From

Dr. Yashaswini G

Dept of PG Studies in Shareera Rachana

N.K.J. Ayurvedic Medical College and P.G Centre,

Bidar - 585403.

To

The Registrar,

Rajiv Gandhi University of Health sciences

Bengaluru, Karnataka.

Through

The Principal

N.K.J. Ayurvedic Medical College and P.G Centre

Bidar - 585403.

Respected Sir,

Sub: Submission of completed proforma for registration of subject for Dissertation.

I request you to kindly register the below mentioned subject against my name for the submission of the dissertation to Rajiv Gandhi university of Health Sciences, Bengaluru, Karnataka, for the partial fulfillment of M.D.(Ayu) in Shareera Rachana.

TITLE OF DISSERTATION

“A STUDY OF DERMATOGLYPHICS w.s.r TO KITIBHA KUSHTA IN DWIDOSHAJA PRAKRUTHI”

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

Thank you,

Your’s sincerely

(Dr.Yashaswini G)

Place: Bidar

Date:

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

BENGALURU, KARNATAKA.

ANNEXURE – 2

PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION

  1. Name of the candidate: DR.YASHASWINI. G

And address D/O GUNDAPPA. D

MYLNAYAKANAHALLI POST,

MYLNAYAKANA HOSAHALLI,

CHANNAPATNA TALUK

RAMNAGAR DIST. - 571501.

  1. Name of the Institution: NKJ AYURVEDIC MEDICAL

COLLEGE & PG CENTRE,

BIDAR – 585403.

  1. Course of study and subject: M. D. (AYURVEDA) IN SHAREERA

RACHANA.

  1. Date of Admission to Course: 31-10-2011
  1. Title of the topic :

A STUDY OF DERMATOGLYPHICS w.s.r TO KITIBHA KUSHTA IN

DWIDOSHAJA PRAKRUTHI

6. BRIEF RESUME OF THE INTENDED WORK

6.1 NEED FOR THE STUDY

“कुष्ठ–कुष्णातिसर्वंवपुःइतिकुष्ठम्”

Which causes Shareera vikara is known as kushta.

Kushta is one of the adibalapravrutthavyadhi, that which is caused by dosha in shukrashonitha (Su.su 24/6).

It is also one among Ashtamahagadha.

Skin is considered as the mirror of the body and kitibhakushta is a kind of disease which effects it, causing physical and psychological trauma, This disease produces symptoms like exfoliation of scaly skin and discomfort in the form of itching, due to exfoliation and dryness the skin gets ugly, appears rough and sometimes associated with discharge leading to social stigma, further giving space to psychological ailments like depression etc.

Present era is a cosmetic era, people are more consciousness about healthy skin, and especially females are seeking more attention towards healthy skin to be top in the fastest growing field of fashion.

Presently 30% of people are suffering from one or the other type of skin disorder, Among them “Psoriasis” is a commonly faced skin disease and which is also correlated to kitibhakushta, it presents itself with signs like extensive exfoliation of skin mainly on hands, Scalp, trunk associated with severe itching.

This kitibhakushta is Sahaja/kulajavyadhi (Genetic predisposition) and it is beautifully narrated by AcharyaSushrutha as follows:

“स्त्रिपुंसयोःकुष्ठदोषाद्दुष्टशोणितशुक्रयोः|

यदपत्यंतयोर्जातंघ्नेयंतदपिकुष्ठितम्”||

(सु.नि.5/27)

If man and woman are victims of kushta their Sperms and Ovum are afflicted, which results in a progeny affected by Kushta, Similarly psoriasis is also genetically related.

Prakruthi is body constitution or inherent characteristic property of an individual. It also refers to genetically determined physical and mental makeup of the individual. Even if we go by the theory of hereditary or genetics it is understood that an individual behavior or psyche is decided even before his birth. Similarly medical research shows that health trends can be perceived on palms, this is called dermatoglyphic study which relates to many physical, mental, emotional health condition of an individual.Prakruthipariksha plays a very important role for examination of patient from the point of view of diagnostic aspect, hence has a role in prevention also.

Patients suffering from this disease are frequently seen off late, still there is no authoritative or satisfactory solution in contemporary medicine, as the cause of the ailment is yet to be understood. Modern science considers this condition under group of idiopathic disease, which is difficult to cure. Therefore need for intervention of Ayurvedic medicine from diagnostic and preventive point of view is felt. Hence an effort is being put to understand this topic from the aspect of dehaprakrithi in relation with dermatoglyphics (Hasta RekhaShastra), as no such specific study has been conducted till now.

Each person has a unique finger prints which is based on genetic characteristics of specific individual which are transferred genetically from one generation to another. Our palms and soles contain certain characteristics which are explained in the form of lines and symbols which are referred to as the code. Dermatoglyphic study helps to unlock these secret codes for further understanding and evaluating Human potential through detailed examination of the patient.

