Journal of Ayurveda and Integrated Medical Sciences

Efficacy and safety of local application of Vijaya oil in the management of Sandhivata with special reference to Osteoarthrosis: An open-labeled single-arm clinical trial

Fri, 24 Mar 2023 00:00:00 +0000

Background: Osteoarthrosis is the second most common rheumatologic problem in India. Symptoms of Osteoarthrosis resemble Sandhivata in Ayurveda. Vijaya (cannabis sativa) oil manufactured by Bombay Hemp Company is used as a topical application in patients suffering from Sandhivata. Aim: To evaluate the efficacy & safety of local application of Vijaya oil in patients suffering from Sandhivata, with special reference to Osteoarthrosis. Materials and methods: Present clinical study was an open-label, single-arm study for the management of Sandhivata aged 30-75. The oil was applied locally on the affected site for 2 months. A total of 42 eligible patients suffering from symptomatic OA were enrolled, and 40 completed the study. Patients were assessed by clinical sign and symptom score for Sandhivata, Visual Analog Scale for Pain (VAS), WOMAC score for pain, stiffness, and physical function difficulty, Quality of life (QOL) score, Global assessment scale (GAS), and Overall disease severity (ODS). Statistical analysis was done by the Wilcoxon test. Results: The result was highly significant for all the subjective parameters. Conclusion: The study revealed that Vijaya oil significantly reduced pain, and stiffness, improved quality of life, and physical functions. It could be concluded that Vijaya oil can be a used as safe and effective drug of choice in patients suffering from Sandhivata.

To evaluate the clinical efficacy of Drakshadi Gutika in the management of Urdhwaga Amlapitta (Non Ulcer Dyspepsia)

Rajaram Lawate, S. P. Managoli — Fri, 24 Mar 2023 00:00:00 +0000

Amlapitta is a condition where Amla Guna of Pachaka Pitta increases due to Samata causing Vidahi condition. Gastritis and non-ulcer dyspepsia have been correlated with Amlapitta by several M.D. and Ph.D. Scholars of Ayurveda. In recent years there has been an unprecedented increase of incidences related to gastro intestinal system due to changing life style like diet pattern, behavioural pattern and mental stress and strain. The prevalence rate of gastritis in India is around 10 million. Ayurveda is having good answer to Amlapitta. Ayurvedic physicians are providing cure for the patients of these chronic dyspeptic disorders. Yogartnakar has said that Drakshadi Gutika cures severe Amlapitta. Drakshadi Gutika, containing Draksha, Haritaki, Sita are having Madhura, Kashaya, Tikta Rasa and Pitta Shamaka, Pitta Rechana Gunas. These drugs are cost effective, easily available and have a good palatability. So, the present study has been planned to evaluate the clinical efficacy of Drakshadi Gutika in the management of Urdhwaga Amlapitta (Non Ulcer Dyspepsia).

Effect of Nadi Sweda on symptoms of Pain, Swelling and Stiffness in Knee Osteoarthritis - An Open Labeled Single Arm Clinical Study

Sandipkumar Baheti, Mahesh S — Fri, 24 Mar 2023 16:39:22 +0000

Introduction: More than 100 million populations globally suffer from Osteoarthritis (OA) which is considered the leading cause of disability. The prevalence of OA knee in India is about 6% of total osteoarthritis. Therefore, there is a need for alternative and well-tolerable supplementary treatment which has no drug interaction with conventional drugs for OA. Aim and objectives: To evaluate the effect of traditional sudation therapy (Nadi Swedana) on pain, swelling and stiffness of patients with knee osteoarthritis. Method: The study was conducted after getting approval from Institutional Ethical Committee and was registered to the Clinical Trials Registry of India (CTRI/2018/03/012636 19/03/2018). A total of 20 patients with knee joint osteoarthritis were treated for 6 weeks. Pre-test and the post-test outcome measure was recorded on subjective parameters and statistically analyzed. Results: The applied score for pain, swelling and stiffness decreased significantly lower after the intervention (p<0.05). Conclusions: Traditional sudation therapy by Nadi Swedana was beneficial for patients with knee osteoarthritis.

A clinical study to evaluate the efficacy of Kanchnara Twak Kwatha with Shunthi Churna and Nimba Taila Nasya in Hypothyroidism

Pratima Yadav, Ajay Kumar, Tina Singhal — Fri, 24 Mar 2023 16:54:39 +0000

Context: Hypothyroidism is a clinical syndrome resulting from deficiency of thyroid hormones due to their insufficient synthesis which is turn result in generalized slowing down of metabolic process characterized by broad clinical spectrum ranging from an asymptomatic or subclinical condition to fully manifested clinical condition. It is more common in females than males with middle age women more effected. Materials and Methods: Sixty eligible hypothyroid patients with serum thyroid-stimulating hormone >4.5 μIU/ml and serum T₃and T₄ lower than their respective normal range were selected and treated with Kanchnar Twak Kwath with Shunthi Churna and Nimb Taila Nasya for 45 days. Patients were advised to discontinue any medicine they might be taking for the management of hypothyroidism to assess the unbiased effect of therapies. Results: Significant improvement was observed on subjective parameters, and objective parameters. Of the 60 enrolled patients, In group B maximum improvement 62.07%, moderate improvement 20.69%, mild improvement 13.79%, no improvement 3.45%. But in group A maximum improvement 7.14%, moderate improvement 28.57%, mild improvement 42.86%, no improvement 21.43%. after this trial maximum patient had withdrawn their hormone replacement therapy. Conclusion: Kanchnar Twak Kwath with Shunthi Churna and Nimba Taila Nasya are effective in the management of hypothyroidism.

