"Clinical study to assess the efficacy of Nitya Shodhana, Shaman and Rasayana chikitsa in the management of Sandhigata vata with special reference to osteoarthritis.

2018 ◽  
Vol 6 (5th) ◽  
Author(s):  
Gaurangi Girish Karmarkar ◽  
Prajakta Rasal ◽  
VINAY ANKUSH PAWAR
Keyword(s):  
Clinical Study ◽  
Dietary Habits ◽  
Statistical Tests ◽  
Weight Bearing ◽  
Signs And Symptoms ◽  
Potential Effect ◽  
Physical Activities ◽  
Pathological Changes ◽  
Joint Disorder ◽  
Nocturnal Pain

Background: Inappropriate physical activities as well as improper dietary habits lead to Osteoarthritis. The vitiated Vata vitiates other Dosha that gets launched in Sandhi (joints) which leads to pathological changes termed as Sandhigata Vata. In Ayurveda, Shodhana and Shamana Chikitsa are indicated for pacification of aggravated Dosha and Rasayana Chikitsa for replenishment of Dhatukshaya. Methods: In the present study, 30 study subjects showing classical signs and symptoms of Sandhigata Vata were enrolled. Gokshuradi Guggulu as Shamana Chikitsa, Gandharvahastyadi Kashaya as a Nitya Shodhana along with Dashamoola Kwath Parisheka was given for 14 days followed by Rasayana Churna (Gokshura-Guduchi-Amalaki) for three months. Assessment of clinical efficacy was done on the basis of subjective and objective parameters - Shool (Resting Pain), Shool (Nocturnal Pain), Akunchan Prasarna Shool (Pain of Movements) of Knee, assessment of Pain of Weight bearing, Difficulty in Walking (Sakashtagaman), Pidanasahatwa (Tenderness), Shotha, Range of movementwas done. The data generated through clinical study was subjected to appropriate statistical tests. Results: Significant relief was observed in all symptoms which was statistically significant too (p < 0.05). Not a single adverse event reported in any of the study subjects during or after the study. Discussion: Gokshuradi Guggulu is an effective Rasayana as well as Shaana, Guggulu acts as Vatahara, Shoolahara. Gandharvahastyadi Kashaya helps in vatanulomana & regularizes vatadosha. Dashamoola Kwath Parisheka pacifies Vatadosha and thus relieves pain and swelling in Sandhigata Vata. Rasayana Churna proved to be very effective in managing the degenerative joint disorder like Sandhigata Vata. Conclusion: Present study reveals that the selected composite management of Nitya Shodhana, Shamana and Rasayana Chikitsa has potential effect on Sandhigata Vata with the added advantage of being free from side effects.  

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 ON THE EFFECTIVENESS OF RASONA TAILA AND GANDHARVAHASTADI ERANDA TAILA IN GRIDHRASI (SCIATICA)

2020 ◽  
pp. 15-22
Author(s):  
Athira.C ◽  
Ajay Bhat U
Keyword(s):  
Clinical Study ◽  
Sciatic Nerve ◽  
Statistical Tests ◽  
Medical Science ◽  
Signs And Symptoms ◽  
Lateral Aspect ◽  
Painful Condition ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B

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.

scholarly journals A COMPARATIVE CLINICAL STUDY ON THE EFFECTIVENESS OF VASADI DASHANGA KWATHA AND PATOLADI KWATHA IN AMLAPITTA (NON ULCER DYSPEPSIA)

2020 ◽  
pp. 29-37
Author(s):  
Mithun.K ◽  
K.Ravindra Bhat
Keyword(s):  
Clinical Study ◽  
Statistical Tests ◽  
Signs And Symptoms ◽  
Standard Dosage ◽  
Life Styles ◽  
Life Style Changes ◽  
Group A ◽  
Non Ulcer Dyspepsia ◽  
Group B

