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कोकिलाक्ष क्षारम् - Kokilaksha Ksharam

Scientific Name: Asteracantha longifolia / Hygrophila spinosa

Hindi Name: तालमखाना की क्षार - Talamakhana ki Kshar

English Name: Marsh barbel - Ash concentrate - Alkali

Category: Combination Products

Sub-Category: क्षारम् - Ksharam - Alkali Medicines

Brief Description

Choice of treatment for gallstones.

कैयदेवनिघण्टु - १. ओषधिवर्ग

कोकिलाक्षो निक्षुरिक्षुबालिका तैलघण्टिकः | अथेक्षुरः क्षुरो ध्वाङ्गः क्षुरकश्चेक्षुगन्धिका ||१०९०||
अन्यः कदम्बशालिः स्याद् बृहत्केश श्चखगाटः | कोकिलाक्षो हिमस्तिक्तः स्वाद्वम्लः स्निग्धपिच्छिलः ||१०९१||
वृष्यो वातामवाताश्मतृष्णादृष्टिखुडास्रजित् | इक्षुरस्य दलं स्वादु तिक्तं शोफविषापहम् ||१०९२||
शूलपाण्डूदरानाहवातमूत्रविबन्धनुत् |१०९३|

भावप्रकाश-पूर्वखण्ड-मिश्रप्रकरण - ४. गुडूच्यादिवर्ग

कोकिलाक्षस्तु काकेक्षुरिक्षुरः क्षुरकः क्षुरः | भिक्षुः काण्डेक्षुरप्युक्त इक्षुगन्धेक्षुबालिका ||१९२||
क्षुरकः शीतलो वृष्यः स्वाद्वम्लः पित्तलस्तथा | तिक्तो वातामशोथाश्मतृष्णादृष्ट्यनिलास्रजित् ||१९३||

मदनपालनिघण्टु - १. अभयादिवर्ग

इक्षुरः क्षुरकोध कोकिलाक्षः क्षुर स्मृतः | तैलकटोतीक्षुरिक्षुवालिकाचेक्षुगन्धिका |
इक्षुरः शीतलो वृष्यो गुरुर्वातकफास्रजित् ||३०९||

माधवद्रव्यगुण - १. विविधौषधिवर्ग

आमवातानिलास्रघ्नौ कोकिलाक्ष कुलाहलौ |

राजनिघण्टु - ४. शताह्वादिवर्ग

कोकिलाक्षः शृगाली च शृङ्खला रणकस्तथा | शृङ्गालघण्टी वज्रास्थि शृङ्खला वज्रकण्टकः ||१९१||
इक्षुरः क्षुरको वज्रः शृङ्खलिका पिकेक्षणः | पिच्छिला चेक्षुगन्धा च ज्ञेया भुवनसम्मिता ||१९२||
कोकिलाक्षस्तु मधुरः शीतः पित्तातिसारनुत् | वृष्यः कफहरो बल्यो रुच्यः सन्तर्पणः परः ||१९३||

द्रव्यगुणविज्ञानम् - आचार्य प्रियव्रत शर्मा

क्षुरकः शीतलो वृष्यः मधुरः पिच्छिलो हिमः । स्निग्धः पित्तामशोथाश्म तृष्णा दृष्ट्यनिलास्रजित् ॥

Sl.No	Raw Material	Variant	Ratio	Quantity Required for 1000g	Unit

modal-content

Rasa	कटु - Katu - Pungent
Guna	तीक्ष्णम् - Tikshnam - Drug action which irritates body by its Pungent quality लघु गुणम् - Laghu Gunam - Drug property which induces lightness to body उष्णं गुणम् - Ushna Gunam - Drug action which imparts heat रूक्ष गुणम् - Ruksha Gunam - Drug action which imparts dryness द्रव गुणम् - Dravagunam - Drug action which imparts liquid state मृदु गुणम् - Mrudu Gunam - Drug action which imparts softness सर गुण - Saraguna - Drug action which imparts movement सूक्ष्म गुणम् - Sukshma Gunam - Drug property by virtue of which molecules of drug can eneter into minutetst spaces of body विशद गुणम् - Vishada Gunam - Drug action which cleanses the body
Veerya	Ushna veerya
Vipaka	Katu
Prabhava	पित्ताश्मरीहरम् - Pittashmariharam - Cholelitholytic - Drug action which dissolves Gallstones
Anupanam	उष्ण जलम् - Ushna Jalam - Hot Water

