A Clinical Case Study on Pittaja Atisara with reference to Ulcerative Colitis

The symptomatology of Ulcerative Colitis (UC) presents from irregular, incomplete bowel evacuation to mucous and bloody defecation. Direct correlation of UC in Ayurvedic literature is not possible, may be correlated to Pittaja Atisara, Rakthaja Atisara, Kshataja Grahani, Samgrahini Grahani. This case report shows diagnosed case of Ulcerative Colitis with nidana (etiology), Samprapti (pathophysiology) and Rupa (clinical presentation) similar to Pittaja Atisara. Signs and symptoms observed were stools mixed with blood & mucous (Pita-Haridra-Saraktha-Sadavalaprabham), Udarashula (abdominal pain), Payusanthapa (burning sensation in anal region) and showed Rupa that of Pittaja Atisara. Treatment was given according treatment approach of Pittaja Atisara viz., Langhana, Pachana and Picha Vasthi. Initially patient general condition was worst, managed under the guidance of modern medicine consultation and gradually tapered to Ayurvedic medicines. Oral medicines chosen were based on Rakthasthambaka, Vranaropana, Agni deepana and Grahi action, the drugs used for Pichha vasti are Madhu, Charngeryadi ghritam, Murivenna, Yashtimadhu kalka, Shalmali kwatha. A 45-day course of treatment was given, during which 30 Picha Vasthi were administered, includes 14 days of solely Vasthi and the final 11 days of Samsarjana Kala. Treatment outcomes were evaluated using partial Mayo scores and through routine blood tests and colonoscopy. Partial Mayo score was evaluated at 0th, 15th, 30th, and 45th day of the treatment cycle. Total partial Mayo Index score went from Severe Disease (9) to Remission (1). Total Leucocyte Count (TLC) and indices for hemoglobin and RBC returned to normal range after treatment. The patient got improvement and Ayurveda treatment protocol was successful.

Effect of Musthadi Rajayapana Vasti in Parkinson’s Disease

Parkinson’s disease is a progressive neurodegenerative disorder, affecting the older adult. It is a syndrome consisting of classical triad of resting tremor, bradykinesia and rigidity. The triad does not include the equally important gait and postural instability problem which also constitute syndrome. Lakshanas of Vata prakopa can be seen in Parkinson’s Disease. Madhavanidana, Vangasena, Sarngadhara samhita, Basavatrajiya has quoted the pathology Kampavata- a disease condition that explains Parkinson’s disease in similar way. In short Parkinson’s disease can be compared to Kampavata. Vasti is Paramoushadha of Vata. To be specific, Musthadi rajayapana vasti is Brimhana and Vatahara in nature. So it is the best choice for a Vatavikara like Parkinson’s disease. Brimhana type of vasti plays an important role, hence Rajayapana vasti. The study is pre-post study. participants registered in IPD and OPD of Govt Ayurveda Panchakarma Hospital, Poojappura satisfying inclusion criteria were selected. After collecting baseline data, detailed history and examination were done using clinical case proforma. 15 participants were selected for the study. Musthadi rajayapana vasti was done continuously for 7 days. Assessment of efficacy was done before Vasti, after Vasti on 8th day and after follow up on 14th day by Unified Parkinson’s Disease Rating Scale. Quantitative and qualitative assessment of Vasti dravya was also done. Data were analysed according to ‘Wilcoxon signed rank test’. Based on statistical analysis Musthadi rajayapana vasti was found to be significant in reducing symptoms. Musthadi rajayapana vasti is effective in reducing severity of symptoms of Parkinson’s disease

Effect Of Nauclea Orientalis (bakmi) In The Form Of Parisheka Sweda And Yoga Vasti In The Treatment Of Grudhrasi (sciatica)

Authentic texts describe Grudhrasi under Vata Roga. One of its main clinical features is a pain that radiates from Sphik Pradesha (buttocks) to Pada (foot). It can be corelated with sciatica. Piyusharnava, describes that Parisheka Sweda using Nauclea orientalis (Bakmi) as a treatment for Katigaha (Lumbago). Vasti Karma using N. orientalis (Bakmi) is in practice and Vasti is the best treatment for Vata Roga. Seventy-five patients suffering from Grudhrasi (sciatica) were treated with Parisheka Sweda, Vasti and combined therapy. Parisheka Sweda was carried out for a period of seven days. Vasti was performed as Yoga Vasti. Both therapies were carried out in combined therapy group; namely, Parisheka Sweda followed by Yoga Vasti. All three groups showed statistically significant reduction in all the symptoms but there was no statistical difference between groups. Parisheka Sweda and Yoga Vasti using Nauclea orientalis (Bakmi) can be recommended as an effective treatment for Grudhrasi (sciatica).

A Ray Of Hope Through Ayurvedic Management In Osteoarthritis: A Case Study

Osteoarthritis (OA) is degenerative condition, increasing due to today’s life style and age related changes. It mostly affects woman. A 70 years female patient, housewife by occupation, known case of osteoarthritis since 30 years was admitted in IPD of Panchkarma department with following presenting complaints: continuous pain in both knee joints and pain in lower back and hands. On the basis of strong similarity between etiological factor, symptoms, and Doshika involvement in the etiopathology and complication, OA can be correlated with Sandhigata Vata. There is need to search a safe, effective and less-expensive treatment that can alter the course of the disease. In this condition, Ayurveda is a ray of hope to stop disease progression. Considering these points in mind, Sarvang Abhyang with Narayan Tail, Swedana, Matra vasti with Panchguna Tail was administered in patient for 10 days. After this, Sarvang Patra Pottali Swedana was given for 7 days along with oral medication like Tryodashang Gugglu 2 tablets thrice a day, Tablet Neo 2 tablets twice in day after meal. Activities which were hampered due to symptoms and after 45 days of treatment, patient can perform daily tasks easily with mild pain in some joints and complete relief in others. Ayurvedic management provides better result within limited time periods with least oral medications.