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. 2023 Sep 21;14(5):100792. doi: 10.1016/j.jaim.2023.100792

Table 3.

Panchakarma procedures and medicines given to a case of Avascular necrosis.

Panchakarma procedures Method of preparation Method of applications Days of treatment
Shalishaastika Pinda Svedana 400 g of Shashtikashali (a specific variety of rice, which is yielded after 60 days) is cooked with 1.5 L of milk and decoction of Bala Moola (the root of Sida
Cordifolia L.). This mixture is to be kept in four pieces of cloth to make 4 boluses. Another portion of milk and decoction of the same quantity should be mixed and heated at a low temperature to dip the above boluses for warming
Massage with Ashvagandha Taila was done whole body for 15 min followed by a whole-body massage for 45 min with the help of a cotton bag filled with a bolus of processed rice. 24 days
Panchatikta Ksheera basti 400 ml of Decoction of Panchatikta kwath was mixed with the same quantity of milk and heated again to reduce it to 400 ml quantity.
10g of Powdered rock salt was added to 50 g of honey and stirred. Then 75 ml Ashvagandha Taila and 50 ml Mahatikta Ghrita were added to this mixture and again stirred. Then paste of Shatahwa (Anthum sowa Kurz) followed by 400 ml of Panchatikta decoction processed with milk was added and mixed properly to make a homogenous emulsion, and heated gently in a water bath
Given before meal with Basti Yantra. Total 16 Basti everyday
Name of the drug used orally Composition Dose (twice a day) Days of treatment
Kaishora guggulu 750 mg 30 months
Dashamula kwath 40 30 months
Ashwagandha churna (Powder of Withania somnifera) 3g 30 months
Guduchi churna (Powder of Tinospora cardifolia L.) 1g 30 months
Chopchini churna (Powder of Smilax china L.) 2g 30 months
Shilajatwadi loha 500 mg 30 months