Diabetes Mellitus (DM) is one among the most common lifestyle related disorders in the present era. In type II DM, prevalence of microalbuminuria is 20 -25% in both newly diagnosed and established cases. Microalbuminuria defined as urinary albumin excretion of 30 -300 mg/day is an earlier sign of vascular damage due to complications of DM and a marker of general vascular dysfunction. Microalbuminuria is seen in the third stage of diabetic nephropathy and is a leading cause of End Stage Renal Disorder (ESRD). In Ayurveda, Lakshanas (symptoms) of Kaphapittavruta Madhumeha (DM with Kapha and Pitta obstruction) show similarity to the features of microalbuminuria. Aragwadhaadigana Kashaya( Medicated Decoction) having Kaphapittasamana (reduces Kapha and Pitta humours), Pramehahara, Apatarpana(non nourishing) properties is considered to be effective in Prameha(Obstinate urinary disorders including Diabetes) associated with Kapha Pitta Aavarana (Obstruction). A 60-year-old male patient, already a known case of DM for the past 20 years came to our OPD with complaints of frothiness of urine, urgency of micturition and bilateral ankle swelling for one year along with generalized tiredness for two years. On investigation, 24-hour urine microalbumin was found to be 281 mg/day. The patient was advised to take Aragwadhadigana Kashaya 48 ml twice daily for 30 days. At the end of the study, significant changes in subjective criteria and 24hour urine microalbumin were observed. This effective treatment protocol can prove as a noninvasive safe therapy in managing Microalbuminuria in Type II Diabetes Mellitus.
Dyspepsia is a common complaint among individuals seeking medical care as well as in general population. Non-Ulcer Dyspepsia (NUD) also known as Functional Dyspepsia (FD) occupies a larger space. Prevalence of NUD is about 20-30% worldwide. In India, about 7.6% to 49% of Indian population report NUD symptoms annually. Ayurveda vividly describes Gastro-Intestinal (GI) diseases in the context of Amlapitta (NUD). The aim of this study is to evaluate the effectiveness of Nisthusha (dehusked) Yavaadi Kashaya (Medicated decoction) in the management of Amlapitta (NUD). A 21 -years old male patient, visited the Kayachikitsa OPD, Pankajakasthuri Ayurveda Hospital, Kattakkada, Thiruvananthapuam on 28-05-2018, with the complaints of Post-Prandial Fullness, Early satiety and Epi-gastric pain with general weakness of the body for 4 months. Irregular dietary habits, untimely food intake, outside food-stuffs of him lead to this condition. The patient was advised to take 48ml of Nisthusha(dehusked) yavaadi Kashaya (Medicated decoction) in BD dose before food, with Trijataka (Twak, Ela, Patra) Choorna (Powder) 1g as prakshepaka dravya (adjuvant sprinkled over the medicated decoction which is to be consumed) followed by Mudga (Green Gram) Yusha (Soup preparation) 48ml dose as BD as Anupana (Adjuvant) for 15 days. Assessments were done on the 0 th , 15 th , & 30 th day where, marked changes were noted subjectively through the grading scale. This effective treatment proved to be a non-invasive safe therapy in the management of Amlapitta (NUD).
Parkinsons disease (PD) is an idiopathic degenerative disorder that affects mainly old age. Community-based prevalence studies from India have documented crude prevalence rates of PD from 7 to 328 per 100,000 in the overall population. The current management in PD is effective in alleviating signs and symptoms but the quality of life is not preserved. This study was undertaken to the clinical evaluation of Sahacharadi Tailam fourteen times Avarthi with premedication in improving the quality of life in Parkinson's patients. Since Kapha and Vata plays an important role in Samprapthi of Parkinson's disease, Kapha Vatha Hara Chikitsa should be effective. All types of Sneha Dravya are used in Vatha Vyadhi Chikitsa and Taila is more effective when Vatha is associated with Kapha. Most of the drugs in Sahachaadi Tailam have Vata Kapha Hara properties. The study design was an interventional study pre and post evaluation with a sample size of ten patients. Parkinson's disease of age group 40-70 years of both sex attending the OPD and IPD of Department of Kayachikitsa, Govt. Ayurveda College, Thiruvananthapuram was selected for the study. The patient selected for the study was subjected to Deepana – Pachana with Gandharvahastadi Kashayam 48 ml at7 am & 7 pm one hour before food and vaiswanarachoorna 6 gm with Kasayam internally and Udvarthana with Kolakulathadi Choorna externally for 1-7 days, Snehapana with Rasnadasamoola Gritham starting with 25ml with increasing dosage for 3-7 days, abhyanga and Ushma Sveda with Balatailam and Virechana with Gandharveranda Tailam 30-45ml and Samsarjanakrama as a preparatory phase for the administration of study drug. Then patients received Sahacharadi Tailam fourteen times Avarthi for two months. Follow up was done 15 days after the intervention. On statistical analysis, there was a significant reduction in symptoms like tremor rigidity and pain before treatment, after Shodhana, after interven- tion & after follow up assessments. Keywords: PD, Sahacharadi Tailam fourteen times Avarthi, Deepana- Pachana, Udvarthana, Snehapana, Abyanga, Ushma Sveda, Virechana, Samsarjana Krama, Kaphavatahara and Vata Vyadhi.
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