Pub Date : 2023-01-01DOI: 10.5455/jreim.82-1668410702
Sandhya Patel
Starting with eight specialties in various medical fields Ayurveda evolved in current form having fourteen specialties in a relatively short span of about four and a half decades. Kaumarbhritya, one of the eight ancient specialties, was intended for promoting health of pregnant women to enable them to have healthy progeny, meet nutritional demands of all age groups of children, prevention of pediatric disorders, their treatment and make the enable children to grow into healthy adults, which would result into healthy continuity of human life form. Realizing the importance of genetics, epigenetics, teratology, embryology, neonatology and distinct illnesses of children of various age groups the Central Council of Indian Medicine (the present NCISM) to develop the field of kaumarbhritya into two separate specialties. This resulted in bifurcation of original specialty of kaumarbhritya in two different full-fledged specialties viz pediatrics, and gynecology and obstetrics fulfilling the expectation of the society for the health benefits of two concerned groups of population and in turn justifying the demand of ayurvedic professional. First batch of MD (Ayu) course exclusively in pediatrics started in 1979 in IPGT&R, Jamnagar and first batch coming out with specialization in ayurvedic pediatrics in 1981. The visionary ancient ayurvedic researchers’ health goals to enable healthy and successful reproduction, prevention of genetic and/or hereditary disorders, treating health conditions of children from various age groups with prevention strategies and maintenance their health are now the responsibilities of these two kinds of specialists. Since then there is no looking back for the ayurvedic pediatricians. It would not be a surprise if genetics, epigenetics and teratology also become full-fledged branches of ayurvedic pediatrics in future. It is now more than four decades since separation of ayurvedic pediatrics and it would be apt to discuss the scope, innovation and challenges that this specialty faces when this exclusive issue on ayurvedic pediatrics is getting published.
{"title":"SCOPE, INNOVATION AND CHALLENGES IN KUMAR KAUSHAL \u0000(CHILD WELLBEING)","authors":"Sandhya Patel","doi":"10.5455/jreim.82-1668410702","DOIUrl":"https://doi.org/10.5455/jreim.82-1668410702","url":null,"abstract":"Starting with eight specialties in various medical fields Ayurveda evolved in current form having fourteen specialties in a relatively short span of about four and a half decades. Kaumarbhritya, one of the eight ancient specialties, was intended for promoting health of pregnant women to enable them to have healthy progeny, meet nutritional demands of all age groups of children, prevention of pediatric disorders, their treatment and make the enable children to grow into healthy adults, which would result into healthy continuity of human life form. Realizing the importance of genetics, epigenetics, teratology, embryology, neonatology and distinct illnesses of children of various age groups the Central Council of Indian Medicine (the present NCISM) to develop the field of kaumarbhritya into two separate specialties. This resulted in bifurcation of original specialty of kaumarbhritya in two different full-fledged specialties viz pediatrics, and gynecology and obstetrics fulfilling the expectation of the society for the health benefits of two concerned groups of population and in turn justifying the demand of ayurvedic professional. First batch of MD (Ayu) course exclusively in pediatrics started in 1979 in IPGT&R, Jamnagar and first batch coming out with specialization in ayurvedic pediatrics in 1981. The visionary ancient ayurvedic researchers’ health goals to enable healthy and successful reproduction, prevention of genetic and/or hereditary disorders, treating health conditions of children from various age groups with prevention strategies and maintenance their health are now the responsibilities of these two kinds of specialists. Since then there is no looking back for the ayurvedic pediatricians. It would not be a surprise if genetics, epigenetics and teratology also become full-fledged branches of ayurvedic pediatrics in future. It is now more than four decades since separation of ayurvedic pediatrics and it would be apt to discuss the scope, innovation and challenges that this specialty faces when this exclusive issue on ayurvedic pediatrics is getting published.","PeriodicalId":85736,"journal":{"name":"The Journal of research and education in Indian medicine","volume":"24 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72396389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/jreim.82-1674017281
M. Chand
Introduction/(Background): Skin diseases are disconcerting due the chronicity entitled as Deerghkalinvyadhi (Chronic Disease) in Ayurveda and also one of the Astha Mahagada (Eight dreadful diseases). The disease Psoriasis is incorporated in the Kushtha Roga. The signs and symptoms of Ekakushtha (Psoriasis) is considered as the commonest skin disease that can affect an individual. Acharya Charaka has described the involvement of Vata-Kapha Different compared to whether psoriasis is described in contemporary medicine, Ekakushtha (psoriasis) in Traditional system of medicine has a similar cause. Material and Methods: Present study is the case of eleven years old female child diagnosed as Ekakushtha (Psoriasis) managed by Ayurvedic Panchakarma specifically by Virechana Karma (Therapeutic Purgation) followed by Samsarjana Karma. Results: The results showed marked improvement in reduction of Psoriatic lesions. The Kushtha Chikitsa (Management of Skin Disease) and Rasayana Chikitsa (Rejuvenation Therapy) treatment approaches have been integrated. Discussion: Virechana (Therapeutic Purgation) reduces the excessive Pitta and aids in its regular functioning, promoting the healing of skin lesions. Conclusion:After the active treatment phase, there was no apparent recurrence.
