Ayurvedic Management of Acute Dissociative Reactions to Stressful Life Events - A Case Study

Mental diseases known as dissociative disorders are characterised by a sense of discontinuity and separation from one's thoughts, memories, environment, activities, and identity. People with dissociative disorders unintentionally and unhealthily flee reality, which makes it difficult for them to carry on with daily activities. Dissociative identity disorder (DID, sometimes known as multiple personality disorder), fugue, "psychogenic" or "functional" amnesia, and depersonalization disorder are examples of dissociative disorders. Other specified dissociative disorder is subcategory of dissociative disorders that describes presentations in which symptoms are typical of a dissociative disorder but do not fully match the diagnostic criteria for any of the illnesses in the diagnostic class of dissociative disorders. In Ayurveda this condition can be considered as Unmada. 34 year female patient hailing from Malappuram, Kerala, brought to Manasanthi OPD of VPSV Ayurveda College, Kottakka,l by husband and relatives complains of lack of desire to live, wants to end her life, loss of sleep, difficulty to walk and doing daily activities since 3 days. She was very much concerned about the behavioural issues and wellbeing of her elder son since 12 years. According to the informant, the patient was having increased tension, repeated talking about her elder son, making loud noises and suicidal thoughts. Also, she had an attempt to suicide. She was treated on an IP level with a combination of Ayurvedic internal medications and Panchakarma procedures. The treatment protocol includes Snehapana, Virecana, Nasya, Shirodhara, and Dhoopana. Satvavajaya methods including Yoga also administered. There were considerable relief from symptoms and HAM D score was reduced from 21 to 6.

Efficacy of Draksadi Phantam in Generalized Anxiety Disorder- An Uncontrolled Clinical Trial

Anxiety disorders are one of the most prevalent class of mental disorders in the general population. Generalized anxiety disorder (GAD) is a common anxiety disorder that comprises continuous and long-lasting worrying, tension, which making normal life problematic and relaxation impossible The prevalence rate of GAD disorder is increasing constantly in modern era. Though many different types of modern medications used currently to treat anxiety disorders provide temporary relief, they come with various side effects, Drug dependence and safety concerns. In Ayurveda the symptoms of this disease show resemblance with the condition. Cittodvega (excited state of mind) which is one among the Manovikara in Ayurveda caused by dysfunction of increased Vata and Pitta dosha. The present study was conducted as an Uncontrolled clinical trial to study the Efficacy of Drakshadi Phantam in 38 diagnosed participants of Generalized Anxiety Disorder with the age group 20–50 were administered with 100ml of Drakshadi Phantam twice daily before food continuously for a period of 45 days. Five assessments were done staring from 0th day of treatment to 60 the day of the study with a gap of 15 days, using Hamilton anxiety rating scale and Rajas Tams rating scale. The assessment scores of different intervals were statistically analysed using RM ANOVA. Effect of the therapy were statistically analysed in each domain of HAM – A rating scale in different intervals of the study. The therapy was found statistically significant in reducing the symptoms of GAD in all the 14 domains of the HAM- A Rating scale. Based on results it has been concluded that Drakshadi Phantam has statistically significant effect in reducing the symptoms of all the 14 domains of Hamilton anxiety rating scale and reducing the Rajasika and Tamasika qualities of the study participants.

Covid Anxiety and Immune System

In the era of global transmission, when all the luxurious concept stands meaningless people are forced to believe the concept of ‘individualistic approach in disease management’. This pandemic COVID 19 has been an eye opener which showed the world that there doesn’t exists any magic pill. The one and only protector we have is our immune system. Many people are prone to ill health due to their irregular dietary habit (Āharaja), activities (Vihāraja) change in climate, on the other hand, some people remain healthy in spite of violating healthy rules and do not get affected by any disease. This is because of the variation in their immune power. Ayurveda described Vyādhikşhamatva in more detail and magnificent way which can be considered equivalent to modern concepts of immunity. The term Vyādhikşhamatva is made up of two words; Vyādhi (disease) and kşhamatva (suppress or overcome). Ayurveda describes numerous health practices as Dinacarya, Ritucarya, Rasāyana, Sadvritta, Acāra rasāyana, Yoga and meditation to help mind and body to thrive. Homeostasis of Ojas, Agni, Srotas, Doşa and Duşya along with and associated is the pleasant state of sensory organs and mind, soul essential for good health. The government interventions during COVID-19 like Punarjani, Sukhayushyam, Swasthyam, Niramaya, Ayur raksha clinics which aims at strengthening the preventive mechanism gives Ayurveda a new ray of hope to globalize its importance.

