Virechana Karma Research Articles

Management of Sthoulya Through Virechana w.s.r to Overweight- A Case Study

In present era burden of lifestyle disorders are rapidly increasing worldwide. Modernization, development of science and technology lead to more sedentary life style. Obesity or overweight (Sthoulya) is one among the major lifestyle disorder which disturbs physical, mental and social health of an individual. Obesity represents a state of excessive accumulation of body fat. Although similar, the term overweight is defined as an excess of body weight for height. In Ayurveda obesity is described as Sthoulya, which is mentioned under Santarpanajnaya Vyadhi. Ayurveda has comprehensive approach for Sthoulya. Acharya Charaka has prescribed Apatarpana Chikitsa. Panchakarma by its Virechana therapy effect is intended for purification of the body by which the accumulated morbid Doshas expelled out and produces in ideal environment for functioning of body. Present single case study showed important role of Panchakarma specifically Virechana Karma in the management of Sthoulya, by detoxification to reduce Kapha -Meda from the body and prevents its complications. The Chikitsa adopted was Deepana- Pachana, Shodhananga Snehapana with Murchita Tila Taila followed by Virechana Karma with Trivrit lehya. After completion of Samsarjana Karma it has shown significant result in reducing weight about 7 kilograms and reducing the signs and symptoms of Sthoulya. Thus, Ayurvedic line of management gives satisfactory results as well as equally beneficial for the promotion and prevention of health in Obesity.

Ayurvedic management of Hirayama disease

Hirayama disease (HD), also known as monomelic amyotrophy, is rare cervical myelopathy due to spinal cord compression by forward displacement of the posterior dural sac during neck flexion that manifests itself as asymmetrical, slowly progressive atrophic weakness of the forearms and hands predominantly in young males. A 23-year-old man came to the outpatient department with a complaint of weakness of the right upper limb for the past 3 years which started in the right hand and forearm along with tremors in both hands. Considering the clinical history, physical examination, and electromyography, the condition was diagnosed as HD by an allopathic consultant two years ago. The symptoms can be included under Vata vyadhi. Some of the symptoms such as Asthibheda (~splitting type of pain in the bones), Sandhishoola (~pain in joints), Mamsa kshaya (~diminution of muscle mass), and Bala kshaya (~diminished strength) come under Asthimajjagata vata. Following the symptomatology and its resemblance with Asthimajjagata vata, the patient was treated with Snehapana (~internal oleation) with Ashwagandha ghrita followed by Virechana karma (~purgation therapy). Anuvasana basti with Panchatikta kshira along with Shalishastika pinda svedana was done after Virechana. Rasayana kalpa ksheera chikitsa was given after completion of Basti procedure. After 40 days of treatment, the patient showed significant improvement in muscle bulk. The magnetic resonance imaging shows no neural compression. This case shows that Ayurveda treatment may be helpful in pathologies like HD. Further, better results may be obtained if Ayurvedic therapies start at an earlier stage and continued for a longer duration.

A case study on the management of Kitibha kushta (Psoriasis) with virechana, dhanyamla dhara and takra dhara

All the skin diseases in Ayurveda have been discussed under the broad heading of “Kushta”. Kushta Roga a dermatological disorders including psoriasis described as one of the most chronic disorders which is recurrent and immune mediated skin condition. It can have negative impact on physical, emotional and psychosocial status of affected person. Prevalence rate shows that it affects 1-2% of worldwide population in both the genders. This disease characterised by scaling, thickened-rough skin lesions, itching, in severe cases covers entire body. Kitibha Kushta is included in Kshudra Kushta commonly found today, having sign and symptoms similar to Plaque psoriasis. In this case study, a 49 years old male with chief complaint of Kandu (Itching), Powdery discharge and dry blackish brown patches over the anterior and posterior side of both legs, abdomen and upper back treated with Shodhana Chikitsa using Virechana Karma, along with Sarvanga Dhara (Dhanyamala Dhara), Shirodhara (Takra dhara) and Samshamana Aushadhis (Oral medicines) for 24 days. Patient recovered from the symptoms by undergoing above said treatment and there is improvement in the quality of life of the patient.

