6) Brief Resume of The Intended Work.
6.1 NEED FOR THE STUDY:
Ayurveda has always aimed at improvising health. To fulfill this aim, scholars have tried to understand the human being which is a complex entity.
During the process of assessing and understanding of human beings, many concepts have been evolved. Among various such concepts Koshtha, Prakruti are very essential and important.
Koshtha is the adjective formed by the word Kush Ga Nishkarshe Ushikushi Gatibhyasthan. The terms Mahasrotas, Shareera Madhya, Mahanimna Amashaya, Pakwashaya are synonymous to Koshtha. Acharyas have mentioned 3 types of Koshtha i.e. Krura, Mrudu and Madhyama dominant of vata, pitta and kapha respectively. Kostha is one of the important samprapti ghataka. Kostha Pareeksha tells us about the liquidity, moistness, roughness of the bowel habbits and thus helps in determining the quality of drugs required to remove the locally aggrevated doshas in the body.
The term Prakruti is derived from the dhatu Pra + Kru, Kartari and the pratyaya ktinumta. The term prakruti is used in different contexts with different meaning. “Prakruti” means swabhava of the shareera which is formed by the dosha which is predominant at the time of conception.
Prakruti is classified into Dehaprakruti, Manasa prakruti and Bhoutika prakruti. Among such Dehaprakruti is of prime importance as the janmataha deha prakruti inherited from parents will last throughout the life.
The term “Swastha” is the one who has proper appetite, digestion, timely evacuation of bowels, good sleep and one who feels lightness in the body. This is directly or indirectly related to prakruti and koshtha. So assertaining of koshtha in a swastha person is important.
Assessing the Koshtha of a person plays a vital role in the diagnosis and chikitsa of the vyadhi.
In shodhana, kostha should be assessed
· Before administration of snehana therapy.
· For the selection of the medicine and
· In deciding the dose of the medicine.
In shamana chikitsa also ascertaining of koshtha is important. For ex. In a mrudu koshta person one should not administer the teekshna oushadhis.
Prakruti plays a vital role in the process of manifestation of the disease and for the chikitsa. So a wise physician should possess the knowledge of prakruti which is an important entity.
Acharya Charaka defines ulbana anila and udeerna pitta alpa kapha maaruta in Grahini are responsible for krura koshtha and mrudu koshtha respectively. So it is to be known whether the udeerna doshas told to be present in the Grahini are related to the prakruti. Various drugs have been mentioned by Acharyas in context of koshta pareeksha. Triphala is one among them.
So it is inferred that there must be a definite relation between koshtha and prakruti. Hence the present study is planned to assess the relation between koshtha and prakruti.
7) MATERIALS OF THE STUDY
7.1) SOURCE OF DATA:
Literary source:
The literary sources of the present study are collected from the classical texts of Ayurveda, published articles from periodical journals and other magazines, related sources of data from the website.
Clinical source:
Healthy volunteers will be selected after subjecting them to thorough clinical examination.
7.2) METHODS OF COLLECTION OF DATA:
Healthy volunteers will be selected irrespective of sex, occupation and socio-economic status.
Study design:
In 30 selected healthy volunteers prakruti is assessed according to the special case proforma prepared. Later Triphala churna with ushnodaka is administered in
empty stomach and kostha will be assessed based on the subjective parameters.
INCLUSIVE CRITERIA:
1. Healthy volunteers of either sex
2. Age 16 - 60 years
EXCLUSIVE CRITERIA:
- Volunteers with any diseased condition.
2. Age below 16 years and above 60 years.
PARAMETERS OF THE STUDY:
1. Prakruti is assessed based on the special case proforma prepared.
2. Koshtha will be assessed based on routine bowel habits which includes
· Frequency per day
· Consistency
· Urgency
· Whether changes in food habits will affect the bowel habits.
· Experience regarding intake of 12gms of Triphala churna.
(Grades will be given for the above mentioned).
7.3) DOES THE STUDY REQUIRE ANY INVESTIGATION OR INTERVENTIONS TO BE CONDUCTED ON PATIENTS OR OTHER
HUMANS OR ANIMALS?
1. NO, as the study will be conducted on the subjective parameters so
investigations are not required
2. Intervention:
SAMPLE SIZE : 30 healthy volunteers
DRUG : Triphala churna
ANUPANA : Ushnodaka
DOSE : 12 gms OD on empty stomach (morning 8.30 to 9.00am)
DURATION : 1 – 3 days
8.) LIST OF REFERENCES:
1) Prof. Priyavat Sharma: Charaka samhita (English Translation) Vol – I. Ed – 7. Chaukhamba orientalia, Varanasi: 2001, 78 pp.
2) Prof. K.R.Shrikantha Murthy:Vagbhata’s Ashtanga Hridayam (English Translation) Vol – I . Ed – 3. Krishnadas Academy, Varanasi: 1996, 7 pp.
3) Prof. K.R.Shrikantha Murthy: Sushruta Samhita (English Translation) Vol – 3. Ed – 1. Chaukhamba Orientalia, Varanasi:2002, 312pp.
4) Dr. Anna Moreshwar Kunte and Krishna Ramachandra Shastri Navare:Ayurveda Rasayana by Hemadri of Ashtanga Hridaya. Ed – 9. Chaukhamba Orientalia, Varanasi: 2002, 8 pp.
5) Prof. K.R. Shrikantha Murthy: Sushruta Samhita ( English Translation ) Vol – II. Ed – 1. Chaukhamba Orientalia, Varanasi: 2001, 70 pp.
6) Prof. P.V.Sharma : Charaka Samhita (English Translation) Vol – II. Ed – 7. Chaukhamba Orientalia,Varanasi: 2001, 579 pp.
7) Prof. P.V.Sharma Charaka Samhita (English Translation) Vol –I. Ed – 1. Chaukhamba Orientalia, Varanasi, : 2001, 91pp.