A COMPARATIVE CLINICAL STUDY OF PATOLADI KASHAYA GANDUSHA AND PANCHVALKAL KASHAYA GANDUSHA IN THE MANAGEMENT OF TUNDIKERĪ WITH SPECIAL REFERNCE TO CHRONIC TONSILLITIS

Abstract

Background and objectives : According to AcharyaSushrutaTundikeri is the disease caused by the vitiation of Kapha and Rakta and characterized by Shotha (swelling), Toda (pricking type of pain), Daha (burningsensation), Prapaka (Suppuration). Tonsillitis is encountered more often now-a-days due to the dietary habits of taking spicy food, cold beverages and unusual exposure to cold climates. There are 74,55,494 cases of tonsillitis in India per year. About 2,00,000 tonsillectomies done in India per year So looking into the above facts there is a potential need for an effective alternate management of tundikeri without surgical intervention, which can be better accepted by the patients and which prevents complications as well as recurrence effectively. Panchavalkalkashaya is an already proven drug and used in day to day O.P.D patients of tundikeri. So the present study is planned to evaluate the efficacy of patoladikashayagandusha in comparison to panchavalkalakashayagandusha. Objective of the present study was to get evaluate the efficacy of “A COMPARATIVE CLINICAL STUDY OF PATOLADI KASHAYA GANDUSHA AND PANCHVALKAL KASHAYA GANDUSHA IN THE MANAGEMENT OF TUṆDIKERĪ WITH SPECIAL REFERENCE TO CHRONIC TONSILITIS ” Methods Comparative Clinical trial on twogroupwas carried out.30 patients fulfilling the criteria of Tundikeri were selected. Gandoosha was given with duration of three times in one sitting in morning for 15 days. Results Gandusha with two kwatha in group A & group B provided significant relief in ruja by 39.57% in group A & 33.33% in group B , in Daha by 42.10% in group A & 33.33% in group B, in tonsil`s size by 44.67% in group A & 33.33% in group B, in Ragatwa by 44.67% in group A & 36.06% in group B , in Galoparodha by 44.55% in group A & 39.57% in group B , in Halitosis by 36.06% in group A & 12.5% in group B, in Lymhedenopathy by 47.71% in group A & 42.10% in group B. Interpretation and conclusion PatoladiKwathgandoosha has more effective in the management ofTundikeri. Reduction in clinical symptoms was appreciated after 15 days of treatment which is proved statistically significant. PatoladiKwath and Panchvalkalkwathaare proved to be less cost effective, no irritant, and safe and better drug in the management of Tundikeri. Overall effect of the therapies: By observing the overall effect of therapies after treatment showed that26 patients had improvement in symptoms i.e. mild, moderate, good or excellent while in 04 patients recurrence was observed. Hence, from the above results it is been observed that Gandushaprovides better effect in patients of Tundikeri with Patoladikwath thanPanchvalkalkwath. so alternate hypothesis was accepted. No side effects of the drug were observed during the course of study during or after treatment. Patoladikwatha and Panchvalkalkwatha both are proved to be cost effective and safe drug for tundikeri.