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Journal of Ayurveda

A Peer Reviewed Research Publication of
National Institute of Ayurveda, Jaipur

CURRENT ISSUES


July-September/2019/XIII/3

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Year

2019

Issue

July-September

Volume

XIII

Issue #

3

  1. Ethics in Clinical Practice Editoral
  2. Clinical Evaluation The Therapeutic Effect Of Haridra (Curcuma longa Linn.) Churna On Dosha, Khadira (Acacia catechu Linn. f. Willd) Churna On Dhatu And Aragvadha (Cassia fistula Linn.) Churna On Srotas In Shvitra Clinical Studies
  3. A Conceptual and Clinical Study to Understand The Principle of Sharira-Shaithilyata and Udakavaha Srotodushti w.s.r. to Kaphaja Prameha (Type II Diabetes Mellitus) Clinical Studies
  4. Clinical evaluation of safety and efficacy of ‘Avalguja Beeja Churna’ and ‘Arka Tail’ in the management of Vicharchika [Atopic Dermatitis]”- A Randomized controlled trial Clinical Studies
  5. Comparative Study Of Padmadi Lauham & Iron Folic Acid Tablets In The Management Of Garbhini Pandu Clinical Studies
  6. A comparative study on effect of bilvadi yogaashchyotana and haritaki vidalaka in the management of vataja abhishyanda w.s.r. to simple allergic conjunctivitis. Clinical Studies
  7. A Study on Efficacy of Virechana and Gajalinda Kshara on Shwitra w.s.r. to Vitiligo (Leucoderma) Clinical Studies
  8. Epidimio-Clinical Study Of Kanchanara Guggulu On Medoja- Arbuda With Special Reference To Lipoma Clinical Studies
  9. Efficacy of Sariva Ghanavati in Yuvan Pidaka Clinical Studies
  10. A Randomized Clinical Study to Compare the Effect of Eranda Bhrishta Haritaka Churna Orally and Trivrita Taila Matrabasti for Apana Vata Anulomana in Udavartini Yonivyapada (Primary Dysmenorrhea) Clinical Studies
  11. Evaluation Of Meditation On Agya Chakra To Modify Human Attitude Clinical Studies
  12. Pharmaceutical and Analytical Exploration Of Sanjivani Vati - An Ayurvedic Formulation Pharmaceutical Study
  13. Suvarna Prashana Prepared With Suvarna Patra (Spp) – A Safety Profile Analytical Study
  14. Recent Efforts In Popularizing Manuscriptology Literary Reviews
  15. New insights of Ayurveda formulation Pushpadhanwa rasa as a palliative therapy to improve the quality of life in ovarian Cancer: A review Literary Reviews
  16. A Critical Review On Immunomodulatory Effect Of Swarna (Gold) Bhasma In Children Literary Reviews
  17. Early To Bed And Early To Rise: An Ayurvedic Perspective Literary Reviews
  18. Demographic Study Of Hb Status And Blood Indices In Rakta Sara Purush Survey Study
  19. Ayurveda Management of Goitre with Hypothyroidism – A Single Case Study Case Studies
  20. A Significant Effect of Shodhana therapy on Mandala Kushtha: w.r.s. Psoriasis: A Single Case study Case Studies

LIST OF ARTICLES

Prof. Sanjeev sharma

ABSTRACT
Ethics can be defined as a moral philosophy and concerned with what is morally good or bad. These are integral part of each sphere of life may it be personal, social or professional life. In each profession there are certain ethical issues which need to be addressed essentially for the sake of professional and personal integrity. In medical profession particularly in clinical practice various such issues are confronted that are perplexing, emotional and drain lot of time and discombobulate. Just to be a good human being or professionally sound does not serve the purpose rather a clinician should have an in-depth knowledge of such issues. In each system of medicine these issues has been pontificated by the pundits. I always find an undercurrent of ethics and ethical behaviour throughout Ayurveda literature. Similarly in conventional system of medicine there is great deal of ethics in clinical practice and clinicians are supposed to abide by these.