{"title":"Management of Ekakushtha (Psoriasis) In Children by Ayurvedic Panchkarma: A Case Report","authors":"M. Chand","doi":"10.5455/jreim.82-1674017281","DOIUrl":"https://doi.org/10.5455/jreim.82-1674017281","url":null,"abstract":"Introduction/(Background): Skin diseases are disconcerting due the chronicity entitled as Deerghkalinvyadhi (Chronic Disease) in Ayurveda and also one of the Astha Mahagada (Eight dreadful diseases). The disease Psoriasis is incorporated in the Kushtha Roga. The signs and symptoms of Ekakushtha (Psoriasis) is considered as the commonest skin disease that can affect an individual. Acharya Charaka has described the involvement of Vata-Kapha Different compared to whether psoriasis is described in contemporary medicine, Ekakushtha (psoriasis) in Traditional system of medicine has a similar cause. Material and Methods: Present study is the case of eleven years old female child diagnosed as Ekakushtha (Psoriasis) managed by Ayurvedic Panchakarma specifically by Virechana Karma (Therapeutic Purgation) followed by Samsarjana Karma. Results: The results showed marked improvement in reduction of Psoriatic lesions. The Kushtha Chikitsa (Management of Skin Disease) and Rasayana Chikitsa (Rejuvenation Therapy) treatment approaches have been integrated. Discussion: Virechana (Therapeutic Purgation) reduces the excessive Pitta and aids in its regular functioning, promoting the healing of skin lesions. Conclusion:After the active treatment phase, there was no apparent recurrence.","PeriodicalId":85736,"journal":{"name":"The Journal of research and education in Indian medicine","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82650311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/jreim.82-1614158677
Madhavi Rao, Savitha Rao, Lakshmiprasad L. Jadhav
Abstract Introduction: Biological inheritance, the process that makes an offspring acquire or become predisposed to characteristics of its parent can be understood in terms of prakriti. The determination of prakriti is dependent on the utkata dosha during the samyoga of shukra and shonita.1 The process of genetic coding begins at fertilization, DNA replicate with each dividing cell to carry the inherited information. Materials and methods: Construction of this article was done utilizing the concepts of Prakriti and Vikara vighata bhava stated in the Ayurveda samhitas. The basics of genetics were adopted from the available literature through books and published works. Results: The present article provides a theoretical review of the concept of genetic predisposition, disease occurrence and variable presentation. Discussion: Penetrance and expressivity of a particular trait is dependent on various factors like modifier genes, epigenetic factors or the environment. The non-occurrence & occurrence of diseases, get similarly affected by the presence or absence of vikara vighatakara bhava2 respectively. Conclusion: Thus the concepts of genetics can be imbibed into the concepts of prakriti & vikara vighata bhava. Key words: Expressivity, Penetrance, Prakriti, Vikara vighatakara bhava
{"title":"Genetic predisposition, Penetrance and Expressivity: An understanding through Prakriti and Vikara vighata bhava","authors":"Madhavi Rao, Savitha Rao, Lakshmiprasad L. Jadhav","doi":"10.5455/jreim.82-1614158677","DOIUrl":"https://doi.org/10.5455/jreim.82-1614158677","url":null,"abstract":"Abstract Introduction: Biological inheritance, the process that makes an offspring acquire or become predisposed to characteristics of its parent can be understood in terms of prakriti. The determination of prakriti is dependent on the utkata dosha during the samyoga of shukra and shonita.1 The process of genetic coding begins at fertilization, DNA replicate with each dividing cell to carry the inherited information. Materials and methods: Construction of this article was done utilizing the concepts of Prakriti and Vikara vighata bhava stated in the Ayurveda samhitas. The basics of genetics