Lukewarm Water Research Articles

Blood calcium dynamics in cows receiving an aqueous calcium suspension for voluntary consumption or a calcium bolus following parturition.

The form of oral calcium (Ca) supplement and the Ca source influence Ca absorption dynamics resulting in different postpartum calcemia. The objective of this study was to investigate whether an oral Ca supplement (mainly CaCO3) offered for voluntary consumption would maintain or increase postpartum blood Ca to the same degree as a Ca bolus (mainly CaCl2) providing an equivalent dose of a Ca. A total of 72 Holstein cows were blocked by expected parturition date and parity. Within each block of 3 animals, cows were randomly assigned to one of three treatments, including an oral Ca supplement offered for voluntary consumption (Ca-drink, n = 23), an oral Ca bolus (Ca-bolus, n = 24), or an untreated group (CON, n = 25). Treatments were administered once within 15 min postpartum. The Ca-drink provided 45 g of Ca (CaCO3 source) and was mixed in 20 L of lukewarm water and offered to cows for 30 min. The Ca-bolus provided 43 g of Ca (71% from CaCl2 and 29% from CaSO4) and was administered once. Both Ca-bolus and CON cows received 20-l of lukewarm water at parturition to standardize the volume of fluids (Ca-drink or 20-l lukewarm water) offered at parturition. Dairy cows offered Ca-drink had a 28% higher fluid consumption than Ca-bolus and CON cows. Milk yield and milk composition expressed in percentage protein, fat, lactose, and urea did not differ, whilst there was a small but significant increase in DMI in cows receiving the Ca-drink compared to CON, while Ca-bolus did not differ from other groups. This was consistent with reduced BW losses between week 1 and 3 in cows receiving the Ca-drink suspension. Treatment by time interactions were present for blood Ca, glucose, and urea concentrations. Blood Ca was relatively stable in Ca-drink cows, while higher fluctuations were observed in Ca-bolus cows. In Ca-bolus cows, blood Ca increased from 15 min to 6 h, decreased from 6 to 24 h, and finally increased again from 24 to 48 h. At 24 h post administration, blood Ca was greater in cows receiving the Ca-drink than cows receiving the Ca-bolus. Blood glucose was greater in Ca-bolus cows at 15 min after treatment administration compared with Ca-bolus and CON, while blood urea was higher in CON than Ca-drink and Ca-bolus throughout the sampling period. These results indicate that voluntary oral Ca resulted in a relatively stable calcemia, whereas higher fluctuations were observed in cows receiving the Ca-bolus. Due to a lack of differences between Ca-drink and Ca-bolus compared with CON, it is not possible to conclude regarding the efficacy in maintaining postpartum blood Ca.

Comparing Golqand (Persian Medicine Product) with Magnesium Hydroxide in Adult Constipation: A Randomized Clinical Trial

Chronic constipation is a highly prevalent digestive problem in the community, which would decrease the quality of life of individuals. There is not any conclusive drug of choice for constipation. Golqand (combined Rosa × damascena Herrm. and honey) has been introduced as an effective safe laxative in Persian medicine (PM). This study aimed to investigate the effects of Golqand in comparison with Magnesium hydroxide suspension (MOM) in chronic constipation. In this clinical trial, fifty-six patients with chronic constipation were randomly assigned to the study groups of Golqand or MOM. Patients received Golqand (20 g daily) or MOM (40 mL daily) for 2 weeks. Patients took the drug twice a day, MOM group used it in the morning (20 mL) and at night before going to bed (20 mL). The Golqand group used it 10 g before lunch and 10 g before dinner, dissolved it in lukewarm water and swallowed. Then, they were followed for the second two weeks without any medication. The primary outcome was frequency of defecation. Patients were evaluated before the study and two weeks and four weeks after the beginning study. Estimated marginal mean frequency of defecation in the MOM group in the first two weeks was significantly higher than the Golqnd group (P < 0.05). There was no significant difference among the groups in the third week when treatment was discontinued (P = 0.155) but in the fourth week, the Golqand group had more count of defecation than the MOM group (P = 0.001). There was no significant difference between the two study groups in terms of treatment satisfaction and drug side effects (P > 0.05). Golqand medication can be used in the treatment of constipation with very few drug side effects and a more lasting effect than MOM drug.

