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    A Clinical Study to Evaluate the Effect of Shampakadi Kwatha in the Management of Vatarakta w.s.r. to Hyperuricemia

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    In the rapidly changing and modernizing era, human population is becoming vulnerable to many metabolic disorders related with lifestyle and food habits. Vatarakta is one of them which is caused by union of vitiated Vata Dosha and morbid Rakta Dhatu. In modern science, it resembles the symptomatology of gout which is caused by hyperuricemia. The epidemiology of hyperuricemia is different from that of gout. Gout is only present in 10% of people with hyperuricemia. The purpose of this study was to find out an effective and well accepted drug with minimal or no complications for this illness. 45 patients who were diagnosed with Vatarakta w.s.r. to hyperuricemia were allocated randomly into three groups. The trial drug i.e., Shampakadi Kwatha 50ml twice a day was given to 15 patients of Group I, the standard drug Allopurinol 100mg twice a day was given to 15 patients of Group II and both Shampakadi Kwatha 50ml twice a day and a standard anti-hyperuricemic drug allopurinol 100mg twice a day was given to 15 patients of Group III for duration of 6 weeks. Subjective parameters were assessed before and after the completion of trial. Data obtained during the trial was tabulated and statistically analysed

    A Case Study of Drug Dependency (NSAIDs) in Shirshool (Headache) Healed Through Integrative Medicine

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    Shira is the Uttamang i.e., most vital part of our body. Ayurveda is limited to pain and discomfort in Shira rather to brain disorders as such. Shirashool (headache) is the most common and frequently seen in day to day life due to the Stress, Vegdharan (to control forcefully natural functions like urine, faeces, cough or sneeze etc,) Ratrijagran (late night activity), Upvas (excessive control on appetite) Shoke (depressive thoughts), excessive work habits- the major root cause is excessive movement of Vata or overactive/imbalanced Vata Dosha. Jihva (tongue) examination is an important part of Ashtavidh pariksha mentioned in the text book of Yogratnakar. A tongue examination is typically conducted in conjunction with a thorough patient history. The vital organs of the body leave the imprint on the tongue surface- specific patterns or spots or colour. Tongue has its own language; it needs continuous practice. Examination of the tongue in Ayurveda is a easy valuable diagnostic tool that provides valuable and stored information about an individual\u27s health and well-being or disease. Allopathic medicine like (NSAIDs) are most commonly used in headache as pain relieve medicine which has a lot of side effects; while holistic approach of Ayurveda is found to be very good results. Integrative therapy involves medicines, dietary schedule and yogic practices, shows sufficient significant changes in a patient. Mild recurrence which was seen in post follow up period was managed effectively through the yogic practices and proper guidance of counselling sessions on every Wednesday

    Efficacy of Shirahshoolahar Basti and Shaman Chikitsa in Ardhavabhedaka - A Single Case Study

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    In Ayurveda remarkable result were found for many “Kashtasadhya Vyadhi”. Ardhavabhedaka is one of the diseases found in routine practice. Ayurvedic oral medicine i.e., Shaman Chikitsa along with Panchakarma procedure are used routinely. Out of Panchakarma procedure Nasya, Shirobhyanga are broadly selected by many Vaidyas but considering Doshadushti of Vatapradhanya Basti is most indicated selection of procedure for Ardhavabhedaka. Also very less work was found on Shirahshoolahar Basti. So an attempt is made to work on this type of Basti. In the present study 32 years old male patient is known case of Ardhavabhedaka was selected. He was barber by profession and suffering since 3 years. Temporarily relieved by analgesics. Thinking on the behalf of the patient was treated with Shaman and Shodhan chikitsa on indoor basis. For Shaman Chikitsa Shirashooladi Vajra rasa, Sutashekhar rasa, Pathyadi Kwath were the Abhyantar drugs given. Shodhanarth Shirahshoolahar Basti were given which contains Gogruta, Dashmoola taila, Mashkashaya, Dadhi, Dadim rasa, Saindhava. Treatment period was 15 days. Before and after treatment patient was assessed. All the drugs used are Vatashamak, Shoolaghna, Pittashamak thus used for Sampraptibhang. Duration between two Vegas prolongs and also intensity of the Vega shows remarkable result. Associate symptoms like Hrullas, Chardii, Bhrama, photophobia etc decrease. Scope of research; by increasing trials on more number of patients may develop some “standardize Ayurvedic Chikitsa” for such Kashtasadhya vyadhi like Ardhavabhedaka

