VAIKRANTA
(TOURMALINE)
Dr.Saranya Sasi
Assistant Professor
PG Department of RSBK SSRAMC & H Inchal Belgaum Karnataka
6/18/2022
1
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
2
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
3
वैक्रान्तञ्चैव ववक्रान्तं वैक्रान्तं जीर्णवज्रकम् ।
कुवज्रं क्षुद्रकुविश चूर्णवज्रञ्च तन्मतम् ॥ (R T 23/155)
SYNONYMS
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
4
Chemical formula : KAl Si3 O8
Chemical Name : Tourmaline
Category : complex ring silicate of boron and aluminium
Nature : Crystalline prismatic
Colour : Black, brownish black, blusih black, most common blue green
red and sometimes of rich shades, rarely white or colourless
Crystals : Rounded to barrel shaped
Diaphaneity : Transparent to opaque
MINERALOGICAL IDENTIFICATION
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
5
Fracture : Uneven
Cleavage : none, prismatic faces strongly striated vertically and crystals
rounded to barrel shaped
Tenacity : Brittle and often rather friable
Luster : Vitreous
Streak : Colourless
Specific gravity : 3 to 3.2
Hardness : 7 to 7.5
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
6
SOURCES
• Vaikranta is a common detrital sedimentary rocks
• Occurs in granite pegmatites, commonly in crystal form
• It also occurs in metamorphic rocks, mostly in schists and
gneisses
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
7
OCCURENCE
 India – occurs in igneous and metamorphic terrains of Rajasthan,
Jharkhand, Bihar and Karnataka
• Rajasthan – mainly occurs in Udaipur, Bhilwara, ajmer,
rajsamand districts
 Globally –
 South Africa, Canada, Peru, Mexico, Thailand, Norway,
Germany and UK
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
8
 Vaikranta may be found associated with topaz, spodumene,
cassiterite, fluorite and apatite.
 Some compare vaikranta with fluorite or fluorspar, which is
halide mineral, composed of calcium fluoride, CaF2
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
9
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
10
SPODUMENE CASSITERITE
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
11
FLUORITE APETITE
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
12
HISTORY
• The first reference for ‘Vaikranta’ can be traced from ‘Koutilya
Arthashastra’ belonging to 4th Cent BC.
• It is mentioned as “Vaikranta dhatu ” in this book in 33rd chapter
along with other 6 metals.
• In later books starting from rasa hridaya tantra, it has been
classified under maharasa varga and ratna varga
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
13
ETYMOLOGY
वज्रवत् सवणरोगार्ां हरर्ाय यतव्ववदम् ।
धत्ते ववक्रावन्तमतुिां वैक्रान्तं कथ्यते तत: ॥ (R.T 23/156)
• When used judiciously for internal administration in appropriate
dosage form, the ‘vaikranta’ can cure many diseases like that of
‘vajra’
• Therefore, this drug is called by the name ‘vaikranta’
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
14
ववक्रान्तयवत िोहावि तेि वैक्रान्तक: ्मृत: ॥ (R.R.S 2/60)
• The one which cures vikriti (damage) to loha is known as vaikranta
• When vaikranta is rubbed on the surface of other metals, it leaves lines and
scratches and is capable of cutting thin sheets of other metals
ववकृन्तयवत रोगावर् इवत वैक्रान्त: ॥
• Can destroy/cure the diseases
वैकृन्तीतीरसम्भूतो रसो वैक्रान्तको ्मृत: ॥
• Since it obtained from the banks of ‘vikrnti river’ , it was named as vaikranta
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
15
GRAHYA SWAROOPA & TYPES
अष्टास्रमष्टफिकं वसतापीतावसतारुर्म् ।
मसृर्ं गुरु षट्कोर्ं वैक्रान्तं जावयमुच्यते ॥
श्वेतो िीि्तथा रक्त: पारावतप्रभ: ।
तार्क्षयाणभ: कर्ुणर: कृष्र्ो वर्णतश्चाष्टधा वह सः ॥ (RT 23/157-158)
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
16
