Article by Dr Raghuram Y.S. MD (Ay) and Dr Manasa, B.A.M.S
Granthi means a cyst or cystic swelling. Cysts are sac-like structures that can be filled with fluid, pus or other gaseous material. It is noncancerous. They are often caused by infection, clogging of sebaceous glands or around earrings.
Table of Contents
Granthi
рд╡рд╛рддрд╛рджрдпреЛ рдорд╛рдВрд╕рдореН рдЕрд╕реГрдХреН рдкреНрд░рджреБрд╖реНрдЯрд╛рдГ рд╕рдВрджреВрд╖реНрдп рдореЗрджрдГ рдЪ рддрдерд╛ рд╕рд┐рд░рдГ рдЪред
рд╡реГрддреНрдд рдЙрдиреНрдирддрдВ рд╡рд┐рдЧреНрд░рдерд┐рддрдВ рдЪ рд╢реЛрдердВ рдХреБрд░реНрд╡рдиреНрддреНрдпрддреЛ рдЧреНрд░рдиреНрдерд┐рдГ рдЗрддрд┐ рдкреНрд░рджрд┐рд╖реНрдЯрдГрее(рд╕реБ.рдирд┐.резрей)
The Doshas (Vata, Pitta and Kapha) contaminated the mamsa (muscles) and asruk (blood), meda (fat) and siraa (vein, blood vessel) causes an elevated swelling which is rounded and knotted (clotted). Such swelling will be called as Granthi. When the cyst (granthi) occurs specifically in sira, it will be called sira granthi.
Types
Granthi is of below mentioned types тАУ
- Vataja тАУ caused by morbid vata
- Pittaja тАУ caused by vitiated pitta
- Kaphaja тАУ caused by vitiated kapha
- Medaja тАУ caused by vitiated meda or fat
- Siraja granthi тАУ cystic swelling caused in the sira or veins
Vataja Granthi тАУ If vata is predominant in the granthi, it will be associated with various types of pain like pulling (aayamyate), splitting (vrushchati), pricking (toda), churning (mathya), blasting (bhedana) etc. it will be having the shape of a smooth bladder, black in colour. When it breaks open, pure blood is discharged)
In Kaphaja Granthi тАУ the granthi will be cold, has body color, associated with itching and less pain, hard like stone, grows to maximum size in a slow manner, when it breaks open it discharges white colored pus (infected).
Kaphaja Granthi features
рд╢реАрддреЛ рд╡рд┐рд╡рд░реНрдгреЛ рдЕрд▓реНрдк рд░реБрдЬреЛ рдЕрддрд┐ рдкрд╛рдгреНрдбреБрдГ рдкрд╛рд╖рд╛рдгрд╡рддреН рд╕рдВрд╣рдирдиреЛрдкрдкрдиреНрдирдГред
рдЪрд┐рд░ рдЕрднрд┐рд╡реГрджреНрдзрд┐рдГ рдЪ рдХрдл рдкреНрд░рдХреЛрдкрд╛рджреН рднрд┐рдиреНрдирдГ рд╕реНрд░рд╡реЗрддреН рд╢реБрдХреНрд▓ рдШрдирдВ рдЪ рдкреВрдпрдВрее (рдпреЛ.рд░.рдЧрд▓рдЧрдгреНрдбрд╛рджрд┐ рдирд┐рджрд╛рдирдореН.рек)
Symptoms of Kaphaja Granthi тАУ
- Sheeta тАУ cold to touch
- Vivarna тАУ disocloured
- Alpa ruk тАУ associated with mild pain
- Ati pandu тАУ pale appearance
- Paashaanavat тАУ stone hard on touch
- Chira abhivruddham тАУ develops slowly and gradually
- Bhinnaha sravet shukla ghanam cha pooyam тАУ on opening thick, white, viscid pus gets discharged
Sira Granthi
рд╡реНрдпрд╛рдпрд╛рдо рдЬрд╛рддреИрдГ рдЕрдмрд▓рд╕реНрдп рддреИрдГ рддреИрдГ рдЖрдХреНрд╖рд┐рдкреНрдп рд╡рд╛рдпреБрдГ рддреБ рд╕рд┐рд░рд╛ рдкреНрд░рддрд╛рдирдореНред
рд╕рдВрдХреБрдЪреНрдп рд╕рдВрдкреАрдбреНрдп рд╡рд┐рд╢реЛрд╖реНрдп рдЪ рдЕрдкрд┐ рдЧреНрд░рдиреНрдерд┐рдВ рдХрд░реЛрддрд┐ рдЙрдиреНрдирддрдореН рдЖрд╢реБ рд╡реГрддреНрддрдореНрее