Impact of Water Exposure and Temperature Changes on Skin Barrier Function.

The frequency of hand hygiene has increased due to the COVID-19 pandemic, but there is little evidence regarding the impact of water exposure and temperature on skin. The aim of this study is to evaluate the effect of water exposure and temperature on skin barrier function in healthy individuals. A prospective observational study was conducted. Temperature, pH, transepidermal water loss (TEWL), erythema and stratum corneum hydration (SCH) were measured objectively before and after hot- and cold-water exposure and TempTest® (Microcaya TempTest, Bilbao, Spain) contact. Fifty healthy volunteers were enrolled. Hot-water exposure increased TEWL (25.75 vs. 58.58 g·h−1·m−2), pH (6.33 vs. 6.65) and erythema (249.45 vs. 286.34 AU). Cold-water immersion increased TEWL (25.75 vs. 34.96 g·h−1·m−2) and pH (6.33 vs. 6.62). TEWL (7.99 vs. 9.98 g·h−1·m−2) and erythema (209.07 vs. 227.79 AU) increased after being in contact with the hot region (44 °C) of the TempTest. No significant differences were found after contact with the cold region (4 °C) of the TempTest. In conclusion, long and continuous water exposure damages skin barrier function, with hot water being even more harmful. It would be advisable to use cold or lukewarm water for handwashing and avoid hot water. Knowing the proper temperature for hand washing might be an important measure to prevent flares in patients with previous inflammatory skin diseases on their hands.

A Comparative Study of ORS (Oral Rehydration Solution) with Probiotics versus ORS with Zinc as an Adjunct Therapy in Pediatric Acute Diarrhoeal Diseases

Abstract Background: Diarrhea is characterized by abnormally loose or watery stools. Diarrhea causes the body to lose a lot more fluid than normal, infants and toddlers can become dehydrated more quickly than older children when they have diarrhea and vomiting. If dehydration becomes severe it can be dangerous particularly in young babies. We in the current study tried to evaluate the effect of ORS with probiotics and ORS with zinc supplementation as an adjunct therapy to diarrheal disease. Methods: Based on the inclusion and exclusion criteria n=100 successive cases were identified and included in the study. They were randomly allotted in two groups. Group A (N=50) was given a probiotic sachet consisting of Saccharomyces 2.5 billion spores and Lactic acid bacillus 100 million spores. The powder in the sachet was dissolved in 20 ml of lukewarm water and given to the child twice daily. Group B (n=50) were given 20mg Zinc sulfate tablet once daily along with the usual treatment of fluid replacement. Results : The mean age was 2.76 years in-group-A and 2.92 years in Group-B. In this study, the mean weight was 10.12 kg of the patients belonging to group-A and the mean weight was 10.16 kg of the patients belonging to group B. The Mean duration of diarrhea to subside after intervention in group A was 75.3 hours and the mean duration of diarrhea after intervention in group B was 56.08 hours. The average time for recovery in patients of group A was 4.5 days and in group B the meantime for recovery was 3.9 days. Conclusion: There was a significant improvement in the patients treated with the zinc group when compared with the probiotic group in terms of time taken for resolving diarrhea. There was a little difference in the effect of probiotics and zinc in patients in terms of stool frequency and stool consistency. However, the efficacy of zinc was greater compared to probiotics.

A Critical Study on Raktapradoshaja Vikarawith its Principle of Treatment (Mukhapaka)with Yastimadhu Churna.

