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An Operation theatre assistant who worked for many years can’t     become a surgeon, son of an engineer never become as an engineer unless and until he hold an engineering degree.                               

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EFFECT OF CHURNA PINDA SWEDAM ON POST CHICKUN GUNYA ARTHRALGIA

Guided By:
Dr. O.P. Sharma
Asst. Prof., Dept. of P.G Studies in Panchakarma, NIA Jaipur


Dr. Prathibha C.K & Dr. Ananth Ram Sharma P.V
Lecturer Department of Panchakarma, Amrita School of Ayurveda,
Vallikkavu, Karunagappilli, Kollam, Kerala.

ABSTRACT

BACKGROUND

Chickun gunya- a disabling disease of common man, created havoc in southern India in the recent past. Nearly 12 lakh cases of chickungunya have been reported from Karnataka, Tamil Nadu, Kerala, Maharashtra and Andhra Pradesh(1).

Chickun gunya is caused by Alpha Arbovirus presents with high grade fever which varies up to a week or two, followed by arthralgia, myalgia and joint swelling which make him disabling. Fever is sometimes associated with skin rashes, headache, insomnia and ocular symptoms etc.

Dandakajwara(2), a kind of Sannipata Jwara (Kaphavata Pradhana) presents with fever and severe pain in Asthi and Sandis which doesn’t get relived even after the subsidence of fever simulates to Post Chickun gunya Arthralgia.

Swedana is the ideal treatment for both vata and kapha in terms of pain and joint swelling(3).Churna Pinda Sweda is a rooksha sweda which helps to dry up the excess water content of the body(4). Kottam Chukkadi Churna and Jadamayadi Churna(5) have vatahara property.

Considering the above factors, a clinical study was taken up to evaluate the efficacy of Churna Pinda Swedam (CPS) in Post Chickun gunya Arthralgia.

OBJECTIVES

1. To study the effect of Kottamchukkadi CPS in Poost Chickun gunya Arthralgia.
2. To study the effect Jadamayadi CPS in Post Chickun gunya Arthralgia.
3. To compare the effect of Kottamchukkadi and Jadamayadi CPS in Post Chickun gunya Arthralgia.

RESEARCH DESIGN

60 diagnosed cases of Chikun gunya who have developed Arthralgia but with no fever, within the age group of 20-50yrs were selected for the study from OPD & IPD of Amrita School of Ayurveda, Kollam, and were randomly divided in to 2 groups.

Treatment Groups

• KCPS group: The patients of this group were subjected to CPS with Kottamchukkadi Churna for 7 days.

• JCPS group: The patients of this group were subjected to CPS with Jadamayadi Churna for 7 days.

The Pindas were changed every 3rd day except for the last set. The whole process was done for 45min and the Sweda was applied in all the 7 postures.

Gandharvahastadi Kashaya in the dose of 15ml was administered at bed time for the purpose kosta shuddhi.

RESULTS:

• KCPS group: Reduction in pain (83%) and swelling (66%) was found statistically significant. Walking time was increased by 73%.

• JCPS group: statistically significant reduction was observed in the Swelling (76 %) and pain (72%). Walking time was improved by 69%.

CONCLUSION:

Kottamchuckadi CPS was effective in reliving pain and Jadamayadi CPS is effective in reducing the swelling in Post Chickun gunya Arthralgia patients.

Bibliography:

1. http://www.madrasi.info/chickungunya.html
2. K C Kunjiraman Vaidyan- Ayurveda Chikitsa Siddanthangal
3. Agnivesha- Charaka Samhitha suthrastana 14/3
4. Vagbhata- Astanga Hrudaya-Ayurveda Rasayana teeka by Hemadri on Suthrastana 20/8.
5. Sahasrayaga- Taila yoga Prakarana
6. www.pubmed.gov
7. Claytons Text book of electrotherapy
8. Sushrutha-Sushrutha Samhitha Su 15
   

KEY WORDS: Churna Pinda Sweda, Chickun gunya

“EFFECT OF TAKRADHARA ON AVRITA MADHUMEHA”

Guided By:                                           

