Ayurvedic Management Of Plaque Psoriasis- A Case Study

Psoriasis is a chronic, multisystem inflammatory disease with predominantly skin and joint involvement. In Ayurveda all skin diseases are described under the umbrella of Kushtha. Ayurvedic system of medicine is giving good results in management of Psoriasis. Repeated Samshodhana (purificatory therapies) along with Samshamana (palliative therapies) is the main line of treatment if skin diseases in Ayurveda. Three assessments were taken before and after treatment on scoring of Dermatology Life Quality Index (DLQI), Psoriasis Disability Index (PDI) and PASI score. Score of the patient was 63.3% before treatment and 13.3% after treatment and 3.3% after follow up on Dermatology Life Quality Index (DLQI), 44.4% before treatment and 15.5% after treatment and 5.3% after follow up on Psoriasis Disability Index (PDI) and 24.5% before treatment, 5.1% after treatment and 1.2% after follow up in PASI (Psoriasis Area and Severity Index). This case study wants to substantiate the effectiveness of Ayurvedic treatment in the management of Plaque psoriasis.

Management Of Genital Warts Through Ayurveda-a Case Report

External genital warts or Condyloma Acuminata is caused by the Human Papilloma Virus subtypes 6 and 11. According to Ayurveda it can be diagnosed as Yoni Arsa. This case report presents a 51 yr old female with the complaints of per vaginal discharge, itching and appearance of progressively increasing number of lesions in the vulva for 6 months. The pathological diagnosis of the vulvar lesion specimen was Condyloma Acuminata. Patient was treated with internal administration and external application of Ayurvedic medicines. Considerable relief for the condition was noted and the follow up visits confirmed the non recurrence of the disease. Ayurvedic interventions can be considered as minimal invasive and cost effective in the management of genital warts.

Probable Mode Of Action Of Kalyanaka Ghrita In Unmada (insanity) Based On Analysis Of Rasa Panchaka Of Ingredients- A Review

Aim: This review article is an attempt to analyse the probable mode of action of Kalyanaka ghrita in psychiatric conditions. Background: Unmada is a term that represents broad classes of mental ailments in Ayurvedic literature. Mental disorders impose an enormous burden on society, accounting for almost one in three years lived with disability globally. According to the WHO, every year, almost one million people die from suicide; a "global" mortality rate of 16 per 1,00,000 or one death every 40 seconds. Kalyanaka ghrita is a time tested and clinically proven polyherbal formulation which is widely and effectively used by Ayurvedic physicians in the management of psychiatric conditions. Results: While analysing the Rasapanchaka (Ayurvedic Principles of Drug-Action), it is found that of the 28 ingredients, 15 drugs are having Tikta rasa, 22 with Laghu guna, 19 with Ushna veerya and 18 with Katu vipaka. Considering Doshaharatwa, 12 drugs are Kaphapittahara. All these properties are against Kapha dosha. Conclusion: Kalyanaka ghrita may be more effective in the management of Kaphaja unmada, among all the 6 varieties of Unmada. Clinical Significance: Analysis of mode of action leads us to the inference that Kalyanaka ghrita may be more effective in the management of Kaphaja unmada, characterised by slow or weak voice and body movements, anorexia, desire for women (sex) and solitude, excessive sleep, vomiting, dribbling of saliva, symptoms pronounced just after intake of food, whitish discoloration of nails constitute Kaphaja unmada, a classical example being depression.

Ayurvedic Management Of Lumbar Spondylolisthesis (kati Shoola) With Special Reference To Chincha Lavana Sweda- A Case Report

Spondylolisthesis is described as a translation of a vertebra with respect to the vertebra below without any modification or notable lesion to the pars interarticularis. Lumbar spondylolisthesis can be considered as various conditions like Kati shoola, Kati Graha, Trika Graha, Prushta Graha, Trika Shoola, Prushta Shoola, Grudrasi in Ayurveda. The present article deals with a case of diagnosed Grade 1 lumbar spondylolisthesis of L4 over L5 and got advised for surgery. The Ayurvedic diagnosis of Kati soola was made. Management included Abhyanga, Kativasti, Kshira vasti, Virechana, Vaitarana vasti and Chincha lavana sweda along with internal medications. Chincha lavana sweda is a very simple and effective Swedana procedure to cure pain in low back, especially due to Spondylolisthesis. But it is not widely used. This case report also wants to introduce the technique to Ayurvedic practitioners who are unaware of it. Before treatment, total score on Oswestry low back pain disability questionnaire was 34 (68%) and at the time of discharge, the score was 8 (16%). On Roland-Morris low back pain and disability questionnaire, the before treatment score was 17 and at the time of discharge it was reduced to 4. That means the patient showed an improvement of 76% on Roland-Morris low back pain and disability questionnaire. The present case report substantiates effectiveness of classical Ayurvedic Management in spondylolosthesis.

