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Journal of Ayurveda

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

CURRENT ISSUES


January-March/2019/XIII/1

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Year

2019

Issue

January-March

Volume

XIII

Issue #

1

  1. Ayurveda Education at Graduate Level – Present status Editoral
  2. A Clinical Study on Triphala Kwatha Gandusha to Prevent Dantamulagata Roga w.s.r. to Periodontal Diseases as oral manifestations in Madhumeha (Diabetes mellitus) Clinical Studies
  3. A Clinical Study On Functional Aspect Of Srotomoola W.S.R. To Þesnksogkuka óksrlkao`DdkS ewya oikogua pß Clinical Studies
  4. Effective Treatment of Alcohol Withdrawal Syndrome in Ayurveda Clinical Studies
  5. The Comparative Clinical Study Of Shatapushpa Churna And Tilshelukarvi Kwatha On Artavakshaya Clinical Studies
  6. A Clinical Comparative Study To Evaluate The Efficacy Of Shirishadi Syrup and An Established Ayurvedic Marketed Preparation In The Management Of Respiratory Allergic Disorders In Children. Clinical Studies
  7. “Chikitsyavishaghnyaiva Sa Shamam Labhate Narah|” (C. Chi. 3/118) An Assessment Of Immuno-Modulatory Effects Of Vishagna Mahakashaya In The Patients Of Anurjatajanya Tamaka Shvasa (Allergic Asthma) Clinical Studies
  8. A Clinical evaluation of safety and efficacy of ‘Triphaladi Kwatha’ and ‘Karanjadi lepa’ in the management of Vicharchikia [NeuroDermatitis] Clinical Studies
  9. Pharmaceutico - Analytical Evaluation Of Brahma Rasayana - A Polyherbal Ayurvedic Formulation Pharmaceutical Study
  10. An Ayurvedic Approach towards Asthi- Kshaya with Special Reference to Postmenopausal Osteoporosis Conceptual Studies
  11. An Ayurveda and Modern concept of Blood vis-à-vis Thrombosis Conceptual Studies
  12. A critical re-evaluation on the concept of Aahara w.s.r. to Ritucharya Analytical Study
  13. Understanding of tantrayukti, the classical ‘tools of description’ of compendium – A review from Bedside Literary Reviews
  14. Critical Review Of Sootashekhara Rasa Literary Reviews
  15. A cross sectional survey study to find out the role of operating computer as a risk factor of Cervical Spondylosis Survey Study
  16. A Survey Study To Evaluate The Effect Of Ratri Jagarana On Health W.s.r. To Nidra Vega Dharana Survey Study
  17. An Ayurvedic approach in the management of diabetic neuropathy - a case report Case Studies

LIST OF ARTICLES

Prof. Sanveev Sharma

ABSTRACT
Ayurveda the science of life originated from India and whole world looks towards our country for Ayurveda and Ayurvedic education. India has become the hub of Ayurvedic education. There are huge numbers of Ayurveda institutions on this land which are imparting Graduate, Post-graduate and Post-doctoral degrees. In the recent years a mushrooming growth of substandard Ayurveda institutions has been observed. Due to excess number of colleges thousands of Ayurveda graduates are being produced every year. Very few of them enter into private practice rather they choose either PG courses or jobs in public or private sector as their career. If we analyse the present status and standard of Ayurveda education particularly at graduation level the scenario is quite discouraging. Graduates are far away from the real knowledge of Ayurveda and are devoid of clinical skills. Plenty of reasons are responsible for this situation which may be: students related, institution related, teacher related and system related or combination of all these.

