ayurvidya feb 2018 - :: Tilak Ayurved Mahavidyalaya ::

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3 Ayurvidya MasikFebruary 2018

ISSN - 0378 - 6463

MagazineAYURVIDYARashtriya Shikshan Mandal's

IMP · Views & opinions expressed in the articles are entirely of Authors. ·

ISSUE NO. - 9 FEBRUARY - 2018

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CONTENTS

"AYURVIDYA" Magazine is printed at 507/A, Dhayari - Narhe Road, Narhe Gaon, Tal. - Haveli, Pune -41 and Published at 583/2, Rasta Peth, Pune 11.

By Dr. D. P. Puranik on behalf of Rashtriya Shikshan Mandal, 25, Karve Road, Pune 4.

To know latest in "AYURVED" Read "AYURVIDYA"A reflection of Ayurvedic Researches.

amï´>r` [ejU _§imÀ`m 94 ì`m dYm©nZ[XZm[Z[_Îmhm[X©H>> ew^oÀNm!! (9 \o>>~«wdmar 2018)

l g§nmXH$s` - {‘l d¡ÚH$ - amï´>mMr JaO - S>m°. {X. à. nwam{UH$ 5

l Role Of Yashtimadhu In The Management Of Shukrakshaya - Vd. Pradeep B. Chemate 6

l A Conceptual Review of Relevance of Purishadhara Kala With Asthidharakala - Vd. Prajkta Kulkarni 10

l Literature Study Of Gunja Moola Lepa On Indralupta With Reference To Alopecia Areata. - Dr. Ashwini A. Ghogale 12

l Menopausal Syndrome - Vd.Chandrashekhar S. Ghodke 14

l Sutika Paricharya - In Ayurvedic Perspective - Dr. More Ruturaj Pralhadrao 16

l Role Of Triphala Kwath Yonidhavan In Shwetapradara - Vd. Bhavake Nishigandha P. 20

l Indravaruni : Ayurvedic Review - Dr. Pathan Md. Junaid 22

l Role of Gudadigutika In The Management of Kaphaj Kasa - Dr. Amit Bhandekar 24

l Importance Of Nishaloham In Management Of Pandu Vyadhi (Anemia) - Dr. Jambuwant S. Bhosale 26

l Report - National Seminar on Ayurvedic Management of Manas Rog - Dr. Vinaya Dixit 32

l Seminar On Recent Advances In Medical Specialties - Prof. Manjiri Deshpande 33

l A{^Z§XZ!! - 15

l lÕm§Obr - 9,30,31

l About the Submission of Article and Research Paper - 4

l Cng§nmXH$s¶ - Zdo g§H«$‘U nd© - S>m°. gm¡. {dZ`m Xr{jV 34


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Introduction : Infertility is a problem of global proportions, affecting on an average 8-12% of couples worldwide. Based on the National Women's Health Information Center (NWHIC), the annual incidence of male infertility is at least two million cases. Recent studies have indicated that the prevalence of Oligospermia is extremely high in the metropolis as well as in the smaller towns of India.

Infertility is defined as the inability to achieve pregnancy after one year of unprotected coitus. Male infertility is considerably to be less complicated than female infertility, but can account for 30-40% of infertility. Except for some physical defects, low sperm count (Oligospermia) and poor sperm quality are responsible for male infertility in more than 90% of the cases. Out of these, in about 30 to 40% the cause is unexplained and in the rest of the cases critical illness, malnutrition, genetic abnormalities, pollution, side effects of some medicines, hormones and chemicals play a major role.

More than 190 studies on Vajikarana (Aphrodisiac therapy) have been carried out in various Ayurvedic Academic Institutes in India, at the PG and PhD level, wherein, researchers have considered various aspects of the problem, like its etiology, pathogenesis, and complications of the diseases related to the reproductive system, in both Ayurvedic and Modern parlance.

Acharya Sushruta has included Shukrakshaya under Shukra Dushti. Here, Vata dosha along with Pitta undergo vitiation and create a disturbance in the normal qualities and quantity of the Shukra Dhatu. Oligospermia is a seminal disorder in which

Vd. Soman Swati P., M.D. (Kayachikitsa)Sangam Sevabhavi Trust's Ayurved Mahavidyalya,Post Graduate Research Center, SangamnerTal- Sangamner Dist- Ahmednagar

Vd. Pradeep B. Chemate,PG Scholar, M.D. (Kayachikitsa)

Role Of Yashtimadhu In The Management Of Shukrakshaya

the sperm count is below 20 million/ml.However, it is evident that several studies

were conducted on this subject but only few studies have been carried out to recognize the clinical efficacy of any single herb, in this subject. Yashtimadhu (Glycerrhiza glabra) is mentioned as a Vrishya (Aphrodisiac) and also used in almost all prescriptions, along with other drugs, to treat the malady Shukrakshaya. Studies have suggested that Yashtimadhu can enhance the hormone levels to within a normal range. It can increase the testosterone by increasing the luteinizing hormone and the gonadotropin-releasing hormone. This hormone is effective in building muscles as well as improving fertility and libido, and it has also been proved to be active in stimulating spermatogenesis and sertoli cell activity in rats. However, to generate an evidence based data on this, this clinical study was carried out on Yashtimadhu for the role of Vrishya (Aphrodisiac).Aim and Objective : Aim :- To study role of Yashtimadhu in the Management of Shukrakshaya clinically.Objective :- i) To review ancient and modern literature available on Shukrakshaya. ii) To study the concept of etiopathogenesis, sign and symptoms of Shukrakshaya iii) To study the management of Shukrakshaya. iv) To study the efficacy of Yashtimadhu on ShukrakPrevalence :- Infertility is a problem of global proportions, affecting on an average 8-12% of couples worldwide. Low sperm count (Shukrakshaya) is one of the main causes of male infertility and it is correlated with Oligozoospermia. The roots of Yashtimadhu (Glycyrrhiza) are considered to act as a

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aphrodisiac; they used for infertility. Hence, it was planned to study the effect of Yashtimadhu in the management of (Oligozoospermia)Disease Review :-Xm¡~©ë¶§ ‘wIemofü nmÊSw>Ëd§ gXZ§ l‘… &³b¡ã¶§ ewH«$m{dgJ©ü jrUewH«$ñ¶ bjU‘² && M.gy.17

Weakness, dryness of mouth, paleness, tiredness, lethargy, impotency, absence of ejaculation of semen, pain in testes and penis, reduced sexual power, early scanty blood stained ejaculation of semen.Previous Work Done:- 1) Pande 3D- Clinical evaluation of in digenous brishya compound in cases of oligospermia 1990. 2) Raj A K- Effect of avipattikara ghrita in cases of oligospermia 1992 3) Tripathi S K- a clinical study of the effect of shatavaryadi choorna in cases of oligospermia 2001 4) Behra B S- a c l in ica l s tudy o f on o l igospermia (shukrakshaya) with its management by vitarikanda 1996Materials and Methods:- Materials: - Pharmaceutical study - Trial drug (Yashtimadhu):- Drug Review¶ï>r‘Yw VWm ¶ï>r‘YwH§$ ³brVH§$ VWm &AÝ¶Ë³brVZH§$ VÎmw ̂ doÎmmo¶o ‘Yy{bH$m &&145&&¶ï>r {h‘m Jwé… ñdmìXr Mjwî¶m ~bdU©H¥$V² &gwpñZ½Ym ewH«$bm Ho$í¶m ñd¶m© {nÎmm{Zbmó{OV² &dU©emoW{dfÀN>{X©V¥îUm½bm{Zj¶mnhm &&146&& ̂ m.à.145-146

Table showing therapeutic manner for Yashtimadhu Drug. Yashtimadhu Choorna No. of patient 30 Route of Oral Administration Dose 1 gm Kala Apankal Anupan Dughdha Duration 30 days

Raw drugs required for preparation were collected from market. Preparation of Medicine :- Yashtimadhu was prepared according of Samhita (Bhavprakash).Methods :- Study type : - Experimental Study (Clinical trials).

Sampling methods :- 30 clinically diagnosed patient of Shukrakshaya were selected according to inclusive criteria with simple random sampling method irrespective of religion, occupation, economy status and marital status.Criteria for Assessments and Results:-Selection criteria: Inclusive criteria: · Patient

having textual sign and symptoms of Shukrakshaya. with less sperm count· Patient age group with 18-40 yr.

· Patient selection will irrespective of religion,

profession, marital status and socio economic status. Exclusive criteria: · Patient with any other

shukradushti. · Patient with any major illness.

· Patient having hypersensitive to any drug.

Investigation: · Sperm analysis -microscopic

count motility etc. · CBC.ESR if needed

Criteria for assessment :-Subjective Criteria:-Grading system of Symptoms (Assessment Criteria).1) Weakness (dourbakya): Sr.no. Grade Criteria Score 1. Absent No 0 2. Mild 1-5 hr in day 1 3. Moderate 6-10 hr in day 2 4. Severe above 10 in day 32) Dryness of mouth Sr.no. Grade Criteria Score 1. Absent No Dryness of 0

mouth 2. Mild 1 - 3 times / day 1 3. Moderate 4 - 6 times / day 2 4. Severe More than 3

6 times / day3) Ejaculation of semen Sr.no. Grade Criteria Score 1. Absent Some amount 0

of semen 2. Mild Ejaculation of 1

semen in less quantity

3. Moderate Painful 2ejaculation


4. Severe No Ejaculation 3of semen

4) Pain in testes and penis Sr.no. Grade Criteria Score 1. Absent 16-20 min 0 2. Mild 21-25 min 1 3. Moderate 26-30 min 2 4. Severe 30-40 min 3Objective Criteria - The improvement in the patients was assessed mainly on the basis of relief in the signs and symptoms of S h u k r a k s h a y a ( O l i g o z o o s p e r m i a ) , improvement in the semenogram, especially in the total sperm count, and also in the serum FSH, LH, and testosterone level, improvement in Deha Bala, Chetasa Bala and Agni Bala, and improvement in the Quality of Sexual Life Questionnaire.Total Assessment Criteria - The total effect of therapy were grouped according to observation of all sign, symptoms and after 30 days treatment of each patient it the help of above score role of the drug was determined as-Sr.no. Relief of Symptoms Score 1. Good Improvement Above 75% relief 2. Moderate improvement 50 -74. 9% relief 3. Mild improvement 25 -49. 9% relief 4. No improvement less than 25% reliefStatistical Analysis - The observation were analyzed thoroughly and statistical study will also be done with the help of the graphs and tables. Suitable tests were applied wherever needed.Observation And Result Observations - In this clinical study on Shukrakshaya, totally 30 subjects were registered. Table: Age wise distribution Age Total no. of Percentage 21-25 Year 5 16.66 25-30 Year 10 33.33 30-35 Year 8 26.66 35-40 Year 6 20 40-45 Year 1 3.33

Table: Religion wise distribution Religion Total no. of Percentage

subjects Hindu 27 90 Muslim 1 3.33 Other 2 6.66Table: Desha wise distribution Desha Total no. of Percentage

subjects Jangala 4 13.33 Anupa 4 13.33 Sadharana 22 73.33Table: Education wise distribution Education Total no. of Percentage

Subjects Uneducated 3 10 Primary 8 26.66 High School 6 20 Graduate 9 30 Post- Graduate 4 13.33Table: Socio - Economical status wise distribution Socio- Total no. of Percentage Economical subjects Status Poor 10 33.33 Middle class 14 46.66 Rich 06 20Table: Nature of work wise distribution Nature of work Total no. of Percentage

subjects Active 06 20 Sedentary 10 33.33 Physically 14 46.66 exertionalTable: Snana wise distribution Snana Total no. of Percentage

subjects Ushna jala 18 60 Shita jala 12 40Table: Dietary Habit wise distributionDietary Habit Total no. of Percentage

subjects Mixed 18 60 Vegetarian 12 40


Table: Agni wise distribution Agni Total no. of Percentage

subjects Tikshna 1 3.33 Vishama 18 60 Sama 6 20 Manda 5 16.66Table: Assessment of increase in Sperm count Grading Increase in Improvement No. of

Sperm Count Patients Grade 1 0-1 million No Improvement 04 Grade 2 2-5 million Mild Improvement 11 Grade 3 06-10 million Moderate 13

Improvement Grade 4 > 10 million Marked 02

Improvement

Discussion :- Each subject was assessed based on the criteria set for the study. The increase in the sperm count is highly significant with p value < 0.001 and mean difference 6.17. The average percentage increased by 65.895%.

