Journal of Ayurveda and Integrated Medical Sciences (JAIMS)
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Therapeutic efficacy of Mandura Bhasma and Rohitakarishta in Severe Anemia: A Classical Ayurvedic Approach
No full textBackground: Severe anemia remains a major public health issue among children, particularly in low-resource settings. Iron deficiency is the most common cause, and while conventional iron supplements are effective, they often cause gastrointestinal side effects and poor compliance. Ayurveda offers traditional remedy for anaemia, with historical usage in paediatric cases.
Aim: To evaluate the therapeutic role of Mandura Bhasma and Rohitakarishta in improving hemoglobin levels and clinical symptoms in a child with severe anemia.
Materials and Methods: A 10-year-old child presented with symptoms of pallor, fatigue, and reduced appetite. Laboratory investigations revealed severe anemia. After ruling out hemolytic and malignant causes, a treatment regimen including Mandura Bhasma, Rohitakarishta and iron-rich dietary recommendations was initiated. In between time, continuous monitoring of hemoglobin, iron profile levels and clinical improvement noticed.
Results: By the end of the treatment period, the child\u27s haemoglobin level increased significantly. Clinically, there was drastic improvement in energy levels, appetite, and overall well-being. No adverse effects were reported throughout the intervention.
Conclusion: This case suggests that Mandura Bhasma and Rohitakarishta in combination with Ayurvedic supportive therapies, can be a safe and effective approach in the management of severe anaemia in children. Further controlled studies are recommended to substantiate these findings and standardize paediatric dosing guidelines
Effect of Virechana Karma in Ekakusta w.s.r. to Plaque Psoriasis - A Case Study
No full textKushta is one among the Raktavaha Srotodushti Vikara. All the skin diseases in Ayurveda can be considered as Kushta in Ayurveda. Kushta occurs due to altered life style, familial history, improper food habits, lack of exercise, stress etc. Ekakusta has the symptoms like Aswedanam, Maha Vastu, Matsya Shakalopamam, Krushnarauna Varna of Twak, Srava, Mandala[1] similar symptoms can be seen in psoriasis. Modern science provides medications give temporary relief for patient. Few patients fail to respond for the therapy and have their own side effects. Here A male patient aged 38yrs with chronic severe psoriasis who came with the complaint of multiple skin rashes all over the body with severe itching was treated with Shodhana Chikitsa using Virechana Karma and Shamana Chikitsa internally and Bahirparmarjana Chikitsa (external application) for days. Better result was achieved with Shodhana and Shamana Chikitsa along with Bahirparimarjana Chikitsa (external application
Yogyatwa of Hingu - Triguna Taila in Gastro - Intestinal Diseases
No full textAyurveda\u27s history can be traced back to the Vedas. Despite numerous challenges, Ayurveda has thrived throughout the millennia and has remained a continuous professional practice for thousands of years. It is a vast knowledge base that covers not only systemic ailments and their prevention, but also philosophical concerns and the origins of Universal elements. As per Ayurveda, it has been quoted that, all the Rogaas are happening because of Mandaagni, which refers to the difficulties in digestion and metabolism. If the Agni is proper, individuals can prevent diseases up to certain extend of time. Ayurveda Granthaas stands unique by its presentation through Samskruta Vyaakarana, which are the decoding techniques of entire Shaastra. Ayurveda believes in Dosha, Dhaatu and Mala Siddhaanta, which has an extra ordinary Vyaapti in diagnosis, prevention, and treatment. Now a days, gastro intestinal disorders has become very common amongst the entire public irrespective of age and gender. Ayurvedic view about Agni Janya Vikaara can be correlated with it, has been explained mainly as a cause, symptom, sign and Agni Janana is also a method adopted for treatment of various ailments also. Understanding in detail about an individual Yoga in curing GIT disorders to understand its Kaarmukata is much more essential in present scenario. A detailed literary proof regarding Hingu Triguna Taila has been critically analyzed from Saamaanya Vishesha Siddhaanta background and its role in reducing/ curing GIT disorders has been brought up here. Such an understanding about individual Yoga Vichaara, can pave a way for the critical analysis of the scope of individual Kalpanaas in future, to understand in which condition we are supposed to prescribe it
