National Journal of Research in Ayurved Science

Transcription

ISSN 2320-7329
ISBN 978-93-5173-179-3
MUDITA PUBLICATIONS PVT. LTD.
Ayurlog
National Journal of Research in Ayurved Science
A Peer-Reviewed Open Access Electronic Journal of Ayurved
Vol. 2
Issue 2nd
April
2014
Advisory Board:
Chief Editor:
Dr. P. A. Dudhamal,
Chief Advisor:
Dr. Madhukar Lahankar,
Asst. Editor:
Advisor:
Dr. Ranjana More,
Dr. Raju Dudhamal,
Dr. Pradnya Dudhamal
Dr. Ravi More,
Dr. Arun Dudhamal,
Dr. T. S. Dudhamal,
Dr. S. S. Dongare
i
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INDEX
Article
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Title
Author
Case Presentation of Quadriparesis with
Odontoid Fracture
To study the efficacy of “vatatwakKwatha”
for yonidhawana in Kaphajyonivyapad
w.s.r. to Trichomonas Vaginitis.
AMA & FREE RADICAL THEORY
EFFECT OF SOOKSHMA TRIPHALA IN POST
OPERATIVE SURGICAL WOUND CARE WITH
SPECIAL REFRENCE TO WOUND FIBROSIS
THE ROLE OF GOKSHURBEEJ CHURNA,
HONEY AND AVIKSHEER (SHEEP MILK) ON
URINARY CALCULUS
To assess the amalaki Rasayan effect in
geriatric problems
Case Report of Ligament & Menisceal Tear
Of Knee Joint
CLINICAL STUDY OF LAGHUSUTASHEKHAR
ON AMLAPITTA
Effect of Praval Bhasma on Diabetic
Neuropathy
ROLE OF PANCHA TIKTA GHRUTA MATRA
BASTI IN PROCTITIS.
A COMPARATIVE STUDY OF MEDOSARA
AND MEDOVRIDDHI WITH RESPECT TO
SERUM CHOLESTEROL
Ayurved management in LUMBAR CANAL
STENOSIS: A case study
The Role Of Ayurvedic Medicine (I.E. Vanga
Bhasma, Guduchi Satva & Pravalpishti) In
The Management Of Dhatukshayajanya
Sandhigatvat
AYURVEDIC MANAGEMENT OF MYOTONIC
DYSTROPHY: A CASE REPORT
ROLE OF SHIRODHARA IN NIDRANASH
Anu V.Singh, Geeta D Parulkar
1-7
Vaishali Prakash Pol,
Jayashree Patil
8-16
Gaikwad Madhavi Dattatray
Shailendra D. Katakdound
17-25
26-31
Rajesh Chandrakant Pandit
32-36
Vanita N. Puri
37-42
Gayatri B.Pund, Raman R.
Ghungaralekar
Prafull S. Yashwantrao, Minal
Vaidya
Komal S.Raut, B.D. Gharjare
43-49
Moghal Hasan, Sanjeev
Yadav
Jaykumar Sadashiv Ade
62-66
Naik Minal S., Meenakshi
Rewadkar-Kole
Sanjay A. Pawade, Umesh N.
Patil, R. J. Mundane
77-82
Ketaki Jalinder Jadhav,
Prerana P. Jawale
Sujata Jadhav
91-99
ii
Page No.
50-54
55-61
67-76
83-90
100-108
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Vol. 2
ISSN 2320-7329
Issue- 2 April 2014
nd
Ayurlog: National Journal of Research in Ayurved Science
A Web based quarterly online published Open Access peer reviewed National E-journal of Ayurved
______________________________________________________________________________________________________________________________________________________
Editorial:
Upcoming era is factual era. No one can belive in
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Ayurvedic experts to accept challenges of this era.
The equation of health problem always changes with
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existing like AIDs, Swine flue etc.
AYUSH system of Medicine is having lot of Scope in
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Thanks for giving faithfully support to Ayurlog.
Chief Editor,
Ayurlog: National Journal of Research in Ayurved
Science
iii
ISBN 978-93-5173-179-3
ISSN 2320-7329
Issue- 2 April 2014
nd
Vol. 2
Article_1
______________________________________________________________________________________________________________________________________________________
CASE PRESENTATION OF QUADRIPARESIS WITH ODONTOID
FRACTURE-A SUCCESSFUL TALE OF AYURVEDIC TREATMENT
________________________________________________________________
Anu V. Singh*1, Geeta D. Parulkar2
________________________________________________________________
1. M.D. ( Scholar) Final year, Kayachikitsa Dept.
2. Associate Professor, Kayachikitsa Dept.
Email: [email protected]
R. A. Podar Medical College R. A. Podar Medical College
*Corresponding Author: [email protected];
________________________________________________________________
Hetu,
ABSTRACT:-
Poorvaroopa,
Roopa,
Upashayanupshaya and Samprapti forms
Quadriparesisis a prevalent and
the stepping stones of Ayurvedic diagnosis.
disabling neurological disorder which arises
This case was a diagnosed patient of
from multiple etiologies like severe
Quadriparaesis with type
Hypertension, Lacunar infarct, Motor
fracture. He had taken allopathic treatment
vehicle accidents, Tumors’, Spinal Cord
earlier for 1 month under supervision of
Trauma. It produces a very miserable ,
various experts and was even admitted in
dependent and prolongs crippled life with
I.C.U for first seven days. Keeping in view
constant mental trauma .The mainstays of
with Nidaana Panchaka Quadriparaesis can
treatment for Quadriparesis differs
be correlated with Sarvangavata. The
according to their cause but none of them
treatment was given according to Ayurvedic
proves to be a gold standard in the treatment
principles The aim of this article is to prove
of Quadriparesis.
the efficacy of Ayurveda in a disease in
1
II Odontoid
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which
even
Allopathy
has
its
own
Type III-Fractures of Odontoid which is
limitations due to limited range of treatment
extend into the body of C2.
and due to cost effectivity. This case clearly
Treatment includes Halo immobilization has
portrays the successful tale of Ayurvedic
been considered the stand of care, although
Treatment in case of Quadriparesis due to
its applicability to both trauma patients with
type II Odontoid fracture.
associated head and /or chest injuries and
KEYWORDS: Quadriparaesis, Odontoid
the elderly population is limited. An
Fracture, Nidaana Panchaka, Sarvangavata
alternative is anterior odontoid screw
fixation following reduction with traction[1]
INTRODUCTION:
CASE REPORTS
Quadriparesis is defined as a
Case History
condition in which patient experiences
weakness in all four limbs.
In this case the cause of Quadriparesis was

Patient Name- XYZ

Age
-26 years,Sex
-
Male
Type II Odontoid Fracture which occur due

to Motor vehicle accident .Odontoid fracture
Residence
-Mumbai,Occupation
-
Taxi driver
are notoriously prone to nonunion .They

may cause neurological impairment and
even death. Odontoid fractures are common
D.O.A
-27/09/13
D.OD-
14/01/14
cervical spine fracture representing up to
C/O:
20% of all cervical spine fractures .The
classification of these injuries was proposed
Weakness over both upper and
lower limb
Restricted and painful movements of
neck
Unable to sit , stand ,walk
by Anderson and DˈAlonzo and is based
upon the location of fracture line.
Type I-least common, occurs at the tip of
odontoid
Pain over left lateral side of chest
Type II-most common, the fracture line is at
Anorexia and weight loss
the junction of odontoid base and body
2
1
month
1
month
1
month
1
month
1
month
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History of present illness –
RTVC, RTDS
Pupils: Semi-dilated RTL Plantar- B/L
Patient was apparently all right
Flexor
before 1 month. Then he got traumatized in
a road traffic accident on 29/08/13. Patient
DTR
was traumatized due to bike accident which
results in injury to knee, neck and left hand
followed by head injury.Then patient was
admitted
to
Sion
Hospital.
H/O
unconsciousness present, H/O vomiting,
H/O urinary and stool incontinence at time
Jerk
Knee Ankle Bicep
Right
Left
4+
4+
4+
4+
Tricep
Absent Absent
Absent Absent
MPG
of admission.No H/O blunt chest trauma /
Muscle Tone –
abdominal trauma .Patient was given Rigid
neck collar and water bed at the time of
admission.Patient was hospitalized for 1
Upper limb
Lower limb
month in Sion hospital.Then patient came to
Right
I/V
III/V
Left
I/V
III/V
our hospital innonambulatory position on a
stretcher with rigid neck collar around his
Spastic, S/O neck stiffness present due to
neck with abovesaid complaints.
Fracture
Past history-
P/A – mild tenderness present over
epigastrium ,U-passed ,S-passed
No H/O any medical or surgical illness.
S/O Pallor and malnutrition present.
O/E:
Investigations done:
G.C. fair, afebrile, P-68/min , B.P-90/50
CT (Brain) on 29/08/13
mm of Hg

RS- Air entry decreased in Lower lobe of
Linear undisplaced fracture noted at
the base of odontoid processs
left lung
bilaterally.Rest normal.
CVS-S1S2N ,CNS –Conscious , oriented
3
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MRI (Cervical Spine with WSS) on
Treatment Given:
31/08/13
The basic principle of treatment according


Type II odontoid fracture with
to text includesSnehanafollowed which
retropulsion of the dens causing mild
svedanais executed and to pacify remaining
spinal canal narrowing .
Doshassamshodhanais given to patient.[3]
Acute haemorrhagic cord contusion

at C1C2 level.

SarvangaSnehanaand
NaadiSvedana.
Screening dorsal and lumbar Spine

reveals Fracture in D3 and D4
MamsarasaSevana with Goghrut
T.D.S
vertebral bodies with their partial

collapse . Complete sacralisation of
KsheerbalaTaila (Shatapaki
)abhyantarpaanarth 4 drops in milk
L5 vertebra seen.
B.D.

NidaanaPanchaka:
Ashwagandhrishta and Balarishta
each 10 ml with 100 ml of water.
Hetu :Aghaataja

BruhataVataChintamani 125
mgvyaankale till 04/11/13with
Poorvaroopa:Avyakta
honey

Roopa:Ubhayahasta padaakarmanyata
Lakshmivilasa Rasa 500 mg
vyaankale with honey.
Samprapti:Vata gets vitiated due to various
etiological factors
whole body

Vata gets hold of
SanjeevaniVati 500 mg
vyaankalewith honey.
Vata dries up sira and

snaayu, loosens sandhibandha and produces
Laghumalinivasanta Rasa 250 mg
vyaankale with honey.
pain[ 2 ]Nidaana: Sarvangaroga

Pindasveda for 14 days (since
30/12/13 to 11/01/14).
Diagnosis According To Modern
Medicine: Quadriparesis
RESULTS:
4
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Before Treatment
After Treatment
Ability to sit,stand,walk
Unable to sit ,stand,walk
Can sit,stand,walk on his own
Respiratory System
Air entry decreased in lower
Air entry bilaterally equal
lobe of Left Lung and pain
and pain disappears over
over left lateral region of
left lateral region of chest.
chest.
Reflexes
Reflexes
Before
After
Treatment
Treatment
Right
Left
Right
Left
Knee Jerk
4+
4+
4+
4+
Ankle
4+
4+
4+
4+
Bicep jerk Absent
Absent 2+
2+
Tricep
Absent 2+
2+
Jerk
Absent
jerk
MPG:
Upper
Before
After
Treatment
Treatment
Right
Left
Right
Left
I/V
I/V
IV/V
IV/V
III/V
III/V
IV/V
IV/V
Limb
Lower
Limb
DISCUSSION:
5
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Kalpas
Contents
Quadriparaesis
is a neurological
Pradhana
Karma condition
Maamsarasasevan
Ajamaamsarasa
which can be
correlated
Balya,
withSarvangavatawhich predominantly has
Maamsavardhaka
Vatadominance
.Vata vitiations may be
KsheerbalaTaila
Godugdha,Bala, Tiltaila
(Shatapaaki )
Naadisvedana.BruhataVataChintamaniis
Ashwagandha, Manjishtha, having soothing
Vataghna,Jatharagnideepaaka
effect on the nerves.
Ashwagandhrishta
Balya,Vataghna and
relieved bySarvangasnehana
Haritaki, Haridra, Daruharidra,
Sarvangavatais relieved mainly
Rasna, Yashtimadhu, Vidarikanda
byBruhatVataChintamanias it acts mainly
Balarishta
Balamoola , Ashwagandha,as an excellent
Balya,Jathragnideepaka
cell rejuvenator and helps in
Ksheerkakoli, Erandamoolatwak,
preserving energy and strength of the
Rasna ,Gandhaprasarini , muscles,nerves and the human mind.
Lavanga,Usheera, Gokshura

Bruhata Vaata
Suvarnabhasma, Rajatabhasma,
SarvangaSnehana
withTil Oil
Vatapittaghna,Vrushya
Chintamani Rasa
Abhrakabhasma , Lohabhasma,
andNaadiSvedanawithDashmoolaK
Pravalabhasma, Mauktikabhasma, wathais helpful in Vatashamana,
Rasasindura
Jathragnivardhana thus, helps in
Lakshmivilasa
Suvarnabhasma ,Rajatabhasma,
[4]
strengthening
SaptaDhatus.
Tridoshaghna,
Vrushya, Balya
Rasa
Abhrakabhasma , Tamrabhasma,
 Ajamamsarasa is laghu in nature
Vangabhasma, Kantalauhabhasma,and easy to digest as well as Balya
Mundalauha, Naagabhasma,
and hence, results in Vatashamana
Vatsanabha, Motipishti,
as well as rekindling the digestive
Rasasindura
fire.
Agnideepaka used for
 KsheerbalaTaila
Haritaki, Amalki, Bibhitaka,Vacha,‘AabhyantarPaanarth’ isBalya in
SanjeevaniVati
Vidanga, Shunthi, Pippali,
Laghumalini
Guduchi, Bhallataka, Vatsanabha nature, which ultimately results in
Rasaka, Maricha
Balya,Deepaka,Paachaka
Vatashamana
and also results in
Vasanta Rasa
Mamsadhatuvardhana.[5]

Probable Mode of Action:
Bruhatvatachintamani isBalyaas
well as Vrushya in nature . It is the
ace in the treatment as it is
6
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Vatapittashamakabasically and acts
mainly to removeSnayuand
Naadidaurbalyathereby enhancing
motor and sensory activities .[ 6 ]

3.
Pindasvedaby Shastikshali acts
forBruhanakaryaso results in
Vaatashamanaand
Mamsadhatuvardhana.
4.
CONCLUSION :
It can be concluded from above
mentioned results that Ayurvedic therapy is
effective
in
relieving
Quadriparesis.
Thus,
symptoms
of
5.
Sarvangavata
described by AshtangaHrudyam is similar to
that of Quadriparesis and can be well
treated.
6.
References:
1. Torreti JA, Sengupta DK. Cervical
Spine trauma. Indian J.Orthop.
(serial online) Available from
http://www.ijoonline.com/text.asp.2
007 [Accessed on 2014 February13]
2. Srimadvagbhata, “Ashtanga
Hrudayam” with Nirmala Hindi
Commentary by Dr. Brahmanand
Tripathi Niadana Sthana Chapter 15
,Verse No.38-40 Chaukhamba
Sanskrit Pratishthan , 2009. Page
No.542
Srimadvagbhata,
“AshtangaHrudayam” with Nirmala
Hindi Commentary by
Dr.Brahmanand Tripathi
ChikitsaSthana Chapter 21, Verse
No.44 Chaukhamba Sanskrit
Pratishthan, 2009. Page No.809
Agnivesha, “CharakaSamhita” with
Caraka Chandrika Hindi
Commentary by Dr.Brahmanand
Tripathiand Dr.Gangasahay
Pandey,Chikitsa Sthana Chapter
28,Verse No.81-82 Chaukhamba
Surbharti Prakashan ,2008, Page
No.952.
Srimadvagbhata, “Ashtanga
Hrudayam” with Nirmala Hindi
Commentary by Dr. Brahmanand
Tripathi Chikitsa Sthana Chapter 22,
Verse No.44-45, Chaukhamba
Sanskrit Pratishthan , 2009. Page
No.821
Kaviraj Govind Das Sen ,
“Bhaishajyaratnavali” with
Siddhiprada Hindi Commentary by
Siddhinandan Mishra
Vatavyadhavyadhirogadhikar
Chapter 26, Verse No. 143-144
Chaukhamba Surbharti Prakashan,
2011. Page No. 530
Cite this article:
Case Presentation of Quadriparesis with Odontoid Fracture
Anu V.Singh, Geeta D Parulkar
Ayurlog: National Journal of Research in Ayurved Science-2014; 2(2): 1-7
7
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Vol. 2
ISSN 2320-7329
Issue- 2 April 2014
nd
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Article_2
Clinical efficacy of “vatatwakkwatha in management of Kaphajyonivyapad
(Trichomonas Vaginitis)
___________________________________________________________________________
*Vaishali Prakash Pol1 Jayashree Patil2
___________________________________________________________________________
1. PG Scholar Stree-rog vum Prasutitantra, YAC College, Kodoli.
2. Lecturer, StreerogvumPrasutitantra, YAC College, Kodoli.
* Corresponding Author: Email Id: [email protected] , Mob. 7875597635
___________________________________________________________________________
proper screening of the efficacy of the drug
Abstract:-
Total 30 female patients of Trichomonas
The word “StreeRoga” describes about
Vaginitis were selected for 7 days in this
pathological conditions of stree, a female
study.Finally effectiveness of drug is
who is in menstrual phase. It is clearly
assessed.
denotes the genital and perigenital problems
specially limited to woman starting from
Keywords:
Kaphajyonivyapad,
menarchae to menopause.
Trichomonas Vaginitis, &vatatwakKwatha.
Trichomonas Vaginitis is one of the
INTRODUCTION:
common gynaecological problems faced in
The illness based on the female genital tract
daily practice. A clinical trial was conducted
is known by the name “Yonivyapada”
on patients of Trichomonas Vaginitis.
The word Yoni refers to the different parts
Patients were treated with
of female genital tract or whole genital
vatatwakKwatha(FicusbenghalensisLinn)for
system including Hypothalamo Pituitary
yonidhawana(vaginal irrigation ) For a
ovarian axis.
8
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Certain diseases may not be life threatening
the best and the most specificprocedure as
but
an
mentioned in this contextstudy has been
day
completed on the role of “vatatwakKwatha”
is
for yonidhawana in Kaphajyonivyapadw.s.r.
troublesome and
individual
in
irritating to
day
to
routineactivity.”KaphajaYonivyapada”
one of among them increasing day by day
to Trichomonas Vaginitis.
and demanding greater concern over it. If It
SAMPRAPTI: (ETIOPATHOGENESIS)
is left untreated may leads up to infertility,
premature labour, abortions and predisposes
In the manifestation of yoni rogas, it is
to malignancy(Jeffcoate’s)5. That’s why it
observed that there is dominance of vata
is one of the most common disease in
population
and
is
majorhealthproblem
merging
in
the
as
along with other doshas and dushyas.
a
developing
Charaka
world.
and
Vagbhata
described
the
samprapti of yonivyapadas in following
pattern, dueto their ownreasons, first the
Cardinal symptoms of KaphajaYonivyapada
are
Yoni
Yonistrava
Kandu(vaginal
(vaginal
discharge)
Yonivedana(pain
at
symptoms
burning
are
doshas become deranged and get united in
itching),
vagina).
yoni and garbhashaya producing signs,
and
symptoms and complications.
Other

micturation,
dyspareunia. For Trichomonas Vaginitis.
Kapha, vitiated duetoexcessive use
of abhisyandi (articles
The treatment It is observed that the effect
Producing
of
treatmentwhich use to give for
substances reaches reproductive system&
Trichomonas Vaginitis is temporary one and
causes unctuousness, coldness, itching &
chances of recurrence of the disease are
dull pain in vagina. The woman looks
high so, presentstudy is plannedtoevaluate
anemic& discharges yellowish unctuous
the effect of Ayurvedicdrugs on the disease.
menstrual blood is the opinion of caraka.
oozing
or
serous
effusion)
As perayurvedicviewpoint, this disease is

caused by vitiation of Kaphadosha. So, the
Dosha : - Kledaka Kapha, Pachaka
Pitta, Samana & ApanaVayu
selection of the drug was done according to

the nature of the disease and Doshika
Dushya : - Rasa, Mamsa, Meda,
Artava,
predominance. Yonidhawana is considered
9
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
Strotodushti:
Medovaha
-
days. Transfer of the organisms from one
RasavahaStrotas,
Strotas,
individualto
Artavavaha
another
by
indirectcontact
certainly happens. Contaminateddomestic
Strotas
towels, bed linen and personal clothing,
LAKSHAN(Clinical Features):

Yonigatstrava

Yoni kandu

Yoni vedana
improperly sterilizedsurgical instruments
such as specula, bath tubs and possibly
swimming pools are likely media for
transfer
the
optimum
pH
for
the
trichomonads is 5.5-6.5 and this or a slightly
TRICHOMONAS VAGINITIS
higher level is usually found in the vagina
(TRACHOMONIASIS) – MODERN
when the disease is present.
VIEW
Pathology
This is the most common form of vaginitis
The infection is essentially of the vaginal
and is found in approximately 50% of
epithelium and the parasites shelter between
women complaining of vaginal discharge.
the rugae. It is possible that they may
It occurs at any age from birth onwards but
penetrate between the surface cells but
most often in young adult. The trachomonas
deeper, and they induce the usual tissue
group of organisms is found in the mouth,
inflammatory reaction.
bladder and large bowel. morphological
Clinical Features
characteristics slightly different from the
others. It is an ovoid motile flagellated
A
parasite 15-20 μm in width, although
discharge, the itching being felt around and
smaller forms are described. It has four
within
anterior flagella and an axostyle which
tenderness
traverses its body to end in a spike.
dyspareunia.
sudden
onset
of
theintroitus.
and
purulent
Dysuria
vaginal
Vaginal
congestionresult
in
The vagina may be diffusely fiery red in
The infection is often contracted during
colour
intercourse with a male harbouring the
but
appearance.
organisms in the prepuce, urethra or
prostate, the incubationperiod being 3-28
10
often
present
strawberry
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Research study conducted on Vata/
2) To study the effect about the drug
Trichomonas Vaginitis from internet.
“vatatwak Kwatha” in kaphajyonivyapad w.
s. r. to Trichomonas Vaginitis.

Wound-healing activity of ethanolic and
MATERIALS& METHODS:
aqueous extracts ofFicusbenghalensis

Aqueous Extract
MATERIALS:
of Ficusbengalensis Linn. Bark for
Inflammatory Bowel Disease

Inclusive criteria:
Development of quality control

parameters for the standardization of
Patient irrespective of caste, income
stem bark of Ficusbenghalensis Linn.
group and any occupation will be

Ficusbengalensislinn.-an overview
selected.

Prospective study of

Patient
suffering
from
kaphajayonivyapad.
trichomonasvaginalis infection and

prostate cancer incidence and mortality:
Age group: - 18 – 35 yrs.
physicians' health study.

Exclusion criteria
Sexually transmitted parasite
trichomonasvaginalis twice as prevalent
Patient suffering from Major illness e.g.
in women over 40, study finds
malignancy, TB, HIV etc.
AIMS & OBJECTIVES:
Cervical
for
yonidhawana
Bacterial
infections,
Gonorrhea, Syphilis, Pregnancy
Aims: To study the efficacy of “vatatwak
Kwatha”
lesions,
in
Vatatwak Kwatha
Kaphajyonivyapad w. s. r. to Trichomonas
Charaka
Vaginitis.
has
mentioned
vatatwak
Kwatha[13].
Objectives:
Vatatwak Kwatha is prepared by collected
1) Tostudy the KaphajYonivyapad w. s. r. to
in to kwathapatra & added to 16 times of
Trichomonas Vaginitis
water & it is kept overnight, next day
morning,
in both modern & Ayurvedic classics.
11
contents
are
heated
over
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mriduagni (low Temperature) till total
assessment of result as mentioned in the
contents get reduced to ¼ part, then contents
table-1.
are filtered with clean cloth and the obtained
1) Yoni kandu
kwatha was used for yonidhavan.
2) Yoni strava
METHODS:
3) Yoni vedana
30 patients of Trichomonas Vaginitis from
indoor & outdoor department were selected
Table-1Gradation of clinical features:
and diagnosed on the basis of sign and
symptoms. Freshly prepared 500ml
Grade
vatatwakKwatha was used for yonidhavan
0
daily in the morning up to 7 days.
Yonidhavan was done in three stages:
1
1) Purva karma,
2) Pradhan karma
3) Pashchyat karma

All The above said Karma are done
with aseptic precautions.

