Journal of Ayurveda and Integrated Medical Sciences <p><strong>Online ISSN :</strong> <a href="" target="_blank" rel="noopener">2456-3110</a></p> <p><strong>DOI Prefix :</strong> 10.21760/jaims.</p> <p><strong>Frequency :</strong> Monthly</p> <p>Journal of Ayurveda and Integrated Medical Sciences (JAIMS) – An International Double-Blind Peer Reviewed Monthly Journal for Researches in AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy), is published monthly by Maharshi Charaka Ayurveda Organization. The full text of this journal is accessible on website <a href=""></a></p> <p>The ‘JAIMS’ Journal aims to publish the scientific and research outcomes with a view to inform and share the scientific findings, advice, risk assessment conclusions and recommendations for further research in the areas within the limits of AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy). It also aims to increase the visibility and awareness of AYUSH’s scientific work worldwide.</p> <p>As an Integrated medical journal for Ayurveda, Naturopathy, Yoga, Unani, Siddha and Homeopathy, Medicinal Plants Sciences, Pharmacology, Pharmacognosy, Phytochemistry, Pharmaceutics, Analytical Chemistry, Pharmaceutical Chemistry, etc., ‘JAIMS’ aims to explore the alternative system of medicines, encouraging significant collaboration to promote effective, safe and economical global health.</p> <p>The JAIMS journal will consider any original contribution that advances medical science or practice, or that educates the journal's readers. Manuscripts must be solely the work of the author(s) stated, must not have been previously or partially published elsewhere, and must not be under consideration by another journal. All manuscripts contributed to JAIMS are examined by the editorial staff and all original articles are evaluated by peer reviewers assigned by the editors.</p> Maharshi Charaka Ayurveda Organization en-US Journal of Ayurveda and Integrated Medical Sciences 2456-3110 <p>Journal of Ayurveda and Integrated Medical Sciences (JAIMS) retains the copyright of the contents of this journal but grant the readers the right to use the contents with terms and conditions under a creative common attribution licenses 4 of Attribution, Share Alike and Non-commercial type (CC BY-NC-SA) that allows copy, distribute, display, and perform the work and make derivative works based on it only for&nbsp;non-commercial&nbsp;purposes.</p> <p><a href="" rel="license"><img style="border-width: 0;" src="" alt="Creative Commons License"></a><br>This work is licensed under a <a href="" rel="license">Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License</a>.</p> A clinical study to evaluate the effect of Dashamoola Hareetaki Avaleha in Tundikeri w.s.r to Chronic Tonsillitis <p>Recurrent tonsillitis is commonly seen in children and this has many adverse effects on the normal growth and development of the child, missing of school days, economic burden of treatment etc. are few to name. About 30 million children develop tonsillitis with frequent exposure to bacterial and viral infections. The chronic tonsillitis wherein the tonsil gland gets inflamed and enlarged repeatedly, after treatment the size remains same though the inflammation subsides. This leads to obstruction in the throat both to airways as well as digestive tract. According to <em>Ayurvedic</em> classics, various internal medicines and procedures are advocated in the management of <em>Mukharogas</em>. In general, the drugs selected for treatment should have <em>Lekhana, Shothahara, Pachana, Ropana, Rakthashambana</em> and <em>Vedanasthapana</em> properties. One such polyherbal preparation is <em>Dashamoolaharitaki Avaleha</em> mentioned in <em>Svayathu Chikitsa</em> by <em>Acharya Vagbhata</em>, which is widely used in clinics for management of <em>Tundikeri</em>. In the present scenario scientific validation about the success of these treatments is required. Therefore an open label clinical study was designed to prove the effect of <em>Dashamoolaharitaki Avaleha</em> in <em>Tundikeri.</em><strong> Materials and Methods:</strong> An open trial single group clinical study with minimum of 30 patients between the age group of 5 to 15 years with <em>Tundikeri</em> over a period of 30 days. <strong>Result:</strong> The clinical&nbsp;&nbsp;&nbsp; study showed highly significant results in relieving the clinical signs and symptoms of <em>Tundikeri</em>. <strong>Discussion: </strong>The <em>Dashamoolaharitaki Avaleha</em> was found therapeutically effective and safe to be administered in children and the mode of action was elaborated to substantiate the results.</p> Aiswarya Prabhu Sharashchandra R Nagaratna SJ Sandesh Kumar Shetty Copyright (c) 2022 Aiswarya Prabhu, Sharashchandra R, Nagaratna SJ, Sandesh Kumar Shetty 2022-09-09 2022-09-09 7 7 01 09 A randomized comparative clinical study to evaluate the effect of Ghanavyoshadi Khanda over Vidarikandadi Khanda in Karshya w.s.r. to Underweight Children <p><strong>Background: </strong>Undernutrition is one of the major causes of increased morbidity &amp; mortality among children. One of the most emerging issues in the present scenario is having long-term effects on physical &amp; cognitive development. Underweight is one of the cardinal determinants of under nutrition.&nbsp; According to a 2019 report, India is ranked 102 out of 119 countries. As per NFHS 4 in India shows 35.7% under 5 children were underweight, 38.4% were stunted &amp; 21% were wasted. <em>Karshya</em> is an <em>Apatarpana Janya Vyadhi.</em>&nbsp; The trial was proposed to study the comparative effect of <em>Ghanavyoshadi Khanda &amp; Vidaryadi Khanda</em> by using specific parameters for <em>Karshya </em>w.s.r. to underweight. <strong>Objective:</strong> To evaluate the comparative effect of <em>Ghanavyoshadi Khanda </em>over <em>Vidarikandadi Khanda</em> in the management of<em> Karshya</em>. <strong>Materials &amp; Methods: </strong>Children of age group 2-5 years were selected from Kaumarabhritya OPD of SDM College of Ayurveda &amp; Hospital, Udupi, also from nearby Anganwadi’s &amp; preschool of Udupi. Selected subjects were randomly allocated into 2 groups of 15 patients each. Group A will be administered with <em>Ghanavyoshadi Khanda</em> along with <em>Sukoshna Ksheera</em> as <em>Anupana </em>twice daily before food and group B with<em> Vidarikandadi Khanda</em> along with <em>Sukoshna Ksheera</em> as <em>Anupana </em>twice daily after food for 1 month. <strong>Results: </strong>Children showed improvements in all aspects of <em>Karshya</em> w.s.r. to underweight like weight, height, MUAC, &amp; BMI. Both the groups showed highly significant improvement in <em>Kshut, Abyavarana Sakti</em> &amp; significant changes in <em>Badhavitt.