Introduction: The fraction of Sareera vata, which has a special tendency to move downwards, controls the functions of the lower part of the body and is termed Apana vata. Apana vata controls the emission of sukra, arthava, sakruth, mootra, garbha. Its seats are sroni, basthi, medra, uru. The term “Kati” refers to the lumbo sacral and the gluteal region or hip. “Graham” means stiffness, as a result of stiffness there is restriction of movement and pain. According to Ayurveda when vata gets aggravated in pakvasaya, it causes soola, anaha, antrakoojana, malarodha, vardhma, arsa, katigraha, prishtagraha and other diseases concerned with lower parts of the body and are krichrasadya Methodology: The subjects were screened and taken into the study based on the inclusion criteria using consecutive sampling. The 14 participants were assessed with Apana vaigunya using a validated questionnaire before the study and were given Gandharvahasthadi kashayam 96ml twice before food with 3gm saindava, 6gm guda for 2 weeks and Apana vaigunya was assessed after 2 weeks of intervention and follow up of 2 weeks. Results: The results were analyzed statistically and it is noted that there is statistical significance in reduction of Apana vaigunya symptoms after the completion of the study. Discussion: There is a reduction in apana vata vaigunya symptoms in the patients of katigraha after taking Gandharvahasthadi kashayam.
{"title":"STUDY TO ASSESS THE EFFECT OF GANDHARVAHASTHADI KASHAYAM IN APANA VAIGUNYA (APANA VATA VITIATION) IN THE PATIENTS OF KATIGRAHA (LOW BACK ACHE)","authors":"","doi":"10.55718/kja.180","DOIUrl":"https://doi.org/10.55718/kja.180","url":null,"abstract":"Introduction: The fraction of Sareera vata, which has a special tendency to move downwards, controls the functions of the lower part of the body and is termed Apana vata. Apana vata controls the emission of sukra, arthava, sakruth, mootra, garbha. Its seats are sroni, basthi, medra, uru. The term “Kati” refers to the lumbo sacral and the gluteal region or hip. “Graham” means stiffness, as a result of stiffness there is restriction of movement and pain. According to Ayurveda when vata gets aggravated in pakvasaya, it causes soola, anaha, antrakoojana, malarodha, vardhma, arsa, katigraha, prishtagraha and other diseases concerned with lower parts of the body and are krichrasadya Methodology: The subjects were screened and taken into the study based on the inclusion criteria using consecutive sampling. The 14 participants were assessed with Apana vaigunya using a validated questionnaire before the study and were given Gandharvahasthadi kashayam 96ml twice before food with 3gm saindava, 6gm guda for 2 weeks and Apana vaigunya was assessed after 2 weeks of intervention and follow up of 2 weeks. Results: The results were analyzed statistically and it is noted that there is statistical significance in reduction of Apana vaigunya symptoms after the completion of the study. Discussion: There is a reduction in apana vata vaigunya symptoms in the patients of katigraha after taking Gandharvahasthadi kashayam.","PeriodicalId":485167,"journal":{"name":"Kerala Journal of Ayurveda","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136279690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rasaushadhis are the compounds consist of herbs, metals, and minerals that have substantial advantages over traditional medicines, including lower therapeutic doses, faster action, and a wider range of therapeutic uses. Suryaprabha gulika is a herbo-mineral preparation mentioned in a classical Malayalam Ayurvedic treatise, Sahasrayogam. It contains parada, gandhaka, hingu, amalaki, harithaki, vibheethaki, sunti, pippali, maricha, yavani and vatsanabha. This formulation is indicated in various diseases like swasa, kasa, sula and jwara and is widely used in the management of respiratory tract infections associated with fever by the Ayurveda medical practitioners in Kerala. There are five references are available for this formulation in different classical Ayurvedic textbooks in different prakaranas. This paper is a review article on Suryaprabha gulika which mainly comprises comparison of different yogas of the formulation with respect to the ingredients, indications and dose with special reference to the probable mode of action of yoga mentioned in Sahasrayogam.
