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STM JOURNALS
1. Efficacy of Vamana Karma in the Management of Yuvanapidaka w.s.r. to Acne Vulgaris: A Pilot Study
Vipin Kumar, Santosh K. Bhatted, Sonu, Meera 1
2. Role of Ardhanarishwara Rasa Nasya and Nimbadi Guggulu in the Management of Kaphaja Shiroroga
(Sinusitis): A Pilot Study
Mansi, Aparna Sharma, Vipin, Sonu 6
3. Role of Krishnadi Churna and Panchavalkaladi Taila Pichu in the Management of
Paripluta Yonivyapad (Pelvic Inflammatory Disease): A Pilot Study
Sonu, Vipin Kumar, Hetal H. Dave, B. Pushpalatha 10
4. Formulation and Evaluation of Unani Anti-acne Cream
Shahid Shah Chaudhary, Roohi Zaman, Shariq Shamsi 17
5. A Scientific Study: Regulation of Autonomic Nervous System through Slow Breath Pranayama
Pradeep Kumar Pal, V.N. Mishra, H.H. Awasthi 23
6. Practical Utility and Scope of Dhoomapana in Nasal Disorders
Shamsa Fiaz 29
7. Research Works carried out on Ardhavabhedaka (Migraine) in the Department of
Shalakyatantra, Post Graduate Teaching and Research in Ayurveda, Jamnagar
D.B. Vaghela, Manjusha R., Shweta Mata, Hemal Parekh 36
8. A Clinical Study on Effect of Patrapinda Sveda with Ashtakatwara Taila in Gridhrasi w.s.r. to Sciatica
Kanika Wadhwa, Santosh Kumar Bhatted 41
9. Nadi Pariksha: An Ancient Ayurvedic Method of Diagnosis
Kalpana B. Kachare, Santosh G. Girbide, Snehal A. Bankar 48
10.Medical Tourism in India: Perspective of Unani Medicine
Farah Naaz, Noman Khan 52
11.Effect of Virechana Karma, Ketaki-Rasonadi Brimhana-Sneha and Amritadi Ghanavati in
Asthikshaya w.s.r. Osteoporosis
Sajjan Satish Kalwania, Santosh Kumar Bhatted, Meera K. Bhojani 61
ContentsJournal of AYUSH : Ayurveda, Yoga, Unani, Siddha and Homeopathy
JoAYUSH (2016) 1-5 © STM Journals 2016. All Rights Reserved Page 1
Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy
ISSN: 2278-2214 (online), ISSN: 2321-6484 (print)
Volume 5, Issue 3
www.stmjournals.com
Efficacy of Vamana Karma in the Management of
Yuvanapidaka w.s.r. to Acne Vulgaris: A Pilot Study
Vipin Kumar1,
*, Santosh K. Bhatted1
, Sonu2
, Meera3
1
Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India
2
Department of Prasuti and Stri Roga, National Institute of Ayurveda, Jaipur, Rajasthan, India
3
Department of Basic Principles, All India Institute of Ayurveda, New Delhi, India
Abstract
According to Ayurveda, among the 56 upangas, face is at the top, so everyone and mostly
youngsters are most cautious about the beauty of face. Acne vulgaris is a chronic
inflammatory disease of the pilosebaceous follicles characterized by comedones, papules,
pustules and often scars; chiefly on cheeks, forehead, chin, nose and upper trunk. As per
Ayurveda classics, this condition can be correlated with yuvanapidaka (mukhadushika) which
is the result of vitiated kapha, maruta (vāta) and shonita and the vishesha treatment as
mentioned in classics is chardana (vamana karma). Hence the present study was conducted to
observe the efficacy of vamana karma in the management of yuvanapidaka (mukhadushika).
The results were assessed on the basis of signs and symptoms described in both, Ayurveda as
well as modern medicine like pidaka, papules and pustules on face including medogarbhatva,
ruja, daha, srava, etc. Marked improvement was observed in the chief complaints of the
patients.
Keywords: Yuvanapidaka, acne vulgaris, vamana karma, madanphala
INTRODUCTION
Beauty is a matter for joy forever. Everybody
wants to remain not only healthy but beautiful
too. Face is index of mind and mirror of the
body. According to Ayurveda, among the 56
upangas, face is at the top, so everyone and
mostly youngsters are most cautious and
careful about the beauty of face.
Unfortunately, skin of the face is affected by
certain anomalies in adolescence age, which is
the golden period of life. Acne is the scourge
of mankind and the travesty of youth. Acne
vulgaris is a disorder of pilosebaceous unit
which predominantly affects the peripubertal
population and clinically manifests as
comedones (open/closed), papules, nodules,
pustules and cysts and heals with scars [1].
Moderate to severe acne affects around 20% of
young people and severity correlates with
pubertal maturity. Acne persists into the 20s
and 30s in around 64 and 43% of individuals,
respectively. The heritability of acne is almost
80% in first degree relatives [2].
Yuvanapidaka (mukhadushika) is described as
kshudraroga in our classics [3]. Due to
aggravation of kapha, vata and shonita (rakta),
pidaka (papules) resembling the sprouts on the
bark of shalmali tree (Salmalia malabarica)
appear on the face of adolescents is known as
yuvanapidaka, which make the face ugly [4].
Modern medications for acne include topical
therapies, antimicrobials, hormones, surgery,
UV irradiations; intralesions injections, etc.
But those have their own limitations. All these
treatment modalities burn a hole in the pocket
alone with adverse effects without curing the
disease and are only effective until used, with
a very high rate of relapse on leaving
medicine. Looking into the above mentioned
facts, there is a need for a treatment which can
treat effectively as well as reduces the
recurrence of acne vulgaris.
In Ayurveda texts, vamana karma and
raktamokshana are chief treatments mentioned
for yuvanapidaka along with certain topical
applications and oral medications [5].
MATERIALS AND METHODS
In this study total 17 patients were registered
and 15 patients completed the whole trial.
JoAYUSH (2016) 6-9 © STM Journals 2016. All Rights Reserved Page 6
Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy
ISSN: 2278-2214(online), ISSN: 2321-6484(print)
Volume 5, Issue 3
www.stmjournals.com
Role of Ardhanarishwara Rasa Nasya and Nimbadi
Guggulu in the Management of Kaphaja Shiroroga
(Sinusitis): A Pilot Study
Mansi1,
*, Aparna Sharma1
, Vipin2
, Sonu3
1
Department of Shalakya Tantra, National Institute of Ayurveda, Jaipur, Rajasthan, India
2
Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India
3
Department of Prasuti and Stri Roga, National Institute of Ayurveda, Jaipur, Rajasthan, India
Abstract
Kaphaja shiroroga is one among the 11 types of shirorogas mentioned by Aacharya Sushruta
and can be correlated to sinusitis in modern science. Sinusitis is a major problem in the
society due to its recurrent exacerbation and treatment with antibiotics, decongestants,
antihistamine etc. and is not successfully combated due to their side effects. The drugs
selected for present study ardhanarishvara rasa and nimbadi guggulu, are having
kaphavatahara, lekhaniya, srotoshodhana and shothahara properties which help in the
breakdown the pathogenesis of sinusitis. In present trial, 15 patients of kaphaja shiroroga
(sinusitis) were treated with ardhanarishvara rasa nasya and nimbadi guggulu orally.
Statistically extremely significant results were found in headache, heaviness in head, nasal
obstruction and haziness in sinuses and very significant results were found in nasal discharge
and tenderness over sinuses. Average percentage of relief was 63.27% in all the parameters of
kaphaja shiroroga (sinusitis).
Keywords: Kaphaja shiroroga, sinusitis, nasya, nimbadi guggulu
INTRODUCTION
Various types of shiro rogas are mentioned in
ayurveda classics and kaphaja shiroroga is
one among them. The clinical features of
kaphaja shiroroga described by Aacharya
Sushruta are guru pratistabdham (heaviness
and fullness of head), himam (coldness in
head), shuna akshikoota vadanam (swelling of
face especially around the eyes), shirobhitapa
(headache), shirogalam kaphopdigdham
(feeling of having a coating of phlegm inside
the head and throat) [1]. It can be correlated to
sinusitis in modern science. Sinusitis refers to
inflammation of the mucosa of paranasal
sinuses. Major and minor symptoms of
sinusitis are headache, facial pain/pressure,
facial congestion/fullness, nasal discharge,
nasal obstruction, post-nasal drip, periorbital
swelling, fever, halitosis, fatigue, etc. [2].
Sinusitis an extremely prevalent disorder that
has a significant impact on the quality of life
of affected individuals. The reason behind this
may be increasing pollution, changing
lifestyle, urban sprawl and increasing
resistance to the antibiotics. Being a
developing country, the incidence of the
disease is high among Indian population. It
affects one out of every seven adults in the
United States, with more than 30 million
individuals diagnosed each year. It is the fifth
most common diagnosis for which antibiotics
are prescribed [3]. It is often preceded by
rhinitis and rarely occurs without concurrent
rhinitis, as mucosa of sinuses is a continuation
of nasal mucosa. So, infection of nose can
easily reach to the sinuses. Repeated attack
and improper management of the acute stage
leads the disease to a chronic phase.
The treatment of sinusitis includes antibiotics,
decongestants, antihistamines, analgesics and
surgical procedures. Although these treatments
provide their best contributions towards the
healing process, but sinusitis is not
successfully combated due to its recurrence.
The side effects of the analgesics and
antibiotics are well known. Antihistamines
may complicate drainage by thickening and
pooling sinonasal secretions. Topical
vasoconstrictors (e.g., oxymetazoline
JoAYUSH (2016) 10-16 © STM Journals 2016. All Rights Reserved Page 10
Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy
ISSN: 2278-2214(online), ISSN: 2321-6484(print)
Volume 5, Issue 3
www.stmjournals.com
Role of Krishnadi Churna and Panchavalkaladi Taila
Pichu in the Management of Paripluta Yonivyapad (Pelvic
Inflammatory Disease): A Pilot Study
Sonu1,
*, Vipin Kumar2
, Hetal H. Dave1
, B. Pushpalatha1
1
Department of Prasuti and Stri Roga, National Institute of Ayurveda, Jaipur, Rajasthan, India
2
Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India
Abstract
Yoni shuddhata is one among the major fundamentals for a healthy offspring. Twenty types of
yonivyapad mentioned in the classics are a major cause in hampering the normalcy of the
female reproductive tract. In the present period, pelvic inflammatory disease is a burning
problem whose incidences are increasing rapidly. Pelvic inflammatory disease (PID) is a
disease of the upper genital tract. It implies infection and inflammation of the upper genital
tract organs typically involving the uterus (endometrium), fallopian tubes, ovaries, pelvic
peritoneum and surrounding structures. As per ayurvedic classics, this disease can be
correlated with paripluta yonivyapad which is the result of vitiated vata and pitta dosha.
Hence the present study was conducted to observe the efficacy of krishnadi churna and
panchavalkaladi taila pichu in the management of paripluta yonivyapad. The results were
assessed on the basis of signs and symptoms described in both, ayurveda as well as modern
medicine like shroni vedana, prishthashula, sparshakshama, abnormal vaginal discharge,
cervical motion tenderness, vaginal pH and ultrasonography etc. A special proforma was
prepared and the patients were examined on the basis of available signs and symptoms.
Patients were treated with krishnadi churna and panchavalkaladi pichu and marked result
was observed in the form of improvement in chief complaints of the patients.
Keywords: Paripluta, krishnadi churna, panchavalkaladi taila, pelvic inflammatory disease
INTRODUCTION
Health is an important factor that contributes
to human well-being and economic growth.
