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   Table of Contents - Current issue
April-June 2019
Volume 7 | Issue 2
Page Nos. 63-138

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How Ayushman Bharat can be a boon in uplifting ancient AYUSH medical wisdom p. 63
Shyam Bhutada
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Samhita-based edification: an incredible primeval Indian medical education system p. 66
Bharat C Chouragade
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Contribution of text Rasapaddhati in the history of Indian alchemy: A review p. 70
Bharat Rathi, Renu Rathi, Santosh Pusadkar
Background: Rasapaddhati is a classical Sanskrit text related to Rasashastra, which mainly deals with metals, minerals, and mercurial preparations flourished during the medieval period to achieve Dehavada (attaining long and healthy life by using mercurial preparations) and Lohavada (conversion of lower metals into precious metals such as gold and silver). Later knowledge of Rasashastra extended to the therapeutic application in various diseases. Rasapaddhati is a fifteenth-century alchemical treatise written by Acharya Bindu comprising the personal experiences of the author in the field of alchemy. Aims and Objectives: This work is a humble attempt to summarize the key features of text Rasapaddhati, its contents, and contribution in the development of Indian alchemy. Materials and Methods: A review of Rasapaddhati was performed on Siddhiprada Hindi commentary by Siddhinandan Mishra and published by Chaukhambha Orientalia in 1987. Results and Conclusion: It is written in Shardulvikridit Chhanda and is completed in 236 verses. The key features of Rasapaddhati include the classifications of minerals, metals, precious stones, description of mercury, and its various processes and 49 herbal and herbomineral formulations with therapeutic applications in various diseases.
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A review on Lepa Kalpana: An inherent topical formulations described in Sharangadhar Samhita p. 75
Mangesh Dhote, Bharat Rathi, Dhirajsingh S Rajput, Rita Dongre
Background: Being one of the major texts in Ayurveda herbal pharmaceutics, Sharangadhar Samhita contributes a very significant part in the world of Ayurveda. It is a major book for reference to academicians as well as physicians. It is an ancient text written by Acharya Sharangadhar in fourteenth century. It is divided into three parts, which are called Khanda. The Khanda includes Prathama Khanda (first part)—7 chapters, Madhyama Khanda (second part)—12 chapters, and Uttara Khanda (last part)—13 chapters, that is, total chapters in Sharangadhar Samhita are 32 and comprises 2600 verses. Materials and Methods: In this work, the review of relevant literature of Lepa Kalpana was carried out from Hindi and English commentary on Sharangadhar Samhita by Pandit Durgadutta Shastri and P. Himasagar Murthy, respectively. In Uttara Khanda, 11th chapter is described as Lepadi Vidhi Adhyaya (chapter on topical dosage formulations) and the same chapter was considered for review. Observation and Results: Total 94 types of Lepa formulations are narrated, of which 80 Lepa formulations contain herbal ingredients, whereas remaining 14 formulations contain herbo-mineral ingredients. Most of these formulations are indicated in skin disorder, hair disorder, migraine, abscess management, anti-inflammatory, and so on. Conclusion: Under the heading of Lepa, Acharya Sharangadhar has provided medicament for local application in common skin diseases. There is a huge scope for research as well as drug discovery and development in the context of Lepa formulations such as Stana and Lingavriddhikar Lepa (breast and penis enlargement), Kurandaghna Lepa (hydrocele), and Suryavarta Ardhavabhedakahara Lepa, mentioned by Acharya Sharangadhar.
