Avascular necrosis (AVN) of the femoral head is the most common type of necrosis affecting the bones. Management of AVN aims at the preservation of structure, function and relief of from pain. Many surgical procedures such as drilling and insertion of bone grafts, modified Whitman or Colonna reconstruction and insertion of prosthesis are carried out to remedy the condition but all these procedures are costly with the prognosis being poor. Signs and symptoms of Avascular necrosis are nearer to asthivāha srotoduṣṭi vikāra (disorders of musculoskeletal origin) and can be considered with gambhīra avasthā (chronic stage). An effort has been made in the present study to evaluate the efficiency of Ayurvedic formulations in the conservative management of AVN of the femoral head. A case of AVN with bilateral femoral head was treated with rūkṣaṇa (Drying therapy) followed by śodhana (bio purification) and bṛhmaṇa (rejuvenation). Patient was observed for complications during whole course of treatment, untoward complications were not seen. Patient was observed for symptomatic improvements based on assessment done by the questionnaire over graded signs and symptoms before and after treatment. The results were encouraging. The therapy provided marked relief from pain, tenderness, stiffness and improvement in the gait. Conservative management of AVN through Ayurvedic principles provides significant relief and improves quality of life.
Panchakarma is a fruitful measure and its extensive efficacies are classified in different dimensions to cure different types of complicated diseases. Vamana, Virechana, Niruha, Anuvasana and Nasya are the five procedures and subsequently even Vamana, Virechana, Basti, Nasya and Rakta Mokshana are broadly termed as Panchakarma in day to day practices.The new diseases are evolving with intense gravity and therefore to combat those, Panchakarma is a very effective measure. In present era competition and advancement have led to hectic and stressful life, man has eventually forgotten the absolute enjoyment and solitary affection of nature and as a result is facing many health problems. Gridhrasi is no exception, it is correlated to sciatica in modern science where low back ache radiating to toes in the lateral aspect of the thigh associated with stiffness is the main complaint.
Ayurveda is a ‘science of life’ which provides not only curative but also preventive principles for healthy and long life. Ayurveda is a life style, a science and an art of appropriate living that ensures health and longevity of human being. Abhyanga (oil massage) which is one among the Dinacharya, is also a part of pre therapeutic procedures of Panchakarma. Abhyanga is to be considered in Snehana therapy. As it nourishes the senses of mind and gives the strength. but if done in any region like localised in head, neck, legs etc then it is termed as Shiroabhyanga, Padabhyanga etc. Full body massage gives strength to whole body but localised massage gives strength to that particular part of the body. Localised massage can be practised by oneself. Thus it is easy to practise. But for Abhyanga one need to be dependent on massage trainer. The instructions to be followed under localised massage also. It gives its benefits; when it is done in right manner only.
Objectives:Wrightia antidysenterica Linn. (WA) is male variety Kutaja stated to be potent therapeutic emetic agent in skin disorders. Expulsion of doshas through oral route is termed as Vamana Karma (VK) (therapeutic emesis). However, so far, its utility for Vamana is not explored in detail, therefore there is a need to revalidate the utility of WA for Vamana. Hence, the above study was conducted to ascertain the efficacy as a therapeutic emetic agent (vamaka yoga) in the management of psoriasis along with quality control and standardization of this herb.Materials and Methods:The drug was standardized as per analytical procedures in Pharmacopeias. Thirty patients of psoriasis fulfilling inclusion criteria were taken for the study and Vamana with WA was conducted. Criteria were prepared to assess the signs and Symptoms of psoriasis. VK was assessed using the classical Lakshanas (features) such as Anthiki shudhi (Ending symptoms of emesis), Vaigiki shudhi (features of vomiting bouts), Maniki shudhi (Quantitative and qualitative purification), complications.Result:VK with WA showed significant relief in parameters of psoriasis such as scaling, itching, candle grease sign (P < 0.001), and psoriasis area and severity index score (P = 0.001). In VK with WA, mean number of Vegas (vomiting bouts) was 6.91. 66% patients showing quantitative purification between 301 and 600 ml. 73.33% showed all Symptoms of purification. 73.33% patients showed Kaphanta vamana (Moderate expulsion of desire humor). In the level of biopurification, 66.66% patients showed moderated purification. No complication was noted with moderate drug palatability.Conclusion:Pharmacopeial analytical study showed its standardized values for testing the drug used for the study. It is proved as potent therapeutic emetic agent with no complication showed its clinical benefits over skin disorder like psoriasis.SUMMARY Seeds of Wrightia antidysenterica (WA) Linn. free from any foreign matter were selected for the study. Loss on drying revealed 6.535% moisture content; total ash indicating of total inorganic content was found to be 5.12%; acid insoluble ash is the acid insoluble part of total ash, mainly silica, WA showed 0.393% acid insoluble ash; ethanol and water soluble extractive is indicative of percentage active constituents were found to be 25.66 and 20.854%, respectively. High-performance thin layer chromatography fingerprinting profiles of WA under 254 nm showed the presence of 7 spots (all in green) at Rf values ranging from 0.21 to 0.88. Under 366 nm there were 4 prominent spots (all in fluorescent) at Rf 0.49 to 0.82 and, when scanned under white light 620 nm following derivatization with vanillin sulfuric acid 6 spots (in different colors) were evident at Rf 0.28 to 0.58. Among these spot with Rf of 0.58 was common when visualized under all the three methods. Rf values by densitometric scan of WA showed 12 peaks at 254 nm and 5 peaks at 366 nm. However, in clinical trial, it was found to be a potent emetic agent without any complication. Abbreviati...
Basti is considered to have multifaceted effect as it cures the diseases of Shakha,Koshta,Marmas and Sarva Avayavas.Acharya Chakrapani mentions the unique concept of Churna Basti comprising of Saindhava Lavana, Sneha, Churnas(Rasna, Vacha, Bilwa, Shatapushpa, Ela, Putika, Madanaphala, Pippali, Devadaru, Kushta), Ushnajala and Amladravya as the key ingredients. These drugs possess ushna & teekshna gunas, Deepana-Pachana, Vata Kaphahara and Shula-Shothahara properties which may help in attaining Agni deepti, Laghutva, Nirama Lakshana and Shoolahara effect.Based on this concept,the ingredients are modified and is practiced in the management of Santharpanotha vikaras like Amavata. Amavata is the disease affecting Asthi and Sandhis wherein Ama and Vata are the initiating factors in the pathogenesis. Moreover, the chief pathogenic factors, being contradictory in nature poses difficulty in planning the line of treatment. Rheumatoid Arthritis can be correlated to Amavata on the basis of etiology, pathology, therapeutic signs and symptoms. The figures of prevalence vary substantially ranging from 0.3% to 2.1% of the population, with peak incidence in the fourth decade of life. A combination of Vaishwanara choorna, Rasna Saptaka Kashaya and Dhanyamla administered in Amavata is yielding beneficial effects as the ingredients possess the properties opposite to that of Amavata and therefore acts positively on the disease. Therefore, due to wide spectrum of disease, much prevalence in the society and lack of effective medicaments the present study was planned based on this concept and statistically highly significant effects (P>0.0001) were observed in the various assessment parameters of Amavata such as Sandhishoola, Sandhishotha, Sandhistabdhata , Sandhisparsa Asahyata etc. In overall effect of therapy maximum number of patients (40.12%) got marked improvement. Therefore, Churna Basti comprising of drugs possessing properties opposite to Ama can be considered as a good remedy in the management of Amavata.
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