Role of 5% Tankana bhasma in Gomutra Arka as a Chemical Debridement agent in the Management of Pressure Ulcer - A Case Report

Background and Objective: Pressure ulcers regarded as preventable but occur in approximately 5% of all hospitalized patients (range of 3% to 12 % in published literature). It is more common in paraplegic patients. Only after the complete debridement of slough in grade 3 and grade 4 pressure sores the healing progresses and the infection can be controlled. A chemical solution of 5%Tankana in Gomutra Arka was reviewed in the management of a case of pressure ulcer. Presentation of Case: A 26 year old male hemiplegic patient presented with a wound in the sacral region which was diagnosed as a Grade 4 pressure ulcer measuring 12x13 cm. Manual Debridement of ulcer was associated with bleeding. Methodology: There after the solution of 5% Tankana in Gomutra Arka was applied upon the wound by soaking a gauge with the above solution. A regular passive movement of the lower part of the body was done to prevent further development of new Ulcer. Result: After 3 days of dressing 90 % or slough was reduced, discharge from the ulcer reduced and progression of infection had stopped. Discussion: Pressure ulcers impose an economic burden on the patient and common problem amongst bed ridden patients. Grade 4 pressure ulcers have a poor prognosis. Manual slough removal is usually associated with bleeding. Chemical debridement not only helps us in avoiding instances of bleeding but also is more effective in its reach and action. Conclusion: In this case 5% Tankana bhasma in Gomutra Arka was found to be very effective in slough removal which in turn reduced the total duration of management. Use of Chemical debriding agents in a grade 4 ulcer had hastened the process of slough removal and improves the overall rate of recovery. Mixture of Tankana and Gomutra Arka seemed to complement each other’s action on Vrana Shodhana.

Antimicrobial Potency of Ayurveda Principle based HSP Mixture for Gargling, Steam Inhalation, and Nebulisation in Prevention and Early Management of SARS-COV-2 Disease

Introduction: The SARS-COV-2 disease has become the strongest among all the deadly respiratory diseases in taking the lives of lakhs of humans. The current study adopts the Ayurvedic principle of Samprapti Vighatana i.e. arresting the pathogenesis, through the usage of a novel self-formulated medicine powder named Haridradi Steam Powder (HSP) which is an anti-microbial decoction used for gargling, steam inhalation therapy, and nebulisation in the prevention of SARS-COV-2 disease by reducing the viral load in patients. Methodology: Haridradi Steam Powder (HSP) containing decoction for gargling, steam, and nebulisation by adding 3% normal saline were prepared and given to the -participants as per self-made protocol i.e. gargling was advised for primary contacts, asymptomatic patients, and healthy persons as a preventive tool. High-pressure steam inhalation was advised for mild to moderate symptomatic patients and 3% normal saline nebulisation was advised for moderate symptomatic patients. Results: Out of the total of 30 cases, comprising 22 primary contacts, 3 HRCT atypical viral pneumonia with severity score from 8 to 16, 3 RT-PCR positive patients, and 2 RT-PCR positive patients with HRCT score, a marked improvement was seen in more than 20 subjects within a short span of time. Conclusion: The treatment formulation HSP Mixture is found to be effective yet simple, safe, and cost-effective, and is used in different therapies in the prevention and management of early SARS-COV-2 disease.

Management of Constipation through Yogic Therapy

The purpose of this review article is to identify and analyse, the problem of constipation, its causes, symptoms, risk factors and complications arising in human life. Constipation problems were recognised by some previous empirical research. Constipation presents as a perpetual problem in health-care with painful and debilitating consequences, however, it is frequently preventable. A prerequisite to prevention is an assessment of the risk of a condition occurring so that interventions can be individualised in an attempt to prevent it. Yoga is a unique way of lifestyle management of many common health misalignments for the prevention of diseases, preservation and promotion of health. Yoga, in fact, gives due importance to different layers of existence functions for maintaining positive health example physical layer (Annamaya Khosa), pranic layer (Pranamaya Khosa), mental layer (Manomaya Khosa), scientific layer (Vigyanmaya Khosa) and blissful layer (Anandamaya Khosa). Yoga is a science of integration of human consciousness with nature. The objective experimentation is the most important aspect of searching the truth employed by modern science that searches into many practices of yoga demanding both subjective as well as objective tools for understanding the effects for further application and wider acceptance. Studies have been conducted around the world on many yoga therapies for the management of the problem of constipation i.e enema that clears the constipation and provide mental peace. This enabled subsequent work to be performed to develop a risk assessment tool for constipation that could be used in clinical practice.