A clinical study to evaluate the efficacy of Vacha (Acorus calamus) in the management of Sthaulya with special reference to Hyperlipidemia

Harleen Kaur Sethi, Rosy Gupta — Fri, 24 Mar 2023 18:23:01 +0000

Human ardor for herbal medicine dates lower back to Vedic life. One such herbal drug is Vacha (Acorus calamus Linn.). It is indicated in 'Santarpana Janya Vyadhi’ for having Lekhaniya, Srotoshodhan, Pramathi actions. As per Ayurvedic concept Sthaulya is a disorder of Medovahasrotas with symptoms of deposition of Meda (fat) at the site of abdomen, buttock, chest, neck and all over the body. It can be correlated with Obesity in present era. Hyperlipidemia is closely related to it which is a disorder of lipoprotein metabolism, which can include overproduction of lipoproteins. The disorder can manifest as an elevation of plasma cholesterol, TGs, or both, together that contributes to the development of atherosclerosis, a precursor for Coronary Artery Disease. Due to increased sedentary lifestyle such metabolic conditions have shown its hike in the present era. A clinical study was designed as a randomised single group open interventional trial. In this study total 41 consenting patients of either sex were registered after screening for the trial from Kayachikitsa O.P.D. of Government Ayurvedic Hospital, Patiala, Punjab but 30 patients completed the course of the trial. Test drug Vacha Churna capsules of 500mg were given twice daily with water before meal for 30 days. The results shown were highly significant.

Study the efficacy of Murvadya Choorna Vati in Pandu Vyadhi with special reference to Iron Deficiency Anaemia

Yogesh T. Kotangale, S.V. Bhosle — Sat, 25 Mar 2023 05:44:01 +0000

Rasa and Rakta Dhatus play very important role in our human life. Rasa and Rakta are considered as key factor for the nourishment and life maintenance of the body. In today’s world of urbanization and modern lifestyle, many times it is seen that higher economic class and lower economic class are all malnourished under different circumstances. These factors include fast food, low nutritional value food, stressful & hectic life, which in turn contribute to create very common and well-known disease Pandu. On the basis of similarity of aetiological factors and symptoms Pandu Vyadhi can be correlated with Anaemia. Anaemia is a decrease in the total amount of red blood cells or haemoglobin in the blood or a lowered ability of the blood to carry oxygen. It is caused due to number of causes including nutritional deficiencies, acute or slow blood loss due to trauma or disease, destruction of red blood cells due to various metabolic and immunological abnormalities or toxins, diseases of the bone marrow, general systemic diseases like infection and various varieties of cancer, kidney failure etc. In the present study, Murvadya Choorna Vati is described by Gada Nighraha in Pandu Vyadhi. Murvadya Choorna Vati contains Murva, Bala and Chitrak. Hence it is used in Pandu Vyadhi due to its Deepana, Pachana and Rasayana property.

A comparative clinical trial to evaluate the efficacy of Dashamoola Taila Karnapoorana and Nasya and orally Dashamoola Ghrita in Badhirya (sensory neural hearing loss)

Shashikala K., Gururaj N, Veerayya Hiremath — Sat, 25 Mar 2023 06:02:25 +0000

It is estimated that by 2050 over 900 million people will have disabling hearing loss. In Ayurveda hearing loss is described as Badhirya, which can be treated with Nasya, Karna Poorana, oral administration of Vatahara Ghrita and other Vatashamana procedures. This is a randomized comparative clinical study of 3 groups with 30 patients in each; namely Group-A of Dashamoola Taila Karnapoorana, Group-B of Dashamoola Taila Nasya & Group C of Dashamoola Taila Karnapoorana and Dashamoola Taila Nasya. Dashamoola Ghrita was advised for oral administration to all groups. Total Treatment duration was of 210 days i.e., 7 days (Day 1-7), followed by 48 days administration of Ghrita (Day 22-70) and follow up after 140 days. There was mild improvement in hearing in both ears with slight improvement in pure tone audiometric values. There was clinical improvement seen in all three groups, group C has better results compared to other two groups. Statistically there is significant result within the group and no statistical significance between the groups. Since, combined treatment using Dashamoola Taila Nasya and Karnapoorana and Dashamoola Ghrita orally has shown better results, following complete Chikitsasutra would be helpful in management of Badhirya than treating with single line of treatment.

Integrated Yoga as a first-line treatment for Antenatal and Postnatal Mental Health

Mahi Mishra, Tanmay Bagade, Jamunadevi C. — Sat, 25 Mar 2023 06:10:55 +0000

Postnatal period of women is one of the most stressful events of a woman’s life. The journey from a pre-pregnant state to day-to-day challenges of managing a new born baby is not only stressful but also leads to several mental health issues in women during pregnancy and postnatally. Major Depressive Disorders (MDD) are becoming a global burden of diseases amongst women of child-bearing age. Major depressive disorder (MDD) is a mental disorder characterised by at least two weeks of pervasive depressed mood, loss of pleasure in daily activities, weight loss, insomnia, agitation, fatigue, feelings of worthlessness or guilt, attentional problems, thoughts of death, and suicidal ideation.

A critical review on Aushadh Sevan Kala and its importance

Hanika Sharma, Sharadha Shrinivas — Sat, 25 Mar 2023 06:20:33 +0000

Aushadh Sevan Kala is the type of Avasthika Kala meant for the proper time of drug administration. Trisutra Ayurved is of prime importance while treating a patient. Hetu (causative factors), Linga (signs and symptoms) and Aushadh (medicine) are considered as Trisutra Ayurved. According to Acharya Charaka medicines having opposite properties of Desha (habitat), Matra (dose) and Kala (time) are able to cure the diseases easily. Acharya Charaka have stated some more factors to be taken into consideration while treating a patient such as Desha (region), Kala (time), Pramana (dose), Satmya (wholesomeness), Asatmya (unwholesomeness), Aahara (diet) and Aushadh (medicine). According to Acharya Charaka medicines with opposite properties than Dosha, Dushya and Nidan (causative factor) gives better result when used as a treatment. Agni, being the supreme factor for maintaining Dhatu Samya all the therapies are directed to maintain and preserve the potency of Agni. Aushadh Sevan Kala will help in food and drug interaction which is helpful to attain a quick and sustainable relief to the patient. Kala (time) is an important factor which must be taken into consideration while treatment. Our Acharyas have explained the relationship of Kaala and Dosha while treating a disease. In present era this relationship is not taken into consideration while treating a patient.

