Saturday, June 5, 2021

MISRAKASNEHAM- Benefits, Ingredients, Indications, Dosage, Usage, Preparation, Side effects, Equivalent Medicines, Research Papers

Misrakasneham is an Ayurvedic medicine for Colic pain and indigestion.  It is used in many diseases from hernia to PCOD.

Benefits of Misrakasneham

 Misrakasneham combination is used either as acchasnehapana as a preparatory procedure to Ayurvedic Panchakarma (cleansing therapy) or as samanasneha in small doses after having Kashaya or other rookshana medicines for a while. It is not usually advised for continuous use. As it is a strong purgative, it is used in small doses for purgation.

It is a strong laxative. It removes all the waste materials accumulated in the alimentary canal and cleanses the Gastro-Intestinal system. It relieves constipation. It is mainly used in the treatment of indigestion with pain, flatulence, belching, heartburn, and distension of the abdomen.

This ghrutam increases digestive fire (agnideepana) and removes undigested waste products from the body (amapachana).

It removes obstructions in channels and improves circulation. It reduces visceral oedema.

It is beneficial in cysts and growths in various parts of the abdomen. It can be useful in endometriosis, ovarian cyst, and dysmenorrhoea.

It can be used to treat first stages of various diseases like rheumatoid arthritis, hepatic disorders, appendicitis, renal disorders, PCOD etc.

Indications of Misrakasneham 

Gulmam                            – various kinds of gas trouble and indigestion

Vrddhi                               – Many conditions where oedema and swelling of visceral organs present, prostratomegaly, hydrocele, hernia, tumours, cysts etc.           

Vidradhi                            – Abscess

Soola                               – Colic pain

Vaatavyadhis                  – Many types of Nervous and locomotory diseases especially due to degeneration. 

Ingredients of Misrakasneham 

Long pepper Pippali 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.

Amla, Indian gooseberry Dhatri/ Amalaka

 

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. 

Black grapes Mridweeka/Draksha Vitis vinifera L.

Grapes are a nourishing and slightly laxative fruit that can support the body through illness, especially of the gastro-intestinal tract and liver. Because the nutrient content of grapes is close to that of blood plasma, grape fasts are recommended for detoxification. The fresh fruit is antilithic, constructive, cooling, diuretic and strengthening. The fruit is also helpful in the treatment of varicose veins, haemorrhoids and capillary fragility. The dried fruit is demulcent, cooling, mildly expectorant, laxative and stomachic. It has a slight effect in easing coughs. It is used as a remedy for skin diseases and in diseases of the eyes.

Syamadi gana

It is a group of strong purgative herbs. In misrakasneha, available herbs from Syamadi gana is added. All of them if added, will make it again a strong purgative. So, available and common drugs in this gana are added in practise; namely, 

Indian jalap/Turpeth root Syama/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. 

Red physic nut Danti Baliospermum solanifolium (Burm.) Suresh

 

It is a strong purgative. It has anthelmintic, diuretic and hepato-protective properties. It is used to treat pain, enlarged spleen, inflammations, jaundice, leukoderma, abdominal tumours, and cancer.

 

Barbados nut Dravanti Jatropha curcas L.

 

It has anti-bacterial and anti-cancerous properties. It is used in the treatment of dysentery & diarrhoea, rheumatism, mouth ulcers, skin diseases, cough etc. It has antibacterial activity against Staphylococcus aureus, E-coli, and Pseudomonas aeruginosa.

 

Betel palm Kramuka Areca catechu Linn.

 

It is an astringent and stimulant. It relieves hunger and abdominal discomfort. It kills and expels intestinal worms and parasites. It has diuretic and laxative properties.

 

Asian pigeonwings Sankhini Convolvulus pluricaulis

 

It is used for the treatment of hypertension, neurodegenerative diseases, ulcers, high blood pressure, epilepsy, vomiting, diabetes, sunstroke, and bleeding. In addition, it can also be used to improve memory and decrease cholesterol. It works as a nervine tonic.

Dragon spurge Saptala Euphorbia dracunculoides LAM.

