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   Table of Contents - Current issue
Coverpage
January-March 2020
Volume 3 | Issue 1
Page Nos. 1-42

Online since Tuesday, July 14, 2020

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EDITORIAL  

Ayurveda: The promising shelter for the mankind in the wake of COVID-19 pandemic p. 1
Tanuja Manoj Nesari
DOI:10.4103/JACR.JACR_18_20  
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CASE REPORTS Top

Management of Sthaulya through Tailapana and Virechana karma: A Case report p. 4
Adil Rais, Divya Zala, Pratik Mungra, Neha Keshari, Anup B Thakar
DOI:10.4103/JACR.JACR_5_20  
Obesity is one of the most challenging health issues in the present scenario, which has almost taken the shape of an epidemic and affected the developed as well as the developing nations across the globe. Obesity exposes an individuals' susceptibility to several diseases which may affect multiple systems. Acharya Charaka has quoted Ati-sthaulya under the eight varieties of impediments which are designated as Ashtau-nindita purusha. Ati-sthaulya is one among eight such morbidities. Modern medications available for obesity have not yet been established to be as effective as proper diet, and exercise still remains the mainstay of obesity management. Ayurveda, though incorporating Panchakarma treatment modalities, may be considered as an alternative for management of obesity and correction of Doshas, Dhatus, and Malas involved at the basic level. This work was aimed to study and evaluate the effect of Virechana karma (~purgation therapy) in the management of Sthaulya. A 33-year-old male obese patient was treated with Virechana karma after Deepana (~appetizers), Pachana (~digestives) followed by Snehapana (~internal administration of oleaginous substance) with Murchita taila. After the treatment, significant reduction was noticed in weight as well as in the anthropometric measurements. Significant changes were also observed in the biochemical markers such as lipid profile after Snehapana and after Virechana karma. No untoward effects with this therapy were observed during the treatment regimen.
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Management of Riju bhagandara (trans-sphincteric anal fistula) by modified conventional Ksarasutra therapy p. 10
P Sreenadh, Vyasadeva Mahanta, Rahul Sherkhane, Sanjay Kumar Gupta
DOI:10.4103/JACR.JACR_6_20  
Management of anal fistula is always a big challenge for surgeons due to recurrence and associated anal incontinence. In spite of various advancements, failure rate is high even after surgery. Ksarasutra therapy is accepted as a successful modality with high cure rate in the management of anal fistula. In this case, a 45-year-old, hypertensive, and diabetic male patient visited to Shalya tantra outpatient department with complaints of intermittent pus discharge from the peri-anal region for seven months. On local examination, an external opening covered with hyper-granulation and pus discharge was observed nearer to the base of scrotum at approximately eight cm away from the anterior anal verge. On palpation, a thick fibrous cord-like structure was felt extending from the anal canal to the base of scrotum. On per rectal examination (P/R) examination, a tender point was felt at the 12'o clock position just above the dentate line. Magnetic resonance imaging revealed a trans-sphincteric anal fistula with internal opening at the 12 o' clock position and was managed by Modified Conventional Ksarasutra technique. The tract was completely healed within five weeks. No fecal incontinence was reported by the patient, nor signs of recurrence were observed after six months of follow-up.
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Role of Ayurveda in the management of chronic kidney disease: A case study p. 14
Alka (Babbar) Kapoor, Poonam Gulati Dang
DOI:10.4103/JACR.JACR_4_20  
Wide emergence of chronic kidney disease (CKD) may be considered as a global threat, but with simple diet, lifestyle modification and early intervention, it can be managed through Ayurveda. It is possible to withhold morbidity and mortality, which occurs due to CKD. Currently, available conventional treatments for CKD have their own limitations. Considering those, alternate remedies for curing and curbing the disease progression are being worldwide welcomed. In Ayurveda, CKD may be compared with the subtypes of Mutraghata (~obstructive and suppressive uropathies), for which extensive treatment modalities have been described in classics. In the present study, 37-year-old female patient diagnosed with Stage-3 CKD (estimated through either glomerular filtration rate) visited the outpatient department complaining headache, restlessness, shortness of breath, swelling in feet, tiredness, etc. She had a history of anemia and blood transfusion every 6 months for 18 months, for which she was investigated and later diagnosed as a case of CKD. Initially, she was prescribed with Trina panchamoola kwatha, Punarnava mandoora, Syrup Neeri KFT, and Kamadudha rasa for two months, and further treatment was altered and tailored according to the patient's condition and Shatavari, Shivagutika, Punarnava mandoora, Lauhasava, Chandanasava, Varunadi kwatha, and Gokshura churna were prescribed in the different phases of management. The patient was advised to avoid milk and milk products, vegetables such as cabbage, spinach, brinjal, and avoid the suppression of naturalurges. Increase in hemoglobin level (to 10.2 mg/dl) and decrease in creatinine level (to 0.9 mg/dl) were observed. The patient did not have to take blood transfusion either. The case clearly reveals the significance of ayurveda treatment modality in the management of CKD.
