Detailed Comparative Pharmacognostical and Physicochemical Evaluation of Chirabilvadiyoga w.s.r. to Bhavana (Trituration)

Chirabilvadi Yoga is a combination of four drugs Chirabilva, Arjuna, Jyotishmati and Kakanasa in powder form, each of these ingredients has solid base of previous experimental studies for their individual analgesic activity. Bhavana (trituration) is an important Samskara (process) mentioned in Ayurvedic classics by which drug may be made very potent to produce a positive results. Till date no data available on this combination Bhavita Chirabilvadi Yoga triturated seven times with Chirabilva Patra Swarasa and made dried powder. Present study is to screen the differences in pharmacognostical and pharmaceutical profile of the Chirabilvadi Yoga before and after Bhavana. After Bhavana significant changes were found in the pharmacognostical parameters like deformated rosette crystals and cluster crystal of Arjuna and broken stone cells of Arjuna, which are rarely found before Bhavana of the drug and also evaluate the differences in the pharmaceutical profile before and after Bhavana like loss on drying, ash value, acid insoluble ash, water soluble extract, methanol soluble extract, pH and HPTLC.

Pharmacognostical, Phytochemical and HPTLC Profile of Vayasthapana Gana Choorna and Vayasthapana Ghrita- A Poly-Herbal Compound

Menopausal syndrome is a grouping of signs and symptoms associated with menopause. In Ayurveda, menopause is referred to as 'Rajonivrutti' (and menopausal syndrome as Rajonivruttianubandhaja vyadhies). Menopause's long-term risks include osteoporosis, cardiac problems, and Alzheimer's disease. Aims and objective: To study the Pharmacognostic, Phytochemical and HPTLC of Vayasthapana Gana Choorna and Vayasthapana Ghrita. Material and methods: Pharmacognostic, phytochemical and HPTLC of Vayasthapana Gana Choorna and Vayasthapana Ghrita have been carried out as per standard protocol. Result: Vayasthapana Gana Choorna showed the presence of mesocarp, asicular crystals, stone cells, scleroids, brown content, starch grains, colencyma cells, rhomboidal crystals, pitted vessels, parenchyma cells, simple trichome. Phytochemical parameters showed refractive index 1.3660, specific gravity 0.913, acid value 1.285, iodine value 212.1085 and in HPTLC, Methanol extract of Vayasthapana Ghrita at 254nm showed 6 spots and at 366nm 2 spots whereas in methanol extract of Vayasthapana Gana Choorna at 254nm 5 spots and in 366nm 4 spots were present. Conclusion: The applied pharmacognostic and HPTLC method has been shown to be selective, linear, precise and accurate. The method will be useful for quality control of the raw material and pharmaceutical preparations.

Pharmacognostical and Physico-Chemical Evaluation of Rasna Guggulu

Majority of patients visiting Ayurvedic hospitals are having ailments related to joints especially low back pain and knee joint pain. Low back ache may be due to many reasons ranges from muscular pain to complicated neurological complaints or malignancy. Disc herniation is also a major reason for low back ache in which radiculopathy might be a typical feature. In all systems of medicine many treatments exist to manage low back ache and sciatica. In Ayurveda also different treatment modalities are present ranging from simple internal medications to complex therapies like Basti (therapeutic enema), to effectively tackle such conditions. The Ayurvedic formulation, Rasna guggulu is mentioned in the treatment of Gridrasi (sciatica). To standardize any formulation its properties should be studied repeatedly in detail. Even though this formulation is comparatively a simpler one consisting of only 3 ingredients, its properties and identifying features are not widely studied. In this study pharmacognostical, organoleptic and physico-chemical characteristics of Rasna guggulu were reported. Pharmacognostical study of this drug reveals the presence of epidermal cells, starch grain, lignified stone cells, prismatic crystals, simple fiber, simple trichome, warty trichome, annular vessels and spiral vessels of Rasna along with oil globules of clarified butter. HPTLC shows 8 and 7 spots at 254nm and 366nm respectively which suggests the presence of 7 – 8 active principles in this drug. This study also can be considered to standardize the formulation, Rasna guggulu.

