Department of Post Graduate Studies in Pancha Karma

From,

DR. ASHWINI K

Preliminary M.D. (Ay.) Scholar,

Department of Post Graduate Studies in Pancha karma,

N.K.JAyurvedicMedicalCollege & P.G. Centre Gumpa,

BIDAR-585403.

To,

The Registrar,

RajivGandhiUniversity of Health Sciences,

Bangalore. Karnataka.

Through,

The Principal,

N.K.JAyurvedicMedicalCollege & P.G. Centre Gumpa,

BIDAR-585403

Subject: Submission of Completed Proforma for registration of Synopsis for Dissertation.

Respected Sir,

I request you to kindly register the below mentioned subject against my name for the submission of dissertation to Rajiv Gandhi University of Health Sciences Bangalore, for the partial fulfillment of M.D. (Ayu.) in Panchakarma.

TITLE OF DISSERTATION:‘‘ A COMPARATIVE STUDY ON THE EFFECT OF UTTARABHAKTIKA NASYA AND UTTARABHAKTIKA SNEHAPANA WITH DASHAMULADI YAMAKA SNEHA IN THE MANAGEMENT OF AVABAHUKA’’.

Herewith, I am enclosing completed Performa for registration of subject for dissertation.

Thanking you,

Yours Sincerely

Date:

Place: (DR.ASHWINI.K.)

RAJIVGANDHIUNIVERSITY OF HEALTH SCIENCES

KARNATAKA-BANGALORE

ANNEXURE-II

PROFORMA FOR REGISTRATION OF SUBJECTS FOR

DISSERTATION

1. Name of the Candidate and Address: DR.ASHWINI.K

W/O DR.SANJEEV KADLEWAD

NGO LAY OUT,AROODH NILAYA

VIVEKANAND COLONYGUMPA BIDAR.

.

1. Name of Institute : N.K.J. AYURVEDIC MEDICAL

COLLEGE AND PG CENTRE

BIDAR. KARNATAKA-585 403.

1. Course of study and Subject : M.D. (PANCHA KARMA)

1. Date of Admission to Center : 11th OCTOBER 2012

1. Title of the Topic :

‘‘ A COMPARATIVE STUDY ON THE EFFECT OF UTTARABHAKTIKA NASYA AND UTTARABHAKTIKA SNEHAPANA WITH DASHAMULADI YAMAKASNEHA IN THE MANAGEMENT OF AVABAHUKA”.

6. BRIEF RESUME OF THE INTENDED WORK.

INTRODUCTION:

6.1 NEED FOR THE STUDY:

In Modern era, the advancement in science and technology has influenced mankind very much. Due to this he became in need to change his lifestyle, leading to his more working time compared to rest. Generalized hyper mobility associated with occupation that involves heavy weight lifting, twisting, carrying heavy loads on head and shoulder, prolonged driving, trauma etc contributes to increase of Vatadosha as well as manifestation of Vatavyadhis like Avabahuka.

In Modern science also several shoulder disorders are there like Frozen shoulder, Rotator Cuff Syndrome ,Shoulder Hand Syndrome, Deltoid Bursitis, etc and the treatment given was NSAIDS, Physiotherapy etc.There is no specific medication and the medications may not show satisfactory effect and may produce side effects therefore, there is a need to assess the effect of Ayurvedic medication in the management of Avabahuka.

Nasya and Pana is the prime modality of treatment in Urdhwajatrugatarogas and Avabahuka is one of those vikaras.

Dashamoola, Bala Masha Kwatha, Taila and Ghrita Nasyachikitsa has been explained in the management of Avabahuka in Chakradutta Vatavyadhi Chikitsa & in YogratnakaraVatavyadhi Chikitsa. Andin the context of Bahusheershagatavata as Uttarabhaktikasnehapana has been mentioned in CharakaChikitsasthana. And also mentioned in AstangaHridaya Vata Vyadhichikitsa sthana the line of treatment for Avabahuka is Uttarabhaktikasnehapana .

As Nasya and Pana both have been mentioned in Avabahuka chikitsa,here we want to know the which one of the procedure gives better result either orally or nasal route with specific medication called DashamuladiYamaka Sneha.

Dashamuladi Yamaka Sneha has shoolahara, shothaharaetcproperties; therefore there is a need to evaluate whether the Dashamuladi Yamaka Sneha gives better result in the form of Uttarabhaktika Nasya or Uttarabhaktika Snehapana. Hence study is planned to compare the effect of Nasya and Pana with DashamuladiYamakaSneha in the management of Avabahuka.