Sl.No.	Disease Factor	Name of the combination	Form of the combination	Reference
1	यकृत् उदर/रोग (Yakrut Roga, Disease spectrum with hepatomegaly, Anemia, mild fever - Hepatitis, Hepatocellular carcinoma/tumors/cysts/abscess, metabolic storage diseases-Glycogen/Fat/Copper/ , Congestive cardiac failure, various cancers) )	कोकिलाक्ष क्षारम् - Kokilaksha Ksharam	क्षारम् - Ksharam - Alkali Medicines	द्रव्यगुणविज्ञानम् - आचार्य प्रियव्रत शर्मा - Page no 566,567
2	मूत्रकृच्छ्र - Mutra kruchra - Disease spectrum of dysuria, oliguria	कोकिलाक्ष क्षारम् - Kokilaksha Ksharam	क्षारम् - Ksharam - Alkali Medicines	द्रव्यगुणविज्ञानम् - आचार्य प्रियव्रत शर्मा - Page no 566,567
3	अश्मरि - Ashmari - Diseases with Nephrolithiasis / Renal Calculi	कोकिलाक्ष क्षारम् - Kokilaksha Ksharam	क्षारम् - Ksharam - Alkali Medicines	द्रव्यगुणविज्ञानम् - आचार्य प्रियव्रत शर्मा - Page no 566,567
4	सर्वाङ्ग शोथ/ शोफ - Sarvanga shotha - Anasarca, Edema	कोकिलाक्ष क्षारम् - Kokilaksha Ksharam	क्षारम् - Ksharam - Alkali Medicines	द्रव्यगुणविज्ञानम् - आचार्य प्रियव्रत शर्मा - Page no 566,567
5	मूत्रल/मूत्रविरेचक / वस्तिशोधनम् - Mutrala / Mutravirechaka / Vastishodhana - Diuretic)	कोकिलाक्ष क्षारम् - Kokilaksha Ksharam	क्षारम् - Ksharam - Alkali Medicines	द्रव्यगुणविज्ञानम् - आचार्य प्रियव्रत शर्मा - Page no 566,567
6	पित्ताश्मरीहरम् - Pittashmariharam - Cholelitholytic - Drug action which dissolves Gallstones	कोकिलाक्ष क्षारम् - Kokilaksha Ksharam	क्षारम् - Ksharam - Alkali Medicines	द्रव्यगुणविज्ञानम् - आचार्य प्रियव्रत शर्मा - Page no 566,567
7	पित्ताश्मरि - Pittashmari - Gallstones	कोकिलाक्ष क्षारम् - Kokilaksha Ksharam	क्षारम् - Ksharam - Alkali Medicines	द्रव्यगुणविज्ञानम् - आचार्य प्रियव्रत शर्मा - Page no 566,567
8	उदर रोगम् - Udara Rogam - Diseases with abdominal Distention due to Various Causes	कोकिलाक्ष क्षारम् - Kokilaksha Ksharam	क्षारम् - Ksharam - Alkali Medicines	द्रव्यगुणविज्ञानम् - आचार्य प्रियव्रत शर्मा - Page no 566,567

Disease Factors

Serial Number	Title	Abstract
1	Pharmaceutical standardization of astercantha longifolia kshara	: In the present study it was discovered that the average percentage yield of 3 batches of A. longifolia kshara obtained from a completely dried whole plant 0.81% w/w. Physico-chemical analysis of powder showed foreign matter to be less than 1% w/w, loss on drying 27.5 % w/w, total ash less than 9%, acid insoluble ash to be less than 1%, water soluble extractive value and alcohol soluble extractive value as 10.78% w/w and 5.45 % w/w respectively and pH to be 7.3 which is in accordance with quality standards to be preserved, also Physico-chemical parameters applied to kshara reveals loss on drying as 13.35% w/w and pH to be slightly basic in nature i.e., 7.93.
2	Study on the Anti-lithogenic effect of Tablet Bigol and Shashwat Ghrita in the management of Cholelithiasis (Pittashmari)	It can be concluded from the present study that Tab. Bigol and Shashwat Ghrita are effective remedies in the management of Pittashmari (cholelithiasis).

