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Effect of vamana in chronic autoimmune urticaria: A nonresponding case to steroids and cyclosporine vamana在慢性自身免疫性荨麻疹中的作用:类固醇和环孢素无反应的病例
Pub Date : 2018-01-01 DOI: 10.4103/asl.asl_195_17
P. Sharma, B. Sharma
Chronic urticaria (CU) is a debilitating disease that considerably affects health-related quality of life. CU symptoms affect a wide range of daily activities, from personal care to sleep/rest, work performance, and social relationships. Physical and emotional functioning is subjectively impaired beyond the severity of the actual disease symptoms. Chronic autoimmune urticaria is caused by anti-FcεRI and less frequently, by anti-immunoglobulin E autoantibodies. Chronic autoimmune urticaria has been found to be associated with autoimmune thyroid disease. A 38-year-old woman having more severe and difficult-to-control urticaria which was a diagnosed case of autoimmune urticaria by AIIMS, New Delhi, underwent vamana (therapeutic emesis) therapy and got satisfactory results. Assessment was done on UAS7 score which reduced from 42 to 0 after 3 months medication. Similarly, CU-Q2oL score reduced from 110 to 24 and Dermatology Life Quality Index score from 30 to 1. This is important because it was a rare case which was not responding to parenteral steroids and cyclosporine.
慢性荨麻疹(CU)是一种使人衰弱的疾病,严重影响健康相关的生活质量。CU症状影响广泛的日常活动,从个人护理到睡眠/休息、工作表现和社交关系。身体和情感功能的主观损害超出了实际疾病症状的严重程度。慢性自身免疫性荨麻疹由抗FcεRI引起,较少由抗免疫球蛋白E自身抗体引起。慢性自身免疫性荨麻疹已被发现与自身免疫性甲状腺疾病有关。新德里AIIMS诊断为自身免疫性荨麻疹的一名38岁女性患有更严重、更难控制的荨麻疹,她接受了治疗性呕吐治疗,并获得了满意的结果。对UAS7评分进行评估,用药3个月后UAS7评分从42降至0。同样,CU-Q2oL评分从110降至24,皮肤科生活质量指数评分从30降至1。这一点很重要,因为这是一种罕见的对胃肠外类固醇和环孢菌素没有反应的病例。
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引用次数: 0
Primary healthcare based on the framework of Indian traditional medicine 基于印度传统医学框架的初级保健
Pub Date : 2017-10-01 DOI: 10.4103/asl.ASL_59_19
S. Kukkupuni
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引用次数: 1
Angamardhana: A Treatise on Massage Techniques of Ancient India Angamardhana:古印度按摩技术专著
Pub Date : 2017-07-01 DOI: 10.4103/asl.ASL_162_16
B. Praveen
Massage is considered as one of the oldest therapy used to treat various ailments. It was not only used as a preventive measure but also as a measure to cure disease. Ayurveda being a holistic system of medicine has emphasized the utility of Massage in various conditions. Ayurveda explained Massage as Abhyanga which infers anointing the body. Abhyanga not only prevents and delays normal ageing process but also cure tiredness, musculoskeletal and neurological disorders. Special concentrations are given to Head, Foot and ear massage during process of Abhyanga. Various terminologies are used in Ayurveda to rationalize massage techniques viz Samvahana, Mardhana, Unmardhana and Padaghata. Samvahana is a variety of superficial massage without applying the oil. Mardhana is a varietiy of Massage with oil, applying pressure on a particular part of body. On the contrary, Unmardhana is pressure massage done in direction against to the hair root. Padaghata is a unique variety of massage done using foot. But Ayurveda hardly explains techniques of massage in any context. India has a rich heritage of culture and traditional knowledge in various fields, massage technique is one of them. Traditional massage performed in south India and north India varies a lot via techniques. One of the rare books on traditional massage techniques written by Tiruka has put light on this rich heritage of massage in ancient India.
按摩被认为是治疗各种疾病的最古老的疗法之一。它不仅被用作预防措施,而且还被用作治疗疾病的措施。阿育吠陀是医学的一个整体系统,强调按摩在各种情况下的效用。阿育吠陀将按摩解释为Abhyanga,意为涂抹身体。Abhyanga不仅可以防止和延缓正常的衰老过程,还可以治疗疲劳、肌肉骨骼和神经系统疾病。在Abhyanga的过程中,头部,脚部和耳朵的按摩特别集中。在阿育吠陀中使用各种术语来合理化按摩技术,即Samvahana, Mardhana, Unmardhana和Padaghata。Samvahana是各种不涂油的表面按摩。冥想是一种用油按摩,在身体的特定部位施加压力。相反,Unmardhana是对发根方向的压力按摩。Padaghata是一种独特的用脚按摩。但是阿育吠陀在任何情况下都很难解释按摩技术。印度在各个领域都有着丰富的文化遗产和传统知识,按摩技术就是其中之一。在南印度和北印度进行的传统按摩通过技术有很大的不同。由Tiruka撰写的关于传统按摩技术的罕见书籍之一,对古印度丰富的按摩遗产进行了阐述。
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引用次数: 0
Determination of Antimicrobial Potential of Five Herbs used in Ayurveda Practices against Candida albicans, Candida parapsilosis and Methicillin Resistant Staphylococcus aureus. 阿育吠陀实践中5种草药对白色念珠菌、假丝酵母菌和耐甲氧西林金黄色葡萄球菌抗菌潜力的测定。
Pub Date : 2017-04-01 DOI: 10.4103/asl.ASL_179_16
Tdcp Gunasekara, Ndm Radhika, K K Ragunathan, Dpp Gunathilaka, M M Weerasekera, Hgsp Hewageegana, L A D M Arawwawala, Ssn Fernando

