Evaluation of comparative clinical efficacy of Vamana and Virechana Karmas in Madhumeha (NIDDM)

Introduction: Even though the scientific world has conducted extensive studies on Madhumeha but couldn’t find a safe and effective therapy or medicine for this disease, in Ayurveda we offer several treatment modalities. In the treatment of Sthoola Madhumeha, Vamana and Virechana therapies are good result oriented, controls the blood sugar level and prevent further complications without any side effects. Vamana and Virechana Karmas are advised in Madhumeha patients having good body strength and those who are Sthoola. Objectives: To evaluate the comparative effect of Vamana and Virechana Karmas in Madhumeha (NIDDM). Methods: This study includes 2 groups, 15 patients in each group. In Group-A, 15 patients received Vamana and in Group-B, 15 patients received Virechana. Results and Conclusion: In Group A (Vamana), 08 patients got Good response (53.33%), 07 patients are got Moderate response (46.66%) and in Group B (Virechana) 03 patients got Good response (20%) and 12 patients got Moderate response (80%), no patient had Poor response in both the groups. Thus both procedures are having good and lasting results

A COMPARATIVE CLINICAL STUDY ON THE EFFECT OF UDVARTANA AND TUMMY TRIMMER IN UDARA- LAMBANATVA W. S. R CENTRAL OBESITY

Now a day’s Obesity/ Sthoulya is a burning issue, but it is not being easy to burn it. Abdominal obesity also known as central obesity. With all kinds of foods becoming readily available at any times while humans are sedentary, intake of higher energy and less energy expenditure. Ayurveda describes Medopachaya as Sthoulya, it is a Santarpanajanya vyadhi said as one among Asthanindita purusha.According to the WHO, obesity is one of the most common, yet among the most neglected, public health problems in both developed and developing countries. Globally 1 in 6 adults is obese and nearly 2.8 million individuals die each year due to overweight or obesity. India is just behind US and China in this global hazard list of top 10 countries with highest number of obese people.The diuretic and purgatives drugs are also used to treat obesity, but the action is for shorter term and the patients again put on weight after cessation of treatment. In Ayurveda we offer several treatment measures to treat obesity. Here is an attempt made with safety management using principles of Panchakarma. 30 Patients were equally divided in 2 groups and treated Udvartana with Kolakulatthadi churna and Tummy trimmer by Sauna shaping belt, their comparative effects in central obesity. On the other hand corporate sectors are selling commercial slimming belts and are being sold out like hotcakes. Comparing both the procedures, Udvartana has given better result than Tummy trimmer

Evaluate the efficacy of comparative study of Aavapa Dravya Triovasti and Somavalkala Kashaya Yogabasti in Madhumeha (NIDDM)

Background: Madhumeha has become a burning issue in day today life. The term Prameha has broader connotations indicating the increased quantity and quality of urination. Where as Madhumeha, is the condition where patient passes urine like honey. Madhumeha vis-à-vis Diabetes mellitus is a group of metabolic disorder characterized by Hyperglycaemia resulting from defects in Insulin secretion or its Action. In classics the prime importance has been given to Basti among Panchakarma and even termed as Ardhachikitsa or complete Chikitsa, as it produces multi-dimensional effect. Objectives: To evaluate the efficacy of the Vasti in Trio-vasti pattern and also to evaluate the efficacy of the Avapadravya in Vasti in Madhumeha, Methodology: 30 patients were selected for the study and equally divided in three groups. Group-A: 10 patients received Somavalka Kashaya Niruha Yoga Basti. Group-B: 10 patients received Somavalka Kashaya with Aavapa Dravya Niruha Yoga Basti. Group-C: 10 patients received Somavalka Kashaya Niruha Yoga Basti in Trio-vasti pattern. Results and Conclusion: After proper administration of Somavalka Kashaya Yogabasti in all the groups the results were noted that, it gives immediate and lasting results, both symptomatically and in sugar levels. Among 30 patients, 7 patients (23.33%) showed mild response, 12 Patients (40%) showed moderate response, 11 patients (36.66%) showed marked response. In mild and moderate type of Madhumeha patients, Somavalka Kashaya given in Trio-Basti helps to control it. Along with Bastikarma, administration of Patya Aahara- Vihara and Shamanoushadis may give better effect

Application of Vishesha Siddhanta in the management of Janusandhigata Vata w.s.r. to Janubasti with Devadaru Baladi Taila - Clinical study

