RESUMO
Rheumatoid arthritis is a chronic, progressive autoimmune arthropathy and characterized by bilateral symmetrical involvement of joints with some systemic clinical features. Treatment in allopathic medicine involves NSAIDS and steroids, which carry their own collateral burden of side effects in long term use. According to clinical features, described in Ayurveda, Vatarakta closely resembles with Rheumatoid arthritis. The study is done to find the effect of Sodhananga Achasnehapana with Guggutiktaka ghritha followed by Virechana with Nimbamrita eranda taila in Rheumatoid Arthritis. Methods: It is a simple random single case study done at Government Ayurveda College Panchakarma Hospital, Poojappura, Thiruvananthapuram. Here a case of Vatarakta (Vatakapahadikam) was treated with Sodhananga Achasnehapana with Guggutiktaka ghritha followed by Virechana with Nimbamrita eranda taila after Rukshana karma. Results: The treatment was effective in reducing the ESR, RA factor and CRP levels of the patient diagnosed with Rheumatoid arthritis. Conclusion: The case report shows that Ayurvedic treatment is potent and effective in the management of Rheumatoid arthritis. There was no adverse effect found in the treatment. Hence it can be concluded that RA can be effectively and safely treated by using the Chikitsa siddhanta mentioned in Ayurveda
RESUMO
Migraine is a type of Headache characterized by moderate to severe throbbing pain, generally associated with nausea, vomiting and light sensitivity. It can be correlated to Ardhavbhedaka, which according to the Ayurvedic science is caused by simultaneous vitiation of all the three Doshas viz. Vata, Pitta and Kapha. Motion sickness is also a common disorder wherein patient suffers from symptoms like nausea, vomiting, increased salivation, dizziness, upon getting triggered by certain movements. In this case study, a female patient of middle age group (Madhyam Avastha) suffering from long standing migraine and motion sickness since past 15 years (on and off), hampering her day to day activities, was administered with the treatment protocol as per Ayurveda resulting in significant relief to her symptoms. The treatment, planned according to her pulse diagnosis and clinical examination, was based on herbal supplements, Panchakarma (detoxification) in the form of Virechana, home remedies, Marmaa therapy, dietary and lifestyle modifications. The treatment was focused on removing the toxins (Aam) from the body with the help of detox (Virechana). This also resulted in alleviation of the vitiated Vata and Pitta Doshas and restoration of the Jatharagni (digestive fire). The treatment modality has been effective to reduce the episodes significantly.
RESUMO
Cerebral palsy is a group of permanent, non-progressive motor impairment syndromes secondary to lesions or anomalies of the brain arising in the early stages of its development. It has a high prevalence rate of 2- 3 per 1000 children. Among the various types, spastic cerebral palsy remains the most common, affecting about 61% of all people with cerebral palsy. In Ayurveda, this could be taken as a Vata predominant condition and included as Sarvangavata. Vatavyadhi treatment like Snehana, Swedana, Shodana and Brimhana, along with supportive therapies could give wonderful results. An 8 ½-year-old boy, a known case of post meningeal hydrocephalus with spastic cerebral palsy was treated in the In-Patient Department of Government Ayurveda College, Thiruvananthapuram. He was treated based on the principle of Vatavyadhi chikitsa with various Ayurvedic medicines internally and appropriate Panchakarma procedures, along with physiotherapy and speech therapy. He has been assessed before and after the treatment using the Modified Ashworth Scale and Barthel Index, and noticeable improvement has been got. Here spastic cerebral palsy was managed solely using Ayurveda medicines, the apt Panchakarma procedures and supportive therapies. Significant improvements in the quality of life of the child was seen. Ayurveda treatments along with supportive therapies are highly effective in managing spastic cerebral palsy, thereby imparting a better standard of living.
RESUMO
Ayurveda is one of the most renowned traditional systems of medicine that has survived and flourished from ages till date. There are many avenues still to be explored by the researchers, practitioners and experts in the field who carry the responsibility of keeping the traditional systems of medicine alive and contributing to their growth in the future. Panchakarma is a fivefold treatment modality in Ayurveda used for detoxification of the body in preventive, curative as well as rejuvenative aspect. It includes Vamana (emesis), Virechana (purgation), Nirooha vasti (decoction enema), Nasya (instillation of medicine through nostrils), and Anuvasana vasti (oil enema). Kashyapa Samhita is a renowned book in Ayurveda especially in the field of Kaumarabritya. It elaborates Panchakarma procedures along with its indications, contraindications and doses for children. It contains many points explained in Brihat trayi along with some unique contributions in the field of Panchakarma. The present article reviews the original text and critically analyses the contribution of Kashyapa Samhita in the field of Panchakarma.
