A Randomised Comparative Clinical Study to assess the efficacy of Snigdhapatra Pindasweda and Matrabasti in the management of Janusandhigatavata w.s.r. to Osteoarthritis of knee

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Rajalaxmi M. G. ◽  
Padmakiran C. ◽  
Arsha M U
Keyword(s):  
Clinical Study ◽  
Old Age ◽  
Combined Treatment ◽  
Body Part ◽  
Early Management ◽  
Significant Difference ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B ◽  
Walking Time

Vata aggravation and Parihani (depletion) of all the Dhatus are inevitable in Vrudhavastha (old age). Hence there is subsequent vitiation of Vata which affects Asthidhatu (due to Ashraya and Ashrayi Sambandha) is common. Sandhigata Vata is one amongst them. The involvement of Marma with Vata Dosha and Dhatukshaya makes disease Yapya. Hence early management prevents disability in the old age. Snehana, Swedana and Basti Chikitsa are the prime line of management in Vatadosha. When the disease is Shula and Grahapradhana, affecting one body part, the Snigdha, Ekangasweda is the ideal treatment. So Snigdhapatra Pindasweda is selected. The need of Snehana, Brumhana, Vatashamana is best achieved by Snehabasti with Vatashamaka Taila (Dashamoola Taila). To assess the synergistic action, combined treatment is planned in the present study. With this in backdrop, a comparative clinical study was planned in 30 patients allotted into 3 groups of 10 each. Group A treated with Snigdhapatra Pindasweda, Group B treated with Matrabasti and Group C treated with both the treatment for 7 days. Within the group result showed statistically significant improvement in all the parameters. In between the groups comparison showed statistically significant difference in stiffness, tenderness, movement of knee joint, Walking - time and WOMAC- Index.

scholarly journals A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF LAVANGADI GUTIKA AND PIPPALYADI GUTIKA IN KAPHAJA KASA

2021 ◽  
Vol 9 (10) ◽  
pp. 2347-2352
Author(s):  
Risin Sugunan ◽  
Zenica D’souza
Keyword(s):  
Clinical Study ◽  
Chronic Bronchitis ◽  
Early Management ◽  
Normal Life ◽  
Significant Difference ◽  
Comparative Clinical Study ◽  
Group A ◽  
The Subject ◽  
Group B

Kasa is one of the Pranavaha Srothodusti vikara which hinders normal life. Kaphaja Kasa is a type of Kasa with Vata and Kapha as predominant doshas and present with Prabhuta, Ghana and Bahala kapha. Kaphaja Kasa can be best compared with Chronic Bronchitis. If left untreated it leads to various conditions like Swasa, Kshaya, Chardi, Svarasaadha etc. This signifies the importance of its early management. The present study was conducted on 40 diagnosed subjects of Kaphaja Kasa who were randomly allocated into 2 groups with 20 patients each. La- vangadi gutika was taken in Group A and Pippalyadi gutika in Group B. Medicines was given for 30 days and the data was collected from the subject at baseline, 16th day, 31st day and on 46th day (follow up). The result of the study showed that there was a statistically significant difference in the assessment parameters in both the groups from baseline. However no statistically significant difference was observed between the effect of Lavangadi guti- ka and Pippalyadi gutika in the management of Kaphaja Kasa suggesting that both interventions were having a significant effect on the condition.

Comparative Clinical study of Jatyadi Taila and Jatyadi Ghrita in the management of Dushta Vrana

2018 ◽  
Vol 3 (3) ◽  
Author(s):  
Rajendra Joshi ◽  
N. B. Mashetti ◽  
Rakesh Kumar Gujar
Keyword(s):  
Clinical Study ◽  
Burning Sensation ◽  
Normal Process ◽  
Surgical Practice ◽  
Local Factors ◽  
Significant Difference ◽  
Comparative Clinical Study ◽  
Group A ◽  
Contaminated Wound ◽  
Group B

