Journal of Ayurveda and Integrated Medical Sciences

A clinical study to evaluate the effect of Dashamoola Hareetaki Avaleha in Tundikeri w.s.r to Chronic Tonsillitis

Aiswarya Prabhu, Sharashchandra R, Nagaratna SJ, Sandesh Kumar Shetty — Fri, 09 Sep 2022 16:13:52 +0000

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 Ayurvedic classics, various internal medicines and procedures are advocated in the management of Mukharogas. In general, the drugs selected for treatment should have Lekhana, Shothahara, Pachana, Ropana, Rakthashambana and Vedanasthapana properties. One such polyherbal preparation is Dashamoolaharitaki Avaleha mentioned in Svayathu Chikitsa by Acharya Vagbhata, which is widely used in clinics for management of Tundikeri. 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 Dashamoolaharitaki Avaleha in Tundikeri. Materials and Methods: An open trial single group clinical study with minimum of 30 patients between the age group of 5 to 15 years with Tundikeri over a period of 30 days. Result: The clinical study showed highly significant results in relieving the clinical signs and symptoms of Tundikeri. Discussion: The Dashamoolaharitaki Avaleha was found therapeutically effective and safe to be administered in children and the mode of action was elaborated to substantiate the results.

A randomized comparative clinical study to evaluate the effect of Ghanavyoshadi Khanda over Vidarikandadi Khanda in Karshya w.s.r. to Underweight Children

Aparna KP, Prathviraj Puranik, Nagaratna SJ, Sandesh Shetty — Fri, 09 Sep 2022 16:42:10 +0000

Background: Undernutrition is one of the major causes of increased morbidity & mortality among children. One of the most emerging issues in the present scenario is having long-term effects on physical & cognitive development. Underweight is one of the cardinal determinants of under nutrition. 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 & 21% were wasted. Karshya is an Apatarpana Janya Vyadhi. The trial was proposed to study the comparative effect of Ghanavyoshadi Khanda & Vidaryadi Khanda by using specific parameters for Karshya w.s.r. to underweight. Objective: To evaluate the comparative effect of Ghanavyoshadi Khanda over Vidarikandadi Khanda in the management of Karshya. Materials & Methods: Children of age group 2-5 years were selected from Kaumarabhritya OPD of SDM College of Ayurveda & Hospital, Udupi, also from nearby Anganwadi’s & preschool of Udupi. Selected subjects were randomly allocated into 2 groups of 15 patients each. Group A will be administered with Ghanavyoshadi Khanda along with Sukoshna Ksheera as Anupana twice daily before food and group B with Vidarikandadi Khanda along with Sukoshna Ksheera as Anupana twice daily after food for 1 month. Results: Children showed improvements in all aspects of Karshya w.s.r. to underweight like weight, height, MUAC, & BMI. Both the groups showed highly significant improvement in Kshut, Abyavarana Sakti & significant changes in Badhavitt. Insignificant changes in Alpapranaschakriya, Pipasa & Nidra. Conclusion: It was concluded clinically the consumption of Ghanavyoshadi Khanda & Vidaryadi Khanda along with Sukoshna Ksheera are equally effective in the management of Karshya w.s.r. to underweight in children.

A clinical study in the management of Garbhini Chardi with Dhatripanaka w.s.r. to Emesis Gravidarum

Dharmista Patel, Rachana H.V. — Fri, 09 Sep 2022 16:50:39 +0000

Background: 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 Garbhini Chardi as one among the Vyakta Garbha Lakshanas, 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. Aim: To analyze the efficacy of Dhatripanaka in the management of Garbhini Chardi with special reference to Emesis Gravidarum. Method: A randomized open labelled controlled clinical study of two groups consisting 15 patient each in control and trial group. Results: Dhatripanaka was found to be effective in all subjective and objective parameters. Conclusion: Dhatripanaka and Tab. Doxinate is equally effective in Garbhini Chardi w.s.r. Emesis Gravidarum.