were adopted from the available literature through books and published works. Results: The present article provides a theoretical review of the concept of genetic predisposition, disease occurrence and variable presentation. Discussion: Penetrance and expressivity of a particular trait is dependent on various factors like modifier genes, epigenetic factors or the environment. The non-occurrence & occurrence of diseases, get similarly affected by the presence or absence of vikara vighatakara bhava2 respectively. Conclusion: Thus the concepts of genetics can be imbibed into the concepts of prakriti & vikara vighata bhava. Key words: Expressivity, Penetrance, Prakriti, Vikara vighatakara bhava","PeriodicalId":85736,"journal":{"name":"The Journal of research and education in Indian medicine","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77027981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/jreim.82-1684485768
N. Shah, Shivani Shah, Sandhya Patel
ABSTRACT Introduction: Panchakarma are a group of very unique ayurvedic therapeutic approaches having the potential of releasing spasticity and contractures, providing positive neuroplasticity after neurologic insult, removing abnormal metabolites developed due to faulty life style or any pathological process in the body, etc. Some of these procedures involve drug delivery systems bypassing the hepatic first pass effect. Abhyang (therapeutic massage) is one such system, which employed with svedan (therapeutic sudation), relieves spasticity and is widely used in several neurological conditions including cerebral palsy (CP). Since both these procedures are used externally they are extremely helpful and effective therapeutic tools for the ayurvedic pediatricians and are also readily accepted by patients and parents. Several children with cerebral palsy opt for ayurvedic treatment in ------------. Material and methods: In this article, retrospective analysis of both these procedures in 51 cases of CP during a finite period (of 22 months) is carried out with focus on their neuroplastic ability. Gross Motor Function Classification System Expanded and Revised (GMFCSE-R) levels of each patient before and after treatment, data related to impairment of speech, vision and cognitions as well as epilepsy along with available radiodiagnostic reports were noted. Detail analysis of the documented data in their files was done to evaluate the possible effect of abhyang and svedan. Observations and results: Only three patients out of 51 failed to respond to this treatment i.e. 94.11% of the patients showed improvement. Some children achieved near normal motor function and became independent in their routine activities. The results in detail are discussed in this article. Discussion: Currently proposed ten principles of neuroplasticity are discussed along with proposal for consideration of willingness (attitude) of the patient and cognition as another principles as they influence the neuroplasticity. Conclusion: Considering the improvement in motor function in 94.11% cases it can be said that abhyang and svedan have positive neuroplastic effect on the motor function of the CP patients irrespective of site of pathology in the brain and time of initiation of panchakarma therapy. Key words neuroplasticity; cerebral palsy; abhyang; svedan
{"title":"RETROSPECTIVE ANALYSIS OF INFLUENCE OF ABHYANG AND SVEDAN ON NEUROPLASTICITY IN CEREBRAL PALSY PATIENTS","authors":"N. Shah, Shivani Shah, Sandhya Patel","doi":"10.5455/jreim.82-1684485768","DOIUrl":"https://doi.org/10.5455/jreim.82-1684485768","url":null,"abstract":"ABSTRACT Introduction: Panchakarma are a group of very unique ayurvedic therapeutic approaches having the potential of releasing spasticity and contractures, providing positive neuroplasticity after neurologic insult, removing abnormal metabolites developed due to faulty life style or any pathological process in the body, etc. Some of these procedures involve drug delivery systems