Pathya Ahara Research Articles

Management of microalbuminuria in Stage-2 Diabetic Nephropathy by Ayurveda formulation and Pathya ahara (Plant- based diet): A case report

Microalbuminuria is one initial diagnostic marker of progressive Diabetic Nephropathy (DN). Urine Albumin Excretion (UAE) between 30 and 300 mg/24 h is found in Stage 2 DN. In Ayurveda, no description is found, which can be directly correlated with DN, but Nidana and Samprapti of Prameha can be correlated for its manifestation. In this case, a 56-year-old male patient visited to Shalya Tantra OPD with complaints of type 2 diabetes and 135 mg UAE in 24 h with estimated Glomerular Filtration Rate (eGFR) of 77 ml/min/1.73 m2. This case report was aimed to evaluate the effect of Ayurveda formulations (Gokshuradi guggulu, Haritakyadi kwatha, Bhumyamalaki churna, and Gokshura churna) with Pathya ahara (Plant-based diet) in the management of microalbuminuria in DN Stage 2. This formulation was given for one month and Pathya ahara advised for two months. UAE significantly decreased and came to normoalbuminuria state. eGFR increased up to 87 ml/min/1.73 m2. The present study suggested that using Ayurveda formulations with Pathya ahara is effective in the management of microalbuminuria in DN Stage 2.

Role of patoladi kwath in vatarakta: A conceptual study

In the rapidly changing and modernizing era, human population is becoming vulnerable to many disorders related with altered lifestyle and food habits. Vatarakta is one such metabolic disorder. It is disease caused due to margavarana of aggravated Vata by vitiated Rakta or morbid Kapha and Medas. Etiological factors of Vatarakta are responsible for aggravation of Vata dosha and Rakta dushti. It also has rasayana, pain relieving and anti inflammatory properties which renders it quite effective for those suffering from the disease. The presentation of Vatarakta along with its etiopathogenesis is quite similar to gouty arthritis in modern medicine. Patoladi kwath is a combination of tridosha shamak, Raktasodhak (blood purifier) and also Vatashamak drugs. This decoction helps in Vatarakta to alleviate the features of aggravated doshas and remove blockage in srotas thereby causing Vayu shaman. The management of Vatarakta is a challenge as it is a disease of severe morbidity, chronicity and incurable to certain extent with associated complications . With certain lifestyle modifications alongwith pathya ahara(right diet) and certain Ayurvedic modalities it can be cured and prevented.

Critical Analysis of Pathyapathya Ahara in Tamaka Shwasa (Bronchial Asthma) in Children

Introduction: Asthma is described as a hyper-reactive disorder of airways characterized by airway inflammation and bronchial secretions due to hyper-responsiveness of airway cells. The prevalence of asthma has shown consistently an upward trend through the last few decades, especially in children, and accounts for more school absences and more hospitalizations than any other chronic illness. Materials and Methods: Review from diverse Ayurvedic literatures, pediatric books, research journals, magazines and authentic internet sources. Discussion: Review suggests that Purana Shali (Peddy), Guduchi, Rasona, Vastuka, Shigru, Draksha, Yava, Godhuma, Mudga, Aja Kshira, Madhu, Bilwa, Purana Sarpiare to be consideredas Pathya Ahara and Masha, Sarshapa, Tila, Dadhi, Guru Vihstambhi Ahara as Apathya. Ayurveda gives due importance to food in the management of disease both as a causative factor (Apathya) and as a part of therapy (Pathya). By looking at available pharmacological action of above mentioned Pathya Ahara, they all were found to be having anti-inflammatory, anti-allergic and anti-asthmatic properties; while Masha, Tila, Sarshapa like Ahara cause IgE mediated reaction putting them in the category of Apathya. Conclusion: Pathya is the one which keeps the person fit, maintains normal body function which leads to proper functioning of the organs, nourish the mind and intelligence, prevents diseases and at the same time corrects the irregularities that may occur in the body. Thus, everyone should abstain from Apathya (unwholesome to body) and follow Pathya (wholesome to body) as prevention is better than cure. Keywords: Anti-asthmatic Activity, Anti-allergic Activity, Anti-inflammatory Activity, Bronchial Asthma, Children, Diet plan, Pathyapathya Ahara, Tamaka Shwasa, wholesome, Unwholesome Cite this Article Chuman Lal Bhaskar, Sonam Chaudhary, K.S. Patel, V.K. Kori, Sagar M. Bhinde . Critical Analysis of Pathyapathya Ahara in Tamaka Shwasa (Bronchial Asthma) in Children Research and Reviews: A Journal of Ayurvedic Science, Yoga and Naturopathy . 2019; 6 3 22 30p.

