From,
DR. UMAKANTH R. H.
Preliminary M.D. (Ay) Scholar,
Department of Post Graduate Studies in Rachana shareera.
N.K.J.A.M.C. & P.G. Centre,
Bidar: 585403.
To,
The Registrar,
Rajiv Gandhi University of Health Sciences,
BANGALORE, Karnataka.
Through,
The Principal and Head of Department, P.G. studies in Rachana shareer,
N.K.J.A.M.C. & P.G. Centre,
Bidar: 585403.
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. (Ay) in Rachana shareer
THE TITLE OF DISSERTATION
ANATOMICAL RELEVANCE OF SIRAVEDHANA AT TWO ANGULA ABOVE KSHIPRA MARMA WSR TO VATAKANTHAKA.
I am hereby enclosing, completed proforma for the Registration of Subject of Dissertation.
Thanking You,
Yours faithfully,
Date:
Place: Bidar.
(DR. UMAKANTH R.H.)
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
KARNATAKA-BANGALORE
ANNEXURE-II
PROFORMA FOR REGISTRATION OF SUBJECT FOR
DISSERTATION
1. Name of the Candidate and Address : DR.UMAKANTH R.H. S/o RAVAN HUNDIGUTTE OPP KRISHNA GRAMIN BANK
PO: MORKHANDI, DT: BIDAR
PIN: 585327
2. Name of Institution : N.K.J. AYURVEDIC MEDICAL COLLEGE and P.G.
CENTRE, BIDAR: 585403.
KARNATAKA (INDIA).
3. Course of study and Subject : M.D. (Rachana shareer)
4. Date of Admission to Center : 30/10/2011
5. Title of Topic :
“ANATOMICAL RELEVANCE OF SIRAVEDHANA AT TWO ANGULA ABOVE KSHIPRA MARMA WSR TO VATAKANTHAKA’’.
6. BRIEF RESUME OF THE INTENDED WORK.
6.1NEED FOR THE STUDY:
As locomotion plays very important role in survival of an individual, the number of individuals suffering from pain at ankle and heel has increased rapidly. Ankle and heel are exposed continuously to strain and stress, as they are major weight bearing joints, leading to various kinds of injuries to different anatomical structure present in that region. Abnormal life style in so called modernization in urban area, where heel is continuously exposed to pressure and stress, due to obesity and by wearing wrong or high healed footwear’s etc, leading to above mentioned symptoms, and same is in the case of people living in rural area, as they walk bare foot in fields or on uneven surface leading to pain and inflammation of soft tissue of the heel.
Acharya sushruta has advised siravedhana at a distance of two angula above kshipra marma 1, 2, in vatakanthaka in which pain in heal is the major symptom, but anatomical significance of same is yet to be evaluated and established.
In present era study related to kshipra marma with respect to siravedhan around that area seems significant, for a good interpretation and better understanding of marma with respect to Rachana shareer and parinam, hence, there is a need for study of anatomy related to particular area between big toe and second toe.5
Siravedhana done on kshipra marma leads to marmabhighata3or death and the same when done above two angula of kshipra marma is treatment for vatakanthaka, vatashonith, etc, 4. The anatomical basis for this is to be clarified elaborately. Hence as per our classics, the siravedhana is advised at two angula above kshipra marma but which sira has to be considered for vyadhanakarma is still a matter of research. The anatomical changes that take place in vatakantaka, after siravedhana above kshipra marma is on the verge of discussion.
All these concepts are in need to be refined and applied practically to appreciate the course and relations of various structures that are participating in the process. Thus this study is an attempt to establish relevance between marma and the corresponding diseases. Hence in this study the complete evaluation of kshipra marma above two angula with respect to siravedhana will be done and the concepts are clarified after considering some observations. Hence the study has been undertaken.
6.2 REVIEW OF LITERATURE:
1. As per SUSHRUTHA SHAREERA sthan, chapter 6th, verses 26, explained about the measurement and location of kshipra marma.
2. In SUSHRUTHA SHAREERA sthan, chapter 8th, shloka no.16/a, acharya sushutha has explained the siravedhna at the site of kshipra marma in various diseases.
3. As per SUSHRUTHA NIDAN sthan, chapter 1st, shloka 76, he explained about nidan of vatakanthaka.
4. In MADHAVA NIDAN, vatavyadhi nidan, shloka no.61, he explained about the nidan of vatakantaka.
5. As per SUSHRUTA sharer sthan 6th chapter, verses 33, he explained about the type of death due kshipra marma injury.
6. In ASHTANGA SANGRAHA, sutra sthan, 36/8, explained about siravedhana above kshipra marma in various diseases.
7. ASHTANGA HRUDAYA, nidan sthan, vatavyadhi nidan, shloka 53, explained about the nidan of vatakanthaka.
PREVIOUS WORK DONE:
1. Gupta S K- Kshipra marma ka vivechanatmaka adhyayan. - National institute of ayurveda, Rajasthan –Jaipur 1991.
2. Solanki P S –Sira shareerantaragata shakhagata vedhya sira .National institute of ayurveda Rajasthan –Jaipur 1991.
3. Shelke D S-Anatomical location of shakha sthita avedhye sira ,wsr to Lohitaksha and Urvi sira – Govt.Ayurvedic mahavidhyalaya,Dr.Baba sahib Ambedkar marathavada vidhyapitha, Nanded-1994
4. Dr. Annapurna - A comprehensive study of anatomical location of shakhagata vedhya sthanas in particular diseases. — NKJMC & PG centre Bidar .2006.