KEYWORDS

Dr. Saroj Choudhary,Dr. Rameshwar dudi,Dr. Sisir. Kumar Mandal,Prof. Pawan kumar Godatwar,Dr. S. K. Khandel

ABSTRACT
This study was conducted to evaluation of the pathogenesis of shvitra. It was randomized controlled study on 60 number of patients and was divided into three groups named Group A, Group B, Group C. Haridra churna was given to Group A, dose of Haridra churna 6gm twice a day with Luke warm water. Khadira churna was given to Group B, dose of Khadira churna 6gm twice a day with Luke warm water. Aragvadha churna was given to Group C, dose of Aragvadha churna 6gm twice a day with Luke warm water. After completion the treatment it was assessed by the use of subjective criteria like as percentage of area, colour of affected area, colour of hair of affected part, number of patches, maximum size of patches, Mandalotpatti, Shwetavarnta, Rasa, Rakta, Mamsa & Meda vaha srota dushti lakshana, itiching by giving different grades for its severity and objective criteria was used Hb%, ESR, RBS, SGOT, SGPT, LDL. Separate questionnaire was prepared to assess the clinical features of ‘Shvitra’. Observations were recorded before & after treatment of 45 days with follow up at every 15 days. After treatment showed that the Rasa dusti lakshana 12.50%, 64.71% and 58.14%, Rakta dushti lakshana 12.50%, 55% and 68.57%, Mamsa dushti lakshana 0.00%, 14.29% and 54.55% , Meda dushti lakshana 5.88%, 10.53% and 76.19% was reduced by respectively in Group A, B & C. Finally it was observed that group B was more effective than Grop A and C.

KEYWORDS
Shvitra,Churna,Lakshana

Dr. Deepak Rahangdale,Prof. Baldev Kumar,Dr. Hetal H. Dave

ABSTRACT
Background: Ayurveda is a science of life and more than just a medical system. Ayurveda has taken the foremost place in the management of crippling disease. Prameha can be compared with Diabetes mellitus- II due to its clinical appearance. The disease was chose for the study due to much prevalence in the society and lack of effective medicine. Prevalence of Diabetes mellitus- II is approx.0.8% of the population. Aims: To understand concept of Sharira shaithilyata in Samprapti of Kaphaja Prameha and to evaluate Ayurvedic fundamental principles of Udakavaha Strotodushti in its treatment. Methods and Material: 40 Registered and clinically diagnosed cases were divided into 4 groups; Group A- patients having symptom of Kaphaja Prameha and Udakavaha Srotodushti (Trishnahar yoga), Group B- cases of Kaphaja Prameha only excluding symptoms of Udakavaha Srotodushti (Trishnahar yoga), Group C (Shaithilyahara yoga) and Group D (Sarva Prameha hara yoga). Result: Statistically significant improvement was observed in objective and subjective parameters in all 4 groups after completion of the course of treatment. Conclusion: Acharya have mentioned the Moolas of Srotas, so that while treating the disease we can pay attention to the treatment of Srotodushti and its Moola also. It seems that, it is an effective therapeutic regimen in the management of uncomplicated cases of Kaphaja Prameha .

KEYWORDS
Kaphaja Prameha,Udakavaha Srotas,Sharirshaithilya,Diabetes mellitus-II,Sroto Moola

Dr. Devesh Jaiman,Dr. Harish Bhakuni,Dr. Ajay Kumar Sahu,Dr. Puneet Bhargava

ABSTRACT
Due to ignorance towards dietetic, seasonal and daily regimen people are more prone to various kinds of skin disorders. Vicharchika (Atopic dermatitis) is the most common skin disorders. Due to wide spectrum of disease, much prevalence in the society and lack of effective medicament, so disease being chosen for the study. The study was conducted in 50 clinically diagnosed patients of Vicharchika (Atopic dermatitis) and randomly divided into two groups. In group A patients were treated with Avalguja Beeja Churna (6 gms) ) with Ghrita, before meal twice daily for 30 days and Arka Tail twice daily for 30 days, on the lesion for local application. In group B patients were treated with Cetrizine tab. (oral 10mg in night) and Clobetasol ointment twice daily for 30 days, on the lesion of Atopic dermatitis. Conclusions: ‘Avalguja Beeja Churna’ and ‘Arka Tail’ is safe, cost effective and free from any side effects in the management of Vicharchika [Atopic dermatitis]”. It also prevents the relapse considerably.