Wisdom, art, strength and wealth, are of no
use if health is lacking. Currently, Indian
women are facing multiple health problems,
which ultimately affect aggregate socio-
economy’s output. Nidation of seed will grow
only in favourable environment; likewise
production of good offspring highly depends
on the woman's reproductive health. Yoni
shuddhata is one among the major
fundamentals for a healthy offspring [1].
Twenty types of yonivyapads mentioned in the
classics are a major cause in hampering the
normalcy of the female reproductive tract [2].
Charaka says that yoni of woman afflicted
with doshas or diseases, does not retain shukra
or the female becomes infertile [3]. In the
present period, pelvic inflammatory disease is
a burning problem whose incidences are
increasing rapidly. Pelvic inflammatory
disease (PID) is a disease of the upper genital
tract. It implies infection and inflammation of
the upper genital tract organs typically
involving the uterus (endometrium), fallopian
tubes, ovaries, pelvic peritoneum and
surrounding structures. It is attributed to the
ascending spread of microorganisms from the
vagina or cervix to the contiguous pelvic
structures [4]. If PID goes untreated, it causes
scarring around the inflamed organs, which
leads to infertility, chronic pelvic pain and
blocked fallopian tubes-which make an ectopic
pregnancy more likely. As per ayurveda
classics, this disease can be correlated with
paripluta yonivyapad which is the result of
vitiated vata and pitta. According to CDC, in
United States, more than 1 million women are
estimated to experience an episode of PID
every year. In modern system of medicine,
antimicrobials, analgesics, NSAIDs are often
prescribed in the treatment of pelvic
inflammatory disease. Gastrointestinal upsets
JoAYUSH (2016) 17-22 © STM Journals 2016. All Rights Reserved Page 17
Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy
ISSN: 2278-2214(online), ISSN: 2321-6484(print)
Volume 5, Issue 3
www.stmjournals.com
Formulation and Evaluation of Unani Anti-acne Cream
Shahid Shah Chaudhary1,
*, Roohi Zaman2
, Shariq Shamsi2
1
Department of Ilmul Saidla (Unani Pharmacy), Jamia Hamdard, New Delhi, India
2
Department of Ilmul Saidla (Unani Pharmacy) National Institute of Unani Medicine, Bangalore,
Karnataka, India
Abstract
In unani system of medicine (USM) many herbal drugs have been mentioned to be useful in
the treatment of various skin diseases, which are considered safe and free from major side
effects. Most of the formulations for topical application are in powder form and patients feel
inconvenience in using traditional dosage forms in comparison to modern dosage forms.
Therefore in the present study a formula (in powder form) for acne was selected to convert it
into cream form. Cream was prepared using the extracts of Darchini, Husune Yusuf and
Tukhm Khashkhash and then evaluated for their physicochemical parameters like
organoleptic characters, pH, water content, total fatty substance, determination of residue,
thermal stability, spreadability and specific gravity. Stability study of three months was also
carried out at three different temperatures (4, 25 and 40°C). The data evolved from this study
reveals that cream made from the classical nuskha of acne was found to be stable for the
storage period of 3 months except the sample at 40°C. Further clinical study is required to
establish its safety and efficacy.
Keywords: Cream, unani, dosage form
INTRODUCTION
The skin is the largest organ of the body; it
also forms a living biological barrier and it
reflects an individual’s personality. It is
therefore not surprising that there is great
interest in “skin care”. The impairment of the
normal functions of the skin can lead to acute
and chronic illness with considerable disability
and sometimes a need for hospital treatment [1].
In unani system of medicine (USM) many
herbal drugs have been mentioned to be useful
in the treatment of various skin diseases. The
drugs are used since centuries and are
considered safe. They do not seem to have any
major side effects. CCRUM had already
conducted the clinical trials on some chronic
skin diseases like Bars (vitiligo), Nar-e-Farsi
(Eczema) and Daussadaf (Psoriasis). In case
of vitiligo, CRIUM Hyderabad has attained
international fame for the successful treatment
of this disorder. The council formulated some
new combination of drugs for oral and local
use and subjected to therapeutic trials in cases
of eczema. The drugs have significant effect in
chronic eczema, fissural eczema, contact
dermatitis, chronic dermatitis and also in
lichen simplex chronicus. Urticaria, scabies
and other skin diseases are also under clinical
trial in CCRUM [2].
In most of the dermatological ailments, drugs
applied topically, is the first line of treatment.
Most of the formulae for the treatment of skin
diseases mentioned in classical literature are in
powder form, which are indicated to be
applied topically on skin as it is or in the form
of paste by mixing the powder with suitable
vehicle like water, arq, milk, oil, etc. For
example, safoof burg hina, safoof bars and
safoofkharish are in powder form applied
topically after mixing with water and jasmine
oil respectively.
Though the unani treatment in skin disorders is
amazing but patients feel inconvenience in
using traditional dosage forms in comparison
to modern dosage forms, because the modern
pharmaceutical industry is very advanced, they
have various dosage forms which are
standardized, attractive and convenient. A
study showed that number of dropouts was
more among the patients seeking unani
treatment due to inconvenient dosage form [3].
JoAYUSH (2016) 23-28 © STM Journals 2016. All Rights Reserved Page 23
Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy
ISSN: 2278-2214(online), ISSN: 2321-6484(print)
Volume 5, Issue 3
www.stmjournals.com
A Scientific Study: Regulation of Autonomic Nervous
System through Slow Breath Pranayama
Pradeep Kumar Pal1,
*, V.N. Mishra2
, H.H. Awasthi1
1
Department of Rachana Sharir, Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu
University, Varanasi, Uttar Pradesh, India
2
Department of Neurology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar
Pradesh, India
Abstract
Voluntary slow deep breathing functionally resets autonomic nervous system through stretch
induced inhibitory signals and hyper-polarization currents that propagate through both,
neural and non-neural tissue. The scientific basis of benefits of practicing slow Pranayama,
especially alternate nostril breathing (Nadi Shodhana Pranayama as NSP) and Dhyana is
regulation of cerebral dominance and shifting of autonomic nervous system. This regulation
occurs via Nadis under control of Agya Chakra. The aim of the present study was to assess the
effect of Yoga practices (Nadi Shodhana Pranayama and Dhyana) Yoga practices (Nadi
Shodhana Pranayama and Dhyana on Agya Chakra) on Agya Chakra by symptomatic scale of
migraine and essential hypertension through GSR measuring scale. For this, total 150 cases
were selected and divided in three groups: (1) Healthy individuals, (2) Migraine and (3)
Essential hypertension, 50 cases in each. Further, each group was divided in two sub groups:
(i) Control and (ii) Intervention. Yogic practices were advised in all subgroups; beside this, in
very low dose, medication also given to intervention subgroups of 2nd and 3rd groups. GSR of
all three groups were analysed before and after each follow up (three follows up done). In all
three groups, excellent improvement was recorded. Better progress was recorded in
intervention subgroups than control in symptoms of psychological exertional due to over
stress and anxiety. Observations were found statistically significant (p<0.001). So, it could be
concluded that Yoga practices affecting the psycho physiological activities via the Agya
Chakra (hypothalamo-cerebral system), improve quality of life either in healthy individual
and diseased.
Keywords: Pranayama, Dhyana, Autonomic Nervous System, Agya Chakra, Nadi
INTRODUCTION
Hypertension is one of the leading causes of
the global burden of disease. Approximately
7.6 million deaths (13–15% of the total) and
92 million disability-adjusted life years
worldwide were attributable to high blood
pressure in 2001. Hypertension doubles the
risk of cardiovascular diseases, including
coronary heart disease (CHD), congestive
heart failure (CHF), ischemic and hemorrhagic
stroke, renal failure, and peripheral arterial
disease. Depending on methods of patient
ascertainment, ~80–95% of hypertensive
patients are diagnosed as having "essential"
hypertension (also referred to as primary or
idiopathic hypertension). Essential
hypertension tends to be familial and is likely
to be the consequence of an interaction
between environmental and genetic factors.
The prevalence of essential hypertension
increases with age and individuals with
relatively high blood pressures at younger ages
are at increased risk for the subsequent
development of hypertension. In the majority
of patients with established hypertension,
peripheral resistance is increased and cardiac
output is normal or decreased [1].
Migraine, the second most common cause of
headache, afflicts approximately 15% of
women and 6% of men over a one year period.
It is frequently an episodic headache
connected with certain features such as
sensitivity to light, noise, or movement; nausea
and vomiting often go with the headache. A
useful description of migraine is a benign and
JoAYUSH (2016) 29-35 © STM Journals 2016. All Rights Reserved Page 29
Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy
ISSN: 2278-2214(online), ISSN: 2321-6484(print)
Volume 5, Issue 3
www.stmjournals.com
Practical Utility and Scope of Dhoomapana in
Nasal Disorders
Shamsa Fiaz*
Department of Shalakya Tantra (ENT), National Institute of Ayurveda, Jaipur, Rajasthan, India
Abstract
Dhoomapana is an important therapy advocated for the prevention and cure of diseases of the
head caused by kapha and vāta and also for the treatment of the diseases related to ENT.
Dhūmapāna may be defined as the process by which the medicated smoke is taken either
through the mouth or nose and releasing it only through the mouth. In Ayurvedic texts this
procedure is advocated as a part of dinacaryā (daily regimen), or pradhānakarma (main
therapeutic procedure) and often as a paścātkarma (post procedure) in Nasya therapy.
Dhūmapāna is the most practical and the best procedure to remove kapha from nasal
passages and sinuses. Thus, the medicines administered through Dhūmapāna are plant based
volatile compounds which are absorbed readily through mucous membrane as they are
volatile in nature and in micro ionized form for treating nasal disorders particularly and also
play an important role in maintaining the health and cure of the diseases related to ENT.
Keywords: ENT, smoking, Dhūmapāna, dhoomapana
INTRODUCTION
Dhūmapāna is a Sanskrit compound word
consisting of two words dhūma meaning
smoke and pāna meaning drinking, or
figuratively, intake. It is formed by șașțhī
tatpuruṣa samāsa. Therefore, the compound
word means intake of medicated smoke by
mouth or nose, for the prevention of diseases
of the head caused by kapha and vāta and also
for the treatment of the diseases related to
nose, ear, oral cavity, etc.
Śabdakośa gives the definition of
Dhoomapana as follows: Dhūmasvarūpasya
bheṣajayuktasya dravyasya jatrūrdhvakaphav-
ātotthavikārāṃ ajanmane jātānāṃ ucchedāya
ca mukhena ghrāṇena vā sevanam [1].
HISTORICAL BACKGROUND
Smoking in India has been known since at
least 2000 BC when cannabis was smoked and
is first mentioned in the Atharvaveda, which
dates back a few hundred years BC.
Fumigation (dhūpa) and fire offerings (homa)
are prescribed in Ayurveda for medical
purposes and have been practiced for at least
3,000 years while smoking, dhūmapāna
(literally "drinking smoke"), has been
practiced for at least 2,000 years. Tobacco was
introduced to India in the 17th century. It later
merged with existing practices of smoking
(mostly of cannabis) [2]. In Ayurvedic text the
procedure called dhūmapāna is mentioned in
the following contexts.
1. As a part of dinacaryā (daily regimen)
2. As a pradhānakarma (main therapeutic
procedure) and
3. As a paścātkarma (post procedure)
The detailed reference of the procedure is
available in these textual records:
 Caraka Saṃhitā Sūtra Sthāna ch. 5
 Suśruta Saṃhitā Cikitsā Sthāna ch. 4
 Așțāņga Saṃgraha Sūtra Sthāna ch. 30
 Așțāņga Hŗdaya Sūtra Sthāna ch. 21
 Śārņgadhara Saṃhitā Uttarakhaņḍa ch. 9
 Vaņgasena Saṃhitā ch. 16. etc.
