ABSTRACT
Background & objective: Present era is full of stress & strain due to competitive life style. Change in dietary habit leads to upsurge of Diabetes. Diabetes associated with long term potential effect on almost all systems of body. It leads to various complications. These complications can be managed by Rasayana Chikitsa (Rejuvenation therapy) according to Ayurveda which nourishes, develops & corrects the vitiated Saptadhatu. Objective: To study the Micro vascular complications in Madhumeha. To study Rasayana dravya from samhitas. To evaluate the Karmukatva (Activity) of Rasayana dravya on Micro vascular complications. Material and Methodology: Literary study of Rakta-Medodushti in complications of Madhumeha thoroughly including Charaksamhita, Sushrut samhita & Vagbhat samhita was done. Literary study of micro vascular complication of Diabetes was done, Karmukatva(Activity) of Rasayana dravya on micro vascular complications was studied. Result: Diabetic Neuropathy, Nephropathy & Retinopathy are the micro vascular complications of Madhumeha. These complications are mainly due to Rakta- Medo dushti. The Suvarna& Raupya bhasma are sheetveerya & rasayana which acts specifically as balya& give strength to nerves in Diabetic neuropathy. Medovaha& Mootravaha srotasdushti in Diabetic nephropathy cause structural changes in glomeruli. This structural change is corrected by Haridra&Triphala by their rasayana effect. Triphala act as Mehaghna (antidiabetic) by Pachana of vikrit meda. Haridra act as Medoghna (lipolytic);as it possesses laghu, ruksha guna, it reduces sclerosis. There is Rakta dushti in Retinopathy which is marked by retino vascular micro aneurysm & blot hemorrhages. Manjishtha have Pachana (digestive) & Shaman (palliative) effect on Raktagata Kapha-Pitta. It acts as rakataprasadana (blood purifier), vranaropana (wound healing). Suvarnamakshika bhasma is raktaprasadaka, acts on hemorrhagic disorders such as Retinal haemorrhages. Conclusion: On the basis of above study, Rasayana dravyas improve quality of life by alleviating micro vascular complications.
ABSTRACT
Background and Objectives: M The new syllabus for the Ashtang hridaya by CCIM has addition of few more concepts. On the other hand number of lectures for the subject are reduced. It is practically difficult to teach complete syllabus in the given time. In the changed course structure and reduced lecture hours. The classroom teaching hours can be managed by development of self learning modules for the subject. Objectives: To identify the need of self learning modules. To enlist the must know, nice to know and desired to know areas of Ashtang Hridaya. To enlist the areas for Self learning and Classroom teaching. To evaluate efficacy of Self learning e Modules. Materials and Methods : Online Survey Faculties working in the Department of Basic Principles. with Questionnaire (www.qualtrics.com) was conducted. (63 completed Responses) and data was analysed. Development of Self learning eModule:- on the Chapter “Gandushadividhi” in Ashtang Hridaya. Testing of Module. Results: Study indicates that faculty came out with a clear mandate of Need of Self Learning Module.( Chi squared P<0.01) Ashtang hriday syllabus was classified is 18 Chapters in for Must Know(18), Nice to know (4) and desirable to know(7). Chapters were identified for Classroom teaching(20) and self learning(10). Insignificant distribution was observed for 7 chapters. Self learning module created on Gandishadividhi Chapter was tested on I BAMS students by Pre test and Post Tests (with Questionnaire containing 15 Questions) shows statistically significant (p<0.001) results for paired t test. Conclusions: There is certainly need of self learning modules for the I BAMS course. Study distributes in must know, nice to know and desired to know and chapters in Ashtang hridaya and classifies chapters for Classroom teaching and self learning. The self learning e Module shown statistically significant results when evaluated on I BAMS students.