Clinical efficacy of Karanj Tail Yoni Pichu in the management of Shwetapradar w.s.r. to Leucorrhoea

Meenakshi Nagar — Fri, 09 Sep 2022 16:56:55 +0000

Background: Shwetapradar is one of the most common of all gynaecological complaints. Shwetapradar (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 Shwetapradar is described directly or indirectly in many Yonirogas as a symptom. In the present study we have used Karanj Tail Yoni Pichu with the aim to validate the directives of classics on parameters of a systematic and scientific research work. Aim: Aim of the study is to evaluate the effects of Karanj Tail Yoni Pichu in the management of Shwetapradar. Materials and Methods: 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 Karanj Tail Yoni Pichu. All the patients result were assessed subjectively and objectively. Conclusion: This can be made out from the study that Karanj Tail Yoni Pichu is having Kaphavatashamak, Krimighna, Kandughna, Shothahara, Yonidoshahrita, Vranasodhana, Vranaropana etc. properties which successfully control & cure Shwetapradar.

An open label single arm prospective clinical study on the combined effectiveness of Panchanimbakam Churna Vati and Pathyadi Lepa in Kitibha Kushta (Psoriasis)

Kalpana Bhamini, Lakshmiprasad L. Jadhav, Rajouri Joshi — Fri, 09 Sep 2022 18:32:31 +0000

Kitibha Kushta is mentioned under Kshudra Kushta and is one among the Ashtamahagada. There is the involvement of Tridosha in all Kushta but the predominance of Dosha makes the types & manifestations of Kushta 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 Panchanimbakam Churna Vati and Pathyadi Lepa, mentioned in Gadanigraha and Yogaratnakara respectively, are indicated for the management of Kitibha Kushta. The combination collectively contains Kushtaghna Dravyas and has Katu, Tikta and Kashaya Rasa, Laghu, Ruksha Guna, and Ushna Veerya that are helpful in Samprapti Vighatana of Vata and Kapha dominant Kushta. Material and Methods: Among 30 registered participants, 25 completed the treatment. They were administered with Panchanimbakam Churna Vati orally 3 gm per day before food and Pathyadi Lepa externally for 30 days. The Lakshanas and PASI score was assessed on the 1^st, 15^th, 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. Results: There was a statistically significant improvement in the signs and symptoms of Kitibha Kushta (Psoriasis)(p<0.05). Conclusion: The combination of Panchanimbakam Churna Vati and Pathyadi Lepa, is effective in the management of Kitibha Kushta (Psoriasis)

A randomized controlled comparative clinical trial on Jwarahara effect of Mukkaamukkatukaadi Syrup with Kiratatikta Syrup in Febrile Children

Suja K, Prathviraj Puranik, Sharashchandra R, Sandesh Kumar Shetty — Sat, 10 Sep 2022 15:03:09 +0000

Ayurvedic classics have described many diseases amongst which Jwara stands first because of its uniqueness to make everyone suffer, since birth to death. Jwara being one of the commonest symptoms which accompanies almost all constitutional diseases has been coined with the term Rogadhipathi. 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 Jwarahara formulation is Mukkaamukkatukaadi Gulika and Kiratatikta 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 Mukkaamukkatukaadi syrup in Group A study group for STG and LTG and Kiratatikta 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. 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.

Etiopathological and diagnostic study of Margavaranajanya Hridroga w.s.r. to Coronary Artery Disease - An Observational Study

Abhishta Jain, Prashanth Jain, Geetha B. Markande — Sat, 10 Sep 2022 00:00:00 +0000

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 Hridroga. Margavarana is a unique pathology explained in our classics. Various dietary, behavioural, psychological factors contribute to morbid accumulation of Kapha and Medas leading to Shonita Abhishyandana. Further morbid state of Shonita Abhishyandana by Upalepa of Dhamani culminates in development of Dhamani Prathicchaya. Eventually due to Siraaja Granthi Dhamani Prathichhaya ends up in Margavarna and is the leading pathology of Hridroga. 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 Margavarana pathology occurring in the Hridaya causing Margavaranajanya Hridroga and also its diagnosis through the modern tools.

Effect of Trataka (A Yogic Cleansing Technique) on Post-Covid Cognitive Impairments in Elders

Sahana AU, Vijaya Kumar PS — Sat, 10 Sep 2022 15:31:46 +0000

Background: 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. Trāṭaka (a yogīc cleansing technique) is one of the Yogā practices which is considered to improve cognitive functions. The objective of this study was to determine whether Trāṭaka practice enhances the cognitive functions of the post covid elderly subjects. Material and Methods: 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. Trāṭaka intervention is given for 30 days, 1hour/day. At baseline and following thirty days, all participants completed DLST and SLCT. Results: Trāṭaka intervention showed significant change in DLST scores, increase (P-value< 0.000) in total attempted score, significant increase (P-value<0.000) in net score, significant reduction in wrongly attempted score (P-value<0.000). Significant change in SLCT scores, significant increase (P-value<0.000) in total attempted score, Similarly, significant increase (P-value<.000) in net score, significant reduction in wrongly attempted score (P-value<0.000). Conclusion: The thirty days Trāṭaka intervention was successful in enhancing the cognitive functions among post-covid elders.

