2019

COMPARATIVE STUDY OF APAMARGA KSHARA KARMA AND APAMARGA KSHARA SUTRA CHIKITSA IN MANAGEMENT OF BHAGANDARA

2020-11-26T04:20:24Z

COMPARATIVE STUDY OF APAMARGA KSHARA KARMA AND APAMARGA KSHARA SUTRA CHIKITSA IN MANAGEMENT OF BHAGANDARA Meghani, Yogeshkumar R. INTRODUCTION: Bhagandara is one of the anorectal diseases which occur in the perineum region. Bhagandara is placed among Asta Mahagada, as it affects physical, psychological, socio–economical status of patient and hinders his quality of life. This condition is known for its recurrence rate even after employing the available best modalities due to various pathophysiological, dietary, psychological and other causes. The classical treatment modalities of Bhagandara are neglected in the wave of popularity of kshara sutra application even by the ayurvedic surgeons. Hence, this work was intended to assess the result, non recurrence rate and practical applicability of classical method patana followed by kshara karma over the popular fistulotomy and kshara sutra ligation. MATERIAL AND METHODS: Minimum 60 Patients of Bhagandara will be randomly divided into the following three groups. In GROUP A, 20 Patients were taken and Fistulotomy of the track and Apamarga Kshara karma was done. In GROUP B, 20 Patients were taken and Apamarga Kshara Sutra ligation and consequent change of thread was done. In GROUP C, 20 Patients were taken and Fistulotomy of the track was done. Ethical clearance was obtained from Institutional Ethics Committee (IEC No. PU/PIA/IECHR/2017/5), and this study was registered in Clinical Trial Registry of Indi (CTRI/2018/04/01346). RESULTS: The shortest wound healing period is observed in kshara sutra ligation group that is 34 days compared to 35 days in fistulotomy group and 37 days in fistulotomy followed by apamarga kshara pratisarana may be because simultaneous cutting and healing by the ksharasutra. Discussion:Even the bhagandara is counted among chhedhya and bhedhya vyadhi, kshara sutra application referred in the contexts of nadi vrana and shwaythu adhikara appears to be more acceptable because of its easy applicability, cost effectiveness and day care procedure. CONCLUSION: Even though among the 3 groups, kshara sutra ligation group(standard group 1) has got marginal edge over the trial group and standard group 2 with respect to wound healing time, all three groups were found equally effective in curing the disease. so, null hypothesis is rejected and alternate hypothesis is accepted. For Full Thesis Kindly contact to respective Library

EVALUATION OF THE EFFICACY OF APAMARGA KSHARA INFILTRATION IN THE MANAGEMENT OF BHAGANDARA W.S.R TO LOW ANAL FISTULA

2020-11-26T04:17:19Z

EVALUATION OF THE EFFICACY OF APAMARGA KSHARA INFILTRATION IN THE MANAGEMENT OF BHAGANDARA W.S.R TO LOW ANAL FISTULA Shaikh, Rabiya Anwar Hussain Objectives: In regards of Anorectal and Perineal Surgery, Aachaarya has expounded much, with an approach of emphasise both surgical and Para surgical measures. But because of its tedious nature of healing Bhagandara is considered difficult to be cured also it is found to be one amongst the Ashta Mahagada, where Aachaarya has explained the limitation of the treatment by considering it as Duschikitsya Vyadhi. Ksharsutra management is widely levelled procedure for Bhagandara and a number of research studies have been conducted on the same. But most of the times it was noted that the repeated thread changing and prolong duration of the treatment were inconvenient for the patients. Also there are many postoperative complications noted along with increasing number of recurrent cases after surgical management of fistula. Kshara karma is consider as the superior of all, as it does the functions of Chedana, Bhedana, Lekhana, Darana karmas simultaneously without the help of Shastra An approach was done to avoid surgery, and see the effect of Kshara through minimal invasive procedure of infiltration. Hence this study was proposed to evaluate the effect of Kshara Karma in Bhagandara by infiltration of Apamarg Kshara. Materials and methods: This study was conducted at Panul Institute Of Ayurveda And Hospitals. Total 33 patients were enrolled for the study.3 patients were excluded from the study. 30 Patients fulfilling the inclusion & exclusion criteria from OPD and IPD of ShalyaTantra from Parul Ayurveda Hospital, Khemdas Ayurveda Hospital, as well as from special surgical diagnostic camp and Parul Sevashram Hospital were registered for the study. The assessment was done on subjective criteria like pain and objective criteria as discharge, Unit Healing Time (UHT). On every 7th day till complete healing of the track. Results: Assessment of Pain, Discharge, and length of track showed 100% improvement in both pain and discharge. With the mean healing time of 6.157days/cm. Conclusion: Apamarga Kshara infiltration has act equivalent to Pratisaraneeya Kshara Karma by Shodhana and Ropana resulting to complete cure of Bhagandara. For Full Thesis Kindly contact to respective Library

