Journal of Ayurveda and Integrated Medical Sciences (JAIMS)
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A case study of Ayurvedic management of Ankylosing Spondylitis w.s.r. to Prabruddha Amavata
Ankylosing spondylitis (AS) is a rheumatic disease with various skeletal & extra-skeletal manifestation which belongs to a group of rheumatic disease known as spondyloarthropathies (SPA) which shows a strong association with genetic marker HLAB27. It is an inflammatory disorder of unknown aetiology characterised by prominent inflammation of spinal joints & adjacent structures leading to progressive & ascending body fusion of the spine. Inflammatory back pain & & stiffness are prominent features in the disease, whereas chronic aggressive condition/stage, there may be production of marked axial mobility or deformity along with pain. From the Ayurvedic perspective, Ankylosing spondylitis can fall under Prabruddha Amavata which may be effectively managed when intervention is started in its early stage. There is no specific satisfactory treatment in modern science for this disease. Few Ayurvedic medications, are found to be effective in the management of AS. Here a case of AS managed by Ayurvedic treatment approaches has presented. A criterion Assessment was based on BASFI index of total 2 both before & after treatment. Abhadya Churna, Panchatiktaka Ghrita Guggulu, Mahasudarshana Ghana Vati were used during treatment. Patient has showed good improvement on BASFI
Case report of a 1.5-year-old male child with global developmental delay through Ayurvedic treatment modalities
Developmental delay poses a significant concern in early childhood, often going unnoticed due to inadequate screening. In India, its prevalence among children under 2 yrs old range from 1.5 to 2.5 %.[1] While growth involves quantitative cell mass increase, development entails gradual nervous system maturation. Central nervous system maturity is crucial for skill acquisition and milestone achievement. Identifying growth retardation is straightforward, but recognizing developmental delays requires awareness.[2] Developmental delay manifests as failure to reach age - appropriate milestones in multiple domains. Persistence of primitive reflexes beyond expected age indicates potential delay. Early screening and intervention have proven effective, with Ayurvedic methods offering promising prospects. To study these benefits, we have administered different Ayurvedic treatment modalities on a one and half year-old male child. The child was clinically evaluated where he was seen to have delay in attaining milestones in motor, mental, social and language milestones. He was under IPD admission for 3 sittings where he was administered with Sarvanga Abhyanga, Matra Basti and Nasya
Case study on Ayurvedic management of Sitapitta (Urticaria) with Bilwadi Agad - A Toxicological Perspective
Sitapitta (Urticaria) is a common dermatological condition characterized by recurrent episodes of itchy, red, raised skin rashes. Ayurveda attributes its pathogenesis primarily to the vitiation of Vata and Pitta Doṣa, often aggravated by Viruddha Ahara (incompatible dietary combinations) and Ama (metabolic toxins formed due to impaired digestion). This case report presents the Ayurvedic management of a 52-year-old woman suffering from chronic recurrent urticaria for six months. The episodes were consistently triggered after consuming incompatible food combinations such as milk with sour fruits and curd at night. Associated symptoms included indigestion, bloating, constipation, and a coated tongue, suggestive of Ama accumulation. The treatment protocol emphasized the use of Bilwadi Agad, a classical Agada (antitoxic) formulation, complemented with Gandhaka Rasayana, Haridra Khaṇḍa, and strict dietary modifications to eliminate Viruddha Ahara. Significant improvement was observed within two weeks, with complete remission by the end of three weeks. No recurrence was reported at one-month follow-up. This case highlights the role of addressing Viruddha Ahara and Ama in managing Sitapitta effectively. Ayurvedic detoxification, Doṣha balancing, and dietary correction provided sustainable relief, underscoring the relevance of Ayurvedic toxicology in such hypersensitivity skin disorders
Evaluation of effect of Koladi Upanaha Sweda in Janu Sandhigata Vata (Knee Osteoarthritis) w.s.r. to Retain Time on Skin
Introduction: Upanaha Sweda is one among the modality of Swedana Karma used widely in the management of Janu Sandhigatavata, which is found to be helpful clinically. Materials and Methods: This single-blind clinical study evaluated the efficacy of Koladi Upanaha Sweda, with retain time on skin, for managing Janu Sandhigatavata. The study aimed to assess its effects on Pain, Swelling, Stiffness, Crepitus, Range of Movement and quality of life in patients with knee OA. Sixty patients with primary knee OA, aged 40-70 were randomly assigned to two groups. In Group A, Koladi Upanaha Sweda applied over the affected knee joint and retained for 12 hours. Group B received the same treatment, but the mixture was retained for 3 hours daily over 14 consecutive days. Both subjective and objective parameters were used to evaluate the treatment based on clinical observations before and after the intervention. Data were analyzed using the Wilcoxon Signed-Rank Test and Mann-Whitney U Test. Results: Total results were assessed on the basis of percentage improvement in the clinical features. It was observed that patients of Group A showed better results as compared to Group B. In Group A, patients showed complete remission in Pain, Stiffness, Crepitus and Range of Movement. Patients showed maximum improvement in Swelling. In Group B, Patient showed complete remission in Pain, maximum remission in Stiffness, moderate improvement in Swelling and Crepitus and mild improvement in Range of Movement. Discussion: This study offers evidence for the use of Koladi Upanaha Sweda as a complementary treatment for knee OA, with recommendations for further research to validate the long-term benefits
