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0109 acv jan


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0109 acv jan

  1. 1. Ai£Z PyKyÄ pxYy C¶¢ÀÅhµ WOºh¸ù ¢¸gº AiÎa QÈLÈísÇ gÇZÈ AqÉ×iÉ ÍcÉÌMüixÉÉ uÉÉÍhÉ Amrita Chikitsa Vani CªÀÄÈvÀ aQvÁì ªÁt January 2009 Department of Kayachikitsa & Panchakarma Winner of excellence A five year kid driving the car makes people astonished. Amrita school of Ayurveda, made such an event in the history of Indian Ayurveda colleges. It opens the gates of success by getting “A” grade in NAAC accreditation. It is ever memorable event of the history celebrated in the Amrutapuri campus on Saturday, 31st January 2009 and relayed the message to the rest as the “Involvement, Discipline, Industry, Dedication and Teamwork” makes ones to reach the goal. It spirits us to get involved more in to our duties and enrich the name to reach the destiny under the bestowed blessings of Mata Amritanandamai Devi. “A STUDY ON AGASTHYA HARITAKI RASAYANA IN IMPROVING THE NUTRITIONAL STATUS IN PATIENTS OF RAJAYAKSHAMA” Dr. GUHESHWAR B. PATIL, Dr. RAMANA.G.V. (Dept. of Swasthavritha), S.D.M. AMC, Hassan The primary aim of Ayurveda is to enable chemotherapeutic agents employed, thea person to lead a disease free life to the fullest person become grossly debilitated and needsextent. The benefits and applicability of Rasayana adjuvant nutritional support. Decreasedis many folds. Starting with the daily employable nutritional status is considered to be one ofRasayana, to achieving a desired effect like the chief predisposing factors of the disease.medhya Rasayana can be employed. They bring Modern nutritional supplementations may notup the excellent qualities in dhatus and there by fulfill the requirement as they do not aim atenhances immunity. correcting metabolic derangements. But Agasthaya Haritaki Rasayana is explained Rasayana oushadhis exert their efficacy byin Sharangadhara samhita as a Naimittika correcting dhatvagni and clearing the Srotasrasayana in kasa, Shwasa and Rajayakshma for due to their deepana and pachana effects.getting vyadhiharana and Urjaskara effect. The modern AKT regimen has resulted ‘Rajayakshma’ can affect an individual at in successful control of the disease, but makesany age. Due to many associated constitutional the individual subjected to plenty of adversedisturbances, the nourishment of the body is effects. Hence it is essential to find a suitablegreatly impaired and this aptly suits the compound, which fulfills the criteria ofsynonyms of Kshaya which is coined for this supporting nutritional status and alsodisease. The nearest clinical entity for decreasing the adversities associated withRajayakshma is pulmonary tuberculosis. The AKT. Study includes diagnosed cases ofincidence of the disease is 1.3 /1000 in a year. pulmonary tuberculosis undergoing revisedWith the prolonged course of illness and potent tuberculosis regimen. The Assessment of theAqÉ× i É ÍcÉÌMüixÉÉ uÉÉÍhÉ Ai£Z PyKyÄ pxYy C¶ ¢ ÀÅhµ WOº h ¸ù ¢¸gº AiÎ a QÈ L È í s Ç gÇZÈ CªÀÄÈvÀ aQvÁì ªÁt Amrita Chikitsa Vani 1
