Dementia is a chronic organic mental disorder characterized by progressive, usually irreversible ... more Dementia is a chronic organic mental disorder characterized by progressive, usually irreversible global cognitive deficit. The clinical syndrome of dementia can be due to a variety of underlying pathophysiological processes. Individuals with autoimmune diseases may have an increased risk of developing dementia. Autoimmune encephalopathy become increasingly apparent and dementia may arise as a sub-acute or chronic complication of immune mediated injury to the central nervous system. It is a relatively new category of immune-mediated disease involving the central nervous system that demonstrates a widely variable spectrum of clinical presentations, ranging from the relatively mild or insidious onset of cognitive impairment to more complex forms of encephalopathy with refractory seizure. Due to the lack of decisive treatments in the conventional medicine, it is in need to find alternate effective therapy in order to prevent progression of the disease. Although this condition is not described as a separate entity among Ayurvedic classics, the signs and symptoms along with pathogenesis of dementia can be understood in terms of Ayurvedic concepts. Ayurveda refers this condition as Smruti nasa and its cause to be an imbalance in Vata dosha which naturally manifests with old age. Here is a case report of 65-year-old male diagnosed with dementia due to autoimmune encephalopathy which was treated for 21 days with a combination of Panchakarma procedures and selected Ayurvedic drugs. The condition of the patient was assessed before and after treatment using Alzheimer's Disease Assessment Scale (ADAS) in which there was considerable improvement without any adverse effect.
The Dose of a medicine plays an important role in the efficacy of a drug or procedure. It is one ... more The Dose of a medicine plays an important role in the efficacy of a drug or procedure. It is one among the factors which produces optimum effect of Niruha vasti. The dose of Niruha Vasti can be measured with Aturahasta (patient's own hands). Madhutailika Vasti is a commonly practiced Niruha Vasti in Kateegraha, the effect of which in Aturahasta Pramana is so far not studied. Objective of this paper is to study safety and efficacy of Madhutailika Vasti administered with Aturahasta Pramana in Kateegraha. 20 participants satisfying eligibility criteria were selected, Yogavasti done under which Madhutailika Vasti was administered in Aturahasta Pramana up to Samyak Niruha Lakshana. 90% of participants required more than one Putaka on the first Niruha day to obtain Samyak Niruha Lakshana, which decreased in subsequent days. There was significant reduction in Visual Analogue Scale (P<0.001) and Oswestry disability Index showed statistically significant improvement (P<0.001). No significant change was noticed in blood parameters except ESR, which showed a significant reduction (P<0.05). The study concluded that Madhutailika Vasti administered in Aturahasta Pramana is effective in producing Samyak Niruha Lakshana in Kateegraha and is safe and effective in Kateegraha.
Background: There are indications for takradhara over head and body in diseases like Prameha and ... more Background: There are indications for takradhara over head and body in diseases like Prameha and its complications. But the difference between the effect of takradhara over head and body is unknown. Hence the present study has been taken to compare the effect of Sarvanga takradhara and Siro takradhara in Diabetic Peripheral neuropathy (DPN). Objectives: To study the effect of Sarvanga takradhara, Siro takradhara and compare their efficacy in DPN. Methods: Twenty Participants satisfying the eligibility criteria were selected from OPD of VPSV Ayurveda College Hospital, Kotakkal and allocated into two groups (Group A & B), which received Sarvanga takradhara and Sirotakradhara respectively. The subjective and objective assessments were done. Efficacy was assessed on Neuropathy Impairment Score (NIS), Visual Analogue Scale (VAS), symptoms of DPN, QoL and blood parameters. Results & Discussion: There was significant reduction observed in NIS score, VAS, symptoms & QoL in both groups (P<0.05). Sirotakradhara showed significant reduction in blood sugar level (FBS and PPBS). Conclusion: Both Sarvanga takradhara and Sirotakradhara were effective in reducing the signs and symptoms of diabetic peripheral neuropathy.