{"title":"A comprehensive review on various yogas of suryaprabha gulika: a herbo-mineral preparation","authors":"","doi":"10.55718/kja.170","DOIUrl":"https://doi.org/10.55718/kja.170","url":null,"abstract":"Rasaushadhis are the compounds consist of herbs, metals, and minerals that have substantial advantages over traditional medicines, including lower therapeutic doses, faster action, and a wider range of therapeutic uses. Suryaprabha gulika is a herbo-mineral preparation mentioned in a classical Malayalam Ayurvedic treatise, Sahasrayogam. It contains parada, gandhaka, hingu, amalaki, harithaki, vibheethaki, sunti, pippali, maricha, yavani and vatsanabha. This formulation is indicated in various diseases like swasa, kasa, sula and jwara and is widely used in the management of respiratory tract infections associated with fever by the Ayurveda medical practitioners in Kerala. There are five references are available for this formulation in different classical Ayurvedic textbooks in different prakaranas. This paper is a review article on Suryaprabha gulika which mainly comprises comparison of different yogas of the formulation with respect to the ingredients, indications and dose with special reference to the probable mode of action of yoga mentioned in Sahasrayogam.","PeriodicalId":485167,"journal":{"name":"Kerala Journal of Ayurveda","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136280354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anubandha chatushtaya is the four classical expository structures that determine the selection and utility of a text to be studied. These four factors are associated with each other hence the name. The philosophical texts especially Vedanta explicitly explain the four, and the same could be found in the Ayurveda literature in scattered portions. They are deduced from the readings in the Ayurveda Samhita and by the explanation given to it in the commentaries. A learner of Ayurveda has to be aware of these and have to examine the appropriateness of these before starting an in-depth study of any Ayurvedic texts, so that the purpose of the study may be fulfilled. Adhikari, Vishaya, Sambandha and Prayojana are the anubandha chatushtaya. Adhikari is the seeker of the subject and in Vedanta, it is the person desirous of moksha while in Ayurveda it is the person desirous of Ayu. So the vishaya / subject in both Vedanta and Ayurveda though having certain similarities differ in the core content. Everything that is needed to sustain a healthy ayu and to relieve disease is the subject in Brhat trayi, the three classical texts on Ayurveda. The subject has been detailed in a sequence for the easy understanding of the seeker of Ayurveda. The subject in Brhat trayi justifies the utility (prayojana) in studying science- the preserving of Ayu.
{"title":"Anubandha chatustaya in Brhat trayi vs. Indian philosophies referring to Vedanta- A Review","authors":"","doi":"10.55718/kja.176","DOIUrl":"https://doi.org/10.55718/kja.176","url":null,"abstract":"Anubandha chatushtaya is the four classical expository structures that determine the selection and utility of a text to be studied. These four factors are associated with each other hence the name. The philosophical texts especially Vedanta explicitly explain the four, and the same could be found in the Ayurveda literature in scattered portions. They are deduced from the readings in the Ayurveda Samhita and by the explanation given to it in the commentaries. A learner of Ayurveda has to be aware of these and have to examine the appropriateness of these before starting an in-depth study of any Ayurvedic texts, so that the purpose of the study may be fulfilled. Adhikari, Vishaya, Sambandha and Prayojana are the anubandha chatushtaya. Adhikari is the seeker of the subject and in Vedanta, it is the person desirous of moksha while in Ayurveda it is the person desirous of Ayu. So the vishaya / subject in both Vedanta and Ayurveda though having certain similarities differ in the core content. Everything that is needed to sustain a healthy ayu and to relieve disease is the subject in Brhat trayi, the three classical texts on Ayurveda. The subject has been detailed in a sequence for the easy understanding of the seeker of Ayurveda. The subject in Brhat trayi justifies the utility (prayojana) in studying science- the preserving of Ayu.","PeriodicalId":485167,"journal":{"name":"Kerala Journal of Ayurveda","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136279559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Complex series of events that are inevitable for a successful pregnancy include the formation of healthy sperm and ovum, their development and maturation, ovulation, fertilisation, transportation of fertilised ovum into the uterus, and implantation into a