Introduction-As on today’s era, the changing lifestyle and eating pattern like Visamasana, Adhyasana,Ajirnasana & consumption of Virudhaharacauses disturbance of the normal physiology which makes them prone to RaktaDushti Vikara, Mukhapakais one of them. It is a painful and often recurrent inflammatory process of the oral mucosa seen commonly in all classes of society.Aim and Objectives -To study the efficacy of Yastimadhu churnain Mukhapakaon the basis of the principle of treatment of Raktapradoshaja Vikara(Shaman concept ofRaktapittaharikriya).Materials and Methods-30 no. of patients were selected and administered Yastimadhu Churna 5gm with luke warm water after food twice daily for a period of 15 days. All patients were investigated for Hb gm %, BSL before and after treatment. The collected data was distributed according to different demography and Prakriti Pareeksha. The assessment of the subjective and objective parameters was evaluated by the statistical w-test and paired t-test.Observation and result: -It has been observed that, the trial drug is statistically significant at level of 5% (p<0.5) to reduce both parameters.Discussion and Conclusion:-Finally it can be said that the trial drug could be best means for management of RaktaPradoshaja Vikara (Mukhapaka). During the entire duration of therapy, any adverse effect of the drug was not found

Clinical Study to Evaluate the Effect of Shubhdeep Kidney Care Pill in the Management of Mutrakricchra w.s.r to UTI

Introduction Mutrakricchra (Urinary tract infection) is a prevalent illness that affects people of all ages. Disease incidence and prevalence differ by age and gender. Urinary tract infection and its treatment are critical since it can result in immediate morbidity as well as long-term problems such as hypertension and chronic renal insufficiency. Materials and methods 30 subjects had a 45-day clinical assessment of the test drug. Patients visiting the O.P.D. and I.P.D. of the P.G. Department of Kayachikitsa, Shubhdeep Ayurveda Medical College & Hospital (P.G Institute), Indore, participated in an open clinical study. Based on inclusion and exclusion criteria, patients of both sexes between the gender of 20 and 50 years were chosen. 500mg of the trial medication were administered twice daily with lukewarm water before meals. For the purpose of observing and evaluating the therapeutic effect, a case record form was created. Results were evaluated using both subjective and objective criteria. The paired "t" test was used to statistically analyze the demographic and clinical data. Results It was observed that in the present study, highest number of patients around 50% (15) had marked mild improvement in their subjective complaints and 23% (7) had good improvement, around 20% (6) of patients showed moderate improvement and 7% showed no/ poor relief. Discussion The formulations utilized in this study have components high in madhura, tikta- ras, sita-virya, laghu, snigdha-guna, and madhura -vipaka, which aided to reduce pitta dosha and daha. Vatashaman, shothaharan, and bastishodhan are made easier by the antibacterial and antimicrobial components

An Ayurvedic Approach on Endometritis w.s.r. to PittajaAsrigdara-A Case Study

A woman's reproductive system is a delicate and complex system in the body. It is important to protect it from infections and injury for their health. Endometritis is inflammation of the uterine lining. It can affect all layers of the uterus and is usuallydue to an infection. The uterus is typically aseptic nature. However, the travel of microbes from the cervix and vagina can lead to infection. It's usually not life-threatening, but it's important to get it treated as soon as possible. It will generally cure when treated. Untreated infections can lead to complications with the reproductive organs, issues with fertility, and other general health problems. A female patient aged 35 years visited OPD of Prasuti Tantra and Stri Roga department of MMM Govt. Ayurved College, Udaipur, with complaints of heavy menstrual bleeding and prolonged menstrual bleeding more than seven days since six months with lower abdominal pain. Patient was given Nagkesharadi churna3 gm orally BD and Panchtikta ghrita guggulu2tab BD with lukewarm water.

Efficacy of Antidiabetic Ayurvedic Medicine in Diabetes Mellitus (Type 2)

