ARBUDA CHIKITSA

🔺TREATMENT : ARBUDA CHIKITSA 

📌DEFINITION:

🔸Arbuda Chikitsa refers to the therapeutic management of Arbudha — a hard, immovable, rounded, and deep-seated swelling caused by aggravated Doshas leading to abnormal tissue proliferation (Granthi-like but larger and more severe).

📌DRUGS USED

🔸Kanchanara

🔸Guggulu

🔸Haridra

🔸Triphala

🔸Shilajatu

🔸Manjishta

🔸Tulasi

🔸Varuna

🔸Punarnava

🔸Daruharidra

📌PROCEDURE:

1. Shodhana Chikitsa (Purification):

🔸Virechana (purgation)

🔸Raktamokshana (bloodletting)

🔸Vamana (emesis) in Kapha-dominant Arbudha

2. Shamana Chikitsa (Palliative)

🔸Use of Kanchanara Guggulu, Triphala Guggulu, and Haridra Khanda

🔸Application of Lepa (herbal paste) externally — using Haridra, Manjishta, Guggulu

🔸Use of Rasayana drugs like Shilajatu, Amalaki Rasayana

3. Shastra Karma (Surgical):

🔸When the Arbudha is well-localized, surgical excision is advised under Śalyatantra guidelines

📌INDICATED DISEASES

🔸Granthi

🔸Arbuda (Mamsarbuda, Medoarbuda, etc.)

🔸Vidradhi

🔸Galaganda

🔸Gulma

🔸Apachi

📌MUST BE AVOIDED IN:

🔸Weak, cachectic, or emaciated patients (Durbala Rogi)

🔸Patients with severe anemia (Pandu, Kshaya)

🔸Ulcerated, suppurative, or infected Arbudha

🔸During pregnancy (Garbhini)

🔸When Dosha is not stabilized (no proper Avastha)

📌PRECAUTIONS:

🔸Perform Shodhana only after assessing Rogi Bala and Roga Bala

🔸Avoid excessive Agni Deepana in Pitta-dominant conditions

🔸Regular monitoring for recurrence

🔸Maintain aseptic condition during surgical intervention

🔸Use Rasayana post-treatment to prevent relapse