Management of Certain Respiratory Disorders through Ayurveda: A Systematic Review of Clinical Studies Published in Ayurveda Journal

Background: Respiratory diseases like Asthma, Tuberculosis, and COPD (Chronic Obstructive Pulmonary Diseases) in the developing world are a major health burden in terms of morbidity and mortality in both adults and children. A number of studies on treating respiratory disorders using Ayurveda formulations and theirmanagement have been found in Ayurveda Journals with promising results, but an evidence-based systematic review of them is not available. Objective: The objective of this study is to conduct a systematic review on the management of certain respiratory disorders through Ayurveda. Methods: To conduct this study, Ayurveda research articles were obtained from PubMed and Google Scholar. Total 51 clinical studies were yielded, which underwent further screening process to achieve the quality of inclusion criteria. Result: 24 articles were selected from six different publications for the review. In general, the quality of few selected articles was low. Of the 24 articles identified, 3 studies (n = 24) exclusively focused on Shodhana Karma (Vamana Virechana), 3 studies (n = 24) focused on the concept of Shodhana and Shamana Chikitsa, 4 studies (n = 24) focused on Ayurvedic formulations as adjuvants, 1 study (n = 24) focused on Shamana Chikitsa along with Pranayama, 13 studies (n = 24) focused only on Shamana Chikitsa. All the above treatment modalities showed significant results on major symptoms of respiratory disorders. Conclusion: This systematic review on different types of Ayurvedic management for treating respiratory disorders proves to be beneficial to understand the importance of Virechana Karma in Tamaka Swasa, the effectiveness of Shamana Chikitsa after Shodhana Karma in Pratishaya and Tamaka Swasa. This review also sheds light on the importance of Pranayama along with Shamana Chikitsa, efficacy of Ayurvedic formulations as adjuvant along with allopathic treatments and potency of different Ayurvedic dosage forms for treating certain respiratory disorders.

Different Type of Samsarjana Krama and its Importance after Samshodhana Karma: A Review Article

In the Ayurveda the prime importance has been given to Shodhana karma for the complete elimination of the disease which includes Purva karma, Pradhana karma and Paschat karma. As the Purva karma helps to movement of the doshas and Pradhana karma helps to forceful elimination of doshas, Paschat karma has given the equal importance to retain the strength of the Agni. Samshodhana and Samshamana are the two types of treatment advised for the patient with vitiated Dosha, Dhatu, Agni or Mala, out of which Samshodhana is advisable to treat a patient for permanent cure. But after the Samshodhana Karma, Agni get disturbed and patient is likely to be weakened; therefore regular normal diet is not advisable. After the administration of Vamana Karma or Virechana Karma, a special diet regimen is to be followed called as Samsarjana Krama which means a proper sequence of Peya- Vilepi- Kritakrita Yusha- Kritakrita Mamsarasa. It is used to increase the Agni and to provide sequential nourishment to the patient from light diet to normal diet. The importance of Samsarjana Krama is to increase the strength of weakened Agni and body after Samshodhana Karma.

Clinical Evaluation of Shatyadi Churna and Virechana Karma in the Management of Tamaka Shwasa w.s.r to Bronchial Asthma

Background-Tamaka Shawasa is said to be “Yapya vyadhi” i.e not only curable but managed by medicine, but can be cured if it is of acute origin as said by Ayurvedya Charak. Materials and methods- It was done on 30 Patients of Tamaka Shwasha. They were treated on the principle of Ayurveda & evaluation of Virechanakarma & Shatyadi churna. Results-Overall effect is that in 33.33% i.e 1 out of 30 patients cases complete remission is seen, 26.66% cases shown marked improvement, 53.33% cases shown moderate improvement, 16.66% cases reported mild improvement & 0.00% cases were having no change in their symptoms. Conclusion- Ayurveda treatment not only cure the root cause of disease but prevent the disease in future recurrence by boosting the immunity against the infection and treating allergic reactions. This article proves clinical evaluation of Shatyal Churana And Virechana Karma in management of Tamaka Shwasa w.s.r “ Bronchial Asthma”.