bypassing the hepatic first pass effect. Abhyang (therapeutic massage) is one such system, which employed with svedan (therapeutic sudation), relieves spasticity and is widely used in several neurological conditions including cerebral palsy (CP). Since both these procedures are used externally they are extremely helpful and effective therapeutic tools for the ayurvedic pediatricians and are also readily accepted by patients and parents. Several children with cerebral palsy opt for ayurvedic treatment in ------------. Material and methods: In this article, retrospective analysis of both these procedures in 51 cases of CP during a finite period (of 22 months) is carried out with focus on their neuroplastic ability. Gross Motor Function Classification System Expanded and Revised (GMFCSE-R) levels of each patient before and after treatment, data related to impairment of speech, vision and cognitions as well as epilepsy along with available radiodiagnostic reports were noted. Detail analysis of the documented data in their files was done to evaluate the possible effect of abhyang and svedan. Observations and results: Only three patients out of 51 failed to respond to this treatment i.e. 94.11% of the patients showed improvement. Some children achieved near normal motor function and became independent in their routine activities. The results in detail are discussed in this article. Discussion: Currently proposed ten principles of neuroplasticity are discussed along with proposal for consideration of willingness (attitude) of the patient and cognition as another principles as they influence the neuroplasticity. Conclusion: Considering the improvement in motor function in 94.11% cases it can be said that abhyang and svedan have positive neuroplastic effect on the motor function of the CP patients irrespective of site of pathology in the brain and time of initiation of panchakarma therapy. Key words neuroplasticity; cerebral palsy; abhyang; svedan","PeriodicalId":85736,"journal":{"name":"The Journal of research and education in Indian medicine","volume":"509 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76405450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/jreim.82-1680181765
Rajagopala Shrikrishna, No author No author, K. P
Kaumārabhr̥tya or Bālacikitsa has transcended the tests of time. It has been an area of proactive practice in several parts of the nation. Pediatrics is a promising field not only in Ayurveda but in Siddha (Kuzhantai maruttuvam/Bālavagadattiruṭṭu) and Unani (Amraz-e-Atfal) too. These traditional branches of pediatrics are at crossroads. The public notion that the indigenous, traditional interventions suit their children better has probably led to an increased preference towards these systems. On the other side, for these practices to remain current and find their deserving space in community health, it needs much more evidence. Health promotion and disease prevention Svarṇaprāśana is one of the most important contributions of Kaumārabhr̥tya to society. It is like presenting ‘old wine in new bottle’ – a new beacon in Ayurveda Pediatric practice. It is the experience of many learned practitioners of Ayurveda and research outcomes in specific that Svarṇaprāśana acts as a positive adjuvant to many existing therapies and boost the cure and recovery rate and many a times acts as a sure shot remedy too! Its use as a prophylactic immunomodulator and nootropic has become a widespread practice all over the country owing to its safety and effectiveness in these domains. In biomedicine as well, gold is an emerging broad- spectrum therapeutic agent in cancer, respiratory illnesses, pain, and cognitive impairments. Non- gold preparations having prophylactic and immunomodulatory actions are also common in practice as parts of vernacular traditions, like Uraimarunnu in the south and Janma ghunti in the north. Prākāra yogas are immunomodulators specific to children, mentioned in Ārogyakalpadruma (pediatric treatise).
