Journal of Ayurveda and Integrated Medical Sciences <p><strong>Online ISSN :</strong> <a href="" target="_blank" rel="noopener">2456-3110</a></p> <p><strong>DOI Prefix :</strong> 10.21760/jaims.</p> <p><strong>Frequency :</strong> Monthly</p> <p>Journal of Ayurveda and Integrated Medical Sciences (JAIMS) – An International Double-Blind Peer Reviewed Monthly Journal for Researches in AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy), is published monthly by Maharshi Charaka Ayurveda Organization. The full text of this journal is accessible on website <a href=""></a></p> <p>The ‘JAIMS’ Journal aims to publish the scientific and research outcomes with a view to inform and share the scientific findings, advice, risk assessment conclusions and recommendations for further research in the areas within the limits of AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy). It also aims to increase the visibility and awareness of AYUSH’s scientific work worldwide.</p> <p>As an Integrated medical journal for Ayurveda, Naturopathy, Yoga, Unani, Siddha and Homeopathy, Medicinal Plants Sciences, Pharmacology, Pharmacognosy, Phytochemistry, Pharmaceutics, Analytical Chemistry, Pharmaceutical Chemistry, etc., ‘JAIMS’ aims to explore the alternative system of medicines, encouraging significant collaboration to promote effective, safe and economical global health.</p> <p>The JAIMS journal will consider any original contribution that advances medical science or practice, or that educates the journal's readers. Manuscripts must be solely the work of the author(s) stated, must not have been previously or partially published elsewhere, and must not be under consideration by another journal. All manuscripts contributed to JAIMS are examined by the editorial staff and all original articles are evaluated by peer reviewers assigned by the editors.</p> en-US <p>Journal of Ayurveda and Integrated Medical Sciences (JAIMS) retains the copyright of the contents of this journal but grant the readers the right to use the contents with terms and conditions under a creative common attribution licenses 4 of Attribution, Share Alike and Non-commercial type (CC BY-NC-SA) that allows copy, distribute, display, and perform the work and make derivative works based on it only for&nbsp;non-commercial&nbsp;purposes.</p> <p><a href="" rel="license"><img style="border-width: 0;" src="" alt="Creative Commons License"></a><br>This work is licensed under a <a href="" rel="license">Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License</a>.</p> (Dr. Umapati C. Baragi) (Dr. Jyoti Baragi) Sat, 13 Aug 2022 08:15:11 +0000 OJS 60 Clinical trial to evaluate the efficacy of Sandhaniya Cast in Ankle Sprain <p>Ankle is the most common site for acute musculoskeletal injuries and sprains. Acute ankle trauma is responsible for 10-30% of sports related injuries in young athletes. Ankle sprain is characterized by pain, swelling with or without deformity. According to the Modern science the treatment modalities adopted for the ankle sprain are ankle brace, below knee cast and ankle strap. Inadequate treatment of ankle sprain can lead to chronic problems such as decreased range of motion, pain and joint instability.<em> Acharya Sushruta </em>advocates <em>Alepa</em> with <em>Asthisandhaniya</em> <em>Dravyas</em> for the management of <em>Bhagna</em>. These <em>dravyas</em> when used in the form of <em>Lepa</em> have the properties of <em>Sandhaniya</em>, <em>Shophahara</em> and <em>Vedanasthapaka</em> action. It is a need of hour to bring up new innovative, readily available, patient friendly and time saving techniques which possess the same effect. Hence this study is taken up to bring the <em>Manjistadi</em> <em>Lepa</em> in the modified form as <em>Sandhaniya</em> cast. Such kind of medicated casts weren’t in use till date which makes it unique. This would not only help in immobilization like any other ankle brace or ankle binder, but also reduces localized edema and pain due to its <em>Vedanasthapaka</em> and <em>Shophahara</em> properties and also accelerates the healing.</p> K Nikhil Kaushik, KM Sweta, Dhyan Surendranath Copyright (c) 2022 K Nikhil Kaushik, KM Sweta, Dhyan Surendranath Fri, 12 Aug 2022 17:43:12 +0000 A randomized open label control clinical study to evaluate the efficacy of Kshoudra as Dahanopakarana for the pain management in Snayuvikara with special reference to Achilles Tendinitis <p>Achilles Tendinitis is otherwise called as Achilles Tendinopathy which causes pain and stiffness, swelling, thickening and weakness of achilles tendon, which worsens with activity, commonly seen in sports person. As per Ayurvedic parameters this condition can be correlated to <em>Snayugata Vikara</em>, which usually presents with <em>Sthambha, Shula, Kriyavasakthi. </em>Treatment include <em>Snehana, Upanaha</em>, <em>Agnikarma</em>, <em>Bandhana</em> and <em>Mardana</em>. In the contemporary science the treatment modalities available are RICE technique, hydrocortisone injection, radiant heat or diathermy, release of plantar fascia from tuberosity of calcaneus through surgery. In<em> Susrutha Samhitha Agnikarma Chikitsa is</em> explained for the par excellence for these conditions considering its <em>Vatakapha Shamaka, Amapachaka</em> property and also this is easy to perform. <em>Agnikarma</em> with the help of <em>Panchadhathu Shalaka</em> was already established with 65% of success rate in the management of Achilles tendinitis. The therapeutic effects of <em>Agnikarma</em> with <em>Kshoudra </em>includes relief of pain and muscle spasm, acceleration of healing, promotion of resolution of inflammation and increase in the range of movement of joint. This study is done by considering <em>Vatakapha Shamaka, Amapachaka, Yogavahi </em>properties of <em>Kshoudra</em> and also this was easy to perform with better cosmetic value. Hence the stagnation of current knowledge demanded an effective method to tackle the painful heel condition.