Introduction- Cervical Spondylosis is now becoming a significant threat to the working population due to its progressive nature of the disease. Modern science provides various types of medical and surgical therapies for Cervical Spondylosis but it is realized that more research is needed for the treatment of Cervical Spondylosis satisfactorily.Aim - To study the efficacy of Panchtikta Ghrita Matra Vasti and Panchtikta Ghrita Marsha Nasya in Cervical Spondylosis. Material & Method- Open randomized parallel comparative clinical study, Phase 2 trial. 30 patients were randomly equal number (n=15) recruited in the study in two groups. In Group A, patients were treated with Panchtiktaghrita Matravastiand in Group B with Panchtiktaghrita Marsha Nasya. Subjective criteria for the study was Manya Shool and Manya Stambha whether objective criteria were CBC, ESR and Neck disability index (NDI). Observation & Result- With respect to the blood investigation CBC and ESR was not found significant (P<0.05). Moreover, radiological changes in X-ray also not found significantly notable. NDI score was found better in both the groups, but mean score of NDI was suggestively improved in Group B (before 45.03, after 13.06) compare to Group A (before 46.26, after 23.06). Conclusion- Both the treatment modalities i.e. Basti and Nasya was effective in Cervical Spondylosis. Panchtikta Ghrita Marsha Nasya was given good results clinically in the patients compare to Panchtikta Ghrita Matra Vasti, but significant conclusion was not calculated with small sample data. So, large population research study is recommended for further research.
Introduction– An abnormally low level of sodium in the blood is referred to as hyponatremia. Careful assessment and classication are important to direct diagnosis and treatment, reduce the risk of substantial morbidity and mortality in acute severe cases, and avoid the neurological complications associated with the overly rapid correction. In the ICU, hyponatremia is associated most frequently with chronic conditions such as congestive heart failure, advanced renal disease, and cirrhosis. To study the preval Aims & Objectives: ence of Hyponatremia in ICU Setting & to study the various etiological factors responsible for Hyponatremia. A cross-secti Materials & Methods– onal observational study was conducted on 150 patients for 2 years from September 2019 to December 2021 at ICU at Tertiary Care center .All patients detail history, clinical examination and Laboratory Investigation were carried out. Out of a total 150 patients, 27 patie Results- nts did not have any Comorbid condition, 46 patients had one and 77 patients had more than one comorbidity. 113 (75.33%) had severe hyponatremia with serum sodium below 125 mEq/L, 26 (17.33%) patients were euvolemic, GCS Score of ≥13 was seen in 65 patients out of which 38 (25.33%) had severe hyponatremia. GCS Score between 8-12 seen 68 (45.33%) patients had severe hyponatremia. GCS Score of <8 was seen in 7(4.67%) patients with severe Hyponatremia. Correlation between GCS Score and Severity of Hyponatremia was found highly signicant.(p<0.001, HS). Those who had severe hyponatremia had low GCS score (P<0.0001, HS) SIADH is the most typical cause of hyponatremia in ICU pati Conclusion- ents. In the presence of multiple comorbidities, a prolonged length of stay is seen. Shorter serum sodium and GCS at admission are linked to lower survival.
Kasa is the disease of Pranavaha strotas. It may develop as an independent disease, symptom or complication. In Kaphaja Kasa Kasavega is associated with Bahala Ghana Nishtivana. It can be correlated with Chronic Bronchitis due to similarities of signs and symptoms. Chronic Bronchitis is characterized by productive cough associated with sputum for at least 3 consecutive months for more than two successive years. The initial symptoms are repeated attacks of productive cough which shows a steady increase in severity during the winter months and present all the year round with recurrent respiratory infections. Ayurveda described many herbomineral formulations for management of Kasa. One such formulation Bibhitakavaleha is mentioned in Gadanigraha, which consists of Bibhitaki (Terminalia bellerica Roxb.), Gomutra (Cow urine) and Madhu (Honey). Methods: In this case series 30 patients having classical symptoms of Kaphaja Kasa were treated with Bibhitakavaleha 10gm twice a day with lukewarm water for 15 days with the aim to prove the efficacy of it in the management of Kaphaja Kasa. Subjective criteria like Kasavega, Kasa nishtiva, Shwaskricchrata, Peenas, Shirshool and Aruchi with Laboratory parameters like TLC (Total Leukocyte Count), Neutrophils, Absolute Eosinophil Count (AEC) and ESR (Erythrocyte Sedimentation Rate) were assessed before and after treatment. Result: Significant improvement was observed in all parameters after treatment. Bibhitaki possesses Kashaya Rasa, Madhura Vipaka, Ushna Veerya & Laghu, Ruksha Guna which plays a major role in relieving Kasa. Conclusion: Hence it can be concluded that Kaphaja Kasa can be effectively treated with Bibhitakavaleha.
Tuberculosis (TB) remains a common disease but has atypical presentations. The association of TB with immune thrombocytopenia is not well recognised. The purpose of this case report is to highlight the rare complication of immune thrombocytopenia secondary to TB in an endemic country like India. Prompt initiation of antitubercular therapy and steroids not only reduces the need for unnecessary transfusions but also hastens the recovery of the patient. Knowledge about rare presentations of TB leads to a better outcome in patient management.
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