Himalayan Journal of Health Sciences (HJHS)
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Processing and Therapeutic Significance of Parada in Rasashastra
Metals and minerals have also been utilized as medicines under the umbrella of Rasashastra and Bhaishajy Kalpana though proper purification. India is rich in metals that range from arsenic to mercury. Parada (mercury) is found in a semi-fluid form and is very mobile. It is the most commonly used metals in many Ayurvedic medicines, especially Rasayoga, in which it is converted to Bhasma. Parada is unique among metals by virtue of its uncommon semi-fluid state, shining and properties. It is also called "Rasa" since it possesses the characteristic of amalgamating with other metals. Shuddha Parada is said to be non-toxic, with therapeutic qualities and being a very effective medicine. Contemporary issues regarding the toxicity of Parada mainly arise from its unpurified state. This article presents an overview of Parada including its clinical significance
Recent Advances in Physiotherapy Treatment Techniques for Plantar fasciitis- A Narrative Review
Background: Plantar fasciitis (PF) is a common musculoskeletal disorder primarily characterized by degeneration rather than inflammation of the heel's plantar fascia, causing localized pain. It affects approximately one in ten individuals during their lifetime, with factors such as reduced ankle dorsiflexion angle and calf muscle stiffness contributing to its development. PF typically presents with severe pain upon initial weight-bearing after rest, improving with movement throughout the day. Diagnosis involves tenderness at the medial calcaneal tubercle and pain upon passive dorsiflexion of the first toe.
Despite its high prevalence, effective and early diagnosis of PF remained challenging. A better understanding of its underlying mechanisms, such as the role of calf muscle stiffness and ankle dorsiflexion limitations, was needed to improve prevention and treatment strategies. Additionally, research into the long-term outcomes of various treatments for PF, particularly conservative methods versus more invasive interventions, was crucial to guide evidence-based clinical practice
Conclusion: Extracorporeal shockwave therapy, Tapping, Local vibration, stretching exercises and Dry needling with electrotherapy shows significant improvement in reducing pain, improving ROM and foot functions among patients with plantar fasciitis
Ayurvedic poisonous plants and their medicinal values
A poisonous plant is one that, when touched or consumed in large enough quantities, can be hazardous or lethal to humans or other animals. These plants can be utilized as herbal medicines with therapeutic effects when used in the right proportions and in small doses. Many plants are harmful to people when consumed or through skin contact with plant chemicals. Poisonous medicinal herbs are used to treat a variety of illnesses, including diabetes, cancer, infections, and fungal growth. According to the review, numerous phytochemical components that have diuretic, purgative, laxative, anti-allergic, and other significant therapeutic effects have been identified in a variety of medicinal plants. If utilized appropriately, poison can be life-giving, calming to the three Doshas, encouraging, and regenerating. The poisonous plants are categorized as Visha and Upvisha in Ayurvedic texts. Agadtantra is an important branch of Ashtanga Ayurveda. The importance of this branch has been described in our Vedas, Epics, and Samhita. Proper description, classification, clinical features, and management of any kind of Visha have been described in this branch. Some poisonous plants are Dhatura, Bhallataka, Vatsanabha, Bhanga, Vach, Kuchala, and Gunja, etc. The Shodhana process is the only bridge between Visha and Aushadhi. Shodhana is the process by which physical, chemical, and natural impurities are removed. It will intensify the potency and effectiveness of the drug and nullify its toxicity. The aim of this review article is to provide a brief overview of the numerous medicinal uses of some poisonous plants
A Comprehensive Review of Nasya Therapy in the Management of Anidra (Insomnia)
Anidra (Insomnia) is recognized as an independent disease, or in some texts it is mentioned as a prodromal symptom of other conditions such as; Visha Lakshanas, Angamarda, Tandra, Shiro Roga, Akshigaurav and Arishta. Heaviness in eyes, polymyalgia, drowsiness and headaches, etc. are major side effects associated with Anidra. Medical science offers several options for the management of such conditions; similarly, Ayurveda also put great emphasis for its management. Pharmacological drugs as well as Panchakarma therapies such as-Brimhana Chikitsa, Sirahtarpana, Akshitarpana and Nasyaare mainly described by Ayurveda philosopher for the management of insomnia. Among these, the role of Nasya therapy is explained in this article. In this therapy, medication is administered through the nose, which is considered one of the routes for delivering medication to the head region, serving as a gateway to the brain and central nervous system. Nasya gives beneficial results, such as lightness in head, refreshing sleep, cheerful mind, improvement in function of sense organs and normalization of metabolic activity, etc
Recent Advances in Physiotherapy Treatment Techniques for Frozen shoulder-A Narrative Review
Background: Frozen shoulder is a condition that is characterized by pain, decrease in range of motion, stiffness in shoulder joint. It also leads to restriction of daily living activities. Frozen shoulder is reported to affect 2% to 5% of the general population. It affects mostly age group of 30 to 60 years. In frozen shoulder, capsule become hard, thick and tight and there is loss of axillary pouch and joint volume which leads to lack of motion of shoulder joint. Shoulder capsule get thick with mild chronic inflammation and fibrosis along with infiltrate.
Recent advancements in physiotherapy, including techniques like movement with mobilization, matrix rhythm therapy, sleeper's stretch, gongs mobilization, and myofascial release, show promise in improving outcomes. However, there is a lack of comprehensive research comparing the effectiveness of these modern physiotherapy approaches. This study aims to address this gap by evaluating and identifying the most effective treatments for managing frozen shoulder, thereby enhancing clinical practice and patient outcomes.
