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Eka kusta ppt
- 1. Effect of NavayasaRasayana LehaandMedhyaRasayana tablet in the management of Ekkakushta(psoriasis). Clinical study. By: Dr.Rajimunnisa begum.sk P.g scholar ,Dept.of k.c: Guide : Dr.S.Ramalingeswar rao.M.D (Ayu) 16-Dec-14 1k.C dept
- 2. INTRODUCTION 16-Dec-14 k.C dept2 EPIDEMIOLOGY PREVALENCE MORTALITY & MORBIDITY GENDER& AGE INTERNATIONAL RANKING INTERNATIONAL DISTRIBUTION c Causative factors
- 3. 16-Dec-14 k.C dept3 CONT……….. What might be the comparison ?
- 4. OBJECTIVES & CLINICAL PLAN OBJECTIVES OFTHE STUDY TO ASSESSES THE EFFICACY OF 1.NAVAYASA RASAYANALEHA 2.MEDHYARASAY ANA TABLET CLINICAL PLAN 3 PATIENTS 16-Dec-14 k.C dept 4 DURATION-3MONTHS
- 5. PARAMETERS SUBJECTIVE • Matsyashakala • Aswedha •Ruksha • Kandu • Daha • Mandala • Bahalatva • Srava • Unnati OBJECTIVE • Diagnosis was supported by the following clinical tests. • 1. Candle grease sign • 2. Auspitz sign • 3. Koebne phenomena 16-Dec-14 k.C dept 5
- 6. CLINICAL PLAN 16-Dec-14 k.Cdept 6 •Diagnosis was supported by the followingclinical tests. •1. Candle grease sign •2. Auspitz sign •3. Koebner phenomen DIAGNOSTIVC CRITERIA • 1. Age- 13-70 years • 2. Cardinal symptoms of Ekkakushta. chronicity less than 5yrs • 3. Positive Signs of Psoriasis like Auspitz sign, Candle grease sign etc. INCLUSIVE CRITERIA • PATIENTS WITH MAJOR SYSTEMIC ILLNESS EXCLUSIVE CRITERIA
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- 9. k.C dept 9 •The initiation and maintenance of lesions requires activated T Lymphocytes • Drugs suppressing T-cell activity contribute to the improvement of psoriasis t of psoriasis activity contribute to the improvement of psoriasis 16-Dec-14
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- 14. Types of Psoriasis 1-PsoriasisVulgaris(Plaque-type) 16-Dec-14 k.C dept 14 2-Guttate Psoriasis
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- 20. 7- Napkin psoriasis 16-Dec-14k.C dept 20
- 21. NAIL CHANGES IN PSORIASIS 16-Dec-14k.C dept 21
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- 24. DRUGREVIEW • Navayasa Rasayana(5gms bid) • Leha is taken from the reference found in Chakradatta It has the following ingredients in increasing proportions - Dhatri, Aksha, Haritaki, Vidanga, Chitraka, Shuddha Bhallataka, Bakuchi, Loha • Bhasma, Bhrungraj and Tila Taila (Q.S). The fine powder of the drugs is to be licked with Tila Taila at the time of drug administration. 16-Dec-14 k.C dept 24
- 25. CONT…………… Medhya Rasayana tablet( 500mg 1 bid) • Stress is the most crucial factor in onset and progression of the disease • Hence, Medhya Rasayana tablet is Anubhuta Yoga (non-classical formulation). • It contains the following drugs in increasing proportions- • Vacha, Haritaki, Jatamansi, Jyotishmati, Yashtimadhu, Shuddha Bhallataka, Guduchi, Brahmi and Shankhpushphi. 16-Dec-14 k.C dept 25
- 26. Probable mode ofaction of drugs in N.R leha • Actions • Immunomodulatory • Antioxidant • Adaptogenic • Wound Healing • Anti-inflammatory • Anti-arthritic • Antistress • Drugs • Amalaki, Haritaki, Bakuchi • Amalaki, Haritaki, Bhallataka • Amalaki, Haritaki • Haritaki,Amalaki Bhallataka, Bakuchi, Bhrungraj • Bhallataka • Bhallataka 16-Dec-14 k.C dept 26
- 27. Pharmacologically proven actions ofdrugs of M.T Actions • Sedative • CNS depressant • Anti-inflammatory • Immunomodulatory Antioxidant • Antistress • Adaptogenic • Nootropic • Drugs • Sedative Vacha, Jyotishmati, Shankpushpi • Vacha, Jatamansi • Jyotishmati, Yashtimadhu, • Guduchi, Bhallataka Yashtimadhu, Guduchi, Haritaki Yashtimadhu, Brahmi, Haritaki Yashtimadhu, Guduchi Yashtimadhu, Guduchi, Haritaki • Yashtimadhu, Guduchi, Brahmi, Shankhpushpi 16-Dec-14 k.C dept 27
- 28. RESULTS GRADING Matsya shakalalopam .asweda.daha, Ruksha other signs PRESENT--------2 MPROVED--------1 ABSENT---------0 Mandala NORMAL SKIN –0 FAINT OR NEAR TO NORMAL—1 Blanching + redness-2 No blanching + redness—3 Red color + subcutaneous---4 Kandu No itching-------0 Mild itching------------1 Severe itching----------2 Very severe itching----3 16-Dec-14 k.C dept 28
- 29. Statistical analysis ofresults 16-Dec-14 k.C dept 29 SYMPTOMS & SIGNS B.T SCORE A.T SCORE Matsya shakala 06 4 Mandala 12 8 Rukshas 06 2 Kandu 12 8 Daha 05 3 Asweda 04 2 Srava 8 4 Bahalatwa 7 3 Auspitz sign 6 3 Candle grease sign 5 3 Koebne phenomena 5 2
- 30. 16-Dec-14 k.C dept30 Results No. of Patients Percentage Good/complete relief 2 75% Moderate relief 1 25% Poor/No relief 0 0
- 31. Before & After 16-Dec-14k.C dept 31
- 32. Before & After 16-Dec-14k.C dept 32
- 33. DISCUSSION • Navayasa rasayanalehahas provided better relief • in symptom of Matsyashakala, Asvedanam, • Rukshata, Koebner phenomenon and Kandu • On the other hand comparatively better improvement in Mandala, • candle grease sign and Daha. 16-Dec-14 k.C dept 33
- 34. CONCLUSION Stress maylead to early onset of disease (maximum patients-21-30 years) and early recurrence. Virrudhaashana is one of the predominant Nidana which is also described by Acharya Charaka as cause of Ninditavyadhies one among which is Kushtaroga. Maximum patients were depressed/ anxious- which clearly shows the psychosomatic nature of the disease. Family history was positive in some of the patients, suggesting a genetic cause of the disease. In the present study, it may be inferred that people of Vata-Kapha Prakruti may be more susceptible to Psoriasis. k.C dept 34 16-Dec-14
- 35. References • VaraBehl PN,Agarval A and Shrivastava Govinda:Practice of Dermatology. • Cha Chi 7:21,39 • Su.Chi 9: 43,68 • Chakradatta :Kusta roga prakarana • A.s 21:9 • A.h 19:31,32 • Etc........... • 1999) 16-Dec-14 k.C dept 35
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