{"title":"PEDIATRIC PRACTICE AND RESEARCH IN AYURVEDA: THE RIGHT TIME","authors":"Rajagopala Shrikrishna, No author No author, K. P","doi":"10.5455/jreim.82-1680181765","DOIUrl":"https://doi.org/10.5455/jreim.82-1680181765","url":null,"abstract":"Kaumārabhr̥tya or Bālacikitsa has transcended the tests of time. It has been an area of proactive practice in several parts of the nation. Pediatrics is a promising field not only in Ayurveda but in Siddha (Kuzhantai maruttuvam/Bālavagadattiruṭṭu) and Unani (Amraz-e-Atfal) too. These traditional branches of pediatrics are at crossroads. The public notion that the indigenous, traditional interventions suit their children better has probably led to an increased preference towards these systems. On the other side, for these practices to remain current and find their deserving space in community health, it needs much more evidence. Health promotion and disease prevention Svarṇaprāśana is one of the most important contributions of Kaumārabhr̥tya to society. It is like presenting ‘old wine in new bottle’ – a new beacon in Ayurveda Pediatric practice. It is the experience of many learned practitioners of Ayurveda and research outcomes in specific that Svarṇaprāśana acts as a positive adjuvant to many existing therapies and boost the cure and recovery rate and many a times acts as a sure shot remedy too! Its use as a prophylactic immunomodulator and nootropic has become a widespread practice all over the country owing to its safety and effectiveness in these domains. In biomedicine as well, gold is an emerging broad- spectrum therapeutic agent in cancer, respiratory illnesses, pain, and cognitive impairments. Non- gold preparations having prophylactic and immunomodulatory actions are also common in practice as parts of vernacular traditions, like Uraimarunnu in the south and Janma ghunti in the north. Prākāra yogas are immunomodulators specific to children, mentioned in Ārogyakalpadruma (pediatric treatise).","PeriodicalId":85736,"journal":{"name":"The Journal of research and education in Indian medicine","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85416036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/jreim.82-1677852340
O. Singh, L. Singh
Introduction: In pediatric age group mental development and physical growth is a continuous process. Children get easily affected by emotional and psychological trauma because of their naturally occurring delicacy. With the changing sociocultural scenario in present era, behavior and psychological problems are on increase. Material and Methods: This study is based on classical Ayurveda texts including Charak Samhita and Sushruta Samhita also various database searches like Google scholar and Pub med. Results and Discussion: Three major constitutional types Vataj, Pittaj and Kaphaj Prakrit’ have an important role in formation of Manovritti or psyche of the child. Therefore, each child behaves differently in a particular situation and so clinical approach must be individualized based on Prakriti. Bodily daily routine (Dinacharya), night regimen (Ratricharya), seasonal regimen (Ritucharya) and code of conduct (Sadvritta) are the healthy lifestyle guidelines prescribed in Ayurveda for maintaining positive health. On the basis of these principles, certain guidelines for parents to manage stress and anxiety disorder of their child are framed. Conclusion: Psychosomatic disorders in children like stress, anxiety and depression are emerging disorders of present stressful era. These disorders can be successfully managed with help of treatment based on Ayurvedic principles for healthy lifestyle considering child’s Doshik Prakriti i.e. psychosomatic constitution. Management protocol framed as guidelines for parents can be provided in day to day practice to improve child’s mental health.
{"title":"PRAKRITI BASED APPROACH TO HEAL PSYCHOSOMATIC DISORDERS IN CHILDREN W.S.R. TO STRESS AND ANXIETY DISORDER","authors":"O. Singh, L. Singh","doi":"10.5455/jreim.82-1677852340","DOIUrl":"https://doi.org/10.5455/jreim.82-1677852340","url":null,"abstract":"Introduction: In pediatric age group mental development and physical growth is a continuous process. Children get easily affected by emotional and psychological trauma because of their naturally occurring delicacy. With the changing sociocultural scenario in present era, behavior and psychological problems are on increase. Material and Methods: This study is based on classical Ayurveda texts including Charak Samhita and Sushruta Samhita also various database searches like Google scholar and Pub med. Results and Discussion: Three major constitutional types Vataj, Pittaj and Kaphaj Prakrit’ have an important role in formation of Manovritti or psyche of the child. Therefore, each child behaves differently in a particular situation and so clinical