A CLINICAL STUDY ON THE EFFICACY OF PRACCHANNA KARMA WITH ARAGWADHA KSHAAR IN THE MANAGEMENT OF SHWITRA

2020-11-26T04:15:23Z

A CLINICAL STUDY ON THE EFFICACY OF PRACCHANNA KARMA WITH ARAGWADHA KSHAAR IN THE MANAGEMENT OF SHWITRA DIXIT, PRABHAT Introduction: The major or primary reasons for skin diseases are faulty habits. Shwitra is one of the ailments in which colour of the skin is changed to Aruna, Tamra or Shweta Varna. Shwitra is not a systemic or infective disease according to modern science, but still act as a social stigma as it is cosmetic in nature and distorts the body image .Incidence of vitiligo occurs is about 1% of the world population. Shwitra treatment in the classics is explained as the shodhana therapy followed by lepa application. Which helps in correcting the vitiated dosha, and samprapti vighatana of the disease. For shodhana purpose, prachhanna karma was taken to do sthanik shodhana of shwitra. Shwitra can be correlated with Vitiligo. In which there is Depigmented or Hypopigmented patches that result from absence or reduction of melanocytes due to unknown cause. The treatment modalities mentioned in modern science has side effects. So, it is really needed to find a safe, easier, less complicated, cost effective and fruitful approach for the management of disease. Materials and methods: In comparative clinical study conducted on 40 patients of Shwitra from O.P.D and I.P.D of Parul Ayurveda Hospital, dividing them into 2 groups having 20 patients each as; Group 1 as prachhanna karma followed by Avalguja lepa and Group 2 as prachhanna karma followed by Aragwadha kshara pratisarana, 4 sitting of Prachhanna karma was done in one month (once a week) followed by daily drug application of regarding group. Before and after the treatment results were assessed on the parameters decided for the study. Results:In both Group 1 and Group 2, all 20 patients had a reduced VETI score in A.T. when compared with B.T. The P value < 0.001 and therefore, we can conclude that there is a very high significant difference between the VETI scores of BT and AT, in both Group 1 and Group 2. Discussion: Shwitra is a mind distressing disease which is characterized by the depigmented patch of skin due lack of melanocytes functioning or loss of melanocytes. The study conducted for evaluating the results of prachhanna karma followed by Aragwadha kshara pratisarana had shown that there is no significant difference in the end results of both the groups (Avalguja 83% and Aragwadha kshara 81.44%) it can be predictable that prachhanna karma has got main role in the shwitra irrespective of the lepa used. Conclusion: Aragwadha kshara pratisarana can be considered better compared to Avalguja lepa as, the common complication of appearance of blisters secondary to Avalguja lepa is absent with the Aragwadha kshara pratisarana. For Full Thesis Kindly contact to respective Library

THE EFFECT OF APPLICATION OF TILA KALKA LEPA AND RUBBING BY AGNITAPTA LOHA SHALAKA IN MEDOGRANTHI WITH SPECIAL REFERENCE TO LIPOMA

2020-11-26T04:12:43Z

THE EFFECT OF APPLICATION OF TILA KALKA LEPA AND RUBBING BY AGNITAPTA LOHA SHALAKA IN MEDOGRANTHI WITH SPECIAL REFERENCE TO LIPOMA CHHAVI Introduction: In Ayurveda, swelling which is like a cyst or tumour is called as Granthi. And when the granthi is made up of Meda, it is called as Medogranthi and it can be correlated to lipoma. A lipoma is composed of mature adipocytes. It is the most common benign tumor (karyotype 12 q change). It is called as universal tumour as it can occur anywhere in the body where there is fat. Lipoma is common in Back, shoulders, abdomen and upper arm. Treatment modalities explained in modern sciences are invasive and costly. Most of the time surgical excision is done, but that also leave a scar. So, patients tend to avoid the scars, and afraid of surgery. There are many treatments given in Ayurvedic texts for Medogranthi, one of them is using of Tila Kalka Lepa covered with two layers of cotton cloth and rubbing with Agnitapta Loha Shalaka. An effort is made to find weather this treatment explained by Sushruta is effective or not today. Materials and methods: It is a clinical study conducted on thirty patients, at Parul Ayurveda hospital. The treatment protocol Tila Kalka Lepa covered with two layers of cotton cloth and rubbing with Agnitapta Loha Shalaka was made for 7 days. Patient was followed one month later. Before and after 7 days treatment, size of lipoma was assessed. Ethical clearance was obtained from institutional ethics committee (IEC No. PU/PIA/IECHR/2017/45) and this study is registered in Clinical Trial Registry of India. (CTRI/2018/04/013208) Results: The change in the before and after the treatment were assessed by the paired ‘t’ test. In this study 83.3% patients had shown reduction in size. While 16.7% got no relief. Overall average effect of the therapy was 30%. Discussion: As the properties of Tila is Ushna veerya and vata shamaka so due to this property Tila application along with mild Dahan with hot iron rod may dissolve the excessive meda under the skin. Tila contains two compounds as sesamin and sesamolin. As the activity of sesamin is of fat oxidation, it may help in reducing the size of lipoma. Conclusion: This treatment is found effective in reducing the size in one week of treatment. As P < 0.001, this study has rejected the null hypothesis. For Full Thesis Kindly contact to respective Library