INTIMATION FOR BODHIKA SEMINAR 16/10/2024
GOVT. AYURVEDA COLLEGE, THIRUVANANTHAPURAM
NAME OF FIRST PRESENTEE: Shamya P
DISSERTATION TITLE:EFFECT OF GUGGULUPANCHAPALA CHOORNA INTERNALLY AND ARAGWADHADI GANA PHANITA TOPICALLY AS PICHUVARTI IN POOTHIKARNA.
TIME: 2:00-4:00 PM
VENUE: COLLEGE AUDITORIUM
ABSTRACT
Poothikarna is a disease affecting the ear characterised by thick, profuse and foul smelling discharge. Pain may or may not be associated. The disease is kapha pitha pradhana.Considering the signs and symptoms of Poothikarna, it resembles Chronic Suppurative Otitis Media (CSOM) and Otitis Externa. CSOM is a long standing infection of a part or whole of the middle ear cleft characterized by discharge and permanent perforation of the tympanic membrane. Diffuse otitis Externa is the diffuse inflammation of meatal skin which may spread to involve the pinna and epidermal layer of tympanic membrane. Long time complication of CSOM include Conductive Hearing Loss and even spread of infection to neighbouring areas which may even become fatal. General treatment described is Nadivrana and Dushtavrana cikitsa. Other treatment include meticulous mopping of the ear, Dhoopana, Gandoosha, Nasya along with internal medications.Jalookavacharana and Vamana are also indicated in specific cases. Current modern management suggest dry mopping, antibiotics topically and internally, inspite of all these remedial measures the rate of recurrence is high. The usage of pichuvarti is expected to provide faster relief and reduction in recurrence rate of Poothikarna. A special formulation phanita made from Surasadi or Aragwadhadi gana are indicated for this purpose. Aragwadhadi gana drugs are kapha pithaghna, Kandughna, krimghna, twachya and dushtavrana sodhana in nature. Guggulu panchapala choorna drugs also have kaphahara and vrana hara properties. Pichuvarti medicated with Aragwadhadi gana phanita was inserted into the affected earcanal after ear mopping and retained for 30 minutes along with oral administration of Guggulupanchapala choorna with madhu. The procedure was repeated for 14 consecutive days. The study design was an interventional pre and post study without control group.This study was designed as a clinical trial with 22 participants diagnosed with Poothikarna as per inclusion and exclusion criteria. Assessment was done before treatment, after treatment and during followup. Follow up was done on 46 th day after treatment. The result was statistically analysed with Wilcoxon Signed Rank Test. From the study it was concluded that Guggulupanchapala choorna and Aragwadhadi gana phanita is effective in reducing the signs and symptoms of Poothikarna. Keywords - Poothi karna, CSOM, Diffuse Otitis Externa, Pichuvarti, Guggulu panchapala choorna, Aragwadhadi gana phanita.
*PG Scholar, Department of Shalakyatantra, Government Ayurveda College, Thiruvananthapuram
**Professor (HOD), Department of Shalakyatantra, Government Ayurveda College, Thiruvananthapuram ***Professor, Department of Shalakyatantra, Government Ayurveda College, Thiruvananthapuram.