YONI
KANDU
YONI
STRAVA
No H/O
Yoni
vedana
Occasion
al
No H/O
Yoni
kandu
No H/O
Yoni strava
No
disturban
ce in
daily
routine
Need to
take rest,
unable to
Occasiona
l
2
Follow up of all patients was done
do
routine
work
Need to
take
analgesic,
on 15th day for recurrence of
symptoms.

YONI
VEDANA
Total absence of intercourse was
advised for the period of 15 days.
3
Criteria of assessment:
The patients were diagnosed on the
unable to
do
routinew
ork
Need to
scratch,
unable to
do routine
work
Excessive
scratching
,
disturbed
sleep
No H/o
staining
undergarme
nt
Slight
staining of
under
garments
Need to put
some
sanitary
pad
Trial Group
basis of signs & symptoms of the disease
and
confirmed
on
per
30
speculum
Patients
dhavanwith
examination. The gradation adopted for
12
treated
only
with
Yoni
vatatwakkwath
for
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consecquentive 7 days.
For yoni dhavan
3) Bed pan was kept.
amount of the vatatwakkwatha 500ml was
used
and
As
per
4) Freshly prepared koshna Kwatha was
textual
used.
reference,yonidhavan was done in three
stages :i.e. purva karma, pradhan karma and
pashchyat
karma
as
with
5) Equipments were connected serially,
aseptic
Kwatha poured in enema can.
precautions.

B. Pradhanakarma : Procedure of Yonidhawana: 1) Enema can was held at 2 – 2.5 feet height
SthanikChikitsahas been enumerated as an
by an attendant.
important part of YonivyapadaChikiitsa.
2) No kinks were kept in a tube.

Instruments used for Yonidhawana: 3) Nozzle key is opened.
1) Douche Can : - It contains one cylindrical
4) Bahya yoni prakshalan was done by
can, one tubular
separating labia majora with left hand.
pipe, nozzle key and nozzle.
5) Labia majorawas separated to find out
2) Long Artery Forcep.
vaginal orifice. Then tip of the nozzle
inserted into the vagina about 4 – 5 inches
3) Swabs
and yonidhawana was done.
4) Labor Table
C. Paschatkarma :1. Patient was advised to lie down on
5) Drug :-vatatwakkwath500 ml.
table for 10 min.
A. Purvakarma : -
2. After this vagina was cleaned with
the help of swab and long artery
1) Patient was made to void urine.
forceps till the swab became dry.
3. Patient was advised for total absence
2) Patient was made to lie on a table in
of intercourse for 15days.
lithotomy position.
13
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In present study Strava was present in all 30
DISCUSSION:
patients
The discussion while studying the efficacy
treatment.
There
was
complete cure in 26 patients by 7th day
of Yoni dhavanwith vatatwakkwath For the
where as 4 patients remained in the
present study internal medication was not
given
before
improved category. since P value < 0.05.
orally and also vatatwakkwath
Yonidhawana was given. Sthanik chikitsa
On Yoni Vedana
has been enumerated as an important part of
In present study Yoni Vedana was present
Yonivyapadachikitsa.
in 30 patients before treatment. There was
Probable mode of action of Yoni dhawana :
complete cure in all 30 patients by 7th day.
since P value < 0.05.
1. As the name Dhawana suggests
cleaning, it washes outthe secretions &
Discussion
discharges of vagina.
therapies
on
overalleffect
of
the
2. The action is mainly by the drugs used
In present study out of 30 patients complete
in preparation ofthe kwatha.
cure was found in 81.25%, where as 18.75%
3. It deals with the altered pH of vagina
patients remain uncured.
thus not favouringthe micro-organisms
invasion.
Discussion on Recurrence of the therapies
4. The action of drugs used is kandughna,
stravaghna,shulaghna properties.
In present study there was no recurrence of
the disease, It indicates that the effect of
On Kandu
Ayurvedic therapy on the Recurrence of
Kaphaja Yonivyapada was more significant.
In present study Kandu was present in all 30
patients
before
treatment.
There
was
Observations:
complete cure in 28 patients by 7th day

where as 02 patients remained in the
improved category. since P value < 0.05.
Kaphaja
Yonivyapadain
modern
parlance has similarity with the disease
Trichomonas vaginitis.
On Strava

In the presentstudymajority of the
patients were found in the age group of
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
21 - 35 years which reflects the
incidence
of
Kaphaja
Yonivyapada
kaphavardhakaahara with the same type
comparatively more in this particular
of vihara

age range. Even then, studies of a large

It was follow that many patients have
vata is kashay-rasatmak, katu-vipaka,
group of patients were required for the
veerya-sheeta, gunas-ruksha and guru.
concrete conclusion.
so
Maximum patients had the history of
vedanasthapak
kaphakarahara
garbhashayashothahara.
and
Mandagniwhich
it
acts
kapha-pittaghna,
and
clearly shows the role of Ama formation
CONCLUSION
in the Majority of the patients of the
study were consuming Madhura Rasa
Study concluded
dominant food, followed by Lavana,
dhavan
Katu and AmlaRasasreflects that these
is
that
vatakwath
effectivein
yoni
management
of
kaphajayonivyapad and need to compair
Rasas are the supplementary agents for
with the standard control group..
the causation of KaphajaYonivyapada.

Distribution of the patients according to
References:
the manifested symptoms showed that
1. Human Anatomy B.D. Chaurasia CBS
yoni kandu, yoni strava, yoni vedana
Publishers, New Delhi, 4th Edi.,2004,
was the cardinal signs and symptoms of
Reprint 2006.
the disease KaphajaYonivyapada.

2. Essentials of Medical Physiology K.
The incidence of kaphajayonivyapad
was
Sembulingam
found higher in low socio-
2000;
economic status patients.
3. Text Book of GYNAECOLOGY D.C.
The Nutritional status and hygienic
Dutta; New Central Book Agency (P)
conditions were good in the higher class.

