Jun01

Posted by Dr. Manish Joshi on Tuesday, 1st June 2010
Aphim is a vish-dravya.Guna � sukshma, ruksha
Ras � tikta kashay
Vipak � katu
Veerya � ushna
Prabhav � maadak
Doshagnata � kaphavaatshaamak, pittaprakopak
Overdose � ojakshay and tadjanya vaatprakop- pralapadi lakshanas and mrutyu.
Dose - 1/4 to 1 gunja. (in less dose � uttejak. In large doses � avasaadak)
Kalpa � ahiphenasav, nidroday vati, karpur ras, dugdha vati etc.
Aphim shuddhi - Firstly dissolve in water, filter it and boil it on low- flame. After that give 21 bhavanas of ardrak swaras to dried aphim. By this aphim get shudhdh but vishatava does not vanish.
Chemical composition of Aphim �
There are 29 active principles in aphim, mainly morphin, codeine, thebaine and narcotine .
Rogaghnata �
1) As it is vyavaayi-vikasi-maadak and ushna in guna, acts well as vedana-sthaapak, nidrajanan and akshepaghna. Useful in udarshool, ashmari-shool, grudhrasi-shool, parshwa-shool. Useful in Nidranaash. As it is akshepaghna so useful in Apasmaar, apatantrak, kampavaat, dhanusthambh, kuchala-vishbadha.
2) Useful in ati-lala-straav. Aamashayshoth, pakvatisaar, vaatatisaar, vishuchika-prarambhik avastha.
3) Hrudbalya. Raktastambhak, hrudayksheenatajanya shwaas, hrudshool.
4) Shwasankendre avasaadak. Kaphanashak , shwasaghna, vaat-kaphaja kaas, phuphphusavaran-shoth, peenas
5) Purushatva-ghatak. But shukrastambhan is there due to aphim. So in shighra-patan it is useful
Absorption and Excretion �
Amashaye � mand-shoshan
Antra � shighra � shoshan
90% of aphim is excreted by mutra and remaining 10% through purish, sthanya, amashaygat ras and sweda.
Generally within 6 hours, aphim is excreted from body. 75% of aphim is excreted within 24 hours through mutra.
Aphim � where should not be given ? �
1)phuphphusavaran-shoth
2)chhinna-shwaas
3)mastishkavaran-shoth
4)jwar and ati-shramjanya mastishkagat raktastraav
5)Serious vrukka vikruti specially uremia
6)In baal rugna and vrudhdha rugna
7)Generally addiction of aphim is seen if given for long time in jeerna-vyadhi
Lakshana of aphim-vish-badha -
1)tandra
2)nidra
3)sanyaas
4)avasaad
5)shwasavarodh
6)mrutyu
Firstly netra-tarakaa (pupils) sankuchan (pin pointed) is seen. But before few minutes of death they are dilated. Generally avasaad is seen in 4-6 hours and death is seen in 6-12 hours.
Death by aphim is not so painful. On the contrary, patient of phim death doen not know that he is dying.
Upachaar for aphim-vish-baadha �
1)shodhan - arishta(ritha)- jal or sarshap sidhha jal for vaman. Stomach wash till clean water returns.
2)antidotes of aphim � Ritha, Hing, Amalaki, Erand, Karpaas, Dronapushpi, Ghrut, Tejapatra, Nimb, Patha
Take care - the patient should not sleep till aphim vish-badha vanishes.