Study of the efficacy of the Lekhaniya Ghana Vati in the management of Hyperlipidemia in DM-II

Hyperlipidemia is emerging big problem in present society, which is now increasing day by day because of sedentary life style of people, consumption of junk food, aerated cold drink and high level of stress are further detoriating the conditin. Hyperlipidemia is a major cause in major illness such as HTN, Obesity, acute MI, IHD, CCF and DM-2. Previous studies of hyperlipidemia shows that reduction of fractions of lipids levels reduce rate of morbidity in individual with DM-2, HTN, CAD. In Ayurveda hyperlipidimia showes close resembalance with Medoroga as per Ayurveda. Lekhaniya Gana is specifically indicated in Ayurveda literature for management of Medoroga. In current case study 54 yrs female K/C/O DM type 2 came with gross elevation of total cholesterol, triglicerides, LDL, VLDL levels. Lekhaniya Ghanavati with proper Pathya Ahara was adviced to patients for 2 months. Highly significant reduction was observed in total cholesterol level, triglyesrides, LDL, VLDL levels.

Ahara as Pathya and Apathya in Sthoulya (Obesity)

Background: Ayurveda gives prime importance to Agni, Prakriti, Ahara (food), Vihara (life style) in maintaining health. In present Era everyone is in mental and physical stress due to their life style, undisciplined daily regimen, dietic rules and regulation, which may result many lifestyle disorders. Sthoulya is one of the life style disorder and common growing health problem of the whole word. Sthoulya is result of heredity, environment and unbalanced food. It is not possible to change heredity, difficult to change environment, but relatively easy to change food habits and life style. Aim and Objectives: List out the Pathya Ahara for Sthoulya and List out the Apathya Ahara for Sthoulya. Discusion: Acharya Charaka has stressed upon the use of Guru and Apatarpana drug as special regimen for Sthoulya. The therapeutic measures without Pathya can be considered as incomplete treatment procedure. Conclusion: Pathya and Apathya are most essential to maintain the health of the healthy person and restore the health in diseased person. Hence, the present article review on Ahara as Pathya and Apathya in Sthoulya.

A Case Study on Ayurvedic management of Garbhini Chardi w.s.r. to Hyperemesis

Hyper emesis gravidarum is a rare obstetrical problem with incidence of 2 to 3% of pregnant women experience deliveries. Various demographic factors have been hypothesized as contributing facors for hyper emesis gravidarum. These include occupational status, maternal age, parity and inter pregnancy interval. Hyperemesisi gravidarum is because of result of an adaptation to the hormonal milieu. Although studies have identified many adverse pregnancy outcome such as low birth weight, intra uterine growth retardation etc. In this study Bilwadi Lehyam with Pathya Ahara has been evaluated for its efficacy in the management of Garbhini Chardi.

Sthoulya w.s.r. to Obesity Management - A Case Study

Background: New world syndrome like obesity is one of the world’s oldest metabolic disorders is heading for the rocks with various reasons like urbanization and modernization. Though obesity and over weight is not affecting much to a person for daily living, the complication of which has become burning issue in the society. Aim and Objective: To assess the efficacy of Shamanoushadi along with Pathya Ahara Vihara. Methods: Guduchi Bhadraadi Kashaya, Hareetaki Churna and Pathya Ahara Vihara. Results: Management of Sthoulya with Pathya Ahara Vihara along with Shamanoushadi was effective in all qualitative and quantitative data. Discussion: The drug possessing Rooksha Guna, Kaphahara property counteracts Sthoulya. Conclusion: Our classics with variety of treatment to individual disease suggest the stages or condition that disease can cross over

Management of Haemorrhoids (Arsha) with Yogic Life Style

‘Arsha’ (haemorrhoids) is an ailment that affects all economical groups of population. Though the disease is within the limits of management, it has its own complications like severe haemorrhage, inflammation and thrombosis, by which a patient gets severe pain and is unable to continue his routine work. Haemorrhoids are inflamed and swollen veins around the anus and lower part of rectum. They usually occur as a result of altered dietary pattern, altered life style, genetics, and pregnancy. One of the most common ailments of the rectum, affecting as much as half the population by the age group of 50. Suffering from haemorrhoids is not only painful but embarrassing as well. They may be classified as either internal or external. Many not only want to know how to heal haemorrhoids but how to heal them fast and naturally. The authors review the role of Ayurveda in the management of haemorrhoids (Arshas). It has been proved by scientific studies that botanicals improve microcirculation, capillary flow and to strength of the surrounding connective tissues of anus and lower rectum. Purpose of this article is to create the awareness regarding modification of life style for the prevention of Arshas / piles by regular practise of Yogic Asanas, following strict Pathya Ahara and Viharas according to Ayurveda.