6.2 REVIEW OF LITERATURE:

Avabahuka: It is a condition in which vitiated vata associated with kapha lodges in Amsapradesha and by contractions of siras leads to pain and stiffness in the joint and muscles of shoulder and upper arm and causes spandana of bahu leading to avabahuka.1

Nasya and Snehapana has mentioned as a line of treatment in Vatavyadh 2

Dashamuladi Yamaka Sneha has been specially mentioned for the treatment of Avabahuk.3 It comprises of Brihatpancamula, Laghupanchamula, Masha, Bala, Tilataila and Ghrita, Its action is Vatakaphahara, Shothahara, Shulahara, Balya and Brihmana.Dashamuladhi Yamaka Sneha is very much effective in pacifying the Vataroga and it can be used as Nasya and Pana.

PREVIOUS WORK DONE:

1] George.P.J.-Classical management of AvabahukaGovt.AyurvedicCollegeKeralaUniversity, Thiruvananthpuram, Trivendrum.-1981.

2] Philomina.-Avabahuka and its management Govt.Ayurvediccollege,Rajiv Gandhi University of Health Sciences, Bangalore, Mysore. -1988.

3]ShuklaNiranjan.-Effect of Nasya and Abhyanga on Avabahukaw.s.r. to Masha TailaGopabandhu Ayurveda Mahavidyalaya,UtkalUniversity,Bhubaneshwar,Puri. -1997.

4] GirishDeshpande-Managemenment of Avabahuka with JinginyadiNasya and AshwagandhadhyaGhritasnehapana. NKJAMC, RajivGandhiUniversity of Health Sciences, Bidar-2007

6.3 OBJECTIVES OF THE STUDY:

•To study Avabahuka in detail.

•To study the efficacy of Dashamuladi Yamaka Sneha as UttarabhaktikaNasya in the management of Avabahuka.

•To study the efficacy of ofDashamuladi YamakaSneha as UttarabhaktikaPana in the management of Avabahuka.

•Comparative study of Uttarabhaktika Nasya and Uttarabhaktika Pana in the management of Avabahuka.

7. MATERIALS AND METHODS:

7.1 SOURCES OF DATA

1. Patients will be selected from Sri Siddharoodha charitable hospital of N.K.J.Ayurvedic medical College and P.G.researchcentre.Bidar.Karnataka.

2. Ayurvedic classics, National and International journals, magazines, seminars, conferences, digital library and web sites.

7.2.METHOD OF COLLECTION OF DATA:

1. Patients will be selected by simple randomized sampling procedure.

2. Separate case sheet will be prepared, mentioning the signs and symptoms of Avabahuka and treatment chart of Dashamuladi Yamaka Sneha Nasya and Pana. Based on the same follow up study is carried out.

3. Procedure will be conducted under the supervision of Guide, Co Guide and expert departmental staff.

RESEARCH DESIGN

•30 patients will be selected irrespective of sex, occupation, socio-economic status with all signs and symptoms of Avabahuka by simple randomized sampling method. These 30 patients are divided into 2 groups.

•Group A - Patients will be treated with Dashamuladi Yamaka SnehaNasya for 7 days, 16 drops (8 drops in each nostril) daily Sayankala after meals.

•Group B - Patients will be treated with Dashamuladi YamakaSnehaPana for

7 days 30 ml in divided doses.

•Before starting treatment thorough counseling of patients & brief explanation regarding the procedure of Nasya karma and Pana will be done. All the patients should stay in specific diet chart during the therapy.

SELECTION OF CHIKITSA

•Dashamuladi Yamaka Sneha in the form of Uttarabhaktika Nasya and Pana.

SCHEDULE OF NASYA and PANA

•Nasya-for 7 days once in a day after meals.

•Pana-for 7 days twice in a day after meals.

INTERVENTION CHART -

• Dashamula,Bala,

• Goghrita, in equal quantity

• Kavalagraham with Lukewarm water.
• Rest.
• Pathyapathya.

• Dashamula,Bala,

• Goghrita , in equal quantity

FOLLOW UP: After 14 days

METHODOLODY:-

The progress will be noted on the basis of assessment parameters (both subjective and objective), before treatment, & after treatment in a specially prepared case sheet.

STATISTICAL ANALYSIS:

The observation will be analyzed Scientifically by employing some suitable statistical test between the group and within the groups.

SELECTION CRITERIA

INCLUSION CRITERIA:-

1.Classically diagnosed cases of Avabahuka.

