Journal of Ayurveda and Integrated Medical Sciences (JAIMS)
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A Critical Analysis of Ardhavabhedaka and its Chikitsa through Yogasanas
No full textDue to rapid urbanization, expectations for better life style, work pressure, change in climatic conditions etc, there is a lot of stress to people of every age group which cause many acute and chronic disorders with varying severity. This mainly causes many neurological diseases. Aacharya’s in classical texts, have mentioned about 11 types of Shiro Roga’s from that Ardavabhedaka is one of the common types of Shiro Roga. The clinical feature of Ardhavabhedaka is almost similar to Migraine. In migraine mostly analgesics are prescribed to subside the pain, but they cause adverse effects to other organs of the body. As India has the highest prevalence of migraine cases globally. In this article, an Ayurvedic and Yogic approach to cure the Ardhavabhedaka (migraine) with less or no side effects is discussed
A comprehensive view on the applicability of Samanya - Vishesha Siddhanta
Get PDFAyurveda is the science of life that focusses on both prevention and cure of diseases. Its wisdom is rooted in various theories and principles, among which Samanya-Vishesha Siddhanta is fundamental. Samanya refers to similarity, while Vishesha denotes dissimilarity; by applying this principle, Ayurveda effectively cures many ailments through the balance of similar and opposing qualities. Some factors deficient in body corrected by substituting with substances similar in character (Samanya). Some factors excess in body, reduced by supplying dissimilar substance [Vishesha]. Thus, specific Dravyas, Gunas and Karmas are employed to treat various diseases and maintain the balance of Doshas, Dhatus, Mala
Clinical trial to evaluate the addon effect of Vimlapana Karma in Dushta Vrana w.s.r. to Varicose Ulcer: A Randomised Controlled Trial
Get PDFDushta Vrana, associated with delayed healing and correlated with varicose ulcers, arises from venous insufficiency. According to Sushrut Samhita, Ayurvedic treatments like Vimlapana Karma and Jalaukavacharana are emphasized for their wound-healing and anti-inflammatory properties, while Saptopakrama and Shasti Upakrama address Vrana Shopha and Vrana. This study explores the additive effect of Vimlapana Karma on the standard treatment of Jalaukavacharana for Dushta Vrana. Forty patients with Dushta Vrana were randomly assigned to two groups: Group A received wound dressing and Jalaukavacharana, while Group B received Vimlapana Karma and Jalaukavacharana, both over 21 days. Both Group A (Jalaukavacharana) and Group B (Vimlapana Karma with Jalaukavacharana) showed statistically significant improvements (p < 0.001) in ulcer size, edges, exudate, surrounding skin color, and granulation tissue formation. Combining Jalaukavacharana with Vimlapana Karma significantly enhanced wound healing and accelerated recovery in Dushta Vrana (varicose ulcers)
Study Protocol of an Open Label Randomized Comparative Clinical Trial to evaluate the efficacy of Shodhana Basti over Isabgol Husk in the management of Mala Avruta Pakvasyagata Vata (Chronic Functional Constipation)
Get PDFBackground: Constipation is used to describe symptoms that relate to difficulties in defecation. Contemporary laxatives, which are generally used in Constipation, become habitual after some duration and gives only symptomatic relief. So, it is a need of hour to search effective, safe & alternative formulations in Ayurveda, which can completely break the pathogenesis of Mala Avruta Vata. The formulation used in this study, i.e., Shodhana Basti is indicated for the treatment of Mala Avruta Pakwashyagata Vata. Objective: The Primary aim is to assess the effect of Shodhana Basti in the management of Mala Avruta Pakvashayagata Vata. The Secondary aim is to compare the efficacy of the Shodhana Basti and Isabgol Husk in Mala Avruta Pakvashayagata Vata. Methods: This ongoing study is an open-label randomized controlled interventional trial, with a sample size of 98 both in the trial and standard control group (including dropouts, 10%). Participants in the trial group will receive Shodhana Basti in the Kaala Basti pattern for a period of fifteen days. The participants in the control group will receive 5gm of Isabgol husk (Plantago ovata) in 200 ml of lukewarm water twice a day for 15days. Outcome Measures: The primary outcome will include the mean change in the symptoms of Mala Avruta Vata assessed by “Bristol stool form scale” and Pureeshavruta Vata assessment scale. The secondary outcomes will include the effectiveness of Shodhana Basti in the management of Mala Avruta Vata than Isabgol Husk. Ethics: Ethics approval was taken from the Institutional Ethics Committee following which recruitment will be commenced in January 2025. Clinical Trial Registration: CTRI/2024/10/075705 dated 23.10.202
Role of Ayurveda in Kushtha: A Literary Review
