Résumé
Chronic renal disease is a common health problem in the world. In 2016, females are mostly affected by CKD than the males. There are many diagnostic methods in modern aspect of medicine like serum Creatinine, urea and etc., The Siddha system of medicine is a treasure dedicates to the world by Siddhars. In Siddha system of medicine, different diagnostic methods present for all diseases. As per Theraiyar, the eight methods of diagnosis ‘Envagaithervu’ are Naadi (pulse), Naa (Tongue), Niram (Color), Mozhi (Voice), Vizhi (Eyes), Malam (Feces), Neer (urine) and Sparisam (Touch). Among the eight diagnostic tools, Neikkuri is one of the important methods for urine analysis. This study was aimed to Observed the Neikkuri (oil on urine sign) in chronic kidney disease patients.40 patients were selected from NIS OPD by non randomised method. The study details were collected in the data collection form with the consent of the patients. Urine samples were collected in glass bowel. A small drop of black sesame oil was instilled on the center of the upper surface of the urine perpendicularly. The spreading nature of the oil has to be observed. Result of the study shows 30% of Neikkuri is Kabapitham nature. This study is helps to evaluate the siddha diagnostic method for Chronic Kidney Disease.
Résumé
Anaemia is the most common nutritional problem in the world .In the outpatient department of National institute of Siddha the significant numbers of anaemia cases are reporting for treatment. As the part of partial completion of 1st year MD degree the investigator select the minor project to determine the data about prevalence of Paandu (Anaemia) in NIS OPD patients. This study includes 500 OPD patients. OPD patients in the age between 13-74 years were randomly selected daily (Systematic random sampling method). A pre-designed self-administrated questionnaire interview method is used for collecting data about the patients. Information on personal characteristics, socio economic status, diet, lab investigations, clinical profiles are obtained. The study results showed that the prevalence of anemia amongst patients reporting at NIS OPD were 45.6%. The mean haemoglobin concentration was 11.4g/dl in female and 12.8g/dl in male. Majority of female in reproductive age (15-49 years) had the highest prevalence of anemia. And the high proportion of microcytic hypochromic anaemia (22.2%) was founded in the selected samples which indicate that Iron deficiency was the main cause of anaemia. Effect of socio economic status on anemic patients reported in NIS also calculated according to ‘Modified Kuppusamy socio economic scale’ which results that patients belongs to the upper lower status (12.2%) are more prone to anemia. Therefore the results of this study can be used to design target interventions aimed at reducing the prevalence of anemia in NIS OPD and to help conduct the interactive educational programs for improve disease awareness in female patients especially. And further studies are needed for clarify prevalence and etiology of anaemia in school going children (Below 13 years) at NIS OPD.
Résumé
Azhinjiathikashayam is a herbo mineral Siddha poly herbal formulation said for the management of Madhumegam (Type-2 Diabetes mellitus) in ancient Siddha literature. The study drug was subjected to estimate the therapeutic efficacy in Madhumegam patients. A well designed study protocol was approve by Institutional Ethics Committee and the clinical study was conducted as an open clinical trial in OPD/IPD of Ayothidoss pandithar Hospital of National Institute of Siddha Chennai. Based on the inclusion criteria 40 Madhumegam patients (Type -2 Diabetes mellitus) were enrolled in this study. Informed consent was obtained from each patient before study initiation. 60ml of Azhinjiathikashayam was administered orally before food twice a day for a period of 90 days and advised to follow the prescribed dietary regimen. All the baseline data, Laboratory investigations were recorded in the prescribed Case Report Form of each patient. Blood sugar level in fasting and postprandial was done once in 30 days and HbA1c was done before treatment (0th day) and after treatment (90th day). The clinical assessment was recorded once in 10 days. Paired ‘t’ test was used to test the significance of treatment using before and after treatment data on HbA1c, Clinical symptoms, Blood sugar fasting and postprandial. The level of significance probability 0.05 was used to test the treatment difference and the values are statistically significant. In this study there is statistically significant difference between before and after treatment on average HbA1c, average blood sugar of fasting and average clinical feature score (p < 0.0001).