</em> Insignificant changes in <em>Alpapranaschakriya, Pipasa &amp; Nidra</em>. <strong>Conclusion: </strong>It was concluded clinically the consumption of <em>Ghanavyoshadi Khanda &amp; Vidaryadi Khanda </em>along with <em>Sukoshna Ksheera</em> are equally effective in the management of <em>Karshya </em>w.s.r. to underweight in children<em>.</em></p> Aparna KP Prathviraj Puranik Nagaratna SJ Sandesh Shetty Copyright (c) 2022 Aparna KP, Prathviraj Puranik, Nagaratna SJ, Sandesh Shetty 2022-09-09 2022-09-09 7 7 10 19 A clinical study in the management of Garbhini Chardi with Dhatripanaka w.s.r. to Emesis Gravidarum <p><strong>Background:</strong> Health of pregnant women is of at most importance. A series of physiological and psychological changes happen in different stage of women, some of them may end in discomfort and trouble. Ayurveda classics have mentioned <em>Garbhini Chardi</em> as one among the <em>Vyakta Garbha Lakshanas</em>, which can be correlated with emesis gravidarum. Emesis gravidarum is a worldwide common obstetrical problem seen in the first trimester in about 50% of pregnant women. In this condition nausea and vomiting tend to be the start in the morning and frequently continue throughout the day. Altered hormonal and immunological states are considered responsible for the initiation of the manifestations which is probably aggravated by the neurological factors. For such physiological alteration, if proper care is not given, it may lead to complication like tiredness, weight loss, etc. which may affect mother and growing fetus. <strong>Aim: </strong>To analyze the efficacy of <em>Dhatripanaka</em> in the management of <em>Garbhini Chardi</em> with special reference to Emesis Gravidarum. <strong>Method:</strong> A randomized open labelled controlled clinical study of two groups consisting 15 patient each in control and trial group. <strong>Results:</strong> <em>Dhatripanaka</em> was found to be effective in all subjective and objective parameters. <strong>Conclusion:</strong> <em>Dhatripanaka</em> and Tab. Doxinate is equally effective in <em>Garbhini Chardi</em> w.s.r. Emesis Gravidarum.</p> Dharmista Patel Rachana H.V. Copyright (c) 2022 Dharmista Patel, Rachana H.V. 2022-09-09 2022-09-09 7 7 20 28 Clinical efficacy of Karanj Tail Yoni Pichu in the management of Shwetapradar w.s.r. to Leucorrhoea <p><strong>Background:</strong> <em>Shwetapradar </em>is one of the most common of all gynaecological complaints. <em>Shwetapradar </em>(Leucorrhoea) is a condition characterized with excessive white vaginal discharge. It may be thick or viscid and foul smelling if it is caused by some infections. Inflammation of the womb, displacement of the uterus following childbirth and general weakness along with lack of cleanliness or infections may result as leucorrhoea among young females. In our text <em>Shwetapradar</em> is described directly or indirectly in many <em>Yonirogas</em> as a symptom. In the present study we have used <em>Karanj Tail Yoni Pichu</em> with the aim to validate the directives of classics on parameters of a systematic and scientific research work. <strong>Aim:</strong> Aim of the study is to evaluate the effects of <em>Karanj Tail Yoni Pichu</em> in the management of <em>Shwetapradar</em>. <strong>Materials and Methods:</strong> The method adopted in present study is clinical, open study. This study was done on 15 patients selected from OPD, having complaints of leucorrhoea and who fits in inclusion criteria. Patients were given <em>Karanj Tail Yoni Pichu. </em>All the patients result were assessed subjectively and objectively. <strong>Conclusion: </strong>This can be made out from the study that <em>Karanj Tail Yoni Pichu</em> is having <em>Kaphavatashamak, Krimighna, Kandughna, Shothahara, Yonidoshahrita, Vranasodhana, Vranaropana </em>etc. properties which successfully control &amp; cure <em>Shwetapradar</em>.</p> Meenakshi Nagar Copyright (c) 2022 Meenakshi Nagar 2022-09-09 2022-09-09 7 7 29 34 An open label single arm prospective clinical study on the combined effectiveness of Panchanimbakam Churna Vati and Pathyadi Lepa in Kitibha Kushta (Psoriasis) <p><em>Kitibha Kushta</em> is mentioned under <em>Kshudra Kushta</em> and is one among the <em>Ashtamahagada</em>. There is the involvement of <em>Tridosha</em> in all <em>Kushta</em> but the predominance of <em>Dosha</em> makes the types &amp; manifestations of <em>Kushta</em> different. Psoriasis is one of the most common skin disorders. It is a papulosquamous disorder of the skin characterized by sharply defined erythematosquamous lesions. It is chronic and is well known for its course of remission and exacerbation. Prevalence of psoriasis in adults varies from 0.44 to 2.8%, with a much lower prevalence in children. The combined formulations <em>Panchanimbakam Churna Vati</em> and <em>Pathyadi Lepa, </em>mentioned in <em>Gadanigraha</em> and <em>Yogaratnakara</em> respectively, are indicated for the management of <em>Kitibha</em> <em>Kushta</em>. The combination collectively contains <em>Kushtaghna Dravyas</em> and has <em>Katu, Tikta and Kashaya Rasa, Laghu, Ruksha Guna</em>, and <em>Ushna Veerya</em> that are helpful in <em>Samprapti</em> <em>Vighatana</em> of <em>Vata </em>and <em>Kapha</em> dominant <em>Kushta. </em><strong>Material and Methods: </strong>Among 30 registered participants, 25 completed the treatment. They were administered with <em>Panchanimbakam</em> <em>Churna</em> <em>Vati</em> orally 3 gm per day before food and <em>Pathyadi</em> <em>Lepa</em> externally for 30 days. The <em>Lakshanas</em> and PASI score was assessed on the 1<sup>st</sup>, 15<sup>th,</sup> and 30th. For Statistical analysis, subjective parameters were assessed by Cochran’s Q test followed by McNemar test, and objective parameters were assessed by Repeated Measures Anova and Paired