Concept of cumulative dose in Ayurveda with special reference to metallic Bhasma

Abstract

BACKGROUND: Metals and minerals are an integral part of Ayurvedic therapeutics. Many cases of metal toxicity caused by the administration of Ayurvedic drugs are being reported every now and then. It has been observed that in most of these reported cases, the Ayurvedic drugs were used in inappropriate dose and duration. In view of this observation, an attempt has been made in this article to bring forth the appropriate therapeutic and cumulative dose of metallic Bhasmas as described by Ayurvedic classics. The concept of the cumulative dose appears to be the most ignored part by Ayurvedic practitioners. AIMS AND OBJECTIVES: To search and find out the references of cumulative dose with special reference to metallic Bhasma and to explore the concept of cumulative dose in Ayurveda. METHODS: Ancient Ayurvedic classics and other available translations in various languages, published books, and other topic-related material available online were viewed and compiled references to elaborate on the concept of cumulative dose with special reference to metallic Bhasma. STATISTICAL ANALYSIS: The cumulative frequency method is used to determine the cumulative dose. RESULTS: Total 2 references found out of the one reference in Ayurved Prakasha and one in Sharangadhara Samhita with the commentary of adhamallas dipika. DISCUSSION: According to Sharangadhara Samhita, with the commentary of Adhamallas Dipika therapeutics dose of metallic Bhasma for Swarna 2 Yava (62.5 mg), whereas 1 Yava according to Ayurveda prakasha but the cumulative dose is same. CONCLUSION: As per Sharangadhara Samhita, with the commentary of Adhamallas metallic Bhasma can be used for 16 days and as per Ayurveda Prakasha 32 days. It needs to be determined in accordance with the status of Agni, Dosha, Desha, Kaala, Prakruti, and other factors.

Keywords

• ayurveda
• cumulative dose
• maatra
• metallic bhasma
• therapeutic dose