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Year : 2017  |  Volume : 5  |  Issue : 4  |  Page : 257-267

Efficacy of Arohana Krama Snehapana and Sadyo-snehana for Virechana Karma in Eka Kushta with special reference to Psoriasis – a comparative study

Correspondence Address:
Rohit Mehta

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Eka Kushta is one among the Kshudra Kushta presenting with Aswedanam (absence of sweating),Mahavastu (extensive localization), Matsyashakalopama (resembles the scales of fish)lakshana thereby affecting the somatic make-up, psychological and social aspects of an individual. Virechana Karma (purgation) occupies the prime seat in the management of Eka Kushta as it is dominated mainly by Pitta as well as Rakta. Snehapana (oleation), the purvakarma (pre- procedure) of Virechana plays a pivotal role by its action of doshautkleshana (excitement of doshas) thereby mobilizing the Utklishtadoshas (excited doshas) from Shakha (extremities) to Koshta (abdomen) and can be achieved by adopting either Arohana Krama (increasing order of snehapana) or Sadyo-Snehana (1 day of snehapana). Hence, a study was planned to evaluate the efficacy of Arohana Krama Snehapana and Sadyo-Snehana for Virechana Karma in Eka Kushta with special reference to Psoriasis. The present study is a clinical study with pre - test and post - test design where in 40 patients of either sex diagnosed as Eka Kushta w.s.r. to Psoriasis were randomly assigned into two groups comprising of 20 patients in each. In Group A and B patient were subjected to Pachana-Deepana with Panchakola Churna. In Group A, patients were subjected to Arohana Krama Snehapana with Amruta Ghrita followed by Virechana with Trivruth Avalehya whereas in Group B, patients were subjected to Sadyo-Snehana for 1 day with Amruta Ghrita followed by Virechana with Trivruth Avalehya. Based on shuddhi (amount of purification), Samsarjana Krama (dietary regimens) was advised in both the Groups. The overall result in the study revealed that both the groups showed statistically significant result and there is no statistically significant difference between the two groups since both the groups showed similar improvementin almost all the parameters with p value < 0.001. All the patients in both the groups presented with Samyak Snigdha (proper oleation) and Samyak Virechana (proper purgation) Lakshanas.Hence, the present study reveals that there is no significant difference between Arohana Krama Snehapanaand Sadyo-Snehana for Virechana Karma in Eka Kushta

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