approach must be individualized based on Prakriti. Bodily daily routine (Dinacharya), night regimen (Ratricharya), seasonal regimen (Ritucharya) and code of conduct (Sadvritta) are the healthy lifestyle guidelines prescribed in Ayurveda for maintaining positive health. On the basis of these principles, certain guidelines for parents to manage stress and anxiety disorder of their child are framed. Conclusion: Psychosomatic disorders in children like stress, anxiety and depression are emerging disorders of present stressful era. These disorders can be successfully managed with help of treatment based on Ayurvedic principles for healthy lifestyle considering child’s Doshik Prakriti i.e. psychosomatic constitution. Management protocol framed as guidelines for parents can be provided in day to day practice to improve child’s mental health.","PeriodicalId":85736,"journal":{"name":"The Journal of research and education in Indian medicine","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83470478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.5455/jreim.82-1575700869
Parashar Akhani, Sandhya Patel, Shivnarayan Gupta
Background: Clear data reflecting epidemiology of end-stage kidney disease (ESKD) in India and economic burden placed by it are not available due to absence of a registry. The scenario about pediatric ESKD is still worse as the data about etiologies that contribute to ESKD are also not available. Over 90% of patients requiring renal replacement therapy (RRT) succumb to their ESKD as only a few specialized medical centers providing nephrology care are available. Lack of universal access to RRT and financial inability to afford the medical care are also few of the reasons for this. Sixty percent of the patient stop RRT after starting it due to financial restrains1. Unexpected complications after kidney transplantation also put a lot of financial burden on the patient and his/her family. So, a cheaper and easily available treatment should be available to such needy patients. Case presentation: Father of a 9year-9month-old boy, who had been diagnosed as ESKD patient, sought Ayurvedic treatment for his son. The boys serum creatinine was 8.2mg%, urea 154gm%, serum calcium 5.6gm% and phosphorous 7 mg/dl with very severe degree of growth restriction. His weight and height were far below 5 percentiles. His whole-abdomen body sonography revealed small right kidney with poorly maintained corticomedullary differentiation, left kidney not visualized and a couple of 4-5mm-stones in gall bladder. At the time of presentation to our hospital he had already started developing renal rickets with mild degree of knock-knees and difficulty in walking of 10-days duration. His eGFR was < 5.8, which place the patient in stage V of CKD {end-stage renal disease (ESRD)}. Management and outcome: After clinical evaluation the ayurvedic treatment, which included niruha basti (recto colonic administration of drug) was started. His clinical condition was closely watched as he had come with much elevated serum creatinine; however, the boy responded well psychologically, physically and biochemically. The boy is being followed up till date regularly since his hospitalization here in September, 2015 and the results are very promising in all aspects including physical and biochemical ones.
{"title":"AYURVEDIC MANAGEMENT OF PEDIATRIC STAGE V CHRONIC KIDNEY DISEASE - A CASE REPORT","authors":"Parashar Akhani, Sandhya Patel, Shivnarayan Gupta","doi":"10.5455/jreim.82-1575700869","DOIUrl":"https://doi.org/10.5455/jreim.82-1575700869","url":null,"abstract":"Background: Clear data reflecting epidemiology of end-stage kidney disease (ESKD) in India and economic burden placed by it are not available due to absence of a registry. The scenario about pediatric ESKD is still worse as the data about etiologies that contribute to ESKD are also not available. Over 90% of patients requiring renal replacement therapy (RRT) succumb to their ESKD as only a few specialized medical centers providing nephrology care are available. Lack of universal access to RRT and financial inability to afford the medical care are also few of the reasons for this. Sixty percent of the patient stop RRT after starting it due to financial restrains1. Unexpected complications after kidney transplantation also put a lot of financial burden on the patient and his/her family. So, a cheaper and easily available treatment should be available to such needy patients. Case presentation: Father of a 9year-9month-old boy, who had been diagnosed as ESKD patient, sought Ayurvedic treatment for his son. The boys serum creatinine was 8.2mg%, urea 154gm%, serum calcium 5.6gm% and phosphorous 7 mg/dl with very severe degree of growth restriction. His weight and height were far below 5 percentiles. His whole-abdomen body sonography