    Pathophysiological Appraisal of Amlapitta Samprapti - A Contemporary Outlook

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    Aim: Critical understanding of the disease Amlapitta by Samprapti Vighatana. The man of this era is becoming more susceptible to series of lifestyle disorders with an unprecedented increase in incidences related to Annavaha Srotas. Amlapitta is one of the commonest Annavaha Srotodushti Vyadhi that closely resembles with hyperacidity in modern science. The altered lifestyle activities i.e., fried food, night shifts, stress, addictions are the major risk factors for Amlapitta. Pitta and Kapha are the main Doshas that get afflicted leading to the formation of Ama due to Agnimandya caused by Mitya Ahara Vihara leading to the stasis of the food in Amashaya. The vitiated Dosha associates with the Ahara Rasa to form Vidagda Ahara, it undergoes Shuktata and cause the Lakshanas of Amlapitta. Various Nidanas acting on the GIT leads to the partial digestion of the food in the stomach and its stasis invites the growth of the bacteria by inhibiting the action of HCL. The impact of hormones and nervous stimulation supports the mechanism leading to the clinical exhibition of symptoms. The critical understanding of the disease manifestation is the fundamental to assess the Nidana majorly driving to the pathogenesis. Methodology: Manual and electronic search of available Ayurveda classics and related articles regarding Amlapitta. Discussion: The analysis of Samprapti of Ama Utpatti and Amlapitta with the contemporary understanding

    Multi-Modality Ayurveda Regime in the Management of Childhood Vitiligo w.s.r.to Shwitra: A Case Report.

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    Patients of vitiligo are hated and neglected lot in the society. Great researches in the world have done lot of studies and experiments but no medicine has proved satisfactory in total eradication of the disease. Objective: To see the effect of multi-modality Ayurveda regime in the management of Childhood vitiligo/Shwitra. Methodology: Female patient 07yrs old had been experiencing symptoms of white Patches around the b/l eye and elbow since 5months. Ayurvedic medicines were used in the study for one year and six months. Discussion: The major goal of the multi-modality regime is to help to eliminate white patches. Bakuchi Ghanvati, Mahamanjishtadi kadha, Panchtikta ghruta guggul, Krumikuthar rasa were given orally. Bakuchi tail for local application and daily Hanuman chalisa path advised to patient. This treatment for one half year continued which showed excellent result in the patient. Conclusion: The effect of Dravya and Adravya shaman chikitsa has shown encouraging results in the repigmentation of the affected skin. Not many complications were observed in the patients at the end of the study. Ayurveda has distinctive concepts with all disease called as Chikitsa siddhanta, which work and stand for a long period of time. Since the therapy for Vitiligo has limitation in other pathies, Ayurvedic management of vitiligo is one of the most effective therapy and which have less chances of recurrence

    Observational Study on Impact of Pathyapathya in Prevention of Sthoulya (Obesity)

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    Weight gain is a natural physiological process but excess of fat leading to the disease Sthoulya (obesity) may “lengthen the waist line” but “shortens the life-line” of the individual by imposing an extra burden on all the systems. Aim: To study the impact of Pathyapathya in prevention of Sthoulya (obesity) among college students of VYDSAM. Materials and Methods: A randomized open observational Study was conducted at the hospital of VYDSAM, Khurja, using a special diet (menu) planner and exercise planner adopted for weight reduction. Total 450 students were screened through BMI, 33 Sthoulya (obesity) cases were selected for trial and 30 cases completed the trial. Relief in the subjective symptoms was assessed in percentage. Then, the statistical significance of result was assessed using Wilcoxon matched‑pairs signed‑ranks test. Results: Defining to the benefits assessed, Pathyapathya proved to be quite effective in prevention of Sthoulya (obesity) as statistical evaluation shows extremely/very significant effect on various clinical features. Weight loss occurs in Pathyapathya because of decreased caloric intake and increases people\u27s total energy expenditure by Physical activity. The burning of calories through physical activity, combined with reducing the number of calories in diet, creates a “calorie deficit” that results in weight loss. Conclusion: The overall effect of therapy on clinical assessment leading to Maximum, Moderate, Mild and Unsatisfactory was 6 (20%), 15 (50%), 7 (23.33%) and 2 (6.67%) respectively. The percentage of improvement in subjective, objective parameters and lipid profile highlights the poor prognosis of Sthoulya (obesity) managed alone with Pathyapathya. So for better result, Shamana medications and Shodhana procedures may add along with Pathyapathya

    A Critical Review on Role of Kshina Retasa (Oligospermia) in Male Infertility

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    Male infertility is one of the major problems now-a-days and incidence of this problem is increasing on a regular basis due to the modernization. Kshina Retasa is one of the conditions responsible for male infertility which can be correlated with low sperm count in semen. Infertility affects an estimated 15% of couples globally. The terms like Kshina Shukra, Alpa Retasa, Shukra Dosha, Kshina Retasa resembles the conditions related with Oligospermia in Ayurveda. Introduction: Infertility is a disease of reproductive system defined by failure to achieve the clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. It is a global public health issue. A low sperm count of less than 15 mil sperm/ml of semen is considered as Oligospermia. Aim: To review the role of Kshina Retasa in male infertility and manage it through the Ayurveda. Objectives: To rule out the relevant cause of Kshina Retasa and to discuss the Ayurvedic perspective of oligospermia and to find out the cheap, easily available Ayurvedic modalities to treat and prevent Kshina Retasa. Data source: Charaka Samhita, Sushruta Samhita, Astanga Hridaya, modern medical textbooks, Journals and online databases. Results and Conclusion: The literary study shows that the drugs possessing Snighdha guna, Balya, Vrishya and Vata-sthapana properties have good effect in Kshina Retasa. Similarly, Madhura rasa, Sheetavirya, Vrishya, Brimhana and Vatapittahara properties of many drugs offers beneficial effect in Kshina Retasa. Hereby, we can conclude that the traditional system of Ayurvedic literature is better treatment option for Kshina Retasa in present context