A Critical Review On The Application Of Yukti Pramana For The Logical Inclusion Or Rejection Of A Drug Mentioned In Oushadha Yoga (medicinal Formulations) According To Clinical Condition

An Ayurvedic physician usually depends on classical compound medicinal formulations for treating patients. Sometimes, patients themselves demand us that they will prepare the medicines themselves, especially Kwatha (decoctions). One reason is the superior efficacy of the self prepared medicines than the bottled decoctions due to the presence of chemical preservatives. While preparing formulations, we may need to add or delete drug/drugs depending on the clinical condition of the patient. Scarcity of herbal drugs is also another reason which compels us for substitution. In Bhavaprakasha, there is a reference stating that any drug which is inappropriate and unsuitable to a disease, even though found included in the drug group or medicinal formulae may be rejected and any drug which is found suitable or appropriate may be included though not mentioned in it. There are so many references in Ayurvedic classics where we can see deletion or inclusion of drugs in a formulation according to the condition of the patient or disease. This is an attempt to analyse the logic (the application of Yukti pramana) behind it. This article also want to depict the relevance of logically changing the contents of a medicinal formulation by analyzing its Rasapanchaka (five Ayurvedic principles of drug action), depending on the condition of disease or patient.

A Critical Review On Medohara (antidyslipidaemic) Action Of Stem Bark Of Cirabilwa (holoptelea Integrifolia Planch.) With Special Reference To Ayurvedic And Modern Aspect

Dyslipidaemia (Medovikara) is a major health problem in both developed and developing nations. It leads to Atherosclerosis, which is a major factor in the development of Cardiovascular diseases. Modern medications available to Dyslipidaemia are potentially hazardous. Cirabilwa (Holoptelea integrifolia Planch.) is a large deciduous tree distributed throughout the greater part of India upto an altitude of 2000 ft. It is used in the treatment of various diseases including Dyspepsia, Flatulence, Colic, Helminthiasis, Vomiting, Skin diseases, Diabetes Mellitus, Haemorrhoids and Rheumatism. It is included in many Medohara ganas (groups of drugs having anti dyslipidaemic action) like Lekhana mahakashaya group (group of drugs that dessicate and scrape away the morbid tissues especially Meda and Kapha) of Caraka Samhita; Shleshma samsamana (groups of drugs which decrease Kapha), several Kaphamedohara groups (groups of drugs which decrease Meda and Kapha) like Saalasaradi, Varanadi, Aragwadadi, Asanadi and Arkadi of Susruta Samhita; Asanadi, Varanadi, Aragwadadi and Arkadi groups of Ashtanga Hridaya. This is an attempt made to explain the Medohara action of Cirabilwa according to Ayurvedic as well as modern aspect.

Comparative Pharmacognostical Study Of The Genuine And Market Samples Of The Stem Bark Of Cirabilwa (holptelea Integrifolia Planch.)

Context: The stem bark of Cirabilwa (Holoptelea integrifolia Planch.) is used for treating various disease conditions including Dyspepsia, Flatulence, Colic, Helminthiasis, Vomiting, Skin diseases, Diabetes Mellitus, Haemorrhoids and Rheumatism in traditional system of medicine since ancient times. As a part of a proposed clinical study, sufficient quantity of the plant drug was required to evaluate the antidyslipidemic effects, which was procured from market. Aim: This study was designed to identify and compare the pharmacognostical features of the genuine hand collected samples and market samples of the stem bark of this medicinal plant, so as to prove the genuinity of the market samples before using it for clinical study. Materials and Methods: Macroscopic and microscopic methods were applied to determine the diagnostic features of the shade dried samples of the intact stem bark of both samples of the drug and was compared with the available data. Results: The shape, color, thickness, odour, consistency, fracture and surface characteristics were determined. Compound microscope images showed the presence of ray cells, stone cells, starch grains, rhomboidal crystals in both the samples. Conclusion: The study confirmed the identity of both genuine and market samples. Comparable results were obtained which proved the genuinity of the market samples of the stem bark of Cirabilwa (Holoptelea integrifolia Planch).