Role of Ayurveda treatment in the management of hepatitis B (Ubhayapatha Ashrita Swatantra Kamala)- A case report.

Hepatitis B is one of the most common causes of liver disease, and due to unawareness of the safety measures, more prone to spread. As per the World Health Organization, for the South East Asia region, its prevalence is 2%. Yellowish discoloration of the eyes, body, and urine, abdominal discomfort, and vomiting is its cardinal symptoms. In Ayurveda, this set of symptoms is known as Kamala. This case report illustrates the effectiveness of the Ayurveda treatment modality in a patient with a viral load of 3705.71 IU/ml, and the values of AST (aspartate aminotransferase) and alanine transaminase (ALT) were 140 IU/ml and 173 IU/ml, respectively. A 40-year-old female patient with a complaint of yellowish discoloration of urine, eyes, and skin with fatigue and irritability was diagnosed with Ubhayapatha Ashrita Swatantra Kamala. The patient was treated with Ayurveda drugs and Virechana Karma (therapeutic purgation). After the treatment for 13 months, the disease was cured. Improvement was observed based on hepatitis B virus deoxyribonucleic acid (DNA) polymerase chain reaction (PCR) (hepatitis B DNA PCR) (decreased from 3705.71 IU/ml to <50.0 IU/ml) and the values of AST (decreased from 140 IU/ml to 19.0 IU/ml) and ALT (decreased from 173 IU/ml to 28 IU/ml). The patient was stable and asymptomatic during the follow-up period of 4 months.

Properties of the Drugs Used for Virechana Karma-A Review

Ayurveda, or ancient Indian medicine, is based on ancient writings and takes a comprehensive approach to both mental and physical well-being. Ayurvedic medicineis one of the world's oldest medical systems and is still used in traditional health care in India. Ayurvedaadvocates the use of Shodhanaand Shamana to treat various illnesses. Virechana karma(purgation) is included under Panchakarmas or five purificatory methods. Virechana karmais the process of removing doshasfrom the body through the Adhobhaga (lower orifice). It helps with health promotion in addition to helping to eliminate doshas (humours). Virechanaand other purification techniques are necessary before initiating Rasayana therapy (rejuvenation). The effect of Virechanamay be so strong, according to Kashyapasamhita, that it may improve the quality of Beejaor sperm and ovum. The classics identify several medications with the ability to cause Virechana.Ushna, Teekshna, Sukshma, Vyavayi, and Vikashi Gunasare qualities of medications that produce Virechana Karmaand are entirely or partially present in Virechana Dravyas. Though all Virechana medications are Panchabhautik, Pritviand Aap Mahabhutaare dominating in their composition. All the drugs which possess Pritvi and Aap Mahabhutacannot produce Virechanabut the inherent property to move downwards are especially due to Adhobhagahara Prabhavaof the drug.

Management of Eka-Kushtha through Ayurveda (Shodhana and Shamana Chikitsa)- A Case Study

Introduction-Psoriasis is the most common dermatological, chronic inflammatory condition characterized by erythematous, sharply demarcated papules and rounded plaques, covered by silvery micaceous scale. The exact cause is unknown but is thought to be related to genetic and environmental factors that trigger on over production of epidermal cells. In Ayurveda, all skin diseases are considered under heading of Kushtha. There are 7 Maha kushtha and 11 Kshudra kushtha. Eka-Kushtha is one of the Kshudra kushtha with vata-kapha predominance and symptoms of Eka-kushtha are Aswedanam, Mahavastu, Matsyashakalopamam, Krishna aruna varna which can be correlated with Psoriasis. 2-3% of the total world population have Psoriasis and Prevalence of Psoriasis in India ranges from 0.44 to 2.8%. Psoriasis is characterized by remissions and relapses. Although it is difficult to cure, yet topical and systemic therapeutic regimens administered singly or in combination, Current treatment modalities have their own limitation and side effects and there is a need for safe and effective treatment for psoriasis, where Ayurveda plays an important role. The basic principles of Ayurvedic treatment are Shodhana, Shamana and Nidana parivarjana. Material &amp; Method- Hence present study highlights, management of Eka-Kushtha through Shodhana and Shamana chikitsa and in Shodhana chikitsa, Virechana karma is preferred. Result: Here an effort was made to treat a 60 years old male patient having signs and symptoms of Eka-Kushtha since last 10 years and in this study initially Shodhana chikitsa was given followed by Shamana chikitsa. Conclusions: Patient has had the disease for the past ten years and has been treated by various doctors, but has not had good results, and the disease has recurred. However, excellent outcomes were reached in this case using the Shodhana technique and Shaman Chikitsa.

