From,

Shivakumar.V.Patil,

Preliminary M.S. (Ayu) Scholar,

Dept. of Post Graduate Studies in Shalya Tantra,

S.D.M.College of Ayurveda and Hospital,

P.O. Box 164, Hassan–573 201.

To,

The Registrar,

RajivGandhiUniversity of Health Sciences Karnataka,

Bangalore.

Through,

The Principal and

Head of the Dept. in Shalya Tantra,

S.D.M.College of Ayurveda and Hospital,

Hassan - 573 201.

Respected Sir,

Subject: “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 Karnataka, Bangalore for partial fulfillment of M.S. (Ayurveda).

Title of the Dissertation:

“ROLE OF JALAUKAVACHARANA IN THE MANAGEMENT OF SIRAGATAVYADHI W.S.R TOSUPERFICIAL THROMBOPHLEBITIS”.

Herewith I am enclosing completed proforma of synopsis for registration of subject for Dissertation.

Thanking you,

Place: Hassan Yours Faithfully,

Date: 6/11/2007 (SHIVAKUMAR.V.PATIL)

RAJIVGANDHIUNIVERSITY OF HEALTH SCIENCES KARNATAKA, BANGALORE.

ANNEXURE - II

COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION.

1. Name of the Candidate: SHIVAKUMAR.V.PATIL,

and Address PRELIMINARY M.S. (AYU) SCHOLAR.

(IN BLOCK LETTERS) Dept. of Post Graduate studies in

Shalya Tantra,

S.D.M.College of Ayurveda,

AND Hospital, P.O. Box 164,

HassaN– 573 201.

PERMANENT ADDRESS : SHIVAKUMAR.V.PATIL,

s/o Dr.V.s.patil,

SHIVANAND CLINIC, KASABA STREET,

TAL: nargund. dist: gadag.

2. Name of the Institution :S.D.M.College of Ayurveda

AND Hospital, Hassan – 573 201.

3. Course of the Study : M.S. (Ayurveda) SHALYA TANTRA.

and SUBJECT

4. Date of Admission to :30/05/2007.

the course

5. TITLE OF THE TOPIC : “ROLE OF JALAUKAVACHARANA

IN THE MANAGEMENT OF SIRAGATA

VYADHI W.S.R TOSuperficial

thrombophlebitis”.

6. BRIEF RESUME OF THE INTENDED WORK

6.1 NEED FOR THE STUDY:

Shalya Tantra is a branch of Astanga Ayurveda. Siragata vyadhi is characterized by Shoola (Pain), Aakunchana (Constriction) and Purana (Engorgement) 1, 2. All these symptoms can be co-related to the symptoms of Superficial Thrombophlebitis.

It is a common disorder of veins, affecting a significant percent of population irrespective of sex and race. Superficial Thrombophlebitis is a frequent complication of varicose veins and deep vein thrombosis. This may also follow cannulation of a vein for an intra venous infusion3 .According to contemporary science the line of treatment is – Elevation, anti inflammatory drugs, antibiotics, application of crepe bandage and Heparin Gel, even then reoccurrence and chances of complications are more.2So there is a need to find a safe and effective therapy.

In classics we get various references regarding the use of Raktamokshana in Siragatavyadhi.4, 5, 6. Jalauka is considered one of the best modality of Sthanika Raktamokshana.Hence this study is planned to evaluate the effect of Jalaukavacharanain the Management of Siragata Vyadhi.

6.2 Review of the literature:

1) The common and specific Nidana of Siragata vyadhi are explained in text asSamanya Nidana ofVata vyadhi.7, 8, 9, and 10.

2) The Samprapti of Siragata vyadhi are explained as Samanya Samprapti of Vata vyadhi.11

3) The Lakshanas like Shoola, Aakunchana, Purana, etc are explained as the clinical features of the disease Siragata vyadhi by all the Acharyas.12, 13.

4) Raktamokshana is explained as the treatment principle of Siragata vyadhi.14

5) Clinical features of Superficial Thrombophlebitis according to Contemporary Science like Pain, Constriction, Engorgement of Vein.15

6) Research conducted on Superficial Thrombophlebitisat differentResearch centers, relevant journals, periodicals, magazines will be reviewed.

