This is a non mercuric rasoushadha / mineral compound commonly used as a cardiac tonic, anti hypertensive, and anemia related with cardiac pathology.
Suvarna makshika bhasma
All equal parts, processed for three days in Arjuna quatha.
125 mg to 250mg, bid
Madhu / Pippali churna
Arjuna twak kashaya/ Milk / Arjunarishta/ Dashamularishta/ Dadima swarasa, according to roga & rogi.
Prabhakara vati is a frequently used best cardioprotective drug .
In partial cardiac failure ( LVF/RVF), palpitations, fibrillation, shwasa, exertional dyspneoa, anemia, pandu, any mental disorder where we suspect sadhaka pitta vikruti, etc.
The main site of action of Suvarna makshika bhasma is rasa dhatu, and secretory and non secretory glands. It normalises dushita pitta , pitta shamaka, reduces tikshnata of pitta.
Hrudaya is sthana for rasa dhatu, and it is the main organ for blood circulation. So any defects related with these two dhatus disturbs the function of the heart. Suvarna makshika and loha bhasma are the two drugs of choice in rasa and rakta dhatu vikruti.
In pandu, due to improper nurishment of the heart, hridrava is observed in this condition & hence with pandu chikitsa we need to give prabhakara vati for proper nourishment.
Abhraka bhasma is a good rejuvinator of tissues of the heart muscle . It increases the tonicity of the muscle and give ‘bala’.
Vamshalochana and shilajatu are the good srotoshodhaka dravya, and improves the circulation of the coronary vessels. Small blockages of the vascular system can be treated with Prabhakara vati , it works still better if is added with shrunga bhasma and dashamularishta .
When a minor defect in pacemaker of heart is diagnosed, prabhakara vati and brihat vata chintamani can be given with anupana of dashamularishta or according to ‘vikruta dosha’.
We meet with many number of hypertensive cases in our practice. The medicines which work on hypertension are Suthashekhara rasa, pravala pishti, nagarjunabhra, brihat vata chintamani, chandraprabhavati, shwasakuthara rasa, the list goes on. When we need to improve the quality of the cardiac muscle, and dhatu ksahya is associated and soumyaguna pradhana dravya is needed then Prabhakara vati can be selected.
In patients of hypertension with anxiety and other psychological conditions Prabhakara vati with godanti bhasma and saraswatarishta can be selected.
Author is Senior Ayurveda physician in GAD, Purappemane, Sagara