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Role of Ayurveda therapeutic procedures in prenatal and postnatal care p. 83
Sudha Dansana, Sujata Kadam
Background: Pregnancy and childbirth are challenging events in women’s life cycle. Throughout this journey very often a mother faces several health issues, discomforts, and complications increasing the risk for her life. To deal with this situation, modern medicine usually needs help of different medical and surgical interventions but not all medicines and surgeries are effective. Ayurveda has advocated ample of therapeutic procedures that can take care of the safety of woman during the course of pregnancy and childbirth. Such procedures are being discussed in this article. Materials and Methods: Selected Ayurveda classics, electronic databases, namely PubMed, Digital helpline for Ayurveda Research Articles, National Centre for Biotechnology information, and so on are searched to compile the evidence of such therapeutic interventions advocated during obstetrical management. Results: Shodhana therapy (bio-purification procedures) is strictly contraindicated during pregnancy. However, Panchakarma (five cleansing methods) such as Basti (therapeutic enema), Nasya (instillation of herbal oils, juices, or powders through the nasal route), and other Upakarmas (allied therapies) such as Parisheka (pouring medicated liquids), Avagahana (Tub bath with herbal liquids) are prescribed in the classics of Ayurveda in the context of Garbhini Chikitsa (pregnancy management), Prasava Paricharya (intrapartum management), and Sutika Paricharya (puerperal management). These ancient methods of treatment procedures are advised to be used moderately with pleasant manner. Conclusion: Specific Panchakarma therapies are useful in achieving and maintaining normal pregnancy and enable normal labor. Various Upakarmas facilitate healthy growth and development of fetus, prevent minor ailments and complications in intrapartum as well as in postpartum phase. Hence, Ayurveda procedures appear to be the most effective remedial measure in preventing obstetrical complications, promoting maternal and child health, and lowering maternal mortality rate.
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Preconception care in Ayurveda p. 90
Revathy Padmakumar Sindhu, Syamlal Sivaramakrishnapillai
Reproduction is one of the basic requirements of any species to continue its existence on the universe. Human reproduction includes stage-wise procedures leading to formation of a new individual. Any simple deviation in this finely calculated series of events can lead to the drastic pathological conditions. Ayurveda, the extract of the entire Vedas, dreams about add (good progeny). Human birth process with pre- and post-event knowledge is explained by (Branch which deals with Obstetrics), which is an integrated part of (Branch which deals with Pediatrics). The preconceptional care in Ayurveda was described centuries back to get a disease-free and good progeny by following the regimen and rituals. Recent research shows that each seminal ejaculation in intercourse depletes the body energy of male counterpart, hence to maintain the quality and energy of sperm, (following of celibacy) for one month before (Conception) was planned. The aim of Aharaniyama before conception was to elevate the qualities of sperm and ovum. Garbhadhana and Puthreshti speak about the preparation of mind-set of would-be parents and to evoke a zeal to have a good progeny. Preconception care is an extension of prenatal care to provide optimal health to mother and baby. Thus, this study helps to explore Ayurveda measures to get a Shreyasipraja.
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Comparative organoleptic and physicochemical study of roots of Hemidesmus indicus (L.) R. Br. and Decalepis hamiltonii Wight and Arn p. 93
Parul P Nandgaonkar, Pramod Khobragade, Akshay S Pargaonkar, Pradeep S Nandgaonkar
Background: Hemidesmus indicus (L.) R. Br. (Sariva), commonly known as Anantmool, is used in therapeutics in Ayurveda with its unique attributes. From few decades due to the heavy demand and extreme commercial collection from natural habitat of this plant, its natural population has decreased with higher rate and has resulted in the extinction of population. In various Ayurvedic raw drug market and in the leading Ayurvedic pharmacies, the roots of Decalepis hamiltonii, which is considered as Sariva Bheda, are used in place of the roots of H. indicus (Sariva) in Ayurvedic formulations. Though H. indicus is cultivated by special method, still it is a very time-consuming and expensive process. D. hamiltonii is easily cultivated with high yield and is less expensive as compared to H. indicus. Aim: In view of these facts, this study was undertaken to compare physicochemical analysis of H. indicus and D. hamiltonii.Materials and Methods: Field samples of H. indicus and D. hamiltonii were collected, identified, authenticated, and studied for vegetative, pharmacognostic, organoleptic, and physicochemical characters. Observation and Results: The root of H. indicus and D. hamiltonii are easily identified by their organoleptic characters. The physicochemical parameters such as loss on drying, total ash, acid-insoluble ash, alcohol-soluble extractives, and water-soluble extractive showed some differences. Conclusion: The external morphological characters of both collected field samples are clearly distinguished and identified as H. indicus (L.) R. Br. and D. hamiltonii Wight and Arn, and they also differ on the physicochemical parameters.