Different Gestational Age Related Histogenesis Of Human Foetal Liver

Introduction: Liver is an important gland of gastrointestinal tract having both exocrine and endocrine functionsand it is having the extensive power of regeneration. Not only the adult liver, the foetal liver is an important organwith synthetic and haemopoietic functions. It develops as a ventral outgrowth During 3rd week of gestational agefrom the gut endoderm in the region of the anterior intestinal portal.Materials and Methods: We used Total of 27 formalin Preserved dead embryos and foetuses from 5weeks to 40Weeks of gestational age of both the sexes with relevant obstetric records available in the department ofAnatomy, Viswabharathi Medical College, Penchikalapadu, Kurnool for this study.Results: In the present study a total of 27 aborted embryos and foetuses of different gestational ages of bothsexes of normal and abnormal were observed (table -1). The liver specimens are categorized in to gestational agegroups of 0 – 12 weeks, 12 – 24 weeks, 24 – 36 weeks and more than 36 weeks.Conclusion: At 5-6weeks of gestational age we observed the aggregation of hepatocytes and early stage ofhaemopoiesis which is in agreement with literature. Delay in the Histogenesis and development of the liver cellsand bile duct system leads to histopathological and developmental abnormalities gives knowledge to theclinicians during clinical procedures.

The levator scapulae muscle – morphological variations

Introduction: Anatomical variations of the levator scapulae are important and therefore clinically relevant. Thelevator scapulae are now believed to be the leading cause of discomfort in patients with chronic tension-typeneck and shoulder pain and a link between anatomical variants of the muscle and increased risk of developingpain has been speculated. The results obtained were compared with previous studies.Materials and methods: The study was conducted on 32 levator scapulae muscle of 16 cadavers over a period of3 years. The dissection of head and neck was done carefully to preserve all minute details, observing themorphological variations of the muscle in the department of Anatomy, Viswabharathi Medical College,Penchikalapadu, and Kurnool.Results: Total 32 levator scapulae muscles were used. All the sample values were measured to 2 decimal places.The average age of the cadavers in the sample was 82.87 years. The oldest cadaver in the sample was 100 yearsold and the youngest 61 years. Measurements of the proximal and distal attachments and the total length of themuscles were taken. Between 3 and 6 muscle slips were reported at the proximal attachment. Differences werealso observed between sides. The first report of a levator scapula muscle with 6 muscle slips at the proximalattachment was described.Conclusion: In our study we report 3 to 6 muscle slips in our study group. In order to improve the reliability of theresults of this study a greater number of specimens should be used, either through further dissection or inclusionof results from imaging techniques. The findings of the study should still be of great interest to cliniciansassociated with this area of the body. By doing this the speculated link between muscle variation and clinicaloutcomes such as myofascial pain syndrome could be investigated further. The potential applications andexpansions of this study are exciting and may begin to uncover the unexplained mechanisms behind myofascialpain syndrome.

Development and histogenesis of human foetal lung in relation with gestational age.

Background: The objective was to study the development and histogenesis of human foetal lung in relation with different gestational age. Methods: In the present study lung specimens were collected from formalin fixed 27 aborted foetuses (14 male, 13 female) by abdominal dissection between 6 weeks to 40 weeks of gestational age. Results: In the present study we observed that there was a delay in the appearance of embryonic, pseudo glandular phase, canalicular, terminal saccular and alveolar stages of the lung. Conclusion: Delay in the developmental anatomy and histogenesis of the lung cells leads to histopathological abnormalities which gives knowledge to the clinicians during clinical procedures.

Clinical spectrum of swine flu pandemic [2009] in general pediatric population

This study is performed to analyze the clinical spectrum of proved H1N1 influenza in pediatrics population admitted to a tertiary hospital in Kuwait during the pandemic of H1N1 A retrospective analysis was performed to study the spectrum of pandemic pediatric H1N1 infection in children admitted to Al-Jahra hospital in Kuwait. Children who had acute febrile illness with flu like symptoms and admitted during the period from July 2009 to December 2009 were screened for H1N1. H1N1 infection was confirmed by RT-PCR technique performed on nasopharyngeal swab from suspected patients. The age, mode of presentation, symptoms, complications including Intensive care admissions and length of hospital stay were analyzed. A total of 112 proved H1N1 cases were analyzed. Mean age of patients was 4.6years and 20 cases [17%] were less than 1 year of age and the youngest patient being an 18 days old neonate. 59% of patients were males and 41% females. 38% of cases had pre existing medical illness most common being bronchial asthma. Most common presentation was with fever [98%] followed by cough [80%] and rhinorrhea, and 90% cases met the criteria for flu like illness. Bronchopneumonia was the most common diagnosis [45%]. 41% of cases showed lymphopenia 16% of cases had neurological symptoms and 12% of cases had gastrointestinal symptoms and raised liver enzymes. There were 4 intensive care admissions, 3 cases required mechanical ventilation and one progressed to ARDS. There was no mortality. The average length of hospital stay was 5 days