ABSTRACT
Insomnia is a prevalent psycho physiological sleeping disorder, included in the International Classification of Sleep Disorders-2 (ICSD-2). By definition insomnia is a difficulty in initiating or maintaining sleep, or both or the perception of a poor quality sleep. Insomnia leads to various social, interpersonal and occupational impairments. Clinical studies have proven that Yoga is effective in insomnia. Present study was to find out the added effect of Pratimarsha nasya with Ksheerabala taila (14 Aavartita) over selected Yoga techniques in relieving insomnia. As per Acharya Susrutha in Chikitsa Sthana, doing Pratimarsha nasya daily during evening hours (Sayamkala) renders Sukhanidraprabhodanam. A pre-post interventional study was performed in 40 participants both male and female, satisfying the inclusion and exclusion criteria. Out of 40 participants, 20 each were randomly allocated to Group I and Group II. In Group I, Pratimarsha nasya using Ksheerabala taila (14 Aavartita) was administered 1ml in each nostril at evening time along with the practice of selected yoga techniques during morning hours. In Group II, only selected Yoga techniques were advised. The study period was for 30 days. The pre & post changes in mean score value was assessed using Pittsburgh Sleep Quality Index (PSQI) score. The data was analyzed using unpaired t test, and was statistically significant with a p value ?0.01. Thus the added effect of Pratimarsha nasya with Ksheerabala taila (14 Aavrtita) over selected Yoga techniques in insomnia is more effective than selected Yoga techniques alone.
ABSTRACT
The word Prathishyaya indicates recurrent attack and can participate due to minute etiological factors. Prathishyaya can occur as a separate disease entity or symptoms of many systemic diseases or as a complication of other diseases. Prathishyaya if not treated well in early stage and Ahara-Vihara which are harmful for the disease is continued, it leads to a more complicated stage of Prathishyaya i.e., Dusta Prathishyaya. Virechana Nasya which is recommended in Urdwajatrugata Vikaras is indicated in Prathishyaya. For Virechana Nasya- Madhu, Saindhava, Asava, Pitta, Mutra etc drugs has been mentioned by Acharya Vagbhata. So, Asava is prepared by Shirovirechana Gana Dravya as a Prakshepaka Dravyas which possess Katu, Tiktha, Madhura rasa, Laghu and Teekshna Guna, Ushna Veerya, Katu Vipaka and Vata-Kapha shamaka predominantly, which may help in pacify Dusta Prathishyaya. Materials and Methods: A single group study was undertaken in which, 30 patients of Dusta Prathishyaya were randomly selected and were subjected to Asava Nasya - 4 Bindu (2ml) each nostril for 7 days. The patients were assessed with severity of symptoms subjectively and objectively before and after treatment. Data obtained was statistically analysed. Result and Discussion: In overall effect of treatment in Dusta Prathishyaya, out of 30 patients, 3 patients (10%) got moderate improvement, 23 patients (76.6%) got marked improvement and 4 patients (13.33%) got significant improvement. In overall effect of treatment, statistical analysis showed that the mean score which was 6.86 in before treatment was reduced to 4.81 in after treatment and further reduced to 1.86 in follow up, and there is a statistically significant change (P<0.001). Conclusion: The present study showed highly significant results in which the symptoms like Nasa Srava, Nasa Avarodha, Gandha Agnyana, Shirashoola and Shiro Gaurava got reduced and it indicates that the therapeutic effects is mainly achieved by the efficacy of Shirovirechana Gana Dravya Siddha Asava Nasya in Dusta Prathishyaya w.s.r to Chronic Sinusitis.
ABSTRACT
Ayurveda is eternal and continuous flow of ancient medicine, Now a day, Pratishyaya (Allergic rhinitis) is one of the most prevalent and common ailments. It is an atopic disease. Atopic is defined as familial tendency to sensitization to environment allergens (pollen, dust etc). It is a benign but chronic disease of upper airways and over all prevalence in round about 18% in general population. In Ayurveda, concept of allergy is scientifically explained under the Asatmayaj Vyadhi while its effects are explained in hereditary, Virudhahara, Dushivish and Ritusandhi. It is recurrent frequently and attending Jeerna avastha, Nasya is the line of treatment. In present time medical fraternity is attracted towards Nasya. It is a part of Panchakarma and is believed to be all round. The Present study tested efficacy of Pathaadi taila Nasya in the management of Pratishyaya w.s.r allergic rhinitis. The study was conducted on 15 patients, duration of 60 days. Total four sitting of Nasya Karma had done after having 7 days interval. After 14 days follow up the effect of Pathaadi tail Nasya assessed statistically based on the assessment criteria. It was observed that 14 days of Nasya karma decrease Pratishyaya, In this study we found that Pathaadi taila Nasya was effective in Pratishyaya.
