Pointed gourd | Patola | Trichosanthes dioica Roxb. |
It has ant-diabetic, hepato-protective, anti-inflammatory, anti-bacterial, anti-fungal, and wound-healing properties. It has anti-oxidants. It is useful in lowering cholesterol and skin diseases. It acts as a laxative.
| Yellow gentian, Hellebore | Katuka
|
Picrorhiza kurroa |
It is used for Dyspepsia, fever and in purgatives. Although it shows anti-oxidant, anti-inflammatory, and immunomodulatory activities, it is most valued for its hepatoprotective effect.
| Rajmahal hemp | Moorva
|
Marsdenia tenacissima(Roxb.)Moon. |
It is anti-diabetic and anti-inflammatory. It is used in the treatment of abscesses, asthma, bronchitis, tonsillitis, cystitis, skin diseases, pneumonia etc. It is effective in food and drug poisoning. It is an anti-cancerous drug.
| False black pepper | Vidanga | Embelia ribes |
It is an appetiser and mild laxative. It has carminative, stimulant, anti-oxidant, anti-bacterial, anti-cancerous and anthelmintic properties.
| Indian kino tree | Asana | Pterocarpus marsupium Roxb. |
It is used as a cooling external application for headache and inflammations on skin and joints. It is anti-pyretic, anthelmintic, aphrodisiac. It is used in the treatment of ulcers and also in mental aberrations.
| Ceylon leadwort | Chitraka | Plumbago zeylanica L.
|
It aids digestion and increases appetite. It has anti-inflammatory and anti-cancerous properties. It can also be used in liver diseases.
| Wild asparagus | Satavari
|
Asparagus racemosus |
It has anti-oxidants and immuno-stimulants. It has anti-inflammatory, anti-hepatotoxic, anti-bacterial, anti-oxytocic, and reproductive agents.
| Water hyssop, herb of grace, Indian pennywort.
|
Thrayamana | Bacopa monnieri (L.) PENNELL |
It is used for improving memory. It has powerful antioxidants and it can reduce inflammation. It boosts brain functions and is used in treatment of ADHD. It can be helpful in anxiety and stress.
| Long pepper | Krishna | Piper longum |
It has carminative action and maybe used as appetizer. The fruit and root of Pippali are used in the form of powder to treat fever, diarrhoea, piles, cough, hiccough, asthma, hoarseness of voice, flatulence, colic, vomiting, acid gastritis, oedema, diseases of mouth, eye diseases, diseases of semen, diseases of women, jaundice, and earache.
Pippali mixed with honey alleviates cough, dyspnoea, fever splenomegaly, and hiccough.
| Conessi | Indrayava | Holarrhena antidysentric). Wall. |
It has been used in bleeding piles, diarrhoea, eczema, fever and colic. It is beneficial in amoebic dysentery and many other gastro-intestinal disorders.
| Adathoda, Malabar nut | Vasaka | Justicia adathoda L.
|
It is an expectorant and is mostly used in respiratory conditions. It helps in treatment of skin diseases. It is also used in jaundice, fevers, headache and urinary infections.
| False daisy | Bhringaraja
|
Eclipta alba |
It is widely used as a hair tonic. It is also used in skin diseases and liver diseases. It is hepato-protective in action.
| Himalayan cedar | Mahadaru | Cedrus deodara |
It is useful as an expectorant in cough. It relieves asthma and other respiratory diseases by clearing the airways and enhancing the movements of respiratory tract.
It has anti-diabetic effect as it helps reduce high blood sugar levels in blood.
It helps to calm the mind and improves sleep quality.
| false pareira root/ velvet leaf | Paatha | Cissampelos pareira L.
|
It has anti-inflammatory and antiseptic actions. This plant is used to treat gynaecological conditions. Patha is used in the treatment of chronic non-healing ulcers and sinuses. It is also used in the treatment of chronic skin diseases and in the treatment of poisonous bites.
| Cutch tree | Khadira | Acacia catechu |
It is the best drug for skin diseases. It is widely used to treat acute and chronic skin diseases like eczema, psoriasis, dermatitis, heat rashes etc. It is a blood purifier and is used in bleeding disorders, fever, inflammatory arthritis, diabetic wounds etc.
| Red sandalwood | Raktachandana | Pterocarpus santalinus L. |
It has anti-inflammatory, anti-pyretic, anthelmintic, aphrodisiac, anti-hyperglycaemic and diaphoretic properties. It is used in the treatment of fever, haemorrhage and dysentery.
| Indian jalap/Turpeth root | Thrivrth | Operculina turpethum L. |
It is used to treat fever, oedema, ascites, anorexia, constipation, hepatosplenomegaly, intoxication, piles, fistula, anaemia, obesity, abdominal tumours, ulcers/wounds, worm infestation, pruritus and other skin disorders. It is the best among the herbs used for therapeutic purgation in Ayurveda.