</p> Anju DR , N Muralidhara, KM Sweta, Dhyan Surendranath Copyright (c) 2022 Anju DR , N Muralidhara, KM Sweta, Dhyan Surendranath Fri, 12 Aug 2022 17:50:06 +0000 A clinical study to evaluate the role of Kshara Karma in oral mucocele with Teekshna Pratisaraniya Apamarga Kshara <p><strong>Introduction:</strong> Mucoceles are the most common benign lesions of the oral cavity developing as a result of retention or extravasation of mucus from the minor salivary glands. There are various treatment modalities which include excision, laser ablation, cryosurgery, sclerotherapy, micro marsupialization, and intra-lesional injection of sclerosing agent or corticosteroid. Although surgery is widely used, it has several disadvantages such as bleeding, lip disfigurement and damage to adjacent ducts with further development of satellite lesions. <em>Kshara</em> being an <em>Anusastra </em>possessing <em>Chedana, Bhedana, Lekhana, Pachana, Vilayana, Shodhana, Ropana, Shoshan</em>a and <em>Stambhana Karmas </em>will address all the difficulties faced during conventional ways of treatments. The current study was undertaken to introduce, validate and standardise novel, minimally invasive, para surgical approach towards the treatment of oral mucocele.<strong> Methodology:</strong> <em>Teekshna Pratisaraniya Apamarga Kshara </em>was prepared. Clinical study was conducted on 30 subjects diagnosed with oral mucocele. <em>Ksharakarma </em>was done. For statistical analysis of parametric values, Repeated period ANOVA test within the group and for non-parametric values, Friedman’s Test within the group were used.<strong> Result: </strong>The comprehensive analysis of all the results reveals that, all the parameters showed significant change both statistically and clinically with no side effects or complication.<strong> Discussion:</strong> <em>Ksharakarma</em> on oral mucocele acts by tissue necrosis, gradual sloughing off followed by healing of remnant ulcer with epithelialisation, which was found to be an effective, minimally invasive, para surgical management of oral mucocele without any complications.</p> Gayathri KB, Padma, KM Sweta, Dhyan Surendranath Copyright (c) 2022 Gayathri KB, Padma, KM Sweta, Dhyan Surendranath Fri, 12 Aug 2022 18:12:05 +0000 A clinical trial to evaluate the efficacy of Katupila Arka in post operative fistulotomy wound <p>Post-operative fistulotomy wound is a surgically created wound for the better healing of fistulous tract. It is considered as the standard treatment modality for fistula in ano and is the most widely performed procedure. The healing of the fistulotomy wound is a challenging task as the chances of infection is more because of its contaminated nature. This can be related to <em>Vrana </em>in <em>Ayurveda </em>and can be managed. There is a need for drugs which have <em>Vrana Shodhaka </em>and <em>Vrana Ropaka </em>properties. <em>Katupila</em> (<em>Securinega leucopyrus</em> (Wild.) Muell) has all the above said properties due to the presence of various phytochemical agents. It’s having a broad spectrum anti-microbial activity. References from a previous work done on <em>Katupila</em> <em>Kalka</em> indicate that, it is effective for the management of diabetic wound. Keeping the practical difficulty in the preparation of <em>Kalka</em> on daily basis, <em>Arka Kalpana</em> is adopted as an alternate method here. <em>Katupila Arka </em>showed marked ulcer regression during the course of treatment than Povidone Iodine which could be attributed to <em>Vrana Shodana </em>and <em>Ropana </em>property. It renders <em>Shodhana </em>(Cleansing/ Purification) action by virtue of its <em>Kashaya </em>and <em>Tikta Rasas, Laghu, Ruksha, Tikshna Gunas, Ushna Veerya </em>and <em>Katu Vipaka</em>. <em>Ropana </em>(Tissue healing / Regeneration) by virtue of its <em>Kashaya </em>and <em>Madhura Anurasa </em>and overall, by <em>Prabhava. </em>Tannins, Flavonoids, Phenol, Saponins and Alkaloids are present in the trial drug which enhances the wound healing property.</p> R Lakshmi, KM Sweta, Dhyan Surendranath Copyright (c) 2022 R Lakshmi, KM Sweta, Dhyan Surendranath Fri, 12 Aug 2022 18:19:10 +0000 A randomized, controlled clinical study to evaluate the role of Sarjarasa Apamarga Ksharasutra in the management of Bhagandara w.s.r to fistula-in-ano <p>Fistula-in-ano is one of the most common ailments pertaining to ano-rectal region, is prevalent all over the world and its occurance is 8.6 cases per 100,000 population.<strong><sup>[1]</sup></strong> The main cause known for fistula-in-ano is crypto glandular infection of anal crypts. In Ayurveda, according to similar clinical features the disease <em>Bhagandara</em> can be correlated with fistula in ano. Presently <em>Ksharasutra</em> therapy is found most approaching and attractive treatment modality among para-surgical procedures for fistula in ano. <em>Guggulu Apamarga Ksharasutra</em> which is widely used, having good binding nature and anti-inflammatory effect, But the main complaints reported by the patients are pain and discomfort during and after <em>Ksharasutra</em> procedure. So, instead of <em>Guggulu</em>, <em>Sarjarasa</em> was taken which is having binding property, <em>Vedanasthapaka</em>, <em>Vrana Ropana</em> and <em>Vrana Shodhana Guna,</em> for the <em>Ksharasutra</em> preparation.<strong><sup>[2]</sup></strong> A total of 30 subjects were taken, Trial group treated with <em>Sarjarasa Apamarga Ksharasutra</em> and control group treated with <em>Guggulu Apamarga Ksharasutra.</em> The study shows <em>Sarjarasa Apamarga Ksharasutra</em> had high efficacy in subjective parameters like pain and burning sensation compared to <em>Guggulu Apamarga Ksharasutra.</em> There were no complications like necrosis, stenosis, anal incontinence after application of <em>Sarjarasa Apamarga Ksharasutra.</em></p> Anagha TS, KM Sweta, Dhyan Surendranath Copyright (c) 2022 Anagha TS, KM Sweta, Dhyan Surendranath Fri, 12 Aug 2022 18:23:59 +0000 A randomised controlled clinical study to evaluate the role of Nirvapana Upakrama with Durva ointment in the management of Pittaja Dushta Vrana with special reference to fissure-in-ano <p><strong>Introduction:</strong> Fissure-in-ano is an ulcer in the longitudinal axis of lower anal canal. It is having prevalence of about 17.91%. By seeing the signs and symptoms we can consider it as one among the six varieties of <em>Dushta Vrana</em> i.e., <em>Pittaja Dustavrana</em>. Due to busy life schedules people don’t prefer hospitalization and other operative procedures. So, there is a need to find out a new and simpler medicament which enables easy and better storage, preservation and mode of application. Here an attempt was made to study the effect of <em>Nirvapana Upakrama</em> in the management of fissure in ano is taken. This Upakrama is used for the treatment of <em>Vrana</em> accompanied with <em>Daha</em>, <em>Paka</em>, <em>Jwara</em> and having <em>Pitta Kopa</em> and <em>Raktena Abhibhuta</em>. Since fissure is having the similar symptoms this treatment can be adopted for the management of the same. <strong>Methodology:</strong> A randomized controlled clinical study was conducted over 30 subjects in two groups.