Insufficient literature regarding dermatoglyphics and its application has initiated this study, further the need for proper understanding of the kitibhakushta in the light of prakruthi and dermatoglyphics is observed, in view of preventing, predicting, anticipating and diagnosis of this disease in future, which can be considered above all investigative procedures.

6.2 REVIEW OF LITERATURE

  1. In KashyapaSamhitha in lakshanadhyaya(28th chap)sloka 6-7, he explained different lines and shapes like Swastika, Padma, Chakra, and other auspicious signs on the feet denoting the life span, health, wealth, and luck of the individual.7
  2. Prakruthi explains the physical and mental traits of person. The concepts of prakruthi are available in
  • Charakasamhitha, vimanasthana, 8thchapter, Rogabhishagjatiyavimana.ˡ
  • SusruthaSamhitha, Shareera sthana, 4th chap, Garbhavyakarana Shareeram.2
  • AstangaSangraha, Shareera Sthana, 8th chap, Prakruthibhediya Shareeram.3
  • AstangaHrudaya, Shareera Sthana, 3rd chap, Angavibhaga Shareera.4
  • SharangadharaSamhitha, Purvakhanda 6th chapter.5
  • KashyapaSamhitha, Sutra Sthana 28th chapter mentions the characteristics features of Angapratyanga, which can be made use in Analysis of prakruthi.6

3. References in regard with kitibhakusta are mentioned in following classics:

  • CharakaSamhitha, ChikitsaSthana, 7th chap, Kushta chikitsaadhyaya.8
  • SushruthaSamhitha, NidanaSthana, 5th chapter Kushta nidana.9
  • AstangaHrudaya, NidanaSthana, 14th chap Kushtashwitrakrimi nidana.10
  • AstangaSangraha, NidanaSthana, 14th chapKushtashwitrakrimi nidana.11
  • Madhavanidana , 49th chap,Kushta nidana.12
  • BhavaPrakasha, 54/33.13

4. “Introduction in dermatoglyphics” a book by Herold Cummins was first to name this

Pattern study of ridges as dermatoglyphics. The pattern of lines on the fingers of hand as a method of diagnosis has been documented in medicine by cummins and Tompson.

The detailed description of palm and finger ridges pattern could be found in many books on Hastarekhashastra (palmistry) a science of prophecy and fortune telling. This ancient literature of palmistry describes the figures of chakra (wheel), Shankha (Conch), Padma (Lotus) on human palms, soles, fingers and toes. The same is studied these days as loops, whorls and arches respectively.

5.Kitibha – It is one among 18 types of kshudrakushta.

  • श्यावंकिणखरस्पर्शंपरुषंकिटिभंमतम् |

(च.चि7/21)

The colour of skin will be श्यावं – Blackish brown.

किणखरस्पर्शं – Rough to touch like a wart

परुषं – Hard to touch.

In modern view, Psoriasis – An extremely common dermatosis of worldwide distribution, Affects any age group, generally young adult of both sexes, characterized by skin cells that multiply up to 10 times faster than normal. It has a strong genetic predisposition present, it sometimes occurs in several generations of the same family. It appears suddenly or gradually, Autosomal dominant inheritance with incomplete penetrance or multifactor strong association with HLA – B/B, HLA – BW17, HLA – Cw6.14

PREVIOUS WORK DONE

1)A Study on Dermatoglyphics in Ekadoshajaprakruthi- by DrSuhariniSulgante, NKJAMC, Bidar, Karnataka – 2011.

2)Shareera Rachanakeadhar par doshajaprakruthikajyotishyavishleshana – by DrChevilal, NIA, Rajasthan University, Jaipur – 2003.

6.3 OBJECTIVES OF THE STUDY

1)To conduct a critical study on dwidoshajaprakruti (of an individual) w.r.t.kitibhakusta.

2)To study dermatoglyphic pattern in kitibhakushta patients with dwidoshajaprakruthi and to interpret there meaning.

7. MATERIALS AND METHODS

7.1 Source of data

  • Patients will be selected from Kayachikitsa OPD/IPD of Siddharoodha charitable hospital attached to NKJ Ayurvedic medical college,Bidar.
  • Authoritative Ayurvedic literature like Brihatrayees, Laghutrayees and Books of HastarekhaShastra (Palmistry).
  • Modern Medical texts, related thesis, journals, Abstracts, Materials from websites are correlated and analysed with the knowledge of contemporary sciences on the subjects.

7.2 Method of collection of data

  • Data will be collected from Ayurvedic classics, previous work done journals and Internet materials.
  • Prakruthi assessment proforma will be prepared with questionnaires to generate data in kitibhakushta patients.