KEYWORDS
Vicharchika,Atopic dermatitis, Avalguja Beeja Churna,Arka Tail,Cetrizine tab,Clobetasol ointment

Dr. Jolly Sharma,Prof. Sushila Sharma

ABSTRACT
Anemia is one of the most commonly encountered medical disorders during pregnancy. Besides many other adverse effects on the mother and the fetus it contributes significantly to high maternal mortality. Despite the measures taken to control anemia in pregnancy in the last two decades the severity of iron deficiency anemia continues to remain a public health issue of great magnitude suggesting that the measures have been largely ineffective. The present study was carried out to compare the efficacy of Padmadi lauham , an Ayurvedic herbomineral compound and iron folic acid tablets in diagnosed cases of anaemia in pregnancy. Two groups of 15 patients were randomly selected based on the inclusion criteria. Group A was given trial drug padmadi lauham while group B was given iron folic acid tablets. In the present study percentage of relief in clinical symptoms of anaemia was found more in group A(60.28%) then group B(40.34%) which proved that Padmadi Lauham was more effective than iron folic acid therapy in this trial.

KEYWORDS
iron deficiency anaemia,padmadi lauham,iron folic acid

Dr. Kirti Kumar Akhand,Prof. Shamsa Fiaz

ABSTRACT
Acharya Sushruta has explained the disease Netra Abhishyanda as one of the Aupasargika Rogas. It is the root cause of all eye diseases. Acharyas have explained Vataja Abhishyanda as Sarvagata Vyadhi. The numbers of Sarvagata Rogas are seventeen according to Sushruta Samhita. Vataja Abhishyanda is produced when the vitiated Doshas are situated in all parts of the eyes, particularly in the ocular surface. The sign and symptoms like Nistoda(Pain), Stambha(Stiffness of lids), Sangarsha (Foreign body sensation), Parushya, Vishushkabhava(Feeling of dryness), Shishirashruta(Cold lacrimation) described in Vataja Abhishyanda seems to be similar to the characteristic features of the simple allergic conjunctivitis viz. watery discharge, foreign body sensation, pricking pain etc. The clinical study was done on 30 patients of Vataja Abhishyanda in two different groups. Group A was treated with Bilvadi yogaashchyotana and Group B was treated with haritakividalaka. After the registration of patients for this study sign and symptoms such as Nistoda, Stambha, Sangarsha,Vishushkabhava, Shishirashruta, Kandu and Raga were recorded before, during and after the treatment.

KEYWORDS
Vataja Abhishyanda,Simple allergic conjunctivitis,Bilvadi yoga ashchyotana,haritakividalaka,Abhishyanda, Sarvagata Vyadhi,Nistoda,Stambha,Sangarsha,Vishushkabhava,Shishirashruta

Dr. Surendra kumar Sharma,Dr.Shrinidhi K.Acharya,Dr. Piyush Mehata

ABSTRACT
Objectives: - A Study on Efficacy of Virechana and Gajalinda Kshara on Shwitra w.s.r. to Vitiligo (Leucoderma) Design: interventional, open label masking, randomized trial, Setting:- Hospital based Participants:- children of age group 5-15 yrs. Intervention:- Gajlindalepa and Virechana with Gajalindalepa in two groups A & B for advised to apply the trail drug Gajlindalepa provided to them at early morning preferably at the time of sun- rise hours once in day for the duration of six months for patients were followed-up on every fifteen days. Outcome measures:- Clinical Features- no. of black spot in observed patch, color change in the observed patch, reducing size of the observed patchResults: - Highly significant improvement in both the groups Conclusion:-Both the trial drugs are effective in the management of Shwitra but Virechana with Gajalindalepa is more effective than Gajalindalepa without Virechana.

