AIM AND OBJECTIVES:
Vali azhal keel vayu is a universal disease affecting 3% of the total
population, involving poor as well as rich people and causing disabilities
and deformities. Vast studies on this disease and as per the opinions from
the concerned specialists reveal that still there is not a total curative
therapy for this disease. The signs and symptoms of the disease are correlative with Rheumatoid arthritis. The author has selected this disease and treated with the help of gwq;fpg;gl;il ,urhadk; (Parangipattai Rasayanam) 1-2 gms 2 times Morning and Evening after food a day internally and fPy;thjj;jpw;F Ie;njd;nza; (Keelvathathuku
Iynthennai) externally.
• To collect authentic measures and review the ideas mentioned in ancient siddha literature about the disease.
• To study the clinical features of the disease vali azhal keel vayu.
• To review the altered Tridosha or mukkutram and changes in the physiology as per siddha aspect.
• To study the disease Vali azhal keel vayu on the basis of Udal thathu, paruva kaalam, food, taste, age, sex,socio-economic status, ennvagai thervu, neerkuri and neikuri.
• To expose the unique diagnostic procedure mentioned in siddha literature for the disease Vali azhal keel vayu.
• To diagnose the disease on the basis of modern parameters.
• To have a detailed analysis to prove the clinical efficacy of the drugs
through the pharmacological and biolchemical analysis.
SUMMARY:
Valiazhal keelvayu is one among a common problem in clinical
practice. It has received an international attention in search of finding out
of a new drug for the ailment of the sufferers.
Valiazhal keelvayu is a chronic multi system connective tissue
disorder of unknown aetiology. The characteristic feature of Rheumatoid
arthritis is persistant inflammatory synovitis usually involve the
peripheral joints in a symmetrical fashion. The potential of the synovial
inflammation to cause cartilage destruction and bone erosion and
subsequent joint deformity is the hall mark of the disease.
Joint pain, Swelling, tenderness which may be aggravated on
motion. Morning stiffness of 2 to 3 hours duration, easy fatigability,
anaemia, occasional fever are the common manifestation of the disease.
Extra articular manifestations are Rheumatoid nodules, lymph
adenopathy, Spleenomegaly, Rheumatoid vasculitis, ophthalmic
manifestations include scleritis, kerato conjunctivitis and pleuritis, fibrous
alveolitis.
The study on Valiazhal keelvayu (R.A) was with trial drugs.
1. Parangipattai Rasayanam 1-2 gms B.D. Internal.
2. Keelvathathirku Iynthennai External.
Twenty cases of both sexes, and of various age groups were chosen and the study was carried out.
90% of the patients belonged to pitha kaalam. 45% of the cases
were seemed to develop the disease during pinpani kaalam (maasi –
panguni). All the cases came from Marutha nilam. Seventy percent of cases belonged to poor class families. Considering aetiology ten percent
of the cases had a positive family history.
85% of the cases had a gradual on set of disease. All the cases had
joint pain, swelling, morning stiffness. 75% of the cases had restricted
movements. 75% of the cases had initial involvement of joints of the
upper limb.
In all the cases proximal interphalangeal joints and meta
carpophalangeal joints were involved. Ten percent of the cases had
deformities in their interphanlangeal, metacarpophalangeal joints and
wrist joint.
Regarding uyir thathukkal, viyanan and was were affected in 100%
of the cases abanan was affected in 50% of cases samanan was affected in
75% of cases anala pitham was affected in 50% of the cases. In 60% of
the cases ranjakam was affected and in 75% of the cases sathaka pitham
was affected. And santhigam were affected in all the cases, kilethagam
was affected in 50% of cases.
Saaram and enbu were affected in all the cases. Senneer was
affected in 60% of the cases. Regarding Enn vagai thervugal, sparism.
Naadi were affected in all the cases. Neerkuri was found straw in colour.
Neikuri indicated Vatha neer in 50% of the cases.
Malam was affected in 50% of cases.
50% of the cases had moderate restriction but with an ability to
perform normal activities.
R.A. factor was positive in thirteen cases. 50% of the cases showed
a decrease in haemoglobin percentage. E.S.R. was raised in all the cases.
The trial medicines were given to 20 Cases with Valiazhal keel vayu.
The internal drug was Parangipattai Rasayanam in the dose of 1-2 gms twice a day after food.
The external drug was Keelvathathirku Iynthennai which was applied externally to the affected
joints.
Hot water fomentation was given after the application of external
drug.
All the patients were advised to follow the balanced dietary habit.
All the patients were also advised to follow the preventive
measures like avoiding exposure to cold weather and advised to take bath
in warm water.
The observation made during this study, showed that the trial
medicines were clinically effective.
The potency of the drugs were studied by pharmacological and
biochemical analysis. It shows that the drugs has acute anti inflammatory, anti pyretic and analgesic actions.
CONCLUSION:
In this study, results were found to be good in 50% of the cases.
No adverse effects were noticed during the treatment period.
Further follow up of these patients showed good recovery and fine
improvement in the general well beings as they could carry out their day
to day activities.
The preparation of both medicines are simple and expiry is six
months for Rasayanam and one year for Iynthennai. So they can be stored
and used.
The trial medicine has acute anti inflammatory, analgesic and
antipyretic actions.
Early diagnosis and prompt management prevents the disabilities
and deformities resulting from Rheumatoid arthritis.
So it is concluded that the treatment with Parangipattai Rasayanam, Keelvathathirku Iynthennai is good in the view of efficacy and safety