STUDY DESIGN

  • 30 kitibhakushta patients who are having dwidoshajaprakruthi are considered.
  • Certain parameters and calculations are set to read out the imprints.
  • The palm prints will be obtained by modified coterman’s technique.
  • Prakruthipariksha of kitibhakushta patients who are having dwidoshajaprakruthi will be assessed then imprints will be obtained and analysed accordingly.

a)Inclusion Criteria

  • Diagnosed kitibhakushta patients between age group of 20-60 irrespective of sex are selected.
  • Palmar imprints will be taken for dermatoglyphic study.

b)Exclusion criteria

  • Diseases of hands, Keratosis Palmaris, Impetigo, Palmar psoriasis, warts, leprosy.
  • Injuries and scars of hand.
  • Plantar imprints will be omitted for the study.

c)Assessment Criteria

  • Assessment of prakruthi of individual will be done through professionally set questionnaires format and statistically analyzed by using proper statistical data.
  • Evaluation and analyzing the palmar imprints

7.3 Does the study require any investigation or intervention to be conducted on the patients or animals? If so please describe briefly.

Not applicable as the present study is observational study.

7.4 Has Ethical Clearance been obtained from your institution?

Yes, The Ethical clearance has been obtained from institutional committee.

8. LIST OF REFERENCES

  1. PanditKashinathpandey, DrGorakhnathchaturvedi, charakasamhitha, ChoukhambhasanskritBahvan, Varanasi, Vol 1 reprint 2005 pp 771 to 775.
  2. Prof. K.R.Srikantha Murthy with English translation, Susruthasamhitha, Choukhambhaorientalia, Varanasi, vol 1, edition 2nd, 2004,pp 70 to 77.
  3. Prof K.R. Srikantha Murthy with English translation, Ashtangasangraha of vagbhata, Choukhambhaorientalia, Varanasi, vol 2, edition 5th, 2005, pp 98 to 103.
  4. Prof K. R. Srikantha Murthy with English translation - AstangaHrudayam, choukhambhakrishnadas Academy, vol 2, reprint 2007, pp 413 to 417.
  5. Prof K.R.Srikantha Murthy - SarangadharaSamhitha, Choukhambhaorientalia, Varanasi, Prathamkhanda, edition 4th, 2001, pp 30.
  6. P.V.Tewari -kashyapaSamhitha or Vridhajivakiyatantra, translation with English and commentary, choukhambhaBharati Academy, Varanasi, reprint 2002, pp 75 to 77.
  7. Sri SatyapalaBhisgacharya -KashyapaSamhitha, Hinditranslation of Sanskrit, Choukhambha Sanskrit Samsthan, reprint 2006,pp 55 – 56 .
  8. AcharyaVidhyadharShukla, Prof Raviduttatripathy-CharakaSamhitha with Hindi Translation of Sanskrit, Chaukhambha Sanskrit prathishtan, vol- 2, reprint 2006,pp -184.
  9. KavirajaAmbikaduttaShastri - Sushruthasamhitha with Hindi translation of Sanskrit Chaukhambha Sanskrit Sansthan, Part – 1, Reprint 2007, pps– 248,250.
  10. Lalchandravaidya - AshtangaHrudaya , SarvangaSundarivyakhyasahitha, MotilalBanarasi das publishers, Reprint 1990, pp – 345.
  11. LalchandraShastrivaidya,Raghuveer Prasad trivedi - AshtangaSangraha, SarvangaSundarivyakhyasahitha, Baidyanath Ayurveda Bhavan,Nagpur,Reprint 1989,pp- 486.
  12. YadhunandanaUpadhyaya – Madhavanidana, Madhukoshavyakhyavibhushitham, ChaukhambhaPrakashan, part – 2, edition reprint – 2009, pp – 188.
  13. Bhisagratnapanditsri Brahma Shankar Mishra – Bhavaprakashavidyotini Hindi commentary, part –2, Chuakhambha Sanskrit Sansthan, pp – 536.
  14. Aspi.F.Golwalla&Sharukh.A.Golwalla – Medicine for students, 20thedition,reprint 2003,published by Dr.A.F.Golwalla, churchgate,Mumbai, pp-898.
  15. ApurbaNandy – Principles of forensic Medicine, 1st edition, 1995, pp 91.Dr.K.S.Narayanareddy – The essentials of Forenscic medicine and Toxicology, 27th edition, pp 76- 78.
  16. Peter.L.Williams and Mary dyson – Gray’s anatomy, 37th edition, pp 80.

9. SIGNATURE OF THE CANDIDATE:

10. REMARKS OF THE GUIDE:RECOMMENDED FOR REGISTRATION

11. NAME & DESIGNATION OF:

(In block letters)

11.1 GUIDE:DR.SHELLY DIVYADARSHAN.M.D.(Ayu)

Asst.Prof

Dept of Rachana Shareera

11.2 SIGNATURE :

11.3 CO- GUIDE:

11.4 SIGNATURE:

11.5 HEAD OF DEPARTMENT :DR.N.G.MULIMANI .M.D.(Ayu)

Prof & HOD ,

Dept of Rachana Shareera.

11.6 SIGNATURE :

12.1 REMARKS OF THE CHAIRMAN &:

PRINCIPAL

12.2 SIGNATURE :