scholarly journals A COMPARATIVE CLINICAL STUDY IN THE MANAGEMENT OF AMAVATA W.S.R TO RHEUMATOID ARTHRITIS THROUGH KSHARA VASTI AND VAITARANA VASTI ALONG WITH SHAMANOUSHADHI

AYUSHDHARA ◽  
2020 ◽  
pp. 2882-2894
Author(s):  
Sourabh Gupta ◽  
M.A. Hullur
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Study ◽  
Treatment Modality ◽  
Number Of Patients ◽  
Comparative Clinical Study ◽  
Group A ◽  
Ayurvedic Treatment ◽  
Group B ◽  
Marked Relief

Amavata is a crippling condition where simultaneously aggravated Vata and Ama associated with each other settles in Sandhis and produce Sandhishoola, Sandhishotha, Sparshaasahitwa, which is similar to Rheumatoid Arthritis. The present study has made an attempt to find an effective Ayurvedic treatment modality through Kshara Vasti and Vaitarana Vasti along with Shamanoushadhi. A total of 30 Patients were randomly divided in two groups with 15 patients in each group. In Group A, Kshara Vasti and in Group B, Vaitarana Vasti was given in Yoga Vasti schedule followed by Shamanoushadhi Simhanada Guggulu 500mg twice and Rasna Saptak Kwatha 40ml as Anupana for 45 days in both the groups with 1 month follow-up period. Both Group A and Group B provided highly significant results in all parameters of assessment but Kshara Vasti showed better improvement in the symptoms of the disease Amavata. 63.33% of patients got marked relief, 30% of patients got moderate relief. 56.66% of patients got marked relief in grip strength and 66.66% of the total number of patients got marked relief in tenderness. All the patients of both the groups responded well after Kshara Vasti and Vaitarana Vasti and the result were highly significant. The sustained affect of Vasti was very clearly evident after administration of Vasti along with Shamanoushadhi. Hence the modalities of our treatment can be recommended to all the patients of Amavata.

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 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.

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.

A Comparative Clinical Study on Phalatrikadi Kwata and Darvyadi Kwatha in the management of Kamala w.s.r. to Jaundice

2019 ◽  
Vol 4 (04) ◽  
Author(s):  
Kallanagouda H. ◽  
S. C. Sarvi
Keyword(s):  
Clinical Study ◽  
Dietary Habits ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Mucous Membranes ◽  
Comparative Clinical Study ◽  
Group A ◽  
Clinical Signs And Symptoms ◽  
Ayurvedic Treatment ◽  
Group B

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.

scholarly journals “A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF SHEETALA JALA NASYA AND MASHA TAILA NASYA WITH RASNADI GUGGULU IN THE MANAGEMENT OF AVABAHUKA WITH SPECIAL REFERENCE TO FROZEN SHOULDER”

2020 ◽  
Vol 8 (10) ◽  
pp. 4669-4676
Author(s):  
Maitradevi 1 ◽  
Uma Patil
Keyword(s):  
Clinical Study ◽  
Shoulder Joint ◽  
Frozen Shoulder ◽  
Treatment Modalities ◽  
Daily Routine ◽  
Routine Work ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B

Avabahuka is a disease of Amsa Sandhi (shoulder joint) and it has been described under eighty types of Vata Vyadhi by Acharya Sushruta. Being a disease of shoulder joint, which has greatest range of motion, is of vital importance to the activities of daily routine work. This disease is a hindrance in one’s productivity. Various effective treatment modalities have been mentioned in our classics regarding this disease. In order to reverse the pathogenesis, Shodhana is advised initially followed by Shamana therapies. In the present study 40 patients were selected incidentally and placed randomly into two groups- A and B, with 20 sub-jects in each group. Group- A received Nasya with Sheetala Jala and Group- B received Nasya with Ma-sha Taila followed by Rasnadi Guggulu as Shamanoushadhi for both groups A and B. In both the groups after 7th day of Nasya Karma follow up was done. Assessment was done on the bases of symptomatology. Nasya Karma provided highly significant results in all the symptoms of Avabahuka. In the present study as per the clinical data, ‘Nasya with Masha Taila is found to be more effective than Nasya with Sheetala Jala’.