Dosage form Development of Nagabala- Arjunadi Yoga and Chromatographic Analysis Using HPTLC

Nagabala -Arjunadi Yoga, is the combination of Nagabala and Arjuna Churna mentioned in Chakradatta, Hridroga Chikitsa, is prepared by giving Bhavana of Rasonadi Kwatha. Hridroga (cardiovascular disorders) are the most common health concern of the present era. It is the leading cause of death worldwide. Ancient Samhitas contain many formulations in the context of Hridroga, whose applicability is unexplored. Churna and Kwatha are the main dosage forms used in clinical practice. But compared to Churna and Kwatha, tablets are more patient compatible in terms of palatability and possess increased shelf life. Hence, Nagabala-Arjunadi Yoga, a tablet dosage form is developed using Nagabala- Arjuna Churna and Rasonadi Kwatha. No scientific evaluation data for this drug is available to date. The present study was done to evaluate the pharmacognostical and pharmaceutical profile of Nagabala-Arjunadi Yoga. The microscopic examination of the Nagabala- Arjunadi Yoga showed the presence of rosette crystals, rhomboidal crystals, simple fibres, oil globules and stones cells. The physicochemical analysis showed that pH value, hardness, loss on drying, ash value, water extractive value and methanol extractive value was 5.8, 3.5kg/cm2, 7.949%, 3.03%, 17.43%, 16.14% respectively. The HPTLC densitograms at UV 254 nm and UV 366nm using Toluene and Ethyl acetate in the ratio 9:1 showed maximum peak height in 3rd peak corresponding to the Rf value 0.18 and 0.17 respectively. The finding observed in the present study can be used as reference for future quality control.

Bilateral absence of subclavius muscles with thickened costocoracoid ligaments: a case report with the clinical-anatomical correlation / 대한해부학회지

Anatomical variation is defined as normal flexibility in the topography and morphology of body structures. Such variations are not uncommon in muscles, particularly in the upper limb. Subclavius muscle (SM) has a proximal attachment to the first costochondral junction and the muscle fibers are then directed upwards and laterally to get attached distally to the subclavian groove of the clavicle. Having similar attachments as the subclavius, the costocoracoid ligament (CCL) is the thickening of the proximal part of clavipectoral fascia extending up to the coracoid process. Both SM and CCL help in the maintenance of smooth movements of the pectoral girdle and both may not always be present. Absent SM may be due to anomalous development from the muscle matrix that also forms the inferior belly of the omohyoid apart from the SMs. This anatomical variation may be associated with thickened CCLs and can be correlated to the smooth functioning of the pectoral girdle.

Knowledge, attitude and practice among mothers regarding common childhood illness

Background: Since 1990 the global under-5 mortality rate has dropped from 91 deaths per 1000 live births in 1990 to 43 in 2015. But the rate of this reduction in under-5 mortality was insufficient to reach the MDG target of a two-thirds reduction of 1990 mortality levels by the year 2015. Leading causes of death in children under-5 years are preterm birth complications, pneumonia, birth asphyxia, diarrhoea and malaria.Methods: Present study is a cross sectional observational study conducted in the Department of Paediatrics, in JJM Medical College, Davanagere. Source of data was primary caregivers (mothers, fathers, grandparents, other relatives or guardians) of children between the age group of 1 month-5 years. This study is a structured questionnaire based cross-sectional observational study. Data collected was analysed using descriptive and inferential statistics.Results: Out of the 350 primary caregivers, 146(41.71%) were mothers, 97(27.71%) were fathers, 57(16.28%) were grandparents. Taboos and cultural beliefs to ward of illness were commonly practiced among this study group. 26% believed in skin branding their children during febrile episodes or convulsions. 8% believed that ear piercings would prevent diarrhoeal illnesses and infant deaths while 6% felt that amulets prevent respiratory illness and mortality. Overall knowledge among primary caregivers regarding common childhood illnesses was found to be good.Conclusions: Knowledge and attitude among primary caregivers regarding common childhood illnesses is favourable but the practices and perceptions are not satisfactory. Improving literacy rates will have a significant impact on reduction of childhood mortality. Socioeconomic development of the urban community can improve care seeking behaviour during the childhood illness.

Clinical and laboratory evaluation of lymphadenopathy in particular with fine needle aspiration cytology

Background: To know the various causes of lymphadenopathy in children and to know the usefulness of FNAC in diagnosis of various causes of lymphadenopathy.Methods: Children less than 12 years with significant lymphadenopathy (lymphadenopathy of >1 cm in cervical, axillary and >1.5 cm in inguinal region) were included.Results: A total of 50 children were enrolled in the study. The incidence of lymphadenopathy was more common in the age group of 4-8 year during the lymphoid phase with male preponderance of all the causes infections especially tuberculosis was the major cause of lymphadenopathy which is totally preventable by giving BCG vaccination. The sensitivity of FNAC in the present study was 71.3%. In 3 cases FNAC 69 was not done because peripheral smear examination revealed that the patients are suffering from acute lymphoblastic leukemia.Conclusions: FNAC is a simple bed side investigation though traumatic is of immense value for diagnosing various cases. Even though it may not be a replacement for lymphnode biopsy, it is preferred as a first line investigation because of its simple procedure.

