Latest Articles on JAHM
Clinical Trial on the Effect of Baladi Yapan Basti and Vajikaraņa Yoga in the management of Oligoasthenozoospermia
Background: As far as male infertility is concerned 30-40% infertility is associated with male factor in which conditions viz. Oligozoospermia, high Viscosity of semen, low sperm motility and low volume semen are generally noted. (cabo et al 1991). For successful fertility sperm count should be 40 mill/ ml or more, but studies have shown that if sperm cells are having good progressive motility besides of less sperm count (less than 10 mill / ml), there was a reasonable, probability of conception. Objectives: To compare the effect of Balādi Yāpan Basti (Ca.Si.12/9) and their combined regimen in the patient of Śukraduşţi. Methods: For the present study, a total of 24 patients were selected randomly from the O.P.D. of Vājīkaraņa Section of Kayachikitsā Department of I.P.G.T. & R.A., Gujarat Āyurved University, Jamnagar. The patients were selected regardless of their age, religion, socio economic status etc. fully satisfying the clinical criteria for diagnosis of Oligoasthenozoospermia. Group – A (Basti Group): Patients of this group were given a course of 21 Balādi Yāpan Basti in the dose of 600 ml with 3 days interval in 3 terms by classical method with local Abhyang and Swedan. The duration of treatment was one month.(30 days). Group – B (Basti & Vājīkaraņa Yoga): Patients of this group were given Balādi Yāpan Basti in the same way as in Group - A and Vājīkaraņa Yoga in the dose of 5 gram thrice daily with Anupāna of water in the form of granules. The duration of treatment was one month.Results: In Basti group 10% patients able to impregnate their wives where as 20% patients attached complete remission. Markedly improvement was observed in 30%. Moderate improvement was found 20%. In Basti & Vājīkaraņa yoga group 10% patients also able to impregnate their wives. Where as 50% of patients were found complete remission and markedly improvement was reported in 20%. 10% patients got moderately improvement. Conclusion: In this study both the groups more effectively raised the sperm count and motility along with sexual parameters but the combined regimen offered supremacy over Basti group and offered magnanimous results.
“A CLINICAL STUDY ON UPANAHA SWEDA IN SANDHIGATAVATA (OSTEOARTHRITIS of KNEE JOINT)”
|Sandhigatavata is one among the vatavyadhi. It may be correlated to osteoarthritis due to resemblance in signs and symptoms. Though, many treatments are available for osteoarthritis, pain management is essentially preferred. Snehana and swedana are prescribed as common treatments in vatavyadhi. Upanaha sweda is one among the modality of swedana used widely in the management of sandhigatavata, which is found to be beneficial clinically too. So this clinical study is planned to evaluate the efficacy of Jatamayadi upanaha in the management of sandhigatavata (OA of knee) as, it has vatahara, shothahara (anti inflammatory), shoolaghna (analgesic) action. 20 patients fulfilling the diagnostic and inclusion criteria belonging to either sex were selected for this single blind study. Subjective and objective parameters were suitably graded to assess the results based on clinical observations before and after treatment. It was observed that jatamayadi upanaha is very much beneficial to reduce swelling and tenderness instantly. Statistically results were highly significant (P<0.001) in criteria like pain at rest, ability to climb up and walk down stairs, ability to squat, swelling, tenderness and range of movement. In the present study, 20% of the subjects got marked improvement, 40% got moderate, 35% mild and 5% got poor response.|
COMPARATIVE CLINICAL STUDY OF KATI BASTI, PATRAPINDA SVEDA AND MATRA BASTI IN KATI SHOOLA (LOW BACKACHE)
Background: Low back pain can be medically and economically devastating and is the number one cause for disability in patients younger than forty-five years of age and number three cause for disability in patients older than forty-five years of age. This problem, supposedly has a favourable natural history, although it can be remarkably disabling, has challenged the health care providers. The medical system often fails to identify this disease early and thus leads to disproportionate amount of medical and economic expenses. Objectives: 1.To study the comparative effect of Kati Basti, Patra Pinda Sveda and Matra Basti in Kati Shoola. 2. To study the safety of the Kati Basti, Patra Pinda Sveda and Matra Basti. Methods: Kati Basti, Patra Pinda Sveda and Matra Basti administered in 108 patients of Kati Shoola. The assessment was done ur=sing subjective and objective parameters. Results: Group A,B & C has shown equal effect in reduction of pain by 50% each. Group A, 41.2% patients are found relief in stiffness whereas group B & C 50% patients are found relief in stiffness each. Group A & B 50% has relieved from tenderness and group C 100% patients are relieved from tenderness with significant improvement. In group A 47.1% has found relief in fatigue with a significant improvement, In group B, 44.1% has found relief in fatigue with a significant improvement and in Group C total 47.5% patients found relief in fatigue. Conclusion: All the selected therapies provided significant results statistically. But clinically Kati Basti (Group A) and Abhyanga & Patrapinda sweda (Group C) provided better results in reduction of Pain, Stiffness, Tenderness, and restricted movements compared to Matra Basti.
