Ayushdhara (E-Journal)
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Ayurvedic Perspective and Approach in Age-Related Macular Degeneration
Get PDFAge-Related Macular Degeneration (ARMD) is a bilateral, chronic, degenerative illness that primarily affects the macula while leaving the peripheral retina mostly unaffected. As it is the maculopathy affecting the central vision, people experience difficulty in day-to-day routine work and reduction in quality of life and bear depression. In Ayurveda, Drishtigata Rogas results in partial to complete loss of vision. Pitta Vidagdha Drishti is one of the diseases of Drishtigata Roga. As the underlying pathophysiology of the condition, Pitta (which is principally responsible for vision) vitiates and aggravates. When this vitiated and provoked Pitta affects the Drishti (macular portion of the retina), it eventually results in Vidagdhata (inflammation, ulceration, and degeneration of the local tissue), it results in a clinical picture resembling the now-known age-related macular degeneration (ARMD). As it is described as an Ashatrakrita Pittaja Vyadhi and the treatment of this disease is given briefly in Samhitas it is important to conduct study on such topic and come to a proven beneficial Ayurvedic management. The Ayurvedic review of age related macular degeneration and its potential correlation with Pitta Vidagdha Drishti is the primary focus of this paper
Management of Diabetic Peripheral Neuropathy through Panchakarma
Get PDFDiabetic peripheral neuropathy (DPN) is a prevalent complication of diabetes mellitus, particularly among individuals with prolonged diabetes. Affecting nearly 50% of diabetic patients, DPN leads to considerable morbidity. It primarily presents as burning, tingling, and numbness in the extremities due to chronic hyperglycemia-induced nerve damage. In Ayurveda, diabetic peripheral neuropathy (DPN) is recognized as a complication (Upadrava) associated with Madhumeha (Diabetes Mellitus) as it manifests as a secondary condition stemming from prolonged and uncontrolled diabetes. A 52-year-old female patient diagnosed with type 1 diabetes mellitus and exhibiting symptoms of DPN- such as burning sensations, tingling, and numbness in the extremities- underwent a comprehensive Ayurvedic treatment regimen including Abhyanga, Takra dhara, Virechana and Basti. The integrative therapeutic approach led to a notable alleviation of her symptoms and a substantial enhancement in her overall quality of life. This outcome underscores the potential efficacy of combining traditional Ayurvedic treatments with conventional care in the management of diabetic peripheral neuropathy
A comparative clinical study to assess the efficacy of Trinpanchmoola Kashaya and Punarnava Kashaya in the management of Mutradoshvikara w.s.r. to Chronic Kidney Disease
Get PDFChronic kidney disease (CKD) encompasses a spectrum of pathophysiologic processes associated with abnormal kidney function, often with a progressive decline in glomerular filtration rate. In Ayurveda, CKD is addressed under the concept of Mutravah Srotas Vikar, and also Mutrakshaya will be seen. The originators of Ayurveda, Charaka, Sushruta, and Vagbhatta, were aware about common illnesses. This illness affects all three Doshas and all Dushyas. Microangiopathy is caused by microvessel blockage, which is the responsibility of Kapha and the kidney\u27s structural deterioration is caused by Vata. It is often left unnoticed at the early stages and generally diagnosed at later stages as the patient remains asymptomatic for long time. The purpose of this study was to find out an effective and well accepted drug with minimal or no complications for this illness. 30 patients who were diagnosed with Mutradoshvikara w.s.r. to Chronic Kidney Disease were allocated randomly into two groups. The trial drug i.e., Trinpanchmoola Kashaya 50ml twice a day was given to 15 patients of Group I and trial drug i.e., Punarnava Kashaya 50ml twice a day was given to 15 patients of Group II for the duration of 3 months. Subjective and objective parameters were assessed before and after the completion of trial. Data obtained during the trial was tabulated and statistically analysed
A Case Study on Effective Management of Arsha (II Degree Haemorrhoids) by Teekshna Kshar Pratisarana