The increase in the volume of semen is highly significant with p value < 0.001 and mean difference 0.436. The average percentage increased by 36.39%.

The increase in the motility of sperms is highly significant with p value < 0.001 and mean difference 9.266. The average percentage increased by 29.48%.

The increase in the sperms with the normal morphology is highly significant with p value < 0.001 and mean difference 2.4. The average percentage increased by 30.84%.

The decrease in the weakness is highly significant with p value < 0.001 and mean difference 0.6. The average percentage decreased by 62.069%.

The decrease in the sadana is highly significant with p value < 0.001 and mean difference 0.5. The average percentage decreased by 51.724%.

The decrease in the Dryness of mouth is highly significant with p value < 0.001 and mean difference 0.5333. The average percentage decreased by 66.666%.

The decrease in the srama is significant with p value < 0.01 and mean difference 0.4333. The average percentage decreased by

46.428%.Conclusion - This present study shows significant remission in the signs and symptoms of Shukrakshaya (oligozoospermia) corroborated with definite improvement in the total sperm count. From this study it can be concluded that the Alternate Hypothesis of this study is accepted, that is, Yashtimadhu is effective in the management of Shukrakshaya, with lifestyle modification. Yashtimadhu Granules have shown superior results in the management of Shukrakshaya.Bibilography / References - 1) Kaviraj Shri Ambika Datta Shastri Chaukhamba Publication, Varanasi Bhaishajya Ratnawali 11th edition 1993.2) Prof. Ravindra Tripathi Chaukhamba Sanskrit Sansthan, Varanasi CharakSamhta R e p r i n t 2002.3) Vd. Shri Bramha Shankar Misra Chaukhamba Sanskrit Bhavan, Varanasi Bhavprakash Edition 2012.4) P.V. Sharma Chaukhamba Vishwabarti, Varanasi Dravyaguna Vidnyan Vol - II R e p r i n t 2011.5) Prof. Y.C. Joshi Pune Sahityavitaran Kayachikitsa Reprint 2011.6) Fauci, kasper me Graw Hill Harrison's internal medicine 18th edition.

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A Conceptual Review of Relevance of Purishadhara Kala With Asthidharakala

Vd. Prajkta Kulkarni,M.D. (Sharir Rachana), Asst. Prof. Sharir Rachana, T.A.M.V. Pune.

Introduction - Acharya Sushrut had described Kala sharir in detail in Sharirsthana, Garbhavyakarana sharir. Charaksamhita had not described this concept. There are references in Ashtang hruday and Ashtang sangrah also. Sharangdhar samhita also contains detailed description of kala.H$bm Iëd{n gá gå^dpÝV YmËdme¶mÝVa‘¶m©Xm & gw. em. 4/5

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Kala is the entity which is present in between the dhatu and ashay. As one can view the pith after cutting the wood, likewise after the dhatu has been cut, mansabhag (sarabhaga) can be visible. Kala is covered with snayu (muscle), jarayu (amniotic membrane) and enveloped with shleshma (kapha). Seven kalas are Mansadharakala, R a k t a d h a r a k a l a , M e d o d h a r a k a l a , Shleshmadharakala, Purishadharakala, Pittadharakala, Shukradharakala. Review Of Literature - The kleda between the dhatu and ashay gets digested by its own agni resulting in formation of kala which is covered with snayu, jarayu and shleshma. (Ash. Sang. Sha. 5/34, Ash. Hru. Sha. 3/9)¶ñVw YmËdme¶mÝVaofw ³boXmo@d{Vð>Vo g ¶Wmñd§ Cî‘{^: {dn¹$: ñZm¶wíboî‘Oam¶wÀN>Þ… H$mð>: Bd gma… YmVwgma… YmVwageofmo dm AënËdmV² H$bm g§k: & A.g§.em. 5/34YmËdme¶mÝVa³boXmo {dn¹$: ñd§ ñd‘yî‘Um &íboî‘ñZmædnamÀN>Þ… H$bm»¶… H$mð>gmadV² && A.ö.em. 3/9

Kala performs functions like to hold (dharana) and to cover (avarana) the underlying structures, secretion (stravana), digestion (pachana), absorption (shoshana), separation (vivechana) and protection (sanrakshana). Kala is responsible for transformation of dhaturasa into dhatu. In majority the detailed description of all the

seven kalas is same in all samhitas.n#m‘r nwarfYam Zm‘, ¶m@ÝV…H$moð>o ‘b‘{^{d^OVo n¹$me¶ñWm && ^d{V MmÌ ¶H¥$Ëg‘ÝVmV² H$moð>§ M VWm@ÝÌm{U g‘m{lVm… & CÊSw>H$ñW§ {d^OVo ‘b§ ‘bYam H$bm && gw.em. 4/16

But in Sharangdhar samhita, the location of the fourth kala which is Shleshmadharakala is yakrut(liver) and pleeha (spleen); whereas its location is the joints as stated in Sushrut samhita.

Mansdharakala is located in sira, dhamani and strotas. Raktadharakala is located in yakrut and pleeha. Medodharakala is present in asthi. Shleshmadharakala is in all joints and lubricates and protects them. Purishadhara kala separates the waste products. Pittadharakala digests the food coming from stomach. Shukradharakala is present in the whole body and responsible for regeneration process of tissues.¶¡d H$bm nwarfYam g¡dmpñWYao{V n#m‘o ApñWÝ¶Zwà{de{V....& gw.H$ën. 4/45

The fifth purishadharakala has been described to be in the pakvashaya (large intestine). It is in close proximity of liver and spleen, located at unduka (caecum) in the intestine. It performs the function of the separation (vibhajana) of the faeces (purisha). It is also called as Maladharakala.

According to modern physiology, the intestine does the function of absorption and faeces formation. It includes processes like water absorption, absorption of ions like sodium and chloride and some of the vitamins like vit. B and vit. K. These are similar functions like dharan, pachan, shoshan, stravan, vivechana etc. (See Diagram)

Acharya Dalhan, the commentator of S u s h r u t s a m h i t a h a d d e s c r i b e d Purishadharakala as Asthidharakala in context with the Vishavega chikitsa in Kalpasthana (Su. Kalp. 4/45) While finding


and understanding the relevance of these two ,we can think of following points-

SHAREER (Sharir rachana and Sharir kriya) - Pakvashaya is sthan (Location) of vata dosha, as well as purishadharakala; where as asthi is also the sthana of vata dosha due to ashrayashrayi bhava of vata and asthi. Pakvashaya is located in the area of asthipradhanata (bony framework), which is kati (pelvic region). The function of defaecation of purishamala (faeces) comes under the territory of apan vayu. Moreover,the properties of both,asthi and purisha is sanghat (to hold structures collectively). (Ash. Hru. Su. 12/1) (Ash. Hru. Su. 11/26)n¹$me¶H$Q>rgp³WlmoÌmpñW ñne©Z|pÝÐ¶‘² &ñWmZ§ dmVñ¶ VÌm{n n¹$mYmZ§ {deofV… && A.ö.gy. 12/1VÌmñW{Z pñWVmo dm¶w… ....& A.ö.gy. 11/26Rognidan And Vikrutivigyan -1) In Arsha vyadhi (haemorrhoids), poorvarupa is sakthisadana (heaviness in legs) and pindikodveshtana (cramps in legs),which is associated with asthi dhatu. In practice also it is observed that any bowel disturbance like Grahani (similar to Dysentery), Atisar (Diarhhoea), cramps in legs is a common symptom. (Ashtanghruday, ni.7/16){dï>å^… gp³WgXZ§ {npÊS>H$moÛoï>Z§....& A.ö.gy. 7/162) In Grahani vyadhi, asthiparvaruk (pain in interphalangeal joint ) is one of the symptoms. (Cha.chi.15/54)eyZnmXH$a… gmpñWnd©éH²$ N>X©Z§ Áda… & M.{M.15/54Kayachikitsa- 1) In chikitsa, role of purishamala is too important. In case of

The mechanism of various metabolic processes in the digestive system

Kshaya vyadhi, purishamala (faeces) has been given importance as it does the function of dharana of body. Just like it,asthi has the same function of dharana of the body. It had been quoted that in Kshaya vyadhi purishamala should be protected, so as to preserve the bala (strength), which is very less in this disease. (Ash.hru.chi.5/73,74)

nwarf§ ¶ËZVmo ajoÀNw>î¶Vmo amO¶pú‘U… && gd©YmVwj¶mV©ñ¶ ~b§ Vñ¶ {h {dS²>~b‘²&&A.ö.{M. 5/73/742)In Panchakarma, concerning the asthi (bone) related disorders, tikta rasayukta (bitter taste) medicinal basti is administered in pakvashaya. As it is the vatasthana, basti is given through it, so as to pacify vata dosha. (Cha.su.28/27)

AñÏ¶ml¶mUm§ ì¶mYrZm§ n#mH$‘m©Ur ̂ ofO‘² &~ñV¶… jragnu{f {Vº$H$mon{hVm{Z M && M.gy. 28/27Discussion - From all the above information from various samhitas, it is clear that the kala sharir can be studied from various aspects like sharir rachana, sharir kriya, rognidan and kayachikitsa. Each of these subjects have a definitive relevance with the purishadhara kala. The location, structure, function of purishadharakala and its relation with asthi dhatu is crystal clear from all the above description. Both these sharirbhavas have same properties and function along with the same location in the body. They consist of pruthvi mahabhuta in major proportion, due to their dharana karma and sanghat guna. That's why we can interprete that

Purishadharakala is Asthidharakala.Conclusion - Kala sharir is a very important sharir aspect, not only from point of view of rachana sharir, but also in kriya sharir, nidana and chiki tsa aspect. The above references are the significant resources to understand the depth, function and related pathological importance of kala sharir and its applied aspect in Kayachikitsa.Scope Of Study - Considering the wide scope of study of kala sharir and its implementation and applied aspect in Chikitsa (treatment), this


above mentioned review of Purishadhara kala, known as Asthidharakala would be definitely helpful in treating the patient with the relevant symptoms and Purishadhara kala.Bibliography- 1) Charaksamhita, Ayurved Dipika commentary, Chakrapanidatta,Vaidya Jadavaji Trikamaji Acharya, Munshiram Manoharlal Publishers Pvt. Ltd., New Delhi (India)2) Sushrutsamhita, Nibandhasan grahavyakhya, Vaidya Jadavaji Trikamaji Acharya, Chaukhamba Orientalia, Varanasi (India)

3) Sarth Vagbhat (Ashtanghruday), Dr. Ganesh Krushna Garde, Anmol Prakashan, Pune (India)4) Ashtangsangrah, Shashilekha vyakhya, Indu, Dr. Jyotirmitra Aacharya, Chaukhamba Sanskrit series office, Varanasi (India)5) Sharangdharsamhita, by Addhamalla, Guddharthdipika tika, Chaukhamba Orientalia, Varanasi (India)Web References - Sumati S. Khot, Basic Concept Of Kala (Membrane), Int. J. Ayu. Alt. Med. 2015:3(1):11-14 Image Courtesy-Internet.