scholarly journals A comparative clinical study of the effect of Upanaha Sweda by using Kottamchukkadi Churna and Grihadhumadi Churna in Janusandhigata Vata w.s.r. to Osteoarthritis of Knee Joint

2020 ◽  
Vol 5 (04) ◽  
pp. 112-117
Author(s):  
Reshmi PK ◽  
Sudarshan A ◽  
Jeejo Chandran
Keyword(s):  
Clinical Study ◽  
Knee Joint ◽  
Modern Medicine ◽  
Osteoarthritis Of Knee ◽  
Womac Index ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B ◽  
Single Blind

As per Ayurveda, Janusandhigata Vata is one among Vatavyadhi and can be compared with Osteoarthritis of Knee Joint in Modern Medicine with respect to the similarity of symptoms. Aims and Objectives: To evaluate and compare the effect of Grihadhumadi and Kottamchukkadi Upanaha in Janusandhigata Vata. Methods: Single blind randomized comparative clinical study allocated into 2 equal groups as A and B. Procedure: In Group A, Grihadhumadi Upanaha Sweda done for 7 days and in Group B, Kottamchukkadi Upanaha Sweda done for 7 days. Patients were examined as per the assessment criteria on 1st day before treatment, 8th day after completion of the treatment and 15th day as part of follow up. Observations and Results: Group A showed statistically highly significant effect in most of the criteria’s like Swelling, Stiffness, Tenderness, Visual Analogue Scale (VAS), Range Of Movements (ROM) and WOMAC INDEX. Group B showed statistically highly significant effect in Pain and Crepitation.

scholarly journals A COMPARATIVE STUDY TO EVALUATE THE RUJAHARA (ANALGESIC) EFFECT OF VIRECHANA KARMA AND VAITARANA BASTI IN AMAVATA (RHEUMATOID ARTHRITIS)

2020 ◽  
Vol 11 (6) ◽  
pp. 134-139
Author(s):  
Divya Gupta ◽  
Vishakha R Wetal ◽  
Arun Gupta
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Study ◽  
Comparative Study ◽  
Analgesic Effect ◽  
Modern Medicine ◽  
Toxic Effects ◽  
Modern System ◽  
Group A ◽  
Group B

In Amavata the most responsible issue Ama is caused because of derangement of Agni particularly Jatharagni. Ama associated with the vitiated Vata Dosha is termed as Amavata. The same disease is mentioned in modern system with the name of Rheumatoid arthritis. In modern Medicine NSAIDs, Glucocorticoids, DMARDs are used. These medicines have many toxic effects like osteoporosis, hypertension, diabetes etc. In present study Virechana Karma and Basti Karma were selected as Shodhana Chikitsa. It is directly mentioned in the Chikitsa Sutra of Amavata by Chakradatta and other texts. The present clinical study was conducted in Patients of age more than 25 year up to 50 year. Patients were randomly divided in two Groups, irrespective of religion, sex, occupation etc. In Group A Virechana was given and Group B Vaitarana basti was given. Group A- There was relief in Sandhishool 21.1%, VAS pain16.1%, Tenderness 23.2 % Swelling 20.7%, DAS 10.8%.,12.1% in ESR. Group B-There was relief in Sandhishool 29.3%, VAS pain 18.2%, Tenderness 37.2 % Swelling 44.9%, DAS28 18%, ESR 23.3%. At follow-up of 30 days Virechana Karma and Vaitarana Basti were almost equally effective to reduce Sandhishool. Vaitarana Basti is significantly effective than Virechana Karma to reduce Tenderness, Swelling.

scholarly journals A Comparative Clinical Study of Gokshuradi Guggulu with Anupanabheda in The Management of Vatarakta with special reference to Gout

2020 ◽  
Vol 11 (4) ◽  
pp. 664-671
Author(s):  
Rimpaljeet Kaur ◽  
Amitabh Singh
Keyword(s):  
Clinical Trial ◽  
Clinical Study ◽  
Treatment Modality ◽  
Crystal Deposition ◽  
Comparative Clinical Study ◽  
Group A ◽  
Urate Crystal ◽  
Group B ◽  
Lukewarm Water ◽  
Moderate Response