Diwaswap, dietic habits, strain,
Sembulingam;
Jaypee Brothers, New Delhi; 2nd Edi;
economic status than the higher socio
Prema
Ltd.; Calcutta; 6th Edi; 2004.
night
4. Dewhurst’s Text Book of Obstetrics &
duties were found to be the main causes
Gynaecology
of kaphajayonivyapad.
D.
Keith
Edmonds
Blackwell Publishing, 7thReprint 2011
15
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5. Jeffcoate’s Principles of Gynaecology
9. Dravyaguna Vijnana; Vol. 2; Prof.
Pratap Kumar & Narendra Malhotra;
Priyavat Sharma; Chaukhamba Bharati
Jaypee Brothers Medical Publishers; 7th
Academy; Varanasi; Reprint; 2000
Edition; 2008.
10. Ayurvediya
6. Kasyapa Samhita/Vriddhajivakiya tantra
Prasuti
Tantra
Striroga Part I & II Prof. Premvati
Vidyotini Hindi Commentary by Sri
Tewari;
Satyapala Bhisagacharya; Chaukhamba
Varanasi 2nd Edition; 2000.
Sanskrit Sansthan; Varanasi; 8th Edition;
Chaukhambha
Orientalia,
11. Ayurvediya Panchkarma Vijnana; Vd.
2002.
Haridas Sridhar Kasture; Baidyanath
7. Sharangdhar
Samhita
Adhamalla’s
Ayurved Bhavan; 7th, 2006.
Dipika & Kasiram’s Gudhartha Dipika
12. Susruta Samhita, Prof. K.R. Srikantha
by Pandit Parasurama Sastri Vidyasagar
Murthy
Chaukhamba Orientalia, Varanasi 5th
Varanasi Reprint, 2010.
Edition; 2002.
Banarasidas;
Chaukhambha
Orientalia,
13. Charaka Samhita, P. V. Sharma,
Chaukhambha Orientalia, Varanasi 8th
8. Bhaisajya Ratnavali; Govindas Rachita
Motilal
Evum
Chaukhamba
Edi, 2003.
th
Sanskrit Bhawan, Varanasi 8 Edition;
1976.
Cite this article:
To study the efficacy of “vatatwakKwatha” for yonidhawana in Kaphajyonivyapad w.s.r. to Trichomonas
Vaginitis.
Vaishali Prakash Pol, Jayashree Patil
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______________________________________________________________________________________________________________________________________________________
CORRELATION BETWEEN AMA & FREE RADICAL THEORY
________________________________________________________________
Madhavi Dattatray Gaikwad
________________________________________________________________
Assistant Professor, Dept. of Rognidan and Vikrutivigyan, C.S.M.S.S. Ayurved College,
Aurangabad, Maharashtra, Mobile: 9970431387, Email: [email protected]
________________________________________________________________
has been made here to understand the
ABSTRACT
correlation between these two theories.
Ayurveda,
the
ancient
medical
system and the Science of life can be
Keywords – Ama, Free Radical Theory,
considered as the art of healing and
Agni, Agnimandya
prolonging life. Philosophical and Scientific
AIM & OBJECTIVES –
base of ayurveda is the rich store house of
hidden treasure of principles and practices.
1. To study the role of Ama in
Ama is an important factor in pathology of
pathology.
any disease. In the present article the theory
2. To study the role of Free Radical in
of ama has taken into consideration to
pathology of disease.
justify the philosophical depth of ayurveda
with
its
contemporary
3. To
scientific
understand
the
correlation
between Ama & Free Radical.
understanding. The cause for production of
ama, way of its formation, characteristics
INTRODUCTION -
and nature of affecting dosa-dhatu-malas
The free radicals can be compared with that
almost matches with the contemporary
of the Ama. In the present clinical
concept of Free radical Theory. Thus effort
understanding the amavata (Rheumatoid
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Arthritis) is compared with the disease
When these toxins get retained in the
rheumatoid arthritis and the role of free
intestine for a longer time, they become
radical in causing the rheumatoid arthritis
fermented and cause health problems.
has been established. Much importance is
Mala Sanchaya (Waste accumulation) –
given to ama in the manifestation of disease
When the body liberates heat and energy,
in ayurveda which simulates the Free
the tissues get disintegrated and certain
Radicals. A correlation between Ama and
minute waste products are formed (known
Free radicals seems to be strongly possible.
as kleda) during this process. Up to a certain
AMA -
Due to hypofunction of usma
limit, the existence of this waste is essential
(agni), the food which is not completely or
for the body and the excess waste is
properly digested, yields immature rasa in
excreted. When this excretion process
amasaya (Stomach) and due to its retention,
becomes inefficient, these waste products
undergoes fermentation or putrification.[1]
get accumulated in the body, resulting in the
formation of ama.
Ama can be described as - raw, uncooked,
or
Dhatu-agnimandya (Low tissue fire) –
incompletely oxidized or metabolised or
Tissue fire plays an elemental role in the
unripe,
immature,
undigested
similar to a poisonous substance.
[2]
process of dhatu (tissue) formation from
nutrient plasma[4]. Thus, when the tissue fire
Causes of Ama Production
[3]
of a particular tissue is diminished, the
formation of that tissue remains incomplete
Even though a poor digestive fire is
and ama is produced. Tissues containing
known to be the main cause behind ama,
ama are known as Sama Dhatu.
there could actually be several other reasons
as well. Some of these reasons are discussed
Krimi Visha (Bacterial toxins) – During
below:
infections caused by bacteria or viruses, the
Agnimandya (Low digestive fire) – The
body liberates toxic substances that can
body’s digestive fire performs the task of
cause diseases.
digesting food in its entirety. However,
Ama - root cause of disease
when this fire is low, the food we eat is not
properly digested and toxins are formed.
18
[3]
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Majority of the endogenous diseases
an extra electron from adjacent molecules.
actually begin with the formation of ama,
Thus free radicals are highly reactive.
which has tremendous capacity to vitiate the
(Salvemini and Bottling, 1990)[5]
dosas, thus disturbing the homeostasis
(dhatu-samya). The
ama thus
Causes of Free Radicals [6] –
formed
manifests itself either locally (in the G.I.T.)
Radiation,
or systemically by obstructing the macro
ionizing
as
well
as
electromagnetic fields
and micro channels. The disease thus
produced, clinically manifests itself in form
Sunlight & ultraviolet light, especially UV-
of various signs and symptoms. These signs
ray, Pollution, Toxic metals, Pesticides,
and symptoms are the principle tools used
Chemicals and Pharmaceuticals.
by a physician to diagnose the disease and
Oxidation – Smoking, alcohol, diet.
treat it promptly. ama and various diseases
produced by it may be identified / diagnosed
Free radicals are produced in a number of
by looking for a number of objective and
ways in biological system.
subjective symptoms, which have been
Free Radical Theory –
described in various ayurvedic classics. But
with the recent trends of thinking, the latest
Attributed to Denham Harman (1950)
approach to the study of the physiological as
well as pathological states of the human
Lifespan
beings has been directed more to the
is
in
inverse
proportion
to
metabolic rate.
parameters which are better understood
either by direct cognition or inference based
The metabolic rate is proportional to oxygen
on laboratory investigations done in vitro.
consumption.
WHAT ARE FREE RADICALS?
Oxygen free radicals lead to tissue damage
and ultimately death.[7]
A free radical is an atom or molecule
that contains one or more unpaired electrons
“85% of chronic and degenerative diseases
and discontented with such a conformation,
are results of oxidative damage.”[8]
it will try to seek stability either by donating
its electron to other molecule or acquiring
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Free radicals are very unstable and react
various disease processes.[9] In accordance
quickly with other compounds, trying to
with the present scientific knowledge, the
capture the needed electron to gain stability.
excessive production of free radicals in the
Generally, free radicals attack the nearest
organism, and the imbalance between the
stable
attached
concentrations of these and the antioxidant
molecule loses its electron, it becomes a free
defenses, may be related to processes such
radical itself, and thus begins a chain
as aging and several diseases, among which
reaction. Once the process is started, it can
main are cancer, ischemic processes, senile
cascade, finally resulting in the disruption of
dementia,
a living cell. Due to this acceptance and
pancreatic diseases, lupus-erythematosus,
donation of free electron, it will make of
cirrhosis, intestinal inflammatory diseases,
another free radical. The newly produced
multiple sclerosis, arthritis, arteriosclerosis,
free radical is unstable in most cases and
cardiovascular diseases, diseases of the
thus it can also react with another molecule
central nervous system and the brain.
molecule.
When
the
diabetes,
pulmonary
and
to produce another free radical.[5]
FREE RADICAL DAMAGE :
Free radical – main cause of disease
1. Free radical damage may involve
The theory of free radicals which has been
any cellular content. These include
proven in recent years considers these free
mitochondria,
radicals (unstable reactive radicals) as the
peroxisomes, nuclear endoplasmic
main
and
reticulum and plasma membranes as
degenerative changes produced in the
well as sites within the cytosol. All
cause
human body.
of
[9]
many
diseases
These free radicals may
lysosymes,
are vital for the normal metabolic
damage any cellular content and also
functions of the cell.
destroy the genetic machinery of the cell.
2. Free radical damage culminates in
They produce destruction of the cellular
cross-linkages,
membrane which results in loss in the
inactivation. The genetic machinary
organization
of the cell may be damaged which is
of
cellular
enzymes,
a
disturbance in the distribution of nutrients
a
and dysfunction of cellular metabolism. The
radiation. Damage to the DNA
sequence of events eventually leads to
20
major
disorder
denaturation,
in
ionizing
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molecule may result in mutagenesis
5. Biological molecules can be raised
and carcinogenesis.[10]
to higher energy states by exposure
3. Oxygen plays a key role in the
to ionizing radiations and thereby
generation of free radicals and lipid
become reactive. Oxygen makes cell
peroxidation. Molecular oxygen is
more sensitive to radiation. Oxygen
uniquely suited for free radical
reacts
production because its two unpaired
produced by radiation and may
electrons cause the molecule to
further
participate in redox reactions at the
reactions within the molecules of the
kinetic energy levels available in
cells.
biological systems. Damage to intra
cellular
the
enhance
free
the
radicals
destructive
6. Biochemical reactions are generally
lipoprotein
characterized by specific, orderly
assemblies by oxidant free radicals
reactions. However free radicals
can have profound adverse effect in
react with little regard to selectivity.
the cell.[10]
They can initiate a chain reaction
4. The
membrane,
with
structure,
chemistry
and
which
even
at
very
low
functions of these cell membranes
concentrations can cause serious
are
toxic effects in biological systems.
extremely
complex.
When
destructive free radical molecules
come
in
contact
with
CORRELATION
these
CONCEPT
membranes they can produce lipid
peroxidation
and
many malformed substances in the body.
disturbance in the distribution of
This ama is responsible for the production
nutrients and a dysfunction of
of various diseases. In the same way free
cellular metabolism. This sequence
a
part
of
FREE
generalized term which can be applied to
organization of cellular enzymes, a
is
AND
Ama is not a single entity but is a
membrane may result in a loss in the
events
AMA
RADICAL THEORY
membrane
destruction . The destruction of their
of
OF
BETWEEN
radicals are also found to be the root cause
the
of many diseases. Free radicals can be
degenerative disease process and the
considered under the umbrella of ama.
production of arthrosclerosis.[10]
21
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1. Free radical is an atom or molecule
the healthy molecules of the body
that contains one or more unpaired
electron,
neutralization
which
by
and thus setting a chain reaction.
requires
free
From
radical
can
observe
that
properties of ama described in classics.
incomplete metabolic state which is
also the state of ama described as
[3]
one
properties of free radicals are similar to the
scavengers. Thus it exists in an
avipakvam
above
PROCESS OF PRODUCTION OF FREE
(incompletely
RADICALS AND AMA IN BODY -
digested/metabolized).
1.
2. Next it is seen that when produced,
Free radicals are said to be produced
free radicals are in assimilable to
in the body in abundance when
body components and exist in free
equilibrium between its generation
state. Similar is the case with ama
and body's
when it is produced it remains in
disturbed. The primary defense of
inassimilable state and hence termed
the body includes the activity of
asamyuktam.[3]
certain enzymes like superoxide
primary defense
is
3. Free radicals cause damage to cell
dismutase, catalase and glutathione
membrane and thus the cell is
peroxidase.[11] The impairment of
destroyed. This destruction may lead
these
to putrification and foul smell
production of free radicals. Similarly
generation which is similar to one of
ama
the property of ama described as
whenever there is malfunction of
durgandham.[3]
agni in the body. Many modern
enzymes
is
also
can
being
lead
to
produced
ayurvedic scientists consider the
4. Though ama remains in the body as
its
action of various enzymes as the
properties like bahupicchilam etc. it
action of agni. Therefore it may be
sticks to normal healthy body tissues
concluded that impairment of agni at
very quickly. Similar is the case with
cellular level causes the generation
free radicals. To seek stability in
of free radicals.[12]
asamyuktam,
but
due
to
2.
their structure they quickly attack
Some exogenous causes are also
responsible
22
for
free
radical
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3.
production like pollutants, dangerous
Depending upon the site and method
chemicals, certain food products. All
of production many different forms
these may be termed under the
of free radicals are produced. Ama
heading of mithyaharavihara. (faulty
also
diet and practices).
specific types, as each cell of the
Certain enzymes produce radicals as
body has its own agni and depending
intermediary substances, which are
upon it many different types of ama
supposed
are produced. .
to
go
into
further
cannot
be
classified
into
metabolism, but they somehow jump
HOW DOES THE PRODUCTION OF
out of the normal metabolic cycle
DISEASE OCCUR FROM BOTH AMA
and work as harmful entities. In case
AND FREE RADICALS?
of ama, it is seen that ama is also an
intermediary
metabolite
in
the
According to Susruta, a disease is produced
process of digestion at different
in six steps (kriyakala) viz. sancaya,
levels and if the process is not
prakopa, prasara, sthanasamsraya vyakti
completed or ama remains as it is, it
and bhedavastha.
becomes harmful to body.
4.
step. It happens due to impairment of agni
metals also produce free radicals.
at that place. Similar is the case with free
Ama is also said to be produced from
dravyas
radicals, at certain site due to impairment in
(poisonous
action of free radical scavengers increased
substances). Processes which are
responsible
for
free
production of free radicals takes place.
radical
When this sancaya or accumalation is in
production are studied in detail in
modern
science.
small amount it does not cause any harmful
Auto-oxidation,
effects, but if treatment is not given, this
consequent inactivation of small
sancaya exceeds the threshhold. Then it
molecules such as reduced thiols and
starts producing minimal symptoms, this is
flavins, electron transfer etc. are few
such processes.
5.
the stage of prakopa (vitiation of dosas).
[5]
After this stage, ama goes into circulation;
Total number of types of free
radicals
is
In cases of diseases
produced by ama, sancaya of ama is first
Certain toxic substances like heavy
visaja
[13]
still
not
same is the case with free radicals. Now this
known.
ama requires a site for creating disease in
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form of khavaigunya, (pre-existing defect or
understanding the phenomena involved at
organ-tissue weakness) which should be
the molecular level of ama.
considered as weakness in any body tissue
where
ama
may get
CONCLUSION
sthanasamsraya,
(localization of lesion)or may adhere with
On
the tissue or cells. In case of free radicals
concept
with them. Therefore depending upon this
of
ama
which
supplies
the
the original source of the free radical
organ-tissue weakness) different diseases
theory." The above speculation leads to the
are produced in different manner from same
conclusion
root cause, i.e. ama or free radicals. This is
sthanasamsraya.
found
pathological basis of ayurveda is perhaps
site of khavaigunya ,(pre-existing defect or
of
similarities
ama one may say that "the all too-vital
can easily take part in electron exchange
stage
of
between the factors namely free radicals and
also, they look for a site which is weak and
the
basis
that
the
earlier
ayurvedic
concept of ama can be explained to the
Now
modern man by justifying it with the help of
symptoms of diseases become clear. All
biochemical parameter called free radicals.
pathologies described in modern science are
Free radical can be a future parameter to
from this stage. In modern science stages
measure the depth of pathology.
earlier to this are rarely considered. After
this stage pathology at gross level becomes
REFERENCE
visible. If even at this stage the disease is
1. Astanghrdayam of Vagbhata edited
with
the
Vidyotini
Hindi
Commentary by Kaviraja Trideva
Gupta edited by Yadunandana
Upadhayaya.
Chaukhambha
Prakashan Varanasi. Edition 2011
Sutrasthana 13/25 Page No. 132
2. Caraka Samhita – of Agnivesa,
revised by Caraka and Dradhabala
with the Ayurveda – Dipika
Commentary and with Vidyotini
Hindi Commentary by Pt. Kasinatha
Sastri.
Chaukhambha
Sanskrit
Sansthan, Fourth edition 1994 .
not treated it leads to complications which
are described in ayurvedic classics as
updravas (complications).
From above discussion it becomes
clear that the method of production of
disease at its basic level is described in
similar manner in modern as well as in
ayurvedic literature. Free radical theory is
one of the biggest clues which help us in
24
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Caraka Chikisthan 15/44 Page No.
386.
3. Madhava
Nidanam
of
Sri
Madhavakara with the Madhukosa
Sanskrit
Commentary
by
Srivijayraksita
and
Srikanthadatta,edited
by
Prof.
Yadunandana
Upadhayaya,Chaukhambha Sanskrit
Bhawan
Varanasi.edition
2003
Adhaya 25/1-5 Page No. 509
4. Charakasamhita of Agnivesa revised
by Charaka and Dridhabala with the
Ayurveda-Dipika Commentary of
Chakrapanidatta edited by Vaidya
Jadavaji
Trikamji
Acharaya.
Chaukhambha Surbharati Prakashan
4th edition 1981( Reprint 2009)
Chikisthan15/5,
15/15
Page
No.512,514
5. Salvemini D and R Bottling,The
effect of the Free radical scavangers
on
platelet
adhesion
and
aggregation. Drug News and
Perspective Ed. J.R. prous.J.R.
prous,Science Publishers 3(4): 202212, 1990
Joel F Liebman and Joan
Selverstone
Valentine,
Active
Oxygen in biochemistry, Joan
Selverstone Valentine, Christophers
Foote, Arthur Greenberg, Joel F
Liebman editors, Chapman and Hall,
Madras; 1995. p. 1-37.
8. Niwa.Y. Effect of Maharishi-4
[MAK-4] and Maharishi-5 [MAK-5]
on inflammatory mediators- with
special reference to their free radical
scavenging effect. Indian journal of
Clinical Practice, 1991: 8(1):23-27
9. Robbins and Cotran Pathologic
Basis of Disease, 7th ed. Elsevier.
Chapter 1 Cell Injury, Cell Death
and Adaptations pg 14-16
10. Text book of Medical Biochemistry
- S. Ramakrishnan, K. G. Prasannan,
R. Rajan, Orient Longman Ltd.
Hyderabad (1986).
11. Methods in Enzymology. Volume
472, 2010, Pages 153–178.
12. Free radical Mediated Disease and
Ayurveda (1996) Seminar at B.H.U.
13. Sushruta Samhita : Ayurveda tatva
sandipika
Hindi
Commen.
byAmbikadatta Shastri, 9th Edi.
Chaukhambha Sanskrit Samsthana
(1995).Surasthan 21/36 page no-94
6. Dr. Ingrid Naiman 2013 (for
AAPNA conference on march
2013)
7. Biological Reactions of Dioxygen:
An Introduction, Raymond YN Ho,
Cite this article:
AMA & FREE RADICAL THEORY
Gaikwad Madhavi Dattatray
25
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Article_4
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EFFECT OF SOOKSHMA TRIPHALA IN POST OPERATIVE
SURGICAL WOUND CARE W. S. R. TO WOUND FIBROSIS
___________________________________________________________________________
Shailendra D. Katakdound *1
___________________________________________________________________________
1. Associate Professor and Head, Strirog Prasutitantra Department,
V.P.A .Medical College & Institute of Yoga, Sangli, Maharashtra.
* Corrsponding Author: Email- [email protected], 9422472975.
___________________________________________________________________________
15th post operative day. In Group-A wound
ABSTRACT
fibrosis decreases significantly on 15th post
Effective use of Ayurvedic drug in
operative day but in Group-B which was
postoperative wound care in major surgical
persist. Patients of both groups showed
procedure is basic concept behind this
similar relif in pain, local tenderness,
clinical trial. For this study all patients are
induration
taken from study centre. Total 40 pts were
in
Group-B(n=20)
difference
treatment is equally effective in both groups
Tab–Sookshama Triphala 1gm three times a
while
significant
observed in wound fibrosis. Hence the
included in study group; In Group-A(n=20)
day
but
for pain, local tenderness & induration but
Tab-
on post operative wound fibrosis Group-A
Seera(serratiopeptidase) 10mg two times a
shows comparatively good result then
day was given from 2nd to 15th postoperative
Group-B. Study concluded that Sookshma
day. In all patients wound dressing removed
Triphala Vati is equally effective when
rd
on 3 post operative day to examine wound
compared with modern drug in post
th
stitches were removed on 8 post operative
operative wound care
day. Assessment of wound done for gaping,
& showed better
result on post operative wound fibrosis.
sokage, exudates & dehiscence on 3rd 8th &
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Hence Sookshma Trifala Vati is practically
drugs, antibiotics are available to overcome
reliable to use in post operative wound care
these problems but analgesic & anti-
to manage post operative pain & wound
inflammatory drugs causes moderate to
complications.
severe gastritis. This affects appetite & diet
of the patient. In post operative management
Keywords:
Post
operative
wound,
& care proper diet is very important. In
Sookshma Trifala Vati, Wound healing,
Ayurveda
wound fibrosis.
Acharya
Susruta
described
shasthiupkrama (60 measures) for surgical
& non surgical wound care[1] . Ayurvedic
INTRODUCTION:
medicines are very useful to relive post
operative
Surgery is a definitive treatment for
pain,
induration,
gaping
,
various organic diseases. Surgery can save
excessive scar fibrosis without affecting
life of patient in certain diseases where
appetite of patient[2-5] . Instead of affecting
medicine shows very little role. In modern
appetite of patients these drugs enhances
medicine surgical branch became very
appetite which is very useful in post
advanced due to many factors like advanced
operative management. To minimize post
anesthetic
techniques, anesthetic drugs,
operative wound complication & modern
advanced surgical instrument & equipment ,
drug related side effects this study has been
antibiotics,
material,
planned with aim to evaluate efficacy of
advanced sterilization techniques, sterile
‘sookshma triphala vati’ for post surgical
operation
wound care.
advanced
theater
&
suture
analgesic
,anti-
inflammatory drugs . Hence morbidity &
Materials & Methods:
mortality rate decreases positively during
and after surgery. In spite of all these
Material:
advances surgery related complications
occurs in that wound related complication
are
common.
In
surgical
40 post operative (gynaecological &
wound
obstetric) patients were selected for this
complications pain, infection, gaping, scar
study.
fibrosis, long standing scar tenderness are
common
complications.
medicine
analgesic,
In
modern
anti-inflammatory
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Tab-Sookshma Triphala -250mg
opened on 3rd post-operative day. Cleaning
(Ayurved Rasashala Pune Batch no. 12544-
of wound done & betadine ointment applied
13000),
locally & no dressing done to observe
Drug:
wound & to see result of treatment.
Tab-Sera10 mg (serratiopeptidase)
all patients Pfannenstieal incision taken &
Surgical wound examination done
daily & result noted on 3rd, 8th & 15th post
operative day as per subjective & objective
parameter adopted f or this study. All skin
sutures removed on 8th post-operative day
discharged on same day. All patients from
both groups were called for follow up on
15th post operative day to observe final
result.
abdomen closed layer wise with vicryl No-
OBSERVATIONS AND RESULT
Method:
Post operative (gynaecological &
obstetric) patients were selected from I.P.D.
& divided into two groups. All patients were
undergone for major surgical procedure..In
0. No sutures were taken to approximate
subcute fat. Skin sutured with vertical
To study the effect of Ayurvedic drug on
mattress suture with Barbados no-60.In
post operative wound care observation &
Group-A(n=20)
calculation according to following charts.
Tab-Sookshma
Triphala
1gm three times a day while In Group-
After
observing
all
data
B(n=20) Tab- Sera(serratiopeptidase)10mg
calculation are done to find out the
two times a day was given from 2nd to 15th
treatment is effective or not. All statistical
post operative day. In both group Tab-
calculations are done by applying ‘t’ test,
Zerodal (Diclofenac sodium) was prescribed
chi Square test and ‘t’ value is calculated to
to all patients form 2nd post operative day up
revel ‘P’ value to decide effectiveness of
to two days. Surgical wound dressing
treatment.
The table showing post operative cases in both groups:
Group
Group-A(n=20)
Group-B(n=20)
Hyterectomy
13
LSCS
07
12
08
28
Total
20
20
statistical
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The table showing the difference of difference in both groups.
Prameter
X1
X2
S.D.1
S.D.2
S.E.
t
P
Pain
2.15
1.85
0.6708
0.4894
0.259
1.1583
>0.05
L. Tendrness
2.15
1.8
0.4894
0.5231
0.2265
1.545
>0.05
Induration
0.95
0.9
0.3940
0.6407
0.2314
0.2160
>0.05
Fibrosis
-0.1
-0.7
0.3078
0.5712
0.1966
3.05
<0.05
Unpaired ‘t’ test used for the
shows antibacterial action when given
difference of difference in both groups for
locally & orally[2-5]. Triphala also shows
pain, local tenderness & induration ‘t’ value
astringet, anti inflammatory & antiseptic
is 1.1583, 1.545 & 0.2160 respectively &
action
‘P’>0.05 which shows that there is no
process[11].
statistical significance because both groups
which acts as cementing material & required
shows same effects on post operative pain
in the process of blood clotting[8]. Triphala
relif
induration.
hastens the process of phagocytosis[9] hence
Unpaired ‘t’ test used for the difference of
dead cells & debris are easily eliminated
difference in both groups for fibrosis ‘t’
from wound[6-7]. Triphala increases blood
value is 3.05 and ‘P’<0.05 which shows
supply
that there is statistical significance in both
granulation tissue formation at wound[10].
local
tenderness
&
so
it
hastens
Triphala
towards
wound
contains
wound
&
healing
collagen
accelerates
group on post operative wound fibrosis.
Kajjali[12] is a khalvi rasayana[17] it
acts as catalyst hence enhances absorption
Discussion:
of herbal pharmacological molecules so
To
Sookshm
prove
the
triphala
vati
effectiveness
[17-18]
in
of
increases bioavailability injested drug[18].
post
Drug effect is more after addition of kajjali
operative wound care following objective
so helpful in reducing doses of drug[13]. It
parameters were taken i.e. local tenderness,
binds with mucosal coat of GIT hence
induration & fibrosis . Sookshm triphala
vati[17]
contains triphala churna
kajjal[12]. Triphala[2]
[2]
produces pharmacological sustained release
&
of drug better crosses blood intestinal
is rich in Vit-C it
barrier[14]. It shows anti IgE mediated
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reaction & scavenges circulating immune
fibrosis Group-A showed comparatively
complexes[15]. It shows immune enhancing
good result then Group-B.
effect, cellular rejuvinative effect, systemic
detoxification &antioxidant effect[16]. Again
Summary & Conclusion:
it maintains half life of the herbal drug
Study concluded that Sookshma
molecules for longer period. Kajjali shows a
Triphala Vati is equally effective when
bacteriostatic & bactericidal action when
compared with modern drug in post
given orally[19-20] All these properties of
operative wound care & showed better
Sookshm triphala vati are utilized in the
result on post operative wound fibrosis.
management of post operative wound care.
Hence Sookshma Trifala Vati is practically
reliable to use in post operative wound care
Result:
to manage post operative pain & wound
No gaping, soakage, any exudates,
complications.
dehiscence found at wound in any patient.
All patients were called for follow up on
References:-
15th post operative day. No tenderness,
1. Anonymous, Sushruta Samhita, ed.
Acharya,
J.T.,
Chaukhambha
Orientalia, Varanasi., 1980.
2. Araujo Mohana Pinheiro, Cristhiane
de AraujoTorres, J Surg Cl Res
2010, 1, 33-45.
3. Desai, H.K., “Chemical Investig. of
some Indian Plants Part VII”, Indian
J. of Chem. Vol. 11: 840 (1973).
4. Dhar M.L.et.al.,“Screening of Indian
plants for biological activity” Part I,
Indian J. of Expt. Biology, Vol. 6:
232 – 247 (1968).
5. Johanson
D.
A.
Plant
Microtechnique, Second edition
Mcgrew Hill publishing Co., Ltd.,
(1939).
6. Kent Doi, Asada Leelahavanichkul,
Peter S.T. Yuen, Robert A. Star,
JClin Invest 2009, 119, 2868–28789.
excessive wound fibrosis observed in any
patient from study group. The wound
fibrosis observed from 8th post operative day
in both groups. In study group wound
fibrosis decreases significantly on 15th post
operative day but in control group which
was persistent. This study shows that in both
group similar findings were observed for
pain, local tenderness, induration but
significant difference observed in wound
fibrosis & in study group no antiinflammatory used after 4th post operative
day. Hence the treatment is equally effective
in both groups for pain, local tenderness &
induration but on post operative wound
30
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7. KirtikarK.R.&BasuB.D.Indian
Medicinal Plants Vol.1 – 4. II
edition, Bishen Singh Mahendrapaul
Singh, Dehradun (19185).
8. Nadkarni. K. M. Indian Materia
Medica, Baptish Mission Press,
Calcutta (1908).
9. Pandey G. S. & Chunekar K. S.:
Bhavaprakasa Nighantu (Indian
Materia Medica) Chowkhambha,
Varanasi – 1 (1969).
10. Phadke, S.A., Kulkarni, S.D., Indian
Journal of Medical Sciences
1989,43, 113-117.
11. Scott R. Hyde, Rex D. Stith,
Mccallum R.E., Infection and
Immunity1990, 619-624.
12. Tariq, M., Hussain, S.J., Asif, M.,
Jahan, M., Indian J Exp Biol
1977,15, 485–48.
13. Saper RB, Kales SN, Paquin J,
Burns MJ, Eisenburg DMDavis RB,
et al. Heavy metal content of
ayurvedic herbal medicine products.
J Am Med Assoc 2004; 292:2868–
2873.
14. Nissen N, Weidenhammer W,
Schunder-Tatzber S, Johannessen H.
Public
health
ethics
for
complementary and
alternative
medicine. Eur J Int Med 2013; 5:6267.
15. Ibrahim D, Froberg B, Wolf A,
Rusyniak
DE.
Heavy
Metal
Poisoning: Clinical Presentations
and Pathophysiology. Clin Lab Med
2006; 26: 67–97.
16. Narayanaswamy V. Origin and
Development of Ayurveda. Anc Sci
of Life 1981; 1:1-7.
17. Shastri K. Rasatarangini. 11th
edition, Motilal Banarsidas, Ch. 2,
Shlok 52, Pg. 22. 2009.
18. Shastri K. Rasatarangini. 11th
edition, Motilal Banarsidas, Ch. 6,
Shlok 107, Pg. 124. 2009.
19. Mitra A, Chakraborty S, Auddy B,
Tripathi P, Sen S, Saha AV, et al.
Evaluation of chemical constituents
and free radical scavenging activity
of Swarnbhasma (goldash), an Ayu.
drug,
J
Ethnopharmacol
2002;80:147-153.
20. Kumar A, Nair AG, Reddy AV,
Garg
AN.Bhasmas:
unique
ayurvedic
metallic-herbal
preparations,
chemical
characterization. Biol Trace Elem
Res 2006; 109:231–254.
21. Anonymous .WHO- Experiment
committe on specification for
pharmaceutical preparations. 32
reports (WHO, Geneva) 1992:44 and
75.
Cite this article:
EFFECT OF SOOKSHMA TRIPHALA IN POST OPERATIVE SURGICAL WOUND CARE
WITH SPECIAL REFRENCE TO WOUND FIBROSIS
Shailendra D. Katakdound
31
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Article_5
______________________________________________________________________________________________________________________________________________________
CLINICAL EFFECT OF GOKSHUR POWDER, HONEY AND
SHEEP MILK ON URINARY IN RENAL CALCULUS
________________________________________________________________
Rajesh Chandrakant Pandit*1
_______________________________________________________________
1. Associate Professor, Surgery Dept., MAMC, LATUR, Maharashtra.
* Corresponding Author: [email protected]; Cell : 9637465065
________________________________________________________________
3) Results: The stated research is having
ABSTRACT:
excellent results over all types of urinary
1) Objectives: As India is a tropical country,
calculi including old and new cases and size
there are multiple patients suffering from
of calculi reduces gradually and finally
Urinary calculi i.e. urolithiasis, and in
passes of the calculi through the urinary
modern practice there is no complete
system.
remedy except surgery for this. The purpose
4) Conclusion: Finally this research is very
of my study is to assess the clinical efficacy
of
stated
medicinal
treatment
much useful to the society suffering from
over
urinary calculi without undergoing to any
urolithiasis by the sushruta.
type of surgery and there is definite
2) Method: The process to give the stated
conclusion about non recurrence of the
medicine is completely under manual
calculi again.
supervision upto 7 days of treatment and
follow up after 30, 45 and 60 days by the
In Ayurveda under the heading of
personal appointment with the patients with
Ashmari all types of urolithiasis are
their x-ray and USG Readings.
described by Sushruta. There are many
formulations
32
for
the
conservative
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management of all kinds of Ashmari.
Shodhan of body, Dietetic and behavioural
Among these Ajaksheer (Milk of Sheep),
ethics and Miscellaneous.[1]
and Gokhsur are two also mentioned for
Acharya
treatment of ashmari. In this study these two
urinary
Gokshurbeej powder and 10 gm honey
two times for 7 days. In control group
infection
in
modern
Today most of the urinary stones
(n=30) only 100ml sheep milk was given
need surgical intervention when there is
two times a day for 7 days. Follow up was
gross hydronephrosis due to obstructive
done after 30 days, 45 days and 60 days
recurrence.
tract
paralance.[2]
given with 100ml sheep milk as anupan
for
the
perineum and urethra which are similar like
this purpose in trial group (n=30) 10gm
treatment
explained
general of ashmari like pain at umbilicus,
were tried in the patients of Ashmari. For
after
Vagbhat
uropathy. There are some specific medicines
Study
internally, provided relief up to some certain
concluded that trial group was found
size of stones without hydronephrosis.
effective to reduce the size of Ashmari as
It is worthwhile to mention modern
well as relief in the symptoms of Ashmari as
aspect of urinary calculi which emphasizes
compare to control group.
the need of medicinal treatment up to the
size of 6 mm (like forced dieresis,
INTRODUCTION:
hydrotherapy.) After that it needs surgical
Ayurveda is an ancient Science of
treatment. Some non invasive procedures
life as old as human race. It has an ultimate
like LASER therapy, ESWL, etc. are also
aim
indicated, but these are very expensive and
to
maintain
health
of
healthy
individuals and cure the diseased ones.
also one cannot assure about the nonoccurrence of stone again.
It is pertinent to give the reference of
urinary calculi which has focused in
In
Ayurveda prominently.
Sushruta
Samhita
the
management of Ashmari is given by
Sushruta is Gokshurbeej powder, and sheep
Acharya
Sushruta,
Pioneer
of
milk as anupan for 7 day for complete sure
surgery, aetiological factors for Mutraj
of Ashmari. Considering these facts this
Ashmari viz. Improper and inadequate
study has been planned with aim to the
33
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clinical effect of Gokshurbeej Churna,
iii) Only those patients were selected in
Honey and Aviksheer (Sheep Milk) in renal
which USG and / or X – ray shows
calculus. [3][4]
presence of calculus in urinary tract.
b) Rejection Criteria :
MATERIALS AND METHODS:
i) Patients above 60 years
ii) Patients having any other major illness
CLINICAL TRIALS:
with calculus like HT, DM, Heart
Disease etc.
CRITERIA:
iii) Unconscious patients.
a) Selection Criteria :
DRUG ADMINISTRATION:
i) Age group within 0 to 60 years.
ii) Without any complication in urinary
tract
like
UTI,
60 patients were divided in two groups. 30
hydronephrosis,
patients were selected in each group.
hydroureter etc.
a) Trial Group :
1. USG Abdomen,
2. Plain X – ray KUB after preparation.
Sr.
Drug
No.
Gokshur
1.
beej Churna
2. Honey
3. Aviksheer
Quan
Administrati
Durati
tity
on
on
10
gm.
Clinical Signs:
Lehan
B.D.
10
for 7
gm.
days
100
ml.
1) Pain
2)
Burning Micturition 3) Haematuria
OBSERVATIONS:
Anupan
Generally teenagers of patients get relief
than the elder one while males get more
b) Control Group :
Ony
Aviksheer
relief than the females. The occupations like
(Sheep
Milk)
is
continues seating or hardworking both are
administered 100 ml. B.D. for 7 days.
proven about the calculus and having the
similar results.
CRITERIA FOR THE ASSESSMENT
OF CALCULI:
TABLE NO. 1: Presentation of table &
statistical data.
34
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Age
in Relief
Years
Pain (%)
(mm)
D – 15
5
4-5
50
5-10
D – 1630
D – 3145
D – 4660
TABLE NO. 4 : UNPAIRED ‘t’ TEST
in Reduction of size
FOR SIZE OF CALCULUS
Follow up S.E. ‘t’
40
4-6
35
5-7
P
00 – 07
0.0
0.9 P>0.05
07 – 30
2.5
4.0 P<0.05
30 – 45
0.0
-
00 – 45
2.5
4.0 P<0.05
-
TABLE NO. 2 : PAIN
Follow up
Day
Medicinal
Control
Group
Group
DISCUSSION:
X
S.D.
X
S.D.
Here we are giving honey as a Yogavahi
th
2.9
0.3
1.3
0.5
dravya to increase the properties of Gokshur
7
th
2.4
0.6
1.3
0.5
and Aviksheer.
30th
1.1
0.7
1.6
0.5
45th
0.2
0.5
2.0
0.4
0
PAIN:
TABLE NO. 3 : SIZE OF CALCULUS
Follow up
Day
It
markably
reduced
due
to
decreasing the size of calculus, while the
Medicinal
Control
marginal ends of calculus becomes blunt,
Group
Group
which were sharp before the treatment
X
S.D.
X
S.D.
0th
12.5
11.7
04.4
01.7
7
th
12.5
11.7
04.4
01.7
30th
04.7
04.9
06.4
02.1
45th
04.7
04.9
06.4
02.1
started which can be seen in USG.
BURING MICTURATATION:
It is also reduced as Gokshur is diuretic i.e.
Mutral and flashes the urine outside the
system by increasing the volume the urine.
It results into decreases acitic PH of the
urine.
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From above vivid discussion study
concluded that Gokshurbeej Churna, Honey
and Aviksheer (Sheep Milk) was found
effective to reduce the size of Ashmari as
well as relief in the symptoms of renal
calculus.
HEMATURIA:
It also get reduced due to the dissolving of
the sharpness of the stone with Aviksheer
and Gokshur.
Here we are giving honey as a
Yogavahi dravya to increase the properties
of Gokshur and Aviksheer.
ACKNOWLEDGEMENT:
While treatment process of stated
study no complications were noticed.
Author thanks to Dr. M. J. Quadri
and Dr. S. V. Annapure for their guidance
throughout the study.
ANALYSIS:
REFERENCES:
Though the above all parameters
were considered for the assessment but
notable changes were observed in above two
criteria i.e. size of calculus and pain.
1. Vd.Yadavji Trikamji, Sushruta Samhita
Dalhan Tika, part 2, Chikitasasthana,
chapter no.1/8, 4th edition, Chaukhamba
Orientliya, Varanasi, 1980
2. Astanga Samgraha of Vagbhata, part II,
Translated by Prof. K.R. Srikantha
Murthy, Published by Chaukhambha
orientalia, 3rd Edition 2001
3. A HAND BOOK OF DRAVYAGUNA. Prof. J. K. OJHA. Page no. 29,
Chaukhamba
Sanskrit
Pratishthan,
Varanasi, 1995.
4. Lt. Col. K. R. Kivtikar and Maj. B. D.
Basu , INDIAN MEDICINAL PLANTS,
Chaukhamba
Sanskrit
Pratishthan,
Varanasi, 2005
From the above observation we can
state that the size of calculus is reduced up
to 4 to 5 mm in 30 days. Pain is also
reduced from 3+ to 1+ or 0 (Zero). Burning
micturition and haematuria is also
considerably reduced.
This reduced signs and symptoms
are statistically significant.
CONCLUSION:
Cite this article:
THE ROLE OF GOKSHURBEEJ CHURNA, HONEY AND AVIKSHEER (SHEEP MILK) ON
URINARY CALCULUS
Rajesh Chandrakant Pandit
Ayurlog: National Journal of Research in Ayurved Science-2014; 2(2):32-36
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Article_6
______________________________________________________________________________________________________________________________________________________
To assess the Amalaki Rasayan effect in Geriatric problems
___________________________________________________________________________
Vanita N. Puri*1
__________________________________________________________________________
1. Associate Professor, Department of Swasthavritta, C.S.M.S.S. Ayurved College,
Kanchanwadi, Aurangabad. (431002).
* Corresponding Author: E.mail : - [email protected] Mob. No. 9096890140
___________________________________________________________________________
Dinacharya, Rutucharya & also through
Abstract:
some chikitsa which promotes strength &
In routine practice we came across
immunity mostly included in “Rasayan
with so many patients among which
Chikitsa”. [1] Ageing is general response that
geriatrics group is the major class. The
produces observable changes in structure &
ageing process or growing age can’t be
function due to environmental stress &
avoided but it can be delayed at least we can
disease as well as changes in diurnal habits.
try to treat the changes. Modern medicine
Ayurveda has emphasis on prevention.
treatment fails to give permanent relief from
Rasayan Chikitsa has got its importance on
above symptoms completely but Ayurveda
preventing the disease to keep healthy to all
may satisfactory answer for this that is
living individuals. Rasayan Chikitsa is
“Rasayan Chikitsa” .
probably promising answer for geriatric
problems & the drug which is chosen for
Keywords :-Rasayan, amalaki, geriatrics..
this is Amalaki.
natural
Introduction:
source
bioflavonoids,
Ayurveda is a science of life & has
carotenoids[5]
described how to live a healthy age through
37
[2]
Amalaki is the richest
of
flavones
viramin
‘C’,
polyphenols
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Group II –Treated with sharkara
The antioxidant effect of Amalaki is
significantly greater than that of
vitamin
Selection of Patients:
‘C’.
The patients who form the materials
Aims&Objectives:
of present clinical study will be selected
The present research work has been
from vrudhashrama, Tapovan, Panchavati,
under taken with the following aims &
Nasik as there are no. of senior citizens
objectives.
which lived together it was possible for me
to get all cases under one roof.
1) To
study
the
pathogenesis
of
geriatrics & to corelated it with
Criteria for Selection of Patients:
modern science.
The patients were selected for study as per
2) To assess the effect of amalaki
rasayan
in
specially
geriatric
following norms:
problems
joint
pain,
a) Criteria for inclusion:
Inactivity,Kshudha
Maudhy[4],Nidranash[5]
3) To introduce an easily available
economically
cheap
&

Age group: above 50-70 Years

Sex : Both male & female.