Dushta Vrana is a common and frequently encountered problem faced in surgical practice. The presence of Dushta Vrana worsens the condition of the patient with different complications and may become fatal. Local factors on wound like slough, infection and foreign body, affect the normal process of healing. A healthy wound in a normal body heals earlier with a minimum scar as compared to a contaminated wound. Therefore in this study all the efforts are made to make a Dushta Vrana into a Shuddha Vrana. Once the Vrana becomes Shuddha, Ropana of the Vrana will start. The objective of the study was to evaluate the clinical efficacy of Jatyadi Taila and Jatyadi Ghrita in Dushta Vrana. Clinically diagnosed 60 Patients of Dushta Vrana were randomly divided into two groups, each consisting of 30 Patients. Group A were treated with the Jatyadi Taila and Group B was treated by Jatyadi Ghrita. The results observed was based on the relief obtained on the subjective and objective parameters taken for consideration for this study viz, size of ulcer, discharge, smell, pain, burning sensation, itching and granulation were found significant (P Lass Than 0.05). On the basis of assessment criteria and overall result of treatment, the patients of Jatyadi Taila group showed better results when compared to Jatyadi Ghrita group. Even though statistically there is no much significant difference between the two groups, but by seeing the effect on individual parameters (subjective and objective) and over all response, Jatyadi Taila seems to be effective when compared to Jatyadi Ghrita. It is having more Ropana qualities when compared to Shodhana.

scholarly journals A comparative clinical study between intra-caesarean and interval intra uterine copper device insertion in caesarean deliveries

2019 ◽  
Vol 8 (10) ◽  
pp. 3874
Author(s):  
Geetha Lakshmi R. ◽  
Sornam M. S. ◽  
Thenmozhi G.
Keyword(s):  
Clinical Study ◽  
Infection Rate ◽  
Family Welfare ◽  
Uterine Perforation ◽  
Expulsion Rate ◽  
Insertion Method ◽  
Significant Difference ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B

Background: Health and family welfare of Indian Ministry, emphasis on postpartum IUCD insertion. Here we conducted a clinical study comparing intra-caesarean and interval CuT-380A insertion in caesarean deliveries.Methods: A systematic study with 150 patients in each group, recruited clients alternately. Group A Intra-Caesarean Cu-T insertion and Group B Interval Cu-T insertion in caesarean deliveries. Groups were followed up at 6th week and 6th month post insertion with a set of parameters. Missed strings, expulsion and infection rates were the primary outcome measures.Results: Infection rate is higher in Group A (2.3%) at 6th week, and at 6th month infection rate is higher in Group B (1.8%). Missed strings are higher in intra-caesarean than in interval insertion method both at 6th week and 6th month follow up p=0.000, hence significant. Expulsion rate is higher in Group A (2.5%) at 6th week, and at 6th month expulsion rate is higher in Group B (1.9%). There are no complications such as uterine perforation or contraceptive failures in both the groups during the study period. By analysis, there are no significant differences in infection and expulsion rates between the groups. For missed strings there is significant difference between the groups with more missed strings in intra-caesarean insertion method.Conclusions: To conclude, intra-caesarean method is equally effective as interval IUCD insertion method without added complications in caesarean deliveries, with advantage of high motivation, good compliance, safety and ease for the provider to deliver services. 

scholarly journals A Comparative Clinical Study of Khanda Shunthi and Prasarni Avleha in the Management of Amavata with Special Reference to Rheumatoid Arthritis

2021 ◽  
pp. 20-26
Author(s):  
Anu Gupta ◽  
Kalpana Patni
Keyword(s):  
Comparison Group ◽  
Adult Population ◽  
Research Work ◽  
P Value ◽  
Inclusion Criteria ◽  
Significant Difference ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B ◽  
Walking Time

