From

Dr. SIVAJOTHY.S

Preliminary M.D. (Ayu) Scholar in Ayurveda Samhita,

Dept. of Samhita Samskruta and Siddhanta,

S.D.M. College of Ayurveda and Hospital, Hassan – 573 201.

To

The Registrar,

RajivGandhi University of Health Sciences,

Karnataka, Bangalore.

Through

The Principal,

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

Hassan- 573201.

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.D. (Ayurveda).

Title of the Dissertation:“A STUDY ON THE CONCEPT OF VATANULOMA IN THE TREATMENT OF PRANAVAHA SROTO-DUSHTI VIKARA W.S.R TO GUDAABHAYA PRAYOGA IN TAMAKA SHVASA.”

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

Thanking you,

Yours faithfully,

Place: Hassan

Date:

(DR. SIVAJOTHY.S)

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

KARNATAKA, BANGALORE

COMPLETED PROFORMA FOR THE REGISTRATION OF SUBJECT

(AYURVEDA SAMHITA) FOR THE DISSERTATION IN M.D. (AYURVEDA)

“A STUDY ON THE CONCEPT OF VATANULOMA IN THE TREATMENT OF PRANAVAHA SROTO-DUSHTI VIKARA W.S.R TO GUDAABHAYA PRAYOGA IN TAMAKA SHVASA.”

By

Dr. SIVAJOTHY S

1st M.D. (Ayu) Scholar

Dept. of Samhita Samskruta and Siddhanta,

SDM COLLEGE OF AYURVEDA & HOSPITAL,

Hassan, Karnataka.

GUIDE CO-GUIDE

Dr. VAIDYA SM. MD (Ayu) Dr. MALLIKA KJ. M.D (Ayu)

Reader, Reader and H.O.D,

Dept. of Samhita Samskruta Siddhanta, Dept. of Samhita Samskruta Siddhanta,

SDM College of Ayurveda & Hospital, SDM College of Ayurveda & Hospital,

Hassan- 573201. Hassan- 573201.

2011-2012

SDM COLLEGE OF AYURVEDA & HOSPITAL,

Hassan, Karnataka

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES KARNATAKA,BANGALORE.

ANNEXURE – II

COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION

1. Name of the Candidate:dR. SIVAJOTHY.S

and AddressPRELIMINARY M.D. (AYU) SCHOLAR IN AYURVEDIYA SAMHITA.

(IN BLOCK LETTERS)Dept. OF SAMHITA SAMSKRUTA AND SIDDHANTA,

S.D.M. College of Ayurveda,

AND Hospital, P.O. Box 164,

HassaN–573201.

DR. SIVAJOTHY.S

s/o SIVAGNANAM.K

7/12, PERIYATHAMBI NAGAR,

DR. MURTHY ROAD,

KUMBAKONAM- 612001

TAMILNADU.

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

AND Hospital, Hassan – 573 201.

3. Course of the Study in: M.D. (Ayu),SAMHITA

SUBJECT

4. Date of Admission to: 12.8.2011

the course

5. TITLE OF THE DISSERTATION: “A STUDY ON THE CONCEPT OF VATANULOMA IN THE TREATMENT OF PRANAVAHA SROTO-DUSHTI VIKARA W.S.R TO GUDAABHAYA PRAYOGA IN TAMAKA SHVASA”.

6. BRIEF RESUME OF THE STUDY:

6.1 need for the study:

Health of a person is maintained when the Dosha are in equilibrium and disease is the resultant of disequilibrium state of the Dosha.1 Vata Dosha is the powerful because it activates other dosha, dhatu and mala.2 There are five types of Vata Dosha mentioned as Prana, Udana, Samana, Vyana and Apana, among which Prana Vata is the prime.3Prana Vata is located in the Head, moves in the Chest, Throat, Tongue, Mouth, and Nose andit holds the life in the body.4, 5, 6 The vitiated Prana Vayu can produce diseases such as Kasa, Shvasa, Pratishyaya, Swarabedha etc.6

Although Apana Vata is located in the lower part of the body, a close relation of it in the function of Prana Vata has been established indirectly in the texts in the context of Samprapti of Pranavaha Sroto Dushti Vikara.8

In the mentioning of Samprapti of Tamaka Swasa the Pratiloma Gati of Vata is the main reason for the manifestation of the disease.9 The Vata which is moving in the downward direction in its normal state is Apana Vata.10 When Prana Vata is occluded by Udana Vata Swasa and Kasa are produced, also when Apana Vata is occluded by Udana Vata Swasa etc., are produced.11 By considering this, it can be predicted that Apana Vata which moves in Pratilomagati obstructs the Kapharuddha Pranavaha Srotas and produces Tamaka Swasa. So there should be association of some symptoms of Apana Vata in Tamaka Swasa which is also seen in usual clinical observation. In the line of treatment Vatanuloma is emphasized.12

The properties of Guda are Sweet and slightly alkaline not very cold and Vatahara.17 Haritaki (Terminalia chebula) does Doshanulomana, Dipana & Pachana. It is praised as Sarvaroga Nibarhani. In the context of Haritaki it is mentioned that it can be administered in Swasa.18 Guda abhaya Prayoga is mentioned in Chikitsa of Arshas.19 Guda and Abhaya administered together produces kaphahara and Vatanulomana effect.

To study the relation between Prana other Vata, to clinically evaluate the importance of Apana Vata in the manifestations of Tamaka Swasa and the importance of Vatanuloma in the Chikitsa of Tamaka Swasa. Hence an attempt is made in this study to evaluate the same by using Vatanulomana property of Haritaki as a key.

