Journal of Ayurveda and Integrated Medical Sciences (JAIMS)
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An Integrative approach with IFTAK, Tube in the Tract and Tropis Technique in the management of Complex Anal Fistula - A Case Report
Managing a complex anal fistula presents significant challenges due to potential risks of anal sphincter damage leading to fecal incontinence, high rates of recurrence, delayed wound healing and difficulty for proper drainage of tract. This case came to our OPD with complaints of recurrent painful swelling over perianal region and Pus discharge from anal canal for 2 months. The case was diagnosed as a case of complex fistula in ano which was managed by an integrative approach. Interception of fistulous tract along with application of Ksharasutra (IFTAK), Transanal opening of intersphincteric space and tube in tract technique. Post-operatively after 7 days of analgesics and antibiotics the patient was given Kaisora Guggulu Tab, Guggulu Thikthakam Kashaya, Guggulu Panchapala Choorna and sitz bath with Triphala decoction. Post-operatively wound Cleaning was done with betadine ointment which was changed to Nimba and Triphala Kashaya after 7 days. Post-operative wound was Completely healed within 16 weeks. For the last year, patient is free from symptoms and no recurrence has been reported till now
An analysis of the core concepts of Yoga Darsana with comparative reflections on Samkhya
Indian philosophy consists of various schools of thought known as ‘Darsanas’, which explore the nature of reality, consciousness, and the ultimate goal of life. The foundational ideas of darsanas are rooted in the Vedas and Upanishads. Darsanas are classified into Astika and Nastika. Among the Astika Darsana, Yoga Darsana holds a distinct place. The principles and practices of Yoga are found in Vedic and Upanishads. Yogadarsana was developed on the philosophical foundation laid by Samkhya Darsana. Although it incorporates meditative techniques and spiritual insights from Buddhism and Upanishads, Yoga remains closely aligned with Samkhya in many aspects. It adopts Samkhya’s metaphysical framework with minor modifications. Samkhya views liberation as a purely intellectual realization of the distinction between Purusha and Prakriti through philosophical reasoning. Yoga emphasizes practical methods to achieve this goal through discipline, detachment, and ascetic practices. It advocates the eightfold path to gain mastery over body and mind, ultimately leading to liberation. The core teaching in Yoga is the cessation of mental fluctuations, which enables the individual self to unite with the universal self. Another significant distinction between Samkhya and Yoga lies in their views on the existence of God. While Samkhya does not accept God, Yoga affirms the existence of God. Even though there are similarities between Samkhya and Yoga, they also differ in certain principles. This paper aims to review the fundamental doctrines of Yoga Darsana and offers a comparative analysis of metaphysical views, psychological perspectives, and paths to liberation presented in both Samkhya and Yoga
Clinical evaluation of Jalauka-Avacharan and Shaman Aushadhi in the management of Spider Veins (Siraj Granthi) - A Case Study
Varicose veins are dilated, enlarged, and tortuous veins, commonly caused by defective valves primarily affect the superficial venous system of the lower limbs, involving either the long or short saphenous veins. Varicose veins are categorized into trunk varicosities, reticular veins, and telangiectasia, with the latter also known as spider veins. Spider veins appear as red or blue web-like patterns close to the skin but typically do not cause physical discomfort. In Ayurveda, this condition correlate with Siraja Granthi managed effectively through para-surgical procedures like Raktamokshana (bloodletting). This case study involves a 52-year-old male with itching, numbness, and tingling sensations, along with bluish, dilated veins extending from the knee to the feet. The patient underwent leech therapy (Jalukaavcharan) alongside Ayurvedic medications, resulting in significant symptomatic relief and reduced varicosity. This case highlights the efficacy of Ayurvedic interventions as a sustainable alternative for managing spider veins
The Concept of Dhi, Dhriti and Smriti in relation to Mental Disorder w.s.r. to Modern Lifestyle
Ayurveda, an ancient system of traditional medicine, is known as "the science of life." Its primary goal is to maintain and preserve physical and mental health.[1] and provides holistic approach to integrates the mind, body and soul. A proper balance of Dhi, Dhriti, and Smriti is essential for preserving mental health and preventing mental disorders. The physical mind, or Manas, is closely linked to Dhi (intellect), Dhriti (information processing), and Smriti (memory). Dhi represents intelligence, aiding in learning, focus, and understanding. For Dhi to function optimally, the Vata dosha must be balanced. Dhriti involves the chemical and electrical processing of information, which is associated with the Pitta dosha. Smriti is the ability, to remember, and its proper functioning requires a balanced Kapha dosha. When these three elements are well-coordinated, mental health remains in balance. Modern lifestyles - marked by stress, poor eating habits, and sedentary behaviour - can adversely affect Dhi (intellect), Dhriti (willpower), and Smriti (memory), which are essential for optimal mental and cognitive functioning according to Ayurveda. This disruption may lead to weakened memory, reduced concentration, and impaired decision-making abilities. Daivavyaprashraya, Yuktivyapashrya, Satvavajaya Chikitsa, Aachara Rasayana, Dinacharya, Ritucharya and Yoga therapy is described in Ayurveda for resolving these ailments