A CLINICO COMPARATIVE STUDY OF PANCHASAMA CHOORNA WITH AND WIHTOUT VALUKA SWEDA IN AMAVATA W.S.R. RHEUMATOID ARTHRITIS
Background: Amavata which can be compared to Rheeumatoid arthritis is a clinical condition where low digestive power plays an important role. Panchasama choorna helps in the management of Amavata by increasing digestive power, clearing the channels of circulation, reduces inflammation and pain when administered with fomentation. Objectives: 1.To compare the efficacy of trial drug Panchasama choorna individually as well as with valuka sweda (fomentation by sand bolus). 2. To establish a safe, economical and effective medication for Amavata without side effect. Method: In this study 30 patients were selected satisfying the inclusion criteria and randomly divided into two groups. In Group A –Panchasama choorna 4gms TID was administered for 30 days with Luke warm water. In Group B –Panchasama choorna 4gms TID with Luke warm water was administered for 30 days with valuka sweda for 15 days. Severity of the disease was assessed based on selected subjective and objective parameters. Results: After trial, it was observed that better and sustained relief with respect to all the signs and symptoms were observed in group B which is treated with combined therapy.
Conclusion: Overall assessment shows marked, moderate, mild improvement and unchanged as
20%, 46.7%, 26.7% & 6.7%. respectively among group B patients.
Amavata, Panchasama choorna, valuka sweda, Rheumatoid arthritis.
Herbal Dentifrices: An Orthodontics Aspect
|Oral diseases continue to be a major health problem world-wide. Oral health is integral to general well-being and relates to the quality-of-life that extends beyond the functions of the craniofacial complex. The standard Western medicine has had only limited success in the prevention of periodontal disease during orthodontic treatment and in the treatment of a variety of oral diseases. Hence, the search for alternative products continues and natural phytochemicals isolated from plants used in traditional medicine are considered to be good alternatives to synthetic chemicals. The botanicals in the Ayurvedic material medica have been proven to be safe and effective, through several hundred to several thousand years of use. The exploration of botanicals used in traditional medicine may lead to the development of novel preventive or therapeutic strategies for oral health. The present scientific evidence based review is focused on the possible role of Ayurveda in the management of various orofacial disorders.|
Evaluation of the Effects of Triphala, 2% Chlorhexidine and 5.25%hypochlorite sodium on Dentin Micro-hardness as Irrigation Solutions
Aims: The purpose of this study was to evaluate and compare the effect of Triphala and 2% chlorhexidine and 5.25%hypochlorite sodium on the micro-hardness of root canal dentin used irrigation solutions.
Settings and Design: This experimental study was designed in vitro study
Methods andMaterial: Eighty-eight single-rooted mandibular premolars with single canal were selected. The teeth were sectioned horizontally at mid-root with a diamond disc, then were embedded in resin blocks to facilitate handling. The samples were ground-polished with water-cooled polishing and finishing disks. 88 samples were randomly assigned to four test groups (n=22). Group I: distilled wateras control group; Group II: Triphala; Group III: 2% CHX; Group IV: 5.25% NaOCl. Following treatment with irrigation solutions for 15 minmicro-hardness of dentin blocks was evaluated using Vickers hardness indentation machine. The data were recorded as Vicker’s Hardness number. Statistical analysis used:The results were analyzed statistically by using one-way ANOVA and post hoc-Tukey’s test.
