Ayushdhara (E-Journal)
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Surgical Management of Bhagandara by IFTAK Technique Along with Aragwadhadi Varti
Fistula is a condition in which two epithelial surfaces communicate abnormally. When a communication is established between anal canal and perineal region that condition is called as fistula-in-ano. The track is typically lined with unsightly granulation tissues. The primary cause of this condition is improperly treated crypto glandular infection. Over the advancement of time the Ksharasutra is still the best choice among treatment modalities available for Fistula-in-ano because of lesser complications like recurrence and incontinence. Despite all these advantages, there are still certain drawbacks such as discomfort, prolonged periods of anxiety, increased hospital visits, extended treatment duration, and significant post-operative scarring, among others. IFTAK (Interception of Fistulous tract with application of Ksharasutra) is a novel advanced Ksharasutra technique thus making it more convenient to patient as well as to exclude the drawbacks of conventional method. Further using Aragwadhadi varti along with the above said technique lead to better healing of the leftover portion of the track. Here in this case, IFTAK is done under Local anaesthesia. Kshara sutra was changed upto 4 weeks and Aragwadhadi varti applied for 10 times. The fistula healed completely in 2 months. This study revealed an early complete remission of the fistulous tracts by IFTAK method and Aragwadhadi varti, When compared with the conventional Kshara sutra method. According to the length, the conventional method takes 15-20 weeks whereas in this study it took much less time. And during followup no recurrence was noted. Therefore, the IFTAK technique combined with Aragwadhadi varti was deemed highly effective due to its time-saving properties and reduced scar and fibrosis
A Conceptual Review on Insights of Pakshaghat (Hemiplegia) in Ayurveda: Conceptual Review on Pakshaghat (Hemiplegia)
Pakshaghata is a clinical entity that is classified as the umbrella of substantial Vata vyadhi which includes the eighty varieties of Nanatmaja Vata Vikara, also referred to as Vata dominant vikruti (illness). Loss of voluntary function on one side of the body is termed as Pakshaghata. By stating that morbid Vata beholds either side of the body, dries up the Sira (Nerve) and Snayu (Tendon) of that section and brings Cheshta-Nivrutti (lack of movement), Ruja (pain), and Vaakstambha (unable to speak), Pakshavadha (Pakshaghata) explains. Among the disorders of Madhyama Roga Marga, or Marma-Asthi-Sandhi Marga, is regarded as Pakshaghata. Hemiplegia can be used to interpret Pakshaghata\u27s description. Hemiplegia is often associated with stroke, among other factors. A stroke involves an abrupt loss of blood flow to part of the brain, causing ischemia and neurological issues like weakness, sensory loss, or speech difficulties. Strokes are a major cause of hemiplegia, accounting for 9.94% of all deaths in India, with an incidence of 200 per 100,000 people. This rate is rising in developing countries like India. Stroke is not a single disease but a group of disorders, often leading to severe, long-term disabilities affecting both body and mind. In managing Pakshaghata, Ayurvedic practitioners recommend various treatments including Snehana (oleation), Sweda (sudation), Mrudu Samshodhana (mild purification), Mastishkya Shiro Basti (head treatments), Nasya (nasal therapy), Upanaha (poultice), and Basti (enema) based on Vyatyasa Chikitsa Siddhanta (principle of variable treatment). The purpose of this study is to review Pakshaghata (hemiplegia) in a systematic manner and to illustrate the efficacy of several Ayurvedic treatments for the disease
Comparative Anti-Microbial Efficacy Evaluation of Hydroalcoholic Extract of Medicinal Plants in Vulvovaginitis: An In-Vitro Study
Vulvovaginitis is infection of vulva and vagina where bacteria are the most common etiological agent. Treatment of vaginal infection should aim not only to eradicate pathogenic organisms, but also at supporting the normal vaginal microflora. Most of the antibiotics used for its treatment are associated with development of resistant micro-organisms and drug-induced side-effects. So, an attempt has been made to investigate in-vitro antimicrobial susceptibility testing of medicinal plant extracts for better therapeutic outcome. Aim and objective: To screen out antimicrobial activity of hydroalcoholic extract of Azadirachta indica, Symplocos racemosa, Curcuma longa and Pongamia pinnata with an objective to treat vaginal infections. Material and method: This in-vitro study evaluates antimicrobial activity by measuring zone of inhibition against standard ATCC bacterial strains responsible for vulvovaginitis using spot test assay. Result and Discussion: C. longa and S. racemose exhibited strongest antimicrobial activity for gram-negative bacteria and gram-positive bacteria respectively. Among different extracts, 70% ethanolic extract of A. indica and P. pinnata, ethanolic extract of S. racemosa and 50% ethanolic extract of C. longa exhibited the highest antimicrobial activity. Conclusion: Hence, these plants can be used to treat vulvovaginitis that may serve as lead in the development of new potent herbal antibiotics to which pathogen strains are not resistant
