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Monday, April 5, 2021

DURALABHARISHTAM- Benefits, Ingredients, Indications, Dosage, Usage, Preparation, Side effects, Equivalent Medicines, Research Papers

Duralabharishtam is an Ayurvedic medicine for piles, anal fissures and fistulae, and diseases of digestive system. It relieves constipation and enhances digestive fire.

Benefits of Duralabharishtam

It is useful mostly in painful & non-bleeding piles. It helps to heal fistulae and fissures in the early stages. It can prevent the complications of these diseases, too. It enhances Agni (digestive fire), removes blockages in the lower part of Gastro Intestinal Tract and relieves constipation. By regulating the proper movement of Apaanavaayu, it gives relief to many types of aches and pains in the lower abdomen, back and hip area.

It is useful in piles, grahani and all other diseases of digestive system. It helps in irritable bowel syndrome, anaemia, skin diseases, ascites, food poisoning, fever, swelling etc.

It is beneficial in visceral problems like splenomegaly, hepatic disorders, heart diseases, pain & distension of abdomen, indigestion, belching, flatulence, etc.

It improves digestive & absorptive power in deficiency diseases and compromised immunity like tuberculosis. It is beneficial in vomiting and intestinal parasites.

Indications of Duralabharishtam 

It is more anulomana, than abhayarishta and does all the benefits of abhayarishta which are,

  • Agnim karoti – enhances digestive fire.
  • Gudaja – haemorrhoids
  • Grahani – Disorders of peristalsis& absorption, irritable bowel syndrome.
  • Pandu – Anaemia
  • Kushtha – Skin diseases
  • Udara – Ascites
  • Gara – Food poisoning or slow & mixed poisoning
  • Jwara – Fever
  • Swayathu – Swelling
  • Pleeha – Splenomegaly
  • Hrudroga – Heart diseases
  • Gulmam – various kinds of gas trouble, distension of abdomen and indigestion.
  • Yakshma – Tuberculosis
  • Vami – Vomiting
  • Krimi – Intestinal parasites

Ingredients of Duralabharishtam

Stinging nettle Duralabha Tragia involucrata Linn.

This plant is used in many conditions like wounds, eczema, scabies and other skin infections. It has anti-inflammatory property. It is used to treat piles, migraine, warts and rheumatism.

Red physic nut/wild croton Danthi Baliospermum montanum

Pungent in taste and hot in potency, it is well known as a strong purgative. It is also a stimulant. It is used in the treatment of haemorrhoids, calculi, abdominal pain, itching, leprosy, burning sensation, inflammation, abdominal disorders, bleeding disorders, and worm infestation. 

false pareira root/ velvet leaf Paatha Cissampelos pareira L.

 

 It has anti-inflammatory and antiseptic actions. This plant is used to treat gynaecological conditions. Patha is used in the treatment of chronic non-healing ulcers and sinuses. It is also used in the treatment of chronic skin diseases and in the treatment of poisonous bites. 

Ceylon leadwort Agni/Chitraka Plumbago zeylanica L.

 

It aids digestion and increases appetite. It has anti-inflammatory action. It can also be used in liver diseases. 

Chebulic myrobalan

 

Vijaya /Abhaya/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, antiseptic, anti-fungal, anti-viral, anti-diabetic, anti-mutagenic, anti-oxidant, anti-ulcer, and wound-healing properties 

Adathoda, Malabar nut Vaasa/Vrisha Justicia adathoda L.

 

It is an expectorant and is mostly used in respiratory conditions. It helps in treatment of skin diseases. It is also used in jaundice, fevers, headache and urinary infections.

Amla, Indian gooseberry Dhatri/Amalaka 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. 

Dried ginger Nagara/Sunthi Zingiber officinalis

It is unctuous and hot in potency with pungent taste but becomes sweet after digestion. It is an aphrodisiac and balances Vata and Kapha.

It improves ability to taste and promotes digestion. Relieves cough cold and other respiratory problems. It is not a laxative, rather causes constipation.

Large leaf beauty Phalini Callicarpa macrophylla Vahl.

It is used in the treatment of tumours, polydipsia, diarrhoea, dysentery, diabetes, fever etc. It is found beneficial in the management of inflammations, rheumatism, haematuria, fracture, haematemesis, menoxenia, gastro-intestinal bleeding, scrofula etc.

Long pepper Krishna Piper longum

It is unctuous and hot in potency with pungent taste but becomes sweet after digestion. It is an aphrodisiac and balances Vata and Kapha.

It improves ability to taste and promotes digestion. Relieves cough cold and other respiratory problems. It is not a laxative, rather causes constipation.