KEYWORDS
Shwitra,Vitiligo,Gajalindalepa,Virechana

Dr. Shveta Sahu,Dr. Prof. P. hemantha Kumar,Dr. Narinder Singh

ABSTRACT
Acharya Sushruta described six types of Arbuda. As per the clinical features lipoma can be correlated to Medoja- Arbuda. Lipomas are the most common soft tissue tumour. According to contemporary science treatment available for its management is surgical excision, liposuction and lipolysis with steroids. But surgery too has its own limitations say as in case of multiple lipomatosis, outcome of scar formations or financial/psychological burden. Epidemiological study shows that entity is more common in males, in the age group of 26 to 45 year of age, having Vata-Kaphaj Prakriti, occupation wise maximum number of patients were having sedentary life style, with mixed variety of dietary habit, hereditary presentation in few cases, BMI range 25.0-29.99 with lipid profile within normal range in maximum number of patients. On thorough Statistical analysis and analysis done on the criteria framed for the overall assessment, the study showed that on intervention of trial drugs, neither Kanchanara Guggulu with lukewarm water nor Kanchanara Guggulu with Kanchanara Chaal Kashaya provided significant relief.

KEYWORDS
Arbuda,Tumour,Lipoma,Granthi,Medohara,Lekhan,Kanchanara Guggulu

Dr. Anupama Shukla,Dr. Pankaj Kothari,Dr. C. R. Yadav,Prof. Om Prakash Dadhich

ABSTRACT
Face is the Index of mind”. It affects the joy, sorrow, anger, excitement & all the experience. Beauty is a matter of Socio- medical importance; it is that quality or combination of qualities which afford keen pleasure to the senses especially that of sight or which charms the intellectual of moral faculties. Whole beauty of the body depends on the face. Minor problem leads to non- attractive look to a permanent disfigurement of the face which may result in inferior complexity sometimes isolation in the social life. The commonest cause for disfigure the face in youths is Yuvana Pidaka/Acne which is caused by vitiation of Kapha, Vata and Rakta.

KEYWORDS
Yuvan Pidaka,Kapha,Vata,Rakta

Dr. Monika Kumari,Prof. K. L. Meena,Dr. Prabhakar Vardhan

ABSTRACT
Background: Due to personal, social or professional obligations, the people inadvertently are adopting faulty diet and lifestyle. These abnormal diet and regimen factors closely resemble to apana vata vitiating factors. Probably because of this shift in lifestyle many diseases due to apana vata vitiation are emerging. One of such illness is udavartini yonivyapada (Primary Dysmenorrhea). Aims and objectives: The present research work aims at normalization of ap- ana vata by anulomana karma. In this regard, to evaluate and compare the effects of Erandbhrishta Haritaki churna and Trivrit taila matra basti in the management of Udavartini Yonivyapada (Primary Dysmenorrhea), the clinical study was conducted. Materials and Methods: It was a two armed prospective, non controlled, open label Randomized Clinical Trial in which 107 patients of Udavartini Yonivyapada (Primary Dysmenorrhea) were enrolled. In group A, Erandabhrishta haritaki churna was given and in group B, Matra basti with Trivritadi Taila in was given. The assess- ment was done every 4 weeks. Results and conclusions: In both the groups, extremely significant results were observed in all the cardinal parameters with P value less than 0.001. Hence the study concludes that both the formulations were effective in managing the illness but Matrabasti with Trivritadi Taila was found more effective.

