An Ayurvedic management of Chronic Tonsilitis - A Case Report

Introduction: Tonsillitis is an infection of the tonsils associated with sore throat, difficulty in swallowing, fever etc. There are about 7,455,494 cases of tonsillitis in India per year. Tonsillitis can be compared with Tundikeri in Ayurveda. Aim: To evaluate the effect of Pratisarana of Apamarga Kshara and Triphala Kashaya Kavala in the management of Tundikeri. Materials and Methods: The subject approached Shalakya Tantra OPD of Government Ayurveda Medical College, Bengaluru, with symptoms of sore throat, difficulty in swallowing, headache since 5 years was systemically reviewed and Pratisarana and Kavala line of treatment is adopted. Results: The subject showed marked improvement as depicted in the photographs taken at different levels of treatment. Discussion: The manifestation of symptoms and its severity depends on its extent of involvement of Dosha-Dushya Sammurcchana. Though the disease is Kapha and Rakta predominant, there is involvement of Vata and Pitta Dosha in the Samprapti of Tundikeri. By adopting the holistic approach with external treatment modality an attempt is made to bring about satisfactory results

Ayurvedic management of Indraluptha - A Case Study

Indraluptha is one among Shirokapalagatha Roga mentioned by Acharya Vagbhata. It is correlated to Alopacia Areata. Indraluptha is characterized by localized non-scarring hair loss. Vagbhata has explained the cause for Indraluptha is Vata and Pitta which causes hair to fall off while Kapha along with Rakta obstructing the hair follicles. In contemporary science treatments are limited. Ayurveda has great potential to treat Indraluptha. Here a case of Indraluptha successfully treated with Ayurvedic management is recorded

A Case Study on Primary Open Angle Glaucoma and its Ayurvedic Management

Primary open angle glaucoma (POAG) is a leading cause of blindness with no known cure. Management of the disease focuses on lowering intraocular pressure (IOP) with current classes of drugs likes prostaglandins analogs, beta blocker, alpha-agonists and carbonic anhydrate inhibitors. These treatments may not help all the patients. Some patients continued to experience deterioration in the optic nerve even though their IOP’s are within normal range. Considering which options from basic pathophysiology can play a significant role in the management of this disease. In this case study, Ayurvedic treatment was done. A female patient of 56 years visited Shalakya Netra OPD complaining of both distance and near vision since 8 months. She was diagnosed case of POAG since 4 years. She was given Deepana, Pachana, Sadyovirechana, 2 sittings of Tarpana, Putapaka, Nasya, Jaloukacharana, Anjana, Agnikarma along with Shamanoushadis. There was improvement in visual acuity in both eyes along with significant reduction of intra-occular pressure. Visual field analysis showed improvement in retinal sensitivity. Thus it can be concluded that Ayurvedic approach is helpful in giving a complimentary treatment protocol for primary open angle glaucoma

A study on the effect of Janaranjanakam Anjana in the management of Senile Immature Cataract

Senile cataract is an important cause of age dependent visual impairment and blindness. Till date, an effective medical treatment for senile cataract has not been found out. The only treatment of choice is surgery. Considering the increased rate of incidence of senile cataract, on availability of effective medical measures, possible complications and contraindications surgery, the need arises to research for drugs that could effectively help in arresting the progression and disintegrate the opacification of lens proteins. The Symptoms such as blurriness of vision, Glare, Diplopia etc. are mentioned in senile immature cataract which can be correlated with Kaphaja Timira. Objective of the study was to evaluate the efficacy of Janaranjanakam Anjana and Vimalanjana in the management of SIMC and to compare the efficacy of Janaranjanakam Anjana and Vimalanjana in the management of SIMC. In present study 40 patients were randomly selected and divided into 2 groups, with 20 patients each. Group A patients were treated with Janaranjanakam Anjana for 60 days. Group B were treated with Vimalanjana for 60 days. After the treatment it was observed that there was statistically significant result in the main signs and symptoms i.e. blurring of vision, floaters, glare, visual acuity for distant and near vision and slit lamp bio-microscopy. Amongst 40 patients, 1 patient were getting no improvement, 12 patients were getting Mild improvement, 23 patients were getting Moderate improvement and 4 patients were getting Marked improvement

A Critical understanding of Cone Rod Dystrophy (CRD) and its Ayurvedic interventions - A Case Report

CRDs are Inherited Retinal Dystrophies that belong to the group of Pigmentary Retinopathies (Prevalence 1/40000). Is characterized by Primary Cone involvement or sometimes by concomitant loss of both Cones and Rods that explains the predominant symptoms of CRDs; Decreased Visual Acuity, Colour Vision Defects, Photophobia and Decreased Central Vision, later followed by progressive loss in Peripheral Vision and Night Blindness. Currently, there is no therapy that stops the progression of the disease or restores the vision and the visual prognosis is poor. The only Intervention of CRDs in contemporary science is using Low Vision Aids and Genetic Counselling. Hence Multidisciplinary Approach from Ayurvedic science plays a vital role in the restoration of vision. Though there is No direct reference available in our classical Ayurveda text, the different stages of CRD can be simulated with the conditions which are mentioned in Dristigatagata Roga like, Pittavidagdha Dristi, Hrsvaja, Dhumadarshi and Vataja Timira. Patient is thoroughly examined based on Roga and Rogi Bala and advocated multidisciplinary interventions. This helped this patient in improving the vision and as a prophylactic in arresting or delaying the progression of disease