Ayurveda represents a dual approach for management of a disease namely samsodhana chikitsa (purif... more Ayurveda represents a dual approach for management of a disease namely samsodhana chikitsa (purificatory therapy) and Samsamana chikitsa (Pacificatory therapy). Even though purification is considered as the most important part of the treatment, the preparatory procedures like snehana and swedana comprises a major part of the procedures done in a theatre. Among them, Swedana procedures include the maximum. Kerala has a rich tradition of practice of Panchakarma and allied procedures and made many unique contributions. The foremost example is Pindasweda in which many varities of procedures have been identified. A review of classical and regional texts shows a large number of formulations of Churnapindasweda which are used as Rukshasweda, Snigdhasweda and Rukshasnigdhasweda. The boluses are directly applied to the body, heated in steam of sour gruel, butter milk, cow's urine or Kashaya etc or the boluses are dipped in boiling sour gruel, butter milk etc. Even in a single disease Swedana with various materials have been explained. Unless these practices are put into research and utilized in clinics with more intent and frequency, this unique tradition will fade away from spectrum of knowledge.
Plantar fasciitis is a chronic inflammatory condition of plantar fascia which extends from medial... more Plantar fasciitis is a chronic inflammatory condition of plantar fascia which extends from medial tuberosity of calcaneus to proximal phalanges and is usually presented with pain in the inferior aspect of the heel which is aggravated in the morning initial steps or after a period of rest. Even though it is a self-limiting disease, the lengthy resolving period make the patient desperate and seek for all available medical systems. A number of treatment modalities are available, heat therapy being a common non pharmacological treatment. Ayurveda incorporates different medical formulations in the heating modalities and advises various techniques of fomentation. Even though mechanism of action of heat therapy has been studied in detail mode of action and advantages of ayurvedic heating therapies have not been systematically analysed. There is an urgent need of transcribing the classical and regional literatures, compile methods of swedana and study their effectiveness in specific pathologies.
Dementia is a chronic organic mental disorder characterized by progressive, usually irreversible ... more Dementia is a chronic organic mental disorder characterized by progressive, usually irreversible global cognitive deficit. The clinical syndrome of dementia can be due to a variety of underlying pathophysiological processes. Individuals with autoimmune diseases may have an increased risk of developing dementia. Autoimmune encephalopathy become increasingly apparent and dementia may arise as a sub-acute or chronic complication of immune mediated injury to the central nervous system. It is a relatively new category of immune-mediated disease involving the central nervous system that demonstrates a widely variable spectrum of clinical presentations, ranging from the relatively mild or insidious onset of cognitive impairment to more complex forms of encephalopathy with refractory seizure. Due to the lack of decisive treatments in the conventional medicine, it is in need to find alternate effective therapy in order to prevent progression of the disease. Although this condition is not described as a separate entity among Ayurvedic classics, the signs and symptoms along with pathogenesis of dementia can be understood in terms of Ayurvedic concepts. Ayurveda refers this condition as Smruti nasa and its cause to be an imbalance in Vata dosha which naturally manifests with old age. Here is a case report of 65-year-old male diagnosed with dementia due to autoimmune encephalopathy which was treated for 21 days with a combination of Panchakarma procedures and selected Ayurvedic drugs. The condition of the patient was assessed before and after treatment using Alzheimer's Disease Assessment Scale (ADAS) in which there was considerable improvement without any adverse effect.