KEYWORDS

Dr. Ekta, Prof. Kamalesh Kumar Sharma, Dr. Sharad Bhatnagar, Dr. Kuldeep Chaudhary, Dr. Girindra Kr. Bora, Dr. Kavita Vyas

ABSTRACT
Diabetes mellitus is one of the systemic risk factors for periodontal diseases which can play a major role in initiation and progression of the disease To maintain oral hygiene only brushing is not sufficient , so various mouthwashes ( in modern medicine ) are available in market. But that cannot be used for long duration due to their side effects i.e. staining of teeth. The aims and objectives of study were: 1. To evaluate the efficacy of Triphala Kwatha Gandusha in prevention of Dantamulagata roga (Periodontal diseases) in Diabetes Mellitus, 2. To compare the efficacy of Triphala Kwatha Gandusha and Chlorhexidine Gluconate mouthwash. It was a randomized, parallel group, open label trial. Clinically triphala kwatha had showed statistically significant results on oral hygiene index (0.001), pain (0.0001), foul smell (0.001) and tooth mobility (0.001).It was concluded that administration of triphala kwatha gandusha is safe and effective for the primary and secondary prevention of dantamulagata roga w.s.r. to periodontal diseases as oral manifestations in Madhumeha ( Diabetes mellitus).

KEYWORDS
Madhumeha,Diabetes mellitus,Dantamulagata roga,Periodontal diseases

Dr. anjali goyal, dr. baldev kumar, dr. shailaja bhatanagar

ABSTRACT
Clinical utility of the knowledge of sites of origin (Srotomoola) of channels (Srotas) have not been directly mentioned in any Ayurveda Samhita. Exploration of knowledge of Srotomoola on clinical basis is still needed. As a tree is seriously affected by injury to its root, similarly, the channels of circulation in the human body are seriously affected when its Srotomoola is injured. Hypothesis was postulated that if we treat the Moola of a Srotas of a particular Dhatu, then the Dhatu Pradoshaja Vikara of that particular Dhatu will automatically get treated without giving medicine directly acting on the disease. Objectives: To establish role and functional utility of Srotomoola with its particular Dhatupradoshaja Vikara. Material and Methods: For establishing the concept of Srotomoola Chikitsa, Medovaha Srotas, its Moola Vrikka, Vapavahana and Sthaulya which is a Medovaha Srotas Vikara were chosen for this study. A randomized control study on 45 patients of Sthaulya (~ obesity) divided into three groups was done. Group A was given a medicine mentioned in classical texts directly acting on Sthaulya . Group B& Group C were given medicines acting on Srotomoola of Medovaha srotas. Results: Group B & C showed better relief in symptoms than Group A. Conclusion: Concept of Srotomoola Chikitsa is significant in treatment of Medoroga.

KEYWORDS
Sthaulya,Srotomoola,Dhatu Pradoshaja Vikara,Vrikka,Vapavahana

Dr. Aarti Kondel,Dr. Sharad M Porte,Dr. Anita Sharma

ABSTRACT
Alcoholism is major public health problem around the world. About 10 to 15 per cent alcohol users develop alcohol dependence and become alcoholic. Many people lose their life due to it either by road accident or by liver failure .To overcome this problem the present study has been conducted for the management of alcohol addiction and Alcohol Withdrawal Syndrome. Introduction: Alcohol, Acute alcoholism, chronic alcoholism and Alcohol withdrawal has been described in Laghutrayi and Brihatrayi under the heading of Madya, Mada, Madatyaya. Materials and Methods: The present clinical study on topic “Comparative study of Sameergaj Kesari Ras and Mukta Pishti with Dushi Vishari Agad in Alcohol Withdrawal Syndrome was conducted at NIA, Jaipur. 45 patients were equally allocated on the basis of inclusion and exclusion criteria both in three groups randomly. Group A were treated with Sameergaja Kesari Ras having dose 125 mg and Dushivishari Agad 5gm, BD with water after meals for a month. Group B were treated with Muktapishti 125mg, BD with water and Dushivishari Agad, 5gm, BD with honey, for a month. Group C were treated with Sameergajagaj Kesari Ras, Muktapishti and Dushivishari agad in given doses. Result: Trial Group C shows 46.66% excellent relief, followed by Group B 20% and Group A 13.33%respectively. Conclusion: Mukta Pishti has showed very significant improvement of symptom insomnia, headache. Sameergaja Kesari Ras showed significant improvement on symptom tremors. Though we do not have proved and valid drug for anxiety, insomnia and craving but patients were managed successfully by using the trial drugs. Inculcation of Vyadhiviprita Chikitsa and Satvavjaya Chikitsa in the patients of alcoholism will prove to be a better management modality as per ayurveda principles.

