A CASE REPORT OF SHADBINDU TAILA NASYA AND TRIKATU DHOOMAPANA ON APEENASA-ATROPHIC RHINITIS

Acharya Sushruta stated 28 Nasagata rogas. Out of these 28 Nasagata rogas some features of Pootinashya, Dushtha Pratishyaya and Apeenasa are similar to the clinical features of Atrophic Rhinitis (AR). Apeenasa is a Nasagata Roga characterized by nasal obstruction, running nose, Dryness of nose, anosmia, and loss of taste. This condition can be co-related with Atrophic Rhinitis. Though there are many modalities described in modern ENT, still it is not possible to cease the Permanent Impairment. In Ayurved many modalities are being described for Urdhwajatrugata Rogas and for Nasagata Vikara. Among them Nasya (administered of drugs in to nasal cavity) is best. As it is a Kapha Pradhana Vikara, Katu Dhoomapana can also be added to this procedure. The Nashya procedure is explained by Brihatrayees. The complete procedure of Nashya includes Poorva Karma (Snehana and Swedana), mobilizes the Doshas to the site of elimination and causes vasodilatation which helps in elimination of Doshas and provides better channel for absorption of the Oushadhi. Pradhana Karma (Nashya) eliminates the Doshas. Kavala as Paschat Karma eliminates the remaining Doshas and causes better absorption of the Oushadhi which ultimately eliminates the symptoms of the disease. A clinical observation has shown effective result in the treatment of AR with Shadbindu Taila Nasya and Trikatu Dhoomapana. And here we are revalidating the statement of our Acharyas. A case report of a female, aged 38 years with complain of nasal obstruction, foul smell from nose, anosmia, headache, nasal discharge, sneezing and general weakness has been presented here

DIABETIC RETINOPATHY AND ITS INTERPRETATIONS THROUGH AYURVED

Chaksyu is the Pradhana-anga that is affected in Diabetic retinopathy. So the Netra Rakshana is highly essential for the human being in Diabetic retinopathy. Now-a-Days Diabetic retinopathy is a major vision threatening factor. The prevalence rates are; Diabetic retinopathy (34.6%), Proliferative Diabetic retinopathy (7%), diabetic macular oedema (6.8%) and Vision threatening Diabetic retinopathy (10.2%). To treat the disease we need to know the level of impairment, the signs and its etiopathology. In Ayurved it is very important to know the Samprapti before treating the disease. Now-a-days Pratyaksha gyana plays a vital role to trace out the disease. Complain of the patient, sign and symptom of the disease along with the pathogenesis is necessary to diagnose and to treat the disease. The features occurs in the fundus in Diabetic retinopathy cannot visualize by Pratyaksha, explained in classical literatures. Many ophthalmic investigations, procedures have been developed so far like fundoscopy, OCT, B’scan, fluorescent test etc. to detect the pathology occurred in the fundus of Diabetic retinopathy eyes. So it is very important for all Shalaki is to correlate the disease, to derive a conclusion according to the Ayurvedic Samprapti/ pathogenesis and terminology described in classical literatures. By analyzing the Samprapti of the disease we can conclude that, the pathology occurred in fundus are most probably due to the Dhatu-kshaya janya, Urdhwaga-raktapittaja, Mandagni janya and Avarana janya. Diabetic retinopathy can be correlated with Pramehaja Timira and its treatment is the treatment of Prameha explained in classics having Chakshushya property

Applied Aspect of Panchakarma and their Mechanism of Action in Urdhwajatru Gata-Roga (Disease of Eye, ENT, Orodental, Head and Scalp)

The phrase “Swasthyasya Swasthya Rakshnam” represents, maintaining the health of a healthy person, prevention of disease and “Aaturasya Vikara Prasamanam”, which means curing the disease of ailing person. These are the main aim and objective of Ayurved. The Shalakyatantra, a part of Astanga Ayurved, deals with the disease above throat. It includes the disease and treatment of Netra, Karna, Nasa, Kantha, Mukha, Danta and Siro-Kapala Gata Roga. Sansamana (conservative), Samsodhana (Panchakarma) and the Shastra chikitsa (surgical procedures) are the essential treatment modalities followed to treat a disease. These are the basic treatment modalities, explained in the classical texts of Ayurved. Panchakarma is a branch Ayurveda, meant for the removal of vitiated Dosha, Mala or toxic part of body and balances Dosha-Dushya through, Vamana, Virechana, Nashya, Basti, Rakta Mokshyana etc. In the disease like Abhisyanda, Adhimantha Timira, Danta Nadi, Upakusha and Dusthapratishyaya, most of the Panchakarma therapies are indicated according to the severity of the disease. In practice the patient, who undergoes Panchakarma or Sodhana Chikitsa as Pradhana karma or Poorvakarma shows better result than the patient treated without Sodhanakarma. The patients, treated with Sodhanakarma recover faster than patient treated only with Shamana-chikitsa does. Therefore, increasing and mainstreaming the Panchakarma procedure in Shalakya Tantra will definitely provide an effective and satisfactory outcome in Urdhwajatrugata disorders