Get PDFSkin the outer covering of the body and is the largest organ of the body. The skin acts as protective barrier against physical, chemical and biological external agent. Skin disorders are among the most common health issues seen in clinical practice. Kushtha is a broad term which covers almost all the skin disease in Ayurveda. Kushtha is one of the dermatological disorders mentioned in all ancient Ayurvedic texts and it develops mutilation in the skin and develops deformity in the skin structures. Rakta Dusti is the main cause of Twak Vikaras with vitiation of Tridosha, Rasa, Mamsa, Ambu. Abnormal interaction of vitiated doshas with Rasadi tissues causes abnormal complexion of the skin and produces the deformity of tissues. Incompatible diet and activities associated with sinful activities leads to development of Kushtha. Sushruta was the first one who clearly described that Kushtha caused by one or more abnormalities in the genome, especially a condition that is present from birth (congenital) and it is passed down from the parents\u27 genes. There are two main categories of Kustha mentioned i.e., Mahakushtha and Kshudrakushtha depending on the Dhatugatavastha (involvement of the tissues) and signs and symptoms of the diseases. Acharyas have mentioned Shodhana and Shaman Chikitsa in Kushtha, especially Panchakarma therapy
Therapeutic approaches and clinical outcomes in Ayurvedic management of Ekakushtha (Psoriasis) : A Case Report
Get PDFBackground: Ekakushtha, a type of Kshudra Kushtha attributed to Vata and Kapha Dosha imbalance, shares clinical similarities with psoriasis - a chronic, non-communicable condition causing significant morbidity and negatively impacting the quality of life. Methods: A 64-years-old male presented with pruritic, dry, scaly lesions progressing to thick, erythematous patches across the abdomen, diagnosed as Ekakushtha at the OPD of Rasashastra and Bhaishajya Kalpana, Government Ayurved Hospital, Vadodara. The therapeutic approach involved oral ingestion of Panchatikta Ghrita Guggulu, Triphala Guggulu, Gandhaka Rasayana, and morning administration of a combination of Amalaki, Guduchi and Haridra Swarasa, alongside the local application of Gandhaka Malahara. The patient\u27s response was assessed over eight weeks using the Auspitz sign, PASI score, symptom improvement, and patient-reported outcomes. Results: Significant reduction in inflammation, itching, and scaling was observed, with substantial lesion improvement noted. The treatment regimen, administered for eight weeks with four weeks of follow-up, was well-tolerated without adverse effects. He was observed for twenty-four weeks after follow-up and no recurrence has been observed. Conclusion: This case study demonstrates effective management of Ekakushtha using Ayurvedic therapies including Panchatikta Ghrita Guggulu, Triphala Guggulu, Gandhaka Rasayana, and Gandhaka Malahara, resulting in marked clinical improvement and no recurrence at twenty-four weeks post-treatment. Thus, it can be concluded that Ayurvedic treatments seem to be effective options in the management of Ekakushtha
An Ayurvedic Approach to Amyotrophic Lateral Sclerosis - A Case Report
Get PDFAmyotrophic Lateral Sclerosis (ALS) is the most common form of progressive motor neuron disease, which characterised by progressive degeneration of cells of the lower cranial motor nuclei, anterior horn cells of the spinal cord and neurons of the motor cortex extending to the pyramidal tracts. ALS with multifocal onset might exhibit muscle stiffness & weakness in upper and lower limbs, muscle twitching, atrophy, slurred speech, dysphagia and loss of dexterity. In Ayurveda contexts, the signs and symptoms pertaining to ALS can be related to Kaphavruta Udanavata. In the present study the patient was presented with slurred speech, dyspnoea, reduced strength in right pollex, digitus secundus & medius, difficulty grasping objects in right hand, heaviness in right upper limb and dysphagia. The treatment administered were Snehana, Swedana, Matra Basti, Shiropichu and Shamana Oushadhi for a period of 42 Days (In patient – 12 days & Out patient – 30 days). The functional rating scale for ALS- revised (ALSFRS-R) was used for assessment. The ALSFRS-R scale before the treatment was 23 which was increased to 29 With remarkable improvement in dysphagia and moderate improvement in speech, strength in right pollex, digitus secundus and Medius and dyspnoea. The treatment was probably effective in preventing the late-stage complications of the disease, thereby improving the quality of life
Holistic approaches to Neurological Disorders