	Type	Operator	Value	Unit	Frequency	Duration	Comment
Adult Dosage	सूक्ष्म चूर्णम् - Sukshma Churnam - Fine Powder	<=	2	g	3 times / day	30 days
Child Dosage	सूक्ष्म चूर्णम् - Sukshma Churnam - Fine Powder	<=	1	g	2 times / day	30 days

Basic Information

Main Complaints

History

General Examination

Systemic Examination

Ayurved

History of present illness

Data

History of past illness

Data

Family History

Data

Personal History

Data

Treatment History

Data

Sexual/Social/Occupational etc.

Data

Temperature

Data

Blood Pressure

Data

Weight

Data

Height

Data

BMI

Data

Built

Data

Face

Data

Scalp

Data

Neck

Data

Scalp Hairs

Data

Body Hairs

Data

Lymph Nodes

Data

Nails

Data

Oedema

Data

Pallor

Data

Cyanosis

Data

Discolouration

Data

Odour

Data

Respiratory System

1. Inspection

Nose

Data

Throat

Data

Respiratory Rate

Data

Rhythm

Data

Chest

Data

Thoracic movements

Data

2. Palpation

Position of Mediastinum

Data

Position of the trachea

Data

Tactile vocal Fremitus

Data

Swellings

Data

Tenderness

Data

3. Percussion

Data

4. Auscultation

Breath sounds

Data

Added Sounds

Data

Cardiovascular System

1. Inspection

Raised JVP

Data

Oedema

Data

Clubbing

Data

Cyanosis

Data

Pallor

Data

Chest Wall shape

Data

2. Palpation

Pulse

Data

Hepatomegaly

Data

Apex Beat

Data

Pulsations

Data

Tenderness

Data

Thrills

Data

3. Percussion

Data

4. Auscultation

Heart sounds

First Heart Sound S1

Data

Second Heart Sound S2

Data

Murmurs

Data

Pericardial rub

Data

Gastrointestinal System

1. Inspection

Oral Cavity

Data

Lips

Data

Teeth

Data

Tongue

Data

Pharynx

Data

Neck

Data

Swallowing Reﬂex

Data

Abdomen

Data

2. Palpation

Data

3. Percussion

Data

4. Auscultation

Data

5. Per rectal and perianal Examination

Data

6. Endoscopic Findings

Data

7. Colonoscopy Findings

Data

8. MRCP Findings

Data

Central Nervous System

1. Higher Mental function

Mental Status

Data

Memory

Data

Orientation

Data

Speech

Data

Behavior

Data

Gait and Movements

Data

Calculations

Data

Thoughts

Data

Delusions/ Hallucinations/Illusions

Data

2. Cranial Nerves

Olfactory Nerve

Data

Optic Nerve

Data

Oculomotor Nerve

Data

Trochlear Nerve

Data

Abducent Nerve

Data

Trigeminal nerve

Data

Facial nerve

Data

Vestibular Cochlear nerve

Data

Glossopharyngeal Nerve

Data

Vagus Nerve

Data

Spinal Accessory Nerve

Data

Hypoglossal nerve

Data

3. Motor System

Muscle Bulk

Data

Muscle Power Score

Data

Muscle Power

Data

Muscle Tone

Data

Co-ordination

Data

Reflexes

Data

Involuntary Movement

Data

4. Sensory System

Superﬁcial Touch

Data

Deep Touch

Data

Pain

Data

Temperature

Data

Vibration

Data

Proprioception

Data

Knee reflex

Data

Ankle reflex

Data

and others

Data

Musculoskeletal System

1. Inspection

Discolouration

Data

Oedema

Data

Neck

Data

Jaws

Data

Shoulder

Data

Arm and Elbows

Data

Hands and Small Joints of Hand

Data

Fingers and Joints of ﬁngers

Data

Thighs and hip Joint

Data

Legs and Knee Joint

Data

Foot and Ankle Joints

Data

Spine and back

Data

Range of Movement

Data

Joints involvement

Data

2. Palpation

Temperature

Data

Tenderness

Data

Crepitus

Data

Movements

Data

3. Special Tests

Tests of temporomandibular Joint

Data

Spine tests

Data

Shoulder joint tests

Data

Elbow joint Tests

