Chiruvilwadi kashayam is an Ayurvedic medicine for piles, anal fissures and fistulae, and distended abdomen. It enhances digestive fire.
Benefits of Chiruvilwadi kashayam
It is useful in non-bleeding piles. It helps to heal fistulae and fissures in the early stages. It can prevent the complications of these diseases, too. With proper prakshepadravyas (additives), 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 beneficial in the first stage of Ulcerative colitis when given with Dadimashtaka choorna(not together, but in different times of intake)
It is found useful in treating varicose veins.
Indications of Chiruvilwadi kashayam
- Gudakeelam – haemorrhoids
- Bhagandaram – Anal fistulae
- Gulmam – various kinds of gas trouble, distension of abdomen and indigestion.
- Jatharagnivivardhanam eva param – most efficient in enhancing digestive fire.
Ingredients of Chiruvilwadi kashayam
| 1. Indian elm | Chiruvilwa | Holoptelea integrifolia |
It has anti-diabetic, anthelmintic and wound healing properties. It is beneficial in healing hemorrhoids.
| 2. Spreading hogweed | Punarnava | Boerhavia diffusa |
It is an important anti-inflammatory medicinal herb well known for its diuretic and antioedematous properties. Here it works as a diuretic, by balancing the water retention at the same time helping to reduce oedema in the visceral organs being beneficial in ascites, splenomegaly etc. It can eliminate the unwanted fluid collected in tissues and reduce swelling and thereby reverse inflammation. Punarnava means it has the capability to repair and regenerate.
| 3. Ceylon leadwort | Vahni | Plumbago zeylanica L.
|
It aids digestion and increases appetite. It has anti-inflammatory action. It can also be used in liver diseases.
| 4. Chebulic myrobalan
|
Abhaya | 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 anti-fungal anti-viral anti-diabetic anti-mutagenic anti-oxidant anti-ulcer and wound-healing properties.
| 5. Long pepper | Kana | Piper longum |
It has carminative action and maybe used as appetizer. The fruit and root of Pippali are used in the form of powder to treat fever, diarrhoea, piles, cough, hiccough, asthma, hoarseness of voice, flatulence, colic, vomiting, acid gastritis, oedema, diseases of mouth, eye diseases, diseases of semen, diseases of women, jaundice, and earache.
Pippali mixed with honey alleviates cough, dyspnoea, fever splenomegaly, and hiccough.
| 6. Dried ginger | Nagara | 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.
Details of the manufacturing
As already discussed, Chiruvilwadi kashayam has 6 ingredients.
All these ingredients should be washed well and dried up in shade.
Take equal quantity of all ingredients in dried & crushed form in an earthen pot. For your special attention, Naagara should be crushed and tied up separately in a white clean cotton cloth as a Potali. This is to prevent the excess dissolution of the contents and to maintain the exact consistency of the kashayam. Now add 16 times clean water into it. Make it boil and then cook in the open vessel with low fire. Reduce the quantity into one by eighth of the initial quantity. Make sure to mix it in between with a wooden ladle without breaking the potli. Also, the fire should be kept low to make sure that all the active ingredients in the herbs needed are absorbed well into the water. Once the quantity is reduced to one by eighth 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. Drink the mild warm decoction.
Dosha Dooshya Predominance with roga margas.
Chiruvilwadi kashayam is Vaatakaphahara and anulomana.
It acts on both antar and madhyama rogamargas
Dosage and Usage of Chiruvilwadi kashayam
Dosage: two Pala.
Usage:
Kashayam is advised to take in empty stomach, once the ingested food is digested well and aahaararasa is formed well.
Usage of kashayam with prescribed prakshepadravyas according to the condition of disease and the patient gives the best results mostly.
Here
Prakshepadravya is saindhava or rocksalt. It enhances the penetration action and increases the potency of kashayam to remove obstruction in the channels.
Exercises and Yoga.
As Chiruvilwadi kashayam targets mainly GIT, lower back and hip region, following stretching exercises and specific yoga asanas like pavanamuktasana, vajrasana, bhujangasana etc for lower back and abdomen recommended.
Regular exercise helps improve the 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 a 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.
As almost all the drugs are teekshna, this kashaya may cause mild fatigue and emaciation when taken for long time.
People with IBS or a sensitive stomach may develop diarrhoea when not supervised by a qualified Ayurveda physician.
Classical references
SAHASRAYOGAM ARSAS SHLOKA 2
Equivalent medicines.
Saptasaram kashaym
Brands Available
AVS Kottakal
Vaidyaratnam oushadhasala
SNA oushadhasala
AVP Coimbatore
Nagarjuna Ayurveda
Kerala Ayurveda
Research papers
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871264/
Punarnava
Sunthi
https://www.ncbi.nlm.nih.gov/books/NBK92775/
Pippali
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2639691/
