Ayushdhara (E-Journal)
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Detailed Analysis of Mukha-Twak Pariksha through Ayurvedic and Basic Contemporary Parameters
According to Ayurveda, face is viewed as a reflection of the body\u27s internal state. Mukha Twak Pariksha enable practitioners to assess facial skin\u27s condition- its texture, colour, and any abnormalities. This examination can uncover underlying imbalances or health issues affecting both the skin and internal organs. Aim and Objective: The aim of the study is to evaluate skin examination through Ayurvedic and basic contemporary parameters in Saundarya Ayurveda through classical approach and skin analysis with basic contemporary scales and Instruments. Method: The points related to face, skin and hair are extracted from classical texts and converted into a basic proforma for better analysis. A study of 100 subjects were conducted using the proforma for its outcome and analysis. A questionnaire was also developed with reference to “CCRAS Prakriti Assessment Manual of SOP’s”. Result: The analysis revealed prevalent dry skin, mild acne, and early wrinkles due to environmental dryness, while hair showed minimal scalp dryness and few split ends, reflecting good hair care. Conclusion: Both Ayurveda and contemporary skincare emphasize individualized care and holistic health, but differ in diagnostics, Ayurveda focuses on Dosha balance, while modern methods use advanced tools and external factors; integrating both could enhance personalized skin health strategies
Ayurvedic Insights into the Forme Fruste of Marfan Syndrome
Marfan Syndrome, an autosomal dominant, generalized disorder affecting the connective tissue, caused by mutations of FBN 1 gene which leads to deficiency of fibrillin 1 leading to reduced microfibril formation and disrupts the mechanical integrity of connective tissue, presents a complex clinical picture affecting multiple systems, poses significant challenges to conventional management. We present an 18-year-old female with Marfan Syndrome, highlighting her clinical features such as thin and slender body with disproportionately long arms and legs as compared with the trunk, bilateral Ectopia lentis, Arachnodactyly, positive Walker Murdoch Wrist sign and positive Steinberg Thumb sign, bilateral Pes planus, asymmetrical chest with mild Pectus carinatum deformity and moderate degree of Kyphoscoliosis along with winging of scapula. This article explores the Ayurvedic concept of Beeja dosha and highlights the value of integrating Ayurvedic insights into the management of Marfan Syndrome, offering a holistic and personalized approach to patient care to improve the quality of life and aims to deepen understanding of Marfan Syndrome from an Ayurvedic perspective, laying the groundwork for future research into Ayurvedic management strategies
Concept of Siravedha and its Clinical Application in Different Surgical Diseases
Two fundamental tenets of Ayurvedic medicine are Sodhan and Saman Chikitsa. The root (originating factor) of the body is Rakta and body is sustained verily by blood and as such it should be protected carefully; in fact blood is life. Pitta Dosha and Rakta Dhatu have Ashraya Ashrayi relation with each other, hence increase and decrease of Rakta Dhatu depends on increase and decrease of Pitta Dosha. Rakta Pardoshaj Vikar is primarily caused by vitiation of Pitta Dosha. Among different types of Shodhan therapies, Rakthamokshana is considered as best for Pitta and Rakta Pradoshaj Vyadhi. In Ayurveda, Siravedhana used in the Sarvadehika dushthi of Dosha that means vitiation of Dosha all over the body. In the Shalyatantra Siravedhana has played very important role in the management of various Shakhagata Roga. But Siravedhana has plays main role in the management of disease caused by vitiation of Pitta and Rakta Dushti Vikara. Therefore in Ayurveda especially in the Shalyatantra called the Ardhachikitsa. Since Acharya Sushruta provided a thorough explanation of Pracchan and Siravedhan as well as their significance in Raktagata Vikar, all of the requirements for Siravedhan as stated by Acharyas are included in this topic
A Conceptual Study on Shamana (Alleviation) and Prakopa (Aggravation) of Dosha is depended on Agni (Digestive Fire)
Ayurveda is the science of life. Agni is the unique and one of the most important concepts of Ayurveda. There are 13 different forms of Agni described in the Ayurvedic classics; like Jatharagni, Dhatwagni, Bhutagni etc. According to Acharya Charaka Shama and Prakopa states of Doshas always depend on Agni. Aims and Objectives: To study the concept of Agni and Dosha and analyse the concept of Agni and its relationship with Doshas. Materials and Method: This is a review article based on the collection of materials from available sources in Ayurveda like Brihattrayi, Laghutrayi, online articles, online journals etc. Discussion: According to Ayurveda there are three Doshas in the body. These Doshas are the intrinsic factors for Vyadhi Utpatti. The Doshas manifest the diseases or maintain the health on dependent of State of equilibrium and vitiation. As Dosha are the vitiating factors of the body and mind it also affects function of the Agni. Here Agni is responsible for health and Bala of a person. Hence, due to Prakopa of Dosha normal function of Agni gets hamper and can cause many kinds of pathogenesis and can manifest different type of diseases. Conclusion: Shamana and Prakopa of Dosha is depended on Agni. Hence any changes in the status of Dosha cannot be performed without the influence of Agni