Dr. Ashwini A. Ghogale,M.D. (Scholar), Agadatantra T.A.M.V., Pune.

Literature Study Of Gunja Moola Lepa On Indralupta With Reference

To Alopecia Areata.

Dr. V. P. Joglekar, M.D, (Kaya), M.D. (Agad), Prof. & HOD, Dept. Of Agadtantra, T.A.M.V., Pune.

Background - The earliest reference about 'Indralupta' is available from Sushrutha Samhitha (1500 B.C). Sushrutha mentioned this disease under Kshudrarogas. Charaka has explained the disease as lavanaatisevanajanya vikara. Vagbhatahas mentioned it in kapalagata roga. Haritha explained different types of Indralupta. Indralupta is a disease characterized by patchy fall of hair. Vata pitta doshas vitiate the hair follicles and is followed by obstruction of the hair follicles with sleshma and shonitha, which restrict their re-growth. According to Ashtang Hridaya, in Indralupta paste of root or fruit of Gunja can be used.Introduction - The concept of beauty is gaining more and more attention globally and hair plays an important role in it, as it has been said that hair is a barometer of one's beauty. Healthy, beautiful, long and attractive hairs add charm to the personality. Increased industrialization and urbanization has posed g r ea t e r dange r due t o po l l u t i on , contamination of water, air, and food habits due to other intrinsic factors, hence there is a definite increase in the incidence of hair fall.

Hair follicles are distributed everywhere in the skin except for the palms, soles, sides of

finger and toes, nail bed, glance penis. Hair growth is a fundamental biological process of mammals.

Almost any kind of nutritional stress or systemic diseases results in accelerated hair loss in furred animal whereas in human being only few unusual or extreme conditions such as vitamin A intoxication or massive protein depletion results in hair loss.Reference of Indralupta according to Ayurveda - In Ayurveda the signs and symptoms of Indralupta resembles with Alopecia areata.Samprapti -amo‘Hy$nm ZwJ‘² {nÎm‘² dmVoZgh ‘ypÀN©>V‘² &àÀ¶md¶{V amo‘{U VV… ûcoî‘m gemo{UV…&&éU{Õ amo‘Hy$nmñVw VVmo AÝ¶oî¶m‘g§^d…&V{XÝÐbwá‘ Im{bË¶‘² éÁ¶{V M {d^mì¶Vo&&(gw.{Z.13/33-34)

According to Sushruta, Pitta situated in hair follicles and associated with vata fells hairs, thereafter kapha mixed with rakta creates obstruction therein resulting in non-appearance of hairs. This is known as Indralupta, Kalitya or Rujya.VoOmo@{ZbmÚ¡: gh Ho$e^y{‘§ X½Üdm@@ew Hw$¶m©V² Ib{V Zañ¶ qH${MÎmw X½Üdm n{bVm{Z Hw$¶m©Õ[aà^Ëd§ M {eamoéhmUm‘² && (M.{M.26/125)


According to Acharya Charaka, Teja with help of Vatadi humors scorches the scalp and produces Khalati in a person.

Chakrapani, interprets the word Teja in two ways, while commenting on this topic, one is Dehagni - Pachaka Pitta or Dehoshma i.e. body temperature and the other is Pitta situated in scalp. Thus according to Acharya Charaka Dehoshma along with Vatadi dosha causes Khalitya.

Acharya Vagbhatta has clearly mentioned the disease Indralupta among the nine Kaphaja Vyadhis as a subcaption of Shirorogas. He has proportionate with the pathological approach of Acharya Sushruta, but he further adds one main point to this pathogenesis so as to differentiate Indralupta from Khalitya, that the falling of a hair in Khalitya is gradual than in Indralupta.Samprapti Constituents -Dosha - pitta : Bhrajaka, Pachaka Vata: Vyana, Samana Kapha: Tarpaka Dushya- Dhatu: Rasa, Rakta, Asthi Mala: Kesha, SwedaStrotasa - Rasavaha, Raktavaha, Asthivaha, Swedavaha, manovaha. Udbhvasthana- Amashaya Adhishthana- Keshbhoomi Rogmarga - Bahyamarga.

Alopecia refers to the lack of hairs in areas where hair ordinarily would be found. This means loss of terminal hairs on the scalp.

Alopecia areata is a unique, idiopathic disorder in which there is a patchy loss of hair that usually begins on scalp.

It arises and spread as innocuous, non inflammatory, bald spot.Symptoms - Hair loss, Baldness, Completely asymptomatic, No itching, Sometimes paresthesiasis in affected area, May be subtle erythema present

The progress of alopecia is sometimes rapid with large number of hair loss in short time. The hair loss is the presenting complaint rather than baldness.

At the margin of an enlarging patch of alopecia areata, large number of hairs with imperfectly formed telogen roots can be extracted with gentle traction.

In fresh lesion of alopecia areata there is

often a unique hair shaft - the exclamation point hair. This hair represents a response of anagen hair follicle to acute injury, namely transition to the telogen state in the process of which imperfect keratin is synthesized and pigment is dumped into the hair fiber and external root sheath. The exclamation point hair projects 1 cm. above the scalp surface. The distal tip is dark, splayed and rough.

More proximally, the shaft becomes depigmented and tapers to poorly formed club root. Most of newly lost hairs of alopecia areata are club hairs. They break easily. As the disease progresses, large bald spots are formed by the coalescence of many small patches.

As infectious origin of alopecia areata has failed, it is considered as T cell autoimmune disease. However, the evidence is weak.Treatment of Alopecia areata in modern medicine - Minoxidil, fmesteride, laser therapy, hair plantationTreatment of Indralupta in Ayurveda - In Ayurveda treatment is of two types Shodhana, Shamana. Siravedh is Shodhana chikitsa for Indralupta. In shaman chikitsa various yogas are given but Gunja is one of the best.JwÄOm@ZwîUm ago {Vº$m H$fm¶m H$’${nÎmhm &&795&&Mjwî¶m d¥î¶m Ho$í¶m ËdÀ¶m éÀ¶m ~bàXm &BÝÐbwáham Vrd«m g{dfm ‘X‘mohH¥$V &&796&&hpÝV ajmoJ«h{dfH$ÊSw>Hw$ð>d«UH¥${‘ Z² &&797&& (H¡$.{Z. Am¡fYr dJ© 795-796)JwÝO‘yb gw‘Ywa§ H$’${Zgm…aH$ na‘² &dmV{nÎmha§ M¡d V¥îUmemoW{ZdmaU‘² && (a.V§. 24/446)Conclusion - From above references in ancient literature Gunja moola have vataghna, pittaghna and kaphaghna and keshya, twachya, vishahara properties; while Indralupta is also caused by vitiation of all three doshas hence Gunja moola breaks pathology of Indralupta.References - 1) Acharya Yadavji Trikamji, Charak samhita, Chaukhamba Sanskrit Sansthan Varanasi, 5th edition, 2001.2) Anantram Sharma, Dalhana sushruta Samhita, Sushruta vimarshini, Chaukhamba Surbharati Prakashan, Varanasi, 2009, Voll II.


Introduction - Menopause is the one of the important stage of every women life. It is natural processes or phase. Two stage of women life are the menarche and menopause At age of menarch. Secondary sexual character are develop and according to ayurveda (dhatu sahanan ) maturity develop.

After the maturity female ready to pregnancy this is healthy life period of women but at age of 40-55.menopause occure. lt is cessation of menstruation because of loss of ovarian follicular activity al end of reproductive life .

At this stage (dhatu hras) destruction of dhatu occurs and because of this distraction many problems occurs in women. Which is described in this article to from the easy solution for healthy life by following Ayurveda.Aim - To achieve healthy life and to improve quality of life,Objective - With the help to ayurved treatment achieve the easy, good and quality life to maintain the healthy and to improve the knowledge of Ayurved to improve life.Conceptual/Review of Literature- Menopause is natural processes /phase in life of every female. It occurs at the around age of 50 years because of change of hormonal level and cessation of menstruation and cessation of menstruation due to loss of ovarian follicular activity at the end of reproductive life. The changes in hormonal level forms physical change and psychological fluctuation arc common which is collectively known as menopausal syndrome.

This is not a disease or the weakness but collection of symptomatic changes occurring in women in their pre, peri and post menopausal period. This collection of changes take place result in certain subject complains is known as menopausal syndrome.

According to modern science concept ce r t a i n change s t ake p l ace du r i ng premenopausal and premenopausal period. At the end of reproduction life or ovarian follicular inactivity due to gradual change in physiological function of ovary resulting in changing level of estrogens and progesterone this is affect the

Vd.Chandrashekhar S. Ghodke,M.S. (Scholar)

Menopausal Syndrome

Vd. Mrs. Sonal Wagh,S.S.T's Ayurved Mahavidayalya, Sangamner

menstrual cycle during pier menstrual period.The pier menopausal period stat at mid 40 years the following occurs - 1) Anovulatory cycle 2) Decrees in the oestrogen and progesterone 3) Decrees fertility rate 4) Irregular menstruationCommon Symptoms- Fatigue, Nervousness, Mood Swing, Head Ache, Emotional Disturbance, Irritability, Dizziness, Palpitation Insomnia, Depression, Obesity, Muscle and joint pains, Osteoporosis, Hoi Hushes or flush (severer at night during stress), Reddening of head ,neck and chest, Alrophic vagina/ Dryness of vagina, Frequent maturation/lack of bladder control, High cholesterol and cardiac disorder due to change of hormonal.Ayurvedic perspective - According to Ayurvedic Literature or knowledge on this basis of major third of treatises (brhatraycc). According to Astanga Hrudya sharir l:7.These is explained about menarche and menopause. The menstrual flow happens every month for 3-5 day at the age of 12 year and gradually disappears around the age of 50 year of women.

Most of menopausal syndrome symptoms are vaata and pitta predominant but it is depend on the humor (dosha), time (kala), constitution (prakrti), anture (svabhaava) etc the symptoms are varies in all degrees it is also seen that women mainly or constitution with dominance of pitta and vaata highest percentage affected but there are some cases which show the symptoms of kapha aggravation.

This is also implies that there is an aggravationo vaata. Humor which load to the depiction (kshaya) or bone tissue (asthi dhasu) primary nutrient tissue (rasa dhalu) and kapha humor according to base dependent relation (aasraya aasarayec bhaava). With comparison with modern aspect and ayuredic principle rveals that symptoms as Osteoporosis mood swing lack of concentration head ache vaginal dryness, sleep disturbance, fatigue , frequent urination, joint and muscle pains clearly indicate the aggravation of mobility (chalatva), raughness (paarushya), dryness (rookshatva) properties


(guna) of vaata humor night sweat, hot Hushes, irritable, palpitation indicate increase in the hotness (ushnatva), liquidity (dravatva) property of pitta, kapha type symptoms include listlcssness , weight gain and feeling of mental and physical heaviness.Method - For the present study patients were selected from stree rog prasuti tantra OPD of hospital. That patient gives Ayurved treatment and follows the Ayrudvedic life style.Management - Shod ban procedure - purification of body, palliatative medacation treatment. Bruhan - Supportive treatment.Observation - Through the syndrome is seen in most of females a fewer number of patient seek medical attention at the night time. It has been seen that most of the patient have neglected this phase following which right approach to basic problem is left out for a long time. Patient usually comes with associated complaint such as head ache, joints and muscle pains. A detailed clinical history unfolds to get into the root cause of problem to plan appropriate treatment.