RESUMO
DVT is called as Phlebothrombosis. It is semisolid clot in the vein which has got high tendency to develop pulmonary embolism and sudden death. Most frequent site of thrombosis is calf region. A 60 yr male diagnosed with Deep vein thrombosis (DVT), complaining of pain and swelling on left leg (calf muscle) for 3 months, came in Panchkarma OPD in Chaudhary Brahm Prakash Ayurveda Charak Sansthan New Delhi. Pain and swelling increased with prolonged standing and walking. In Ayurveda Samhitas DVT is not mentioned as separate disease but the symptoms can be correlated with Siraj granthi or Siraja vata. Management: Case was managed according to general guidelines of Sotha, Rakta gata vata and Shiragata dosha. Shaman aushadh and Shaman sneha was given for 3 months. Result: Mild swelling and pain decreased in 15 days of medication. After 2 months, venous Doppler reports suggest partial thrombus noted in external iliac vein, deep femoral vein and popliteal vein shows resolution of thrombus as compared to previous Doppler wells score decreased up to 2
RESUMO
Stroke is one among such diseases which needs immediate care and attention as it causes death and disabilities in the person, hence considered as a major burden in developing countries like India. The estimated adjusted prevalence rate of stroke in India ranges from 84-262/1,00,000 in rural and 334-424/1,00,000 in urban areas. The incidence rate is 119-145/1,00,000 based on the recent population-based study. The nearest clinical entity for stroke is Pakshaghata. Methodology: A 51yrs old male patient who is a known case of DM since 6years under regular medication approached to OPD of SKAMCH & RC Bangalore, with a Lakshana of loss of function, sensation, speech etc where mainly right half of the body was affected. Based on the clinical presentation and Ayurvedic parameters, the condition was diagnosed as Pakshaghata with special reference to ischemic stroke with possible multiple lacunar infarcts and Chikitsa was adopted keeping Dhatukshayajanya pathology as base. The treatment such as Sarvanga Abhyanga, Sarvanga Nadi swda, Sarvanga shashtika shali pinda sweda and Basti with oral medications like Suvarna sameerapannaga rasa, Vidaryadi Kashaya, ashtavarga Kashaya, balarishta and Cap. Palsineuron were prescribed. Result: There were drastic improvements seen in the Lakshanas. Overall fruitful result was achieved even follow up were maintained. Discussion: This article is a discussion about a case of ischemic stroke of brain which was successfully treated with Ayurvedic approach. The disease Pakshaghata with its Lakshanas, Nidana, Samprapti, Sampraptivighatana of Chikitsa given, along with the approach to conclude its possible modern co-relation as Ischemic stroke of brain were the main points Sampraptivighatana, chikitsa given, consideration. Conclusion: The above-described sets of Panchakarma treatment along with Shamanoushadhi has shown significant result clinically with speedy recovery within a month in the patient in the present study.
RESUMO
The most commonly diagnosed arthritis is Knee Osteoarthritis. The main possible causes of Knee Osteoarthritis can be trauma, overweight, old age, lifestyle, calcium deficiency etc. In modern medicine, the available treatment for osteoarthritis is NSAIDS, Ca supplements, and at last, joint replacement. The present case study is about knee osteoarthritis which is caused due to trauma. Panchakarma (Snehana, Swedana, Janu Basti, Matra Basti) has a significant role in the management of Osteoarthritis. So, here’s an attempt to show its efficacy, along with oral Ayurvedic medications, which will be helpful for further studies.
RESUMO
Vaidyaka Paribhasha Pradipa was written by Govind Sen, son of Krishna Vallabh Sen. Vidyotini Hindi Tika was written by Indradev Tripathi. The book Vaidyaka Paribhasha Pradipa consists of almost all references collected from various Samhitas regarding the fundamental principles and different Ayurvedic herbal pharmaceutical preparations and descriptions on Panchakarma. The whole content of the book is divided into 4 Khandas. Prathama khanda deals with Mana paribhasha, Dravya samgrahana vidhi, and shelf life of different Kalpana etc. Dwitiya khanda deals with Panchavidha kashaya kalpana and its Upakalpana and dose. Tritiya khanda deals with Sneha kalpana, Sandhana kalpana and Paribhasha of different Gana. Chaturtha khanda deals with Panchakarma procedures and Sneha murchana. The present book review mainly focuses to highlight the framework of Vaidyaka Paribhasha Pradipa, provides information about the author, details of 4 Khandas, a special contribution to the field of pharmaceutical science by the author. Thus, Vaidyaka Paribhasha Pradipa, the compilation book on Bhaishajya Kalpana is a very essential and mandatory book for those who aspire to gain basic, clear, and thorough knowledge in Ayurvedic pharmaceuticals. It is one of the indispensable reference books. The present book is designed to help the young practitioners who prepare medicines and graduates and post-graduate scholars get a clear idea of medicine preparation.