Comparative pharmacognostical & pharmaceutical evaluation of Vyaghri haritaki avaleha - an ayurvedic formulation .

Kasa is well-defined clinical condition in Brihadtrayi, clearly correlate with cough and its pathophysiology exactly correlates with the mechanism of cough reflex in contemporary medical science. Everywhere, Paediatric Outdoor Patients Department (OPD) has more than half of the total patients having respiratory tract complaints. So, to treat the disease Kasa, Vyaghri Haritaki Avaleha (VHA) was taken from Bhaishajya Ratnavali. The present work was carried out to standardize the raw drugs & finished product-VHA with comparing API standards and previous research work done in same institute to conform its identity, quality and purity of the final product. The pharmacognostical work reveals that presence of Epidermis, Cork, Pericycle, Phloem etc. from Kantakari; Lignified fibre, Stone cells etc. of Haritaki; Aluerone grains, Prismatic crystals etc. of Shunthi observed microscopically. Organoleptic features of VHA made out of the crude drugs were within the standard range. The pH value of VHA was 4.5, Water soluble extract was 71.9 %w/w, Loss on drying was 30.41 %w/w, Reducing sugar was 27.92 %w/w and High Performance Thin Layer Chromatography (HPTLC) at 254nm and 366nm resulted into 2 & 5 spots respectively

Pharmacognostical and Pharmacochemical Parameters of Tablet Sutashekhara Rasa – Without Gold .

Tablet Sutashekhara Rasa (TSR) is an Ayurvedic, herbo-metal formulation prescribed widely for several conditions such as Acid peptic disorders, Pain in abdomen, Haemorrhage, Mental disorders etc. On analysis of pharmcodynamics of this compound it is basically Pitta corrective drug. Ardhavabhedaka (Migraine) is also one of the clinical morbidity which is manifested by vitiated Pitta/Rakta along with Vata. The available treatment in modern medicine is use of NSAIDs, Beta-blockers etc. with only temporary relief. TSR being a Pitta corrective is used in a clinical study with new indication in Ardhavabhedaka (Migraine). Till date there is no data available regarding evaluation ofTSR. Present study an attempt to develop newer approaches for the quality control and standardization of TSR. The samples were subjected to organoleptic, physicochemical analysis and Chromatographic (HPTLC) examination by optimizing the solvent systems. The phrmacognostical study of ingredients of TSR shows the presence of Sceleriform vessel, Lignified stone cells, Bottle necked shapedstone cells etc. Pharmaceutical analysis showed that the Average weight of tablet 276mg, Average hardness of tablet 2.05 Kg/cm2 , Loss on drying 4.7904% w/w, pH value 7 and High Performance Thin Layer Chromatography at 254nm and 366nm resulted into 6 spots

Ingredients identification and quality control evaluation of phalakalyan ghrita: an ayurvedic formulation.

Infertility is defined as failure to conceive within one year or more than one year of regular & unprotected coitus. It is the most sensitive and cumbersome problem which haunts every couple. Total 10-15% of world population affected due to this problem. Among them Female is directly responsible about 40%. The sub factors of female infertility are Ovarian, Endometrial, Tubal and Uterine etc. In Ayurved so many formulation are given for Infertility. Phalakalyana Ghrita (PKG) is a commonly used and prescribed Ayurvedic poly herbal formulation in all types of Infertility. However, till date no published data is available on its analytical profile. The main aims and objectives of this study are to develop the pharmacognostical and phytochemical profile of PKG. The pharmacognostical study reveals the presence of Lignified fibres, Prismatic crystals, Borderpitted vessels, Rhomboidal crystal, Scleroids, Stone cells etc. Pharmaceutical analysis showed that the loss on drying value was 0.47% w/w, Specific gravity was 0.9133, Refractive index was 1.46, Iodine value was 48.56, Saponification value was 227.05, and Acid value was 1.29. HPTLC fingerprinting profile of PKG revealed 10 spots at 254 nm and 5 spots at 366nm.