Background: Amavata is the most common form of inflammatory arthopathy seen in India. Among adult population below the age of 50 years this is the most common form of arthritis. For the present study, on Amavata as shaman therapy, Khanda Shunthi and Prasarni Avleha the Ushnaveeryadravya medicaments were chosen. Aims & Objective: The present research work aimed at to evaluate efficacy and establish safe use of Khanda Shunthi and Prasarni Aavaleha in Amavata. Materials & Methods: 40 subjects of Amavata fulfilling the inclusion criteria were selected from OPD and IPD of Desh Bhagat Ayurvedic Hospital, Mandi Gobindgarh, Punjab and randomly divided into two groups, group A and B, comprising each of 20 patients. Group-A subjects received Khanda Shunthi for 60 days, Group-B subjects received Prasarni Avaleha for 60 days. Assessments were done on 0th and 60th day of treatment. Results and Conclusions: In both the groups, highly significant results were observed in all the cardinal parameters with P value for fever and Hb are greater than 0.05 hence there is no significant difference in effect of Group A and Group B on fever and Hb. P values for all other symptoms are less than 0.05 hence we conclude that there is significant difference in effect of group A and group B on pain, swelling, stiffness, fever, ESR, walking time and grip strength. On comparison group A treatment is more effective than group B for all assessment criteria.

scholarly journals A COMPARATIVE CLINICAL STUDY OF SHATAVARIGOPAKANYADI KASHAYA AND VASADI KASHAYA IN ASRIGDARA

2020 ◽  
Vol 8 (9) ◽  
pp. 4391-4396
Author(s):  
Priyanka Prem ◽  
Kavitha B.K
Keyword(s):  
Clinical Study ◽  
Reproductive Age ◽  
Dysfunctional Uterine Bleeding ◽  
Duration Of Treatment ◽  
Curative Effect ◽  
Excessive Bleeding ◽  
Significant Difference ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B

Background: Asrigdara is one of the most common Streeroga mentioned in which presents with the complaint of excessive bleeding per vaginum. It is caused due to the vitiation of Rasa dhatu, from which the Artava is formed. Considering the Nidanas of Asrigdara, it is clear that the Kapha Prakopaka Nidanas and Pitta Prakopaka Nidanas pave the way for Asrigdara. Considering the symptoms, Asrigdara can be correlated to dysfunctional uterine bleeding (DUB) which occurs commonly during the extremes of reproductive age. Objectives: To compare the efficacy of Shatavarigopakanyadi Kashaya and Vasadi Kashaya in management of Asrigdara. Materials and Methods: Randomized comparative clinical study of two groups consisting 20 patients in each group suffering from Asrigdara. Group A - Shatavarigopakanyadi Kashaya 50 ml BD with Anupana of Sita and Madhu, Group B - Vasadi Kashaya 50 ml BD with Anupana of Sita and Ghrita Duration of Treatment: 2 consecutive cycles starting from 5th day of menstruation in each cycle. Results and Interpretation: Both the groups showed statistically significant results for all assessment criterias. Statistically there was no significant difference in curative effect between the groups. Conclusion: Both Shatavarigopakanyadi Kashaya and Vasadi Kashaya has statistically significant effect in Asrigdara.

scholarly journals A COMPARATIVE CLINICAL STUDY ON THE EFFECT OF ASHTAVARGAM KASHAYA AND GANDHARVAHASTHADI KASHAYA IN THE MANAGEMENT OF KATIGRAHA w.s.r. TO LUMBAR SPONDYLOSIS

2020 ◽  
Vol 8 (8) ◽  
pp. 4036-4042
Author(s):  
Abeena Raj D P ◽  
Shripathi Acharya
Keyword(s):  
Clinical Study ◽  
Food Habits ◽  
Unhealthy Food ◽  
Lumbar Spondylosis ◽  
Moderate Improvement ◽  
Nutritional Deficit ◽  
Mild Improvement ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B