T-Test. <strong>Results: </strong>There was a statistically significant improvement in the signs and symptoms of <em>Kitibha Kushta</em> (Psoriasis)(p&lt;0.05). <strong>Conclusion: </strong>The combination of <em>Panchanimbakam Churna Vati</em> and <em>Pathyadi Lepa,</em> is effective in the management of <em>Kitibha Kushta</em> (Psoriasis)</p> Kalpana Bhamini Lakshmiprasad L. Jadhav Rajouri Joshi Copyright (c) 2022 Kalpana Bhamini, Lakshmiprasad L. Jadhav, Rajouri Joshi 2022-09-09 2022-09-09 7 7 35 39 A randomized controlled comparative clinical trial on Jwarahara effect of Mukkaamukkatukaadi Syrup with Kiratatikta Syrup in Febrile Children <p><em>Ayurvedic</em> classics have described many diseases amongst which <em>Jwara </em>stands first because of its uniqueness to make everyone suffer, since birth to death. <em>Jwara</em> being one of the commonest symptoms which accompanies almost all constitutional diseases has been coined with the term <em>Rogadhipathi</em>. Fever is defined as temperature in rectum more than 100.4°F (38°C), in oral cavity above 99.5°F (37.5°C) or in axilla above 99°F (37. 2°C). If we don’t treat fever in its earlier stage, there will be more chances of hyperpyrexia which may cause febrile convulsions which leads to brain damage. Therefore, it is necessary to control fever at its earlier stage. One such <em>Jwarahara </em>formulation is <em>Mukkaamukkatukaadi Gulika</em> and <em>Kiratatikta</em> which is converted into syrup form to overcome the palatability issues. A sample size of 30 patients was selected by simple random sampling method and 15 patients were allotted in two groups. It was planned to compare the result between <em>Mukkaamukkatukaadi</em> syrup in Group A study group for STG and LTG and <em>Kiratatikta</em> syrup in Group B control group for STG and LTG. On STG comparison, the difference in mean in Group A and Group B were 0.49,0.44 before treatment changed to 0.96 and 0.98 after treatment respectively.&nbsp; On LTG comparison, the difference in mean in Group A and Group B were 0.49, 0.44 before treatment changed to 2.02 and 1.96 after follow up respectively. This depicts both the formulations effective when consumed for longer duration. From the results and observations it can be concluded that Group A and Group B are equally effective and equally significant on reducing the temperature in both STG and LTG. No adverse drug reaction was found during the study.</p> Suja K Prathviraj Puranik Sharashchandra R Sandesh Kumar Shetty Copyright (c) 2022 Suja K, Prathviraj Puranik, Sharashchandra R 2022-09-10 2022-09-10 7 7 40 46 Etiopathological and diagnostic study of Margavaranajanya Hridroga w.s.r. to Coronary Artery Disease - An Observational Study <p>The incidence of cardiac diseases is increasing at an alarming rate in our society due to sedentary lifestyle as an impact of western culture. In India, many studies have reported increasing coronary artery disease incidence over 60 years. One in 4 deaths in India are due to coronary artery disease. So thorough understanding of pathogenesis of this disease is very important. Ayurveda literature elaborates multiple maladies related to heart under <em>Hridroga</em>. <em>Margavarana</em> is a unique pathology explained in our classics. Various dietary, behavioural, psychological factors contribute to morbid accumulation of <em>Kapha</em> and <em>Medas</em> leading to <em>Shonita Abhishyandana</em>. Further morbid state of <em>Shonita Abhishyandana</em> by <em>Upalepa</em> of <em>Dhamani</em> culminates in development of <em>Dhamani Prathicchaya</em>. Eventually due to <em>Siraaja Granthi Dhamani Prathichhaya</em> ends up in <em>Margavarna</em> and is the leading pathology of <em>Hridroga</em>. In the realm of conventional medicine, it is said that sedentary life style is the major cause of morbid accumulation of fat in the body leading to metabolic syndrome. It is characterised by dyslipidemia which in turn leading to atherosclerosis. Atherosclerosis predisposes the thromboembolism and complete obliteration of blood circulation within the vessel. Hence, in the present study an endeavour is made to corelate the concept of Coronary artery disease and its ill effects with the classical reference regarding the concept of <em>Margavarana</em> pathology occurring in the <em>Hridaya</em> causing <em>Margavaranajanya Hridroga</em> and also its diagnosis through the modern tools.</p> Abhishta Jain Prashanth Jain Geetha B. Markande Copyright (c) 2022 Abhishta Jain, Prashanth Jain, Geetha B. Markande 2022-09-10 2022-09-10 7 7 47 57 Effect of Trataka (A Yogic Cleansing Technique) on Post-Covid Cognitive Impairments in Elders <p><strong>Background:</strong> People who have survived COVID-19 frequently complain of cognitive dysfunction, which has been described as brain fog. Early reports describing a dysexecutive syndrome after COVID-19 and has considerable implications for occupational, psychological, and functional outcomes. It is well known that elders may be particularly susceptible to cognitive impairment after critical illness. <em>Trā</em><em>ṭ</em><em>aka</em> (a yogīc cleansing technique) is one of the <em>Yogā</em> practices which is considered to improve cognitive functions. The objective of this study was to determine whether <em>Trā</em><em>ṭ</em><em>aka</em> practice enhances the cognitive functions of the post covid elderly subjects. <strong>Material and Methods:</strong> Thirty elders who had enrolled in a thirty days Trāṭaka practice program. Their age ranged between 60 and 80 years (group average ±S.D., 68.5±6.3 years). Those who have any chronic illness and mental illness, and those who are not willing to participate were excluded. <em>Trā</em><em>ṭ</em><em>aka</em> intervention is given for 30 days, 1hour/day. At baseline and following thirty days, all participants completed DLST and SLCT. <strong>Results:</strong> <em>Trā</em><em>ṭ</em><em>aka</em> intervention showed significant change in DLST scores, increase (P-value&lt; 0.000) in total attempted score, significant increase (P-value&lt;0.000) in net score, significant reduction in wrongly attempted score (P-value&lt;0.000). Significant change in SLCT scores, significant increase (P-value&lt;0.000) in total attempted score, Similarly, significant increase (P-value&lt;.000) in net score, significant reduction in wrongly attempted score (P-value&lt;0.000). <strong>Conclusion:</strong> The thirty days <em>Trā</em><em>ṭ</em><em>aka</em> intervention was successful in enhancing the cognitive functions among post-covid elders.