Sunday 27 March 2022

  INTIMATION FOR BODHIKA SEMINAR - 28/3/2022

 DEPARTMENT OF SHALYA  TANTRA

GOVT. AYURVEDA COLLEGE, THIRUVANANTHAPURAM

NAME  OF  FIRST PRESENTEE : Dr LEKSHMIPRIYA

THESIS TOPIC: EFFECT OF SELECTED TREATMENT 
PROTOCOL IN THE MANAGEMENT OF 
LUMBAR DISC PROLAPSE WITH RADICULOPATHY

NAME OF GUIDE: Dr P BENEDICT

NAME OF CO GUIDE: Dr M S DEEPA

DATE: 28/3/2022

TIME: 2:00-4:00 PM

VENUE: MICROSOFT TEAMS

ABSTRACT

                       Lumbar disc herniation is the most common diagnosis among the degenerative abnormalities of spine (affecting 3 to 56 % of the population), and is the principal cause of spinal surgery among the adult population. Disc herniation occurs when the outer fibers of inter vertebral disc called annulus fibrosus is injured, and soft material known as nucleus pulposus ruptures out of its enclosed space. It is not a onetime phenomenon, rather it is a sequence of changes in the disc, which ultimately leads to it’s prolapse. Herniation of lumar disc can be central, paramedian or lateral and the symptoms varies accordingly.It is often asoociated with neurological symptoms, altered sensation and weakness in the muscles innervated by compressed nerve roots. Serious neurological symptoms are an indication for urgent surgery to decompress the nerve roots. Factors which will increase the risk of disc herniation includes aging, lifestyle choices, poor posture etc which will increase the intra discal pressure. Diagnosis focuses on presenting signs and symptoms, physical examination and investigations like X – ray and MRI etc. Clinical picture similar to lumbar disc prolapse with radiculopathy is seen under the heading of Ghridhrasi in vathavyadhi prakarana.

                            This study is to clinically prove the effect of selected Ayurvedic treatment protocol in the management of lumbar disc prolapse with radiculopathy. Study design is formulated as interventional pre and post study without control with a sample size of 30. Patients of both gender attending Inpatient department of shalyatantra, Govt. Ayurveda college Hospital, Trivandrum, in the age group of 30 to 60 years, satisfying the inclusion criteria is selected for the study. Patients were subjected to bandhana and traction, Snehapana with guggulu thikthakam gritham followed by abhyanga ushma sweda with sahacharadi thailam and virechana with gandharva erandam, kayasekam with dhanwantharam thailam  and finally vaitharana vasthi . Along with above procedures, internal medicines administered are vaiswanarachurnam, Gandharva hasthadi kashayam , yogaraja guggulu for first week and sahacharadi kashayam , sahachardi 21 avarthi thailam and yogaraja guggulu after peyadikrama & during follow up period. The research participants assessed on the day of admission, on the day of discharge and follow up  was done 30 days  after completing treatment. At present 28 participants registered and effect of therapy also assessed among them


NAME  OF SECOND PRESENTEE : Dr MERIN C JOSEPH

THESIS TOPIC: EFFECT OF AGNIKARMA IN 
PERIANAL SUBCUTANEOUS FISTULA

NAME OF GUIDE: Dr P BENEDICT

NAME OF CO GUIDE: Dr REMYA V R 

DATE: 28/3/2022

TIME: 2:00-4:00 PM

VENUE: MICROSOFT TEAMS

ABSTRACT

Fistula is an abnormal communication between the lumen of one viscus to another or the body surface or between the vessels. It is recurrent in nature which makes it more and more difficult for treatment. Word ‘Fistula’ literally means a pipe or flute. Anal fistula composed of a tract which is made of fibrous tissue in which unhealthy granulation tissue is present. Prevalence of this disease is common in general population.

In Ayurveda, Fistula-in-ano can be correlated with Bhagandara on the basis of signs and symptoms. In Ayurveda Treatment options described as Shastra Karma, Kshara Karma,Agni Karma etc., these can be used alone or in combinations as per various clinical situations.

The aim of the study is to evaluate the effect of Agnikarma in the management of Bhagandara. This is an interventional study; sampling method is purposive sampling and the sample size is 23.Patients of age group 20-60 years having Perianal subcutaneous fistula are taken irrespective of gender from the OPD and IPD of the Department of Salyatantra, Government Ayurveda college, Thiruvananthapuram, satisfying inclusion and exclusion criteria.The study period is for 6 weeks and follow up for 3 months(after the study period).

The procedure include laying open the subcutaneous fistula tract and Agnikarma is done on the tract with panchaloha salaka after all necessary pre requisites.After the procedure dressing was done with madhu and ghrta.Essential medicines were given.

The assessment will be done on the 0 th day ,7 th day,14 th day,21st day,28th day,35th day ,42 th day.The outcome variables are discharge,length of the tract in cm and healing time in number of weeks.At present, 20 participants completed the study and the effect of therapy was also assessed among them.


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