IMPORTANCE OF DHŪMAPĀNA
It is mentioned as part of dinacaryā not only to
prevent the disease but also to cure different
types of diseases, especially in
ūrdhvajatrugatarogas. Dhūmapāna is
effective in case of kapha-vatapradhana
disorders and Prāņavahasrota diseases like
śvāsa, kāsa, Pratishyaya, etc.
JoAYUSH (2016) 36-40 © STM Journals 2016. All Rights Reserved Page 36
Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy
ISSN: 2278-2214(online), ISSN: 2321-6484(print)
Volume 5, Issue 3
www.stmjournals.com
Research Works carried out on Ardhavabhedaka
(Migraine) in the Department of Shalakyatantra, Post
Graduate Teaching and Research in Ayurveda, Jamnagar
D.B. Vaghela, Manjusha R., Shweta Mata*, Hemal Parekh
Department of Shalakya Tantra, Institute for Post Graduate Teaching and Research in Ayurveda,
Gujarat Ayurved University, Jamnagar, Gujarat, India
Abstract
Ardhavabhedaka is a Tridoshaja disease; clinically, it is a Rakta/Pitta dominant disease.
Ardhavabhedaka- hemicranial headache is a psychosomatic disorder: later replaced by
migraine a Greek word "half of the head". Present study is aimed to highlight the effective
role of Ayurvedic medicines, i.e. Laghu Sutashekhara Rasa, Sutashekhara Rasa, Brihat
Dashmoola Taila, Brihat Jeevakadya Taila and Go-ghrita Nasya. Till date, total three clinical
researches have been carried out in the subject of Ardhavabhedaka at Department of
Shalakyatantra, IPGT & RA, Jamnagar. From the data obtained in clinical studies, trial drugs
were found to be effective both on general and local symptoms as well as on associated
symptoms.
Keywords: Ardhavabhedaka, Brihat Dashmoola Taila, Laghu Sutashekhara Rasa, Migraine
INTRODUCTION
Ardhavabhedaka is a Tridoshaja disease [1];
clinically, it is a Rakta/Pitta dominant disease;
and Acharya Charaka opined that the vitiated
Doshas after reaching Shirah vitiates Rakta
(Rasavaha and Raktavaha Srotasa) there to
produce Shiro Roga (headache) [2].
Ardhavabhedaka, hemicranial headache is a
psychosomatic disorder: later replaced by
migraine, a Greek word "half of the head",
because the pain of migraine often occurs on
one side (Classical Migraine) but may also
affect the entire head.
The survey results suggested that both,
patients and physicians believe migraine
treatment is elusive and that patients are
becoming increasingly frustrated and
dissatisfied with treatment outcomes. Present
study is aimed to highlight the effective role of
ayurvedic medicines, i.e. Laghu Sutashekhara
Rasa, Sutashekhara Rasa, Brihat Dashmoola
Taila, Brihat Jeevakadya Taila and Go-ghrita
Nasya. Till date, total three clinical researches
have been carried out in the subject of
Ardhavabhedaka at Department of
Shalakyatantra, Institute for Post Graduate
Teaching and Research in Ayurveda (IPGT &
RA), Jamnagar.
Details of Research Works on
Ardhavabhedaka
Till date a total of three research works have
been carried out on Ardhavabhedaka in
Shalakyatantra Department, IPGT & RA,
Gujarat Ayurved University, Jamnagar.
Details are given in Table 1.
Table 1: Details of Clinical Research Works
on Ardhavabhedaka at Department of
Shalakyatantra, IPGT & RA, Jamnagar.
Study
No.
Name of
Researcher
Year
No. of Patients
Registered
1 Hemal et al. 2008 44
2 Mata et al. 2015 30
3 Vaghela et al. 2015 150
MATERIALS AND METHODS
For clinical study, patients attending OPD and
IPD of Department of Shalakya, IPGT & RA,
hospital fulfilling the criteria for diagnosis
were selected randomly, irrespective of their
JoAYUSH (2016) 41-47 © STM Journals 2016. All Rights Reserved Page 41
Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy
ISSN: 2278-2214(online), ISSN: 2321-6484(print)
Volume 5, Issue 3
www.stmjournals.com
A Clinical Study on Effect of Patrapinda Sveda with
Ashtakatwara Taila in Gridhrasi w.s.r. to Sciatica
Kanika Wadhwa*, Santosh Kumar Bhatted
Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India
Abstract
Today is the era of modernization and fast life. Changing of life style of modern human being
has created several disharmonies in his biological system. Advancement of busy professional
and social life, improper sitting posture in office or continuous work in one posture and
overexertion, lifting heavy weight, jerking movements during travelling; all these factors
create undue pressure and stress injury to the spine and play an important role in producing
disease like sciatica. In this way, this disease is now becoming a significant threat to the
working population. The lifetime incidence of sciatica is estimated to be between 13 and 40%.
The prevalence of sciatic symptoms reported in the literature varies considerably ranging
from 1.6% in the general population to 43% in a selected working population. In modern
medicine, the management of sciatica includes analgesics, epidural steroid injections, peri-
radicular infiltration and surgical treatment at the cost of their own limitations and
complications. In Ayurveda, sciatica can be correlated with Gridhrasi. Ayurveda through its
holistic approach and radical treatment like Panchakarma, corrects the basic pathology by
eliminating the chief causative factors. Svedana Karma is very important treatment modality
in Panchakarma. Thus present study has been conducted on 20 patients to assess the efficacy
of Patrapinda Sveda with Ashtakatwara Taila in Gridhrasi w.s.r. to sciatica. The result has
been analyzed statistically. It was very effective in relieving pain, stiffness (more than 45%)
and numbness (more than 70%) in patients of Gridhrasi.
Keywords: Gridhrasi, sciatica, Patrapinda Sveda, Ashtakatwara Taila
INTRODUCTION
Sciatica (or sciatic neuritis) is a set of
symptoms including pain that may be caused
by general compression and/or irritation of one
of five spinal nerve roots and sciatic nerve.
Sciatica is a syndrome characterized by pain
radiating from the back into the buttock and
into the lower extremities along its posterior or
lateral aspect and most commonly caused by
prolapse of the intervertebral disc, the term is
also used to refer the pain anywhere along the
course of sciatic nerve. The symptoms of
sciatica can be correlated to the disease called
Gridhrasi, mentioned in Ayurvedic text under
Vata Vyadhi, having symptoms like Ruka
(pain), Toda (piercing pain), Stambha
(stiffness), Spandana (twitching), Suptata
(numbness) and Ruka (pain) radiating from
Kati-Pradesha (lumbosacral region) to
Padanguli (foot) [1]. The lifetime incidence of
sciatica is estimated to be between 13 and 40%
[2]. The prevalence of sciatic symptoms
reported in the literature varies considerably
ranging from 1.6% in the general population to
43% in a selected working population [3].
In sciatica, modern medicine provides various
types of medical therapies like analgesics,
muscle relaxants, epidural steroids initially
and also goes for surgical treatment, which are
generally associated with adverse effects.
Ayurveda through its holistic approach and
radical treatment like Panchakarma, corrects
the basic pathology by eliminating the chief
causative factors. Acharya Charaka very
clearly states that the Svedana Karma is the
procedure which relieves the Stambha
(stiffness), Gourava (heaviness), Sheetata
(cold) and also induces sweating [4].
Patrapinda Sveda is a very practical approach
of Svedana procedure. Patrapinda Sveda is
being practiced widely by majority of
Panchakarma physicians owing to its easy
procedure and excellent fast action. As
Gridhrasi is a Vata predominant disorder,
therefore it is indicated in Gridhrasi.
JoAYUSH (2016) 48-51 © STM Journals 2016. All Rights Reserved Page 48
Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy
ISSN: 2278-2214(online), ISSN: 2321-6484(print)
Volume 5, Issue 3
www.stmjournals.com
Nadi Pariksha: An Ancient Ayurvedic Method
of Diagnosis
Kalpana B. Kachare*, Santosh G. Girbide, Snehal A. Bankar
Department of Rognidan, R.A. Podar Ayurved Medical College, Worli, Mumbai, Maharashtra, India
Abstract
In Ayurveda we have studied two hypotheses namely, Pinda Brhmanda Nyaya and Anshansha
Kalpana. As per the Pinda Brahmanda Nyaya, whatever elements we see in the nature, we
find same elements in the smallest part of the human body as well and vice versa. According
to Anshanshakalpana, all the elements found in any organism, are found in the seed of that
organism in the same proportion but in minute quantities. The presence of pulse at the
Angushthamula is evidence of life. “Hastagatenadisarvanroganprabhashyate.” Nadi
Pariksha is done to analyse and estimate the quantity of Tridosha in the body. Tridosha, i.e.
Vata, Pitta and Kapha are considered as the fundamental. Concept of Nadi Pariksha found in
various ancient Ayurved Samhitas like, Bhavprakash, Nadi Pariksha by Ravansamhita,
Nadivigyan by Kanad. Theacharya Sharangdhara flourished it in his work as a means of
diagnosis and prognosis. The concept of Nadi Pariksha is described in third chapter first part.
Yogratnakara also describes Nadi Pariksha as diagnosis, in first chapter under heading Rog
Pariksha. The examinations of Nadi Pariksha (Pulse examination) are evidence of many
diseases as per Yogratnakara. These parameters are indicative of diagnosis of diseases. They
were popular diagnostic tools in the past but nowadays they are not specifically used, so there
is need to re-establish their results so that they can be used in future.
Keywords: Ayurveda, Nadi Pariksha, pulse examination
INTRODUCTION
In Ayurveda we have studied two hypotheses
namely, Pinda Brhmanda Nyaya and
Anshansha Kalpana. As per the Pinda
Brahmanda Nyaya, whatever elements we see
in the nature, we find same elements in the
smallest part of the human body as well and
vice versa. According to Anshanshakalpana,
all the elements found in any organism, are
found in the seed of that organism in the same
proportion but in minute quantities. The
presence of pulse at the Angushthamula is
evidence of life.
Hastagatenadisarvanroganprabhashyate
Nadi Pariksha is done to analyse and estimate
the quantity of Tridosha in the body. Tridosha,
i.e. Vata, Pitta and Kapha are considered as
the fundamental elements of health. A balance
between these three is considered as Prakriti
or healthy status and any imbalance in these
three is considered as Vikriti or ill health. As
per ancient Ayurvedic text, Nadi can be
examined at various places but commonly it is
examined at the wrist of the person.
Conventionally it is examined at right wrist of
the males and left wrist of the females. Ideally
it should be examined in the early morning
and on empty stomach. Dosha usually stay at
their own place, i.e. Ashrayasthana and come
in the body hollows to do their function. Some
of the Dosha are utilized during this process.
After the process is over, the remaining Dosha
goes back to their original place.
Nadi Pariksha is an Ayurvedic tool of
diagnosis practiced from long back. Nadi
Pariksha is the science of observing the pulse
from a perspective of diagnosis of the human
body, mind and the sub-conscious. It is
commonly known as pulse diagnosis. The
pulse communicates more than what we can
feel. Energy flowing through the various
channels (Nadis) carries information about
health of all that connects to them as organ
channels (Srotas), tissues (Dhatus), organs and
their health and regeneration into the blood.