</p> Sahana AU Vijaya Kumar PS Copyright (c) 2022 Sahana AU, Vijaya Kumar PS 2022-09-10 2022-09-10 7 7 58 64 An observational clinico etiological study of Kushta with specific reference to Tinea corporis <p><strong>Background:</strong> Skin diseases are among the most common health problems worldwide and are associated with considerable burden. In <em>Ayurveda</em> classics, skin disorders are termed in general as <em>Kushta</em> and are caused with involvement of <em>Vata</em>, <em>Pitta</em>, <em>Shleshma</em> and <em>Krimi.</em> Among the diversified etiological factors <em>Krimi</em> has a great importance. So, here an attempt is made to evaluate the clinical types, to isolate the common fungal species, etiological factors and to identify probable risk factors of <em>Krimijanya</em> <em>Kushta</em> in the present population. <strong>Objectives:</strong> To evaluate the clinical types, etiological factors and to identify probable risk factors of <em>Krimijanya</em> <em>Kushta</em> with special reference to Tinea Corporis and to isolate the prevalent causative fungal species. <strong>Materials and Methods:</strong> A total of 30 patients clinically diagnosed with tinea corporis and fulfilling the inclusion criteria were taken for the study. <strong>Results:</strong> Among 31 patients studied percentage of growth of different species of dermatophytes in culture study are given as follows, 48.4% are Trichophyton, 6.5% were Trichosporon, 3.2% were Microsporum Gypseum, 19.4% were Epidermophyton,16.1% were Candida, 3.2% were Aspergillus, 3.2% were found no growth. <strong>Conclusion</strong>: <em>Aharaja</em> and <em>Viharaja</em> <em>Nidana</em> mentioned in <em>Kushta</em> <em>Nidana</em> as well as <em>Krimi</em> <em>Nidana</em> were found to have <em>Madhura</em>, <em>Amla</em>, <em>Lavana</em> <em>Rasa</em>, <em>Guru</em> <em>Guna</em>, <em>Vidahi</em>, and <em>Kledakaraka</em> property which cause <em>Swedaavarodha</em> and is crucial for <em>Kushta</em> <em>Utpathi</em> as well as <em>Krimi</em> <em>Utpatti</em>. The prevalent causative fungal species found in the study were Trichophyton, Epidermophyton, Aspergillus, Trichosporon, Microsporum gypseum. Clinically to approach <em>Kushta</em>, better to be done through culture study.</p> Abhitha A Arunkumar M Nagaraj S Sandesh Kumar Shetty Copyright (c) 2022 Abhitha A, Arunkumar M, Nagaraj S, Sandesh Kumar Shetty 2022-09-10 2022-09-10 7 7 65 72 Pharmaceutico-Analytical Study of Agnikumara Rasa - A Kupipakwa Kalpana <p><em>Agnikumara Rasa</em> is a <em>Sagandha, Sagni, Kantastha Bahirdhuma Kupipakwa Rasayana</em> mentioned in <em>Rasakamadhenu</em> under <em>Sangrahani Chikitsa Adhikara</em>. It is prepared under <em>Kramagni Tapa</em> for 18 hours as per classics. The core ingredients are <em>Shuddha Parada, Shuddha Gandhaka, Shuddha Vatsanabha</em> and <em>Hamsapadi Swarasa.</em> It is indicated in conditions like <em>Sannipata Kasa, Shwasa, Kshaya</em>, <em>Panduroga</em> and <em>Mandagni</em>. Even though a total of 50 formulations have been explained in classics under the name of <em>Agnikumara Rasa</em>, no research work has been done till date on this particular <em>yoga</em> explained in <em>Rasakamadhenu.</em></p> Jayadevan A Ravi R Chavan Copyright (c) 2022 Jayadevan A, Ravi R Chavan 2022-09-10 2022-09-10 7 7 73 79 Acute and Subacute Toxicity Study of Lehana Yogas in Wistar Albino Rats <p><em>Lehana Yogas</em> is an Ayurvedic preparation which are known to enhance growth and development by providing sufficient nutrition and promoting health with improving intellect and speech and administered frequently with ghee and honey to children’s as immune boosters. In this study we assessed the safety parameters of the <em>Lehana Yogas</em> mentioned and its effect on acute and subacute administration in Wistar albino rats. The Wistar strain albino rats were divided into group of five, vehicle group of <em>Ghrita-Madhu</em>, <em>Ghrita-Madhu</em> with <em>Suvarna Bhasma</em>, <em>Ghrita-Madhu</em> -<em>Suvarna Bhasma</em> with <em>Vacha Churna</em>, <em>Ghrita-Madhu</em> -<em>Suvarna Bhasma</em> with <em>Amalaki Churna</em>, respectively. The duration of administration was for 28 days. During the course of study, no mortality and no significant behavioral changes were noticed in any group studied. No major alterations were observed in hematology and serum biochemistry reports. Histopathology of vital organs also shown no toxic effects. <strong>Materials and Methods: </strong>Thirty albino rats of either sex were selected and assigned to 5 groups of 6 each. Drugs will be administered for the duration of 28 days and will be assessed for toxicity profile at the end of the study. <strong>Result:</strong> Animals who were administered daily with <em>Lehana Yogas</em> for longer duration did not show any mortality. Hence, it indicates safer use of drugs in terms acute and subacute level of administration. <strong>Discussion:</strong> It is concluded that the administration of <em>Lehana Yogas</em> is safe and non-toxic at the tested dose levels<strong>.</strong></p> Lara Dias Sharaschandra R Nagartna SJ Sudhakar Bhat Copyright (c) 2022 Lara Dias, Sharaschandra R, Nagartna SJ, Sudhakar Bhat 2022-09-11 2022-09-11 7 7 80 89 To assess the Garbha Poshan by Upsneha and Upsweda Nyayas in Ayurveda and to assess the Role of Incubators in Post Natal Care <p>Ayurveda, commonly known as “The Science of Life” originated in India 5000 years back. It places great emphasis on a holistic approach that not only addresses the root cause of diseases but also helps in prevention of disease by including the way of living healthy. <em>Ayurveda</em>, the indigenous system of medicine, narrates about the genetic principles, <em>Garbhavakranti </em>(embryology), <em>Garbhini Paricharya </em>(Ante Natal Care), Port partum care, and a newborn care in stepwise and systematic manner in <em>Brihattrayi's</em>. The ultimate aim of Antenatal Care is to achieve healthy mother and a healthy baby. The concept of <em>Suprajajanana </em>is the prime concern of <em>Ayurveda</em> since a long time. Nutrition during pregnancy has a profound effect on development of the foetus. Before formation of placenta, nourishment of foetus occurs through <em>Upasneha Nyaya </em>afterwards it is nourished by <em>Upasweda Nyaya </em>and by a placental circulation. The improper foetal nutrition may end in <em>Akal Prasav </em>(preterm labour) or <em>Garbhavyapadas </em>like <em>Upavishtak </em>(IUGR) or any other foetal is complications. It is evident that <em>Ayurveda</em> offers holistic natural formulations in the management of <em>Garbhavyapadas</em>. In modern medical science infants with or without LBW or IUGR are managed by keeping them in Incubators under observation, as they achieves a very little time to grow and gain weight in the mother's womb.