A Case Report on the Effect of Triphala Decoction in Tartar-Induced Periodontitis in Dentistry

Dental tartar causes irritation and inflammation in gingival tissue. Further, it attacks the soft periodontal tissue which supports the teeth. Therefore, all supragingival and subgingival tartar was removed by an ultrasonic scaler on the 1st day, and the patient was advised to swish Triphala (equal amount of Amla, Haritaki, and Vibhitaki) decoction in the oral cavity from the evening on the same day of scaling. The lukewarm decoction was kept in the oral cavity for 10 minutes and then swallowed. It was given twice a day for 30 days after the meal. The patient was advised to visit on the 7th, 15th, and 30th day of follow-up. Triphala itself has an antimicrobial property. Its decoction kept in the oral cavity stimulated the saliva flow. Saliva has lysozymes that have a bactericidal effect on the oral micro-organisms. Triphala expelled the toxins from the gut by increasing the peristalsis movement of GIT. It had a digestive stimulant property which increased the digestive fire and improved overall oral health. As the Triphala decoction showed very effective results on scaling wound, it may be used as herbal mouthwash in the future. Besides, Triphala powder is easily available, economical, and has negligible side effects

A Case Report on the Restoration of Piercing Hole of Ear Through Ksharakarma

Ornaments are the marker of culture, tradition, status, passion and personality. Sometimes those heavy ornaments cause trauma and recurrent infection in the piercing-hole of ear, which may lead to enlargement of the piercing hole. To restore the, enlarged piercing hole; in Ayurved we have techniques like scraping and suturing of the piercing-hole edges, which is also practiced by modern advanced surgery. Kshara (alkali) is an Anushashtra; it performs the Lekhana (scraping), Chhedana (excision), Bhedana (incision), Ropana (healing) and also ceases the bleeding.  Because of these properties, Kshara can also be used to restore the enlarged piercing-hole of ear. The Kshara causes ulceration of the piercing-edges and induces healing through the inflammation, proliferation and remodeling phases. There were inflammation, secretion and gradually the piercing hole healed. Based on this concept, we have tried to restore the piercing hole of the ear through Ksharakarma and an ideal protocol is made for this procedure

An Open Labelled Comparative Clinical Study to Evaluate the Effect of Go-Ghrita Tarpana and Triphala-Ghrita Tarpana on Antero-Posterior Diameter in Axial-Myopia

Background and Objective: Axial-myopia is characterized by blurriness of vision for distance caused by increased in A-P diameter. Usual treatment for myopia is optical correction by optical glass and contact lens. To restore distance vision, surgical intervention like, LASIK is adopted, which has complications like dry eye syndrome and astigmatism. The Ayurvedic approach of the disease mainly concentrates on treating the disease and preventing the progression of the disease. There are many hypothetical theories regarding mode of action of Tarpana on Myopia and Timira. In this study, an attempt is made to observe the effect of Tarpana on A-P diameter of eyeball and to know the difference between Tarpana by plain Go-Ghrita and Triphala Ghrita. Materials and Methods: 20 patients of Group A, were treated with Go-Ghrita Tarpana (two sittings of 7 days each, with the gap of 14 days) and in Group B, 20 patients were treated with Triphala-Ghrita Tarpana (two sittings of 7 days each, with the gap of 14 days). Results: The data of both the groups were collected according to the objective and subjective parameters and analyzed using the most appropriate statistical test (repeated measures of ANOVA, Bonferroni Test and Mann- Whitney U Test). The efficacy is statistically significant within the group at P <0.001and statistically insignificant between the groups at P >0.05 among all the parameters. Interpretation and Conclusion: On comparison of Go-Ghrita Tarpana with Triphala-Ghrita Tarpana, both have an equal effectiveness on distant vision, Optical correction and A-P diameter