Role of Garbhini Paricharya in preventing complications of ANC

Divya Rajpurohit, Sushmita Rajpurohit, Malika Choudhary — Sat, 25 Mar 2023 06:30:01 +0000

Ayurveda, the most ancient science of healthcare has laid colossal significance on safe parenthood, Woman, being the precious creation of the world is the only source for new creation and the esteem wish of a woman is to procreate a healthy progeny. To assure a safe motherhood as well as a healthy progeny in her womb, special care of a pregnant woman is required which is elucidated as antenatal care. The Ayurvedic Classics have given lot of emphasis on both Pre-conceptional (Garbhadhan Sanskara) and Prenatal Care (Garbhini Paricharya). The diet of pregnant woman after proper digestion, eventually leads to nourishment of women’s body, formation of breast milk, nutrition to the fetus. Though common food and medications have been recommended depending on Desh, Kala, Ritu. Life Style of mother has a pivotal role in the growth and development of fetus. Hence appropriate Vihar in a pregnaAyurveda, the most ancient science of healthcare has laid colossal significance on safe parenthood, Woman, being the precious creation of the world is the only source for new creation and the esteem wish of a woman is to procreate a healthy progeny. To assure a safe motherhood as well as a healthy progeny in her womb, special care of a pregnant woman is required which is elucidated as antenatal care. The Ayurvedic Classics have given lot of emphasis on both Pre-conceptional (Garbhadhan Sanskara) and Prenatal Care (Garbhini Paricharya). The diet of pregnant woman after proper digestion, eventually leads to nourishment of women’s body, formation of breast milk, nutrition to the fetus. Though common food and medications have been recommended depending on Desh, Kala, Ritu. Life Style of mother has a pivotal role in the growth and development of fetus. Hence appropriate Vihar in a pregnant mother should be incorporates as per the principles of Ayurveda. Prenatal Yoga can be very helpful in maintaining normal healthy pregnancy and preparing for labour as it teaches the mother to take cues from her body and maximize its natural potential. Ayurveda will give new avenue in obstetrics care through proper care with wholesome approach.nt mother should be incorporates as per the principles of Ayurveda. Prenatal Yoga can be very helpful in maintaining normal healthy pregnancy and preparing for labour as it teaches the mother to take cues from her body and maximize its natural potential. Ayurveda will give new avenue in obstetrics care through proper care with wholesome approach.

Critical Review and Analysis of Nadi Vigyan: A Boon to Ayurvedic Methodology

Anjali Pandey, Bhumika Bhardwaj, Divyashree Shirvadkar — Sat, 25 Mar 2023 07:32:41 +0000

Ayurvedic medicine has been using Nadi Pareeksha as a tool of diagnosis for Roga Rogi Pareeksha, since 2500 years ago. Charaka Acharya has mentioned “Rogamaadou Pareekshayet Tato Anantaram Aushadham” as an approach for accurate diagnosis and treatment. Acharya Sharangadhara was the first to describe about Nadi Pareeksha. The traditional text Sharangdhara Samhita, Yogaratnakara, Basavarajeeyam, Bhavaprakash Samhita, Kanada Samhita and Ravana Samhita have discussed the details of Nadi Pareeksha. In the 17^th century, Yogaratnakara takes a special place in Nadi Vigyana as he explains about Vega (rate), Gati (movement), Sthiratva (stability), Tala (rhythm), Akruti (volume and tension) and Kathinyatva (consistency) of Nadi useful for Nadi Pareeksha. Also, he explains Nadi Pareekhsa under Ashtavidha Pareeksha. The root cause for all diseases is imbalance of Tridoshas (Vata, Pitta and Kapha). A Vaidya should examine the Nadi in the initial consultation to know about the extent of Doshas imbalance. According to Yogaratnakara, all the diseases can be diagnosed from Nadi and it was compared with strings of Veena playing all the Ragas, similarly, the Nadi of hand highlights Prakruti of Dosha vitiation. The speed, stability and Gati of Nadi varies with Dosha vitiation and assessing is an Art and Science of its own. Although, Nadi Pareeksha is an important part of investigation, still, it is not practiced by many Vaidyas due to insufficient knowledge. In relation to modern science, Nadi Pareeksha needs more growth and development. Hence, it is the need of the hour for Vaidyas to develop Nadi Pareeksha for globalization of Ayurveda.

Concept of Trividha Kukshiya Vimana and its importance in Chikitsa

Archana Dhanpal Jugale — Sat, 25 Mar 2023 07:43:14 +0000

Ayurveda, the science of life is probably the first medical science which gives importance to Ahara both in the maintenance of health and in causing various diseases. In Charaka Samhita Vimana Sthana 2^nd Adhyaya i.e., Trividha Kukshiya Vimanam Acharya explained Trividha Kukshiya Siddhanta which is related to Ahara Matra. Amatrayukta Ahara is one of the important causes in the Utpatti of Ama. Ama plays role in the manifestation of the Diseases as significant as the Doshas. Ahara is one among Trividha Upasthambha, if consumed in a proper Matra lead to health and if not consumed in a proper Matra leads to diseases like Visuchika, Alasaka etc. Concept of Trividha Kukshiya Vimana is very useful for the achievement of aim of Ayurveda.