| Three leaved caper, Holy garlic pear | Varuna | Crataeva nurvala |
It is a diuretic herb used in renal diseases. It stimulates digestion and helps in relieving abdominal pain and flatulence.
| Indian gentian | KIratatikta | Swertia chirata (ROXB. EX. FLEM.) KAR. |
It is an important herb used in Ayurveda for the treatment of fever, inflammation, skin diseases, intestinal parasites and diabetes. It has hepato-protective action also. It is used in treatment of piles, ulcers and fevers.
| Babchi plant | Bakuchi
|
Psoralea corylifolia Linn. |
It is called as Kushthanasini or destroyer of skin diseases. It has chemo-protective, anti-oxidant, anti-microbial, and anti-inflammatory properties.
| Golden shower tree | Kritamalaka
|
Cassia fistula |
It has anti-fungal, anti-microbial, anti-inflammatory, anti-tumour, hepato-protective, and hypoglycaemic activities. Also, it has many anti-oxidants. Flowers are used for fever. Root acts as a diuretic and is used in adenopathy, leprosy, skin diseases, syphilis and tubercular glands. The bark and leaves are used for curing skin diseases.
| Drumstick | Sakhotaka | Moringa oleifera |
Its highly nutritional, a rich source of natural vitamins and minerals. It improves blood circulation to the joints. As it contains a lot of Vitamin A, it is beneficial in the treatment of many eye diseases especially night blindness. It has anti-inflammatory, anti-fungal and antibiotic properties. It is useful in bone health and muscular health.
| Bakayan tree | Mahanimba | Melia azedarach L./Ailanthus excelsa.ROXB. |
It has anti-oxidant, anti-microbial, anti-inflammatory, cardio-protective, analgesic, anti-cancerous, anti-ulcerogenic, anti-pyretic, anti-plasmodial, and male contraceptive properties.
| Indian beech tree | Karanja | Pongamia pinnata |
It has anti-inflammatory, anti-diabetic, and wound-healing properties.
| Atis root
|
Ativisha | Aconitum heterophyllum WALL. EX ROYLE |
It has anti-diarrhoeal, diuretic, expectorant, hepato-protective, anti-pyretic, analgesic, anti-oxidant, anti-flatulent and carminative properties.
| borage plant | Jala | Coleus zeylanicus.Benth. |
It is used in the treatment of fever, common cold, asthma, dysentery, diarrhoea, vomiting, burning sensation, herpes, small pox, eye diseases, worm infestation, chronic ulcers and diseases in the mouth.
| Colocynth/Bitter apple | Indravaruni | Citrullus colocynthis. |
It is used to treat jaundice, scrotal enlargement, warts, alopecia, greying of hair, arthritis, amenorrhoea, for inducing vaginal secretion and abortion. It is beneficial in cleaning and healing the wounds. It is used in the treatment of insanity.
In older days, it was used to learn the method for extraction of foreign bodies.
| Stinging nettle | Anantha | Tragia involucrata Linn. |
This plant is used in many conditions like wounds, eczema, scabies and other skin infections. It has anti-inflammatory property. It is used to treat piles, migraine, warts and rheumatism.
| Indian sarsaparilla | Sariba | Hemidesmus indicus (L.) SCHULT |
It is a coolant and a potent detoxifier. It is demulcent, alterative, astringent, diaphoretic, diuretic, tonic, anti-pyretic, and blood purifier. It is used in leprosy, other skin diseases, fever, asthma, bronchitis, syphilis, pruritus, diseases of the urinary tract and leucorrhoea.
| Small-flowered fumitory | Parpataka | Fumaria parviflora AUCT. NON. LAM.
|
This drug is mentioned as the prime remedy of fever in Ayurveda. Fumaria has been traditionally used as a laxative and diuretic. This plant is applied in treatment for dermatologic conditions such as eczema. The drug is suggested to be beneficial in hepatobiliary disorders, and also for colic pain.
| Himalayan cedar | Devadaru/surapaadapa | Cedrus deodara |
It is useful as an expectorant in cough. It relieves asthma and other respiratory diseases by clearing the airways and enhancing the movements of respiratory tract.
It has anti-diabetic effect as it helps reduce high blood sugar levels in blood.
It helps to calm the mind and improves sleep quality.
Details of the manufacturing
As already stated, Mahamanjishthadi kashayam has 45 ingredients. There is no explanation of the ratio in the sloka. In common practise, all ingredients are taken in equal quantity.
All these ingredients should be washed well and dried up in shade.