Role of Jaloukavacharana in the management of Cicatricle Alopecia – A Case Report

Introduction: Cicatricial alopecia is a disease of scalp in which the major clinical feature is patchy loss of hair accompanied with scarring. Cicatricial alopecia is caused by diverse group of hair disorders in which healthy tissue is replaced by scar tissue and causes permanent hair loss. It affects both men and women, most commonly adults. It can be correlated to Indralupta a type of Kapalagta Roga by Vagbhata. The basic pathophysiology of Indralupta is the vitiated Tridosha and Rakta affecting the scalp. The pathology also reveals the blockage of hair follicles with aggravated Rakta and Kapha which further prevents regrowth of hairs. This is the case report of 22 year old male who complained of patchy loss of hair at the left parital region of scalp, associated with pus discharge and swelling since 4 years. Materials and Methods: The subject who approached Shalakya Tantra OPD of Government Ayurveda Medical College, Bengaluru with symptoms of patchy hair loss at left parietal region since 4 years was systemically reviewed and Rakthamokshana, Lepa and Rasayana line of treatment is adopted. Results: The subject showed marked improvement as depicted in the photographs taken at different levels of treatment. Discussion: Idralupta is a Kshudraroga affecting scalp and involving Pitta, Vata Dusti, later Kapha and Rakta blocking the Romakupa. By adopting the holistic approach with both internal and external treatment modalities an attempt is made to bring about satisfactory results

An Ayurvedic management of Retinal Pigment Epithelial Detachment - A Case Study

Introduction: Retinal pigment epithelial detachments (PEDs) are characterized by separation between the RPE and the inner most aspect of Bruch's membrane. The space created by this separation is occupied by blood, serous exudate, drusenoid material, fibro vascular tissue or a combination. The symptoms of RPE detachment can be considered under Drustigata Rogas mentioned by Sushrutha. This is a case study of a 73year old male patient who was diagnosed with PED with Subretinal fluid in Right eye since 8 months. Materials and methods: The subject who approached Shalakya Tantra OPD of Government Ayurveda Medical College Bengaluru with symptoms of diminished vision for both near and far objects in right eye associated with flashes in front of eye since 8 months, patient underwent two courses of inpatient management, which included Ayurvedic oral medicines, and external therapies for the eyes (Kriyakalpa) and head. Results: Signs of improvement in visual acuity and optical coherence tomography (OCT) were observed at the end of both treatments. Conclusion: The main aim of management was to preserve and give a better quality of vision for the patient. The results indicate the potential of Ayurvedic treatments to manage and maintain vision in REP detachment

Ayurvedic management of Vataja Shira Shoola (tension headache) - A Case Study

Shiras is considered as Uttamanga according to Ayurveda. It’s included in one among three Marmas and also Dasha Pranayatana. Diseases related to head has explained in Ayurvedic classics. Vataja Shirashoola is one among the Shiro Rogas explained by Charaka, Sushrutha and Vagbhata. Acharya Charaka had explained Nidana of Vataj Shirashoola such as Upavasa, Shoka, Bhaya, Trasa etc.Vataja Shirashoola is corelated to Tension Head ache which accounts for nearly 90% of all headaches. Tension headache is related to stress, depression and anxiety. Here a case of Vataja Shirashoola successfully treated with Ayurvedic Management is recorded

Emergency logistics for wildfire suppression based on forecasted disaster evolution

This paper aims to develop a two-layer emergency logistics system with a single depot and multiple demand sites for wildfire suppression and disaster relief. For the first layer, a fire propagation model is first built using both the flame-igniting attributes of wildfires and the factors affecting wildfire propagation and patterns. Second, based on the forecasted propagation behavior, the emergency levels of fire sites in terms of demand on suppression resources are evaluated and prioritized. For the second layer, considering the prioritized fire sites, the corresponding resource allocation problem and vehicle routing problem (VRP) are investigated and addressed. The former is approached using a model that can minimize the total forest loss (from multiple sites) and suppression costs incurred accordingly. This model is constructed and solved using principles of calculus. To address the latter, a multi-objective VRP model is developed to minimize both the travel time and cost of the resource delivery vehicles. A heuristic algorithm is designed to provide the associated solutions of the VRP model. As a result, this paper provides useful insights into effective wildfire suppression by rationalizing resources regarding different fire propagation rates. The supporting models can also be generalized and tailored to tackle logistics resource optimization issues in dynamic operational environments, particularly those sharing the same feature of single supply and multiple demands in logistics planning and operations (e.g., allocation of ambulances and police forces). © 2017 The Author(s