Ayurvedic management of Immune Thrombocytopenic Purpura (ITP) in Pregnancy

Divyashree G, Vidya Ballal — Sat, 25 Mar 2023 00:00:00 +0000

Immune thrombocytopenic purpura (ITP) is an autoimmune disorder characterized by a low platelet count and mucocutaneous bleeding. Its highest frequency is in young women of reproductive age and it also occurs in 0.83 of 10,000 pregnancies. Pregnancy does not increase the incidence of ITP nor does it exacerbate a pre-existing disease. Sometimes platelet autoantibodies facilitate increased platelet destruction by the reticuloendothelial system especially the spleen and also these autoantibodies (IgG) can cross the placenta and place the foetus at risk for thrombocytopenia and may cause bleeding problems such as intracranial haemorrhage. Although some pregnant women with ITP may experience several maternal and foetal complications, in most cases even with a very low platelet count, there is neither maternal nor foetal morbidity or mortality. Corticosteroids are the first line of therapy in pregnant women or intravenous immune globulin is commonly used in steroid resistant patients. Other treatments such as intravenously administered anti-D and splenectomy during pregnancy have been reported. In Ayurveda, it can be correlated to Tiryak Rakthapitta, which is caused due to excessive consumption of Ushna, Tiktha and Amla Rasa. It is Tridoshaja Vyadhi and its manifestation will be subcutaneous bleeding. Since Apathya Ahara is also cause of any disease, Ayurveda highlights on diet and lifestyle changes along with Garbhini Paricharya to combat any such diseases seen in pregnancy. Further we can adopt Rasayana therapy and Samshamana Kriya, which are safe during pregnancy. Careful monitoring of the mother throughout pregnancy is critical to avoid risk to both the mother and neonate.

Concept of Koshtha in Kriya Sharir

Komal Samyal, Sourabh Sharma, Aakriti Jamwal — Sat, 25 Mar 2023 08:54:29 +0000

According to Ayurveda, the human body is composed of four basics - the Dosha, Dhatu, Mala and Agni. There is immense significance of all these basics of the body in Ayurveda. So, is the Koshtha. The term Koshtha refers to the digestive tract or the motility of the intestines and movement of food, faecal matter and its expulsion. Koshtha is included in Abhyantara Rogamarga. It is of three types: Krura, Mridu and Madhya in which dominance of one of the Dosha is seen. Koshtha Pariksha is important for diagnosis and treatment of diseases. Koshtha Pariksha helps in selection of Aushadhi and Aushadhimatra.

An anatomical study of Guda Marma and its clinical importance

Sapna Anand, Rita Marwaha, Nisha Bhalerao, Pooja Tekam — Sat, 25 Mar 2023 09:10:11 +0000

Nowadays owning to the sedentary life style with almost negligible or irregular physical activities as well as improper diet, frequency of several diseases and disorders has increased significantly. Guda (Anus) thus is implied in context of disease since ages and plays a very important role in the physical wellbeing of human body. The terminal part of large intestine and Moola of Pureeshava Srotas is known as Guda. It is one of the Karmendriyan. Charak has mentioned that Guda is one of the Koshtangas. Guda is defined as the passage through which excretion of faeces takes place and is located in the pelvic region and Charaka recognized two parts in it i.e., Uttara Guda and Adhara Guda. It is one among nine Bahirmukhasrotas located in pelvic region. Total length of Guda is 4½ Angula. There are 3 sphincter situated inside the Guda placed one above the other at a distance of 1½ Angula from each other and are named as Pravahini, Visarjini and Samvarni. Pureeshdhara Kala is related to Guda and it is Moola of Pureeshvaha Srotas and also is Sadhyopranhara Marma. Guda thus is implied in context of disease since ages and plays a very important role in the physical wellbeing of human body. Objective of the study are comprehensive literary review of Guda Marma with correlation of anatomical features described in Ayurveda to contemporary science. Data related to Guda Sharira and diseases were collected from various classics.

Review on Nithya Asheelaniya Aahara Dravya with special reference to the Dadhi (Curd)

Sat, 25 Mar 2023 14:03:10 +0000

Ayurveda is one of the Ancient system of medicine. Ayurveda Acharya's taught us about health, how to living healthy in a society through Ahara Niyama by following Pathyapathya. which Ahara can be taken in all season which one is good for which season. In classics there is an elaborate description regarding Dinacharya, Rutucharya, Sadvritta Palana etc. Ahara (Food) has been recognized as an important pillar for human being. Ayurveda enhance the importance of Unwholesome Aahara Dravya in the maintenance of health as well as prevent of diseases. As per Ayurveda Asheelaniya Ahara Dravya's are those food articles which are not suitable for regular use, E.g.- Dadhi. These food items with regular consumption can lead to various diseases. In this study there is detailed review of Dadhi (Curd) mentioned under Asheelaniya Ahara Dravya. This study is an attempt to fulfil knowledge of rules for consumption of Dadhi.

Analytical study of Rheumatoid Arthritis w.s.r to Ojo-Visramsa as Autoimmunity

Ayushi Patel, Namrata Tiwari, Dileep Singh — Sat, 25 Mar 2023 14:12:52 +0000

Ayurveda, although an ancient science, incorporates all those aspects and facts which have been emerging from various researches in the modern medical science since ages. In recent times, various autoimmune disorders like rheumatoid arthritis, SLE, myositis, muscular dystrophies etc. are getting public attention more than ever. These autoimmune disorders are actually the consequences of the misalignment of immune system towards its own body tissues. Autoimmunity comes under the concept of immunology and in Ayurveda, immunology is described as Vyadhikshamtva and Oja Bala. Oja, the quintessence of the seven Dhatus is responsible for providing immunity to the body. Any fluctuations in Oja tends to generate disease causing elements in the body. In Ayurveda it has been mentioned that Oja gets deformed in three ways: Ojo-Kshaya, Ojo-Vyapad and Ojo-Visramsa. Out of these, Ojo-Visramsa may be considered as most relevant with the concept of Autoimmunity. Ojo-Visramsa can be defined as the dislocation or the diversion of Oja from its normality, whether it may its normal location, structure or function. Comparably, autoimmunity is also the misalignment of the immune system such that the system which should ideally defend the body against the diseases, starts attacking its own body and creates various autoimmune disorders. Hence this article is an attempt to create a novel concept about Ojo-visramsa and its relatability with autoimmunity through a pathogenic analysis of rheumatoid arthritis so that it can be more helpful for the physicians to treat these disorders to benefit the society in an efficient way.