Take the prescribed herbs in dried & crushed form in an earthen pot. For your special attention, Naagara should be crushed and tied up separately in a white clean cotton cloth as a Potali. This is to prevent the excess dissolution of the contents and to maintain the exact consistency of the kashayam. Now add 16 times clean water into it. Make it boil and then cook in the open vessel with low fire. Reduce the quantity into one by eighth of the initial quantity. Make sure to mix it in between with a ladle without breaking the potli. Also, the fire should be kept low to make sure that all the active ingredients in the herbs needed are absorbed well into the water. Once the quantity is reduced to one by eighth of the initial amount of water, remove the vessel from the fire. Squeeze and drain through a clean white cloth. Collect the decoction in a clean vessel and discard the solid waste. Drink the mild warm decoction.
Here the prescribed prakshepadravyas are Kana and Guggulu. It is used in powder form.
Dosha Dooshya Predominance with roga margas.
Mahamanjishthadi kashayam is Pitta kaphahara.
It acts on madhyama and bahir-rogamarga
Dosage and Usage of Mahamanjishthadi kashayam
Dosage: two Pala.
Usage:
Kashayam is advised to take in empty stomach, once the ingested food is digested well and aahaararasa is formed well.
Usage of kashayam with prescribed prakshepadravyas according to the condition of disease and the patient gives the best results mostly.
Exercises and Yoga.
Mahamanjishthadi kashayam targets mainly locomotor and nervous systems. Vigorous exercises are not allowed in painful conditions.
Only stretching, moderate walking, and mild cardio exercises are advised. Also, specific yogacharya including bhujangaasana, salabhasana, vajrasana is recommended. Range of movement and flexibility must be considered while doing every exercise.
Sookshma sandhi vyayama (warming up small joints) is advised.
Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.
Yoga can maintain harmony within the body and with the surrounding system.
Salabhasana
vajrasana
Bhujangasana
All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.
Recommended diet and behaviour
Diet:
- To be avoided
Heavy meals and difficult to digest foods – cause indigestion.
junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
carbonated drinks – makes the stomach more acidic and disturbed digestion
refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase kapha and cause respiratory problems
curd – causes vidaaha and thereby many other diseases
Avoid foods with opposite potency, like cold and hot.
- To be added
Light meals and easily digestible foods
Green gram, soups.
freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Behaviour:
Better to avoid exposure to excessive sunlight wind rain or dust.
Avoid sedentary lifestyle as it is one of the main causes of rheumatoid arthritis.
Maintain a regular food and sleep schedule.
Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.
Avoid climbing of stairs if it is painful.
Side effects and contraindications
No known side effects reported
Classical references with image of the text.
SARNGADHARASAMHITA MADHYAMAKHANDA 2/137-142
Equivalent medicines.
Patolakaturohinyadi kashayam
Guduchyadi kashayam
Brands Available
AVS KOTTAKAL
AVP COIMBATORE
KERALA AYURVEDA
PATANJALI
DABUR
Research papers
Suradaru
anti-inflammatory and analgesic
https://pubmed.ncbi.nlm.nih.gov/10350366/
Vrisha
Presesnce of vasicine and oxyvasicine beneficial in respiratory diseases.
https://www.researchgate.net/publication/306020300_Therapeutic_use_of_Adhatoda_vasica
Chitraka
Effect on obesity and hypercholesterolaemia and anti-inflammatory property.
Indrayava
Case study-hyperglycaemia
Study on Paatha dwaya
Study including anti-diabetic and anti-hypercholesterolaemic properties
Katuka
Study in Non-alcoholic fatty liver
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3087357/
Hareetaki
ANTI DIABETIC AND RENAL PROTECTION
https://link.springer.com/article/10.1186/1472-6882-6-17
GUDUCHI ANTI OXIDANT AND ANTI INFLAMMATORY
doi:10.1016/S0378-8741(03)00119-3
Sariba
Abstract The methanolic extract of Hemidesmus indicus (L) R.Br. (Asclepiadaceae) roots was found to inhibit lipid peroxidation and scavenge hydroxyl and superoxide radicals in vitro. The amount required for 50% inhibition of lipid peroxide formation was 217.5g/ml. The concentrations needed to scavenge hydroxyl and superoxide radicals were 73.5 and 287.5g/ml, respectively. The intravenous administration of this extract (5 mg/kg body weight) in rabbits delayed the plasma recalcification time and enhanced the release of lipoprotein lipase enzyme significantly. The extract also inhibited ADP-induced platelet aggregation in vitro (50–250g), which was comparable to commercial heparin. © 2003 Elsevier Science Ireland Ltd. All rights reserved. Keywords: Hemidesmus indicus; Antioxidant activity; Antithrombotic activity; Antiplatelet aggregation; Anticoagulant activity; Lipoprotein lipase
doi:10.1016/S0378-8741(03)00119-3
Author information
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