MANAGEMENT OF SOME CHRONIC DISEASES THROUGH AYURVEDIC PRINCIPLE

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Srinivas Naik

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MANAGEMENT OF SOME CHRONIC DISEASES THROUGH AYURVEDIC PRINCIPLE : 

MANAGEMENT OF SOME CHRONIC DISEASES THROUGH AYURVEDIC PRINCIPLE Dr.M.srinivas Naik

Matter of presentation : 

Matter of presentation Present paper will focused how Ayurvedic Principle is helpful to treat some chronic disorder. We will disease in the following diseases – Alcoholic liver disease. Ulcerative colitis. Sun rays allergy.

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ALCOHOLIC LIVER DISEASE Sign & Symptoms of liver disease 1) Sign & Symptoms related to portal hypertension Abdominal wall collaterals Ascitis Spleeno megaly Venous hum 2) Sign of Alcohol abuse & Hepatic injury Cutaneous telangiectasis Palmar erythema Finger clubbing Peripheral neuropathy Gynocomastia & hypogonadisn

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3) Others Hepatomegaly Jaundice Wt loss, anorexia Hepatic encephalopathy Patient may be asymptomatic

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LAB TEST Serum enzyme Increase SGPT & SGOT, SGPT : SGOT>2 or 3 Both are usually < 300U/L Increased alkaline phosphate & gamma – glutamyl trans peptidase Metabolic alteration – Hyperglycemia, Hyper triglyceridemia, Hyperuricemia, electrolyte abnormality LFT – Decreased serum albumin, bilirubin may increase in severe liver injury. Hematology – 75% Macrocytic anaemia.

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MANAGEMENT Abstinence from alcohol. Nutritional therapy (1-1.5 g/kg/day protein, 35-40 k cal/kg/day for energy, fluid, vitamine etc.) Drugs (corticosteroid, pentoxyphyllin, Antioxidants etc.) Liver transplantation

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Pitta vitiation which leads to Raktadusti and finally liver injured. Properties of alcohol – Laghu, usna, tiksna, suksma, amla, vyavayi, asukari, ruksa, vikasi, & visada. AYURVEDIC DIAGNOSIS OF ALD Madatyaya Kamala Udararoga

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PATHOGENESIS

CLINICAL FEATURES : 

CLINICAL FEATURES Fatty liver – As purvarupa of kamala. Alcoholic – hepatitis – As bahu pitta kamala. Alcoholic cirrhosis – Symptoms as Jalodara

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Fatty liver – Nidana paribarjan, medopacaka (Hypolipidemic drugs & activities) Alcoholic hepatitis – As bahupitta kamala Alcoholic cirrhosis – Treatment as rudhapath kamala and udara MANAGEMENT

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CLINICAL TRIAL OF AYURVEDIC TREATMENT IN ALD AT GOVT. AYURVEDIC COLLEGE, GUWAHATI, ASSAM Parameter Before treatment After treatment – after 3-6 month Subjective parameter Anorexia Wetloss Jaundice Tremor Ascitis Present Present Present Present Present Improved Increased wt more than 10% Disappeared after 1 month Subside Decreased distension Objective parameters Hepatomegaly Serum albumin level Altered A:G ration SGPT, SGOT & Alkaline phosphatan Hb% Present Present Present Increased Decreased No Hepatomegaly Return to normal Normalized Significant reduction of all enzyme Hb % ed

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Definition Ulcerative colitis is an ulcero inflammatory disease limited to the colon and affecting only the mucosa and sub mucosa except in the most severe case can involve starting from rectum to the whole colon. Ulcerative Colitis

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Bloody nucoid diarrhoea Lower abdominal cramp & pain relieved by defecation CLINICAL FEATURES

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Toxic megacolon Perianal fistula Carcinoma colon Anaemia COMPLICATION

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Colonoscopy Biopsy of colonic tissue Identify the antibody of DIAGNOSIS Perinucleal antineutrophil cytoplasmic antibody (ANCA), Anti-saccharomyces cerevisae antibodies (ASCA) I2 antibody Outer membrane porin C (ompC) antibody

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Diagnosis is based on symptomatology AYURVEDIC CONCEPT Raktaja atisara (Sokaja & Bhayaja atisara) Arsha (bleeding piles) Raktapitta

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Ayurvedic Principle Raktastambhak Bolabadha Ras, Trinakantamani pisti Rasayan Giloy satta, Rasa (Immunomodulator) parpati, panchamrit parpati, prabal pisti Vyadhi hara chikitsa Piccha vasti, (Disease modifying agent) MANGEMENT

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Clinical trial of ulcerative colitis at GAC, Assam in 6 patient where ulceration is limited upto descending colon Parameter BT AT 1-3 mth Subjective Bleeding per anum Aid frequency of stool Cramps in lower abdomen Present Present Present Decreased frequency Normalized Recovered Objective Anaemia Colonoscopy Present Mucosal ulcer upto Descending colon Absent Healed ulcer

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PICCHA VASTI PREPARATION Mochras 10 gm 100 ml decoction Vatankur 10 gm + Aswatha twak 10 gm Jatyadi ghrita 10ml + Udumbar twak 10 gm honey Bahool twak 10 gm Given for 15 days Yasti madhu 20 gm

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Hypersensitivity of skin leads to urticaric, maculo-papular lesion in the skin after exposure of sun rays is known as sun rays allergy. SUN RAYS ALLERGY

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As like as urticaria CLINICAL FEATURES

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Skin composition according to Ayurveda Dosha composition Pitta – Bhrajak pitta – gives colouration & hotness to the skin Kapha – Gives nutrition to the body skin Vata – Vyana vayu – Carries sensation and maintain dryness of skin Dhatu composes – Rasa dhatu & Upadhatu – Meda dhatu – Mamsa dhatu AYURVEDIC CONCEPT

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PATHOGENESIS ACCORDING TO AYURVEDA ªÉiÉ Ê{Éhbä÷ iÉiÉ ¥ÉÀÉ Sun Rays Skin Hot Interaction Bhrajaka pitta is hot More hotness (pitta vridhi) Visarpa, kustha, kilasa etc precipitate (Whatever in the body is in the universe)

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Nidana parivarjana Pitta samaka chikitsa Pitta virchana MANAGEMENT

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Clinical observation of sun rays allergy at GAC, Ghy – 14, Assam of Sun rays allergy Treatment schedule Pitta virchana – by Arogyavardhini vati x 2 weeks followed by pitta samaka chikitsa by Sutsekhar Ras x 1 mth Rasayana, giloy satta and prabal pisti x 2 mth

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Within 3 month interval most of the patient recovered from the complaints and not showed any further precipitation of this disease. OBSERVATION AND RESULT

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Ayurvedic principle has the great potency to treat numerous chronic diseases. Proper understanding of the pathogenesis as per modern science and ayurveda and to make a principle of treatment on that basis is the pillar of successful treatment. SUMMARY AND CONCLUSION

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Thank You