A Comparative Clinical Study of Haritkyadi Churna Virechan and Jivantyadi Lepam in the Management of Kitibha Kustha (Psoriasis)

Patients with skin conditions frequently endure physical, emotional, and socioeconomic forms of social embarrassment. Up to 3.5% of the global total and 0.44%-2.8% of Indians suffer with the unpleasant dermatological disorder psoriasis. It is a widespread, chronic, non-infectious skin condition that can affect either sexes and affect any age, with incidence rates ranging from childhood to age one. It is characterized by well-defined, slightly elevated, dry, erythematous macules with silvery scales and a characteristic extensor distribution. In contrast to other dermatological disorders, psoriasis manifests as systemic symptoms like arthritis. The prevalence is highest in the third and fourth decades of life, when patients become unable of doing daily tasks. For some patients, social humiliation is a significant factor which leads to an increase in suicidal ideation. To raise public awareness, the 29th October has been designated as World Psoriasis Day. The Ayurvedic term for skin is "Charma" or "Twacha." Twacha is derived from the word Dhatu-twacha samvarne, which means body covering. The broad categories of Kushtha have been used to discuss all skin conditions in Ayurveda. There are two types of Kustha in Ayurveda. Mahakustha and Kshudra Kustha. Kitibha kustha belongs to Kshudra kustha.

A Review of the Role of Essential Ayurvedic Management in Covid Pandemics

At the end of 2019, China exploded COVID-19 and mushroomed rapidly throughout every nation. Due to the information received by the media, this message has spread somewhere in the minds of the people. Covid-19 is a complicated, difficult to treat, or horrifying disease. Although the severity of symptoms and the lethality of the virus directly causing the disease cannot be ruled out or ignored, but somewhere, the negligence of the imbalance in the nature of the basic elements of the body is the reason for the fatality of this disease. According to Aacharya Charak, "there can be hundreds of alternatives for the pathogen of any disease," but "this body is the only option for pathogens to cause hundreds of diseases." Which is why this should be the major focus for treatment in any stream of medical science and Ayurveda is a science of 'ayu', meaning harmony of health and life or journey of healthy life. This reveals that there is a high opportunity to evaluate the range of relevant drugs available in the Ayurvedic that may be employed more rationally to complement each stage of the disease. The Ayurvedic literature provides no explicit mention of this illness but according to the similarity of symptoms despite the occurrence of diseases, there is a special outbreak of Vata and Kapha. This disease can be reconciled in Janpadudhwansh janya diseases, Visham jwara and Vatshleshmic jwara.

Ayurvedic Management of Oligoasthenozoospermia - A Single Case Study

Male infertility makes up half of all infertility globally, and numerous etiological factors play a significant role to it. Oligoasthenozospermia is a sperm disorder that involves two disorders at the same time, Oligozoospermia (low sperm count) and Asthenozoospermia (Abnormal sperm motility). The signs and symptoms of oligoasthenozoospermia can be co-related with Kshina Shukra in Ayurveda. In Ayurveda Asta-vidha Shukra dushti are mentioned. Kshina Shukra is one among the Asta-vidha Shukra dushti, in which qualitative as well quantitative vitiation of Shukra dhatu occur. While describing the Dushti associated with Shukra and Artava, Vagbhatacharya explained Kshina Shukra as a pathological condition caused by vitiated Vata and Pitta. The present case study explains the role of Shodana aushadi and Shamana aushadi in the management of oligoasthenozoospermia. The patient has report of low sperm count and abnormal morphology was subjected to Ayurvedic management protocol initially Shodana treatment and then Shamana aushadi, administration of Satavari Kshira paka for 30 days. This Ayurvedic treatment protocol including a combination of both Shodana and Shaman therapies were helpful in improving the seminal parameters like sperm count will increase from 10 million/ml to 90 million/ml, Actively motility increase from 0% to 30%, Moderately motility increase from 0% to 30%, Slightly motility increase from 10% to 20%, Non motile decrease from 90% to 20% and number of normal spermatozoa increase to 98%. Hence this approach can be considered in patients with low sperm count and motility.