5. Nitin Kumar-Comprehensive study on parshni shareera wsr to structural changes in vatakanthaka.-SDM collage of ayurveda-2006.
6. Bipin Upendra--A comprehensive study of siravedhana wsr to Anatomical and marma relevance of lower extremity – Alva’s ayurvedic medical collage mudbidare – 2008.
6.3 Objectives of the STUDY:
1. To dissect the cadaveric foot for structural understanding of kshipra marma above two angula.
2. To evaluate the anatomical relevance of siravedhana two angula above kshipra marma in vatakanthaka.
7. MATERIALS AND METHODS:
7.1 SOURCES OF DATA:
1. Cadaveric foot dissection will be done, to know the underlying structures of two angula above kshipra marma.
2. Diagnosed patients of vatakanthaka will be selected from OPD and IPD of shalya tantra and panchakarma department of Shri sidharoodha charitable hospital attached with NKJAMC Bidar. .
7.2METHODS OF COLLECTION OF DATA:
METHODOLOGY:
· It is an observational study, comprising of pre-test and post-test design. siravedhana will be done under the supervision of shalya tantra and panchakarma specialist.
· For this study 30 patients will be taken up, the sign, symptoms and structural changes before and after treatment will observed /recorded.
POORVAKARMA / · Amapachana· Snehapana (Till samyagsnigda laxana)
PRADHANA KARMA / · Patient made to lie down in supine position.
· Tourniquet will apply above the ankle joint.
· Then the site of Siravyadha i.e. 2 angulies above the kshipra marma is cleaned and siravyadana will be done.
PASCHAT KARMA / · The place of Siravyadha is applied with haridra churna and vital data checked.
· Advised to follow Pathya
PERIOD OF STUDY:
The duration of study will be taken for 30 days after treatment. The pattern of pain, (KANTAKAVATA PEEDA), walking time before and after treatment will be observed and recorded on 1st day, 2nd day, 15thday and 30th day after treatment.
INCLUSION CRITERIA:
1. Patients with classical features of vatakantaka.
2. Patients fit for siravedhana.
EXCLUSION CRITERIA:
1. Bleeding disorders, calcaneal fracture, and diabetes.
2. Classically unfit patients for siravedhana.
ASSESMENT CRITERIA:
SUBJECTIVE PARAMETERS:
1. Kantakavata peeda (Pain)
OBJECTIVE PARAMETERS
1. X-ray foot AP /LAT.
2. Walking time.
7.3 DOES THE STUDY REQUIRES ANY INVESTIGATIONS TO BE
CONDUCTED ON THE PATIENTS (OR) OTHER ANIMALS? IF
SO PLEASE DESCRIBE BRIEFLY. YES
Siravedhana will be conducted on patients for the study.
INVESTIGATIONS:
1. Foot x-ray.
2. Hb, TC, DC, RBS, ESR.
3. S. calcium, S. uric acid.
4. Bleeding time, clotting time.
5. Urine routine.
7.4 HAS THE ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR INSTITUTION IN CASE- YES OBTAINED
8. LIST OF REFERENCES.
1. Kashi ayurveda series, A Sushruta shareera sthan , text with English translation and comentratory etc by pro.D.G.Thatte, second edition 2005, chaukhamba publishers, chapter 8, shloka no 16/a. Pp158.
2. Chakradutta ( sanskrita text with English translation) by P.V. Sharma, third edition 2002, chapter no. 22,.shloka no 66, Pp191
3. Kashi ayurveda series , A Sushruta shareera sthan , text with English translation and comentratory etc by pro.D.G.Thatte, second edition 2005, chaukhamba publishers , chapter 6, shloka no.33, Pp137.
4. Kashi ayurveda series , A Sushruta shareera sthan , text with English translation and comentratory etc by pro.D.G.Thatte, second edition 2005, chaukhamba publishers, chapter 8, shloka no 16/a.
5. Kashi ayurveda series , A Sushruta shareera sthan , text with English translation and comentratory etc by pro.D.G.Thatte, second edition 2005, chaukhamba publishers, chapter no.6 , shloka no.25/a, Pp121.
6. Ashtanga sanghraha, vatavyadhi chikitsa by, pro. K.R. Srikanthamurthy, volume 1, 9th edition 2005, chapter 36, shloka no 8.
7. Vagbhata’s Ashtanga hrudaya, volume 2, translated by pro. K.R.Srikanthamurthy, edition and reprint 200, shloka no.5, Pp 157.
9. SIGNATURE OF THE CANDIDATE:
10. REMARKS OF THE GUIDE : FOR THE EVALUATION OF
ANATOMICAL RELEVANCE OF
SIRAVEDHA IS A NEW TOPIC
HENCE RECOMMENDED FOR
REGISTRATION.
11. NAME & DESIGNATION OF
(In block letters)
11.1 Guide : Dr. N.G. MULIMANI M.D(Ayu)
Professor & HOD
Dept of Rachana Shareera
11.2 Signature :
11.3 Co-Guide : Dr. VIJAYAKUMAR BIRADAR
M.S(Shalya)
Assistant professor
Dept of Shalyatantra
11.4 Signature :
11.5 Head of Department : Dr. N.G. MULIMANI M.D(Ayu)
Professor & HOD
Dept of Rachana Shareera
1.6 Signature :
12.1 Remarks of the Chairman & :
Principal
12.2 Signature :
~ 11 ~