Background: Medicinal plants are an important source of novel antimicrobial agents. Ayurvedic treatment involves the use of a variety of medicinal plants that merit investigation.

Aims: To investigate the antimicrobial activity of bark of Pongamia pinnata (L.) Pierre, stem of Rubia cordifolia Linn, leaves of Jasminum officinale Linn, stem of Berberis ceylanica C.K. Schneid. and fruit of Garcina zeylanica Roxb.

Subjects and methods: Aqueous and ethanolic extracts of dried bark of Pongamia pinnata (Magul karanda), dried stem of Rubia cordifolia Linn (Welmadata), tender leaves of Jasminum officinale Linn (Jasmine) and dried stem of Berberis ceylanica (Dāruharidrā) were prepared according to standard protocols and tested for antimicrobial activity against five clinical isolates and one standard strain each of Candida albicans (ATCC 10231), Candida parapsilosis (ATCC 22019) and six Methicillin Resistant Staphylococcus aureus (MRSA) clinical isolates using the well diffusion method. Experiments were done in triplicates using well diffusion method. The plant extracts which gave a zone of inhibition in the well diffusion assay were further tested for Minimum Inhibitory Concentrations (MIC).

Results: Aqueous and ethanolic extracts of Berberis ceylanica and ethanolic extract of Rubia cordifolia had antimicrobial activity against Candida albicans and Candida parapsilosis. Aqueous and ethanolic extracts of Garcinia zeylanica, and the ethanolic extracts of Jasminum officinale, Rubia cordifolia and Pongamia pinnata had antimicrobial activity against MRSA.

Conclusions: Berberis ceylanica and Rubia crodifolia had antimicrobial activity against Candida species while Garcinia zeylanica, Jasminum officinale, Rubia crodifolia and Pongamia pinnata had antimicrobial activity against MRSA.

