Journal of Ayurveda and Integrated Medical Sciences (JAIMS)
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Pharmacognostical and HPTLC Assessment of Nisha Swarasbhavit Amalaki Choorna: A Compound Ayurvedic Formulation
No full textNisha Amalaki is a prominent formula in Ayurveda that is frequently utilized in the control of Prameha (Diabetes Mellitus). In this study, 3 Bhavna (trituration) of Haridra juice (Swaras) has been provided to Amalaki Choorna (Emblica officinalis). Until now, no scientific studies have been documented regarding the impact of Bhavna on Amlaki Choorna with Haridra juice. The current research article is conducted to evaluate the variations in the pharmacognostical profile of Nisha Choorna prior to and following Bhavna and to standardize the formulation via Pharmacognostic and pharmaceutical assessments. Pharmacognostic methods such as lignified Scleroid of Amalaki, mesocarp cells of Amalaki, oil globule of Haridra, etc., were observed. HPTLC was performed in a suitable solvent system, where 10 and 6 spots were identified at 254 nm and 366 nm respectively
An Ayurvedic Management of Prameha - A Single Case Study
No full textDiabetes mellitus is the most debilitating endemic lifestyle disease, affecting the global economy, health care system, and society, and it is one of the current global issues that is receiving increased attention. India is among the top 5 nations with the highest rates of diabetes mellitus. 10.5% of adults aged 20 to 79 have diabetes, according to the IDF Diabetes Atlas (2021), and nearly half of them are not aware that they have the disease. One in eight adults, or 783 million people, will have diabetes by 2045, according to IDF forecasts, a 46% increase.[1] The signs and symptoms of diabetes can be correlated to Prameha in Ayurveda. Prameha can be divided into three groups according to Doshik predominance, each of which contains subtypes. They are divided into ten types of Kaphaja, four types of Vataja, and six types of Pittaja. with this, 10 Dusyas are also present, which are Meda, Mamsa, Shukra, Kleda, Shkra, Shonita, Vasa, Majja, Lasika, Rasa, Ojas. This Vyadhi has an Avasthanusara Bheda as well. It can also be classified as Krusha Pramehi and Sthoola Pramehi based on the Chikitsa element. An unhealthy lifestyle and food habits are the primary causes of Diabetes mellitus. A 73-year-old male patient with has known history of Diabetes mellitus for 35 years came to our OPD with complaining of numbness and pain in joints all over the body associated with a burning sensation in the soles for 8 months. On the basis of Pratyatma Lakshana, an Ayurvedic diagnosis of Prameha was made and managed with Madhu-Tailadya Yapana Basti and Shamana Oushadhi. The greatest progress was noted at the conclusion of the treatment. An attempt was undertaken to control Prameha Vyadhi in this particular case study by determining risk factors, removing them, and following a strict Ayurvedic diet
Role of Brahmi Siddha Ksheer Shirodhara in Premenstrual Syndrome-Induced Mood Swings - A Pilot Study
No full textBackground: Premenstrual Syndrome (PMS) is a common condition characterized by emotional and physical symptoms that interfere with daily functioning. Ayurveda describes Shirodhara—the rhythmic pouring of medicated liquids on the forehead—as a therapy to pacify Prana Vata and restore psychosomatic balance. Brahmi (Bacopa monnieri), a renowned Medhya Rasayana, possesses neuro-cognitive and stress-modulating properties.
Objective: To evaluate the efficacy of Brahmi Siddha Ksheer Shirodhara in alleviating mood swings associated with PMS.
Methods: A pilot interventional study was conducted on 30 female participants aged 16–40 years. Shirodhara with Brahmi Siddha Ksheer was administered for seven consecutive days, commencing ten days before menstruation, for three consecutive cycles. Outcomes were assessed using the Premenstrual Symptoms Screening Tool (PSST) before and after treatment.
Results: A significant reduction was observed in both Total Symptom Score (28.43 → 21.23; 25.3% improvement) and Functional Impairment Score (14.33 → 10.90; 23.9% improvement) with p < 0.05. Participants reported better emotional stability, reduced anxiety, and improved daily performance.