RESUMO
Atopic Dermatitis (AD) is a chronic, highly pruritic inflammatory skin disease. The lesions are characterized by papules, papulovesicles, edema, crusting and scaling with hyperpigmentation or hypopigmentation after healing. Here we represent a case of AD, having dry, pruritic and highly lichenificated skin lesion on lateral aspect of left leg from last 4 years. Based upon correlation in sign and symptoms the disease was considered as Vicharchika as per Ayurvedic perspective and treated accordingly with three sitting of wet cupping (bloodletting using vacuum cups) at interval of every 3-months gap on basis of the Samprapti (pathology) of Kushta Vyadhi comprising of all three Dosha Vata, Pitta and Kapha along with Rakta, Lasika, Twak, Mamsa as Dushya. Raktamokshana using wet cupping technique showed good result in reducing the sign and symptoms of eczema upto 90%. Based upon observation it can be concluded that Raktamokshana is found to be effective in management of Atopic Dermatitis.
RESUMO
Spinal tuberculosis is one of the most dangerous and destructive form of tuberculosis. Predisposing factors for spinal TB are same as that of pulmonary TB, which include poverty, overcrowding, illiteracy, malnutrition, diabetes mellitus, HIV infection, alcoholism, drug abuse. Though TB of cervical spine is rare but neurological deficits are more common as compared to lumbar spine. This is a case of 9 year old male child who developed neurological deficits after TB cervical spine. Panchakarma therapy along with oral medicines given for duration of one year provided significant relief in symptoms as- generalized weakness, muscle rigidity, muscle weakness. Further continuation of treatment is expected to bring more benefit.
RESUMO
Alopecia areata is characterized by circumscribed non-scarring loss of hair in single or multiple patches over the scalp or body hair. Histopathology shows perifollicular and intrafollicular inflammatory cells infiltrate composed mainly of lymphocytes, described as swarm of bees’ appearance. The characteristic lesion is an asymptomatic, smooth bald patch with normal skin within the patch. Fine regular pitting of nails and tachynochia is a common association. When the hair loss involves the entire scalp it is known as alopecia totalis. Khalitya in Ayurveda is a disease in which Pitta combining with Vata and getting into the pores of hairs (hair follicles) cause fall of hair, and then Kapha along with Rakta obstructs the pores of those hairs and makes it impossible for other hair to grow. As it does not destroy the hair follicles the potential for the re-growth is maintained for many years. However growth in alopecia totalis and universalis is limited. Material and Methods: The present clinical study is a case report on the efficacy of Shamana (pacification) medication along with Vamana (therapeutic emesis), Virechana (therapeutic purgation), Basti (therapeutic Enema) and Nasya (therapeutic nasal medication) and Raktamokshan (therapeutic bloodletting) in the management of a patient diagnosed as Alopecia totalis. Results: There was significant re-growth of the hair of the scalp. SALT Score improved from 97.76 to 2. Discussion: The collected data from this study suggests that Ayurvedic Shodhana (Purification) treatment along with Shamana medications can provide an efficient result for managing Alopecia totalis.