背景:药用植物是新型抗菌药物的重要来源。阿育吠陀治疗包括使用各种值得研究的药用植物。目的:研究桄榔子皮的抑菌活性。皮埃尔,堇青花茎,茉莉花叶,小檗茎。和栀子的果实。研究对象和方法:根据标准方案制备了桄榔子(Magul karanda)干树皮、Rubia cordifolia Linn (Welmadata)干茎、Jasminum officinale Linn (Jasmine)嫩叶和Berberis ceylanica (Dāruharidrā)干茎的水提取物和乙醇提取物,并对白色念珠菌(ATCC 10231)的5个临床分离株和1个标准菌株进行了抗菌活性测试。利用孔扩散法对拟合假丝酵母(ATCC 22019)和6株耐甲氧西林金黄色葡萄球菌(MRSA)临床分离株进行检测。实验采用孔扩散法,分三次进行。对在孔扩散法中具有抑制区的植物提取物进行了最低抑制浓度(MIC)测试。结果:小檗水提液、乙醇提液和风铃草乙醇提液对白色念珠菌和假丝酵母菌均有抑菌活性。栀子花水提物和乙醇提物以及栀子花、风铃花和凤尾花乙醇提物对MRSA均有抑菌活性。结论:大黄小檗和大黄小檗对念珠菌有抑菌活性,栀子、栀子、大黄小檗和小红花对MRSA有抑菌活性。
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引用次数: 10
Antidiabetic Effects of Artemisia Species: A Systematic Review. 青蒿类植物抗糖尿病作用的系统综述。
Pub Date : 2017-04-01 DOI: 10.4103/asl.ASL_87_17
Nikodimos Eshetu Dabe, Adane Teshome Kefale

Background: Over the last century, human life style and food habits have drastically changed which lead to various chronic diseases. Diabetes mellitus is one such disease which is causing serious problems to human health. Allopathic drugs are not much effective in handling the disease and its complications. Hence focus has been turned towards the traditional system of medicine. Medicinal plants play an important role in the management of diabetes mellitus.

Methods: Experimental studies conducted on species of Artemisia on diabetic animal models and human published since the year 2000 until April, 2017 were reviewed. Each article was critically appraised by two independent reviewers for their methodological quality using the JBIMAStARI tool.

Result: A total of 14 studies were included in this review and the blood glucose data obtained from these critically reviewed studies clearly showed that both the aqueous and alcoholic extracts of species of Artemisia produced significant hypoglycemic effects in alloxan, Streptozotocin and high fat diet induced diabetic animals and diabetic humans with different mechanisms of action as compared to standard antidiabetic medications.

Discussion and conclusion: The antidiabetic effect of single or multiple doses of aqueous and alcoholic extracts of Artemisia species was due to the active compounds of these plants and they all are effective in lessening the blood glucose level in all of those experimental studies. Despite the presence of known antidiabetic medicines in the pharmaceutical market, therapeutic remedies from these medicinal plants have been utilized with success to treat this disorder and its complications with a relatively less side effects.

