TO EVALUATE THE EFFECT OF APAMARGA PANIYA KSHARA IN THE MANAGEMENT OF UDARASHULA WITH SPECIAL REFERENCE TO BILIARY COLIC

Aim: To evaluate the effect of Apamarga paniya kshara in the management of Udarashula with special reference to Biliary Colic.Objective: 1) To find the effect of Apamarga Kshara in the management of Udarashula with special reference to biliary colic.2) To review literature regarding Udarashula and biliary colic.3) To establish concept of acute abdomen in Ayurveda and management of it with Ayurvedic principle.Method: 1) Patients were registered with the help of proforma prepared for the study. 2) 20 patients were assigned in a single group for observational study.Types of study: Clinical StudyAssessment criteria: Effect of therapy was assessed by the signs and symptoms before and after treatment. It was assessed on the basis of self-formulated scoring scale for Pain, Tenderness, Murphy’s sign and Visual analogue scale.Period of Study: All patients were treated with Apamarga Paneeya kshara 1 gram twice daily with water for seven daysFollow Up: on 15th, 30th, 60th, 90th day after completion of treatment.Results: By using Apamarga paniya kshara in the management of Udarashula with special reference to Biliary Colic showed a significant result.Statistical Analysis: The Statistical Analysis reveals that in the management of Udarashula with special reference to Biliary Colic the efficacy of Apamarga paniya kshara is effective.Conclusion: Apamarga paniya kshara in the management of Udarashula with special reference to Biliary Colic showed a positive result

STUDY OF CHEDANA KARMA IN SURGICAL PRACTICE

Chedana Karma is the foremost surgical procedure. It is needed to study and update the principles of Chedana Karma. Chedana is the foremost procedure adopted in surgical practice. All the Brihat-trayees have given prime importance to Chedana Karma and have explained it in various contexts. The term Chedana in Ayurvedic classical texts and the term ‘excision’ used in modern surgical textbooks are having same meaning. While exploring the surgical disorders explained under the indications of Chedana Karma and excision, many of the days are missing under the list of indications. However Sushruta while enumerating the name of the diseases and their management has given scope to the surgeons to add as well as to redesignate the disorders by using their knowledge.Objective is to study the concept of Chedana Karma in detail and evaluate its role in surgical practice. 10 different surgical excisional procedures are observed regarding their clinical features and compared with the conditions explained by Sushruta. The conditions told by Sushruta are found in varying numbers but not a single disease without them.Chedana and excision are synonymous. Features mentioned by Sushruta bear importance as they cover all the surgical diseases indicated for excision. Conditions of Apaka, Kathinya, Sthirata and Kotha explain all the possible indications for excision in any disease. The principles of Chedana Karma are studied thoroughly and comparison is done with the principles of excision by reviewing the literatures in Ayurveda as well as modern textbooks of surgery

TO EVALUATE THE EFFECT OF YASHTI-MADHU-GHRITA APPLICATION IN POST-OPERATIVE MANAGEMENT OF AGNIDAGDHA VRANA IN ARSHAS

Aim: To evaluate the effect of Yashti-Madhu-Ghrita application in post-operative management of Agnidagdha Vrana in Arsha.Objective: The effect of Yashti-Madhu-Ghrita in the post operative management of Agnidagdha Vrana in Arsha with regards to see its effect in pain, burning sensation & wound healing.Method: It is an observational study of selected 20 patients with pre test and post- test design Types of study: Clinical StudyAssessment criteria: criteria were used to assess the Vedana, Daha,Vrana Varna, Vrana Srava, and Vrana Akruti.Follow Up: is done on post – operative 1st day, 2nd, 3rd day, 7th day, 14th day, 21st day, 28th day, 60th day and 90th day to assess the pain (both the pathological and procedure induced), wound healing, relief from the associated complaint, complications of Agnikarma This was noted with the help of the self- gradation of the assessment criteria in the proforma of case sheet of Arsha designed for the study.Results: Yashti-Madhu-Ghrita application in post-operative management of Agnidagdha Vrana in Arsha showed a significant result.Statistical Analysis: The Statistical Analysis reveals that Yashti-Madhu-Ghrita application is effective in post-operative management of Agnidagdha Vrana in Arsha.Conclusion: Yashti-Madhu-Ghrita application is effective in post-operative management of Agnidagdha Vrana in Arsha

CLINICAL STUDY OF INDIGENOUS DRUGS - PATHADI KWATHA IN THE MANAGEMENT OF ARSHA (HEMORRHOIDS)

One of the fast developing branch of Surgery, gained momentum among the various branches of surgery because of manifold increase in incidence of ano-rectal diseases in population as compared to other diseases. As per Ayurveda today's dietary habits are totally controversial, that is, it is totally against the 'Ahar - vidhi visheshayatane'. The ultimate result of this is altered bowel habits which finally results in constipation which may lead to Arsha i.e. Hemorrhoids.Acharya Charka recognizes "Mandagni" as causative factor and further elaborated and emphasized this point saying that Arsha (Haemorrhoids), Atisara (Diarrhoea) and Grahani (Spure) are sometimes causative to each other resulting from Mandagni i.e. weak digestive fire.As per Sushruta the causes leading to variation of Dosha including excessive and erroneous dietetic indulgence, posture which create pressure on the anal region, sexual indulgence and suppression of normal urge of micturation, defecation etc. leads to developing "Arsha".The results of this clinical study, itself are sufficient to comment that 'Pathadi Kwatha' has definite effective role in the management of all types of Arsha in early stage. The Statistical Analysis reveals that In management of all types of Arsha in early stage the Pathadi Kwatha is effective. The conclusion of this clinical study 'Pathadi Kwatha' has definite effective role in the management of all types of Arsha in early stage