From,
Goutham. S. Gundi
Preliminary MS (Ayu) Scholar,
Department of P. G Studies in Shalakya Tantra,
S.D.M.College of Ayurveda & Hospital,
Hassan- 573201.
To,
The Registrar,
RajivGandhiUniversity of Health Sciences,
Bangalore, Karanataka.
Through,
The Principal and Head of the Department of Shalakya Tantra,
S.D.M.College of Ayurveda & Hospital,
Hassan- 573201.
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 Karnataka, Bangalore for partial fulfillment of M.S. (Ayurveda).
Title of the Dissertation:
“ROLE OF PIPPALYADI AVAPEEDANA NASYA IN THE MANAGEMENT OF KAPHAJA PRATISYAYA WITH SPECIAL REFRENCE TOCHRONIC SIMPLE RHINITIS”
Herewith I am enclosing a completed proforma of synopsis for registration of subject for dissertation.
Thanking you,
Place: Hassan Yours faithfully,
Date:
GOUTHAM.S.GUNDI
RajivGandhiUniversity of Health Sciences Bangalore.
Karnataka
ANNEXURE - II
Completed Proforma for Registration of Subject for Dissertation.
1. Name of the Candidate: gOUTHAM. S. GUNDI
AND Address preliminary m.s. (ayu) scholar.
(in block letters) Dept. of post graduate studies in shalakya tantra,
s.d.m. college of ayurveda
and hospital, p.o. box 164,
hassan – 573 201.
s/o dr. (smt) meera. shivashankar. gundi.
house no 410, near maradi basavanna temple.
village:kyarakoppa.tq/dist dharwad.580007.
2. Name of the Institution: S.D.M. college of Ayurveda
and Hospital, Hassan – 573 201.
3. Course of the Study AND: M.S. (Ayurveda) –
SUBJECT SHALAKYA TANTRA
4. Date of Admission to : 02nd JUNE 2008
the course
5. TITLE OF THE TOPIC : “ROLE OF PIPPALYADI AVAPEEDANA NASYA IN THE MANAGEMENT OF KAPHAJA PRATISHAYAYA WITH SPECIAL REFRENCE TO CHRONIC SIMPLERHINITIS”
BRIEF RESUME OF THE INTENDED WORK
6.1 NEED FOR THE STUDY
Kaphaja Pratishayaya is an irritating disease commonly observed in general practice having 30 - 40% prevalence all over the world. Kaphaja Pratishayaya is caused by the vitiation of Kapha Doshaand has the symptoms such as Shukla Sheeta Nasa Srava, Kandu, Shoona-Akshi-Koota-Shotha andShirogaurava2. These symptoms of Kaphaja Pratishayaya can be correlated to chronic simple rhinitis.Chronic simple rhinitis is inflammation of the inner lining mucosa characterized by, nasal obstruction, nasal discharge which trickles in the throat, heaviness in the head3.
Pratishayaya, if left untreated causes dreadful complications like Rajayakshma2, hence there is a need to find an efficient treatment in the management of Kaphaja Pratishayaya. In Ayurvedic classics many treatment principles are advised for Pratishaya includingNasya karma which has been given utmost importance in its management.
Pipalyadi Avapeedana Nasya has been indicated for Kaphaja Pratishyaya3. It is having the ingredients as Pippali, Shigrubeeja, Maricha, and Vidanga which act as Kapha Vata Shamaka. Pippali is Rasayana and included in Shirovirechana Gana and does Kapha Nisarana.Shigru beeja also doesShirovirechana and has Kaphaghna property. Maricha has Nadibalya and Kaphanisraka property.Vidanga isKrimighna and Shirorogahara. Taking into consideration all thesebeneficial actions of Pipalyadi Nasya this drug is selected 4, 5.
To evaluate its efficacy in the management of Kaphaja Pratishyaya. This Nasya will be given for 3 days in one group of patients and for 7 days in other group of patients to ascertain the exact duration of treatment for providing cure to the patients.
6.2 REVIEW OF LITERATURE
Pratishayaya is the pradhana roga explained in the context of Nasa Roga6.
Kaphaja pratishayaya is one among the five types of pratishayaya6a.