KEYWORDS
Apana Vata,Udavartini,Anulomana,Matrabasti,Dysmenorrhea

Dr. Shalini Thakur,Dr. Umesh Shukla

ABSTRACT
Although standard of living is increasing globally but there is a clearcut decline in the quotient of life and happiness quotient with a surge in psychosomatic,behavioral as well as mental health disorders. Main reason behind all these is negative attitude of persons due to which lack of optimism, right vision and inability to cope up with the stressors is prevalent. Stressors are always there but it’s the ability of humans to handle the stress which protects them and it comes from positivity in the attitude. In Yogsutra, Maharshi Patanjali clearly mentions that person becomes like his attitudes so one should control the attitude through meditation. Taking this as baseline, a study was conducted on 20 apparently healthy volunteers to assess the effect of meditation practice on Agya Chakra to see its transformational efficacy in increment in positivity of Mental Attitude. For this, volunteers were selected randomly and to measure their attitude, LIKERT SCALE is framed and evaluation of attitude was done before and after meditation trial of 21 days. For medita- tion evaluation, a seven scale criteria is formed to evaluate intensity with which volunteers performed meditation and to record the evidence. After statistical analysis, this meditation practice was found highly significant in changing the human attitude and increasing its positivity. This result is quite encouraging after such a short duration of trial and may be a landmark in maintaining mental health and quality of life if practiced regularly. It is a nondrug therapy advisable for masses requiring no vigorous training as indicated by the fact that no volunteer was practicing any spiritual practice earlier, they all were novice.

KEYWORDS
Meditation on Agya Chakra,Attitude change,Likert Scale,Intensity of meditation criteria.

Dr. Vimal Tewari,Dr. Deepika Tewari,Dr. Amit Kumar Dixit

ABSTRACT
Sanjivani vati is a common Ayurvedic polyherbal formulation described in Ayurvedic formulary of India and widely used for various communicable diseases and other ailments i.e. fever especially infectious (Visham jwara), cold, cough, urinary tract infections, indigestion (Ajirna), and helps to strengthen the immune system and hence re- juvenate the body. Sanjivani vati comprise equal parts of Vidanga, Sunthi, Pippali, Haritaki, Amalaki, Vibhitaki, Vaca, Guduchi, Bhallataka and Vatsanabha. Gomutra (Cow urine) a very essential component is used to levigate the ingredients which helps to bind the pills. It has tremendous effects on fever, indigestion (Ajirna) and upper respiratory tract infection. Vatsnabha and Bhallataka are the two poisonous drugs among the components that increase its quality tremendously. In the present study, an attempt has been made to congregate the various reference of Sanjivani vati to show diversity in formulary and therapeutic indications. Sanjivani vati has been prepared in the pharmacy by follow- ing the standard operative procedures and Qualitative and Quantitative characterization of the drug was evaluated by using standard guidelines. The data generated in the present study may serve as a beneficial tool to maintain the quality aspects of Sanjivani vati.

KEYWORDS
Sanjivani vati,Physicochemical,Polyherbal,Gomutra

Vd. Sagar Bhinde,Vd. Abhishek Patalia,Vd. Sonam Bhinde,Vd. Malhari Sirdeshpande

ABSTRACT
Suvarna Prashana (SP) is mentioned in Kashyapa Samhita, Sutra Sthana, Lehadhyaya only. But use of Suvarna (Gold) is unanimously mentioned by every Acharya during neonatal age. Samhita have not mentioned identical preparation method, time, ingredient and dose. Hence currently there are many Suvarna Prashana available in market with different name, different ingredients and with different method of preparation. However, at present the use of metallic preparations has raised concerns in scientific community. These reports raised safety concerns on Ayurvedic medicines, particularly those of metallic /mineral / herbo-mineral in origin for containing considerable levels of heavy metals like lead, mercury and / or arsenic etc. If the drug is for pediatric use, then safety concern increases by many folds.This paper will deal with the Standard operating procedure (SOP) of Suvarna Prashana prepared with Suvarna Patra (Gold leaf) (SPP) along with efficacy and safety of the same with literary elaboration and survey study. Analysis of gold foil and prepared SPP with sophisticated instruments were also carried out to substantiate the safety of SPP. Hence this article is aimed to develop SOP of the Suvarna Prashana for cost effective large scale use with safety and efficacy.

KEYWORDS
Suvarna Prashana,Suvarna Patra,Gold leaf,Heavy metal analysis,Survey Study

Dr. Rashmi J. Ulli,Vaidya Shrinath M.