RESUMO
Visphota kushta (blistering skin disease) is characterized by transparent blisters with thin skin covering.Management of Visphota Kushta in Ayurveda is rarely reported. The case reported here showed significant regression in the condition in short span of time and could completely stop the use of anti histamines and corticosteroids. A 32 year old female, presented with complaints of blisters over both upperand lower extremities associated with edema, burning sensation, pain, severe itching and oozing sincethree months. The treatments were given after ascertaining the involved dosha and the samprapti(pathogenesis). The involved dosha were and Pitta (metabolic factor) and Kapha (binding factor) dosha.Pitta - kapha dosha hara line of treatment was adopted in terms of mitigating and purificatory therapy. Ithelped in arresting the progression of the condition and a complete healing of blisters. Photographs weretaken during and after the treatment for records. The blister completely resolved and the skin wasnormal as before. The patient was back to her normal routine with no signs of relapse. The outcome wasa combined effect of both shamana and shodhana chikitsa along with pathya sevana.© 2018 Transdisciplinary University, Bangalore and World Ayurveda Foundation. Publishing Services byElsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
RESUMO
Irritable bowel syndrome (IBS) is a gastrointestinal disorder characterized by altered bowel habits and abdominal pain in the absence of detectable structural abnormalities. The pathogenesis of IBS is poorly understood, although roles for abnormal gut motor and sensory activity, central neural dysfunction, psychological disturbances, stress, and luminal factors have been proposed. About 10-15% of the population is affected at some time but only 10% of these consult their doctor because of symptoms. In Ayurveda, IBS can be correlated to Grahani Roga due to similarity in their clinical presentation. In this case an effort was made to treat a 32 years old male patient having symptoms of Muhurbaddha Muhurshithil (episode of constipated and loose stools), Apakwa Malapravritti (Stool with mucus), Udarshool (abdominal pain). Patient treated with various Panchakarma (five Bio-cleaning Ayurvedic therapies) procedures like Basti (herbal medicated enema), Takra Dhara (pouring Herbal medicated butter milk on head) and oral medications. At the end of 60 days of treatment patient got significant improvement in episode of constipated and loose stools (75%), distension of abdomen (75%), anorexia (100%) and stool with mucus (100%).
RESUMO
Gridhrasi or sciatica in modern language is one the common condition of loco motor system disorder; it is a pain dominant disease and reduces human activity. In Ayurveda texts it comes under Vatavyadhi. Aim: To successfully manage acute case of sciatica through Panchakarma treatment. Materials and Methods- An acute case of sciatica was taken under consideration and was given Panchakarma therapies like Kati Basti, Abhyanga, Matra Basti for 23 days. Results and conclusion: The patient got 83.3% improvement in SLR test and nerve discomfort. It was noted that Panchakarma therapy is highly effective in treating acute cases of sciatica.
RESUMO
Musculoskeletal conditions affect people of all age groups in all regions of the world. According to the Global burden disease report, musculoskeletal disorders are an increasing healthcare issue and have become the second most common cause of disability. Musculoskeletal conditions are characterized by pain, limitations in mobility, dexterity and functional ability which restrict a person’s ability to work and participate in society which in turn affects mental well being as well. According to the data by WHO 20-30% of people across the globe live with a painful musculoskeletal conditions. Pain and restricted mobility are the main features in MSD and the drugs used in contemporary medicine are analgesics, NSAIDS, DMARDS, corticosteroids etc. which are associated with long term adverse-effects. In Ayurveda Classics MSD’s can be related with the various diseases described under Vatavyadhi. Basti is the best line of treatment for treating all types of Vataja disorders. By reviewing the classical texts, it is understood that the Basti reaches in Pakawashaya and from there works on all the organs by virtue of the Virya (~potency) present in Basti dravyas. In this article an attempt has been made to explain effect of Basti chikitsa in the management of musculoskeletal disorders through analysis of various researches performed. Also various research papers available through Pub med, Google scholar, Wikipedia and websites has been compiled in this articles which can be practiced in daily basis that will lead to betterment of the patient’s conditions.
RESUMO
The basic Ayurvedic treatment is based on two principles viz. Shodhan chikitsa (elimination Therapy) and Shaman chikitsa (internal medicine). Shodhan Chikitsa deals with five purificatory procedures popularly known as Panchakarma. Acharya Susruta included Raktamokshana in Panchakarma and described it as the best procedure because it eliminates all three vitiated Doshas viz. Vata, Pitta & Kapha. Jalaukavacharana is a type of Raktamokshana where leeches are used for bloodletting. This is considered as the most effective and most unique method of Raktamokshana as vitiated Doshas are removed from the body without using any cutting instruments, so, Raktamokshana by means of ‘Leech’ comes under Ashastra category. The following paper deals with the basic concepts of Leech therapy and the method of using leech for Raktamokshana.
RESUMO
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.