Body metabolism and even information about
JoAYUSH (2016) 52-60 © STM Journals 2016. All Rights Reserved Page 52
Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy
ISSN: 2278-2214(online), ISSN: 2321-6484(print)
Volume 5, Issue 3
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Medical Tourism in India: Perspective of Unani Medicine
Farah Naaz*, Noman Khan
Central Council for Research in Unani Medicine, Ministry of AYUSH, Government of India,
Janakpuri, New Delhi, India
Abstract
Medical tourism has emerged as a one of the trending markets across the globe. It
encompasses primarily and predominantly biomedical procedures, combined with travel and
tourism such as when consumers elect to travel across international borders to receive some
form of medical treatment, which may span the full range of medical services. Though
travelling abroad for health benefits is not a recent concept, it has gained more momentum
and media interest in the last decades. India is one of the major contributors in this industry.
Towering medical costs, high insurance premiums, increasing number of uninsured and under
insured people in developed nations, long waiting period in the home country, availability of
high quality health care services at affordable rate, and internet/communication channels in
developing countries, cheaper air fares, and the diversity of tourist destinations available in
the country are the driving forces of the outbound medical tourism. Currently, India hosts
about 1.27 million medical tourists from industrialized countries like UK and USA and from
its neighboring countries such as Bangladesh, Sri Lanka, and China. Its foreign exchange
earnings from medical tourism are around US $1.8 billion. The Indian systems of medicine
(ISM), i.e. Ayurveda, Unani, Yoga and Naturopathy, Siddha, etc., are among the most ancient
systems of medical treatment, of the world. Medical tourism holds immense hope for
development and promotion of Indian systems of medicine (ISM) worldwide, besides
contributing to foreign exchange earnings. In fact, ISM systems are one of the elements of
basic structure of medical tourism in India. India can provide medical and health care at
international standard at comparatively low cost. This paper recognizes the perspectives of
Unani system of medicine for medical tourism sector of India and explores the possible role of
central council for research in Unani medicine (CCRUM) in hosting medical tourism centres
in India. Finally, this paper analyses and concludes the scope of Unani medicine in medical
tourism by which India can attracts more number of foreign tourists for the medical treatment.
Keywords: Medical tourism, Unani, Siddha, Ayurveda, Yoga, Naturopathy
INTRODUCTION
A journey that patients take from one country
to another country to get cost effective and
efficient medical treatment, followed by a
great vacation at some of the most beautiful
locations is called medical tourism. In simple
terms, the medical tourism refers to “visit by
overseas patients for medical treatment and
relaxation” [1]. Law has defined medical
tourism as a travel from home to other
destination to improve one’s health condition
as one type of leisure [2]. This includes getting
indigenous and alternative medical services,
and any other form of tourism undertaken with
the purpose of addressing a health concern.
Monica has defined that medical tourism
occurs when international patients travel
across boundaries for their healthcare and
medical needs [3]. It can be defined as
provision of cost effective private medical care
in collaboration with the tourism industry for
patients needing surgical and other forms of
specialized treatment. However, no agreed
definition of medical tourism exists; the term
has been coined by travel agencies and the
mass media to describe the rapidly growing
practice of travelling across international
borders to obtain hi-tech medical care.
Medical tourism is actually amalgamation of
healthcare with tourism. It has become 60
billion US dollar a year business with growing
rate about 20% by a year which could increase
to 100 billion US dollar by 2012 [4]. India is
considered to be one of the best terminals for
medical tourism due to the availability of
JoAYUSH (2016) 61-69 © STM Journals 2016. All Rights Reserved Page 61
Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy
ISSN: 2278-2214(online), ISSN: 2321-6484(print)
Volume 5, Issue 3
www.stmjournals.com
Effect of Virechana Karma, Ketaki-Rasonadi
Brimhana-Sneha and Amritadi Ghanavati in
Asthikshaya w.s.r. Osteoporosis
Sajjan Kalwania1,
*, Santosh Kumar Bhatted2
, Meera K. Bhojani2
1
Department of Panchakarma, All India Institute of Ayurveda, New Delhi, India
2
Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India
Abstract
It is estimated that worldwide, osteoporosis causes more than 8.9 million fractures annually.
Long-term use of modern medication of osteoporosis are generally associated with adverse
effects like deep vein thrombosis, pulmonary embolism, endometrial cancer, ulcers of
esophagus, upper GI irritation, irregular heartbeat and thromboembolic disease. As such, no
direct reference of osteoporosis is available in Ayurveda but similar condition is described
under different diseases like Asthikshaya, Asthimajjagata Vata. The proper nourishment of
any Dhatu depends upon proper functioning of Agni, Srotas and Vata. Ayurveda advises for
the correction of basic causative factor. Panchakarma treatment due to its Shodhana effect
improves Agni. Virechana Karma, one among the Panchakarma is specific to eliminate the
vitiated Pitta, which in turn improves the Agni. Asthikshaya is due to increased Vata; hence
Snehana with Taila (oleation) is one of the best treatments for the correction of increased
Vata; hence in this study Brimhana-Snehapana with Ketaki-Rasonadi Taila was done. And
further, for the nourishment of Dhatu in general and Asthi Dhatun, in particular Rasayana
drugs like Amrita, Shatavari, etc. were used as Amritadi Ghanavati. Thus present study has
been conducted on 15 patients to evaluate the therapeutic effect of Virechana Karma, Ketaki-
Rasonadi Taila-Brimhana-Sneha and Amritadi Ghanavatiin Asthikshaya w.s.r. osteoporosis.
The results have been analyzed statistically. Virechana Karma with Brimhana-Sneha and
Amritadi Ghanavati are highly effective in osteoporosis (on BMD) which was statistically
extremely significant (P .0001).
Keywords: Osteoporosis, Asthikshaya, Virechana Karma, Brimhana-Sneha, Ketaki-Rasonadi
Taila and Amritadi Ghanavati
INTRODUCTION
Osteoporosis is a disease of the bones. It
happens when you lose too much bone; make
too little bone or both. As a result, your bones
become weak and may break from a minor fall
or, in serious cases, even from simple actions,
like sneezing or bumping into furniture.
Osteoporosis is a pathological condition of the
entire skeleton and is characterized by a low
bone mass in combination with micro
architectural changes, particularly of the
cancellous bone; both add to the fragility of
bone at distinct sites of the axial as well as the
perpendicular skeleton.
Osteoporosis is a disease of major public
health importance, which affects over one
third of all post-menopausal women with
increasing morbidity and mortality [1, 2].
It is estimated that worldwide; osteoporosis
causes more than 8.9 million fractures
annually, resulting in an osteoporotic fracture
every 3 sec [3].
As such, no direct reference of osteoporosis is
available in Ayurveda but similar conditions
are described under different diseases like
Asthikshaya, Asthimajjagata Vata.
Asthikshaya is characterized with, fatigue,
cracking of teeth and nails, and laxity of joints
[4]. Asthimajjagata Vata is a pathological
condition characterized by pain in bones,
joints, reduced muscle mass, lack of strength,
loss of sleep and continuous pain [5].
conducted
Ch Instrumentation/ /
/
Energy Science/ /
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Journal of AYUSH Ayurveda, Yoga, Unani, Siddha and Homeopathy vol_5 issue_3

  • 1. conducted Ch Instrumentation/ / / Energy Science/ / 22 STM Journalsinvitesthepapers from the National Conferences, International Conferences, Seminars conducted by Colleges, Universities, Research Organizations etc. for Conference Proceedings and Special Issue. Special Issues come in Online and Printversions. STM Journals offers schemes to publish such issues on payment and gratis(online)basisaswell. To g e t m o r e i n f o r m a t i o n : stmconferences.com Over 500 Indian and International Subscribers. 30,000 Top Researchers, Scientists, Authors and Editors All Over the WorldAssociated. Editorial/ Reviewer Board Members : . 1000 + 1,00,000 Visitors to STM Website + From140 CountriesQuarterly. + 10,000 Downloads from STM + Website. GLOBAL READERSHIP STATISTICS STM Journals Empowering knowledge Free Online Registration ISO: 9001Certified September–December 2016 ISSN 2278-2214 (Online) ISSN 2321-6484 (Print) www.stmjournals.com STM JOURNALS Scientific Technical Medical
  • 2. STM Journals, a strong initiative by Consortium E-Learning Network Private Ltd. (established 2006), was launched in the year 2010 under the support and guidance by our esteemed Editorial and Advisory Board Membersfromrenownedinstitutes. Objectives:  Promotion of Scientific, Technical and Medical research.  Publication of Original Research/Review, Short Articles and Case Studies through Peer Review process.  Publishing Special Issues on Conferences.  Preparing online platform for print journals.  Empowering the libraries with online and print Journals in Scientific, Technical and Medical domains.  Publishing and distribution of books on various subjects in the category of Nanotechnology, Scientific and Technical Writing, and Environment, Health and Safety. SalientFeatures:  A bouquet of 100+ Journals that fall under Science, Technical and Medical domains.  Employs Open Journals System (OJS)—a journal management and publishing system.  The first and one of the fastest growing publication website in India as well as in abroad for its quality and coverage.  Rapid online submission and publication of papers, soon after their formal acceptance/finalization.  Facilitates linking with the other authors or professionals.  Worldwide circulation and visibility. Journal of AYUSH : Ayurveda, Yoga, Unani, Siddha and Homeopathy ISSN: 2278-2214(online), ISSN: 2321-6484(print) Focus andScopeCovers  Ayurveda  Yoga  Unani  Siddha  Homeopathynew methodologyandtechniques  Treatmentwithtraditionalmedicines  New practiceof addingmetals,mineralsor gemstoherbs Journal of AYUSH : Ayurveda, Yoga, Unani, Siddha and Homeopathy is published (frequency: three times a year) in India by STM Journals (division of Consortium e-Learning Network Private Ltd. ) The views expressed in the articles do not necessarily reflect of the Publisher. The publisher does not endorse the quality or value of the advertised/sponsored products described therein. Please consult full prescribing information before issuing a prescription for any products mentionedinthispublication. No part of this publication may be reproduced, stored in retrieval system or transmitted in any from without written permissionof thepublisher. To cite any of the material contained in this Journal, in English or translation, please use the full English reference at the beginningof eacharticle.Toreuseanyofthematerial,pleasecontactSTM Journals (info@stmjournals.com) STM Journals
