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Journal of Ayurveda

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

TABLE OF CONTENT

2020   |   April-June   |   VOLUME - XIV   |   ISSUE - 2

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Editoral

Prof. Sanjeev Sharma

Surgery and Ayurveda

2020   |   April-June   |   VOLUME - XIV   |   ISSUE - 2

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Clinical Studies

Dr. Neha Udainiya,Dr. Harish Chandra Gupta,Dr. Sunil Kumar Yadav

Anatomical study of artavavaha strotas with special reference to nashtartava and clinical evaluation of krishna tila kwath

2020   |   April-June   |   VOLUME - XIV   |   ISSUE - 2

KEYWORDS - Nashtartava, kriyatamaka, Krishna Tila Kwath
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Women's hormone cycles are not just a cyclical pain; they are our integral link to all the other cycles in life. These hormone cycles earns her the right to be a healer, a spiritualist, and wise woman respected by all. The present study deals with understanding of Artava Vaha Strotas which is very important to understand Stree Sharir Rachnatmaka and kriyatamaka in normal picture so as to deal with abnormality. Ashtartavadushti is one of the major problems in today’s gynaecological practice out of which Nashtartava is one which is the precursor of problems like infertility consequently, effecting the womanhood. Hence for the present study of Nashtartava, Krishna Tila Kwath have been selected for oral administration. In this study single group of 30 patients had been registered. Very significant improvement observed in Nashtartava symptoms like Intensity, Amount, pain & duration by Krishna Tila Kwath.

Clinical Studies

Dr. Kalpana Verma,Dr. B. Swapna

A clinical study of shodhana ropana lepa in dushta vrana

2020   |   April-June   |   VOLUME - XIV   |   ISSUE - 2

KEYWORDS - Dushta Vrana, Shodhana, Ropana, Shodhana Ropana Lepa
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Dushta vrana is an unsolved problem faced by health care professionals in India and abroad. A clean wound in normal body heals earlier with minimum scar as compared to contaminated wound. Therefore in present concept all efforts are directed to keep the wound clean during various stages of wound healing. Such healing process is called Shodhana and Ropana. Acharya Sharangdhara explained Shodhana Ropana Lepa in the management of Dushta vrana1. So the present study is planned to evaluate the efficacy of Shodhana Ropana Lepa. 15 patients were selected from O.P.D/ I.P.D of Shalya Tantra, N.I.A., Jaipur. The treatment was accessed with observation and results for a period of eight weeks. After this therapy, significant result was observed. It was observed that the results achieved are effective and stable during follow up period.

Clinical Studies

Prof. Neeru Nathani,Dr. Bijayashree Satapathy,Prof. Sunita Suman

Effect of Lifestyle and Yoga on Primary Dysmenorrhoea in Adolescent Girls

2020   |   April-June   |   VOLUME - XIV   |   ISSUE - 2

KEYWORDS - Dysmenorrhoea, Kashtartava, Lifestyle, Quality of Life (QOL)
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Introduction: Importance of women has always been undeniable in society. To strengthen overall health system and Quality of Life in the family, addressing women’s health is a necessary and effective approach. Dysmenorrhoea or painful menstruation is a medical condition which is often experienced by majority of adolescent girls. 20% to 90% of menstruating adolescent girls suffer from primary dysmenorrhoea and out of them about 15% affect more severely. Erratic lifestyle, inappropriate eating habits, excessive intake of fast food, night awakening, lack of physical activity etc. are acting as risk factors of Primary Dysmenorrhoea (Kashtartava). As the conventional management is associated with various complications, the clinicians are inclining towards other non-pharmacological measures. Healthy lifestyle and specific yogic practices could have beneficial effects on it. To establish these facts, study entitled “Effect of Lifestyle Modification and Specific Yogic Practices on Primary Dysmenorrhoea in Adolescent Girls” was conducted. Materials and Methods: Total 60 patients of Primary Dysmenorrhoea (Kashtartava) were selected on the basis of inclusion criteria and randomly allocated into 3 equal groups after getting ethical clearance and their written consent. Group A: Advised for Specific Lifestyle, Group B: Advised for Specific Yogic Practices, Group C: Advised for Specific Lifestyle and Specific Yogic Practices both. All patients were assessed before treatment and at an interval of every month, upto 3 months. Results: In all three groups, statistically highly significant improvements were observed in intensity and duration of pain, Quality of Life in Physical and Psychological domains. These cost effective, non-pharmacological approaches should be adopted by adolescent girls to overcome the problem of Dysmenorrhoea.