The Dose of a medicine plays an important role in the efficacy of a drug or procedure. It is one ... more The Dose of a medicine plays an important role in the efficacy of a drug or procedure. It is one among the factors which produces optimum effect of Niruha vasti. The dose of Niruha Vasti can be measured with Aturahasta (patient's own hands). Madhutailika Vasti is a commonly practiced Niruha Vasti in Kateegraha, the effect of which in Aturahasta Pramana is so far not studied. Objective of this paper is to study safety and efficacy of Madhutailika Vasti administered with Aturahasta Pramana in Kateegraha. 20 participants satisfying eligibility criteria were selected, Yogavasti done under which Madhutailika Vasti was administered in Aturahasta Pramana up to Samyak Niruha Lakshana. 90% of participants required more than one Putaka on the first Niruha day to obtain Samyak Niruha Lakshana, which decreased in subsequent days. There was significant reduction in Visual Analogue Scale (P<0.001) and Oswestry disability Index showed statistically significant improvement (P<0.001). No significant change was noticed in blood parameters except ESR, which showed a significant reduction (P<0.05). The study concluded that Madhutailika Vasti administered in Aturahasta Pramana is effective in producing Samyak Niruha Lakshana in Kateegraha and is safe and effective in Kateegraha.
Background: There are indications for takradhara over head and body in diseases like Prameha and ... more Background: There are indications for takradhara over head and body in diseases like Prameha and its complications. But the difference between the effect of takradhara over head and body is unknown. Hence the present study has been taken to compare the effect of Sarvanga takradhara and Siro takradhara in Diabetic Peripheral neuropathy (DPN). Objectives: To study the effect of Sarvanga takradhara, Siro takradhara and compare their efficacy in DPN. Methods: Twenty Participants satisfying the eligibility criteria were selected from OPD of VPSV Ayurveda College Hospital, Kotakkal and allocated into two groups (Group A & B), which received Sarvanga takradhara and Sirotakradhara respectively. The subjective and objective assessments were done. Efficacy was assessed on Neuropathy Impairment Score (NIS), Visual Analogue Scale (VAS), symptoms of DPN, QoL and blood parameters. Results & Discussion: There was significant reduction observed in NIS score, VAS, symptoms & QoL in both groups (P<0.05). Sirotakradhara showed significant reduction in blood sugar level (FBS and PPBS). Conclusion: Both Sarvanga takradhara and Sirotakradhara were effective in reducing the signs and symptoms of diabetic peripheral neuropathy.
Ayurveda represents a dual approach for management of a disease namely samsodhana chikitsa (purif... more Ayurveda represents a dual approach for management of a disease namely samsodhana chikitsa (purificatory therapy) and Samsamana chikitsa (Pacificatory therapy). Even though purification is considered as the most important part of the treatment, the preparatory procedures like snehana and swedana comprises a major part of the procedures done in a theatre. Among them, Swedana procedures include the maximum. Kerala has a rich tradition of practice of Panchakarma and allied procedures and made many unique contributions. The foremost example is Pindasweda in which many varities of procedures have been identified. A review of classical and regional texts shows a large number of formulations of Churnapindasweda which are used as Rukshasweda, Snigdhasweda and Rukshasnigdhasweda. The boluses are directly applied to the body, heated in steam of sour gruel, butter milk, cow's urine or Kashaya etc or the boluses are dipped in boiling sour gruel, butter milk etc. Even in a single disease Swedana with various materials have been explained. Unless these practices are put into research and utilized in clinics with more intent and frequency, this unique tradition will fade away from spectrum of knowledge.
Plantar fasciitis is a chronic inflammatory condition of plantar fascia which extends from medial... more Plantar fasciitis is a chronic inflammatory condition of plantar fascia which extends from medial tuberosity of calcaneus to proximal phalanges and is usually presented with pain in the inferior aspect of the heel which is aggravated in the morning initial steps or after a period of rest. Even though it is a self-limiting disease, the lengthy resolving period make the patient desperate and seek for all available medical systems. A number of treatment modalities are available, heat therapy being a common non pharmacological treatment. Ayurveda incorporates different medical formulations in the heating modalities and advises various techniques of fomentation. Even though mechanism of action of heat therapy has been studied in detail mode of action and advantages of ayurvedic heating therapies have not been systematically analysed. There is an urgent need of transcribing the classical and regional literatures, compile methods of swedana and study their effectiveness in specific pathologies.
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