Anticancer Activity of Vishaghna Mahakashaya
Fifty categories of Mahakashayas have been outlined, along with five hundred specific examples, to illustrate their therapeutic applications, acknowledging the infinite scope of medicinal formulations. The concise presentation aims to provide a foundational understanding for practitioners with limited cognitive capacity while serving as a reference framework for advanced practitioners to foster further intellectual exploration and innovation in treatment methodologies. This article is being developed from an innovation perspective and aims to explore how contemporary research methodologies can be applied to investigate the anticancer properties of drugs categorised under Vishaghna Mahakashaya which are Haridra (Curcuma longa), Manjishtha (Rubia cordifolia), Suvahaa (Operculina turpethum), Sukshama Ela (Elettaria cardamomum), Paalindee (Hemidesmüs indicus), Chandan (Santalum album), Kataka (Strychnos potatorum), Shirish (Albizia lebbeck), Sinduvaara (Vitex negundo) and Shleshmaataka (Cordia dichotoma) contributing to cancer care and prevention. Ayurvedic interventions are not proposed as replacements for conventional allopathic cancer treatments but rather as complementary approaches to support prevention, enhance resilience, and restore immune function
Leech Therapy and Ayurvedic Management in Treating Acne Vulgaris
Ayurveda, an ancient system of medicine, offers holistic and long-lasting therapeutic approaches with minimal side effects. Acne vulgaris (Mukhadushika) is a common dermatological concern affecting self-esteem and social interactions. This case study highlights the efficacy of leech therapy (Jaloukaavcharan) as a bloodletting (Raktamokshana) procedure in conjunction with Ayurvedic internal medications (Shamana Chikitsa), demonstrating a unique combination approach for acne management. Case Presentation: A 22 years old female patient presented with multiple inflammatory papules and pustules on the face, along with erythema and oily skin, consistent with Acne vulgaris. The primary concerns included persistent facial acne resistant to conventional treatments. Interventions and Outcomes: The treatment approach included bloodletting through leech therapy and Ayurvedic internal medicines for pacification (Shamana Chikitsa). The combined therapy resulted in a significant reduction in acne lesions, improvement in skin texture, and relief from associated symptoms without any adverse effects. Conclusion: This case report supports the potential of integrating bloodletting therapy with Ayurvedic interventions for treating acne. The promising results suggest that Ayurvedic therapies, particularly leech therapy, can offer a safe and effective adjuvant in dermatological care, warranting further clinical studies
Management of the Symptoms of Metastatic Lung Cancer with Ayurveda
Lung cancer is a leading cause of cancer-related mortality worldwide, with significant challenges in management, especially when complicated by brain metastasis. This case study examines the impact of an integrative approach combining conventional cancer treatments and Ayurvedic therapies on a 45-year-old male diagnosed with metastatic lung cancer and multiple brain metastases. The patient, presenting with symptoms including movement difficulties, cough, swallowing difficulties, swelling and breathlessness, pursued consultation at Shuddhi Ayurveda Panchakarma Hospital, Navi Mumbai. He had undergone standard palliative care, including whole-brain radiotherapy. Despite initial deterioration, the addition of Ayurvedic treatments showed significant improvements. Within months, the patient experienced relief from key symptoms, including a management of swelling in hands and foot and breathlessness, and regained physical independence. Imaging studies revealed marked regression in the size and metabolic activity of both lung and brain lesions decreased significantly. This case highlights the potential of Ayurvedic treatments, such as Ayurvedic interventions and tailored diet, in alleviating symptoms and improving quality of life for patients with advanced lung cancer
Ayurvedic Management of Chronic Sinusitis with Correlation to Vata Kaphaja Pratishaya
Sinusitis is a chronic inflammatory condition of the paranasal sinuses that is associated with nasal obstruction, frontal headache, and mucopurulent discharge. In Ayurveda, this condition closely resembles Kaphaja Pratishaya, caused by the vitiation of Kapha and Vata Doshas, obstructing Pranavaha Strotas. Aim: To evaluate the efficacy of Ayurvedic management in a diagnosed case of chronic sinusitis (Kaphaja Pratishaya). Material and Methods: A single clinical case of a 51-year-old female patient with chronic sinusitis and nasal polyp (Nasarsha) was treated with internal and external Ayurvedic therapies for eight weeks. The regimen included Pratimarsha Nasya Karma with IAFA Nasal All Clear X Drops and Nasa Yoga Grutham, internal administration of Aahar Amrutham Ras, Pitpapra Capsules, IAFA Respiratory Detox Tablets, Sitopaladi Churna, Respiro Detox Formula, and Haridrakhandam, along with dietary regulation and Pranayama. Clinical assessment was done before, during, and after treatment. Results: Significant reduction in nasal obstruction, frontal headache, snoring, and mucus discharge was observed after four weeks, with complete remission by eight weeks. The patient reported improved olfactory function, restful sleep, and no recurrence after exposure to cold or allergens. Conclusion: The Ayurvedic approach focusing on Kapha-Vata Shamana, Srotoshodhana, and Rasayana principles effectively managed chronic sinusitis. This case report of sinusitis correlated with Kaphaja Pratishaya highlights Ayurveda’s treatment potential in chronic respiratory disorders