Role of Ahara and Yoga in the Prevention of thyroid disorder
High medicinal value is demonstrated by recent research and ancient Ayurvedic literature. Yukti and assessment of Nidana Panchaka is necessary to understand Anukta Vyadhi; thyroid disorder ‘s characteristics are included in Galaganda, Shotha (inflammation), Pandu (anemia), Kshaya (debility), etc. but aren\u27t specifically addressed. The sole available treatment, hormone replacement therapy, provides a broad avenue for clinical research aimed at restoring glandular function. One of humanity\u27s greatest gifts from the sages of ancient India is Ayurveda. The three main pillars of Ayurveda - Aahar, Nidra, and Brahmacharya - are the key to both health and disease, not the use of medications, chemicals, or specialized therapies. Aahar, referred to by Kashyapa as Mahabhaishjya, is a preventive measure for a number of illnesses. The prevalence of lifestyle disorders has significantly increased in the modern era as a result of unhealthy lifestyle choices, such as inadequate sleep, exercise, and diet. Diabetes Mellitus ranks higher than hypothyroidism, according to the WHO. When the thyroid does not produce and release enough thyroid hormone into the bloodstream, the condition is known as thyroid disorder. In addition to physical symptoms, people with thyroid disorders frequently experience emotional or mental health problems. Yoga is a set of physical, mental, and spiritual exercises that have their roots in ancient India. The primary goal of this article is to apply yoga posture and practice to the treatment of thyroid disorder. Bandhas are the most potent yoga technique because they fundamentally alter the body\u27s internal chemistry. Thyroid disorder can be associated with the concepts of Agni Vishmaya, Kaphaavrita Vata, and Kaphaja Nanatamja Roga in Galaganda. This article discusses the etiopathogenesis of thyroid disorders, Nidana in accordance with ayurvedic texts, and thyroid disorder management with appropriate Aahara Kalpana and Yoga.[1
Alcoholism - A Fatally Addiction and it’s Etiology, Classification and Management through Ayurveda w.s.r. to Madatyaya
Madya (alcohol) has been present in our culture since ancient times, as far back as the Rigveda (3000 B.C.). Madatyaya is a condition that arises when a person consumes an excessive amount of Madya without considering individual factors such as Prakriti (constitution), Satmya (suitability), and Agni (digestive fire). In Ayurvedic classics, Madatyaya is classified into various types like Vatika, Paittika, Kaphaja, Sannipataja, Panatyaya, Paramada Panajeerna, Panavibhrama. Resuming excessive Madya consumption after abstinence can lead to Dhvamsak and Vikshaya, this can be considered as a withdrawal symptom of Madya Sevan. It is one of the most common disorder and is rapidly increasing worldwide. It is a major health concern across all cultural, geographical, educational, and economic boundaries. Improper use of Madya acts like a Visha (poison) in the human body, disrupting the normal functioning of Dosha, Dhatu, and Mala, it not only deteriorates the health of the individual but also affects the well-being of their family and society
Effective Ayurvedic Management of Ekakustha (Psoriasis) through Virechan and Shaman Chikitsa: A Case Study
Introduction: Psoriasis is a chronic, non-infectious inflammatory skin disease that is characterized by well-defined, silvery-scaled erythmatous plaques that prefer the scalp and extensor area and have a persistent, variable course. Because the patient\u27s look may be embarrassing, the sickness not only disrupts the patient\u27s bodily health but also their mental and social well-being. Among the Kshudra Kustha, Ekakustha (psoriasis) is a skin condition characterized by Aruna Varna (discoloration), Yana Masyoshakalalopamam (fish scale-like appearance), Mahavastu (extensive), and Aswdanam (not perspiration). And according to contemporary science, it is comparable to psoriasis. It\u27s an autoimmune condition.
Methodology: The purpose of this case study is to assess Virechan\u27s effectiveness in treating recurrent psoriasis. A 28 year Female presenting with psoriasis was diagnosed as Ekakustha as per Ayurveda. Virechana and Shaman Aushadhi were given to the patient. Sodhana (purification treatment) Virechan (purgation therapy), Samana Chikitsa (Internal medicines) along with stress management and strict diet was given to the patient with follow-up taken after every 15 days for 3 months. During follow-up period no recurrence observed.
