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   Table of Contents - Current issue
Coverpage
July-September 2020
Volume 3 | Issue 3
Page Nos. 81-118

Online since Monday, January 18, 2021

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EDITORIAL  

Integration of Ayurveda in communicable diseases p. 81
Tanuja Manoj Nesari
DOI:10.4103/jacr.jacr_2_21  
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CASE REPORTS Top

Three case reports of moderate COVID-19 infection managed through Ayurvedic approach p. 84
PS Arshath Jyothi, Aparna Dileep, Deenadayal Devarajan, Anshu Sharma, Sonam Kumari, Sweta Rathuri, Shalini Rai, Prasanth Dharmarajan, Tanuja Manoj Nesari
DOI:10.4103/jacr.jacr_57_20  
Coronavirus disease 2019 (COVID-19), a global pandemic, is resulting in significant morbidity and mortality worldwide. The overburden of the disease is due to the vicious circulating virus characteristics, lack of potent vaccine, complications and limitations of the existing medicine and aggravation of disease along with comorbid conditions in elderly people, etc. In the present scenario, effective traditional treatment modalities should be scientifically applied to reduce the impact of massive disaster. Here is the necessity to develop an appropriate treatment protocol from the field of Ayurveda. This is a documentation of three confirmed COVID-19 cases managed with Ayurvedic medication with minimum number of hospital stay compared with the national average. Ayurvedic management has a significant positive impact on the mental and physical quality of life in COVID-19 patients. Both the physical and mental scores got improved of more than 50% percentage in each case after treatment. Ayurvedic science has a unique approach to COVID -19 and can be adopted wisely to overcome the current crisis. Marked radiological changes were observed in three cases. Ayurvedic interventions can be used to counteract the pathogenesis of SARS-CoV-2.
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Management of a mild COVID-19 infection through Ayurvedic intervention: A case report p. 91
Adil Rais, Tarun Kumar, Amita Yadav, Devendra Singh Negi
DOI:10.4103/jacr.jacr_58_20  
Coronavirus has emerged as a global threat worldwide. India has also been severely affected by the dreadful virus and is currently the second worse affected nation worldwide. As it is a novel virus, there is no specific treatment strategy as on date. A mild symptomatic case of COVID-19 admitted in a Level II COVID-19 management hospital was managed through Ayurvedic drug intervention. Vyaghryadi kashaya and Samshamani vati were given to the patient for ten days of her stay in the hospital. The symptoms were pacified and Agni improved after treatment. The patient was discharged after testing negative for COVID-19 infection. The results obtained were encouraging in the control of symptom progression in the patient. The promising results in the study showed that an approach involving Ayurveda in mild cases can be helpful in the management of COVID-19 patients. Ayurveda can be used to limit community spread and check disease progression.
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Efficacy of Ashwagandha [Withania somnifera (Linn.) dunal] leaf paste in the management of chronic non-healing wound: A case report p. 95
Sombir Sheoran, Bushra Khanam, Vyasadeva Mahanta, Sanjay Kumar Gupta
DOI:10.4103/jacr.jacr_46_20  
Since time immemorial, healing of wounds has been the central problem of surgical practices. If any wound does not heal in six weeks, it is considered chronic wound (~Dushta vrana) which presents with discharge, slough, pain, etc. Kalka (~paste) has been reported to be an effective form in the management of such Dushta vrana. It is used for Shodhana (~cleansing) as well as Ropana (~healing). A huge number of herbal interventions have been emphasized in classical literature for the management of chronic wound. In this case study, Panchavalkala kwatha and Ashwagandha patra kalka [~leaf paste of Withania somnifera (Linn.) Dunal] were used for the management of Dushta vrana. A 60-year-old male patient, having Vatapitta prakriti, presented with the complaints of a non-healing ulcer with severe pain at the right big toe associated with purulent discharge since about 45 days. On local examination, an ulcer was seen over the dorsum of the right big toe measuring about 2.5 cm × 2.0 cm × 1.0 cm in dimension with irregular margins. The floor was covered with slough and the edges were inflamed with surrounding indurations and raised local temperature. Tenderness was present. The surgeons advised for amputation, but the patient visited Shalya tantra outpatient department for possibility of management. The wound was managed with Ashwagandha patra kalka, where significant wound-healing activity was found.
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Management of hemangioblastoma of brain with Ayurveda and Yoga: A case report p. 99
Umesh Kumar Sapra, Ravikant Sharma
DOI:10.4103/JACR.JACR_9_20  
