scholarly journals A COMPARATIVE CLINICAL STUDY ON THE EFFECTIVENESS OF UDVARTANA WITH SIRAVYADHA IN THE MANAGEMENT OF SIRAJAGRANTHI (VARICOSE VEIN)

2020 ◽  
Vol 08 (11) ◽  
pp. 5021-5030
Author(s):  
Neethu Dev ◽  
Santosh Kumar J ◽  
SubhashRai N

Varicose vein of the lower limbs is one of such clinical condition that hampers the beauty of the legs. It is a very common condition, affecting up to three in 10 adults. Varicose veins affect up to 25% of women and 15% of men. By the age of 50, nearly 40% of women and 20% of men have significant vascular problems. The lifestyle changes, obesity, occupational pattern of prolonged standing and pregnancy are considered to be significantly contributing to this situation. Siravyadha, which is one among the types of Sasastra Rak-tamokashana is mentioned in the treatment of Sirajagranthi in our classics. It is considered as Ardha Chikitsa of Shalyatantra and is said to provide immediate results. Udvartana which is having Vatakapha-hara Twakprasadana and Siramukhavivechana property is said to be effective in Sirajagranthi. Also, the procedure is done in Pratiloma (upward) direction which results in Dridikarana of angas by toning them and relieves the symptoms of varicose vein. Hence an effort was made to evaluate the effect of Sira-vyadha by Vrihimukha Sastra and Udvartana with Kolakulathadi Churna in the management of Sira-jagranthi (varicose vein), this study was planned with the following aims. Objective: A detailed study on Sirajagranthi and its Management. To study the effect of Udvartana with Siravyadha in Sirajagranthi (varicose veins). To study the effect of Siravyadha in Sirajagranthi (varicose veins)., To compare the effi-cacy of both in Sirajagranthi (varicose veins). Method: The outcome of the study is evaluated clinically on a minimum of 60 patients with Sirajagranthi, divides 2 groups A and B. Group A received Udvartana for 7days and then Siravyadha on 8th day. Group B received Siravyadha for 1 day and followed by Pathya for 7days.The duration of study was 28days in both the groups and observations were made on be-fore and after the treatment (0th, 8th and 28th day). Data obtained was statistically analysed and interpreted. Results: The results were assessed based on the relief obtained to the subjective and objective parameters and was taken for consideration for the study and were found statistically significant on all the parameters (p<0.05). Conclusion: From the study it is evident that effectiveness of Udvartana along with Siravyadha is more significant in reducing the signs and symptoms of Sirajagranthi.

Author(s):  
Mohan Baban Dagu ◽  
N. B. Mashetti ◽  
Umapati C. Baragi

Background: In this changed lifestyle of human beings, he has become a victim of several diseases, amongst them one is Varicose Veins, which are caused due to long standing or sitting in chairs which causes extra load on veins to pump the blood against gravity towards the Heart, especially the veins of the legs. Finally the veins get fatigued that leads to dilation and cause Varicosity in veins. Objectives: To compare the effect of Siravyadhana and Basti in the management of Siraja Granthi (Varicose Vein). Methods: Cases presenting with classical signs and symptoms of Siraja Granthi were randomly divided into 2 groups. Group A was treated with Siravyadhana and Group B were subjected for Sahacharadi Basti. The data was collected before treatment and after 8th day and 30th days. The obtained data was statistically analyzed. Results: 20 patients in Group A, 93.33% reduction was seen in Shoola, while 93.02% reduction was found in Group B. In Gaurava 86.36% reduction was found in Group A and 85.71% reduction was seen in Group B. Shotha was decreased by 67.74% in Group A, while 62.65% in Group B. In Sira Utseda, 54.05% reduction was seen in Group A and 47.36% reduction in Group B. Conclusion: Group A, cases showed better improvement. Out of 20 patients, 2 patients got complete remission in Group A, 2 patients showed excellent response, while in Group B, 6 patients showed excellent response, In Group A and B, 11 and 8 patients showed good response respectively. In Group A and B, 5 and 6 patients showed moderate response.