ABSTRACT
Manuscripts are the basic historical evidence and have great research value. Collection, conservation, digitization & critical editions are the steps in the study of Manuscripts. The science of studying manuscripts is known as manuscriptology. Manuscripts are the hand written or manually written original documents which are 65 years old or even more. Study of manuscripts helps in attaining the hidden knowledge through various steps told above. The different steps in manuscriptology e.g. collection, conservation, cataloguing, digitization, critical edition and publication of manuscripts will help in popularizing manuscriptology. These includeeven seminars, workshops, courses related to manuscriptology. As these are historical evidence and also hidden form of ancient medical knowledge,several treatment methods and medical formulations are yet to be discovered from the manuscripts. So manuscriptology helps in attaining the important aspects of research in Ayurveda. A large number of manuscripts are scattered all over India and these are available in personal collections and are unaware of their value & knowledge. So, it is our duty to preserve the knowledge and make it available to the future generation.

KEYWORDS
Manuscriptology, critical-edition,manuscripts,conservation,digitization,popularize

Dr. Manoj Kumar Dash,Dr. Namrata Joshi,Dr. D. N. S Gautam

ABSTRACT
Introduction: Pushpadhanwa rasa is a formulation described under Aphrodisiac, has been used for centuries. It has been shown that minerals & herbal ingredients present in Pushpadhanwa rasa have been reported for their significant effects on different cell lines like HT-29, MMP-9, HeLa, HepG2, 5-FU, MCF-7, UWOV2, HCT-116 cells, relating to female reproductive organs. Aim of the study: In this study an attempt has been made to critical review the ovarian Cancer regression property of Herbo mineral preparation, Pushpadhanwa rasa (PDR) Materials & methods: Thirty one ingredients of herb-mineral-animal origin were searched from various authoritative texts and worldwide accepted scientific databases with regard to their use in female reproductive organs for cancer claims including the ovarian cause. Result: A total of 31 ingredients were evaluated for their anti-tumour activities in eight human cancer cell lines. Of these G. glabra, P.betel, C. sativa exhibited promising apoptosis activity, G. glabra exhibited anti proliferative & anti angiogenic, G. glabra, P. betel, T.Myrobalan, P. betel, exhibited anti oxidant, P. betel, Z.officinale exhibited anti metastatic, P.betel, Honey shows cytotoxic , C. sativa cell cycle arrest activity in many cancer cells. Bhasmas present in Pushpadhanwa rasa like Rasasindoora, Lauha bhasma, Abhraka Bhasma, Naga Bhasma, Manahshila are considered as biologically produced nano drugs. Conclusion: Above data shows that the formulation Pushpadhanwa Rasa possess strong potential in treatment of ovarian cancer. as biologically produced nano drugs. Conclusion: Above data shows that the formulation Pushpadhanwa Rasa possess strong potential in treatment of ovarian cancer. Randomized controlled trials of high quality with larger sample size and longer follow-up are needed to have significant evidence on the clinical use of Pushpadhanwa rasa on ovarian cancer.

KEYWORDS
Pushpadhanwa Rasa,Anti- cancer,Apoptosis,Cytotoxic, Nano particle,Antioxidant

Dr. Nisha Kumari Ojha,Dr. Rashmi Pareek

ABSTRACT
Recurrent illness during childhood period is a great obstacle in development of a child.Although so many vaccines and antibiotics are successfully fighting the infections but so many painful vaccine shots and emergence of antibiotic resistance is a great challenge in the present era. Also frequent use of antibiotics create a lot of side-effects which also adversely affect the growth and development of the child. In Ayurveda Swarna (gold) Bhasma is having both preventive and protective qualities. Various evidences from experimental and clinical studies are also available to validate the effect of Swarna (Gold) Bhasma as immunomodulator.

KEYWORDS
Swarna bhasma,Immunomodulaor,children

Dr. Punit Chaturvedi,Dr. Manoj Kumar Patel,DR. Durgawati Devi

ABSTRACT
Ayurveda maintains the balance and harmony between individuals and his environment. For this purpose various principles has been described and dinacharya is one of those. Dinacharya starts with getting up from sleep in the Brahma muhurta. Westerners regard Benjamin Franklin’s quote “Early to bed and early to rise makes a man healthy, wealthy and wise” as the best advice for success. Classical Ayurvedic literature contains detailed description of Brahmamuhurta jagarana, nidra (sleep), and its constructive effects on health. People who maintain balance between sleeping and waking time, destroy all his pains and sorrows, means no disease remain left or able to produce. Adopting the principles of Ayurveda and guideline for Brahmamuhurta Jagarana are the best ways to encourage healthy life. it is essential to lead quality of life we have to follow Ayurvedic regimen and have to start our day with Brahma Muhurta Jagarana, So this concept need to be elaborated and explained from the Ayurveda as well as justified with modern views for which this study has been planned.