receptive uterine cavity. The recent trend of delaying conception may be associated with declining ovarian reserve, increasing the need for IVF with donor ovum. Anti mullerian Hormone *AMH+ is considered a surrogate marker for ovarian reserve and an indicator of healthy ovulation. So the reduced level of AMH is a great concern in the field of infertility management. Ayurveda emphasizes four main factors viz Rithu (ovulation), Kshetra (functional reproductive organs), Ambu (represents proper nutrition after fertilization, that can be correlated with corpus leuteal function upto the establishment of placenta and then onwards placental function), and Beeja (healthy sperm and ovum) which are essential for conception. Infertility due to Diminished ovarian reserve (DOR) can be considered under Dhatukshayajanya Vandhya explained in Harita Samhita. This case study focuses on a 27 year old female patient who approached came to OPD with complaints of inability to conceive even after 8 years of unprotected sexual life. A thorough history taking revealed that all infertility investigations were normal with the exception of the AMH count, which was found to be reduced. She was given medications for Agni deepana and Dhatuposhana as well as Panchakarma treatments, including Musthadi Rajayapana Vasti and Uttaravasti. With the abovementioned treatments for 3 courses, the patient approached our OPD, 2 months after discharge with the complaint of secondary amenorrhoea. The urine pregnancy test was found to be positive and the patient was advised for proper antenatal care and timely follow-up. She delivered a full-term healthy female baby on 14.9.23.
{"title":"A CASE REPORT ON MANAGEMENT OF FEMALE INFERTILITY DUE TO LOW ANTI MULLERIAN HORMONE WITH AYURVEDIC TREATMENT PROTOCOL","authors":"","doi":"10.55718/kja.189","DOIUrl":"https://doi.org/10.55718/kja.189","url":null,"abstract":"Complex series of events that are inevitable for a successful pregnancy include the formation of healthy sperm and ovum, their development and maturation, ovulation, fertilisation, transportation of fertilised ovum into the uterus, and implantation into a receptive uterine cavity. The recent trend of delaying conception may be associated with declining ovarian reserve, increasing the need for IVF with donor ovum. Anti mullerian Hormone *AMH+ is considered a surrogate marker for ovarian reserve and an indicator of healthy ovulation. So the reduced level of AMH is a great concern in the field of infertility management. Ayurveda emphasizes four main factors viz Rithu (ovulation), Kshetra (functional reproductive organs), Ambu (represents proper nutrition after fertilization, that can be correlated with corpus leuteal function upto the establishment of placenta and then onwards placental function), and Beeja (healthy sperm and ovum) which are essential for conception. Infertility due to Diminished ovarian reserve (DOR) can be considered under Dhatukshayajanya Vandhya explained in Harita Samhita. This case study focuses on a 27 year old female patient who approached came to OPD with complaints of inability to conceive even after 8 years of unprotected sexual life. A thorough history taking revealed that all infertility investigations were normal with the exception of the AMH count, which was found to be reduced. She was given medications for Agni deepana and Dhatuposhana as well as Panchakarma treatments, including Musthadi Rajayapana Vasti and Uttaravasti. With the abovementioned treatments for 3 courses, the patient approached our OPD, 2 months after discharge with the complaint of secondary amenorrhoea. The urine pregnancy test was found to be positive and the patient was advised for proper antenatal care and timely follow-up. She delivered a full-term healthy female baby on 14.9.23.","PeriodicalId":485167,"journal":{"name":"Kerala Journal of Ayurveda","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136279546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Central Serous Retinopathy (CSR) is an idiopathic disorder characterized by spontaneous serous detachment of the neurosensory retina in the macular region, with or without retinal pigment epithelium detachment (PED). Symptoms of CSR include unilateral blurring of vision, metamorphopsia and micropsia. Management of CSR includes conservative measures, laser treatment and anti-VEGF injection, but recurrence is also seen in up to 50% of cases. According to Ayurveda, the signs and symptoms of CSR can be considered under the dosha vitiation in Pradhama and Dvideeya patala, mainly because of the imbalance of kapha pitha dosha and Rasa and raktha dhathus. Rasa and raktha dhathu vitiation is caused by the Vata dosha. This implies the involvement of tridosha in the manifestation of CSR. So we can correlate the CSR with