International Journal of Ayurvedic Medicine
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Treating thin endometrium by Ayurvedic Medications: A Case Study
Get PDFInfertility is one of the most prevalent chronic health disorders involving young adults. Infertility is defined as failure to establish a clinical pregnancy after 12 months of regular and unprotected sexual intercourse. Endometrium is one of the important factors for successful pregnancy. Endometrial thickness is a marker for endometrial receptivity and a prognostic factor for pregnancy. A thin endometrium is generally defined as endometrial thickness less than 7 mm. Thin endometrium adversely affect reproductive performance. A thin endometrium is generally defined as endometrial thickness less than 7 mm. This is a case report of a female patient with thin endometrium with a complaint of inability to conceive for 2 years of regular unprotected intercourse. The menstrual blood is the shedded functional layer of endometrium of the uterus. In Ayurveda, the term rajah is used for menstrual blood. So, this case is considered as Rajah-Kshay and is treated accordingly. The treatment plan includes Rasa & Rakta Pachak (Blood Purifiers) medications and Uttarbasti (Vaginal administration of liquid medicine) of Phalaghrita to increase Dharan kshamata (implantation) of endometrium. During the treatment period this patient’s endometrial thickness increased from 6.1 mm to 9 mm and menstrual flow increased. This led to her conception within 5 months of treatment and she delivered a healthy baby boy.
Standardization and quality control parameters evaluation on the Siddha mineral preparation: Linga chenduram
Get PDFStandardization of herbal or herbo-mineral formulations is an important factor to assess the quality, purity, safety and efficacy of drugs. WHO has emphasized the need to ensure quality control of Indian Medicines including Siddha formulations by using modern techniques and by applying suitable parameters for Standardization of Linga Chenduram where Lingam (Cinnabar) is the primary constituent was selected for evaluation of Standardization and quality control parameters. Analysis of the drug showed that LC was dark brown in colour, odourless, tasteless, fine powder in appearance and fine to touch which indicates the completion of calcination process. In physicochemical analysis values of the drug such as loss on drying, total ash, water-soluble ash and acid insoluble ash were found to be 1.19%. 3.73%, 0.19% and 1.49% respectively. The total ash value indicated the absence of impure substances in LC. The XRD Analysis of Linga Chenduram showed that it was a highly crystalline drug. SEM analysis of Linga Chenduram showed that most of the particles present in the sample were Nano size and the results showed that the values of Mercury (51.21) and Carbon (43.63) were present in larger amount compared to Oxygen and Magnesium. The ICP-OES result showed that the toxic heavy metals such as Lead, Cadmium, Cupper, Potassium, Magnesium, Iron, Zinc, Nickel and Sodium were below the detection limit (BDL). Thus it is evident that the safety of siddha medicine had been proved in the modern scientific way. The end of the study concluded that the end product Linga Chenduram yields standard and safety.