An observational clinico etiological study of Kushta with specific reference to Tinea corporis

Abhitha A, Arunkumar M, Nagaraj S, Sandesh Kumar Shetty — Sat, 10 Sep 2022 15:37:40 +0000

Background: Skin diseases are among the most common health problems worldwide and are associated with considerable burden. In Ayurveda classics, skin disorders are termed in general as Kushta and are caused with involvement of Vata, Pitta, Shleshma and Krimi. Among the diversified etiological factors Krimi 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 Krimijanya Kushta in the present population. Objectives: To evaluate the clinical types, etiological factors and to identify probable risk factors of Krimijanya Kushta with special reference to Tinea Corporis and to isolate the prevalent causative fungal species. Materials and Methods: A total of 30 patients clinically diagnosed with tinea corporis and fulfilling the inclusion criteria were taken for the study. Results: 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. Conclusion: Aharaja and Viharaja Nidana mentioned in Kushta Nidana as well as Krimi Nidana were found to have Madhura, Amla, Lavana Rasa, Guru Guna, Vidahi, and Kledakaraka property which cause Swedaavarodha and is crucial for Kushta Utpathi as well as Krimi Utpatti. The prevalent causative fungal species found in the study were Trichophyton, Epidermophyton, Aspergillus, Trichosporon, Microsporum gypseum. Clinically to approach Kushta, better to be done through culture study.

Pharmaceutico-Analytical Study of Agnikumara Rasa - A Kupipakwa Kalpana

Jayadevan A, Ravi R Chavan — Sat, 10 Sep 2022 15:44:18 +0000

Agnikumara Rasa is a Sagandha, Sagni, Kantastha Bahirdhuma Kupipakwa Rasayana mentioned in Rasakamadhenu under Sangrahani Chikitsa Adhikara. It is prepared under Kramagni Tapa for 18 hours as per classics. The core ingredients are Shuddha Parada, Shuddha Gandhaka, Shuddha Vatsanabha and Hamsapadi Swarasa. It is indicated in conditions like Sannipata Kasa, Shwasa, Kshaya, Panduroga and Mandagni. Even though a total of 50 formulations have been explained in classics under the name of Agnikumara Rasa, no research work has been done till date on this particular yoga explained in Rasakamadhenu.

Acute and Subacute Toxicity Study of Lehana Yogas in Wistar Albino Rats

Lara Dias, Sharaschandra R, Nagartna SJ, Sudhakar Bhat — Sun, 11 Sep 2022 05:12:02 +0000

Lehana Yogas 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 Lehana Yogas 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 Ghrita-Madhu, Ghrita-Madhu with Suvarna Bhasma, Ghrita-Madhu -Suvarna Bhasma with Vacha Churna, Ghrita-Madhu -Suvarna Bhasma with Amalaki Churna, 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. Materials and Methods: 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. Result: Animals who were administered daily with Lehana Yogas for longer duration did not show any mortality. Hence, it indicates safer use of drugs in terms acute and subacute level of administration. Discussion: It is concluded that the administration of Lehana Yogas is safe and non-toxic at the tested dose levels.

To assess the Garbha Poshan by Upsneha and Upsweda Nyayas in Ayurveda and to assess the Role of Incubators in Post Natal Care

Prajakta V. Tambolkar, Brijesh Mishra — Sun, 11 Sep 2022 06:03:03 +0000

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. Ayurveda, the indigenous system of medicine, narrates about the genetic principles, Garbhavakranti (embryology), Garbhini Paricharya (Ante Natal Care), Port partum care, and a newborn care in stepwise and systematic manner in Brihattrayi's. The ultimate aim of Antenatal Care is to achieve healthy mother and a healthy baby. The concept of Suprajajanana is the prime concern of Ayurveda 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 Upasneha Nyaya afterwards it is nourished by Upasweda Nyaya and by a placental circulation. The improper foetal nutrition may end in Akal Prasav (preterm labour) or Garbhavyapadas like Upavishtak (IUGR) or any other foetal is complications. It is evident that Ayurveda offers holistic natural formulations in the management of Garbhavyapadas. 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.

