Gajanana Hegde

UNDERSTANDING OF ESSENTIAL HYPERTENSION IN AYURVEDA

Hypertension (HTN) is a worldwide problem effecting 29% of adult population. 40-45 million Indians are believed to be suffering with the disease.Today, approximately one billion people worldwide are suffering from high blood pressure and its number is expected to increase to 2.5 billion by the year of 2025. Hypertension is identified as single most important risk factor for both coronary heart disease and cerebro-vascular accidents. It may also lead to congestive cardiac failure and renal failure.In medical parlance, this psychosomatic hemodynamic disease is known as the ‘Silent’ or ‘Hidden Killer’ because of target organ morbidity, having disastrous and menacing effects on human beings which ultimately leads to death of a person. Though direct references regarding Hypertension is not available in classical literature of Ayurveda, Many academicians have postulated their views regarding understanding of Hypertension and have given different Ayurvedic terms such as Uchcha Raktachapadhikyata, Dhamani pratichaya, Shonita dushti and others. However none of these names are universally accepted by the fraternity of Ayurveda. Classical literature of Ayurveda provides guidelines to understand an unnamed disease in terms of dosha dushyadivivechana. On the basis of this, an attempt has been made in this article to analyze the role of dosha-dushya in the pathogenesis of hypertension.

AN OBSERVATIONAL CLINICAL STUDY ON THE EFFECT OF NARIKELA KUSUMA: YOGA IN MUTHRASHMARI VIS A VIS URINARY CALCULI

The dis ease Ashmari is one among the eight major diseases or Astamahagadas. Detail information regarding the various aspect of the disease is available in the texts of Ayurveda. This infers the prevalence of ashmari since the inception of medicine in India. Even in the current era also, urinary calculi is an important health problem. In India 5 - 7 milllion people are estimated to be suffering from the disease. So only the study was conducted to evaluate the efficacy of narikela kusuma yoga in the management of mutr ashmari. An observational study was conducted on 20 patients who were sampled in to one group. All the patients were administered the formulation in the form of kalka consisting of 10 g of narikela kusuma and 500 mg of yava kshara, twice daily for 21 days two hours before the intake of food. A pre test and a post test observation was made in terms of relief of symptoms such as bastipeeda, mutrakrichra etc, and in terms of reduction in the size of the stone. The reduction of size of the stones and relief of predominant symptoms like basti peeda, mutrakrichra were highly significant statistically with P < 0.001.

CONCEPT OF INSOMNIA IN AYURVEDA

Sleep occupies a greater portion of our life and is considered as one among the three upasthambha of existence. Sleep disturbance have been a major concern of physicians, psychologists and social scientists especially since last few decades because of the rising trend of different sleep disorders. Although the exact functions of sleep are still unknown, it is clearly necessary for survival. Prolonged sleep deprivation leads to physical and cognitive impairment. Hence it is need of the hour to understand the concept of insomnia explained in Ayurveda so as to form an effective management protocol. Thus in this review article an effort has been made to understand the concept of Anidra explained in the classics in terms of Primary and Secondary insomnia.

CONCEPTUAL ANALYSIS OF DADRU VIS - À - VIS TINEA

Dadru is a tridoshaja twak vikara with pitt akapha predominance. Dadru presents clinically with the features of kandu, raga, pidaka, daha, rookshata, udgata mandala etc., which are very much similar with the features of Tinea like pruritis, erythema, vesicle or pustule etc . , Tinea is a Latin word fo r gnawing worm which refers to the infection caused by the keratinophilic fungi which consist of multicellular filaments and multiply by spore formation. H ence an effort has been made to conceptually analyse Dadru with special reference to Tinea . Keyword s : Tinea , Dadru, kandu, raga, pidaka, daha, rookshata, udgatamandala.