</p> Prajakta V. Tambolkar Brijesh Mishra Copyright (c) 2022 Prajakta V. Tambolkar, Brijesh Mishra 2022-09-11 2022-09-11 7 7 90 94 Review of Krimi with contemporary understanding <p><em>Krimi</em> is used as broad sense for all worms and micro-organisms perspective of modern science. In <em>Samhita</em> Period there is ample description regarding <em>Nidana</em>, <em>Bheda</em>, <em>Lakshana</em> and <em>Chikitsa</em> of <em>Krimi</em>. In present day science, microbiology and helminthology are the separate branches including all the worms and microbe. Classification of <em>Krimi</em> has been mentioned by different authors with its site, etiology, symptoms and treatment. <em>Krimi</em> can be correlated with parasites and microorganisms mentioned in modern science. The disease associated with <em>Krimi</em> also discussed in this article.</p> Aiswarya EK Mahesh Hirulal Gopi Krishna Copyright (c) 2022 Aiswarya EK, Mahesh Hirulal, Gopi Krishna 2022-09-11 2022-09-11 7 7 95 100 Review of method of preparation of Dhoomvarti <p>The Importance of <em>Ayurveda</em> in global scenario is because of its holistic approach towards positive life style. It consists of internal as well as external medicine. <em>Dhoompana</em> has significant role in <em>Urdhwa Jatrugat Rogas</em>, respiratory conditions and post operative procedure (<em>Paschat Karma</em> of <em>Samsodhana</em>).<strong><sup>[1]</sup></strong> Acharya’s have described various types of internal medications in the form of <em>Kashaya, Choorna</em> etc; along with various <em>Nasya</em> and <em>Dhoompana Yoga</em>. Classics explain the different types of <em>Dhoomvarti </em>and their method of preparation. <em>Sirovairechanik Dhoomvarti </em>is one type of <em>Dhoomvarti</em> which have preventive, promotive and curative aspect, frequently given in the form of Post operative procedure (<em>Vamana </em>and <em>Nasya Karma</em>) of <em>Panchakarma. Shirovirechanadi Dravyas</em> mentioned in <em>Charak Samhita Sutrasthana</em> was used for the preparation of <em>Dhoomvarti</em> with bamboo as base.<strong><sup>[2]</sup></strong> Observations were noted during preparation and burning of the <em>Dhoomvarti</em>.</p> Preeti Chaturvedi Rajeswary Majhi Harsha Gupta Copyright (c) 2022 Preeti Chaturvedi, Rajeswary Majhi, Harsha Gupta 2022-09-11 2022-09-11 7 7 101 104 Sushruta - A True Pioneer in the field of Plastic Surgery <p>Plastic and reconstructive surgery is a branch of surgery that specializes in restoring form and function to damaged or missing tissues and skin. Plastic surgery consists of reconstructive surgery and cosmetic surgery / aesthetic surgery. It is a specialty which adapts surgical principles and thought processes to the unique needs of each individual patient by remolding, reshaping and manipulating bone, cartilage and all soft tissues. Plastic surgery is one among the branches of surgery that has seen peak surge of procedures conducted across the globe post-pandemic period wherein aesthetic and reconstructive surgeries being the major ones.&nbsp; According to the global statistics as per ISAPS, the most commonly performed plastic surgeries are breast augmentation, liposuction, eyelid surgery, rhinoplasty and abdominoplasty.&nbsp; Defective healing of the wound either leading to hypertrophied scar or keloid formation and various approaches for closure of large wounds and has always been a surgical challenge from ancient period. <em>Acharya Sushruta</em> had laid down the principles of plastic surgery centuries ago which are quite relevant even in the present era of advanced plastic surgery.</p> K Nikhil Kaushik KM Sweta Dhyan Surendranath Copyright (c) 2022 K Nikhil Kaushik, KM Sweta, Dhyan Surendranath 2022-09-11 2022-09-11 7 7 105 109 A critical review on Chardighna Eladi Churna <p><em>Eladi Churna</em> is a poly herbal formulation which has wide variety of applications. Most of the pharmaceutical companies are manufacturing with respect to <em>Varnya</em> aspect, while the <em>Chardighna Eladi Churna</em> is sparely available in the market. In the rise of gastro-intestinal issues in the society, a potent formulation like <em>Eladi Churna</em> is expected by the common people to ward off their GIT ailments. There are total 11 <em>Eladi Churna</em> mentioned in <em>Bharatha Bhaishajya Ratnakara</em>. Different <em>Granthas </em>have varied ingredients in this formulation, and their therapeutic efficacies also differ depending upon condition of the patient and disease. Some <em>Yogas </em>even have mineral composition. <em>Chardi </em>is a <em>Vata Pradhana Tridosha Vyadhi</em> in which there will be an act of expulsion of gastric contents through the oral cavity. So, the drugs having properties of <em>Pritvi</em> and <em>Ap Mahabhoota</em> and <em>Karma</em>s like <em>Stambhana,</em> <em>Ama Pachana, Deepana</em> are needed to pacify the <em>Chardi</em>. An attempt is made here to give new insights on the synergic action of phytochemicals in <em>Eladi Churna</em> to revalidate the clinical evidences in the aspect of <em>Chardi.</em></p> Meera V Sulochana Rathod Ravi R. Chavan Copyright (c) 2022 Meera V, Sulochana Rathod, Ravi R. Chavan 2022-09-11 2022-09-11 7 7 110 115 A critical appraisal on Parpati Yoga in the context of Rasayogasagara <p><em>Parpati</em> <em>Yoga</em> is a unique thin flake like preparation consisting of <em>Parada </em>(mercury), <em>Gandhaka</em> (Sulphur), other metals, minerals and herbal drugs. The therapeutic significance of <em>Parpati Yoga </em>is very high owing to its minimal dose, no unwanted taste and cost effectiveness. The unique preparatory procedures mentioned in Ayurvedic classics for <em>Parpati Yoga </em>is stated as per the indications. Rasayogasagara (19<sup>th</sup> century) is one of the authoritative books for <em>Parpati yoga</em>.