Data

Hip joint Tests

Data

Knee joint Tests

Data

Ankle joint Tests

Data

Tests of hand and foot Joints

Data

Integumentary System – Skin and Appendages

1. Inspection

Primary lesion

Data

Secondary lesion

Data

Pigmentations

Data

Hairs

Data

Blood vessels

Data

2. Palpation

State of the skin

Data

3. Special Tests

Koebner Phenomenon

Data

Wood lamp test

Data

Microscopic Appearance

Data

Diascopy

Data

Dermoscopy

Data

Patch test

Data

Skin Biopsy

Data

The visual system

Inspection of the eyes

Data

Intra ophthalmic Pressure

Data

Visual acuity

Data

Visual Field

Data

Refractive errors

Data

Ophthalmoscopic examination

Data

The ear

Inspection

Data

Palpation

Data

Otoscopic Examination

Data

Hearing Tests

Data

Vestibular Function Tests

Data

Audiogram

Data

The nose

Inspection

Data

Palpation

Data

Nasal canal patency test

Data

Rhinoscopy Findings

Data

The Reproductive System

1. Female Reproductive System

Breast

Inspection

Data

Palpation

Data

Mammogram

Data

External genitalia and vagina and Cervix

Inspection

Data

Palpation

Data

Per speculum examination

Data

Menstrual History

Data

2. Obstetric Examination

Gestations

Data

Parturition

Data

Live children

Data

Abortions

Data

Stillbirth

Data

LMP

Data

EDD

Data

Obstetric Complications

Data

3. Male Reproductive System

Inspection

Data

Palpation

Data

Semen Analysis

Data

Lab Tests

Blood Tests

Data

Urine Tests

Data

Sputum tests

Data

CSF Tests

Data

Imaging studies

X Ray

Data

MRI

Data

PET CT

Data

Others

Data

Biopsy / FNAC and other histopathological studies

Data

Diagnosis

Data

Disease Scores

Data

Complications

Data

Prognosis

Data

Ashtasthana pareeksha – अष्टस्थान परीक्षा

नाडी - Nadi

Data

मूत्र – Mutra

Data

मल – Mala

Data

जिह्वा - Jihva

Data

शब्द – Shabda

Data

स्पर्श - Sparsha

Data

स्दृक् – Druk

Data

आकृति - Akruti

Data

दशविध परीक्षा – Dashvidha pariksha

1. प्रकृति - Prakṛuti – Body Constitution

Data

2. सार – Sara – Constitution of Tissue

Data

3. संहनन – Samhanana – Organ articulations

Data

4. प्रमाण – Pramana – Body Measurement

Data

5. सात्म्य – Satmya - Suitability

Data

6. सत्व – Satva – Psyche

Data

7. आहारशक्ति – Aharashakti – Power of Food intake and digestion

Data

8. व्यायामशक्ति – Vyayamashakti – Power of Excercise

Data

9. वय – Vaya - Age

Data

10. विकृति परीक्षा – Examination of Disease
10.1. निदान – Disease Cause

10.1.2. सन्निकृष्ट निदानम् – Imminent Reason

Data

10.1.3. विप्रकृष्ट निदानम् – Remote Reason

Data

10.1.4. बाह्य निदानम् – External Reason

Data

10.1.5. आभ्यन्तर निदानम् – Internal Reason

Data

10.1.6. प्राकृत निदानम् – Causes which are favourable to the treatment

Data

10.1.7. वैकृत निदानम् - Causes which are non-favourable to the treatment

Data

10.1.8. प्रधान हेतु – Primary Cause

Data

10.1.9. व्यभिचारि हेतु – Secondary weak cause

Data

10.1.10. उत्पादक हेतु – Accumulative or Productive Cause

Data

10.1.11. व्यञ्जक हेतु – Triggering Cause

Data

10.1.12. व्याधि हेतु – Causes which directly manifest disease

Data

10.1.13. दोष हेतु – Causes which directly vitiates Dosha

Data

10.1.14. उभयहेतु – Causes which vitiate Doshas and Manifest the disease

Data

10.2. पूर्वरूपम् – Prodromal Signs and Symptoms

Data

10.3. रोगकालम् – Disease state according to the time – Chronic or Acute

Data