  2. 2. effect is undertaken by –1. Decrease in adverse principles of Avaleha Kalpana. It is mentionedeffects. by following Acharyas viz Charaka,2. Improvement in the nutritional status. Sharangadhara, Vagbhata, Harita, Chakrapani, • Anthropometery. Vrinda Madhava, Bhaishajya ratnavali, • Hematological. Yogaratnakara, Gada Nigraha, Bhaishajya samhita3. Decrease in clinical signs & symptoms of & Ayurveda Sara samgraha. Only differencethe disease. observed between Agastya Yoga and Rasayana isAGASTHYAHARITAKI RASAYANA that the Haritaki was put in powder form in The Agastya Haritaki rasayana consisting Agastya yoga where as in Agastya Rasayanaof 26 drugs was prepared according to the Haritaki has to be put as such in Avaleha media without making it in to a powder form.Showing the relief in subjective parameters before and after treatment in both the group. BT(AHR+AKT)AT(AHR+AKT) BT(AKT) AT(AKT)Sl. No Lakshana % % % %1 Kasa 92.3 23.0 100 92.302 Kapha shtivana 61.5 0 84.6 38.43 Parshva shula 46.10 15.3 69.2 38.44 Jvara 69.2 7.6 46.1 15.35 Skandha shula 76.0 00 84.6 84.66 Aruchi 69.2 7.6 46.1 30.77 Swasa 76.0 30.7 100 84.68 Rakta shthivana 7.6 00 7.6 009 Shiro ruja 61.5 00 30.7 7.610 Svara bheda 00 00 00 0011 Atisara 00 00 00 00 Showing the relief in adverse affects in both the group. BT(AHR) AT(AHR) BT(AKT) AT(AKT)Sl. No Adverse action % % % %1 Nausea 76.0 15.3 53.8 30.72 Vomiting 61.5 30.7 30.7 23.03 Abdominal pain 23.00 15.3 7.6 7.64 Burning sensation in 38.4 7.6 53.8 46.1 epigastric region5 Edema 7.6 00 00 006 Rash 15.3 7.6 23.0 15.3 Assessment of Weight in both groups before and after treatmentSl. No. Group Bt At %1 ATT 36.84 37.30 1.462 ATT +AHR 38.03 39.4 3.58 Assessment of BMI in both groups before and after treatmentSl. No. Group Bt At %1 ATT group 15.53 15.72 1.232 ATT +AHR 15.95 16.48 4.01AqÉ× i É ÍcÉÌMüixÉÉ uÉÉÍhÉ Ai£Z PyKyÄ pxYy C¶ ¢ ÀÅhµ WOº h ¸ù ¢¸gº AiÎ a QÈ L È í s Ç gÇZÈ CªÀÄÈvÀ aQvÁì ªÁt Amrita Chikitsa Vani 2
  3. 3. Assessment of HB% in both groups before and from this indigestion and mal-absorption after treatment aggravates the problem. The caloric requirementSl. No. Group Bt At % during infection will be usually higher, which1 ATT 10.81 12.06 11.45 may not be met satisfactorily in many of the2 ATT +AHR 9.461 11.23 18.69 cases. Assessment of serum protein in both groups before Statistics and after treatmentSl. No. Group Bt At % In the present study statistics shows1 ATT 6.85 7.35 9.63 greater increase of serum proteins in the2 ATT +AHR 6.4 7.32 14.92 rasayana group. Apart from this observation, positive gains are noted in anthropometricalDiscussion on results assessments also.Among the 11 lakshana explained for Discussion on subjective parametersRajayakshma majority of the symptoms are Weightfound in the studied cases. Kasa symptom was Patients in both the groups got gain inpresent in 96%, and rakta steevana was the least weight with an average percentage of 1.46 Kg inwith 11.5% case involvement. Other symptoms ATT group and 3.5 Kg in Rasayana group.were reported in the range between 40 to 80%. BMI (Body Mass Index)At the ends of study period observations show There is an increase in Body mass indexgreater percentage of reduction of lakshana in in both the groups after the treatment with a meanthe Rasayana group. value of 1.23 in ATT (Control) group, and 4.01Rasayana therapy in reducing the adversities in Rasayana group.Common adverse reactions reported for ATT Hemoglobin %treatment are pertaining to GIT symptoms like The mean percentage improvement notednausea, vomiting, burning sensation in epigastric in the control group is 11.45% and in rasayanaregion, edema and rashes. All these symptoms group 18.69%. This shows the high significancewere reported in both the groups during the in both the groups. But gains were higher incommencement of treatment. At the ends of Rasayana period observations show greater Serum proteinpercentage of reduction of