Navakarshikam kashayam is an Ayurvedic medicine for rheumatoid arthritis and associated skin disorders.
Benefits of Navakarshikam kashayam
It is beneficial in conditions like skin diseases and infections associated with rheumatoid arthritis.
In rheumatoid arthritis it is used to heal the inflammation and improve the function of the affected joints. It is beneficial even in some cases of varicose veins.
It is very useful in treatment of diseases with impaired circulatory system like SLE, Psoriatic arthritis, Vasculitis and TAO.
It is very effective in some pitta-rakta dominant skin diseases. Can be related with poorvarupa (prodromal signs) of vaatasonita
Indications of Navakarshikam kashayam
Vatharaktha – Rheumatoid arthritis.
Kushtam – Skin disease
Pama – Scabies
Raktha mandalam – type of skin disease with red circular rashes
Kapala kustam – Erythroderma/dermatitis
Ingredients of Navakarshikam kashayam
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.
| Beleric myrobalan, Bahera | Aksha | 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 health tonic and as rejuvenator. It is used in treatment of piles also.
| 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.
| 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.
| 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.
| 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.
| Yellow gentian, Hellebore |
Katukarohini |
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.
| Heart leaved moonseed | Amrutha
|
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 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.
Details of the manufacturing
Navakarshikam kashayam has nine ingredients in equal quantity each.
All these ingredients should be washed well and dried up in shade.
Take the prescribed herbs in dried & crushed form in an earthen pot. 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 wooden spatula. 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.
Dosha Dooshya Predominance with roga margas.
Navakarshikam kashayam is Pitta kaphahara.
It acts on madhyama and bahir-rogamarga
Dosage and Usage of Navakarshikam 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.
Navakarshikam kashayam targets mainly joints. Vigorous exercises are not allowed in painful conditions.Only stretching, moderate walking, and mild cardio exercises are advised in severe arthritis.
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
- 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.
Side effects and contraindications
No known side effects reported
Classical references
CHAKRADATAM VAATARAKTHADIKARAM SHLOKA 18/ 19/ 20
Equivalent medicines.
Manjistadi kashayam
Mahamanjishtadi kashayam
Brands Available
This product is not available in the open market. Please write to info@ayurvedaforall.com regarding the availability of the product.
Research papers
Thriphala in rheumatoid arthritis
https://pubmed.ncbi.nlm.nih.gov/25942351/
Manjishtha-Anti-inflammatory
https://pubmed.ncbi.nlm.nih.gov/29793098/
Vacha
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230970/
GUDUCHI ANTI OXIDANT AND ANTI INFLAMMATORY
The objective of the present work is to study the antioxidant and anti-inflammatory effect of alcoholic and water extracts of T. cordifolia (Willd.) Miers leaves in activated human monocytic THP-1 cells.
- cordifolia (Willd.) Miers extracts exhibited significant amounts of total phenolic and flavonoid content, and LC-MS/MS analyses detected tinosponone, a TC-specific clerodane-derived diterpene. Both types of extracts attenuated AA-induced ROS generation via enhancing catalase enzyme activity in THP-1 cells. Real time PCR and ELISA experiments revealed that the elevated levels of LPS-induced TNF-α was remarkably attenuated in THP-1 cells pretreated with T. cordifolia (Willd.) Miers extracts. Western blot and confocal microscopy showed that the alcoholic extract’s anti-inflammatory activity by attenuating NF-κB translocation into the nucleus in LPS-activated THP-1 cells via the inhibition of IκB degradation in the cytosol.
The findings suggest that T. cordifolia (Willd.) Miers dry leaf extracts possess antioxidant and anti-inflammatory properties via upregulation of antioxidant enzymes and attenuation of NF- κB nuclear translocation in activated human monocytic (THP-1) cells.
doi: 10.1016/j.phymed.2019.152831.
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