RESUMO
Background: Number of people dying from IHD has increased from 0.61 million in 1990 to 1.13 million in 2010, which is a disturbing fact. According to report by World Health Organization, India would be spending a whopping 237 billion US dollars, owing to direct spending on health care and indirectly due to loss of productivity due to IHD. Ischemia Reversal Program (IRP) is a combination of Panchakarma and allied therapy. This study was conducted to evaluate the effect of IRP on VO2max, Duke抯 treadmill score, systolic blood pressure (SBP), diastolic blood pressure (DBP), and dependency on conventional therapy in IHD patients.Methods: This observational study was conducted in January 2017, wherein the data of IHD patients (inducible ischemia on stress testing) who attended out-patient departments (OPDs) at Madhavbaug clinics in Maharashtra, India were identified. Data of patients who were administered IRP (60-75 minutes) with minimum 7 sittings over 90 days (� days) were considered. Variables were compared between day 1 and day 90 of the IRP.Results: Out of 38 enrolled patients, 25 were males while 13 females. There was significant improvement in Duke抯 score with subjects at moderate (50%) and high (31.6%) risk at baseline were significantly decreased to low (52.6%) and moderate (47.4%) after the 90th day of therapy. IRP also showed significant improvement in VO2max by 9.11 (from 20.29�72 to 29.40�71; p<0.001), SBP by 5.78 (from 128.78�.40 to 123�.23, p<0.03), DBP by 4.76 (from 80.53�10 to 75.76�85, p<0.005). Dependency on concomitant medicines was reduced.Conclusions: IRP was effective in IHD; it had dual benefits, i.e. anti-ischemic effect, as well as reducing the dependency on allopathic medicines.
RESUMO
Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung disease that is often preventable and treatable. In Ayurvedic texts Shwasa Roga has been described having symptomatology close to COPD. COPD damages the airways in lungs and leads to shortness of breath, impacting patient`s work, exercise, sleep and other everyday activities. More than 11 million people in the U. S. suffer from COPD and its prevalence has been increasing steadily over the past 20 years. It causes serious long-term disability and early death. COPD includes both chronic bronchitis and emphysema. Risk factor includes exposure to air pollution, second-hand smoke and occupational dusts and chemicals, smoking, cold weather etc. which are also mentioned in Ayurvedic classics. Identification, reduction and control of risk factors to prevent the onset of COPD are important steps towards developing strategies for prevention of COPD. The aims and objectives of Ayurveda are to maintain the health of a healthy person and to cure the diseases of the patients. It is signifies that “prevention is better than cure.” To maintain the health, Ayurveda laid many basic principles like Ritucharya (seasonal regime), Dincharya (diumal regime) etc. The Yogic procedures and the concept of Pathya (wholesome) and Apathya (unwholesome) is the peculiarity of Ayurveda for the management of COPD and the treatment module includes- Panchakarma (Vamana, Virechana, Dhumapana and Nasya), external therapies (Lepas, Dhara, Sthanika Abhayanga and Swedana) and internal medications are very effective in COPD.
RESUMO
Context: Diabetes mellitus (DM) contributes to a major chunk of morbidity, mortality, and healthcare cost on a global level. The prevalence of DM is rising alarmingly, worldwide and India. Comprehensive Diabetes Care (CDC) is a combination of Panchakarma and diet management. Aims: This study was conducted to evaluate the effect of CDC on Glycosylated hemoglobin (HbA1c), body mass index (BMI), body weight, abdominal girth and dependency on conventional therapy in DM Patients. Setting and Design: This observational study was conducted in July 2017, wherein the data of obese Type II DM patients (HbA1c >6.5%) who attended out-patient departments (OPDs) at Madhavbaug clinics in Maharashtra, India were identified. Materials and Methods: Data of patients who were administered CDC (60-75 minutes) with minimum 6 sittings over 90 days (± 15 days) were considered. Variables were compared between day 1 and day 90 of CDC. Results: Out of 27 patients, 22 were included for analysis, out of which 10 were males while 12 females. CDC showed significant improvement in HbA1c 1.1% (from 8.80 ± 0.93 to 6.98 ± 1.73; p<0.001), BMI by 2.66 (from 33.79 ± 3.80 to 31.13 ± 3.91, p< 0.001), weight by 6.56 kg (from 83.67 ± 11.28 to 77.11 ± 12.27, p<0.001). Abdominal girth (from 104.34 ± 9.74 to 96.97 ± 11.93; p<0.001), also showed significant reduction. Dependency on concomitant medicines was reduced, with the number of patients on no concomitant medicines increasing from 27% to 41%. Conclusion: Comprehensive Diabetes Care Management Program found to be efficacious; by reducing HbA1c, as well as reducing dependency on allopathic medications.