&nbsp; Fifteen subjects were advised to apply Diltiazem gel and 15 subjects were advised to apply <em>Durva</em> ointment twice daily for a period of 14 days. <strong>Results:</strong> Rapid reduction in pain, burning sensation and length of ulcer was observed in the subjects who were given <em>Durva</em> ointment. <strong>Discussion:</strong> <em>Durva </em>ointment having <em>Madura Rasa</em>, <em>Snigdha</em> <em>Guna</em> and <em>Sheeta Virya </em>does <em>Vatapitta Shamana </em>and pacifies vitiated <em>Rakta</em>.<em> Kashaya rasa </em>of <em>Durva </em>does<em> Vrana Ropana </em>and<em> Rakta Sthambana </em>which amplifies in ulcer healing and relaxation of the sphincter.</p> Parvathy Gopan, Padma, KM Sweta, Dhyan Surendranath Copyright (c) 2022 Parvathy Gopan, Padma, KM Sweta, Dhyan Surendranath Fri, 12 Aug 2022 18:30:11 +0000 A clinical study to evaluate the effect of Lekhana Vasti in the management of Sthaulya <p><em>Sthaulya</em> is one of the <em>Santarpanotta</em> <em>Vyadhi</em>. It is considered as one among the <em>Ashta</em> <em>Ninditeeya</em> <em>Purusha</em>. It is a <em>Rasa</em> <em>Nimittija</em> and <em>Medo Pradoshaja Vyadhi Avyayama, Athiasana, Athishayana</em> and so on are some of the <em>Nidanas</em> of <em>Sthaulya</em>. Most of the world’s population live in countries where overweight and obesity kills more people than underweight. <em>Apatarpana Chikitsa</em> is main line of treatment in <em>Sthaulya</em>. When there is involvement of <em>Kapha Medas</em> and pathogenesis of <em>Avarana</em>, the condition needs <em>Teekshna Basti</em> with <em>Lekhana</em> properties. The <em>Varanadi Gana Kwatha</em> which is having similar action is selected as <em>Kalka</em> and <em>Kwatha Dravya</em> in the present study. To increase the <em>Teekshnata</em>, the <em>Amla Kanji</em> as <em>Avapa Dravya</em> has been selected. <strong>Objectives -</strong> Hence, the following study was taken to evaluate the effect of <em>Lekhana Basti </em>in management of <em>Sthaulya.</em> <strong>Methodology -</strong> 20 patients were taken in the study and were administered. <em>Varanadi Lekhana Basti</em> in <em>Kala Basti</em> format. <em>Matra</em> <em>Basti</em> with <em>Murchita Tila Taila</em> was given. Patients were assessed for weight BMI, biomarkers, bodily circumferences before and after treatment and after follow up.</p> Kanduri Ramanuja Acharyulu, Padmakiran C., Sandesh Shetty Copyright (c) 2022 Kanduri Ramanuja Acharyulu, Padmakiran C., Sandesh Shetty Fri, 12 Aug 2022 18:35:47 +0000 Clinical study on the combined effectiveness of Mashasaptaka Kwatha and Marsha Nasya with Mashasaptaka Taila in Pakshaghata (cerebrovascular accident-infarct) <p><strong>Background:</strong> <em>Pakshaghata</em> is one among <em>Vataja Nanatmaja Vyadhis</em> which are considered as <em>Mahavyadhis. Pakshaghata</em> can be correlated with Hemiplegia, the commonest pathology of which is cerebrovascular accident (stroke). Stroke is defined as sudden onset of neurologic deficit from vascular mechanism. 85% of all strokes are ischemic and 15% are hemorrhagic. <strong>Aims And Objectives:</strong> To evaluate the combined effectiveness of <em>Mashasaptaka Kwatha</em> and <em>Marsha Nasya</em> with <em>Mashasaptaka Taila</em> in the management of <em>Pakshaghata</em> (Cerebrovascular Accident-infarct)<strong>. Methods: </strong>Thirty diagnosed subjects of <em>Pakshaghata </em>(CVA due to infarct) were administered with <em>Mashasaptaka Kwatha</em> and <em>Marsha Nasya</em> with <em>Mashasaptaka Taila</em> for 7 days. The data of patients was recorded before and after treatment using an elaborate proforma. Assessment was done based on the primary and secondary outcome measures. For statistical analysis, Wilcoxon Signed Rank test, McNemar tests were used.<strong> Results: </strong>In this study it was found that there was statistically significant relief in the symptoms of <em>Pakshaghata </em>(Cerbrovascular accident-infarct).<strong> Conclusion: </strong>Relief in the symptoms was achieved by the drugs having properties such as <em>Vatakaphahara, Anulomana, Brimhana, Srotoshodhana</em> etc. Hence, <em>Mashasaptaka Kwatha</em> and <em>Marsha Nasya</em> with <em>Mashasaptaka Taila</em> for 7 days is effective in the management of <em>Pakshaghata </em>(Cerebrovascular accident-infarct).</p> Nidhi Gusain, Totad Muttappa, Vasantha B, Yadu Gopan Copyright (c) 2022 Nidhi Gusain, Totad Muttappa, Vasantha B, Yadu Gopan Fri, 12 Aug 2022 18:42:00 +0000 A clinical study to evaluate the efficacy of Keechakadi Taila in Darunaka <p><em>Darunaka </em>(dandruff) is a disorder mentioned under the spectrum of <em>Shirokapalagata</em> <em>Roga</em>/<em>Kshudra</em> <em>Roga</em> by various <em>Acharyas</em>. It is a <em>Kapha-Vata</em> predominant disorder of <em>Shiro</em>-<em>Kapala </em>(scalp)<em>,</em> characterized by <em>Kandu </em>(itching)<em>, Kesha-Chyuti </em>(hair fall)<em>, Keshabhumi-Rukshata </em>(dryness of scalp) and <em>Keshabhumi-Sphutana </em>(scaling)<em>. Shiroabyanga </em>(oil massage to scalp) with <em>Keechakadi Taila</em> is mentioned as a treatment modality for <em>Darunaka </em>by <em>Vangasena. </em>It contains <em>Keechaka </em>(<em>Bambusa arundinaceace), Sarshapa Taila (</em>mustard oil), <em>Gomutra </em>(cow’s urine) as ingredients. <em>&nbsp;</em>In general all <em>Tailas </em>(oils) alleviates <em>Vata-Dosha</em> and does not aggravate <em>Kapha-Dosha</em>. It <em>is Twak Prasadaka</em> (nourishing)<em>, </em>thus helping in treating the disease by <em>Samprapthi</em> <em>Vighatana </em>(breaking the pathogenesis). Though there are plenty of treatment options available for dandruff, there is no promising treatment in any of the allied sciences assuring its complete cure, avoiding recurrence. Thus with the aim to know the efficacy of <em>Keechakadi</em> <em>Taila</em> in treating <em>Darunaka</em> and also to know how effectively it can prevent/ reduce interval between recurrences of <em>Darunaka</em> the present study was carried out. The study showed statistically significant result in the management of <em>Darunaka</em>.