Patients having following signs
much
& symptoms ( joint pain /
effective drug for the geriatric
Inactivity / Kshudha (Maudhya)/
problems.
Nidra (nash).
Materials & Methods:
Criteria for Exclusion of patients
Total 60 patients randomly selected
& studied. These patients were selected into
2 groups each consisting of 30 patients. The
patients were treated for 90 days.

Persons below 50 yrs of age

Persons suffering from diabetes ,
Hypertension are excluded from
Group I – Treated with Amalaki Churna &
present clinical trials.
sharkara
Objective Parameters:
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Criteria for assessment
day patient was thoroughly examined &
recording pulse, BP, systemic examination
1. Joint Pain 2. Inactivity
done. Patients were called for the five visit.
on 1st, 7th, 15th, 30th, 90th days. Follow up
(Knee joint)
+++ Severe
+++ Severe
++ Moderate
++ Moderate
+ Mild
+ Mild
0 Nil
0 Nil
3. Kshudha
4. Nidra
+++ Severe
+++ Severe
++ Moderate
++ Moderate
+ Mild
+ Mild
0 Nil
0 Nil
sheet was filled with careful observation &
examination effect of the drug on each
symptom of all patients was recorded in
each case pro-forma with follow up chart
for assessment of effectiveness of the drug
questionnaire has been framed & given to
the patient twice before & after treatment. I
have also attached the permission letter of
the manager of Elder homes written concern
of each patient in my present work.
Follow up Chart of Sign & Symptom:
Before
Drug Dose:
After T/t
Amalaki Churna with sharkara 4gm
T/t
twice a day
Ist
(Ist IInd
day)
IIIrd
Iv
Vth
(7th
(14
(30
(90
day)
day)
day)
day)
1) Sharakara 4gm twice a day
Duration of Study: 90 days
A pro-forma of case sheet was
Anupana : luke warm water.
prepared. Patients were subjected to detail
history taking & clinical examination 1st
Observations:
1) Joint Pain :
Cure Complete Moderate Mild Total
Grade
27
1
2
30
Group
I
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Group
II
Total
18
4
8
30
45
5
10
60
‘t’ Calculated > to = 8.69
t table = 5.99
This means amalaki Rasayana is more effective in treating joint pain.
2) Kshudha :
Cure Grade
Group I
Group II
Total
Complete
27
18
45
Moderate
1
4
5
Mild
2
8
10
Total
30
30
60
Mild
4
8
12
Total
26
26
52
‘t’ calculated = 8.69 > t table = 5.99
This means Amalaki declines kshudha mandhya
3) Inactivity :
Cure Grade
Group I
Group II
Total
T = calculated 5.99
reducing inactivity.
Complete
12
6
18
Moderate
10
12
22
> t table = 3.514 thus the treatment is significantly effective in
4) Nidra :
Cure Grade
Group I
Group II
Total
Complete
22
10
32
Moderate
0
8
8
T calculated = 15.18 > t table = 5.99
40
Mild
1
5
6
Total
23
23
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Amalaki find more effective in
treatment of Geriatric problems
Nidra Nash.
concern with the symptoms like
inactivity, joint pain,
Observation:
kshudhamandhya & nidra nash[3]
2) From socioeconomic view
There is reduction in symptoms
concerned drug ‘Amalaki Churna’ is
after 4th follow up in Group I patients
easy to perform palatable easily
compare to II group. At the end of 90 days,
available, cheap which gives prompt
the patients of Group I show significant
symptomatic relief to the patient.
improvement in the symptoms like
3) In geriatric problems the measurable
inactivity, joint pain kshudha (hungryness)
condition of the patient as disability
& nidra (sleep).
to perform even the routine work
this disability can be conquered by
Discussion : -
Rasayan Chikitsa & the patient is in
Amalaki Churna administred in
position to perform his regular
Geniatric patients might got the results by
activities.
virtue of its Rasayan properties. As it is the
4) These results of Rasayan Chikitsa
highest source of vit c , it acts as the
are encouraging & with this much
antioxidant it protects cells against free
study it can be said that further
radical damage preventing ageing process.
research is necessary.
Hence when it improves immunity it gives
References:
resistance to fight the geriatric symptoms
more effectively & positively.
1. Agnivesh
Charak
Charak
Conclusion:
Samhita
chandrika
with
Hindi
Commentary by Dr. Brahmahanand
After reviewing the whole dissertation work
Tripathi and Dr prabhakar Janardan
in nutshell following conclusion may given.
Deshpande Chikitsa Stana Chapter
01
1) The result of clinical trial itself is a
Verse
no.07
Chaukhamba
proof to say that Rasayan Chikitsa
Prakashan,1998.
has definite role in systemic
41
page
05
Surbharati
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2. Raj Nighantu, Endradev Tripathi,
4. Susrut Samhita with Ayured-tattva
Amdradivarga, verse no. 158, page
Sandipika Hindi Commentary by
no
Kaviraja Ambikadutta Shastri and
371
Chaukhamba
Krunadas
Akadami,Varanasi.
3. Bhel
Samhita
Pranajivana Manekchanda Mehata
Vd.Visarada
Sutrasthana Chapter 1 Verse no.22
V.S.Venkatasubramania Sastri and
page no.04 Chaukhamba Sanskrit
Vd. Visarada C. Raja Rajeswara
Santhan, Varanasi 2003.
Sarma Nidansthana verse no.02,
5. http:
page no.140 Literary Research Unit
TMSSM
Thanjavur,CCRIMH-New
//www
ayurveda-
foryou.com>ayurveda-herb/amalaki
Library
6. Indian Medicinal Plants Vol –lll by
Delhi
K. R. Kirtikar and Basu page
1977.
no.2220 published by lalit Mohan
Basu, Allahabad 1998.
Cite this article:
To assess the amalaki Rasayan effect in geriatric problems
Vanita N. Puri
42
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Article_7
______________________________________________________________________________________________________________________________________________________
Case Report of Ligament & Menisceal Tear Of Knee Joint
___________________________________________________________________________
Gayatri B.Pund* 1, Raman R. Ghungaralekar 2
___________________________________________________________________________
1. 3rd year P.G.Scholar, Kayachikitsa Dept.
2. H.O.D. and Professor, Kayachikitsa Dept, R. A. Podar Medical College, Worli,
Mumbai.
*Corresponding Author: [email protected]
___________________________________________________________________________
Here is a case reported which is
Abstract :
successfully
Ligament tear is most common in
treated
with
ayurvedic
management. A combination of abhyantar
atheiletics and also seen in old age people.
chikitsa and bahya chikitsa(Utkarika) was
Traumatic injury can worsen joints in old
beneficial in relief of symptoms.So it can be
age whose joints are already degenerated.
said ayurvdic therapy can have a role in
management of Knee joint ligament tear.
Patient come with complaints of
severe pain, tenderness, swelling at knee
Key
joint and difficulty in walking. According to
words
–
Knee
joint,
ligament
tear,Utkarika.)
grades of sprain of ligament and occupation
of the patient, treatment is decided. Anti-
Introduction :
inflammatory, analgesics, knee braces, rest,
Knee joint is the largest joint in the
physiotherapy can be considered. But a
body and one of the most complex joint. It
sport person will have to recover from it
is also vital to movement. Knee ligaments
fast. So surgery advised in severe cases, it is
connect thigh bone to your lower leg bones.
of doubtful benefit sometimes.
Knee ligament sprains or tears are common
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sports injuries. Although ligament tear is
relief , treatment was continued for 1
common in athletes, it is also seen in old age
month. He got 75% relief. From above case,
people.
we can say Ayurveda can have role in
treating Knee joint ligament tear.
In old age, already there is dhatu
kshaya, degenerative changes occur in the
Case Report :
body. Even a healthy person can get,
ligament
tear
from
small
injury.
A 60 Years old male patient of anup desha
So
with kapha prakriti consulted at OPD of
traumatic injury can worsen joints of old
Kayachikitsa dept. with complaints of -
age people whose joints are already
degenerated.
Chief complaints: Following symptoms are
developed in patient since 4 yrs & these are
In modern medicine, depending on
increased from 6 months.
occupation, age of patient and grade of tear,
the treatment is decided. Sport person with
1. Lt knee joint pain & swelling
severe injury, surgery is advised. Surgery
success is in doubt sometimes. Also, patient
2. Pain increases on walking
contraindicated to surgery, non willing for it
the
treatment
is
3. Heaviness in left knee joint
anti-inflammatory,
analgesics, rest, physiotherapy, knee joint
The patient was apparently alright before 4
braces. But symptoms not relieved fully.
yrs, then he had trauma to his left knee joint.
He had swelling & pain at that joint. He
In Aurvedic point of view, it can
consulted at orthopaedician who advised
correlated as Sandhigat vata. Dah-swedaupnahanam
Ayurveda.
is
the
With
chikitsa
that,
vardhakya
awastha,
vyadiavastha
was
Ayurvedic principles,
stated
asthi
him
in
(total
knee
joint
the same ,hence came in podar hospital to
bharadhikya,
the patient
TKR
replacement).The patient was not willing for
kshaya,
considered.
to
take ayurvedic treatment. He also took
Using
ozone therapy. His symptoms aggravated
was
since 6 months.
treated. Internally, he was given asthidhatu
balya chikitsa and locally doshpachak lepa
Family history: NAD
& then Utkarika. Within a week he got mild
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K/C/O: HTn since 3 years under treatment
1)Asthivaha: Lt knee joint pain
T.Amlo AT 1 OD.
2) Majjavaha:
Past history: Accidental trauma to left knee
Sandhi Parikshana (Joint
examination)
joint, 4 years back. Patient hitted on the
Lt knee joint :
door accidentally.
i) Crepitus:
Addiction: occasional alcoholism, smoking
ii) Swelling:
iii) Girth:
Samanya Parikshana:
Nadi: 72/min regular
Agni: Tikshnagni
Akruti: Sthool
RR: 18/min
i.
Restriction of movements(karmagraha):
Mala: Malavashtambha
Flexion & extension painful
Prakruti: Kapha pradhan vatanubandhi
Investigations:
BP: 130/80 mm of Hg
X ray Knee joint (10/06/2013) severe space
reduction in medial compartment of left
Mutra: Samyak
knee joint with marginal osteophytes.
weight: 100 kg
MRI Lt knee joint (12/06/2013): extrusion
Koshth: Krur
of medial meniscus with complex grade III
tear involving the body & posterior horn of
Jivha: Alpa saam
the medial meniscus.
Strotas Parikshana:
Grade III tear of the medial collateral
ligament.
All the strotas within normal limit except
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Grade II sprain of the anterior cruciate
(asthi, snayu, shleshak kapha kshaya)
ligament.
sandhisthanirukshata,kharata,
saushirya
sandhiatopa,Vatapurnadrutisparsha,
Grade I sprain of the posterior cruciate
sandhishoola Sandhigata vata
ligament.
Chikitsa[3]:
Partial tear of popliteus muscle.
सन्तिसम्प्प्राप्िे कुया्ि ् ववचक्षर्:।
Severe changes of osteoarthritis involving
the knee joint with the medial compartment
affected to a greater extent.
स्वेदोपनाहसुंमद् स्नेहाददक्रम:॥
CBC, ESR, LFT, RFT, Lipid profile, BSL:
योगरतनाकर,
WNL
वािव्यािीचचककतसा,
स्नायस
ु त्यन्स्थगिे १/१
 Samprapti[1][2]:
Treatment Given :
हन्तिसन्तिगि: सन्तिन ् शूल आटोपौ करोति
च ।
 Panchakarma chikitsa :
सु.तन.१/२८
1) Bhadranimbkulthadi Basti
वािपर्
ू ्् दृतिस्पश्: शोथ: सन्तिगिेतनले ।
प्रसारर्ाकुंु चनयो:
प्रवन्ृ तिश्च
सवेदना
350ml
for 14 days(in sama awastha)
2) Pachatiktaghrutaksheer Basti
॥
100ml
for 14 days(in niram awastha)
च.चच.२८/३७
Basti Nirman :
Hetu: Sanniprakrushta: trauma to lt knee
 Poorva karma
joint snayu cheda & kandara cheda
saurambha
karmagraha
sandhishoth,
Viprakrushta
Krutashouchvidhi, on empty stomach for
shool,
:
niruha.
Sthaulya
After
food
continuous pressure on knee joints & old
ghrutaksheerbasti.
age (vardhakya)  sthanik dhatukshaya
Sthanik snehan swedan
46
for
Panchatikta
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 Pradhan karma : Basti was prepared as
Basti made by classical text methods with
mentioned in our classical texts.
help of these contents.Around 120 ml basti
1) Bhadranimbkulthadi basti Madhu
is given.
 Paschhat karma :
20 ml
Tadan karma is done for 30 min. Patient is
Saindhava, yavkshar each
2 gm
Sarshap tail & til tail each
15 ml
Kalka
advised to take rest. Eating allowed after ½
her.
 Pathya-apathya :
Patient is advised to take light, ushna, laghu
(kushtha,musta,pippali,shunthi)
food. Avoid ativyayam, vegdharan, jagaran,
10 gm
diwaswap.
Bhadranimbkulthadi
kwath
(Nimba,
 Bahyachikitsa :
kulattha, patha, arka, guduch, kantakari,
aragvadhasiddha)
Utakarika
300ml
is
a
paste
of
masha churna, crushed seeds of til & atasi
processed in decoction of bala & dashmula.
respectively & are mixed into each other to
It is heated & warm paste is applied at
form homogenous mixture. Gomutra is then
400ml basti is given.
It
ashwagandha, yashtimadhu, mansakalka,
All these contents are added one by one
added to it around 30ml. Around 350 to
lepa:
affected joints, This is kept for 2-3hrs.
 Abhyantar chikitsa : following drug are
given with lukewarm water (Koshn jal)
2) Panchtiktaghrutaksheerbasti –
1) Lakshaadi guggula
2 TDS
2) Apatarpana Kwatha
30 ml BD
3) Tb.Shallaki Fort
2 TDS
4) Tb.Nucort OA
2 BD
Madhu 10ml
Saindhava 2gm
Panchatiktaghrut 20ml
Panchatikta ksheerpak 100ml
Discussion :
(Panchatikta is Nimb, vasa, patol, guduchi,
kantakari)
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Ligament & menisceal tear is not directly
guggula contains laksha, asthisanharaka,
stated in ayurveda. So, it was correlated
arjunatvaka, ashvagandha, nagabalamool,
with sandhigat vata. According to sam &
guggul. It is asthisandhankar, asthibalya.
niram avastha, it was treated & patient got
Chingati helps in repairment of hyaline
relief.
cartilage
&
strengthens
Panchatiktaghrutaksheerbasti
1)Sarvadehik chikitsa:
ligament.
Panchatikta
improve asthi dhatvagni. Ghruta &milk
provide vit D which help in calcium
There are two causes of osteoarthritis &
absorption & help in asthiposhana.
ligament tear in this patient, we have to treat
both causes i.e.sthaulya & local trauma. The
2) Sthanik chikitsa:
treatment is divided in two stages. i.e.
Knee caps with hinges.
A)Samavastha B)Niramavastha.
A) Chikitsa in aamavastha:(shoth)
A. Chikitsa in Samavastha: (Sarvadehik
doshpachanartha)
Dashangalepa(It
contains
virya,tikta,madhur,kashay
Aptarpan kwath contents musta, argvadha,
ushna
rasatmaka
dravya.Thus help in dravashoshana &
patha, karnja, devdaru, shunthi, khadir. It is
asthisandhana) It was given for 6days.
a combination of pachaniya, lekhaniya
dravyas & help in strotashodhana. Kwath &
B) Chikitsa in niramavastha:
bhadranimbkulthadi basti was given to
reduce
weight.
Shallaki,
guggul
उतकाररका इतयाददभि: उपनाहनम ् |[4]
are
saurambhnashak, shothnashak & vedanahar.
Bhadranimbkulthadi
pachana,
lekhan,
basti
is
medovilayana.
Utkarika contains madhur rasatmaka &
snigdha gunatamaka dravya.They nourishes
ligaments,bones,sandhistha
shleshaka
kapha.Thus being
lipophilic, utkarika
dravyas are absorbed through skin.In this
patient utkarika was given for around 1
month which gave excellent results.Within
3-4 days patient got relief in pain,difficulty
in walking.
deepan,
Sama
lakshane are reduced.
B. Chikitsa in niramavasth(Asthi balya)
After eliminating samata, asthi dhatu balya,
sandhankar
chikitsa
is
given.
Laksha
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Yadavaji
LAKSHANIK UPASHAYA:
Symptoms
1.Sandhishool
2.Gamane
prasangi shool
3.Sandhigraha
4.can climb up
&get down on
stairs
5.Sandhiaatopa
Trikamaji
Aacharya
Commentary Chaukhamba Series,
BT