The ignorance about food and present life styles has made people at large to indulge in unwholesome food habits and regimens. Due to this lifestyle and improper diet pattern, there will be metabolic impairment leading to Amlata and Vidhagdhata of the consumed food. This is recognized as Amlapitta in Ayurveda. The Lakshanas of Amlapitta can be correlated with signs and symptoms of Non-ulcer Dyspepsia. The line of treatment as per allied science is life style changes, use of H2 receptor blocking agents and Proton Pump Inhibitors (PPI). Long term use of these antacids has shown various side effects. The patients with non ulcer Dyspepsia will have regurgitation despite of adequate acid suppression by treatment. It causes significant economic impact due to the long-term management of the disease and costs of possible complications. There is a need for a better medicine which can counter such changes and can reduce Amlata and Vidagdhata of consumed food. Medicines explained in Ayurveda have the ability to do the same. For this purpose, Vasadidashanga kwatha which is explained in Bhaishajya Ratnavali in comparison with Patoladikwatha as per mentioned in Chakradatta in the management of Amlapitta is been undertaken. Methods: In Clinical study, 60 patients fulfilling the diagnostic inclusion criteria were selected from OPD and IPD of Hospitals of South Canara and special camps conducted for the same. Patients were divided into 2 groups Group A and Group B and compared with Vasadidashangakwatha and Patoladikwatha with the standard dosage of Kwatha for a period of 30 days. Results: Assessment of the total effect of therapy was made by analyzing the data with suitable statistical tests of significance. Overall the test has shown significant result in Group A compared to Group B. Conclusion: Both Vasadidashanga kwatha and Patoladi kwatha showed good results in reduction of signs and symptoms of Amlapitta. Vasadidashanga kwatha gave better results in comparison with Patoladikwatha clinically. The statistical analysis also supported this by concluding that the improvement after treatment is highly significant in Group A (Vasadidashanga kwatha) when compared to Group B (Patoladikwatha).

scholarly journals A Clinical Study of Arka Kshara Patanain the Management of Jirna-Gudprikartika(Chronic Fissure In Ano)

2021 ◽  
Vol 04 (11) ◽  
Author(s):  
Pankaj Potalia
Keyword(s):  
Clinical Study ◽  
Anal Canal ◽  
Rectal Bleeding ◽  
Dietary Habits ◽  
Early Stage ◽  
Signs And Symptoms ◽  
Local Application ◽  
Personal Hygiene ◽  
Fissure In Ano ◽  
Important Sign

Fissure means a tear or crack. In other words, fissure-in-anois simply just a tear in the anal canal. Mainly occurs because of constipation or loose motion (frequently passing stool) or as a complication of Virechan & Basti karma. One and most important sign of fissure-in-ano is pain and bleeding during and after defecation. Severity and complication increase along with time, recurrence, and routine habits. Daily lifestyles include dietary habits, working field, personal hygiene, sleep & bowel habits, stress, etc. which directly affects the digestion of an individual. And we all know that our digestion is the direct key to our health. Early-stage or acute fissure can be cured by local application of medicines or by subsiding digestive issues (constipation or loose motions). But chronic fissure or fissure due to spasticity of sphincters is still a point of worry and research. In our study, we included 60 patients having signs and symptoms of Parikartika from OPD, and Arka kshar was used for local application. The patient was clinically assessed based on pain, per rectal bleeding, itching etc. Significant results were observed in spasticity and symptoms of patients.

Clinical Study of Shirishadi tablet in the management of Tamaka Shvasa w.s.r. to Bronchial Asthma

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Pankaj Chhayani ◽  
Hemang Raghavani ◽  
Dhananjay Patel
Keyword(s):  
Internal Medicine ◽  
Clinical Study ◽  
Side Effects ◽  
Bronchial Asthma ◽  
Medical Science ◽  
Signs And Symptoms ◽  
Effective Remedy ◽  
All Diseases

Tamaka Shvasa is described as a most difficult to cure (Yapya) among all diseases in Ayurveda. In present study Tamaka Shvasa is correlated with Bronchial Asthma because of its symptomatology is much similar with Tamaka Shvasa. In modern medical science, steroids and bronchodilators are mainly used for its management, but they cause certain side effects. Present study was undertaken to provide safe and effective remedy for Tamaka Shvasa through Ayurvedic medicaments. Shirishadi tablet was given as internal medicine for 30 days. Upto 60% relief was found in signs and symptoms of Tamaka Shvasa.

