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Journal of Ayurveda

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

TABLE OF CONTENT

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

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Clinical Studies

*Prof. Ajay Kumar Sharma

Management of Stable Angina With Herbal Formulation Lashunadi Guggulu

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

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In Ayurvedic classics detailed description of Hridroga is available in various texts. The description of Hridroga in Ayurveda seems to be very brief but while critically examinning, it appears to be very much in close association with various ailments described in modern Cardiology. Basically five types of Hridroga are described in Ayurveda viz., Vataja, Pittaja, Kaphaja, Tridoshaja and Krimija. On the basis of their descriptions these different type of Hridrogas can be correlated with various types of modern Cardiac disorders. It is difficult to give a specific correlate of I.H.D. in Ayurveda but on the basis of descriptions available in various Ayurvedic classics it resembles very closely with Vatika Hridroga. The present study was conducted on 30 clinically diagnosed and confirmed patients of stable Angina. Patients having I.H.D. with specific conditions were not registered. The study was conducted with an objective of evaluating the role of Lashunadi guggulu in the management of stable Angina on various scientific parameters. During present trial it was observed that there was significant improvement in clinical manifestations of Stable Angina after the therapy with Lashunadi guggulu. The level of S. Cholesterol, L.D.L., V.L.D.L. and Serum Triglycerides decreased and the level of H.D.L. increased considerably after the therapy. Lashunadi guggulu possesses potent Antianginal and Cardio protective activities and it can be used effectively in the management/to slow down the progress of pathogenesis of atherosclerosis leading to various Hridrogas (I.H.D.) specially Stable Angina.

Clinical Studies

*Prof. Neelam

Management of Cervical Erosion by Kshara Karma

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

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Cervical erosion is seen in all ages and it may be either congenital or acquired and cause of many gynecological symptoms. Clinically it is the development of a reddened area on portio-vaginalis around the external os, while pathologically it is the replacement of the stratified squamous epithelium of portio-vaginalis by the columnar epithelium of endocervix. It can show malignant changes in chronic stage. So treatment must be started as soon as the diagnosis of erosion is confirmed. The aim of treatment is to destruct the over grown columnar epithelium by use of local chemical, electrical or diathermy cauterization, cryosurgery or even excision of diseased area. After this destruction normal squamous epithelium from basal cell grows and heals the erosion. To enhance this process of epithelization use of certain enzymes, hormones, vitamins and antibiotic creams are prescribed. In Ayurvedic classics for destruction of any such lesion kshara are prescribed. Kshara are the substances which act as caustic or corrosive agent for any growth when used externally. According to the Ayurvedic texts Kshara Karma is said to be superior to any other surgical or para surgical measures due to it performs chedana, bhedana, lekhan and patana karma instead of its saumya nature and it can be applied in a narrowest place. Aim of study is to see the effect of different ksharas for destruction of over grown columnar epithelium in cervical erosion and which one kshara has better effect than other and Udumbara as a wound healer in cervical erosion. Total 425 cases suffering from various types of cervical erosion along with various extents, free from any other disorders were selected for kshara karma. Application of Snuhi kshara with Udumbara ointment gives better result in comparison to Apamarga and Palasha kshara.

Clinical Studies

*Dr. Raakhi Mehra

Introduction of Arjun Guggulu and Gugulu Kshar Sutra in the patients of Fistula in ano with Hyperlipidimia and Atheromatous Heart Disease

