FROM
DR. DEVIKA R. DESHMUKH,
Preliminary PG Scholar
Dept. of Post Graduate Studies in Panchakarma,
S.D.M. College of Ayurveda and Hospital,Hassan- 573201.
TO
THE REGISTRAR,
Rajiv Gandhi University of Health Sciences
Bangalore, Karnataka.
THROUGH
THE PRINCIPAL,
S.D.M. College of Ayurveda & Hospital, Hassan-573201
Subject: Submission of Completed Proforma for Registration of Synopsis of Dissertation.
Respected Sir,
I request you to kindly register the below mentioned subject against my name for the submission of the dissertation to the Rajiv Gandhi University of Health Sciences, Bangalore, for partial fulfillment of M.D. (Ayurveda) in Panchakarma.
TITLE OF DISSERTATION:
“COMPARATIVE STUDY ON THE EFFECT OF NASYA KARMA AND GREEVA BASTI WITH KSHEERA BALA TAILA IN GREEVA HUNDANAM W.S.R. TO CERVICAL SPONDYLOSIS ”
Herewith I am enclosing completed proforma for Registration of Subject of dissertation.
Thanking you,
Yours faithfully,
Date:
Place: Hassan
(DR. DEVIKA R. DESHMUKH)
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
KARNATAKA, BANGALORE
COMPLETED PROFORMA FOR THE REGISTRATION OF SUBJECT
(PANCHAKARMA) FOR THE DISSERTATION IN M.D. (AYURVEDA)
“ COMPARATIVE STUDY ON THE EFFECT OF NASYA KARMA AND GREEVA BASTI WITH KSHEERA BALA TAILA IN GREEVA HUNDANAM W.S.R. TO CERVICAL SPONDYLOSIS ”
By
DR. DEVIKA R. DESHMUKH
Preliminary P.G Scholar,
Dept. of Post Graduate Studies in Panchakarma,
SDM COLLEGE OF AYURVEDA & HOSPITAL,
Hassan – 573201
GUIDE
DR.ASHVINI KUMAR. M
Reader
Dept. of PG Studies in Panchakarma
S.D.M. College of Ayurveda & Hospital
Hassan – 573201
Dept. of Post Graduate Studies in Panchakarma,
SDM COLLEGE OF AYURVEDA & HOSPITAL,
Hassan – 573201
2011-2012
SDM COLLEGE OF AYURVEDA & HOSPITAL,
Hassan, Karnataka
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
KARNATAKA, BANGALORE
Annexure II
COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT OF DISSERTATION
1. NAME OF THE CANDIDATE: DR. DEVIKA R. DESHMUKH
AND ADDRESS Preliminary P.G. Scholar,
DEPARTMENT OF PG STUDIES IN PANCHAKARMA
S.D.M.COLLEGE OF AYURVEDA & HOSPITAL
HASSAN – 573 201.
PERMANENT ADDRESS: DR. DEVIKA R. DESHMUKH
501, SAI KUTIR SOCIETY,
TEJPAL SCHEME ROAD NO. 5
VILE – PARLE (EAST),
MUMBAI – 400057.
2. NAME OF THE INSTITUTION :S.D.M. COLLEGE OF AYURVEDA & HOSPITAL
HASSAN- 573201
3. COURSE OF STUDY &
SUBJECT: M.D. (AYURVEDA), PANCHAKARMA
4. DATE OF ADMISSION : 2-11-2011
TO THE COURSE
5. TITLE OF DISSERTATION “ COMPARATIVE STUDY OF THE EFFECT OF NASYA KARMA AND GREEVA BASTI WITH KSHEERA BALA TAILA IN GREEVA HUNDANAM W.S.R. TO CERVICAL SPONDYLOSIS ”
6. BRIEF RESUME OF THE STUDY
6.1 NEED FOR THE STUDY
Greeva Hundanam is a condition in which vitiated Vata lodges in the neck region and leads to Shosha of muscles of the neck.[1] This disease disturbs the day to day activities of an individual and makes him dependent and depressed.
Greeva Hundanam can be compared to Cervical Spondylosis. Cervical Spondylosis is a degenerative condition of cervical spine. The disease is having a prevalence of 0.1-1% in the general population, with a male to female ratio of 3:1.[2] The disease occurs in the middle and later decades of life, during the 4th and 5th decades usually where Vata influence is more in association of Dhatu ksheenata i,e; debility of the tissue built.
Bahya and Abhyantara Snehana treatment plays an important role in the management of Dhatu Kshayaja Vikaras.[3] Therefore, commonly Nasya and Greeva Basti are employed in the treatment of Greeva Hundanam. The same drug administered in different routes shows different action.
Hence there is a need for a comparative study of the effect of Nasya Karma and Greeva Basti with Ksheera Bala Taila in Greeva Hundanam w.s.r. to Cervical Spondylosis.