PED to the Sannipathika timira lakshana. The pathogenesis of this disease can be considered under the sopha samprapthi; thus, kapha pitha samana, sophahara chikitsa and sannipathika timira chikitsa were adopted for the management of this disease. Here we illustrated the case of a male patient with 38 year old had gradual blurring of vision in the right eye for one month diagnosed with CSR with PED. It is effectively managed with internal medications and procedures like takradhara, avagundanam, rooksha vasthi etc. After the treatment, his right eye vision improved from 6/18 to 6/6b. Optical Coherence Tomography (OCT) also presented with a marked reduction in macular oedema. Six-month follow-up was done with Chakshushya and Rasayana drugs like Sapthamrithaloha tablet, Aswagandhaghana vati etc. There is no recurrence of the symptoms during this period. Thus, this case proves that Ayurvedic m
{"title":"AYURVEDIC MANAGEMENT OF RECURRENT CENTRAL SEROUS RETINOPATHY WITH PIGMENT EPITHELIAL DETACHMENT- A CASE REPORT","authors":"","doi":"10.55718/kja.183","DOIUrl":"https://doi.org/10.55718/kja.183","url":null,"abstract":"Central Serous Retinopathy (CSR) is an idiopathic disorder characterized by spontaneous serous detachment of the neurosensory retina in the macular region, with or without retinal pigment epithelium detachment (PED). Symptoms of CSR include unilateral blurring of vision, metamorphopsia and micropsia. Management of CSR includes conservative measures, laser treatment and anti-VEGF injection, but recurrence is also seen in up to 50% of cases. According to Ayurveda, the signs and symptoms of CSR can be considered under the dosha vitiation in Pradhama and Dvideeya patala, mainly because of the imbalance of kapha pitha dosha and Rasa and raktha dhathus. Rasa and raktha dhathu vitiation is caused by the Vata dosha. This implies the involvement of tridosha in the manifestation of CSR. So we can correlate the CSR with PED to the Sannipathika timira lakshana. The pathogenesis of this disease can be considered under the sopha samprapthi; thus, kapha pitha samana, sophahara chikitsa and sannipathika timira chikitsa were adopted for the management of this disease. Here we illustrated the case of a male patient with 38 year old had gradual blurring of vision in the right eye for one month diagnosed with CSR with PED. It is effectively managed with internal medications and procedures like takradhara, avagundanam, rooksha vasthi etc. After the treatment, his right eye vision improved from 6/18 to 6/6b. Optical Coherence Tomography (OCT) also presented with a marked reduction in macular oedema. Six-month follow-up was done with Chakshushya and Rasayana drugs like Sapthamrithaloha tablet, Aswagandhaghana vati etc. There is no recurrence of the symptoms during this period. Thus, this case proves that Ayurvedic m","PeriodicalId":485167,"journal":{"name":"Kerala Journal of Ayurveda","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136280674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayurveda the ancient Indian treatment science is codified and transmitted through centuries in the form of written documents called manuscripts. The term manuscript in a broader sense means any document written by hand, such as documents or texts written on materials like palm leaf, birch bark, leather, cloth, paper and inscriptions on rocks, pillars etc. It is worth knowing that Indian medical heritage has one of the largest collections of manuscripts in any civilization in the world. Very few of these texts have been published during the past decades and many of the published works are not available today.The study of manuscript Govindadasotsavam is an effort to transcribe, critically edit and translate the manuscript Govindadasotsavam. The text is written by the author Mukunda Mishra. The period as given in the manuscript is dated as 1767. The manuscript having similarity in title, author, and contents are considered for critical edition based on availability. Transcription was done initially by identifying the script and by adopting appropriate transcription techniques which was followed by the method of critical edition. In the process of the critical edition, accepted readings from different codices were noted. Maximum number of accepted readings was from Codex A. Further, the manuscript was processed for translation into English language where the subject matter of the manuscript was decoded. Since the period of the manuscript is the 17th century CE the influence from other medieval textbooks is well evident in the manuscript. The unique aspect of the manuscript is that it deals with the subject in a very concise manner picks the best yogas from different classics for the treatment of various diseases and presents yogas simply and briefly.