Determination of the association between excessive intake of Rasa and Retinal vascular changes in Pregnancy-Induced Hypertension- A Pilot Study
Get PDFBackground: Pregnancy-induced hypertension (PIH) is a hypertensive disorder in pregnancy that occurs in the absence of other causes of elevated blood pressure. There are many complications documented for PIH and associated retinal vascular changes in one of them. During pregnancy if proper antenatal care along with diet is not followed, patient may land into complications like PIH related retinopathy. Aim: To determine the retinal changes in pregnancy induced hypertension (PIH) and any association between the retinal changes and excess intake of specific Rasa. Methods: All the patients admitted in ward with diagnosis of PIH were included in this study. Age, race, gravida, gestation period, blood pressure, and proteinuria along with dietary habit were noted from the case records. After taking history for any eye symptoms, fundus examination was done after dilating the pupils with direct ophthalmoscope in the ward itself. All the findings were noted on a data sheet, and were analyzed. Results: A total of 24 patients of PIH were examined. Majority were urban (75%) and remaining are from rural area (25%). The majority of patients are from 24-28 years age group followed by below 20 years age group. The gestation period ranged from 20 weeks to 38 weeks; 16 (66.6%) were primi gravida. Nineteen (79.1%) patients had mild preeclampsia, 03 (12.5%) had severe preeclampsia and 2 (8.33%) had eclampsia. Retinal changes (hypertensive retinopathy) were not seen in any of these patients Haemorrhages or exudates or retinal detachment were not seen in any patient. There was no association of retinal changes and Rasa Sevan a found in present pilot study. Conclusion: Retinal changes were not seen in any of the patients with PIH in present study sample and there was not found to be associated with excess intake of specific Rasa and severity of the disease. Fundus examination is necessary in assessment of the PIH patient
Randomized single blind controlled clinical study to evaluate the efficacy of Ashok ghrita in the management of Raktapradara with special reference to Menorrhagia
Get PDFRaktapradara is most common gynaecological problem found in women. According to Acharya charaka, Raktapradara is also known as Asrugdara. According to modern, Raktapradara can be correlated with Menorrhagia. Ashok acts as a uterine tonic and improve the muscular tone of uterine musculature which is important to control bleeding. Most of the drugs in Ashok ghrita having rasayan property and can improve nourishment of all the dhatus and reduce the duration of bleeding. Aim: To study the efficacy of Ashok ghrita in the management of Raktapradara. Materials and Method: A total 80 patients of the age group 16-45 years presenting with signs and symptoms of Raktapradara w.s.r to Menorrhagia were selected randomly from OPD of the department of Stree rog Prasutitantra. The 40 patients of trial group were treated with Ashokghrita and 40 patients of control group were subjected to Ashok ksheerpak. Conclusion: Ashok Ghrita was found to be more effective than Ashok ksheerapak in the management of Raktapradara with special reference to Menorrhagia
A comparative clinical study on the effect of Takra Basti and Erandamooladi Niruha Basti in the management of Grahani (IBS)
Get PDFBackground-Grahani roga described in classical text books of Ayurveda represents a group of disorders of digestive system caused by impairment of Agni. Grahani is such a disorder, where in its significance is emphasized by its inclusion among Ashta maha gadas. Aim & Objective- To evaluate the efficacy of Takra Basti and Erandamooladi Niruha Basti individually in each group in the management of Grahani. To compare the efficacy of Takra Basti and Erandamooladi Niruha Basti in the management of Grahani. Methodology- Patients were selected from college attached Hospital of NKJ AMC Bidar. Sample size -A total of 30 patients were selected GROUP A: 15 patients were treated with Takra Basti and Changeryadighrita Anuvasana Basti. GROUP B: 15 patients were treated with Erandamooladi Niruha Basti and Changeryadighrita Anuvasana Basti, Discussion &Conclusion-Among the types of Grahani, clinical features of vataja Grahani have at most similarities with the clinical features of irritable bowel syndrome. Diagnostic criteria of IBS i.e. Rome III criteria is same as the Pratyatmaka lakshanas of Grahani. Takra Basti is having more pratyagamana kala than Eradamooladi Niruha Basti. Both Takra Basti and Eradamooladi Niruha Basti Showed significant results in all the parameters. The efficacy of the treatment group A results was statistically significant of all parameters statistically even after follow up period compared to group B. Hence it can be concluded that IBS can be treated in Ayurveda under the treatment principles of Vataja Grahani.