Effect of Hijamah (Dry Cupping) on Frozen Shoulder: A Case Study

Frozen shoulder or adhesive capsulitis is one of the most common causes of shoulder pain and disability in the general population. Its prevalence is 2-5% in the general population and 10-20% among diabetics. It predominantly affects females and most commonly affects people between the ages of 40 and 60 years. The left shoulder is more likely to be affected, with both shoulders affected in 12% of cases. A case study is presented to illustrate the clinical presentation, aetiology, diagnosis, radiological assessment, and management of frozen shoulder through Hijamah bila shurt (dry cupping) in a 60-year-old diabetic male patient. The present case was studied for over 8 weeks; Hijamah (dry cupping) was done on prescribed points for the affected shoulder twice a week for 8 weeks, and assessment was done at baseline and every 2 weeks. This study concluded that regimental therapy Hijamah bila shurt (dry cupping) has a significant effect in reducing pain, stiffness of joints, and increasing range of motion in frozen shoulder.

Zumurrud (emerald): Medicinal Potential of a Gemstone from Jawaharat-i-tis ‘a(navratan), in the Perspective of Unani Medicine

Emeralds are transparent and coloured varieties of beryl mineral. It is categorised as a precious and valuable stone. It has a beautiful, intense, and radiant green colour. Emerald is one of the most expensive gemstones due to its bright green colour, durability, and rare availability. A fine and top quality emerald is more valuable than diamonds. Basically, it is found in gold mines and takes a long period of 21 years to reach its complete formation. Emerald has been used for medicinal purpose from ancient time. In Babylon (the oldest gem market), the fine quality emerald crystal gem was dedicated to the goddess Venus. In the case of emerald, it is believed that it represents immortality and faith. In the Unani system of medicine, it is used as a vital organ tonic, cicatrizant, diuretic, lithotriptic, antidote, eye tonic, blood purifier etc. It is used in cases of anuria and some psychic conditions like stress and anxiety. It stimulates the use of greater mental capacity and enhances memory. No pharmacological studies on emerald have been done yet, so this article has been compiled for its medicinal uses in the perspective of Unani medicine to provide a lead for pharmacological studies on this precious gemstone.

Comparative Study of Efficacy and Safety of Coded Unani Formulations–UNIM-001+UNIM-003 with Methoxsalen in Cases of Bars (Vitiligo)

Background: Vitiligo is a common acquired disorder of skin depigmentation in varying patterns, varying from small maculae’s with scalloping borders to near total depigmentation of body. The prevalence of vitiligo in India has been invariably reported between 0.25% and 4% of dermatology outpatients across studies from India and up to 8.8% in Gujarat and Rajasthan. The study was conducted to compare the coded Unani formulation UNIM-001 (tablet) and UNIM-003 (ointment) with Melanocyl tablet (10mg each) (Methoxsalen) as standard control. Methodology: Sixty Five patients of trial group (UNIM-001+ UNIM-003) and sixty seven patients of control group (Comparator group) of 12-50 years of either sex were selected from patients attending the Out Patient Department (OPD), at RRIUM, Aligarh during 2015-18. The patients were treated for eight months with instructions and are followed every month for efficacy and safety of the drug(s). The CRF was maintained, and post treatmet followup was done at 3 months for the repigmentaion retained by the patient. Result: The UNIM-001 (tablets) and UNIM -003 (ointment) and standard control drug Melanocyl tablets (methoxsalen) showed same results and did not show any side effects. Conclusion: The trial drug and the standard control drugs both possess same anti- vitiligo efficacy and are also safe for the patients.

Efficacy of Shadbindu Ghrita Nasya (Nasal Medication) in Vataja Pratishyaya/Allergic Rhinitis: A Case Study