Diabetes mellitus Type 2 (DM Type 2) is a major health problem in the present era. It is characterized by increased blood sugar level (BSL) with or without some classical features such as polydipsia, polyphagia, and polyuria. In Ayurveda, diabetes comes under a Vatic subtype of Prameha-called Madhumeha (~DM). The present study deals with a newly diagnosed case of Type 2 DM since February 22, 2019, with no family history of diabetes and oral hypoglycemic agent. His BSLs were high with associated symptoms such as pain in multiple joints, burning micturition, and pindikoudvesatna (~cramps while walking/calf muscle pain). Ayurveda-based pathogenesis suggested that the patient is of Kapha-Pittavrit-VataDosha (~a biohumor) is the chief vitiating factor and also vitiation of Meda, Kleda, Vasa, Ambu, and Ojas with Dhatwagnimandya are the co-factor. By considering the Nidana (~etiological factors), Dosha (~a biohumor), and Dusya (~tissue elements), a judicial combination of Ayurveda drugs such as Gokshuradi Guggulu, Gudmar Patra, Jamun Bija, Sudarshan, Nagarmotha Churna, and Chandraprabha Vati was advised to take orally in morning and evening with lukewarm water and proper diet and lifestyle modification was also prescribed. At the time of consultation, his fasting blood sugar (FBS) and postprandial blood sugar (PPBS) were 377 mg/dl and over 450 mg/dl, respectively, along with glycated hemoglobin (HbA1c) as 16.7%. After taking the prescribed formulation for 4 months, his FBS and PPBS levels came down to the normal range, but HbA1c level declined at 6 months to 6.4%. The prescribed antidiabetic Ayurvedic medicines showed good response by maintaining normal BSLs in a Type 2 DM case.

The efficacy and safety of Kantakaryavaleha and Eladi Gutika in the management of mild stable bronchial asthma (Tamaka Shwasa)

BACKGROUND: Although Ayurveda medicine is used to manage bronchial asthma, available evidence relating to its efficacy needs to be generated. To scientifically evaluate the efficacy and safety of Ayurveda interventions, Kantakaryavaleha and Eladi Gutika, a multicenter, prospective, single-arm, open-label clinical study on mild stable bronchial asthma (Tamaka Shwasa) will be initiated. MATERIALS AND METHODS: 90 patients (45 in each center) with mild stable bronchial asthma will be enrolled based on inclusion and exclusion criteria. All the patients will be treated with Ayurveda medicines, i.e., Kantakaryavaleha 10 g, orally, twice daily with lukewarm water and tablet Eladi Gutika, 1 g thrice daily, orally. The intervention period will be 12 weeks and each participant will be followed up for 2 more weeks post intervention period. The primary outcomes will be measured assessing the change in the Asthma Control Questionnaire and the frequency of need for control medication before and after the trial intervention. The secondary outcomes will be measured by comparing the changes in clinical signs and symptoms of Tamaka Shwasa as per the Ayurveda classical text, changes in forced expiratory volume (FEV1), and biomarkers such as serum C-reactive protein (CRP), and IgE. TRIAL REGISTRATION: The trial has been registered at the Clinical Trials Registry-India (CTRI); the registration number for this trial is CTRI/2018/06/014425.

A Clinico-Pathological Study on Pleehodaraw.s.r. to Splenomegaly and its Comparative Management with Sarapunkha Ksharaand Sarapunkha Ghana Vati

Introduction-Udara rogasare classified into 8 types according to different Acharyas.Pleehodarais one among them.The main cause behind the development of Udara rogais ‘Mandagni’. In Ayurveda Pleehodaramay be correlated with Splenomegaly. Sarapunkhaa herbal drug mentioned in Ayurvedaclassics is effective in Pleehodara.So, a comparative single blind study of Sarapunkha Ksharaand Sarapunkha Ghana Vatiare taken into consideration for clinical trial for present study. Aims:To study about the comparative clinical efficacy of Sarapunkha Ksharaand Sarapunkha Ghana Vatiin the management of Pleehodara.Material and Methods-This is a single-blind comparative clinical study with a pre-test and post-test design. The patients were Randomly categorised into two groups.30 patients of Group-A(15) and Group-B(15) patients were registered from OPD and IPD of Govt. Ayurvedic College and Hospital, Balangir presented with Subjective parameters and Objective Parameters. After diagnosis they were under trial withAyurvedicformulations of Sarapunkha Ksharagiven 500mg twice daily after food in Group A and Sarapunkha Ghana Vatigiven 2tab(1 tab-500mg) twice daily after food with luke warm water for a period of 30 days respectively. The subjective and objective parameters were assessed in 10 days interval to interpret the result by statistical evaluation.Observation and Results: It had been observed that the result of trial drug Group-A patients was significant (<0.05) to reduce both subjective and objective Parameters after 30 days of treatment as compare to Group-B patients.Conclusion:On comparison between two groups, Sarapunkha Kshara had shown more effect thanSarapunkha Ghan Vati.No adverse effects were noticed during clinical trial in both groups