Get PDFArsha, commonly known as haemorrhoids, is a prevalent medical condition characterized by dilated blood vessels in ano rectal region and they can cause bleeding, pain, mucous discharge, discomfort etc. The primary causes of Arsha include increased pressure on the rectal veins, commonly attributed to chronic constipation, prolonged sitting, and straining during bowel movements. Genetic predisposition and certain lifestyle factors, such as a sedentary lifestyle and low fiber diet, can also contribute to the development of haemorrhoids. Arsha requires a surgical technique in modern treatment, such as haemorrhoidectomy, rubber band ligation, and so on, but after sometime of excision there is great possibility of reappearance of the disease. But in Ayurveda, fourfold management of Arsha has been indicated viz., Bheshaja, Kshar karma, Agni karma and Shastra karma according to chronicity and presentation of the disease. In this case study, a 40 years old female patient presented with complaints of some mass coming out during defecation, bleeding, pain and mucous discharge while passing stool to the Shalya OPD, Rishikul Campus, Uttarakhand Ayurved University Haridwar. The patient was treated successfully with Kshar karma application. The pile mass, per rectal haemorrhage and mucous discharge was gone in 7 days and the patient was free of all symptoms within 15 days. The findings revealed that there are maximum advantages which are shared in this case study
Intramarginal Excision of Keloid with Application of Kshara Taila
Get PDFThe destruction/ break/ rupture/ discontinuity of body/tissue/ part of body is called “Vrana”. The definition of Granthi is very well described by Acharya Vagbhata and Acharya Sushruta which seems to be more or less the same. According to Vagbhata, Malas (Doshas) of which Kapha being predominant, vitiating the Medas (fat), Mamsa (muscle) and Asra (blood) gets localised in these tissues and produce a round elevated growth, compact in nature which is called Granthi. Acharya Sushruta has explained that “the scars of a wound never disappear even after complete healing and its imprint persists lifelong and it is called Vrana. This phenomenon of Vrana is not only limited to cutaneous lesion but may also extend upto muscles blood vessels, ligaments, bones, joints, visceral organs and other vital parts of body. According to Sushruta, Granthi is a Vrita (round), Unnata (elevated), Vigrathita (hard) swelling by pathological involvement of Mansa, Rakta and Meda. Modern science compares Vranagranthi to keloid. It is a tumour arising from fibro proliferative disorders of the dermis. The main phenomenon is the excessive deposition of extracellular matrix proteins, which is composed by collagen fibres. It develops exclusively in humans. There is no proven, efficient treatment for keloid. This case study will lead to the development of new and improved keloid treatment methods
Study of the Human Physiological Aspect of all Component of Medo Dhatu
Get PDFAccording to Ayurveda, human physiology is dependent on the balance of Dosha, Dhatu, and Mala. Dhatus are regarded to be one of the body\u27s most fundamental functioning and structural components. According to Ayurveda, human physiology consists of seven primary Dhatus. Medo Dhatu ranks fourth among the seven Dhatus. Lipids are discussed in terms of Sneha Dravya in Ayurveda, which includes Meda, Vasa, Majja, and so on. Sneha is the essence of our bodies. Acharya Sushruta states that the human body is made up of Snehasara, the most Vishuddhatara form of Sneha, and that Prana is dependent on it. Meda is mostly found in Udara, although it is also known as Sarakta Meda in Anu (little) Asthi and Majja in Sthoola (big) Asthi. Mamsa contains a pure form of Meda known as Vasa. Although these three are the most visible Sneha sites, Meda Dhatu is given special attention because of their relevance in lipid metabolism and participation in the development of numerous metabolic illnesses such as Medoroga and Prameha. The present review article focused on all physiological component of Medodhatu and its role in maintaining the physiology
Remission of Type-2 Diabetes on Plant Based Diet
Get PDFThe incidence of diabetes has amplified worldwide, but health outcomes have not improved significantly. Anti-hyperglycemic medications are often accompanied by weight gain, hypoglycemia, and risk of cardiovascular events. Most diabetics are suggested a “low carb diet” as a nutritional strategy but the results short-termed and often unsustainable in most cases. Aim: This case report depicts the effectiveness of a personalized nutritional intervention program focused on Whole Food Plant Based Diet (WFPBD) and Intermittent Fasting (IF) in reducing blood glucose, body weight, waist circumference, without any pharmacological treatment. Methods: We present a case of a personalized nutritional intervention program of a 47-year-old diabetic female, weighing 86kg, measuring 168cm (BMI 30.5), with waist circumference of 43 inches. Her pre-intervention glycated hemoglobin (HbA1c) was 12.5%, post prandial glucose (PPG) was 342mg/dl, and fasting blood glucose (FBG) was 250mg/dl. Besides following a WFPBD, the patient was advised to do intermittent fasts of 14 hours, starting from about 6 pm in the evening and extending till about 8 am the next morning. The primary measures were changes in HbA1c, fasting and postprandial glucose levels, body weight, waist circumference, and BMI. Results: Nutritional intervention brought substantial improvements in several health parameters of the patient. Post-intervention, the patient was able to achieve an HbA1c of 6.40%, average FBG of 113mg/dl, average PPG of 127mg/dl, body weight of 74kg, BMI of 26.2, and waist circumference of 37 inches. Conclusions: The results suggest that a personalized dietary modification program combining WFPBD and IF can significantly improve metabolic health and potentially reverse T2D without the need for pharmacological treatment