Results: the results indicated that 5.25 % NaOCl solution was significantly decreased root-dentin micro-harness when compared with the control group (p<0.05). Triphala had the least effect on micro-hardness in comparison with 2%CHX and 5.25% NaOCl.
Conclusions: Although there are many factors for irrigation solution preference, according to the results of this study Triphala seems to be an appropriate endodontic solution because of its harmless effect on the micro-hardness of root canal dentin.Key words: 2% chlorhexidine, dentin micro-hardness, 5.25% hypochlorite sodium, irrigation, Triphala
Vegetables in Prevention and Management of Dermatological Disorders: Ayurvedic Views and Perspectives
Ayurveda considers that, diet (Ahara) plays a major role in pathophysiology of many diseases and also interferes with the pharmacological actions of the prescribed drugs. The concept of Pathya (wholesome diet) in prevention and management of diseases is an unique contribution of Ayurveda. Classical texts delineated different vegetables under “Shakavarga”, with their properties and indications in different disease conditions. These vegetables can be prescribed as Pathya (wholesome diet) in clinical practice. In the present review, plants described under Shakavarga, indicated as Pathya in different skin diseases like Daha (Burning sensation), Kandu (Itching), Kustha (Skin disease), Vidradhi (Abscess), Visarpa (Erysipelas) were compiled from 15 different Ayurvedic classical texts. The obtained data has been critically analysed and being presented in a precise manner with regards to their various reported activity in skin diseases. Analysis of the compiled data reveals that out of 332 plants, described under Shakavarga, 49 vegetables are indicated in skin diseases. Among them, botanical identity of 46 classical plants has been established and maximum number of vegetables belongs to the family cucurbitaceae. On critical analysis, it is observed that some of these vegetables has been well studied and were reported for their various pharmacological activities related to prevention and management of certain skin disorders. These classical vegetables are reported for their antioxidant activity (20), Anti-inflammatory activity (17), Antibacterial activity (14), Immunomodulatory activity (7), Anti-allergic activity (3) and Antihistamine activity (3). The observed result may be helpful in planning the use of vegetables as Pathya in various disorders. This if followed strictly, may help to prevent from many disorders and to manage diseases easily.
A Critical Review on the medicinal plants acting on female reproductive system
Women’s body has to undergo lot of changes. There are some specific phases in women’s life like pre puberty, puberty, adolescence, reproductive period and climacteric. In each of these phases there will be lot of physiological changes which will be influenced by female hormones. So, one must be very cautious while selecting medicinal plants for women. Medicinal plants have got varied action on women’s physiology. Some of them act as phytoestrogen, galactogauge, fertility drugs, whereas on the other hand some act as emmenogauge, abortifacient, anti-fertility drugs. This review discusses on the medicinal plants used in women’s disorders and their mode of action, adverse effects and effects on pregnancy and lactation.
Grahani : A Lifestyle Disorder
Grahani is a seat of agni (Digestive fire). It retains the food till the food is fully digested and then passes it into pakwashaya (intestine). Functionally weak Agni i.e mandagni causes improper digestion of ingested food & leads to Grahani roga. Grahani is a disease of great clinical relevance in modern era because of its direct link with the improper food habits and stressful lifestyle of the present time. Grahani roga's pathogenesis revolves around Agnidosha, the seat of which is the structure described as Grahani. These are inseparable. Thus an impairment of integrity of Grahani may impair digestive function and state of Agni and vice versa. Vitiation of Agni causes disease, So for the treatment, concentration should be kept on management of Agni. Thus this article aim to give adequate knowledge about Grahani & its management by lifestyle modification & Yoga practices.
