Introduction
Cancer is a major concern, officially labelled the most dangerous diseases by the World Health Organization. Only 5-10% of all cancer cases can be attributed to genetic diseases or defects, whereas the remaining 90-95% rapid increase is tied to our modern lifestyles.[1] In today’s lifestyle individuals are frequently exposed to numerous toxic substances, primarily those with carcinogenic properties. Air pollutants due to harmful chemicals and diverse range of environmental toxins such as occupational exposure and lifestyle choices, play a significant role in inducing the risk of cancer. Minimizing exposure is crucial for prevention and public health, but up to some extend prevention of exposure is not possible. Cancer is caused by changes to certain genes that alter cellular functions. It’s the result of environmental exposures that mutate DNA. These exposures may include substances, such as the chemicals in tobacco smoke, radiation, or other carcinogenic substances, infiltrate the body via air, water, radiation, drugs, and cosmetics and gets deposited in body.[2]
Radiotherapy and Chemotherapy are only line of treatment for cancer in modern science, which is expensive as well as associated with various adverse effects on health that may in turn causes various forms of cytotoxicity. In context of Ayurveda and modern science after analyzing and studying etiological factors and pathology of cancer, these contexts can be considered under term Dushivisha (i.e., cumulative toxicity). Carcinogen accumulated in body may not manifest immediate symptoms but rather lay dormant within body, enveloped by kapha, for numerous years. Over time, this leads to gradual viti. of all Doshas (fundamental energies) and Saptadhatus (Seven essential dhatu).[3]
Management of cancer will be efficient, cost effective as well as with minimum adverse effects by following treatment protocol of Dushivisha (i.e., Cumulative toxicity) Under Vishachikitsa, various Agada Yogas are mentioned by Acharyas which has multiutility in the management of various disorders. After analysing the Phalashruti (indication) the appropriate Yoga must be chosen as per the Yukti of Vaidya. Amrutham Ghrita is a formulation/ Agada Yoga described by in Ashtanga Sangraha-Uttaratantra -Vishaprathishedha Adhyaya. As per the reference, it is Sarvavishapaham and Mrutasanjivanam (The revival of the dead, the swan of all poisons). The ingredients are Vacha (Acorus calamus Linn), Kakamachi (Solanum Americanum. Mill), Jatamamsi (Nardostachys jatamansi), Kadabhi (Celastrus paniculatus. Willd), Prathyakpushpi (Achyranthus aspera. Linn), Shirisha (Albizia lebek (L.) Benth), Ghrita, Gomutra (cow urine).[4] While analysing the properties, research on the efficacy of Amrutham Ghrita in various chronic disorders or severe conditions is necessary to prove its relevance in current era.
Aim and Objectives
To do a review analysis of efficacy of Amrutham Ghrita in Carcinoma
Methodology
The reference of Amrutham Ghrita is taken from Ashtanga Sangraha – Uttartantra[4]
Research data has been collected from various research articles by Ayurvedic scholars published on various websites
1. Vacha
Botanical Name: Acorus calamus Linn.
Table 1: Anti-cancerous of Vacha
Cancer | Form | Results |
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Human gastric cancer cell line (AGS).[5] | The ethanolic and methanolic extracts and essential oil of the rhizome | The growth of AGS cells was inhabited by the extracts and essential oil and the extracts inhibited the angiogenesis in HUVEC cells. |
Glioblastoma (U251 cells) (Brain tumor)[6] | (β)-asarone (240 and 360 μM) | Apoptosis (YO-PRO-1 and PI staining). Inhibition of the expression of hnRNP H1, hnRNPA2/B1 and cathepsin D. |
Glioblastoma (U251 cells)[6] | (β)-asarone (360 μM) | Arrest the cell cycle in G0/G1 phase and promoting autophagy possibly through P53/Bcl-2/Belin-1andP53/AMPK/mTOR signal transduction pathway. |
Colon cancer (LoVo cells)[6] | (β)-asarone (200 and 400 μM) | Reduction in the rate of cell viability (MTT assay).Down-regulation of mitochondrial membrane potential (MMP). |