&nbsp; The present paper aims to compile all the available references of<em> Parpati</em> <em>Yoga</em> and to intricate the composition, different method of preparations, dose, indications and contribution of various texts regarding <em>Parpati Yoga</em>. All the references related to <em>Parpati Yoga </em>cited in <em>Rasayogasagara</em> additionally in other <em>Rasa</em> texts such as <em>Rasa Ratna Samuchchya, Bhaishajya Ratnavali, Siddha Yoga Samgraha</em> and <em>Bharat Bhaishjya Ratnavali </em>were screened by its ingredients, preparatory methods and indications. Maximum number of <em>Parpati</em> <em>Yoga</em> (Total 58) are found in <em>Rasayogasagara</em> and indicated for <em>Grahani</em> and other disorders too. This review makes clear idea about <em>Parpati</em> <em>Yoga</em> with its method of preparations.</p> Bharti Umretia Yogita Jethava Nirali Shah Copyright (c) 2022 Bharti Umretia, Yogita Jethava, Nirali Shah 2022-09-11 2022-09-11 7 7 116 137 Systemic review on Gridhrasi management by Parijata (Nyctanthus arbortristis) <p>In Ayurved treatment, many drugs and procedures are mentioned in ancient text which is followed by experts. In Ayurvedic compendia <em>Vangasena</em> <em>Samhita</em> and <em>Chakradatta Samhita</em> a drug <em>Nycanthes</em> <em>arbortristis</em> (<em>Parijata</em>) is used in <em>Grudhrasi </em>(sciatica) management. <em>Gridhrasi</em> is <em>Vataja</em> <em>Nanantmak</em> <em>Vikar</em> caused by vitiation of <em>Vata</em>. This article is an attempt to review on management of <em>Grudhrasi</em> by <em>Parijata.</em></p> Sapana S. Dakhole Brijesh R. Mishra Harish J. Purohit Copyright (c) 2022 Sapana S. Dakhole, Brijesh R. Mishra, Harish J. Purohit 2022-09-11 2022-09-11 7 7 138 141 A conceptual review of Basti (Urinary Bladder) as Pranayatana <p>Ayurveda is a system of medicine, which gives the way of perfect living with nature. It is a science which is on the rise as a result of various discussion and researches from ancient time onwards. Its gives equal importance to preventive and curative aspects of disease. As we know the diagnosis of any disease is very important before treatment, similarly the knowledge of <em>Rachana Sharir</em> is also important before diagnosis. The word <em>Pranayatana</em> is formed by two words – <em>Prana + Ayatana</em>. Here <em>Ayatana </em>means residing place (<em>Ashraya</em> <em>Sthana</em>) and <em>Prana</em> means live attribute (life). So, the <em>Sthana</em> which gives seat for <em>Prana</em> is called as <em>Pranayatana</em>. <em>Basti</em> is one such <em>Pranayatana</em> mentioned in <em>Charaka</em> <em>Samhita</em>. It has been given much importance that it has been mentioned both in the context of <em>Dasha Pranayatana</em> and <em>Marma</em>. In this article, an attempt is made to understand and review <em>Basti</em> in the context of <em>Dasha Pranayatanas</em>.</p> Tarun Meher G. R. Chaturvedi Sushil Dwivedi Copyright (c) 2022-09-11 2022-09-11 7 7 142 145 A case study of Dengue Fever with Ayurveda line of management <p>Innumerable invaders infecting the body every point of time and body immune system fights against it to maintain the health in the body. Physiology of triggering the immune system is closely associated with the rise in the body temperature which is diagnosed as fever. Treatment approach to this condition through conventional medicinal system and contemporary medicinal system are entirely different. Especially a case of Dengue fever which was successfully treated on the basis of <em>Jwara Chikitsa</em> is presented here and advantage of <em>Ayurveda</em> treatment is appreciated.</p> Vijayendra Bhat Copyright (c) 2022 Vijayendra Bhat 2022-09-11 2022-09-11 7 7 146 149 Vaman Karma in Yauvan Pidika (Mukhdushika) w.s.r. to Acne Vulgaris : A Case Study <p>Face is considered as an important part of the body as far as beauty and look is concerned. Hence, everyone in general and youngsters in particular are very cautious about beauty of their face. Acne vulgaris (A.V) is a disease of the pilosebaceous origin that causes non-inflammatory lesions (papules, pustules and nodules) and varying degrees of scarring. In <em>Ayurveda</em> <em>Yauvanapidika</em> (Acne vulgaris) is such a condition that disfigures the face during adolescent to younger age. If the condition remains untreated, it leaves permanent scars over the face. According to <em>Ayurveda</em>, vitiation of <em>Kapha Dosha, Vata Dosha</em> and <em>Rakta Dhatu</em> lead to development of <em>Mukhadushika or Yauvanapidika </em>which have resemblance with acne vulgaris in modern texts. Both modern and <em>Ayurvedic</em> sciences have considered the use of topical as well as oral medicines and their combination for the management of acne vulgaris. No doubt modern medication provides quick relief from acne vulgaris but cause noticeable side effects. Nowadays herbal formulations and Ayurvedic therapy are the superior choices for cosmetic purposes among the most of the population. So, the aim and objectives of this article is to minimize the side effects of Allopathic medicine in Acne vulgaris (A.V) as well as to popularized the <em>Vamana</em> therapy (one of the procedures of <em>Panchakarma</em> therapy) by a case study of 25 yrs old female patient having complaints of recurrent erythematic papules and pustules along with dark spots on her face. She was given <em>Shodhana</em> Therapy (<em>Vamana</em> therapy) and then <em>Shaman Chikitsa</em> (<em>Panchkol Phanta, Chitrakadi Vati, </em>Liv 52 DS). She got good result in <em>Yauvanapidika </em>(Acne vulgaris).