ABSTRACT
In the present era of modernization and fast life, everybody is over busy and living a very stressful life. Faulty dietetic habits and sedentary life style is responsible for early degenerative changes in bodily tissue. As per Ayurveda, Greevastambha has been described under Vataj Nanatmaja Vikaras. Few Lakshanas of Kupitoanilah such as Pani-Prishta-Shirograha, Gatrasuptata, Greevaya-Hundanama, Bhedastoda-arti are the well-known features of Greevastambha. Greevastambha can be correlated with Cervical Spondylosis of modern medical sciences. Cervical Spondylosis is a degenerative condition of cervical spine that affects the vertebral bodies and intervertebral disc of the neck as well as contents of the spinal canal. It leads to pain and stiffness in neck, radiating pain into arm, headache, vertigo, dizziness, paraesthesia, numbness etc. Material and Methods- Patients fulfilling the diagnostic and inclusion criteria were selected for the present study from the OPD/IPD of our institute. The present study was carried out in a single group of 10 patients. In the present study, Snehana Nasya along with Greevabasti with Karpasasthyadi Taila was taken to evaluate the combined effect in the management of Greevastambha w.s.r. to Cervical Spondylosis. Result- Statistically significant results were observed in the present study.
ABSTRACT
Meniere’s Disease is an ear disease specifically of inner ear. The clinical presentation includes vertigo which is episodic, sensorineural hearing loss which fluctuates, tinnitus and sensation of fullness of ear (aural fullness). Associated complaints includes headache, nausea, drop attacks (otolith crisis of Tumarkin). Meniere’s disease is relapsing in nature which greatly affects patient’s daily activities. The highest prevalent age group is 30-60 years of age. The main pathology occurs as the result of endolymphatic sac distension caused by excessive production or faulty absorption of endolymph or both. The cause is not known clearly. But few factors may contribute in the pathophysiology of Meniere’s disease like excessive retention of water and sodium, allergic reactions, vasomotor disorders, auto immune disorders like rheumatoid fever, middle ear infections etc. Acharya Sushruta has explained Karnarogas like Karnanaada, Karnakshweda, Badhirya which are nearer to Meniere’s disease when studied along with Bhrama. 22 subjects diagnosed with Meniere’s Disease fulfilling the inclusion criteria were selected for the study. Amapachana was done with Shunthi churna. Nasya with Bhringaraja taila followed by Karnapoorana with Bilva Taila and Sarivadi vati along with Dhanwayasa Kashaya and Satwavajaya chikitsa was given. Patient showed significant results in subjective and objective parameters.
ABSTRACT
Nasal Polyposis (NP) is not simply mucosa oedema, but rather grape shaped, smooth, soft, freely mobile mucosal swellings that are often visible on anterior rhinoscopy. Polyps arise from the lateral wall of nose. NP may be present without clinically significant sinus disease and vice versa. In Ayurveda, polyposis can be understood with Nasa Arsha. Modern management includes antibiotic, systemic and topical corticosteroids, decongestants and surgery. And lot of chances for recurrence after surgery especially in Ethmoidal polyps. In Ayurveda, various treatment modalities have been proposed for the treatment of Arsha as Shastra karma (operative procedure), Kshara karma (applying some alkaline drugs), Agni karma (cauterization) and Bhaishaja (conservative/medical treatment). The reported case revealed that B/L ethmoidal polyps are high recurrence rate after surgery and can be managed with Ayurvedic medicine to give sustained relief from symptoms.