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

KEYWORDS - Guggulu, Kshar Sutra, Arjun, Fistula in ano, Atheromatous Cardiac Disease
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Pathologic heart gives another conditions involve various degrees of risk for the surgical procedures especially for anesthetic implementation due to the risk of cardiac arrest. Henceforth, surgery is normally contra indicated in cases of Fistula in ano with Cardiac patients. Otherwise also “If you have enmity to a doctor, refer him a patient of Fistula-in-ano and it will never heal” proverb justifies as patients of fistula in ano possess a longer hospital stay, a delayed wound healing, and demerit of recurrence especially in cardiac patients. With low strength in cardiac patients, the agony of fistula in ano gets aggravated. The introduction of Guggulu Kshara Sutra is useful in cardiac patients with fistula in ano. As into the fistulous tract dissolves the tough fibrotic tissue and ultimately drains it out, creating a healthy base for healing by virtue of Ksarana (cutting) and Ksanana (to dissolve), Chedana (excision), Bhedana (incision) and Lekhana (scraping) Kaphahara (antislough) and Medohara (draining) karma. Ultimately these actions provide the medicinal debridement by reducing the slough or tissue debris with soothing effect simultaneously, pacifies imbalanced Tridosa (trio humor) main cause of the disease and does accelerated healing by inhibiting the fibrotic process producing significant pathophysiologic change and states the harmony of physical properties of tissue in cardiac patients. Considering the above view, it can be better to perform Kshar Sutra therapy in fistula in ano with cardiac disorder. However factors affecting healing rate in the cases of Fistula in ano depend on the age, status of physical strength, season, pathological association etc. Atheromatous plaque is formed which constricts the flow of blood, oxygen, and nutrients to the heart muscles. With significant blockages, about 60% to 70% of the vessel wall and exertion the increased demand of blood by the heart is not met. The excess risk is directly related to the plasma concentration of LDL, cholesterol and inversely related to the plasma HDL Cholesterol concentration which is well maintained by the use of Arjun and Guggulu especially in cardiac patients. The analgesic, anti inflammatory effect of these drugs further provide easiness in Kshar Sutra Therapy in Cardiac patients. On the basis of these scientific consideration Kshar Sutra Section of the Ayurveda Central Research Institute New Delhi is treating Cardiac patients with Fistula in ano by Guggulu Kshar Sutra Therapy with Arjun tvak powder (IMPCL) 2 gm and Shuddha Guggulu (IMPCL) 500 mg twice a day along with routine dressing with Jatyadi tail and Sitz bath with Panchavalkal kvath. The encouraging results is the achievement of success in treating heart patients with fistula in ano and should be presented amongst the medical world.

Clinical Studies

**Dr. S. G. Mangalgi, *Dr. Sidram Guled

CLINICAL STUDY ON THE EFFECT OF MOORCHITA TILA TAILA SHAMANA SNEHA AND NAVAKA GUGGULU IN HYPERLIPIDEMIA - A COMPARATIVE STUDY

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

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As rightly stated by Acharya Charaka, “A physician should not be embarrassed if he is unable to name a disease as each and every disease cannot be named” This quotation is best fit for today’s era where arrays of newer diseases have come into foreground. This is mainly due to the interplay of various lifestyles, genetic and environmental factors which have altered over the years due to modernization. Man has adopted himself to the fast paced life by modifying his dietary and lifestyle preferences to suit the modern era. This has resulted in a state of discrepancy between the external environment and his internal mechanism causing multitudes of diseases which are popularly referred as ‘lifestyle diseases’. Fast foods, lack of exercise, stress, various addictions etc. are some of the factors which contribute greatly to such diseases. These factors generally act by impairing the metabolism of an individual making him prone to series of disorders.

