International Journal of Ayurveda and Pharma Research
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An Observational Study to Establish A Correlation Between the Signs and Symptoms of Kurchashir Marma Viddha of Upper Limb and De Quervain’s Disease
Aim: This study aims to establish a correlation between the signs and symptoms of Kurchashir Marma viddha of upper limb and De Quervain’s disease through a detailed observational study. Materials and Methods: An observational study was conducted involving 30 patients diagnosed with De Quervain’s disease, confirmed using Finkelstein’s test. Patients were assessed for various signs and symptoms associated with both Kurchashir Marma viddha of upper limb and De Quervain’s disease. Results: The findings revealed that over 75% of patients with a positive Finkelstein\u27s test exhibited symptoms such as Aghataj Hetu (excess work), duration, Ruja (pain), Shoph (swelling), Sparshasahatva (tenderness), and Visual Analog Scale (VAS) scores. Additionally, more than 50% of patients reported symptoms related to fine work. Demographic analysis indicated that the majority of patients were aged between 20-40 years, with a higher incidence in males (53.3%). The study also found that 96.7% of patients had a history of excess work, and 76.7% presented with swelling over the thumb. Conclusion: The anatomical structures involved in De Quervain’s disease correlate with those of Kurchashir Marma. The symptomatology of Kurchashir Marma viddha of upper limb aligns closely with that of De Quervain’s disease, suggesting that the signs and symptoms of both conditions are similar. This study highlights the potential for integrating traditional Ayurvedic concepts with contemporary medical diagnoses to enhance understanding and management of these conditions
Ayurvedic Management of Asthenozoospermia
Infertility is a problem of global population and is defined as the inability to conceive even after one year of unprotected coitus. It affects about 10-15% couples and male factor is directly responsible in about 30-40% cases. Asthenozoospermia is a common cause of male infertility and is characterized by reduced sperm motility. The prevalence is 18.71% for asthenozoospremia and 63.13% for asthenozoospermia associated with Oligo-and/or teratozoospermia. According to WHO criteria 2021, asthenozoospermia is diagnosed when total motility is less than 42% or (Progressive and Non progressive) or progressive motility less than 30%. Ayurveda classics have elaborately explained about the causes of male infertility and more focus is given to the pathological conditions of Sukra along with its management, these are included under the concept of Ashta sukradushti. Grandhisukradushti caused by Kaphavatadoshadushti is one among them in which Sukra will be incapable to combine with the Beeja and it will be slowly progressive in nature thus becomes inefficient in the formation of Garbha, hence treatment aims at pacifying Kaphavatadosha. While analysing the clinical features, the condition Asthenozoospermia can be considered under Grandhisukradushti. A 35year old male patient attended the infertility clinic of Govt. Ayurveda College, Thiruvanathapuram, with complaints of primary infertility due to severe asthenozoospermia associated with seminal hyper viscosity since 6 years. The condition was diagnosed as Grandhi sukra dushti. Management focused on Deepana pachana, Kaphavata hara, Srothoshodhana, Vrishya, and Vatanulomana. Treatments given were Takrapana and Snehapana followed by Virechana. On follow up scan, total sperm motility was found to be improved and the patient’s female partner got conceived in the next cycle
Management of Sandhivata (Osteoarthritis) by an Ayurvedic Compound Drug
Sandhivata (osteoarthritis) is a disease of old age people and usually hampering the working hours and quality of life in number of peoples worldwide. We have found this Ayurvedic treatment very effective in the management of this disease. Hence a time bound clinical research work was framed for objective assessment of the improvement. The study was performed on osteoarthritis of knee joint over fifty patients. The diagnostic and assessment criteria were mainly clinical, along with visual analogue scale for pain and Algo Functional Lequesne Index (Knee) to assess the severity of knee osteoarthritis. The symptoms included were pain, swelling, stiffness, tenderness, joint crepitus and decreased movement. The drugs Sanjeevani vati, Dashamula kwatha, Punarnava mandura and Yava kshara were given for thirty days, with one follow up at fifteen days. There was a drop out of four patients during the trial. The pain (2.18±0.72), stiffness (1.93±0.72) and restriction of movements (2.28±0.81) are the three major complaints followed by crepitus (1.82±0.72), tenderness (1.43±1.10) and swelling (1.29±1.01). The initial score of severity of the disease was 9.75+4.16; which was reduced to 6.20+4.33 after 15 days and it was 3.49+1.16 at the end of the trial, this also gives a highly significant ‘t’ and ‘p’ score i.e. 15.11 and p< 0.001 respectively. So, the effect of combined therapy was evaluated moderate to high in reducing severity of disease. Some patient even told that they have felt relief in symptoms just on the 2nd day after starting the treatment