Hemangioblastoma is a benign, highly vascular tumor that can occur in the brain, spinal cord, and retina. This tumor accounts for about 2–3% of brain tumors. As it expands, it creates pressure on the brain and can cause neurological symptoms such as headache, weakness, sensory loss, impaired balance and co-ordination, and/or hydrocephalus. In this case study, a middle-aged female patient, a known case of multiple cystic lesions (hemangioblastoma) in brain with ventriculoperitoneal shunt, presented with weakness of legs, giddiness, stiffness in body, and difficulty in speech for eight years. The first Magnetic Resonance Imaging (MRI) of brain was done in 1997 which revealed chronic hydrocephalous with superadded atrophic changes and cystic lesion in the region of left foramen of luschka. The patient was treated on the line of Aavranajanya vata vyadhi. Ayurvedic medicines along with Yoga therapy was advised and continued for ten months. The patient showed marked improvement in the clinical signs and symptoms. Brain MRI of the patient also showed decrease in the size of the lesion as compared to the previous scan.
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Management of Shitada (gingivitis) with Lodhradi gandusha and Shothahara mahakashaya kwatha: A case report p. 103
Mukhtar Alam, Manjusha Rajagopala, Narayan Bavalatti, Pankaj Kundal
DOI:10.4103/JACR.JACR_23_20  
Shitada (~gingivitis) is one among the Danta mulagata rogas (~periodontal diseases) characterized by spontaneous bleeding from gums. The gums become foul-smelling, blackish, soft, and sodden. Gums start receding and ripping off and so on. Gingivitis is caused mainly by the accumulation of debris, plaque, and calculus at the tooth margin, due to neglect of oral care. General prevalence of gingivitis is 50%, and this may be due to poor oral healthcare and lack of awareness. The management of gingivitis may not be satisfactory because of the mechanical removal of plaque by scaling, and the use of chemicals is much costly as well as time-consuming. In this case report, the patient with gingivitis for three years was intervened for four weeks with Lodhradi gandusha and Shothahara mahakashaya kwatha which showed a potential in the management of Shitada and better compliance was observed by the patient.
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Understanding transient osteoporosis of hip (Asthi-Majjagatavata) and management through Ayurveda p. 108
KM Pratap Shankar, M Akashlal, KS Rohit
DOI:10.4103/JACR.JACR_29_20  
Transient osteoporosis of the hip (TOH) is a rare musculoskeletal disease characterized by acute pain and disability and is often missed during clinical diagnosis. This is a case report of TOH, which was effectively managed with a combination of Panchakarma procedures and oral medicines. The case was diagnosed and treated as Asthi-Majjagatavata (~vata disorder involving bone and bone marrow). The treatment protocol included Snehapana (~internal oleation) with Guggulu tiktaka ghritam, Mridu virechana (~mild purgation), Abhyanga (~massage with Dhanvantaram taila), Patra pottali swedana (~sudation with bolus of leaves), and Panchatiktaka ksheera basti (~enema with medicated milk) for 21 days along with oral medications for three months. The patient's improvement was assessed with the Harris Hip Score. Substantial improvement was noted post-treatment and also after three months of follow-up. This case shows the successful management of TOH with Ayurvedic treatment after proper understanding of the pathology of the condition.
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Nonspecific mesenteric lymphadenopathy in children and its management through Ayurveda: Two case reports p. 113
Vidya Bhushan Pandey
DOI:10.4103/JACR.JACR_34_20  
Nonspecific mesenteric lymphadenopathy is one among the leading causes of cumbersome abdominal colic in children. The severity of the pain is variable and may cause emergency hospitalization in most of the cases. In Ayurveda, these complaints simulate with characteristics of Gulma (~abdominal mass or lump) where vitiated Vata dosha is responsible for clinical picture. Two cases of similar presentation of abdominal pain due to mesenteric lymphadenopathy are presented here. Ayurveda drugs such as Lavana bhaskara churna, Trikatu, Kanchanara guggulu, and Kumaryasava B have a textual indication for Gulma and administered along with Jahar mohra pishti, Panchamrita parpati, and Vidanga lauha. These were well tolerated by both the children. Treatment continued for 180 days. The pain was assessed with Wong-Baker Face scale (WBF scale) and Face, Leg, Activity, Cry, and Consolability scale (FLACC scale) according to the age group. After treatment, WBF scale showed a 2/10 score which was 8/10 before treatment and the FLACC scale showed a 0/10 score after treatment which was 10/10 before treatment. Relief in clinical symptoms was found, and the ultrasonography reports had shown improvement in the underlying pathology.
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NOTICE OF RETRACTION Top

Retraction: Ayurvedic management of moderate COVID-19 infection: A case report p. 118

DOI:10.4103/2667-0593.307266  
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