Post COVID Liver Disorders and their Management in Ayurveda
No full textThe COVID-19 pandemic has not only affected the respiratory system but also led to significant hepatic complications during and after the infection. Post-COVID liver disorders, including hepatocellular injury, cholestasis, drug-induced liver damage, and the exacerbation of pre-existing liver diseases, are increasingly reported.[1,2] These complications arise due to viral infiltration, immune-mediated inflammation, hypoxia, and the side effects of medications used in COVID-19 treatment. Ayurveda, the traditional Indian system of medicine, offers a holistic approach to managing these liver disorders through the principles of Dosha balance, detoxification (Shodhana), palliative therapies (Shamana), and rejuvenation (Rasayana). Ayurvedic herbs such as Bhumyamalaki, Kutki, and Kalmegha, along with classical formulations like Arogyavardhini Vati, play a significant role in restoring liver function. Dietary and lifestyle modifications further support the healing process.[3] This paper explores the pathogenesis of post-COVID liver disorders and highlights the Ayurvedic approach to their effective and sustainable management
Therapeutic Potential of Arka (Calotropis Procera (Ait.) R.Br.): A Review
No full textArka scientifically known as Calotropis procera (Ait.) R.Br. has been used extensively in therapeutics from Vedic period to contemporary Ayurveda practice. Arka has potent therapeutic actions mentioned in Ayurvedic Materia medica. Acharya Charaka marks Arka as one of the drugs of Ksheerivriksha for Shodhana Karma which signifies its therapeutic potency in Ayurveda medicine. Various types of Arka are mentioned throughout ancient Ayurveda texts but Raktarka and Shwetarka are widely accepted. Clinical applications of Arka include dermatological disorders, gastrointestinal conditions, wound healing, and respiratory ailments. These applications are as single drug as well as compounded formulations which include different parts of Arka signifying therapeutic potential lodged in all parts of Arka viz. leaves, latex, roots, flowers, bark and whole plant. Some important dosage forms such are Lepa (topical paste), Taila (medicated oil), Kwatha (decoction), and Varti (suppositories). These wide ranged uses of Arka in the Samhitas underlines its historical and therapeutic significance in Ayurvedic practice. In Modern scientific screening studies, Arka has exhibited activities like antifertility, anti-inflammatory, hepatoprotective, cardiovascular, anti-diarrhoeal, anti-ulcer, anti-pyretic, analgesic, wound healing agent and much more. Present paper is an attempt towards revalidating therapeutic potential of Arka through an intensive literary review of information available in ancient texts and contemporary scientific publications on medicinally useful plant parts of Arka
Therapeutic Role of Cold Leg Pack Combined with Neutral Foot Immersion with Epsom Salts In The Management of Varicose Veins: A Retrospective Case Series
No full textVaricose veins are a common venous disorder resulting from valve incompetence and venous reflux, leading to pain, swelling, and heaviness in the lower limbs. Conventional therapies often focus on compression or surgical correction, but may be invasive and costly. This case series evaluates the effect of a combined naturopathic hydrotherapy protocol - cold leg pack (20 minutes) followed by neutral foot immersion with Epsom salts (15 minutes) - in patients with mild to moderate varicose veins. Six patients attending the Outpatient Department of Alva’s College of Naturopathy and Yogic Sciences were treated daily for one month. Outcome measures included the Aberdeen Varicose Vein Questionnaire (AVVQ), Venous Symptom Questionnaire (VVSymQ), and Numeric Pain Rating Scale (NPRS). All patients reported improvement in leg pain, heaviness, and oedema. Mean AVVQ, VVSymQ, and NPRS scores decreased by more than 50% after intervention, indicating better venous tone and microcirculatory balance. The therapy was well-tolerated, cost-effective, and easy to administer. Findings suggest that cold leg pack combined with neutral foot immersion using Epsom salts can serve as a useful adjunct in the integrative management of varicose veins, warranting larger controlled studies to validate these outcomes
Protocol for Observational Study for the Correlation of Dosha-Specific Nidana with Biomarkers and Cardiovascular Disease Risk