Result: After treatment, patients was set gradually to normal i.e., eradication of the symptoms. Significant relief was achieved in complaints of Itching and scaling. Even her normal skin was recovered slowly.
Conclusion: This case supports the importance of personalised medication in management of Psoriasis. It also emphasizes the significance of Ayurveda management in reducing observed signs and symptoms of the disease. Further large-scale clinic trials can be helpful for drawing further conclusions
Conceptual review on scope of Agad formulations in Post Covid-19 conditions
Introduction: The novel corona virus disease 2019 is an illness caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-COV-2). In March 2020, WHO declared the Covid-19 outbreak a pandemic. The infected persons do get recover from the acute illness but there are Post Covid-19 complications which the patients may have to face. The virus is zoonotic, meaning it is transmitted between animals and people. Fresh cases of Covid-19 infections are reduced but Post Covid-19 complications are becoming a major cause of worry for healthcare providers across the globe. Post Covid-19 symptoms include fatigue, breathlessness, cognitive dysfunctions like confusion, forgetfulness, lack of mental focus or clarity, chest pain, headache, cough, palpitations, fever, etc. There is no specific medication to treat this after effects of disease. Agadtantra is one of the important branches of Ayurveda which deals with poisons of different origin i.e., Sthavar, Jangam, KrutrimaVisha and their management. Covid-19 is derived from Zoonotic disease and can be correlated with JangamVisha. Various Agad formulations have been described in SamhitaGranthas which can suppress the symptoms like Post Covid-19 effects, eg- DushivishariAgad. It is Vishaghna, Jwaraghna, Shwas-Kasaghna, Shoolahara, etc. as described by AshtangHrudayUttarsthan. Such properties of various Agad formulations may help combat the Post Covid-19 conditions. Methods: Various Samhita Granthas, articles, textbooks related to Post Covid-19 conditions and Agad formulations will be studied. Results & Discussion: Applicability of various Agad formulations in managing Post Covid-19 conditions will be discussed
Efficacy of Vardhamana Pippali Rasayana in the management of Post COVID-19 Syndrome - A Double Arm Randomized Clinical Trial
Introduction: Post covid syndrome is a complex, multifactorial illness that describes the residuals effects of the acute COVID-19 infection. Symptoms varies or relapse over time. Due to multiple system involvement, such cases need a holistic approach for follow-up care and the well-being of post-COVID recovering patients.
Aims: This study was planned to evaluate and compare the efficacy of Vardhamana Pippali Rasayana along with WHO rehabilitation guidelines and the effect of WHO rehabilitation guidelines alone in the management of post-COVID-19 Syndrome.
Materials and Methods: The present study was a double-arm randomized clinical trial with efficacy as an endpoint. Paired t-tests were used to test the significance of before, after treatment and after follow-up mean difference of variables within each group, paired t-test has been employed. ANOVA test was used to compare the significance of observed mean differences in intern groups comparison based on pre-test values of study variables. ANCOVA test was used for intra-group groups of comparison.
Result: In all assessment parameters in both subjective and objective parameters, a significant difference is observed proving the pre-eminence of Group A (Vardhamana Pippali Rasayana with WHO’s Rehabilitation) intervention over Group B (Placebo with WHO’s Rehab.) with improvement in quality of life.
Conclusion: In post-COVID syndrome, there is vitiation of Vata and Kapha Dosha. Pippali has been reported to possess immune-modulatory, antioxidant, and antimicrobial activity. Moreover, it is one of the best Rasayana (Rejuvenate) for Pranavaha Srotas (respiratory system) Further, the use of Pippali in Vardhamana form acts as a bioavailability enhancer and also have a multi-pharmacological action on different system. Thus, Vardhamana Pippali Rasayana is effective in the management of post- COVID Syndrome
Integrating Ayurvedic therapies in Cancer Treatment - A Holistic Approach to Tumor Management
The science of Ayurveda, one of the earliest healthcare traditions of India, highlights the role of herbal remedies in maintaining health and in preventing abnormal tissue growth since ancient times. At present, scientific interest has shifted more towards complementary and alternative strategies for managing cancer. In Ayurvedic literature, especially in the Charaka[1] and Sushruta Samhitas, such disorders are categorized as Granthi (denoting a minor tumor-like swelling) or Arbuda[2] (representing a major, progressive neoplasm). "Ayurveda explains normal physiology through the harmony of Vata, Pitta, and Kapha, which can be compared to nervous, circulatory, and structural functions of the body. When malignant tumors develop, this harmony is disrupted, and all three Doshas act in a disordered way, causing degeneration of tissues and a critical state. Such imbalance produces a metabolic disturbance that favors abnormal cell multiplication.