背景:在过去的一个世纪里,人类的生活方式和饮食习惯发生了巨大的变化,导致了各种慢性疾病。糖尿病就是其中一种严重危害人类健康的疾病。对抗性药物在治疗这种疾病及其并发症方面效果不大。因此,焦点转向了传统的医学体系。药用植物在糖尿病的治疗中起着重要作用。方法:回顾2000年至2017年4月发表的青蒿属植物对糖尿病动物模型和人的实验研究。每篇文章都由两位独立的审稿人使用JBIMAStARI工具对其方法学质量进行严格评估。结果:本综述共纳入了14项研究,从这些经过严格审查的研究中获得的血糖数据清楚地表明,与标准降糖药物相比,青蒿的水提物和醇提物对四氧嘧啶、链脲佐菌素和高脂肪饮食诱导的糖尿病动物和糖尿病人具有显著的降糖作用,其作用机制不同。讨论与结论:单次或多次给药青蒿水提液和醇提液的降糖作用是由于这些植物的活性成分,在所有的实验研究中它们都能有效降低血糖水平。尽管在医药市场上存在已知的抗糖尿病药物,但从这些药用植物中提取的治疗药物已被成功地用于治疗这种疾病及其并发症,副作用相对较小。
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引用次数: 35
Knowledge and Awareness of Pharmacovigilance among Ayurveda Physicians in Himachal Pradesh. 喜马偕尔邦阿育吠陀医生的药物警戒知识和意识。
Pub Date : 2017-04-01 DOI: 10.4103/asl.ASL_41_17
Rohit Sharma, Jayram Hazra, P K Prajapati
© 2017 Ancient Science of Life | Published by Wolters Kluwer Medknow Sir, Pharmacovigilance (PV) is a serious concern in India due to frequently observed cases of adverse drug reactions (ADRs),[1] Ayurveda is also facing a dearth of systematic documentation apropos ADRs and safety of its medicines. The possible reasons could be poor awareness of PV and misconception that Ayurveda medicines are devoid of adverse reactions.[2] However it is noteworthy that classical Ayurveda prescribes purely herbal, herbo‐mineral (e.g. Tribhuvanakīrti rasa) and bhasma preparations (callcined metal/minerals), the ADRs may occur if precautions are not taken while manufacturing or administering these medicines.[3,4] Furthermore, doubts regarding long‐term safety of Ayurvedic medicines come up as they may contain metals, minerals or poisonous drugs of Schedule E‐1,[5] and there are reports related to ADRs.[6,7]
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引用次数: 8
Chemical Characterization of an Ayurvedic Herbo-Mineral Formulation - Vasantakusumākara Rasa: A Potential Tool for Quality Assurance. 阿育吠陀草药矿物配方的化学特性- Vasantakusumākara Rasa:质量保证的潜在工具。
Pub Date : 2017-04-01 DOI: 10.4103/asl.ASL_66_17
Sarada Ota, Arjun Singh, Narayana Srikanth, Bojja Sreedhar, Galib Ruknuddin, Kartar Singh Dhiman

Background: Herbo-mineral formulations of Ayurveda contain specified metals or minerals as composition, which have their beneficial effects on biological systems. These metals or minerals are transformed into non-toxic forms through meticulous procedures explained in Ayurveda. Though literature is available on quality aspects of such herbo-mineral formulations; contemporary science is raising concerns at regular intervals on such formulations. Thus, it becomes mandate to develop quality profiles of all formulations that contain metals or minerals in their composition. Considering this, it is planned to evaluate analytical profile of Vasantakusumākara Rasa.

Objective: To prepare Vasantakusumākara Rasa as per Standard operating Procedures (SoP) mentioned in classical text and to characterize it chemically using modern analytical techniques.

Materials and methods: The drug (Vasantakusumākara Rasa) in three batches was prepared in GMP certified pharmacy. Physico-chemical analysis, Assay of elements and HPTLC were carried out as per API. XRD was conducted using Rigaku Ultima-IV X-ray diffractometer.

Results: The analysis shown the presence of Mercury, Tin, Gold, Silver, Iron, Zinc and Calcium etc., and HPTLC revealed presence of organic constituents from plant material. The XRD indicated the presence of cinnabar (mercury sulphide from Rasa Sindhura), cassiterite (tin oxide from Vaṅga Bhasma), massicot (lead oxide from Nāga bhasma) and Magnetite (di-iron oxide from Loha bhasma).

Conclusion: The physico chemical analysis reveals that VKR prepared by following classical guidelines is very effective in converting the macro elements into therapeutically effective medicines in micro form. Well prepared herbo-mineral drugs offer many advantages over plant medicines due to their longer shelf life, lesser doses, easy storing facilities, better palatability etc. The inferences and the standards laid down in this study certainly can be utilized as baseline data of standardization and QC.