Katigraha is a condition in which the vitiated Vata is localizing in the Katipradesha and producing stiff-ness and pain. These symptoms are similar to Lumbar Spondylosis. The degenerative changes due to aging or trauma, changing in lifestyle & work pattern, unhealthy food habits causing nutritional deficit etc., are causing Dhatukshaya and Margavarodha. Here Ashtavarga & Gandharvahasthadi Kashayas are taken to evaluate the effect on Katigraha. Totally 40 patients of Katigraha were selected, divided in to two groups equally. Group A treated with Ashtavargamkashaya and Group B treated with Gandharvahasthadi Kashaya for 30 days. In group A, 55% patients got moderate improvement and 40% patients with mild im-provement in group B, 5%got moderate improvement and 60% got mild improvement. It is concluded that in general statistically significant results were seen in both the groups. AshtavargamKashaya showed better efficacy than Gandharvahasthadikashaya.

scholarly journals A comparative clinical study on the effect of Gudashunti Nasya and Kola Kulattadi Ruksha Sweda in Manyasthamba

2020 ◽  
Vol 5 (03) ◽  
pp. 1-6
Author(s):  
Sandeep K ◽  
Guruprasad G ◽  
Veeraj Hegde
Keyword(s):  
Statistical Analysis ◽  
Clinical Study ◽  
Severe Pain ◽  
Computer Usage ◽  
Before And After ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B ◽  
Classical Symptom

Due to present day lifestyle, a greater number of people are inclined to desk work and computer usage leading to many disorders. Manyasthamba is one among such disorders where the stiffness of neck with severe pain is the classical symptom which hampers our day to day life. While explaining treatment of Manyasthamba our Acharyas explained Rukshasweda and Nasya Karma as main line of treatment. Here a study was done by taking Gudashunti Yoga explained in Sharangadara Samhita indicated for Nasya and Kolakulattadi Churna indicated in Vatavyadhi explained in Ashtanga Sangraha for Ruksha Churna Sweda. A comparative clinical study of 40 patients suffering from Manyastambha were selected after thorough investigation. Patients were subjected to Nasya Karma in Group A and Ruksha Sweda and Nasya Karma in Group B for 7 days. Patients were assessed based on standard parameters before and after treatment and 7 days follow up. The statistical analysis revealed that there was a significant improvement in parameters like pain and stiffness. Hence proving the efficacy in the condition.

scholarly journals A comparative clinical study to access the role of Basti and Virechana Karma followed by Rasayana in post menopausal Asthikshaya (Osteoporosis)

2020 ◽  
Vol 5 (05) ◽  
pp. 96-103
Author(s):  
Deepa S. Patil ◽  
Prashanth A.S
Keyword(s):  
Clinical Study ◽  
Inclusion Criteria ◽  
Comparative Clinical Study ◽  
Group A ◽  
Post Menopausal ◽  
Group B

Rajonivrutti condition manifests in the end phase of Jarawastha; but its Samprapti begins from the Sandhikala of Madhyamawastha and Jarawastha due to Vatavruddi in womens reaching Rajonivrutti. Postmenopausal Asthikshaya is a disabling disease, which renders women a bedridden life. Here 40 subjects diagnosed with postmenopausal Asthikshaya fulfilling the inclusion criteria were selected for the study and randomly categorized intp two groups as group A and group B each consisting of 20 subjects. Group A received Amapachana with Hinguvachadivati, Yastimadhu Siddha Ksheerabasti administered in Yoga Basti schedule followed by Tritiyatriphala Rasayana. Group B received Amapachana with Hinguvachadivati, Sadhyosnehapana with Amrita Ghrita, Sarvanga Abyanga with Murchita Tilataila followed by Sarvanga Swedana and Sneha Virechana was admistered with Eranda Taila followed by Tritiyatriphala Rasayana was given. Tritiya Triphala Rasayana selected for the present study by adapting all the general principles of prevention and management of Asthikshaya and as it is a well known Rasayana.

scholarly journals A Comparative Clinical Study of Trikarshika Kwatha with and without Lifestyle Modification in the Management of Vatarakta with Special Reference to Hyperuricaemia