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Correlation of Agni with Koshtha, Prakruti, and Mala p. 99
Namrata B Chouragade, Deepali M Giri, Bharat C Chouragade
Background: Agni (digestive capacity) is an important factor for digestion and metabolism in our body. Ingested food is to be digested, absorbed, and assimilated, which is unavoidable for the maintenance of life, and is performed by the Agni. Agni resides and functions in the body in the form of Pitta (a physiological humor). Wellness and illness of an individual depends on the proper and improper functions of the Agni. Hence, Agni is said to be the Mool (base) of life. Materials and Methods: In this study, 60 healthy volunteers were randomly selected, and their Agni, Koshtha (nature of bowel), Prakruti (physical and mental temperament), and Mala Parikshan (stool examination) were examined through prevalidated Case Record Proforma (CRP), and the results were recorded, and correlation of status of Agni with Koshtha, Prakruti, and Sama-Nirama Mala Parikshan was conducted. Results and Conclusion: The result shows correlation of Agni with Koshtha, Prakruti, and Mala type (Sama and Nirama), which is in tune with the principles described in Samhitas (basic text of Ayurveda), and it is evident that Agni is the most important factor for health as described in the definition of health in Sushruta Samhita.
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Effectiveness of mobile app as a teaching and learning tool p. 104
Gaurav R Sawarkar, Priti R Desai, Punam G Sawarkar
Background: The field of mobile technology in health sciences is somewhat newer concept and provides more openings to future researchers for conduction of more studies. Mobile devices with various applications offer noteworthy facilities with its transportability and accessibility. Rachana Sharir (anatomy) is itself one of the volatile subjects in which various concepts such as Marma Sharir are difficult to understand and memorize. Therefore, to make the topic interesting and easy to comprehend, there is need to make changes in teaching and learning methodology by using Marma Mobile App. Aims and Objectives: This study aimed to assess the efficacy of Mobile App as a teaching and learning tool and perception toward Mobile App, and to compare the efficacy and retention of knowledge in Mobile App and conventional teaching. Materials and Methods: First-year BAMS (Bachelor of Ayurvedic Medicine & Surgery) students were involved in the study. Two modules were prepared on Marma Sharir. Accordingly, pretest and posttest were prepared and conducted before and after teaching the module, respectively. Feedback was noted after crossover study. Observation and Results: The score of posttests was highly significant in Mobile App method as compared with conventional teaching. Students were truly agreeing with Mobile App method and admitted that Marma App developed more interest in the topic and reduced the study duration with increased recall skill. Conclusion: Students remarked that the App was helpful to develop interest in the topic and reduced study duration required for the topic. It created good visual impact and helped in quick recall with retention of knowledge as compared with the conventional teaching. Students suggested for addition of animations and videos in the present App.
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Pharmaceutico-analytical study of Adraka Khanda p. 112
Neha S Chavhan, Bharat Rathi
Background: Adraka (Zingiber Officinale) Khanda described in Bhaishajya Ratnavali is a drug of choice in Udarda (Pressure Urticaria), Shittapitta (Cold Urticaria) and Koth (Solar Urticaria) such as autoimmune system. This formulation is having spicy test. Khanda being one of the common dosage from appreciated by all age group for their palatability and easy method of administration and feasibility. Pharmaceutical standardization of this formulation is not established yet, which is first step towards research on the formulation. Hence present work was planned. Material and Method: Three batches of Adraka were prepared by adopting reference of Bhaishajya Ratnavali and the average required for preparation of Adraka Khanda was one day. A constant heat of 90 to 100 °C was maintained throughout the procedure. Result and Conclusion: The analytical study revealed average observed values of pH (6.2), Acid insoluble ash (0.50), Moisture content (3.5), Water extract (23.2) Alcoholic extract (20.8), Water soluble ash (4.3) , Total ash (5.2).