An analysis was done on more than 60 patients who had undergone treatment for menopausal syndrome at hospitals. The approach was stabilise the system through purification (shodhana) proccdure(in 30% of the patients) followed by proper combination of palliative medicines (samana aushadhi)to maintain the balance and to prevent further complications like ostcoporosis, obesity, heart condition etc. It's help and improve quality of life.Conclusion - Ayured is base of life. To improve the life quality or to better life Ayurved help. It is proved because in the condration of menopause life of women is restless and irritated but using the Ayurvedic treatment .It improve life help in achieve healthy and relax life and It is safe treatment and dose not show any side effects.Bibliography / References - Charak Samhita,Prof. Ravidatta Tripathi. Acharya Vidyadhar Shukla. Chaukhambha Sanskrit Sansthan, 2006.Sushruta Samhita with Ayurtatva Sandecpika Commentary, Kaviraja Ambikadutta Shastri, Chaukhambha Sanskrit Sansthan, 17th 2003.Ashtang Hridayam, Prof. K.R.Srikanla Murthu,Krishnadas Academy,1st, 1991.Textbook of" Gynaecology, D.C.DU'ITA'S, Pracchya Prakashan Varanasi, Central publication, 7th edition.

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Introduction - The psychological and physical health of women is important for the happiness of the home and ultimately that of the society. That is why it becomes necessary to pay specific attention to prevent and cure diseases in women.

Reproduction is the basic key for living organisms. It involves a series of complex events which eventually results the new organism.

In Ayurveda, these events are described from "Garbhadhan " till "Prasava ", After Prasavait is called as "Sutikavastha". A woman undergoes a number of complex changes during pregnancy. During "Sutikavashta", all organs start reverting back to pre-pregnant state. SutikaAvasthais a physiological state but poses potential risks to the health of the mother. Her body is vulnerable to many diseases due to altered anatomy and physiology.

Ayurveda primarily being a preventive health science has advised a specific dietary and l i f e s t y l e r eg imen ca l l ed a s "SutikaParicharya" to prevent any potential risks to the mother's health as well as to regain health. For healthy progeny mother should be healthy.Review Of Literature : Sutika Definition : Sutikatenn. can be used only after expulsion of placenta at the end of labour. There is certain period mentioned for Sutikavastha. SutikaKalavadh i1) Charaksamhita- 5 to 7 days2) Sushrutsamhita1 month3) Ashtanghriday 45 days4) Ashtangsangrah- 45 days5) Kashyapsamhita 6 months, During this period there are some rules and regimens are mentioned. To regain the health status these rules and regimens arc expected to follow

Dr. More Ruturaj Pralhadrao,Third year M.S. (Streeroga and Prasuti Tantra), Dr. D.Y. PatilCollege of Ayurveda and Research center, Pune, Maharashtra, India

Sutika Paricharya - In Ayurvedic Perspective

properly.Sutika Paricharya : It is the care of the woman during puerperium. These are mentioned under the heading of Sutika Paricharya. As the old house cannot tolerate any trauma from heat, rain, heavy storm, earthquake like Sutika also becomes tired due to labour pains, exhaustion and blood loss. She is vulnerable to many diseases because of imbalance of Doshas which is very difficult condition to treat. For the management of these conditions and prevention of diseases certain protocol is mentioned.Principles Of Sutika Paricharya -1)Vataprashman:-a) Dhatukshayjanya b) Pravahanjanya c) Sutikavrani/Kashti2) Agnideepan3) Yonisanrakshan a) Vrani b) Grahbadha4) Stanyapushti, Stanyapravartan5) Garbhashayshodhan, Koshthshodhan6) Dhatupushti Although SutikaParicharyais described it in great details. Sutika paricharya davided into two parts. 1)Immediate Paricharya 2) Delayed ParicharyaI) Immidiate Paricharya - 1) Ashwasan - After expulsion of placenta she should be encouraged i.e. reassure her sweetly and gently to increase her confidence. As the mother, she is under great psychological stress during pregnancy and labour. Mental disturbances can lead to psychosomatic disorders. Mental reassurance also help to achieve proper lactation.2) Snehan Or Mardan - The Sutika&fter encouragement is made to lie down in knee-chest position with flexed thighs. The lower portion of Kati and Kukshi should be massaged or compressed in order to expel the Dosha left over after delivery. This help to decrease elevated Vata-dosha.3 ) S n e h p a n : C h a r a k , Va g b h a t ,


Kashyapivcommend that Sutika should be given Snehpan. This should be given after considering her strength and digestive power. Ghrita, Taila, Vasa, Majja are various forms of Sneha used for Snehapan. These are mixed with some drugs like Pippali (Piper longum), Pippalimula (Piper longum), Chavya (Piper retrofractum), Chitrak (Plumbagozeylanica) and Shunthi (Zingiberofficinale) Snehapan should be advice considering Prakruti, Agni, Sthan (Desh) of Sutika,4) Pattabandhan : Kukshi and flanks should be wrapped with clean big cloth. This wrapping helps Kukshi to reach its proper shape and Vayuio return to its normal state,II) Delayed Paricharya- 1) Swedan : The Sutika should always sit over a small chair covered with leather bag filled with hot Balataila. This helps her Yoni to remain healthy Swedan also helps to reduce pain, Swedan is done with oil prepared with Priyangu (Callicarpamacrophylla) etc. drugs.2) Dhoopan : After giving Swedan, hot water bath followed by rest is given. Giving m e d i c a i n a l f u m e s w i t h K u s h t h a ( S a u s s u r e a l a p p a ) , G u g g u l u ( C o m m i f a r a m u k u l ) , A g a r u (Aquilariaagallocha) mixed with Ghrita should be given. This is known as Dhoopan Chikitsa.Importance of Dhoopan - 1) To prevent Yonidushti 2) It helps in healing of perineal wound. 3) It helps to reduce the laxity oiyoni.3) Snan : It is recommended in Ayurvedic Granthas that puerperal woman should be given bath after 10 days as in first few days she is very tired and Vrani (having lacerated wounds). First 10 days and she is allowed to move out the Sutikagar. Also she has pervaginal bleeding. She has not allowed to move out of the Sutikagar.4) Garphashaya Sthapan : Involution of uterus is very important in Sutika. For proper involution of uterus Panchkola choorna with Guda and leukwarm water is mandatory. If the Garbhashay does not involutes then buttermilk mixed with powder of Pippalimula (Piper longum) Should be given for 21 days.

5) Rakshoghna : Yoniprakshalan with Ushnodakais given to Sutika on second day to tenth day after delivery after Yoniprakshalan. Fumigation with fumes of Kushtha ( S a u s s u r e a l a p p a ) , G u g g u l u ( C o r n i p h o r a r m i k u l ) , A g u r u (Aquilariaagallocha) can be done. Coarse powder of these Dravyas is mixed with Ghrita and deposited on live fire of cow dung. The fumes which are generated are directed towards genital area of the mother. This is called as Yonidhupan. This is necessary to avoid Yonidushti and Grahabadha.

In Yogaratnakar, there is reference of Tumbipatra and Lodhratwak Lepa in Yonikshat i.e. vulvo-vaginal wounds or tears which occur during labour. According to this reference, a clinical study has been done on Tumbipa t ra wi th Lodhra twakcream application on episiostomy wound. Total 30 patients of episiotomy and vaginal and perineal tear were recruited for the study. The cream was applied twice a day for 7 days. Wound healing, pain, inflammation, sutures etc. weremonitored during the study duration. Antibiotics and analgesics were not prescribed to the patients. At the end of study it was concluded that TumbiLodhracream is quite useful on episiotomy wound with respect to wound healing and pain relief. This preparation was very cheap too. Thus a major aspect of Sutika Paricharya according to Ayurvedvjhich is Rakshoghnacan be managed properly with this preparation and yoni Dhupan. There was no need of any antibiotics and analgesics at all. The incidence of wound infection was also very low.5) Aahar : Sutika is advised to take light diet in first 10 days. Amount of diet is increased gradually considering her digestive and body strength. She should be given scum of boiled rice for first 3-5 days. Next she should consume rice with ghee or any suitable form of Sneha. After digestion of this oil salt free rice gruel mixed with little quantity of Oleagenous substances and Pippalior Shunthipowder should be given. The rice gruels with sufficient quantity of salt and oily substances Meat soup


of wild animals and soup of Kulatthamixed with oily substances. Thus Sutika should be given Laghu, Deepan, Bruhan Aahargraduatty.Importance Of Sutika Paricharya : Generally complete involution of the genital organs takes place after 1-6 months. As there is disturbed state of Doshaswd Dhatus. Any variaty in Aaharand Viharcan lead to diseases. These diseases are very difficult to treat as immunity is less. Menarche, Parturition, Puerperium, Menstruation is cyclical chain in a healthy woman. These four conditions are dependent on each other. Slight variation in any of these becomes a factor for Yonivyapat. Pregnancy is dependent on regular menstruation and ovulation.According To Modern Puerperium Phase - The puerperium is the period of time encompassing the first few weeks following birth. The duration of this period is considered by most to be between 4 and 6 weeks. Although a relatively incomplete time compared with pregnancy. Purperium is characterized by many physiological changes. Some of these changes may be simply bothersome for the new mother, Although serious complication can also arise.Some mother has aimed focus upon the infant. Thus the purperium may be a time of intense anxiety for many women.Definition: Puerperium is the period following childbirth during which the body tissues specially the pelvic organs revert back approximately to the perpregnant state both anatomically and physiologically. The retrogressive changes are mostly confined to the reproductive organ with the exception of the mammary glands which infect shows features of activity. Involution is the process whereby the genital organs revert back approximately to the state as they were before pregnancy the woman is termed as purpera.Duration : Purperium begins as soon as the placenta is expelled and lasts for approximately 6 weeks. When the uterus becomes regressed, is almost to the non-pregnant size. The period is arbitrarily divided into a) Immediate within 24 hours; b) Early-up

to 7 days and c) Remote-up to 6 weeks.Management Of Normal Pureperium : The principles in management are1) To restore the health of the mother2) To prevent infection3) To take care of the breast, including promotion of breastfeeding.4) To motivate the mother for contraception.Immediate attention : Immediately following delivery, the patient should be closely observed as outlined in the management of fourth stage of labour, Emotional support is essential.Rest And Ambulance : Early ambulation after delivery is beneficial. After a good resting period, the patient becomes fresh and can breastfeed the baby or moves out of bed to go the toilet. Early Ambulation is encouraged.Hospital Stay : Early discharge from the hospital is an almost universal procedure.Care Of The Bladder : The patient is encouraged to pass urine following delivery as soon as convenient. If the patient still fails to pass urine, catheterization should be done. Continuous drainage is kept until the bladder tone is regained.Care Of Bowel : A diet containing sufficient roughage and fluids is enough to move the bowel. If necessary, mild laxative may be given.Sleep : The patient is in need of rest, both physical and mental.Care Of The Vulva And Episiotomy Wound : Shortly after delivery, the vulva and buttocks are washed with soap water down over the Anus and sterile pad is applied. The perineal wound should be dressed with spirit and antiseptic powder after each act of micturition and defecation or at least twice a day.Care Of The Breasts : The nipple should be washed with sterile water before each feedings. It should be cleaned and kept dry after the feeding is over.Diet : The patient should be normal diet of her choice. If the patient is lactating, high calories, adequate protein, fat, plenty of fluids, minerals and vitamins are to be given. In lactational period, requirement of energy is 400 go 500


kcal more than non-pregnant protein requirement is 15 gms more than non-pregnant. Iron requirement is 10-12 gms more than non-pregnant. Calcium requirement is 1000 mg more than non-pregnant. Because, breast milk contains more quantity of calcium for better nourishment of baby.