ABSTRACT
Manyastambha is a type of Vataja Nanatmaja Vyadhi described under the heading of Vatavyadhi. It is characterized by symptoms like Ruk (pain) and Sthamba (stiffness) in the Manyapradesha (cervical region) of Urdwajatru Pradesha. Similar to this, there is a condition known as Cervical Spondylosis in western science based on symptomatology which is mainly due to the chronic degenerative condition of the cervical spine that affects the vertebral bodies and intervertebral discs of the neck as well as the contents of the spinal canal. The prevalence of cervical spondylosis is around 40% of the world population and may manifest in those as young as 30 years and most commonly in those aged between 40-60 years. Methodology: In the present study, a total of 30 patients were diagnosed with Manyastambha (Cervical Spondylosis). They were randomly assigned to a single group and have been treated by Rooksha Sweda (Valuka) and Bhringaraja Taila Nasya for 7 days with a follow-up of 14 days. Observations: It was observed in the present study that all subjective and objective parameters in all the 30 patients have shown significance with a p-value <0.01. Conclusion: Valuka Sweda and Nasya Karma are highly significant at P<0.001. Rooksha Sweda and Nasya Karma are the safest, simplest and most effective Panchakarma therapies in the management of Manyastambha (Cervical Spondylosis).
ABSTRACT
Bones and joint disorders are common in the working age population and are conditions that affect passive (bones, joints) and/or active structures of the body (muscles, tendons, ligaments, peripheral nerves) . A 35 year old moderately built young gentle man working as an IT professional, complains of pain on nape of neck and back of the chest since one year. But however pain started radiating to left upper arm since past 4 months, night starts which apparently effecting sleep. Pain gets aggravated by physical activities like continuous sitting posture and gets relieved by analgesics and sleep at Chondroitin Sulphate. Cervical IVDP, can be considered as Apabahuka or Asthi majjagata vata . He was managed with external and internal medications like cervical traction, Lepanam, physio, Gandharvahasthadi kashayam, Sneha panam done with Gugguluthikthakam ghee, purgation done with Gandharvahasthadi erandam and Nasya done with Anutailam and Ksheerabala tailam
ABSTRACT
The advent of civilization and overuse of life modifying gadgets like cell phones, computers, etc. leads to greater incidence of neck pain worldwide, of which Cervical spondylosis is the prime cause, which is a natural ageing process characterized by sequence of degenerative changes in the spinal structure. In Ayurveda, it can be closely correlated with Vishvachi, which is a Nanatmaja vatavyadhi, in which there is restriction of movement in arms associated with Ruk, Stambha, etc. features. Aims and Objectives: 1. To study etiopathogenesis, symptomatology, and progress of Vishvachi w.s.r. to cervical spondylosis. 2. To assess the efficacy of Dashamooladi taila nasya and Dashamooladi ghana vati individually and compare the effect of both schedules clinically. Materials and Methods: After proper identification, the selected raw herbs are used for Taila (oil) preparation according to Taila paka vidhi for Nasya and Kwatha was made for oral medication. The study was carried out in two parts- a). Literary- Textual references from various books, journal and papers on Internet were studied. b). Clinical- After considering the selection criteria, a total of 60 patients were treated in two groups- i) Group A: 30 patients were treated with Dashamooladi taila nasya for consecutive 21 days preceded by Abhyanga (oleation) & Svedana (fomentation). ii) Group B: 30 patients were treated with Dashamooladi Ghana vati consecutively for 21 days. Scoring was done on the basis of 09 parameters and statistical analysis was done. Result: Group A patients showed marked effect on Avamotana, Sanchari, Spandana, Aruchi & moderate effect on Ruk, Toda, Stambha & Tandra. Group B showed marked effect on Toda, Stambha, Spandana; and moderate effect on Ruk, Avamotana, Sanchar. Conclusion: Dashamooladi yoga (Dashamoola, Bala, Masha) is used both for shamana and Nasya medicine. These are effective in Vata-kaphaja ailments, Sotha, Shula, etc., and possess Balya, Brimhana, Rasayana, Vrishya etc., qualities.
