scholarly journals UNDERSTANDING ETIOPATHOGENESIS OF SHEETAPITTA – A CRITICAL REVIEW

2021 ◽  
Vol p5 (5) ◽  
pp. 2998-3002
Author(s):  
Mokkapati Archana

The disease Sheetapitta (NAMC, Disease morbidity code ED 14) was kept forth by Madhavakara in Rigvinis- chayam. Vinaya Pitaka, a book from Buddhist literature of about 500 BCE mentioned a disease named Chavidosha- badha (literally mean skin disease) or Julpittee1 (a disease which causes red coloured wheals and itching on the body). Sheetapitta like manifestations named Udarda, Kotha, Utkotha., were explained in different contexts since the Samhita period. On the contrary with Ushna and Tikshna guna of Pitta, Sheeta guna was used to name the disease, Sheetapitta. Sheetapitta is characterized by Varati dastavat shotha, Kandu, Daha, Thoda, Jwara, Chardi, where all the tridosha involvement is seen. In this regard, there is uncertainty in determining the Nidana, Samprapthi and Samprapthi ghataka of the disease. Hence, here my present study deals with the nomenclature, detailed nidana, Samprapthi and Chikitsa of Sheetapitta. Keywords: Sheetapitta, Nomenclature, Nidana, Samprapthi, Chikitsa.

Author(s):  
Sandip R. Baheti ◽  
Deepa Sharma ◽  
Saroj Devi ◽  
Amit Rai

Difficulty in breathing or shortness of breath may be simply termed as Shwasa (Asthma), As per Ayurveda, Shwasa is mainly caused by the Vata and Kapha Doshas. Shwasa is broadly classified into five types in Maha Shwasa (Dyspnoea major), Urdhawa Shwasa (Expiratory Dyspnoea), Chinna Shwasa (Chyne-stroke respiration), Kshudra Shwasa (Dyspnoea minor), Tamaka Shwasa (Bronchial Asthma). In modern science Tamaka Shwasa can be correlated with Asthma, Asthma which is a chronic inflammatory disease of airway. In modern medicine there is no cure for Asthma, symptoms can typically be improved. In Ayurveda, Asthma can be effectively and safely manage the condition without inducing any drug dependency where Pachakarma procedures and use of internal medication detoxifies the body, provides nutrition and increases the elasticity of lung tissue it also develops natural immunity of the body thus decreasing episodic recurrence of the disease.


Author(s):  
Dr. Rishu Sharma ◽  
Dr. Gyanendra Datta Shukla ◽  
Dr. Alok Kumar Srivastava

Panchakarma therapy is one of the vital branch of Ayurveda, which deals mainly with purification of the provoked Doshas from the body. Basti Chikitsa is regarded as the prime treatment modality among the Panchakarma. It is having not only curative action but also preventive and promotive actions. It is considered as best treatment for Vata Dosha. Yapana Basti is a subtype of Asthapana Basti, which is having the property to support life and promote longevity and widely used in various disorders. Rajayapana Basti is superior amongst all the Yapana Bastis described by Acharya Charaka as it is the king of Yapana. This Rasayana Yapana Basti performs dual function of both Anuvasana and Niruha; hence this is Srotoshodhaka and Brimhana at the sametime. That’s why there is no need to administer separate Anuvasana while giving Yapana Basti. There is an urgent need of standardizing the classical Panchakarma procedures in consideration of the need of today. The dosage schedule, exact procedures, medicaments, effects, and side effects are to be standardized so that uniform procedure of practice should be followed all over nation. Standardization is the need of hour for physicians, to prevent Atiyoga (over activity), Ayoga (less or no activity) and to get adequate effects in a systematic and sophisticated manner within desired time period.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yusheng Lu ◽  
Jiantong Zhang

PurposeThe digital revolution and the use of big data (BD) in particular has important applications in the construction industry. In construction, massive amounts of heterogeneous data need to be analyzed to improve onsite efficiency. This article presents a systematic review and identifies future research directions, presenting valuable conclusions derived from rigorous bibliometric tools. The results of this study may provide guidelines for construction engineering and global policymaking to change the current low-efficiency of construction sites.Design/methodology/approachThis study identifies research trends from 1,253 peer-reviewed papers, using general statistics, keyword co-occurrence analysis, critical review, and qualitative-bibliometric techniques in two rounds of search.FindingsThe number of studies in this area rapidly increased from 2012 to 2020. A significant number of publications originated in the UK, China, the US, and Australia, and the smallest number from one of these countries is more than twice the largest number in the remaining countries. Keyword co-occurrence is divided into three clusters: BD application scenarios, emerging technology in BD, and BD management. Currently developing approaches in BD analytics include machine learning, data mining, and heuristic-optimization algorithms such as graph convolutional, recurrent neural networks and natural language processes (NLP). Studies have focused on safety management, energy reduction, and cost prediction. Blockchain integrated with BD is a promising means of managing construction contracts.Research limitations/implicationsThe study of BD is in a stage of rapid development, and this bibliometric analysis is only a part of the necessary practical analysis.Practical implicationsNational policies, temporal and spatial distribution, BD flow are interpreted, and the results of this may provide guidelines for policymakers. Overall, this work may develop the body of knowledge, producing a reference point and identifying future development.Originality/valueTo our knowledge, this is the first bibliometric review of BD in the construction industry. This study can also benefit construction practitioners by providing them a focused perspective of BD for emerging practices in the construction industry.