KEYWORDS
Brahmamuhurta Jagrana,Dincharya,Nidra,Ayurveada

Dr. Durgesh Nandini Sharma,Dr. Hemraj Meena

ABSTRACT
The Sara is considered to be an important concept of Ayurveda among Dashavidha Pareeksha which is done to understand life span of an individual, degree of strength possessed by person and to rule out morbidity. By assessing the Sara one can identify the present health status of an individual. Therefore, considering these prospects a demographic study was carried with 100 (16-40 years of age group) Rakta Sara Purushas. In the study Subjective parameters of the Rakta Sara were converted in the objective parameters which can be used to grade Rakta Sara in Pravara, Madhyam and Avara categories. In results Rakta Sara persons were found with good quality of blood including Hb, RBC, PCV and blood indices. So we can say that, they have good immunity or disease Free State means Arogyavan and Sukhi. Considering these facts this study can be used as model for standardization of other Sara, where examination is based on subjective parameters.

KEYWORDS
Sara Pariksha,Rakta Sara,Blood Indices

Dr. Ankita Agarwal,Dr. Asit K Panja

ABSTRACT
Goitre is an abnormal enlargement of thyroid gland whichpresents as a swelling around the neck. Goitre occurs due to different causes such as iodine deficiency, over- or underproduction of thyroid hormones or to nodules that develop in the gland itself. A very long course of treatment is required in modern science. Apart from the serological markers other clinical signs and symptoms sometime persist for long period. However, Ayurveda modalities have proved useful in this aforesaid manifestation. A case of goitre with hypothyroidism is presented herewith which was treated for two months with panchkarma procedures along with oral medication. The aim of the treatment was to alleviate patient's symptoms and prove worth-fullness of local applications in galganda. Patient had complained of swelling around neck and hoarseness of voiceand low appetite. There was visible nodular swelling around neck on clinical examination. On the basis of patient's symptoms, diagnosis was made as vatajagalganda with medo association. Patient was treated with the line of treatment of galgandachikitsa. Lepa (local ointment), nasya (nasal drops) were used for two months with oral ayurvedic drugs. Patient's condition was assessed according to the classical symptoms of galganda, WHO goitre grading scale, dysphonia gradingscale and thyroid hormone values. This case study shows that outer applications and panchkarma procedures are also effective along with internal administration in galganda case.

KEYWORDS
Goitre,galganda,hypothyroidism,panchakarma procedure

Dr. Anil Kumar Soni,Dr. Gopesh Mangal

ABSTRACT
All type of skin disease is described under broad heading Kushtha, no any disease can exactly have correlated with psoriasis, but Mandala Kushtha type of Maha Kushtha can be correlated with psoriasis. Psoriasis is chronic papulo- squamous disorder characterized by well-defined erythematous plaque with silvery, large loose scales, accentuated by grating the lesions. It affects patient physically, socially as well as economically. Treatment available on contemporary system is only suppressive but not curative. It affects 2.5% of world’s population. Acharya Carak mentioned Shodhan therapy for expulsion of morbid Dosha of Kushtha Rogi. For present study, a 40 years old Hindu male patient having history, ofwell-defined erythematous scalylesion over the scalp, Trunk, back, bilateral upper limband lower limb with itching since last 3 year was registered. Considering the signs and symptoms of patient was treated in the lines of Kushtha Vyadhi Chikitsa. Classical Vamana & Virechana Karma was done for the management of disease along with Pathya-Apathya. Patient had significantly relieved in lesion with this line of treatment.

KEYWORDS
Mandala Kushtha,Psoriasis,Shodhana therapy

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