revealed small right kidney with poorly maintained corticomedullary differentiation, left kidney not visualized and a couple of 4-5mm-stones in gall bladder. At the time of presentation to our hospital he had already started developing renal rickets with mild degree of knock-knees and difficulty in walking of 10-days duration. His eGFR was < 5.8, which place the patient in stage V of CKD {end-stage renal disease (ESRD)}. Management and outcome: After clinical evaluation the ayurvedic treatment, which included niruha basti (recto colonic administration of drug) was started. His clinical condition was closely watched as he had come with much elevated serum creatinine; however, the boy responded well psychologically, physically and biochemically. The boy is being followed up till date regularly since his hospitalization here in September, 2015 and the results are very promising in all aspects including physical and biochemical ones.","PeriodicalId":85736,"journal":{"name":"The Journal of research and education in Indian medicine","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78214787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.5455/jreim.82-1635266753
D. Kadam
Tinea or ringworm is one of the most common skin disorders encountered in the clinical practice. It is a group name for a highly contagious Mycelia fungus. It is a commonest single fungus group of infections found in an unhygienic condition especially in tropical and subtropical countries, unless properly treated they become chronic. Prevalence of superficial fungal infection was 27.6 %, Dermatophytosis was 75.6 %. Tinea corporis is commonest (78%) clinical pattern of dermatomycosis 1. Dadru is commonly occurring skin diseases which have been included under Mahakushta by Acharya Sushruta 2. Dadru bears greater resemble with Tinea. There are various treatment modalities which can be applied, like shodhana, shaman, etc. A 29 year male patient gradually developed the classical symptoms of Dadru (Tinea corporis) over the Face abdomen and back, was treated with Arogyavardhini vati, Gandhak Rasayana & Gandhak Malahar for 1 month. Improvements were noted in the symptoms of itching, redness & vesicular patches. Patient was treated with Arogyavardhini vati & Gandhak rasayan vati (oral use), Gandhak Malahar was applied locally over the affected area for 1 month. Dadru, one of the Kushta is a common skin disease which resemble with Tinea. The present case study concludes that Ayurvedic medicines like Arogyavardhini vati ,Gandhak rasayan vati and Gandhak Malahar for local application with some dietary & lifestyle changes is highly effective in the management of Dadru.
{"title":"MANAGEMENT OF DADRU (TINEA INFECTION) WITH HERBIMINIRALS: A CASE STUDY [An Ayurvedic management of Dadru (Tinea infection/Ringworm)","authors":"D. Kadam","doi":"10.5455/jreim.82-1635266753","DOIUrl":"https://doi.org/10.5455/jreim.82-1635266753","url":null,"abstract":"Tinea or ringworm is one of the most common skin disorders encountered in the clinical practice. It is a group name for a highly contagious Mycelia fungus. It is a commonest single fungus group of infections found in an unhygienic condition especially in tropical and subtropical countries, unless properly treated they become chronic. Prevalence of superficial fungal infection was 27.6 %, Dermatophytosis was 75.6 %. Tinea corporis is commonest (78%) clinical pattern of dermatomycosis 1. Dadru is commonly occurring skin diseases which have been included under Mahakushta by Acharya Sushruta 2. Dadru bears greater resemble with Tinea. There are various treatment modalities which can be applied, like shodhana, shaman, etc. A 29 year male patient gradually developed the classical symptoms of Dadru (Tinea corporis) over the Face abdomen and back, was treated with Arogyavardhini vati, Gandhak Rasayana & Gandhak Malahar for 1 month. Improvements were noted in the symptoms of itching, redness & vesicular patches. Patient was treated with Arogyavardhini vati & Gandhak rasayan vati (oral use), Gandhak Malahar was applied locally over the affected area for 1 month. Dadru, one of the Kushta is a common skin disease which resemble with Tinea. The present case study concludes that Ayurvedic medicines like Arogyavardhini vati ,Gandhak rasayan vati and Gandhak Malahar for local application with some dietary & lifestyle changes is highly effective in the management of Dadru.","PeriodicalId":85736,"journal":{"name":"The Journal of research and education in Indian medicine","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80016650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.5455/jreim.82-1561851202
R. Kulkarni, S. V, Jagadeesh Kunjal