Author(s):  
Suja Xaviar ◽  
Mirunalini Ravichandran

Toxic epidermal necrolysis (TEN) is a rare life-threatening drug-induced mucocutaneous skin disease with a mortality rate of approximately 30%. Nimesulide is a preferential cyclo-oxygenase (COX-2) inhibitor which is frequently used for its antipyretic, anti-inflammatory and analgesic activity. Here, we report a case of nimesulide induced toxic epidermal necrolysis in a 57 years old male patient. This patient was admitted in the hospital with symptoms of epidermal sloughing and fluid filled blisters all over the body following over the counter intake of nimesulide for fever. The drug was promptly stopped, and patient was managed with steroids, antibiotics and other adequate supportive measures. The patient showed significant recovery following stoppage of drug and adequate management. This case highlights the importance of nimesulide and other NSAIDs as possible cause of TEN.


2020 ◽  
pp. 291-300

This chapter describes the common pustular rashes that occur in children. This includes infective causes due to bacteria such as staphylococcus, streptococcus, and pseudomonas, dermatophytic fungi, viruses, parasites, and yeasts. Non-infective causes include primary skin disease such as acne, pustular psoriasis, and neonatal pustular conditions as well as systemic disease and drugs. The chapter lists all the diseases then discusses them according to the body sites that are most commonly affected. A brief clinical summary of each condition is then provided with cross references to other relevant sections of the book.


Author(s):  
Moulika Markonda ◽  
Sowmya S.B

In Ayurveda, all skin diseases have been described under the umbrella of Kushtha. Ekakusta is considered as the most commonest skin disease that can affect an individual. Acharya Charak has described the involvement of Vata-Kapha in Eka Kushtha. In the present study Eka kushtha is compared with psoriasis due to resemblance of signs symptoms and causative factors with it. Psoriasis is a papulosquamous disorder of the skin, characterized by sharply defined erythematosquamous lesions this illness exhibits a prompt response if treated carefully, left it may run a very chronic course extending into larger area of the body. Ayurveda focuses more on curative management than palliative management. The drug used in the treatment of Ayurveda does not have complications like modern treatment. Repeated Sodhana prevent the recurrence of the disease. Similarly various preparations have been advocated for the management of Psoriasis. The drugs used in this study are Guduchyadi Kashaya & Rajrukshadi Pachana Kashaya. Both the Kashayas are said to be effective in skin diseases. As per Yogaratnakara, Guduchyadhi Kwath has been mentioned as one of the drug having curative effect on all types of Kustha. Hence for present study the orally Guduchyadi Kwath is taken for EkaKustha treatment. The drugs in Guduchyadi Kwatha are Kusthaghana, Twachya, Swedal, Tridosh shamaka, as well as with Rasayan properties, which is beneficial to break down the pathogenesis of disease. As per Gadanigraha, as mentioned in Kayachikitsakhanda, Rajvrukshadipachana Kashaya is mentioned for the treatment of Ekakushtha. Ingredients in Rajvrukshadi Pachana Kashaya reduce Kapha dosha and most of them act on the skin. Kwatha dravyas are Rasadushtihara, Kaphapittahara, Deepana, Twachya, and also having antibacterial, antimicrobial, antiparasitic and anti-inflammatory properties, Hence, it is helpful for clearing the skin infections.


The Healer ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 74-80
Author(s):  
Mahesh Prasad Sah ◽  
Rupesh Sonam ◽  
Bijendra Shah

In Ayurveda all the skin disease is kept under the topic “kustha roga”. Kitibha kustha is one of the kustha roga in which the skin becomes dull black, rough, dry like scar. It is vitiated by vata and kapha doshas. It can be clinically correlated with psoriasis in modern science. Psoriasis is the chronic inflammatory and hyper proliferative skin disease. Here, in the case a male patient of 42 years came with complain of scaly lesion all over the body since 32 years. Lesion was associated with itching and aggravated in winter season. The patient was clinically diagnosed with Kitibha Khustha (psoriasis). For the case sodhana and samana chikitsa was done. Patient got relief with in the treatment of 45days. Through the case it can be concluded that kitibha kusth can be cured by following the treatment protocol of Ayurveda.


2021 ◽  
pp. e2021091
Author(s):  
Rachel Graubard ◽  
Ariadna Perez-Sanchez ◽  
Rajani Katta

Stress has multiple and wide-ranging physiologic and clinical impacts on skin disease. This has led to an interest in mind body therapies as potential adjunct treatments for skin disease. The stress response results in the activation of the endocrine, neurologic, and immune systems, with a resulting cascade of impacts, that are both systemic and cutaneous. The 2 main arms of the stress response are the sympathetic nervous system and the hypothalamic-pituitary-adrenal axis. The resultant release of cortisol, catecholamines, and neuropeptides has multiple effects. Clinically, these have been shown to increase skin inflammation, increase itching, impair skin barrier function, impair wound healing, and suppress immunity.Mind body therapies are those that focus on the interaction between the mind and the body, with the goal to influence physical function and impact health. These have been shown to ameliorate some of the harmful physiologic changes attributed to stress or to reduce harmful behaviors. In some cases, such as with biofeedback, they may also result in beneficial physiologic changes. Treatments such as meditation, biofeedback, hypnosis, guided imagery, and others have been evaluated in the treatment of skin disease and have shown some benefits. Although randomized controlled trials are limited, these interventions have shown beneficial effects on itching, psychosocial outcomes, and even skin severity. These interventions have been evaluated in diseases such as atopic dermatitis, psoriasis, trichotillomania, and others. Given the potential benefits, improvements in psychosocial outcomes, and a low risk profile, referral to qualified practitioners or multidisciplinary clinics should be considered for some patients.


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