Ayurveda is the science of life. It defines any disturbance in the equilibrium of Dhatus (Dosha, Dhatu, Mala) is known as disease and on other hand the state of their equilibrium is health. Attainment of equilibrium is achieved by Samanya and Vishesa siddhanta. Vishesha has great role in Ayurveda like Samanya for being the Chikitsa Siddhanta. Sandhigatavata is a one among the Vataja Nanatmaja Vyadhis, with clinical symptoms like Sandhishula, Shotha, Prasaranaakunchana Vedana etc. According to WHO, Osteoarthritis is most common musculoskeletal problem in world (30%). Most pharmacological approaches for pain management are considered temporarily effective and not very safe. In Vatavyadhi - Snehana, Swedana and Basti karma are considered as the prime line of treatment. Bahya Snehana and Swedana effects will be achieved in Janubasti. Results and Conclusion: Out of 30, 12 patients (40%) had got Good response, 17 patients (56.66%) had Moderate response and 1 patient (3.33) had Mild response. Thus, Janubasti with Devadarubaladi Taila is having good result in subsiding the symptoms of Janusandhigatavata. Snigdha, Ushna and Guru Guna of Sneha will counteract with the Rooksha, Sheeta and Laghu Guna of Vata and hence controls the symptoms

A COMPARATIVE CLINICAL STUDY ON PATRA PINDA SWEDA AND NADI SWEDA IN THE PAIN MANAGEMENT OF GRIDHRASI W.S.R. TO SCIATICA

Gridhrasi as mentioned in Ayurveda explains a disorder where in pain starts from Sphik pradesha and radiates downwards to Kati, Prusta, Uru, Janu, Jangha and Pada, Due to this, the patient is unable to walk properly. Gridhrasi can be compared with Sciatica. Sciatica is a relatively common condition with a life time incidence varying from 13% to 40%. The corresponding annual incidence of an episode of Sciatica ranges from 1 to 5%. The incidence of Sciatica is related to age. It is rarely seen before the age of 20. Incidence peaks in fifth decade declines thereafter.Snehana and Swedana are considered as a general line of treatment for Vata Vyadhi which can be taken as a line of treatment for Gridhrasi also. Patra pinda Sweda (Vatashamak) and Nadi sweda (Vata Kapha shamak) is one such treatment modality comes under Snehana and Swedana is known for relieving the symptoms. Murchita Tila Taila due to its Vata Shamaka has been taken for the Sthanik abhyanga.30 patients of Gridhrasi were randomly selected and divided into 2 groups. Group A: 15 patients received Patra pinda sweda and Group B: 15 patients received Nadi sweda up to Samyak Swinna lakshana. Overall assessment of both groups, out of 30 patients, 2 (6.67%) got complete remission, 13 (43.34%) patients got marked response, 6 (20%) patients got moderate response and 9 patients got mild response

Effect of Bindu Ghrita on external application over Nabhi in Vibandha w.r.t. Constipation - A Case Series

Vibandha as both the terminologies have similar features like Purish Nigraha (obstruction of stool), Pakvashaya Shoola (pain abdomen), Parikartika (pain during defecation) etc. Constipation can occur at any age and is more common among individuals who resist the urge to move their bowels at their body's signal. Body is originally composed of Dosas, Dhatus and Malas. In Ayurveda there are so many preparations and Karmas to treat the constipation. By the application of Bindu Ghrita on Nabhi by penetrating into skin it enters Pakwashaya through Srotas due to Virya of the drug it expels the Dosha through Adhobhagahara and it expels Mala only in two external applications over Nabhi. By application over Nabhi expel the Dosha through Pakwashaya and relives the Vibandha

TO EVALUATE THE COMPARATIVE EFFICACY OF SVALPAMASHA TAILA NASYA AND PARINATA KERIKSHEERADI NASYA IN AVABAHUKA (FROZEN SHOULDER)

Avabahuka is a condition in which vitiated Vata lodges in Amsa Pradesha and by contracting leads to the Shosha of the muscles of the shoulder and upper arm. This disease disturbs the day to day activities of an individual and makes him dependent and very much depressed. Ayurveda has a great role to manage this disease successfully. Nasya Karma is one of the prime treatments of Avabahuka. It is especially indicated for the diseases of the parts in and above the shoulders. In Nasya Phalasruti it is mentioned that the skin, shoulders, neck, face, chest become well developed. So Nasya helps in developing strength of muscles in shoulder region. Objective of the study: To evaluate the efficacy of Svalpamasha taila Parinata keriksheeradi taila and comparative efficacy of Svalpamasha taila Nasya and Parinata Keriksheeradi Nasya in Avabahuka. Methods: 30 patients of Avabahuka, were randomly divided into two groups, Group A received Nasya Karma with Svalpamasha Taila for 14 days and the Group B received Nasya Karma with Parinata keriksheeradi taila nasya for 14 days. With help of assessment tools and gradation of symptoms, the findings of research work were statistically analyzed. Results: Results of this study shows that group A (Svaplamashataila) was more effective in reliving the symptoms of Avabahuka than Group B (Parinata keriksheeradi taila). So Group A is statistically significant than Group B

