RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
KARNATAKA, BANGALORE.
SYNOPSIS BY
Dr. SHILPA.A.
Guide
dr .R. SHYLAJA KUMARI md(Ayu) ,
profESSOR
dept of pg studies in panchakarma
g.a.m.c bangalorE-09
CO GUIDE
DR.SANTOSH .L.YADAHALLI M.D(Ayu),
LECTURER,
dept of pg studies in panchakarma
g.a.m.c bangalorE-09
FOR THE DEGREE OF AYURVEDA VACHASPATHI
M.D. (AYURVEDA) IN PANCHAKARMA
2011
TITLE OF THE TOPIC
“A COMPARATIVE STUDY ON THE EFFICACY OF VIRECHANA KARMA AND BHADRADI ASTHAPANA BASTI IN MEDOROGA W.S.R. TO HYPERLIPIDAEMIA.”
NAME OF THE INSTITUTE
GOVERNMENT AYURVEDIC MEDICAL COLLEGE,
DHANWANTARI ROAD,
BANGALORE – 09, KARNATAKA.
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
KARNATAKA, BANGALORE.
ANNEXURE-II
PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION
|1. | NAME OF THE CANDIDATE AND ADDRESS |Dr. SHILPA.A. |
| | |PG SCHOLAR, DEPT OF PG STUDIES IN PANCHAKARMA, GOVT AYUVEDIC MEDICAL COLLEGE , |
| |PERMANENT ADDRESS |DHANVANTARI ROAD, BANGALORE-09 |
| | |D/O ANIL KUMAR.N. RANGANATHA NILAYA #1-204/3, 4TH |
| | |CROSS, RANGANATH NAGAR, SRIRANGAPATNA TALUK, MANDYA DISTRICT - 571438 |
| | |KARNATAKA. |
|2. | NAME OF THE INSTITUTION |GOVT. AYURVEDIC MEDICAL COLLEGE, DHANWANTARI ROAD, |
| | |BENGALURU-09 |
|3. |COURSE OF STUDY AND SUBJECT |AYURVEDA VACHASPATI . MD(AYU). |
| | |PANCHAKARMA. |
|4. |DATE OF ADMISSION TO THE COURSE |11/10/2010. |
|5. |TITLE OF THE TOPIC |“A COMPARATIVE STUDY ON THE EFFICACY OF VIRECHANA KARMA AND BHADRADI ASTHAPANA BASTI |
| | |IN MEDO ROGA W.S.R. TO HYPERLIPIDAEMIA.” |
From,
Dr. SHILPA. A.
P.G. Scholar,
Dept. of Post Graduate Studies in Panchakarma,
Government Ayurvedic Medical College,
Bengaluru -560009.
To,
THE REGISTRAR,
Rajiv Gandhi University of Health Sciences,
Bengaluru, Karnataka.
Through,
THE PRINCIPAL,
Government Ayurvedic Medical College,
Bengaluru -560009.
Respected sir,
Sub: Submission of corrected proforma for Registration
of Subject for dissertation.
I request you to kindly register the below mentioned subject against my name for the submission of dissertation to the Rajiv Gandhi University of Health Sciences, Bengaluru for the partial fulfillment of M.D. (Ayu) in Panchakarma.
TITLE OF DISSERTATION:
“A COMPARATIVE STUDY ON THE EFFICACY OF VIRECHANA KARMA AND BHADRADI ASTHAPANA BASTI IN MEDO ROGA W.S.R. TO HYPERLIPIDAEMIA.”
Here with I am enclosing corrected proforma for registration of subject for dissertation.
Thanking you,
Your’s sincerely,
Date: Place: Bengaluru
Dr.Shilpa.A
6. BRIEF RESUME OF THE INTENDED WORK: 6.1 NEED FOR THE STUDY :
Shodhana therapy is indicated in santarpanajanya vyadhis. Acc. to Acharya Sushruta Virechana corrects agni and causes stability of dhatus 1a . Vasti is considered as the best remedy for morbid vata. By using various combinations of ingredients, it is considered good even in other doshic involvement and beneficial in diseases of all the three paths where most of them are due to involvement of vata, thus said to be ardha chikitsa.2a
Due to advanced technology and busy schedule , the lifestyle of an individual has become sedentary along with lack of exercise and there is increased popularity of fast foods leading to impairment of metabolism in an individual making him prone to series of disorders called as lifestyle disorders.
