A RANDOMIZED CONTROLLED CLINICAL TRIAL ON DANTI VIRECHANA YOGA IN THE MANAGEMENT OF VICHARCHIKA

Abstract

INTRODUCTION: Virechana is a prime modality of Shodhana Karma by which vitiated Doshas are expelled through Adhobhaga. 245 Yogas for Virechana are described in classics. A ideal medicine is one which is given in Alpamatra, induces Mahavega, Bahudoshahara, SukhaSadhaka, Laghupaka, SukhaSwada. The routinely practiced Virechana Yogas are of high dose, less palatable. Hence there is need to formulate a Yoga which will be more palatable & efficacious in smaller dosage. Vicharchika is one among the Kshudra Kushta Roga which is Kapha-Pitta Pradhana. Virechana Karma is indicated for Pitta Dosha and also in Pitta Samsrishta Dosha. In classics Danti Yoga and Trvrutta Yoga is mentioned as Virechaka Yoga in the management of Kushtha. Hence the present study has been planned to see the effect of Danti as Virechaka Yoga in the management of Vicharchika. MATERIALS AND METHODRandomized comparative clinical study with minimum 30 patients diagnosed with Vicharchika were taken for study from Out Patient Department and In patient department of Parul Institute Of Ayurveda Hospital and Khemdas Hospital,Vadodara. The Study carried out in two groups, each containing 15 patients. In Group A-Shyama Trivrutta Virechana Yoga and in Group B-Danti Virechana Yoga was given. Assesment of Subjective and Objective Parameters of Vicharchika as well as Virechana Karma was carried out. RESULT: The study observations showed that the 100% good palatability for Virechaka Yoga in both groups. 73.3% patients got their first Vega within one hour in both groups, both are having same latency period but maximum number of patients in Group-B was observed. 20% patients got 6-8 Vegas in group-A and 73.3% patients in Group-B. In both groups 60% Patients got Samyaka Shuddhi Lakshanas with Pittanta was observed. 70.25% Samyaka Virikta Lakshanas was observed in group-A and 71.79% in group-B. There was Significant improvement in symptom was observed in both groups with p<0.001. CONCLUSION: After going through the clinical changes observed during and after the treatment, it may be opined that, Danti Virechaka Yoga acts as a better Virechaka Yoga compare to Trivrutta Virechaka Yoga in the management of sign and symptoms of Vicharchika.