An Overview Of Ayurvedic Management Of Sthaulya W.s.r Obesity

Due to rapid modernization in recent years, presence of nutritional abundance and sedentary lifestyle, metabolic disorders have emerged rapidly. Obesity is one of the nutritional lifestyle disorder affecting both developed and developing countries. Obesity is a disorder characterized by increased body weight and excess fat deposition. Obesity is the root cause of overconsumption of calories and reduced physical activity which lead to serious health complications. Multifactorial in nature in which environmental, lifestyle and genetic factors play an equally important role in its etiology. Ayurveda is one of the most ancient sciences of world describing basic and applied principles of health, disease and its management. In Ayurveda, obesity has been described under the caption Sthaulya. Sthaulya is mentioned under Santarpanjanyavikara (over nourishment of body). Sthaulya is among one of the 8 unwanted diseases mentioned by Acharyas. Using fatty diet, decreased physical activity and hereditary factors contribute to its etiology ultimately causing derangement of Agni of Medadhatu. This produces excess of Meda or fat. Sufficient focus has been given in the management of Sthaulya in form of diet and drugs to control the disease in Samhita. Ayurvedic treatment is addressed by correction of dietary patterns in form of Nidana Parivarjana and Pathya Aahar –Vihara and Aptarpana Chikitsa to correct vitiated Dosha and Agni. Obesity is a preventable lifestyle disorder which can be easily addressed by keeping an initial check on one’s dietary pattern. Medicine usage play a secondary role, keeping at par various metabolic disorders like diabetes, hypertension etc. It fulfills the first and foremost motto of Ayurveda which is prevention of disease being less expensive and more approachable than treatment.

A Comparative Clinical Study To Evaluvate The Effect Of Haridradi Gana Churna And Triphala Churna Udvartana In Sthoulya (obesity)

In the present century due to the busy and sedentary life people open the gate to welcome numerous diseases. Sthoulya is one among the major diseases that falls under the category of Santarpanottha vyadhi. The term overweight and obesity refers to body weight that is greater than what is considered healthy for a certain height. Sthoulya is mainly caused by Kapha, Vata Doshas and Meda Dhatu. Udvartana has better results in the management of Sthoulya, as it does Kapha-Vatahara, Medo vilayana. So, the present has been conducted to compare and evaluate the effect of Haridradi gana Churna and Triphala Churna Udvartana in Sthoulya. The study has been conducted in two groups with 20 patients each. One with Haridradi gana Churna and other group with Triphala Churna which are Kapha-Medahara & Kapha-Pramehahara respectively because of Laghu, Ruksha & Ushna properties. The present study concludes saying Haridradi gana Churna showed better results than Triphala Churna.

Drug utilization review of ciprofloxacin in the outpatient department of Boru Meda Hospital, South Wollo Zone, Amhara Region, Ethiopia.

Background: The antimicrobial agents developed during the last 60 years are among the most dramatic examples of the advances of modern medicine. Many infectious diseases once considered incurable and lethal are now amenable to treatment with a few pills. They are among the most frequently prescribed medications to day although microbial resistance due to evolutionary and misuse threatens their continued efficacy. One mechanism to ensure correct prescribing and use is drug use evaluations studies. Objective of current study is to evaluate retrospectively of ciprofloxacin use from outpatient medical records by using pre- set criteria in Boru Meda hospital. Methods: A cross-sectional study on retrospectively collected data was used to evaluate ciprofloxacin use from outpatient medical history records existing from January 18, 2009 to January 17, 2010. Criteria along with thresholds set by experts for undertaking drug use evaluation for ciprofloxacin was used which is modified based on Ethiopian National Drug Formulary and Ethiopian National Standard Treatment Guideline, which are used in the hospital. Data was collected from January 18 to January 25, 2010 using appropriate data collection format. Results: Twenty six (65%) patients were in the age group of 15 to 49 years and twenty (50%) were females. Thirty eight (95%) and each of thirty seven (92.5%) cases were consistent with the Ethiopian National Standard Treatment Guideline & drug formulary regarding indication, dose & frequency of ciprofloxacin use in the outpatient department of Boru Meda hospital. 47.5% ciprofloxacin use has problem in duration of treatment . There were potential drug interactions with the drug in 40% of the cases. 10% of ciprofloxacin use was against contraindication. Conclusions: Due From the retrospective Drug Use Evaluation (DUE) study, it was identified that there was inappropriate ciprofloxacin use in the outpatient department of Boru Meda hospital even though the drug’s use regarding indications was a better performance and dosing practices were almost appropriate as per the criteria used for the study (assuming that there were no dose adjustments). There was a great problem concerning the duration of ciprofloxacin drug therapy. Ciprofloxacin use along with potentially interacting drugs and against contraindications was also another problem indicated in the study.