Get PDFThe nervous system, as the primary controlling, regulatory, and communication network of the body, orchestrates critical functions, including thought, learning, memory, and movement. In Ayurveda, the nervous system\u27s activities are governed by Vata Dosha, which is responsible for all bodily movements and central nervous system functions. Disorders arising from the vitiation of Vata are termed Vatavyadhi and encompass over 80 specific conditions (Nanatmaj Vyadhi). While Vata in its balanced state supports health, its deranged state can lead to debilitating conditions. Charaka classifies the etiology of Vatavyadhi into two primary categories: Dhatukshayajanya (degenerative conditions) treated with Brihana (nourishing therapies) and Margavarodhjanya (obstructive conditions) treated with Vata-Anulomak Chikitsa (therapies that restore the natural flow of Vata). Disorders involving sphincter disturbances and neurotransmitter dysfunction are also managed using Ayurvedic approaches, including Rasayana drugs for neural rejuvenation. Neurological disorders like epilepsy, Alzheimer’s, stroke, migraine, multiple sclerosis, Parkinson’s disease, and head trauma can result from various factors, including malnutrition and injuries. Ayurveda’s Panchakarma therapy offers a transformative approach to managing neurological disorders by detoxifying the body and eliminating vitiated doshas. Therapies such as Vaman (therapeutic emesis), Virechana (purgation), Basti (medicated enemas), Nasya (nasal administration), and Raktamokshan (bloodletting) are particularly effective in addressing vitiated Vata disorders. Additionally, Snehan (oleation therapy) and Swedan (fomentation therapy) provide significant relief in Vataj disorders by restoring balance and promoting overall neural health. This integrative approach combining modern diagnostics and traditional Ayurvedic interventions underscores the potential for holistic and personalized management of neurological disorders
Ayurvedic chemical cauterization in the management of Traumatic Tympanic Membrane Perforation - A Case Study
Get PDFIntroduction: Traumatic Tympanic Membrane perforation (TTMP) which heals within 2-3 weeks doesn’t heal after the squamous cell formation at the edges of the TMP. Such TTMPs are managed by surgical procedures such as myringoplasty which is costly and invasive. In recent advancements, trichloroacetic acid (TCA) cauterisation found effective as the first line of treatment in adults with small to medium-sized TMP. Such Non-Healing TTMP can be correlated with Dustavrana. Ksharajala is one such medicine indicated in the management of Dustavrana. Methodology: A 33-year-old female patient presented to our OPD with a history of trauma to the left ear two months back complaining of mild reduction in hearing. On examination, the edges of TTMP were covered by squamous cells inhibiting the healing of TMP. Hence, the patient was recruited for the study and was subjected to Apamarga Ksharajala application followed by lemon juice application, and Karna Pichu with Jatyadi Taila was done for 5 alternative days. Orally Sarivadi Vati and Ashwagandha Gritha were advised. Result: White eschar after every application of Ksharajala suggested cauterisation of edges of the TMP. Jatyadi Taila Karna Pichu helped in Vrana Shodhana. After 30 days of the last Ksharajala application, it was noticed that the complete TMP was healed without any complications. Discussion: Ksharajala cauterizes the edges of the TMP destroying the squamous epithelium enabling the growth of fibroblastic proliferation and healing of the perforated tympanic membrane. Jatyadi Taila helps in Vrana Shodhana and Vranaropaka. Sarivadi Vati which is Vrana Shodhana and Kledashoshaka and Ashwagandha Gritha as Balya, Yogavahi and Rasayana help heal the TMP
Modest Ayurvedic interventions in the management of Ekakustha w.s.r to Psoriasis: A Case Series
Get PDFPsoriasis is a non-contagious, long-lasting autoimmune and chronic inflammatory skin disorder clinically characterised by erythematous, sharply demarcated papules and rounded plaques, covered by silvery micaceous scale. As per Ayurvedic texts, Psoriasis can be co-related with Ekakustha which is Vata-Kapha transcendent Kshudra Kustha. The prevalence of Psoriasis is between 0.44% and 2.8% in India and affecting up to 1% of world’s population, with men twice as likely to be affected as women. It is most common in people in their 3rd or 4th decade of life. Ayurveda offers wide range of treatment option for this chronic disease under the broad heading Kustha. 5 patients of Ekakustha were selected from Panchakarma OPD. Classical Virechana Karma followed by Shamana Aushadhi (Mahamanjisthadi Kashayam, Arogyavardhini Vati, Gandhak Rasayan and Panchatiktaghrita Guggulu Vati), external application (Siddharthak Snan Churna and Brihat Marichyadi Taila) and lifestyle modification were prescribed for one month. After completion of treatment, marked improvement were noticed in subjective criteria, PASI score and pictorial representation. Follow up suggested no further progression of disease. Panchakarma therapy and Shamana Aushadhi along with lifestyle modification provides a safe and effective treatment option for Psoriasis, highlighting the potential of multi modal Ayurvedic interventions in Psoriasis