From,

Dr. SHRIRAM CHATURVEDI

Preliminary M.D. (Ayu) Scholar

Department of Post Graduate Studies in Panchakarma

N.K.JabshettyAyurvedicMedicalCollege & PG Research Centre

Gumpa, Bidar-585403.

To,

The Registrar,

RajivGandhiUniversity of Health Sciences,

Bangalore, Karnataka.

Through,

The Principal/Dean

N.K. Jabshetty Ayurvedic Medical College & PG Research 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 RajivGandhiUniversity of Health Sciences, Bangalore, for the partial fulfillment of M.D (Ayu) in Panchakarma.

TITLE OF DESSERTATION:

“ A COMPARATIVE STUDY ON THE EFFECT OF PATRA LAVANA PINDA SWEDA AND SWEDOPAG MAHAKASHAYA PINDA SWEDA IN THE MANAGEMENT OFSANDHIGATA VATA W.S.R. TO OSTEOARTHRITIS”.

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

Thanking you,

Yours Sincerely

Date:

Place: Bidar DR. SHRIRAM CHATURVEDI
RAJIVGANDHIUNIVERSITY OF HEALTH SCIENCES

KARNATAKA-BANGALORE

ANNEXURE-II

PROFORMA FOR REGISTRATION OF SUBJECT FOR

DISSERTATION

1. Name of the Candidate DR.SHRIRAM CHATURVEDI

And Address NEAR GOVT. MIDDLE SCHOOL.

BANKUIYA ROAD, VILL – MAIDANI,

DISTICT – REWA

MADHYA PRADESH (INDIA).

2. Name of Institution N.K.JABSHETTY AYURVEDIC MEDICAL COLLEGE AND

P.G RESEARCH CENTRE,

BIDARKARNATAKA (INDIA).

3. Course of study and Subject M.D. (PANCHAKARMA)

4. Date of Admission to Center 30th OCTOBER 2011

5. Title of the Topic :-

“ A COMPARATIVE STUDY ON THE EFFECT OF PATRA LAVANA PINDA SWEDA AND SWEDOPAG MAHAKASHAYA PINDA SWED IN THE MANAGEMENT OFSANDHIGATA VATA W.S.R. TO OSTEOARTHRITIS”.

6. BRIEF RESUME OF INTENDED WORK:

6.1NEED FOR THE STUDY:-

The man is precious creature on the earth he want to go for diversifiedto enjoy the life to simply lie idle, for such activities harmony of musculoskeletal system is the minimum requirement.Now aday thisdisease has become a major health problem in 40 years and above age. Based on the signs and symptoms, sandhigata vata may be correlated with osteoarthritis of modern science.

According to World Health Organization (W.H.O.) osteoarthritis is the second commonest musculoskeletal problem in the world population (30%).The reported prevalence of OA from a study in rural india in 5.75%1. Hence it is a challenge to each system of medicine to provide the effective treatment to control it. Ayurvedic line of treatment in Sandhigata vata is swedan ,upanaha, mardan and snehan2.Sweda karmaposseses stambhaghna, gauravaghna and sheetaghna qualities3.which seems to be effective procedure for osteoarthritis. Both patra lavana pinda sweda and swedopag mahakashaya pinda sweda have shothahara and vednasthapan qualities. So the present study is planed to assess the efficacy of Sweda karma by a comparative study on patra lavana pinda swedaand swedopag mahakashaya pinda sweda for the management of sandhigata vata w.s.r. to osteoarthritis.

6.2REVIEW OF LITERATURE:

1)General nidana of vata vyadhi are deemed to be the etiological factorsof sandhigatavata as it is delt under nanatmaj vata vyadhi4.

2) Due to vatakara ahara vihara vata get vitiated and lodges in rikta srotas i.e srotas where abhava of snehadi guna is present. Due to vitiated vata shleshmaka kapha in the joint also decreases in quality and quantity i.e ruksha laghu kharadi gunas will over power producing disease sandhigata vata.

3)According to charaka if vayu is located in joint, there occurs swelling like air – filled bladder in touch and pain during constraction and extension 5.

4)According to sushruta,vata localised in sandhi (bony joint) it destroys the action of the joint and give rise to pain and swelling in them6.

5)Swedana , upanaha , mardana and snehana are the choice of treatment sandhigatavata2 .

6)Patra lavan is explained in vata vyadhi chikitsa by sushruta7.

7)Swedoupag mahakashaya drugs are explained in sutra sthanashadhvirechaniya satashritya adhaya by charaka8.