Ayurvedic Management of Rhino-Orbito-Cerebral Mucormycosis in Post COVID-19 Patient: A Single Case Study

A severe and rare fungal illness, Mucormycosis also known as black fungus affecting some corona virus patient. It occurs in people with Diabetes, Hypertension, reduced immunity and immune-compromised state. Various pharmacological interventions are used for this treatment but little efficacy and its prognosis is also poor. Certain Panchakarma procedures and internal Ayurvedic medicines have been proved to be beneficial in the management of fungal sinusitis. A 79 year old male patient with complaints of sinusitis, facial and eye pain, generalized muscular pain especially over the nape of neck, right arm, and right leg, discoloration of skin, nasal congestion came to Panchakarma OPD in university college of Ayurveda, Rajasthan Ayurveda University Campus Jodhpur for treatment. The present report deals with a case of Rhino Orbito cerebral Mucormycosis managed by Panchakarma treatment along with internal medicines. The Ayurvedic diagnoses of Raktaja Pratishyaya and Krimija Shiroroga were made, and Panchakarma treatments such as Kavala/Gandusha (gargling), Nasya (nasal medication), Dhumapana and Karnapurana were performed, followed by internal medicines for 30 days. Nasyakarma is especially desired for diseases of the parts above the base of the neck (above the clavicle). This treatment method was found effective in controlling the progressive symptoms and improving the functional ability of the patient.

Spina Bifida - A Retrospective Study

Background: The occurrence of congenital anomalies is increasing in the present era. The incidence is estimatedto be 3-7% of the congenital disorders.Aim: The present study is focused on the spina bifida and to know the incidence of spinal defects in north Indianpopulation. This study will be helpful for providing baseline data from the north Indian population.Methodology: The present study was done on 1400 fetuses which were sent by gynecology and obstetricsdepartment of GMCH Sec. 32, Chandigarh to anatomy department for autopsy purpose during period of 2008 to2017. In every case, location and morphology of spinal defects were observed.Results: The present study showed 11.7% cases with spinal defects, out of these, 1.2% spina bifida closed(occulta) and 10.5% spina bifida open defects were noted which included 1.2% ventral spinal defects, 31.7%with meningocele, 24.3% myelomeningocele, 28.6% myelocele and 12.8% with rachischisis.Conclusions: It is important to note the detection of congenital anomalies in early stage of gestation. It isadvantageous for the obstetrician in planning the line of management whether to continue the pregnancy or not.

Ayurveda A Ray Of Hope For Multiple Sclerosis W.s.r. To Asthi Majja Gata Vata: A Case Study

Multiple sclerosis (MS) is a demyelinating disease in which the insulting covers of nerve cells in the brain and spinal cord are damaged. The course of MS is usually relapsing-remitting and sometimes progressive. It is the commonest inflammatory- demyelinating disease of the CNS and the most frequently occurring cause of non traumatic neurologic disability in young and middle aged adults. Immunosuppressant or cortico­­-steroids as only available treatment in modern science, Ayurveda only the ray of hope. In Ayurveda, multiple Sclerosis can be correlated with Asthi – Majjagatavata. Aim: A case study had been done to find effective management for MS. A 35 year old female patient came to Panchkarma OPD, Dr. S.R. Rajasthan Ayurved University, Jodhpur was suffering from Weakness, Numbness and burning sensation in both arms or legs and Numbness in abdominal region and lack of coordination for 18months.she was diagnosed case of multiple sclerosis (kurtzke disability grade Five) had been given Ayurvedic medicine as well as Panchkarma shown encouraging results. Conclusion: Patient was observed for symptomatic improvement based assessment done by questionnaire, also observed for clinical examination. Patient was also observed for complication during whole course of treatment, untoward complications were not seen. Conservative management of MS through Ayurvedic principles improving the quality of life and decrease dependency of patient. Result: Patient showed improvement kurtzke disability grade Five to grade two.

Foramen Magnum: Morphometry, Possible Variation In The Shape And Its Clinical Implication

Introduction: Foramen magnum is midline opening in the occipital bone in the floor of posterior cranial fossa. Morphometryof cranium also helps in establishing the origin of various neurological and skeletal pathologies and also designing varioussurgical procedures and approaches.Methods: We conducted a study on 50 dry skull bones in the Department of Anatomy, Government Medical College and Hospital,Chandigarh. The foramen magnum was analyzed for its shape, anteroposterior (AP) diameter, width/transverse diameter (TD),area, perimeter, and FM index. All the measurements were taken with Vernier caliper and were statistically evaluated.Results: The common shape observed was hexagonal in 45% of cases. The mean of AP and TD was found to be 34.44 mmand 30.46 mm. AP diameter was more than TD. FM index and perimeter were found to be 98.91 mm and 88.44. However, areaof foramen magnum was observed to be 745.727 mm2.

Panchkarma Management Of Spastic Diplegic Cerebral Palsy In Children: A Single Case Study

Cerebral Palsy is a neurological disorder that affects a child抯 movement, motor skill and muscle tone. The present case is of a patient having Spastic diplegic Cerebral Palsy which was successfully managed with Panchakarma treatment. A four year old boy complaint of global developmental delay with predominantly gross developmental delay, can抰 feed himself, unable to sit without support, does not roll over, has age appropriate non-verbal communication was treated with Panchakarma procedures. The Ayurvedic diagnosis of the case was Shiro-Marmabhighatajsankochajanyavatavyadhi. We have formulated an Panchakarma therapy protocol to improve the condition of spastic diplegic CP patients. Result was observed in the form of GMFCS Level and significant changes in investigations.