Review of Krimi with contemporary understanding

Aiswarya EK, Mahesh Hirulal, Gopi Krishna — Sun, 11 Sep 2022 07:00:08 +0000

Krimi is used as broad sense for all worms and micro-organisms perspective of modern science. In Samhita Period there is ample description regarding Nidana, Bheda, Lakshana and Chikitsa of Krimi. In present day science, microbiology and helminthology are the separate branches including all the worms and microbe. Classification of Krimi has been mentioned by different authors with its site, etiology, symptoms and treatment. Krimi can be correlated with parasites and microorganisms mentioned in modern science. The disease associated with Krimi also discussed in this article.

Review of method of preparation of Dhoomvarti

Preeti Chaturvedi, Rajeswary Majhi, Harsha Gupta — Sun, 11 Sep 2022 07:12:28 +0000

The Importance of Ayurveda in global scenario is because of its holistic approach towards positive life style. It consists of internal as well as external medicine. Dhoompana has significant role in Urdhwa Jatrugat Rogas, respiratory conditions and post operative procedure (Paschat Karma of Samsodhana).^[1] Acharya’s have described various types of internal medications in the form of Kashaya, Choorna etc; along with various Nasya and Dhoompana Yoga. Classics explain the different types of Dhoomvarti and their method of preparation. Sirovairechanik Dhoomvarti is one type of Dhoomvarti which have preventive, promotive and curative aspect, frequently given in the form of Post operative procedure (Vamana and Nasya Karma) of Panchakarma. Shirovirechanadi Dravyas mentioned in Charak Samhita Sutrasthana was used for the preparation of Dhoomvarti with bamboo as base.^[2] Observations were noted during preparation and burning of the Dhoomvarti.

Sushruta - A True Pioneer in the field of Plastic Surgery

K Nikhil Kaushik, KM Sweta, Dhyan Surendranath — Sun, 11 Sep 2022 08:45:40 +0000

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. According to the global statistics as per ISAPS, the most commonly performed plastic surgeries are breast augmentation, liposuction, eyelid surgery, rhinoplasty and abdominoplasty. 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. Acharya Sushruta had laid down the principles of plastic surgery centuries ago which are quite relevant even in the present era of advanced plastic surgery.

A critical review on Chardighna Eladi Churna

Meera V, Sulochana Rathod, Ravi R. Chavan — Sun, 11 Sep 2022 08:52:50 +0000

Eladi Churna is a poly herbal formulation which has wide variety of applications. Most of the pharmaceutical companies are manufacturing with respect to Varnya aspect, while the Chardighna Eladi Churna is sparely available in the market. In the rise of gastro-intestinal issues in the society, a potent formulation like Eladi Churna is expected by the common people to ward off their GIT ailments. There are total 11 Eladi Churna mentioned in Bharatha Bhaishajya Ratnakara. Different Granthas have varied ingredients in this formulation, and their therapeutic efficacies also differ depending upon condition of the patient and disease. Some Yogas even have mineral composition. Chardi is a Vata Pradhana Tridosha Vyadhi in which there will be an act of expulsion of gastric contents through the oral cavity. So, the drugs having properties of Pritvi and Ap Mahabhoota and Karmas like Stambhana, Ama Pachana, Deepana are needed to pacify the Chardi. An attempt is made here to give new insights on the synergic action of phytochemicals in Eladi Churna to revalidate the clinical evidences in the aspect of Chardi.