2.Patients irrespective of sex.

3.Patients within the age group of 30-60 years.

4.Patients fit for Nasya karma and Snehapana.

EXCLUSION CRITERIA:-

1.Patients below 30 years and above 60 years of age.

2.Anarha for Nasya and Snehapana according to classics.

3.Uncontrolled DM & systemic disorders other than that of Avabahuka

4.Patients of shoulder joint dislocation / fracture.

PARAMETERS OF THE STUDY:

SUBJECTIVE PARAMETER:

•AmsaShoola

•Sthambha

•Amsasosha

OBJECTIVE PARAMETER:

•Local tenderness.

•Restricted movements of shoulder region. (byGoniometer reading)

7.3.DOES THE STUDY REQUIRE ANY INVESTIGATIOS OR INTERVENTIONS TO BE CONDUCTED ON PATIENTS OR IN OTHER HUMAN OR ANIMALS? IF SO PLEASE DESCRIBE BRIEFLY.

1. All routine investigations.

2. X-RAY. (If necessary).

7.4.Has ethical clearance been obtained from your institution in case of 7.3?

YES.

8. LIST OF REFERENCES:

1. Priyavrit Sharma, hindi translation on Chikitsa Sarasangraha by Chakradutta ,Vatavyadhi Adhikara, sloka no. 26 published by choukambha publishers Varanasi, Third edition 2002 page 186.
2. SriSada Shiv Shastrihindi translation on AstangaHridayaVatavyadhiadhikara 21 chapter 44 slokaChoukambha Publications Varanasi Reprint 2007.
3. Shaligramjee vaidya, Vangasenateeka, Vatavyadhiadhikara- sloka no 123, published by choukambha publishers Varanasi, edition 1996 page 333.
4. Srikantha MurthyEnglish translation onBhavaprakasha VOL 2, Vatavyadhichikitsa. sloka 81, Choukambha publishers Varanasi, Third edition 2005 page 325.
5. Yogaratnakara-vidyotini hinditeeka Vatavyadhi Nidan evam chikitsa, choukambha publishers Varanasi. eight edition 2004 page 520.
6. Atridev hindi translation onSusruta SamhitabyBhaskar Govind Ghanekar,SusrutaNidan sthana 82 sloka, choukambha publishers Varanasi 5th edition reprint 2002.
7. Raghuveer Prasad Trivedi hindi translation onAstangasangraha Vagbhatacharyavicharit Vatavyadhi Nidana.published by Biadhyanath Ayurveda Bhavan. edition feb 1989 page no 509.
8. Bramhanand Tripathi –Sharangadhara Samhitavata Vyadhi Chikitsa. sloka no 107, choukambha publishers Varanasi page 513.
9. Sri Bhavamishra –Bhavaprakash by BhishakRatna sloka no 81,choukambha publishers Varanasi eighth edition 2004 page no 325.
10. Acharya Vaghbhata; Astanga Hrudayam; English translation by Prof. Srikantha Murthy; Sutra sthana 20/1; published by Chaukamba Krishnadas Academy Varanasi; Reprint 2007; Page no-255
11. AcharyaVagbhata;Astanga Hrudayam;Hindi translation by Dr. Brahmanand Tripathi; Sutra sthana 5/55-56; published by chaukhambha Sanskrit prakashan,Delhi;first edition 1999; Page no -77
12. AcharyaSushruta; SushrataSamhita; English translation by, Dr. PriyaVrat Sharma; Nidana sthana 1/82; published by ChaukhambhaViswabharati, Varanasi; First Edition 2000; page no -17

9. SIGNATURE OF THE CANDIDATE:

10. REMARKS OF THE GUIDE :

11. NAME & DESIGNATION OF

(In block letters)

11.1Guide: : Dr.CHANNABASAVANNA.B.M M.D(PK)

ASSIST. PROFESSOR PG DEPT., OF PANCHAKARMA

NKJ AMC & PG RESEARCH CENTER BIDAR

11.2Signature:

11.3Co-Guide :

11.4Signature :

11.5Head of Department : Dr:M.SRINIVASULU .MD (KC) PhD (NIA)

PROFESSOR.PG DEPT.,OF PANCHAKARMA

NKJAMC & PGRESEARCHCENTER, BIDAR

11.6Signature:

12.1 Remarks of the Chairman & Principal:PROF.Dr. K.V.L.NARASIMHACHARYAULU.

M.D.(AYU)

12.2Signature :