Multi modal treatment approach in management of Sthaulya (Obesity)

Charaka has emphasized Sthaulya (obesity) in planning of treatment according to Sharira (Purusha Prakruti). Obesity is irreversible blessing from current machinery, vehicle friendly, foody life style. India is prime hub of Obesity due to genetic tendency and lifestyle. According to the WHO, World Health Statistics Report 2012, globally one in six adults is obese and nearly 2.8 million individuals die each year due to overweight or obesity, so present study is the need of the hour. Apakva Meda Dhatu along with Ama plays a key role in development of the disease and will lead to many life style disorders (Santarpanottha Vyadhi). For effective management of this disease Multi-modal treatment approach is the need of time. Amapachana, Shodhana, Udvartana, Langhana, Lekhana, Pathya Ahara Vihara etc. treatment modalities are used in Sthaulya according to condition of patient and cause of the disease. Multi-modal approach in the management of Sthaulya (obesity) is much useful to treat patient successfully.

Conceptual Study on Management of Surgical Complications of Prameha w.s.r to Diabetes and Its Management by Acharya Sushruta

Prameha is characterized by copious flow of cloudy or turbid urine and as a sequel pidakas will be formed which are again with all the tridosha vitiation. 1 The disease prameha may be correlated to diabetes depending upon the similar characteristics of these two entities. Diabetes mellitus is recognized as a syndrome characterized by chronic hyperglycemia due to relative deficiency of insulin or resistance or both. The common surgical complications are – macro vascular changes, micro vascular changes, diabetic neuropathy, and infection in glucose-laden tissue. Most common are carbuncles, diabetic foot, necrotizing fasciitis, and atherosclerosis. Acharya Sushruta has described 10 prameha pidakas which are considered to be the complications of diabetes. Understanding the pathology and breaking the pathology by time would help to prevent the establishment of such complications and thus reducing the morbidity and mortality. Application of concepts of Ayurveda such as – Following pathya ahara vihara periodically, usage of shodhana therapies . Raktamokshana in order to improve the blood circulation as well as removal of impurities through blood. Lekhana basti s can be adopted in the prevention and management of vascular related complications, which would decrease the risk of gangrene formation as well as cardiac complications. In case of established cases of diabetic ulcers – use of topical application of Shodhana Dravyas like Gomutra Arka, Guggulu Tiktaka Ghrita , and Ropana Dravyas . The Shodhana therapies would help the diagnosed cases to eliminate the toxins and thus prevent and manage the complications like atherosclerosis and other complications. Local foot care, ulcer care, improvement of blood circulation would prevent gangrene formation and thus reduce the chances of amputation.

Role of Vegetables (Shaka Dravyas) in Prevention and Management of Gastro - Intestinal Tract Diseases: A Critical Review

Background: Ayurveda describes diet as the best preventive medicine and mentioned its role for the prevention and management of many diseases. Classical texts of Ayurveda delineated different vegetables under “Shakavarga”, with their properties and indications in different disease conditions. These vegetables are advocated as Pathya Ahara (wholesome diet) in clinical practice for treating different lifestyle diseases due to faulty food habits. Aims: To critically evaluate the role of vegetables indicated as Pathya for gastrointestinal tract diseases. Material and methods: Four Samhita and eleven different Nighantu were reviewed. The obtained data have been analyzed and being presented in a precise manner with regards to their various reported activity on gastrointestinal diseases. Results: Analysis of the compiled data reveals that out of 324 plants, described under Shakavarga, 58 vegetables are indicated in the diseases related to gastrointestinal tract like Ajirna (Dyspepsia), Arshas (Hemorrhoids), Grahani (Malabsorption syndrome) etc. Among them, botanical identity of 57 classical plants has been established and maximum number of vegetables belongs to the family Cucurbitaceae & Solanaceae. Different parts of the plants like leaves, fruits, rhizome/tuber, stem, owers are recommended as vegetables in gastrointestinal diseases. Some of these vegetables are also reported for their effect in the management of peptic ulcer, chronic inammatory bowel disease etc. Conclusion: The observed results may be helpful in planning further scientic studies about the efcacy of these plants on prevention as well as management of gastrointestinal diseases.