6.2 REVIEW OF LITERATURE
Greeva Hundanam, as the name itself suggests, is a clinical condition occurring in the neck region.It is the disorder caused when vata is vitiated.[4]
Greeva Hundanam is comprised of two words viz. Greeva and Hundanam. “Greeva” means the back part of the neck or tendon of the trapezium muscle.[5] “Hundanam”is derived from the root “Hudi Samghate”[6] or “Hudi Majjane”,which means to dive,sink, collect, or to be submerged.[7]
Chakrapani while explaning the word Hundanam has given it two meanings.The first one is “Shiro Prabhrutinam Antah Pravesha”.It means inward intrusion of the head and its allied parts,which is possible due to implication with cervical parts.This condition is suggestive of the structural deformity.The other meaning is “Greeva Stambha”,which denotes the restriction of the movement of the neck.[8]
Greeva Hundanamis one among the Vataja Vyadhis in which Vata gets localized in the Neck region and produces constriction of Siras and stiffening of Maamsa Dhatu which further restricts the free movememt of neck.[9]
Common line of treatment of Vata Vyadhis also says about Snehana nasya which includes Brumhana Nasya.[10]
As per Charaka Samhita, Nasya is one of the main treatment modalities when Vata is lodged in between Head and Shoulders.[11]
Ksheerabala Taila is very effective in all 80 types of Vata vitiated conditions. It can be used as Nasya, Abhyanaga, Pana, and Basti.[12]
It acts as Rasayana, Indriyaprasadana, Jeevana, and Brumhana.[13]It contains Bala Moola, Ksheera and Tila Taila. Bala Moola (Sida cordifolia) is having the qualities like Snigdha, Pichchila and is Vata Shamaka and indicated in Vata Vyadhis.[14] Ksheera is Brumhaniya and Vata Pitta Shamaka.[15] Tila Taila (Sesamum indicum) is considered to be the best among oils.[16]
The benefits of Nasya Karma are that the skin, shoulders, face, neck and chest becomes firm and well developed. All the sense organs also become strong.[17]
Nasya is the prime treatment in Urdhwa jatrugata Vikaras.[18]
The Heena Matra of Brumhana Nasya is 16 Bindus, Madhyama Matra is 32 Bindus and Uttama Matra is 64 Bindus.[19]
Vagbhata has described 4 types of oil application on head under Murdhni Taila, which are Shiro Abhyanga, Shiro Seka, Shiro Pichu and Shiro Basti. Greeva Basti is evolved from Shiro Basti procedure. It is a Bahya Snehana and Swedana therapy and more over it is a Sthanika Shamana Chikitsa.[20]
6.3 PREVIOUS RESEARCH WORKS DONE:
1. Shukla Niranjan.- Effect of Nasya and abhyanga in the management of Avabahuka w.s.r. to Mahamasha taila. Pune,Pune University.1997.
2. Sangeetha H Jakagirdar. -A comparative study of Nimbabeejadi taila with Nimbabeejadi Gritha Nasya in Akala palitha. Bangalore, RGUHS.2008
3. Guruprasad G. -Effect of Sahacharadi taila Nasya in Viswachi,an observational clinical study. Moodbidri, RGUHS. 2005.
4. Radhika. -A randomized controlled clinical study of Nasya and to assess its efficacy in reducing the signs and symptoms of cervical spondylosis.Trivandrum, Kerala University. 2007.
5. Prasanth GS. - A clinical study on the effect of Maha Masha Taila Nasya on Arditha wsr to UMN lesion.Udupi, RGUHSBangalore. 2003.
6. Tatpuje Nitin Balakrishna. - A clinical study on Arditha roga with special reference to Navana nasya and Shiropichu. Hubli, RGUHSBangalore. 2003
7. Krishna H Tanki. -A comparitive study of Anu taila and Mashadi taila Nasya in the management of Ardita (facial paralysis). Jamnagar, Gujarat Ayurveda University. 2008
8. Jyotishi Hetal R. - Role of Nasya and Shiro-Abhyanga along with Narasimha Ghrita in the management of Khalitya: A comparative study. Jamnagar, Gujarat Ayurveda University.2008
9. Neha.G.Tank. - Clinical study of Anurjata Janita Pratishyaya (Allergic Rhinitis) & comparative assessment of Nasya karma.Jamnagar, Gujarat Ayurveda University.2003
10. Ugar Ishwarappa . - A comparative and combined study of Nasya and Lepa in Yuvanapidaka. Bijapur, RGUHS Bangalore.2008
11. Vaishali S Peddawad. - A comparative study of Ksheera Ghrita and Pathyadi Kashaya Nasya in the management of Ardhavabhedaka with reference to Migraine. Bidar, RGUHS, Bangalore. 2005
12. Shobha.B.K. -Role of Greeva Basti in the Mangement of Cervical Spondylosis (Greeva Hundanam). Hassan, RGUHS, Bangalore.2006
6.3 OBJECTIVES OF STUDY:
1. To study the effect of Nasya karma with Ksheera Bala Taila in the management of Greeva Hundanam.
2. To study the effect of Greeva Basti with Ksheera Bala Taila in the management of Greeva Hundanam.
3. To compare the efficacy of the above two groups to ascertain that which treatment modality is better in providing relief to the patients of Greeva Hundanam.