KEYWORDS
Alcohol,Madatyaya,Withdrawal,Craving,Agad

Dr. Kamble Snehal Bhimarao,Dr. Hetal H. Dave,Dr. Swati Alha

ABSTRACT
On reviewing our Ayurvedic classics we found that Artavakshaya included symptoms like Yathochitkale Adarshanam, Yoni Vedana, Alpata. Nowadays the menstrual disorders have become a very challenging problem for working ladies or housewives. They may involve the structural or functional disturbances and are mostly associated with the complaint of infertility, obesity etc. In modern science, Oligomenorrhea & Hypomenorrhea is treated by hormonal therapy & long term use of the drugs produces many side effects. To avoid this problem, in present study The comparative clinical study of Shatapushpa Churna and Tilshelukarvi Kwatha on Artava Kshaya was selected due to their Artavajanana & Garbhashayashodhana properties and results were assessed on the basis of improvement in the subjective symptoms. The study reveals that combine use of Shatapushpa Churna and Tilshelukarvi Kwatha with Guda as Anupana showed better results.

KEYWORDS
Artavajanana,Artavakshaya,Garbhashayashodhana,Vatashamaka,Yathochitkale Adarshanam,Yoni Vedana,Hypomenorrhea,Oligomenorrhea

Dr. Vishal Prajapati,Dr. Rakesh Kumar Nagar

ABSTRACT
In India prevalence of respiratory allergy disease in school going children have been reported between 5-20% in the different geographic region. The increase in prevalence may be attributed to environmental factors, dietetic incompatibilities, and faulty lifestyle. Respiratory Allergic Disorders (R.A.D.) mainly includes- Allergic bronchitis or Allergic asthma & Allergic rhinitis. As RAD can be co-related with Kasa, Tamak Shwasa in Ayurveda. In the preventive aspect of the disease, Ayurveda has a unique concept of Vyadhikshamatava, various measures and recipes are described to achieve it. Considering these facts a randomized control trial was planned for 12 weeks to evaluate the efficacy of hypothetical Ayurvedic compound Shririshadi Syrup and an established Ayurvedic marketed preparation in children those were suffering from Respiratory Allergic Disorder (R.A.D.). For the study affected children of age group, 5 to 10 years were selected from O.P.D. & I.P.D. of Bal-Roga Dept. of N.I.A. Jaipur. The study was conducted on total 60 patients with 30 patients in each group. Group A- Shirishadi Syrup and Group B- an Established Ayurvedic Marketed Preparation. Statistically extremely significant results were seen in most of the symptoms and also in laboratory parameters in both the groups. After statistical evaluation, it was concluded that both the drugs are equally effective in terms of improvement in previous symptoms of RAD. No adverse effect of the study drug was observed during the study.

KEYWORDS
R.A.D,Kasa,Tamak Shwasa,Vyadhik- shamatava,Shirishadi Syrup

Dr. Shanker Lal Burdak,Dr. Nisha Gupta

ABSTRACT
In the 21st century the stressful lifestyle has induced a number of many new and classically untold diseases. There are many allergic diseases mounting in incidence every day, one of them is allergic asthma. According to World Health Organisation 300 million individuals have asthma worldwide, it could increase to 400 million by 2025 if trends continue. 50% of them have allergic incidence. Ama has been a chief component in the pathogenesis of anurjata. Previous studies have provided the evidence in the favor of ama hypothesis. In the present work active phase of anurjata is taken in to consideration, so is the line of management. Detoxification in the form of sanshamana therapy as vishaghna mahakashaya was selected for the management of patients of anurjatajanya tamaka shvasa. The assessment of immuno-modulatory (balya) effects of vishaghna mahakashaya in the patients of allergic asthma was the chief objective of the study. For this evaluation a randomized clinical study was conducted in the patients of anurjatajanya tamaka shvasa with comparative active control group of shvasahara mahakashaya. Almost statistically equal efficacy was observed in both the groups but percentage of relief was more in Group A (vishaghna mahakashaya) in the comparison of Group B (shvasahara mahakashaya).