背景:阿育吠陀的草药矿物配方含有特定的金属或矿物质作为成分,它们对生物系统有有益的作用。这些金属或矿物质通过阿育吠陀解释的细致程序转化为无毒形式。虽然文献有关于这种草药矿物配方的质量方面;当代科学正在定期地对这些公式提出关注。因此,必须对其成分中含有金属或矿物的所有配方进行质量分析。考虑到这一点,计划评估Vasantakusumākara Rasa的分析概况。目的:按照经典文献中所述标准操作程序(SoP)制备Vasantakusumākara Rasa,并利用现代分析技术对其进行化学表征。材料和方法:在GMP认证的药房制备三批药品(Vasantakusumākara Rasa)。理化分析、元素分析、hplc检测按API进行。采用Rigaku Ultima-IV型x射线衍射仪进行XRD分析。结果:分析结果显示样品中存在汞、锡、金、银、铁、锌、钙等元素,HPTLC分析结果显示样品中存在植物原料的有机成分。XRD分析表明,矿石中存在朱砂(来自Rasa Sindhura的硫化汞)、锡石(来自Vaṅga Bhasma的氧化锡)、马塞铁(来自Nāga Bhasma的氧化铅)和磁铁矿(来自Loha Bhasma的二氧化铁)。结论:经理化分析,经经典方法制备的VKR能有效地将宏量元素转化为微量有效药物。精心制备的草药矿物药物比植物药物具有许多优点,因为它们的保质期更长,剂量更少,易于储存设施,更好的风味等。本研究的结论和标准当然可以作为标准化和质量控制的基线数据。
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引用次数: 5
Call for Perseverance and Resources: The Vital Teeth of Key to Success in Ayurveda Research. 呼吁毅力和资源:阿育吠陀研究成功的关键。
Pub Date : 2017-04-01 DOI: 10.4103/asl.ASL_169_17
Sujith Subash Eranezhath
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引用次数: 0
Traditional Consumption of the Fruit Pulp of Chrysophyllum albidum (Sapotaceae) in Pregnancy may be Serving as an Intermittent Preventive Therapy against Malaria Infection. 妊娠期传统食用金菊果肉可作为间歇性预防疟疾感染的一种方法。
Pub Date : 2017-04-01 DOI: 10.4103/asl.ASL_208_16
Chibueze Peter Ihekwereme, Frances Kaosiso Okoye, Sandra Chinenye Agu, Angus Nnamdi Oli

Background: The bark of Chrysophyllum albidum is reported to possess antimalarial property. The fruit pulp of C. albidum consumed by pregnant women of south eastern Nigeria may also possess antimalarial activity. The present preliminary study investigated the antimalarial potential of the pulp juice and seed of C. albidum.

Methods: Schizonticidal activity was evaluated using the Peter's 4-day suppressive test. The prophylactic and curative antimalarial activities of the extracts were evaluated in Albino mice inoculated with Plasmodium berghei.

Results: The oral acute toxic dose of the pulp extract is beyond 5000 mg/kg. The seed and pulp possess both suppressive and curative properties. The seed extract suppressed early infection by 72.97% and 97.30%, at 500 and 1000 mg/kg, respectively. The pulp juice recorded 72.97% and 81.08%, at 500 and 1000 mg/kg, respectively. At 500 mg/kg dose, the level of parasite control on Day 7 was the same (96.10%) for both seed and pulp.

Conclusion: This study demonstrates the presence of antimalarial constituents in the chemically uncharacterized samples (fruit pulp and seed) of C. albidum. Its ethnomedicinal use may be valuable in pregnancy where it may possibly serve as an intermittent preventive therapy against malaria.