рдЧреНрд░рдиреНрдерд┐рдГ рд╕рд┐рд░рд╛рдЬрдГ рд╕ рддреБ рдХреГрдЪреНрдЫреНрд░ рд╕рд╛рдзреНрдпреЛ рднрд╡реЗрджреН рдпрджрд┐ рд╕реНрдпрд╛рддреН рд╕ рд░реБрдЬрдГ рдЪрд▓рдГ рдЪред
рдЕрд░реБрдХреН рд╕ рдПрд╡ рдЕрдкрд┐ рдЕрдЪрд▓реЛ рдорд╣рд╛рдиреН рдЪ рдорд░реНрдо рдЙрддреНрдерд┐рддрдГ рдЪ рдЕрдкрд┐ рд╡рд┐рд╡рд░реНрдЬрдиреАрдпрдГрее(рд╕реБ.рдирд┐.резрез)
Vayu aggravated due to excessive exercises afflicts the siras, dries them up and cause narrowing in them (constriction, congestion) along with pain. In the process, the vitiated Vayu quickly causes rounded granthis in the siras. These siras are called Siraja Granthis. They are very difficult to cure especially when they are associated with severe pain and if the granthi is movable. The sira granthis which are devoid of pain and are immobile, large in size and are manifested in Marma sthanas (vital points, parts or organs of the body) should be considered as incurable.
In this, Sushruta has clearly explained the narrowing and congestion (pooling and collection of blood at one place) of siras or veins. This makes their valves incompetent enough to push the blood back towards the heart against gravitation (which is good when the veins are healthy and the valves are properly functioning). This causes enlargement or engorgement of siras (pampiniform plexus of veins in the scrotum in this case) and causes varicocele.
Vataja Granthi treatment
Treatment of Vataja Granthi тАУ
Himsradi lepa тАУ application of paste of Himsra (Solanum indicum), Katuki (Picrorhiza kurroa), Guduchi (Tinospora cordifolia), Bharangi (Clerodendrum serratum), shyonaka (Oroxylum indicum), Bilwa (Aegle marmelos), Aguru (Aquilaria agollocha), Shigru (drumstick), mixed in gomutra (urine of cow) should be applied over the granthi.
Apart from this other Vata alleviating measures and treatment of Vata shotha (explained later) should be followed.
Kaphaja Granthi treatment
Treatment of Kaphaja Granthi тАУ
Shodhana тАУ Body cleansing through Vamana (therapeutic emesis) and Virechana (therapeutic purgation)
Madhookadi Lepa тАУ wound cleansing and healing (after patana) should be done by applying the paste prepared using Madhooka (Madhuca longifolia), Jambu (Syzygium cumini), Arjuna (Terminalia arjuna), and vetasa twak (bark of bamboo)
Formulations like Kanchanara Guggulu, Punarnava Kashaya, Triphala Guggulu etc are useful.
Pathya – apathya according to yogaratnakara
Wholesome herbs, diet and habits
Old ghee, old red rice,barley, green gram, pointed gourd, red variety of drumstick, bitter gourd, dry, pungent and carminative substances, guggul, asphaltum etc.
Unwholesome herbs, diet and habits
Milk and milk products, sugarcane juice and its products, meat of animals of marshy lands, food items prepared from flour, sour, sweet, heavy to digest foods and foods that cause obstruction in the channel of circulation etc.
Click to Consult Dr Raghuram Y.S. MD (Ayu)