KEYWORDS
Anurjatajanya,TamakaShvasa,Anurjata,Vishaghna,Amavisha,Ama

Dr. Monu Gupta,Dr. Harish Bhakuni,Dr. Jai Prakash Singh,Prof. Puneet Bhargava

ABSTRACT
Eczema (also called dermatitis) is an inflammatory, chronically relapsing, non- contagious and extremely pruritic skin disease. With a prevalence of 2-5% (in children and young adults approximately 10%), atopic eczema is one of the most commonly seen dermatoses. In Ayurveda counterpart it can be correlated with Vicharchika having symptoms Kandu, Pidika , Syava, Bahusrava. To develop effective Ayurvedic therapy the study was conducted in 25 clinically diagnosed patients of Vicharchika (Dermatitis). All patients were advised Triphaladi Kwatha orally and Karanjadi Lepa for Local application. Study was carried out for one month. Result of study shows that there is highly significant result in EASI(Eczema Area and Severity Index) Score (which is main criteria of assessment of Eczema), Daha, Srava, Pidika, Vaivarnata, Raji, Hamilton Depression Scale,statistically as well asclinically and Significant result in Kandu (ItchingIndex).

KEYWORDS
Prof. Puneet Bhargava,Triphaladi Kwatha,Karanjadi Lepa,EASI Score,Hamilton Depression Scale

Dr. Puja Sansare,Parween Bano,Prof. K. Shankar Rao

ABSTRACT
Avaleha Kalpana is one of the most important pharmaceutical preparation of Ayurveda. Brahma Rasayana is one of the popular Avaleha preparation and is recognized as a very effective formulation for Rasayana, Jara disorders and helps to increase longevity of life, Medha-Dhee and Smriti etc. The formula Brahma Rasayana was prepared in accordance with Charaka Chikitsa Rasayana Pada and the current method of preparation can be considered as standard. An attempt was also made to develop analytical profile for Brahma Rasayana. The sample shows smooth, velvette texture, pleasant smell and sweet astringent in taste. The LOD (12.36%), pH value ( 3.4), Ash value (0.77%w/w), Acid Insoluble Ash value (0.40% w/w), Water Soluble Ash value (0.40 %w/w), Alcohol soluble extractive (56.25%w/w), Water soluble extractive value (58.85%w/w), total solid content( 87.64% w/w), Total sugars(50.72%w/w). The preparation was free from heavy metals and microbial contamination.

KEYWORDS
Brahma Rasayana,Rasayana,Standardization

Dr. Vibha Sood,Dr. K. L. Meena,late Dr. Govind Pareek

ABSTRACT
In present era where population is growing very fast, struggle to survive for basic needs have become very tough. People are being more materialistic and ambitious neglecting their health issues. Due to their irregular daily routine and dietary habits, life style disorders have become very common now. Osteoporosis is one among them. It is a metabolic disorder, in which bones become thin, weak and fragile and more likely to break down eventually. In women, after menopause due to hormonal insufficiencies tendency to fall into osteoporosis is very high. In Ayurveda, the disease is not mentioned as such by name; but signs and symptoms of Asthi- Kshaya are found very similar to osteoporosis. Asthi- Kshaya is mentioned as a Vata related disorder because aggravation of Vata is a main cause of Asthi- Kshaya. In Charak Samhita, the categorical principle of treatment is mentioned as, “Samanagunabhyaso Hi Dhatunaam Vruddhi Karanam”. According to it, things, which contain similar properties to a particular Dhatu of body, can be helpful to increase that one Dhatu if they are used in a practice. So the Aushadh, Ahara and Vihara having similar properties to Asthi Dhatu, can be very effective to promote bone cells in body.

KEYWORDS
Ayurveda,Asthi-Kshaya,Postmenopausal Osteoporosis,Rajonivrittijanya Asthi -Kshaya

Dr. Sarvade Dattatray D.,Dr. Jaiswal Mohanlal

ABSTRACT
Thrombosis is the formation of a blood clot (thrombus) inside a blood vessel, obstructing the flow of blood through the circulatory system. When a blood vessel is injured, the body uses platelets (thrombocytes) and fibrin to form a blood clot to prevent blood loss. Even when a blood vessel is not injured, blood clots may form in the body under certain conditions. A clot that breaks free and begins to travel around the body is known as an embolus. According to Global Burden of Disease Study 2010,worldwide one in four people die from causes related to thrombosis. As such, any thrombus related disease is not explained in Ayurveda. Still, grathitarakta pitta is a condition explained by charaka. Which is similar to the clotted blood. This article aims at reviewing all possible views regarding blood and thrombus related disorders.