TAKRA A NECTAR ON EARTH

Ayurveda gives great importance to Takra (Buttermilk) as diet and as medicine. Since buttermilk contains various vitamins, minerals, energy, protein, it is considered as a wholesome diet to maintain health. As it contains probiotic which facilitates proper digestion and absorption process, it maintains proper metabolism. It is indicated in various disorders related to gastrointestinal system and in metabolic disorders. Explanation regarding preparation method, properties, formulations and indication of Takra (Buttermilk) in various disorders are available in classical text books of Ayurveda. Hence here an attempt has been made to analyse the importance of Takra (Buttermilk) in the maintenance of health.

CLINICAL STUDY ON THE EFFICACY OF AMRITADI GHRITA AND KUTAJA SOORYAPAKA TAILA IN THE MANAGEMENT OF VICHARCHIKA VIS - À - VIS ECZEMA Anagha.D.N

V icharchika is explained as one a mong Ekadasha Kshudra Kustha. The clinical f eatures of vicharchika like Kandu, Pidaka, Shyavavar nata, S rava, Rookshata, Daha, Raji, and Ve dana are very much similar with the features of Eczema. This is an inflammatory response produced by various internal and external factors. To manage such inflammatory condition of the skin, shamana chikitsa, in th e form of bahya and abhyantara sneha prayoga was planned in order to have a safe and effective result in treating Vicharchika vis - a - vis Eczema. The objective of this study was , to evaluate the efficacy of Amritadi Ghrita as Shamana sneha along with the ext ernal application of Kutaja Soorya paka Taila in the management of Vicharchika vis - a - vis Eczema . It is an observational clinical study with pre, mid and post test design where 30 patients of Vicharchika vis - a - vis Eczema were randomly selected and subjected to deepana and pachana with Trikatu choo r na administered in a do se of 2 g thrice daily before food with ushnodaka , until nirama lakshanas were observed. Shamana snehapana by Amritadi Ghritha was advised in the dose of 30 ml , in empty stom ac h at annakala f or 30 days along with external application of Kutajasooryapaka Taila twice a day after thoroughly cleaning the affe cted area of the skin with luke warm water. Pathya ahara and Vihara were advised throughout the course of the study. In the present study , res ults obtained with respect to all the

AN OBSERVATIONAL CLINICAL STUDY ON THE MANAGEMENT OF SURYAVARTA VIS - À - VIS FRONTAL SINUSITIS

Shiras is one of the three principal vital organs of the body where prana resides. The diseases affecting Shiras reduce produ ctivity and negatively affect the quality of life. Among the different types of Shiroroga mentioned in Samhitas, Suryava rta is the most prevalent disease in present era. The symptoms of Suryavarta almost resemble to Frontal Sinusitis. Sinusitis is a major health care issue that affects a large prop ortion of population. This is a common condition, affecting approximately 30 % of the population. More than 120 million Indians suffer from at least one episode of Sinusitis each year. Treatment available for this condition in present day practice includes, use of analgesics and antibiotics which s how minimal desired effect and in addition these may cause adverse effect. To overcome such problems in management, it is imperative to explore newer, efficaci ous drugs and procedures. Ayurvedic classics have advocated various therapies in the management of Suryavarta. This study is an att empt to revaluate the line of treatment for Suryavarta vis - a - vis Frontal Sinusitis. Present study was conducted on 50 patients with virechana followed by nasya along with the following Shamnoushadis Pathyadi Kwatha and Shirashooladi Vajra rasa and follow - u p was done after 2 months. In the present study results obtained

A COMPARATIVE CLINICAL STUDY ON THE MANAGEMENT OF PSORIASIS W.S.R. TO EKAKUSHTA

Psoriasis is one among st the most common skin disorders encountered in clinical practice. It is a chronic relapsing and remitting disease of skin causing social isolation, cosmetic and psychological embarrassment as well as difficulties in leading soci al life. Even though it can be considered as an autoimmune disorder affecting skin, it cannot always be treated as a somatic lesion, it is in fact multifactorial in origin and conditioned by various constitutional and environmental factors. Ekakusta is a R aktapradoshaja, vatakapha pradhana tridoshaja kshudra kushta. It bears a greater resemblance with Psoriasis. The current treatment modalities have their own limitations and the drugs have considerable side effects when used for a longer period. Therefore , there is a need for more comprehensive, economical and safe method of management of Psoriasis. Hence the pr esent study was conducted on 60 patients assigned into two equal groups to evaluate the efficacy of shodhana in terms of virechana followed by Guggul u tiktaka gritha shamana sneha and only Guggulu Tiktaka Gritha shamana sneha with the exter nal application of kutajasuryapaki taila in the management of Ekakusta w.s.r to Psoriasis.