• 8 Asra (edges) , 8 phalaka (surfaces), sita (whitish in colour) ,
pita (yellow) , asita (blackish) , aruna (coffee/black)
• Soft to touch
• Heavy
• 6 kona (angles) , 6 surfaces
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
17
Depending on colour - 8 types
 Shweta vaikranta
 Nila vaikranta
 Rakta vaikranta
 Peeta vaikranta
 Paaraavata Prabha vaikranta
 Tarkshyabha vaikranta (emarald)
 Karbura vaikranta (Blackish ash)
 Krishna vaikranta
TYPES
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
18
AS PER CHEMISTRY , TOURMALINE IS HAVING 3 VARITIES
 Alkali tourmaline
 Magnesium tourmaline
 Iron tourmaline
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
19
कुिवथक्वाथसंव्वन्िो वैक्रन्त: पररशुध्यवत ॥ (RRS 2/66)
SHODHANA
Grahya vaikranta  tied in a pottali  hung in dolayantra  3 hours of
swedana  in kulattha Kashaya  washed/dried/stored
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
20
म्रीयतेऽष्टपुटैगणन्धविम्र्ुकद्रवसंयुत: ॥ (RRS 2/67)
MAARANA
[Shudha vaikranta + shudha gandhaka  triturated  homogenous
mixture ] + nimbu swarasa  triturated  chakrika dried under
hot sun  sharava samputa  1 gajaputa  8 times  red coloured
vaikranta bhasma
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
21
वैक्रन्त्तु विदोषघ्ि: षड्रसो देहदार््णय कृत् ।
पाण्डूदरज्वरश्वासकासक्षयप्रमेहिुत् ॥ (Ay.Pra.5/167)
BHASMA GUNAs
 Tridosha hara, possesses all 6 rasas, make body sturdy and healthy
 Cures pandu roga, udara roga, jeerna kjkwara, shwasa, kasa, kshaya,
prameha roga
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
22
सववपातियोगेि मवदणतश्च वटीकृत: ।
मूषा्थो घवटकाध्मातो वैक्रान्त: सववमुवसृजेत् ॥ (Ay.Pra.5/171)
SATVAPATANA
Shudha vaikranta  mardana with satvapatana yoga(mitra panchaka) 
triturated  chakrika  dried musha  intense heat × 3 hours  white
coloured aluminium metal (satva)
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
23
THERAPEUTIC USES
• Rajayakshma
• Jwara
• Shosha
• Kushtha
• Pandu
• Shwasa
• Kaasa
• Prameha
• Shotha
• Udara roga
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
24
MAATRA
 1/24 Ratti to 1/11 Ratti (5mg – 11mg) - R.T 23/170
 1/8 Ratti to 1/2 Ratti (15.5mg – 62mg) – RTS
ANUPANA
Madhu, sharkara, ghrita, dugdha
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
25
ASHUDHA VAIKRANTA SEVANA JANYA DOSHA
अशुद्धौ वज्रवैक्रान्तौ वकिासं दाहसन्तवतम् ।
पाश्वणपीडां तथा पाण्डुं कुरुत्तौ ववशोधयेत् ॥ (Ayu.Pra.5/168)
⁌ Administration of ashudha vaikranta causes diseases such as kilasa
roga, daaha, parshvapeeda, pandu roga
⁌ Therefore vajra/vaikranta has to be be properly purified before they
are incinerated and administered
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
26
IMPORTANT FORMULATIONS/YOGAs
⁌ Vaikranta rasayana
⁌ Trailokya Chintamani rasa
⁌ Vasantakusumakara rasa
⁌ Suchikabharana rasa
⁌ Vijaya parpati
⁌ Vadavanala rasa
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
27
FREQUENTLY ASKED QUESTIONS – (RGUHS)
Long Essays
1. Shodhana, marana, and therapeutic uses of vaikranta
2. Mention maharsa vargeeya dravyas and their significance in
rasakarma. Write in detail about vaikranta
3. Describe the Swaroopa, bheda, prapti sthana, maranam, matra ,
guna and amayeeka prayoga of vaikranta
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
28
Short essays
1. Source, grahya lakshana, shodhana and uses of vaikranta
2. Write synonyms, prapti sthana, matra and uses of vaikranta
Short answers
1. Grahya Swaroopa of vaikranta
6/18/2022
Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka
29

Vaikranta.pptx

  • 1.
    VAIKRANTA (TOURMALINE) Dr.Saranya Sasi Assistant Professor PGDepartment of RSBK SSRAMC & H Inchal Belgaum Karnataka 6/18/2022 1
  • 2.
    6/18/2022 Dr.Saranya Sasi MD(Ayu)Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 2
  • 3.