No full textBackground: Cardiovascular diseases (CVDs) are the leading cause of global mortality, with nearly 19.41 million deaths reported in 2021. Conventional risk factors such as dyslipidaemia, hypertension, diabetes mellitus, and lifestyle-related determinants contribute significantly to CVD burden. Biomarkers reflecting oxidative stress (Ox-LDL), inflammation (HS-CRP), and metabolic (Apo-B) provide measurable insights into disease pathophysiology. Ayurveda offers a unique perspective by attributing CVD pathogenesis to Dosha-specific Nidana, where Vata may linked to oxidative stress-induced mechanisms, Pitta to inflammatory processes, and Kapha to metabolic derangements. However, no prior study has directly examined the correlation between Dosha-specific Nidana and modern CVD biomarkers. Aim: To establish the correlation between Dosha-specific Nidana and cardiovascular biomarkers. Objectives: To evaluate Dosha-specific Nidana in recruited subjects. Methods: This cross-sectional observational study will recruit 170 participants (aged 40–75 years, ASCVD risk score >5%, with ≥3 CVD risk factors) from the OPDs of ITRA, Jamnagar, and GG Hospital, Jamnagar. Dosha-specific Nidana exposure will be assessed using a validated structured questionnaire. Cardiovascular biomarkers including lipid profile, fasting glucose, HS-CRP, Apo-B, LDH, and Ox-LDL will be measured using standard biochemical assays. Correlations will be tested using Pearson/Spearman coefficients and regression models. Conclusion: The study is expected to bridge traditional Ayurveda Nidana with contemporary biomarker-based CVD risk assessment, supporting a holistic and preventive healthcare model
Structural Anatomy of the Lung Hilum: A Gateway to Clinical Understanding
No full textIntroduction: The lung hilum, which has considerable asymmetry between the right and left sides because of mediastinal structures, is a crucial anatomical gateway where bronchi, pulmonary vessels, lymphatics, and nerves converge. Its intricate structure is essential for radiology and thoracic surgery, but it is also susceptible to diseases. Methods: A preserved human cadaver from a voluntary donation program (age 60, no pulmonary pathology) was used for a descriptive anatomical study. The cadaver was placed supine after ethical clearance. Lung mobilization followed sternotomy and midline thoracotomy. The bronchi, pulmonary arteries/veins, and lymph nodes were revealed by carefully dissecting the connective tissue surrounding the hilum on both sides. Findings: The superior lobar bronchus (eparterial) was always the most superior, followed by the pulmonary artery, and the right hilum was bigger and more vertically orientated. Most anterior was the superior pulmonary vein. There were many lymph nodes, particularly in the vicinity of the bronchus intermedius. The pulmonary artery was the most superior structure, arching over the main bronchus, which was positioned posteroinferiorly; the left hilum was smaller and orientated transversely. The artery is anterior-inferior to the superior pulmonary vein. Compared to the right, there were fewer and more widely spaced lymph nodes. Discussion: Based on mediastinal constraints and embryological development, this study demonstrates a clear hilar asymmetry. Important surgical landmarks are the left arching pulmonary artery and the right eparterial bronchus. The results are consistent with classical anatomy, but because of possible variations, they emphasise the necessity of preoperative imaging. The hilum\u27s clinical significance is highlighted by its susceptibility to infections, granulomatous diseases, and cancers. Thorough understanding of the hilum is still necessary for safe radiological and surgical procedures
Evidence-Based Insights: Analytical Exploration of Ayurvedic Therapeutic Approaches for Fallopian Tube Blockages - A Clinical Case Report
No full textIntroduction: Infertility is the inability to conceive after 12 months of regular unprotected intercourse, with identifiable causes in 85% of cases. Key factors include ovulatory dysfunction, male infertility, and tubal disease. Tubal blockage impacts 30%-40% of female fertility, with congenital abnormalities, inflammatory diseases, endometriosis, and other conditions causing obstruction. Around 30% of infertility in women is due to fallopian tube illness, with 10%-25% involving proximal obstruction. Tubal blockages in Ayurveda are linked to Sanga Sroto Dushti of Artavavaha Srotasa, involving Vata and Kapha Doshas. Ayurvedic therapies like Virechana, Basti, and Uttarabasti help restore tubal function by normalizing these Doshas, promoting conception. A case report demonstrates the effectiveness of these treatments in managing tubal blockage.