AT



Not
possible
at all


Can climb
up 15 stairs
Varanasi
Nidansthana1/28
page
no.261.
2. Charak
Samhita
With
Ayurved
Dipika Commentary Chaukhamba
Sanskrit
Series,
Yadavaji
swelling
reduced by
aaprox.2.5
cm
in
dimension
Varanasi
Trikamaji
by
Aacharya,
Chikitsa Sthan 28/ 37 page no. 618.
3. Yogratnakar
With
Vidyotani
Commentary Chaukhamba Sanskrit
Series,
Varanasi
by
Vd.Shri.Laxmipati
Conclusion :
Shastri,Vatavyadhichikitsa, 1/1 page
Thus from above case study, we can
no.517.
confidently say that, knee joint ligament tear
4. Sushrut
Samhita
& menisceal tear has a good ayurvedic
Nibandhasangraha
treatment.
Yadavaji
With
Edited
Trikamaji
By
Aacharya
Commentary Chaukhamba Series,
References :
Varanasi chikisasthana 32/12 page
1. Sushrut
Samhita
Nibandhasangraha
Edited
no.513.
With
By
Cite this article:
Case Report of Ligament & Menisceal Tear Of Knee Joint
Gayatri B.Pund, Raman R. Ghungaralekar
49
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Article_8
______________________________________________________________________________________________________________________________________________________
CLINICAL STUDY OF LAGHUSUTASHEKHAR ON AMLAPITTA
________________________________________________________________________
Prafull S. Yashwantrao*1, Minal Vaidya2
_________________________________________________________________________
1. M. D. (Sch.) final year, Kayachikitsa,
2. H. O. D. & Prof. Kayachikitsa
Y.M.T. Ayurvedic college & hosp. Kharghar, Navi Mumbai, Maharashtra
___________________________________________________________________________
Disease and sufferings have become
Abstract:-
fundamental attributes of human beings
A total of 20 patients of Amlapitta
were selected for the clinical
since time immemorial. Due to urbanisation
study.
and change of life style people are inviting
Laghusutashekhar was given to all of them
many health problems, Amlapitta being one
having, hyperacidity. The patients were
among them. It is a very common disease
mainly
A
affecting almost all the human beings in
symptomatic improvement was observed in
more or less severity. Increased pace of life,
the
of
stress as well as changes in food and food
Laghusutashekhar were given to each
habits has been contributed to the increased
patient in 3 doses for duration of 6 weeks.
incidence
Effect was assessed in terms of clinical
described this diseases as it is produced by
symptomatolgy.
vitiated Pitta.[1]
of
Urdhvaga
patients.
Two
Amlapitta.
tablets
Key words: Laghusutashekhar, Amlapitt,
of
Amlapitta.
Charakacharya
mçbmç=p³çcççvçb çÆHçÊçívç oçnb lç=<Cççb cçáKççcç³ççvçd ~
hyperacidity
pçvç³çl³çcuççÆHçÊçb ®ç çÆHçÊçpççb½ççHçjçvçd içoçvçd ~~
INTRODUCTION:(®ç.çÆ®ç. 15/ 47)
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Amlapitta disease had first time
INCLUSION CRITERIA
described in details in separate chapter by
Diagnosed cases of Amlapitta of
Madhav Nidan. He mentioned the causes,
types, pathogenesis, sign and symptoms of
both the sexes in the age group of 18 to 58
Amlapitta[2]
years
EXCLUSIVE CRITERIA
Laghusutashekhar is the drug which is
having property of agni Pradipan and Pitta
The patients who are known cases of -
Shaman. [3]
1. Peptic ulcers
AIMS & OBJECTIVES:
2. Duodenal ulcer
To
study
the
effect
3. Diabetes Mellitus
of
4. Tuberculosis
Laghusutashekhar in Amlapitta
5. Ca oesophagus
MATERIALS AND METHOD:-
6. Chronic Smokers
7. Alcoholic patients
1. In clinical trial 20 patients of Amlapitta
8. Pregnant women
were selected with hyperacidity of either
sex, age group 16-60yrs. Patients were
OBSERVATION:
diagnosed and selected from the OPD and
After giving drug to 20 patients for 6
IPD of Kayachikitsa of YMT college
weeks, following symptomatic improvement
kharghar.
was observed.
2. Two tablets of Laghusutashekhar of 250 mg
each with warm water was given in 3 doses
Age:-
for 6 weeks in 3 follow ups of two weeks.
3. An informed written consent of all patients
Sr.no. Age
No.of pt Percentage
included in trial in the language best
1
18-28 6
30
understood by them was taken before
2
29-38 9
45
entering them in the trial.
3
39-48 3
15
4
49-58 2
10
4. Study centre:-Y.M.T. Ayurved Medical
college, Kharghar,Navi Mumbai
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Diet:-
Epigastric Pain:-
Sr. No. Diet
No. of pt Percentage
1
Veg
8
2
Non-veg 12
BT
AT
40
Mean
2.200 0.600
60
SD
0.768 0.754
SE
0.172 0.169
Occupation:-
t-score 6.025
Sr. No. Occupation No of pt %
Dyspepsia:-
1
Labour
8
40
2
Clerk
4
20
3
Students
3
15
Mean
2.133 0.867
4
Teacher
2
10
SD
0.834 0.640
5
House wife 3
15
SE
0.215 0.165
BT
AT
t-score 4.750
Symptoms:Nausea:Sr.
symptoms
no.
Before
After
treatment
treatment
%
BT
AT
1
Amla Udgar
20
12
60
Mean
2.000 0.545
2
Epigastric
20
11
55
SD
0.894 0.688
SE
0.270 0.207
pain
3
Dyspepsia
15
5
33.33
4
Nausea
11
6
54.54
5
Constipation
6
6
100
t-score 5.164
Constipation:-
Amla Udgar
BT
AT
Mean
2.700 0.500
SD
0.470 0.688
SE
0.105 0.154
BT
AT
Mean
1
0
SD
0
0
SE
0
0
t-score +inf
t-score 9.314
DISCUSSION:52
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In Amlapitta, due to nidanasevana 3. After the treatment of Laghusutashekhar 12
dravaguna of pitta increases which leads to
patients got complete relief from Amla
agnimandya there by ingested food becomes
Udgar
vidagdha and finally the symptoms like 4. Out of 20 patients 11 got relief from
Amlodgara,Urovidaha,
Aruchi
etc.
are
epigastric pain.
evident clinically. Laghusutashekhar has 5. 5
containts – shuddha swarna gairik (1 part),
shunti(1
part)
and
has
bhavana
patients
got
complete
relief
from
dyspepsia.
of 6. 11 patients had Nausea out of them 6 got
nagvallipatra swaras.
complete relief
7. 6 patients had constipation and all of them
1. Swarna gairik[4] - kashay-madhur/ sheet
virya
/madhur
vipak.
Pruthvi+
Jal
got complete relief
8. From this study it is reviled that there is
mahabhut. Its is snighdha in nature.
significantly reduction in symptoms of
It acts as dravashoshak and pittashamak
Amlapitta with use of Laghusutashekhar
[4]
2. Shunti :-
;i.e. amla udgar, epigastric pain, nausea,
Katu/ ushna virya/ madhur vipak. Angni+
Vayu mahabhut.
constipation.
9. Laghusutashekhar has effective in treatment
It acts as aamapachana and agni vardhana.
of Amlapitta.
3. Nagavalli[4]:Katu-tikt / ushna virya / katu vipak. Agni+
Summery:-
Vayu mahabhut.
20 patients of Amlapitta taken for
It acts as deepana, pachna and kapha
the study. These patients are assessed for
kshalana
treatment with various symptoms like Amla
udgar, epigasric pain, nausea, dyspepsia,
Conclusion:-
constipation. The of Laghusutashekhar in
1. From
the
above
study
incidence
of
Amlapitta shows significantly reduction in
Amlapitta observed more(45%) in age group
symptoms.
29-38.
This
shows
that
Laghusutashekhar is effective drug against
2. Prevalence of Amlapitta is found in non-
the Amlapitta. The mode of action of the
vegitarian group(60%).
drug is not clear as such. It needs a further
study.
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3. Bhavprakash
Reference:
Nighantu-of
Sribhavmishra Edited with Vidyodini
1. Charaka Samhita, P. V. Sharma,
Hindi Commentary Shri Brahmasankara
Chaukhambha Orientalia, Varanasi 8
th
Misra & Shri
Edi, 2003.
2. Madhav
Rupalalaji Vaisya 9th
Edition Chaukhamba Sanskrit Sansthan,
Nidan-
Part
nd
–II
,
Varanasi, Haritakyadi Varga 7/34, pp 3-
Yadunanadan Upadhyay, Choukhamba
9
th
Sankrit Sansthan, Varanasi, 21 Edition,
4. Dravyaguna Vijnana; Vol. 2; Prof.
1993. page No. 170-71
Priyavat Sharma; Chaukhamba Bharati
Academy; Varanasi; Reprint; 2000
Cite this article:
CLINICAL STUDY OF LAGHUSUTASHEKHAR ON AMLAPITTA
Prafull S. Yashwantrao, Minal Vaidya
54
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Effect of Praval Bhasma on Diabetic Neuropathy
___________________________________________________________________________
Komal S.Raut1 B.D. Gharjare2
___________________________________________________________________________
1. Final year MD kayachikitsa,
2. Professor, Kayachikitsa Dept.
YMT Ayurvedic medical college, Kharghar,Navi Mumbai
___________________________________________________________________________
Introduction
as Purvarupa of Prameha.[2] Daha is also
described
Diabetic neuropathy is a relatively early and
common
complication
the Upadravas(complications) of Prameha.
affecting
These are very common features of diabetic
approximately 30% of diabetic patients.
Although the invention of insulin and
hypoglycemic have done a great service for
solution
[1]
complications .
for
their
The
used
there
is
Dosha in
Ayurvedic
involvement
diabetic
amla rasa, sheeta veerya and Madhur vipaka
which
symptoms and moreover they have certain
pacifies
vata
and
pitta[3].
A
preliminary study has been started to
side effects. Therefore it is necessary to
observe and evaluate the effect of Praval
explore the possibilities of safer and
bhasma on diabetic neuropathy in YMT
effective treatments from other sources. In
classics
principles,
to
which is having properties like Madhur,
conventionally are mostly for relief in the
Ayurvedic
According
neuropathy. praval bhasma is a medicine
neuropathic
drugs
neuropathy.
of Vata and Pitta
diabetics, yet these patients do not get a
proper
among
Ayurvedic hospital, Kharghar
symptoms
like Suptata (numbness) and Daha (burning
Key words: Diabetic Neuropathy, Praval
sensation) in body parts especially in hands
bhasma, Prameh, Dah, Suptata
and
feet
are
described
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

Aims and objectives
Plan of the treatment
To study the effect of Praval Bhasma on 
The patients have been treated in OPD as
diabetic neuropathy.
well as in IPD depending on the severity
To observe the safety of the treatment.
and the circumstances.

Materials and Methods
patients
have
been
treated
cup of milk.


the
with Praval Bhasma 1 gThrice a day with 1
Inclusion criteria for the patients

All
Duration of the study was 30 days.
The patients for this study have been 
Total 33 patients have been taken for the
selected randomly irrespective of their age,
study presently; however, the study is
sex, religion, etc.
continued.
Patients with clinical positive history of type
Criteria for assessment
2 diabetes mellitus having the symptoms of
diabetic neuropathy (peripheral) are selected
Neuropathy analyzer which is specifically
for the present study.
designed electronic machine by Diabetic
foot care India, Chennai, can record the
Exclusion criteria for the patients
perceptions of vibration, heat and cold


Patients having any other associated clinical
sensations exactly with the help of computer
conditions have not been included in the
has been used to record these sensations
present study.
before and after the treatment in all the 33
Patients having diabetic complications other
patients.
than neuropathy were also excluded from
The criteria used to evaluate vibration, heat
the study.
and cold sensations by neuropathy analyzer
are as below
[Table 1]:
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Table 1 : Criteria used by neuropathy
record perception of cold sensation and
analyzer machine to assess perception of
temperature of the probe is to be increased
sensations
from 30°C up to 50°C to record perception
of heat sensations.
During the recording frequency of vibrating
probe (which is to be kept in contact with
All the symptoms have also been assessed
the skin of the sole) is to be increased and
before and after treatment according to the
when patient feels the vibration it is
given score
recorded in the computer, temperature of the
Table 2.
probe is to be reduced from 30°C to 0°C to
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Table 2: Scoring of symptoms
opiates,
membrane
stabilizers
and
antioxidants are used in diabetic peripheral
Results and Discussion:
polyneuropathy for symptomatic relief. All
these drugs have their side effects. Hence
None of the patients have shown any
there is need to find out safer and effective
new and unusual features during the course
treatment from the sources other than
of treatment. As we know that diabetic
neuropathy
is
common
conventional medicine.
complication
amongst diabetics. In conventional medicine
tricyclic antidepressants, anticonvulsants,
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According to Ayurvedic principles,
right foot and 23% in left foot, which has
the symptoms of diabetic neuropathy like
come in to the normal range after treatment.
paraesthesiae, pain and tingling sensation
Improvement
are indicating involvement of Vata Dosa.
sensations are highly significant in both the
Whereas burning sensation is because of
feet.
vitiation
improved by 6.85% in right foot and it is
of Pitta
Dosa.
Hence
drugs
in
vibration
Perception of heat
significant
and
cold
sensation
is
pacifying Vata and Pitta Dosas are useful in
highly
the treatment of diabetic neuropathy. praval
improvement
bhasma is a medicine which is having
significant. It has come in to mild from
properties like Madhur,amla rasa, sheeta
upper range of moderate affection.
in
left
whereas
3.9%
foot
it
and
is
veerya and Madhur vipaka which pacifies
vata and pitta.
The most common signs found in
diabetic
sensory
polyneuropathy
are
Sensat
Mean
ions
B.
A.
T
T
22
15
diminished perception of vibration sensation
and impairment of all other modalities of
Vibrat
sensations. Perception of vibration, heat and
ion
cold sensations are recorded with the help of
fr/sec
neuropathy
Cold
analyzer
before
and
after
treatment in all the 33 patients of diabetic
Hot
neuropathy. Analysis of the results has
shown highly significant to significant
improvement
in
perception
of
S.
S.
t
p
%
D
E
31.
8.
1.
4.
<0.
16
74
5
55
001
17
22
19.
5.
0.
4.
<0.
.8
.2
73
14
89
89
001
47
44
6.8
3.
0.
4.
<0.
.7
.4
5
99
69
69
001
these
sensations.
Table 3: Change in perception of sensations
Table 3 and 4 show that perception
in right leg
of vibration sensations has been improved
by 31% in right foot and 32% in left foot
Sensat
Mean
and it came in lower range of moderate
ions
B.
A.
T
T
affection from severe. Perception of cold
sensation has been improved by 19.7% in
59
%
S.
S.
D
E
t
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Vibrat
24
16
ion
32.
8.
1.
5.
<0.
Table 4: Change in perception of sensations
61
76
52
09
001
in left leg
fr/sec
Cold
Hot
17
23
23.
6.
1.
4.
<0.
.8
.1
12
48
13
74
001
47
44
5.1
3.
0.
3.
<0.
.4
.9
1
9
68
57
01
In addition Table 5 shows highly significant
improvement in symptoms also. Numbness
is relieved by 70%, tingling is relieved by
72%, burning sensation is reduced by 77.5%
whereas pain in lower limbs is relieved by
64%
.
Sensations
Mean
B.T
Reported in no S.D
A.T
of patients
In %
Values
S.E
t
p
in
percentage
Numbness
2.11 0.63 27
0.7
Tingling
1.79 0.5
6.47 72
1.13 10.26 <0.001
Burning
1.93 0.33 16
0.82 77.59
0.2
7.35
<0.001
0.6
0.17 7.41
<0.001
14
70.18
0.13 10.99 <0.001
sensation
Pain in lower 1.92 0.69 13
64
limb
Table 5 : Improvement in symptoms
Conclusion:
the patients of diabetic neuropathy. Both of
these drugs are also safe as did not produce
It can be stated from the results that
any adverse features.
Ayurvedic drugs used in present study are
effective to revert the diminished perception
The study is continuous to get large number
of sensations like vibration, cold and heat.
of patients.
There is highly significant reduction in other
symptoms including numbness, tingling,
burning sensation and pain in lower limbs in
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Acknowledgment:
2. Aacharya Vaidya Jadavaji Trikamji.,
editor. Varanasi: Chaukhamba Sanskrit
Authors are thankful to the management and
sansthan. 2nd
the Principal YMT Ayurveic college for
Varanasi:
providing the permission and the facilities
ed.
47.
Vol.
Chaukhamba
4.
Sanskrit
sansthan; 1990. Agnivesha, Charaka,
for this study.
Dridhabala.
Charaka
samhita,
Nidana Sthana, Adhyaya.
References:
3. Oza
Nighantu/Candanadi
1. Davidson S. Davidson's Principles and
Practice
of
Medicine.20th
Jarkhande.,
Dr. Dhanvantari
Varga. 2nd
ed.
Vol. 84, Varanasi: Chaukhambha
ed.
Surbharti Prakashana; 1996.
Amsterdam: Churchil Livingstone
Elsevier publication; 2006. p. 843.
Cite this article:
Effect of Praval Bhasma on Diabetic Neuropathy
Komal S.Raut, B.D. Gharjare
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Article_10
______________________________________________________________________________________________________________________________________________________
ROLE OF PANCHA TIKTA GHRUTA MATRA BASTI IN PROCTITIS.
___________________________________________________________________________
Moghal Hasan*1. Sanjeev Yadav2
___________________________________________________________________________
1. M.S (SCHOLAR) SHALYA TANTRA
2. Professor, SHALYA TANTRA
Y.M.T. Ayurvedic medical college & PG Institute, Navi Mumbai.
* Corresponding Author: [email protected] & +91-9819526877
___________________________________________________________________________
which is tikta rasa Pradhana aushada is
Abstract:
helpful in pitta shamana and rakta shuddhi.
Proctitis is inflammation of rectal mucosa
When it is administered in the form of matra
which can become a chronic condition if not
basti it directly acts on the affected site of
treated properly and affects the proximal
colon
later.
Proctitis
results
in
proctitis that is guda pradesha and helps to
an
provide relief in proctitis or guda paka.
unrestrained inflammatory response, with
the inflammatory cells being products that
Key words: Proctitis, Gudapaka, Matra
mediate cellular tissue injury at the level of
basti, Panchatikta Ghrita
rectal mucosa[1]. The treatment of proctitis
Introduction:
is generally conservative one. Guda paka is
a condition mentioned in ayurveda which
Inflammation of mucosa of rectum and anal
can be correlated with proctitis. It is
canal is termed as proctitis. Aetiology of
mentioned as symptom of many pittaja and
proctitis is unknown. The concept that the
raktaja conditions like pittaja atisara, rakta
condition is a mild and limited form of
vruddhi etc. Guda paka is mainly because of
ulcerative colitis (although actual ulceration
rakta and pitta dushti. Pancha tikta ghruta
is often not present) is the most acceptable
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hypothesis.1 The symptoms are tenesmus
in the classics. It is termed so, because the
(Although the patient has a frequent intense
dose of Sneha used in is very less as
desire to defaecate but no faeces is passed or
compared to the dose of Sneha Basti.[3]
passed in very little amount), the passage of
Regarding the qualities of Matra Basti it has
blood and mucus along with stools and pain
been said that, it is promotive of strength,
at. Proctoscopy is seldom sufficient, and
demand no strict regimen of diet causes
sigmoidoscopy is the more valuable method
easy elimination of feces, urine
of examination.[1] On rectal examination,
curative of Vata disorder. It can be
the mucosa feels warm, smooth and tender.
administered at all times, in all seasons and
Often, there is some blood on the examining
is harmless. [4]
and
finger. Proctoscopic and sigmoidoscopic
Modern medicine has limited source of
examination shows inflamed mucosa of the
rectum, but usually no ulceration.
[1]
medical
The
diarrhoeal,
cm from the anus, with the mucosa above
Gudapaaka,
which
as
temporary
salazopyrine.
these
modern
drugs have a huge list of possible side
this level being normal. Proctitis can be
to
such
medication with intestinal antibiotics, anti
inflammation usually extends for only 5–15
correlateded
treatment
effects. Keeping all these facts in mind it
is
was decided to study the role of panchatikta
mentioned in Ayurvedic texts in few
ghrita matra basti in proctitis..
conditions like pittaja disorders and rakta
vruddhi conditions. According to ayurveda
Materials and Methods:
Gudapaaka is mainly because of pitta and
rakta vriddhi.
panchatikta
Materials:
ghrita
preparation
• Panchtikta Ghrita which was prepared as
contains
patola, kantkari, vasa, guduchi and nimba as
described in Sharangdhara Samhita.
main ingridients. All these dravyasare of
• 10 patients with the sign and symptoms of
tikta rasa. It is indicated mainly in
proctitis
conditions like vishama jwara, pandu roga,
from
OPD/IPD
of
Y.M.T.
Ayurvedic college and hospital
kushta, visarpa, krumi and arshas as
abhyantara yoga. [2] Matra Basti is a type of
• Red rubber catheter, Dispovan syringe of
Sneha Basti i.e. Anuvasana Basti described
20 ml, Cotton pads and Surgical gloves.
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of defecation, ano rectal pain, tenderness,
Methods:
local raise in temperature and erythema in
Inclusion criteria:
ano rectal mucosa.
1. Patients having signs and symptoms
The above observation is recorded on 1st,
of proctitis were taken under this
7th, 14th and 21st day visit of the patient. A
study.
special
2. Patients between 18-60 years of age
proforma
was
prepared
for
collection of data on successive follow ups.
and from both the sex were selected.
Observations and results:
Exclusion criteria:
Grades of clinical signs and symptoms
1. Age below 18 and above 60 years
observed in 10 patients of study on 1st visit
from both sexes.
and each follow- up.
2. Cases of proctitis which developed
During the whole
study period it has been observed all clinical
due to STD/Radiation exposure and
signs and symptoms started decreasing
associated with ulcerative colitis and
gradually on each follow-up. After the last
crohns disease.
follow-up there was a significant decrease in
3. Acute abdominal pain
all clinical signs and symptoms. There was
4. Stool frequency more than 10 per
88.89% of relief in tenesmus, 87.50% relief
day.
was observed in mucous discharge in
stools. 94.12% relief was observed in
Criteria for assessment:
bleeding per rectum, 93.75% relief was
The treatment effect has been assessed on
seen in increased frequency of defecation.
the basis of the relief in signs and symptoms
Ano rectal pain during and after defecation
of the disease. This was done on every
was relieved by 89.48%, tenderness on per
follow up day at OPD level and proctoscopy
rectal digital examination was reduced by
was performed on every follow up day.
94.45%. There was 88.89% of relief in
Scoring pattern 0 to 3 grades was adopted
raised local temperature and 90% relief
to determine the relief in the cardinal signs
was observed in erythema of ano rectal
and
mucosa.
symptoms-
tenesmus,
mucous
discharge, bleeding per rectum, frequency
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No of patients
Grades
Grade
3
Grade
2
Grade
1
Grade
0
Mucous
tenesmus
discharge
Bleeding
Frequency
per
of
rectum
defecation
Ano rectal pain
tenderness
BT
AT
BT
AT
BT
AT
BT
AT
BT
AT
BT
AT
1
0
0
0
0
0
0
0
2
0
1
0
6
0
6
0
7
0
6
0
5
0
6
0
3
2
4
2
3
1
4
1
3
2
3
1
0
8
0
8
0
9
0
9
0
8
0
9
sushruta in context of vrana shopha
No of patients
Erythema
Present/
Raised local
Absent
temperature
ano
of
mentioned that, without pitta dosha paaka
rectal
can ’t occur at any site of body6 ( naa
mucosa
paakah pittadrute). There is predominance
of pitta dosha in this condition along with
association of vata (apana vata), kapha and
BT
AT
BT
AT
Present
9
1
10
1
rakta also, as it is obvious by looking at sign
Absent
1
9
0
9
and symptoms observed in proctitis.
Panchatikta ghruta is tikta rasa Pradhana, it
Discussion:
is sheeta in veerya thus helps in pitta
Proctitis is nothing but the inflammation of
shamana. The drug is in the form of ghrita
anal and
and is given in the form of basti so it is
rectal mucosa
which can be
considered as gudapaaka mentioned
in
helpful in vata shamana. When panchatikta
word in this
ghrita is given as matra basti it directly acts
Ayurvedic texts.
Paaka
context
correlated
can
be
to
acute
on the affected site of guda. It
inflammatory process occurring at the
relieve pitta vruddhi related
mucosa of rectum and anus.
symptoms
Acharya
65
helps to
sign and
in proctitis like; raised local
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mucosa,
4. This study is a small scale trial
tenderness and bleeding per rectum and
including only 10 patients. To get
vata dushti related symptoms like tenesmus,
more specific results study should be
increased frequency of defecation and pain
carried out on large sample size.
temperature,
erythema
at ano-rectal region.
of
Matra Basti can be
References:
given regularly, demand s no strict regimen
1. Bailey And Love’s Short Practice Of
Surgery, 25th edition, chapter 68, page
no 1226,
2. Sharangdhara Samhita with Jivanprada
Hindi
Commentary,
Dr.Shailaja
Srivastava, Madhyamkhand, Chpater 9,
Page 215, Chaukhambha Orientalia,
2005.
3. Agnivesh,” Charak Samhita”, with
, can be administered at all times, in all
seasons and is harmless. so that the patient
can treat the ailment without hindering his
routine life. Thus all constituents of
formulation effectively work on shamana of
the doshas
involved
in
gudapaka or
proctitis.
Vaidyamanorama
Hindi
Commentary
by
Acharya
Vidhyadhar Shukla and Prof. Ravi
Dutt Tripathi, Siddhisthan, Chapter
4, Verse no.52-54, Chaukhambha
Sanskrit Pratishthan, 2007.
4. SUSRUTA
SAMHITA:
sutrasthanam Sanskrit text with
ayurvedarahasyadipika
Hindi
commentary by Dr.Bhaskar Govind
Ghanekar chapter 17, verse no. 7,
Published
by
Meharchand
Lachmandas Publications, New
Delhi.
Conclusion:
1. After analyzing the data and the
observations, we have come to
conclusion that ‘Panchtikta Ghrita
Matra Basti in morning for 21 days’
is found to be effective in proctitis.
2. The formulation did not have any
adverse effect or toxic effect or any
side effect and was found to be
significantly effective in proctitis.
3. The formulation is easily available
and is cost effective.
Cite this article:
ROLE OF PANCHA TIKTA GHRUTA MATRA BASTI IN PROCTITIS.
Moghal Hasan, Sanjeev Yadav
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Article_11
______________________________________________________________________________________________________________________________________________________
A COMPARATIVE STUDY OF MEDOSARA AND MEDOVRIDDHI
WITH RESPECT TO SERUM CHOLESTEROL
__________________________________________________________________________
Jaykumar Sadashiv Ade* 1
__________________________________________________________________________
1. Assistant Professor, Kriya Sharir Department, SGR Ayurved College &
Hospital, Solapur.
*Corresponding Author: Email id: [email protected] Mobile No +919822369266
__________________________________________________________________________
ABSTRACT:
in HDL & LDL level. Conclusion of study
is that by analyzing lipid profile and
The present study was conducted in
estimating
two groups. One of them was Medosara &
identification
another was Medovriddhi. 30 Medosara
Medosarata
people were selected by survey method
while
30
Medovriddhi
patients
serum
cholesterol
of
can
level,
Medovriddhi
be
confirmed
and
to
a
significant extent.
were
selected from OPD. In both groups lipid
KEYWORD:
Medosara,
profile was carried out from fasting venous
Serum cholesterol.
Medovriddhi,
blood sample. The observations were made
INTRODUCTION:
to see the level of serum cholesterol & other
components of lipid in Medosarata &
Medovriddhi.
carried
out
Human body as well as the psyche
Comparative study was
between
Medosarata
both can get affected by various diseases.
&
The homeostasis, which is termed as
Medovriddhi with special reference to lipid
‘doshasamyam’ in Ayurveda, stands for
profile. The result suggest that “t” value was
harmonious balance of dynamism and that
nonsignificant in TG level where as it is
of body humors- vata, pitta and kapha.
significant for TC level & highly significant
These humors termed as dosha regulates
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every system even in a state of imbalance
to derangement in its function. These must
and attempts to restore the physiology.
not at all be confused with the increase in its
According
is
normal structure or functioning, either by
considered as principal factor governing
vriddhi (increase in bulk and mass) or
these activities. [1]
prakop (hyper dynamic state). Vriddhi and
Sushruta
Vata
dosha
kshaya are considered abnormal conditions
The dhatu are the substances which
and differ from sarata. If Medodhatu in
provide support to the body and helps to
body becomes victim to this vriddhi, the
sustain the body, by providing strength and
resultant condition is called as Medovriddhi,
making themselves available for the purpose
of derivation of energy.
which also contributes to the development
These structural
of disease known as sthaulya.
arrangements and their functional activities
This
sthaulya, described almost in all major texts
should be in a physiological limit. Anything,
of Ayurveda is similar to Obesity.
less or more and low or high, will lead to
the state of pathology. The increase or
Almost everywhere in the world, last
decrease in bulk of any dhatu or in dynamic
centuries
developments
have
lead
activity of any dosha governing and
significant alterations in life style. On the
regulating its metabolism will invite illness.
top of these are increased caloric and fat
One more factor known as ‘agni’ plays a
intake and reduction in physical activities.
pivotal role in this.
This leads to the agnimandya and results in
reduced utilization of energy providing
Dhatus have same set of functions in
sources. The meda major source of energy,
every individual but quality and ‘richness’
mostly in body in absence of other available
of this function may vary from person to
source of energy. If it is underutilized, or is
person. This is decided by prakriti of a
accumulated in excess, then it will start
person and more by a ‘sarata’ of that
increasing and eventually will lead to
particular dhatu.
vriddhi. This manifests into metabolic
syndrome related diseases. The result can be
This sarata is beneficial in two
explicitly seen in the form of diseases like
ways. The person enjoys the functional
diabetes,
benefits of activity of that particular dhatu
hyperlipidaemia,
hypertension,
obesity and many more. Hyperlipidaemia
and there are rare chances that he will suffer
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alone curretly affects more than 10% of the
Hina & madhyam sarata of
global population and India is no exception
Medodhatu person were excluded.
to this. Obesity is said to lead to 30,000
2) Medovriddhi
premature deaths each year and it is
a) Patients of medovriddhi were
excluded those having any
endocrinal abnormality which
is or appear to be causative
factor for obesity
b) Congestive Cardiac Failure.
c) Nephrotic Syndrome
d) Acute or Chronic Renal
Failure
e) Major Depression
f) Diabetes Mellitus
g) Familial or hereditary
dyslipidemia and/or
hypercholesteremia
h) Those who were on steroid
therapy for any reason.
shortening the lives of people by an average
of nine years.
AIM & OBJECTIVES

To
ascertain
parameters
for
analyzing the absence or presence of
medovriddhi and medosarta.