EFFECT OF SIRAVYADHA IN THE PAIN MANAGENT OF GRIDHRASI- A CASE STUDY

Introduction: Gridhrasi is a condition characterized by Ruk, Toda, Stambha, Spandana in Sphik pradesha and radiates downwards to Kati, Prusta, Uru, Janu, Jangha and Pada. Gridhrasi can be compared with Sciatica. Siravyadhais the major line of treatment mentioned in Ayurveda classical texts.Case study: A female patient aged 35 years; presenting with cardinal clinical signs and symptoms of Gridhrasi visited OPD with history of eight years and worsen in last two days. She was examined thoroughly and detailed history of illness was recorded. She was treated with Siravyadha atantara kandara gulpha sandhi by following proper Purva, Pradhana and Paschyat karma.Observation and Result: patient got relief in subjective parameters i.e. Ruk and Stambha. There was marked improvement in SLR test, mild improvement in Rt. Lateral Flexion and Backward extension of lumbar spine Movement. Forward Flexion and Lt. Lateral flexion of lumbar spine Movement remained unchanged.Conclusion: Siravyadha is administered in Tridoshadushti and Sarvangagatadushti. In Ghridrasi, Rakta and Kandara are Dushya and Vyana vata is major Dosha. Siravyadha corrects these imbalances by letting out the vitiated blood. The procedure was simple, economical and can be done in OPD level. It gives immediate relief of pain and stiffness

THE COMPARATIVE EFFECTS OF VRUDDHADARVADI UPANAHA AND WAX THERAPY IN THE PAIN MANAGEMENT OF JANU SANDHIGATAVATA W.S.R. TO OSTEOARTHRITIS OF KNEE JOINT

A clinical trial was conducted to evaluate the efficacy of different treatment modalities in Janu Sandhigatavata. The Lakshanas of Janu Sandhigatavata as per classics are Shotha, Shoola, Prasaranaa kunchanayovedana, and Atopa are like the symptoms of Osteoarthritis of knee joint i.e., pain, swelling, crepitation and joint restriction. 30 patients suffering from Janu Sandhigatavata (single or both knees), who fulfilled the inclusion and exclusion criteria were selected for the study. 30 Patients were randomly allocated equally into two groups, Group A and Group B. Group A patients received Vruddhadarvadi Upanaha sweda for 1 Hour and Group B patients received Wax therapy for 20min, for 7 days. Both the groups received Placebos (capsules filled with rice flour) for 14 days during the follow-up period. The data of both the groups were analysed using Wilcoxon Signed Rank Test and Mann- Whitney U Test. The efficacy was statistically significant in both the Groups as p value <0.001 in most of the symptoms. Upanaha Sweda and Wax therapy, both the treatments shown equal effectiveness in relieving the pain, swelling, joint restriction and difficulty in walking. While comparison between the Groups, Group A i.e. Upanaha group showed marked reduction in symptoms. The final evaluation proved that the efficacy of Group A was moderately significant as compared to Group B

Evaluation of comparative efficacy of Guda Sunthi and Manjistha Guggulu Avapeedana Nasya in Manyastambha (Cervical Spondylitis)

Manyastambha is described under Nanatmaja Vatavyadhi. It is a condition where, the aggravated Vata get localized in the Manya Pradesha causing symptoms like Stambha and Shoola. Manyastambha can be compared with earliest symptoms of cervical spondylitis. In this condition, patient complaints of neck pain. The neck is held rigidly and neck movements may exacerbate pain. Now a day, Cervical spondylitis is very common in the people who do routine activities like travelling, household work, desk job etc. It can be seen in people as early as 25 years of age. In Manyastambha, Nasya is the main line of treatment. (i.e. Vatakaphahara Nasya). Objectives: To evaluate the comparative efficacy of Guda Sunthi Avapeedana Nasya and Manjistha Guggulu Avpeedana Nasya in Manyastambha (Cervical Spondylitis). Materials and Methods: This is a comparative clinical study conducted to assess the efficacy in Manyastambha. As per the inclusion and exclusion criteria, the patients who fulfill the criteria were randomly selected and equally divided into two groups. Group A - 15 Patients received Guda-Sunthi Avapeedana Nasya. Group B - 15 Patients received Manjistha-Guggulu Avapeedana Nasya. Results and Conclusion: In Group A, 9 patients (60%) showed complete remission and 6 patients (30%) showed marked response. In Group B, 3 patients (20%) showed complete remission, 1 patient (7%) showed marked response. 6 patients (30%) showed moderate response, 4 patients (26%) showed mild response and 1 patient (7%) showed unchanged response