Formulation and Evaluation of Herbal Emulgel Containing Syzigium Cumini Extract
Traditional healers use Syzygium cumini bark to treat inflammation. The main aim of this work is to formulate an emulgel containing extract of Syzigium cumini. Syzygium cumini bark was extracted using hydro-alcoholic solvent. Phytochemical evaluation of extract was done. In-vitro anti-inflammatory activity of the extract was evaluated. 4 batches of emulgel were formulated by varying the concentrations of the gelling agents. The emulgel was evaluated for pH, spreadability, viscosity, consistency, appearance, color, washability and appearance. Best results were shown by F2 formulation. Stability studies if F2 formulation was carried. The formulation was found to be stable. It was considered better for treatment of skin inflammation. The proposed research work concludes that the newly formulated herbal emulgel loaded with extract of Syzygium cumini can be used in future for anti-inflammatory effect
Ayurvedic Management of Alcohol Use Disorder - A Case Series
Alcohol Use Disorder (AUD) is a medical condition characterized by impaired ability to stop or control alcohol use despite the adverse social, occupational, or health consequences which ranges from mild to severe. AUD includes symptoms of alcohol intoxication, withdrawal as well as dependence. Etiological perspective applies a bio psychosocial framework that emphasizes the interplay of genetics, neurobiology, psychology and individual’s societal context. Globally around 1.4% of the population have AUD and 3 million deaths result from harmful alcohol use each year. Contemporary management includes medical intervention, counselling, outpatient program, or a residential inpatient stay, but the relapse rate is high. Hence the medical world is focusing on indigenous medicine and its probable outcome in the management of AUD. Objectives: In Ayurveda, the context of Madatyaya refers to conditions resultant from improper and excessive usage of alcohol and even other substance use. Every patient is being examined thoroughly as per Ayurveda parameters and based on the observations as well as the severity; individualized protocols are being framed. The case series includes 4 cases of AUD which was managed with a protocol including withdrawal management with Nasya, Sirodhara as well as internal medicines. This was followed by Snehapana, Vamana or Virechana, therapeutic yoga, family counselling as well as administration of Rasayana so as to address the dependence. The treatment protocol was finalised as per the assessment of Doshas, based on the clinical presentation. The outcome was assessed with CIWA-Ar, AUDIT, and SADQ Questionnaire. Result: Such a protocol is capable of addressing the bio-psychosocial factors of AUD and was observed as effective. Symptomatic improvement was noticed after the treatment in all the four cases and there was improvement in scores of assessment. The result was promising as well
A Randomised Comparative Clinical Study to Evaluate the Efficacy of Aragwadhadi Kashaya Prakshalana Followed by Swarjikadhya Taila Pichu and Jatyadi Taila Pichu Application in The Management of Dushta Vrana W.S.R. to Non-Healing Ulcers
Dushta Vrana is a type of Vrana which presents with delayed healing. The management of Dushta Vrana has been described in various Ayurvedic texts. Many formulations are in use for centuries out of those formulations. Present Study is to manage it with Shodhana Kashaya and Ropana Taila and treat Dushta Vrana. Aims and Objectives: 1. To evaluate the efficacy of Aragwadhadi Kashaya Prakshalana followed by Swarjikadhya Taila application in the management of Dushta Vrana. 2. To evaluate the efficacy of Aragwadhadi Kashaya Prakshalana followed by Jatyadi Taila application in the management of Dushta Vrana. 3. To compare the efficacy of both the groups in the management of Dushta Vrana. Methodology: It is a comparative clinical study with pre-test and post-test design where in 60 patients diagnosed with Dushta Vrana of either sex was randomly assigned into two groups of 30 members each in Group A and Group B. Intervention: Group A: Aragwadhadi Kashaya Prakshalana followed by Swarjikadhya Taila Pichu for 30 days. Group B: Aragwadhadi Kashaya Prakshalana followed by Jatyadi Taila Pichu for 30 days. Observations and Results: The effect of the treatment in both the groups were assessed by applying Wilcoxon rank sum test within the groups and Mann-Whitney U test between the groups, it showed that Group B is slightly better than Group A but both the groups showed equally good results. Discussion and Conclusion: It can be concluded from the study that in the management of Dushta Vrana - Aragwadhadi Kashaya Prakshalana followed by Swarjikadhya Taila Picchu and Jatyadi Taila Picchu Chikitsa both the drugs were highly effective in wound healing
Integrated Management with Ayurveda, Yoga and Counselling in Gender Dysphoria with Conduct Disorder
