ABSTRACT
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of upper extremity. It affects approximately 3% of the general adult population in the world. Women are three times more likely to have CTS than men. In conventional system, medications such as corticosteroids, Non-Steroidal anti-inflammatory drugs, etc., are used in management of carpal tunnel syndrome. Surgical decompression of carpal tunnel is the main stay of treatment for CTS. The structures involved in carpal tunnel is mainly the tendons, ligaments and nerves which can closely related with Snayu, thus Carpal tunnel syndrome can be correlated with Snayugata vata affecting Manibandhasandhi. Dahanopkarana used for Vatavyadi affecting Snayu, Sandhi, Asthi are Kshaudra, Guda, Sneha. Agnikarma with Snigdha dravyas have more penetrating capacity than Rooksha dravyas like Shalaka. So, Taptaguda is taken in the present study to assess the effect of Agnikarma in carpal tunnel syndrome. Here the patient was treated with Agnikarma using Taptaguda over the most painful and tender points. Assessments were done before treatment, after treatment, 7th day, 15th day and 30th day. The result showed Agnikarma with Taptha guda was effective in treating Carpal tunnel syndrome
ABSTRACT
Arsha's is one among the Astamahagada, and a commonest ano-rectal disease with a wide range of symptoms. It affects all economic groups of the population. In Ayurveda, Arsha's is a growth of Mamsa with obstructs the anal opening. Anatomically anal canal is 51/2 Angula's length. A faulty lifestyle and dietary habits along with occupational and physical stress triggers the pathology of Arsha's. Doshic involvement includes Rakta along with Mamsa dhatu at Rakthavaha Dahmanis of Guda, which forms as Mamsa Ankura. Acharya Susrutha mentioned 4 curative measures for the treatment, they are Bhesaja, Kshara karma, Agni karma, Shastra karma. Hemorrhoids are dilated rectal veins. Thrombosed piles occur where there is high venous pressure, which is associated with severe pain, which hampers their daily routine, thereby they avoid defecation which leads to hardening of stool, constipation and rectal bleeding. The treatment includes the surgical excision of the thrombosed pile mass. A case study of thrombosed pile treated with Jaloukavacharana (leech therapy) has been recorded which has reduced the mass, pain, bleeding per rectum
ABSTRACT
Ano-rectal disorders are on exponential growth in the population of mankind, with bleeding per anum as one of the main prodromal symptom. Just like the metabolic or lifestyle disorders namely diabetes mellitus, hypertension, ano-rectal disorders also owe their etiology to irregular & improper diet, sedentary lifestyle, prolonged sitting in inaccurate postures, improper bowel habits & also psychosocial factors. In Ayurveda, Sushruta has described it vividly in Arsha nidanam that those people suffering from Mandagni i.e., reduced digestive power which leads to Vata aggravation alone or in combination with other Dosas and manifests itself with symptoms like bleeding per anum, pain, irritation, discharge in the Guda. In modern science, excessive straining, increased abdominal pressure and hard stools are told to be the etiology of symptomatic haemorrhoids as these causes leads to increased venous engorgement of the haemorrhoidal plexus and cause of prolapse of haemorrhoidal tissue. Bleeding, thrombosis and symptomatic haemorrhoidal prolapse may result. Some of the ano-rectal disorders mentioned by Sushruta are Arsha, Parikartika, Bhagandara.
ABSTRACT
The terminal part of large intestine and Moola of Pureeshavastrotas is known as Guda. It is one of the Bahirmukhstrotas and also considered as one of the Karmendriyan. Charak has mentioned that Guda is one of the Koshtangas. Guda is defined as the passage through which excretion of faeces takes place and is located in the pelvic region and Charaka recognized two parts in it i.e., Uttara guda and Adhara Guda. It is one among nine Bahirmukhasrotas located in pelvic region. It is continuation of large intestines. Embryologically it is derived from Matrujabhava. Total length of Guda is 4� angula. There are 3 sphincter situated inside the Guda placed one above the other at a distance of 1� angula from each other and are named as Pravahini, Visarjini and Samvarni. Pureeshdhara Kala is related to Guda and it is Moola of Pureeshvahasrotas and also is Sadhyopranhara Marma. The diseases related to Guda are Arsha, Bhagandara, Gudavidradhi, Sannirudh Guda, Gudabhransha. Objective of the study are comprehensive literary review of Guda Sharira with correlation of anatomical features described in Ayurveda to contemporary science. Data related to Guda Sharira and diseases were collected from various classics and specimen of rectum and anal canal from cadaveric study.