A Case Study of Tubal Blockage Management by Uttar Basti
Tubal blockage is a leading cause of female infertility, contributing to 25-35% of cases globally. Conventional treatments, such as surgical interventions or assisted reproductive technologies (ART) like in vitro fertilization (IVF), are often invasive and costly. Ayurveda, an ancient Indian medical system, offers a non-invasive alternative through Uttar Basti, an intrauterine instillation therapy aimed at clearing blockages in the fallopian tubes and restoring reproductive health. This case study examines the application of Uttar Basti in a 32-year-old female patient with bilateral tubal blockage, detailing the treatment protocol, clinical outcomes, and implications for integrative fertility management. The patient achieved partial tubal patency and successful conception after three cycles of Uttar Basti, highlighting its potential as a viable therapeutic option. This study underscores the need for further research to validate and standardize this Ayurvedic intervention
Fungal Infection of Skin in Diabetic Mellitus (DM) Patients - An Ayurvedic View
Diabetes mellitus (DM) is a metabolic disorder and is becoming one of the largest emerging threats to public health in the 21st century. Infectious diseases are more prevalent in individuals with DM. Between 30-70% of patients with DM, both type 1 and type 2, present with a fungal skin infection at some point during their lifetime.[1] The increased frequency of infections in diabetic patients due to the hyperglycaemic environment that Favor’s immune dysfunction. thus, infections occur more frequently in DM. Not only are they more frequent, but these infections appear to have a poorer response to therapy and more progress rapidly to severe forms. The signs and symptoms of fungal infection can be correlated in Ayurveda as Dadru, based on its pattern of spreading, morphology of lesion, itching and chronicity. Dadru is classified under Kshudrakushta by Charka Samhita and Mahakushta by Susrutha Samhitha and Ashtanga Hridaya. The fungi thrive in warm moist environments. Diabetics mellitus is correlated in the Ayurvedic literature with Prameha. Which is described just before the Kustha. Both the diseases are categorized under santharpanajanya Vyadi[2] and share similarities such as Nidana etc. Therefore, this article aims to critically review, association between the DM and fungal infection
Formulation and Evaluation of Rasa Pushpa: An Ayurvedic Pharmaceutical Study
Rasa Pushpa is a Kupipakva Kalpana. Kupipakva formulations. Rasa Aushadhi hold superior position in Ayurvedic therapeutics due to its small drug dose, rapid action, desired result, long shelf life and palatability. The details of the Rasa Pushpa preparation, its qualities and utility are available in the text Rasa Tarangini. According to Rasa Tarangini Rasa Pushpa is an effective drug in wounds caused due to Syphilis. Hence this study was planned to assess the pharmaceutical preparation. Materials & Methods: Rasa Pushpa was prepared according to preparation method mention in Rasa Tarangini. Discussion: It is easy to prepare, easy to handle, less time consuming and most convenient way to prepare Rasa Pushpa is Kupipakkwa method. Conclusion: Rasa Pushpa, a formulation with various therapeutic indications is easy to prepare and store
A Clinical Comparative Study of Nimba Kshara Sutra and Palasha Kshara Sutra in the Management of Arsha w.s.r. to Haemorrhoids
Introduction: Ayurveda is known to mankind since maybe existence of life on the Earth it is the faithful traditional healthcare system in world now in modern era due to sedentary lifestyle irregular food habits an mental stress, disturb the digestive system resulting in too many diseases among them Arsha is quite common .In Ayurveda It is stated Arsha occur due to Mandagni and Mala Sanchaya it is included under Ashtamahagadas owing to difficulty in its management. Acharya Sushruta mentioned the four therapeutic measures for the management of Arshas are Bheshaja Chikitsa, Shastrakarma, Kshara Karma and Agnikarma. Among these Acharya Chakrapani has mentioned Ksharasutra as treatment modality in the context of management of Arsha. It minimizes the rate of complication and recurrence. It allows patients to resume work quickly and less discomfort at a reduced cost. Kshara Sutra treatment has become standardized and popular now a days and exploration of new drugs for Kshara preparation which is easily available and cost effective for Patients.