Comparative Efficacy of Therapeutic Panchkarma Procedures in Children with Cerebral Palsy
Get PDFIntroduction: Cerebral palsy (CP) continues to be one of the most common but challenging physical disabilities in children. It is named Balsanvardhan Vikruti as there is delayed growth and development due to brain damage. It accounts for nearly 15% of the child population (1 in 6). Objectives: To compare the efficacy of Brimhan (Anabolic) procedures Vs alternate Brimhan- Rukshan (Anabolic - Catabolic) Panchkarma procedures in the management of CP children of 2-8 years age group. Material and Methods: The study was carried out in the IPD of Kaumarbhritya, MGACHRC, Salod. Twenty patients fulfilling the diagnostic criteria were included and randomly distributed into two groups of 10 each. Group A was given Brimhan procedures like Talapothichil/Shiropichu, Annalepan, Pindswed, Tailadhara and MatraBasti for 3 days followed by Rukshan procedures like Talapothichil/Shirolepan, Udgharshan, Kwathdhara, Patrapottali and Niruh Basti for next 3 days alternate 5cycles starting and end with Brimhan in total 15 days and 15 days follow-up for 3 consecutive months. Group B received only Brimhan procedures for the same pattern and duration. Three such courses were administered to both Groups with an interval of 15 days along with necessary symptomatic treatment, physiotherapy and occupational therapy. Result: The study revealed that Group A patients showed more improvement (21%) than Group B (19%) in all parameters like gross motor, fine motor, language/speech, and personal social with enhancement in power and activities of daily living (Barthel index). Spasticity, convulsions were reduced and quality of life was increased in both the Groups. Conclusion: Multiple interventions are essential in the management of CP. Alternate Brimhan-Rukshan Panchkarma procedures are more beneficial with physiotherapy and occupational therapy as CP has Vata-Kapha Dosha dominance.
Psychological Morbidity and Quality of Life in Shwitra (Vitiligo) Patients
Get PDFBackground: Diseases affecting the skin are visible to others; therefore, patients with skin diseases not only cope with the effect of the disease, but also with the reaction of people to their disease. Skin colour plays an important role in an individual’s perception of health, desirability, worth and wealth. Vitiligo presents as milky – white patches in the skin which can result in psychological morbidity, social stigmatization and hampered quality of life. According to modern dermatology, Shwitra can be correlated with Vitiligo. Aim: To study Effect of Shwitra (Vitiligo) On Quality Of Life and Depression. Methods: Trial group includes previously diagnosed 200 patients of Shwitra. For the assessment of dermatology life quality index DLQI questionnaire was used, level of depression was assessed with Hamilton Depression Rating Scale (HAM-D) and to estimate the baseline percentage of Vitiligo involvement in each body region Vitiligo Area Scoring Index (VASI) scale was used. Results: patients had a range of concerns regarding their disease such as physical appearance, progression of white patches on to exposed skin and the whole body, social restriction, dietary restrictions, difficulty in getting jobs and major concern about difficulty to getting married. Mild to moderate Depression was common. The condition was perceived to be a serious illness. Multiple medical consultations at various system of medicine were frequent. Complete repigmentation was strongly desired. The diseased imposed a significant financial burden. The problems were more severe in females. Conclusion: an empathetic and supportive doctor – patient interaction, information regarding Vitiligo, early diagnosis, prompt treatment, good social especially family support and psychotherapeutic interventions can help the patient to live with their disease, and to manage the associated psychosocial and psychiatric comorbidity. 
Revisiting the Emerging Pharmacological Perspectives of Nyctanthes arbor-tristis
Get PDFA mythical plant indigenous to the southern Asian area known as Nyctanthes arbor-tristis (Oleaceae) is highly valued for its therapeutic properties in Ayurveda. The plant contains a number of Phytoconstituents, and almost every part of the plant has pharmacological properties. In order to identify therapeutic potential and gaps requiring more study, the current review includes an ethnopharmacological evaluation that focuses on data on the chemical components, pharmacological activities, and toxicity. In India most significant use of N. arbor-tristis for the treatment of intractable sciatica, arthritis, and intermittent fevers. The plant\u27s crude extracts and isolated components have pharmacological activity against inflammation, malaria, viral infection, leishmaniasis, and as an immunostimulant. Iridoid glucosides, including Arbortristoside A, B, and C from the seeds, are a prominent family of physiologically active substances that have anticancer, anti-leishmania, anti-inflammatory, anti-allergic, immunomodulatory, and antiviral properties. It has been stated that the leaves\u27 calceolarioside A, 4-hydroxyhexahydrobenzofuran-7one, and β-sitosterol are each effective against leishmaniasis, cancer, and inflammation, respectively. While arbortristoside-A isolated from the seeds had an LD50 of 0.5 g/kg, the crude extracts were determined to be safe with an LD50 of 16 gm/kg.The majority of the time, in-vitro or occasionally in-vivo models offer some evidence, particularly when it comes to the treatment of inflammatory illnesses like arthritis, fevers associated with malaria, and protozoan infections, particularly leishmaniasis. The sole clinical trial discovered only used crude extract to treat malaria. For crude extracts or pure chemicals, more thorough safety data must also be collected on cardiotoxicity, immunotoxicity and acute and subacute toxicity.