Variants of Tribulus species – a scientific study through DNA RAPD – molecular characterization.

Gokshura a well-known drug in Ayurveda which is extensively used in many disease conditions like dysuria, asthma, diabetes, cough, oedema, cardiac disorders etc. Tribulus terrestris (Family – Zygophyllaceae) is an official source of Gokshura as per API. Five species of genus Tribulus are found throughout India with a slight morphological difference. In this study, three different species of Tribulus genus from different regions were subjected for molecular characterization by RAPD method. Analysis showed that three different samples gave clearly similar banding pattern with each of the random primers used and 80% similarity between the three samples were observed when the results were subjected to band scoring and analysis with clustering. Even through the micromorpholgical observations showed differentiating characters in mature carpels and intrastaminal glands of the selected species.

An analytical study on panchavalkala choorna - a poly herbal compound in the management of psoriasis.

Background: Panchavalkala Choorna is a poly herbal compound made from the barks of five major drugs from the Ficus family. It is widely quoted as an effective remedy in various skin disorders explained under the wide spectrum of Kushta (skin disorders), mentioned in Ayurvedic classics. However, till date no published data is available on the analytical profile of this compound formulation. The present study was aimed to standardize and develop the pharmacognostical and phytochemical profile of Panchavalkala Choorna. The compund was prepared as per classical methods and analytical findings were systematically recorded. The samples were subjected to organoleptic analysis, physicochemical analysis and High performance Thin Layer Chromatography (HPTLC) examination by optimizing the solvent systems. Pharmacognostical profile of Panchavalkala Choorna was established. Loss on drying, Specific gravity, Viscosity and Refractive index, Iodine value, Acid value and Saponification value of Panchavalkala Choorna were found within prescribed limits. HPTLC fingerprinting profile of ST revealed 6 spots at 254 nm and 4 spots at 366 nm. Two spots were merging in both the long and short UV, showing common characters in both the wavelengths.

Pharmacognostical and phytochemical standardization of Baladi churna- A polyherbal formulation.

Baladi Churna described by Acharya Bhavprkash in Vandhyatva (infertility). Endometrium dysfunction is the prime cause of Infertility among the world Baladi Churna is useful in patients especially having implantation failure due to defective endometrium, which is known as Kshetra deformity in Ayurveda. So a new pharmaceutical preparation Baladi churna was tried to standardize which is economical in terms of time and machinery usage. The present work was carried out to standardize the finished product of to confirm Baladi Churna entity, quality and purity. The presence of trichomes, spiral vessels, pollen grains were the characteristic features observed in the microscopy of the prepared drug. Phyto-chemical analysis showed Loss on drying 8.24% w/w, ash value 9 %w/w, water soluble extract 46.3 % w/w & pH 6.5. HPTLC of Baladi Churna is the preliminary quantitative analysis which shows 11 prominent spots in UV 254 nm and 10 prominent spots 366 nm. Baladi Churna, a polyherbal formulation of 6 ingredients was prepared and HPTLC finger print profile was developed and it can be considered pharmacopial standard of Baladi Churna.

Micro evolution of bitter taste domain drugs.

Ayurveda classified the drugs in various ways and one of which the classification is based on Rasa (taste) dominancy. Rasa is essential to identify drugs and to know its therapeutic application. In this study the drug has been selected according to Charaka classification of Tikta Rasa (bitter taste) drugs with an aim to find out the similar characters among all the drugs having bitter Rasa dominancy. Till date there is no data available regarding the pharmacognostical evaluation in concern bitter taste. For the first time selected five bitter drugs are subjected to various pharmacognostical evaluation, result reveals that Organoleptic characters of all five drugs give bitter taste, microscopic evaluation revealed that presence of starch grain, vessels, fiber , brown content are dominant in all five raw drug and all the five powder subjected to alkaloid test by using dragondroff reagent and give positive result for alkaloids.

Comparitive Pharmacognostical and Phytochemical Evaluation of Brihat and Laghu Gokshur.