ABSTRACT
An open label, randomized, comparative, interventional pilot study was done to assess the effect of Lekhana Basti (medicated enema) and Rechana Nasya Karma (Errhine therapy) in the management of Sthoulya with special reference to obesity. In the study 30 clinically diagnosed patient of either sex were randomly divided into two groups. In Basti group, Lekhana Basti in Karma Basti manner was given for 30 days. Anuvasana Basti (enema with Triphaladi Taila) in the dose of 120 mL and Asthapana Basti (enema with Triphaladi decoction etc.) in the dose of approximately 960 mL was given. In Nasya group, Rechananasya on alternate days was given with Triphaladi (oil) in the dose of 0.5 mL per nostril for total 28 days. The patients were assessed on objective criteria such as such as weight, chest circumference, mid-arm circumference, mid-thigh circumference, triceps skin fold thickness, sub-scapular skin fold thickness, abdominal skin fold thickness, waist-hip ratio and lipid profile. It was observed that Basti group was a better intervention in providing relief, however there intergroup standard deviation was low on most of the variable expect the lipid profile. The results suggest that the Nasya Karma may be developed as a better practical approach in obesity management.
ABSTRACT
The digitalization of the world has influenced people to have access on all the things through technologies like use of computers, mobiles etc and excess use of this has caused various problems and one among them is usage of these gadgets in improper position which is the causative factor for Greeva Sandhigatavata and shows Sandhi Shoola, Sandhi Shotha, Vatapoorna Druti Sparsha and Prasarana Akunchana Vedana which can be correlated to Cervical Spondylosis which also shows similar symptoms like pain in the neck, stiffness, radiating pain and tenderness. So the study was carried on 10 patients, 5 patients in each group to evaluate the efficacy of Greevabasti with Prasarini Taila in Group A and Nasya Karma with Parinitakeriksheera Taila in Greeva Sandigatavata w.s.r. to cervical spondylosis as Pradhana karma after Poorava Karma of Snehana and Swedana in both the groups. The study revealed that Sandhishoola (joint pain) and Sandhishotha (joint Swelling) where highly significant statistically and Sandhisthabdhata was significant statistically in Group A, and in Group B Sandhi Sthabdhata shown highly significant results.
ABSTRACT
Five among the Panchakarmas 'Nasya' has specific modus operandi in its administration Pharmacotherapeutics and clinical outcomes. Irrespective of Doshik combination pattern, it deals with all diseases of Urdhvajatrugat unlikely of Vaman, Virechan and Basti which are specifically useful in amelioration of kapha Pitta and Vata respectively. The preventive potential of Vaman, Virechan and Basti have sound conceptual base and subsequent clinical observation; however, Nasya for its preventive potential has not been much explored. The present write up is an effort to discuss the opportunities and challenges of Pratimarsha Nasya therapeutics for its preventive and health promotive dimensions.
ABSTRACT
Migraine is the disease of recurrent attack of headache which usually involves half of head. It is felt as throbbing type of pain and associated with various symptoms like, Nausea, vomiting, Photophobia etc. Its acute attacks are treated with different analgesics or ergotamine preparations. A modern medicine gives instant relief from symptoms but may cause drowsiness, insomnia, depression etc. As compare to that, Ayurveda has variety of natural plant medication and Panchakarma therapeutic procedures in management of Ardhavabhedaka. Thus, the study was selected to evaluate the efficacy of Ayurvedic Panchakarma therapy in migraine. The duration of the treatment was 30 days. Out of 17 migraine patients who were offered this Ayurvedic treatment, 12 patients completed total 30 days treatment protocol. Detail history and examination of each patient were done. Kesharsiddhaghrit Nasya and Dashmul kwath yog basti given along with Tab. Pathathyadi Ghanvati. Evaluation was done. Total disappearance of headache and associated symptoms at completion of treatment was observed in 66.66% patients. Mild episode of headache without need of any regular treatment was observed in 8.33% of patients. Low intensity of pain along with their regular treatment was observed in 16.66% of patients. Very mild improvement in 8.33% patients and no worst pain was noted in a single patient during treatment (0.0%); respectively. From the results and observation obtained from this study it can be concluded that Ayurvedic Panchakarma therapy showing better results in Ardhavabhedaka. No any harmful side effects were found during this entire study.