A Randomized Controlled Trial to Evaluate the Antimicrobial Effect of Petroleum Ether Extract of Arkadigana for Surgical Site Preparation with special reference to Low Anal Fistula
Ayurveda, the ancient Indian medical science, provides extensive guidance on wound management Vrana Chikitsa. Sushruta Samhita, considered the foundational text of Ayurvedic surgery, outlines principles of Purvakarma, Pradhana Karma, and Paschat Karma in operative procedures. Various groups of herbs Ganas described under Dravyasangraha Niyama Adhyaya are indicated for Vrana Shodhana wound cleansing and may be used for skin preparation. Ayurvedic literature also mentions several lotions and chemical formulations later validated as potent antimicrobial agents. Although detailed descriptions of surgical site preparation are not explicitly stated in Sushruta Samhita, this step is implied under Purvakarma and aligns with modern surgical practices. Arkadigana is a unique herbal formulation described in Ayurveda with potent antiseptic, antimicrobial, and antifungal properties. Topical application of Arkadigana is considered safe and beneficial in promoting wound hygiene and reducing microbial contamination. Present study evaluates the antimicrobial effect of petroleum ether extract of Arkadigana for surgical site preparation with special reference to low anal fistula
Ayurvedic Management of Katigraha (Lumbar Spondylosis): A case study
Among the various causes of low back ache lumbar spondylosis is one of the degenerative spine diseases. Lumbar Spondylosis (Katigraha) is an important clinical, social, economic and public health problem affecting the population worldwide. About 39% of population present complaints of low back ache between 40 to 80 years of age. The clinical manifestations of Lumbar spondylosis are low back pain, stiffness, weakness and intensity of pain more during hyperextension of spine which can be correlated with Katigraha in Ayurveda. In this study patient with complaints of pain in lower back with morning stiffness and the intensity of pain increased after daily workouts approached to the Kayachikitsa OPD. The treatment plan was Panchakarma therapy Katibasti followed by Patrapinda sweda for 15 days along with Shaman chikitsa for a period of 1 month. Following this protocol, the patient got approximately 75% relief in all sign and symptoms. There was reduction in ODI (Oswestry disability index) and improvement in SLR and other physical examinations. Based on the case study, it can be concluded that Katibasti followed by Patrapinda sweda along with Shaman therapy is effective in the management of Katigraha (lumbar spondylosis)
A Siddha Herbal Formulation Alleviates Hypertension in DOCA Salt Induced Hypertensive Rats, Evaluation of Acute, Sub Acute Toxicity, Anti-Oxidant and Diuretic Activity
Vaasathi Kashayam, a Siddha herbal decoction from Agathiyar 2000, is formulated using Adhathoda vasica (Justicia adhatoda L.) leaves and dry grapes (Vitis vinifera L.). This study evaluates its anti-hypertensive, antioxidant, and diuretic effects. Methodology: DOCA-salt-induced hypertensive Wistar albino rats (5 groups, n=6) were treated for 43 days. Blood pressure (BP), serum sodium, and potassium levels were measured. Blood was collected via retro-orbital plexus under ether anesthesia; BP was recorded through cannulated carotid artery using the 2K1C model. Diuretic effect was assessed using 4 groups (n=6) in metabolic cages, measuring total urine volume and Na⁺, K⁺, Cl⁻ levels. Cl⁻ was estimated as NaCl by titration. Antioxidant activity was assessed via DPPH free radical scavenging assay. Acute and subacute toxicity studies followed OECD 423 guidelines. Results: Hypertensive rats had SBP/DBP of 173.33±2.33/145.54±1.23mmHg. Low-dose (200mg/kg) Vaasathi Kashayam reduced BP to 135.03±2.56/92.63±1.01 mmHg, and high-dose (400 mg/kg) to 106.02±3.46/ 72.05±0.53mmHg, comparable to the standard (hydrochlorothiazide) 103.72±1.25/ 92.63±1.82mmHg. Diuretic activity showed increased urine output (32.53±0.83 and 30.67±0.06mL) and elevated urinary electrolytes, comparable to Furosemide. Antioxidant activity peaked at 63.15% inhibition (300µg/mL); standard ascorbic acid showed 132.06% inhibition. No significant toxicity or abnormal changes were observed in acute (up to 2000mg/kg) or subacute (28-day) studies. Conclusion: Vaasathi Kashayam is a safe formulation with significant anti-hypertensive, antioxidant, and diuretic activities, supporting its therapeutic potential in Siddha medicine