Management of Diabetic neuropathy by Bahirparimarjana Chikitsa using Takradhara to evaluate its efficacy in neuropathy patients.
- 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 is a variety of Shirodhara, in which medicated buttermilk is poured in a continuous stream over the forehead, in a specified manner.
- Shirodhara device – 1
- Vessels – 3
- Towels – 3
- Cotton plugs -2
- Eye pads – 2
- Gauze piece (60cm) – 2
- 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.
- 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
- 7 to 14 days. [45 minutes to 1 hour].
- 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.
Dr. Keerthi Shetty