{"title":"Study of manuscript Govindadasotsavam","authors":"","doi":"10.55718/kja.181","DOIUrl":"https://doi.org/10.55718/kja.181","url":null,"abstract":"Ayurveda the ancient Indian treatment science is codified and transmitted through centuries in the form of written documents called manuscripts. The term manuscript in a broader sense means any document written by hand, such as documents or texts written on materials like palm leaf, birch bark, leather, cloth, paper and inscriptions on rocks, pillars etc. It is worth knowing that Indian medical heritage has one of the largest collections of manuscripts in any civilization in the world. Very few of these texts have been published during the past decades and many of the published works are not available today.The study of manuscript Govindadasotsavam is an effort to transcribe, critically edit and translate the manuscript Govindadasotsavam. The text is written by the author Mukunda Mishra. The period as given in the manuscript is dated as 1767. The manuscript having similarity in title, author, and contents are considered for critical edition based on availability. Transcription was done initially by identifying the script and by adopting appropriate transcription techniques which was followed by the method of critical edition. In the process of the critical edition, accepted readings from different codices were noted. Maximum number of accepted readings was from Codex A. Further, the manuscript was processed for translation into English language where the subject matter of the manuscript was decoded. Since the period of the manuscript is the 17th century CE the influence from other medieval textbooks is well evident in the manuscript. The unique aspect of the manuscript is that it deals with the subject in a very concise manner picks the best yogas from different classics for the treatment of various diseases and presents yogas simply and briefly.","PeriodicalId":485167,"journal":{"name":"Kerala Journal of Ayurveda","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136280666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Secondary amenorrhea is the absence of menstruation for a period of 6 months or longer in a woman with established normal cycles. Polycystic ovarian syndrome (PCOS) is one of the most common causes of pathological secondary amenorrhea. The diagnosis of polycystic ovarian syndrome is based on the presence of any 2 among the criteria: oligo and/or anovulation, hyperandrogenism, and polycystic ovaries. In Ayurveda, it can be considered Nashtartava. Modern management of PCOS is primarily focused on the use of hormonal preparations like oral contraceptive pills and insulin sensitizers like metformin. In cases resistant to medical therapy, laparoscopic ovarian drilling, and ovarian wedge resection surgeries are employed. The usage of contraceptive pills is associated with adverse effects like spotting or breakthrough bleeding (BTB), nausea, headache, breast tenderness, weight gain, mood changes, low libido, and dermatologic problems.This is a case report of a 24 year old unmarried woman with delayed menstrual cycles, last menstrual period 6 months back and increased facial hair growth, and mood swings for 6 years. On USG, she was diagnosed with PCOS. For this problem, she took allopathic medication twice. Despite having a few subsequent normal cycles, she developed symptoms including mood swings, headaches, excessive sweating, hair loss, and weight gain. She was forced to stop medications due to these problems which are the adverse effects of hormonal medications. She was admitted in In Patient Department treatment was given based on Nashtartava management. Acharya Susruta explains that Nashtartava occurs in females due to Vata kaphaavarana of artavavahasrothas. Samshodhana (purificatory procedure) and Agneya dravyaupayoga (use of drugs with hot potency) are the line of management mentioned in Ayurveda. Purificatory procedures like Vamana, Virechana, and Vasthi were administered with proper care.She attained menstruation shortly after treatment, followed by two more cycles at an interval of 35–37 days. Her issues like mood swings, headaches, and facial hair growth also subsided. This case demonstrates the role of Ayurveda in the management of Nashtartava without any adverse effects.