Objective: To evaluate the efficacy of Nimba Kshara Sutra in comparison with Palasha Kshara Sutra in the management of Arsha.
Methodology: Total 60 no. of patients diagnosed with Arshas randomly selected patients were equally divided in to two groups, Group A - Nimba Kshara Sutra, Group B – Palasha Kshara Sutra. The effect of treatment were assessed on the basis of parameter of bleeding per rectum, Pain, Mucous discharge, falling of pile mass.
Results: The patients of both the group were completely relived from all the assessment parameter within 21 days after the procedure.
Discussion: This study proved the efficacy of Kshara Sutra in the management of Arsha and found that Nimba Kshara Sutra as an effective than Palsaha Kshara Sutra
Management of Parkinson’s (Kampavata) through Panchakarma: A Case Report
Parkinson’s disease is a progressive, degenerative neurological disorder primarily affecting the geriatric population. It occurs when neurons in the basal ganglia, responsible for movement control, become impaired or die, leading to reduced dopamine levels. This results in tremors, muscle rigidity, akinesia (loss of voluntary movement), postural instability, and various cognitive and neuropsychiatric symptoms. In Ayurveda, Parkinson’s disease can be correlated with Kampavata, a Vataja Nanatmaja Vyadhi (neurological disorder caused mainly by Vata Dosha). Ayurvedic texts recommend Panchakarma therapies such as Abhyanga (massage), Swedana (sudation), Niruha Basti (decoction enema), Anuvasana Basti (oil enema), Shirobasti (head oil treatment), and Virechana (purgation) for Kampavata management. A 62-year-old male patient presented at ITRA Hospital with tremors and stiffness in bilateral upper and lower limbs, difficulty in speech, difficulty in walking and slowness of movements for 15 years. Diagnosed with Parkinson’s disease, he had been on allopathic treatment (Syndopa plus 125 mg, 8 times/day). At ITRA Hospital, he underwent a 30-day Ayurvedic regimen including Abhyanga, Swedana, Yapana Basti (nutritive enema), and Nasya (nasal administration of medicated oils). Following the treatment, the Parkinson’s Disease Composite Scale (PDCS) reduced from 47 to 15 and the Syndopa dosage decreased from 8 to 3 times/day. The patient showed moderate improvement in motor function and overall quality of life. This case suggests that Panchakarma can be a beneficial adjunct therapy for Parkinson’s disease, complementing conventional treatment and potentially reducing medication dependency
Management of Kamala (Alcoholic Liver Disease) through Ayurvedic Shodhana and Pathya Ahara: A Case Series
Ayurveda has a long-standing tradition of effectively managing liver disorders. Although the term "Alcoholic Liver Disease" (ALD) is not explicitly mentioned in classical Ayurvedic literature, it is widely correlated with Kamala based on overlapping pathological features and clinical manifestations. In the modern era, industrialization and a fast-paced, competitive lifestyle have contributed to a rise in ALD, which currently accounts for 5.3% of global deaths and 5.1% of the global disease burden. Contemporary medical approaches to ALD are primarily symptomatic, whereas Ayurveda offers a holistic treatment protocol that emphasizes Shodhana (detoxification) and Rasayana(Rejuvination) therapies. Classical Ayurvedic texts prescribe Virechana (purgation therapy) as the principal treatment for Kamala, succinctly expressed as "Kamale Tu Virechane." This case series presents 3 male patients diagnosed with ALD, who were successfully treated through an integrative Ayurvedic regimen. The treatment protocol included Vasaguduchyadi Kashaya, AYUSH-64 tablets, and a proprietary formulation Cytozen capsules as a Nithya Virechana (daily purgation) combined with targeted dietary and lifestyle modifications. Notable improvements were observed in clinical symptoms such as Daurbalya (weakness), Kshudha Mandya (loss of appetite), Pitamutrata (yellow urine), Hrullasa (nausea), and Udara Shoola (abdominal pain). Laboratory findings also showed significant reductions in elevated bilirubin levels and normalization of other liver function parameters. These findings support the potential of Ayurvedic interventions as effective and comprehensive alternatives in the management of ALD