INTIMATION FOR BODHIKA SEMINAR 22/11/2023
DEPARTMENT OF SALYATANTHRA
NAME OF FIRST PRESENTEE:Dr. RENJU L A
DISSERTATION TITLE: CLINICAL STUDY TO EVALUATE THE EFFECT OF SIRAVEDHA IN THE MANAGEMENT OF VISWACHI WITH SPECIAL REFERENCE TO CERVICAL RADICULOPATHY
TIME: 2:00-4:00 PM
VENUE: COLLEGE AUDITORIUM
ABSTRACT
Radiculopathy, commonly
referred as pinched nerve, refers to a set of conditions in which one or more
nerves are affected and their functioning is hampered.
Cervical radiculopathy is a
clinical condition resulting from compression of nerve roots due to disc
herniation or degenerative stenosis which leads to neck pain, numbness and radiating arm pain in the
distribution of the affected nerve root.
Often this radicular pain is
accompanied by motor or sensory disturbances also.
The main treatments available
are use of nonsteroidal anti-inflammatory drugs, epidural steroid injection and
surgery in the last stages. But the side effects of NSAID’s, incomplete neurologic
recovery, loss of full cervical range of movement and surgical complications
are the main hurdle in the management of cervical radiculopathy.
In Ayurvedic classics, clinical
picture of cervical radiculopathy can be explained under the heading of viswachi.
It is a vatavyadhi mainly affecting the kandaras leading to
restricted movements and loss of function of upper limb. Snehana, swedana,
nasya etc. are the regular treatment procedures done to alleviate the
symptoms of viswachi. But these procedures are time consuming and do not
give an instant relief of pain. Even after the complete course of snigdha
rooksha chikitsa the symptoms of viswachi may be persisting.
In such cases siravedha can make remarkable changes in its clinical
picture. According to classics in viswachi, the sira located 4 angula above or below the
koorpara sandhi (cephalic vein) is to be punctured.
It is a simple, cost
effective and less time-consuming procedure which gives immediate relief of
symptoms.
So, the present study was taken to evaluate the effect
of siravedha in reducing pain, numbness, disability and tenderness in viswachi
with special reference to cervical radiculopathy. Study design was formulated
as pre and post interventional study. Sampling method was consecutive sampling
and the sample size was 20. Participants between the age group of 30-60 years
irrespective of gender diagnosed as having cervical radiculopathy, fulfilling
the inclusion and exclusion criteria, attending the OPD and IPD of department
of salyatantra, Government Ayurveda college Thiruvananthapuram were taken for
the study. A maximum amount of 300 ml of blood was collected from corresponding
cephalic vein as a onetime procedure. The findings were recorded and analysed
using the most appropriate statistical tests. The
results showed that siravedha is
effective in the management of viswachi
with special reference to cervical radiculopathy.
NAME OF FIRST PRESENTEE:Dr.ATHIRA SOMAN
DISSERTATION TITLE: A CLINICAL STUDY TO EVALUATE THE EFFECT OF TOPICAL APPLICATION OF APAMARGADI GHRITA FOR UTSADANA-GRANULATION TISSUE FORMATION-IN DUSHTA VRANA.
TIME: 2:00-4:00 PM
VENUE: COLLEGE AUDITORIUM
ABSTRACT
Nonhealing ulcers are defined as spontaneous or
traumatic lesions, mainly in lower extremities that persist despite appropriate
treatment and do not proceed towards healing in a defined time period. Wound
healing is a very dynamic and complex process. It is divided into 5 stages in
which granulation tissue formation, angiogenesis and synthesis of collagen
occurs in the proliferative phase. On the basis of clinical features,
nonhealing ulcers can be considered as dushtavrana
in Ayurveda. Different types of vrana and sixty types of treatment
modalities are well explained in susrutha samhitha. Utsadana karma is indicated in nonhealing ulcers with poor
granulation tissue. It is the procedure by which the deep floor of the wound is
elevated using drugs which promote growth of new tissues. Utsadana of vrana can
be correlated with the proliferation of new tissues in the wound healing
process.