KEYWORDS
Ayurveda,Thrombosis,Blood clot,Embolus

Dr. Manju Kumari,Dr. Durgawati Devi

ABSTRACT
Ayurveda is a science of life. Ayurveda is evaluated on earth for the maintenance of health and various principles are described for achievement of this goal under the head of Swasthavritta. One of the important principles of Swasthavrittais Tryopstambha which includes Aahara, Nidraand Brahmacharya. Aaharahas been considered as the prime factor for the maintenance of Dhatusamya or health if utilized according to prescribed regimen as well as it has also considered as main causative factor for the causation of diseases if not taken according to prescribed regimen. Materials and methods: The related references have been collected from different Ayurvedic texts and its available commentaries. The collected references have been critically observed, compiled and discussed thoroughly. Discussion:There are various regimens and regulations are described in these contexts for the consumption of suitable and appropriate food. Acharyacharak says that even MatravatAahara will not be fruitful, if not consumed according to Ritucharya.

KEYWORDS
Aahara,Ritu,Ritucharya

Dr. Nidhi Sharma,Dr. Ankita Agrawal,Asit K Panja

ABSTRACT
Theoretical knowledge and its practical application are considered to be the two wheels of the chariot of science. In samhita age learners of applied sciences were very careful in developing such a well-balanced professional personality. But in later days more importance was given to the practical application and the theoretical knowledge was meant only for intellectual elites and scholars. This inability to substantiate the principles of treatment experimentally and scientifically proved detrimental to the development and reliability of Ayurveda in this age. So it is no wonder that the same apathy towards the theory, resulted in the stagnation of new Ayurvedic literature. Further the false notion that the disclosure of the formula of a medicine or the unique way of treatment will lead to the loss of its efficacy was also another retarding factor in the development of Ayurvedic literature. This dearth jeopardized the learning and teaching of Ayurveda and is a threat to the practitioners as well. The Acharya while writing treatise, adopted a unique methodology in expressing their ideas and without being adept in this methodology, the learner finds it difficult to understand their saying perfectly. These techniques are called tantrayukti. These are scientifically and rationally used in each and every aspects of all classical compendium. In the current article a practical review of the tantrayukti in the purview of bedside clinical examination and treatment is made for better understanding of principles in clinical conditions.

KEYWORDS
Tantrayukti,yojana,Padarth

Vd. Karunanidhi Sharma,Vd. Shweta Paul,Dr. Kanchan Swami,Dr. Dhiraj Singh rajput,Dr. Sanjay Kumar

ABSTRACT
Sootashekhara Rasa is an important formulation in the practice of Ayurveda, Which is used in Amla Pitta(Hyperacidity), Agnimandya(Digestive impairment), Atisara(Diarrhoea), Gulma(Abdominal Lump), Kasa(Cough), Grahani(Malabsorption syndrome) and Rajayakshma(Tuberculosis). Four different formulations with the same name and one Laghu Sootashekhara Rasa are found in the literature. Among these all, the Sootashekhara Rasa, described in Yoga Ratnakara is famous and came into clinical & trade practice. This is also modified by different scholars with the time. Main formula have 19 ingredients including mineral, animal and plant origin drugs. Since it is having Gold as one of the ingredients that make it costly too. Today, in the market it is available with and without gold by the name of Swarna SootashekharaRasa and Sada Sootashekhara Rasa or Sootashekhara Rasa (Swarna Rahita). An Attempt has been made to critically review the formula. The changes was made by scholars to make it safer, cheaper with maintaining its efficacy. By reviewing the properties of ingredients it can be said that it may effective in all the indications mentioned.