Author(s):  
Prashant Kumar Sing

The lifestyle changes, obesity, the occupational pattern of prolonged standing and pregnancy are considered to be significantly contributing to this situation known as Varicose veins wherein veins become enlarged and twisted. Incidence of varicose vein is more in people belonging to the occupation that involved prolonged standing. Varicose vein can be co-related to Sirajgranthi as described in Ayurvedic texts. Ayurved formulations are said to be effective in the management of Sirajgranthi (Varicose veins) Sirajgranthi, treated at an early stage or allows proper maintenance of signs and symptoms reduces the complications and support a better quality of life. In this article we have tried to analyse the anatomical and physiological changes due to long term standing.


2020 ◽  
Vol 5 (02) ◽  
pp. 22-29
Author(s):  
K. M. Bhavana ◽  
Umesh C. ◽  
Neelakanta Sajjanar ◽  
Gopala Krishna G.

Background: Vatarakta is a disease which is said to affect the population indulging in sedentary lifestyle. In today’s era the evolution of technology has reached a point where pretty much anything is available at the touch of a button. The lifestyle of today’s population is breeding ground for diseases like Vatarakta. Based on the causes, signs and symptoms, Vatarakta may be correlated to gouty arthritis in contemporary medicine. Gout affects about 2.1 million worldwide. Its prevalence is increasing; moreover it is a potential signal for unrecognized co-morbidities like obesity, diabetes mellitus, hypertension and renal diseases. In India the prevalence of gout is 2-6 per 1000. The purpose of this study is to explore and find out an effective, less expensive, easily available and well accepted drug with minimal or no complications for this dreadful condition. Materials and Methods: 40 patients diagnosed with Vatarakta w.s.r Gouty Arthritis were assigned randomly into 2 groups. Group A, were administered Bodhi Vruksha Twak Kashaya 50ml B.I.D with Madhu and Group B were administered Guduchi Kashaya 50ml B.I.D for a duration of 30 days. Assessment was done on day 0, day 15, day 30, and day 45. Observations and Results: In the present study Group A showed statistical significant results in all the parameters except for Sandhishotha and group B showed statistical significant result in Sandhishoola, Sandhidaha, Sparshasahaishnuta and uric acid levels. Conclusion: Overall result shows patients treated with Guduchi Kashaya showed better results than patients treated with Bodhi Vruksha Twak Kashaya with Madhu in Vatarakta with special reference to Gouty Arthritis.


2018 ◽  
Vol 26 (1-2) ◽  
pp. 100-104 ◽  
Author(s):  
Judith C Lin ◽  
Dylan Mclaughlin ◽  
Dana Zurawski ◽  
Nicole Kennedy ◽  
Loay Kabbani

Introduction The objective of this study is to compare the clinical outcomes of patients with varicose veins managed in the telemedicine clinic and traditional clinic. Methods Retrospective analysis of all vein procedures in the institutional Vascular Quality Initiative Varicose Vein Registry (VQI VVR) was performed from January 2015 to August 2017. Patients were divided into two groups: Telemedicine versus Traditional Clinic. Comparison data included patient demographics, past medical history, clinical outcomes, patient-reported outcomes and postoperative complications. Statistical testing included chi-square test for categorical variables and student t-test for continuous variables using the SPSS statistical software. Results A total of 1034 varicose vein procedures were performed during the 31-month study period. There were 75 virtual encounters in the Telemedicine Clinic (Group A) and 959 face-to-face encounters in the Traditional Clinic (Group B). Most of the demographics characteristics were clinically similar in both groups. Comparing Group A and Group B, there were no differences in age, sex, race and body mass index. Early 3-month follow up was 100% in Group A and 90.7% in Group B. Both groups had low complication rates of haematoma (1.3% vs 0.3%, p = 0.884), paraesthesia (1.3% vs 0.6%, p = 0.767) and recanalisation (1.3% vs 4.0%, p = 0.383) during the early follow up period. Discussion Synchronous virtual visits for patient care are feasible for the management of chronic venous disease. Patients with varicose veins who choose to undergo telemedicine evaluations have similar pre-operative demographics, clinical classification and patient outcomes.