A review article on the concept of Rasayan in Ayurveda

Minakshi, Rakesh Sharma — Sat, 25 Mar 2023 14:19:29 +0000

Ayurveda is the ancient system of medicine in the world. This science of life deals with every aspect of life. Ayurveda has two aims i.e., Promotion of Health and Cure from disease. Rasayan may be employed for ful-filling both of them. Rasayan are the ways of attaining excellent Ras i.e., Attains longevity, memory, intelligence, freedom from disorders, youthful age, excellence of luster, complexion and voice, ultimate strength of physique and sense organs, wisdom and successful words and brilliance. Rasayan also called a Rejuvination therapy is one considered under Ashtang Ayurveda. Rasayan drugs are those which are capable of importing superior Rasas and Dhatus to the body and toning up the system of healthy persons. Rasayan aids in increasing natural immunity enhancing general wellbeing, improving the functioning of all the fundamentals organs of the body and keep the signs of early ageing at bay. Moreover, it involves two opposite processes that simultaneously come into operation i.e., growth and atrophy. Ageing represents structural and functional changes of an organism over its entire life span. Rasayan is not a drug therapy but it is a specialized procedure practiced in the form of rejuvenate recipes, dietary regimes and special health promoting conduct and behaviour i.e., Achar Rasayan.

Anatomical study of Trika Pradesha

Rubia R. Peerzade, J. T. Giritammannavar, M. R. Patil — Sat, 25 Mar 2023 14:28:39 +0000

Rachana Shaareera deals with study of the ‘constructive aspect of the human body, their numbers, location and dimensions’which is important to study the holistic system of Indian medicine called Ayurveda. There are differences related with Trika Pradesha. The study is done under various headings of: Historical review consists of references pertaining to Trika in various ancient literatures of Vedic period, Samhita period and Sangraha Kala as the term is used in various context in Puranas and Granthas. Trika is also the name of a Sage. Ayurvedic review consists of references about Trika as regions, bone, various joints of 3 bone, site of disease, site of treatment and its importance. When we study the samhitas and there commentaries we can anatomically co-relate it with pelvic region. Hence an attempt is made to define Trika Pradesh from Historical, Ayurvedic and Modern view.

A conceptual study of Hridroga in context of modern era

Tabassum Parveen, Gauri Jadhav, Reetu Sharma, B.K. Sevatkar — Sat, 25 Mar 2023 14:42:17 +0000

The word ‘Hridaya’ in Ayurveda is a synonym for heart in Modern medicine. The name itself indicates the function of this vital organ. Hridroga embodies a significant part of cardiovascular disease. Cardiovascular disease is one which is tremendously increasing in this era. Life style modifications like high caloric intake, alcohol consumption, smoking and stress are the risk factors for cardiovascular disease. Nidana plays important role in manifestation of disease hence Nidanaparivarjana is the first line of treatment for any disease. Hridaya being Moola of Rasavaha and Pranavaha Srotas, Dusthi of those also lead to Hridroga. As there are different sets of Nidanas being explained in classics there is a need for critical understanding hence the present write up is aimed to provide an insight into the concept of Nidanas based on classical references and allied modern literature.

A conceptual study on Marma and its practical application in Chikitsa

Pooja Tekam, Rita Marwaha, Nisha Bhalerao, Shiba Dutta Panda, Sapna Anand — Sat, 25 Mar 2023 15:29:23 +0000

Ayurveda is a living science that believes in treating the mind, body, and spirit to achieve total health, and this ancient wisdom is mirrored in the unique idea and composition of Marma as well. Marma is not just anatomical markers, but also locations where the Tridosha, in its subtle forms Prana, Ojusa (soma), and Tejas, may be found (Agni). They also have three Gunas: Sattva, Raja, and Tamas (Manas contents) as well as the soul or life force (Bhutatma). Sushruta Samhita and Siddha, respectively, include detailed descriptions of Marma and Marma Chikitsa. Marma Chikitsa / Therapy are the manipulation or stimulation of Marma in the treatment of different ailments. The Prana (vital energy) present in Marmas may be directed to eliminate blockages (even in distant locations) and promote energy flow, resulting in a state of healthy body, mind, and spirit, through various ways of Marma stimulation. The purpose of this page is to give a general understanding of Marma and Marma treatment. Ancient science literature, Ayush physicians/surgeons, the internet, and personal experience are all used to gather information.

An Ayurvedic perspective about Autism - Literary Review

Ashwini Ashokrao Patil, Rutuja Rahul Kate, Shubhangi Sanjay Jadhav — Sat, 25 Mar 2023 15:42:24 +0000

Autism is a complex neurodevelopmental disorder that impacts on the normal functioning of brain, challenging child development particularly in the field of language and communication, social and emotional with presence of unusually strong narrow interest and personal occupation by repetitive stereotype mannerism. Western medicine and research have seemingly stalled in respect to the management of autism however early intervention and behavioral therapies have shown improvement in some extent. Ayurveda understand the nature of human brain in a completely different manner from modern psychiatric and physiological theories. Autism has close similarities to the features of that Unmada which is described in Ayurveda. The condition may be due to Khavaigunya (disrrangements) of Srotas (channels) which nurtures Manas (mind) as a consequences of many Agantuja (epigenetic and toxic insults and post-natal environmental factor) and Sahaja (genetic) factors. Among the various type of treatment modalities Yuktivyapashrya Chikitsa plays a vital role in managing the symptoms of autism in children.