7. MATERIALS AND METHODS
7.1 SOURCE OF DATA
30 patients of Greeva Hundanam will be selected from OPD and IPD of S.D.M. College of Ayurveda and Hospital, Hassan.
Plane Ksheera Bala Taila will be used for Nasya Karma and Greeva Basti procedure.
7.2 METHODS OF COLLECTION OF DATA
Patients who are fulfilling the criteria for diagnosis and inclusion will be included in this study irrespective of sex, caste, religion.
(a)DIAGNOSTIC CRITERIA
- Emaciation of Neck muscles and Neck region.
- Restriction in the movement of Neck.
- Difficulty in lifting / turning the neck.
- Confirmed by X ray.
(b)INCLUSION CRITERIA
Patients with Greeva Hundanam (Cervical spondylosis) of either sex and age group of 20-70 years will be taken for the study.
(c)EXCLUSION CRITERIA
- Patients unfit for Nasya Karma & Greeva Basti.
- Patients suffering from Amavata.
- Patients having any infective conditions or systemic disorders.
(d)PLAN OF TREATMENT
Selected 30 patients of Greeva Hundanam(Cervical Spondylosis) will be randomly divided into the following two groups:
Nasya Group:Patients of this group will be administered Nasya as per method given below with Ksheera Bala Taila once daily in the dosage of 8 bindus in the morning (7am-9am) on empty stomach for 7 days.
GreevaGroup:Patients of this group will be treated with Greeva Basti of Ksheera Bala Taila in the morning (7am - 9am) on empty stomach. The duration of the Basti will be 30 minutes.
Method of Nasya Karma
Purva Karma – Mukhabhyanga with Ksheerabala Taila, and Nadi Sveda will be done for 5 minutes.
Pradhana Karma – Patient will be made to lie in supine position, in a room devoid of breeze. The legs will be slightly raised and head slightly tilted upwards, then Ksheera Bala Taila slightly warmed with the help of hot water will be taken in Gokarna and 8 BinduTaila will be instilled into each nostril alternately keeping the other closed. After instilling the drops into the nostrils, the soles, neck, palms, ears etc. will be gently massaged and then the patient will be asked to turn to a side and spit out the phlegm. Then the patient will be asked to lie with face upwards for 2 minutes and wash the mouth with lukewarm salt water.
Paschat Karma: After Nasya, Snehika Dhumapana with Haridra will be given to the
patients with the help of Dhuma Yantra.
Method of Greeva Basti:
Purva and Pradhana Karma:The patient will be asked to lie comfortably in prone position with neck and head straight and well exposed, and arms keeping under head. Then the dough is pasted in a circular manner on this neck. The oil which is pre warmed up to 38- 40 degree C will be poured in the area and filled to the depth of about 3 centimeter. On cooling, the oil will be reheated and replaced at regular intervals so that the temperature is maintained uniform throughout the procedure. This process will be carried out for 30 minutes, once in a day, every morning for 7 days.
Paschat Karma:The oil will be drained out by making a hole in the dough. The dough is then removed and the area will be cleaned with a clean cloth.
Duration for Both the Procedures – 7 consecutive days.
(e)ASSESSMENT CRITERIA:
The assessment will be based on the effect of the therapy on the signs and symptoms of the disease, which will be assigned/graded by putting suitable scores.
Samyak Lakshanas of Nasya as well as any complications will be noted.
Assessment of the patient will be done on the 1st day (Before treatment) and on the 7th day (After treatment), after the procedure to know the result of the therapy.
Assessment of results:
Statistical evaluation of the research will be done by using:
Paired and Unpaired ‘t’ test.
(f)FOLLOW UP STUDY:
After completion of the course of treatment the patient will be followed up for two visits i.e., first after 15 days and second after 30 days.
7.3 DOES THE STUDY NEED ANY INVESTIGATION OR INTERVENTIONS TO BE CONDUCTED ON PATIENTS OR OTHER HUMANS OR ANIMALS? IF SO,
PLEASE DESCRIBE BRIEFLY.
Yes, Laboratory investigations:
- X ray Neck.
- Blood routine investigation – Hb%, TLC, DLC, ESR, Blood Sugar.