ABSTRACT
Cervical Spondylosis is a common spinal problem now days. It is a general term for age related wear and tear affecting spinal disc of the neck. Normally soft disc between vertebras provides cushioning, with Cervical Spondylosis the disc becomes compressed, when this happens the cartilage can wear away. Once this protective cartilage is gone, spur may develop on your vertebrae where they rub together and the nerves attached to spinal cord will have less room to pass between the vertebras. Cervical Spondylosis usually starts earlier in men than women. Usually it doesn’t lead to disability but sometimes these changes in the spine can cause compression which makes the finger clumsy. In Karnataka incidence and prevalence is 7.25 cases per 1000 populations and in Bangalore prevalence of Cervical Spondylosis is 23.25 per 10000 populations. Cervical Spondylosis can be compared to Manyasthambha mentioned in the classics. Divaswapna, Asamasthana, Vivrutho Urva nirikshana are the main causes leading to Manyasthambha. Ruk and Sthambha are the main Lakshanas of Manyasthambha. Considering these Lakshanas along with radiation of pain and Motor activity as the assessment parameters, Nasya Karma and Swedana were adopted in the study, which showed highly significant result in almost all parameters with p value < 0.001 taken for assessment in the group.
ABSTRACT
Chronic sinusitis, defined as an inflammatory process that involves the paranasal sinuses and persists for 12 weeks or longer. The conventional treatment is either conservative or surgical. Since this ailment is of a chronic nature, simple conservative management will not be sufficient for a cure. Even though the surgery is effective, there is chance of recurrence and morbidity. The clinical picture of chronic sinusitis shows the predominance of Kaphavata dosha in Jatrurdhwa. Sigru is a single drug having Thikshna ushna guna and Vatakaphahara properties and is included in Sirovirechana group. Arkaprakasa written by Ravana illustrates a large number of Arkas (distillates) which is found to be very effective and harmless and Sigrubeeja Arka nasya indicated in Siroroga was selected for the study. Methods: The study design was interventional pre and post evaluation without control and sample size fixed as 30 patients. The data collection was done with case proforma, symptomatic scoring using VAS scale, Nasal Signs and Symptoms Score (NSSS), and X-ray PNS. Selected patients were subjected to Nasyakarma with Sigrubeeja arka for a period of 7 days. Assessments were done prior to the commencement of intervention and on 15th, 30th, 60th day of follow up. Statistical analysis was done using Wilcoxon Signed Rank test. Result: Change in outcome variables like headache, nasal obstruction, nasal discharge, loss of smell, and postnasal drip, showed significant results. Conclusion: Sigrubeejaarka was found to be effective in chronic sinusitis.
ABSTRACT
Vishwachi is one among the Vataja Nanatmaja Vyadhi. It affects the neck and upper extremities with signs and symptoms like Ruk, Stambha, Toda, Karmakshaya and Chestapaharana of Bahu as explained by different Acharyas. Dalhana opines that the condition resembles Gridhrasi which affects the lower limb, and is of two types, Vataja and Vatakaphaja. The clinical presentation of Vishwachi is similar to that of Cervical Spondylosis which is a degenerative condition of the cervical spine. Being an Urdhwajatrugatavikara, Nasya karma has been mentioned as the prime line of treatment. Dhatukshaya can be considered as main factor leading to a condition like Vishwachi. Hence in order to find an effective solution in this condition, Snehana Nasya with Shuddhabala Taila has been taken for the study. Objective: To evaluate the effect of Snehana Nasya in Vishwachi. Methods: It is an open label single arm clinical trial with pre-test and post-test design. A special proforma was prepared considering history taking, physical examination and assessment needed for the condition. The study was carried out in 30 patients of Vishwachi. Nasya karma was done by instilling 16 Bindu of Shuddhabala Taila for 7 days. Data was collected on the 1st day before treatment and 7th day after treatment. Results: The reduction in severity of symptoms was statistically analysed by Wilcoxon sign rank test. Significant improvement was found in all the patients. Conclusion: Analysis of overall effect of the treatment showed significant results. Hence Nasya karma with Shuddhabala Taila was found to be effective in Vishwachi.
ABSTRACT
Autism Spectrum Disorder (ASD) is a lifelong neurodevelopmental condition with its onset before the age of three years. It is characterized by abnormalities in communication, impaired social function, repetitive behaviours and restricted interests. There is no effective treatment currently available for ASD and there is a growing need of an alternative treatment modality. A three year six month old male patient, diagnosed with ASD was brought to the OPD for Ayurvedic treatment of ASD. There is no mention of ASD in Ayurveda classics and hence, considered an Anukta Vyadhi. ASD involves vitiation of all the three Doshas mainly Vata Dosha in the lead. The management was primarily based on the associated Doshas and Ayurvedic formulations i.e. Abhaya Ghrita orally for three months and Marsha Nasya with Panchabhautika Taila for forty five days were used. Changes in the clinical features were assessed using Aberrant Behaviour Checklist (ABC) and changes in the severity of disease after treatment was done using Clinical Global Impression scale (CGI). The patient showed significant improvement in the core features of ASD after the treatment duration.