Requirement of Zinc, Iodine, vit A, Vit. D, Vit B12 is also increased during lactation than non-pregnant. The combination of some aspects of Ayurvedicsutikaparicharya (e.g. Dhupan, yonirakshan wi th specia l formulations like TumbiLodhra cream, use of garbhashayshodhan and koshthashodhan dravyas) and Modern puerperal care can achieve better recovery of the woman from the ordeal of childbirth and its after effects. The women will certainly benefit from the wise use of ancient and modem medicine and principles.Discussion - The specialty of giving birth a child made a woman unusual for her creative point of view in the life. Comparison of pregnant woman is done with the pot filled with oil, as slightest oscillation of such pot causes spilling of oil, similarly slightest carelessness of the pregnant woman can initiate abortion etc. In Sutika Kala, proper Sutika Paricharyacansss complete involution of uterus and other pelvic organs, so that they reach to their pre-pregnant state. Aim of purperium is to maintain maternal and infant health preventing any complication and to establish infant feeding. Tumbipatra and Lodhra have property of Vranashodhan, kledashoshan and shophahar and Lodhra has property of Sandhan karma, shothahara and vranaropan So, it helps in episiotomy wound healing in Sutika. Conclusion - As Sutika Kala is a critical period for woman, it needs a proper management andcare with specific diet, mode of life andAushadhi. I t is concluded that Tumbihdhrac. ream application is useful in episiotomy wound. In Sutika Paricharya, most of drugs have been prescribed by various authors in single and compound form both. During Sutika Kala woman needs a special

management and care for proper and healthy growth of newborn baby as well as for maintenance of her own health.References - 1) Prof, (km) Tiwari P. V. ( 2002), Kashyapa Samhitatext with English translation and commentary, Chaukhamba Bharati Academy, Varanasi, (576)2) Aacharya Yadavaji Trikamaji, Charaksamhita ChakrapaniTika, Chaukhamba Prakashan Varanasi, ( 349)3) Kaviraj Dr. Ambikadattashastri, (2012), Sushrut Samhita Sharirsthan, ChaukhambaPrakashan, Varanasi, (103)4) Bramhananda Tripath,i (2012), Ashtanghriday, Chaukhamba Prakashan, Varanasi, (356)5) Prof. K. R. Murthy (2012), Ashtangasamgraha (Vol-1), text, English transalation, notes and index, Chaukhamba Prakashan, Varanasi, (43)6) Prof, (km) Tiwari P. V. ( 2002), Kashyapa Samhitatext with English translation and commentary, Chaukhamba Bharati Academy, Varanasi, (581)7) Prof, (km) Tiwari P. V. ( 2002), Kashyapa Samhitatexi with English translation and commentary, Chaukhamba Bharati Academy, Varanasi, (578)8) Prof, (km) Tiwari P. V. ( 2002), Kashyapa Samhitatext with English translation and commentary, Chaukhamba Bharati Academy, Varanasi, (575)9) BramhanandaTripathi, (2012), Ashtanghriday, Chaukhamba Prakashan, Varanasi, (354)10) Dr. Indradev Tripathi,(1998), Yogaratnakar, Chaukhamba Prakashan, Varanasi, (827)11) D. C. Dutta"s (2013), Textbook of Obstetrics, New Central Book Agency, Kolkata, 7th edition,(144-151).

‘Am`w[d©Úm’Mo dJ©UrXma PmcmV H>>m?

Amncm MoH>> d nyU© [nZH>>moS g[hVZmd, nÎmm AmOM nmR>dmd Zm|XUr [Z[íMV H>>am !


Introduction : Starting of the 21st century is the time of advancement of civilization and competitive life. In all the fields women are trying to compete equally with men. To stand with this competition and to achieve her goals, she has to face certain persona! problems more than males. These problems vary from social situation to physiological condition. So. she has to do more efforts to counter this extra burden.

More over, the woman is said to be three times more responsible than male in the procreation. For this she should be in the perfect, healthy condition, particularly reproductive healthiness.

Physical and psychological factors directly affect her altitude and efficacy, which adversely affect the family. Owing to complicated structure of the female body, women are subjected to a large number of complaints, connected with female reproductive system. These aliments are frequently distressing character. A part from undergoing natural processes of menstruation; pregnancy etc. one of the most common complaint now-a-days is Yonigat shweta strava which is seen in almost women and in the all age groups. For white discharge per vaginally swetasrava / yonisrava / shweta pradara or lcucorrhoea words has been used. Shwetapradara is not a disease but a symptom which is so severe that it overshadows symptom of actual disease and women come

1 for treatment of only this symptom. Though it seems to be common, it affects the whole efficacy of woman, which may lead up to infertility. In Ayurveda diseases of the female reproductive system and majority of symptom

Vd. Bhavake Nishigandha P.,P.G. Scholar (Streerog and Prasutitantra)

Role Of Triphala Kwath Yonidhavan In Shwetapradara

Vd. Pradnya Vijay Shirke, M.S. (Streerog and Prasutitantra). Dr. D.Y.Patll College of Ayurved and Research Centre Pimpri. Pune-18.

complexity are described under caption of Yonivyapada. The symptom shwetasrava is mainly found in Kaphaja, Sannipatik and Upapiula Yonivyapada.

As mentioned in classics, without Vata the 3Yoni never gets spoilt.

Z {h dmVmÛVo ¶mo{ZZm©arUm§ g§àXÿî¶{V & M. {M. 30/155

So there occurs vitiation of Vaia, especially of Apan Vayu. Also there is vitiation of Kapha dosha in these Yonivyapada Kapha is aggravated due to its own vitiating factors, influences / vitiates rasadhuhi of reproductive system already influenced by excessive coitus, abortion, improper mode of life and dietetics during menstruation and rutukala along with non-cleanliness and then produces white painless vaginal discharge due to dominance of its liquid properly. This vitiated Vata brings Kapha dosha in vaginal region which causes

1Yonigata shwetasrava.In Ayurvedic classics, it is mentioned that

for shwetasrava, Ruksha and Ushna Gunatmak treatment should be done.

Triphala Kwath with Gomutra or Takra or Shuktt is usedj or Yonidhavana." (Ref. Cha.Chi.

330/82-83) (See Table 1)

Pharmacological activities:- Amalaki- Antimicrobial, aniifungal. anti-inflammatory,

antibacterial. Harilaki- Antimicrobial,

antifungal, antibacterial Bibhitaki- Antifungal.

Rasa of Amalaki : Lovan rahit 5 rasa , mainly 4Amla.

Rasa of Haritaki : Lavan rahit 5 rasa, mainly 4Kashay.

4Rasa of Bibhitaki : Kashay.

(See Pictures)

Mode of Action :- Rasa, Guna described of


(Table 1) Materials:-Dravya Latin name Prayojyaang Guna KarmaAamalaki Embilica officinalis Phala Laghu Ruksha Tridosha shaman Haritaki Termmalia chebula. Phala Laghu Ruksha Anuloman, BruhanBihhilak Terminalia bellirica Phala Guru Ruksha Bhedan, kriminashak,

kaphapittanashanTakra Grahi, VatanashanGomutra Laghu Tikshna Kapha Pitta shamak

individual drugs was considered to get an overall idea of main formulation Triphala kwath with Gotmura or takra or shukta. Their properties pacify Kapha and Vata dosha. Thus help in relieving of Yonigat shwetasrava. Also as decribed. Kashay dravya were used for

3Yonidhavan for 1 week.

Preparation of Triphala Kwath:-nmZr¶§ fmoS>eJwU§ jwÊUo Ðì¶nbo {jnoV² & ‘¥ËnmÌo ¹$mW¶oXJ«mø‘ï>‘m§edeo{fV‘² &&V‚mb§ nm¶¶oÛr‘mZH$moîU§ ‘¥Û{¾gm{YV‘² & em. g§. ‘. I§. 2/1

According to this reference. Triphala Kwath is prepared. 1 part Triphala bharad + 16 part water = boiled upto 1/8th part Kwath

2remains.

Procedure of Yonidhavan:- Lithotomy position was given to patient. Perineal region was cleaned with antiseptic solution. Cusco's speculum was inserted. Simple rubber catheter was attached to enema pot containing Triphala Kwath with Gomutra or Takra of Shukta was inserted and Yonidhavana was done. All instruments were removed thereafter.

Result:- Triphala Kwath Yonidhavan for 1 week helps to cure Shwetapradara.

Conclusion :- Triphala kawath Yonidhavan is effective in Swetapradara.

References:- 1) Premvati Tiwari.Yonisrava

Avurvcdiva Prasutitantra Evam Streerog. 2nd part. 2nd edition 2000. Chaukhambha Orientalia. Varanasi Reprint 20l2.p-2662) Vd.Bramhanand Tripathi Ld. Sharangdhar Samhita with Dipika Hindi commentry, Chaukhambha Surbharati prakashan,Reprint edition 2011 (Sha.Sa.Ma.Kha.2/l)p-1333) Vd.Ya.Go.Joshi Charak Samhita- Shri Chakrapanidatta virachit Ayurved Dipika Vyakhya Marathi Bhashantar with Yashvant Tika. 4lh Edition 2009, Vaidyamiira Prakashan.(Ch.Chi. 30/82,83.1! 5)p-682.6844)Ed. by Dr. A.P.Deshpande. Or. R.R.Javvalgekar. Ur. Subhash Ranade. part 2, Dravyaguna Vidnyan Pan 1 & 2:. Anmol Prakashan. Pimc. Reprint 2008.p-452,460,655

Amalaki Haritaki Bibhitaki

Cusco’s speculum

Enema pot with Rubber catheter


Introduction - The drug Indravaruni have been

known to mankind since ancient samhita periods. The foremost reference of indravaruni have been found in Kesara paddhati where it is indicated for Leucoderma and grey hair. Citrullus colocyn this, also known as colocynth, bitter apple, bitter cucumber, desert gourd, egusi, or vine of Sodom [9], is a plant that grows in tropical areas of the globe, but that can also be found in other places as in the desert areas.Synonyms - Sanskrit· Chitra - fruit contains lines

· Gavakshi - similar to eye if a cow

· Indravallari - which is liked by Indra & god

of water· lindri - creeper which is likede by Indra

· Peetapushpi - yellow flowers

· Marusambhava - can survive on deserts

· Vaaruni - eliminates mahabhuta in recana

form· Vishaghni - eliminates poisonous substance

in body.But it poisonous when excess· Vishaala - cures Kaamala

Vernacular Names - Indian Languages -Assamese - Nantiyah, MahakalBengali - Indrayan, Makhal, RakhaHindi - Badi Indrayan, Inarun, Indrayan,Indrarun, Indri, MakhalKannada - Hammekkae, MekkikayiMalayalam - Cheriya Kattuvellari,kattukaippan vellari, kattuvellari, ValiyakattuvellariTamil - Amara, Arothomatti,Kattuvellarikkai, PaikammattiTelugu - Chedu puchcha, ChittipaparaUrdu - Hanzal, IndrayanForeign Language -Arabic-Algam, Habzal, IjjalBurmese - Khiasi

Dr. Pathan Md. Junaid,MD (Scholar) - Kayachikitsa

Indravaruni : Ayurvedic Review

Prof. Dr. S.V. Deshpande,Prin. And HOD Kayachikitsa, T.A.M.V. Pune

Ceylon - PeykommadiEnglish - Bitter apple, Bitter cucumber,Indian wild gourd, Wild cucumberFrench - Calebesse de serpentGreek - Kolokynthis, SikyaItalian - Cocomero amaroPortugese - ColoquintidaPersian - Shirang, Hind banohetalqSpanish - ColoquintidaClassification - Amarakosam - Oushadi varga Caraka Samhita - Mulni dravya, virechana dravya, tikta varga Susruta Samhita - Syamadi, Adhobaja hara, Urdhawa baga hara Astanga Hridayam - Syamadi, tikta varga, vamanakara, virechanakara Dhanwanthari nighantu - Guduchyadi Kaiyadeva nighantu - Oushadi vargaBhavaprakasha nighantu - Guduchyadi vargaRaja nighantu - Guduchyadi vargaShaligrama nighantu - Guduchyadi vargaBotanical Classification - Botanical name - Citrullus colocynthis Schard. Family name - Cucurbitaceae. Classical name - IndravaruniBotanical synonym - Colocynthis vulgaris Colocynthis cucomis. Taxonomical position - Kingdom - Plant kingdom Division - Spermatophyta Subdivision - Angiospermae Class - Dicotyldonac Subclass - Polypdalac Series - Calyciflorae Cohort - Passiflorates Family - Cucurbitaceae Genus - Citrullus Species - ColocynthisDifferent Varieties - The classic literatures of Ayurveda have given details about the varieties of the drug. There are differences in opinion about the varieties among the authors of different nighantus. In Dhanvantari Nighantu, 3 varieties are mentioned;· Indravaruni - Citrullus colocynthis Linn.