A cross-sectional study on the professional excitement of Vietnamese nursing students and related factors
Get PDFObjective: The profession\u27s development requires an advanced science and skills degree. The major\u27s excitement helps students reduce stress and become more active in their studies. As a result, excitement about the major plays an essential role in increasing the efficiency and quality of learning. This study aims to determine the level of excitement and the factors related to the significant excitement of nursing students at the University of Medicine and Pharmacy in Ho Chi Minh City.
Methods: The cross-sectional study was conducted on an online survey of 465 nursing students. Each student completed a survey about the level of excitement based on awareness, emotions, learning behaviours, and factors related to excitement in a nursing major. Descriptive statistics were used to determine the current situation of nursing students\u27 excitement for majors and related factors, and the chi-square test was used to assess the relationships.
Results: The level of nursing students\u27 excitement in the major evaluated through awareness, emotion, and behaviour was average (17.35 points). Factors related to academic interest include as follows: Year(s) of study (p < 0.001). The most crucial objective factor is job opportunities (89%). The most critical subjective factor is understanding the role and responsibilities of being a nurse (81.5%).
Conclusion: According to the results, nursing students\u27 excitement in Vietnam about their major was average and tended to decrease gradually over the school years. Job opportunities and a strong understanding of the role and responsibilities of a nurse are essential factors related to students\u27 excitement about the major
Management of Herpes zoster in Ayurveda through Bloodletting therapy along with other Ayurveda treatment: A case study
Get PDFHerpes zoster is a very painful disease. Generally, it is a unilateral and self-limiting condition. Inappropriate or delayed therapy might make the disease worse and increase the risk of complications such as post-herpetic neuralgia. Age-related immunosuppression and low immunity make people more susceptible to herpes infection and more likely to develop post-herpetic neuralgia (15%). According to Ayurveda, it correlates with visarpa. It is a raktapradoshaj vikara (disease caused by vitiated blood) and primarily a pitta-predominant disease manifesting twaka (skin) so visarpa is one of the major skin diseases. Here we present a case of a 66-year-old female patient with k/c/o HTN and hypothyroidism visited the OPD with symptoms of unilateral onset of blisters on the right side of the back region, the right axillary region, and the medial aspect of the right arm, within 48 hours; along with burning Pain, itching, and sleeplessness due to burning. According to Ayurveda, the patient was clinically diagnosed with pittaj visarpa. Considering pitta dosha and rakta dhatu dusti, raktmokshan was planned as the prime treatment. The patient showed improvement in burning pain after the first setting of raktamokshan. The numeric rating scale revealed that the patient experienced relief in the severity of burning pain (from 8 to 0) and itching (from 5 to 0). Other Ayurveda treatments like pittaghna chikitsa (pitta pacifying) and pradeha (local application) were used. Rapid blister formation stopped within three days of treatment, and after 28 days, all blisters crusted off and a normal skin complexion was achieved. Thus, Ayurvedic treatment was valuable and cost-effective for treating conditions like herpes. Ayurveda protects patient’s immune systems and reduces the chances of post herpetic neuralgia and reinfection