EFFICACY OF ARKAPATRA TAILA AND ARAGVADADI KWATHA IN THE MANAGEMENT OF VICHARCHIKA WITH SPECIAL REFERENCE TO ECZEMA

Vicharchika is mentioned in classical text of Ayurveda as one among k ushtha . All k ushthas have t ridoshaja origin hence vicharchika can be taken in same way. But some a charyas have mentioned different domi nancy in vicharchika i.e. k apha , p itta and vata - pitta p radhana . As per lakshanas , vicharchika can be correlated with eczema . Sharangadhara mention ed a rkapatra taila and Bhaishajya r athanavalli mentioned a ragvadadi kwath a in the treatment of vicharchika . E ffort is being made in present study to know the efficacy of a rkapatra taila and a ragvadadi kwatha. Patients were selected from OPD and IPD fulfill ing inclusion criteria and were divided into 2 groups, Group A and Group B with 20 patients in each group. Patients in group A were administered a ragvadadi kwath a 25 ml twice a day and arkapatra t aila for external application and were also kept on appropri ate p athya a hara and v ihara. Patients in Gr oup B kept as Control Group on p athya a hara and v ihara. Maximum improvement was found in 10 pati ents (50 %) in group A and 0 patients (0 %) in group B. Moderate improvement was in 6 patients (30 %) in group A and 4 patients (20 %) in group B. Mild improvement was in 4 patients (20 %) in group A and 7 (35 %) patients in group B. In group A 0 (0 %) and in group B 9 (45 %) patients were with no change . It wa s concluded that arkapatra taila and aragvadadi kwatha along with pathya ahara and vihara has a significant effect in the treatment of vicharchika.

CLINICAL STUDY ON THE EFFICACY OF AMRITADI GHRITA AND KUTAJA SOORYAPAKA TAILA IN THE MANAGEMENT OF VICHARCHIKA VIS-À-VIS ECZEMA

V icharchika is explained as one a mong Ekadasha Kshudra Kustha. The clinical f eatures of vicharchika like Kandu, Pidaka, Shyavavar nata, S rava, Rookshata, Daha, Raji, and Ve dana are very much similar with the features of Eczema. This is an inflammatory response produced by various internal and external factors. To manage such inflammatory condition of the skin, shamana chikitsa, in th e form of bahya and abhyantara sneha prayoga was planned in order to have a safe and effective result in treating Vicharchika vis - a - vis Eczema. The objective of this study was , to evaluate the efficacy of Amritadi Ghrita as Shamana sneha along with the ext ernal application of Kutaja Soorya paka Taila in the management of Vicharchika vis - a - vis Eczema . It is an observational clinical study with pre, mid and post test design where 30 patients of Vicharchika vis - a - vis Eczema were randomly selected and subjected to deepana and pachana with Trikatu choo r na administered in a do se of 2 g thrice daily before food with ushnodaka , until nirama lakshanas were observed. Shamana snehapana by Amritadi Ghritha was advised in the dose of 30 ml , in empty stom ac h at annakala f or 30 days along with external application of Kutajasooryapaka Taila twice a day after thoroughly cleaning the affe cted area of the skin with luke warm water. Pathya ahara and Vihara were advised throughout the course of the study. In the present study , res ults obtained with respect to all the

OA01. 34. Effect of maternal ahara on foetal outcome

Purpose: Maternal Ahara is an important modulator of maternal health and foetal growth. Various dietary regimens for pregnant women are described under Garbhini Paricharya, emphasising on real demand of the time for proper growth and development of foetus, for normal labour, for keeping good health of the mother and making free from postnatal complications of mother and child. Birth weight of newborn is strongest indicator of perinatal mortality. Pathya Ahara during pregnancy could decrease the incidence of LBW babies, improves survival of newborns and decreases perinatal mortality. Method: Pregnant women (100), registered in S.S.Hospital, BHU and delivered live born single babies were included and those with known medical illness, associated obstetric complications, unknown last menstrual period, cases of multiple pregnancy and congenital malformation were excluded. Pregnant women were subjected to detailed dietary profile to know the quality of food consumed during pregnancy and their newborns were subjected to anthropometric measurements to assess foetal outcome. Result: Out of 100 pregnant women 39 had taken Satvika- Rajasika ahara, 22 had Satvika-Tamsika ahara and 39 were taking Rajasika-Tamasika ahara. Most of the mothers taken Satvika-Rajasika ahara delivered fair or wheatish complexioned babies with higher birth weight and crown-heel length. Majority of women with low birth weight, and dark complexioned babies were taking Rajasika-Tamasika ahara. Significant association was observed between quality of maternal ahara and baby™s head circumference, chest circumference and mid-arm circumference. These measures were gradually less in babies of mothers taken Satvika-Tamasika and Rajasika-Tamasika Ahara. Conclusion: Food items mentioned in Garbhini Paricharya are mainly Satvika in nature. Satvika Ahara is well nourishing and balanced diet containing all essential nutrients like carbohydrates, fats, vegetable proteins, minerals and vitamins. By improving the quality of maternal Ahara, foetal outcome will be better in the form of increased birth weight and decreased perinatal mortality.