For pandu roga or anemia vamana is best or virechana is best - #27423
I have pandu roga or anemia.... Since 1 year serrum ferritin level is not increasing.... And is only 28 and the range is 30 to 300 soo doctor is recommending Panchakarma.... So please help me which one will be best Vamana or virechana
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Doctors’ responses
Hello Rashmi ji,
Please follow your doctor’s advice…
I am following but which procedure will be morr beneficial
Hello Rashmi ji,
If your doctor is already recommending you to go for panchkarma then You should. Because That Ayurvedic practitioner will assess your individual constitution (Prakriti), the nature of the imbalance, and your overall health before recommending either therapy.AND for this,you Need personal consultation with that doctor too…
So,please follow your doctor’s advice…
Take care
Kind Regards, DR.ISHA ASHOK BHARDWAJ
TAKE CARE
In the context of Ayurveda, Pandu Roga is understood as a condition characterized by diminished levels of blood, or dhatusara, leading to what we modernly call anemia. Addressing Anemia specifically within Panchakarma, a purification and detox process in Ayurveda, involves analyzing which type of dosha imbalance is at play. Focusing more on the digestive fire or “agni” is crucial, as weak digestive fire can impair nutrient absorption, thereby affecting serum ferritin levels.
Regarding Vamana (therapeutic vomiting) and Virechana (therapeutic purgation), the choice between them largely depends on the underlying doshic imbalance. Generally, for Pandu Roga, Virechana is preferred because it targets Pitta dosha and stabilizes Rakta dhatu (blood tissue). Virechana helps eliminate excess pitta from the body, thus improving digestion and metabolic functions to potentially enhance serum ferritin levels.
Virechana is typically considered safe and more relevant to cases involving anemia or Pandu Roga as it aids in rectifying any liver dysfunctions, contributes to better assimilation of iron, and enhances blood formation. It’s performed with medicated substances like Trivrit or Avipattikar churna, maintaining a balance of cleansing while protecting the dhatus.
However, Vamana could be more appropriate in a scenario where there is concurrent Kapha imbalance, but this is less common in chronic anemia cases.
Before pursuing either procedure, it’s essential to undergo a thorough evaluation by a qualified Ayurvedic practitioner. They’ll assess your body’s constituency and current state, ensuring the treatment aligns with your specific imbalances and needs. Also, compile with the necessary preparatory and post-therapy regimens that are often advised, including dietary modifications, herbal intake, and specific lifestyle practices.
Ensure to follow their instructions precisely and communicate any concerns promptly. Integrating Panchakarma with dietary considerations like iron-rich food intake, such as pomegranate, beetroot, and raisins, along with enhancers like lemon juice, will promote better iron absorption and contribute to improvement in your serum ferritin levels over time.
For addressing pandu roga (anemia) using traditional Siddha-Ayurvedic approaches, let’s consider the underlying principles. Anemia typically involves an imbalance of the pitta dosha, leading to symptoms like pale skin, weakness, and fatigue. In this context, the choice between vamana (therapeutic emesis) and virechana (therapeutic purgation) depends on your specific condition and constitution.
Virechana is generally considered more effective for reducing pitta and addressing issues related to the liver and spleen, which are often involved in anemia. This procedure gently cleanses the digestive tract and liver, helping to correct pitta imbalances and improve nutrient assimilation, which can be crucial in increasing serum ferritin levels. It targets agni (digestive fire), enabling better absorption of iron and nutrients from food.
Before proceeding, it’s important to ensure that you are suitable for virechana. Assessment of your prakriti (constitution), current strength, and stage of anemia should be considered. A preparatory phase with snehana (oleation) and swedana (sudation) precedes virechana to prepare your body for detoxification. Taking advice from an experienced practitioner for proper supervision is crucial due to the delicate nature of these procedures.
While viraechana might be suitable, always use caution. Ensure a balanced diet for sustaining energy levels—focus on iron-rich foods like green leafy vegetables, legumes, seeds, and dried fruits. Consulting your healthcare provider ensures appropriateness with your overall treatment plan and any concurrent therapies.

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