PREVIOUS RESEARCH WORKS CONDUCTED

  1. Toravi Veeranna. G.: Evalution of efficacy of Jalaukavacharana in the management of Kitibha Kustha (Psoriasis) - A clinical study. (Bangalore, 1998).
  2. Indresh.S.N: Efficacy of Jaluakavacharana in Vrana Ropana w.s.r. to inflammation (Bangalore, 1999).
  3. Vikram.G: Comparative clinical evaluation of Jaluakavacharana Pracchana Karma foolowed by Gunja Lepa in the management of Indralupta. (Bangalore, 2001).
  4. Vijayalakshmi.M: The effect of Leech Therapy in the management of Haemorrhoids. (Bidar, 2003).
  5. Balareddy. Shivaputra. : Effect of Jaluakavacharana in the management of Pittaja Dusta Vrana. (Hassan, 2003-2004).

6.3OBJECTIVES OF THE STUDY

  • To evaluate the efficacy of Jalaukavacharana in Superficial Thromboplebitis.
  • To standardize the number of sitting and duration of Jalaukavacharana in Superficial Thromboplebitis.

7.MATERIALS AND METHODS

7.1SOURCE OF DATA:

Patients will be selected from out patient department and in patient department of P.G.Studies in Shalya Tantra, S.D.M.college ofAyurveda and Hospital, Hassan.

7.2METHODS OF COLLECTION OF DATA:

Patients will be registered with the help of research proforma prepared for the study.

DIAGNOSTIC CRITERIA:

Diagnosis will be made on the basis of Lakshanas of Superficial Thrombophlebitis.

INCLUSION CRITERIA:

Patients having clinical features ofSuperficial Thrombophlebitis like Pain, Constriction, and Engorgement of Vein.

EXCLUSION CRITERIA:

  1. Embolism.
  2. Bleeding disorder.
  3. Diabetes Mellitus.
  4. H I V and HbsAg.
  5. Infection Cases.

TREATMENT GROUP:

30 patients fulfilling the criteria for inclusion will berandomly divided into the following two groups.

Group A:The patients of this group will be treated byJalauka on lesion,alternate days for 7 daysup to4 sittings.

Group B:The patients of this group will be applied Heparin Gel on lesion, alternate days

for 7 days up to4 sittings.

Procedure:

The patient is made to sit or lie on the bed. Jaulaka is to be applied on the site. Jaulaka will bite on the skin and suck the blood itself. Its face appears like the hoof of a horse and it raises its neck by this we can understand that it has started sucking blood. As soon as Jaulaka starts sucking, wet white gauze will be covered on it. After sucking ashuddha Rakta patient gets itching and pain at the site, then it is removed by sprinkling Haridra churna at its mouth region.

7.3 LABORATORY INVESTIGATION:

  1. HB%.
  2. Total Count
  3. Differential Count.
  4. Erythrocyte Sedimentation Rate.
  5. Clotting Time.
  6. Bleeding Time.
  7. Fasting Blood Sugar.

ASSESSMENT CRITERIA:

1. Assessment is done on the basis of improvement in signs and symptoms.

2. Patients will be assessed with subjective and objective parameters formulated for Superficial Thrombophlebitisbefore and after the treatment.

SUBJECTIVE PARAMETERS:16, 17

  1. Shoola (Pain).
  2. Akunchana (Constriction).
  3. Purana (Engorgement).

OBJECTIVE PARAMETERS:

  1. Discolouration.
  2. Redness.
  3. Tenderness.
  4. Thickness of Vein.

DURATION OF TREATAMENT:

Duration of Jalaukavacharana will be carried out for maximum 7 days.

FOLLOW UP STUDY:

After completion of the treatment the patients will be followed at regular intervals of every 7 days for a period of 2 months.