· Vishala - Trichosanthes palmata Roxb.

· Svetapushpi - Cucumis trigonus Roxb.

However the former 2 are described as


'Indravarunidwayam’ Bhavamishra quoted 2 varieties of Indravaruni;· Indravaruni - Citrullus colocynthis Linn.

· Mahendravaruni - Trichosanthes bracteata

Lam. Bapalal Vaidya described the following 4 species as the source for Indravaruni;· Citrullus colocynthis Linn.

· Cucumis prophetorum Linn.

· Cucumis trigonus Roxb.

· Trichosanthes palmata Roxb.

Properties - · Rasa -Tikta (bitter)

· Guna - Laghu (light to digest), Ruksha (dry),

Tikshna (piercing deep tissues)· Veerya - Ushna (hot)

· Vipaka - Katu (pungent)

Action / Karma · Garbha pataka - Vaidya

jeevana 3/36· Rechaka- Dhanwatari Nighantu, Raja

Nighantu· Kasahara - Kaiyyadeva Nighantu

· Rakta sodhaka, sothahara

·Tivragarbhasaya sankoca - Vaidya

Manorama· Kushtagna - Dhanwatari Nighantu

· Shukrastambaka

· Kushtagna - Bhavaprakasha nighantu

· Keshakrishneekarana - Sarangadar samhita

uttara khanda· Shvasahara - Kaiyyadeva Nighantu

· Pramehaghna - Bhavaprakasha nighantu

· Jvaraghna - Raja Nighantu

· Krimighna - Rajamarthanda

· Kaphapaittikaroga - Bhavaprakasha

Nighantu, Dhanwatari Nighantu· Vishaghna-Shodala Nighantu, Kaiyyadeva

NighantuIndications / Prayoga - Unmada, Kamala, Sandivata, Indralupta, Sadyaprasavanartha .Charmakeela, Kamala, Mooda garbha, Stanavedana, Kushta, Khalitya, Gulma, Kasa, Svasa, Udara, Krimi, Gandamala ,PramehaContraindication - It should not be used in pregnant ladies, children and weak people.Matra - · Fruit powder - 125-500 mg · Root

powder - 1-3gm · Fruit juice - 10-20 ml

It should be used with caution for pregnant ladies, children and sensitive individuals.Discussion - · Indralupta - Indravaruni root is

soaked in cow's urine for 3 days and then applied on the scalpafter mixing with cowdung and ghee· Unmada - Juice from ripened fruits of

Indravaruni and cow's urine are given as Nasya· Kamala - Juice of Indravaruni may be taken

with jaggery· Vermifuge

· Pulp is used for variscose vein and piles

· Root is given in ascites and piles

· A paste of the root is applied to the enlarged

abdomen of childrenConclusion - There is great promise for development of classical drugs from Indravaruni for dreadful diseases.References - 1) Yadavaji Trikamaji Acharya, Charak Samhita by Agnivesa revised by Charak and Dhrudhabala with Ayurveda Dipika Commentary, Chaukhamba Prakashan, 2007 Reprint Edition.2) Pandit Hari Sadashiv Shastri Paradakar, As tangahrudaya of Vagbhata wi th the commentaries, Chaukhamba Prakashan, 2007 Reprint Edition.3) Yadavaji Trikamaji Acharya, Sushrut Samhita, Choukhamba Prakashan, 2008 Reprint Edition.4) Chunekar K.C., Bhavaprakasha Nighantu of Shri Bhavamishra, Varanasi, Chaukhamba Bharati Academy, 2006 - Reprint Edition.5) ShriLakshmipati Shasrti, Yogaratnakara with Vidyotini commentary, Chaukhamba Prakashana, 2009 Reprint Edition.6) Priyavrat Sharma, Dravyagunavijnana -Parishishta, Varanasi, Choukhamba Bharati Academy, 2001 Reprint Edition7) Dr. K. M. Nadkarni, The Indian Materia Medica, Mumbai, Popular Prakashan, 2009-2nd Reprint of 3rd Revised and Enlarged Edition8)Parashuram Shastri, Sharangadhara Samhita -Bh i shagva radhamal l av i r ach i t D ipeeka - Choukhamba Prakashan, 2006-1st edition.9) www.indianmedicinalplants.info10) Www.liveavurvedalife.com


Introduction : In recent year there is extraordinary increase of incidence related to respiratory system cough. It is fifth most common symptoms for which patients seeks medical care.

In todays fast and competitive world there has been negative revolution in our eating habit and lifestyle. Unknowingly we are exposed to various types of stress which expose us to toxins, resulting in various disorders and diseases. Respiratory system is the first to be affected by pollution and result number of population is suffering from kasa Vyadhi. Kaphaj kasa is a common respiratory track ailment prevalent now a days and if is annoying and irritating the individual in his routine activity.

The disease in which one suffers from excessive boughts of coughing whether wet or dry called as kasa. There are few remedies available for management of Kaphaj kasa. In Ayurveda kasahar (Kaphaj Kasa) dravyas are described in general but in practice it is seen that all are not equally effective against Kaphaj kasa.

In sharangdhar samhita gudadigutika is described in the management of all type of kasa. Gudadigutika is remedy which have not been evaluated till date. The purpose of these study was to find out role of the same in Kaphaj kasa.Prevalence :- Kasa (Kaphaj kasa) is more common in middle aged male than the females. Approximately 20% of adult males and 5% adult women are affected. Kasa vyadhi hitherto under diagnosed in India is now recognized in 4-10 % of adult male population of India and several other Asian countries. The smoking association with kasa vyadhi was high from most of country i.e. 2.65 in India.Aim and Objective : Aim :- To assess the role of Gudadigutika in the Management of Kaphaj Kasa. Objective :- To observe any possible adverse effect of Gudadigutika if reported during the study.Review of literature:- 1) Kulkarni EG - The effect of Nidigdhika (kantakari) kwatha on Kaphaj kasa, 1991. 2) Gujar Ajaya - To study the effect

Dr. Swati Soman, MD (Kayachikitsa),HOD Kayachikitsa Dept. Of SST’s AyurvedCollege, Sangamner.

Role of Gudadigutika In The Management of Kaphaj Kasa

Dr. Amit Bhandekar,PG Scholar (Kayachikitsa)

twaka choorna on kasa particularly on Kaphaj kasa 1994. 3) Ravikumar - A conceptual analysis of kaphaj kasa in Ayurvedic literature of clinical study on the effect of kasa kuthar rasa observational study, 1998. 4) Patil (MS) JB - Kaphaj kasa madhe vyoshadivati cha parinama cha abyasa, 1999.5) Agarwal veena - Kaphaj kasa par chitraka hareetaki ka chikitsatmaka adyayana, 1999.Disease Review -AY:à{VhVmo dm¶wéÜd©ómoV… g‘m{lV: &CXmZ^md‘mnÞ: H$ÊR>o gËH$ñWWmoa{g &&6&&Am{dí¶{eag: Im{Z gdm©{U à{Vnya¶Z² &Am^Á¶Þm{jnZ Xoh§ hZw‘Ý¶o VWm@{jUr &&7&&ZoÌo n¥ð>‘wa: nmœ} {Z^w©Á¶ ñVå^¶§ñVV… &ewîH$mo dm gH$’$mo dm@{n H$gZmËH$mg CÀ¶Vo&&8&&M.{M. 18/6,7,8

Modern Co-relation :- Kaphaj kasa is disease of pranvaha shrotas and this shrotas can be compared with respiratory system. Although sign and symptoms of kaphaj kasa mentioned in Ayurveda texts can be compared with bronchitis.Materials and Methods :- Materials: - Drug - GudadigutikaJwS>ewÊR>r{edm‘wñV¡Jw{Q>©H$m§ Yma¶oÝ‘wIo &œmgH$mgofw gd}fw {~^rV§ dm@{n Ho$db‘² && em.g§.‘.I§.A. 7/16

Ingredient and proportion :Ingredients Proportion Ingredients ProportionSunthi 1 Hirda 1Nagarmotha 1 Guda 6Table showing therapeutic manner for Gudadigutika

Nidan Sevan

Dosha Prakop

Pranvayu and Apanvayu Dushit

Opposite nature struggle begins

Result : Pranavayu becomes pratilomaita and gets udangati

Pranavayu enters ura, kantha, nadi and gets more prakupit

Pranavayu expels through mouth

Kaphaj kasa

Vayu pratilom Apan Vayu

Apanvayu urdhwagatiNatural udanveg increased

Due to vitiation there is obstruction of pranvayugati

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1) Drug Gudadigutika 2) No. of patient 30 3) Route of Administration Ora (Aachushnarth) 4) Dose 500 mg TDS 5) Kala Paschat bhakta 6) Duration 15 days

Methods :- Study type :- Clinical trials.Sampling methods :- 30 clinically diagnosed patient of kaphaj kasa were selected according to inclusive criteria with simple random sampling method irrespective of gender, religion, occupation, economy status and marital status.Criteria for Assessments and Results :-Selection criteria : Inclusive criteria :· Patient

having textual sign and symptoms of Kaphaj Kasa. · Patient age group with 16-60 yr.

· Patient selection was irrespective of gender,

religion, profession, marital status and socio economic status.Exclusive criteria : · Patient with vataj, pittaj,

kshayaj, Kshataj kasa. · Patient with

Rajayakshma, CA bronchus, pulmonary T.B., pleurisy, pneumonia, occupational lung disease, interstitial lung disease etc. · Patient with any

major illness. · Patient age below 16 yr and

above 60 yr. · Pregnant and lactating women. ·

Patient having hypersensitive to any drug.Criteria for assessment :- Following signs and symptoms was adapted for assessment.Subjective Criteria :- Grading system of Symptoms (Assessment Criteria).1) Kasa Vega : Sr.no. Grade Criteria Score 1. Absent No cough 0 2. Mild 1-5 cough attack / day 1 3. Moderate 6-10 cough attack / day 2 4. Severe above10 cough attack / day 3

2) Nishthivan Sr.no. Grade Criteria Score 1. Absent No Nishthivan 0 2. Mild 1 - 3 times / day 1 3. Moderate 4 - 6 times / day 2 4. Severe More than 6 times / day 3

3) Peenasa Sr.no. Grade Criteria Score 1. Absent No nasal discharge 0 2. Mild Nasal discharge less 1

Quantity 3. Moderate Yellowish nasal discharge 2

with Heaviness in head 4. Severe Yellowish discharge in 3

large quantity with headache

4) Swaskashtata Sr Grade Criteria Score 1. Absent Respiration (16-20 / min) 0 2. Mild Respiration (21-25 / min) 1 3. Moderate Respiration(26-30 /min) 2 4. Severe Respiration above 30 /min 3

Objective Criteria : Under the objective parameter laboratory findings were assessed as follows - CBC, ESR counts were done.Total Assessment Criteria - The total effect of therapy was grouped according to observation of all sign, symptoms and after 15 days treatment of each patient it the help of above score role of the drug will be determined as- Sr. Relief of Symptoms Score 1. Good Improvement Above 75% relief 2. Moderate improvement 50 -74.9 % relief 3. Mild improvement 25 -49.9 % relief 4. No improvement less than 25% relief

Observation and Result:- Scoring Of Symptom (Before Treatment and After Treatment) Result of drug Gudadigutika before treatment and after treatment symptom wise as follow -

Total Grade Wise Scoring Before Treatment and After Treatment : Individual patent wise total relief in symptom before treatment and after treatment as follow -

Relief In No.of Patient:

No Improvement 3%

MildImprovement 17%

GoodImprovement 20%


Conclusion : After the present study according to collectd data it can be concluded that Gudadigutika is effective in kaphaj kasa.· It reduces the symptoms of kaphaj kasa.