PREVIOUS WORKS DONE:

  1. Singh D K – Aclinical study of snehana, swedana and Rasanadi Guggulu in the management of Sandhigata-vata (osteoarthritis). National Institute of Ayurveda, Rajasthan University , Jaipur – 2002 (kc)

2. Arora P K – Comperative study of therapeutic efficacy of Samshodhana and Samshamama Chikitasa in Sandhigata vata vis-à-vis Osteoarthritis. Faculty of Ayurveda Institute of Medical Science, Banaras Hindu University, Varanasi -2002 (kc)

3. Mayuri Shah – A comparative study of matra basti and some indigenous compound drug in the management of sandhigata vata (osteoarthritis).

I P G T & R A , Gujarat Ayurved University, Jamnagar – 2006 (kc) 4. Harbaksh Singh – The effect of panch tikta matra basti in sandhigata vata (OA) with and with out janu basti with ksheerabala taila –A Comparative study.

NKJ Ayurvedic medical college & P.G. center ,bidar (karnataka) -2006 (pk) 5.Prashanth Kumar – Comparative study of effect of Snigdha Patra Pinda Sweda and Jambeer pinda sweda in Sandhigata vata w.s.r. to Osteoarthritis of knee joint .

SDM College of Ayurved ,Kuthpandy -2007 (pk)

6.3Objectives of the STUDY:-

  1. To assess the efficacy of Patra lavana pinda sweda in sandhigata vata .
  2. To assess the efficacy of swedopaga mahakashaya pinda sweda in sandhigatavata.
  3. Tocompare the efficacy of Patra lavana pinda sweda and Swedopaga mahakasaya pinda sweda in the management of sandhigata vata .

MATERIALS AND METHODS:

7.1SOURCE OF DATA -

1.) Patients will be selected from Sri Siddharoodha Charitable Hospital,
attached to N.K.J.Ayurvedic Medical College & P.G. research Centre Bidar, Karnataka .

2.)Ayurvedic Classics andmodern books, Journals, magazines, national and internationalseminars, conferences, digital library & web sites.

3) Materials – drugs will be collected from the Herbal garden and Ayurvedic pharmacy under the supervision of Dravyaguna specialist.

4) Rasashala attached to the college for preparation of medicine under the supervision of Rasashastra expert. .

5) The Sweda karma will be conducted under the supervision of our guide and co- guide in Panchakarma Theater.

7.2METHODS OF COLLECTION OF DATA:

This is a comparative clinical study in which 30 patients (including both group) will be selected on the basis of simple randomized sampling procedure according to inclusive criteria.

RESEARCH DESIGN:

Total 30 patients will be selected in study15 patients will be distributed in two equal groups such as

  • Group- A:- 15 Patients will be treated with Patra Lavana Pinda Sweda for seven days.
  • Group-B: - 15 patients will be treated with Swedopaga Manhakashaya Pinda Sweda for seven days.

Separate case sheets will be designed for this purposeBefore starting treatment through counseling of patient and brief explanation regarding the procedure of swedana karma will be done.

In both the groups patients will be advised to take the laghu & anabhisyandi ahara and advised to avoid exercise during the entire course of swedana karma.

INTERVENATION CHART -

A)SWEDAN KARMA WITH PATRA LAVAN PINDA

S.no. / Procedure / Preparation / Duration
1 / Poorvakarma / Sarvanga abhyanga / Moorchitatila taila / 30-40min approx.
2 / Pradhana karma / Patra lavana pinda sweda / Leaves of Ghandarvahast mushkak karanj vasa chirbilwa amaltas chitrak and equal quantity of saindhva lavana prepaired as per su.sa. chi.-4thchapter / Till samyak swinna lakshana for 7 days.
3 / Paschat karma / 1)Samvahana
2)Snana / Ushana jala / -

B) SWEDAN KARMA WITH SWEDOPAG MAHAKASHAYA PINDA

S.no. / Procedure / Preparation / Duration
1 / Poorvakarma / Sarvanga
abhyanga / Moorchitatila taila / 30-40 min
approx.
2 / Pradhana karma / Swedopaga Mahakashaya pinda sweda / leaves of Sobhanjana, Eranda, Arka , wishcira, Punarnava
seeds of Yava, Tila , Kulatha, Masha, Badar prepaired per pinda sweda methodology / Till samyak swinna lakshana for 7 days.
3 / Paschat karma / 1) Samvahana
2)Snana / Ushana jala / -
  • In both the groups patients will be advised to remain on light diet (anabhisyandakarahar) and advise to avoid exercise during and after the entire course of sweda karma.

Follow up -

Two follow ups will be conducted in the 7 days interval i.e. 7th and 14th days after the comption of treatment schedule .