To establish relationship between the
finding of different units in lipid
profile and presence of medovriddhi
and medosarata.
METHOD & MATERIALS
Plan of study
Selection of cases
It was randomized, comparative study.
Ethics committee’s approval was taken.
Span period required for this study was
from2007 to 2009. 30 clinically diagnosed
individuals of Medovriddhi were selected
from OPD of Dept. of Rognidan &
Vikrutividyan, Shri Ayurved College,
Nagpur. 30 individual of Medosara were
also selected by survey method. The
investigations done in past if any evaluated
and fasting venous blood sample was drawn
to get the lipid profile. Lipid profile was
done in all patient of medovriddhi and
medosara person.
Inclusion criteria
1) 30 individuals each of Medosara &
Medovriddhi.
2) Both male & female
3) Age between 20& 30 years.
4) Only uttam sarata of Medodhatu
individuals
Exclusion Criteria
PARAMETERS FOR COMPARATIVE
STUDY OF MEDOSARA AND
MEDOVRIDDHI
1) Medosara
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1) Serum cholesterol
Parameter
Medosara
Medovriddhi
X
122.56
108.54
S.D.
36.87
35.53
S.E.
6.73
6.48
2) Triglycerides
3) HDL
4) LDL
OBSERVATION
t = 1.4996
P > 0.05
Statistical analysis
Table above shows that there is no
difference between in the levels of T.G. in
both study groups.
For comparison unpaired “t” test was
applied.
1) Comparison of Medosara and
Medovriddhi group with respect to
T.G.
T.G.
Medosara
Medovriddhi
2) Comparison between Medosara and
Medovriddhi with respect to T.C.
T.C.
(in
mg/dl)
Upto
180
180 –
220
220 –
280
> 280
Total
Total
(in
mg/dl)
40 -
25
160
(83.33%)
160 –
220
220 –
05
29 (96.66%)
54
00
05
(16.67%)
00
01 (3.34%)
01
> 280
00
00
00
Total
30
30
60
280
Medosara
Medovriddhi
Total
27 (90%)
20 (66.67%)
47
03 (10%)
09 (30.00%)
12
00
00
00
00
30
01 (03.34%)
30
01
60
As far as, quantitative analysis is
concerned, 90% Medosara subjects were
having total cholesterol below 180 mg/dl.
Very few of them were found to have total
cholesterol more than 180 mg/dl. There was
not a single subject who has total
cholesterol
above
220
mg/dl.
In
Medovriddhi group, almost two third
patients recorded this level upto 180 mg/dl.
One third have gone over 180 mg/dl. One
patient showed the level crossing 280 mg/dl.
The table above shows that high incidence
of TG (40 – 160 mg/dl) in both condition
i.e. (83.33%) in Medosara and 96.66% in
Medovriddhi.)
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t = 8.6305
Table above shows that high
incidence of total cholesterol in (upto 180)
level i.e. 90% in Medosara and 66.67% in
Medovriddhi.
Parameter
X
S.D.
S.E.
Medosara
As P is < 0.001; it is highly
significant. This shows that there is
difference
between
Medosara
and
Medovriddhi with respect to HDL.
Medovriddhi
150.11
16.41
2.99
P < 0.001
Medovriddhi with respect to LDL.
171.65
32.09
5.85
t = 3.2722 , P < 0.05
As P is less than 0.05, it is
significant. Therefore there is difference
between Medosara and Medovriddhi with
respect to total cholesterol.
Medovriddhi with respect to HDL.
LDL
Upto
> 60
70 –
100
100 –
130
> 130
Medosara
22
(73.34%)
07
(23.33%)
01
(03.33%)
00
Medovriddhi
01 (03.33%)
Total
23
01 (03.33%)
23
16 (53.34%)
17
06 (20%)
06
Total
30
30
60
Table above shows that high incidence of
HDL
> 60
45 –
60
30 –
45
< 30
Total
Medosara
22
(73.32%)
04
(13.34%)
04
(13.34%)
00
30
Medovriddhi
00
Total
22
LDL was found in Medosara in first grade
09 (10%)
13
Medovriddhi it was found in ‘III’; (i.e. in
i.e. upto 70 mg/dl (73.34%) and that in
100 – 130 mg/dl, i.e. 53.34%).
21 (90%)
25
00
30
00
60
Parameter
X
Table above shows that, high incidence was
found in Medosara in grade I (> 60 mg/dl)
i.e. 73.32% while in Medovriddhi it was
found in grade III (30 – 45 mg/dl) i.e. 90%.
Parameter
X
S.D.
S.E.
Medosara
63.43
12.46
1.23
Medosara
62.07
Medovriddhi
109.12
S.D.
19.06
26.77
S.E.
3.48
4.88
t = 7.804, P < 0.001
As P value is less than 0.001. It is
Medovriddhi
41.04
6.77
6.77
highly significant. So there is difference
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between Medosara and Medovriddhi with
The conditions which have ‘one dhatu
respect to LDL.
common as their root’.
The clinical scenario of medovriddhi
DISCUSSION
and obesity in modern Medicine and
Sarata
and
vriddhi,
these
two
ayurvedic text is almost same. However, the
concepts are unique to ayurveda. Though
medosarata in ayurveda cannot be seen
the terms like ‘increase and hypertrophy’
anywhere in modern Medicine. It was
can be used for vriddhi and ‘excellency of
considered that some parameters may be
the dhatu’ can be used for the sarata. These
found common to both for medovriddhi and
terms hardly illuminate the true meanings of
obesity. The parameter representing meda in
sarata and vriddhi. Only those who have
body can also be analyzed to see whether it
studied ayurveda and have learnt its
has some relation with medosarata also; so
philosophy can understand this and at the
that we can distinguish medovriddhi from
same time they may not be able to express it
medosarata, by using this parameter. For
and to make it simple for the person who
this purpose, total cholesterol was selected.
has studied other streams of Medicine,
This
especially modern Medicine.
and
growing
molecules
popularity
differentiation
of
medovriddhi
on
synthesing
under-utilization of energy leading to
medovriddhi. Therefore there is scope to put
efforts have been made in this present study
parameter
keep
this is the same manner describing the
exception to this. The sincere and honest
such
will
cause problems to health. Ayurveda explains
we study. Dosha, dhatu and mala are no
one
from
excess quantity in body. The same may
provide modern parameters for everything
find
synthesized
cholesterol which will get accumulated in
of
ayurveda globally, the need is felt to
to
is
multiple molecules of acetyl co-A. These
In today’s era of evidence based
Medicine
cholesterol
these two things in the same compartment.
for
and
Cholesterol in body is distributed in
medosarata and to guess whether it has
variety of lipoproteins. The majority is in
some co-relation with the presence or
the
absence of these two different conditions.
form
of
low
density lipoprotein
moderately in the form of IDL, less in
VLDL and much smaller in HDL.
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
The effort was made to see the
relative
values
of
these
The concepts of sarata and vriddhi
components
are well studied by Acharyas in
belonging to the family of cholesterol, both
detail. The features are categorically
in medovriddhi and medosarata.
explained; especially for saratva,
which can be divided into physical,
It was observed that:







physiological and psycho-spiritual
features. [2]
In both condition incidence of male
is more than female.
Medovriddhi is more observed in
higher economical class.
As far as dietary habits are
concerned vegetarian were found
more in Medosarata and nonvegetarian
were
more
in
Medovriddhi.
Medovriddhi was observed in
persons with sedentary life style
while Medosarata was observed
more
in
physically
active
individuals.
‘t’ value is non-significant in
triglycerides level of lipid profile i.e.
t = 1.4996 and P> 0.05.
t value is significant for total
cholesterol level (t = 3.722 and P <
0.01.)
‘t’ value is highly significant in HDL
level. (t = 8.6305 and P < 0.001.)
‘t’ value of LDL is also highly
significant (t = 7.8401 and P <
0.001.)

Dhatu Vriddhi causes increase in the
bulk of tissues and at the same time
decreasing the functional capacity of
that particular dhatu. At the same
time,
it
may
jeopardize
the
nourishment and growth of further
dhatu.

The agni plays pivotal role in
metabolism of all dhatus in body.
This
stimulates
machinery
the
which
metabolic
consumes
substrate.The majority of these are
provided by medodhatu after rasa
dhatu.

Meda usually is in a relatively solid
state
in
circulating.
body
This
but
has
still
keep
Parthivata
which can be turned into a Jaliyatva
as and when required. The same is
found when triglycerides stored in
CONCLUSION
adipose tissue are split in fatty acids
Conceptual Study:
and glycerol. [3]
Experimental Study:
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

30 subjects were selected for each
phospholipids from tissue and organs
group,
and
back to liver for degradation and
medosarata. The target age group
elimination. It prevents the deposition
was from 20 years to 30 years.
of cholesterol on the walls of arteries
While analyzing the symptoms in
by carrying cholesterol away from
medosara group, it was observed
arteries to liver. High level of HDL is
that these people have almost all
good indicator of healthy heart
cardinal features of full grown and
because
physiologically strong medodhatu.
cholesterol level. [5] Medosara people
This is likely due to Purnatva of
have shown statistically rising HDL
dhatu-nirmiti.
which is popularly known as good
Medovriddhi people showed more
cholesterol.
i.e.
medovriddhi

prominence in terms of structural

Low
it
reduces
density
the
blood
lipoproteins:
considered
alterations in terms of functional
because it carrier cholesterol and
impact. This is probably due to
phospholipids from liver to different
tarunavashta. The symptoms worsen
areas of body viz. muscle, other tissue
with the advancing age.
and organ such as heart. It is
my
sample
majority
responsible
of
“Bad
is
variations and had shown fewer
In
as
It
for
cholesterol”
deposition
of
medovriddhi subjects were form
cholesterol on wall of arteries causing
higher socio-economic classes. This
atherosclerosis. High level of LDL
suggests that there is strong link
increases the risk of heart disease.
between the causative factors (over
Medovriddhi
nutrition and sedentary life style)
statistically significant rise in LDL,
and medovriddhi (obesity).
[4]
people
have
[6]
shown
which is popularly known as “bad
There
cholesterol”.
was no such link found between the
sarata and socio-economic status in
Clinical Study:
sample studied.

HDL – High density lipoprotein is

Abnormal accumulation of meda
referred as the “Good Cholesterol”
dhatu
because it carries cholesterol and
medodushti. Medovriddhi, if not
74
in
body
is
known
as
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treated, advances to and invites the
diseases
by
1. Sushruta Samhita of maharsi
causing
Susruta edited with Ayurved
needs
Tattva Sandipika Part I by
the
Kaviraj Dr. Ambikdatta Shastri
substances reach to every cell and
Nidan sthana Chapter 1 verse
strotorodha.Vyan
enough
space
tissue of body.
Vayu
for
[7]
helping
The accumulation
No
no
229
,
Chaukhamba Sanskrit Sansthan,
nourishment of further dhatus like
Varanashi, reprint 2007.
2. Agnivesh
charaksamhita
these people are prone to develop
elaborated
coronary artery disease (because of
Dradhabala
atherosclerosis), hypertension (due
Cahndrika Hindi Commentory
to increased peripheral resistance),
Part I Dr Brahamanand Tripathi
diabetes, neuropathy, osteoporosis
& Dr Ganga Sahay Pandey
and impotence. [8]
Viman Sthana Chapter 8 Verse
No
ACKNOWLEDGEMENT
by
103-110
Charaka
with
page
Chaukhamba
&
Charak
763-766
Surbharti
Prakashan Varanasi 2006.
I am very grateful to Dr Maneesha
3. Textbook of Physiology, Guyton
Kothekar, HOD Dept of kriya Sharir
& Hall, Unit no XII, chapter no
Shri Ayurved college, Nagpur for
68, page no 682, Saunders An
their support. My special thanks to
Imprint Of Elsevier 2006.
my Guide Dr. Snehavibha Pathak for
4. API
their valuable guidance.

page
of meda in strotas hampers the
asthi, majja and shukra. This is why

10,
Textbook
of
Medicine,
Editor in chief Shantilal Shah ,
I take this opportunity to thank Dr
Section IX, Chapter 8, page 442,
Raviraj Pardeshi & Dr Santosh
Published by Association of
Chavan who helped me at every
physician Of India, Bombay
stage for preparation of thesis.
,1988.
5. Essential of Medicial Physiology
REFERENCES:
, K Sembulingam & Prema
Sembulingam, Section 4, chapter
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47, page 295, JAYPEE Brothers
Srikantha Murthy, Sharir sthana
Medical Publication, New Delhi,
chapter 6 verse 28 page 84
2008.
Published
6. Essential of Medicial Physiology
by
Chaukhambha
orientalia, Third Edition 2001.
, K Sembulingam & Prema
8. API
Textbook
of
Medicine,
Sembulingam, Section 4, chapter
Editor in chief Shantilal Shah ,
47, page 295, JAYPEE Brothers
Section VII, Chapter 14, page
Medical Publication, New Delhi,
266, Published by Association of
2008.
physician Of India, Bombay,
7. Astanga Samgraha of Vagbhata,
1988.
part II, Translated by Prof. K.R.
Cite this article:
A COMPARATIVE STUDY OF MEDOSARA AND MEDOVRIDDHI WITH RESPECT TO
SERUM CHOLESTEROL
Jaykumar Sadashiv Ade
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Ayurved management in LUMBAR CANAL STENOSIS: A case study
___________________________________________________________________________
Naik Minal S.*1, Meenakshi Rewadkar-Kole2
___________________________________________________________________________
1. PG scholar (Kayachikitsa)
2. Assistant Professor, kayachikitsa Dept., Email ID: [email protected]
R.A.Podar medical college, Worli
* Corresponding Author: Email ID: [email protected]; Mobile no.9821266343
___________________________________________________________________________
temporarily. Hence she came in Podar
ABSTRACT:
hospital for ayurvedic management. She
Aim: Lumbar canal stenosis is a structural
was further advised MRI lumbar spine
deformity. Modern medicine has surgical
which showed intervertebral disc protrusion
treatment for this disorder. A case reported
at multiple levels and lumbar canal stenosis.
here is treated with ayurvedic treatment.
She was initially given sathanika and
sarvadehika pachana chikitsa i.e. sinhanad
Method: A female patient of 61 year old,
guggula, rasnasaptaka kwatha, pachan
farmer by occupation came with complaints
yogabasti krama, sahachara taila katibasti,
of severe low backache, radiating pain in
sthanika snehana swedana for initial 7 days.
right hip to foot, tingling, and intermittent
After this she was given asthibalya and
claudication. These symptoms were present
majjapurana chikitsa i.e. lakshadi guggula,
since one year but got aggravated since 15
Baladi kshirapaka, panchatiktaghritkshira
days. Patient consulted at orthopedician. He
basti for 30 days. Along with this treatment
advised x ray lumbar spine. It showed
lumber belt, bed rest (initially) and later on
degenerative changes in lumbosacral spine.
leg exercises were also advised.
He gave her pain relieving treatment and
calcium
supplement
which
worked
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Result: After 7 days of pachana karma
Lumbar
canal
stenosis.
The
studies
patient started feeling better. She got almost
regarding this topic are very few. Among
90% reliefs after one month.
them a clinical study of Nirgundi Ghana
Vati and Matra Basti in the management of
KEY WORDS: Lumber canal stenosis,
Gridhrasi with special reference to sciatica
Katibasti, Panchatiktaghritakshira basti.
had been done in Gujarat Ayurveda
University, Jamnagar.[1]
INTRODUCTION:
Case history:
Lumbar canal stenosis is term used
to describe developmental or congenital
A female patient of 61 years old,
narrowing of spinal canal that produces
farmer
compression of neural elements before their
numbness over right leg, and intermittent
age & elderly. Diagnosis is essentially
claudication since 1 year and it was
clinical & only supported by radiological
increased since 15 days. She has taken
investigation.
allopathic
treatment,
but
not
relieved
completely. Hence she came in our hospital
Pathophysiology is related to cord
for ayurvedic treatment. She was admitted
dysfunction elicited by a combination of
for further investigations and treatment. She
mechanical compression & degenerative
was admitted on 15th July 2013 and was
instability. With ageing, inter vertebral disc
discharged on 10th August 2013.
degenerates & collapses leading to spur
limitations
in
from right hip to foot, tingling, and
most frequently causing morbidity in middle
are
presented
complaints of low backache, radiating pain
stenosis is progressive disorder of spine
There
occupation
Kayachikitsa outpatient department with
exit from neural foramen. Lumbar canal
formation.
by
in
History of past illness: Not a K/C/O HTN
treatment; surgeries have failure in old age
/DM/BA/PTB any other medical illness
patients and other complications.
No H/O major operative/BT/ Drug allergy
Here is a case of Lumbar canal
stenosis, which was treated with ayurvedic
Samanya Parikshana:
therapy & got relief. Hence, Ayurveda can
Mala : Malavashtambha
have non-invasive, long lasting remedy for
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Sparsha : Avishesha
Other strotas were normal.
Jivha : Sama
INVESTIGATIONS:
Akriti : Madhyama
X-ray Lumbosacral spine (16/7/2013):
Marginal osteophytes at L2 &L3, Space
Prakriti : Vatapradhana Kaphanubandhi
reduction between L3-L4 & L4-L5.
Other findings were normal.
MRI
LUMBOSACRAL
SPINE
(18/7/2013):
Strotas Parikshana:
L2-L3disc reveals mild posterior bulge
Mansavaha : Deep Tendon Reflexes :
indenting thecal sac neural without neural
Ankle and knee reflexes of right leg were
compression.
brisk.
Marginal
osteophytes
at
multiple levels.
Leg
Ankle
Knee
Biceps
Tricep
Rt
+
+
++
++
L3-L4 poster central protrusion indenting
thecal sac without neural compression. Mild
leg
Lt
+
++
++
facetal
++
arthropathy & ligamentum flavum
thickening is noted.
leg
L4-L5 posterocentral protrusion compressing
thecal sac & bilateral L5 nerve roots. Facetal
arthropathy & ligament flavum thickening
Majjavaha: Sandhi Parikshana
at L5 contributing to Central Canal Stenosis.
SLRT : (straight leg raising test):
TREATMENT REVIEW:
Right Leg- 60
Left Leg- 80
A) Chiktsa in Samavastha : It was given for
Bilateral - Not possible
7 days.
Forward bending: upto ankle – painful.
1) Poorvakarma: snehan nadi swedan at
back to both feet.
Local tenderness: L3-L4-L5
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2)
Shodhana
Karma:
Pachan
basti:
3) Local: Kaitbasti with Bala taila
Decoction of dashmool, rasna, palashmool,
erandamool-nirooha
350ml
on
Internal medications:
empty
stomach in the morning and sahachar taila
1) Lakshadi guggula 1 gm three times a day
anuvasan 60ml after meal, for 7days.
with warm water
3) Local: Kaitbasti with sahachar taila
2)
Bala,
ashwagandha,guduchi,shunthi
kshirapaka 30ml two times a day.
Internal medications:
3) Gandharva haritaki 3gm at bedtime with
1) Sinhanada guggula 1 gm
warm water
three times a day with warm
water.
OBSERVATION:
2) Rasnasaptaka kwath 30ml two times a
Symptoms
Before
After
day.
treatment
Katishool
+++
Katigraha
+++
Tingling at +++
hip to both
feet
3) Gandhrva haritaki 3gm at bedtime with
warm water.
B) Chikitsa in niramavastha: It was given
treatment
+
-
for 30 days.
S.L.R.Test :
1) Poorvakarma: snehan nadi swedan at
Date
15/7/2
013
Rt leg 60%
Lt leg 80%
Both Not
legs
possibl
e
Forw Upto
ard
ankle
bendi painful
ng
back to both feet.
2)
Basti-Panchatikta
ghritakshir
basti
120ml. It was given after meal continuously
for 7 days and dashmoola nirooha was
given to subside some effects of kshirabasti
such as abdominal heaviness, flatulence etc.
Again 7 days cycle of kshirabasti was
repeated. Total
3 cycles of 7 days
kshirabasti were done.
80
23/7/2
013
80%
90%
30%
26/7/2
013
90%
90%
40%
10/8/2
013
90%
90%
80%
upto
ankle
Upto
Upto
ankle,n toes,
o pain not
painful
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of body. Hence might be helpful for
DISCUSSION:
relieving neural oedema. Patient had relief
Hetu of Katigata vata in this patient
in symptoms such as tingling, numbness.
was aticheshta and vardhakya. Both vitiates
vata. Vataprakopa leads to asthi and majja
panchakarma
pachana and shoolanashana.
and
specifically tikta ghrita kshira basti for
After pachana chikitsa , patient had
[2]
asthivaha strotasa vikara .
relief in above symptoms. But she had pain
after
Rest is the most important treatment
majjapuranartha
rest. She was advised to put lumbar belt
guggula,
while sitting, standing and walking position.
Honey[4] provides phosphorous and calcium
which are useful in bone metabolism.
Saindhava is sukshma[5] in nature which
restricted movements, morning stiffness).
helps
Hence she was given pachana basti,
basti
kshirapaka,
Both of them also improve majja dhatu.
(local tenderness at paraspinal region ,
Pachana
baladi
Lakshadi
absorption & help in bone nourishment.
had
gurutva, constipation) and sthanika samata
guggula.
i.e.
provide vitamin D which help in calcium
sarvadehika samata (aroochi, sarvadehika
and
chikitsa
improve asthi dhatvagni. Ghrita & milk
divided in two stages i.e. samavastha and
kwath
walking,
and also help in majjapurana. Panchatikta,
In this case, the treatment was
rasnasaptaka
during
are athisadhanakara, asthibalya in nature
forward bending and sitting without support.
patient
i.e.
panchatiktaghrita kshirabasti. These drugs
She was told to avoid heavy exercise,
Initially
movements
standing. She was given asthibalya and
in this case. The patient was asked to take
niramavastha.
pachaka,
Sinhanada guggula4 helps in deepana,
on asthibalavardhana and majjapurana.
advised
is
shothanashaka and vatahara in nature.
dhatukshaya. Hence treatment was focused
Charaka
kwatha[3]
Rasnasaptaka
other
ingredients
microcellular
sinhanada
panchatiktaghritakshir
contains
to
level.
basti
rich
at
Thus
provides
nutrition to asthi and majja dhatu.
dashamoola,rasna,palashmaoola,erandamo
ola, which are shoolahara, shothahara in
Local treatment helped in pain relief.
nature. Being hyperosmotic in nature it
The patient was given snehan nadi swedan
expels ama (toxins generated in body) out
at back to both feet. Katibasti of sahachara
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2. Agnivesha, ‘Charaka samhita’ with
taila was done initially for 7 days and later
on bala taila katibasti was done for 3
Ayurvedadipika
weeks. In katibasti oil gets absorbed
Chakrapanidatta edited by Vaidya
through skin due to prolonged contact with
Yadavaji
Trikamaji
skin. This might help in nourishment of
Prologued
by
shleshaka kapha present at kasheruka
Chaukhamba
sandhi, nourishes ligaments, intervertebral
Prakashana,Varanasi,Edition
disc and also pacifies vata dosha. Hence it
,Pg.No.180
with
CONCLUSION:
Thus
Lumbar
canal
these simple ayurvedic principles and
kalpas , when administered both internally
Acharya,
Prof.
R.H.Singh,
of
2013
Chakrapanidatta
Vaidyaprabha
commentary
stenosis can be treated in combination with
by
Surbharati
3. ‘Chakradatta’
helps in pain relief.
Commentry
by
hindi
Dr.Indradeva
Tripathi,
Chaukhamba
Bhavan
,
Sanskrit
Varanasi,
Edition
2012.Pg.No.166-68
and externally.
http://en.m.wikipedia.org/wiki/Hone
y (Accessed on 2014 March 27)
REFERENCES:
4. http://en.m.wikipedia.org/wiki/Hone
y (Accessed on 2014 March 27)
1. Mumtaz Ali, M.D.,Ph.D., V. D.
5. ‘Sharangadhara Samhita’ containing
Shukla, A. R. Dave, N. N. Bhatt,
Gujarat
Ayurved
Anjananidana
University,
Jamnagar, Ayu journal 2010 Oct-
Agnivesha
Dec; 31(4): 456-460.
Hindi
of
Maharshi
annoted with DIPIKA
Commentry
by
Bramhanand Tripathi. Pg.No.49.
Cite this article:
Ayurved management in LUMBAR CANAL STENOSIS: A case study
Naik Minal S., Meenakshi Rewadkar-Kole
82
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______________________________________________________________________________________________________________________________________________________
The Role Of Ayurvedic Medicine (I.E. Vanga Bhasma, Guduchi Satva &
Pravalpishti) In The Management Of Dhatukshayajanya Sandhigatvat
________________________________________________________________________
Sanjay A. Pawade*1, Umesh N. Patil2 , R. J. Mundane3
________________________________________________________________________
1. Asst. Professor 09822933273 [email protected]
2. Associate Professor 09421312194 [email protected]
3. Professor & HOD 09850719571 [email protected]
Deptt. Of Rognidan & Vikruti Vignyan, D. M. M. Ayurved College, Yavatmal.
*Corresponding Author: [email protected] Mob. No. 09822933273
commonly found in elderly patients. This
ABSTRACT-
study was planned with an aim to evaluate
Every person get older day by day.
the role of ayurvedic medicine i.e. vanga
Although the aging is inevitable
bhasma, guduchi satva and pravalpishti in
phenomenon and counted in swabhava bala
in management of dhatukshayajanya
pravritta vyadhies in Ayurveda.[1]
sandhigatvat. Total 60 patients of
Janusandhigatvat is one of them.
dhatukshayajanya sandhigatvat were
Janusandhigatvat is also known as
selected. They were divided in two groups.
osteoarthritis. It is not a life threatening
Group A and Group B. Group A patients
disease, but it happens at a wrong end of
were treated with vatshamak Yog along with
life. It is most prevalent and the leading
Balya Yog (i.e. vanga bhasma, guduchi
cause of disability in India affects over 15
satva and pravalpishti) and group B patients
million Indians each year.[2] In Ayurved,
were treated only with vatshamak Yog. The
Samprapti of sandhigatvat is described as
observations were recorded in prepared pro-
dhatukshayajanya and strotorodhajanya.[3]
forma and follow up was done after 2weeks,
Dhatukshayajanya sandhigatvat is
4weeks and 6weeks. By applying chisqure
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test and t test available data was statistically
arthritis, a clinical syndrome in which low-
analyzed. Finally balya yog is found to be
grade inflammation of joints is caused by
very useful in sandhigatvat.
abnormal wearing of the cartilage that
covers and act as a cushion inside the joints.
KEY WORDS - Dhatukshayajanya,
The decreased movement because of joint
Sndhigatvat, Balya Yog, Vatshamak Yog,
pain, regional muscles of joint may change
Osteoarthritis, Aging.
to atrophy and ligament may become more
lax. Further O.A. is an articular abnormality
INTRODUCTION –
of synovial joints usually accompanied by
Pain is an unfavorable sensation which
sub-chondral sclerosis, bony cyst, joints
brings an individual to the physician
space narrowing and bony overgrowth at
particularly is more painful when mobile
joints.
joints like Janusandhi (knee joint) of the
Osteoarthritis of knee joint is seen most
body is involved. The disease Sandhigata
common in clinical practice of geriatric.
Vata is more prone to be affected the knee
Worldwide O.A. is the most common
joint because it is most frequently involved
articular disease of people of 65 years and
joint in daily routine work as well weight
above. The patients of O.A. need to take
bearing joint. In pathogenesis of Sandhigata
analgesics for daily and lifelong. [5]
Vata it is found dominance of Vata
Dosha. Janusandhigatvat is also known as
Osteoarthritis (Sandhigatvat) is the leading
osteoarthritis.
degenerative knee disease leading to the
“Osteoarthritis” is derived from the Greek
need for knee replacement surgery. [4] The
word ‘osteo’ means of the bone ‘arthro’
reasons behind sandhigatvat may be
means ‘joint’ and ‘itis’ means inflammation
growing obesity, sedentary lifestyle,
dependence on unhealthy and junk food and
of the joints. Hence an inflammatory change
lack of exercise. In Ayurveda early aging is
in the joints of bone is called as
due to following five etiological factors as
osteoarthritis. There are two types of O.A.
mentioned in Madhav nidan such as [6]
i.e. Primary O.A. (no underlying cause) and
secondary O.A. (having underlying causes).