Laghu Gokshur (Tribulus terrestris) and Brihat Gokshur (Pedalium murex) are well known drugs used in Ayurveda as diuretics. These are classified under mishrak varga as ‘Dashmoola’ in Ayurveda and in chemotaxonomy as Saponin glycosides. The objective of the work is to find out the diagnostic tool to identify the two varieties of Gokshur. The powder was studied for macroscopic, microscopic and physicochemical parameters. For HPTLC Stationary phase was Pre-coated silica gel GF 254 and mobile phase was Toluene: Ethyl acetate: Formic acid (7:2:1 v/v/v). The plate was scanned and quantified at 254 nm for Diosgenin.Results shows that microscopic characters like trichomes, stomata and crystals show some difference in the two varieties while physicochemical parameters show difference in extractive values. Phytochemical screening also shows similar findings. HPTLC analysis carried out using Diosgenin as reference standard revealed the presence of steroidal Saponin “Diosgenin”. Quantitative estimation for Saponins found marked variation in the two varieties, where Laghu gokshur had 16% of Saponins while Brihat gokshur had 13% Saponins. The study can be used as a diagnostic tool for identification of these two varieties of Gokshur.

Pharmacognostical and physicochemical analysis of Tamarindus indica Linn stem.

Tamarindus indica Linn. fruits (Chincha) are extensively used in culinary preparations in Indian civilization. Its vast medicinal uses are documented in Ayurvedic classics and it can be used singly or as a component of various formulations. Besides fruit, the Kasta (wood) of T. indica L. is also important and used to prepare Kshara (alkaline extract) an Ayurvedic dosage form. Pharmacognostical and physicochemical details of Chincha Kasta are not available in authentic literature including API (Ayurvedic Pharmacopoeia of India). The study is an attempt in this direction. T. indica L. stem with heartwood was selected and morphological, microscopic and physicochemical standardization characters along with TLC fi nger print, and fl uorescence analysis were documented. Transverse section of stem showed important characters such as phelloderm, stone cells layer, fi ber groups, calcium oxalate, crystal fi bers, and tylosis in heartwood region. Four characteristic spots were observed under UV long wave, in thin layer chromatography with the solvent combination of toluene: ethyl acetate (8:2). The study can help correct identifi cation and standardization of this plant material.

Involvement of opioid, adenosine and 5-HT3 receptors in antinociceptive effects of an ayurvedic polyherbal formulation

The present study was undertaken to evaluate the antinociceptive effects of an ayurvedic polyherbal formulation in rats and mice employing the tail immersion test and acetic acid-induced writhing test, respectively. With the tail immersion method, rats received two different doses [270 and 405 mg/kg BW, p.o.] of a formulation, pethidine [5.4 mg/kg BW, p.o.] as a reference standard and the combination of the higher dose of the formulation with naloxone [2 mg/kg, i.p.], an opioid receptor antagonist, and caffeine [16 mg/kg, i.p.], used as an adenosine receptor antagonist. In the acetic acid-induced writhing test, mice received two different doses [390 and 585 mg/kg, BW, p.o.] of formulation, diclofenac sodium [15 mg/kg, BW, p.o.] as a reference standard and the combination of the higher dose of the polyherbal formulation with ondansetron [0.5 mg/kg, i.p.], a serotonin receptor antagonist. The polyherbal formulation [405 mg/kg] exhibited a significant [p < 0.01] antinociceptive effect using the tail immersion method. In the acetic acid-induced writhing test, the formulation showed significant [p < 0.01] dose-dependent activity. The antinociceptive effect of the polyherbal formulation apparently involved an opiate-like mechanism, since its antinociceptive action was attenuated by naloxone pretreatment. In addition, antinociceptive activity was attenuated by caffeine and reversed by ondansetron pretreatment. Our data suggest that the polyherbal formulation possessed centrally and peripherally mediated antinociceptive properties. The activity could be mediated through opioid, adenosine, and serotonin receptors and via inhibition of cyclo-oxygenase- and/or lipoxygenase-dependent pathways

High benign bile duct stricture following cholecystectomy - [a case report]

A case of high stricture [Bismuth grade III] following cholecystectomy is presented. A sutureless mucosal graft hepatico-jejunostomy was performed with a percutaneous stent. The early result is excellent. No case of high biliary stricture treated in this way has been reported from Libya before. Literature on operative procedures, post-operative management and results in such cases are reviewed

Injection sclerotherapy for early hemorrhoids experience at Central Hospital, Tripoli

Two hundred and twenty five patients of symptomatic first and second degree hemorrhoids treated by injection sclerotherapy over the last 2 years at the anorectal clinic, Central Hospital, Tripoli are presented. Sixty eight% of the patients became asymptomatic at 1 month, and another 28% improved and considered the treatment satisfactory. Six patients had to be referred for surgery. Similar results are maintained after 4 months and 1 year of followup. No serious side effects were encountered, and only a small number of the patients [11.5%] required repeated treatment. A long term follow up is planned