Author(s):  
Kallanagouda H. ◽  
S. C. Sarvi

Background: Jaundice (Kamala) is a yellowish pigmentation of the skin, the conjunctival membranes over the sclera (whitish of the eyes), and other mucous membranes caused by hyperbilirubinemia (increased levels of bilirubin in the blood). Today’s lifestyle with unhygienic and poor dietary habits and alcoholic habits etc. are responsible factors to promote hepatic damage which clinically reflects as Kamala Roga. The incidence of such causes resulting in Jaundice. In India it is 2.37-3.15 per 1000 population. The effect of Ayurvedic treatment was assessed in relation to improvement in overall clinical signs and symptoms. Objectives: To evaluate the effect of Phalatrikaadi Kwatha and Darvyadi Kwatha in Kamala Roga. Methodology: A comparative clinical study was conducted on Kamala for period of 15 days. The patients were divided into 2 groups. In Group A 20 patients were administered with Phalatrikadi Kwatha internally and in Group B 20 patients were administered with Darvyadi Kwatha internally. Results: Group A and Group B have shown statistically significant result. Group B treated with Darvyadi Kwatha showed better result compared with Group B treated with Phalatrikadi Kwatha.


Author(s):  
Shruti Mani ◽  
M. V. Mokashi

The life style changes, obesity, occupational pattern of prolonged standing and pregnancy are considered to be significantly contributing to this situation known as Varicose veins wherein veins become enlarged and twisted. Incidence of varicose vein is more in people belonging to the occupation that involved prolonged standing. Varicose vein can be co-related to Sirajgranthi as described in Ayurvedic texts. Ayurved formulations are said to be effective in the management of Sirajgranthi (Varicose veins)Sirajgranthi, treated at an early stage or allows proper maintenance of signs and symptoms reduces the complications and support a better quality of life. In this article we have tried to analyse the anatomical and physiological changes due to long term standing.


Author(s):  
Chaitanya Ajay Kulkarni

PIVD is the protrusion from the nucleus pulposus through the rent within the annulus fibrosis. L4-L5, L5-S1 discs are most commonly affected in 95 percent of lumbar disc herniation. As we grow older the discs which are present in our vertebral column, become less flexible and begin to harden, making it more susceptible to tears. The herniated disc may be caused by a single undue strain or injury. However, as disc degeneration progresses with age, a few people may suffer herniated discs from more minor activities or twists. The patient was a 38-year-old female who presented with a complaint of pain in the neck & back which was 8 on Vas, pain in both limbs ( upper & lower) which was 7 on Vas, Numbness present in Upper limb fingers, Stiffness in all joints along with pedal edema. The patient also had a varicose vein on both lower limbs grade 3. She was admitted to the hospital because she was not able to even get up from the bed due to pain. She was working in a mess for 8 years the work included prolonged standing, bending down, lifting heavy weights, and sitting on the floor for a long period. Due to pain, she was not able to continue her work. Ayurvedic treatment along with physiotherapy treatment was going on. The patient had the same complaints before 12 months she was relieved by physiotherapy. The patient had three laser sessions done for a varicose vein but was not relieved before 1 year. According to the clinical presentation and Radiological findings the patient was diagnosed with PIVD. This case study shows that regular exercise, traction, back strengthening exercise, use of modalities such as IFT, and following proper ergonomics would reduce the symptoms associated with PIVD and varicose veins


1998 ◽  
Vol 13 (4) ◽  
pp. 153-156
Author(s):  
A. Rehman ◽  
V. S. P. Rallapalle ◽  
R. Iqbal ◽  
R. P. Grimley ◽  
A. P. Jayatunga

