AIM AND OBJECTIVES:
AIM:
Vaatha is one of the prime humour. Any derangement in vaatha humour due to seasonal variation, Dietary factors , habits and activities cause vaatha disease. It affects manily low motor system.
Yugimunivar classified vaatha disease under 80 diseases.
Uthiravaathasronithum is one of the eighty types of the vaatha disease.
I have selected uthiravaathasronithum for my study.
The aim is to study and evaluate the significance of siddha parameters in the diagnosis of uthiravaathasronithum.
OBJECTIVES:
The aim is to establish the following objectives.
Primary objectives:
1. To study the role of ennvagai thervu in the diagnosis of uthiravaathasronithum.
2. To review the literature about uthiravaathasronithum.
3. To evaluate the etiology of uthiravaathasronithum.
4. To study in detail about etiopathogenesis of uthiravaathasronithum.
Secondary objectives:
1. To establish the link of uthiravaathasronithum with manikadai nool.
MATERIALS AND METHODS:
MATERIALS:
The clinical study and uthiravaathasronithum was carried in the out patients in post graduate department of Noi naadal at Govt Siddha Medical College, Palayamkottai.
25 cases with clinical signs and symptoms of uthiravaathasronithum of both sex of all different ages were studied under the guidance of faculities of post graduate department.
Selection of Patients:
The clinical study was done in cases, out of that 25 cases were selected on the basis of clinical symptom indicated in the Siddha text.
SELECTION CRITERIA:
INCLUSION CRITERIA:
1. Above the age of 16.
2. Both sexs.
3. Pain and swelling of smaller joints.
4. Symmetrical arthritis.
5. Morning stiffness.
6. RA factor positive/negative.
EXCLUSION CRITERIA:
1. Unilateral joint pain.
2. Osteo arthritis.
3. Trauma.
4. Post viral arthralgia.
5. Associated with other major illness.
METHODOLOGY:
Study Design: Observational type of study.
Study Enrollment:
In the study, patients reporting at the OPD & IPD of Govt Siddha Hospital with the clinical symptoms of “Uthiravaathasronithum” will be referred to the Research group. Those patients will be screened using the screening proforma (Form-I) and examined clinically for enrolling in the study based on the inclusion and exclusion criteria. Based on the inclusion criteria the patients will be included first and excluded from the study on the same day if they hit the exclusion criteria.
• The patients who are to be enrolled would be informed (Form IV-A) about the study, and the objectives of the study in the language and terms understandable for them.
• After ascertaining the patients’ willingness, a written informed consent would be obtained from them in the consent form (Form IV).
• All these patients will be given unique registration card in which patients’ Registration number of the study, Address, Phone number and Doctors phone number etc. will be given, so as to report to research group easily if any complication arises.
• Complete clinical history, complaints and duration, examination findings all would be recorded in the prescribed proforma in the history and clinical assessment forms separately. Screening Form- I will be filled up; Form I-A, Form –II and Form –III will be used for recording the patients’ history, clinical examination of symptoms and signs and lab investigations respectively.
Investigations during the Study:
The patients will be subjected to basic laboratory parameters during the study.
Treatment during The Study:
Normal treatment procedure followed in GSMC will be prescribed to the study patients and the treatment will be provided at free of cost.
Study Period:
1. Total period - 1yr.
2. Recruitment for the study - Upto 10 months.
3. Data entry analysis - 1 month.
4. Report preparation and submission - 1 month.
CONCLUSION:
Uthiravaathasronithum can be diagnosed via clinical history and clinical symptoms The disease can be confirmed by following modern parameters Elevated ESR, RA factor, Elevated CRP and radiological examination.
Ennvagai thervu reveals the deranged humor of the disease, severity of the disease, diagnostic and prognostic value of the disease and fate of the disease.
In ennvagai thervu Naa, sparisam, Naadi and neikuri has significantly helped in the diagnosing disease uthiravaathasronithum.
The disease can be effectively managed through Siddha medicine. The quality of life will be good.
Reduced intake of bitter, sour, and astringent will reduce the severity of the disease uthiravaathasronithum.
This study on “uthiravaathasronithum” may be correlated with “Rheumatoid arthritis which had given relevance to modern clinical entity