A Clinical Study of Cumulative Effect of Shwadanstradi Tail Manyabasti and Nasya in the Management of Manyastambha with special reference to Cervical Spondylitis
Manyastambha is a clinical condition of the neck region and is one of the prone disorders caused by vitiated Vata in working mid-aged population. Acharya Charak describes Manyastambha in eighty Nanatamaj vatavyadhis. However, As per modern science, Manyastambha can be correlated to cervical spondylosis. It is a common health problem encountered in practice whose prevalence increases with age, and is estimated to be around 95% by age 65. In this single arm pre-post experimental clinical study, without regard to sex, religion, or other factors, a total of 30 individuals with the defining signs and symptoms of Manyastambha were chosen for this research trial (cervical spondylitis). In the current study, Shwadanstradi Tail Manya Basti and Nasya as described by Acharya Charak in Chikitsa sthana were administered for 14 days, with a regular follow up of 8th, 14th and 21st days respectively without any internal medications and alteration in diet and lifestyle. Results showed that pain was reduced by 79.33% (VAS Scale), Stambha/stiffness 57.47%, and total neck mobility by 56.44% which were statistically significant. Statistically very significant results were also found in neck flexion (64.13%), neck extension (52.38%) and passive neck flexion (52.27%). Thus, conservative cumulative management of Manyabasti and Nasya of Shwadanshtradi Tail for a specific period when administered with proper duration dose and time relieves the clinical signs and symptoms of Manyastambha (cervical spondylitis) along with no side effects. Shwadanstradi Tail in the Matra of 100ml for Basti and 1 Bindu (8 drops) for Nasya found to reduce pain, neck stiffness, tenderness, radiation of pain and numbness
Dipana, Pachana, Agni, and Metabolism: A Synergistic Perspective on Health
In Ayurveda, the concepts of Dipana (enhancing digestive fire) and Pachana (burning or metabolizing toxins) play vital roles in maintaining health and vitality. These principles resonate deeply with modern scientific understandings of metabolism, the biochemical engine that powers our body. A closer look reveals intriguing correlations between Dipana and exercise, Pachana and fasting, and their mutual connection through the concept of Agni, the Ayurvedic term for digestive and metabolic fire. This article dwells into detailed analysis of these aspects along with their actions on the body
Role of Asatmyendriyartha Samyoga in Causation of Lifestyle Disorders
The rise of lifestyle disorders such as diabetes, obesity, hypertension, and stress-related conditions is attributed to unhealthy habits and environmental stressors. Ayurveda identifies their root causes as imbalances in the interaction between the body, mind, and environment, particularly through Asatmyendriyartha Samyoga (improper sensory engagement). This occurs when sensory organs (Indriya) and their objects (Artha) are used excessively, insufficiently, or inappropriately, leading to physical, mental, and emotional disharmony, toxin buildup, and chronic diseases. The Charaka Samhita highlights three causative factors: Kaala (time), Buddhi (intellect), and Indriyartha (sensory interactions), emphasizing Asatmyendriyartha Samyoga\u27s critical role. Modern triggers, such as excessive screen time, unhealthy diets, and noise pollution, exacerbate this misalignment, resulting in stress, weakened immunity, and lifestyle-related diseases. Prajnaparadha (intellectual errors) and Manas (mind) further aggravate these conditions by disrupting cognitive and emotional balance, contributing to psychosomatic disorders like anxiety and depression. Preventive strategies in Ayurveda include Dinacharya (daily routines), Ritucharya (seasonal regimens), Sadvritta (ethical conduct), Achara Rasayana (rejuvenative practices), and Nidana Parivarjana (elimination of causes). These promote balanced sensory engagement, resilience, and holistic well-being. Ayurveda emphasizes mindful living and conscious sensory alignment to prevent disease and enhance longevity. By restoring harmony in sensory interactions, individuals can achieve sustainable health, resilience, and a life aligned with Ayurvedic principles of well-being
Add on Effect of Sthanika Chikitsa in Second Degree Uterine Prolapse along with Standard Conservative Management, Pelvic Floor Exercise
Uterine prolapse is a type of pelvic organ prolapse where the supporting pelvic structures of the uterus weakens and result in the descent of the uterus from its normal position. This condition may arise from the gradual failure of the supporting and suspensory structures of the uterus and vaginal wall over time. Most important conservative management involves pelvic floor exercises. When conservative management fails, surgery is the only treatment option. Yonirogas which show features of pelvic organ prolapse are Prasramsini, Andini, Phalini, Mahayoni and Vatiki. Among them, Prasramsini can be most suitably correlated with 1st and 2nd degree uterine prolapse[1]. The management principle of pelvic organ prolapse includes Vathika yoni roga chikitsa along with Sthanika chikitsa. Treatment mainly aims at Vathasamana, Brimhana, Sandhana, Balya and strengthening of pelvic floor musculature. This case report explores the add-on effect of Sthanika chikitsa particularly Yoni abhyanga, Yoni pichu dharana and Matra vasti with Dhanwantharam thailam and Avagaha with Dasamoola kwatha in second degree uterine prolapse with standard conservative management, pelvic floor exercise. Symptomatic relief and functional improvements were observed after 3 months of combined therapy, suggesting the additive benefits of integrating Sthanika chikitsa into standard conservative management