Poison v/s Nutrition in consumption of our food

Harshitha S., Pramodhkumar N — Sat, 25 Mar 2023 15:55:22 +0000

Living healthy long life by consuming healthy food has become challenging in today’s era. Unfortunately, today’s world has been adapted to method of consuming food which has very much harmful effects on physical as well as mental health. Globalization and urbanization have great impact on eating habits and made it necessary to eat fancy food. Well responsibilities carried out by farmers, industries, and consumers plays major role in maintaining health.

Review on Samsarjana Krama in Diseases

Deeksha Nayaka HV, Manjunath Kanthi, Niranjan Rao — Sat, 25 Mar 2023 16:04:05 +0000

Shodhana treatment is a specialized Ayurvedic therapy that involves the internal purification of the body through five specially designed procedures. One of characteristic of Panchakarma is that it can provide both prevention and cure for various disease. Shodhana treatment includes, Vamana, Virechana, Nasya, Basti and Rakstamokshana. As the Shodhana includes Trividha Karma - Poorva Karma, Pradhana Karma, Paschat Karma. Eventhough, Pradhana Karma is having more important, equal importance should be given to both Poorva and Paschat Karma. Samsarjana Karma is one among the Paschat Karma. After every Shodhana procedure there will be Agnimandhyata, to restore the Agni Bala one should follow Samsarjana Krama. The duration of Samsarjana Krama depends on the level of Shuddhi achieved. The Samsarjana Krama includes Peyadi -Rasadi-Tarpanadi Samsarjana Krama. And some of the disease like Prameha, Sthoulya, Amlapitta, Grahani, Swasa are explained. According to Desha, Kala, Vyadhi and Aahara Krama, Samsarjana Krama can be modified without alternating the principles of Samsarjana Krama.

Role of Rasayana Dravyas in the form of Ksheerapaka during Pregnancy

Meghashree B, Ramadevi G. — Sat, 25 Mar 2023 16:32:57 +0000

The antenatal care is termed to be most important because Quatre of Indian population suffer from malnutrition during antenatal period. Therefore, our acharyas have given an in depth, systematic month wise regimen to be observed throughout the antenatal period. Garbhini Paricharya prescribes Pathya Ahara and Vihara to be accompanied at different stage in pregnancy because it has direct impact on the mother and the child. Rasayana in Garbhini Paricharya is very much beneficial for the mother to overcome the physiological stumbling blocks of pregnancy which includes gastritis complaints, infection, tiredness, ache in calf muscles, pedal oedema etc. and for the foetus to have first-class nourishment. Rasayana effect in pregnancy can be brought about by different formulation, among them one of the special types of Kalpana which can produce Rasayana effect in pregnancy is Ksheerapaka. This paper targets to study the Rasayana drugs used for Ksheerapaka and to assess their viable benefits in pregnancy.

A review on Vrischika Visha and its Chikitsa in classics

Moumita Tewary, Shrinidhi R, Chaithra Hebbar, Shubha PU — Sat, 25 Mar 2023 16:44:01 +0000

Scorpion stings are an intimidating problem in India, especially in rural parts of India. Envenomation from scorpions if estimating on yearly basis it is about 12 lakh people per year and is responsible for nearly about 3250 deaths. There are about 1400 species of scorpions identified worldwide out of this only 53 are reported to be dangerous to humans. The common clinical feature of the scorpion sting is sharp localized burning pain which gradually spreads to the whole limb followed by the variable nature of paresthesia and swelling. Even death is immediately seen in untreated cases of scorpion sting. Vrischika Visha is categorized under Keeta Visha in Ayurveda. Its warning signs are Urdhwa Gati of Daha, Toda, Sphutana, Sotha, Shyavata etc. Vrischika Damsha is such a specific envenomation that requires medical attention. Several treatment approaches are explained in our classics which are described for managing Vrischika Visha.

Significance of Poorvarupa (Prodromal feature) of Prameha – A Review Article

Hukum Singh Dhakad, Reshma Shekh, Rajesh Kumar Jain — Sat, 25 Mar 2023 16:54:40 +0000

Prameha as well as diabetes is an important public health menace due to its high morbidity, mortality, economic impact, resource consumption, systemic complications, silent yet progressive nature, and less curative options. The prevalence of diabetes is also higher in urban areas than rural areas. In India over all 2.4% rural population and 4.6 – 11.6% urban population is suffering from diabetes. Systematic diagnosis of disease is well explained under the heading of Nidan Panchaka (Fivefold of examination) Viz. Nidan (Etiological factors), Poorvarupa (Prodromal features), Rupa (Specific sign and symptoms), Upasaya (Relieving factors) and Samprapti (Pathogenesis). Among the Nidan Panchaka, Poorvarupa (Prodromal features) are the symptoms which indicate the forthcoming disease. The long-term effects include progressive development of retinopathy with potential blindness, nephropathy that may lead to renal failure, neuropathy with risk of foot ulcers, amputation, Charcot joints and features of autonomic dysfunction including sexual dysfunction. People with diabetes are at increased risk of cardiovascular, peripheral vascular and cerebrovascular disease.