</p> N. K. Chandini, Ravindra Angadi, Ashok Kumar BN, R R Geethesh, Sandesh Kumar Shetty Copyright (c) 2022 N. K. Chandini, Ravindra Angadi, Ashok Kumar BN, R R Geethesh, Sandesh Kumar Shetty Fri, 12 Aug 2022 18:50:34 +0000 An observational study to explore the Samprapti Ghatakas in Hypothyroidism <p><strong>Background: </strong>Hypothyroidism is the most common functional disorder of the thyroid gland. It is a hypometabolic clinical state resulting from inadequate production of thyroid hormones for prolonged periods. The prevalence of this disease in India is 6% and more than 10 million cases per year are reported. It is a multisystemic disorder which has a wide range of clinical symptoms. This condition is not mentioned in Ayurveda classics by any specified name. In Ayurveda, determining the elements that contribute to <em>Samprapti</em> is essential in developing a treatment plan. Hence, the current study attempts to evaluate the <em>Samprapti Ghatakas</em> and as a result, formulate probable <em>Samprapti</em>. <strong>Objectives: </strong>To study and explore the <em>Samprapti Ghatakas</em> of hypothyroidism and to propose possible <em>Samprapti. </em><strong>Methods: </strong>The study was conducted in 100 cases of hypothyroidism between the age of 16 to 70 years. A case proforma was prepared which includes history taking, physical signs and symptoms and required examination. The calculations were done in Microsoft excel and the values obtained were assessed on the basis of percentage of individual parameters in relation with <em>Samprapti Ghatakas </em>of hypothyroidism. <strong>Results: </strong><em>Kapha </em>and <em>Vata</em> are the main <em>Doshas </em>involved in the <em>Samprapti</em>. Important <em>Dooshyas</em> are <em>Rasa, Meda. Agni </em>involved is <em>Dhatwagni </em>and the disease is caused primarily due to <em>Dhatwagnimandya</em>. <em>Udakavaha, Annavaha, Medovaha, Swedavaha, Purishavaha, Rasavaha</em> are the main <em>Srotas </em>involved with <em>Sanga </em>type of <em>Srotodushti</em>. <em>Udbhava Sthana</em> can be considered as <em>Amashaya; Sanchara Sthana</em>, <em>Vyakta Sthana</em> and <em>Adhishtana</em> is <em>Sarva Shareera. </em>All the three <em>Rogamarga</em> are involved.</p> Ashwini PK, Geetha B Markande, Prashanth Jain Copyright (c) 2022 Ashwini PK, Geetha B Markande, Prashanth Jain Fri, 12 Aug 2022 18:57:02 +0000 Understanding the etiopathogenesis of Uttana Vatarakta (peripheral vascular disease) - An Observational Study <p>Advanced life style and changing food habits affects the activities of individual which leads to many diseases and Peripheral Vascular Diseases are one among them. They are characterized by reduction of blood flow and oxygen supply through peripheral vascular vessels. This can happen in arteries or veins. The incidence of Varicose vein is more common with age and high prevalence is after 30 years of life. PAD occurs in patients over 40 years old; the highest incidence occurs in the sixth and seventh decades of life and it affects 10-15% of the general population. The symptoms of <em>Uttana Vatarakta</em> owing to the <em>Margavarana</em> pathology simulate with the symptoms of Peripheral vascular diseases and some of the etiological factors of <em>Uttana Vatarakta</em> in the writing are specific in inclining Peripheral Vascular Diseases. Ayurveda emphasise the importance of study on etiopathogenesis of disease before the planning of treatment protocol. In this study an effort is done to identify the <em>Nidanas</em> and pattern of <em>Samprapti</em> in relation with Peripheral vascular diseases for the better understanding of different clinical presentations of <em>Uttana Vatarakta</em>.</p> Namratha MV, Prashanth Jain, Geetha B Markande Copyright (c) 2022 Namratha MV, Prashanth Jain, Geetha B Markande Sat, 13 Aug 2022 03:11:24 +0000 Understanding the etiopathogenesis of Katigraha - An Observational Study <p><em>Katigraha </em>is one among the <em>Vataja Nanatmaja Vyadhi </em>which simulates with the signs and symptoms of Low Back pain. It continues to be the most common health concern for which patients seek primary care therapy. Our <em>Acharyas</em> explains <em>Katigraha </em>as a <em>Lakshana </em>in various <em>Vatavyadhi</em> and in other diseases. Here, <em>Katigraha</em> indicates a disease condition of the back associated with pain and stiff movements. As <em>Gada Nigraha </em>clearly states pain is produced due to stiffness produced by <em>Saama </em>or <em>Niraama Vayu </em>movement in to <em>Kati </em>hence this suggests of presence of <em>Dhatu Kshayatmaka </em>and <em>Marga Avarodhaka </em>type of <em>Samprapti</em>. Hence in this context <em>Katigraha </em>denotes a group of symptoms characterized by the restriction of movements of <em>Kati</em> region in which pain would be a main feature as <em>Graha </em>alternatively means pain as restriction is said to produce pain in the particular region. The backache or lumbago is one of conditions which results from violation of bio mechanics of spine as it results when the physical and mental strain and faulty postures alter anthropometrical precision. The 70-80% of world population suffers from backache at some point of their life. As the back pain is very subjective in nature, there are very few objectives finding in history, clinical examination and even on extensive radiological or laboratory investigation.</p> Kavya Krishnan C, Geetha B Markande, Prashanth Jain Copyright (c) 2022 Kavya Krishnan C, Geetha B Markande, Prashanth Jain Sat, 13 Aug 2022 03:17:51 +0000 Proximate Analysis and Organoleptic Properties of therapeutic Kadha tablet for Immunity Booster <p><em>Kadha</em> is a traditional drink with a variety of medicinal benefits. It has been utilized in India since ancient times, but the corona pandemic 2020 has brought it to the forefront. As we are all aware that prevention is preferable to treatment, improving the body's natural defense system (immunity) is crucial to maintaining good health. Ayurveda, as the science of life, promotes nature's gifts in sustaining health. The medicinal plants play a supplementary role in developing the immune system and fighting deadly viruses including COVID-19. The objective of this study is to evaluate the nutritional content through proximate analysis and organoleptic properties of <em>Kadha</em> tablet for immunity booster. Result showed that it has a good sensory property and nutritional content making it a good choice for consumer for achieving better immunity.