Gout is condition in which person become immobile and inactive due to joint pains and swelling. Gout occurs, when urate crystal deposition of in the joints. Vatarakta is considered as a vata pradhana vyadhi and rakta dushti. Gokshuradi Guggulu is having vatahara and raktashodhak properties. Guduchi kwatha selected as anupana because of its Rasayana, Vatashamaka, Balya, vedana sthapana and Ama pachana properties will help to disrupt the Samprapti vighatana of vatarakta. The objectives of the study were to evaluate the effect of Gokshuradi Guggulu with Anupanabheda in the management of Vatarakta and to compare the result of both groups. This study was randomized, parallel comparative clinical trial of two groups each of 20 patients. From OPD of DBACH Mandigobindgarh; 40 patients of vatarakta taken which were randomly divided into two groups. Group A, 20 patients for 60 days received Gokshuradi Guggulu 1 gm. BD with lukewarm water and Group B,20 patients received Gokshuradi Guggulu 1gm BD with Guduchi Kwatha for 60 days. In Group A, among 20 patient’s 55% patients showed moderate response and 45% patients showed mild response. In Group B among 20 patients, 95 % patients showed moderate response and 5 % patients showed mild response. Both shows statistically highly significant results in both subjective and objective except erythema & discoloration. Treatment modality in Group B (i.e. Gokshuradi Guggulu with Guduchi Kwatha) is effective in comparison of treatment modality in Group A (i.e. Gokshuradi Guggulu with lukewarm water).

scholarly journals A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF KANJIKADI GHRITA AND AMRUTADI GHRITA SNEHAPANA FOR VIRECHANA IN AMAVATA WITH SPECIAL REFERENCE TO RHEUMATOID ARTHRITIS

2021 ◽  
Vol 9 (11) ◽  
pp. 2698-2706
Author(s):  
Kavya J H ◽  
Rajesh Sugur ◽  
Doddabasayya Doddabasayya
Keyword(s):  
Rheumatoid Arthritis ◽  
Comparative Analysis ◽  
Clinical Study ◽  
Special Reference ◽  
T Test ◽  
The Body ◽  
Inclusion Criteria ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B

Amavata is a Vata and Kapha Pradhana Vyadhi caused due to Viruddha Ahara and Vihara resulting in Mandagni, leading to the formation of Ama. Ama with the influence of Vata Dosha circulates all over the body and gets lodged in Shleshma Sthana in Sandhi Pradesha, resulting in the manifestation of Amavata. Snehapana is a mandatory Poorvakarma before Shodhana. Snehapana does the Uthklesha of Doshas before Shodhana, without which proper achievement of Shuddhi is not possible. Snehapana and Virechana are the main lines of treatment for Amavata. To evaluate the better result, here for Snehapana Kanjakadi Ghrita & Amruthadi Ghrita were taken before Virechana which is then compared and analysed statistically. A minimum of 40 patients, fulfilling the diagnostic and inclusion criteria of Amavata according to Ayurveda classics and based on criteria fixed by the American Rheumatology Association (ARA) in 1988 criteria will be selected and randomly assigned into 2 groups, i.e. Group A and Group B consisting minimum of 20 patients in each group. Comparative analysis of the overall effect of the treatments in both groups was done statistically with the Unpaired T-Test. The test shows that the treatment is statistically not significant in Group A when compared to Group B. Overall result of Group A is 25.08% and the overall result of Group B is 31.07%. Keywords: Amavata, Kanjikadi Ghrita, Amritadi Ghrita, Snehapana, Virechana

scholarly journals A comparative clinical study to evaluate the effect of Indrayavadi Yoga and Bhoomyamalaki Choorna in the management of Asrigdara w.s.r. to Puberty Menorrhagia

2020 ◽  
Vol 5 (05) ◽  
pp. 31-38
Author(s):  
Patil Ashwini Shrimant ◽  
P. K. Rawal ◽  
Sunita Shiraguppi ◽  
Shrishail. S. Pujeri
Keyword(s):  
Clinical Study ◽  
Menstrual Cycle ◽  
Research Work ◽  
Cost Effective ◽  
Entire Family ◽  
Excessive Bleeding ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B

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.

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