Ayurvedic management of Infertility due to Tubal Blockage – A Case Report

Infertility is defined as a failure to conceive within one or more years of regular unprotected coitus. Tubal blockage is one of the causes that leads to female infertility. Prevalence of fallopian tube obstruction is 19.1% in the fertile age group. A diagnosed case of infertility due to left tubal blockage, visited our Institute for non- surgical management of tubal blockage and consequent infertility. The line of treatment was to normalize the Vata kapha Doshas and remove the Srotorodha in the fallopian tube. Because patient had unilateral tubal blockage, chances of conception were there yet patient didn’t conceive even after two years of regular unprotected intercourse. As per Acharya there are four factors i.e. Ritu, Kshetra, Ambu and Beeja that are responsible for successful conception. Treatment approach was to balance all these factors. Treatment protocol- Shodhana Karma (Vamana and Virechana) and Lekhana Basti followed by Uttarbasti. Discussion-Tubal blockage can be considered as Sanga Srotodushti in Artavavaha srotas or Beejavaha srotas. Vamana Karma and Virechana Karma removes the Srotorodha and pacify the vitiated Doshas. Uttarbasti is the most effective local treatment in gynecological disorders. Results-The outcome of the treatment resulted in opening of tubal blockage and consequent conception. Conclusion-The present case signifies the fruitful outcome of Ayurvedic treatment in the field of infertility.

A Clinical Case Report of Virechana Karma and Tuvaraka Rasayana in Ekakushta w.s.r Psoriasis

The skin is the boundary between human being and the world surrounding him. This is an important sense organ, the largest organ, and plays a major role in controlling the heat and water loss. Psoriasis is an autoimmune disease in which scaling and itching in the papulo squamous lesion of skin disturbs the daily routine of the patients. Because of its recurrent nature the disease has remained a great problem. There is no certain cure for this disease. Modern medicine provides symptomatic relief but also has side effects in long course. The ayurvedic diagnosis is considered as Ekakushta (Psoriasis) which is Vata Kapha predominant. This is best treated with panchakarma procedures, as the principle of treatment of all types of Kushta is Samshodhana (Purification) along with Samshamana (Pacification) drugs. Hence here an attempt made to analyse best treatment for psoriasis in ayurveda with well documented results. The present case shown significant result.

Evaluation of Vamana and Virechana Karma in the Treatment of Hypothyroidism – A Study Protocol

Background: Hypothyroidism can be understood and assessed on the basis of Agni, Doshas, Dushyas, Sthanas and Srotasas. In Ayurveda Vamana and Virechana Karma is considering as best line of Shodana procedures for the removal of toxin materials from the human body. Hypothyroidism occurs because of hypo functioning of thyroid gland which is located in neck region and even most of the signs and symptoms prove the involvement of Kapha Sthana and Kapha Dosha. So, in the present clinical research, Vamana and Virechana karma of Panchkarama will be selected as clinical tool to check its impact on Hypothyroidism (Galaganda).&#x0D; Aim and Objectives: To explore Vamana &amp; Virechana Karma regarding their Clinical Importance. To validate Vamana &amp; Virechana Karma as an effective mode of treatment in the management of Hypothyroidism.&#x0D; Methodology: 90 (45 in each group) patients will be selected by randomized reference standard controlled single blind double arm clinical trial, and third party will assign and enlist the patient. In Group A (Control) – Standard/ Control Group treated with Thyroxin and Group B (Experimental) – Intervention Group treated with Vamana and Virechana Karma. The evaluation will be recorded on 0 30, 60, 90, 120, 150, 180 days.&#x0D; Results: Changes will be observed in objective outcomes. &#x0D; Conclusion: Vamana and Virechana will be effective in Hypothyroidism.