A compiled review on the concept of Keeta Visha and its Chikitsa

Vidya S. Kukanur, Sreejith K, Shubha PU, Chaithra Hebbar — Sat, 25 Mar 2023 17:18:34 +0000

Ayurveda is an ancient Indian system of medicine having eight important branches. Agadatantra is one amongst the eight-fold branches of Ayurveda that deals with identification, prevention, diagnosis and treatment of various manifestations caused by Sthavara Visha, Jangama Visha, Krithrima Visha and Khanija Visha. Acharya’s Charaka, Susrutha, Vagbhata, Madhavakara, Bhavamishra, other classics and regional texts have recited concerning the origin of Visha, Sthavara Visha (Vatasanbha, Kupeelu, Ahiphena etc.) Jangama Visha (Sarpa, Vruschika, Keeta, Loota, Alaraka etc.) and Krithrima Visha (Gara Visha and Dushi Visha). Acharya’s have described Keeta Visha under Jangama Visha and classified under four groups and elucidated 67 different types of Keeta. These are the largest groups of arthropods, which constitute 80% of all living animals, only 3% of the insect species are harmful to humans. Keeta Visha causes local symptoms to severe systemic manifestations like Shopha, Granthi, Visrapa, Karnika, Kitibha in the human beings, even death. Depending on its variety, diagnosis and treatment of Keeta Visha is found to be very difficult because these varieties are not yet properly identified and besides, regional variations of these Keetas expresses very differently. Here an attempt is made to collect signs and symptoms of Keeta Visha and their treatment modalities mentioned in different classical texts.

Effective Ayurvedic management of Katigraha - A Case Report

Govind Kumar Prajapati, Sakshi Gupta, Mahima Pandey, Rita Singh — Sat, 25 Mar 2023 17:27:43 +0000

Katigraha is the commonest encountered disease. It is the condition which is characterized by stiffness, pain and impaired functioning of Lumbar spine region due to vitiation of Vata in Katipradesh. Even though this condition is not life threatening but it hampers the daily activity. Kati itself is one of the seats of Vata Dosha and the root cause of disease is aggravated by Vata. According to Ayurveda, it involves the Dushti of Asthivaha Srotas. About 80% of the industrial population and 60% of the general population suffers from low back pain due to their wrong posture. Case Report - A female pateint of 38 year old working as a tailor came to our hospital having complaint with low back pain which radiates to left lower limb, tingling sensation in bilateral lower limb, numbness in left heel region, difficulty in walking, loss of appetite, indigestion and disturbed sleep due to pain. Aim and objective - To evaluate the efficacy of Ksheerbala Tail Matra Basti and Murivennam Tail Katibasti in Katigraha for relieving pain, stiffness and impaired functioning of Lumbar spine. Result - Patient got marked relief in the pain, stiffness and tingling sensation along with improvement in walking. We will discuss the details in full paper. Conclusion - Katigraha is a common disorder of present era which is Vata Pradhan Tridoshaj Vyadhi in Ayurveda. Through this study we can conclude that Matra Basti with Ksheerbala Tail and Kati Basti with Murivennam Tail are effective in reducing the symptoms of Katigraha.

Management of Pakshaghata in Ayurveda - A Case Study

Yogesh T. Kotangale, Anuja Bhojane, Sumedha Y. Kotangale — Sat, 25 Mar 2023 17:35:41 +0000

Pakshaghat is made up of two words Paksha (half part of body) and Aghat (loss of function). Ayurved literature is full of textual references where Pakshaghat is described extensively. It is considered as Vata Dosha predominant Vyadhi. Patient usually presents with loss of function of a half of body or weakness of one half. Face may or may not be involved. Prognosis depends on many factors including Vaya, Bala, Dosha involvement etc. In modern science all the motor activities are controlled by brain. Cerebrovascular accidents are mainly responsible for loss of function in body and due to maximal similarity they can be correlated with Pakshaghat. In modern science there is usually treatment of symptoms but when it comes to Ayurveda there is treatment of root cause along with symptoms. In Ayurveda, treatment of diseases is divided in to two parts Samshodhana and Samshamana. Panchkarma is Shodhana Pradhana therapy, which includes five major procedures for Shodhana of body. Along with it there are many allied processes which help in symptomatic relief by directly acting on the part being affected. Pakshaghat is best treated with Mridu Samshodhana and Vata Shamaak Snehana Chikitsa. In the present case patient presented with right side Pakshaghat and treated with Panchakarma therapy, which included Nasya, Vasti and Akshitarpana. Initially Nasya and Akshitarpana given for 15 days. Patient was called for second sitting after 16 days and given in Kala Vasti Karma. After treatment patient was 100% cured.

A management of Bhagandara (fistula-in-ano) with Ksharasutra : A Case Study

Ganapthirao I, Patil Sachin — Sat, 25 Mar 2023 17:48:27 +0000

Fistula-in-ano is a chronic inflammatory condition having a tubular structure with opening in the Anorectal canal at one end and surface of perineum or perianal skin on the other end. Any opening in perianal area with chronic pus discharge indicates fistulous tract. Prolong sitting, unhygienic condition, obesity, repeated irritation due to hair may increase the risk of occurrence. In Ayurveda it is correlated with Bhagandara and Acharya Sushruta mentioned five types of Bhagandara. He had explained Shastra Karma along with Kshara karma and Bheshaja Chikitsa for treatment. Here a case of fistula in Ano in a 30-year male patient was examined in Shalya OPD and treated with Ksharasutra, considering it as an ideal procedure in treatment of Bhagandara as it cuts and curettes the unhealthy tissue present inside the fistulous tract.

Ayurvedic treatment protocol in the management of Diabetic Foot Ulcer - A Single Case Report

Riddhi J. Ganatra , Tukaram Dudhamal — Sat, 25 Mar 2023 17:56:13 +0000

The most common debilitating complication of diabetes mellitus is nonhealing diabetic foot ulcers worldwide. This case report presents a complete wound healing of 4-months chronic nonhealing diabetic foot ulcer in 66 years old retired male. Complete wound healing was achieved in 15 days with help of local as well as systemic management of Ayurveda. Cleaning of the wound with Triphala Kwatha followed by dressing with Apamarga Kshara Taila was done regularly. Footwear modification was also done in the patient for faster healing of the wound. For systemic management, Punarnavashtak Kwatha 20ml twice a day, Snjivani Vati 1 tab four times a day, and Haritaki Churna 5gm HS with lukewarm water for 1 month were prescribed orally for 15 days. This is a single case report presenting complete healing of a diabetic foot ulcer with a positive outcome in short term through Ayurveda management.