The specific Nidanas like exposure to Avashyaya, Anila ,Rajo, Dhooma, Dharana of Vegas like Chardi, Ashru, Jrumbha and Atyambupana leads to Kaphaja Pratishayaya7,8,9.
The Samprapti is explained by our Acharyas that the Vitiated Vatadi dosas gets lodged in the Siras and then propogates to Nasa and produces irritation over the Nasa Shleshma Kala which leads to Pratishayaya10.
The lakshanas of kaphaja pratishayaya are Shukla Sheeta Nasa Srava, Kandu, Shoona-Akshi Koota-Shotha and Shirogaurava, 11, 12, 13.
Nasya is explained as the treatment principle of pratishayaya in Charaka Samhita14.
Pippalyadi Avapeedana Nasya has been mentioned in Bhaishajya Ratnavali, Chakradatta, Vangasena15, 16, 17.
Pippali, Maricha, Shigrubeeja and Vidangaare recommended specially for Kaphaja pratishayaya. The above drugs are having kaphahara properties and hence may prove to be a useful remedy for management of kaphaja pratishayaya.
No research work has been carried out in kaphaja partishayaya till date.
OBJECTIVES OF THE STUDY.
1. To evaluate the effect of Pippalyadi Avapeedana Nasyagiven for 3 days in the Management of Kaphaja Pratishayaya.
2. To evaluate the effect of Pippalyadi Avapeedana Nasya given for 7 days in the Management of Kaphaja Pratishayaya.
3. To ascertain that whether 3 day’sduration of Nasya provides same relief as that of 7 days
7.0 MATERIALS AND METHODS
7.1. Source of data
a) Patients
Patients with classical features of kaphaja pratishayaya will be selected from OPD of ShalakyaTantra of SDM College of Ayurveda and Hospital Hassan.
b) Trail Drug
The pippalyadi Avapeedana Nasya will be prepared as per the following methods as mentioned in classics.
1. Pippali.
2. Shigrubeeja.
3. Vidanga.
4. Maricha.
The above mentioned dry drugs will be taken in equal quantity and soaked indouble the quantity of the water and will be kept for one day and night.Then Kalka will be prepared and will be squeezed through a piece of cloth and the Svarasa thus obtained will be filled in adropper and will be administered as Nasya. Fresh juice will be prepared on each day of Nasya.
7.2 Methods of the collections of data:
a) A clinical study will be conducted on thirty patients of Kaphaja Pratisyaya.
Diagnostic Criteria
Diagnosis will be established on the basis of history, signs, symptoms and Anterior Rhinoscopy.
b) Inclusion criteria:
1)Patients between the age of 7 years and 70 years will be selected irrespective of sex, occupation, religion and socio economic status.
2)Patients suffering from Kaphaja pratishayaya will only be taken up for the study.
3) Patients fit for Nasya.
4)Chronicity of disease less than one year.
c) Exclusion criteria:
1) Age less then 7 years and above 70 years.
2)Other than kaphaja pratishayaya (vata. Pitta, Rakta, Sannipata).
3)Patients suffering from Chronic simple Rhinitis associated with
Tonsilitis, Pharyingitis etc.
4)Chronicity of the disease more than one year.
Treatment Group
30 patients of kaphaja Pratishyaya will randomly and equally be divided into the following two groups
The patient will be administered nasya early in the morning with empty stomach.
Purva Karma:SthanikaMukha Abhyanga with plain Tila Taila and Sthanika Sveda overMukha Pradesha with towel soaked in Sukoshna Jalawill be done as Poorva Karma.After Nasya with pippalyadiswarasa 6 drops and in each nostril.Paschat Karma asKavala with Sukoshna Jalawill be done.
1) Three Days Nasya :Group: 15 patients of this group will be administered 6 drops of Pippalyadi Avapeedana Nasya in each nostril for 3 days. Nasya will be given in the morning, once a day on empty stomach.
2) Seven Days Nasya :Group: The patients of this group will be administered 6 drops of Pippalyadi Avapeedana Nasya for 7 days, once in the morning on empty stomach.
Pathya and apathya of Nasya karma will be explained to the patient during the course of treatment.
d) Follow up:
The patients will be followed up at an interval of fifteen days for a period of two months.
e) ASSESSMENT CRITERIA:
Patients will be assessed with subjective and objective parameters formulated for kaphaja Pratisyayabefore and after treatment.