</p> Tripti Srivastava, Sunita Mishra Copyright (c) 2022 Tripti Srivastava, Sunita Mishra Sat, 13 Aug 2022 03:23:17 +0000 A Literary Review and Therapeutic Action of Pashanbheda (Bergenia ligulata Wall) described by Shamhita in Ashmari Roga <p>The health is supreme foundation for the achievement of happy life. Ayurveda is the most ancient medical science of the world. It deals with preventive and curative aspect of disease and primitive aspect of health. According to <em>Ayurveda</em> simple freedom from diseases is not health. To become healthy, person should be happy in both mentally and spiritually. <em>Pashanbhed</em> (<em>Bergenia</em> <em>ligulata</em> Wall), also known as a stone breaker, is a popular Indian herb used extensively in the treatment of kidney stones. Ayurvedic classics always emphasized the need of advancement in the science to keep pace with the need of time. Now the right time comes to get fruitful researches in such disease where Ayurveda can offer a better hand than any other medical field. As the advancement of facilities human being has created several disharmonies in his biological system. <em>Ashmari</em> is one of the most common and distressing disease among the group of urinary disorder. In the ancient period the diagnosis of <em>Ashmari </em>was done, based only on the <em>Lakshanas</em><em>.</em></p> <p><em>&nbsp;</em></p> Chitranjan Das, Bharati Kumari, Prof. Mahendra Prasad Singh, Shreebhagwan Singh Copyright (c) 2022 Chitranjan Das, Bharati Kumari, Prof. Mahendra Prasad Singh, Shreebhagwan Singh Sat, 13 Aug 2022 03:31:54 +0000 A comprehensive study of Peshi Shareera w.s.r. to Adhoshakhagata Peshi <p><em>Peshis</em> are consolidated forms of the <em>Mamsa Dhatu</em>, demarcated from each other. They cover <em>Sira, Asthi, Snayu</em> and <em>Sandhis</em> and provide strength. <em>Sushrutacharya</em> has explained <em>Peshi</em> in detail including the types, location, distribution and importance. The total number of <em>Peshis</em> enumerated are 500. Amongst these, 400 are located in <em>Shakha</em>, 66 in <em>Koshtha</em> and 34 in <em>Greevapratyurdhwa</em>. 100 <em>Peshis </em>of each lower limb divided under 8 regions and categorised under 12 <em>Swaroopas</em>. However, there is no specific identification of different <em>Peshis</em> based on <em>Swaroopa</em>, provided in the <em>Samhita</em>.&nbsp; Objective of this study is to study the literature on <em>Peshi Shareera</em> w.s.r. to <em>Adhoshakhagata Peshi</em> in the light of modern science by cadaveric study and to categorise the <em>Peshis</em> of lower limbs into 12 <em>Swaroopas</em>. As per literary and cadaveric study, a total of 56 <em>Peshis</em> are found in the lower limbs. 9 of 12 <em>Swaroopa </em>are found to be relevant for categorising the <em>Adhoshakha Peshis</em>. The reason for the difference in the number of <em>Peshis</em> could be inclusion of tendons or aponeurosis, or single muscle observed in two or more regions or 2 heads of origin of a single muscle as two. Hence, the number of <em>Peshis</em> in <em>Adhoshakha, </em>by cadaver dissection can be interpreted as 91 according to Sushruta and 96 as per Vagbhata’s enumeration.</p> Arundhati S Walwadkar, Krishnamurthy N, Nithin Kumar Copyright (c) 2022 Arundhati S Walwadkar, Krishnamurthy N, Nithin Kumar Sat, 13 Aug 2022 03:38:24 +0000 Anatomical Interpretation of Kakshadhara Marma and its Clinical Importance <p>The term <em>Marma</em> indicates the sense of vital parts of the human body. and injury to these spots leads to the death and death like miseries. The Knowledge regarding location and sites of the <em>Marma</em> in the body have great importance in Traumatology. <em>Marmas</em> are grouped separately on the basis of the structural classification, based on the injury consequence, based on the <em>Pramana</em> &amp; based on the location in the body. <em>Marma Viddha Lakshanas</em> are explained in detail by the <em>Acharya Sushruta</em>. <em>Kakshadhara Marma</em> is <em>Vaikalyakara Marma</em> in the <em>Urdhwa Shakha</em> it is <em>Snayu Marma</em> according to the <em>Sushruta</em> which causes <em>Vaikalyata</em> once injured. The main of the study is to explore the structures present in the <em>Kakshadhara Marma</em> and to study its clinical importance.</p> Vidya Chandrappa Mangalore, Harshavardhan Byalihal, Niyazahmed Kanavi Copyright (c) 2022 Vidya Chandrappa Mangalore, Harshavardhan Byalihal, Niyazahmed Kanavi Sat, 13 Aug 2022 05:20:42 +0000 A comprehensive understanding of Adhimantha w.s.r. to Glaucoma <p><em>Adhimantha</em> is considered as <em>Sarvagata Netraroga</em> which is a dreadful disease and possess symptoms of Glaucoma as per modern science. Where there is excessive churning type of pain in the eyes along with the involvement of the particular dosha. The estimated prevalence of glaucoma cases in India is reported to be 11.9 million. The prevalence of glaucoma in India is not the same at every place varying prevalence among different populations and subgroups having rate of being 2.3-4.7%. Glaucoma is a group of eye conditions that damage the optic nerve. This damage is caused due to raised intra ocular pressure this is the leading cause for blindness globally. In present scenario concept of <em>Adhimantha</em> and its management according to Ayurveda and modern science gain much important. Hence this article describes Ayurveda and modern perspectives of <em>Adhimantha</em> along with its treatment modalities.</p> Megha, Hamsaveni V Copyright (c) 2022 Megha, Hamsaveni V Sat, 13 Aug 2022 05:28:21 +0000 Cervical factors as a cause of Vandhyatwa <p><em>Vandhyatwa</em> is the condition where a female is unable to conceive which could be due to various causes and one of the causes can be due to abnormality in the cervix either anatomical or physiological abnormality. Cervical factor can contribute to infertility to a large extent. It could be a cervicitis, cervical stenosis, cervical erosion, cervical mucus hostile to sperm, anatomical defects like or pin hole os of the cervix, even sometimes existing cervical carcinoma. In case of a cervical pathology, we can benefit the patient with specific line of management based on Ayurvedic references. <em>Sodhana</em> procedures prior to any treatment will be helpful in making the <em>Yoni Shudha</em> and <em>Shodhana</em> helps in controlling the excessive <em>Dosha</em> vitiation and further treats <em>Vandhya</em>. Ayurvedic formulations and <em>Sthanika Chikitsas</em> are well explained in the Ayurvedic classical texts to improve the cervical mucus quality.