AYURVEDIC MANAGEMENT OF SYSTEMIC LUPUS ERYTHEMATOSUS

Systemic Lupus Erythematosus is a systemic autoimmune connective tissue disease. Arthralgia is a common symptom, occurring in 90% of patients, and is often associated with early morning stiffness. Considering symp- tomatology, In Ayurveda classics, it can be compared with amavata1. This is the case report of a female patient aged 19 years suffering from multiple joints pain associated with swelling and tenderness and finger deformities, Diagnosed as Systemic lupus erythematosus (SLE). Visited the Department of Panchakarma, SAMC&amp;H, Banga- lore for the treatment. Virechana karma followed by Shamana Aushadhi was administered. Significant improve- ment in the signs and symptoms was observed clinically. Keywords: Systemic Lupus Erythematosus, SLE, Amavata, Virechana, Shamana Auaushadhi

A comparative clinical study on the effect of virechana karma and panchtikta pancha prashritika basti karma in the management of prameha w.s.r. to type ii diabetes

is a chronic disorder of origin with the vitiation of various body elements like and Diabetes mellitus is similar to which is a subtype of Here the patient voids excessive quantity of urine having concordance with with sweet taste. Insulin and other oral hypoglycaemic drugs are associated with several side effects and they have limited role in preventing the complications like neuropathy, nephropathy, retinopathy etc. Hence an ideal therapy which corrects the basic pathology and prevents the progress of the disease and complications is the need of time. So The explained in Ayurveda seems to be an appropriate solution for the treatment of Prameha.Aacharya Charaka and Sushruta has advised for here accumulate in the lower part of the body owing to the incompetence of the The major factor involved in the of are the in general and in particular hence to remove the and to eliminate the from nearest root is best. is best to improve Agni and is the best treatment to correct Vata.The present clinical study was conducted to evaluate the efficacy of Virechana karma and Basti karma in 90 patients (equally distributed in three group) of diagnosed case of Madhumeha for periods of 3 month. Group comparison was done by ANNOVA test showed that the Virechana was found better to reduce FBS and PPP Basti was found better to reduce PPBS

A Comparative Clinical Study on Vamana and Virechana Karma in the Management of Ekakushtha with Special Reference to Psoriasis

Ekakushtha is one of the Kshudra Kushtha described in Ayurvedic classics. It predominantly involves Vata and Kapha Dosha and characterized by Asvedanam (Anhidrosis), Mahavastu (large area of involvement), Matsyashakalopamam (scaling), Krishna Aruna Varna (black or reddish brown skin lesion), Kandu (itching) and Rukshata (dryness). In modern science it can be co-related with Psoriasis. According to W.H.O. the world wide prevalence of Psoriasis is 2-3% (April, 2013). In India prevalence of Psoriasis varies from 0.44 to 2.88%. Acharya Charaka mentioned that treatment of Ekakushtha is to be carried out according to involvement of excessive Dosha. It is Bahudosha (excessively aggravated Dosha) and Chirkari (chronic) Vyadhi (disease). In this condition Shodhana Chikitsa (purificatory measures) is best. So in this present study Vamana Karma and Virechana Karma is chosen for the treatment of Ekakushtha. Here 60 cases of Ekakushtha (Psoriasis) were divided into two groups. Group A (30 patients) were subjected to Vamana Karma. Group B (30 patients) were subjected to Virechana Karma. The statistical analysis reveals that Vamana Karma is statistically more significant in the management of Ekakushtha. Here both the therapies i.e. Vamana Karma and Virechana Karma were effective in the treatment of Ekakushtha. But Vamana Karma was more effective than Virechana Karma.