Subjective Parameter18:
1)Nasal Obstruction
2)Nasal discharge
3)Heaviness of head
4)Headache
5)Itching sensation in the throat, palate and lips
Objective Parameter:
Anterior Rhinoscopic Findings.
1)Nature of secretions.
2)Color of nasal mucosa.
3)Size of turbinate.
7.3 LABORATORY INVESTIGATIONS:
- Hb%, TLC, DLC
- Absolute esinophilic counts.
7.4Has the Ethical Clearance been obtained from your Institution? Yes
8.0 LIST OF REFRENCES.
.
- Sushrutha Samhita: with Ayurveda Tatva Sandipika, Hindi commentary by KaviRaj Ambikadutta Shastri. Part 2. Published by. Chaukhamba Sanskrit Samsthan. Varanasi. Edition 17th 2003. Sushrutha Samnita Uttara Tantra, 24th chapter 3rd sloka, page no 118.
- Sushrutha Samhita : with Ayurveda Tatva Sandipika, Hindi commentary by KaviRaj Ambikadutta Shastri. Part 2. Published by. Chaukhamba Sanskrit Samsthan. Varanasi. Edition 17th 2003. Sushrutha Samnita Uttara Tantra, 24th chapter 6th sloka, page no 118.
3. VangaSena Samhita: Chikitsa Sara Samgraha of VangaSena, Translated by Dr. Nirmal Saxena vol 2 Published by Chaukhambha Sanskrit Series office Varanasi. Edition 1st 2004. Nasaroga Chikitsa 70th 80-81 sloka, page no 875.
4. Bhaishajya Ratnavali: Vidyotini Hindi VyakhyaVyakhakara – Kaviraja Sri
Ambika Datta Shastri Ayurvedacharya. Published by Chaukhamba Series Samsthan. Edition 13th 1999. Nasa Roga Chikitsa chapter 63rd 23rd sloka, page no 687.
5. Data Base on Medicinal Plants : By P. C. Sharma, M. B. Yelne, T. S. Dennis. : Publisher Documentation and Publication Division, Central Council of Research in Ayurveda and Siddha. Jawaharlal Nehru Bharatiya Chikitsa Avum Homeopathy Anusandhana Bhavan. New Delhi – 110058: Printed on 2001. Volume 1,3 and 5.
6. Sushrutha Samhita : with Ayurveda Tatva Sandipika, Hindi commentary by KaviRaj Ambikadutta Shastri. Part 2. Published by. Chaukhamba Sanskrit Samsthan. Varanasi. Edition 17th 2003. Sushrutha Samnita Uttara Tantra, 22nd chapter 4th sloka, page no 104 .
6a. Sushrutha Samhita : with Ayurveda Tatva Sandipika, Hindi commentary by KaviRaj Ambikadutta Shastri. Part 2. Published by. Chaukhamba Sanskrit Samsthan. Varanasi. Edition 17th 2003. Sushrutha Samnita Uttara Tantra, 22nd chapter 5th sloka, page no 104.
7. Sushrutha Samhita : with Ayurveda Tatva Sandipika, Hindi commentary by KaviRajAmbikadutta Shastri. Part 2. Published by. Chaukhamba Sanskrit Samsthan. Varanasi. Edition 17th 2003. Sushrutha Samnita Uttara Tantra, 24th chapter 3rd sloka, page no 118.
8. Charakasamhita of Agnivesha. Revised by Charaka and Dradabala, with Introduction by Vaidya Samritha. By Pt. Satya. Narayana. Shastry.With elaborated hindi Comentry. By Pt. Kashinath Shastry. Dr. Gorakhanath. Chaturvedi.Part 2. Published by ChaukhambaBharatiAcademy. Reprinted in 2005. Charaka Chikitsa Sthanam 26th chapter, 104 sloka, page no 736.
9. Madhava Nidana; of Madhavakara Madhukosha Sanskrit Commentary translated by Sri VijayaRakshita and Sri Kanta Datta with Vidyotinitika. By Sudarshan Shastri. Revised and edited by Yadhunandan Upadhayaya part 2. Published by Chaukhambha Sanskrit Samsthan. 54th chapter 13th sloka, page no 251.