A CLINICAL STUDY ON THE EFFICACY OF PATALADI KASHAYA IN THE MANAGEMENT OF 'VATASHTEELA' VIS A VIS 'BPH' (BENIGN PROSTATIC HYPERTROPHY)

In t he present clinical study the cases of disease ‘Va tashteela’, which is a type of Mutraghata in terms of Benign Prostate Hypertrophy ( BPH), were considered . The objective of the study was to assess the efficacy of Pataladi kashaya in Vatashteela ‘vis a vis’ BPH. Total 30 patients having signs and symptoms of ‘Vatashteela’ ‘vis a vis’ BPH were included according to criteria of AUA - SI (A merican Urological Association – Symptom Index) , and also after diagnosing BPH by Digital Rectal Examination, and Ultrasonography of Abdomen and pelvis. Patients were assigne d into a single group consisting of 30 patients for whom Pataladi kashaya 30 ml th rice a day before food with sukhoshna jala for 30 days was administered. Incomplete emptying, Frequency, Urgency, Intermittency, Straining, Weak stream and Nocturia were the Subjective parameters, data of which were collected before (day 0), during (day 15 ), after (day 30) and follow up (day 60). The objective parameters were residual urine, volume and size of the prostate. These d ata were collected before (day 0) and after (day 30) of the clinical trial. The analysis was done statistically by using Repeat ed Measure ANOVA, student‘t’ test and contingency co - efficient table. The statistical values showed significant results in subjective and objective parameters. In lateral lobe enlargement, symptoms were relieved to a greater extent compared to median lobe enlargement. Residual urine, volume of the prostate, obstructive symptoms showed marked improvement in many of the patients, and there was also significant decrease in size of the prostate. Overall assessment showed marked and moderate improvement in many patients. Pataladi kashaya is useful in reducing the signs and symptoms of ‘Vatashteela’ ‘vis a vis’ ‘BPH’ and even residual urine , vo lume and size of the prostate. Pataladi kashaya is beneficial due to its properties in improving obstructive symptoms and reducing the size of the prostate.

MANAGEMENT OF ARDHAVABHEDAKA VIS - À - VIS MIGRAINE: AN OBSERVATIONAL CLINICAL STUDY

Headache is the most common health problem experienced by mankind. In that, around 40% of individuals worldwide are suffering from migraine headache which results in severe disabling condition. W.H.O has ranked migraine as number 19 among all diseas es worldwide causing disability. According to I nternational H eadache S ociety , Migraine constitutes 16% of the primary headache and affects approximately 10 - 20 % of general population (Ab ou t 15% of women and 6% of men are the sufferers of migraine). Migraine can be defined as benign, recurring syndrome of headache, nausea, vomiting and/or other symptoms of neurological dysfunction in varying admixtures. The symptom complex of which similates with Ardhavabhedaka is one among the 11 types of shiroroga. The trea tment protocol of contemporary science are not acceptable due to their drawbacks and they also cause drug dependence, relapse of headache within hours etc. beside this, the text Charaka samhita mentions Nasya karma as the master key for all shirorogas. So, this study has been carried out with an objective to evaluate the combined efficacy of shatah vadi taila nasya karma with Tablet Nimbadi guggulu and Mashadi kashaya in the ma nagement of Ardhavabhedaka vis - a - vis Migraine. The study had been carried out in 3 0 patients under a single group for a period of 30 days with pre, mid and post test. Overall assessment showed statistically highly significant results with the p value 0.000.