Objective: To assess the effectiveness of preoperative compression hosiery in reducing blood loss during surgery for varicose veins and improving cosmetic results. Setting: Vascular Surgical Unit, Dudley Group of Hospitals NHS Trust, West Midlands, UK. Design: Randomized, single-blind, prospective, controlled trial. Patients: Thirty-nine patients with varicose veins in 50 legs. Intervention: Group A, the control group ( n = 19), were given compression stockings on the first postoperative day after the bandages were removed. Group B, the study group ( n = 20), used compression stocking 24 h before surgery as well as in the postoperative period. The surgical procedure was standardized. Main outcome measures: Blood loss, weight of veins removed, operation time and cosmetic result after 6 weeks. Results: In group B, patients were noted to have reduced blood loss, a shorter operation time and a greater weight of avulsed veins. Poor cosmetic results were recorded in group A. Conclusions: Preoperative emptying of veins by using a compression stocking is useful in reducing blood loss and improving the cosmetic result after routine varicose vein surgery.


Author(s):  
Athira.C ◽  
Ajay Bhat U

Gridhrasi is a Vyadhi characterized by Stambha (stiffness), Ruk (pain), Toda (pricking pain), Spandana (twitching) etc. Though it is of two types – Vataja and Vatakaphaja, Vata being the prime cause for this condition has to be tackled to gain relief. Gridhrasi, according to its signs and symptoms can be compared to sciatica in modern medical science which is a painful condition in which pain commences from the buttock and radiates into the lower extremity along its posterior or lateral aspect, more or less comprising of the area of distribution of the sciatic nerve. Thus, this study was taken up to evaluate the efficacy of Rasona taila and Gandharvahastadi eranda taila in the management of Gridhrasi (Sciatica). Methods: In the present study, 60 subjects diagnosed with Gridhrasi were randomly selected and assigned into two equal groups Group A and Group B comprising 30 subjects each. Subjects of Group A received Rasona taila 10ml orally in morning before food and subjects of Group B received Gandharvahastadi eranda taila 10 ml orally in morning before food, both for duration of 21 days. The data obtained in both the groups were recorded, tabulated and statistically analyzed using appropriate statistical methods. Results: After obtaining all the necessary data, the results were formulated by applying suitable statistical tests. Group A showed better results statistically when compared to Group B. Conclusion: Rasona taila has better effects than Gandharvahastadi eranda taila both clinically and statistically in reducing the signs and symptoms of Gridhrasi.


2020 ◽  
Vol 04 (04) ◽  
pp. 2319-2323
Author(s):  
Rahul Madhukar Kondekar ◽  
Rajashri Patil

Introduction: In anorectal disorders, incidences of hemorrhoids and fissures are increasing in Indian population due to western lifestyle. Many surgical methods are available to cure anorectal disorders, but now a days, demand for Ayurveda and herbal preparation is increasing in society. Materials and Methods: In this study, ApamargaKsharaTaila Injection submucosal Route (Group A) and infrared coagulation (Group B) procedure were administered for the management of internal hemorrhoid (Arsha). This study was an open labelled, prospective, interventional study, in which patients of hemorrhoids [n=30(15eachgroup)] were selected from OPD of Institutional hospital. ApamargaKsharaTaila Injection application submucosally on internal hemorrhoids and IRC was applied at the base of hemorrhoids. In all the two groups, the patients were assessed every week for 4 weeks and were followed up for another 4 weeks for relief in signs and symptoms. Results: Obtained results were analyzed and encouraging results were observed after completion of the treatment. Conclusion: The study concluded that ApamargaKshara-Taila Injection is the most effective treatment for the management of internal hemorrhoid of 1st and 2nd de-gree in comparison to IRC procedure. Keywords: ApamargaKshartaila, Arsha, Ayurveda, hemorrhoids


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