Introduction: Recurrent respiratory illnesses and cough are the very frequent reasons for which pediatricians help is sought for. Wet cough with wheezing is the cardinal feature seen in kaphaja kasa. Ayurveda gives excellent remedies for the management of recurrent respiratory illnesses including cough. Though Ayurveda pediatricians frequently manage kaphaja kasa in their office practice but studies highlighting its prevalence and clinical characterization are not published. The purpose of this study was to find out the prevalence and clinical profiling of Kaphaja kasa in children of 1 to 15years of age at Sri Dharmasthala Manjunatheshwara institute of Ayurveda teaching hospital (SDMIA and H), Bengaluru. Materials and methods: A retrospective study was done in 5898 children health seekers who attended outpatient department of Kaumarabhritya (Ayurveda Pediatrics) over a period of one year from November 2017 to October 2018. The 12 months data retrieved from the ERPMS software used for documentation of health seekers details. The presenting features influences of age, gender and socioeconomic status were used for categorization and discussion in this study. Results: This study showed 33.13% (1954) of children between 1 to 15years had Kaphaja kasa. Among them 63.05% were male children and rest were females (36.95%). Age group who suffered most was 1 to 5 years. The most presenting features were Kasa (wet cough-100%), Ghana snigdha shveta kapha (thick white sticky sputum-69.03%), Pratishyaya (Running nose-46.00%), Ghurghurka shabda (audible wheezes- 43.32%), Shvasa (dyspnea-41.81%) and least was Chardi (vomiting-2.09%). This study can be used as epidemiological data for the further studies etiological profiling and clinical effectiveness of Ayurveda intervention. Conclusion: prevalence of Kaphaja kasa was found to be 33.13% in children 1 to 15years. Clinical characterization of kaphaja kasa was done based on the percentage of signs and symptoms presented.
{"title":"Prevalence and clinical characterization of Kaphaja kasa in children","authors":"R. Kulkarni, S. V, Jagadeesh Kunjal","doi":"10.5455/jreim.82-1561851202","DOIUrl":"https://doi.org/10.5455/jreim.82-1561851202","url":null,"abstract":"Introduction: Recurrent respiratory illnesses and cough are the very frequent reasons for which pediatricians help is sought for. Wet cough with wheezing is the cardinal feature seen in kaphaja kasa. Ayurveda gives excellent remedies for the management of recurrent respiratory illnesses including cough. Though Ayurveda pediatricians frequently manage kaphaja kasa in their office practice but studies highlighting its prevalence and clinical characterization are not published. The purpose of this study was to find out the prevalence and clinical profiling of Kaphaja kasa in children of 1 to 15years of age at Sri Dharmasthala Manjunatheshwara institute of Ayurveda teaching hospital (SDMIA and H), Bengaluru. Materials and methods: A retrospective study was done in 5898 children health seekers who attended outpatient department of Kaumarabhritya (Ayurveda Pediatrics) over a period of one year from November 2017 to October 2018. The 12 months data retrieved from the ERPMS software used for documentation of health seekers details. The presenting features influences of age, gender and socioeconomic status were used for categorization and discussion in this study. Results: This study showed 33.13% (1954) of children between 1 to 15years had Kaphaja kasa. Among them 63.05% were male children and rest were females (36.95%). Age group who suffered most was 1 to 5 years. The most presenting features were Kasa (wet cough-100%), Ghana snigdha shveta kapha (thick white sticky sputum-69.03%), Pratishyaya (Running nose-46.00%), Ghurghurka shabda (audible wheezes- 43.32%), Shvasa (dyspnea-41.81%) and least was Chardi (vomiting-2.09%). This study can be used as epidemiological data for the further studies etiological profiling and clinical effectiveness of Ayurveda intervention. Conclusion: prevalence of Kaphaja kasa was found to be 33.13% in children 1 to 15years. Clinical characterization of kaphaja kasa was done based on the percentage of signs and symptoms presented.","PeriodicalId":85736,"journal":{"name":"The Journal of research and education in Indian medicine","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80479015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.5455/jreim.82-1593508915
D. Devi, Rajeev Srivastava
{"title":"Current approach towards the understanding of adaana kaala, visarga kaala and ritu","authors":"D. Devi, Rajeev Srivastava","doi":"10.5455/jreim.82-1593508915","DOIUrl":"https://doi.org/10.5455/jreim.82-1593508915","url":null,"abstract":"","PeriodicalId":85736,"journal":{"name":"The Journal of research and education in Indian medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80762840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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