Ayurvedic management of Systemic Lupus Erythematosus - A Case Study

Praveen Kumar K S, Mahesh S — Sat, 25 Mar 2023 18:00:15 +0000

Systemic Lupus Erythematosus (SLE) is a multi-system disorder affecting connective tissues and is auto immune in nature. Prevalence of SLE in India is estimated to be 30 per million people. A 25 year old Indian female came to hospital with complaints of pain and burning sensation on both knee joints especially after walking, anxiety and mood disorders since 4 years. She was a known case of SLE and was taking corticosteroids. Clinical evaluation revealed intermittent fever, discoid rashes on elbows and lower limbs, oral ulcers and occasional severe headache. The case was diagnosed as Pittadhika Vataraktam and Deepana Pachana was started with Amapachana Vvati, Udwartana was started with Yava and Triphala Churna. Snehapana was done with plain Goghrita until Samyak Lakshanas and Virechana was done with Trivrut Avaleha. After Peyadi Krama, Ksheera Basti was done for eight days along with intake of Manjistadi Kwath, Kaisora Guggulu and Guduchi Churna. Pain, edema and burning sensation of both the knees was completely relieved after follow up period. ANA was reduced from 1:1640+++ to 1:160+, while Anti ds-DNA value also got reduced from 80.0 IU/mL+++ to 28.0 IU/mL +. Hemoglobin improved from 7.3 gm % to 10 gm% after treatment. SLE may be correlated with Vatarakta and its line of management may be adopted here.

Role of Udavartahar Chikitsa in the management of Pureesha Avrita Vata w.s.r. to Chronic Constipation on Constipation Assessment Scale: A Case Study

Ramraj Singh, J.D. Gulhane — Sat, 25 Mar 2023 18:06:06 +0000

Background: Pureesha Avrita Vata is defined as the absolute constipation along with Parikartika (Fissure in Ano), Shroni Vankshana Prstha Ruk (pain in hips, groin and back) and uncomfortable sensation in chest region etc. The main features of Constipation are infrequent or hard stool, abdominal pain, bloating, and feeling of unsatisfactory bowel evacuation. Contemporary laxatives, which are generally used in Constipation, become habitual after some duration and only symptomatic relief. Moreover, these medicines never alter pathogenesis of disease. So, it is a need of hour to search effective, safe & alternative formulations in Ayurveda, which can completely break the pathogenesis of Pureesha Avrita Vata. As per Ayurveda, Vata Dosha and Pureesha Mala are the main factor involved in this condition. Therefore, the prime treatment principle recommended by Ancient Acharyas is Snigdha Udavartahar Kriya. Aim & Objectives: This case study is primarily carried out to study Pureesha Avrita Vata w.s.r. to Constipation and to evaluate role of Chinchalavan Taila Matra Basti, Indukanta Ghrita orally with Snigdha Virechana in the management of Pureesha Avrita Vata. Methods: A 68 years old male patient approached Kayacikitisa I.P.D. with Pureesha Avrita Vata for one year; he was administered 60ml Chincha Lavana Taila Matra Basti for 7 days, Indukanta Ghrita orally and Snigdha Virechan for consecutive 15 days. Result: Patient has significant effect to improve the Constipation Assessment Scale from 15 to 03 and in other classical features of Pureesha Avrita Vata.

Anatomical study of Amsaphalaka Marma – A Cadaveric Study

Sat, 25 Mar 2023 18:15:40 +0000

Marma is one of the unique part and concept of Ayurveda which has been discussed in all the classical texts and deeply elaborated by Acharya Sushruta in 6th chapter of Sharir Sthana. Amsaphalaka Marma is one out of 107 Marma, located on Pristhavansa Ubhayato (both side of vertebral column) and is related to Trika. According to Rachna it is a Asthi Marma. It is classified as Vaikalyakar Marma. Trauma to Amsaphalaka Marma results in Baahuswapa and Sosha. Here, Marmabhighata Lakshan can act as predictors of the structures involved. In this study, scholar was trying to find out exact location of Amsaphalaka Marma and its relationship with other anatomical entities (in circumference of this Marma) with the help of cadaveric study. As a final result the study concludes that Amsaphalaka Marma may be considered as spine of the scapula.

Management of Mutraghata (Benign Prostatic Hyperplasia) with Bala Tail Matrabasti - A Case Study

Priyanka Chauhan, TS Dudhamal — Sat, 25 Mar 2023 18:21:07 +0000

The two broad categories of Mutrakrichha and Mutraghata have been used to list all urinary diseases. The Ayurvedic text books list 8 different categories of urological illnesses under Mutrakrichha and 13 different types under Mutraghata. According to contemporary medicine, BPH is a benign enlargement of the prostate gland brought on by excessive prostatic nodule proliferation. It is a typical condition in older males and causes a large amount of morbidity in this age range. The minimally invasive approach to treating BPH is still a surgical operation at the moment, while the medication approach to treating BPH is classified as conservative. From both a modern and Ayurvedic perspective, it seems more suitable to use conservative procedures. In this case study, well diagnosed benign enlargement of prostate was treated with Bala Tail Matra Basti of medicated oil through rectum) 60 ml once daily for 21 consecutive days. The patients assessed on the basis of International Prostate System Score (IPSS) and objective parameter weight of the prostate and post voidal residual urine. After completion of the treatment, significant relief was observed in signs and symptoms. This case highlights the fact that, Benign Prostatic Hyperplasia can be managed with simple administration of Bala Tail through rectum.