{"title":"A CASE REPORT ON AYURVEDIC MANAGEMENT OF SECONDARY AMENORRHEA DUE TO POLYCYSTIC OVARIAN SYNDROME","authors":"","doi":"10.55718/kja.186","DOIUrl":"https://doi.org/10.55718/kja.186","url":null,"abstract":"Secondary amenorrhea is the absence of menstruation for a period of 6 months or longer in a woman with established normal cycles. Polycystic ovarian syndrome (PCOS) is one of the most common causes of pathological secondary amenorrhea. The diagnosis of polycystic ovarian syndrome is based on the presence of any 2 among the criteria: oligo and/or anovulation, hyperandrogenism, and polycystic ovaries. In Ayurveda, it can be considered Nashtartava. Modern management of PCOS is primarily focused on the use of hormonal preparations like oral contraceptive pills and insulin sensitizers like metformin. In cases resistant to medical therapy, laparoscopic ovarian drilling, and ovarian wedge resection surgeries are employed. The usage of contraceptive pills is associated with adverse effects like spotting or breakthrough bleeding (BTB), nausea, headache, breast tenderness, weight gain, mood changes, low libido, and dermatologic problems.This is a case report of a 24 year old unmarried woman with delayed menstrual cycles, last menstrual period 6 months back and increased facial hair growth, and mood swings for 6 years. On USG, she was diagnosed with PCOS. For this problem, she took allopathic medication twice. Despite having a few subsequent normal cycles, she developed symptoms including mood swings, headaches, excessive sweating, hair loss, and weight gain. She was forced to stop medications due to these problems which are the adverse effects of hormonal medications. She was admitted in In Patient Department treatment was given based on Nashtartava management. Acharya Susruta explains that Nashtartava occurs in females due to Vata kaphaavarana of artavavahasrothas. Samshodhana (purificatory procedure) and Agneya dravyaupayoga (use of drugs with hot potency) are the line of management mentioned in Ayurveda. Purificatory procedures like Vamana, Virechana, and Vasthi were administered with proper care.She attained menstruation shortly after treatment, followed by two more cycles at an interval of 35–37 days. Her issues like mood swings, headaches, and facial hair growth also subsided. This case demonstrates the role of Ayurveda in the management of Nashtartava without any adverse effects.","PeriodicalId":485167,"journal":{"name":"Kerala Journal of Ayurveda","volume":"159 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136279549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ati sthoulya or obesity, characterized by an excessive accumulation of adipose tissue, has become a global epidemic of modern times. A body mass index (BMI) above 25 is considered overweight, and over 30 is obese. Around the globe, over 4 million people die each year due to being overweight or obese.1 Raised BMI is a risk factor for cardiovascular diseases, diabetes mellitus, musculoskeletal disorders, and some cancers, leading to high morbidity and mortality. The importance of prompt treatment of Ati sthula has been emphasized in Ayurveda.The management of obesity includes dietary and lifestyle modifications, cognitive and behavioral therapies, pharmacotherapy, and bariatric surgery. In Ayurveda, Ati sthoulya is managed by vataghna kapha medohara annapana, rooksha ushna vasti, and teekshna rooksha udwarthana. Practicing yoga helps in the physical, mental, emotional, and spiritual well-being of obese patients. For sustainable weight reduction and maintenance, the treatment should be focused on the grassroots level where the patient’s diet and lifestyle should be given more importance.This case report is an example of a sustainable weight-loss journey focusing more on aetiological factors. The 40-year-old male patient presented in the OPD with excessive weight gain, polyphagia, increased fatigue, and dyspnoea on exertion. He was diagnosed as Ati sthoulya and the treatment was planned mainly focusing on dietary and lifestyle modifications. Within 90 days, weight was reduced by 11.5 kilograms along with positive changes in other symptoms. This case report will help Ayurvedic doctors to focus on weight management from an aetiological point of view.