Ayurvedic Approach in Management of Dyslipidemia: A Case Study

Dyslipidemia is one of the commonest presentation and major cause for various lifestyle disorders like cardiovascular diseases, pancreatitis, fatty liver, and many other diseases. The prevalence of High Cholesterol is present in 25-30% of Urban and 15-20% in rural subjects in Indian Population [1]. According to Ayurveda, Dyslipidemia is the corresponding output of Medovaha srotodushti. In Ayurveda, the line of treatment for medoroga is shodhana karma (Basti / Virechana chikitsa), Rukshana chikitsa, Udvartana, Shamana chikitsa Nidan parivarjana. Virechana therapy is considered as a purificatory procedure, which improves the functions of the digestive system by the way of intensive purgation. This therapy removes the toxins and waste from the body up to the cellular levels by excessive secretion of digestive juices, enzymes and biles. The Lipid lowering therapy in modern medicine including Statin and Fibrates is well tolerated with less side effects. But, this therapy in most of the cases is used lifelong and adds large financial burden in developing countries like India. A 64 year Female patient presented with complaints of Bharvruddhi (Overweight ), Swedadhikya (Excessive sweating), Angagaurav (Body heavyness), Ubhaya pada daha (Bilateral burning of foot), Katishoola (backache) since 1 year. Dadimashtaka Churna for rukshana, pachana purpose was given before virechana karma. Triphalaghruta was used for Abhyantar Snehapana in the form of accha snehapana. Sarvanga Snehana and Sarvanga Swedan was done with Nirgundi Oil and Nirgundi patra bashpa sweda. Triphala, Trivrutta, Kutaki Kwatha, Aragwadh, Manuka phant and Eranda Sneha was used for Virechana Yoga. On completion of the treatment the significant improvement was seen in Swedadhikya, Ubhayapadadaha,angagaurav, katishoola. The significant improvement was also observed in Lipid Profile. Thus, Virechana karma found effective in the patient of Dyslipidemia.

Role of Virechana Karma, Vidangadi Churna and lifestyle modification in Metabolic syndrome (Medoroga): A Case Study

Metabolic syndrome is a group of co-morbidities which pose as a risk factor for cardiovascular disease. It comprises of hypertension, central obesity, impaired glucose metabolism and dyslipidemia. It can be considered under broad umbrella of Santarpaka Nimittaja Vyadhi and can be managed using Chikitsa Sutra for Santarpanottha Vyadhi. In present case study, Virechana was performed to a diagnosed patient of metabolic syndrome, followed with oral medication Vidangadi Churna for 30 days (total duration 45 days). Strict dietary and lifestyle modification including regular physical activity were also suggested to the patient during this period. Patient was assessed on certain symptoms like Kshudra Shwasa, Trisha, Atinidra, etc. together with NCEP ATP III criteria, 2001 before initiation and after the treatment. Symptoms related to Medodushti relieved and also body weight (93 to 81 kg), BMI - 25.3- 24.89, FBS- 118.90 - 103.80, Triglycerides- 239.5-105.3, Total Cholesterol-217.2-191.6 mg/dl, LDL-127.3-112.7 mg/dl, VLDL- 47.9-21.1 mg/dl, HDL- 42.0- 57.8, Average blood pressure - 150/ 100 to 130/ 90 mm. of Hg decreased after treatment. Virechana and Vidangadi Churna accompanied by lifestyle modification are effective in the management of metabolic syndrome.

Therapeutic effect of Moringa oleifera leaves on constipation mice based on pharmacodynamics and serum metabonomics