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  • 4. Gargi Asha Jha Manager (Publications) PUBLICATION MANAGEMENT TEAM Internal Members External Members Bimlesh Lochab Assistant Professor Department of Chemistry School of Natural Sciences, Shiv Nadar University Gautam Buddha Nagar, Uttar Pradesh, India Dr. Rajiv Prakash Professor and Coordinator School of Materials Science and Technology Indian Institute of Technology (BHU), Varanasi Uttar Pradesh, India Dr. Rakesh Kumar Assistant Professor Department of Applied Chemistry BIT Mesra, Patna, Bihar, India Prof. S. Ramaprabhu Alternative Energy and Nanotechnology Technology Laboratory, Department of Physics Indian Institute of Technology, Chennai Tamil Nadu, India Himani Pandey Isha Chandra Senior Associate Editors Dr. Yog Raj Sood Dean (Planning and Development) Professor, Department of Electrical Engineering National Institute of Technology, Hamirpur Himachal Pradesh, India Prof. Chris Cannings Professor, School of Mathematics and Statistics University of Sheffield, Sheffield United Kingdom Dr. D. K. Vijaykumar MS, MCh (Surgical Oncology), Professor and Head Department of Surgical Oncology Amrita Institute of Medical Sciences and Research Centre Ponekkara, Cochin, Kerala, India Dr. Durgadas Naik Associate Professor (Microbiology) Management and Science University, University Drive, Seksyen13 Selangor, Malaysia Prof. José María Luna Ariza Department of Computer Sciences and Numerical Analysis Campus of Rabanales University of Córdoba, Spain Dr. Khaiser Nikam Professor, Library and Information Science Department of Library and Information Science University of Mysore Mysore, India Quaisher J Hossain Senior Editor Group Managing Editor Dr. Archana Mehrotra Managing Director CELNET, Delhi, India Meenakshi Tripathi Shivani Sharma Chairman Mr. Puneet Mehrotra Director Shambhavi Mishra Associate Editors Sugandha Mishra
  • 5. Prof. Priyavrat Thareja Director Principal Rayat Institute of Engineering and Information Technology Punjab, India Dr. Baldev Raj Director, National Institute of Advanced Studies Indian Institute of Science campus Bangalore Karnataka, India Former Director Indira Gandhi Centre for Atomic Research, Kalpakkam, Tamil Nadu, India Dr. Pankaj Poddar Senior Scientist Physical and Materials Chemistry Division, National Chemical Laboratory Pune, Maharastra India Prof. D. N. Rao Professor and Head Department of Biochemistry All India Institute of Medical Sciences New Delhi, India Dr. Nandini Chatterjee Singh Additional Professor National Brain Research Centre Manesar, Gurgaon Haryana, India Dr. Ashish Runthala Lecturer, Biological Sciences Group Birla Institute of Technology and Science Pilani, Rajasthan, India Dr. Bankim Chandra Ray Professor and Ex-Head of the Department Department of Metallurgical and Materials Engineering National Institute of Technology, Rourkela Odisha, India Prof. Yuwaraj Marotrao Ghugal Professor and Head Department of Applied Mechanics Government College of Engineering Vidyanagar, Karad Maharashtra, India Dr. Hardev Singh Virk Visiting Professor, Department of Physics University of SGGS World University Fatehgarh Sahib, Punjab, India Former Director Research DAV Institute of Engineering and Technology Jallandhar, India Dr. Shrikant Balkisan Dhoot Senior Research Scientist, Reliance Industries Limited, Mumbai, India Former Head (Research and Development) Nurture Earth R&D Pvt Ltd., MIT Campus Beed Bypass Road, Aurangabad Maharashtra, India STM JOURNALS ADVISORY BOARD
  • 6. Dr. Rakesh Kumar Assistant Professor Department of Applied Chemistry Birla Institute of Technology Patna, Bihar, India Prof. Subash Chandra Mishra Professor Department of Metallurgical and Materials Engineering National Institute of Technology, Rourkela Odisha, India Dr. Shankargouda Patil Assistant Professor Department of Oral Pathology KLE Society's Institute of Dental Sciences Bangalore, Karnataka, India Prof. Sundara Ramaprabhu Professor Department of Physics Indian Institute of Technology Madras Chennai, Tamil Nadu India Dr. Baskar Kaliyamoorthy Associate Professor Department of Civil Engineering National Institute of Technology, Trichy Tiruchirappalli, Tamil Nadu, India STM JOURNALS ADVISORY BOARD
  • 7. Editorial Board Dr. Parameswarappa Shivappa Byadgi Banaras Hindu University, Varanasi India. Dr. Jyoti Shanker Tripathi Associate Professor Deptt. of Kayachikitsa ( Internal Medicine ) Institute of Medical Sciences Banaras Hindu University Varanasi India. Dr. K. H. H. V. S. S. Narasimha Murthy Assistant Professor, Department of Kayachikitsa, Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu University, Varanasi – India. Dr. Mangalagowri Venkatesh Rao Assistant Professor Department of Swasthavritta & YogaFaculty of Ayurveda Institute of Medical Sciences Banaras Hindu University Varanasi India. Dr. Anukul Chandra Kar Associate Professor & Head Dept. of Vikriti Vigyan Faculty of Ayurveda, IMS, BHU Varanasi India. Dr. Ajai Kumar Pandey Institute of Medical Sciences, Banaras Hindu University, Varanasi India. Dr. Ashok Kumar Panda Ayurveda Regional Research Inst. Tadong, Gangtok,Sikkim. India. Dr. Rajeev Kr. Sharma Director, Pharmacopoeial Laboratory for Indian Medicine, Ghaziabad India. Roohi Zaman Reader Deptt. of Ilmul Saidla (Unani Pharmacy) National Institute of Unani Medicine, Bangalore India. Dr. Mukesh Batra Founder-Chairman, Dr. Batra's, the world's first and largest homeopathic healthcare group.
  • 8. It is my privilege to present the print version of the [Volume 5 Issue 3] of our Journal of AYUSH: Ayurveda, Yoga,Unani, Siddha and Homeopathy, 2016. The intension of (JoAYUSH) is to create an atmosphere that stimulates vision, research and growth in the area of AYUSH: Ayurveda, Yoga,Unani,SiddhaandHomeopathy. Timely publication, honest communication, comprehensive editing and trust with authors and readers have been the hallmark of our journals. STM Journals provide a platform for scholarly research articles to be published in journals of international standards. STM journals strive to publish qualitypaperinrecordtime,makingitaleaderinserviceandbusiness offerings. The aim and scope of STM Journals is to provide an academic medium and an important reference for the advancement and dissemination of research results that support high level learning, teaching andresearchinalltheScience,TechnologyandMedicaldomains. Finally, I express my sincere gratitude to our Editorial/ Reviewer board, Authors and publication team for their continued support and invaluable contributions and suggestions in the form of authoring writeups/reviewing and providing constructive comments for the advancement of the journals.With regards to their due continuous support and co-operation, we have been able to publish qualityResearch/Reviewsfindingsfor our customersbase. Ihopeyouwillenjoyreadingthisissue andwewelcomeyourfeedbackonanyaspectof theJournal. Dr.ArchanaMehrotra ManagingDirector STM Journals Director's Desk STM JOURNALS
  • 9. 1. Efficacy of Vamana Karma in the Management of Yuvanapidaka w.s.r. to Acne Vulgaris: A Pilot Study Vipin Kumar, Santosh K. Bhatted, Sonu, Meera 1 2. Role of Ardhanarishwara Rasa Nasya and Nimbadi Guggulu in the Management of Kaphaja Shiroroga (Sinusitis): A Pilot Study Mansi, Aparna Sharma, Vipin, Sonu 6 3. Role of Krishnadi Churna and Panchavalkaladi Taila Pichu in the Management of Paripluta Yonivyapad (Pelvic Inflammatory Disease): A Pilot Study Sonu, Vipin Kumar, Hetal H. Dave, B. Pushpalatha 10 4. Formulation and Evaluation of Unani Anti-acne Cream Shahid Shah Chaudhary, Roohi Zaman, Shariq Shamsi 17 5. A Scientific Study: Regulation of Autonomic Nervous System through Slow Breath Pranayama Pradeep Kumar Pal, V.N. Mishra, H.H. Awasthi 23 6. Practical Utility and Scope of Dhoomapana in Nasal Disorders Shamsa Fiaz 29 7. Research Works carried out on Ardhavabhedaka (Migraine) in the Department of Shalakyatantra, Post Graduate Teaching and Research in Ayurveda, Jamnagar D.B. Vaghela, Manjusha R., Shweta Mata, Hemal Parekh 36 8. A Clinical Study on Effect of Patrapinda Sveda with Ashtakatwara Taila in Gridhrasi w.s.r. to Sciatica Kanika Wadhwa, Santosh Kumar Bhatted 41 9. Nadi Pariksha: An Ancient Ayurvedic Method of Diagnosis Kalpana B. Kachare, Santosh G. Girbide, Snehal A. Bankar 48 10.Medical Tourism in India: Perspective of Unani Medicine Farah Naaz, Noman Khan 52 11.Effect of Virechana Karma, Ketaki-Rasonadi Brimhana-Sneha and Amritadi Ghanavati in Asthikshaya w.s.r. Osteoporosis Sajjan Satish Kalwania, Santosh Kumar Bhatted, Meera K. Bhojani 61 ContentsJournal of AYUSH : Ayurveda, Yoga, Unani, Siddha and Homeopathy
  • 10. JoAYUSH (2016) 1-5 © STM Journals 2016. All Rights Reserved Page 1 Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ISSN: 2278-2214 (online), ISSN: 2321-6484 (print) Volume 5, Issue 3 www.stmjournals.com Efficacy of Vamana Karma in the Management of Yuvanapidaka w.s.r. to Acne Vulgaris: A Pilot Study Vipin Kumar1, *, Santosh K. Bhatted1 , Sonu2 , Meera3 1 Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India 2 Department of Prasuti and Stri Roga, National Institute of Ayurveda, Jaipur, Rajasthan, India 3 Department of Basic Principles, All India Institute of Ayurveda, New Delhi, India Abstract According to Ayurveda, among the 56 upangas, face is at the top, so everyone and mostly youngsters are most cautious about the beauty of face. Acne vulgaris is a chronic inflammatory disease of the pilosebaceous follicles characterized by comedones, papules, pustules and often scars; chiefly on cheeks, forehead, chin, nose and upper trunk. As per Ayurveda classics, this condition can be correlated with yuvanapidaka (mukhadushika) which is the result of vitiated kapha, maruta (vāta) and shonita and the vishesha treatment as mentioned in classics is chardana (vamana karma). Hence the present study was conducted to observe the efficacy of vamana karma in the management of yuvanapidaka (mukhadushika). The results were assessed on the basis of signs and symptoms described in both, Ayurveda as well as modern medicine like pidaka, papules and pustules on face including medogarbhatva, ruja, daha, srava, etc. Marked improvement was observed in the chief complaints of the patients. Keywords: Yuvanapidaka, acne vulgaris, vamana karma, madanphala INTRODUCTION Beauty is a matter for joy forever. Everybody wants to remain not only healthy but beautiful too. Face is index of mind and mirror of the body. According to Ayurveda, among the 56 upangas, face is at the top, so everyone and mostly youngsters are most cautious and careful about the beauty of face. Unfortunately, skin of the face is affected by certain anomalies in adolescence age, which is the golden period of life. Acne is the scourge of mankind and the travesty of youth. Acne vulgaris is a disorder of pilosebaceous unit which predominantly affects the peripubertal population and clinically manifests as comedones (open/closed), papules, nodules, pustules and cysts and heals with scars [1]. Moderate to severe acne affects around 20% of young people and severity correlates with pubertal maturity. Acne persists into the 20s and 30s in around 64 and 43% of individuals, respectively. The heritability of acne is almost 80% in first degree relatives [2]. Yuvanapidaka (mukhadushika) is described as kshudraroga in our classics [3]. Due to aggravation of kapha, vata and shonita (rakta), pidaka (papules) resembling the sprouts on the bark of shalmali tree (Salmalia malabarica) appear on the face of adolescents is known as yuvanapidaka, which make the face ugly [4]. Modern medications for acne include topical therapies, antimicrobials, hormones, surgery, UV irradiations; intralesions injections, etc. But those have their own limitations. All these treatment modalities burn a hole in the pocket alone with adverse effects without curing the disease and are only effective until used, with a very high rate of relapse on leaving medicine. Looking into the above mentioned facts, there is a need for a treatment which can treat effectively as well as reduces the recurrence of acne vulgaris. In Ayurveda texts, vamana karma and raktamokshana are chief treatments mentioned for yuvanapidaka along with certain topical applications and oral medications [5]. MATERIALS AND METHODS In this study total 17 patients were registered and 15 patients completed the whole trial.