</p> Pankaj Kumar Ragini Kumari Sumit Kumar Prabhas Chandra Pathak Copyright (c) 2022-09-11 2022-09-11 7 7 150 154 Management of an Infective Ulcer : A Case Study <p>The development of wound infection depends on the complex interplay of many factors. Nowadays, leg ulcers are at a rise due to increase in elderly population, life style changes and has been a common feature associated with infection, malignancy, adverse drug reaction, trauma and haematological disorders. Hence timely and effective management of ulcer is necessary. A patient of infected leg ulcer aged 62 years female presented with ulcer over right lower limb. The patient was treated with <em>Panchavalkala Kashaya Parisheka</em> followed by <em>Yashtimadhu Ghrita</em> dressing for 1 week following which the ulcer healed completely within 2 weeks and no recurrence in the 2 months of follow up.</p> Prashanth K Annet Thomas Copyright (c) 2022 Prashanth K, Annet Thomas 2022-09-11 2022-09-11 7 7 155 158 Agnikarma with Kshoudra for pain management in De Quervain’s Tenosynovitis - A Single Case Study <p>De Quervain’s disease, also called gamer’s thumb or mother’s thumb, is a common pathological condition of the wrist. It is commonly known as de quervain’s tenosynovitis a repetitive use of wrist and thumb lead to an inflammation of the Abductor Pollicis Longus and Extensor Pollicis Brevies tendon and all the layers of their associated tendon sheath. The overall incidence of De Quervain’s tenosynovitis is 0.9/1000 person. As per Ayurvedic parameters this condition can be correlated to <em>Snayugata Vikara</em>, which usually presents with <em>Sthambha, Shula, </em>and<em> Kriyavasakthi. </em>According to Ayurveda, <em>Snayugata Vata - Snehana, Upanaha, Agnikarma, </em>and<em> Bandha </em>are the treatments advised.<em> Agnikarma</em> with “<em>Kshoudragudasnehacha</em>” is mentioned is <em>Sandhiasthsirasnayugatavikara. </em><em>Kshoudra </em>is mentioned as<em> Dahanopakarana </em>for<em> Sira-Snayu-Asthi Sandhi </em>because of penetration to the deeper structures. Till date splinting, systemic anti-inflammatories and corticosteroid injection are the most frequently utilized non-surgical treatment options and if these processes are ineffective, the tendon sheath of the 1<sup>st</sup> dorsal compartment is surgically released. This study includes a case study of a gentle man of 34 years who gradually developed pain over base of right thumb and wrist joint since 1 month. <em>Agnikarma</em> with <em>Kshoudra</em> was performed in 4 sittings, with a gap of 7 days and assessment was done with subjective and objective parameters. The therapeutic effects of <em>Agnikarma </em>with<em> Kshoudra </em>resulted in relief of pain and muscle spasm, acceleration of healing, promotion of resolution of inflammation and painless range of movement of joint. <em>Kshoudra Agnikarma</em> is cost effective, easy to perform with better aesthetic outcome.</p> Anju DR N Muralidhara KM Sweta Dhyan Surendranath Copyright (c) 2022 Anju DR, N Muralidhara, KM Sweta, Dhyan Surendranath 2022-09-11 2022-09-11 7 7 159 162 Management of Asrigdara - A Case Report <p><em>Pradara</em> is a combination of excessive bleeding per vaginum, dysmenorrhoea and lowback ache. <em>Vataja</em> <em>Pradara</em> being a type of <em>Pradara</em> mainly includes <em>Ati Rakta Pravrutti</em> along with <em>Shula</em> in <em>Kati, Vankshana, Prushta</em> and <em>Shroni</em>. On the basis of clinical symptoms, <em>Vataja</em> <em>Pradara</em> mostly simulates with Adenomyosis which is a benign condition and one among the causes of chronic pelvic pain in multiparous woman. Incidence of Adenomyosis is 0.14% and prevalence is 2.00%. Here is a case study of 34 year old female presenting with severe pain during menstruation and excessive bleeding since 4-5 years and her USG report shows bulky uterus with focal adenomyosis. In contemporary science hysterectomy is the only way to treat this condition but with <em>Vataja</em> <em>Pradara</em> line of treatment including <em>Shodhana, Shamana</em> and <em>Matra Basti</em> patient got significant relief from pain and excessive bleeding along with the improved quality of life.</p> Deepa M. Nelaguddad Anupama V Copyright (c) 2022 Deepa M. Nelaguddad, Anupama V 2022-09-11 2022-09-11 7 7 163 167 A case study to evaluate the effect of Dashamoola Basti in Asthila w.s.r. to Benign Prostate Hyperplasia <p>BPH (Benign Prostate Hyperplasia) is a histological diagnosis that states the proliferation of smooth muscle and epithelial cells within the transient zone of prostate gland. The incidence and severity of lower urinary tract symptoms (LUTS) are increasing day by day and more likely to occur in old ages. Due to the resemblance of clinical feature, it is correlated to <em>Asthila</em> which is one of the types of <em>Mutraghata</em> according to all the <em>Acharyas</em>. In this case study a male patient came to OPD of SKAMCH&amp;RC and was diagnosed for <em>Asthila</em> w.s.r. to BPH. He was given management like <em>Sarvanga</em> <em>Abhyanga</em>, <em>Sarvanga</em> <em>Bashpa</em> <em>Swedana</em> and <em>Dashamoola</em> <em>Niruha</em> <em>Basti</em> adopted in <em>Kala</em> <em>Basti</em> Pattern followed by oral medication in follow-up period. The patient showed marked improvement in the symptomatology. It was conclusive study to show the effect of <em>Dashamoola</em> <em>Basti</em> in the management of <em>Asthila</em> w.s.r. to benign prostate hyperplasia (BPH)</p> Hemant Shreyas DM Kiran M Goud Copyright (c) 2022 Hemant, Shreyas DM, Kiran M Goud 2022-09-11 2022-09-11 7 7 168 172 Pilonidal Sinus - A Case Report <p>Pilonidal sinus is an acquired condition with significant morbidity and patient discomfort. The incidence of the disease is calculated to be 26 per 100,000 people. It has a male predominance with a ratio of 3:1. There are several methods to treat pilonidal sinus, but the recurrence rate is more. This apparently minor condition can present the surgeon with major challenges. Many of the standard surgical procedures are associated with a significant risk both of delayed healing and of recurrent disease. Location of the disease is in the natal cleft with midline positioning of the lesion associated with moisture and abundant hair poses greater threat to effective management. According to <em>Ayurveda</em> it can be correlated to <em>Salyaja Nadi Vrana</em>. Even though the disease is <em>Kricchrasadhya</em>, it is managed through<em> Patana </em>(surgery) followed by <em>Shodhana</em> and <em>Ropana</em> treatment. We report a 38 year old male patient presented with pus discharge from cleft of the buttock. Excision was done followed by diathermy and wound is treated with <em>Jathyadi Taila</em> dressing. Disease healed well with no recurrence in the 4months follow up period.