· Kasa vega and Shwashkashtata these symptom

were found to be decreased predominantly ·Nishthivan and Peenasa these symptom were

less decreased as compaire to Kasa vega and Shwashkashtata.·The main nidanas were, madhur rasa ahar, guru

ahar, snigdha ahar sevan and exposure to cold and dusty environment.·Majority of patient were having kapha vata

prakruti.·Clinically no adverse effects, reaction were

found during the study.

·Gudadigutika is well tolerated by patient of

different types prakruti.References - 1) Kaviraj Shri Ambika Datta Shastri Chaukhamba Publication, Varanasi Bhaishajya Ratnawali 11th edition 1993. 2)Prof. Ravindra Tripathi Chaukhamba Sanskrit Sansthan, Varanasi Charak Samhita Reprint 2002 3) Vd. Shri Bramha Shankar Misra Chaukhamba Sanskrit Bhavan, Varanasi Bhavprakash Edition 2012 4) P.V. Sharma Chaukhamba Vishwabarti, Varanasi Dravyaguna Vidnyan Vol - II Reprint 2011. 5) Prof. Y.G. Joshi Pune Sahityavitaran Kayachikitsa Reprint 2011.6)Fauci, kasper me Graw Hill Harrison's internal medicine 18th edition. 7)Dr. Shrimati Shaileja Shrivastav Chaukhamba Oriental Publication, Varanasi harangdhar Samhita Reprint 2011.

Introduction - Our ancient Acharyas have described a variety of diseases in details, with a crystal clear idea regarding each one of them with respect to its nidana, samprapti and chikitsa.

Out of these diseases, "Pandu" is one of the major problem in India. This disease is found abundantly in low or middle socio-economic class. It is seen that nutritional deficiency is the major etiological factor of this in the developing countries like India. The prevalence of the pandu can be attributed to altered dietary habits, frequent hoteling, bakery products, various types of fast foods, the food products lacking proteins, minerals, carbohydrates, vitamins, lack of exercise, mental and physical stress.

The pathogenesis of pandu has been explained in ayurveda in the form of samprapti in which vitiation of tridosha is the root cause.

These vitiated doshas exhibit symptoms like pallor of skin, nails, conjunctiva of eyes, general weakness, anorexia, dyspnoea etc. indriyas are unable to carry out their proper functions. There is kshaya of rasa, rakta, dhatu. Collectively the above process finally causes the disease pandu.

Dr. Swati Somal P., (M.D. Kayachikitsa),Sangam Sevabhavi Trust Ayurvedic Medical Collage, Sangamner.

Importance Of Nishaloham In Management Of Pandu Vyadhi (Anemia)

Dr. Jambuwant Shivajirao Bhosale,(P.G. SchoIar Kayachikitsa)

The cardinal feature of pandu is "discoloration of skin" i.e. pallor. Other symptoms include pallor of nails, conjunctiva of eyes, general weakness, loss of appetite, indigestion and swelling all over the body.

According to the modem science the sign pallor is primarily accounted to decreased level of hemoglobin which is defined as anaemia. Considering the above fact one casually correlates pandu with anaemia.Aim - Study of the efficacy of Nishaloham in management of Pandu Vyadhi.Objectives - 1) To study the Ayurvedic literature of Pandu vyadhi as per Samhitas. 2) To compare the effect of Trial Drug with Ferrous Sulphate.Material and Methods - Literature - The literature review of Pandu Vyadhi was collected from available Ayurvedic Samhitas and various texts. The modern part was referred from modern texts, various journals, articles magazines and also through internet.Material - 1) Trial Drug - Nishaloham - Nishaloham was prepared as given in referral


text. All raw drugs in Churna form were purchased and where subsequently authentified and standardized as per standard procedure before put to use. Preparation Of Nishaloham - The procedure followed to make the "nishaloham" is as below: Reference : Bhaishajya Ratnavali 12/37. Nishaloham was prepared at Late Prin. B. V. Bhide foundation, Pune.Table 1 : lngredients in Nishaloham Sr. Dravya Latin Name Quantity 1) Daruhandra Berberis aristata 1 part 2) Haritaki Terminalia chebula 1 part 3) Amalaki Emblica officinalis 1 part 4) Bibhitak Terminalia belerica 1 part 5) Haridra Curcuma longa 1 part 6) Kutaki Picruhiza kurroa 1 part 7) Loha Bhasma 6 part

Procedure - 1) First two drugs mentioned above were taken in Khalva yantra. and were thoroughly mixed.2) All the other ingradients were added simultaneously to this mixture and titrated to have a homogeneneous mixture.3) The drug was prepared by standard procedure to use in control group.4) Standardization of final product was done.5) Final product was packed in air tight container under hygienic condition. Standardization of Final Product (Nishaloham) : To ensure the quality of preparation, It was necessary to standardize the "NISHALOHAM" before using for the treatment. The study was done at ISO certified Pharmacy.

The tests such as Foreign matter Total Ash, Acid insoluble ash, Alcohol soluble extract,

Water soluble extract, Moisture Content etc. were carried out for ensuring the quality preparation of "NISHALOHAM". 2) Control Drug : Ferrous Sulphate Tablets

Ferrous Sulphate tablets which is proven for the management of Pandu Vyadhi were purchased from the market of reputed brands to ensure that they are being manufactured as per GMP. These were given to the patients belonging to group B.Clinical Trial - Place of Work - Screening and selection of patients was carried out at O.P.D of Kayachikitsa Dept. of our hospital.Study Type - Open Randomized Control Clinical TrialStudy Design - 60 patients fulfilling the inclusion criteria of Pandu Vyadhi were selected. They were divided into two equal groups randomly.Group A (Trial group) - 30 cases - Trial with Nishaloham. Group B (Control group) -30 cases Control with Ferrous Sulphate.

After proper scrutiny, patients were registered in the study. She/he was explained about the trial and effects of the drug before administration and written consent in language suitable for the patients was taken. Selection Of Patients - a) Inclusion criteria -1) Gender = male / female. 2) Age- 16to60yrs3) Patients having Samanya lakshanas of Pandu Vyadhi. 4) Hb% = 5 to 9.5gm/dlB) Exclusion Criteria - 1) Pandu vyadhi associated with other vyadhi as like kamala, halimak. 2) Pregnancy. 3) Anemia associated with other prediagnosed diseases like liver Cirrhosis, ascitis, CCF, HIV, TB, Leprosy,

Assessment Criteria -Table 2 : Criteria For AssessmentsLakshan No(0) Mild (1) Moderate(2) Severe (3)Panduta Absent Pallor of conjunctiva Pallor of conjunctiva Pallor of conjunctiva,

and mucus membrane mucus membrane mucus membrane, skin ans and skin palmer creases

Daurbalya Not Present After heavy work, After Moderate work After little work relieved relieved soon and tolerate relieved later and tolerate later but beyond tolerate

Shrama- No Bhrama Bhrama on walking Bhrama on walking Bhrama on standingBhramani- with speed without speedpiditta Gatrashul Absent Can do work without Can do work but feels Cant able to do Discomfort. discomfort. work.Shwas Absent Absent on On accustomed work Even at rest

unaccustomed work


Malignancy etc. Assessment Parameter- a) Subjective Parameter -1) Panduta 2) Daurbalya 3) Shram abhramanipiditta 4) Gatrashul 5) Shwas 6)Aruchi 7) Kopan 8) Shishirdveshi 9) Nidradhikya 10) Pindikodveshlanb) Objective Parameter - 1) Haemogram:- But Haemoglobin was the main criteria. which done before, at 15th day and After treatment. (See Table 2 and 3)Follow Up - a) Follow up of each patient was taken at the interval of 15 days for about 1 month or earlier if required at the time of clinical assessment. b) Conclusion was drawn from the data available. c) On the day of follow up overall assessment with subjective and objective criteria was done as follows: (See Table 5)Observation - For group A, out of 30 patients, 14 patients (47%) improved with good change, 11 patients (37%) improved with moderate change and 5 patients were unchanged (17%). In group B, 10 patients (33%) were excellently improved 19 patients were improved with good change (63%) while 1 patient (3%) showed moderate change. (See Graph)Modern Review : Anaemia - The term 'Anaemia' is an ancient one and can be found in the Carpus Hippocraticus. It literally means 'without blood' and is derived from Greek 'a' or without and 'haima’ or blood. James Combe, an Edinburgh

Physician (1824), first used the term Anaemia in English. WHO in a recent article XXXiv, W.H.O. has described Anaemia as follows : Anaemia is a condition in which the number of red blood cells (and consequently their oxygen-carrying capacity) is insufficient to meet the body's physiologic needs.

Specific physiologic needs vary with a person's age, gender, residential elevation above sea level (altitude), smoking behaviour, and different stages of pregnancy. Iron deficiency is thought to be the most common cause of anaemia globally, but other nutritional deficiencies (including folate, vitamin B12 and vitamin A), acute and chronic inflammation, parasitic infections, and inherited or acquired disorders that affect haemoglobin synthesis, red blood cell production or red blood ceil survival,

Aruchi Normal Person dislikes the Person dislikes the taste Though the person is instinct taste of the food. of the food and eats hungry he had dislike for

of taking in small quantity. food due to which he has food fear to take food Kopan Absent Aggressiveness with Aggressiveness with Aggressiveness

reason but calm reason but take time without any reasonImmediately to calm

Shishir- Absent Cold intolerance on Cold intolerance on Cold intolerance ondveshi touching ice touching chilled water touching cold waterNidradhikya Regular 6 to 8 hour sleep 8 to 10 hours sleep More than 1 0

sleep hours sleepPindiko - Absent After heavy work After moderate work At rest also.dveshtanCase Record Form - a) Cases were recorded on specially prepared case record form.b) Treatment to the patient was given for 1 month.Table 3 : Dose and DurationGroups Sample Size Intervention Anupana DurationTrial Group 30 Nishaloham400 mg Madhu and Ghrita 30 Days

chuma BID after meal. (Visham Praman)Control Group 30 Ferrous Sulphate 200 mg Water 30 Days

capsule BID before meal.