Dr. B Sreenivasa Prasad                   

Principal                                              
KLE’s Ayurveda Mahavidyalaya          
Belgaum, Karnataka                             

Author:
Dr. Ananth Ram Sharma
Lecture
Amrita School of Ayurveda
Karunagappally, Kerala

ABSTRACT

INTRODUCTION:

Shirodhara is used in psychic disease as well as psychosomatic disease. Before doing Dhara the patient should be well examined and any contra indications should be excluded. Shirodhara should be done in the prescribed time and duration. Specially prepared Takra is used for the Takradhara. Research studies have established that the practice of Shirodhara doing with Jala is called as Jaladhara.

Both experimental and clinical studies have shown that stress could be a forerunner of the metabolic syndrome like DM. Takradhara is told as one of the treatment modality for Prameha and an effective treatment for stress. However no scientific study has been carried out to prove the efficacy of Takradhara in Avrita Madhumeha. Therefore this study is undertaken to evaluate the role of Takradhara in the Avrita Madhumeha.

AIMS AND OBJECTIVES:

1. To evaluate the role of Takradhara in the management of the Avrita Madhumeha
2. To evaluate the role of control group Jaladhara in the management of Avrita Madhumeha
3. To compare the results of both the groups

RESEARCH DESIGN:

The 20 patients of were divided in to the two groups, each comprising 10 patients. In one group Takradhara was done where as in other Jaladhara with plain water was done. Both therapies were done for 40 minutes per day continuously for 14 days. Assessment of disease was done based on G.T.T. and subjective parameters.

RESULTS:

After the course of Takradhara for 14 days Blood glucose levels in GTT shown remarkable reduction (FBS-18.28%; 2nd sample- 14.75%; 3rd sample 16.64%; 4th sample 18.98%; 5th sample 22.8%). In Jaladhara group after 14 days Jaladhara the reduction in blood glucose level was less, (FBS-3.69 %; 2nd sample- 2.41 %; 3rd sample 2.03 %; 4th sample 2.75 %; 5th sample 5.79%) when compared to Takradhara.

In Jaladhara group there was no significant change on Dryness of mouth and excessive thirst.

INTERPRETATION:

The excessive secretion of cortisol produced by stress causes rise in blood levels of glucose this may be reduced due to the relaxation effect of Takradhara and Jaladhara. There was much reduction in the blood glucose levels in the Takradhara group, which may be due to drug absorption, iontophoresis, and influence of vehicle, drugs used and the area of application. Takradhara group showed significant reduction in the blood glucose levels than the Jaladhara group.

CONCLUSION:

Both the therapies provided significantly different reduction in blood glucose levels. The effect was better in Takradhara group in comparison to Jaladhara group.

Key words: Takradhara; Jaladhara; Diabetes mellitus; Relaxation; Iontophoresis

PANCHAKARMA ANDHEALTH

Dr. Ananth Ram Sharma P.V

M.D Panchakarma

Introduction

Panchakarma is becoming a very popular word of Ayurveda all over the world with lot of charisma. If you open Internet you can see thousands of website attributed to Panchakarma. These Five therapeutic procedures are the important therapeutic applications in Ayurveda. If you see any metabolic diseases, two criteria have to be considered essentially. One is Agnimântyam (impaired digestive fire) and another is Srothorotham (Obstruction of channels). So Agnidîpanam( Improving the digestive fire) and Srothosodanam (Cleansing the channels) become an important part of treatment as well as prevention of metabolic diseases. Panchakarma is targeted in this level. So, that is why it has become so popular in the art of healing.

Cleansing is very important in the spiritual, physical and the mental levels. Man has been subjected to suffering from three types of diseases like physical diseases, mental disharmony and spiritual ignorance. For this the cleansing has been stressed. It starts with physical cleansing.

Analysis

Panchakarma consists of three Stages. They are Purvakarma (pre requisite procedures), Pradhanakarma (Main procedure) and Paschatkarma (Post Procedural regimens). All these three stages are unavoidable for the success of Panchakarma.

Panchakarma is not only done in diseased person, but also as a preventive or prophylactic measure (seasonal).

