A comparative clinical study to evaluate the effect of Indrayavadi Yoga and Bhoomyamalaki Choorna in the management of Asrigdara w.s.r. to Puberty Menorrhagia

A normal menstruation denotes a healthy state of female reproductive system. If the menstrual bleeding is abnormally excessive, prolonged and is associated with pain, it indicates some pathology. The abnormal menstrual cycle not only disturbs the general health, it also disturbs routine work schedule of the woman and her entire family. There is no direct reference of Puberty menorrhagia in classics. Puberty menorrhagia is defined as excessive bleeding occurring between menarche to 19 years of age. Anovulatory bleeding with irregular shedding of endometrium is the cause for puberty Menorrhagia which can be effectively tackled with the help of herbal drugs which contains hemostatic action. Asrigdara mainly due to vitiation of Vata and Pitta Doshas, hence the treatment should be based on use of drugs which are having predominance of Kashayarasa and Pitta-Vatashamaka properties and Stambhan action. Thus selected drugs are Indrayavadi Yoga and Bhoomyamalaki Choorna possess Vata-Pitta Shamaka and Raktastambhaka. This research work is comparative clinical study. 40 patients presenting with Pratyatma Lakshana of Asrigdara were randomly selected and divided into 2 groups of 20 patients each. Group A were given Indrayavadi Yoga and group B were given Bhoomyamalaki Choorna for a period of 2 menstrual cycle and two follow up during treatment and one follow up after treatment. After the completion of clinical trial, it was found that Bhoomyamalaki Choorna which was group B is more effective than group A. The overall effect in group A and Group B, both the groups shown excellent response, but when comparing all the parameters Bhoomyamalaki Choorna shown more significant response than Indrayavadi Yoga. Trial drug is a better remedy for Asrigdara. It has no side effect, cost effective

A clinical comparative study of Chedana Paschat Arka Pratisaraeeiya Kshara & Agnikarma in the management of Kadara (Corn)

Sushruta Samhita is the earliest known authentic treatise on Ayurveda. In Vedic period also there is a description of Agnikarma and Ksharakarma. In Shalya Tantra common procedure are Agnikarma, Ksharakarma and Jalokavacharna etc. Kadara is one among Kshudra Roga is claimed to be effectively dealt with Agnikarma and Ksharakarma. This is intended to offer instant relief to the patient to evolve a simple and economic management and to evaluate whether the relapse can be prevented with Agnikarma and Ksharakarma.The studies conducted with 40 patients were selected, made into 2 groups of 20 each patients. Group A patients were treated with surgical excision followed by Arka Pratisaraneeya Ksharakarma and Group B patients were treated with surgical excision followed by Agnikarma. Arka Kshara is prepared and applied after excision of lesion, keeping for 100 Shatamatrakala (100 sec), treated with Nimbuka Swarasa. With all aseptic measures the lesion is excised and then Agnikarma using Lohashalaka, Madhu and Sarpi is applied and bandaged. Both procedures are in single sitting, dressing for alternate day and every 15 days follow up till 45 days. After the completion of clinical trial, it was found that Agnikarma procedure there was highly significant results in reducing pain, discomfort, bleeding infections and healing period. Where as in KsharaKarma there is also significant result in reducing pain, discomfort but statically considering average mean Kshara Karma shows comparatively lesser effective than Agnikarma. By the statistical results it can be concluded that Agnikarma has better result when compared to Kshara Karma in the present study