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   Table of Contents - Current issue
Coverpage
January-March 2021
Volume 4 | Issue 1
Page Nos. 1-36

Online since Thursday, June 17, 2021

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EDITORIAL  

Integration of Ayurveda in COVID-19 management: Need of an hour p. 1
Tanuja Manoj Nesari
DOI:10.4103/jacr.jacr_42_21  
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GUEST EDITORIAL Top

Case reports bridge physicians, scientists, and therapeutics p. 3
SR Narahari, KS Prasanna
DOI:10.4103/jacr.jacr_36_21  
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CASE REPORTS Top

Ayurvedic approach for management of idiopathic thrombocytopenic purpura: A case report p. 6
Ankita Agarwal, Asit K Panja
DOI:10.4103/jacr.jacr_24_21  
Idiopathic thrombocytopenia is a disorder that leads to easy or excessive bleeding results from unusually low levels of platelets. Treatment modalities for Idiopathic Thrombocytopenic Purpura (ITP) are available in modern science, namely corticosteroids, etc., have a lot of side effects, and include risky surgical procedures such as splenectomy. However, Ayurveda approach gives an understanding of its causes, pathogenesis, and treatment planning. Here, a case of chronic ITP diagnosed as per western medicine is being presented, which was treated with Ayurveda modalities. The patient was diagnosed with Raktapitta (~bleeding/hemorrhagic disorder) and was treated with oral medicines mentioned in Raktapitta chikitsa along with medicated food for two months. The patient's condition was assessed based on the symptoms of Raktapitta like Atyartava (~excessive menstrual bleeding), along with standard objective parameters such as platelets count, WHO bleeding scale, and ultrasonography. Significant improvement was noted in this case in both classical signs and symptoms (Atyartava and Bhrama) as well as in objective parameters. This case gives a focus on the prognosis and treatment approach of ITP through Ayurveda point of view.
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A case report on the management of Riju bhagandara (low anal trans-sphincteric fistula) by modified conventional Ksharasutra therapy p. 11
Nasreen Hanifa, Vyasadeva Mahanta, Rahul Sherkhane, Snajay Kumar Gupta
DOI:10.4103/JACR.JACR_33_20  
Bhagandara (~anal fistula) is a challenging surgical condition due to its high recurrence rate and anal incontinence. Acharya sushruta has explained surgical and para-surgical techniques for its management. Ksharasutra therapy is a time-tested para-surgical modality for Bhagandara with least recurrence (3.33%). Modified conventional technique of application of Ksharasutra is aimed to eliminate infected source and facilitate healing in short duration. A 30-year-old male patient presented with recurrent painful swelling with intermittent pus discharge from the base of the scrotum for one and half years. He underwent incision and drainage twice in the last six months. Magnetic resonance imaging revealed an anterior fistulous tract representing as St. James Type 1 Fistula, which varied from clinical features. He was treated with Modified Conventional Kshara Sutra Therapy (MC-KST) and whole length of fistulous tract was healed completely within five weeks. Anal fistula with scrotal extension is considered a complex manifestation to manage. In MC-KST method, tract was intercepted nearer to sphincter and infected crypto-glandular lesion was eradicated by Ksharasutra. The study concluded that MC-KST is one option to manage anal fistula with scrotal extension to preserve normal perineal structures.
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Ayurvedic management in a chronic spinocerebellar ataxia and progressive improvement in scale for assessment and rating of ataxia score – An interrupted time series case report p. 16
Natesan K Pravith, Bini Krishna
DOI:10.4103/jacr.jacr_20_21  
Spinocerebellar Ataxias (SCAs) are a highly heterogenous group of disorders that often present as progressive incoordination of walking. Studies are underway globally to find a cure for this genetic disease. Although there are a few Ayurveda case studies reported in SCA, time series reporting of a case has not been done till date. In the present study, a case of SCA was admitted in the IPD, thrice in the period March 2019 to October 2020. The duration of therapy was around two months in each admission. Treatments that aim at arresting the progress of disease such as Nasya (~nasal therapy), Basti (~medicated enema), and Rasayana (~rejuvenative) and that strengthen musculoskeletal system such as Abhyanga (~external oleation) and Churna pinda sweda (~bolus fomentation) were done. The interrupted time series analysis was done with the help of Scale for Assessment and Rating of Ataxia (SARA) score on March 29, 2019, May 27, 2019, January 9, 2020, March 5, 2020, August 14, 2020, and October 13, 2020 and it showed progressive improvement with each admission.