Ayurvedic Management of Anorexia Nervosa
Anorexia nervosa (AN) is a complex eating disorder characterized by extreme food restriction, intense fear of gaining weight, and a distorted body image. One-year prevalence of anorexia nervosa is 0.16% for females and 0.09% for males. Ayurveda approaches to addressing both the physical and mental aspects of Anorexia Nervosa (AN). From an Ayurvedic perspective, AN can be interpreted as Kapha-Pittika Unmada, a mental imbalance caused by the aggravation of Kapha and Pitta doshas, which impacts both nutritional and psychological well-being. Methods: 17-year-old male patient, recently exhibited increased food intake followed by self-induced vomiting and has been hiding food and diagnosed with anorexia nervosa, referred to as Kapha-Pittika Unmada in Ayurveda. The treatment protocol was designed to target Kapha and Pitta imbalances while strengthening the Manovaha Srotas to support the patient’s physical and psychological recovery. Ayurvedic interventions included internal and external therapies aimed Shodhana, Shamana and Satvavajaya measures. Results: The patient demonstrated positive outcomes, including gradual weight gain, improved dietary habits, and a decrease in elimination behaviors. Psychological improvements were also noted, particularly in terms of reduced anxiety and improved mood and quality of life also improved. Discussion: The treatment protocol included Samana (pacifying therapies), Shodhana (cleansing therapies), Dhara (therapeutic pouring of medicated liquids), Thalam (application of medicated paste to the head), and Dhupanam (medicated fumigation) along with Satvavaja measures. Future studies should investigate the integration of Ayurvedic treatments with modern psychological therapies to establish comprehensive and sustainable treatment protocols for anorexia nervosa
An Ayurvedic Approach to Improving Anti-Mullerian Hormone: Essential Preparation for Assisted Reproductive Technique
Low levels of Anti-Mullerian Hormone (AMH) are often associated with hormonal imbalances that lead to reduced ovarian reserve and infertility. This condition is commonly marked by increased follicle-stimulating hormone (FSH), diminished AMH, and a decreased antral follicle count (AFC), which collectively lower the chances of conception. AMH, produced by granulosa cells within preantral and antral follicles, is a key indicator of ovarian reserve and an important predictor of how the ovaries respond to stimulation. Its strong link to follicle development makes it a valuable tool for assessing fertility potential. Women with low AMH levels undergoing in vitro fertilization (IVF) often experience poor outcomes, and many are left with the option of donor egg IVF as their only choice. Ayurvedic medicine provides holistic treatment options for infertility, by enhancing the body’s natural ability to restore hormonal balance, improve ovarian health, and boost oocyte quality, offering hope to those facing fertility challenges. The present case report document the efficacy of an Ayurvedic treatment protocol in improving the AMH value. The patient had undergone Shamana and Sodhana therapies and on follow up marked improvement in AMH level was found making her eligible for ART with her own egg
Effect of Wet Cupping Therapy (Raktamoksha) in the Management of Carpal Tunnel Syndrome: A Pre-Post Test Design
Background and objective: Carpal tunnel syndrome (CTS) affects approximately 4.25% of the global adult population, with women aged 30–60 years having a threefold higher risk compared to men. CTS primarily manifests as pain, tingling, numbness, and paraesthesia in the thumb, index, middle, and lateral half of the ring finger, with nocturnal exacerbation often relieved by shaking the hands. If untreated, CTS may cause permanent median nerve damage, leading to irreversible numbness, thumb deformity, and muscle atrophy. While surgical interventions provide symptom relief, they carry risks of recurrence, intraoperative complications, and wrist instability. This study aimed to evaluate Raktamokṣa by cupping therapy as a potential alternative or adjunctive treatment for CTS. Methodology: A single-group pre-post-test design was conducted at AVCH Kottakkal with 30 CTS-diagnosed participants. Wet cupping therapy was administered on day 1 and day 16. Assessments were done on days 1, 8, 16, 25, and 45 using the Boston Carpal Tunnel Questionnaire and clinical signs and symptoms. Data were analyzed using Friedman test, McNemar test, and Wilcoxon Signed Rank test. Results and discussion: Wet cupping therapy significantly reduced CTS signs and symptoms (p < 0.05). However, no significant changes were observed in nerve conduction velocity studies. Conclusion: Wet cupping therapy in two sittings showed statistically significant improvement in CTS symptoms, supporting the rejection of the null hypothesis and acceptance of the alternative hypothesis regarding its efficacy