Outcomes and Cost of Outpatient or Inpatient Management of 712 Patients With Febrile Neutropenia

2008 ◽  
Vol 26 (4) ◽  
pp. 606-611 ◽  
Author(s):  
Linda S. Elting ◽  
Charles Lu ◽  
Carmelita P. Escalante ◽  
Sharon H. Giordano ◽  
Jonathan C. Trent ◽  
...  
Keyword(s):  
Febrile Neutropenia ◽  
Statistical Tests ◽  
Signs And Symptoms ◽  
Low Risk ◽  
Outpatient Management ◽  
Single Episode ◽  
Risk Patients ◽  
Inpatient Management ◽  
The Mean ◽  
Mean Cost

Purpose We retrospectively compared the outcomes and costs of outpatient and inpatient management of low-risk outpatients who presented to an emergency department with febrile neutropenia (FN). Patients and Methods A single episode of FN was randomly chosen from each of 712 consecutive, low-risk solid tumor outpatients who had been treated prospectively on a clinical pathway (1997-2003). Their medical records were reviewed retrospectively for overall success (resolution of all signs and symptoms of infection without modification of antibiotics, major medical complications, or intensive care unit admission) and nine secondary outcomes. Outcomes were assessed by physician investigators who were blinded to management strategy. Outcomes and costs (payer's perspective) in 529 low-risk outpatients were compared with 123 low-risk patients who were psychosocially ineligible for outpatient management (no access to caregiver, telephone, or transportation; residence > 30 minutes from treating center; poor compliance with previous outpatient therapy) using univariate statistical tests. Results Overall success was 80% among low-risk outpatients and 79% among low-risk inpatients. Response to initial antibiotics was 81% among outpatients and 80% among inpatients (P = .94); 21% of those initially treated as outpatients subsequently required hospitalization. All patients ultimately responded to antibiotics; there were no deaths. Serious complications were rare (1%) and equally frequent between the groups. The mean cost of therapy among inpatients was double that of outpatients ($15,231 v $7,772; P < .001). Conclusion Outpatient management of low-risk patients with FN is as safe and effective as inpatient management of low-risk patients and is significantly less costly.

scholarly journals An open label single arm prospective clinical study on Vatagajankusharasa with Pippali Churna and Manjishta Kwatha as Anupana in Viswachi (cervical spondylosis)

2020 ◽  
Vol 5 (01) ◽  
pp. 73-80
Author(s):  
Moh Gulfam ◽  
Totad Muttappa ◽  
Neelam Bisht ◽  
Vishnu M L ◽  
Yadu Gopan
Keyword(s):  
Clinical Study ◽  
Ordinal Data ◽  
Cervical Spondylosis ◽  
Signs And Symptoms ◽  
Upper Extremities ◽  
Secondary Outcome ◽  
Prospective Clinical Study ◽  
Rank Tests ◽  
Open Label ◽  
Signed Rank

Background: Viswachi is one among the 80 Nanatmaja Vata Vyadhi. This disease affects the neck and upper extremities with the signs and symptoms like Ruk, Stambha, Toda, Bahu Karmakshaya. Vatagajankusha Rasa is a combination of Vyosha, Bhasmas, Vatsanabha, Karkatasringi, Haritaki etc. It has Vatakaphahara, Vikasi, Vyavayi, Rasayana etc. properties. It is said to be effective in treating Visawachi in 7 days if given along with Pippali Churna and Manjishta Kwatha. Aims and Objectives: To evaluate the efficacy of Vatagajankusha Rasa with Pippali Churna and Manjishta Kwatha as Anupana in the management of Viswachi (Cervical spondylosis). Methodology: Among 35 registered patients, 30 completed the course of treatment. They were administered with Vatagajankusha Rasa 1 tablet (125 mg) after food with Anupana 3gm Pippali Churna and 15 ml Manjishta Kwatha twice daily (morning and evening) for a period of 7 days. Nominal and ordinal data were analysed using non parametric tests like McNemar and Wilcoxon’s signed rank tests respectively. Result: Assessment parameters like Ruk, Toda, Sthambha and Bahukarma Kshya. There was statistically significant improvement in the primary and secondary outcome measures (p less than 0.05 was observed). Conclusion: Vatagajankusha Rasa with Pippali Churna and Manjishta Kwatha as Anupana is effective in the management of Viswachi (Cervical spondylosis).

