AYURVEDIC MANAGEMENT OF LUMBAR SPONDYLOLISTHESIS (KATI SHOOLA) WITH SPECIAL REFERENCE TO CHINCHA LAVANA SWEDA- A CASE REPORT

Spondylolisthesis is described as a translation of a vertebra with respect to the vertebra below without any modification or notable lesion to the pars interarticularis. Lumbar spondylolisthesis can be considered as various conditions like Kati shoola, Kati Graha, Trika Graha, Prushta Graha, Trika Shoola, Prushta Shoola, Grudrasi in Ayurveda. The present article deals with a case of diagnosed Grade 1 lumbar spondylolisthesis of L4 over L5 and got advised for surgery. The Ayurvedic diagnosis of Kati soola was made. Management included Abhyanga, Kativasti, Kshira vasti, Virechana, Vaitarana vasti and Chincha lavana sweda along with internal medications. Chincha lavana sweda is a very simple and effective Swedana procedure to cure pain in low back, especially due to Spondylolisthesis. But it is not widely used. This case report also wants to introduce the technique to Ayurvedic practitioners who are unaware of it. Before treatment, total score on Oswestry low back pain disability questionnaire was 34 (68%) and at the time of discharge, the score was 8 (16%). On Roland-Morris low back pain and disability questionnaire, the before treatment score was 17 and at the time of discharge it was reduced to 4. That means the patient showed an improvement of 76% on Roland-Morris low back pain and disability questionnaire. The present case report substantiates effectiveness of classical Ayurvedic Management in spondylolosthesis

AYURVEDIC MANAGEMENT OF PLAQUE PSORIASIS- A CASE STUDY

Psoriasis is a chronic, multisystem inflammatory disease with predominantly skin and joint involvement. In Ayurveda all skin diseases are described under the umbrella of Kushtha. Ayurvedic system of medicine is giving good results in management of Psoriasis. Repeated Samshodhana (purificatory therapies) along with Samshamana (palliative therapies) is the main line of treatment if skin diseases in Ayurveda. Three assessments were taken before and after treatment on scoring of Dermatology Life Quality Index (DLQI), Psoriasis Disability Index (PDI) and PASI score. Score of the patient was 63.3% before treatment and 13.3% after treatment and 3.3% after follow up on Dermatology Life Quality Index (DLQI), 44.4% before treatment and 15.5% after treatment and 5.3% after follow up on Psoriasis Disability Index (PDI) and 24.5% before treatment, 5.1% after treatment and 1.2% after follow up in PASI (Psoriasis Area and Severity Index).  This case study wants to substantiate the effectiveness of Ayurvedic treatment in the management of Plaque psoriasis

THE CONCEPT OF IMMUNOMODULATION IN AYURVEDA W.S.R. TO ITS SIGNIFICANCE IN PREVENTING EMERGING INFECTIONS LIKE COVID 2019

Ayurveda is one of the most renowned traditional systems of medicine that has survived and flourished from ages till date. The two basic aims of Ayurvedic science is to maintain the health of healthy person and curing the ill health of the diseased. Here is a comprehensive review of the Ayurvedic classical texts, to understand the Ayurvedic perspectives of immunomodulation w.s.r. to its significance in preventing emerging infections like COVID 2019 pandemic. Background: The review is prepared based on the Ayurvedic perspectives and practices of immunity described in various classical Ayurvedic text books like Brhitrayis, Laghutrayis, their commentaries and published research articles. Review Results: Ayurveda enlists various enhancers of immunity, which include Dinacharya (daily regimen), Ritucharya (seasonal regimen), proper diet, exercise, specific foods like milk, Rasayanas like Guduchi (Tinospora cordifolia), meditation, Yoga-pranayama, Achara Rasayana (good conduct of behaviour). The concept of Vyaadhiksamatva is not merely immunity against a specific infectious agent or disease like the concept of modern medicine. Rather, it denotes resistance against the loss of integrity, proportion and inter-relationship amongst the individual’s Doshas (biohumours) and Dhatus (tissues), which can be increased by various methods mentioned in Ayurveda. Conclusion: New infections are emerging which are not manageable by conventional medicine like the COVID 2019 pandemic. Soit is high time to educate people about the valuable teachings on leading a healthy and subsequently a happier life with the help of the immunomodulatory techniques described in Ayurveda

MANAGEMENT OF GENITAL WARTS THROUGH AYURVEDA-A CASE REPORT

External genital warts or Condyloma Acuminata is caused by the Human Papilloma Virus subtypes 6 and 11. According to Ayurveda it can be diagnosed as Yoni Arsa. This case report presents a 51 yr old female with the complaints of per vaginal discharge, itching and appearance of progressively increasing number of lesions in the vulva for 6 months. The pathological diagnosis of the vulvar lesion specimen was Condyloma Acuminata. Patient was treated with internal administration and external application of Ayurvedic medicines. Considerable relief for the condition was noted and the follow up visits confirmed the non recurrence of the disease. Ayurvedic interventions can be considered as minimal invasive and cost effective in the management of genital warts

Management of Nasya-induced pyrexia in a patient with refractive error and migraine: a case report

A 23 year old young lady was admitted for Ayurveda treatments of her refractive error coupled with migraine. She was put on Shadbindu Taila Nasya, 24 drops in both her nostrils immediately the next day. Within 6 h of performing Nasya, the patient started developing pyrexia which was initially of low grade, and later, within 6 h, went on to high-grade. Nasya was suspended, and rescue Ayurveda medicines were started but had no improvement. The patient later self-medicated an antipyretic drug, and with a single dose, the high-grade pyrexia came down to normal. Naranjo adverse drug reaction probability scale recording gave a score of six, which shows that the AE could be probably due to Nasya with Shadbindu Taila. This case report adds evidence to the medical database of under-reported/poorly reported adverse effects (AE) cases of Nasya therapy. It shows that Nasya is not a 100 % complication and adverse effect free treatment, but rather has to be done with extreme caution. This case report highlights that effective Ayurveda principle based preparatory treatments are also to be done before initiating Nasya to minimize the chances of adverse effects. This case report also suggests practicing a test dose of Nasya, before initiating a high dose, so as to detect adverse events and prevent severe complications