KEYWORDS
Sutashekhara Rasa,Sheetari Rasa,Swarna sootashekhara Rasa,Amlapitta,Sadasootashekhar Rasa

Dr. Shilpa Gupta,Dr. B.K. Sevatkar,Dr. Reetu Sharma

ABSTRACT
Today’s lifestyle which we lead is full of stress. Computer has become a household gadget in the present era, found in all walks of life and the convenience has brought disadvantages with it as any invention of human civilization. In present era cervical spondylosis is become more prone in prolonged computer operators. Present study was planned to assess the role of operating computer as a risk factor of Cervical Spondylosis.Materials & Methods: Survey was conducted at National Institute of Ayurveda, Jaipur, Chambal Fertilizer and Chemicals Ltd, Gadepan, Kota and other software companies. Total 500 subjects were surveyed on the basis of dully prepared survey proforma. Results and Discussion: Exposure to risk factors for Cervical Spondylosis such as daily duration of computer use, time spent at the computer without breaks, duration of mouse use and poor workstation ergonomics was significantly higher among prolonged computer operators. Long term use of computer with bad posture and without break increase liability for developing cervical spondylosis. Conclusion: The study concluded that neck and shoulder pain is more common among long term computer users. Common symptoms associated with neck and shoulder pain are neck stiffness, swelling in cervical region, restriction in neck movements and headache.

KEYWORDS
Cervical Spondylosisv,neck pain,computer operators,Griva Stambha

Dr. Mahesh Kumar,Dr. Sarvesh Kumar Agarwal

ABSTRACT
Ayurveda is the priceless gift from our golden past, handed down from generation to generation from one great master to his illustrious successor. In this competitive and stressful era the sleep is proved as a divine gift to human beings which refreshes and recharges an individual for the further struggle for survival. Sound sleep in a peaceful state of mind is hardly possible in this modern world. Though the people are aware of the fact that good sleep is very essential for the physical and mental wellbeing, due to many reasons most of the people can’t enjoy the sound sleep. Hence they are devoid of real benefits of sleep. The aims & objective of this study is to record the problems due to Nidra Vega Dharana in night workers and to prepare a modified module of life style for them.500 volunteers have been selected for this survey study from Jaipur. A proforma having general details and symptoms of Nidra Vega Dharana were given to them. The observations from these filled proforma were evaluated and result was drawn. On the basis of these result of the prevalent symptoms, a module of diet & life style has been prepared for night workers.

KEYWORDS
Nidra Vega Dharana,Ratri Jagarana,Module,Night workers,Sound sleep

Dr. Sarvesh Kumar Singh,Dr. Kshipra Rajori,Dr. Suman Dadhich

ABSTRACT
Diabetic neuropathies are nerve damaging disorders associated with diabetes mellitus. Diabetic neuropathy affects all peripheral nerves including motor neurons , autonomic nervous system and pain fibers. Satisfactory treatment is not available in bio- medicine. Here we present a case which was successfully managed with Ayurvedic medications and Panchakarma interventions. Meterial and methods- A 63 years old female suffering from Diabetic neuropathy was treated with Panchakarma therapy and selected Ayurvedic oral medicines. Vatarakta was the Ayurvedic diagnosis for the case. Ayurvedic treatment was directed to ameliorate the neurological clinical conditions in this case. Panchakarma procedures such as Shalishastika Pinda Swedana for 28 days and Saghrita Panchatikta Pancha Prasritic Basti for 16 days were given. Along with these Panchakarma interventions selected Ayurvedic oral medicine –Madhumehari Churna -5g, Ashwagandha Churna (powder of Withania somnifera Dunal) -500mg, Dashmoola Kwatha -40ml, Kaishore Guggulu-500 mg and Shiva Gutica -500mg were administered twice a day. These oral medicines were continued for next one month. Result-Modified neuropathy disability score and grading for neuropathy based on 19 points were assessed for outcome which shows good improvement. Before treatment patient was suffered from moderate peripheral neuropathy which was changed to no neuropathy after two months of treatment. Conclusion-Study result indicates that Ayurvedic herbs along with Panchakarma therapy may play a major role in the management of Diabetic neuropathy.

KEYWORDS
Diabetic neuropathy,Vatarakta, Panch- karma therapy,Ayurvedic medicines

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