</p> Pallavi Maheshwari, Papiya Jana Copyright (c) 2022 Pallavi Maheshwari, Papiya Jana Sat, 13 Aug 2022 05:33:24 +0000 Clinical indications of Hingwashtaka Choorna an experiential and scientific view <p><em>Choorna</em> preparations are the pulverized products of Ayurveda medicine which are widely used by Ayurveda physicians in Indian subcontinent. <em>Avipattikara Choorna, Lavana Bhaskara Choorna,&nbsp; Gangadhara Choorna,&nbsp; Swadishta Virechana Choorna,&nbsp; Pancha Sakara Choorna,&nbsp; Shatsakara Choorna,&nbsp; Talisadi Choorna,&nbsp; Sitopaladi Choorna, </em>&nbsp;and <em>Triphala Choorna</em> are few formulations which are commonly used in Ayurveda practice.&nbsp; <em>Choornas</em> are easy to prepare and easy to administer also. However, they should be stored after airtight packing.&nbsp; Otherwise, they get spoiled and their pharmacological action is lost. <em>Hingwashtaka Choorna</em> is one such preparation which is generally used as appetizer, digestant and carminative also. In diseases like <em>Agnimandya, Ajirna, Atisara, Malabandha, Udarashoola, Kukshi Shoola,&nbsp; Anaha, Adhmana </em>and <em>Atopa, Hingwashtaka Choorna</em> gives good results. The present paper highlights about the clinical indications of <em>Hingwashtaka Choorna</em> in an experiential and scientific view.</p> Prof. Shripathi Acharya G, Rajeshwari S Acharya Copyright (c) 2022 Prof. Shripathi Acharya G Sat, 13 Aug 2022 00:00:00 +0000 Role of Swasthavritta in Ayurveda for healthy life : A Review <p>The objective of preventive medicine is to oppose the disease in order to preserve the health, promote the health, prolong the life and to minimize sufferings.&nbsp; Food is said to be cause of stability for all the living beings. There is nothing except diet for sustaining the life of living beings. The <em>Srotas</em> which carries “<em>Anna</em>” (food) are called as <em>Annavaha Srotas. Annavaha Srotas</em> can be correlated with gastrointestinal tract. According to Ayurveda consumption of <em>Apathya</em> and <em>Ahitkara Ahara</em> is the main cause of <em>Annavaha</em> <em>Srotas Dushti</em>. Commonly <em>Mahastrotas</em> is the term applicable to <em>Annavaha Strotas.</em> The <em>Ahara</em>/<em>Aushadhi</em> which is not causing any harm to <em>Srotas</em> and is wholesome to the body and mind is <em>Pathya</em>. Ayurveda specially expresses the importance of food in maintaining &amp; promoting good health as well as in curing diseases. We observe mainly individual suffering from deficiency disease, even after consumption of the so-called balanced diet. Ideal diet means just not only the consumption of carbohydrate, protein, fat etc. The diet should have the qualities like <em>Hita Ahara, Satmya-Ahara, Aviruddha Ahara, Sarva-Rasa-Sannivishta-Ahara.</em> To obtain maximum benefit from the diet we take, it is necessary to follow certain dietetics rules like <em>Asta Ahara Vidhi Visheshayatanani, Ahara Vidhi Vidhan, Dwadashashana Pravichara</em> etc. By adopting these rules regulations related to <em>Ahara Sevana</em> one can prevent the <em>Annavahastrotao Dushti,</em> which in turn helps to avoid diseases</p> Sharayu S Gajapure, Omprakash Gulhane Copyright (c) 2022 Sharayu S Gajapure, Omprakash Gulhane Sat, 13 Aug 2022 06:08:11 +0000 Understanding Meniere’s Disease in the light of Ayurveda <p>Meniere’s Disease is an inner ear disease characterized by episodes of Vertigo, Fluctuating sensorineural hearing loss, Tinnitus and sensation of fullness of ear (aural fullness).&nbsp; It may be associated with headache, nausea, drop attacks. Relapsing nature of the disease hampers the quality of life in patients. The highest prevalent age group is 30- 60 years of age. The main pathology occurs as the result of endolymphatic sac distension caused by excessive production or faulty absorption of endolymph or both. The exact cause is unknown the hypothesized etiological factors are vasomotor disturbances, excessive retention of water and sodium, allergy, auto immune, otosclerosis, otitis media etc. <em>Acharya</em> <em>Sushruta</em> has explained <em>Karnarogas</em> like <em>Karnanaada</em>, <em>Karnakshweda</em>, <em>Badhirya</em> which are nearer to Meniere’s disease when studied along with <em>Bhrama</em>. By knowing <em>Doshic</em> involvement we can incorporate the <em>Chikitsa</em> explained in the context of <em>Urdhwajatru Vikaras</em> like <em>Nasya</em>, <em>Karnapoorana</em>, <em>Shirodhara</em> etc. it is a <em>Vata</em> <em>Pradhana</em> <em>Tridoshaja</em> <em>Vyadhi</em> along with <em>Rajo</em> <em>Dosha</em> vitiation. Management can be done by adopting <em>Shodhana Chikitsa</em> like <em>Snigdha</em> <em>Virechana, Tikshna Nasya </em>which are helpful in combating <em>Margavarodha</em> and <em>Vataprakopa</em>, followed by <em>Brimhana Nasya, Rasayana </em>therapy along with <em>Satwavajaya Chikitsa</em> which helps to manage the anxiety induced by Vertigo.</p> Anuradha Biserotti, Prashanth AS, Datta Nadgir Copyright (c) 2022 Anuradha Biserotti, Prashanth AS, Datta Nadgir Sat, 13 Aug 2022 06:15:04 +0000 Beej Mantra Chikitsa and its impact on 48 students of PEC Chandigarh Pre & Post Meditation through Beej Mantra on Weight, BP, SPO2, BMI, BPS, BPD, BPP <p>In Ayurveda there is a description of 3 <em>Aushadhi</em> : 1. <em>Daivavyapasraya Chikitsa </em>[taking refuge of your <em>Aatma</em> (Soul)], 2<em>. Yuktivyapasraya Chikitsa </em>(taking refuge of device which is considered the fastest way to heal), 3<em>. Sattavajaya Chikitsa </em>(Purity of Thoughts). Here the <em>Mantras </em>are the sacred words having spiritual potency. <em>Mantras</em> are not merely sounds but thoughts which establish a connection between Divine and You. Later comes the sound of that <em>Mantra</em> and its impact is also affected if not done with full attention. <em>Mantra </em>instill confidence, improve concentration and <em>Aatma</em> (soul) therapy is the medicine of the future, soul as a creator of mind &amp; body wave of consciousness protects us from several diseases and reforms the future.<strong> Aims &amp; Objective: </strong>The aim of the present study was to know the effect of the beej mantra meditation on the student’s BP, Pulse, spo2, Weight and pulse rate. <strong>Methods: </strong>Manual and electronic search was done on Mantra Chikitsa, Beej Mantra in Charak Samhita, Susruta Samhita and Astanga Hridaya. Then <strong>4</strong>8 PEC Chandigarh Ist Yr students practised Beej Mantra meditation technique through a one hour lecture. Pre and post meditation measurements were recorded and analysed. <strong>Results: </strong>Significant number of students reported to be more attentive, comfortable, relaxed and had better memory and had significant reduction in mean pulse rate, Weight, BP. Students expressed a feeling of relaxation and of having a fun filled learning atmosphere after meditation.