</p> Prashanth K Veena P Copyright (c) 2022 Prashanth K, Veena P 2022-09-11 2022-09-11 7 7 173 176 Application of Katupila Rasakriya for Vrana Shodhana in Venous Ulcer : A Case Study <p><em>Katupila</em> (<em>Seccurinega leucopyrus</em> (Wild.) Muell) is a dessert climate plant widely known in Sri Lanka as a traditional folk remedy for treating / addressing acute, chronic, and non-healing wounds. Majority of the chronic leg ulcers arises from venous ulcers, which occurs due to abnormal venous hypertension in the lower third of the leg, ankle and dorsum of foot. The study aims to explore the potential benefits of <em>Katupila Rasakriya</em> for <em>Vrana Shodhana</em> in venous ulcer. It is a case report of a 54 year old male patient who presented with the chief complains of a non-healing ulcer above right lateral malleolus since 2 months. Associated with pain, burning sensation, seropurulent discharge with unpleasant odour. He was examined and diagnosed as venous ulcer. The wound was dressed with <em>Katupila Rasakriya</em> twice for a period of 14 days. Significant healing in wound was observed within 2 weeks of treatment. Healing of Venous ulcers are a major clinical challenge. In spite of the fact that the healing of <em>vrana</em> is a natural process, it should be protected against <em>Dosha Dushti</em>, and micro-organisms which may delay the healing process. Thus, before initiating <em>Ropana</em>, It is important to focus on making a <em>Vrana Sudha</em>. In the present study, <em>Katupila Rasakriya</em> demonstrated promising results in the better management of venous ulcer. Further clinical study is needed to evaluate the effectiveness in larger sample.</p> R Lakshmi K M Sweta Dhyan Surendranath Copyright (c) 2022 R Lakshmi, K M Sweta, Dhyan Surendranath 2022-09-11 2022-09-11 7 7 177 180 A single case study of Ayurvedic management of Vicharchika w.s.r. to Weeping Eczema <p>In the present case study, a 4 years old girl consulted in the Ayurvedic clinic after a spectrum of allopathic treatment with huge disappointment. The girl was with the presenting complaints of recurrent skin rashes over dorsal part of upper ankle joints bilaterally with redness, skin edema, itching, skin flaking, blistering, oozing and bleeding of upper layer of skin. In the present case, parents of patient was intended to treat with Ayurveda. By examining the patient, the signs and symptoms was diagnosed as <em>Vicharchika</em> which has similarities with eczema as per modern medicine. As per Ayurveda, <em>Vicharchika</em> is one among <em>Kshudrakusta</em> with dominance of <em>Kaphadosha</em>. The patient was treated with <em>Gudoochyadi</em> <em>Kashaya</em>, <em>Manjishtadi</em> <em>Kashaya</em>, <em>Aragwadharista</em>, <em>Gorochanadi</em> <em>Gutika</em>, <em>Triphala</em> <em>Churna</em> and <em>Mahatiktaka</em> ointment along with strict restrictions of diet. This study is carried out as per International conference of Harmonization – Good Clinical Practices Guidelines as per Declaration of Helsinki guidelines.</p> Reshmi PK Copyright (c) 2022 Rashmi PK 2022-09-11 2022-09-11 7 7 181 184 A case study of Necrotising Fascitis w.s.r. to Pittaja Dushta Vrana <p>Necrotising fascitis is a spreading inflammation of the skin, deep fascia and soft tissues with extensive destruction, toxaemia commonly due to Streptococcus Pyogens infection. It is common in old age, smoking, diabetes, immunosuppressed individuals. Trauma is the precipitating factor for this disease. It can occur in limbs, lower abdomen, groin, perineum etc. It needs intensive care with appropriate antibiotics and surgical debridement. <em>Vrana</em> is a condition which even after the complete healing, leaves a scar over the area, which stays as long as the person is alive.<em> Vrana</em> which has foul odour, has abnormal colour with profuse discharge, intense pain and takes longer time to heal is said to be <em>Dushta</em>. <em>Acharya</em> has mentioned separate treatment for the management of these <em>Vrana</em> in detail. It is a case report of a 46 year old male patient who presented with chief complaints of pain and swelling over the dorsum of the left foot with foul smell oozing purulent discharge with blackish discolouration since 1 week. He was examined and diagnosed as necrotising fascitis and was managed with <em>Shodhana</em> therapy along with palliative treatment.</p> Parvathy Gopan Padma Copyright (c) 2022 Parvathy Gopan, Padma 2022-09-11 2022-09-11 7 7 185 190 A case report on effect of Dronapushpi Swarasa Nasya in Kamala induced Hyperbilirubinemia <p>Human body eliminates metabolic wastes either through sweat, urine, or through faeces. Any derangement in the normalcy leads to building up of metabolic wastes within the body. One such condition where in there is accumulation of bilirubin in the blood is hyperbilirubinemia. Viral infection is the cause and presenting with yellowish discoloration of sclera, dark urine, pale stool, fatigue, flu like symptoms, loss of appetite etc. In Ayurveda, such symptoms are mentioned under the broad name Kamala. The line of management mainly highlights the advice of <em>Shodhana</em> in the form of <em>Virechana</em> and different <em>Shamana Aushadhis</em> based on the stages of the disease. In traditional folklore practice, the patients of these symptoms are treated with <em>Tikshna, Shodhana Nasya Karma</em>. With that practice in backdrop, a 17 years female patient presented with hyper-bilirubinaemia, was treated with <em>Dronapushpi Swarasa Nasya</em> ten drops to each nostrils, in a gap of 2 days. When the bilirubin level was raising gradually even after usual internal medication, this treatment was planned and administered. The bilirubin level from 5.7 was reduced to 1.4 after the treatment gradually over a period of 12 days. The patient showed gradual recovery from almost all the symptoms clinically and in haematological parameters. During the procedure nasya did not show any complications in the patients. <em>Dronapushpi Swarasa </em>can be effectively used to manage hyper-bilirubinaemia.</p> Rohit Kumar Rajalaxmi MG Copyright (c) 2022 Rohit Kumar, Rajalaxmi MG 2022-09-11 2022-09-11 7 7 191 195