    Analytical Study of Aaharaja Nidana of Madhumeha in Current Era

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    Madhumeha is a metabolic disorder in which a person passes honey-like (sweet) urine and is associated with the characteristic of urinary abnormality. The clinical conditions described in Madhumeha have much in common with diabetes mellitus which is recognized by hyperglycemia due to improper insulin secretion, insulin resistance, or both. Diabetes mellitus lowers the quality of life, greatly increases medical expenses and increases the disease-related death rate. Excess indulgence in curd, the meat of domestic animals, aquatic animals, fish, dairy products, newly harvested grains, and jaggery products in recent lifestyle are leading causes of Madhumeha. Therefore, it has become necessary that in the present era, we should have proper information regarding wholesome diet along with its nutritional value so that we could avoid impending disease and manage it accordingly. Source: Various classical texts like Charaka Samhita, Astanga Hridaya, Shushrata Samhita, Madhava nidana, and modern medical textbooks and online databases. Conclusion- Diet having Madhur, Guru, Snigdha, Picchil, and Abhisyandi properties produces Kapha which vitiates the Tri-doshas & Kleda dusti that causes the disease. Aim: To study and analyze the Aharaja Nidana of Madhumeha in the present era and manage it accordingly by adopting a diet which is suitable for the Madhumeha Rogi, Objective: To study the Glycemic index, carbohydrate and other nutritional value of the food articles that are usually taken on daily basis. Material And Methods: The Bruhattrayi & Laghuttrayi, modern medical textbooks, journals and online database. Results & Conclusion: Ayurveda not only cures the disease but can also prevent it through the knowledge of Aharaj and Viharaja nidana. Nidana parivarajana helps to manage the disease

    A Case Study on Bells Palsy and its Ayurvedic Management

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    Bell’s palsy is a neurological disorder of seventh cranial nerve which leads to unilateral facial paralysis. A complete interruption of the facial nerve at stylomastoid foramen paralyses all muscles of facial expression. In Ayurveda it can be compared with Ardita, which is Vata Nanatmaja Vyadhi. Different Acharya attributed root cause of Ardita to highly vitiated Vata dosha but some also explained the involvement of other Dosha in disease manifestation. Acharya explained causes of Ardita like transferring heavy wt on head, excessive laughing, loudly talking, sudden fearing, sleeping on uneven bed, eating hard food particles other Vatavardhak ahara vihara leads to vitiation of Vata dosha. This is a case study of a 37-years old female; she came to Kayachikitsa OPD with the complaints of deviation of mouth to left side, numbness in right side of face, feeling of swelling in the lower lip and was unable to completely close her right eye. Diagnosis of the patient was made by typical presentation and with neurological (especially cranial nerve) examination. Lab investigations were not indicative of any underlying pathology. The patient treatment included facial muscle strengthening exercises, eye protection measures and eye drops, Nasya with Anu taila and Ayurvedic formulations. Referrals were made in Panchkarma dept. for regular Nasya and Dhoompan. Patients got discharged after some recovery in symptoms and in few months with regular follow up patient showed marked improvement in symptoms

    A Conceptual Analysis and Importance of Kalka Dravya in Preparation of Niruha Basti

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    Basti chikitsa is unique therapeutic procedure of Panchakarma (fivefold therapy) used in the management of Vatavyadhi. It is also considered as Ardhachikitsa. It is important to know the rationality behind the mixing of Basti ingredients before administration of Basti to the patients. Niruha Basti is a mixture of Makshika (honey), Lavana (salt), Kwaath (decoction) Kalka (fine paste obtained after wet grinding of the plant material) Kwaatha (decoction) and Avapa dravyas (additional ingredients). These ingredients are immiscible with each other. The question that comes to our mind is addition of which ingredient makes Vasti dravya homogenous mixture? As in principle homogenicity of the whole contents is mandatory before administration of Basti. Kalka is a form of paste made out of a green drug or a dry drug by rubbing on a stone by adding sufficient quantity of water to make a consistency of bolus. Some opinion that Kalka is the drug which gives potency to the whole combination of Niruha Basti. Kalka Dravya perhaps could act like a catalyst agent which improves the potency of Basti. But the primary role of Kalka dravya in the Basti seems to be to help in mixing both hydrophilic and lipophlic substnces to make it a proper emulsion. The emulsion nature of the basti dravya has got both cleansing, healing effect. In a way it has got multi-dimensional therapeutic effect. The present article is an attempt to understand the importance of Kalka dravya in Niruha basti, different combinations of Kalka are mentioned in Brihattrayi in different Basti yogas and possible mechanism of action of Kalka in Niruhabasti preparation has been theoretically analysed

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