<strong> Conclusion: </strong>This simple and easy technique of Beej Mantra meditation could be adopted to enhance Stress reduction in students.</p> Arti Shukla, Gaurav Shukla Copyright (c) 2022 Arti Shukla, Gaurav Shukla Sat, 13 Aug 2022 06:19:38 +0000 Study of Nabhi Pradesha and Nabhi Nadi Shareera <p>Ayurveda is an intricate and detailed science, which provides great insight into the importance of every part of the body. One of the most important parts is <em>Nabhi</em> along with other structures. The <em>Nabhi</em> plays the most important role in the development of the body from the very beginning of the life, even at embryonic stage. In Ayurveda, <em>Nabhi</em> is believed to be the root of <em>Siras</em> present between <em>Pakvashaya</em> and <em>Amashaya</em>. Such <em>Siras</em> are passage ways of nutrients and serve as outlets for showering sustenance in different parts of our body. Due to <em>Nabhi’s</em> importance, many Ayurveda Acharya’s found <em>Nabhi</em> to be a significant structure in the body and core of all organs of the body. In ancient Indian tradition the navel of the god Vishnu is consider as the centre of the universe at the source of the life. From his navel, a new world emerges. It also has aesthetic importance but also tells the health status, it is a site of various treatment to which makes it worthy to consider its anatomical concepts and applied aspects. In embryonic stage <em>Nabhi</em> place an important role in the development of fetus, by the formation of <em>Garbha</em> <em>Nabhi Nadi</em> through which nutrient materials exchange between mother and fetus this will explains the concepts of <em>Garbha Phoshana</em> and <em>Garbha Matru-Paratantrata</em> concepts. With this background an attempt is done for the literary study of <em>Nabhi Pradesha</em> and <em>Nabhi Nadi Shareera.</em></p> Bapatla Suneetha, MR Patil, Kavitha Butali Copyright (c) 2022 Bapatla Suneetha, MR Patil, Kavitha Butali Sat, 13 Aug 2022 00:00:00 +0000 A Clinical Review on Mutraghata (Retention of Urine) <p>Numerous folks are afflicted by numerous <em>Mutra Vaha Srotas</em> diseases. Any <em>Vaidya</em> should be familiar with terms like <em>Nidana, Samprapti, Lakshanas, Sadhya-Asadhyata, Upadrava,</em> and <em>Chikitsa</em>. <em>Mutraghata</em> has been recognized by Acharya Dalhana as a <em>Mutra Vaha Srotas</em> clinical body, when urine flow is impeded, as a result of retention or relative anuria or oliguria. Urine that is obstructed (<em>Mutraghata</em>) is unhealthy because urine is its primary feature. Therefore, urinary tract obstruction or urinary route inflammation may be to blame for urine retention. This effect may also be employed as the <em>Mutraghata</em>'s <em>Nidana</em> for the <em>Mutra Vaha Srotas' Dushti</em>. The <em>Doshas</em> become worse as a result of this reason. <em>Vata Dosha</em> predominates. Pee flow is impeded by the vitiated <em>Dosha</em>, which combines with urine.</p> Santosh Kumar Yadav, Amit Mishra, Kumari Nidhi Shree Bibhuti Copyright (c) 2022 Santosh Kumar Yadav, Amit Mishra, Kumari Nidhi Shree Bibhuti Sat, 13 Aug 2022 06:38:26 +0000 Literary review on etiopathology and principal management of Udarda <p>In Ayurveda, <em>Udarda</em> has been described along with treatment in classical texts for benefit of human kind. The description of <em>Udarda</em> along with treatment as single chapter is not found in <em>Charak</em> and <em>Sushruta Samhita</em>. The details of<em> Udarda </em>as a separate chapter are given<em> Madhavnidana, Chakradutta</em> and various other texts. <em>Udarda</em> has <em>Kapha</em> dominance and can be treated with various <em>Kapha Shamak Yoga</em> given by <em>Acharyas</em>.</p> Puneet Sharma Copyright (c) 2022 Puneet Sharma Sat, 13 Aug 2022 06:42:31 +0000 An analytical review on Kloma <p>The <em>Kloma</em> which is one of the root of <em>Udakavaha</em> <em>Srotas</em> is additionally an indefinite organ. A difference of opinion is found in Ayurvedic content with respect to the <em>Kloma</em>. While studying description related <em>Kloma</em> particularly through <em>Sushruta Sharira Sthana</em> it was seen that till date there is no conclusive sentiment about <em>Kloma</em>. The <em>Viddha Lakshana</em> (traumatic effects) of the <em>Udakavaha</em> <em>Srotas</em> is <em>Pipasa </em>(thirst) and <em>Marana</em> (death). So, to explain the anatomical area of <em>Kloma</em> and specify <em>Kloma</em> with the body organ was the prime plan to start this article. By the help of the patho-physiology of pancreas we correlate the organ <em>Kloma</em> with pancreas.</p> Swapna Rani Meher, Sushil Dwivedi Copyright (c) 2022 Swapna Rani Meher, Sushil Dwivedi Sat, 13 Aug 2022 06:46:48 +0000 Effect of Nitya Virechana in Hypercholesterolemia - A Case Report <p>Cholesterol is circulating lipid, part of cell membranes used for synthesis of steroid hormones, bile salts and vitamin D. It is derived from diet as well as synthesized within the body in liver which is essential for proper functioning of the body. The fat tissue mixed with <em>Ama</em> is imbalanced cholesterol. This is responsible for altered quality of fat tissue and cholesterol. It creates number of pathological conditions affecting multiple systems including IHDs, Strokes etc. High cholesterol raises risk for Cardiac ailments like cardiac arrest etc. <em>Nitya Virechana</em> can be planned in <em>Alpa Bala Rogi</em> to eliminate excessive aggravated <em>Doshas </em>(in <em>Bahu Doshavastha</em>) in small quantity on daily basis. <em>Nitya Virechana</em> in <em>Hriswa</em> / <em>Madhyama Matra</em> without any <em>Purvakarma </em>helps for <em>Koshtha Shuddhi</em>, <em>Srotoshodhana</em> (reducing <em>Margavarodha</em>) and <em>Agni Vriddhi</em>, controls further progression of disease. In present case study the patient was said to be healthy before 2 years. He gradually gained weight overtime. Since last 3 months he had complained of fatigue with exertional dyspnoea. <em>Nitya Virechana</em> helped patient in many aspects within two months.