Sex is assigned at birth on the basis of external genitalia while gender is sense of being male, female or an alternative. It may or may not correspond to sex assigned at birth. In transgender, gender identity and gender expression do not match with sex assigned at birth. global prevalence of transgender is 0.3% to 0.5%. In DSM-5, gender dysphoria is the term used to refer the distress due to gender incongruence between sex assigned at birth and gender experienced. In Charakasamhita, Vyamisra linga is used to denote third gender. Even though there are few contexts to mentioning about diversities in attitude, feeling and behaviours connected with sex, no observations in Ayurveda on gender dysphoria. A 16 year old patient of assigned female gender admitted through the reference from children home authorities in the IPD of Government Ayurveda Research Institute for Mental Health and Hygiene (GARIM), Kottakkal, with disturbed sleep, increased fear, decreased food intake, increased anger, telling lies, stealing, reduced mingling with others, tendency of drawing male faces and smoking. Dress and hair style of the patient was like males. History of child abuse, running away from home and truancy were also reported. Patient was diagnosed with gender dysphoria and conduct disorder as per DSM-5 criteria which resemble Vatika Unmada with Pithanubandha. Sodhana and Samana modalities of treatments along with Yoga and counselling were given. Assessments done before and after treatments at GARIM and follow up after one month revealed remarkable relief from the symptoms presented. The Ayurvedic protocol was found effective and it highlights the scope of Ayurveda in managing gender dysphoria and associated conditions
Comparative Study to Evaluate the Efficacy of Mahamasha Taila Brihana Nasya and Agnikarma in Treatment of Avabahuka (Frozen Shoulder)
Avabahuka is a disease which is classified under the broad spectrum of Vata Vyadhi in classical texts which hampers the day-to-day activities of an individual as Vata Dosha is responsible for all the movements of the body. Avabahuka is a disease which affects shoulder joint in which Vata localized in the region of shoulder upon getting aggravated, dries up the ligaments of shoulders and constricts the Sira present there. Due to resemblance in clinical manifestations, Avabahuka can be compared with frozen shoulder (Adhesive capsulitis). Prevalence of frozen shoulder is 2-5% in general population. Women are generally affected more than men. Aim: To study the efficacy of Mahamasha Taila Brihana Nasya in Avabahuka (frozen shoulder) in comparison to Agnikarma. Objective: To compare the efficacy of Mahamasha Taila Brihana Nasya and Agnikarma in Avabahuka (Frozen shoulder). Methods: An open label, randomized, interventional and comparative clinical trial. In Group A, 2 sessions of 7 days each with a gap of 7 days between them where a dose of 8 Bindu Mahamasha Taila Brihana Nasya in each nostril was administered. In Group B, total 3 sittings of Agnikarma were given on same day of every week and in Group C, both Mahamasha Taila Brihana Nasya and Agnikarma were administered. The record of assessment was taken at 0, 7, 14, 21 and 28 days. Result: The reduction in the severity of symptoms was statistically analysed and highly significant improvement was found in all the patients. Conclusion: All the three groups were having statistically significant result in the parameters i.e., VAS score, SPADI score and ROM goniometric examination. But in inter group comparison, combined therapy (Nasya and Agnikarma) was found to be more effective than individual therapy
Success Story of Pakshagata
Vatavyadhi is one among the Ashtamahagada according to different Acharyas. Samprapti of any Vatavyadhi can be analysed in 2 ways namely Dhatukshaya and Margaavarana which are not only applicable to general Vatavyadhi but also extend to specific conditions like Pakshaghata. The disease Pakshaghata can be correlated with hemiplegia as there is close resemblance with the manifestation. Stroke affects 33 million individuals worldwide every year and two third of the stroke cases occur in developing countries. In India, community surveys have shown crude prevalence rate of hemiplegia in the range of 200 per 1,00,000 people. Material and Methods- This case study involves a 52 year old male, who is not a known case of hypertension and newly diagnosed with diabetes mellitus presented with loss of strength in left half of the body since 10 days. The condition was diagnosed as Kaphavaranajanya Pakshaghata and was treated with Agnilepa, Vacha shunti Avapeedaka Nasya and Dashamula niruha basti for 17days in total. Results- There was a remarkable improvement in the Barthel index from 30 to 95. Conclusion- Pakshaghata can occur due to Margaavarana or Dhatukshaya and the Chikitsa depends on the Dosha, Vyaadhi avastha and the Samprapti involved. In this case, characterized by Vatakaphaja lakshanas, treatment focused on addressing Kaphavarana and pacifying the aggravated Vata. As Vatavyadhi are Kruchrasadhya or Asadhya in nature, they demand prolonged treatment, this case exhibited significant improvement with a single course of Agnilepa, Nasya, and Basti, with observable symptomatic relief and radiological changes