Graph 18 : Overall Effect of Therapy

Group A Group B

01

19

10

0

14

11

50

5

10

15

20

25

30

35

Excellent change (75%+)

Good change (50% - 75%)

Moderate change (25% - 50%)

Unchanged (<25%)

Overall effect


can all cause anaemia.Haemoglobin concentration alone cannot

be used to diagnose iron deficiency. However, the concentration of haemoglobin should be measured, even though not all Anaemia is caused by iron deficiency. The prevalence of anaemia is an important health indicator.Definition of Anaemia - (Textbook of Medical Physiology - Guyton, 11th Edition) - Anaemia means deficiency of hemoglobin in the blood, which can be caused by either too few red blood cells or too little hemoglobin in the cells.W.H.O.'S Hemoglobin Thresholds used to define Anemia - (lgm/dl=0.6206mmol/L) W.H.O. Expert Committee has defined Anemia as a condition in which the concentration of hemoglobin is below the lower limit of normal for given age and sex.Table 8 : W.H.O's Hemoglobin thresholds. Age/Gender Hb Threshold Hb Threshold Group (gm/dl) (mmo;/L) Children (0.5-5 yrs) 11.0 6.8 Children (5-12 yrs) 11.5 7.1 Teens (12-15 yrs) 12.0 7.4 Women(Non pregnant) 12.0 7.4 Women (pregnant) 11.0 6.8 Men (15 yrs) 13.0 8.1

Anemia is usually classified according to degree as follows: Degree of Anemia Hb levels 1) Mild Hb above 9 gm/100ml 2) Moderate Hb between 9 to 6 gm/100ml 3) Severe Hb below 6 gm/100ml

Exception in the use of hemoglobin, hematocrit and RBC'smeasurements in defining Anaemia are as follows: 1) Pregnancy. 2) Acute blood loss. 3) Burns. 4) Emphysema or one with right to left cardiac shunt. 5) Dehydration (shows high Hb gm% than actual). 6) Hypothyroidism (shows low Hb gm% level)

Anaemia is the most common disorder of the blood. The several kinds of Anaemia are

produced by a variety of underlying causes. It can be classified in a variety of ways, based on themorphology of RBCs, underlying etiologic mechanisms, and discernible clinical spectra, to mention a few.Of the two major approaches to diagnosis, the "kinetic"approach involves evaluating production, destruction and loss, andthe "morphologic" approach groups Anaemia by red blood cell size.

The morphologic approach uses a quickly available and low-cost labtest as its starting point (the MCV). On the other hand, focusingearly on the question of production may allow the clinician toexposc cases more rapidly where multiple causes of Anaemia coexist.Conclusion - 1) Both Nishaloham and Ferrous Sulphate are effective in the treatment of pandu.2) Maximum incidences observed were females that also housewives. and the age group were 51-60 Years 3) In the present study occurrence of pandu roga in Pitta-vattaj prakruti were highest. Hence it shows predominance of pitta and vata doshas. 4) Patients having mandagni arc largely prone for the development of the disease. 5) Panduta, Gatrashul, Shwas, Aruchi, Nidradhikya and Pindikodveshtan shows significant relief by use of Ferrous sulphate. Therefore we can conclude that Ferrous Sulphate is more effective than Nishaloham in the management of pandu.6) The drug Nishaloham used is cost effective, easy to prepare and easy to take. 7) No side effects are seen in using Nishaloham.

Reference - 1) Charaka Samhita - with the Ay u r v e d a - D i p i k a c o m m e n t a r y b y Chakrapanidatta, Edited by Vaidya Yadavaji Trikamji Acharya, Chaukhamba Sanskrit Sansthan, Varanasi. 2001; 5th edition.2) Sushrut Samhita -Author- Maharshi Sushruta, with Ayurveda-Tatlva-Sandipika by Kaviraja

(Table 5) Observations and Results Overall Effect (Patient wise) No. of parameters

Group-A % Group-B %Unchanged (<25%) 5 16.67 0 00.00Moderate change (25%-50%) 11 36.67 1 03.33Good change (50% -75%) 14 46.67 19 63.33Excellent change (75% +) 0 00.00 10 33.33


Ambikadutta Shastri, Chaukhamaba Sanskrit Sansthan, Varanasi- J3lh edition.3) Ashtanga Hridaya of Vagbhata with the Commentaries Sargvangasundara of Arunadatta and Ayurvedarasayana of Hemadri Edited by Pt. Hari Sadashiv Shastri Paradkar Bhishagacharya, Chaukhamaba Sanskrit Sansthan, Varanasi- Reprint- 2010.4) Ashtangasangraha, with Indu commentary by Acharya Thakkar New Delhi, Kendriya Ayurveda and Siddha anusandhana parishada.5) Madhava Nidanam with the Madhukosa Sanskrit

Commentary- Edited by Shri. Sudarshana Shaslri and Prof . Yadunanandana Upadhyaya, Chaukhamaba Sanskrit Sansthan, Varanasi, 2001, 5th edition.6) Yogaratnakara, with Vidyotini commentary, by Vaidya Shri Lakshmipati Shasrti Varanasi, Chaukhamba Prakashana- 2009.7) Bhaishajya Ratnavali- vidyotinti Hindi vyakhya- vimarsha parishishtasahita, by Kaviraja Ambikadutta Shastri, Chaukhamaba Sanskrit Sansthan, Varanasi, 13th edition.

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National Seminar on “Ayurvedic Management of Manas Rog”Dr. Vinaya Dixit

Report

Centre for Post Graduate Studies and Research in Ayurved of R.S.M.'S Tilak Ayurved Mahavidyalaya had organized successfully the National Seminar on “Ayurvedic Management of Manas Rog” in Association with A.I.M.S. of India on 24th December 2017 at Tilak Ayurved Mahavidyalaya, Pune.

Vaidya Sarita Gaikwad, Asst. Director of ‘AYUSH’ (Pune) delivered the Key Note Address on "Applied Aspects of Principles for the management of Manas Rog.

Hon. Dr. Vidyadhar Watve, the renowned pshychiatrist from Pune inauguarated the seminar as the Guest of Honour. Dr. V. V. Doiphode, President of R.S.M., Presided over the inaugural function. Hon. Dr. D. P. Puranik, Director C.P.G.S. & R.A., Hon. Dr. V. N. Shendye, President, AIMS of India, Hon. Dr. S. V. Deshpande, Principal, TAMV, Pune and Hon. Dr. Sarita Gaikwad, ADA (Pune) were the dignitaries on the dais. Dr. V.V.Doiphode congratulated the organizing team for the successful event and for the selection of theme as most needed topic of today.

Charaka Session began with the presentation on “Depression in Elderly Population” by Dr. Vidyadhar Watve. He shared his experiences with management of depression in elders. Vd. Parvathee devy(M.P.)- Superitendent, Kottakal Mental Hospital , Kerala, explained 'Ayurvedic Management of Manas Roga' with several examples and scientific concepts behind them.

After the delicious lunch break the Sushruta Session started with the topic of 'Evidence based

practices in Managment of Manas Roga' with excellent audiovisual presentation and good informational treat by Prof. Dr. Tanuja Nesari, New Delhi. 'Pre and Post Natal Depression' was discussed interactively by Vd. Rupali Panse.

Vagbhat Session was the concluding of scientific sessions with summarization of "Ayurvedic Interpretation of Freudian Theory by Hon. Hrishikesh Rangnekar and "Concept of Manas Rog' Ayurvedic perseptive by Hon. Prof. Dr. Mihir Hajarnavis, Pune.

The enthusiastic participants were actively present throughout the event. The valedictory function was full of curiosity and celebrations. The prizes were distributed for the poster competition conducted on the same theme of seminar.1) First Prize - Vd. Swapnali J. Kulkawalkar2) Second Prize - Vd. Pooja Gadakh3) Third Prize - Divided in two - Vd. Shriram Ragad and Vd. Komal Bhosale.

The seminar exhibited attractive and informative stalls of pharmacies and Yantras. The feedback from participants was encouraging as 'Excellent Academic Event with a caring Hospitability'.

Prof. Dr. Saroj Patil, Prof. Dr. Mihir Hajarnavis and Prof. Dr. Mrs. Vinaya Dixit directed the whole programme. The team of P. G. Scholars volunteered for the success.

Prof. Dr. D. P. Puranik was the Mentor for this great achievement. Prof. Dr. S. V. Deshpande and Prof. Dr. V. V. Doiphode supported the entire organization of the event with a warm appreciation.

Inaugural Function (from left)Dr. V. N. Shendye, Dr. Sarita Gaikwad, Prof. Dr. V. V. Doiphode, Dr. VidyadharWatve, Prof. Dr. D. P. Puranik,Prof. Dr. S. V. Deshpande,Dr. Vinaya Dixit, Dr. MihirHajarnavis and Dr. Saroj Patil.

Release of Special Issue of Ayurvidya Masik dedicated to

‘Manas Rog’ at the hands ofGuest of Honour

Hon. Dr. Vidyadhar Watvewith the other dignitaries

on the dais.


Seminar On “Recent Advances In Medical Specialties”Prof. Manjiri Deshpande, Hon. Gen. Secretary-A.I.M.S of India.

Report

C. P. G. S. & R. A. (Centre for Post Graduate Studies and Research in Ayurveda) of Tilak Ayurved Mahavidyalaya, Pune and The Association of Integrated Medical Specialists of India had jointly organized Seminar on “Recent advances in Surgery, Pediatrics ans Medicine” on 20th December at 2.00 pm at N. I. M. A. Auditorium of Tilak Ayurved Mahavidyalaya.

The seminar commenced with blessings of Lord Dhanwantari Poojan and Recitation of Stawan.

A formal inauguration began in the presence of following dignitaries on the dais Dr. D. P. Puranik Director C. P. G. S. & R. A. Dr. S. V. Deshpande Principal TAMV and Vice President AIMS, Dr. V. N. Shendye, President AIMS, Dr. Pradeep Sharma, Colorectal surgeon-Jehangir Hospital Pune, Dr. Mihir Hajarnavis, Member, AIMS, Dr. Manjiri Deshpande, Secretary, AIMS and Program Director, Dr. Rashmi Bhise, Treasurer, AIMS and Program Co-ordinator.

Program Director Dr. Manjiri Deshpande, welcomed all the dignitaries and participants in the seminar. She briefly informed about seminar on Recent advances in medical specialties in Surgery, Pediatrics and Medicine. Dr. V. N. Shendye briefed about progress of AIMS over the past years and other active workshops, seminars and programs organized every year by AIMS. Lecture seminar began with felicitation of Dr. Praveen Sharma at the hands of Dr. D. P. Puranik.This seminar covered lectures on -Surgery - Recent Advances in Colorectal Surgery By Dr. Praveen SharmaMedicine - Recent Advances in Diabetology By

Dr. Suhas Erande.Pediatrics - Recent Advances in Immunization By Dr. Pramod Jog.

In this seminar more than 250 Participants participated. UG students, PG students, Teachers, from different colleges and parts of Pune. Program Co-ordinator Dr. Rashmi Bhise Introduced all the faculties to the participants;

Dr. Sharma took a first lecture in that he covered major topics related to colorectal surgeries - Pilonidal sinus, Z-plasty advance technics, IBS, Fistula in ano and its recent treatment option like LIFT, VAAFT etc. Dr. Sharma gave a impactful presentation on these topics the A-V clips in the presentation made easy to understand the depth of the subject to everyone.

Second Lecture was presented by Dr. Pramod Jog on Immunization. He spoke on the subject by giving some practical examples and used some hilarious metaphors which kept the enthusiasm in the lecture till the end of the lecture. Third lecture was by Dr. Suhas Erande on Recent Advances in Diabetology. He explored all the recent aspects of current clinical practices in the field of Dibetology, Insulin dosage adjustment, detailed information on the effect of OHA etc.

Certificates were distributed to all the participants at the end of the programme. Participants enjoyed Tea and cookies at the end of programme.

The seminar was successful. All the participants were happy and satisfied with the lectures, theme of the seminar and time management. Vote of thanks was proposed by Dr. Rashmi Bhise.

From Lt. to Rt. Dr Mihir Hajarnavis, Dr. B. G. Naik, Dr. V. N. Shendye , Dr. D. P. Puranik, Dr. P. Sharma , Dr . S. V. Deshpande. Dr. Manjiri Deshpande


- S>m°. gm¡. {dZ`m Xr{jV

Cng§nmXH$s¶

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** Ayurvidya International 2018 -Vol. I **thReleased on 9 Feb. 2018

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