 It has anti-oxidant, hepato-protective, and anti-inflammatory properties. It is used in the treatment of rheumatism and oedema.

 Heart leaved moonseed Chinnaruha/Guduchi

 

Tinospora cordifolia (WILLD.) HOOK.F. & THOMS

It is an effective anti-ulcer drug in action. It is a well-known anti-oxidant and has significant anti-inflammatory properties. 

Indian beech tree Karanja Pongamia glabra

 It has anti-inflammatory, anti-diabetic, and wound-healing properties. 

Golden shower tree Vyadhighata/Aragwadha

 

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. The 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 Bahala /Sigru 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.

Details of the manufacturing

As already discussed, Misrakasneham has around 10 herbal ingredients in total. It may vary according to the availability of purgative herbs.

All these ingredients should be washed well and dried up in shade.

For preparation of ghrithakalpana,

We use

  • Snehadravya

Sarpi (Cow’s ghee)          – 1 Prastha

Erandataila (Castor oil) -1 Prastha

  • Dravadravya (For Kashaya here) – 12 Prastha

Cow’s milk

  • Kalkadravya (For making paste, 1 Pala total)

Pippali

Amalaka

Draksha

              Available herbs from Syamadi gana

Take the prescribed erandataila, milk, ghruta and kalkadravya in an earthen pot.  Make it boil and then cook in the open vessel with low fire. Reduce the quantity into the quantity of ghrutha. Make sure to mix it in between with a ladle. 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. Continue cooking and stir in between. Check the Paaka as per Snehapakavidhi. Once the desired Paaka is attained, filter the ghruta and keep it in air-tight glass bottles after cooling. Ghrutha can be used for a longer period of time without any preservatives.

 Dosha Dooshya Predominance with roga margas.

Misrakasneham is Kapha-pittahara and anulomana

It acts on aabhyantararogamarga

 Dosage and Usage of Misrakasneham

Dosage:

As it is a strong purgative, a medical prescription is strongly recommended.

Generally, it is prescribed in OP practise as 5-15ml once a day.

But it can be increased upto one Pala or 48 gm in a person with profound digestive fire.

It differs for Acchasnehapanasodhana) and vicharanasneha(samana)

Usage:

Ghrutham is advised to take in an empty stomach, once the ingested food is digested well and aahaararasa is formed well.

Exercises and Yoga.

As Misrakasneham targets mainly digestive system, mainly stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana, suryanamaskara is recommended.

Regular exercise helps improve the bioavailability of the medicine and food ingested and leads to positive health.

Yoga can maintain harmony within the body and with the surrounding system.

Surya namaskar

Pavanamuktasana

Nadisudhi pranayama

Bhujangasana

Simple exercises for lungs and heart health

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)

Ice cold water, milk, and milk products – Increase Kapha and cause obstruction in channels, indigestion and respiratory problems.

curd – causes vidaaha and thereby many other diseases

  • To be added

Light meals and easily digestible foods

Green gram, soups, sesame oil.

freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc

 Behaviour:

Protect yourself from extreme hot & cold climate.

Better to avoid exposure to excessive sunlight wind rain or dust.

Maintain a regular food and sleep schedule.

Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.

Avoid a sedentary lifestyle. Be active.

Side effects and contraindications

No known side effects reported.

Classical references

ASHTANGAHRUDAYAM CHIKITHSASTHANAM GULMACHIKITHSITAM 89-90

 Equivalent medicines.

Neelinighrutam

 Brands Available

AVS Kottakal

Vaidyaratnam Oushadhasala

Research papers

Misrakasneha

https://pubmed.ncbi.nlm.nih.gov/9803051/

Dravanti

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3784917/#:~:text=Traditionally%20this%20plant%20is%20used,to%20have%20anti%2Dcancer%20properties.

 Sankhini

https://pubmed.ncbi.nlm.nih.gov/31743764/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3868798/#:~:text=pluricaulis-,C.,and%20decrease%20cholesterol%5B10%5D.

Saptala

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5397743/

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Author information

Dr. Rajesh Nair
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.

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