Ethnopharmacological relevanceMoringa oleifera is native to India, and has been introduced to China in recent years. Moringa oleifera leaves (MOL), as Ayurvedic medicine, has efficacy of Pachana karma (digestive) and Virechana karma (purgative). Folium Sennae (FS), Rhubarb (RB), Aloe vera (AV), Hemp seed (HS) are commonly used as laxatives in Traditional Chinese Medicine (TCM), which have different characteristics. However, the intensity of the diarrheal effect of MOL and its mechanism of action are unclear. Aim of the studyThe methods of pharmacology and omics were used to compare the purgative effects of MOL and FS, RB, AV, HS, and their effects on metabolomics, to analyze the purgative characteristics and related mechanisms of MOL. Materials and methodsC57BL/6J mouse model of constipation was established by feeding low-fiber food. Feces parameters and colon pathology were used to evaluate the effect of FS, RB, AV, HS and MOL. And mass spectrometry-based serum metabolomics was performed. The differential metabolites of these herbs in the treatment of constipation were obtained by OPLS-DA analysis. Furthermore, pathway analysis was conducted based on different metabolites. ResultsMoringa leaves can adjust the stool number, wet fecal weight and fecal water content to varying degrees to achieve laxative effects, and recover colon muscle thickness and mucus. Analysis of metabolomics results showed that 71 metabolites from LC-MS datasets between model group and control group were obtained. 29, 12, 44, 29 and 20 metabolites were significantly reversed by FS, RB, AV, HS, MOL compared with model group respectively. According to the metabolic pathways, RB and AV may be clustered into a similar category, and MOL, FS and HS showed similarity of metabolic characteristics. ConclusionThe purgative effect of MOL is inferior to that of FS, and stronger than that of AV, RB and HS. The metabolic pathway for constipation is more similar to that of FS. MOL has a long-lasting and mild effect of laxative, increasing defecation volume and water content of feces, and may become a fewer side effects medicine to treat constipation.

A MANAGEMENT OF YAKRIT VRIDDHI (HEPATOMEGALY) BY SHODHANA CHIKITSA (VIRECHANA) FOLLOWED BY SHAMAN CHIKITSA (ARKA MAKOI): A CASE STUDY

A 39-year-old man with clinical sign and symptoms of poor appetite, nausea, fatigue, distend abdomen, increased abdominal size and shape, abdominal pain, indigestion, vomiting sensation diagnosed as Yakrit Vriddhi or Yakrit-dalodar (Hepatomegaly). As per Ayurveda Samhita Shodhana Chikitsa is more effective in such type of patient. In this case after the routine examination i.e., History, Palpation, Blood Investigation (LFT), and Ultrasonography patient was treated by Panchakarma treatment. (Bio-purification therapy) In this Poorva Karma (Snehan- Bahya/Abhyantara) and Pradhana Karma (Abhayadimodak - Virechana Karma) in which vitiated doshas were expelled through Adhomarga (Anal route). After the Virechana Karma for restoration of the body Sansarjana Karma (Ayurvedic Dietary &amp; Behavior regimen) was also done. The patient was on purgation 26 times (Vegas). At the end of the virechana karma Kapha was presented in the stool (Kaphant-Virechana). After the complete procedure followed by palliative treatment with Arka Makoi (Solanum nigrum) patient felt remarkable relief from above cited symptoms i.e., poor appetite, nausea, fatigue, distend abdomen, increased abdominal size and shape, abdominal pain, indigestion, vomiting sensation. The therapeutic purgation is safe and effective Panchakarma protocol to eliminate the morbid Pitta Dosha in the body either by pathological condition or diet and behavioral mismanagement.

AYURVEDIC MANAGEMENT OF KSHEENA SHUKRA (OLIGOSPERMIA) LEADING TO MALE INFERTILITY: A CASE REPORT

As per the World Health Organization (WHO) report in India, the overall prevalence of primary infertility ranges between 3.9 to 16.8%. A recent report on status of infertility states that, 50% is related to reproductive anomalies or disorders in the male, in which 90% of male infertility problems are related to Oligospermia and other abnormalities in semen analysis. As per Ayurveda, Oligospermia can be considered as Ksheena Shukra. Surgery, Hormone treatments, Medications and Assisted Reproductive Technology (ART) are the main line of treatment in Conventional medicine, but these are associated with many unwanted and serious adverse effects. The present case discussion is about the effective management of a case diagnosed as Ksheena Shukra (Oligospermia) with Ayurvedic intervention, which was posted for ART and Hormone therapy. The aim of this case report is to evaluate the effect of Ayurvedic treatment in the management of Ksheena Shukra. In this case study, Shodhana procedures (especially Virechana karma) were performed before the administration of Rasayana and Vajikarana drugs, which are Narasimha rasayana, Bhringarajasavam, Ashwagandha churna. The pre and post Semen analysis on the treatment period shows, marked increase in sperm count and motility. The outcome of this case reveals that the Oligospermia associated with male infertility can be effectively managed by Ayurvedic treatments.