Literary Reviews

Sudipta Kumar Rath,Asit Kumar Panja,Shrinivas Vadeyar,Dinesh Kumar Singh

Trisutra (Aetilogy-Symptomatology-Therapeutic) Profile of COVID-19

2020   |   April-June   |   VOLUME - XIV   |   ISSUE - 2

KEYWORDS - Trisutra, Hetu, Linga, Aushadha,Covid-19, Aetiology, Symptomatology, Treatment
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Background – Every therapeutic application in Ayurveda has robust principle(s) behind it. Yukti (rationale) is the linkage between the Siddhanta (principle) and Prayoga (application) which are the end points of the entire Chikitsa (therapeutic) process. This process involves deciphering of doctrines and principles which are given in Sutra (codified) manner. The entire Ayurevda comprises of three basic codes namely Hetu(Aetiology), Linga (Symptomatology) and Aushadha(Therapeutics). Ayurveda identified evolution shall remain inevitable and new diseases will surface with time. The successful mitigation of such new disease challenges shall involve precise translation of the principles against the place and time of occurrence to draw a plan of action. SARS – CoV - 2 (COVID-19) is a novel, evolving but serious health challenge before the globe and no health science is yet to find any reasonable solution for this. Ayurveda can contribute to effective mitigation of this challenge, both prophylactic and curative. But this has to be preceded with thorough and correct understanding of COVID-19 in terms of Ayurveda. Objective – The present article aims to develop the Trisutra Profile of Covid-19 by literature review which will be enabling for development of treatment protocols and effective control measures. Method – 14 Systematic Reviews and Meta-analytical studies on Covid-19 involving aetiologysymptomatology were analysed and interpreted in terms of Ayurveda. The aushadha sutra was suggested on basis of literature pertaining and relevant to hetu and linga sutra of Covid-19. Based on the analysis the Trisutra Profile of Covod-19 is suggested.Results – Covid-19 is a Avyapanna ritu janya janapadodhvansa vyadhi effectuated through visha / bhutabhishanga and aupasrgika (hetu), commonly clinically manifested as Sama Vata-Piitaja Jvara (linga) and can be managed by Sthanaparityaga and appropriate treatment (chikitsa). Conclusion – This paper demonstrates the Trisutra profiling of Covid-19 which could help in developing effective prophylactic and curative protocols for management of Covid-19 by Ayurveda.

Case Studies

N. G. A. A. S. Nanayakkara,M. N. S. Marasingha

Leech Application Treatment For Kaleen Sira Granthi Gata Vrana (Chronic Varicose Ulcer): A Case Report

2020   |   April-June   |   VOLUME - XIV   |   ISSUE - 2

KEYWORDS - Avgahana, External Herbal Application, Leech Application, Varicose Ulcer
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Sira Granthi GataVrana (Chronic Varicose Ulcer) is an external prominent disease which is characterized by vigorous pain and unpleasant appearance. Varicose ulcers occur due to improper functioning of venous valves of the legs and produce chronic venous insufficiency resulting in ulcers. A 39 years old woman came in OPD of Panchakarma Hospital, Kappalthurai, Trincomalee, Srilanka. She was suffering from varicose vein in both legs below the knee joint and presented one small ulcer and one large chronic ulcer (8cm × 6.5cm) on right side median aspect of the ankle joint. The ulcer was severely painful, itching, chronic pus formed, with a fibrotic margin, bed of granulation tissues, and included sloughs. She was treated with Allopathic Medicine for 03 years but satisfactory result was not obtained. Before starting the treatment needful investigation were done. Treatment method was categorized in 3 steps. There were Leech Applications (Hirudo medicinalis), Awagahana (washing) of ulcers with the decoction of bark of the trees - NugaVata banyan (Ficus bengalensis), Bo- peepal (Ficus religiosa), Attikka-Godan (Ficus racimos) and external application prepared with Ghritkumari (Aloe vera). Mentioned trees were having vedanasthapana, (Analgesic), vranashodhana and vranaropana (Wound purifying and healing) properties. The response to the treatment was recorded and therapeutic effect was evaluated through symptomatic relief of the patient. After one month, almost 30% reduction (ulcer 7cm × 5cm) in ulcer size and after two month, the size of the ulcer reduced to 60% (ulcer 6cm × 4cm). Other signs and symptoms, especially in pain and sloughs, significant result was obtained after four months. According to present observations we can recommend these treatment methods for Chronic Varicose UlcersN. G. A. A. S. Nanayakkara