  • 11. JoAYUSH (2016) 6-9 © STM Journals 2016. All Rights Reserved Page 6 Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ISSN: 2278-2214(online), ISSN: 2321-6484(print) Volume 5, Issue 3 www.stmjournals.com Role of Ardhanarishwara Rasa Nasya and Nimbadi Guggulu in the Management of Kaphaja Shiroroga (Sinusitis): A Pilot Study Mansi1, *, Aparna Sharma1 , Vipin2 , Sonu3 1 Department of Shalakya Tantra, National Institute of Ayurveda, Jaipur, Rajasthan, India 2 Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India 3 Department of Prasuti and Stri Roga, National Institute of Ayurveda, Jaipur, Rajasthan, India Abstract Kaphaja shiroroga is one among the 11 types of shirorogas mentioned by Aacharya Sushruta and can be correlated to sinusitis in modern science. Sinusitis is a major problem in the society due to its recurrent exacerbation and treatment with antibiotics, decongestants, antihistamine etc. and is not successfully combated due to their side effects. The drugs selected for present study ardhanarishvara rasa and nimbadi guggulu, are having kaphavatahara, lekhaniya, srotoshodhana and shothahara properties which help in the breakdown the pathogenesis of sinusitis. In present trial, 15 patients of kaphaja shiroroga (sinusitis) were treated with ardhanarishvara rasa nasya and nimbadi guggulu orally. Statistically extremely significant results were found in headache, heaviness in head, nasal obstruction and haziness in sinuses and very significant results were found in nasal discharge and tenderness over sinuses. Average percentage of relief was 63.27% in all the parameters of kaphaja shiroroga (sinusitis). Keywords: Kaphaja shiroroga, sinusitis, nasya, nimbadi guggulu INTRODUCTION Various types of shiro rogas are mentioned in ayurveda classics and kaphaja shiroroga is one among them. The clinical features of kaphaja shiroroga described by Aacharya Sushruta are guru pratistabdham (heaviness and fullness of head), himam (coldness in head), shuna akshikoota vadanam (swelling of face especially around the eyes), shirobhitapa (headache), shirogalam kaphopdigdham (feeling of having a coating of phlegm inside the head and throat) [1]. It can be correlated to sinusitis in modern science. Sinusitis refers to inflammation of the mucosa of paranasal sinuses. Major and minor symptoms of sinusitis are headache, facial pain/pressure, facial congestion/fullness, nasal discharge, nasal obstruction, post-nasal drip, periorbital swelling, fever, halitosis, fatigue, etc. [2]. Sinusitis an extremely prevalent disorder that has a significant impact on the quality of life of affected individuals. The reason behind this may be increasing pollution, changing lifestyle, urban sprawl and increasing resistance to the antibiotics. Being a developing country, the incidence of the disease is high among Indian population. It affects one out of every seven adults in the United States, with more than 30 million individuals diagnosed each year. It is the fifth most common diagnosis for which antibiotics are prescribed [3]. It is often preceded by rhinitis and rarely occurs without concurrent rhinitis, as mucosa of sinuses is a continuation of nasal mucosa. So, infection of nose can easily reach to the sinuses. Repeated attack and improper management of the acute stage leads the disease to a chronic phase. The treatment of sinusitis includes antibiotics, decongestants, antihistamines, analgesics and surgical procedures. Although these treatments provide their best contributions towards the healing process, but sinusitis is not successfully combated due to its recurrence. The side effects of the analgesics and antibiotics are well known. Antihistamines may complicate drainage by thickening and pooling sinonasal secretions. Topical vasoconstrictors (e.g., oxymetazoline
  • 12. JoAYUSH (2016) 10-16 © STM Journals 2016. All Rights Reserved Page 10 Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ISSN: 2278-2214(online), ISSN: 2321-6484(print) Volume 5, Issue 3 www.stmjournals.com Role of Krishnadi Churna and Panchavalkaladi Taila Pichu in the Management of Paripluta Yonivyapad (Pelvic Inflammatory Disease): A Pilot Study Sonu1, *, Vipin Kumar2 , Hetal H. Dave1 , B. Pushpalatha1 1 Department of Prasuti and Stri Roga, National Institute of Ayurveda, Jaipur, Rajasthan, India 2 Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India Abstract Yoni shuddhata is one among the major fundamentals for a healthy offspring. Twenty types of yonivyapad mentioned in the classics are a major cause in hampering the normalcy of the female reproductive tract. In the present period, pelvic inflammatory disease is a burning problem whose incidences are increasing rapidly. Pelvic inflammatory disease (PID) is a disease of the upper genital tract. It implies infection and inflammation of the upper genital tract organs typically involving the uterus (endometrium), fallopian tubes, ovaries, pelvic peritoneum and surrounding structures. As per ayurvedic classics, this disease can be correlated with paripluta yonivyapad which is the result of vitiated vata and pitta dosha. Hence the present study was conducted to observe the efficacy of krishnadi churna and panchavalkaladi taila pichu in the management of paripluta yonivyapad. The results were assessed on the basis of signs and symptoms described in both, ayurveda as well as modern medicine like shroni vedana, prishthashula, sparshakshama, abnormal vaginal discharge, cervical motion tenderness, vaginal pH and ultrasonography etc. A special proforma was prepared and the patients were examined on the basis of available signs and symptoms. Patients were treated with krishnadi churna and panchavalkaladi pichu and marked result was observed in the form of improvement in chief complaints of the patients. Keywords: Paripluta, krishnadi churna, panchavalkaladi taila, pelvic inflammatory disease INTRODUCTION Health is an important factor that contributes to human well-being and economic growth. Wisdom, art, strength and wealth, are of no use if health is lacking. Currently, Indian women are facing multiple health problems, which ultimately affect aggregate socio- economy’s output. Nidation of seed will grow only in favourable environment; likewise production of good offspring highly depends on the woman's reproductive health. Yoni shuddhata is one among the major fundamentals for a healthy offspring [1]. Twenty types of yonivyapads mentioned in the classics are a major cause in hampering the normalcy of the female reproductive tract [2]. Charaka says that yoni of woman afflicted with doshas or diseases, does not retain shukra or the female becomes infertile [3]. In the present period, pelvic inflammatory disease is a burning problem whose incidences are increasing rapidly. Pelvic inflammatory disease (PID) is a disease of the upper genital tract. It implies infection and inflammation of the upper genital tract organs typically involving the uterus (endometrium), fallopian tubes, ovaries, pelvic peritoneum and surrounding structures. It is attributed to the ascending spread of microorganisms from the vagina or cervix to the contiguous pelvic structures [4]. If PID goes untreated, it causes scarring around the inflamed organs, which leads to infertility, chronic pelvic pain and blocked fallopian tubes-which make an ectopic pregnancy more likely. As per ayurveda classics, this disease can be correlated with paripluta yonivyapad which is the result of vitiated vata and pitta. According to CDC, in United States, more than 1 million women are estimated to experience an episode of PID every year. In modern system of medicine, antimicrobials, analgesics, NSAIDs are often prescribed in the treatment of pelvic inflammatory disease. Gastrointestinal upsets
  • 13. JoAYUSH (2016) 17-22 © STM Journals 2016. All Rights Reserved Page 17 Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ISSN: 2278-2214(online), ISSN: 2321-6484(print) Volume 5, Issue 3 www.stmjournals.com Formulation and Evaluation of Unani Anti-acne Cream Shahid Shah Chaudhary1, *, Roohi Zaman2 , Shariq Shamsi2 1 Department of Ilmul Saidla (Unani Pharmacy), Jamia Hamdard, New Delhi, India 2 Department of Ilmul Saidla (Unani Pharmacy) National Institute of Unani Medicine, Bangalore, Karnataka, India Abstract In unani system of medicine (USM) many herbal drugs have been mentioned to be useful in the treatment of various skin diseases, which are considered safe and free from major side effects. Most of the formulations for topical application are in powder form and patients feel inconvenience in using traditional dosage forms in comparison to modern dosage forms. Therefore in the present study a formula (in powder form) for acne was selected to convert it into cream form. Cream was prepared using the extracts of Darchini, Husune Yusuf and Tukhm Khashkhash and then evaluated for their physicochemical parameters like organoleptic characters, pH, water content, total fatty substance, determination of residue, thermal stability, spreadability and specific gravity. Stability study of three months was also carried out at three different temperatures (4, 25 and 40°C). The data evolved from this study reveals that cream made from the classical nuskha of acne was found to be stable for the storage period of 3 months except the sample at 40°C. Further clinical study is required to establish its safety and efficacy. Keywords: Cream, unani, dosage form INTRODUCTION The skin is the largest organ of the body; it also forms a living biological barrier and it reflects an individual’s personality. It is therefore not surprising that there is great interest in “skin care”. The impairment of the normal functions of the skin can lead to acute and chronic illness with considerable disability and sometimes a need for hospital treatment [1]. In unani system of medicine (USM) many herbal drugs have been mentioned to be useful in the treatment of various skin diseases. The drugs are used since centuries and are considered safe. They do not seem to have any major side effects. CCRUM had already conducted the clinical trials on some chronic skin diseases like Bars (vitiligo), Nar-e-Farsi (Eczema) and Daussadaf (Psoriasis). In case of vitiligo, CRIUM Hyderabad has attained international fame for the successful treatment of this disorder. The council formulated some new combination of drugs for oral and local use and subjected to therapeutic trials in cases of eczema. The drugs have significant effect in chronic eczema, fissural eczema, contact dermatitis, chronic dermatitis and also in lichen simplex chronicus. Urticaria, scabies and other skin diseases are also under clinical trial in CCRUM [2]. In most of the dermatological ailments, drugs applied topically, is the first line of treatment. Most of the formulae for the treatment of skin diseases mentioned in classical literature are in powder form, which are indicated to be applied topically on skin as it is or in the form of paste by mixing the powder with suitable vehicle like water, arq, milk, oil, etc. For example, safoof burg hina, safoof bars and safoofkharish are in powder form applied topically after mixing with water and jasmine oil respectively. Though the unani treatment in skin disorders is amazing but patients feel inconvenience in using traditional dosage forms in comparison to modern dosage forms, because the modern pharmaceutical industry is very advanced, they have various dosage forms which are standardized, attractive and convenient. A study showed that number of dropouts was more among the patients seeking unani treatment due to inconvenient dosage form [3].
