A COMPARATIVE STUDY OF VIRECHANA KARMA AND BASTI KARMA IN AMAVATA W.S.R. TO RHEUMATOID ARTHRITIS

Amavata is a Kapkavatavyadhi affecting people in the Madhyamaavasta. The disease is obtained by the involvement of Ama and Vata, characterized by Ruja and Shotha in Sandhisthanas. In this study the aims and objectives are to evaluate the effect of Nittyavirechana in Amavata, To evaluate the additive efficacy of Yogabasti in Amavata and To evaluate the comparative effect of Nittyavirechana and Yogabasti in Amavata. This was a prospective comparative clinical trial. Patients were randomly distributed into 2 groups which are 15 patients receiving Nittyavirechana with Erandataila and another 15 patients received Yogabasti with Erandamooladikwathaniruha and Bruhatsandhavaditailaanuvasana Results in group A 6.66% patients had good, 73.33% patients had moderate and 20% patients had mild response to the treatment. In group B 40% patients had good response, 60% patients had moderate response to the treatment. There was considerable improvement subjective and objective parameters in both the groups but Yogabasti group got more beneficial effects. Nittyavirechana imparts Agnideepana, Vatanulomana and opens up the Srotas in the Shareera facilitating more nourishment and free movement of Vatadosha. Yogabasti is prime treatment for Amavata in turn plays vital role in correcting pathology of the disease and gives remarkable results

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

Role of Vaitarana Basti in the management of Gridhrasi w.s.r. to Sciatica

Vata Vyadhi is one of the most prevailing health problems in our day today clinical practice, Gridhrasi is one among them. Gridhrasi is Shoola Pradhana Nanatmaja Vatavyadhi, affecting the locomotor system and disable from daily routine activity. Gridhrasi the name itself indicates the way of gait shown by the patient due to extreme pain i.e. like Gridhra or Vulture. 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. Pain is the chief cause of person to visit a doctor. Although low back pain is a common condition that affects as many as 80 to 90 percent of people during their lifetime. Gridhrasi can be cured by the help of Vaitarana Basti. Hence in the case study of male patient of age 30 yrs presenting with cardinal clinical sign and symptoms of Gridhrasi are Ruka, Toda and Muhu Spandana in the Sphika, Kati, Uru, Janu, Jangha and Pada in order and Sakthikshepanigraha that is restricted lifting of the leg

Role of Panchakarma in the management of Carpal Tunnel Syndrome - A Review

Carpal tunnel syndrome is a common condition that causes pain, numbness and tingling in the hand and arm. The condition occurs when one of the major nerves of the hand, the median nerve is squeezed or compressed as it travels through the wrist. In most patients, carpal tunnel syndrome gets worsen over time, so early diagnosis and treatment are important.[1] If CTS (carpal tunnel syndrome) left untreated, symptoms can last a long time and get worsen. Carpal tunnel syndrome cannot be compared directly to any of the disease in Ayurveda. But to some extend we can compare CTS to Jhinjhini Vata described in Chakradatta.[2] And in later stage when CTS is left untreated the pain and numbness radiates from hand to forearm and arm, at that stage we can compared it with Vishwachi (Brachial neuralgia)

A comparative clinical study on Brihmana effect of Ashwagandhaadya Ghrita Snehanapana and Matra Basti in Karshya w.s.r. to Under Weight

Background: Karshya as per classics has Shushkasphik, Udara, Greeva, Dhamanijalasantata, Twagasthishesha, Kshuda, Pipasa, Sheeta, Ushna, Vayu, Varsha, Bharadan Asahishnuta and it is similar to the clinical features of under-weight/under nourishment includes loss of weight, muscle wasting, loss of subcutaneous fat, stress, fatigue and general weakness. Materials and Methods: The study was conducted as a randomized clinical trial and carried out in the Dept. of Panchakarma during the year 2016 - 2018. Patients with Dourbalya and anxious to gain weight were included in the study. Their age group was in between 18-45 years. 30 patients who fulfilled the inclusion and exclusion criteria were selected for the study. Patients were randomly allocated into two groups. Group A and Group B. In patients of Group A, Ashwagandhadya Ghrita as Brimhana Snehana 1 Pala i.e. 48ml daily in two divided doses for 15 days with Ushnodaka. In Group B, Ashwagandhadya Ghrita as Matra Basti i.e. 50ml daily for 15 days. Results: Statistically, Body weight is highly significant at the level of p<0.001. In Matra basti group in comparison to Snehapana group