scholarly journals Evaluation of the intensive rehabilitation protocol after arthroscopically assisted anterior cruciate ligament reconstruction

2006 ◽  
Vol 134 (11-12) ◽  
pp. 532-536 ◽  
Author(s):  
Emilija Dubljanin-Raspopovic ◽  
Marko Kadija ◽  
Dragana Matanovic
Keyword(s):  
Statistical Tests ◽  
Cruciate Ligament ◽  
Weight Bearing ◽  
Thigh Circumference ◽  
Hop Test ◽  
Arthroscopically Assisted ◽  
Approach Method ◽  
Anterior Cruciate ◽  
A Prospective Study ◽  
Intensive Rehabilitation

Introduction: Optimal treatment of ACL (anterior cruciate injury) injuries is one of the most dynamic topics of contemporary orthopedics. Despite huge amount of publications on this subject, golden rehabilitation standard has not been established yet. Objective: The aim of our study was to compare two different rehabilitation groups in respect to dynamics and safety of recovery, and accordingly to recommend contemporary rehabilitation approach. Method: A prospective study included 45 patients with unilateral ACL rupture who were randomized into conservative (THC) and intensive rehabilitation (TH-I) group. The arthroscopic reconstruction of ACL was performed using the BTBP or STG graft. After the operation, in the TH-C group, ROM was limited to 0-0-90? and weight bearing was not allowed in the first 4 postoperative weeks. In the TH-I group, progression depended only on the knee edema and pain. The groups were compared in relation to demographic, anamnestic, and clinical characteristics (knee circumference, thigh circumference, stability tests, Lysholm, Tegner and one-leg hop test, and single stance test). Data were recorded preoperatively and postoperatively after 6 weeks, 4, 6, 9 and 12 months, and compared with parametric and non-parametric statistical tests. Results: The investigated groups clearly differed already after 6 weeks by range of motion (p<0.05), thigh circumference (p<0.01) and Lysholm test score (p<0.01), after 4 months in relation to one leg hop test (p<0.05), and after 6 months according to Tegner test (p<0.01). In the TH-I group, graft integrity was not compromised in any of these patients, nor did postoperative arthrofibrosis develop. Conclusion: Our investigation has undoubtedly revealed that early intensive rehabilitation approach leads to faster functional recovery without complications compared to conventional rehabilitation treatment.

scholarly journals Effectiveness of Exercise Therapy and its Variations in Lower Limb Osteoarthritis: A Literature Review

2014 ◽  
Vol 48 (4) ◽  
pp. 190-196 ◽  
Author(s):  
Himmat S Dhillon
Keyword(s):  
Literature Review ◽  
Strength Training ◽  
Exercise Therapy ◽  
Lower Limb ◽  
Functional Outcomes ◽  
Tai Chi ◽  
Weight Bearing ◽  
Functional Limitation ◽  
Joint Disorder ◽  
The Common

ABSTRACT Osteoarthritis is an irreversible, progressive, degenerative joint disorder of multifactorial etiology that commonly affects weight-bearing joints and leads to pain, loss of movement and functional limitation. Exercise therapy has been shown to be beneficial in osteoarthritis, in terms of decreased pain, improved motion and improved functional outcomes. This review aims to look at some of the common as well as newer modalities of exercise therapy for osteoarthritis (OA), such as strength, training, stretching, agility training, aquatic exercises, Tai Chi and combinations of these modalities. How to cite this article Dhillon HS, Sharma M, Sharma S. Effectiveness of Exercise Therapy and its Variations in Lower Limb Osteoarthritis: A Literature Review. J Postgrad Med Edu Res 2014;48(4):190-196.

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