7.4 HAS THE ETHICAL CLEARANCE HAVE BEEN OBTAINED FROM YOUR INSTITUTION? YES
8. LIST OF REFERENCES
- Acharya J T. Charaka samhita by Agnivesa with Ayurveda deepika teeka of Chakrapanidatta. Reprint ed. Varanasi: Chaukhambha Orientalia; 2011. p. 694-95.
- Linda J. Vorvick. Cervial spondylosis. Online. 2011; available from url:
- Acharya Vagbhata, Harishastri Paradakara (ed.). Ashtanga Hridaya; 9th ed Varanasi: Chaukhamba Orientalia; 2005p. 211.
- Acharya J T. Charaka samhita by Agnivesa with Ayurveda deepika teeka of Chakrapanidatta. Reprint ed. Varanasi: Chaukhambha Orientalia; 2011. vol IV p. 694-95.
- Vaman Shivram Apte, S.M.W. Sanskrit English Dictionary, 4th ed, Delhi: Narendra Prakash Jain for Motilal Banarsidass; 1985 p. 285.
- Acharya Madhava, Vijayrakshita, DattaSrikanta (ed.). Madhava Nidana. 20th ed. Varanasi:Chaukhamba Sanskrit Samsthaan; 1993. p. 411-12.
- Vaman Shivram Apte, Sanskrit Hindi Dictionary, 6th ed, Delhi: Narendra Prakash Jain for Motilal Banarsidass; 1985 p. 319
- Acharya J T. Charaka samhita by Agnivesa with Ayurveda deepika teeka of Chakrapanidatta. Reprint ed. Varanasi: Chaukhambha Orientalia; 2011. vol IV p.694-95.
- Acharya Vagbhata, Harishastri Paradakara (ed.). Ashtanga Hridaya; 9th ed Varanasi: Chaukhamba Orientalia; 2005. p. 534.
- Acharya Sushrut, Acharya J T, Acharya N R (ed.). Sushrut samhita Nibandhasangraha Vyakhya of Sri Dalhanacharya. Reprint ed. Varanasi: Chaukhamba Sanskrit Pratishthan; 2003 vol III p. 422.
- Acharya J T. Charaka samhita by Agnivesa with Ayurveda deepika teeka of Chakrapanidatta. Reprint ed. Varanasi: Chaukhambha Orientalia; 2011. vol IV p. 469.
- SharmaRam Nivas, SharmaSurendra.Sahasrayogam. 3rd ed. Newdelhi: Chaukhamba Sanskrit Pratishthan; 2002 p. 75.
- Acharya Vagbhata. TripathyBrahmananda (ed.). Ashtanga Hridaya. Reprint ed. Newdelhi Chaukhamba Sanskrit Pratishthan; 2003 p. 821.
- AcharyaShuklaVidyadhar. Charaka Samhita of Agnivesha. Reprint ed. Newdelhi: Chaukhamba Sanskrit Pratishthan; 2006 vol II p. 338.
- Acharya Vagbhata, TripathyBrahmananda (ed.). Ashtanga Hridaya. Reprint ed. Newdelhi: Chaukhamba Sanskrit Pratishthan; 2003 vol I p. 69.
- AcharyaShuklaVidyadhar. Charaka Samhita of Agnivesha. Reprint ed. Newdelhi: Chaukhamba Sanskrit Pratishthan; 2006 vol I p. 336.
- Acharya Vagbhata, TripathyBrahmananda (ed.). Ashtanga Hridaya. Reprint ed. Newdelhi: Chaukhamba Sanskrit Pratishthan; 2003 vol I p. 69.
- Acharya Vagbhata, Harishastri Paradakara (ed.). Ashtanga Hridaya; 9th ed Varanasi: Chaukhamba Orientalia; 2005 vol I p. 287.
- Acharya Sushruta, SharmaPriya Vrat (ed.). Sushrata Samhita.1st ed. Varanasi: Chaukhambha Viswabharati; 2000 vol III p. 674.
- Acharya Charaka,TripathyRavi Datta (ed.). Charaka Samhita. Reprint ed. Newdelhi: Chaukhamba Sanskrit Prasthan, 2006 vol III p. 179.
9. SIGNATURE OF THE CANDIDATE:
10. REMARKS OF GUIDE:
11. GUIDE :DR.ASHVINI KUMAR. M
Reader
Dept. of PG Studies in Panchakarma
S.D.M. College of Ayurveda &
Hospital
Hassan (Karnataka)
11.1 SIGNATURE&SEAL:
11.2 REMARKS OF H O D:
11.5. H.O.D. : DR.ASHVINI KUMAR. M
Reader
Dept. of PG Studies in Panchakarma
S.D.M. College of Ayurveda &
Hospital
Hassan (Karnataka)
12. SIGNATURE&SEAL:
12.1. REMARK OF
CHAIRMAN & PRINCIPAL:
12.2 SIGNATURE