Clinical Studies

*Dr. Smita Arora, **Dr. Nand Kishora

Ayurvedic Perspective of Polycystic Ovarian Syndrome -A Clinical Study

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

KEYWORDS - PCOS, SHBG, Life style, Endocrine disturbance, Hyperinsulinemia, Disturbed metabolism etc.
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Life style disorders usually affect the physical health of an individual. But among the females, these life style disturbances not only affect the health but also affect her fertility specially in case of PCOS i.e. Polycystic Ovarian Syndrome or PCOD (Polycystic Ovary Disease). In Polycystic ovarian syndrome, under-developed follicles accumulate in the ovaries. Follicles are sacs within the ovaries that contain ova. The ova in these follicles fail to mature and, therefore cannot be released from the ovaries. Instead, they accumulate as cysts in the ovary, such ovaries are two to five times larger than normal ovaries, and they have a white-thick-tough outer covering. Women are usually diagnosed when in their 20s or 30s. This can contribute to Infertility. The lack of follicular maturation and inability to ovulate are likely caused by low levels of follicle stimulating hormone (FSH) and higher-than-normal levels of androgens (male hormones) produced in the ovary. The ratio of LH to FSH is used by modern medicine as a pointer to PCOS. Ayurveda believes that for a healthy baby, a strong healthy ovum and equally strong sperms are needed. Hence at least 3-6 months of strengthening of ovaries, uterus, and sperms are attempted by diet, along with Ayurvedic treatment. Moreover it was seen that females who underwent precocious puberty have higher risk of PCOS. Females diagnosed with this disorder frequently have a mother or sister with similar symptoms commonly associated with PCOS. This paper outlines a brief account of the present scenario of holistic approach of Ayurveda in the management of Polycystic Ovary Disease which is usually accompanied with many problems like Amenorrhoea, Oligomenorrhoea, DUB (Dysfunctional uterine bleeding), Hirsutism, Anovulation etc and hence is being presented in the form of Polycystic Ovarian Syndrome. A study / success story of 3 female patients having infertility and disturbed menses due to PCOS, is being presented in the form of a paper. The positive result in regular menstruation, decreased hair growth, Acne control and regaining fertility occurred in these patients with the Ayurvedic management and change of their life style.

Clinical Studies

*Dr Vimal R. Joshi, **Dr Charmi S. Mehta, ***Dr B.J.Pattagiri, ****Dr P.K. Prajapati

A Life style disorder- Tamakashwasa (Bronchial Asthma) and its management by different formulations of Tulsi

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

KEYWORDS - Tamaka Shwasa, Bronchial Asthma, Tulsi tablet, Tulsi Arka
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Asthma is a common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm. Symptoms include wheezing, coughing, chest tightness, and shortness of breath which closely resemble with Tamaka Shwasa . Tamaka Shwasa is the leading disorder pertaining to Pranavahashotas, its etiopathogenesis includes Kapha Vata dushti and Vimargagamana and Sanga type of Srotas dushti.According to researches etiology of Asthma includes both genetic and environmental factors related to life style like poor hygiene, exposure to indoor allergens, exposure to air pollutants etc. Acharya Charaka have described the drug Tulsi in Shwashara Mahakashaya in sutrasthana Adhyaya 4. In the present study, patients of Tamaka Shwasa (Bronchial asthma) attending the OPD and IPD of Rasashastra and Bhaishjya Kalpana dept., IPGT & RA, were randomly divided into two groups and were treated with two different formulations of Tulsi (Ocimum Sanctum) i.e Tulsi tablet and Tulsi Arka. At the end of study, it was found that both the formulations gave significant relief in the management of Tamaka Shwasa. Tulsi has properties like Katu- tikta rasa, Ushna Veerya and Vatakaphashamaka property by which it may act on the disease Tamaka Shwasa.

Clinical Studies

*Dr. B. K. Prashanth, **Dr. K.Shankar Rao

Anti Ulcer Activity of Guduchi (Tinospora cordifolia(Willd) Miers) in three different formulations

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

KEYWORDS - Hyperacidity, Amlapitta, Guduchi, Satwa, Ghrita, Kashaya, Pyloric ligation
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In the present modern era, due to fast, hectic life style, mental stress and incompatible food habits, most of the population is becoming prone to life style disorders like Amlapitta. It can be checked in its initial stages effectively by the administration of ‘tikta rasa’ pradhana dravyas. Hence, it was planned to evaluate suitable compound from the treasure house of Ayurveda, which can be beneficial in Amlapitta. In the present study, three formulations of Guduchi i.e. Satwa, Ghrita and Kashaya were selected. To prove their efficacy over hyperacidity, it was planned to evaluate through suitable experimental models. Guduchi Kashaya was found to be most effective against hyperacidity, followed by Guduchi Ghrita and Guduchi Satwa.