Materials and Methods: A case report highlights the management of infertility caused by bilateral fallopian tube blockage in a 34-year-old woman. The patient presented with a ten-years history of inability to conceive, Patients treated with Ayurvedic treatment involved Virechana (therapeutic purgation), Basti (therapeutic enema), and Uttarbasti (intrauterine medication). Pre- and post-treatment evaluations were conducted using hysterosalpingography (HSG), demonstrating the efficacy of Ayurvedic therapies in addressing tubal blockages and aiding conception.
Result and Conclusion: Ayurvedic therapies, including Virechana, Basti, and Uttarbasti, effectively treated bilateral fallopian tube blockage in a 34-year-old woman with infertility. Post-treatment hysterosalpingography confirmed normal dye spillage in both tubes, showcasing the efficacy of Ayurvedic interventions in restoring tubal function and fertility
Randomized Clinical Study to Evaluate the Efficacy of Punarnavadi Ksheera Basti and of Punarnava Gokshuradi Ksheera Basti in subjects of Chronic Kidney Disease (CKD)
No full textBackground: Chronic Kidney Disease (CKD) is a progressive disorder marked by declining renal function, metabolic imbalance, and increased cardiovascular risk. Modern medicine provides symptomatic relief until end-stage renal disease, requiring dialysis or transplantation. Ayurveda describes comparable conditions under Mutraghata, Mutra Krichra, and Vrikka Roga. As CKD involves Mutra Karshana done by Vata; Basti, the Chikitsa mentioned for Vataja Roga, is selected, as Management should focus on Shodhana, Brimhana, and Rasayana.
Objective: To clinically evaluate and compare the efficacy of Punarnavadi Ksheera Basti (Acharya Charaka) and Modified Punarnava–Gokshuradi Ksheera Basti (Bhaishajya Ratnavali) in CKD patients.
Methods: A randomized, double-arm clinical study was conducted on 30 CKD patients meeting inclusion criteria. Participants were randomly divided into Group A (Punarnavadi Ksheera Basti) and Group B (Punarnava–Gokshuradi Ksheera Basti). All subjects received Amapachana with Hareetakyadi Churna and Dhanyanagara Jala. Assessment included subjective parameters (oedema, pruritus, anorexia, nausea, weakness, pallor, oliguria, haematuria) and objective parameters (serum creatinine, blood urea, haemoglobin, urinary albumin, eGFR). Statistical analysis evaluated intra-group and inter-group changes.
Results: Group A showed marked improvement in 13.33% of patients, while 86.67% showed no significant improvement. Group B demonstrated better outcomes with 20% marked, 6.66% moderate, and 6.66% mild improvements. Inter-group comparison indicated superior improvement in Group B across subjective and objective measures, especially oedema, oliguria, serum creatinine, and eGFR.
Conclusion: Modified Punarnava–Gokshuradi Ksheera Basti appears more effective than Punarnavadi Ksheera Basti in CKD management. Larger studies are recommended