Clinico-Pathological Study of Phalatrikadi Ghana Vatiand Vasadi Ghana Vation Kamala w.s.r to Jaundice

ntroduction:Kamala,describedin Ayurveda classics resembles to the clinical features of Jaundice. Liver i.e. Yakrita is the Moolasthanaof Pachak Pittas, Raktavaha strotasa. Which we can correlate with Hepatobiliary system. Disturbance or diseases of hepatic system leads to mortality all the way through failure of remaining systems of our body. Kamala is one of the most important and specified disease of Yakritawhich can be correlated with Jaundice. Materials and methods: A clinical study on 30 Kamalapatients, (15 patients each in Group-AandGroup-B)wereregistered from OPD and IPD of Govt. Ayurvedic College and Hospital, Balangir, Odisha. The patients presented with the Subjective Parameters of Haridra netra, twak, nakha and mukha(yellow discoloration of eye, skin, nail bed and oral mucosa), Rakta pita purisha and mutra, Bheka varna , Hatendriya, Daha , Avipaka Daurbalya, Sadana, Aruci, Karshana and Objective parameters as LFT, Urine Bile Salt/Bile Pigment, Stool examination and CBC were selected for clinical study. Group-A patients were treated with Phalatrikadi Ghana Vati(500mg) and Group-B patients with Vasadi Ghana Vati(500 mg) thrice daily after food with honey or luke warm water orally for 15 days respectively. The patients were assessed at 10 days interval up to 30 days in order to find the efficacy of both the trial drugs. The subjective and objective parameters were analysed statistically by Wilcoxon-W test and p-value. Observation and result:The Statistically significant (P<0.05) result was revealed in both Group-A and Group-B but improvement was noticed more in Group-A. Conclusion:-The overall study revealed that the trial on Phalatrikadi Ghana Vati, i.e., Group-A showed more efficacy than Vasadi Ghanavatii.e, Group-B. The composition of Phalatrikadi Ghana Vatihelped more to develop the body immunity as well as maintain the LFT parameters rather than Vasadi Ghanavati.No adverse effects was noticed during clinical trial in both groups.

A comparative clinical study of Khanda Shunthi and Prasarni Avaleha in the Management of Ama Vata w.s.r. to Rheumatoid Arthritis

Rheumatoid Arthritis is a chronic inflammatory joint disease characterized by swollen, painful and stiff joints. Amavata is a disease of Madhyama Roga Marga as it affects Sandhis and Haridaya Marma. Though Ama and Vata are the predominant pathogenic factors but the disease represents Tridoshic vitiation. The affliction of Sandhis by Vata dosha in association with Ama reflects the equal role of both Dosha and Dushya in the causation of disease. Moreover, the chief pathogenic factors, being contradictory in nature possess difficulty in planning the line of treatment. The objectives of this randomized parallel group comparative study were to evaluate the effect of Khanda Shunthi and Prasarni Avaleha in the management of Amavata. This Study was conducted on 40 patients selected randomly from OPD and IPD of Desh Bhagat Ayurvedic Hospital and divided into 2 trial groups A and B having 20 patients in each group. Group A received Khanda Shunthi 10 gms BD and Group B received Prasarni Avaleha 10 gms BD with lukewarm water for 60 days. Results showed statistically significant difference in effect of Group A and Group B on, Pain, Swelling, Stiffness, ESR, Walking time and Grip Strength except on Fever and HB. Percent wise Khanda Shunthi is found to be more effective than Prasarni Avaleha for all assessment criteria in the management of Amavata.

Method validation for determination of nine pesticides in okra and their mitigation using different solutions.