Hyperlipidaemia is one such disorder where there is abnormally elevated levels of lipids in the blood .It is identified as potential risk factor for development of coronary heart disease. In India persons suffering from CHD have increased in last 20 years. In South.India CHD incidence is 7.4% in rural areas and 13.9% in urban areas .According to WHO raised serum cholesterol levels is one of the top ten causes of death throughout the world.
Several drugs are available for the management of Hyperlipidaemia where most of them are potentially toxic, costly and are contraindicated in hepatic or renal impairement, gall bladder disease and pregnancy. Ayurveda can intervene by modifying the risk factors aiming at the prevention.
There is no direct reference available in our classics correlating hyperlipidaemia. It can be included under santarpanajanya vyadhi as medo roga. It is a condition caused by derangement of agni, leads to amarasa, there is medodhatvagnimandya leading to improper formation of medo dhatu in excess and if not arrested further results in sthoulya.
Bhadradi asthapana basti by virtue of its lekhana dravyas reduces medas and pacify the vata by affecting its seat of pakvashaya. Virechana with ashwakanchuki rasa with its ruksha teeksna properties does srotoshodhana. So here an attempt has been done to evaluate the role of virechana and basti karma to compare the effect of both in medo roga.
6.2 REVIEW OF LITERATURE:
• Acharya charaka has mentioned use of Virechana as one of the treatment procedures in santarpana janya vikaras.
zÉxiÉqÉÑssÉåZÉlÉÇ iÉ§É ÌuÉUåMüÉå U£üqÉÉå¤ÉhÉÇ |2b (च.सू२३/८)
• While explaining chikitsa for medoroga, Vangasena includes lekhana basti as prime treatment for medoroga.
mÉÑUÉhÉÇ zÉÉsÉrÉÉåÈ qÉѪÉÈ MÑüsÉijÉÉå¬sÉMüÉå°uÉÉÈ |
sÉåZÉlÉÉ oÉxiÉrɶÉæuÉ xÉåurÉÉ qÉåSÎxuÉlÉÉ xÉSÉ ||3 (व.सं मेदोरोग /११)
• Acc to text Basavarajeeyam, virechana has been mentioned in the treatment of medoroga.
ÍcÉliÉÉ ´ÉqÉÇ eÉÉaÉUhÉÇ---------|
-------ÌuÉUåMüÈ mÉëcNûSïlÉqÉç cÉÉmrÉmÉiÉmÉïhÉqÉç cÉ ||
LiÉÉÌlÉ xÉuÉÉïÍhÉ ÌlÉwÉåÌuÉiÉÉÌlÉ qÉåSÉåaÉSÇ xÉiuÉUqÉÉͤÉmÉÎliÉ || 4 (बसवराजीयं १८/३०-३४)
• Ashwakanchuki rasa which contain ingredients like jayapala,trikatu and triphala which are ruksha and teekshna in nature has been selected for virechana karma5
• Bhadradi asthapana basti has been specifically indicated in medo roga according to acharya Sushruta.1b
• No separate disease mentioned in brihatrayees in the name of medoroga, but atisthoulya has been explained which can be considered under medo roga.2c
• Features of medo roga has been clearly mentioned by acharya Madhava under separate chapter of medo roga including its nidana, samprapti and lakshanas.
---------AzÉ£üÈ xÉuÉïMüqÉïxÉÑ ||
¤ÉÑSìµÉÉxÉiÉ×wÉÉqÉÉåWûxuÉmlÉ¢üjÉlÉxÉÉSlÉæÈ |
rÉÑ£üÈ ¤ÉÑixuÉåSSÉæaÉïlkrÉæUsmÉmÉëÉhÉÉåÅsmÉqÉæjÉÑlÉÈ || 6 (मा.नि३४/३-४)
• References of medo roga is also available in Sharangadhara samhita7, Bhavaprakasha8 ,and Yoga ratnakara9.
Modern review:
Hyperlipidaemia or hyperlipoproteinemia is the condition of abnormally elevated levels of any or all lipids and/or lipoproteins in the blood . it is the most common form of dyslipidaemia.10
It may be basically classified as primary (familial) which is basically due to genetic predisposition and secondary (acquired ) when resulting from other underlying disorder that leads to alterations in lipid and lipoprotein metabolism.
Treatment includes Non pharmacological :exercises and reduced intake of saturated fats.
Pharmacological: HMGCoA reductase inhibitors(statins)
Cholesterol absorption inhibitors(ezotimibe)
Fibrates11
PREVIOUS DISSERTATION WORK DONE:
• Patel Neha R – An evaluation of efficacy of virechana karma in the management of hyperlipidaemia. Dept. of Panchakarma.2010, GAU .Jamnagar.
