The deranged doshas of the body, aggravated by such causes as voluntary repression of any natural urges (of stool, urine etc.) External blow or hurt, use of extremely dry (ruksha) and heat making articles of fare in inordinate quantities or of such articles as are indigestible or incompatible in combination or uncongenial to the system as well as taking food before digestion, contaminate the bodily rasa (lymph chyle) and find lodgement in the heart, producing the characteristic pain in the organ, which is known as Hrdroga (the disease of the heart). The disease may be divided into five distinct types, of which four are dosha origined, (vata, pitta, kapha and sannipatika) and the fifth is due to the presence of worms (krmi).
In the Vataja type, a pain is felt in the region of the heart that seems as if it is being drawn down and crushed, pierced and cracked, pricked and split.
Pittaja type, thirst with a burning sensation, agony feeling and a sucking pain in the heart, epileptic fit, funny eructation and dryness of the mouth.
Kaphaja type, a sense of heaviness in the chest, secretions of mucous from the nose and mouth, and an aversion to food and a feeling of numbness to the body, dullness of the digestive fire and a sweet taste in the mouth.
Krimija hrdroga, nausea salivation (spitting), piercing and cutting pain in the heart, dark vision, aversion to food, a dull brown hue to the eyes, as well as emaciation of the body are the factors that point to the presence of krimiji in the body.
Vertigo and a sense of exhaustion attended with a feeling of physical lassitude and emaciation of the body exhibit themselves as the distressing concomitants in all the cases, while the supervening symptoms of Kaphaja worms exhibit themselves in case of krimija hrdroga.
Hrd-roga involving all three doshas, because of incompatible food and lifestyle the digestion in the stomach is affected which vitiates samana vayu, pachaka pitta, and kledaka kapha producing ama which circulates with the rasa dhatu. The site of the rasa dhatu is the skin and heart, the ama circulating with all other dhatus effects them individually causing;
Rasa- superficial fatty deposits.
Rakta- atheriosclerosis or high colesterol.
Mamsa+medas- fat (obesity).
Asthi- joint pain.
Majja- lethargy, sleepiness.
Sukra- decreased sexual drive, impotence etc.
If all the dhatus are saturated by ama, then it effects the other site of rasa which is the heart (hrdaya) causing blockages of the arteries and heart valves affecting the functioning of the heart.
In a case of Pittaja hrdroga vomiting should be induced with the decoction of sri-parni-fruit, Yasti madhu, and Utpala (D.R. Treacle) mixed with honey and sugar. Clarified butter duly cooked with the drugs of the madhura group as well as the decoction efficacious in pittaja fever should be internally administered. The food of the patient should be prescribed with the soup of the flesh of the principle animals in the jangala group cooked with clarified butter and he should then be treated with a vasti, charged with honey and oil duly cooked with Yasti-madhu.
In the kaphaja type of the disease, vomiting should be induced with a decoction of Vaca or of Nimba and the pulverised medicinal compound prescribed for the Vataja type should be administered. The patient should also be advised to take clarified butter with his food. A decoction of triphala or of the drug of the Phaladi (Madana-phaladi-sutra Ch. XXXIX) or the Mustadi (sutra Ch. XXXVIII) group, should be prescribed for internal use. Or the patient should be purged with clarified butter mixed with powdered Syama (Vrddha-daraka) and trivrit. A physician skilled in the art of applying vasti should prescribe a vasti charged with bala oil under the circumstances.
In the Krimija type characterised by the presence of worms, the patient should be first treated with a sneha. A meat eater with curd of fried and powdered sesamum should then be given to the patient for three days in succession after which he should be purged with the compound of Ajaji and sugar mixed with the salt predominating purgative preparation mixed with scented drugs (mentioned in the sutra sthana Ch. XLIV). An adequate quantity of rice boilings (Dhanymla) with a profuse quantity of Vidanga should then be internally administered, whereby the worms would be dislodged from the hearts (and expelled through the lower orifices of the body). A diet consisting of cooked barley grains saturated with powdered Vidanga should then be given to the patient. (Susruta Uttara Tantrum Ch. XLIII).
If the vital essence of the heart (asta bindu) (para ojas) is lost, death will result.
In a case of Vataja type hrdroga, a patient should be first treated with sneha and then made to vomit out the contents of his stomach with a draught of the decoction of Dasa-mula mixed with salt and a sneha. After being purged he should be made to take a pulverised compound consisting of Pippali-ela,
Through the medium of the juice of acid fruits, fermented rice boilings, decoction of Kulatta curd, wine, asava or with any kind of sneha. The patient should be made to have his meal of matured Sali rice, with soup of any jangala meat coked with clarified butter. Oil duly cooked with vayu subduing drugs should be applied as a vasti in an adequate quantity in the case
Bee-honey. Lasuna (garlic)
Rice. Amratika- like small mango, sweet and sour taste.
Milk in moderation. Wine in moderation.
Half fill stomach with food the rest with liquid, then short walk after meal, then rest a little.
Half fermented milk. All types of meat. Milk of buffalo. Eggs (tamasic). Hot and cold foodstuffs (extremes of temperature). Strong emotions i.e. Anger, jealousy, rage, fear, sadness. Over indulgence in sex not good for the heart. Moderation in sex ok. Not to exercise after meals.
Smoking hookah good for the heart.
Medicines for heart. (Aushada).
Lasuna pinda (garlic).
Talisadi for Kapha type.
Mica (Abhraka) in bhasma form is a mineral that is good for the heart.
Yogendra rasa, which has Mica and Gold and is also used for nervous disorders.
It is also good to wear pearls externally.
Nagarjunabhraka is a preparation containing Mica and Arjuna.
For angina use Arjuna arista and dashamool Arista.