In this paper we optimized QuEChERS method for extraction of nine pesticides viz. acephate, acetamiprid, chlorpyrifos, cypermethrin, imidacloprid, thiamethoxam, profenofos (insecticides), carbendazim and tebuconazole (fungicides) and performed their quantitative estimation in okra crop by HPLC-UV and GC-ECD. Decontamination treatments namely washing with running tap water, soaking in lukewarm water (50–60°C), soaking in solutions of 1% NaCl, 5% NaHCO3, 2% CH3COOH, 0.01% KMnO4 and three commercial formulations were also done for ten minutes every time, to calculate the extent of pesticide removal from okra. Results revealed that the proposed extraction method was efficient, inexpensive, accurate, rapid and precise and can suitably be used for the simultaneous quantitative determination of the above pesticides. The standard curve was linear over the concentration range of 0.05–5μg g-1 with R2 close to one (0.999). Soaking of okra in 2% acetic acid and then washing proved as the best decontamination treatments for all the pesticides. It showed the highest relative decontaminating capacity in comparison to the other solutions tested. Since the pesticide residues are usually present in higher amount in vegetables being consumed, it is of utmost importance to keep an eye over the use of pesticides to protect the crops.

An uncommon side effect of linezolid: Black hairy tongue

AbstractLinezolid therapy is known to cause black hairy tongue, which is benign and reversible. A 65‐year‐old diabetic male was on treatment for diabetic nonhealing ulcer involving right foot and sole for the past 6 months. Linezolid was started based on the culture and sensitivity of the pus. Patient developed thrombocytopenia and black hairy tongue after 7 days of the drug regimen. Drug was stopped and patient was advised to maintain good oral hygiene, soft tooth brush for brushing and regular mouth wash with lukewarm water. The black hairy tongue completely resolved within a week after stopping the drug. The taste and foreign body sensation on the tongue while swallowing were also improved. The diabetic wound was treated by starting vancomycin after giving a surgical wound debridement by a general surgeon.

Effect of lukewarm water compresses versus cold gel packs on breast engorgement among puerperal women

Effect of lukewarm water compresses versus cold gel packs on breast engorgement among puerperal women

A CLINICAL STUDY OF DEVDALI HIMA NASYA AND DRONPUSHPI SWARASA ANJANA IN KAMALA (JAUNDICE)

Most people have become used to spicy fast-food day by day. This has taken human beings far away from nature. Nowadays alcohol consumption is also increasing day by day. Ayurvedic texts have mentioned hepatocellular jaundice as Kamala. Due to frequent intake of Pittakara Aahara (spicy and hot food), it leads to vitiation of Pitta Dosha and Virechana1 (purgation) is the first line of treatment for Pittadushti. Ayurvedic line of management Ac- cording to lolimbraj (Vaidya jivana)2 i.e., Nasya therapy and According to Chakradatta Anjana3 therapy in addi- tion with above mentioned take 3 gm Triphala Churna with Lukewarm water at bedtime for Koshta shuddhi. Nasya and Anjana both are successful in Kamala by removing toxic waste from the body, and by correcting Agni (digestive fire). In our ancient classics, single drugs along with compound drugs have been mentioned in Kamala. These drugs have Kamalahara properties. This results in better circulation and nourishment of the organs and the diseases will subside. Kamala is a disease caused by an overabundance of Mala Ranjak Pitta. Nasya cleanses and energies the tissues and organs of the head and neck. Shodhan Nasya is a form of Nasya that promotes secretions and removes toxins from the body. Devadali Phal Nasya is a form of Shodhan, particularly Rechna Nasya, that causes accumulated Mala Ranjak Pitta to be excreted through the nose. Nasya is referred to as "Nastah Pracchar- dan" by Charaka4. It means Nasya is shodhan karma, which explains Nasya's position at the systemic level and why sr. bilirubin levels fall. Dronpushpi is Doşakarma Kaphavātaśamaka, Pittasamśodhaka Property.It is having Katu, Lavaņa, Madhura Rasa. It is laxative, angmintic, stimulant and febrifuge. The swarasa of this herb is ap- plied as a collyrium (natrănjana) in case of jaundice. Keywords: Jaundice, Kamala, Pitta Dushti, Nasya, Anjana, LFT.