    6/18/2022 Dr.Saranya Sasi MD(Ayu)Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 3
  • 4.
    वैक्रान्तञ्चैव ववक्रान्तं वैक्रान्तंजीर्णवज्रकम् । कुवज्रं क्षुद्रकुविश चूर्णवज्रञ्च तन्मतम् ॥ (R T 23/155) SYNONYMS 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 4
  • 5.
    Chemical formula :KAl Si3 O8 Chemical Name : Tourmaline Category : complex ring silicate of boron and aluminium Nature : Crystalline prismatic Colour : Black, brownish black, blusih black, most common blue green red and sometimes of rich shades, rarely white or colourless Crystals : Rounded to barrel shaped Diaphaneity : Transparent to opaque MINERALOGICAL IDENTIFICATION 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 5
  • 6.
    Fracture : Uneven Cleavage: none, prismatic faces strongly striated vertically and crystals rounded to barrel shaped Tenacity : Brittle and often rather friable Luster : Vitreous Streak : Colourless Specific gravity : 3 to 3.2 Hardness : 7 to 7.5 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 6
  • 7.
    SOURCES • Vaikranta isa common detrital sedimentary rocks • Occurs in granite pegmatites, commonly in crystal form • It also occurs in metamorphic rocks, mostly in schists and gneisses 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 7
  • 8.
    OCCURENCE  India –occurs in igneous and metamorphic terrains of Rajasthan, Jharkhand, Bihar and Karnataka • Rajasthan – mainly occurs in Udaipur, Bhilwara, ajmer, rajsamand districts  Globally –  South Africa, Canada, Peru, Mexico, Thailand, Norway, Germany and UK 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 8
  • 9.
     Vaikranta maybe found associated with topaz, spodumene, cassiterite, fluorite and apatite.  Some compare vaikranta with fluorite or fluorspar, which is halide mineral, composed of calcium fluoride, CaF2 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 9
  • 10.
    6/18/2022 Dr.Saranya Sasi MD(Ayu)Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 10
  • 11.
    SPODUMENE CASSITERITE 6/18/2022 Dr.Saranya SasiMD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 11
  • 12.
    FLUORITE APETITE 6/18/2022 Dr.Saranya SasiMD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 12
  • 13.
    HISTORY • The firstreference for ‘Vaikranta’ can be traced from ‘Koutilya Arthashastra’ belonging to 4th Cent BC. • It is mentioned as “Vaikranta dhatu ” in this book in 33rd chapter along with other 6 metals. • In later books starting from rasa hridaya tantra, it has been classified under maharasa varga and ratna varga 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 13
  • 14.
    ETYMOLOGY वज्रवत् सवणरोगार्ां हरर्ाययतव्ववदम् । धत्ते ववक्रावन्तमतुिां वैक्रान्तं कथ्यते तत: ॥ (R.T 23/156) • When used judiciously for internal administration in appropriate dosage form, the ‘vaikranta’ can cure many diseases like that of ‘vajra’ • Therefore, this drug is called by the name ‘vaikranta’ 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 14
  • 15.
    ववक्रान्तयवत िोहावि तेिवैक्रान्तक: ्मृत: ॥ (R.R.S 2/60) • The one which cures vikriti (damage) to loha is known as vaikranta • When vaikranta is rubbed on the surface of other metals, it leaves lines and scratches and is capable of cutting thin sheets of other metals ववकृन्तयवत रोगावर् इवत वैक्रान्त: ॥ • Can destroy/cure the diseases वैकृन्तीतीरसम्भूतो रसो वैक्रान्तको ्मृत: ॥ • Since it obtained from the banks of ‘vikrnti river’ , it was named as vaikranta 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 15
  • 16.
    GRAHYA SWAROOPA &TYPES अष्टास्रमष्टफिकं वसतापीतावसतारुर्म् । मसृर्ं गुरु षट्कोर्ं वैक्रान्तं जावयमुच्यते ॥ श्वेतो िीि्तथा रक्त: पारावतप्रभ: । तार्क्षयाणभ: कर्ुणर: कृष्र्ो वर्णतश्चाष्टधा वह सः ॥ (RT 23/157-158) 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 16
  • 17.
    • 8 Asra(edges) , 8 phalaka (surfaces), sita (whitish in colour) , pita (yellow) , asita (blackish) , aruna (coffee/black) • Soft to touch • Heavy • 6 kona (angles) , 6 surfaces 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 17
  • 18.