A critical appraisal on Parpati Yoga in the context of Rasayogasagara

Bharti Umretia, Yogita Jethava, Nirali Shah — Sun, 11 Sep 2022 11:32:35 +0000

Parpati Yoga is a unique thin flake like preparation consisting of Parada (mercury), Gandhaka (Sulphur), other metals, minerals and herbal drugs. The therapeutic significance of Parpati Yoga is very high owing to its minimal dose, no unwanted taste and cost effectiveness. The unique preparatory procedures mentioned in Ayurvedic classics for Parpati Yoga is stated as per the indications. Rasayogasagara (19^th century) is one of the authoritative books for Parpati yoga. The present paper aims to compile all the available references of Parpati Yoga and to intricate the composition, different method of preparations, dose, indications and contribution of various texts regarding Parpati Yoga. All the references related to Parpati Yoga cited in Rasayogasagara additionally in other Rasa texts such as Rasa Ratna Samuchchya, Bhaishajya Ratnavali, Siddha Yoga Samgraha and Bharat Bhaishjya Ratnavali were screened by its ingredients, preparatory methods and indications. Maximum number of Parpati Yoga (Total 58) are found in Rasayogasagara and indicated for Grahani and other disorders too. This review makes clear idea about Parpati Yoga with its method of preparations.

Systemic review on Gridhrasi management by Parijata (Nyctanthus arbortristis)

Sapana S. Dakhole, Brijesh R. Mishra, Harish J. Purohit — Sun, 11 Sep 2022 11:41:31 +0000

In Ayurved treatment, many drugs and procedures are mentioned in ancient text which is followed by experts. In Ayurvedic compendia Vangasena Samhita and Chakradatta Samhita a drug Nycanthes arbortristis (Parijata) is used in Grudhrasi (sciatica) management. Gridhrasi is Vataja Nanantmak Vikar caused by vitiation of Vata. This article is an attempt to review on management of Grudhrasi by Parijata.

A conceptual review of Basti (Urinary Bladder) as Pranayatana

Tarun Meher, G. R. Chaturvedi, Sushil Dwivedi — Sun, 11 Sep 2022 13:50:38 +0000

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 Rachana Sharir is also important before diagnosis. The word Pranayatana is formed by two words – Prana + Ayatana. Here Ayatana means residing place (Ashraya Sthana) and Prana means live attribute (life). So, the Sthana which gives seat for Prana is called as Pranayatana. Basti is one such Pranayatana mentioned in Charaka Samhita. It has been given much importance that it has been mentioned both in the context of Dasha Pranayatana and Marma. In this article, an attempt is made to understand and review Basti in the context of Dasha Pranayatanas.

A case study of Dengue Fever with Ayurveda line of management

Vijayendra Bhat — Sun, 11 Sep 2022 13:55:29 +0000

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 Jwara Chikitsa is presented here and advantage of Ayurveda treatment is appreciated.

Vaman Karma in Yauvan Pidika (Mukhdushika) w.s.r. to Acne Vulgaris : A Case Study

Pankaj Kumar, Ragini Kumari, Sumit Kumar, Prabhas Chandra Pathak — Sun, 11 Sep 2022 14:53:07 +0000

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 Ayurveda Yauvanapidika (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 Ayurveda, vitiation of Kapha Dosha, Vata Dosha and Rakta Dhatu lead to development of Mukhadushika or Yauvanapidika which have resemblance with acne vulgaris in modern texts. Both modern and Ayurvedic 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 Vamana therapy (one of the procedures of Panchakarma 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 Shodhana Therapy (Vamana therapy) and then Shaman Chikitsa (Panchkol Phanta, Chitrakadi Vati, Liv 52 DS). She got good result in Yauvanapidika (Acne vulgaris).

Management of an Infective Ulcer : A Case Study

Prashanth K, Annet Thomas — Sun, 11 Sep 2022 14:57:59 +0000

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 Panchavalkala Kashaya Parisheka followed by Yashtimadhu Ghrita dressing for 1 week following which the ulcer healed completely within 2 weeks and no recurrence in the 2 months of follow up.

Agnikarma with Kshoudra for pain management in De Quervain’s Tenosynovitis - A Single Case Study

Anju DR, N Muralidhara, KM Sweta, Dhyan Surendranath — Sun, 11 Sep 2022 15:49:00 +0000

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 Snayugata Vikara, which usually presents with Sthambha, Shula, and Kriyavasakthi. According to Ayurveda, Snayugata Vata - Snehana, Upanaha, Agnikarma, and Bandha are the treatments advised. Agnikarma with “Kshoudragudasnehacha” is mentioned is Sandhiasthsirasnayugatavikara. Kshoudra is mentioned as Dahanopakarana for Sira-Snayu-Asthi Sandhi 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^st 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. Agnikarma with Kshoudra was performed in 4 sittings, with a gap of 7 days and assessment was done with subjective and objective parameters. The therapeutic effects of Agnikarma with Kshoudra resulted in relief of pain and muscle spasm, acceleration of healing, promotion of resolution of inflammation and painless range of movement of joint. Kshoudra Agnikarma is cost effective, easy to perform with better aesthetic outcome.