Background: Vataja pratishyaya is a disease affecting the nasal cavity. The clinical features of vataja pratishyaya include anaddha nasa (nasal obstruction), pihita nasa (stuffy nose), tanusarava (thin, watery discharge), bhrisha kshava (excessive sneezing), shirovyatha (headache), swarpopaghata (change of voice) and chirapaka (chronic perpetuation). Due to the similarity in symptomatology, the disease is compared to allergic rhinitis in modern parlance. Sushruta mentions snehana type of navana nasya to treat vataja pratishyaya/allergic rhinitis and emphasises the importance of optimal dose measured as per magadga mana to treat these conditions. In this paper, a case of vataja pratishyaya/allergic rhinitis and its management with shadbindu ghrita nasya with a textual dose of 12 ml to each nostril is discussed. Methods: The patient suffering from vataja pratishyaya/allergic rhinitis was treated with 2 courses of Shadbindu ghrita nasya, each course consisting of one sitting per day for 7 days. In each sitting 12 ml of shadbindu ghrita was poured into each nostril. Result: Patient’s clinical status was assessed on 7th, 21st and 28th day. Remission of symptoms like sneezing, rhinorrhoea, nasal pruritus, nasal congestion, itching in the eyes, and palate was observed after first course of nasya and on 21st day. Complete remission of almost all symptoms was observed after 2 courses of treatment. Patient was followed up for 4 months and no recurrence of symptoms observed. Conclusion: A case of vataja pratishyaya/allergic rhinitis outlines a clear history and resolution of symptoms and signs following 2 courses of shadbindu ghrita nasya for 7 days administered as per snehana nasya schedule is very effective in complete resolution of symptoms in vataja pratishyaya/allergic rhinitis.

Shweta Pradara - A Localised Symptom of the Female Reproductive System or a Systemic Disease? - A Review

Shweta pradara is a pathological condition that is characterised by a localised symptom that is whitish discharge from the vaginal canal. The following are three criteria of leucorrhoea. 1) Excess secretion is evident from persistent vulvar moistness or staining of the undergarments or need to wear a vulvar pad, 2) It is non-purulent and non-offensive, 3) It is non-irritant and never causes pruritis, treatment of which includes to improvise the general health condition along with other specific management. Shweta pradara closely resembles leucorrhoea but does not completely fulfil the criteria. It has been explained mainly as a symptom in many diseases related to stree roga as well as prasuti tantra. Treatment options involve oral medications along with other lines of treatment like basti, lepa, varti, prakshalana and pichu. This indicates that the condition is more than just local. Very less has been explored about the systemic involvement in Shweta pradara which can be attempted to be established as the systemic disease as the acharyashave mentioned a separate classical treatment in order to combat the ailment, else can be understood as an important symptom of an underlying cause so as to attain symptomatic relief. Interpretation of Shweta pradara as a disease has been dealt in the article.

Clinical Study on Effect of Swarnamritaprashana (Modified Swarna Prashana) in the Management of Shayyamutra in Children

Background: The psychosomatic problems of children vary widely in accordance with many factors, which are responsible for children’s physical, mental and emotional progress. In this connection there are so many developmental, behavioral disorders of childhood. Out of them Shayyamutra (enuresis) is the most common messy disorder which is psychosomatic in nature, commonly seen in growing children. Along with other medhya and balya drug it can give better results in Shayyamutra along with Satvavajayachikitsa, that is the reason this study was taken. Materials and Methods: 40 patients of Shayyamutra satisfying diagnostic criteria and age 6-16 years were selected from outpatient department of Kaumarbhritya, SDM College of Ayurveda and Hospital, Hassan. Among them, 20 patients were treated with swarnamritaprashana capsule daily once for two month along with satvavajaya chikitsa in study group. The other 20 patients were treated with ghrita bharjita Godhuma capsule (placebo) daily once for two month along with satvavajaya chikitsa in control group .The patients were assessed on the completion first month, second month and followed again after third month. It was open labelled standard control non-randomized prospective clinical trial from August 2016 to Feb 2017. Result: Statistically significant effect (p<0.05) of swarnamritaprashana capsule along with satvavajaya chikitsa in reduction of all signs and symptoms of nocturnal enuresis after treatment were observed. Conclusion: Swarnamritaprashana along with satvavajaya chikitsa is effective in reducing the signs and symptoms of Shayyamutra.

Conceptual Analysis of Nasya Karma in Netra Rogas

Panchakarma plays an important role in Ayurveda, which does the function of cleansing the body from Doshas. Among them, Nasya is mainly indicated for UrdhwajatrugataVikaras, in which Doshas are eliminated by means of the nearest possible opening, the nose. Netra, being considered as the important Indriya among others, should be protected with utmost care. Considering Ama-Nirama concept of Netra, treatment of NetraRoga is decided in which SthanikaDoshaShodhanais very essential. For that, NasyaKarma is considered as an option among other ShodhanaKarmas. A proper Shodhana at proper stage of a disease can avoid unnecessary surgeries even. Benefits of NasyaKarmain NetraRogas are already proved through various previous studies. This article is an attempt to conceptually analyze the role of NasyaKarma in NetraRogas through various literature sources of Ayurvedaand contemporary science.