    Depending on colour- 8 types  Shweta vaikranta  Nila vaikranta  Rakta vaikranta  Peeta vaikranta  Paaraavata Prabha vaikranta  Tarkshyabha vaikranta (emarald)  Karbura vaikranta (Blackish ash)  Krishna vaikranta TYPES 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 18
  • 19.
    AS PER CHEMISTRY, TOURMALINE IS HAVING 3 VARITIES  Alkali tourmaline  Magnesium tourmaline  Iron tourmaline 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 19
  • 20.
    कुिवथक्वाथसंव्वन्िो वैक्रन्त: पररशुध्यवत॥ (RRS 2/66) SHODHANA Grahya vaikranta  tied in a pottali  hung in dolayantra  3 hours of swedana  in kulattha Kashaya  washed/dried/stored 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 20
  • 21.
    म्रीयतेऽष्टपुटैगणन्धविम्र्ुकद्रवसंयुत: ॥ (RRS2/67) MAARANA [Shudha vaikranta + shudha gandhaka  triturated  homogenous mixture ] + nimbu swarasa  triturated  chakrika dried under hot sun  sharava samputa  1 gajaputa  8 times  red coloured vaikranta bhasma 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 21
  • 22.
    वैक्रन्त्तु विदोषघ्ि: षड्रसोदेहदार््णय कृत् । पाण्डूदरज्वरश्वासकासक्षयप्रमेहिुत् ॥ (Ay.Pra.5/167) BHASMA GUNAs  Tridosha hara, possesses all 6 rasas, make body sturdy and healthy  Cures pandu roga, udara roga, jeerna kjkwara, shwasa, kasa, kshaya, prameha roga 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 22
  • 23.
    सववपातियोगेि मवदणतश्च वटीकृत:। मूषा्थो घवटकाध्मातो वैक्रान्त: सववमुवसृजेत् ॥ (Ay.Pra.5/171) SATVAPATANA Shudha vaikranta  mardana with satvapatana yoga(mitra panchaka)  triturated  chakrika  dried musha  intense heat × 3 hours  white coloured aluminium metal (satva) 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 23
  • 24.
    THERAPEUTIC USES • Rajayakshma •Jwara • Shosha • Kushtha • Pandu • Shwasa • Kaasa • Prameha • Shotha • Udara roga 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 24
  • 25.
    MAATRA  1/24 Rattito 1/11 Ratti (5mg – 11mg) - R.T 23/170  1/8 Ratti to 1/2 Ratti (15.5mg – 62mg) – RTS ANUPANA Madhu, sharkara, ghrita, dugdha 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 25
  • 26.
    ASHUDHA VAIKRANTA SEVANAJANYA DOSHA अशुद्धौ वज्रवैक्रान्तौ वकिासं दाहसन्तवतम् । पाश्वणपीडां तथा पाण्डुं कुरुत्तौ ववशोधयेत् ॥ (Ayu.Pra.5/168) ⁌ Administration of ashudha vaikranta causes diseases such as kilasa roga, daaha, parshvapeeda, pandu roga ⁌ Therefore vajra/vaikranta has to be be properly purified before they are incinerated and administered 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 26
  • 27.
    IMPORTANT FORMULATIONS/YOGAs ⁌ Vaikrantarasayana ⁌ Trailokya Chintamani rasa ⁌ Vasantakusumakara rasa ⁌ Suchikabharana rasa ⁌ Vijaya parpati ⁌ Vadavanala rasa 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 27
  • 28.
    FREQUENTLY ASKED QUESTIONS– (RGUHS) Long Essays 1. Shodhana, marana, and therapeutic uses of vaikranta 2. Mention maharsa vargeeya dravyas and their significance in rasakarma. Write in detail about vaikranta 3. Describe the Swaroopa, bheda, prapti sthana, maranam, matra , guna and amayeeka prayoga of vaikranta 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 28
  • 29.
    Short essays 1. Source,grahya lakshana, shodhana and uses of vaikranta 2. Write synonyms, prapti sthana, matra and uses of vaikranta Short answers 1. Grahya Swaroopa of vaikranta 6/18/2022 Dr.Saranya Sasi MD(Ayu) Assistant Professor Dept.of RSBK SSRAMC & H Inchal Belgaum Karnataka 29