Virechana Karma 和 Lekhana Basti 在代谢综合征治疗中的比较评估

Priyanka Sharma, Alok Kumar Srivastava, Shashi Kant Tiwari
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摘要

代谢综合征是一种复杂的代谢疾病,是现代社会日益严重的治疗问题。此外,它还与心血管疾病、2 型糖尿病和其他严重健康问题的出现有关。代谢综合征主要是由于高脂肪饮食、久坐不动的生活方式、压力、失眠、饮酒过量、超重等因素造成的。当体内出现内脏肥胖、血脂异常、高血压、血糖升高、胰岛素抵抗等五种生化和生理异常中的三种时,就被认为是临床诊断。阿查里亚-查拉卡(Acharya Charaka)提到了一组疾病,即 Santarpana Nimittaj Vikara(因过度饮食引起的疾病),这些疾病在症状上可能与代谢综合征有关,尤其是 Medaavrit(被脂肪组织覆盖)Vata(代表体内空气的三种体液之一)。目的与目标比较评估 Virechana Karma(治疗性清肠法)和 Lekhana Basti(一种治疗性灌肠法)在治疗代谢综合征方面的效果。材料与方法:根据代谢综合征的典型症状,从 Rishikul 校区医院 Panchakarma 部的 OPD 和 IPD 选出 43 名患者,并根据纳入-排除标准随机分为两组 - Virechana 组和 Lekhana Basti 组。然后对患者进行详细的临床病史和体格检查。使用统计分析:由于选择的是客观标准,因此组内比较采用成对 t 检验,组间比较采用非成对 t 检验(t 检验)。结论在治疗代谢综合征方面,Virechana Karma 优于 Lekhana Basti。
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Comparative Evaluation of Virechana Karma and Lekhana Basti in the Management of Metabolic Syndrome
Metabolic Syndrome is a complex metabolic condition which is a rising therapeutic problem in modern society. Additionally, it has been linked to the emergence of CVD, Type 2 DM and other grave health issues. It primarily develops as a result of a diet high in fat, a sedentary lifestyle, stress, insomnia, drinking too much alcohol, being overweight, and other factors. When three out of the five biochemical and physiological abnormalities such as visceral obesity, dyslipidemia, hypertension, increased blood sugar, insulin resistance, etc. are present in the body, it is considered clinically diagnosed. Acharya Charaka has mentioned a group of diseases namely Santarpana Nimittaj Vikara (diseases caused due to over eating) which can be symptomatically co-related with metabolic syndrome, especially Medaavrit (covered by fatty tissues) Vata (one of the three bodily humors representing air in the body). Aims & Objectives: Comparative evaluation of Virechana Karma (therapeutic purgation) and Lekhana Basti (a type of therapeutic enema) in the management of metabolic syndrome. Material & Methods: 43 patients were selected on the basis of classical symptomatology of metabolic syndrome from OPD and IPD of Dept. of Panchakarma, Hospital of Rishikul Campus and randomly divided into two groups - Virechana group and Lekhana Basti group on the basis of inclusion - exclusion criteria. There after the patients were subjected for detailed clinical history and physical examination. Statistical analysis used: Since objective criteria were selected so for intragroup comparison Paired- t- test was applied and for intergroup comparison Unpaired- t- test (t-test) was applied. Conclusion: Virechana Karma is better than Lekhana Basti in the management of metabolic syndrome.
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