Management of Diabetic neuropathy using Takradhara treatment

 

Takradhara

Objective:

Management of Diabetic neuropathy by Bahirparimarjana Chikitsa using Takradhara to evaluate its efficacy in neuropathy patients.

Concept

  • Diabetes mellitus is an umbrella term used to incorporate various immuno-endocrino metabolic and genetically mediated systemic manifestations.
  • Externally done Musta Amalaki Siddha Takradhara along with existing Madhumehahara chikitsa is found effective.

TAKRA DHARA:

Takra dhara is a variety of Shirodhara, in which medicated buttermilk is poured in a continuous stream over the forehead, in a specified manner.

Materials required:

  • Shirodhara device – 1
  • Vessels – 3
  • Towels – 3
  • Cotton plugs -2
  • Eye pads – 2
  • Gauze piece (60cm) – 2

Ingredients:

  • Amalaki Churna – 200g
  • Milk – 1.5 Liters
  • Oil for talam – 10 ml
  • Rasnadi Churna – 5g

Preparation of medicine:

  • Takra: 1.5 Liters of milk diluted with 4 times water is boiled with 100g of skinned and crushed Musta tied in a muslin bag and is reduced to the original quantity of milk.
  • The bag of medicament is taken out and squeezed well. When cooled this prepared milk is fermented by the addition of a little sour butter milk over night.
  • Next morning the fermented medicated curd is churned by adding 500ml of Amalaki kwatha.
  • The butter is removed completely and this mixture is used for dhara after filtering.

Amalaki Kwatha :

  • 200gm of dried Amalaki fruit boiled with 8 litres of water and reduced to 2 liters.
  • 1.5 liters of Amalaki kwatha is used to mix with buttermilk.
  • 500ml of that is used to wash the head after the procedure.

Pre- operative measures:

  • The application of oil on head and body is done.
  • The eyes should be covered with eye pads and gauze should be tied around the head above the eyebrows. The ear should be plugged with two cotton pieces.

Operative measures:

  • The patient should lie in supine position on the droni.
  • A small pillow should be placed under the neck.
  • The dhara pot should be kept in such a way as to allow steady dripping of the liquid poured into it over the forehead of the patient.

Time to perform the procedure:

  • Between 7-10 am if necessary, it can be done between 4-6 pm

Duration:

  •  7 to 14 days. [45 minutes to 1 hour].

Other precautions:

  • The tip of Dharavarti should be 3 inches above the forehead of the patient.
  • The vessel should always be kept oscillating so that the takra will fall into the patient’s entire forehead without interruption.
  • The takra falling should be poured again into the vessel after collecting it from the hollow on the droni.

Post -operative procedures:

  • The head is washed with Amalaki kwatha.
  • Raasnadi churna is applied.

Complications and management:

  • Shivering is observed in some patients due to excess sheeta.
  • In such case the procedure is stopped immediately and the patient is managed with ushnopachara.

Author:

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Dr. Keerthi Shetty

Ayurveda Doctor

Panchakarma Specialist

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