Management of IUGR With Ksheera Basti
Get PDFNumber of cases of IUGR are increasing day by day and its treatment with Ayurveda is well established. Clinical trials are needed to support our treatment modalities on basis of modern parameters. Ayurveda has mentioned therapeutic utility of drugs like Shatavari, Madhuyashti, Ksheera and Ghrita and various routes of administration are advocated. In this context Ksheera Basti is highly recommended in our texts. Aims and objectives: To evaluate the efficacy of ksheera basti in management of IUGR. To assess the fetal weight gain and various maternal and fetal parameters after ksheera basti protocol. Methodology: Randomized clinical case series with 5 patients Result: Improvement was seen in maternal and fetal parameters in all 5 Patients. Discussion: In studying cases of IUGR, it was found that Ksheera Basti is much effective as a treatment protocol for IUGR. Marked improvement was seen in EFW, SFH, AC, FH AFI, maternal weight gain. Hence this therapy has capability to change the scenario and can prove as boom in field of Ayurveda in curing IUGR
Efficacy of Vamana Karma in the Management of Kshetra Dushti Janya Bandhyatva (Uterine Fibroid)
Get PDFFibroids, one of the major reason for infertility are present in 5- 10% of infertile patient. Depending on the location in the uterus, fibroid prevent conception by causing difficulty in sperm ascent, impaired sperm transport and hindering the nidation of fertilized ovum. Thus, fibroids have been implicated in infertility as well as pregnancy loss. Hereby, we are reporting a case of a 31year-old married female who visited the OPD of the National Institute of Ayurveda, Jaipur. She came with complaints of being unable to conceive for 1 year. Ultrasonography dated July 13, 2022, suggested a bulky uterus with intramural fibroid (85 × 65 mm). On the basis of these clinical presentations and USG findings, the patient was diagnosed with infertility due to a uterine fibroid correlated with Kshetra dushti janya Bandhyatva. Vamana karma was conducted for the elimination of Kapha Dosha. After Vamana karma, she missed her period. Her UPT was performed on March 22, 2023, which was found positive. Uneventfully, the patient had delivered a live female child weighing 2.5 kg on 1/11/2023 by LSCS under SA. Vamana karma is beneficial in the management of Kshetra dushti janya Bandhyatva (infertility due to a uterine fibroid)
A Conceptual Study of Charakokta Visha Vega and Chikitsa
Get PDFWhenever a person is exposed to Visha, it follows a course of Visha vega before causing the death of the person. Aim: To study the eight visha vega according to Acharya Charaka along with Veganusar chikitsa. Objective: To study different Dravya and Karma used during eight Visha vega management. Material & methods: For this review eight Visha vega will be analysed from the Charaka Samhita. For the study of Dravya used, Rasapanchaka and their corresponding pharmaceutical studies would be obtained from Dravyaguna text and CCRAS plant database, API, PubMed, Google Scholar, and Ayurvedic text. Discussion: Acharya Charaka mentioned 8 Vega of Visha or 8 stages of Visha along with their symptoms in each Vega and also their management in every Vega. Every Vega represents a Dhatu which visha enter by crossing over the respective kala with the force of Vayu as per Acharya Sushurta known as Vegantara. Also the symptoms in each Vega are of the Dhatu in which it resides and produces the symptoms according to its respective Dhatu. After analysing the Raspanchak of Dravya’s used during Vega most of the dominant Rasa was Tikta and Katu, Laghu ruksha guna, Katu vipaka and Ushna veerya respectively. Conclusion: After their Raspanchak evaluation it was concluded that the dominant Rasa was Tikta and Katu, Laghu ruksha guna, Katu vipaka and Ushna veerya. So it is can be said that the drugs used during treatment, are similar in properties to the Visha. These Dravya’s used possess the same potential similar to visha to fight against the Visha, so that it can reach the places where visha has been placed in the body and use in present times as per the complexities of visha. And the Hetuvipritarthkari chikista siddhant is also established in terms of Visha chikitsa