Conclusion: Brahmi Siddha Ksheer Shirodhara demonstrated promising results in mitigating PMS-induced mood swings through its calming, neuro-endocrine-balancing, and Vata-Shamaka effects. Its non-invasive nature and absence of internal medication suggest potential as a safe, effective adjunct in holistic PMS management
Morphological Variations of the Human Cadaveric Liver: A Comprehensive Review Focusing on Netter’s Type III classification
No full textThe liver, largest abdominal organ in the human body, is located in the right hypochondrium, epigastrium, and extending partially into the left hypochondrium. It lies just below the diaphragm and is largely protected by the thoracic cage where its superior surface conforms to the concavity of the diaphragm, and is separated from the thoracic organs by this muscular partition. It plays a vital role in metabolism, detoxification, and maintaining homeostasis. Owing to its anatomical location and embryological development, the liver is prone to considerable morphological variations. Although the segmental anatomy of the liver has been extensively researched, very few studies have dealt with surface variations of the liver. During routine dissection in the Department of Rachana Sharira, National Institute of Ayurveda (Deemed University), Jaipur, an adult cadaveric liver was observed with notable morphological variations. The liver had a saddle-shaped configuration, with an enlarged left lobe extending beyond the midline, irregular inferior border, and costal impressions along the superolateral surface. These findings represent the classical Types of liver as described in Netter’s classification. This study aims to focus anatomical study and literature review on morphological variations of the liver, especially as categorized by Netter’s classification. However, variations in liver morphology such as differences in size, shape, and the presence of accessory lobes or fissures can pose challenges in both diagnosis and surgical intervention. These anatomical variants are often asymptomatic and may mimic pathological conditions on imaging or complicate operative procedures if not properly identified. Therefore, a thorough understanding of normal and variant liver anatomy is crucial for clinicians, radiologists, and surgeons
A Case Report on Ayurvedic Management of Vaipadika (Palmoplantar Psoriasis)
No full textVipadika is one among the eleven Kshudra Kushta described in Ayurveda. It is characterized mainly by Paani Paada Sphutana (cracks/fissures), Teevra Vedana (severe pain) in the palms and soles explained by Acharya Charaka. It is usually associated with vitiation of Vata and Kapha Doshas. It is co-related with Palmoplantar psoriasis in modern science, which is an autoimmune disease. Skin conditions like Vipadika can affect self-confidence and influence social interactions. In conventional medicine there is no satisfactory treatment, whereas Ayurvedic treatment gives promising results in this condition. This is a case report of a 28 years female suffering with B/L cracked palms, roughness, peeling of the skin on palms, moderate pain, severe itching since one year. The case was treated with Shamana Aushadi & Bahya Snehana & Swedana along with lifestyle modifications. This is a dedicated effort to unfold the brighter side of Ayurvedic healing in Vipadika by alleviating the symptoms & causing no recurrence of disease
Ayurvedic Interpretation of Dhatus in the Regulation of Homeostasis - A Narrative Review
No full textAccording to Ayurveda, Dosha, Dhatu and Mala are vital for maintaining health and any imbalance leads to disease. This topic is important as it bridges traditional Ayurvedic wisdom with modern physiology, enhancing understanding of disease and treatment. Among these, Dhatu plays a key role in sustaining health. When Dhatus are balanced and in proper proportion, the body remains stable a state called Samayogavahi, reflecting internal homeostasis. Ayurveda’s Loka-Purusha Samya and Panchbhautik Siddhantas explain that both body and universe consist of five elements working together to maintain homeostasis. Dhatus, like Rasa, Rakta etc. embody these elements. Ayurvedic treatment applies Samanya-Vishesha Siddhanta to correct Dhatuvaishamya by balancing Vruddhi and Kshaya. Balanced Ahara, Vihara and Agni sustain Samayoga by regulating Doshas, Dhatus and Malas. While factors like Desha, Kala, Vaya and Prakriti affect this balance. Dhatuposhana Nyaya illustrates sequential metabolism controlled by Dhatvagni and Jatharagni to maintain Dhatusamyata. Hormones regulate tissue activity and Vipakas balance Doshas, preserving harmony between anabolic and catabolic processes. Practices like Dinacharya, Ritucharya and Prakriti-based routines help maintain homeostasis. Acharya Charak states that Ayurveda aims to maintain health by preserving Dhatusamya and treating Dhatuvaishamya. Loka-Purusha Samya Siddhanta shows that both universe and human body share same elements, through Samanya-Vishesha Siddhanta balance is maintained. This principle reflects harmony between humans and nature, supporting internal and ecological balance
Management of Eka Kushta in Children through Virechana Karma - An Ayurvedic Case Approach
No full textIntroduction: Eka Kushtha, a type of Kshudra Kushtha described in Ayurveda, is considered a Vata-Kaphaja disorder. The classical features of Eka Kushta are Aswedanam, Matsyashakalopamam, Mahavastu, Rukshata, and Kandu closely resemble the clinical features of psoriasis, including well-defined erythematous scaly plaques, silvery-white scaling, chronicity with remission and relapse, dryness, pruritus, and seasonal variation. Both conditions are chronic, recurrent, and relapsing dermatological disorders, affecting quality of life and psychological well-being. Thus, Eka Kushtha described in Ayurvedic texts can be correlated with psoriasis in modern dermatology.