2021 ◽  
pp. 10-19
Author(s):  
Md Tanzil Ansari ◽  
Sukumar Ghosh ◽  
Shailendra Kumar Singh
Keyword(s):  
Clinical Study ◽  
Lifestyle Modification ◽  
Test Results ◽  
Before And After ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B ◽  
High Level ◽  
Urate Crystals

Nowadays, people are more vulnerable to metabolic disorders due to their faulty dietary and behavioural habits. One such disorder is Vatarakta which causes functional impairment due to involvement of Sandhi (joints). It is manifested by Ruk, Toda, Sparsha asahatva, Shopha, Raga, Daha and Stabdhata in Sandhi. Vatarakta can be correlated with Hyperuricaemia or Gout due to similarity in their clinical features. Hyperuricaemia is defined as abnormally high level of uric acid in blood (i.e. >6mg/dl in female and >7mg/dl in male). On the other hand, Gout is an inflammatory response to monosodium urate crystals formed secondary to hyperuricaemia. Aims and objectives: 1. To evaluate the effectiveness of Trikarshika kwatha and lifestyle modification in the management of Vatarakta. 2. To compare the effects of Trikarshika kwatha with and without lifestyle modification in the management of Vatarakta. Materials and methods: Raw herbs of the research formulation were collected after proper identification and Kwatha was prepared for oral administration. For the clinical study, total 60 patients were selected on the basis of selection criteria. Selected patients were randomly divided into two groups. (i) Group A: 30 patients were treated with Trikarshika kwatha. (ii) Group B: 30 patients were treated with Trikarshika kwatha along with Lifestyle modification. Individual patient was treated for 45 days along with follow up at the interval of every 15 days. To assess the effectiveness of treatment, scoring pattern was followed for subjective and objective parameters. They were assessed before and after treatment. The collected data were analysed statistically by using Paired t-test. Results: On the basis of all statistical data, it can be said that patients of Group B showed better results in all parameters in comparison to patients of Group A. Conclusion: Both Trikarshika kwatha and Lifestyle modification are affective but Trikarshika kwatha with Lifestyle modification is more effective than Trikarshika kwatha without Lifestyle modification in the management of Vatarakta.

The Treatment of Wrist Ganglion Cyst by the Chinese Acupotomy and Crisscross Thread

2020 ◽  
Author(s):  
Shuliang Zhang ◽  
Bin Xu ◽  
Yangjun Lao ◽  
Di Lu
Keyword(s):  
Recurrence Rate ◽  
Ganglion Cyst ◽  
Combined Treatment ◽  
Vas Score ◽  
Ganglion Cysts ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
The Cost ◽  
Open Excision

Abstract Background: The current treatments of wrist ganglion have considerable recurrence rate, we developed a new treatment for ganglion cysts in our clinical practice, which combined acupotomy with crisscross thread method, so we now to compare the clinical effectiveness of Chinese acupotomy and crisscross thread with aspiration followed by injection of steroid and open excision for ganglion cysts treatment. Methods: Recruited patients with wrist ganglion were divided into three groups according to the treatments. Among them, 27 patients who were treated by a new combined treatment of Chinese acupotomy and crisscross thread method in group A, 30 patients who were treated by aspiration followed by steroid injection in group B, and 28 patients who were treated by open excision in group C. The data of age, gender, weight, size of ganglion cysts, visual analogue scale (VAS) , cost were recorded and compared by One-way analysis of variance, followed by an LSD (Least Significant Difference)test. The recurrence rates were recorded were analysed by chi-square test.Results: At the first day and one week after treatment, VAS score of group A was similar to group B with no statistic difference. VAS score of group C was higher than group A and B with statistic difference. Six months later, there was no statistic difference among the three groups about VAS. The recurrence rate was 3.7% in group A and 36.7% in group B and 10.7% in group C. No patient infected in three groups. The cost of group A was more than group B with no statistic difference. The cost of group A was much less than group C with statistic difference.Conclusions: The combination of Chinese acupotomy and crisscross thread method was a simple, economical and effective procedure for wrist ganglion cysts.

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