  • 14. JoAYUSH (2016) 23-28 © STM Journals 2016. All Rights Reserved Page 23 Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ISSN: 2278-2214(online), ISSN: 2321-6484(print) Volume 5, Issue 3 www.stmjournals.com A Scientific Study: Regulation of Autonomic Nervous System through Slow Breath Pranayama Pradeep Kumar Pal1, *, V.N. Mishra2 , H.H. Awasthi1 1 Department of Rachana Sharir, Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India 2 Department of Neurology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India Abstract Voluntary slow deep breathing functionally resets autonomic nervous system through stretch induced inhibitory signals and hyper-polarization currents that propagate through both, neural and non-neural tissue. The scientific basis of benefits of practicing slow Pranayama, especially alternate nostril breathing (Nadi Shodhana Pranayama as NSP) and Dhyana is regulation of cerebral dominance and shifting of autonomic nervous system. This regulation occurs via Nadis under control of Agya Chakra. The aim of the present study was to assess the effect of Yoga practices (Nadi Shodhana Pranayama and Dhyana) Yoga practices (Nadi Shodhana Pranayama and Dhyana on Agya Chakra) on Agya Chakra by symptomatic scale of migraine and essential hypertension through GSR measuring scale. For this, total 150 cases were selected and divided in three groups: (1) Healthy individuals, (2) Migraine and (3) Essential hypertension, 50 cases in each. Further, each group was divided in two sub groups: (i) Control and (ii) Intervention. Yogic practices were advised in all subgroups; beside this, in very low dose, medication also given to intervention subgroups of 2nd and 3rd groups. GSR of all three groups were analysed before and after each follow up (three follows up done). In all three groups, excellent improvement was recorded. Better progress was recorded in intervention subgroups than control in symptoms of psychological exertional due to over stress and anxiety. Observations were found statistically significant (p<0.001). So, it could be concluded that Yoga practices affecting the psycho physiological activities via the Agya Chakra (hypothalamo-cerebral system), improve quality of life either in healthy individual and diseased. Keywords: Pranayama, Dhyana, Autonomic Nervous System, Agya Chakra, Nadi INTRODUCTION Hypertension is one of the leading causes of the global burden of disease. Approximately 7.6 million deaths (13–15% of the total) and 92 million disability-adjusted life years worldwide were attributable to high blood pressure in 2001. Hypertension doubles the risk of cardiovascular diseases, including coronary heart disease (CHD), congestive heart failure (CHF), ischemic and hemorrhagic stroke, renal failure, and peripheral arterial disease. Depending on methods of patient ascertainment, ~80–95% of hypertensive patients are diagnosed as having "essential" hypertension (also referred to as primary or idiopathic hypertension). Essential hypertension tends to be familial and is likely to be the consequence of an interaction between environmental and genetic factors. The prevalence of essential hypertension increases with age and individuals with relatively high blood pressures at younger ages are at increased risk for the subsequent development of hypertension. In the majority of patients with established hypertension, peripheral resistance is increased and cardiac output is normal or decreased [1]. Migraine, the second most common cause of headache, afflicts approximately 15% of women and 6% of men over a one year period. It is frequently an episodic headache connected with certain features such as sensitivity to light, noise, or movement; nausea and vomiting often go with the headache. A useful description of migraine is a benign and
  • 15. JoAYUSH (2016) 29-35 © STM Journals 2016. All Rights Reserved Page 29 Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ISSN: 2278-2214(online), ISSN: 2321-6484(print) Volume 5, Issue 3 www.stmjournals.com Practical Utility and Scope of Dhoomapana in Nasal Disorders Shamsa Fiaz* Department of Shalakya Tantra (ENT), National Institute of Ayurveda, Jaipur, Rajasthan, India Abstract Dhoomapana is an important therapy advocated for the prevention and cure of diseases of the head caused by kapha and vāta and also for the treatment of the diseases related to ENT. Dhūmapāna may be defined as the process by which the medicated smoke is taken either through the mouth or nose and releasing it only through the mouth. In Ayurvedic texts this procedure is advocated as a part of dinacaryā (daily regimen), or pradhānakarma (main therapeutic procedure) and often as a paścātkarma (post procedure) in Nasya therapy. Dhūmapāna is the most practical and the best procedure to remove kapha from nasal passages and sinuses. Thus, the medicines administered through Dhūmapāna are plant based volatile compounds which are absorbed readily through mucous membrane as they are volatile in nature and in micro ionized form for treating nasal disorders particularly and also play an important role in maintaining the health and cure of the diseases related to ENT. Keywords: ENT, smoking, Dhūmapāna, dhoomapana INTRODUCTION Dhūmapāna is a Sanskrit compound word consisting of two words dhūma meaning smoke and pāna meaning drinking, or figuratively, intake. It is formed by șașțhī tatpuruṣa samāsa. Therefore, the compound word means intake of medicated smoke by mouth or nose, for the prevention of diseases of the head caused by kapha and vāta and also for the treatment of the diseases related to nose, ear, oral cavity, etc. Śabdakośa gives the definition of Dhoomapana as follows: Dhūmasvarūpasya bheṣajayuktasya dravyasya jatrūrdhvakaphav- ātotthavikārāṃ ajanmane jātānāṃ ucchedāya ca mukhena ghrāṇena vā sevanam [1]. HISTORICAL BACKGROUND Smoking in India has been known since at least 2000 BC when cannabis was smoked and is first mentioned in the Atharvaveda, which dates back a few hundred years BC. Fumigation (dhūpa) and fire offerings (homa) are prescribed in Ayurveda for medical purposes and have been practiced for at least 3,000 years while smoking, dhūmapāna (literally "drinking smoke"), has been practiced for at least 2,000 years. Tobacco was introduced to India in the 17th century. It later merged with existing practices of smoking (mostly of cannabis) [2]. In Ayurvedic text the procedure called dhūmapāna is mentioned in the following contexts. 1. As a part of dinacaryā (daily regimen) 2. As a pradhānakarma (main therapeutic procedure) and 3. As a paścātkarma (post procedure) The detailed reference of the procedure is available in these textual records:  Caraka Saṃhitā Sūtra Sthāna ch. 5  Suśruta Saṃhitā Cikitsā Sthāna ch. 4  Așțāņga Saṃgraha Sūtra Sthāna ch. 30  Așțāņga Hŗdaya Sūtra Sthāna ch. 21  Śārņgadhara Saṃhitā Uttarakhaņḍa ch. 9  Vaņgasena Saṃhitā ch. 16. etc. IMPORTANCE OF DHŪMAPĀNA It is mentioned as part of dinacaryā not only to prevent the disease but also to cure different types of diseases, especially in ūrdhvajatrugatarogas. Dhūmapāna is effective in case of kapha-vatapradhana disorders and Prāņavahasrota diseases like śvāsa, kāsa, Pratishyaya, etc.
  • 16. JoAYUSH (2016) 36-40 © STM Journals 2016. All Rights Reserved Page 36 Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ISSN: 2278-2214(online), ISSN: 2321-6484(print) Volume 5, Issue 3 www.stmjournals.com Research Works carried out on Ardhavabhedaka (Migraine) in the Department of Shalakyatantra, Post Graduate Teaching and Research in Ayurveda, Jamnagar D.B. Vaghela, Manjusha R., Shweta Mata*, Hemal Parekh Department of Shalakya Tantra, Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar, Gujarat, India Abstract Ardhavabhedaka is a Tridoshaja disease; clinically, it is a Rakta/Pitta dominant disease. Ardhavabhedaka- hemicranial headache is a psychosomatic disorder: later replaced by migraine a Greek word "half of the head". Present study is aimed to highlight the effective role of Ayurvedic medicines, i.e. Laghu Sutashekhara Rasa, Sutashekhara Rasa, Brihat Dashmoola Taila, Brihat Jeevakadya Taila and Go-ghrita Nasya. Till date, total three clinical researches have been carried out in the subject of Ardhavabhedaka at Department of Shalakyatantra, IPGT & RA, Jamnagar. From the data obtained in clinical studies, trial drugs were found to be effective both on general and local symptoms as well as on associated symptoms. Keywords: Ardhavabhedaka, Brihat Dashmoola Taila, Laghu Sutashekhara Rasa, Migraine INTRODUCTION Ardhavabhedaka is a Tridoshaja disease [1]; clinically, it is a Rakta/Pitta dominant disease; and Acharya Charaka opined that the vitiated Doshas after reaching Shirah vitiates Rakta (Rasavaha and Raktavaha Srotasa) there to produce Shiro Roga (headache) [2]. Ardhavabhedaka, hemicranial headache is a psychosomatic disorder: later replaced by migraine, a Greek word "half of the head", because the pain of migraine often occurs on one side (Classical Migraine) but may also affect the entire head. The survey results suggested that both, patients and physicians believe migraine treatment is elusive and that patients are becoming increasingly frustrated and dissatisfied with treatment outcomes. Present study is aimed to highlight the effective role of ayurvedic medicines, i.e. Laghu Sutashekhara Rasa, Sutashekhara Rasa, Brihat Dashmoola Taila, Brihat Jeevakadya Taila and Go-ghrita Nasya. Till date, total three clinical researches have been carried out in the subject of Ardhavabhedaka at Department of Shalakyatantra, Institute for Post Graduate Teaching and Research in Ayurveda (IPGT & RA), Jamnagar. Details of Research Works on Ardhavabhedaka Till date a total of three research works have been carried out on Ardhavabhedaka in Shalakyatantra Department, IPGT & RA, Gujarat Ayurved University, Jamnagar. Details are given in Table 1. Table 1: Details of Clinical Research Works on Ardhavabhedaka at Department of Shalakyatantra, IPGT & RA, Jamnagar. Study No. Name of Researcher Year No. of Patients Registered 1 Hemal et al. 2008 44 2 Mata et al. 2015 30 3 Vaghela et al. 2015 150 MATERIALS AND METHODS For clinical study, patients attending OPD and IPD of Department of Shalakya, IPGT & RA, hospital fulfilling the criteria for diagnosis were selected randomly, irrespective of their
  • 17. JoAYUSH (2016) 41-47 © STM Journals 2016. All Rights Reserved Page 41 Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ISSN: 2278-2214(online), ISSN: 2321-6484(print) Volume 5, Issue 3 www.stmjournals.com A Clinical Study on Effect of Patrapinda Sveda with Ashtakatwara Taila in Gridhrasi w.s.r. to Sciatica Kanika Wadhwa*, Santosh Kumar Bhatted Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India Abstract Today is the era of modernization and fast life. Changing of life style of modern human being has created several disharmonies in his biological system. Advancement of busy professional and social life, improper sitting posture in office or continuous work in one posture and overexertion, lifting heavy weight, jerking movements during travelling; all these factors create undue pressure and stress injury to the spine and play an important role in producing disease like sciatica. In this way, this disease is now becoming a significant threat to the working population. The lifetime incidence of sciatica is estimated to be between 13 and 40%. The prevalence of sciatic symptoms reported in the literature varies considerably ranging from 1.6% in the general population to 43% in a selected working population. In modern medicine, the management of sciatica includes analgesics, epidural steroid injections, peri- radicular infiltration and surgical treatment at the cost of their own limitations and complications. In Ayurveda, sciatica can be correlated with Gridhrasi. Ayurveda through its holistic approach and radical treatment like Panchakarma, corrects the basic pathology by eliminating the chief causative factors. Svedana Karma is very important treatment modality in Panchakarma. Thus present study has been conducted on 20 patients to assess the efficacy of Patrapinda Sveda with Ashtakatwara Taila in Gridhrasi w.s.r. to sciatica. The result has been analyzed statistically. It was very effective in relieving pain, stiffness (more than 45%) and numbness (more than 70%) in patients of Gridhrasi. Keywords: Gridhrasi, sciatica, Patrapinda Sveda, Ashtakatwara Taila INTRODUCTION Sciatica (or sciatic neuritis) is a set of symptoms including pain that may be caused by general compression and/or irritation of one of five spinal nerve roots and sciatic nerve. Sciatica is a syndrome characterized by pain radiating from the back into the buttock and into the lower extremities along its posterior or lateral aspect and most commonly caused by prolapse of the intervertebral disc, the term is also used to refer the pain anywhere along the course of sciatic nerve. The symptoms of sciatica can be correlated to the disease called Gridhrasi, mentioned in Ayurvedic text under Vata Vyadhi, having symptoms like Ruka (pain), Toda (piercing pain), Stambha (stiffness), Spandana (twitching), Suptata (numbness) and Ruka (pain) radiating from Kati-Pradesha (lumbosacral region) to Padanguli (foot) [1]. The lifetime incidence of sciatica is estimated to be between 13 and 40% [2]. The prevalence of sciatic symptoms reported in the literature varies considerably ranging from 1.6% in the general population to 43% in a selected working population [3]. In sciatica, modern medicine provides various types of medical therapies like analgesics, muscle relaxants, epidural steroids initially and also goes for surgical treatment, which are generally associated with adverse effects. Ayurveda through its holistic approach and radical treatment like Panchakarma, corrects the basic pathology by eliminating the chief causative factors. Acharya Charaka very clearly states that the Svedana Karma is the procedure which relieves the Stambha (stiffness), Gourava (heaviness), Sheetata (cold) and also induces sweating [4]. Patrapinda Sveda is a very practical approach of Svedana procedure. Patrapinda Sveda is being practiced widely by majority of Panchakarma physicians owing to its easy procedure and excellent fast action. As Gridhrasi is a Vata predominant disorder, therefore it is indicated in Gridhrasi.
