RESUMO
The symptomatology of Gridhrasi given in Ayurvedic classics are pain in chronological order starting from Sphikpurva, Kati, Prushta, Uru, Janu, Jangha, upto Pada, Sakthna kshepo nighruniyat. The clinical features of lumbar spondylosis can be correlated with Gridhrasi and condition can be treated on the lines of Gridhrasi and Vatavyadhi. Objectives: To evaluate the efficacy of Katibasti, Ksheerabasti and Vatagajankusha rasa as Shamanoushadhi in the management of Gridhrasi vis a vis lumbar spondylosis. Result: The therapies Katibasti, Ksheerabasti and Vatagajankusha rasa along with the suitable Anupana as Shamanoushadhi chosen for the treatment showed very good results in terms of reducing acute pain as well as radiculopathy. Conclusion: As the long term or extensive use of NSAID’s, Cox-inhibitors like etoricoxib, muscle relaxants, intervertebral steroid injections and even surgery in the management of lumbar spondylosis will induce serious adverse effect on body, safe and effective therapies like Katibasti, Ksheerabasti and Vatagajankusha rasa along with the suitable Anupana as Shamanoushadhi were selected for treatment. These therapies have not caused any adverse events and improved the condition by arresting the pathogenesis at their respective particular stages. It was observed that the above mentioned Ayurvedic therapies were found to be safe and effective in Gridhrasi vis a vis Lumbar spondylosis.
RESUMO
Melasma is a skin condition characterized by dark spots and patches on the nose, cheeks, forehead and jaw line. Although it is completely harmless, it causes skin discoloration which is difficult to fade away with routine skin care. Melasma can lead to social isolation and stigmatization adversely affecting the quality of daily life which definitely has a major impact on individual’s psychological state and social relationship. The symptomatology of Vyanga given in various available Ayurvedic classics are Mandala (circular patches), Shyava (brown), Tanu (thin), Niruja (painless), etc. The clinical features of melasma can be correlated with Vyanga and condition can be treated based on the Vyanga Chikitsa. Objectives: To evaluate the efficacy of Haritakyadi Lepa in the management of Vyanga and to review the etiopathology and the clinical aspect of the Vyanga. Result: Based on the collected data, efforts were made to evaluate the efficacy of Haritakyadi Lepa followed by Sadyo Virechana with Manibhadra Guda in the subjects of melasma vis-à-vis Vyanga. Conclusion: In contemporary science, topical steroids have been described in the management of melasma. Alternative to that Haritakyadi Lepa along with Madhu selected for treatment, has shown very effective result in Vyanga.
RESUMO
Sheetapitta is a clinical condition caused due to vitiation of Tridosha mainly by the contact of Sheetalavayu. It is characterized by Varati Damstravat Shotha (wheals), Kandu (itching), Daha (burning sensation), Toda (pricking pain), Jwara (fever) and Chardi (vomiting). Sheetapitta analogous to urticaria of western medicine. Urticaria is a vascular reaction pattern characterized by transient, erythematous and edematous wheals or papules of varying sizes and shapes which are usually pruritic. Episodes lasting more than 6 weeks are regarded as chronic urticaria. Present study is a single group open clinical trial with pre and post-test design with a sample size of 33 subjects. The diagnosis was based on the signs and symptoms of Sheetapitta vis-à-vis chronic urticaria and the assessment was based on Urticaria Activity Score which includes wheals and itch as its parameter. Subjects were administered with Virechana Karma followed by Ardraka Khandawith Amruta Rajanyadi Kashaya as Anupana for 30 days after Virechana Karma. The result obtained after the completion of intervention showed statistically highly significant with the P value 0.001 and also overall clinical improvement showed significant result in reducing the signs and symptoms of Sheetapitta vis-à-vis chronic urticaria. Sheetapitta being Tridoshajanya, Virechana Karma helped in Tridosha Nirharana (expelling dosha). Ardraka Khanda being Agnideepaka (appetiser), Sheeta Pittahara (disease pacifying action) and Rasayana (rejuvinator) followed by Amruta Rajanyadi Kashaya which is Kapha-Pitta Hara, Dahahara (reducing burning sensation) and Kanduhara (anti-itch) properties pacified the signs and symptoms of Sheetapitta. In combination of both Virechana Karma and Ardraka Khanda with Amruta- Rajanyadi Kashaya, majority of the subjects attained pacification of urticarial wheals and itching.