ABSTRACT
Introduction: Age-related macular degeneration (AMD) is a neurodegenerative disease which is one of the leading causes of vision loss affecting population above the age of 50 years. Of the two types wet and dry AMD, dry AMD constitute 90% of cases. Currently there is no effective treatment for AMD except for antioxidant supplementation which can delay the progression of AMD and its associated vision loss. In Ayurveda, it is a Vata Pitthadhika Drishtigata Roga compounded by Dhatukshaya in Vardhakya. The treatment should be Brimhana, Chakshushya and Rasayana to tackle the degenerative changes. Gandhaka Kalpa from Rasaratnasamucchaya and Ksheerabala 101 Avarti Taila has these properties to ameliorate the disease pathology. Hence a clinical study was planned with the objective to assess the effect of Gandhakakalpa internally and Ksheerabala 101 Avarti Taila Nasya in dry AMD. Methods: The study design was interventional, pre and post evaluation without control. After preparatory phase, patients were given Nasya with Ksheerabala 101 Avarti Taila followed by administration of Gandhaka Kalpa with concurrent administration of Ksheerabala 101 Avarti Taila as Pratimarsa Nasya. Study and follow up were done in 30 eyes. Results were documented and statistically analysed using Friedmains’s test, paired t test, Wilcoxon’s signed rank test and McNemar test according to type of variable. Result: The intervention is statistically significant while considering visual acuity (p < 0.001) and Daily Living Tasks Dependent on Vision questionnaire scores (p< 0.0001) and not significant for optical coherence tomography and Amsler grid findings. Conclusion: The intervention is an effective protocol to be followed in Ayurveda for dry AMD.
ABSTRACT
Acharya Sushruta stated 28 Nasagata rogas. Out of these 28 Nasagata rogas some features of Pootinashya, Dushtha Pratishyaya and Apeenasa are similar to the clinical features of Atrophic Rhinitis (AR). Apeenasa is a Nasagata Roga characterized by nasal obstruction, running nose, Dryness of nose, anosmia, and loss of taste. This condition can be co-related with Atrophic Rhinitis. Though there are many modalities described in modern ENT, still it is not possible to cease the Permanent Impairment. In Ayurved many modalities are being described for Urdhwajatrugata Rogas and for Nasagata Vikara. Among them Nasya (administered of drugs in to nasal cavity) is best. As it is a Kapha Pradhana Vikara, Katu Dhoomapana can also be added to this procedure. The Nashya procedure is explained by Brihatrayees. The complete procedure of Nashya includes Poorva Karma (Snehana and Swedana), mobilizes the Doshas to the site of elimination and causes vasodilatation which helps in elimination of Doshas and provides better channel for absorption of the Oushadhi. Pradhana Karma (Nashya) eliminates the Doshas. Kavala as Paschat Karma eliminates the remaining Doshas and causes better absorption of the Oushadhi which ultimately eliminates the symptoms of the disease. A clinical observation has shown effective result in the treatment of AR with Shadbindu Taila Nasya and Trikatu Dhoomapana. And here we are revalidating the statement of our Acharyas. A case report of a female, aged 38 years with complain of nasal obstruction, foul smell from nose, anosmia, headache, nasal discharge, sneezing and general weakness has been presented here.
ABSTRACT
Ardita is considered among eighty vataja nanatamaj vikara by Acharya Charaka. The objective of present study was to find out the effective Ayurvedic management in Ardita. A 15 yrs. old female patient reported to outpatient department of kaumarbhritya A&U Tibbia College & hospital with complaints of right side deviation of mouth and difficulty in eating through left side of mouth. The patient was diagnosed as Ardita on the basis of history and examination and treated on the line of Ardita chikitsa. The patient was given dashmoola kwath, kumar kalyan ras and Anu tailam pratimarsha nasya. There is significant improvement in presenting complaints. Before starting the treatment the Sunnyook facial grading score of facial nerve was 17 and after commencement of 30 days treatment it was 73. There was no side effect observed during and after the treatment