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 critically & scientifically by employing some statistical tests between the groups and also within the groupwith suitable statistical analysis.

SELECTION CRITERIA:-

INCLUSION CRITERIA:-

1. Patients of more than 40 years of age irrespective of sex.

2. Patients with sign and symptoms of sandhigata vata.

3. Patients who are eligible for swedana karma.

EXCLUSION CRITERIA:-

  1. Patient with other joints pathologies like RA, T.B bone etc. and suffering from systemic acute pathogenesis
  2. Non co-operative patient.

3.All the condition in which Sweda karma is contraindicated.

PARAMETERS FOR ASSESSMENT:-

SUBJECTIVE PARAMETERS:-

1) Sandhi Vedana (pain)

2) Sparsha ashahishnuta (tenderness)

3) Atopa (crepitus)

4) Prasaranakunchan pravrati sa vedana. (pain on movement)

5)Sandhi sopha (swelling like vata purn druti)

OBJECTIVE PARAMETERS:

1) Range of Motion on the basis of Goniometer reading.

ASSESMENT CRITERIA:

Improvement in the sign and symptoms of the patient mentioned in subjective and objective parameters with due importance to Samyak Swinna Lakshana.

INVESTIGATIONS REQUIRED:

  • X-ray ofknee joint AP/PA view.
  • CBP, ESR .
  • MRI if necessary.

7.4 HAS ETHICAL CLEARENCE BEEN OBTAINED FROM YOUR

INSTITUTION - Yes obtained

8. LIST OF REFRENCES:

[1] SIDDHARTH N. SHAN M. Paul Anand – API Text Book Of Medicine – THE Association of Physicion of India – Mumbai, 7th Edition 2003, page no.1151

[2]. Shastri Lakshmipati, Yogaratnakar vidhyotini Hindi tika samhita, Chaukhambha Sanskrit Bhavan Varanasi, reprint – 2005, Purvardha, Vatavyadhi chikitsha/1 ,page no.-517

[3] Pt. Kashinath Pandey Dr.Gorakhanath Chaturvedi – Charak Samhita Hindi commentary part – 1 Chaukhambha Bharti Acedemy, Varanasi reprint – 2005

suta stana- 22/11 page no.-424 .

[4].Dr.Brahmanand Tripathi – Charak Samhita ‘Charaka – Chandrika’ Hindi commentary, volume –2, Chaukhamba Surbharti Prakashan , Varanasi, reprint – 2005 chikitsa stana – 28/15-18 , page no. – 937 .

[5] P.V. Sharma – Charaka Samhita, , english translation, volume – 2, Chaukhambha Orientalial, Varanasi, eighth edition – 2007, chikitsa stana – 28/37 , page no. – 463 .

[6] Prof.K.R. Srikantha Murthy, Susruta samhita, text , english translation vol. – 1 ,Chaukhambha Orientalial, Varanasi, third edition – 2007, nidana stana – 1/28, page no.- 464

[7]. Narayan ram Aacharya ,Aacharya Priyavrat Sharma– Susarut Samhita, Dalahanana Nibanda Sangraha Vyakhayan, Chaukhambha Orientalial, Varanasi, Ninth Edition – 2007, chikitsa stana – 4/30, page no.- 423 .

[8].Vd.Harish Chandra Singh Kushwaha – Charaka Samhita (Ayurveda-Dipika’s Ayusi Hindi commentary) part – 1, Chaukhambha Orientalia,Varanasi, reprint edition– 2011, sutra stana – 4/13 , page no. - 65

9. SIGNATURE OF CANDIDATE:

10. REMARKS OF THE GUIDE:

11. NAME & DESIGNATION OF:

(In block letters)

11.1 Guide: DR.M. SRINIVASULU M.D. (KC) Ph.D (NIA)

PROFFESOR

P.G.DEPT OF PANCHAKARMA

N.K.J.A.M.C & P.G . RESEARCH BIDAR

11.2 Signature:

11.3 Co-Guide: DR. CHANNABASVANNA,M.D.(PK) LECTURER

DEPT. OF PANCHAKARMA

N.K.J.A.M.C & P.G RESEARCH CENTRE, BIDAR

11.4 Signature:

11.5 Head of Department: DR.HANMANTHRAOM.D.(KC)

PROFESOR

P.G. DEPT. OF PANCHAKARMA

N.K.J.A.M.C & P.G RESEARCH CENTRE, BIDAR

11.6 Signature:

12.1 Remarks of the Chairman &

Principal/Dean : DR.K.V.L NARASIMHACHARYULU

PROF. M.D (AYU)

12.2 Signature:

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