adversities in the In both the groups there was gain ofrasayana group. serum protein. However the gains were higherDiscussion on nutritional status in Rasayana group. The improvement was 9.63%Under- nutrition is one of the risk factor for the in ATT group, and 14.9 in Rasayana group.infection of Tuberculosis as the disease is seen Probable mode of actionmore in lower socio economic group, where the The ingredients of Agasthya Haritaki rasayanadeficiency of proteins essential vitamins and include - Dashamula, which are predominantlyminerals is very common. Deficiencies of these vata kapha hara. These are the Pradhana doshasnutrients also impair the immunity. Further the involved for the samprapti of the disease; hencecommencement of multi drug therapy reduces all the symptoms of the diseases Rajayakshmathe appetite and digestion and causes certain improved by rasayana therapy.other constitutional disturbances also. In the Gaja pippali, chitraka which are known for theirinitial stages of the disease, presence of carminative action and promoting properinfection contributes to greater break down of metabolism. This may be the reason formuscle protein, which causes for wasting. Apart reduction of nausea, vomiting, and abdominal pain more in the rasayana group.AqÉ× i É ÍcÉÌMüixÉÉ uÉÉÍhÉ Ai£Z PyKyÄ pxYy C¶ ¢ ÀÅhµ WOº h ¸ù ¢¸gº AiÎ a QÈ L È í s Ç gÇZÈ CªÀÄÈvÀ aQvÁì ªÁt Amrita Chikitsa Vani 3
  4. 4. Bharangi, Pushkaramoola, Apamarga, “PATHYA KALPANA – Manda”Shati, which are having the shopha and shotha Dr. Ravi Angdi, P.G. Dept of Bhaishajya Kalpana,hara properties. The anti inflammatory action of S.D.M. College of Ayurveda, Udupithese drugs helps in reducing the inflammatory PATHYA:changes in the alveoli and respiratory tract there Introduction:by reduction of the disease symptoms like Pathya is said to be the greatest medicament.parshva shoola, swara bheda and Shwasa. No other medicine just like pathya is available.CONCLUSION One cannot sustain life without diet even with any · Explanation about the ekadasha roopa amount of medicine. Rajayakshma is very much evident in Importance of Pathya: the selected clinical entity “pulmonary Brings stability in all the living beings. One among the basic needs of life. tuberculosis” Needed for the growth & development of the body. · The disease is predominantly affecting Enhance the strength, ojas & complexion. the lower socioeconomic group of Keep the Indrias in normal state. people with a slight higher occurrence Keeps one happy ‘sound mind in a sound body’. among males. Samyak Dhatu Poshana. (Ka. Sam. Khi. 4/4-6) · Impairment in nutritional status forms Classification of Food Ingredients: an important predisposing factor for Shuka Dhanya :Corns. Rajayakshma. However the disease Shami Dhanya :Pulses. process aggravates malnutrition. Shaaka :Vegetables. · It is necessary to introduce a suitable Mamsa :Flesh. nutritional adjuvinant in Rajayakshma. Phala :Fruits. Such supplement must also correct the Hareeta :Salads. associated adversities of multi drug Madhya :Wines. Ambu :Water. therapy. Agasthya Haritaki rasayana Gorasa :Milk & its products. fulfills this requirement. Kritanna :Food preparations. · With a view of proper administration Ikshuvikaara :Products of sugarcane. and continuous monitoring; confirmed Aharayogi :Accessory food articles. Tuberculosis cases, which are Pathya Kalpanas of Sushruta: undergoing DOTS therapy, were administered with Rasayana drug daily. · Most of the cases were selected from qÉhQû