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

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.

Author(s):  
Rajendra Joshi ◽  
N. B. Mashetti ◽  
Rakesh Kumar Gujar

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.


Author(s):  
Geetha Lakshmi R. ◽  
Sornam M. S. ◽  
Thenmozhi G.

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. 


2021 ◽  
Vol 9 (10) ◽  
pp. 2347-2352
Author(s):  
Risin Sugunan ◽  
Zenica D’souza

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.


2020 ◽  
Vol p4 (05) ◽  
pp. 2401-2407
Author(s):  
Sruthi K ◽  
Kavitha B. K

Background and Objectives: Menstrual cycle is the natural regular change occur in the female reproduc-tive system. Menstruation is often associated with problems of irregular menstruation, disorders in men-strual bleeding and dysmenorrhoea, among which dysmenorrhoea is the most common gynecological prob-lem. Dysmenorrhoea is painful cramps of uterine origin. If it is severe it causes high impact on women’s life. It leads to restriction in daily activities, a lower academic performance in adolescents, and poor quality of sleep and has negative effects on mood causing anxiety and depression. In Ayurveda 20 types of Yoni Vyapada are described out of which Udavartini is one which is character-ized by painful menstruation and can be correlated with primary dysmenorrhoea. Objectives: To evaluate and compare the efficacy of Panchapalaka Ghrita and Dhanyaka Ghrita in the management of Udavartini Yonivyapad. Methodology: This research work was a randomized comparative clinical study of 40 patients suffering from cardinal symptoms of Udavartini, were randomly selected and categorized into 2 groups of 20 patient each. Group A was treated with Panchapalaka Ghrita and group B with Dhanyaka Ghrita. Both Ghritas were given in Apanakaala (before food) with Sukhoshna Jala as Anupana. Duration of Treatment- 10 days (Starting 7days before commencement of cycle till 3rd day of menstrual cycle) for 3 consecutive cycle. Results and Interpretation- Both the groups showed statistically significant results. Statistically there was no significant difference between the groups Conclusion: Both Panchapalaka Ghrita and Dhanyaka Ghrita has equal effect in Udavartini Yonivyapad


2020 ◽  
Vol p4 (05) ◽  
pp. 2389-2393
Author(s):  
Shivani Chaudhary ◽  
Shevale Digamber P

Background and Objectives: Menstruation is an essential physiological function of women during their reproductive age. This involves shedding of endometrium, which was prepared to provide a bed for ferti-lized gamete, when fails, result into menstruation or Masanumasika Raja Pravrutti. Nowadays, menstrual abnormalities are very common in society. Artavakshaya is explained by Acharya Sushruta which is caused by the Avarana of Kapha over Vata and due to Kshaya of Pitta, characterised by reduced blood flow in amount as well as in duration and increased interval between two menstrual cycles. Kalajaji Churna explained in Bhava Prakash Nighantu and Shatpushpa Churna mentioned in Kashyapa Samhita were used here as trail and control group to see and compare their efficacy in the management of Ar-tavakshaya. Methodology: This research work was a randomized comparative clinical study of 40 patients suffering from the cardinal symptoms of Artavakshaya, were randomly selected in and categorized into 2 groups of 20 patients each. Group A was treated with Kalajaji Churna and group B with Shatpushpa Churna for a period of 3 consecutive menstrual cycles and follow up for further 2 cycle. Result: Both the groups showed statistically significant results. Statistically there was no significant differ-ence between the groups. Conclusion: Both the drugs were statistically significant in Artavakshaya and statistically both the drugs were equally effective. Kalajaji Churna shows better result in duration of flow and amount of bleeding where as Shatpushpa Churna shows better result in interval between two cycles and pain.


Author(s):  
K. M. Siddalinga Murthy ◽  
N. B. Mashetti

Arsha is as old mankind being an abnormal to routine life. Arsha does not cause any threat to life but troubles a lot, so it is included in one of the Astha Maharogas by Sushruta. This disease is largely confined to the Guda but also in Nasa, Netra, Karna etc. regions. Aetiological factors are vitiation of Doshas in Gudavalis, injury due to throne, stone, nail, vehicle, regular contact of cold water etc. Haemorrhoids are the varicosity of haemorrhoidal veins. Depending on the site these are 3 types viz, Internal, Externel and Intero-external Haemorrhoids. Depending upon bleeding these are 2 types which are bleeding and non bleeding piles. The presently available treatment measures are Aushadha, Shastra, Kshara and Agnikarma. Local external application is described by Sushruta, Yogaratnakara, Charaka and others. Hence a comparative clinical study is planned to evaluate the efficiency and malignant role of Haridradi Lepa and Pipplayadi Lepa in Arshas (Piles). In this study sample size of 40 patients were selected by simple random sampling, 20 in Group-A and 20 in Group-B, in Group-A, Haridradi Lepa was used, where as in Group-B Pippalyadi Lepa was used. The therapeutic effects was analyzed by using the subjective parameters viz. pain and discomfort during sitting and objective paramaters viz, size, BPR (bleeding per rectum), mucous discharge etc. The duration of treatment was 15 days and clinical assesement was done in 5 days interval. At the end of study, the Haridradi Lepa has shown significally benefical result in sustaianable manner.