Case Studies

Dr. Prabhakar Vardhan,Dr. Rajendra Kumar Soni,Dr. Gulab Chand Pamnani,Dr. Raju Kumar

An ayurvedic approach towards management of macular hole - a case study

2020   |   April-June   |   VOLUME - XIV   |   ISSUE - 2

KEYWORDS - Macular hole, Timira, scotoma, OCT
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Introduction- Macula is the most important part of retina responsible for the maximum visual acuity. A macular hole is an anatomic discontinuity of the neurosensory retina that develops in the center of the macula or fovea. Macular holes can occur due to ocular injuries, with age and as a sequel to intraocular inflammation. Some macular holes seal spontaneously and require no treatment. In many cases, vitro-retinal surgery is required to ease the vitreous traction and an internal tamponade with gas to close the hole and restore useful vision but all are accompanied with some complications and recurrence is also seen. Clinical findings- A 53 years old female patient presentied with symptoms of blurred vision and watering in both eyes for one year. Diagnosis- On visual acuity examination it was found that vision in right eye was 6/36 correctable up to 6/9. In the left eye the vision was found to be 6/36 which was not correctable. On the basis of fundoscopic examination, patient was diagnosed with partial thickness macular hole, which was confirmed with optical coherence tomography. Interventions- Patient was treated on the lines of Paittika- Dwitiya and Tritiya Patalagata Timira along with Shothahara chikitsa. Patient was advised Vasaguduchyadi kwatha, Chandraprabha vati, Kaishore Guggul, Gokshura and Punarnava powder. Outcome- On her last visit of five months from the initial visit she had visual acuity of 6/18 in left eye which was correctable to 6/9 with spectacles. She had improvement for all the symptoms on the 3D macular section cubes also. Conclusions- There was complete resolution of partial thickness macular hole.

Case Studies

Prof. Sanjeev Sharma,Dr Narinder Singh,Dr Manorma Singh,Dr Suman Sharma,Dr. Rahul Sharma

Ayurvedic Management of Postoperative Tendo -Achilles Wound - A Case Report

2020   |   April-June   |   VOLUME - XIV   |   ISSUE - 2

KEYWORDS - Dushta Vrana, Wound management, Jatayadi Tailam
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Achilles tendon, the thickest and the strongest tendon of the human body can get injured due to various reasons. In recent years the frequencies of such injuries have increased manifolds. In addition to trauma, a good number of risk factors can contribute to partial or complete rupture of this tendon viz. obesity, unequal limbs, muscular weakness and prolonged use of drugs like fluoroquinolone, antimicrobial agents, corticosteroids, etc. The patient may present with an acute or chronic rupture of the tendon and is managed principally by the surgical intervention. Postoperative complications like surgical site infection and delayed wound healing may interfere with the rehabilitation schedule and outcomes of the surgery. Relative hypo-vascularity in the region around the distal-most part of the tendon not only contributes to the dehiscence of the wound but also interferes with wound healing. Such injuries are sometimes reluctant to heal for months together and may even land up in weakening or re-rupture of the tendon. The present case report is of Ayurvedic management of a case of postoperative wound dehiscence of a Tendo-Achilles repair.

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