mÉãrÉ rÉuÉÉaÉÑ ÌuÉsÉåÌmÉ tribal areas, and people living in very (All rice preparations in the 1:14 ratio. Rice: Water). poor socio economic status. This (Acc to Dalhana both Peya & Yavagu are synonyms). helped in affective monitoring of the Definitions: cases. In properly cooked rice with 14 parts of water; Only liquid part : Manda. This work supports the view that, Equal solid & liquid : Peya. administration of Naimittika Rasayana More solid & less liquid : Yavagu. enhances the efficacy of treatment, and Only solid rice part : Vilepi. enables the patients for a better recovery. ÍxÉYjÉMæ ü È UÌWûiÉÉã qÉhQûÈ mÉã r ÉÍxÉYjÉxÉqÉÉÎluÉiÉÉ | rÉuÉÉaÉÑoÉïWÒûÍxÉYjÉÉ xrÉiÉç ÌuÉsÉãÌmÉ ÌuÉUsÉSìuÉÉ ||” xÉÑ. xÉÑ.AqÉ× i É ÍcÉÌMüixÉÉ uÉÉÍhÉ Ai£Z PyKyÄ pxYy C¶ ¢ ÀÅhµ WOº h ¸ù ¢¸gº AiÎ a QÈ L È í s Ç gÇZÈ CªÀÄÈvÀ aQvÁì ªÁt Amrita Chikitsa Vani 4
  5. 5. qÉhQû : - Has 8 Gunas: The supernatant liquid portion of a gruel Deepana / Pranadharana / Bastishodhana /prepared by boiling; Raktavardhana / Jwaraghna / Tridosha1 part of rice + 14 parts of water; Its administered shamana.with required amount of Shunti & Saindhava. kÉÉlrÉȨ́ÉMüOÒû xÉæÇkÉuÉ qÉѪ iÉÇQÒûsÉ rÉÉãÎeÉiÉÈ |lÉÏUã cÉiÉÑSïvÉaÉÑhÉã ÍxÉ®Éã qÉÇQûxiuÉÍxÉ£üMüÈ | pÉ×¹¶É ÌWûÇaÉÑiÉæsÉÉprÉÉÇ xÉ qÉhQûÉã A¹aÉÑhÉÈ xqÉ×iÉÈ ||Sha. Ma.vÉÑÇPûÏ xÉælkÉuÉ xÉÇrÉÑ£üÈ mÉÉcÉlÉÉã SÏmÉlÉ xqÉ×iÉÈ ||” uÉÉPèrÉ qÉhQû: vÉÉ. qÉ. 3/170. “uÉÉPèrÉ qÉhQû” or “uÉÉOèrÉÉãSlÉ” Pharmacological actions: Manda prepared out of Broken & fried Yava Agni pradeepaka. (barley); (1:14 ratio). Vatanulomaka. It is Kaphahara / Kanthya / Raktapitta Srotomridukara. prasadana. (Sha. Ma. 3/173-175) Swedajanaka. sÉÉeÉÉ qÉhQû: Snehapananantara trishna. Manda of Parched rice; in 1:14 ratio. In langhita & virikta. It is shleshmapittahara & Grahi ; it relieves (Cha. Su. 27/251-252) pipasa, Jwara, Atisara, Trishna etc.A¹aÉÑ h É qÉhQû : Its given along with Lavana, Mareecha, Manda prepared using: Pippali, Ghrita, Sharkara etc.Dhanya / Trikatu / Saindava / Mudga / Tandula / sÉÉeÉæuÉÉï iÉÇQÒûsÉæpÉ×ï¹ sÉÉeÉÉqÉÇQû mÉëMüÐÌiÉïiÉÉÈ ||”Tailabhrishta Hingu. vÉ. qÉ. 3/174. “Amrita Chikitsa Vani” - Ì¢ürÉÉÍxÉήxxÉiuÉå p ÉuÉÌiÉ This board bulletin from Depart- qÉWûiÉÉqlÉÉå m ÉMüUhÉå ment of Kayachikitsa is for enriching and observing the surrounding scien- tific information. In present scientificbÉOûÉå e ÉlqÉxjÉÉlÉÇ qÉ× a ÉmÉËUeÉlÉÉå pÉÉå e Éï u ÉxÉlÉÉåUlÉå u ÉÉxÉ: MüSÉÌSMüqÉzÉlÉqÉå u ÉÇ ÌuÉÍkÉaÉÑ h É: world we have a collective responsi-AaÉxirÉmÉÉkÉÉåÌSqrÉSM×üiÉMüUÉÇpÉÉãeÉMÑüWûsÉã bility of establishing the EvidenceÌ¢ürÉÉÍxÉήxxÉiuÉå p ÉuÉÌiÉ qÉWûiÉÉqlÉÉå m ÉMüUhÉå Based Ayurveda Medicine in terms of statistics and parameters, which is al-UkÉxuÉæ M Ç ü cÉ¢Ç ü pÉÑ e ÉaÉrÉÍqÉiÉÉxxÉmiÉiÉÑ U aÉÉÌlÉUÉsÉÇoÉÉã q ÉÉaÉï ¶ ÉUhÉÌuÉzÉsÉxxÉÉUÍkÉUÌmÉ ready evidential since ages. ThusUÌuÉrÉÉï i Éå u ÉÉliÉÇ mÉë Ì iÉÌSlÉqÉmÉÉUxrÉxÉpÉuÉ: please share your valuable informationÌ¢ürÉÉÍxÉήxxÉiuÉå p ÉuÉÌiÉ qÉWûiÉÉqlÉÉå m ÉMüUhÉå of practice with us.ÌuÉuÉå i ɱÉsÉÇ M üÉcÉUhÉ iÉUhÉã rɶÉeÉsÉÍkÉuÉï m ɤÉ: mÉÉæ s ÉxirÉÉã U hÉpÉÑ Ì uÉ xÉWûÉrÉɶÉsÉå mÉrÉ:xÉSÉÌiÉqÉï i rÉÉã ï x ÉÉæ xÉMüsÉqÉuÉÍkÉ¬Ø ¤ ÉxÉMÑ ü UÇÌ¢ürÉÉÍxÉήxxÉiuÉå p ÉuÉÌiÉ qÉWûiÉÉqlÉÉå m ÉMüUhÉåkÉlÉÑ : mÉÉæ w mÉÇ qÉÉæ r Éï q ÉkÉÑ M üUqÉrÉÏcÉÇ c ÉsÉ SØ z rÉÉqÉçSØ z rÉÉÇ MüÉã h ÉÉã o ÉÉhÉxxÉÑ W Ø û SÌmÉ eÉQûÉiqÉÉ ÌWûqÉMüU:xuÉrÉÇ c Éæ M üÉã l ÉÇ a ÉxxÉMüsÉpÉÑ u ÉqÉç urÉÉMÑ ü sÉrÉÌiÉÌ¢ürÉÉÍxÉήxxÉiuÉå p ÉuÉÌiÉ qÉWûiÉÉqlÉÉå m ÉMüUhÉåAqÉ× i É ÍcÉÌMüixÉÉ uÉÉÍhÉ Ai£Z PyKyÄ pxYy C¶ ¢ ÀÅhµ WOº h ¸ù ¢¸gº AiÎ a QÈ L È í s Ç gÇZÈ CªÀÄÈvÀ aQvÁì ªÁt Amrita Chikitsa Vani 5