Methodology: A 15-year-old female with 8-year history of Eka Kushtha presented with large erythematous scaly patches, severe itching, and dryness over extensor aspect of both upper arms and forearm nape of neck, back lower trunk region and below knee joint and USG revealed mild fatty liver and right adnexal cyst. Management included Virechana Karma followed by oral medications and Nidana Parivarjana.
Results: Marked improvement was observed post-Virechana with significant reduction in itching, scaling, and patch size. Further symptomatic relief and improvement in skin health were noted during oral therapy along with Nidana Parivarjana. Follow-up USG findings also revealed complete resolution of the right adnexal cyst and reduction in fatty liver changes, indicating systemic benefits of the Ayurvedic management.
Discussion: Ayurvedic management of Eka Kushtha demonstrates significant potential in psoriasis care by addressing root causes, preventing relapse, and improving quality of life without the adverse effects on skin immunity.
Conclusion: The Ayurvedic approach using Virechana Karma followed by Shamana Chikitsa showed marked improvement in symptoms of Eka Kushta. Systemic benefits, including resolution of fatty liver and adnexal cyst, were also noted. This highlights the holistic efficacy of Ayurveda in managing chronic skin disorders safely and effectively
Nimba Kalka and Yashtimadhu Taila in Dushta Vrana Chikitsa: A Case of Integrative Wound Management
No full textChronic non-healing ulcers in diabetes pose persistent therapeutic challenges due to delayed wound repair and frequent infection. Ayurveda correlates these conditions to Dushta Vrana[1], emphasizing Vrana Shodhana[2] (cleansing) and Vrana Ropana[2] (healing). This report presents the management of a chronic diabetic ulcer with classical Nimba Kalka[3] and Yasthimadhu Taila[4], combined with contemporary care. Substantial improvement was observed within three weeks, indicating the potential of integrative wound-management strategies
Clinical Utility of Ashayapkarsha Gati - A Review
No full textAshayapakarsha Gati is a distinct type of Dosha Gati described in classical Ayurvedic texts. It is firstly mentioned in Charak Samhita under Vishama Sannipata, where vitiated Vata displaces normally situated Pitta or Kapha from their respective Ashayas, leading to symptoms or disease manifestation. Understanding this concept is crucial for diagnosing and managing conditions that present with non-classical symptoms. A textual review and conceptual analysis of Ashayapakarsha Gati were conducted using primary Ayurvedic texts such as Charak Samhita, Ashtanga Hridayam, and Madhavnidan. The main aim of the paper is to elaborate Ashayapakarsha Gati, its relevance in Vyadhi Samprapti and Chikitsa Siddhanta. The review highlights that Kshina Dosha creates a pathological void, allowing Amurta Vata to mobilize and displace normally situated other Doshas. This results in symptoms unlike the typical Samprapti. Misinterpreting these symptoms as Dosha Vriddhi can lead to incorrect treatment. The appropriate approach involves Vata Prashamana and re-establishing the displaced Dosha at its own Ashay. Ashayapakarsha is essential for understanding Anukta and Asadharana disease presentations. Understanding Ashayapakarsha Gati enhances diagnostic precision in atypical disease presentations and guides appropriate treatment planning
Post-Operative Pain Management in Ayurveda: A Comprehensive Review
No full textPain is the most common and distressing symptom in the post-operative period. Inadequately managed pain delays recovery, prolongs hospitalization, and increases morbidity. Modern pharmacological approaches employ NSAIDs and opioids, but these carry adverse effects such as gastritis, renal impairment, respiratory depression, and dependence. Ayurveda, the science of life, attributes pain (Śūla, Vedanā) primarily to aggravated Vāta Doṣa. Post-operative pain (Śastra-Vyāpāda-Janya Śūla) is thus conceptualized as Vāta-Pradhāna Vyādhi. Classical texts prescribe Snehana, Svedana, Basti, Lepa, Ghṛta and Rasāyana Jatyādi Ghṛta, Mātrā Triphalā Rasāyana therapies to alleviate pain, restore strength, and accelerate wound healing. Specific formulations like Bala Taila Basti, Guggulu, and Gandhaka are highlighted for their analgesic and healing properties. This review compiles classical references with Ślokas, practical treatment regimens, and modern evidence, emphasizing the scope of Ayurveda in post-operative pain management