Clinical Studies

*Dr. Sachin.Deva, **Dr. Anil Kumar Rai.D, ***Dr. Nagraj. S, ****Dr. G. Shrinivasa Acharya

Evaluation of Therapeutic Effect ofChitrakadi Avaleha In The Management of Bronchial Asthma W.S.R To Tamaka Shwasa

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

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Literary Reviews

*Dr. BabitaYadav,**Dr. Sandya K, ***Dr. Sulochana Bhat, ****Dr. M.M.Padhi

An Ayurvedic Perspective on seasonal influence and management of cardiac disorders

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

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Till early eighties, it was widely believed that heart disease was virtually irreversible. This meant that once developed, the disease ran a progressive course until the coronary arteries were completely blocked. But recent studies have proven beyond doubt that not only it is possible to stall the process of artery blockage but also the blockage can be reversed. But it is quite sad that the highly technological approach of the modern medicine literally bypasses the underlying causes of the heart disease. Ayurveda, on the other hand, aims to strike at the gross root of the disease. A real cure of any disease is only possible if we adopt a holistic approach as advocated in Ayurveda and address the problem at its root level. By keeping the factors affecting the prevalence of heart diseases in mind, recently researchers discover that winter is worst season of the year for heart disease The concept of cold weather and the cardiac diseases seems to be as old as our Classics. According to Ayurveda year is divided into 6 seasons and out of them winter consist of Hemant and Shisher ritu The ancient Indian Physician laid down basic principles for the maintenance of normal positive health and pronounced certain preventive measures against the diseases including cardiac aliments and widely described the diet ,activities and rituals. So to maintain the climatic homologation of dosha in the form of equilibrium in different seasons and to promote health, we can follow the regimen mentioned as per ritucharya.

Clinical Studies

*Dr. Geetha L., **Dr. Suhas kumar shetty, ***Dr. Narayana Prakash. B

A Randomized Control Trail Of Brahmi Gritha In Apasmara W.R.T Generalized Tonic Clonic Seizures

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

KEYWORDS - Apasmara, Epilepsy, Brahmi gritha, Seizures
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Introduction : Apasmara/epilepsy is devasting disease prevailing 5-10 in 1000 people. This study aims to determine effect of Brahmi gritha in Apasmara and to evaluate overall added effect to manas and shareera. Materials and methods : 20 patients age between 16 – 60 years attending OPD of SDMCAH were randomly selected and divided into two groups for shamana group with dose of 40ml & control group (phenobarbitone : dose 60 – 120mg) for the duration of 3month with follow up of 3months. Detailed history, mental status examination of each patient done. Data collected on basis of structured proforma. Psychosomatic symptoms collected from questioners. It’s comparative study with pre and post test design Result: Brahmi gritha showed significant improvement in severity, frequency, duration of attack and pre& post ictal features along with improvement in higher mental functions. Discussion: Phenobarbitone was useful in reducing most of symptoms, but did not show better effect than shamana group. Drug research in contemporary science introduced Anti-Epileptic Drug, all remained anti seizure rather than retrieving pathology. Ayurvedic medicines are psychoactive & psychonormalisor hence can give better life to epileptic patients.

Clinical Studies

*Dr. Anita sharma, **Dr. Vinod Kr. Gothecha, *** Dr. Sushila sharma

The mangement of madhumeha (Diabetes Mellitus) by a Herbo-mineral preparation (Diabo-7)

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

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Clinical Studies

*Dr.S.B.Zimare, **Dr.Pradnya K. Morwadkar, ***Dr.V.P.Ukhalkar

The Comparative Study between Kasisadi Tail Abhyang and Barrons Band Ligation in the Management of Abhyantar Arsh (Internal Haemorrhoids)

2011   |   January-March   |   VOLUME - V   |   ISSUE - 1

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