Management of Asrigdara - A Case Report

Deepa M. Nelaguddad, Anupama V — Sun, 11 Sep 2022 15:55:11 +0000

Pradara is a combination of excessive bleeding per vaginum, dysmenorrhoea and lowback ache. Vataja Pradara being a type of Pradara mainly includes Ati Rakta Pravrutti along with Shula in Kati, Vankshana, Prushta and Shroni. On the basis of clinical symptoms, Vataja Pradara 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 Vataja Pradara line of treatment including Shodhana, Shamana and Matra Basti patient got significant relief from pain and excessive bleeding along with the improved quality of life.

A case study to evaluate the effect of Dashamoola Basti in Asthila w.s.r. to Benign Prostate Hyperplasia

Hemant, Shreyas DM, Kiran M Goud — Sun, 11 Sep 2022 16:00:18 +0000

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 Asthila which is one of the types of Mutraghata according to all the Acharyas. In this case study a male patient came to OPD of SKAMCH&RC and was diagnosed for Asthila w.s.r. to BPH. He was given management like Sarvanga Abhyanga, Sarvanga Bashpa Swedana and Dashamoola Niruha Basti adopted in Kala Basti 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 Dashamoola Basti in the management of Asthila w.s.r. to benign prostate hyperplasia (BPH)

Pilonidal Sinus - A Case Report

Prashanth K, Veena P — Sun, 11 Sep 2022 16:06:45 +0000

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 Ayurveda it can be correlated to Salyaja Nadi Vrana. Even though the disease is Kricchrasadhya, it is managed through Patana (surgery) followed by Shodhana and Ropana 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 Jathyadi Taila dressing. Disease healed well with no recurrence in the 4months follow up period.

Application of Katupila Rasakriya for Vrana Shodhana in Venous Ulcer : A Case Study

R Lakshmi, K M Sweta, Dhyan Surendranath — Sun, 11 Sep 2022 16:15:06 +0000

Katupila (Seccurinega leucopyrus (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 Katupila Rasakriya for Vrana Shodhana 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 Katupila Rasakriya 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 vrana is a natural process, it should be protected against Dosha Dushti, and micro-organisms which may delay the healing process. Thus, before initiating Ropana, It is important to focus on making a Vrana Sudha. In the present study, Katupila Rasakriya demonstrated promising results in the better management of venous ulcer. Further clinical study is needed to evaluate the effectiveness in larger sample.

A single case study of Ayurvedic management of Vicharchika w.s.r. to Weeping Eczema

Reshmi PK — Sun, 11 Sep 2022 16:22:43 +0000

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 Vicharchika which has similarities with eczema as per modern medicine. As per Ayurveda, Vicharchika is one among Kshudrakusta with dominance of Kaphadosha. The patient was treated with Gudoochyadi Kashaya, Manjishtadi Kashaya, Aragwadharista, Gorochanadi Gutika, Triphala Churna and Mahatiktaka 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.

A case study of Necrotising Fascitis w.s.r. to Pittaja Dushta Vrana

Parvathy Gopan, Padma — Sun, 11 Sep 2022 00:00:00 +0000

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. Vrana is a condition which even after the complete healing, leaves a scar over the area, which stays as long as the person is alive. Vrana which has foul odour, has abnormal colour with profuse discharge, intense pain and takes longer time to heal is said to be Dushta. Acharya has mentioned separate treatment for the management of these Vrana 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 Shodhana therapy along with palliative treatment.

A case report on effect of Dronapushpi Swarasa Nasya in Kamala induced Hyperbilirubinemia

Rohit Kumar, Rajalaxmi MG — Sun, 11 Sep 2022 00:00:00 +0000

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 Shodhana in the form of Virechana and different Shamana Aushadhis based on the stages of the disease. In traditional folklore practice, the patients of these symptoms are treated with Tikshna, Shodhana Nasya Karma. With that practice in backdrop, a 17 years female patient presented with hyper-bilirubinaemia, was treated with Dronapushpi Swarasa Nasya 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. Dronapushpi Swarasa can be effectively used to manage hyper-bilirubinaemia.