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Pharmaceutico-analytical standardization of Yashtimadhvadi Taila prepared from Murchhita and Amurchhita Tila Taila p. 119
Ujala P Kale, Anita S Wanjari, Bharat Rathi, Dhirajsingh S Rajput
Introduction: Sneha Murchhana is a process carried out on fats and oils before subjecting to preparation of medicated ghee and oils. It can be interrelated to refinement of oil, though there is variation in refinement and Murchhana, that is, Murchhana enhances its concentration of high-density fatty acids, increases efficacy of formulation, and decreases rancidity and undesirable color. The standardization of Yashtimadhvadi Taila is not mentioned in Ayurvedic Pharmacopoeia of India; hence in this study, an attempt has been made to establish pharmaceutical standardization of Yashtimadhvadi Taila prepared from Murchhita and Amurchhita Tila Taila. Materials and Methods: For pharmaceutical standardization of Yashtimadhvadi Taila prepared from Murchhita and Amurchhita Tila Taila, Murchhana of oil was carried out as mentioned in Bhaishajya Ratnavali, and Yashtimadhvadi Taila was formulated as referred in Vaidya Chintamani. In analytical study, the samples were subjected to physicochemical analysis such as refractive index, specific gravity, saponification value, unsaponifiable matter, acid value, iodine value, and peroxide value. Observations: Average quantity obtained after Murchhana of Tila Taila was 94.74%, that is, 5.26% weight loss. Total time required for the preparation of MYT (Yashtimadhvadi Taila prepared from Murchhita Taila) and AYT (Yashtimadhvadi Taila prepared from Amurchhita Taila) was 10h and 8.30h with 7.29% and 5.20% weight loss, respectively. The heating process was finished in three days. After Murchhana, increase in saponification value and decrease in iodine and peroxide value were observed. This suggested that the application of Murchhana process on the base oil (Tila Taila) enhanced the properties and stability of Yashtimadhvadi Taila.Conclusion: Yashtimadhvadi Taila can be prepared in three days by heating and maintaining average temperature up to 100°C. Mild heating and constant stirring are needed for medicated oil preparations possessing desired attributes. Considering all the data of study indicates the importance of concept of Murchhana in the therapeutic potency of Yashtimadhvadi Taila.
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Role of Khanduchakka (Ehretia laevis) Lepan (local application) in the management of delayed union of metatarsal fracture: A case report p. 127
Suraj V Tichkule, Kiran B Khandare, Pooja P Shrivastav
Background: The application of Khanduchakka (Ehertia Laevis) Kalka (paste) in the case of Delayed-union of metatarsal fracture is an innovative idea. It is a case report having the fracture of 3rd and 4th metatarsal of right foot. Ehertia Laevis is folklore plant locally known as Khanduchakka used in fracture and wound healing in various forms by the tribal people. In the present case it is used as Lepan (local application). Observation after treatment shows that the Ehertia Laevis is an effective alternative treatment for fracture and delayed union of bones without any complications. Aim: To evaluate healing effect of Khanduchakka Lepan in the management of Delayed union of Metatarsal fracture. Material and Method: In this present case report, the patient with Delayed union of Metatarsal fracture was treated with Khanduchakka Kalka used as local application after all the mandatory investigations and its efficacy was evaluated on the basis of clinical parameters like pain, swelling and fracture healing. Statistical analysis used: 1. Universal Pain Assessment Tool i.e. Visual Analog Scale (VAS) scoring for pain. 2. Swelling was assessed by measuring affected foot circumference in centimeters. 3. American Orthopedic Foot and Ankle Scale (AOFAS) result was calculated. Results: Patient showed significance results in clinical parameters evaluated. He got partial relief within 2 weeks. Conclusion: X-Ray revealed that there was callus formation and the mal-union was slightly aligned just by simply applying Khanduchakka Kalka over a fracture. Visual analog scale used for pain showed before treatment score - 8/10 and after treatment score - 2/10. Circumference of swelling reduced from 33cm to 29cm. AOFAS score was improved from 38/100 to 79/100 points. Therefore it can be concluded that this intervention not only acts as fracture healing but also relieved symptoms of pain and swelling.
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Ayurvedic management of Gridhrasi with special respect to sciatica: a case report p. 131
Manju Mohan, Punam Sawarkar
Background: Gridhrasi is one of the most common disorders of Vata, which closely resembles with sciatica, which is characterized by pain or discomfort associated with sciatic nerve. The prevalence of sciatica varies considerably ranging from 3.8% in the working population to 7.9% in the nonworking population. Contemporary medicine has limitations giving short-term relief in pain or surgical intervention with side effect. Aim and Objectives: The aim of this study was to access the efficacy of Ayurvedic management including Shodhana and Shamana Chikitsa in Gridhrasi.Materials and Methods: It is a single case study. A 43-year-old man who was already diagnosed with intervertebral disc prolapsed in L4-L5, correlated with Gridhrasi of left leg since 7 months approached to Ayurvedic hospital and was treated with Panchakarma treatment including Dashmooladi niruha vasti, Kati vasti, and Patra panda pottali sweda along with Shamana Chikitsa. The treatment was continued for consecutive one month. Results: Symptomatic assessment of patient was carried out after one month and satisfactory outcome was there and overall quality of life of patient was significantly improved. Conclusion: The aforementioned therapy gives symptomatic relief for the management of Gridhrasi.
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