Role of Ashvattha Patra (Leaf of Ficus religiosa Linn.) in the Secondary Prevention of Dyslipidemia

Introduction: Dyslipidemia is a group of disorders of lipoprotein metabolism, which includes over production or deficiency of lipoproteins or both. In developed countries, most of dyslipidemias are hyperlipidemias; that is, an elevation of lipids in the blood, which is an important risk factor for coronary heart disease and stroke. The prevalence of dyslipidemia is very high in India, which calls for urgent lifestyle intervention strategies to prevent and manage this important cardiovascular risk factor. Aim: The aim of the study was to assess the effect of Ashvattha Patra in dyslipidemia. Materials and Methods: A total number of 41 patients were included in the study and were randomly divided into two groups. Patients of Group A were treated with 100 ml of Ashvattha Patra Kwath (decoction) and Group B patients were provided 100 ml lukewarm water as placebo for 45 days. The outcome of clinical treatment was analyzed statistically using paired, unpaired t-test on GraphPad-Instat software Version 3.06. Results: Significant improvements were seen in total cholesterol, serum triglyceride level, and serum very low-density lipoprotein level not significant result recorded in serum low-density lipoproteins level. Conclusion: Decoction of leaves of Ficus religiosa was able to work on lipid and lipoprotein significantly.

Agnikarma with Adjuvant Drug in the Management of Frozen Shoulder (Avabahuka) – A Case Report

Agnikarma is superior to all parasurgical interventions narrated by father of surgery. Avabahuka can be correlated with frozen shoulder that affects routine activity by painful shoulder and restricted shoulder joint movements. This case report is an evidence to support alternative therapy in the management of frozen shoulder. A 50-year-old female presented with a 1 year history of gradual onset of painful restricted movements of the right shoulder, radiating pain from the right shoulder to elbow joint. The patient was diagnosed as a case of frozen shoulder and was treated with four sittings of Bindu Dagdha Agnikarma with Pachadhatu Shalaka along with orally Dashmooladi kwatha 50 ml at evening with empty stomach once daily and Haritaki Churna 3 g with lukewarm water at bed time for 28 days. After completion of the treatment, the patient got relieved from pain and restricted shoulder joint movement along with improvement in complete abduction, flexion, extension, adduction, and external rotation. Promising role of Agnikarma and adjuvant medicines is supposed to subside Vata Kapha dominant Sthanika Shotha (localized swelling) and as a result of this, it may have improved the shoulder joint movements.

A Successful Management of Hyperuricaemia Through Ayurveda Medications: A Case Series

Uric acid is a heterolytic compound of Carbon, Nitrogen, Oxygen and Hydrogen which is produced by the metabolism breakdown of purine nucleotides. Elevated level of uric acid in blood is called hyperuricemia. This condition arises due to over production or under secretion of uric acid. High blood concentration of uric acid can lead to Gout and are associated with other medical conditions. In Ayurveda science Vaatarkta disease is described which having similarities to the conditions of hyperuricemia, So hyperuricaemia can be corelated with Vaatarakta as Ayurveda perspective. In this case series, three cases of Hyperuricaemia were treated with Navakarshika ghana vati - 250 mg x2 TID after meal for one month with Kashyam and Amrutadi tailam-10ml OD with 100ml lukewarm water or milk on empty stomach for one month, gets very effective & quick response in hyperuricaemia. Both are pacified and normalised the level of uric acid. Also didn’t found any adverse drug reaction of both medicines.

Ayurvedic Management of Parikarthika (Acute Fissure in Ano) – A Case Study

Among anorectal diseases, Parikarthika (Fissure in ano) is considered one of the most painful diseases. Now a days the incidence rate of this disease became more due to the irregular food habits as well as unproper modern life style changes. Due to this its recent occurrence in all types of age groups irrespective of gender. This case study described the effective management of acute fissure in ano which was managed with ayurvedic treatment modalities. A 23-year male patient came with symptoms of pain and burning during and after defecation and also having the presence of blood streak while passing of stool. The patient was diagnosed as acute fissure due to the presence of a cut longitudinal ulcer in lower part of anal canal at the 6 o’clock position. Ayurvedic treatment approach both internally and externally were followed. Jatyadi Ghritham Pichu application followed by a lukewarm water sitz bath was advised as external treatment. The complete improvement was found in this within 12 days of treatment. No reoccurrence was noted even after 3rd month of follow up.