Osteoarthritis is also known as degenerative
84
Pantha – Excessive walking
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

Shita – Excessive intake of cold
Acharya Madhava nidan has
and cold potency dravyas
described the lakshanas of aging vividly in
Kadanna – Excessive intake of
the following manner viz[7]
jivaniya gunarahita ahara

1. Decreasing the body tissue,
Vriddhaang satat sangam –
sense organs, strength, vigor
Sexual contacts with elder
and vitality and enthusiasm
female

(Sahashinata,
Dukha – in incompatible deeds
Dhairya
pranash)
against will or mind
2. Effected
with
wrinkles,
graying of hair and baldness
Although it may not be possible to
(Vali, Palita, Khalitya)
prevent arthritis, one can reduce the risk of
3. Afflicted with complications
developing the disease by maintaining
like cough, dyspnoea etc.
healthy weight (Excess weight put strain on
4. Incapable to perform all
joints) by exercising regularly and by
maintaining a good posture to protect the
activities
muscle and joints.
gamanam)
(Dandashrayen
AIMS & OBJECTIVES:-
In O.A. surgical therapy like knee
joint replacement is very costly and after

surgery patient has to continue analgesics
To study the effect of trial drugs in
for long duration. These analgesics and
geriatric disorder with special reference
steroids in old age may produce adverse
to Janusandhigatvat.

effects like gastritis, hyperacidity and some
To find out less expensive, effective and
time renal failure. Hence this study was
easy treatment for complete cure of
carried out to evaluate the efficacy of Balya
Janusandhigatvat.

Yog (i.e. vanga bhasma, guduchi satva and
To study the Nidan panchak of
Janusandhigatvat.
pravalpishti) in the management of O.A.

Signs and symptoms of Aging:-
To validate old principal with practical
oriented data.

Clinical trials on various patients,
statistical variation, Discussion,
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Conclusion to standardize and establish
1. Most Severe
++++
new facts and concepts in the
2. Severe
management of Janusandhigatvat
3. Moderate
++
(Osteoarthritis) by Ayurved Therapy.
4. Mild
+
5. No Symptom
0
+++
MATERIAL & METHODS:EXCLUSIVE CRITERIA:Selection of patients: Patients suffering from TB
Randomly selected patients above
Joints. DM, leprosy,
the age of 40 years of Janusandhigatvat
Malignancy of joints., AIDS,
(Osteoarthritis) divided into two groups.
severe anemia are excluded
The final diagnosis was reached on the basis
from this study.
of signs and symptoms.
TREATMENT DRUG:1. GROUP-A: - This group was treated
with Vanga bhasma, Guduchi Satva and
Vatshamak Yog–
Praval Pishti along with Vatshamak
Yog.
2. GROUP-B: - This group was treated
Maharasnadi Kwath
20ml B.D.
Yograj Guggulu
250mg B.D.
Praval Panchamrut
250mg B.D.
only with Vatshamak Yog.
Symptoms:-[8]
Balya Yog
Sandhishul (Pain)

Sandhishoth (Degenerative
Guduchi Satva
250mg BD
Vang Bhasma
125mg BD
Praval Pishti
125mg BD
Swelling/ Bony hard swelling)

Sandhistabdhata (Locking Of
joints)

Vatpurnadruti Sparsh (Local
Anupan – Goghrit.
Crepitations)
The symptoms are divided in four
groups according to severity.
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Kidney function test is carried out of
2) Occupation Wise
every patient (under study) before and after
Distribution:-
treatment
Sr.
OBSERVATIONS:-
Occupation
Group
Group
“A”
“B”
No.
Result were observed and noted
accordingly to clinical improvement in signs
& symptoms on every follow up visit.
Patients from both group followed up after 2
Weeks, 4 Weeks, and 6 Weeks.
1
Labor
4(13.33%)
3(10%)
2
Farmers
2(6.66%)
3(10%)
3
Businessing
3(10%)
4(13.33%)
4
Housewife
18(60%)
15(50%)
5
Servicemen
3(10%)
5(16.66%)
3) Disease Period Distribution
CRITERIA FOR ASSESSMENT: -
(Chronicity):-
1) Excellent Relief: - Complete Cure in
Sr.
Symptom and Signs.
Years
No.
2) Moderate Relief: - More Than 75 %
Cure In Symptoms & Signs.
3) Mild Relief: - More Than 50% Cure In
Symptoms & Sings.
4) No Relief: - No Changes in Symptoms
& Sings.
Group
Group
“A”
“B”
6(20%)
1
0-1
5(16.66%)
2
2-3
7(23.33%) 8(26.66%)
3
4-5
9(30%)
7(23.33%)
4
6-10
5(16.66%)
6(20%)
5
11-15
2(6.66%)
1(3.33%)
6
16-20
2(6.66%)
2(6.66%)
RESULT & DISCUSSION:
4) Prakrutiwise Distribution
1) Sex wise Distribution
Sr.
SR.NO
Prakruti
1
Vatakaphaj
8(26.66%) 7(23.33%)
2
Vatapittaj
4(13.33%) 5(16.66%)
8(26.66%)
3
Pittavataj
Female 24(80%) 22(73.33%)
4
Pittakaphaj
5
Kaphavataj
9(30%)
8(26.66%)
6
Kapahapittaj
2(6.66%)
3(10%)
Sex
2
Group “B”
“A”
No
1
Group
Male
6(20%)
87
Group-A
3(10%)
Group-B
3(10%)
4(13.33%) 4(13.33%)
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-
(5)Agni wise distribution
In this study vatakapha & kaphavata
prakruti patients are more.
SR.NO
TYPES OF
GRPOUP-
GROUP-B
AGNI
A
1
VISHAM
15(50%)
14(46.66%)
2
TIKSHNA
3(10%)
2(6.66%)
3
MANDA
12(40%)
14(46.66%)
-
In agni wise distribution mandgani
& vishamagni patients are more.
-
In group-A 70% patients showed
Excellent relief and in group “B”
10% patients showed Excellent relief
in signs and symptom.
CURE RATE & DISEASE STATUS
Classification of Results
Sr. No.
Group
Excellent
In group “A” 16.66% patients got
Moderate relief in group “B” 50%
Moderate Relief
Relief
1
A
21(70%)
5(16.66%)
2
B
03(10%)
15(50%)
-
patient got Moderate relief in signs
Mild Relief
No Relief
and symptom.
In group “A” 10% patient got mild
03(10%)
01(3.33%)
relief & in group “B” 13.33% patient
04(13.33%) 08(26.66%)
got mild relief in signs and
symptom.
By applying chiqure test and t test
-
available data statistically analyzed with
In group “A” 3.33% patient showed
symptoms wise relief before & after
no relief and in group “B” 26.66%
treatment with respect to Sandhishul,
patient showed no relief in signs and
Sandhishoth, Sandhistabdhata and
symptom.
-
Vatpurnadruti Sparsh etc.
In group “A” 100% patient showed
relief and in group “B” 90% patient
Discussion on statistical ground
-
showed
-
symptom
House wives are more sufferers of
showed
Janusandhigatvat.
-
in
Sandhishul (Pain).
Female patients are more (76.66%)
in this study
-
relief
relief
in
symptom
Sandhishoth (Swelling).
04-05 year chronic patients are more
-
in this study.
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showed
-
relief
in
-
symptom
Patient
having
cervical,
lumber
Sandhistabdhata (Locking of joints).
spondilosys and Sciatica along with
Janusandhigatvat
results with Balya Yog along with
showed
Vatshamak Yog
relief
Vatpurnadruti
in
symptom
Sparsh
-
(Local
Crepitus).
got
excellent
Patients who were unable to walk
without support before treatment,
they are able to walk without support
After analyzing of data following facts
easily.
are revealed
-
highly effective treatment for severe
In Group “A” 96.75% patients
osteoarthritis as a substitute of Total
showed relief after receiving Balya Yog
Knee Replacement (TKR)
along with Vatshamak Yog and in Group
-
“B” 88.25% patients showed relief after
Conclusion:The
Females are more affected than
males.
receiving only Vatshamak Yog
-
It can be recommended that it is
Overweight patients found more
affected.
symptomatic
relief
by
References:
Vatshamak Yog and trial drugs is
1. Ayurvediya Rogvigynan evum
excellence when compared with only
vikruti vigynan Dr. Radhavallabh
Vatshamak Yog.
-
Relapses in group ”B” are more
Sati, reprint edition 2006,
when compared with group ”A”
Chaukhambha orientalia, Varanasi.
2. www.healthcare.financialexpress.co
Newly diagnosed cases got fast and
m (Accessed on dated 15/09/2013)
best relief.
-
3. Carak Samhita: Volume II, Dr.
Patient having severe osteoarthritis
and
advised
for
total
Bramhanand Tripathi, reprint edition
knee
2004, Choukhambha Surbharati
replacement (TKR) got excellent
Prakashan, Varanasi., page no. 948,
results with Balya Yog along with
chapter no. 28/58.
Vatshamak Yog
89
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4. www.en.wikipedia.org/wiki/Osteoart
7. Madhavanidanam, Part II, revised &
hritis (Accessed on dated
edited by Prof. Yadunandana
15/09/2013)
Upadhyaya, Chaukhambha Sanskrit
Sansthan, Varanasi. 23rd edition
5. Dudhamal TS, Gupta SK, Jethava N.
Clinical efficacy of Agnikarma in
1994. Page no. 500 Jararog nidanam
Sandhigata Vata w.s.r. to
Shloka no. 02 – 09
Osteoarthritis of Knee Joint-A pilot
8. Carak Samhita: Volume II, Dr.
study published in Ayurlog: National
Bramhanand Tripathi, reprint edition
Journal of Research in Ayurved
2004, Choukhambha Surbharati
Science-2013; 1(3): 74-84
Prakashan, Varanasi., page no. 942,
6. Madhavanidanam, Part II, revised &
chapter no. 28/37.
edited by Prof. Yadunandana
9. Methods in Biostatistics: B. K.
Upadhyaya, Chaukhambha Sanskrit
Mahajan, 16th edition, Jaypee
Sansthan, Varanasi. 23rd edition
Brothers Medical Publishers (P)
1994. Page no. 500. Jararog nidanam
Limited, Noida, 2004.
Shloka no. 01
Cite this article:
The Role Of Ayurvedic Medicine (I.E. Vanga Bhasma, Guduchi Satva & Pravalpishti) In The
Management Of Dhatukshayajanya Sandhigatvat
Sanjay A. Pawade, Umesh N. Patil, R. J. Mundane
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Article_14
AYURVEDIC MANAGEMENT OF
MYOTONIC DYSTROPHY: A CASE REPORT
___________________________________________________________________________
Ketaki Jalinder Jadhav*1, Prerana P. Jawale. 2
___________________________________________________________________________
1. PG student Kayachikitsa,
2. Assistant Professor, Dept.of Kaychikitsa,
R.A.Podar ayu college, Worli, Mumbai-18.
* Corresponding Author: E-mail:[email protected]; Mob no. 9867833483
__________________________________________________________________________
symptoms done clinically.According to
ABSTRACT:
ayurvedicdosha-dushyavichar patient has
Myotonic dystrophy is a genetic
disorder.
The
clinical
expression
given
of
Arogyavardhinivati,Chitrak+
Pippali+ vidangsiddhagruta for deepan
myotonic dystrophy varies widely and
,pachan
involves many systems other than muscle
and
mansagnivardhan.Balaguduchyadikwatha
also. Neck muscles including flexors and
,Ashwagandhapak,cap.
distal limb muscles are involved early.
Palsinormgiven
orally which is balya for mansa and
Weakness of wrist extensor , quadriceps
stimulant
muscles occurs.
formajjadhatu.
In
panchakarmachikitsa,yogbasti
with
dashmulaniruha and tiltailanuvasan given
In this report, a case of 42 years old
for 8 days as shodhanchikitsa followed by
female patient diagnosed as myotonic
karmabasti of balaguduchyadiniruha and
dystrophy has given ayurvedic treatment.
balatailanuvasan
Observation and assessment of signs and
given
for
30
days.Shirodhara with brahmi and tiltail has
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given for 14 days. In bahyachikitsa , patient
disease can not be correlate with any
given sarvangsnehan and swedan for 8 days
specific vyadhi mentioned in samhitas,
followed by sarvangpindswed for 28 days.
(anuktavyadhi)but
according
to
dosha-
dushya vichar we can treat mansadaurbalya,
Result:
Lakshnikupashaya
has
manskshayato improve day to day life of
mentioned on the basis of changes in muscle
patient.
power gradation, deep tendon reflexes,
Patient’s name: SRS
walking ability, pain/cramps in both lower
limb etc. All parameters show good
Age: 42 years
improvement in patient.
Sex: Female
In modern medicine there is no
specific treatment given for this disease and
Desh: Anupa
progression of this disease is worst. So, aim
of this case report to show importance of
ayurvedicmanagement,
which
can
Occupation: House wife
be
Religion: Hindu
helpful for thistype of patient to live their
life better.
KEY
Chief complaints:
WORDS:
Myotonic
dystrophy,
1. Katipradeshishool…
since 2 1/2 yrs
pachan, Balaguduchyadibasti, Pindswed
2. Ubhayahastapadadaurbalya …
INTRODUCTION:
since 1
1/2 yrs
Myotonic dystrophy is a disorder in
3. Unabletowalk…
since 11/2 yrs
which usually proximal muscle remain
stronger throuout coarse, but signs and
4. Pain and cramps in both calf muscles…
symptoms involve gradual muscle weakness
since 1 yrs
and atrophy. It can lead to cardiac
disturbances
Gradually
including
patient
heart
may
5. Nidralpata(on & off)
blocks.
experience
…
since 1 yrs
The patient was apparently alright
respiratory insuffiency due to muscle of
before 21/2 years, and then she had
breathing get weaken. In Ayurveda this
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complained of backache frequently. Then
Mala: samyak
she had an episode of epilepsy. She was a
Weight:76kg
known case of epilepsy, but not on regular
treatment.
Gradually
she
experienced
Prakruti: kaphapradhanvatanubandhi
weakness in both upper and lower limbs and
decrease grip to catch anything. Patient
BP: 110/80mm of Hg
brought to KEM hospital for further work
Mutra: samyak
up. Patient has adviced EMG, NCS, MRIbrain
,MRI-LS
Spine,
2D-echo.
She
Koshtha: Madhyam
diagnosed as primary muscle disorder
(mytonic dystrophy)in 2012. Patient was on
anticonvulsant
,
pain
killer
Jivha: Alpasaam
and
StrotasParikshana:
multivitamins, but does not improved.
So,patient brought to Podar hospital for
1) Pranvaha: RS: AEBE ,NAD
ayurvedic treatment.
2) Udakavaha – Trishna
Family history: NAD
3) Annavaha:
Aruchi4)
No/H/O- DM /HTN/ PTB/ BA,
Rasavaha: CVS: S1S2 Normal
K/C/O- Epilepsy …..since 22 years
5) Raktavaha -Avishesh
No/H/O- any major surgical illness
6)
Mansavaha:Mansadaurbalya,
Mansakshaya in both UL and LL, Muscle
Samanya Parikshana:
power decrease.
Nadi:78/min regular
Muscle power gradation :
Agni: mandagni
UL
LL
Rt
3/5
4/5
Lt
3/5
1/5
Akruti: sthaulya
RR:18/min
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7) Medovaha: Sphik-stana-udarlambanam
and subcortical Rt temporal lobe may
represent CNS involvement.
8) Asthivaha : Katishool
EMG/NCS :- A primary muscle disorder
9)
Majjavaha:
Deep
tendon
reflexes
with myotonic discharges.
diminished
2D-Echo :- LVEF-60%, Normal valves,
Deep tendon reflexes
A
Normal chamber size.
K
T
B
Rt
+
+
+
+
Lt
+
+
+
+
NIDANPANCHAK:
1.Hetu:
Ahar:
milk,
curd,
abhishyandiaahar like dosa, uttapa frequent
use in meal(kaphavardhak) ,Bread, butter,
biscuits
All reflexes were diminished.
etc.daily
(vatavruddhikar)
,sheetjalsevan (freezed water)Vihar: lack of
10) Shukravaha: Avishesh11) Mutravaha:
exercise, divasvapa
Avishesh12) Svedavaha: Avishesh
2.Purvaroopa:
katipradeshishool,
INVESTIGATIONS:
nidralpata
CBC, ESR, LFT, RFT, Lipid profile, BSL :
3.Roopa: katishool, weakness in bilateral
WNL (26-12-2013)
UL
and
LL
(mansadaurbalya),
mansakshaya, Unable to walk, pain in calf
CPK- 454 IU/L (26-12-13)
muscle.
MRI-lumbosacral joint (5-2-2010) diffuse
4.upashay: Snehanottarshoolupashaya.
disc bulge at L3-L4, L4-L5, L5-S1 level
identing thecal sac.
Diagnosis according to Modern medicine:
Myotonic dystrophy
MRI-Brain (11-6-2012):- Tiny old ischemic
changes involving
bilateral frontoparietal
Dosha-dushya vichar:Dosh: Vata, kapha
white matter, Parieto-occipital white matter
Dushya:
94
Mansa,
Kandara,
Snayu,
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Majja,Asthi ;
Strotas:
Avyayamat divaswapnat medyanam
Mansavaha, Majjavaha, Asthivaha,
cha atibhakshanat |
Medovahini dushyanti varunyashcha
5.Samprapti:
atisevanat || - Charak Vimansthan.5/24
Hetu:Abhishyandi
ahar,
kaphavatakarahari.e.milk,curd,frequent use
CHIKITSA given:
of bakery products,shitjalsevan,Lack of
Tatroapisvayonivardhandravyopayo
exercise,Divasvapa----kaphavatadushti----Jatharagnimandya
gah
----
Dhatvagnimandya
(pratikarah)
|
-
Sushrutsutrasthan15/14
(specifically
Mansadhatvagnimandya)-------
1) Sarvadehikchikitsa: A) Bahyachikitsa
Mansavahastrotodushti and strotorodha--
B) Abyantarachikitsa
----Mansakshaya (Muscle atrophy) and
Mansadaurbalya
(diminished
muscle
A) Bahyachikitsa:
power)-------Sarvangsnehanswedan for 14 days
Majjavahastrotodushti(mastishkagatamaj
jadushti)
(diminished
reflexes)
-----
-Pindswed for 28 days
Myotonicdystrophy