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Ayurvedic approach to ankylosing spondylitis: A case study p. 20
Karishma Singh, Gopesh Mangal
DOI:10.4103/JACR.JACR_7_20  
Ankylosing spondylitis (AS) is a condition posing major challenge to health-care system. The disease is characterized by inflammatory stiffening of the spine, affecting the cartilaginous joints of the spine and the sacroiliac joints. Non-steroidal anti-inflammatory drugs and steroids are the drugs of choice in conventional systems but fail to provide a complete cure. There is no direct reference to the disease in Ayurveda, but based on the clinical picture, treatment can be planned. A 25-year-old male diagnosed with AS with bilateral hip arthritis since the past six years was treated by Patrapinda swedana and Erandamooladi basti in Kala krama along with Shamana (~palliative) therapy for 16 days. The disease activity was analyzed using AS Disease Activity Score. Other quality of life parameters were also incorporated for the assessment. After completion of the treatment, considerable improvement was recorded in subjective parameters, pain was decreased, stiffness was resolved, and appetite was improved. Spinal mobility was also improved. Considerable improvement was appreciated in the patient assessed by quality-of-life parameters.
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Management of dimorphic anemia through Ayurveda p. 25
Rehana Parveen, Himangshu Baruah
DOI:10.4103/JACR.JACR_3_20  
Dimorphic anemia is one of the common forms of anemia in India, but there is a paucity of literature regarding this entity. It has a complex pathogenesis with involvement of more than one deficiency state, usually due to deficiency of both iron and Vitamin B12or folic acid, characterized by two different cell populations, comprising of microcytic hypochromic with macrocytic normochromic red blood cells. Conventional treatment of such condition is supplementation of iron and Vitamin B12, but the long-term treatment with iron salts is associated with several side effects. An alternative approach of therapy is to enhance the absorption of dietary iron and Vitamin B12, rather than increasing them in the diet. This is a case study of a 33-year-old female patient from Shillong, Meghalaya, presented with dimorphic anemia to Kayachikitsa outpatient department at Ayurveda Hospital, North Eastern Institute of Ayurveda and Homoeopathy, Shillong. Ayurvedic treatment regimen comprising of herbo-mineral and metallic preparations was administered for a period of 70 days, which resulted in marked rise in hemoglobin level, hematocrit, mean corpuscular volume, and reticulocyte count along with changes in the peripheral blood smear. Ayurvedic principles and drugs with its multidimensional approach can prove to be immensely effective in the management of this condition as evident in this case study.
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Management of diabetic peripheral neuropathy through Ayurveda p. 30
S Krishna Rao, S Indu, P P Pradeep Kumar, Parvathy G Nair, P Radhakrishnan
DOI:10.4103/JACR.JACR_2_20  
Diabetic neuropathies are one among the complications of diabetes. Over a period of time, the nerves of diabetes get affected, especially the peripheral nerves leading to Diabetic Peripheral Neuropathy (DPN). A 67-year-old male diabetic who was diagnosed with DPN was treated with a combination of Ayurvedic oral medication and external therapies. Considering the treatment protocol of Prameha upadrava and Vatavyadhi chikitsa, internally, Balaguduchi ksheera kashaya, Ksheerabala 101 Capsule, and Nishamalaki churna were used during the course of treatment. External therapies including Udvartana, Abhyanga, Patrapotala sveda, and Ksheera vasthi were done for a duration of 22 days. Assessment of the patient was done before and after treatment using the Diabetic Neuropathy Symptom Score, Michigan Neuropathy Screening Instrument, and Toronto Clinical Scoring System. Significant improvement was seen in all the scores after the treatment. This case study shows that DPN can be successfully managed by Ayurvedic treatment.
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Efficacy of Vachadi vati in the management of childhood obesity p. 35
Vishal Prajapati, Chuman Lal Bhaskar, VK Kori, KS Patel
DOI:10.4103/JACR.JACR_1_20  
Childhood obesity is on the rise. Unaddressed situation may lead to various complications. It needs to be intervened at the appropriate level. Sthaulya (~obesity) and Medoroga (~disorder of fat metabolism) explained in the Ayurvedic texts are comparable with obesity. Acharya Charaka has described Sthaulya among the eight most Nindita purusha (~despicable personalities). A 10-year-old, school-going female child was brought to the outpatient department, I. P. G. T. and R. A. Hospital, Gujarat Ayurved University, Jamnagar, Gujarat, by her parents with complaints of excess weight gain for 2–3 years. On clinical examination, the child had 58 kg body weight with Body Mass Index (BMI) >30 kg/m2. Vachadi vati (an Ayurvedic formulation) was given in a dose of 3.5 g in three divided doses before meal with luke warm water for eight weeks along with diet and lifestyle modification. Anthropometric assessment and laboratory investigations were done before and after the treatment. After eight weeks of intervention, there was 10% reduction in body weight and BMI, reduction in chest circumference and waist-hip ratio. As per this case study, it can be said that Vachadi vati could be used in the management of childhood obesity along with some diet and lifestyle modification.
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LETTER TO EDITOR Top

COVID-19 and Ayurveda in Argentina p. 41
JL Berra, A Berra
DOI:10.4103/JACR.JACR_8_20  
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