Kaattu mulak   Chavya Piper retrofactum Vahl.

 It is useful in treating indigestion, abdominal colic, worm infestation, poisoning, anorexia, productive cough, asthma, bronchitis, fever, diarrhoea, IBS, haemorrhoids, fistula, chronic respiratory disorders, throat disorders, and rheumatic conditions. 

Fire flame bush Dhaataki Woodfordia fruiticosa Kurtz

 It is an anthelmintic, in dysentery, leprosy, blood diseases, leucorrhoea, and menorrhagia.

+

Ghrita

Honey

Sugar

Details of the manufacturing

 As already discussed, Duralabharishtam has 12 herbal ingredients, Ghrita

Honey and Sugar.

All herbal ingredients should be washed well and dried up in shade.

Take

  • Duralabha 1 Prastha,

 

  • Danthi
  • Paatha
  • Agni
  • Vijaya               2 Pala each
  • Vaasa
  • Aamalaka
  • Naagara

In a clean vessel.

Add 16 Prastha clean water into it. Make it boil. The fire should be kept low to make sure that all the active ingredients in the herbs needed are absorbed well into the water. Make sure to mix it in between with a wooden ladle. Reduce the quantity into one by fourth of the initial quantity. Once the quantity is reduced to one by fourth 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. To this decoction, add 100 Pala of sugar and 16 Pala of Dhataki flower.

It should be transferred into an earthen pot coated inside with a paste of Phalini,Krishna, chavya, aajya, maakshika and ghruta. Cover it with a clean white cloth and keep it closed and airtight. Keep it for fifteen days in a dark place with low temperature. After fifteen days, open it and filter through a clean white cloth. Keep it in an airtight glass bottle. Arishtam can be used for a longer period of time without any preservatives.

Dosha Dooshya Predominance with roga margas.

Duralabharishtam is Kapha-Vaatahara and anulomana.

It acts on aabhyantara rogamarga 

Dosage and Usage of Duralabhararishtam

Dosage: 25-30 ml after food

Usage:

Arishtam is advised to be taken after food, once the ingested food and arishtam will digest together.

It is taken two times or three times a day immediately after food.

Duralabharishtam is explained as a special combination with specific mode of intake.

For the proper expulsion of foeces and Adhovaayu in a patient with haemorrhoids, it is advised to be taken Pragbhakta(before food/empty stomach) mixed with Ghee processed with fruits with sour taste/Ghee processed with Chavya,Chitraka,Yavakshara and guda/ Ghee processed withPippaleemoola, Guda, Yavakshara and Naagara. 

Exercises and Yoga.

As Duralabharishtam targets mainly GIT and excretory system, following stretching exercises and specific yoga asanas like pavanamuktasana, vajrasana, bhujangasana etc for lower back and abdomen recommended.

Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.

Yoga can maintain harmony within and with surroundings.

Pavanamuktasana

Vajrasana

Bhujangasana

Exercises for Low backache

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 digeastion

refrigerated and frozen foods – causes weak and sluggish digestion by weakening agni (digestive fire)

curd – causes vidaaha and thereby many other diseases

  • To be added

Light meals and easily digestible foods

Green gram, soups, buttermilk boiled with turmeric, ginger and curry leaves

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 lifting heavy weights and other vigorous physical activities.

Maintain a regular food and sleep schedule.

Avoid sitting continuously for a long time and avoid squatting.

Side effects and contraindications

No known side effects reported.

Diabetic people and people with gastric ulcer should not take arishta-asavas.

Classical reference 

ASHTANGAHRUDAYAM CHIKITHSASTHANAM ARSAS SHLOKA 70-71

 Equivalent medicines.

Abhayarishtam

Brands Available

AVS Kottakal

Vaidyaratnam oushadhasala

SNA oushadhasala

Research papers

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871264/

Dhataki

https://pubmed.ncbi.nlm.nih.gov/20731559/#:~:text=Context%3A%20Woodfordia%20fruticosa%20Kurz.,diseases%2C%20leucorrhea%2C%20and%20menorrhagia.

https://pubmed.ncbi.nlm.nih.gov/18639619/

https://pubmed.ncbi.nlm.nih.gov/8133651/

Pippali

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2639691/

Phalini

https://www.sciencedirect.com/science/article/abs/pii/S037887411300007X

Danthi

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4293748/

Yavashaka-wound healing property

https://pubmed.ncbi.nlm.nih.gov/16698191/

Share and Enjoy !

Author information

Dr. Rajesh Nair
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.

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