{"title":"Integrated Ayurveda and Yoga Therapy in the Management of Obesity- A Case Report","authors":"","doi":"10.55718/kja.182","DOIUrl":"https://doi.org/10.55718/kja.182","url":null,"abstract":"Ati sthoulya or obesity, characterized by an excessive accumulation of adipose tissue, has become a global epidemic of modern times. A body mass index (BMI) above 25 is considered overweight, and over 30 is obese. Around the globe, over 4 million people die each year due to being overweight or obese.1 Raised BMI is a risk factor for cardiovascular diseases, diabetes mellitus, musculoskeletal disorders, and some cancers, leading to high morbidity and mortality. The importance of prompt treatment of Ati sthula has been emphasized in Ayurveda.The management of obesity includes dietary and lifestyle modifications, cognitive and behavioral therapies, pharmacotherapy, and bariatric surgery. In Ayurveda, Ati sthoulya is managed by vataghna kapha medohara annapana, rooksha ushna vasti, and teekshna rooksha udwarthana. Practicing yoga helps in the physical, mental, emotional, and spiritual well-being of obese patients. For sustainable weight reduction and maintenance, the treatment should be focused on the grassroots level where the patient’s diet and lifestyle should be given more importance.This case report is an example of a sustainable weight-loss journey focusing more on aetiological factors. The 40-year-old male patient presented in the OPD with excessive weight gain, polyphagia, increased fatigue, and dyspnoea on exertion. He was diagnosed as Ati sthoulya and the treatment was planned mainly focusing on dietary and lifestyle modifications. Within 90 days, weight was reduced by 11.5 kilograms along with positive changes in other symptoms. This case report will help Ayurvedic doctors to focus on weight management from an aetiological point of view.","PeriodicalId":485167,"journal":{"name":"Kerala Journal of Ayurveda","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136279550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kuberaksha and its use are found from the Samhitha period itself. The synonyms Latakaranja, Kantaki karanja, and karanja are found in different books.Synonyms of Kuberaksha were mixed up in many nighantus which led to confusion for identification. Phytosterenin,bonducin, saponin, phytosterol, fixed oil, starch and sucrose are the chemical constituents of kuberaksha. Nuts and root bark are antispasmodic, bitter tonic, anthelminthic, and febrifuge. Fixed oil expressed from seed is emollient. Kuberaksha has antipyretic, aphrodisiac, depurative, tonic, and hepatic protective properties. It is also used to treat infertility caused by polycystic ovarian syndrome. While analyzing the drug and formulations of kuberaksha, it is observed less frequently in the Samhitha period but more in medieval period books. Many references to kuberaksha are there in books from regional languages of south India. The majority of formulations come in the chapters of shoola,gulma and vridhi. As per A.P.I Caesalpinia bonduc is the source plant for Kuberaksha. The plant has immense therapeutic capabilities as shown by research which should be explored in future.