</p> Padmavati Venkatesh, Rupendra Kumar Sahu, Chinmayee Mohanty Copyright (c) 2022 Padmavati Venkatesh, Rupendra Kumar Sahu, Chinmayee Mohanty Sat, 13 Aug 2022 06:59:17 +0000 An Ayurvedic Management of Kitibha Kushta (Plaque Psoriasis) - A Case study <p>Skin disease makes a great impact as other serious medical conditions when assessed by effects on health-related quality of life. Skin diseases are ranked as the fourth most common cause of human illness, resulting in an enormous non-fatal burden. According to Global burden of diseases, skin and subcutaneous diseases are increasing at an alarming rate since few decades. Due to altered lifestyle, lack of physical exercise, unhygienic, mental stress, over eating, nutrition deficiency, skin diseases are commonly observed. All the skin diseases in Ayurveda&nbsp; have been discussed under the broad heading of <em>Kushta</em> which is further divided into <em>Mahakusta</em> and <em>Kshudra Kusta</em>. <em>Kitibha Kusta</em> is included under <em>Kshudra Kusta</em> which simulates with signs and symptoms of Psoriasis. Psoriasis is chronic disorder which is commonly encountered in day today’s clinical practices accounting for wide spared prevalence. As it is relapsing in nature it requires treatment for long duration. In this case study, 41 years old male patient&nbsp; had come to OPD of Agadatantra with chief complaint of <em>Kandu</em> (itching), dry silvery white patches over both the elbow, blackish discoloration over lower limbs, abdomen and back treated with <em>Shodhana Chikitsa</em> [Body purification] using <em>Virechana Karma</em> and <em>Shamana Chikitsa</em> using <em>Panchatikta Guggulu Ghrta, Bilvadi Gutika, Manjista Choorna</em> as <em>Lepa</em> and <em>Marichadi Taila</em> for application. Thus, this paper highlights a case study of <em>Kitibha</em> <em>Kusta </em>(Plaque Psoriasis) treated with Ayurvedic principles.</p> Akshatha K Shirwar, Ashwinikumar S. Bharati Copyright (c) 2022 Akshatha K Shirwar, Ashwinikumar S. Bharati Sat, 13 Aug 2022 07:03:09 +0000 Role of Jaloukaavacharana followed by Kaasisaadi Taila application in thrombosed Haemorrhoids – A Case Study <p>Haemorrhoids are the most common among ano-rectal diseases which affect millions of people around the world. <em>Arshas</em> is a <em>Vyadhi</em> which make a person suffer just like he suffers from his enemies.&nbsp; Thrombosed haemorrhoids is a condition with acute swelling at the anal verge which is extremely painful and possibly occur due to high venous pressure. Though the disease is within the limits of management, it has its own complications like inflammation and thrombosis, by which a patient gets severe pain. Prior to surgical treatment of hemorrhoids, associated conditions like inflammation, strangulation, thrombosis need to be managed. Leech therapy followed by <em>Kaasisaadi Taila</em> application is found to be effective in reducing pain and acute swelling. In thrombosed piles, leech application has shown thrombolytic action, which contributes in re-establishment of circulation. It is observed in the study that, pain and other inflammatory changes have been reduced after leech application due to antimicrobial and mucolytic properties of leech followed by <em>Kaasisaadi</em> <em>Taila</em> which shrinkens the haemorrhoidal mass. This treatment is found to be effective in patients suffering with thrombosed haemorrhoids.</p> Rakshitha M, S M Sridhara Rao Copyright (c) 2022 Rakshitha M, S M Sridhara Rao Sat, 13 Aug 2022 07:58:50 +0000 Assessment of Osteoporosis (Asthi-Majja Kshaya) w.s.r. to BMD with Dashmool Majja Siddha Sneha Basti <p>Osteoporosis is characterized by low bone mass and deterioration of bone tissue consequentially leading to increase in bone fragility and susceptibility to fracture. According to principle of <em>Ashraya</em>-<em>Asharayi Bhava, Asthi</em> and <em>Vata</em> are inversely proportional to each other regarding to the <em>Vriddhi</em> and <em>Kshaya</em>. The symptoms of <em>AsthiMajja Kshaya</em> resembles to osteoporosis. <em>Dashmool</em> and <em>Majjadravyas</em> have direct affinity towards <em>Asthi Dhatu</em>, already diagnosed and non-operated case of osteoporosis with complaints of pain of bilateral hip joint and Lower back pain, restricted movements and limping gait approached the out-patient division of the hospital and was managed by Panchakarma therapy. The aim of the study is to find out the Probable efficacy and accepted activities of osteogenesis and ossification by the DMSSB (changes in T and Z score of BMD before and after intervention). Significant improvement was noticed after the treatment. Pain was reduced significantly with marked improvement in range of motion.</p> Preeti Chaturvedi, Manish Piplya , Shalu Jain Copyright (c) 2022 Preeti Chaturvedi, Manish Piplya , Shalu Jain Sat, 13 Aug 2022 08:05:40 +0000 Management of Recurrent Pilonidal Sinus through Ayurveda Care and Surgery - A Case Report <p><strong>Introduction: </strong>Pilonidal disease refers to subcutaneous infection occurring in the upper half of the gluteal cleft having no communication in the anal canal. In <em>Ayurveda</em> it can be correlated to <em>Shalyajanya Nadivrana</em> which is described in detail by Acharya Sushrutha. It presents as an acute abscess or chronic wound associated with pus discharge and severe discomfort. In this case report we present 20 years old female patient who reported to the OPD of <em>Shalya </em>SDMCAH with the complains of pain associated with pus discharge at the natal cleft region since two weeks with a history of Z plasty surgery. <strong>Methods: </strong>The case was managed by surgical excision followed by <em>Kshara Karma, Triphala Prakshalana</em> and dressing with <em>Jatyadi Taila.</em> Internally the patient was administered with <em>Triphala</em> <em>Guggulu</em> and <em>Gandhaka Rasayana. </em><strong>Discussion: </strong><em>Apamarga Kshara</em> helps in removal of unhealthy granulation tissue and cellular debris by sclerosing properties thereby lowering the recurrence rate. <em>Triphala Prakshalana </em>and wound dressing by <em>Jathyadhi Taila</em> fastens the healing process by microcidal effect. <strong>Results:</strong> The initial complains of pain associated with pus discharge subsided within seven days, while complete healing of the tract was observed within two months. <strong>Conclusion:</strong>&nbsp; The surgical approach in contemporary science includes excision with reconstructive flaps (z-plasty). However, the recurrence rate is more and there are increased chances of developing wound infection. Hence in this case excision of sinus followed by apamarga kshara pratisarana was incorporated which showed promising results along with complete healing of the tract.</p> Meghana AM, Gopikrishna BJ, Prasanna N. Rao, Mahesh Kumar ES Copyright (c) 2022 Meghana AM, Gopikrishna BJ, Prasanna N. Rao, Mahesh Kumar ES Sat, 13 Aug 2022 00:00:00 +0000