A Case Report Of A Variant Head Of Gastrocnemius

The Gastrocnemius muscle is a fusiform, two-headed, two-joint muscle. The two heads of origin are lateral andmedial head taking origin from medial and lateral condyles of femur. In between the two heads tibial nervepasses. Its other end forms a common tendon with the soleus muscle; this tendon is known as the tendocalcaneusor Achilles tendon which get inserted to posterior surface of calcaneum. The case was reported during routinedissection for undergraduate M.B.B.S. students in Government Medical College and Hospital, Chandigarh. Thesubject was 70-year-old male cadaver of North Indian origin. The accessory head was observed during thedissection of popliteal fossa. The Gastrocnemius muscle was bulky. The inferolateral and inferomedial boundaryof the popliteal fossa were made by medial and lateral head of gastrocnemius. In addition to the normal medialand lateral head an accessory head of gastrocnemius was observed. The accessory head had bipennatearrangement of the muscle fibers. in the left lower limb were observed. All the heads were innervated by branchesfrom tibial nerve. It is possible that this variant muscle could have a compressive effect on the tibial nerve andpopliteal vessels, and the awareness of this may prevent its misinterpretation as a pathological structure byradiologists and surgeons

Prevalence, severity, and risk factors of symptomatic gastroesophageal reflux disease among employees of a large hospital in Northern India.

Background and aims Gastroesophageal reflux disease (GERD) is considered to be a common and chronic gastrointestinal disorder. The prevalence of GERD is believed to be less in Asia than in Western countries. Population-based data on GERD are lacking from India. The present study aimed at determining the prevalence of GERD symptoms in an adult Indian community and the potential risk factors associated with GERD. Methods The study population consisted of all the employees of All India Institute of Medical Sciences, New Delhi. An interview-based observational study was done on the basis of an earlier validated questionnaire. The subjects were asked about the frequency and severity of heartburn and/or regurgitation experienced by them in the previous year. These symptoms were then scored from 0 to 18. Subjects with a score of at least 4 were considered to have symptomatic GERD. Association of GERD with factors like age, sex, BMI, Kuppuswamy social class index, smoking, alcohol, NSAID use, and comorbid illness was analyzed. Results A total of 4079 employees were interviewed in person on a 29-item questionnaire from June 2003 to January 2005. Of the 4039 eligible subjects, 653 (16.2%) had GERD; 3.6% had heartburn on daily basis and 5.9% on a weekly basis. The corresponding prevalences for regurgitation were 3.3% and 5.0%, respectively. One hundred and eight of 4039 (2.7%) had severe GERD symptoms. Higher BMI (OR=1.90, 95% CI: 1.4–2.6 for BMI ≥25), current smoking (OR=1.48, 95% CI: 1.19–1.83), asthma (OR=3.13, CI: 2.06–4.76) and hypertension (OR=1.71, 95% CI: 1.16–2.50) were associated with the presence of GERD symptoms. Conclusions Prevalence of GERD in an urban adult population from northern India is 16.2% which is similar to other industrialized countries. Higher body mass index, current smoking, and presence of asthma or hypertension predisposes to GERD in our population.

Positron Emission Tomography in Congenital Hyperinsulinism.

We report a case of congenital hyperinsulinism with diffuse pancreatic abnormality diagnosed preoperatively by using [18-F]-L-DOPA positron emission tomography (PET). The infant was referred to us for recurrent hypoglycemia. Critical blood sample revealed increased insulin: glucose ratio. DOPA PET scan revealed diffuse involvement of pancreas. Subtotal (95%) pancreatectomy was done. Infant remained euglycemic on breast feeds at discharge.

Hastyăyurvĕda--a complete treatise on elephants.

Ayurvĕda, the oldest existing medical science of India, which is not only responsible for the health of human beings but also, plays an important in Veterinary sciences. In India, history of traditional Veterinary medicine dates back to the era of Mahăbhărata i.e.5000 B.C., recorded in the form of "Nakula Samhhită". Hastăyurvĕda is a treatise on elephants, Palkăpya wrote this Samhită. The present book is available as a complete Samhită, edited by Pandit Shivadutta Sharma. Hastăyurvĕda was printed at Anandăśrama press in 1894. Hastăyurvĕda has 160 Adhyăyăs. This Samhită is based on fundamental principles of Ayurvĕda, containing all aspects of Sharir including Anatomy & Physiology, Rog Vigyăna, Surgery and Treatment of elephants as well as their care. It is the one and only complete printed Samhită and rare book on Hastăyurvĕda by Palkăpya.