{"title":"CRITICAL REVIEW OF KUBERAKSHA AND ITS FORMULATIONS IN AYURVEDA","authors":"","doi":"10.55718/kja.167","DOIUrl":"https://doi.org/10.55718/kja.167","url":null,"abstract":"Kuberaksha and its use are found from the Samhitha period itself. The synonyms Latakaranja, Kantaki karanja, and karanja are found in different books.Synonyms of Kuberaksha were mixed up in many nighantus which led to confusion for identification. Phytosterenin,bonducin, saponin, phytosterol, fixed oil, starch and sucrose are the chemical constituents of kuberaksha. Nuts and root bark are antispasmodic, bitter tonic, anthelminthic, and febrifuge. Fixed oil expressed from seed is emollient. Kuberaksha has antipyretic, aphrodisiac, depurative, tonic, and hepatic protective properties. It is also used to treat infertility caused by polycystic ovarian syndrome. While analyzing the drug and formulations of kuberaksha, it is observed less frequently in the Samhitha period but more in medieval period books. Many references to kuberaksha are there in books from regional languages of south India. The majority of formulations come in the chapters of shoola,gulma and vridhi. As per A.P.I Caesalpinia bonduc is the source plant for Kuberaksha. The plant has immense therapeutic capabilities as shown by research which should be explored in future.","PeriodicalId":485167,"journal":{"name":"Kerala Journal of Ayurveda","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136279551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asrigdhara (abnormal uterine bleeding), which manifests as profuse vaginal bleeding, has existed for centuries and has been known to humans from the time of the Vedas and Puranas. Asrigdhara can be defined as excessive or extended bleeding during menstruation or even minimal bleeding during the interim between cycles. While considering the symptoms of Asrigdhara, it can be compared with the abnormal uterine bleeding which broadly refers to menstrual irregularities outside of pregnancy that affect frequency, regularity, length and flow volume. In the famous Ayurvedic book Chikitsamanjeri and in the classical textbook Gada Nigraha in the context of Asrigdhara it is said that, about 10-12 Japakusuma mukula (flower buds of Hibiscus rosa- sinensis Linn.) along with ksheera (milk) is very effective in treating the specific condition of excessive uterine bleeding. A clinical case of Asrigdhara was selected as per the inclusion and exclusion criteria and was given medication orally in the form of 1.5 grams of bhavitha choorna (triturated powder) of Japakusuma mukula mixed with 4 times ksheera, one hour before food for 5 days from the first day of menstruation for three consecutive menstrual cycles. Assessment of the reduction in the symptoms were made as per PBAC scale and the associated symptoms such as increase in the duration of bleeding, irregularities in menstrual cycle, pain and fatigue were assessed as per the four-point vertebral scale. The follow up was also done for 3 months to analyse whether static effect of the drug continues. The case study revealed significant reduction in bleeding and passing of clots during menstruation, while its effect gradually declined during the follow-up period.
{"title":"Effect of Japakusuma mukula (flower buds of Hibiscus rosa-sinensis Linn.) with Ksheera in Asrigdhara – A case report.","authors":"","doi":"10.55718/kja.172","DOIUrl":"https://doi.org/10.55718/kja.172","url":null,"abstract":"Asrigdhara (abnormal uterine bleeding), which manifests as profuse vaginal bleeding, has existed for centuries and has been known to humans from the time of the Vedas and Puranas. Asrigdhara can be defined as excessive or extended bleeding during menstruation or even minimal bleeding during the interim between cycles. While considering the symptoms of Asrigdhara, it can be compared with the abnormal uterine bleeding which broadly refers to menstrual irregularities outside of pregnancy that affect frequency, regularity, length and flow volume. In the famous Ayurvedic book Chikitsamanjeri and in the classical textbook Gada Nigraha in the context of Asrigdhara it is said that, about 10-12 Japakusuma mukula (flower buds of Hibiscus rosa- sinensis Linn.) along with ksheera (milk) is very effective in treating the specific condition of excessive uterine bleeding. A clinical case of Asrigdhara was selected as per the inclusion and exclusion criteria and was given medication orally in the form of 1.5 grams of bhavitha choorna (triturated powder) of Japakusuma mukula mixed with 4 times ksheera, one hour before food for 5 days from the first day of menstruation for three consecutive menstrual cycles. Assessment of the reduction in the symptoms were made as per PBAC scale and the associated symptoms such as increase in the duration of bleeding, irregularities in menstrual cycle, pain and fatigue were assessed as per the four-point vertebral scale. The follow up was also done for 3 months to analyse whether static effect of the drug continues. The case study revealed significant reduction in bleeding and passing of clots during menstruation, while its effect gradually declined during the follow-up period.  ","PeriodicalId":485167,"journal":{"name":"Kerala Journal of Ayurveda","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136279696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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