Assessing the efficacy of Nagarjunabhra Rasa with 21 Bhavna in the management of First-Degree AV Block and Bradycardia: A Comprehensive Case Study

Ruma Dey; Sourish Das

doi:10.21760/jaims.9.10.51

Ruma Dey Assistant Professor, Department of Kayachikitsa, Belley Sankarpur Rajib Gandhi Memorial Ayurvedic College and Hospital, Kankinara, West Bengal, India.
Sourish Das Assistant Professor, Department of Rasasastra and Bhesajya Kalpana, Belley Sankarpur Rajib Gandhi Memorial Ayurvedic College and Hospital, Kankinara, West Bengal, India.

DOI: https://doi.org/10.21760/jaims.9.10.51

Keywords: Hrid Roga, Nagarjunabhra Rasa, First Degree AV Block

Abstract

First-degree AV block features a P-R interval over 0.2 seconds, often indicating early AV nodal disease. While it can be benign, especially in individuals with high vagal tone, fibrotic changes are common in older adults. A case study involving a patient with first-degree AV block and a 2.34-second sinus pause treated with Nagarjunabhra Rasa (Arjuna bark’s decoction) showed promising results. Administered as one 125 mg tablet twice daily for three months, the treatment normalized heart rate and eliminated sinus pauses without adverse effects. This suggests the formulation's potential efficacy, warranting further study in larger populations.

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