-Shirodhara with brahmi+tiltail for
Mansam sharirapushtim medasya
14 days
cha | sushrut.sutrasthan. 15/7

Mansavaha strotas dushti karan:
B) Abhyantarachikitsa :
Abhishyandini bhojyani sthulani cha
The treatment is given in following manner.
guruni cha |
-Arogyavardhinivati 2-2-2 for 7 days
Mansavahini dushyanti bhuktam cha
svapatam
diva
||
-Chitrak +Pippali+ Vidang siddha
-Charak
gruta for deepan, pachan and mansagni
Vimansthan.5/23
vardhan

Medovaha dushti karan:
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-Ashwagandhapak 2 gms BD for 1
month
-Balaguduchyadikwath
Lt
+
+
+
+ ++
20 ml BD
for 1 month
Lt
+
++
++
++
5.Pain/
- Cap. Palsinorm 2 BD for 1 month
cramps
+++
+
in
legs
i) Shodhanchikitsa :
6.Muscle
-Yogabasti
with
Dashmulaniruha
power
and tiltailanuvasan for 8 days
UL
UL
LL
LL
Rt
3/5 Rt
gradation
ii)Yapanchikitsa :
4/5
-Karmabasti with Bala guduchyadiniruha
Lt
and Balatailaanuvasan for 30 days
1/5
4/5
Nidralpata
Nidra
7. Nidra
4/5
3/5 Lt
OBSERVATIONS AND RESULTS:
Symptoms
After
treatment
treatment
1.Backache


2.Walking
Unable
ability
walk
DISCUSSION:
Mode of action of drugs:
to Walk
Kalpa
without
Contents
Grip Decreased
tendon reflex
1.Pindswed
Almost
strength
normal
A
T
K
B
A
T
Mode
of
action
support
4.Deep
4/5
prakrut
Before
3.
5/5
K
Dashmula
, Vatahar,
bala,
shothahar,
ashwagandh
mansa
a, nirgundi , dhatu
B
milk, rice
Rt
+
+ Rt
+
+
+
++
++
balya
bruhan
karya
96
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2.Aarogyavar
Kajjalli,loha
Deepan,
daruharidra,
dhini vati
bhasma,
pachan,
shatavari,
tamra
srotoshodh
musta,
bhasma,triph
an
patha,gokshu
ala,
r,
kutaki,abhrak
kantakarietc
bhasmashilaj
7. Yogbasti for Makshik,
Vatahar,
atu,
8 days
saindhav,
shothahar,
chitrak,gugg
dashmula
strotorodh
ul
kashaya,til
a
tail
shodhan
nashak,
3. Chitrakadi Chitrak+
Deepan,
gruta
vidang+
pachan,
8.Balaguduch
Makshika,
Balya,
pippali
mansagniv
yadiBasti
saindhav,
vatanashak
siddha gruta
ardhan
for15 days
sneha:
4.Ashwagandh Ashwagandh
a pak
Balya,
taila
a, bala, ela, bruhan,
c
madhu,
mansavard
madanphala,
han,
pimpali,
mansaposh
indrayava
an
Cap Shallaki,
Palsinorm
asthisandh
ankar,
Kalka:yashti
kapikacchu,et helpsin
5.
til ,
Vatahar,
Kashay:
guggul,
stimulant
shuddha
formajjadh
kuchala,
atu,
Bala,
Guduchi,
Atibala,
nirgundi,
Rasna,Ashwa
shunthi
gandha,
6.
Bala,
Balya
&
Balaguduchya
guduchi,
bruhan for
di kwatha
devdaru,
mansa
sahachar,
dhatu
Aragvadha,
Bilva,
Devdaru,
97
Bruhana,
yapana
karya
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Sahachar,
bruhan,
balya,
mansavardhan
and
Dashamula
mansaposhankarya which is expected in
treatment of this disease. Swayonidravya
And
will increase same dhatu is the principle for
Mansarasa
chikitsa.
Aarogyavardhinivati
contains
Kwatha
of
dashmula,
bala,
kajjali, lohabhasma, abhrak bhasma, tamra
ashwagandha, nirgundi, and kshir which is
bhasma, guggulu , shilajatu, kutaki, chitrak
boiled with rice is used for pindswed. This
whichis deepan ,pachan, agnivardhan and
is
srotoshodhan byreducing dushta kapha.
bruhankarya of mansadhatu.
best
chikitsa
of
for
vatashaman,
Chitrak, pippali and vidang are katu-
During treatment, there was no
tiktarasatmakdravya which are useful in
convulsion episode , Nidra was prakrut,
mansagnivardhan.
patient feels relaxed mentally.
Ashwagandhapak
contains
CONCLUSION:
balyadravya which are mansa-majjaposhak.
Thus from above case report we can
Cap. Palsinorm is a proprietary
confidently
say
that,
Myotonic
a
good
ayurvedic
medicine which contains shuddhakuchala,
Dystrophyhas
which is stimulant to nerves, nervine tonic i.
management which helps patient to improve
e. majjadhatu.
their daily routine.
Balaguduchyadikwatha
proprietary
medicine
which is
,useful
Thus in combination with these
for
simple ayurvedic principles and kalpas a
mansavardhan,and vatashaman.
Basti
tiltail
is
with
use
dashmulaniruha
for
the
purpose
difficult disease like Myotonic Dystrophy
can be successfully treated when applied
and
correctly at right conditions.
of
srotoshodhan. After srotoshodhanbasti with
REFERENCES:
balaguduchyadiniruha with mansarasa and
anuvasan with balataila is given for
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1. SushrutSamhitaedited
vaidyaAnantram
by
3. Dravyagunavidnyan
sharma,
chaukhambaprakashan,
,Priyavatsharma
Varanasi
,chaukhambaprakashan,
edition 2008
2. CharakSamhita
Varanasi,2006
of
Agnivesha
4. Bhaishjyakalpanavidnyan,
,Drudhbala ,chaukhambaprakashan
acharyasiddhinandanmishra,
,delhi 2006
chaukhambaprakashan
2006.
Cite this article:
AYURVEDIC MANAGEMENT OF MYOTONIC DYSTROPHY: A CASE REPORT
Ketaki Jalinder Jadhav, Prerana P. Jawale
99
Varanasi
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Article_15
______________________________________________________________________________________________________________________________________________________
___________________________________________________________________
Sujata Jadhav*1
___________________________________________________________________
1. Associate Professor P.G. Department of Kayachikitsa, CSMSS Ayurved College,
Kanchanwadi, Aurangabad- 431002, Maharashtra, India.
* Corresponding Author: [email protected] mobile-09271865835
___________________________________________________________________
Keywords:
Abstract:
Nidranash,
Shirodhara,
Murdhataila,, Insomnia.
Ayurveda
has
described
three
Upasthambas or healthy mind and body.
Introduction:
These Upasthambas are Aahara, Nidra
Ayurveda
,Brahmacharya. Nidranash is one of the
as healthy body and mind. This Swasthya
mental health problems around the world.
The modern treatment is not entirely
satisfactory.
Ayurveda
has
described
for
male
shirobasti.
and
female
Therefore
patients
this
study
Samhita
Vrishya
jaagare
,
brahmacharya.
of
Nidra
In
been
stated
as
(Happiness),
Pushtikar
Balyakar
(Strength),
(Sexual
Urges),
Dnyanakar
(Learning), Jeevankar (Life giving) [2].In this
(Nidranash)]. Shirodhara is convenient for
both
nidra
(Nourishment),
effective in the described order [Vagbhatta
Shirobasti
aahar ,
sukhakara
Murdhtaila are Abhyang,Sec,Pichu,Basti
advocated
depends on three Upastambha[1]
importance
murdhataila for Nidranash.The types of
has
has described Swasthya
way Nidranash affects the body, mind as
than
well as soul. At present it is the foremost
is
mental health problem around the world and
undertaken.
commonest condition observed in both
private and hospital practice. In the last few
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decades human psyche has failed to cope
(Preprocedure) and paschyatkarma (Post
with rapid change of pattern of lifestyle and
procedure). Seka that is Shirodhara satisfies
very fast progress of technological and
these criteria but the efficacy of Shirodhara
industrial developments. In environmental
is not properly known as far as literature on
pollution,
this subject is concerned. Therefore this
stress
and
strain
full
life
conditions, unlimited demands in secure old
study is undertaken.
age. The youth have adopted undesirable
Hypothesis
habits like smoking, alcohol, drug addiction.
As a result the incidence of nidranash
1. In Nidranash while considering
(Insomnia) has greatly multiplied in recent
Vatvriddhi, Pittavriddhi as well as
years.
Kaphakshaya Til-Taila
is Balya,
[6]
Vatanulomak .
A vast number of researchers are
2. Shirodhara is sort of meditation
trying to find better way of treating and
which may be effective for stability
managing Nidranash. Modern medicine has
of mind and also for sleep.
developed potent drugs for induction and
3. Indriya- Tarpan Karya of Murdha-
maintenance of sleep but some of these
drugs
are
found
to
be
Taila was considered.
carcinogenic,
4. Twacha
teratogenic etc. Long term use of any such
i.e
Sparshnendriya
i.e.
Vatsthan and Mana are Sarvavyapak
drug leads to addiction. Therefore modern
was also considered.
treatment is not entirely satisfactory.
5. Hence Vatchikitsa should also be
Ayurveda has mentioned many lines
of
treatment
like[3]
ksheera,
considered.
madya,
6. Regarding
mansarasa, dadhi, abhyanga, udvartana
Ashayapakarshak-Gati
,snana, murdha-karna-akshi
considerable.
out of which Murdha taila
[4]
tarpana etc.
Vatchikitsa
is
also
(tarpana) is
said to be most effective . Murdha taila has
Aims and objectives:
four types Abhyanga, Seka, Pichu, Basti[5] .
To Study the role of Shirodhara in
In finding appropriate management we must
management of Nidranasha
seek a way which has got long duration of
action
and
minimal
purvakarma
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Issue- 2 April 2014
nd
Vol. 2
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Methods and materials:
Group 2: 10 patients -with Placebo
For the clinical study 40 patients in the
After selection of patient detail history was
department of kayachikitsa in Seth Ramnath
taken
Dharmarth Rugnalaya, Pune were taken.
investigations
and
routine
pathological
The study was done in both levels in the
and thorough physical examination was
hospital i.e. in OPD as well as IPD level.
done.
1. Patients having age of 20-60 yrs
Patients were followed up daily the therapy.
were only considered.
2. Patients of either sex were taken for
Criteria of diagnosis: The diagnosis was
the study.
based mainly on the clinical presentation
3. Patients with history of Nidranash at
of the patient. The following investigations
least one month and also having
were undertaken to exclude other pathology
following signs and symptoms were
to assess the condition of patient. Routine
taken :
blood investigations like HB, TC, DC, ESR,
Angamarda(Bodyache)
,
PCV
Shirogaurav (Heaviness in head),
(Laziness),
(Weight
loss),
carried
out.
Routine
and
microscopic urine examination was done.
Akshigaurav (Heaviness in eyes),
Karshya
were
Blood sugar was also done.
Alasya
Jrimbha(Yawning),
Criteria for assessment of results:
Moha(Confusion),
The most of the signs and symptoms of
Rukshata(Dryness),
Nidranash
Jadhya(Sluggishness),
described
in
Ayurveda
are
subjective and to give the results objectively
Glani(Sleepiness),
and for statistical analysis multidimensional
Bhrama(Giddiness),
scoring system was adopted. This symptoms
Apakti(Indigestion) [7].
score was obtained daily and the statistical
Patients were divided into two groups as
analysis was done at the end of the study
follows:
to assess the efficacy of treatment.
Group 1: 30 patients: with Shirodhara
102
ISBN 978-93-5173-179-3
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The scoring done was as follows: sleep
Grade1
Mild degree of symptom
duration
Grade2
Moderate degree of
Grade0 -
6-7hrs
symptoms
Grade1 -
5-6hrs
Grade3
Grade2-
4-5hrs
SHIRODHARA VIDHI [8]
Grade3-
3-4hrs
Preparation of Patients:
Grade4
2-3hrs
Grade5-
1-2hrs
Grade6-
0-1hrs
Severe degree of symptoms
The patients selection was done as
described in clinical study. Male patients
were advised to remove scalp hair totally.
All the patients were advised to wash hair
before starting therapy.
Awakenings
Preparation of dhara-patra and table:
Grade0 –
No awakenings
Dhara-patra – A copper pot of two
Grade1
litres, broad at the neck and tapering at the
1-2times
bottom. At the bottom a hole of 5 mm was
Grade2
3-4times
Grade3
5-6times
made. A wick of
gauze piece was
introduced in the hole to adjust the dhara.
The dhara-patra was hanged in the stand
Grade4
with the help of sling.Table with soft bed
7-8times
was kept. Table was adjusted in a way to
Presence or absence of general symptoms
collect oil.
like Moha, Angamarda, Jadya, Glani,
Preparation of drugs
Shirogaurav, Akshigaurav, Alasya, Apakti,
Rukshata, Krishata, Bhrama, were graded
Til taila was taken one litre in
as follows :
quantity per patient. It was warmed first and
Grade0
then
Absence of symptoms
103
poured
in
Dhara-Patra
.
The
ISBN 978-93-5173-179-3
ISSN 2320-7329
Issue- 2 April 2014
nd
Vol. 2
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temperature of taila was maintained during
Botanical name : Sesamum indicum.
the therapy.
Family: Pedalinancae.
Pradhan karma
Variety: Black seeds-it gives best quality of
Patient was to lie in supine position
oil .White seeds-richer in oil. Red/brown
with neck extended. Two gauze pieces were
seeds.
kept on the eyes for preventing the taila
from entering in the eyes. The distance
between the wick in the hole and the
properties[9]:
Rasa-
madhur-kashaya,
Anurasa-tikta,
Vipak-
madhur, Prabhav-keshya
patients head was kept 4 angula and the
and
Sanskarat
sarva rogajeet, Guna-guru, snigdha.
dhara was adjusted such that it will fall
straight and continuously on forehead. The
Actions- vatshamak, snehan, vedanashamak
time of Dhara vidhi was 45 minutes (
and
muhurta) per patient . The oil from head
region was recollected in
Pharmacological
keshya.
Seeds
are
laxative
and
emolients, dimulsent and nourishing after
other pot as
the particular sansakar the oil becomes
shown in the photograph and was again
warmed and repoured in dharapatra .The
Uses: Til-taila is used widely as a base of
therapy was given for seven days.The
different medical oils. Local applications are
procedure was carried out in vat-kala.
useful in vatvikara wounds
Maximum
from
growth of hair. It is a good medhya also.
disturbances. Separate oil was used for each
After different sanskara it can be used
patient strictly.
both
isolation
was
done
ways
for gaining
and proper
weight
and
reducing the weight.
Paschyat karma
Chemical composion: seeds contain-50Remaining oil on head was smoothly
60% fixed oil[10]
massaged on head. Patient was advised to
wear scarf or cap while returning home to
Analysis: 10
protect from cold or heat and also advised
avoid travelling.
Black seed
Description of Til-taila
104
Moisture
oil
2-5.2%
44.6-56.9%
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Red seed
45.7%
55.5%
Markedly improved: 50% to 75% relief in
the chief complaints and improvement in
White seed
2-4.4%
44.9-58.2%
sleeping hours upto 4 to 6 hours at night.
(Bombay govt. agri.dept.bulletin)
Improved : upto 50% relief in the chief
complaints and improvement in sleeping
Protein-22%
hours.
Carbohydrates-18%
Unchanged : no improvement in chief
Mucilage-4%
complaints and sleeping hours.
Woody fibers-4%
Observation and Discussion:
Nidranash is described in detail by
Ash-4.8%
Charak,
Oil contents: 70% of liquid fats consisting
Ashatangsangraha,
Vagbhata,
Sushruta. Charak has described Nidranash
of glycerides of oleic and linolic acids and
as
12-14% of solid fats stearin, palmitin and
one
of
eighty[11]
the
Nanatmajvyadhis(harangadhra has quoted12
myristin.
alpanidrata
as
one
pittajananatmajvyadhis.
Crystalline substances: sesamin and a
of
These
the
ancient
authors have advocated various modalities
phenol compound sesamol
of treatments. Charak has described SnehChikitsa for Nanatmaj Vyadhis. Shirodhara
Total effect of therapy:
therapy with Til-Taila was selected for
At the end of therapy the total effect
treatment of Nidranash in this study.
of therapy was assessed in the terms of
complete remission, markedly improved,
The various causes implicated in the
improved and unchanged with the following
aetiology of Nidranash in this study are
criteria:
Manastap,
Prakriti,
Dhatukshaya,
Vatvriddhi, Karya, Vikar.
Complete remission: 75% to 100% relief in
The pathogenesis of Nidranash is
the chief complaints and improvement in
described as – Vatprakop (Bhay, Shok,
sleeping hour upto 6 hours at night.
105
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Chinta, Kam), Pittaprkop (Krodh, Irshya).
Til-Taila is Madhur, Tikta, Kashaya,
(Charaka Chikistasthana adhyaya 28.)
Vatghna. Hence it is effective in the
treatment of Nidranash. The effectiveness
The
predominant
symptoms
of treatment was assessed by grading the
observed in this study were alsya(82.5%),
angamarda(65%),
severity of various symptoms through the
rukshata(60%),
therapy. The effect of Shirodhara in
shirogaurav (55%), Bhrama(50%). Along
Nidranash can be due to Vatshamak action
with these malavastambha (constipation)
of Til-Taila and also due to Nidrakar action
was seen in 40% of patients.
of Murdha-Taila.
40 patients of Nidranash were
In this study following observations were
selected for this study. The maximum
noted –
number of patients were in age group of 40
to 50 and 50 to 60 years. These two age
1. Increase in total sleeping period.
groups were the commonest age group of
2. Increase in uninterrupted sleep
incidence of Nidranash.
period.
3. Decrease in number of awaking
Both male and females are about equal in
episodes.
numbers in the ratio of 1:1
4. Increase feeling of well-being.
5. Quite and cool feeling in eyes.
For the study patients were divided into
two groups.
The score of severity of Nidranash
was graded separately for total sleep period
Group 1: Shirodhara group
and for number of awakening episodes
before and after the treatment for group 1
Group 2: Control group
and group 2.
Group 1 was given Shirodhara with TilTaila daily for seven days. Group 2 was
The Patients on placebo therapy
given placebo therapy of two capsules
didn’t show any improvement in total sleep
containing wheat-flour at bed time for seven
period as well as in pattern of sleep. In this
days.
study only one patient on placebo therapy
showed some improvement in sleep pattern.
106
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This may attributed to the psychological
symptoms at the end. Only Angamarda,
aspect of the patient.
Akshigaurav,
Shirogaurav
showed
negligible change in few patients.
But as seen above the Shirodhara
therapy group has shown significant change
This supports that Shirodhara with Til-Taila
in both i.e for total sleep period and Pattern
was responsible for the improvement in
(Swaroop) of sleep. In group 1 total sleep
Rupas
period changed from grade5 to grade2. So
shirogaurav. Maximum change in gradation
the sleep hours increased from 1 to 2 hrs to
was seen for these Rupas. Moderate change
4 to 5 hrs.
in gradation was seen in Rupas likem moh,
like
angamarda,
akshigaurav,
jadya, glani, bhrama, alasya, jrimbha,
The change in sleep pattern observed
rukshata. There was no change in gradation
was from grade 3 to grade 1 i.e. the number
of karshya. This proves that Shirodhara was
of awakening decreased from 5 to 6 times to
responsible for the change of severity in
1 to 2 times.
group1.
This is conclusive that Shirodhara
From above observation it is seen
was responsible for the change in score of
that maximum patients benefitted from the
severity of Nidranash in group1. And hence
therapy are seen in markedly improved
Shirodhara with Til-Taila is proved to be an
group.
effective mode of treatment for Nidranash.
Conclusion:
For reaffirmation of the above result
it was proved in this study that five patients
Shirodhara with Til-Taila is effective
in group1 on sedative drugs such as
in the treatment of Nidranash.
Diazepam, Alprazolam were able to stop the
medication after 4th or 5th day of therapy and
References:
showed improvement in the period as well
1. Agnivesh charak samhita vidyotini hindi
as pattern of sleep.
commentary part-1, Vd kashnath pande, Vd.
On comparing the score of both the
Gorakhnath Chaturvedi, Chokhambha bharti
groups it can be seen that in Group2 there
academy,Varanasi, Sutrasthan, Chapter 1135, p.227, Ed.21st.
was no significant change in severity of
107
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2. Agnivesh charak samhita vidyotini hindi
7. Vagbhta Ashtanghridaya sarvangsunder of
commentary part-1 Vd kashnath pande,
Arundatta, Ayurved rasayana of Hemadri by
Vd.Gorakhnath Chaturvedi Chokhambha
Dr A. Kunte and K. Shastri Naware, hindi
bharti
commentary Chokhambha Krishna Das
academy,
Varanasi,
Sutrasthan
st
Chapter21-36 p.418 .Ed.21 .
academy, Ed 2009 Sutrasthan adhyay, 7-64
3. Vagbhta Ashtanghridaya, Sarvangsunder of
p.143, Ed, 2009.
Arundatta, Ayurved rasayana of Hemadri by
8.
Sahasrayog
by Kendriy ayurved avam
Dr A.Kunte and K. Shastri Navre, hindi
sidhha
commentary Chokhambha Krishna Das
Dharakalp 13, P-521
academy, Sutrasthan adhyay, 7-66, p.143,
with
samhita,
commentary
by
nyanychandrika
Nibandhasangraha
Dallanacharya
panjika
Vidyotini
Brahmasankara
and
of
parishad
(1990),
9. Acharya Bhavmishra, Bhavprakash Samhita
Ed, 2009
4. Sushruta
anusandhan
hindi
commentary
Misra,
by
Chaukhambha
Sansrit Bhavan, Varanasi, 2012. P-152.
Sri
10. Bhavprakash
Nighantuyukt
part
first
Gayadasacharya by Vd Jadhavji Trikamji,
(purvardha), Choukhomba Sanskrit bhavan
Chokhambha
Varanasi,
Shree Brahma Shankar Mishra, Botanist,
th
Shree Rupalalji Vaishya dhanya varga, page
orientalia,
Sharirsthan Adhyay, 4-43p.359,
4
Ed
1980
no.651
5. Sharangdhar samhita, Jeevanprada hindi
11. Indiam Materia Medica by Dr. K. M.
commentary by S. Shrivastav, Chokhamba
Nadkarni, Vol. 1. Page No. 1126-29,
Orientalia, Samhita Uttarkhanda Adhyay-
Bombay Popular Prakashan, Reprint 1992,
nd
11, 121 p. 446, 2 Ed, 1988
6.
Agnivesha,
Dr.
12. Shrangdhar, Jeevanprada hindi commentary
Gorakha Chaturvedi, Chaukhamba Bharti
by S. Shrivastav, Choukhamba Orientalia,
Academy
Charak
revised and enlarged by A.K. Nadkarni.
Varanasi,
Samhita
edition
by
th
10 -2039,
Sharangdhar
samhita
Poorva
nd
khanda,
Adhyay-7, p.100,119 , p.108 2 Ed, 1998.
Sutrasthana Adhyay 27-30, p. 530
Cite this article:
Sujata Jadhav
108

National Journal of Research in Ayurved Science

Transcription

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