10. Sushrutha Samhita : with Ayurveda Tatva Sandipika, Hindi commentary by KaviRaj Ambikadutta Shastri. Part 2. Published by. Chaukhamba Sanskrit Samsthan. Varanasi. Edition 17th 2003. Sushrutha Samnita Uttara Tantra, 22nd chapter 4th-5th sloka, page no 117.
11. Sushrutha Samhita : with Ayurveda Tatva Sandipika, Hindi commentary by KaviRaj Ambikadutta Shastri. Part 2. Published by. Chaukhamba Sanskrit Samsthan. Varanasi. Edition 17th 2003. Sushrutha Samnita Uttara Tantra, 24th chapter 6th sloka page no 119.
12. Charakasamhita of Agnivesha. Revised by Charaka and Dradabala, with Introduction by Vaidya Samritha. By Pt. Satya. Narayana. Shastry.With elaborated hindi Comentry. By Pt. Kashinath Shastry. Dr. Gorakhanath. Chaturvedi.Part 2. Published by ChaukhambaBharatiAcademy. Reprinted in 2005. Charaka Chikitsa Sthanam 26th chapter, 105-106 sloka, page no 737.
13. Madhava Nidana; of Madhavakara Madhukosha Sanskrit Comentary By Sri VijayaRakshita and Sri Kanta Datta with Vidyotinitika. By Sudarshan Shastri. Revised and edited by Yadhunandan Upadhayaya part 2. Published by Chaukhambha Sanskrit Samsthan. 58th chapter 16th-19th sloka, page no 260.
14. Charakasamhita of Agnivesha. Revised by Charaka and Dradabala, with Introduction by Vaidya Samritha. By Pt. Satya. Narayana. Shastry.With elaborated hindi Comentry. By Pt. Kashinath Shastry. Dr. Gorakhanath. Chaturvedi.Part 2. Published by ChaukhambaBharatiAcademy. Reprinted in 2005. Charaka Chikitsa Sthanam 26th chapter, 137-140 sloka, page no 737.
15. Bhaishajya Ratnavali: Vidyotini Hindi VyakhyaVyakhakara – Kaviraja Sri
Ambika Datta Shastri Ayurvedacharya. Published by Chaukhamba Series Samsthan. Edition 13th 1999. Nasa Roga Chikitsa chapter 63rd 23rd sloka, page no 687.
- Chakradatta Of sri Chakra panidatta with Bhavartha Sandipini Hindi comentry By JagadishvaraPrasad Tripati. Published by Chaukhamba Series office. Edition 5th 1983. Nasa Roga Chikitsa Chapter 58th chapter 23rd sloka page no 465.
- VangaSena Samhita: Chikitsa Sara Samgraha of VangaSena, By Dr. Nirmal Saxena vol 2 Published by Chaukhambha Sanskrit Series office Varanasi. Edition 1st 2004. Nasaroga Chikitsa 70th 80-81 sloka, page no 875.
18. P. L .Dingra Disease of Ear, Nose And Throat . Published by B.T. Churchill Living Stone PVT Ltd. New Delhi. Edition 2nd 2002. 27th Chapter, page no 153
9. SIGNATURE OF THE CANDIDATE:
10. REMARKS OF GUIDE :
11. NAME AND DESIGNATION OF :
(IN BLOCK LETTERS)
11.1. GUIDE :DR. SHAMSA FAIZ, M. S. (AYU)
Asst.Professor, Department of P. G. Studiesin Shalakya Tantra, S. D.M. College of Ayurveda and Hospital, Hassan.
11.2. SIGNATURE :
11.3. CO-GUIDE (If Any):
11.4. SIGNATURE :
11.5. HEAD OF THE DEPARTMENT :DR. PRASANNA. N. RAO.M. S. (AYU), Ph.D.
Head of the Department, P. G. Studies in Shalakya Tantra, S.D.M. College of Ayurveda and Hospital, Hassan.
11.6. SIGNATURE :
11.7. REMARKS OF THE CHAIRMAN
AND PRINCIPAL :
11.8. PRINCIPAL : DR. PRASANNA. N. RAO.
M. S. (AYU), Ph.D.
S. D. M. College of Ayurveda and Hospital, Hassan – 573 201.
11.9. SIGNATURE WITH SEAL :
1