Author(s):  
Rajalaxmi M. G. ◽  
Padmakiran C. ◽  
Arsha M U

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.


2021 ◽  
Vol 9 (10) ◽  
pp. 2303-2309
Author(s):  
Sahana G ◽  
Shivale Digambar P ◽  
Kavitha B.K ◽  
Manju Parvathy

Menstruation is a physiological, natural event in the reproductive stage of the female. Due to a sedentary lifestyle and lack of self-care, stress, untimely food and other factors, many gynaecological problems occur and one of the most common among them is Dysmenorrhea. Painful menstruation is the most common cause which disturbs the mental state of the woman also affecting her day to day activities during the cycle. Pain is the Pratyatma Lak- shana of Vata vikruti mentioned in Ayurveda. Artava Nishkramana is the normal function of Apana vayu which moves in Pratiloma gati and obstructs the pathway of Artava. In our Classics, most of the gynaecological prob- lems are discussed under Yonivyapat. Udavartini Yonivyapat can be co-related and defined as painful menstrua- tion i.e. Dysmenorrhea. Considering the prevalence of dysmenorrhea in the present era, the trial drug Vrikshamlatwak kashaya which possess the properties such as Shoolprashamana and Vatahara was selected to evaluate its effect in the management of Udavartini yonivyapat. Objectives: To compare and evaluate the effect of Vriksham- la Twak kashaya and Dashamoola kashaya in Udavarthini yonivyapat w.r.s primary dysmenorrhea. Methodolo- gy: This research work was a randomized comparative clinical study of 40 patients suffering from symptoms of Udavartini Yonivyapat, who were randomly selected and categorized into 2 groups of 20 patients each. Group A was treated with Vrikshamla Twak kashaya and group B with Dashamoola Kashaya. Both Kashayas were given in Apanakaala (before food) with Sukhoshna Jala as Anupana. Duration of Treatment: 10 days (Starting 7days before the commencement of cycle till 3rd day of the menstrual cycle) for 3 consecutive cycles. Results and In- terpretation- Both the groups showed statistically significant results. Statistically, there was no significant differ- ence between the groups. Conclusion: Both Vrikshamla Twak kashaya and Dashamoola Kashaya had an equal effect in treating Udavartini Yonivyapat. Keywords: Udavartini, Dysmenorrhea, Vrikshamla Twak Kashaya, Dashamoola kashaya.


2020 ◽  
Vol 5 (05) ◽  
pp. 31-38
Author(s):  
Patil Ashwini Shrimant ◽  
P. K. Rawal ◽  
Sunita Shiraguppi ◽  
Shrishail. S. Pujeri

A normal menstruation denotes a healthy state of female reproductive system. If the menstrual bleeding is abnormally excessive, prolonged and is associated with pain, it indicates some pathology. The abnormal menstrual cycle not only disturbs the general health, it also disturbs routine work schedule of the woman and her entire family. There is no direct reference of Puberty menorrhagia in classics. Puberty menorrhagia is defined as excessive bleeding occurring between menarche to 19 years of age. Anovulatory bleeding with irregular shedding of endometrium is the cause for puberty Menorrhagia which can be effectively tackled with the help of herbal drugs which contains hemostatic action. Asrigdara mainly due to vitiation of Vata and Pitta Doshas, hence the treatment should be based on use of drugs which are having predominance of Kashayarasa and Pitta-Vatashamaka properties and Stambhan action. Thus selected drugs are Indrayavadi Yoga and Bhoomyamalaki Choorna possess Vata-Pitta Shamaka and Raktastambhaka. This research work is comparative clinical study. 40 patients presenting with Pratyatma Lakshana of Asrigdara were randomly selected and divided into 2 groups of 20 patients each. Group A were given Indrayavadi Yoga and group B were given Bhoomyamalaki Choorna for a period of 2 menstrual cycle and two follow up during treatment and one follow up after treatment. After the completion of clinical trial, it was found that Bhoomyamalaki Choorna which was group B is more effective than group A. The overall effect in group A and Group B, both the groups shown excellent response, but when comparing all the parameters Bhoomyamalaki Choorna shown more significant response than Indrayavadi Yoga. Trial drug is a better remedy for Asrigdara. It has no side effect, cost effective.


2020 ◽  
Vol 8 (8) ◽  
pp. 4036-4042
Author(s):  
Abeena Raj D P ◽  
Shripathi Acharya

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.


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