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Management of Badhirya (hearing impairment) through Ayurvedic approaches: A case report p. 22
Shelly Tyagi, Narayan Bavalatti, Manjusha Rajagopala
DOI:10.4103/JACR.JACR_25_20  
Hearing impairment is a complete or partial loss of ability to hear from one or both ears. It can be congenital or acquired and the clinical features closely resemble to Badhirya explained in Ayurveda. Hearing impairment in the schoolgoing children is a serious problem affecting their education, skills, and social relationship with others, etc., This case report presents an 11-year-old girl with hearing impairment in the left ear since childhood. Audiometry report showed profound hearing loss in the left ear. Treatment was done with Marsha nasya by Anu taila for three days and Karnapurana (~putting oil in ears) with Asanabilwadi taila and Shiropichu (~placing cotton pad overhead soaked in medicated oil) with Ksheerabala taila for seven days each, along with Ashwagandhadi lehyam, Arogya vardhini vati, Sarivadyasava, and Trivrit churna as internal medicines for 22 weeks. After that, audiometry results improved from profound to moderate hearing loss in the left ear. Decreased hearing may be due to vitiated Vata alone or Vata and Kapha dosha, which can be managed with the help of Marsha nasya, Karnapurana, and Shiropichu along with Vata shamana and Rasayana therapy.
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Add on effect of Somavalkala kashaya siddha basti in the management of diabetes mellitus: A case report p. 27
Nakul Vishwanathji Khode, Maya V Gokhale, Rashmi Prakash Gurao
DOI:10.4103/jacr.jacr_1_21  
Diabetes mellitus is a major health problem for the world in the 21st century. The side effects of medicines and persistent complaints make diabetic patients seek alternative therapy. Basti (~therapeutic enema) acclaimed as Ardha chikitsa, is an important Shodhana (~detoxification) procedure in Panchakarma. In general, Basti is contraindicated in Prameha, but many special types of Basti are described in the literature that can be used in distinct cases. This study aims to explore the prospects of Basti chikitsa in the treatment of Prameha. A 56-year-old male suffering from diabetes taking metformin 500 mg tablet twice daily for five years presented with the complaints of polyuria, burning sensation in both upper and lower limbs, weakness and cramps aggravating gradually. HbA1C level (11.6) revealed an uncontrolled blood sugar levels. He was treated with Somavalkala kashaya siddha basti regimen for three months. The patient had significant relief in symptoms such as Prabhuta mutrata, Pipasa, Karapada daha, Karapada supti, Avil mutrata, Klaibya, and Daurbalya after complete course of therapy. The HbA1C level of patient which was 11.5 at the time of registration which lowered to the 6.9, i.e. nearly normal range. Fasting blood sugar and postprandial blood sugar levels were 121 mg/dl and 232 mg/dl, respectively, at the time of registration which reduced after Basti regimen. Thus, Somvalkala kashaya siddha basti appears to be useful in the treatment of diabetes mellitus.
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Ayurvedic management of fibromyalgia with severe depression: A case report p. 33
Ram Lakhan Meena, Santosh Kumar Bhatted
DOI:10.4103/jacr.jacr_70_20  
Fibromyalgia (FM) syndrome is a musculoskeletal condition characterized by widespread musculoskeletal pain with many clinical presentations. Its prevalence is estimated at around 2% in the general population. Various pharmacological interventions are of little efficacy and its prognosis is also poor. Some treatments are available to control the symptoms, but no complete cure has been documented for this syndrome. Certain Panchakarma procedures and internal Ayurvedic medicines have been proved to be beneficial in the management of FM. The present report deals with a case of FM managed by Panchakarma treatment. The Ayurvedic diagnosis of Mamsagata vata was made and Panchakarma procedures such as Abhyanga (~therapeutic massage), Bashpa swedana (~sudation), and Basti (~therapeutic enema) along with Shirodhara were done followed by internal medicines. Assessment criteria was based on the scoring of FM Impact Questionnaire. Encouraging results were found in physical signs of FM.
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