背景:据报道,金菊树皮具有抗疟作用。尼日利亚东南部孕妇食用的紫锥菊果肉也可能具有抗疟疾活性。本研究初步探讨了白玉莲果肉汁和种子的抗疟潜力。方法:采用Peter’s 4天抑菌试验评价其杀菌活性。在白化病小鼠接种白氏疟原虫后,评价了提取物的预防和治疗抗疟疾活性。结果:牙髓提取物口服急性毒性剂量大于5000mg /kg。种子和果肉具有抑制和治疗的双重特性。500 mg/kg和1000 mg/kg种子提取物对早期侵染的抑制作用分别为72.97%和97.30%。500 mg/kg和1000 mg/kg时,果肉汁率分别为72.97%和81.08%。在500 mg/kg剂量下,第7天对种子和果肉的防虫率相同(96.10%)。结论:本研究证实了在化学性质不确定的白莲果果肉和种子中存在抗疟成分。它的民族医学用途在怀孕期间可能很有价值,因为它可能作为疟疾的间歇性预防疗法。
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引用次数: 5
Anti-anxiety and Anti-depressant Like Effects of Murraya koenigii in Experimental Models of Anxiety and Depression. 在焦虑和抑郁实验模型中的抗焦虑和抗抑郁样作用。
Pub Date : 2017-04-01 DOI: 10.4103/asl.ASL_75_17
Snigdha Sharma, Shailendra Handu, Ashok Kumar Dubey, Prashant Sharma, Pramod Mediratta, Qazi Mushtaq Ahmed

Background: Presence of free radical scavenging activity in Murrayakoenigii, commonly known as Curry leaves, has been shown in previous studies. Oxidative stress plays an important role in the development of various neurobehavioral disorders including anxiety and depression.

Aim: The present study aimed to evaluate the effects of Murraya koenigii in animal models of depression and anxiety.

Materials and methods: The effect of incremental doses of Murraya koenigii aqueous leaf extract was evaluated on spontaneous motor activity (SMA), open arm incursions in elevated plus maze, and despair behaviour in forced swim (FST) and tail suspension (TST) tests as compared to control groups in Swiss albino mice.

Results: Murraya koenigii 300 mg/kg, p.o. (MK300) and 400 mg/kg, p.o. (MK400) reduced the SMA count from 754 ± 64.9 to 540 ± 29 and 295 ± 34 respectively, which was statistically significant. MK300 and MK400 reduced significantly the open arm count from 29 ± 8.6 to 16 ± 7 and 10 ± 3.9, respectively. On FST, MK400 reduced the duration of immobility from 145.5 ± 29 to 91 ± 17.3, which was statistically significant. On TST, MK produced a dose-dependent decrease in the duration of immobility; however, it was statistically significant only with MK400.

Conclusion: Murraya koenigii aqueous leaf extract reduced the despair behavior in experimental animal models, suggesting an anti-depressant like activity. Murraya koenigii extract also reduced spontaneous locomotor activity in a dose-dependent manner suggesting a sedative and/or anxiolytic effect though there wasn't any anxiolytic effect in the elevated plus maze test.

背景:先前的研究表明,咖喱叶具有清除自由基的活性。氧化应激在包括焦虑和抑郁在内的各种神经行为障碍的发展中起着重要作用。目的:本研究旨在评价柯氏菌对抑郁和焦虑动物模型的影响。材料和方法:与对照组相比,我们评估了增加剂量的木藤叶水提取物对瑞士白化小鼠自发性运动活动(SMA)、升高+迷宫中的张开手臂侵入以及强迫游泳(FST)和悬尾(TST)测试中的绝望行为的影响。结果:300 mg/kg, p.o. (MK300)和400 mg/kg, p.o. (MK400)使SMA计数分别从754±64.9减少到540±29和295±34,差异有统计学意义。MK300和MK400分别将张开臂数从29±8.6减少到16±7和10±3.9。在FST上,MK400将静止时间从145.5±29缩短至91±17.3,具有统计学意义。在TST上,MK使静止时间呈剂量依赖性减少;然而,只有MK400才有统计学意义。结论:龙涎香叶水提物降低了实验动物的绝望行为,具有抗抑郁作用。Murraya koenigii提取物也以剂量依赖的方式降低自发运动活动,提示镇静和/或抗焦虑作用,尽管在升高+迷宫试验中没有任何抗焦虑作用。
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引用次数: 5
期刊
Ancient Science of Life
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