• Chhipa Vibhash – A role of Bhadradi asthapana basti in the management of Sthaulya w.s.r. to obesity.Dept. of panchakarma,.2010. GAU .Jamnagar.
• Chaganti Sreelakshmi– Role of Ooshakadi lekhana basti in the management of Medo pradoshaja vikara w.s.r. hyperlipidaemia.,Dept. of panchakarma,2007 GAMC ,Blore RGUHS.
• Khunt Tejal – Comparitive study of efficacy of virechana karma and lekhana basti in the management of Sthaulya Dept of panchakarma ,2005, GAU .Jamnagar.
6.3 OBJECTIVES OF THE STUDY:
1. To evaluate the efficacy of Virechana karma in medo roga.
2. To evaluate the efficacy of Bhadradi asthapana basti in medo roga.
3. To compare the efficacy of Virechana and Bhadradi asthapana basti in medo roga.
7. METHODOLOGY:
7.1 Source of Data:
For the present study patients are randomly selected from the OPD and IPD of Shri Jayachamrajendra Institute of Indian Medicine Hospital, Bengaluru-09
7.2 Method of collection of data :
30 patients who fulfill the inclusive criteria will be selected randomly irrespective of sex, religion, occupation and economic status.
A) Diagnostic criteria:
Diagnosis will be based on
• Clinical features of medo roga like ashaktah sarva karmasu, kshudra shwasa, swedadhikya, utsaha hani, anga gaurava as mentioned in classics.
• Serum lipid profile higher than normal.
B) Inclusion criteria :
• Aged between 18-60 yrs.
• Having clinical features of medoroga
• Serum lipid levels more than normal ranging from : S.cholesterol(201mg/dl and above)
S.Triglycerides (161mg/dl and above)
Serum LDL(131mg/dl and above )
Serum VLDL(41mg/dl and above)
• Fit for virechana and basti karma
C) Exclusion criteria:
• Associated with any systemic diseases and cardiovascular diseases.
• Associated with any rectal pathology like haemarrhoids, fissure etc.
• Associated with endocrinal pathology.
• Not fit for virechana and basti karma .
D) Plan for the treatment:
A minimum of 30 patients randomly divided into 2 groups A & B with 15 patients in each group
STUDY DESIGN – A prospective open uncontrolled randomized comparitive clinical study
GROUP ‘A’ = VIRECHANA KARMA IN 15 PTS.
|Poorva karma |1) Deepana – Pachana with Trikatu churna |3 days. If ama pachana not achieved then |
| |(1-2gms b.d) with hot water. |continued until niramavastha. |
| |2) Snehapana in arohana krama with |For minimum of 3 days (until achieving |
| |murchita tila taila |samyak snigdha lakshana) |
| |3) Abhyanga with murchita Tila taila, | |
| |followed by koshna jala snana. |For 4 days |
|Pradhana karma |Virechana with ashwakanchuki rasa | |
| |(125-250mg) | |
| |(Dose acc. to bala, agni & koshta of | |
| |patient ) | |
|Paschat karma |1)Samsarjana karma |Depends on shuddhi |
Duration of treatment in group A is approximately 12 days. May vary slightly according to agni and koshta of patients.
GROUP ‘B’ = BASTI KARMA IN 15 PTS
Poorva karma : Deepana pachana with trikatu churna (1-2gms bd) for 3 days . If ama pachana not achieved then continued until niramavastha. Before administration of basti, sthanika abyanga and sweda is given to the patient.
Pradhana karma:
|Day |1ST |2nd |
|10 |Remark of the Guide: | |
|11 |Name and Designation of Guide(In block letters): |Dr.R. SHYLAJA KUMARI |
| | |M.D(Ayu), Professor, |
| | |Dept Of P.G.Studies In Panchakarma, Govt Ayurvedic Medical |
| | |College, Bangalore-560009. |
|11.1 |Signature: | |
|11.2 |Name and Designation of Coguide(In block letters): |Dr.SANTOSH .L. YADAHALLI M.D(Ayu), Lecturer, |
| | |Dept Of P.G.Studies In Panchakarma, Govt Ayurvedic Medical |
| | |College, Bangalore-560009 |
|11.3 |Signature: | |
|11.4 |Head Of The Department: |Dr.SHALINI. C. ELI M.D.(Ayu),DNY Prof.& H.O.D. |
| | |Dept Of P.G.Studies In Panchakarma, Govt Ayurvedic Medical |
| | |College, Bangalore-560009 |
|11.5 |Signature: | |
|12.1 |Remark of the chairman and Principal: | |
|12.2 |Signature: | |
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