Challenges in the regulation of Traditional Medicine – a review of global scenario
Traditional medical knowledge and practices are widely prevalent around the world since centuries. With rapidly increasing use of traditional medicine and complementary/alternative medicine (TM/CAM) throughout the world its safety, efficacy and quality became major challenge and has made their regulation an urgent need. The effort to regulate TM is a priority of all governments, which got greater impetus since WHO Declaration of Alma-Ata in 1978. Though there are various guidelines and international consensus, countries face difficulty in the development and implementation of the regulation due to its diversity and complexity. Some literatures are available on global initiatives for regulation of TM and the challenges they are reviewed in this paper with appropriate references. For the compilation and review of information, hand-searching of books, journals, reports on traditional medicine and policy documents were done. Google, Pub Med and Medline online searches were also carried out to access other relevant publications. The key words used to access online materials mainly included traditional medicine, complementary/alternative medicine, folk medicine, traditional healer, herbal medicine, health policy, economic policy, intellectual property rights.
Yoga in pregnancy: A boon to motherhood
Yoga in pregnancy is multi dimensional physical, mental, emotional and intellectual preparation to answer the challenges faced by a pregnant woman. The challenges of pregnancy are revealed by the state of happiness and stress while yoga is a skill to calm down the mind. Pregnancy in a woman is a condition in which woman changes both from inside as well as outside. These changes create obstacles or hurdles in the normal life of a pregnant womanand yoga in pregnancy can help the women to cruise through these changes and challenges.Practicing yoga during pregnancy provides a great range of activity and benefits to unborn child and mother by numerous ways. Yoga soothes the mind, refocus the energy and prepare the woman physiologically and psychologically for labour. Different breathing techniques impart invaluable neuro-muscular control and helps in coordinated relaxation and contraction of uterus. Different type of asanas(postures),are described in Ayurvedic and Yoga dharsan text which can be performed by a pregnant woman as they consume low energy and provide greater benefits. Published articles and different studies with references has been considered to support the effect of yoga in pregnancy.Yoga practicing includes physical postures andbreathing techniques which minimizes the complication of pregnancy, like pregnancy induced hypertension, intrauterine growth retardation and pre-term delivery etc. Western exercises bring about what is known as phase contraction of muscles while yogic exercises create a static contraction which maintains a muscle under tension without causing repeated motions.An approach to yoga in pregnancy can improve birth weight, decrease pre-term labour, decreased IUGR with least or no complications.
Leech Therapy in Thromboangiitis obliterans (Buerger's Disease)
Leech therapy or hirudotherapy has been in use in various disciplines of medicine ranges from reconstructive and plastic surgery to vascular and general surgery. Leech inflicts a painless bite from a sucking disk at each ends of its body. The leech saliva injected in to the wound possesses various metabolically active substances causing beneficial effects locally and systematically. Leech therapy in the patients of Buerger’s disease was performed and the therapeutic benefits were evaluated.
Buerger’s disease is also known as thromboangiitis obliterans is a disorder of peripheral arteries affecting commonly the lower limb. Extensive thrombosis leads to reduced blood supply. Initial claudication follows severe pain and disability to walk. Leech therapy has been found very useful in cure of the diseases as well as in improvement of quality of life.
Conservative management of RTA induced chronic Low backache - A Case study
Introduction: A 49 yr old male patient with severe low backache (LBA) and unable to stand or walk was treated conservatively with ayurvedic medicine and Panchkarma therapies to avoid the advised laminectomy.
Case presentation: Patient presented with sustained LBA and weakness in left leg from last 1 year but the complaints got aggravated since last 10 days with symptoms like shooting pain in lower back; inability to sit, stand or walk and tenderness in lower back with numbness in left leg. SLR was positive being 0 degree on right leg and 20 degree on left leg. Patient had history of Road traffic accident (RTA) in 1993 with weak right upper and lower limb and short right lower limb. MRI LS suggestive of PIVD at L2-L3, L3-L4 and L4-L5 levels. More at L4-L5 level causing focal secondary canal stenosis and compression over the thecal sac with contained nerve roots. Management was done with Panchkarma treatment in IPD over three admissions and three months in total with medicines.
Management and Outcome: Panchkarma was done with Patrapinda sveda, Nadi sveda, Matra vasti for 7 days and shalishashtika pinda sveda for 21 days initially in which pain subsided. In second round shalishashtika pinda sveda and matra vasti was given for 15 days, in which patient was able to stand and walk with support for 40 – 50 steps. In third round snehadhara for 15 days, this increased the power in legs and resulted in sensory improvement in right upper limb and increased standing and walking capacity to more than four hundred meters. SLR improved to Rt – 60 degree, Lt 80 degree.