10.4. दोषाणि तथा दोषावस्था – Dosha and State of Dosha

Data

10.5. दूष्याणि – Body components vitiated with Dosha

Data

10.6. स्रोतस् – Organ system involved

Data

10.7. स्रोतोदुष्टि प्रकार – Type of Vitiation in tissues

Data

10.8. काल – Disease Stage

Data

10.9. अग्नि – Metabolism

Data

10.10. कोष्ठ – Nature of Gut

Data

10.11. उद्भवस्थानम् – Place of disease Origin

Data

10.12. व्य्क्तस्थानम् – Place of Disease expression

Data

10.13. रोगमार्गम् – Ways of disease involvement

Data

10.14. लक्षणम् – Signs and Symptoms

Data

10.15. उपद्रव – Complications

Data

10.16. उपशय – Factors which relive disease symptoms and signs

10.16.1. हेतुविपरीत – Factors contrary to disease cause

Data

10.16.2. व्याधि विपरीत - Factors contrary to disease

Data

10.16.3. हेतुव्याधि विपरीत - Factors contrary to disease and cause

Data

10.16.4. हेतुविपरीतार्थकारि - Factors favouring the disease cause

Data

10.16.5. व्याधिविपरीतार्थकारि – Factors favouring the disease

Data

10.16.6. हेतुव्याधि विपरीतार्थकारि - Factors favouring the disease and disease cause

Data

10.17. अनुपशय - Factors which aggravate disease symptoms and sign

Data

10.18. सापेक्ष निदानम् – Differential Diagnosis

Data

10.19. व्याधिविनिश्चयम् – Definite Diagnosis

Data

10.20. साध्यासाध्यता – Prognosis

Data

10.21. अरिष्टलक्षणम् – End Of Life Signs and Symptoms

Data

Treatments

Medicines u>

i) Name

Data

ii) Dose

Data

iii) Frequency

Data

iv) Duration

Data

Surgery

Data

Para surgical treatments

Data

Radiation

Data

Physiotherapy

Data

Treatment Duration

Data

Type of treatment – OPD Or IPD

Data

Results

1. Patient Name -
2. Diagnosis -
Parameters	Ayurvedic Part	Symptoms	Signs	Complications	Lab tests	Imaging Studies	Disease Scores	Prognosis	Action
Before Treatment
After 15 Days

NAME:
MEANING:
SHLOKA:
AYURVEDIC DIAGNOSIS:
WESTERN DIAGNOSIS:
CLOSE MATCHES

Sl.no.	Amount	Validity	Action
1	$200	525600mins	Pay
2	$100	10000mins	Pay

कोकिलाक्ष क्षारम् - Kokilaksha Ksharam

Brief Description

Shloka

Phytochemical Property

Ingredients

Ayurvedic Property

Disease Factor

Contra Indications

Research Details

Dosage

Upload Case Sheet

Respiratory System

1. Inspection

2. Palpation

3. Percussion

Data

4. Auscultation

Cardiovascular System

1. Inspection

2. Palpation

3. Percussion

Data

4. Auscultation

Gastrointestinal System

1. Inspection

2. Palpation

Data

3. Percussion

Data

4. Auscultation

5. Per rectal and perianal Examination

6. Endoscopic Findings

7. Colonoscopy Findings

8. MRCP Findings

Central Nervous System

1. Higher Mental function

2. Cranial Nerves

3. Motor System

4. Sensory System

Musculoskeletal System

1. Inspection

2. Palpation

3. Special Tests

Integumentary System – Skin and Appendages

1. Inspection

2. Palpation

3. Special Tests

The visual system

Inspection of the eyes

Intra ophthalmic Pressure

Visual acuity

Visual Field

Refractive errors

Ophthalmoscopic examination

The ear

Inspection

Palpation

Otoscopic Examination

Hearing Tests

Vestibular Function Tests

Audiogram

The nose

Inspection

Palpation

The Reproductive System

1. Female Reproductive System

Breast

Inspection

Palpation

External genitalia and vagina and Cervix

Inspection

Palpation

Menstrual History

2. Obstetric Examination

3. Male Reproductive System

Inspection

Palpation

Lab Tests

Imaging studies

Biopsy / FNAC and other histopathological studies