Why Panchakarma is important?

What is the principle behind Panchakarma?

Here Panchakarma denotes Vamana (Emesis), Virechana (Purgation), Basthi (Enema- Oil and decoction), Nasya (Nasal Instillations), Rakthamokshana (Blood letting- Leech, Venesection and others).The physiological unit, the Doshas (Humors) in the body decide the nature of the illness and the mode of treatment. If the cause is degenerative you do a regenerative therapy, if the cause is regenerative (Nourishing) we do a degenerative (under nourishing) therapy. The treatment is opposite to the same.

Vamanam

It’s the act of vomiting using different medicines. Vamanam is done in kapha diseases mainly. Commonly we do vamanam in conditions like bronchial asthma, Psoriasis, epilepsy, psychosis, chronic rhinitis e.t.c.

Virechanam

It is the procedure where the medicines are consumed orally to evacuate the stool along with the vitiated Pitta. It is indicated mainly in the diseases of Pitta. Dose of the virechana is decided on the basis of bowel habits so as to give to give Strong, Moderate or Mild purgatives.

Vasthi

Administration of medicines through the anal rout is called as vasthi. Mainly Vasthi is of two types; Anuvasanam Vasthi (Using Oil) and the Kashaya Vasthi (Using Decoctions of herbs, oil, and Honey e.t.c). Because of its multidimensional action vasti is important among all the Procedures. It directly conquers Vata in its vital seat. 

Commonly vasti is done in low backache of various etiologies, infertility, irritable colon, rheumatoid syndrome and arthropathy, neurological deficits, ulcerative colitis, etc.

Nasyam

Nasyam is an independent karma for the disorders of head and neck. Here the medicines are administered through the Nasal rout. Nasyam is given in the form of decoction, juice, oils and powder. It is done usually in mental diseases, bleeding per nose, cervical spondylosis, tinnitus, insomnia, aphasia, ptosis, myasthenia gravis, migraine, disorders of hair and Pigmentation in face.

This is an overall picture of Panchakarma.

There are other procedures like gandûsham, dhûmapanam, kavalam, Udvarthanam, pizhichil, Different Pinda swedas, Shirodhara, Shiro Vasthi, Akshi seka, Upanaha, Karna Dhupana, Abhyanga and Swedana which are also used as supportive and independently.

Pashchat Karma (Post Procedural regimens)

After Panchakarma Samsarjana Kramam (Dietic Regimen) and specific Rasayanam (Rejuvinative drugs) are to be advised.

Role of Panchakarma in Healthy individual

Even though in the healthy individual without proper following of Dinacharya and the Ritucharya and the Change of food & activities etc. cause the sroto avarodha which in turn cause accumulation of Dosha which may lead to Loss of nutrition into the tissues and results in the commencement of disease. So to remove this blockage of channels the Panchakarma helps a lot.

By the proper following of Panchakarma will help in the prevention of epidemic diseases by in creasing the immunity. Periodical Panchakarma will helps in the elimination of waste products of the body, which are accumulated in the minute channels and the body parts. And further promote & maintain the physiological functions of the channels and the bodily organs. It increases the life span by giving strength to the body (by proper nourishment).It delays the aging process.

Benefits of Panchakarma

Improves the intellectual power, strength of the sense organs, provides stability of the tissues, improves digestion, removes the waste products of the body, cures the disease, provides complexion and luster, increases the strength and extends the life span.

Conclusion

Panchakarma helps in Promotion Positive health and in the maintenance of health. The periodical adaptation of Panchakarma saves the manpower, money and the time by protecting the human beings from diseases by providing immunity. Panchakarma is one of the Pre procedures for Rasayana therapy. Apart from all of this it cures the diseases. 

To popularize theses Panchakarma procedures the educational programs such as conducting medical camps, awareness programs, media publications, seminars etc. should be conducted to the public. Opening of enough Panchakarma centers, availability of qualified Panchakarma specialists also necessary. There should be constant support from the government and the authorities. From the above passage it is clear that Panchakarma can do drastic changes in the successful health care.

Thank you,