The conservative and surgical management for nonhealing ulcers mainly includes debridement, skin grafting and wound dressings. Eventhough these treatment methods help in healing the ulcer, the rate of reccurence is more due to the formation of unhealthy granulation tissue. Also it leads to complications like infection, sensory deficits, scarring and bleeding.Susruthacharya mentioned the drugs for utsadana in Misrakadhyaya. Rasayana, brimhana and balya properties of these drugs will help in the formation of healthy granulation tissue. Apamargadi ghrita has been mentioned in sushruta samhita for the utsadana of dushta vranam. The aim of the study was to evaluate the effect of topical application of Apamargadi ghrita in the utsadana of dushta vranam. This was an interventional single group study and the sampling method was consecutive. The sample size was 20. The study was done for a period of 30 days. Participants of age group 30-70 yrs having chronic non healing ulcers were taken from the OPD and IPD of the Department of Shalyathantra, Government Ayurveda college,Thiruvananthapuram, satisfying inclusion and exclusion criteria.The result was statistically analysed.The result shows that topical application of Apamargadi ghrita is effective in utsadana-granulation tissue formation of dushta vrana.
NAME OF THIRD PRESENTEE:Dr.SANDHYA AJITH
DISSERTATION TITLE: A COMPARATIVE CLINICAL STUDY TO EVALUATE THE ANTIMICROBIAL EFFECT OF KSHALANA OF TRACT WITH THRIPHALA KHADIRADI KASHAYA AS AN ADD-ON PROCEDURE WITH KSHARASUTHRA THERAPY IN FISTULA IN ANO.
TIME: 2:00-4:00 PM
VENUE: COLLEGE AUDITORIUM
ABSTRACT
Fistula
in Ano is an abnormal tract or cavity lined with granulation tissue that
connects a primary opening inside the anal canal to a secondary opening in the
peri anal skin[1]. It is a cryptoglandular infection caused by
organisms like klebsiella, staphylococcus aureus etc. The incidence of fistula in Ano is 1-8 per
10,000 persons every year[2]. Established cases of fistula in Ano
seldom shows any intention towards healing due to the irritant discharges and
non-dependent drainage[3].
In Ayurveda fistula in Ano can be
correlated with Bhagandara. In the pathogenesis of Bhagandara,
infection and development of a pidaka precedes the formation of a sinus
and later it becomes a fistula. Features of dushta vrana like delayed
healing and chronicity can be seen in Bhagandara. The etiopathogenesis
of nadeevrana and Bhagandara are almost similar. So, the
treatment principles like Parisheka, kshalana with kashaya
mentioned in dushtavrana and nadivrana chikithsa can be
adopted in Bhagandara. Thriphala kashaya kshalana
is indicated in Bhagandara[4]. In Ayurveda, Ksharasuthra therapy is an effective treatment for Bhagandara.
Profuse pus discharge and delayed healing is a sign of microbial invasion in
fistula in Ano. Thriphalakhadiradi is the vrana sodhana kashaya
described in Charaka samhitha. It is a combination of 14 drugs having vrana
sodhana, ropana, krimighna, vishaghna and sophahara
properties[5].
Present study was carried out to evaluate the
antimicrobial effect of Thriphala khadiradi kashaya kshalana
as an add on procedure along with Kshara suthra therapy in low anal fistula. 30 participants
were selected according to the inclusion and exclusion criteria and the study
was conducted in the OPD and IPD of Government Ayurveda College,
Thiruvananthapuram. They were divided into two groups of 15 participants each.
In the trial group, kshalana was done using Thriphala khadiradi kashaya
along with Ksharasuthra therapy and control group underwent Kshara
suthra therapy alone. The trial was given for a
period of 21 days. Pain, discharge and microbial load were graded on the 0th
7th 14th and 21st day.
All the baseline characteristics were
comparable. The results were analysed using Wilcoxon Sign Rank test and found
that the antimicrobial effect of the intervention in the study group was
statistically significant(p<0.016 & p<0.043 on 14th and 21st
days respectively) than the conventional method alone. Pain and discharge
revealed statistical significance(p<0.001) in the study group. Thriphala
khadiradi Kashaya kshalana with Ksharasuthra therapy was found to be more effective than
doing Ksharasuthra alone in reducing pain discharge and microbial
load.
Keywords – Bhagandara,Fistula in Ano, Ksharasuthra , Kshalana, Thriphala
khadiradi kashayam,Antimicrobialeffect .
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