Materials and Methods: Ayurveda explains this disease under the title vatavyadhi as Katishula and katigatavata. The treatment available for the disease in modern medicine is not very satisfactory. The present study was aimed at establishing the holistic approach of management by Ayurveda. Therefore, abhyang, swedan – Patarapinda sveda and Shalishashtika pinda sveda, katibasti, Matra basti and Snehadhara were selected for the present case.
Discussion: The case was diagnosed as Vatavyadhi – Katigatavata following injuries sustained in RTA in past and recently as a result of fall when unbalanced which aggravated the symptoms. Snehana and svedana formed the first line of treatment to pacify the vitiated vata while shalishashtika pinda sveda worked as balya and poshana for mansa and asthi dhatu along with matra vasti. Snehadhara improves motor as well as sensory system thus resulting in improved sensory function in the right upper limb which had zero sensory function at the time of first admission.
*Head, Department of Panchkarma
**Clinical Registrar, Department of Panchkarma
***Assistant Professor, Department of Roga Nidana evem Vikriti Vigyana
Chaudhary Brahm Prakash Ayurved Charak Sansthan,Khera Dabar,Najafgarh,New Delhi.
Results: After treatment patient recovered symptomatically, the backache was very mild and intermittent. In addition, the patient was able to keep erect posture and to carry out the daily routine.
Conclusion: The treatment regimen given was effective and showed substantial improvement in the patient.
Lumbar spinal stenosis, Matra Vasti, Snehadhara
|Editorial Team is Displayed in the heading "about the journal"|
Vol 3, No 6 (2015): Journal of Ayurveda and Holistic Medicine (JAHM)
Table of Contents
|Clinical Trial on the Effect of Baladi Yapan Basti and Vajikaraņa Yoga in the management of Oligoasthenozoospermia|
|Sanjay Gupta, Nagendra Prasad, Vaidya V. D. Shukla, Anup Thakar||1-9|
|“A CLINICAL STUDY ON UPANAHA SWEDA IN SANDHIGATAVATA (OSTEOARTHRITIS of KNEE JOINT)”|
|divya deva bhat, Prasanna Aithal, Praveen B.S, Vikram Kumar, Sachin Deva||10-18|
|COMPARATIVE CLINICAL STUDY OF KATI BASTI, PATRAPINDA SVEDA AND MATRA BASTI IN KATI SHOOLA (LOW BACKACHE)|
|Sanjay Gupta, Radheshyam Sharma||19-35|
|A CLINICO COMPARATIVE STUDY OF PANCHASAMA CHOORNA WITH AND WIHTOUT VALUKA SWEDA IN AMAVATA W.S.R. RHEUMATOID ARTHRITIS|
|Nagendra Prasad, Devamma S Patil, Mukta V Arali||36-50|
|Herbal Dentifrices: An Orthodontics Aspect|
|Chandrakant Panditrao Bangar, Snehal Narendra Wagh||51-57|
|Evaluation of the Effects of Triphala, 2% Chlorhexidine and 5.25%hypochlorite sodium on Dentin Micro-hardness as Irrigation Solutions|
|Mahsa Eskandarinezhad, Vahideh Asghari, Maryam Janani, Mohammad Frough Reihani, Saeed Rahimi, Mehrdad Lotfi||58-67|
|Vegetables in Prevention and Management of Dermatological Disorders: Ayurvedic Views and Perspectives|
|A Critical Review on the medicinal plants acting on female reproductive system|
|Dr Mukta Veeranna Arali, Dr Nagendra Prasad||90-104|
|Grahani : A Lifestyle Disorder|
|Poonam Mothabhau Nikam||105-109|
|Challenges in the regulation of Traditional Medicine – a review of global scenario|
|Sulochana Ganapati Bhat||110-120|
|Yoga in pregnancy: A boon to motherhood|
|Leech Therapy in Thromboangiitis obliterans (Buerger's Disease)|
|Praveen Kumar Choudhary||130-134|
|Conservative management of RTA induced chronic Low backache - A Case study|
|Anup Jain, ARUN GUPTA, Umesh Kumar Sapra||135-142|
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