Medicinal and dietary substances have been used for various purposes including nutritional from time immemorial. Various activities such as immunomodulator, bulk promoting, nutritional, etc. that enhance strength, immunity, bulk of the body resulted by the use of medicinal or dietary substances are termed in total as Balya in Ayurveda. The term Balya originally stands for all those actions that enhance the “Bala”. The word “Bala” refers to the strength and ability of the body or part of the body to cope up with various physical stressors. This term “Bala” refers to various body components and functions as per the science of Ayurveda. Even in the presence of modern scientific knowledge regarding body strength, Ayurveda concepts add varied dimensions to provide detailed explanation of Balya term. The balya action is critically analyzed and discussed in this review.
Variations in the arterial pattern of the upper limb are very common as observed in many cadaveric and angiographic studies. Knowledge of variations in the origin and course of the radial artery is important because they are used for many diagnostic procedures as well as vascular and reconstructive surgeries like coronary angiography, percutaneous coronary intervention and coronary artery bypass surgery. During routine dissection in our institute, we observed a case of high origin of the radial artery in a 33 year old male cadaver. It was found to be unilateral; on left side, radial artery was taking origin from 3 rd part of the axillary artery at the lower border of pectoralis minor before the origin of subscapular artery and anterior circumflex humeral artery. It had a superficial course in the arm crossing the median nerve from medial to lateral side. The further course of this superficial radial artery in the forearm was normal and it terminated by forming a deep Palmar arch in hand. These variations may be of great clinical implications for vascular and plastic surgeons and radiologists. Superficial course of radial artery makes it vulnerable to accidental injuries.
Arshas or hemorrhoids included under the category of Mahagadas as it significantly disturbs the normal proceedings or activities of the body like an enemy. It is a guda gata mamsa vikara occurs in three valis of the ano rectal region. Basically it is two types viz internal and external hemorrhoids. Thrombosis of external hemorrhoid is an acute complication, commonly seen in the clinical practice. In this condition there will be sudden appearing of tense and painful swelling lateral to the anal orifice. Generally it will cure within five days, but there is an every chance of suppuration, fibrosis, bursting etc. It can be compared with Pachyamana Vrana Shotha, where the swelling with pricking type of pain, burning sensation, restlessness etc are common. In classics bloodletting has been mentioned in such conditions. A clinical study was conducted by application of Jalouka in thrombosed external hemorrhoids and its efficacy was compared with Thrombophob gel. Leech therapy shows clinical as well as statistical significance (P < 0.001) than Thrombophob gel in all variables.
Identification of Medicinal plants has been a great challenge in the present scenario due to fall in its availability. Its seriousness has markedly increased due to adulteration by the vendors thus drastically decreasing the quality of the raw materials that are used in the manufacture of Herbal drugs. Presently Ayurveda uses about 1000 single drugs and 8000 compound formulations of recognized merit are in vogue 1 . The adulteration has resulted in the fall of quality in the medicinal preparations of Ayurveda too. Hence it is essential to innovate and develop tools that can help in the proper identification of the medicinal plant source and also the collected raw materials. Pharmacognosy is one such method adopted in the field of Ayurveda today to ensure quality. The present paper tries to highlight its importance with Atibala as an example.
Vata Vyadhis are included under the category of Mahagadas, because of their complex and complicated pathophysiology, clinical features, complications and treatment. Vishvachi is one such Vataja Nanatmaja Vyadhi which causes the Bahukarma kshaya. It can be compared with brachial neuralgia. To treat this condition effectively a multi therapeutic approach is essential. The Vata Vyadhi Chikitsa comprises the principles like Avarana Bhedana, Shodhana, Shamana and Brhmana. Considering this, a combined approach of Siravyadha followed by Pancha Prasrutika Niruha Basti was taken and evaluated its efficacy in 20 patients. Here Siravyadha is Avarana bhedaka and Srotoshodhaka; whereas Basti acts as Shodhaka,Vata shamaka, Anulomaka and simultaneously it is Balya and Varnya. There was a rapid decline of radiating pain immediately after Siravyadha showed a highly significant difference from baseline (P < 0.001). There was a great improvement with respect to restricted movement, pricking sensation and localised pain and tenderness after Basti. The systematic intervention of Siravyadha and Basti therapy gives significant result in Vishvachi.
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