7.4 Has ethical clearance been obtained from your institution?Yes.

8. LIST OF REFERENCES:

  1. Sushruta Samhita, Purvarda, Edited with Ayurvedic Tatwa Sandipika. By Kaviraja Ambikadutta Shahtri Part I 14th Edition - 2003 Published by: Chaukhamba Sanskrit Sansthan, Varanasi. Page No. 230. Su. Ni 1/25,Su.Chi 4/6,7.
  2. SRB’s Manual of Surgery- By, Sriram Bhatt.MEdition: 2nd 2007.Page No. 149.
  3. Bailey & Love’s- Short Practice of Surgery. By, R.C.G Russell, Edition: 24th 2004. Page No. 969.
  4. Charaka Chikitsa- Prasadani Bhashateekasamhita Vol–2. By K.Sri Keishnadas. Published By: Bombay Prakasham, Page No. 789,793. Cha.Chi 28/63 and 28/92.
  5. Astanga Sangraha- Of Vagbhata By, Prof. K.R.S Murthy Vol – II Edition: Reprint Edition: 1999. Published By: Chaukhamba Orientalia, Varanasi A.S.Ni 15/11.
  6. Vangasena Samhita- By, Dr. Nirmal Saxena Vol– I. Published by : Chaukhumba Sanskrit Samsthan, Varanasi.Edition: Reprint Ed 2004.Page No. 393. 28/21.
  7. Sushruta Samhita- Purvarda, Edited with Ayurvedic Tatwa Sandipika. By Kaviraja Ambikadutta Shahtri Part I,14th Edition-2003 Published by: Chaukhamba Sanskrit Sansthan, Varanasi. Page No. 230. Su. Ni 1/25.
  8. Charaka Chikitsa- Prasadani Bhashateekasamhita Vol–2. By K.Sri Keishnadas.

Published By:BombayPrakasham, Page No. 789,793. Cha.Chi. 28/63 and 28/92.

  1. Yogaratnakara – with Vaidhya Prabha hindi commentary by Dr. Indradev Tripathi and Dr. Daya Shankar Tripathi Published by: KrishnadasAcademy, Varanasi Edition: 1st, 1998 Page No : 402.
  2. Astanga Sangraha- Of Vagbhata By, Prof. K.R.S Murthy Vol – II Edition: Reprint Edition: 1999. Published By: Chaukhamba Orientalia, Varanasi A.S.Ni 15/11 and A.S.Chi 23/11.
  3. Madhava nidana – Of Sri Madhavakara with Madhukosha commentary Vol-1 By, Dr. Brahmanand Tripathi. Published by : Chaukhumba Surabharati Prakashan , Varanasi. Ma. Ni 22/1-4.
  4. Charaka Chikitsa- Prasadani Bhashateekasamhita Vol-2. By K.Sri Keishnadas.

Published By: Bombay Prakasham, Page No. 789,793. Cha.Chi 28/63 and 28/92.

  1. Bhavaprakash- Edited by Vidyotini Hindi commentary by Bishagratna Pandit Sri Brahma Shankar Misra Part II. Published by : Chaukhumba Sanskrit Samsthan, Varanasi.Edition: Reprint Edition 2003. Page No. 264. 24/255.
  2. Astanga Sangraha- Of Vagbhata By, Prof. K.R.S Murthy Vol–II Edition: Reprint Edition 1999. Published By: Chaukhamba Orientalia, Varanasi A.S.Ni 15/11 and

A.S.Chi 23/11.

  1. A Concise Text book of Surgery- By, S. DasEdition: 3rd 2001. Page No. 200.
  2. Diseases of the Veins- By, Browse, Eurnand, Irvine and Wilson.

Edition: 2nd 1999.Cha-23rd, Page No. 659.

  1. Manipal Manual of Surgery- By, Dr. Rajgopal Shenoy K.Published By: CBS Publishers and Distributors, Bangalore.Edition: 2nd 2005. Page No. 90.
  1. SIGNATURE OF THE CANDIDATE :
  1. REMARKS OF GUIDE :

11. NAME AND DESIGNATION OF :

(IN BLOCK LETTERS)

11.1 GUIDE : DR. P. HEMANTH KUMAR.

M.S (AYU) Ph.D.

Head of the Department,

P.G.Studies in Shalya Tantra,

D.M. Collage of Ayurveda and

Hospital, Hassan.

11.2 SIGNATURE :

11.3 CO-GUIDE : DR. AVNISH PATHAK.

M.S (AYU)

S.D.M. Collage of Ayurveda and Hospital.

Hassan.

11.4 SIGNATURE :

11.5 H.O.D : DR. P. HEMANTH KUMAR.

M.S (AYU) Ph.D

Head of the Department,

P.G.Studies in Shalya Tantra,

S.D.M. Collage of Ayurveda and

Hospital. Hassan.

11.6 SIGNATURE :

12.1REMARKS OF THE :

CHAIRMAN & PRINCIPAL

12.2 PRINCIPAL : DR. PRASANNA N. RAO.

M.S (AYU) Ph.D

S.D.M. Collage of Ayurveda and Hospital.

Hassan.

1