Kaphaja Pandu is a type of Pandu where Lakshana of Kapha Dosha is predominant. Pandu is a Pitta Pradhana Vyadhi, in all types of Pandu Pitta Dosha is involved and it is the main contributing factor in Samprapti of Pandu, but according to symptoms of disease it is further divided into Vataja, Pittaja, Kaphaja, Sannipataja and Mridbaksahana Janya Pandu. In case of Kaphaja Pandu, with Pitta, Kapha Dosha also gets involved in producing this particular condition. Here along with ‘Pandu Bhava’ the symptoms like Tandra, Alasya, Gaurava, Praseka, Sweta Varnata of Twak, Mukha and Mutra are seen which indicates Kaphadushti. In general Pandu is compared with Anaemia and diagnosed with less concentration of Hb in blood. Ayurveda has different Chikitsa Sutra/Siddhanta based on dominance of Dosha. Classical text says Katu, Tikta Rasa and Ushna Guna Pradhana Dravya should be used in Kaphaja Vikara. Hence this research is undertaken to study the clinical efficacy of Chikitsa Sutra “Shlaishmike Katu Tiktoshnam” w.s.r to Gomutra Klinna Haritaki in Kaphaja Pandu. In this study Gomutra Klinna Haritaki was administerd to 30 subjects for 30 days, the level of Haemoglobin and changes in Lakshana of Kaphaja Pandu has assessed before and after completion of study.
Bhaishajya Kala is an important principle in our classics, which is to be considered while treating a disease. During treatment, success can be achieved only when there is proper combination of Desha, Kala, Pramana, Satmya, Asatmya, Pathya and Apathya. [1] Among these seven, Kala is given second position which reflects importance of Kala in Chikitsa. The relation between Aushadha and Kala is well established in classics. Acharya Charaka states that “medicine administered at appropriate Kala is more efficacious than one given in inappropriate Kala. ”[2] To highlight its role in Chikitsa, there is a necessity to analyze this concept which is the need of the hour. With the intention of practically validating this concept “Janu Sandhigatavata” has been taken up for the study. Panchatikta Guggulu Ghrita which has been taken for the study is seen to have beneficial therapeutic effects on Sandhigatavata as evidently seen in the Phalashruti. [3] As Bhaishajya Kala is not specifically mentioned for any Vatavyadhi so also for Janu Sandhigatavata, this study intends to find the appropriate Bhaishajya Kala for the same. Among all the Bhaishajya Kalas, in the present study only two Kalas were taken up which were suitable for Janu Sandhigatavata. The clinical trial was carried out on 40 patients. They were divided into two groups Group A and Group B consisting of 20 patients each. The results were analyzed based on the signs and symptoms. Statistical analysis between Group A and Group B for the parameters Sandhi Shoola, Shotha, Prasaranaakunchanyo Vedana, ROM and VAS painscale found no significant changes in the group. Individually each Group had highly significant results. But in the observation parameter of Atopa there was a difference of value between the groups, Group A was higher than Group B.
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