  • 18. JoAYUSH (2016) 48-51 © STM Journals 2016. All Rights Reserved Page 48 Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ISSN: 2278-2214(online), ISSN: 2321-6484(print) Volume 5, Issue 3 www.stmjournals.com Nadi Pariksha: An Ancient Ayurvedic Method of Diagnosis Kalpana B. Kachare*, Santosh G. Girbide, Snehal A. Bankar Department of Rognidan, R.A. Podar Ayurved Medical College, Worli, Mumbai, Maharashtra, India Abstract In Ayurveda we have studied two hypotheses namely, Pinda Brhmanda Nyaya and Anshansha Kalpana. As per the Pinda Brahmanda Nyaya, whatever elements we see in the nature, we find same elements in the smallest part of the human body as well and vice versa. According to Anshanshakalpana, all the elements found in any organism, are found in the seed of that organism in the same proportion but in minute quantities. The presence of pulse at the Angushthamula is evidence of life. “Hastagatenadisarvanroganprabhashyate.” Nadi Pariksha is done to analyse and estimate the quantity of Tridosha in the body. Tridosha, i.e. Vata, Pitta and Kapha are considered as the fundamental. Concept of Nadi Pariksha found in various ancient Ayurved Samhitas like, Bhavprakash, Nadi Pariksha by Ravansamhita, Nadivigyan by Kanad. Theacharya Sharangdhara flourished it in his work as a means of diagnosis and prognosis. The concept of Nadi Pariksha is described in third chapter first part. Yogratnakara also describes Nadi Pariksha as diagnosis, in first chapter under heading Rog Pariksha. The examinations of Nadi Pariksha (Pulse examination) are evidence of many diseases as per Yogratnakara. These parameters are indicative of diagnosis of diseases. They were popular diagnostic tools in the past but nowadays they are not specifically used, so there is need to re-establish their results so that they can be used in future. Keywords: Ayurveda, Nadi Pariksha, pulse examination INTRODUCTION In Ayurveda we have studied two hypotheses namely, Pinda Brhmanda Nyaya and Anshansha Kalpana. As per the Pinda Brahmanda Nyaya, whatever elements we see in the nature, we find same elements in the smallest part of the human body as well and vice versa. According to Anshanshakalpana, all the elements found in any organism, are found in the seed of that organism in the same proportion but in minute quantities. The presence of pulse at the Angushthamula is evidence of life. Hastagatenadisarvanroganprabhashyate Nadi Pariksha is done to analyse and estimate the quantity of Tridosha in the body. Tridosha, i.e. Vata, Pitta and Kapha are considered as the fundamental elements of health. A balance between these three is considered as Prakriti or healthy status and any imbalance in these three is considered as Vikriti or ill health. As per ancient Ayurvedic text, Nadi can be examined at various places but commonly it is examined at the wrist of the person. Conventionally it is examined at right wrist of the males and left wrist of the females. Ideally it should be examined in the early morning and on empty stomach. Dosha usually stay at their own place, i.e. Ashrayasthana and come in the body hollows to do their function. Some of the Dosha are utilized during this process. After the process is over, the remaining Dosha goes back to their original place. Nadi Pariksha is an Ayurvedic tool of diagnosis practiced from long back. Nadi Pariksha is the science of observing the pulse from a perspective of diagnosis of the human body, mind and the sub-conscious. It is commonly known as pulse diagnosis. The pulse communicates more than what we can feel. Energy flowing through the various channels (Nadis) carries information about health of all that connects to them as organ channels (Srotas), tissues (Dhatus), organs and their health and regeneration into the blood. Body metabolism and even information about
  • 19. JoAYUSH (2016) 52-60 © STM Journals 2016. All Rights Reserved Page 52 Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ISSN: 2278-2214(online), ISSN: 2321-6484(print) Volume 5, Issue 3 www.stmjournals.com Medical Tourism in India: Perspective of Unani Medicine Farah Naaz*, Noman Khan Central Council for Research in Unani Medicine, Ministry of AYUSH, Government of India, Janakpuri, New Delhi, India Abstract Medical tourism has emerged as a one of the trending markets across the globe. It encompasses primarily and predominantly biomedical procedures, combined with travel and tourism such as when consumers elect to travel across international borders to receive some form of medical treatment, which may span the full range of medical services. Though travelling abroad for health benefits is not a recent concept, it has gained more momentum and media interest in the last decades. India is one of the major contributors in this industry. Towering medical costs, high insurance premiums, increasing number of uninsured and under insured people in developed nations, long waiting period in the home country, availability of high quality health care services at affordable rate, and internet/communication channels in developing countries, cheaper air fares, and the diversity of tourist destinations available in the country are the driving forces of the outbound medical tourism. Currently, India hosts about 1.27 million medical tourists from industrialized countries like UK and USA and from its neighboring countries such as Bangladesh, Sri Lanka, and China. Its foreign exchange earnings from medical tourism are around US $1.8 billion. The Indian systems of medicine (ISM), i.e. Ayurveda, Unani, Yoga and Naturopathy, Siddha, etc., are among the most ancient systems of medical treatment, of the world. Medical tourism holds immense hope for development and promotion of Indian systems of medicine (ISM) worldwide, besides contributing to foreign exchange earnings. In fact, ISM systems are one of the elements of basic structure of medical tourism in India. India can provide medical and health care at international standard at comparatively low cost. This paper recognizes the perspectives of Unani system of medicine for medical tourism sector of India and explores the possible role of central council for research in Unani medicine (CCRUM) in hosting medical tourism centres in India. Finally, this paper analyses and concludes the scope of Unani medicine in medical tourism by which India can attracts more number of foreign tourists for the medical treatment. Keywords: Medical tourism, Unani, Siddha, Ayurveda, Yoga, Naturopathy INTRODUCTION A journey that patients take from one country to another country to get cost effective and efficient medical treatment, followed by a great vacation at some of the most beautiful locations is called medical tourism. In simple terms, the medical tourism refers to “visit by overseas patients for medical treatment and relaxation” [1]. Law has defined medical tourism as a travel from home to other destination to improve one’s health condition as one type of leisure [2]. This includes getting indigenous and alternative medical services, and any other form of tourism undertaken with the purpose of addressing a health concern. Monica has defined that medical tourism occurs when international patients travel across boundaries for their healthcare and medical needs [3]. It can be defined as provision of cost effective private medical care in collaboration with the tourism industry for patients needing surgical and other forms of specialized treatment. However, no agreed definition of medical tourism exists; the term has been coined by travel agencies and the mass media to describe the rapidly growing practice of travelling across international borders to obtain hi-tech medical care. Medical tourism is actually amalgamation of healthcare with tourism. It has become 60 billion US dollar a year business with growing rate about 20% by a year which could increase to 100 billion US dollar by 2012 [4]. India is considered to be one of the best terminals for medical tourism due to the availability of
  • 20. JoAYUSH (2016) 61-69 © STM Journals 2016. All Rights Reserved Page 61 Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ISSN: 2278-2214(online), ISSN: 2321-6484(print) Volume 5, Issue 3 www.stmjournals.com Effect of Virechana Karma, Ketaki-Rasonadi Brimhana-Sneha and Amritadi Ghanavati in Asthikshaya w.s.r. Osteoporosis Sajjan Kalwania1, *, Santosh Kumar Bhatted2 , Meera K. Bhojani2 1 Department of Panchakarma, All India Institute of Ayurveda, New Delhi, India 2 Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India Abstract It is estimated that worldwide, osteoporosis causes more than 8.9 million fractures annually. Long-term use of modern medication of osteoporosis are generally associated with adverse effects like deep vein thrombosis, pulmonary embolism, endometrial cancer, ulcers of esophagus, upper GI irritation, irregular heartbeat and thromboembolic disease. As such, no direct reference of osteoporosis is available in Ayurveda but similar condition is described under different diseases like Asthikshaya, Asthimajjagata Vata. The proper nourishment of any Dhatu depends upon proper functioning of Agni, Srotas and Vata. Ayurveda advises for the correction of basic causative factor. Panchakarma treatment due to its Shodhana effect improves Agni. Virechana Karma, one among the Panchakarma is specific to eliminate the vitiated Pitta, which in turn improves the Agni. Asthikshaya is due to increased Vata; hence Snehana with Taila (oleation) is one of the best treatments for the correction of increased Vata; hence in this study Brimhana-Snehapana with Ketaki-Rasonadi Taila was done. And further, for the nourishment of Dhatu in general and Asthi Dhatun, in particular Rasayana drugs like Amrita, Shatavari, etc. were used as Amritadi Ghanavati. Thus present study has been conducted on 15 patients to evaluate the therapeutic effect of Virechana Karma, Ketaki- Rasonadi Taila-Brimhana-Sneha and Amritadi Ghanavatiin Asthikshaya w.s.r. osteoporosis. The results have been analyzed statistically. Virechana Karma with Brimhana-Sneha and Amritadi Ghanavati are highly effective in osteoporosis (on BMD) which was statistically extremely significant (P .0001). Keywords: Osteoporosis, Asthikshaya, Virechana Karma, Brimhana-Sneha, Ketaki-Rasonadi Taila and Amritadi Ghanavati INTRODUCTION Osteoporosis is a disease of the bones. It happens when you lose too much bone; make too little bone or both. As a result, your bones become weak and may break from a minor fall or, in serious cases, even from simple actions, like sneezing or bumping into furniture. Osteoporosis is a pathological condition of the entire skeleton and is characterized by a low bone mass in combination with micro architectural changes, particularly of the cancellous bone; both add to the fragility of bone at distinct sites of the axial as well as the perpendicular skeleton. Osteoporosis is a disease of major public health importance, which affects over one third of all post-menopausal women with increasing morbidity and mortality [1, 2]. It is estimated that worldwide; osteoporosis causes more than 8.9 million fractures annually, resulting in an osteoporotic fracture every 3 sec [3]. As such, no direct reference of osteoporosis is available in Ayurveda but similar conditions are described under different diseases like Asthikshaya, Asthimajjagata Vata. Asthikshaya is characterized with, fatigue, cracking of teeth and nails, and laxity of joints [4]. Asthimajjagata Vata is a pathological condition characterized by pain in bones, joints, reduced muscle mass, lack of strength, loss of sleep and continuous pain [5].
  • 21. conducted Ch Instrumentation/ / / Energy Science/ / 22 STM Journalsinvitesthepapers from the National Conferences, International Conferences, Seminars conducted by Colleges, Universities, Research Organizations etc. for Conference Proceedings and Special Issue. Special Issues come in Online and Printversions. STM Journals offers schemes to publish such issues on payment and gratis(online)basisaswell. To g e t m o r e i n f o r m a t i o n : stmconferences.com Over 500 Indian and International Subscribers. 30,000 Top Researchers, Scientists, Authors and Editors All Over the WorldAssociated. Editorial/ Reviewer Board Members : . 1000 + 1,00,000 Visitors to STM Website + From140 CountriesQuarterly. + 10,000 Downloads from STM + Website. GLOBAL READERSHIP STATISTICS STM Journals Empowering knowledge Free Online Registration ISO: 9001Certified September–December 2016 ISSN 2278-2214 (Online) ISSN 2321-6484 (Print) www.stmjournals.com STM JOURNALS Scientific Technical Medical