Conclusion: This study concluded that matrix rhythm therapy, Gong’s mobilization and MWM techniques showed significant improvement in reducing pain, improving ROM and shoulder functions among patients with frozen shoulder
A Review Study on Effects of Multimodal Therapy on Hamstrings Tightness – A Systemic Review
Background: Hamstring tightness is a prevalent musculoskeletal condition affecting individuals across various age groups and activity levels. It often leads to reduced flexibility, increased injury risk, and impaired functional performance. Multimodal therapy, which combines various therapeutic interventions, has been proposed as an effective approach for managing hamstring tightness. However, the cumulative evidence supporting its efficacy remains unclear.
Objective: This systematic review aims to evaluate the effects of multimodal therapy on hamstring tightness by synthesizing findings from recent studies to determine its clinical relevance and effectiveness.
Methods: Inclusion criteria encompassed randomized controlled trials, cohort studies, and comparative studies investigating multimodal interventions for hamstring tightness. Multimodal therapy was defined as the combination of two or more therapeutic techniques, such as stretching, manual therapy, strengthening exercises, and physical modalities.
Results: Common combinations included static stretching with myofascial release, dynamic stretching with eccentric strengthening, and neuromuscular facilitation with cryotherapy.
Conclusion: Multimodal therapy is a highly effective approach for alleviating hamstring tightness, surpassing the efficacy of standalone techniques. The integration of stretching, manual therapy, and neuromuscular training yields superior outcomes in flexibility and functional performance. Future research should explore the long-term effects of these interventions and establish standardized protocols for clinical practice
Addiction Management in Vulnerable Populations
Addiction remains a significant challenge, especially for vulnerable populations. As a way to cope with social determinants of health, life stressors and challenges they are going through, most result in substance abuse. Considering the number of people affected by SUD in the US, there is a need to put effective measures in place that can help address the challenges of dealing with addiction in vulnerable populations. Other than addressing the root causes of addiction in these populations, there is a need to take into account the individual needs of these groups to increase the likelihood of positive outcomes. Some of the needs that clinicians need to consider are lack of medical insurance, the inability to pay insurance, challenges with housing, historical trauma, structural racism, and discrimination. These factors can make it difficult to attain positive outcomes when dealing with vulnerable groups. Therefore, taking them into account is important. Community-based interventions can also help because they bring treatment close to patients. They also provide social support which most people facing vulnerabilities lack
A Review: Novel Granulation Technology
All the pharmaceutical Active pharmaceutical Ingredients (API) and Pharmaceutical excipients will have different particle size. While formulating a dosage form, particles from raw materials will tend to separate from other due to their rheological properties. There could be a condition where fine particles separate from the larger particles causing demixing or uneven distribution of active with its excipients leading to tablet content uniformity issue. To overcome this problem, particle enlargement or particle cohesiveness with or without additional aid is necessary, which could be achieved by granulation. Hence granulation technology is important in the formulation of pharmaceutical oral solid dosage form. Granulation is the process of adhering fine particles agglomerate into a large particle using two most common methods i.e. wet granulation and dry granulation/compaction. Day by day technological innovation is happening in all fields and pharmaceutical granulation process is also not an exemption. The objective of present review is to focus the novel granulation technology and how it is differing from the conventional granulation technology
Comparative Study of Shatpuspa Tail Matra Basti with Dasmool Tail Matra Basti in Anartav W.S.R. to Vata Kaphaj Aartav Dusti (PCOS)
Women’s health is always being prime concern for medical fraternity since female not only serve for her family but also support society and nation. The current scenario witnessed rise in female health issues due to the stressful pattern of life style. Women of reproductive age mainly suffer with many gynecological problems and many of them experience hormonal imbalances which lead to menstrual irregularities. Currently many women are facing issues of polycystic ovarian syndrome (PCOS) globally which also affects physiology of normal menstruation. The incidences of PCOS are very high now a days due to the poor daily routines and sedentary lifestyles, etc. In Ayurveda menstrual abnormalities associated with PCOS can be correlated with Anartav caused by Vata Kaphaj Aartav Dusti. Ayurveda suggested many therapeutic options for such conditions including Basti therapy especially Matra Basti. Considering these facts present article reviewed role of Shatpuspa Tail Matra Basti and Dasmool Tail Matra Basti in Anartav W.S.R. to Vata Kaphaj Aartav Dusti (PCOS)
Ayurveda Perspectives of Avascular Necrosis (AVN) and its Management through the Ancient Practices
Avascular necrosis (AVN) is a complex disease influenced by various factors, primarily affecting a younger demographic. If not treated properly it can lead to femoral head collapse and severe joint pain. The characteristics of Avascular necrosis can be correlated with Asthimajjavruta vata according to Ayurveda science. Bhedo-Asthiparvanam, Sandhishula, Satata Ruk, Mamsabalakshaya and Asvapna are major symptoms of disease. Ayurvedic medications and non-medicinal therapies of Panchkarma may help to halt further necrosis and revitalize bone health. Guggulu, Giloy, Kantkari, Patol, Vasa, Babbula, Shunthi, Pippali, Maricha, Amalaki, Haritaki and Vibhitaki, etc. are drugs which offers anti-inflammatory and pain relieving effects in AVN. The Agnikarma as thermal cauterization can stimulate healing if heat applied to the skin or superficial tissues. The other therapies of Panchkarma reduce muscle tension and enhance relaxation thus contributing towards the therapeutic management of AVN