6.2 Review of the literature:

The seats of Prana Vata are Murdha, Urah and moves in Kanta, Jihwa, Asya and Nasika and supports Buddhi, Hrdaya and Chitta. Having seated in the above locations they do the functions of Drik, Shteevana, Kshavathu, Udgara, Nishvasa and Annapravesha.4,5,6 The Moola of Prana Vaha Srotas is Hrudaya and Mahasrotas and produces diseases like Hikka, Shvasa etc. in its vitiated state.7,6

As per Brihatrayi, Apana Vata is seated in large intestine and moves in pelvis, scrotum, urinary bladder, penis, umbilicus, thighs and colon. Its functions are elimination of feces, urine, and Garbha in appropriate time.13,14,15 It produces diseases originating from Pakwashaya, Mutra and Shukralike Mutrakrichra, Ashmari, Prameha, Arshas, Bagandhara, Guda Bramsha and many other diseases which are difficult to cure.16

Tamaka Shvasa is a disease caused by obstruction of kapha Ruddha Prana Vaha Srotas by Vata which is moving in Pratiloma Gati as mentioned by Charakacharya.9Shirograha, Pratishyaya, Nishvasa and Uchvasa Samgraha, Hrd Roga, Mukhasosha will be produced if Prana Vata is occluded by Udana Vayu.11 Also Shvasa is produced if Apana Vata is occluded by Udana Vata.11Guda-Abhaya prayoga has been mentioned in context of Arshas Chikitsa by Charakacharya.19

Research conducted on Tamaka Swasa at different research centers, relevant journals, periodicals, magazines will be reviewed.

6.3 Previous Research Works done:

  1. Panchal Prakash Kumar – A comparative study of Shodhana (Virecana) – Poorvaka Shamana and Shamana Chikitsa in the management of Tamaka Shvasa [2003, Ahmedabad]
  2. Shah Preetik – Role Virecana Karma in the management of Tamaka Shvasa [2005, Ahmedabad]
  3. Kalaskar AV – An aetio-pathological study of Tamaka Shvasa[1999, Varanasi]
  4. Shukla (smt) A – Aclinical study of Kulattha – Guda leha in cases of Tamaka Shvasa [1993, Lucknow]
  5. Singh Dharmaraj –Tamaka Shvasa ka Naidanika Vivechana evam us par nisha – Pushkaradi Yoga prabhavatmaka Adhyayana [2001, jaipur]
  6. Dadhicha OP – Pranavaha Srotaka Shareera – Adhyayana [1992, Jaipur]
  7. Meena PR – Pranavaha Srotasa Kriya – Vikritijanya Shvasa Roga mein Shvasahara Mahakashaya ka prabhavatmaka Adhyayana [2001, Jaipur]
  8. Kulkarni D – Tamaka Shvasa vyadhika Nidana – Panchatmaka evam Vikriti – Vigyatmaka Adhyayana [1994, Nagpur Gov.]

6.4 Objectives of the Study

  • To clinically assess the importance of Vatanulomana in Tamaka Swasa.
  • To understand the relation between Prana and other Vata.

7. Materials and Methods

7.1 Source of Data:

30patientswill be selected simple randomly from outpatientandinpatient departments of S.D.M. college of Ayurveda and Hospital, Hassan.

7.2 Methods of Collection of Data:

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

(a) Diagnostic Criteria:

Diagnosis will be made on the basis of Lakshanas of Tamaka Swasa in Ayurvedic texts and National Heart Lung and Blood Institute, Report-3 criteria for diagnosis of Asthma21.

(b) Inclusion Criteria:

  • Patients of age above 16years.
  • Patients of mild & moderate Asthma diagnosed by the above criteria.

(c) Exclusion Criteria:

  • Patients suffering from other systemic disorders such as Chronic Obstructive Pulmonary Disease, foreign body obstruction, Cardiac ailments and critically ill.
  • H/O Tuberculosis
  • S/O Pneumonia

(d) Treatment Group:

30 patients of fulfilling the criteria for inclusion will be managed in single group in the intervention as follows.

  • 4 gram of Haritaki20 will be mixed with 4 gram of Guda20and it will be Gudaabhaya. This dose will be administered three times a day before food for 15 days.

(e) Laboratory Investigation:

  • Blood (Haemoglobin, Total count, Differential count, Eosinophil sedimentation rate)
  • Radiology:Chest X-ray (if needed)
  • Sputum : Acid Fast Bacilli (if needed)
  • Pulmonary Function Tests : Peak flow meter and Spirometer
  • Absolute eosinophil count (AEC)

(f) Assessment Criteria:

  1. Subjective parameters
  1. Assessment is done by using National Heart Lung and Blood Institute, Report-3 criteria for assessment of Asthma21.
  2. signs of Vatanuloma and Tamaka Shvasa will be taken as follows
  • Vit Pravrtti
  • Adho Vata Pravrtti
  • Swasa krichrata
  • Ghurghuraka shabda
  • Kasa
  • Sweating over forehead
  • Increase of Swasa krichrata in lying position
  1. Objective Parameters:21
  • Spirometer
  • Peak flow meter

7.4 Has Ethical Clearance been obtained from your institution?

YES

8. LIST OF REFERENCES

1.Kunte AM, Sastri KR. Paradakara HS (ed).Ashtanga Hrdaya, Reprint ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2011.p.14.

2. Srikantha Murthy KT. Sarngdhara Samhita of sarngdhara, 4th ed. Varanasi: Choukambha Orientalia; 2001. p.23.

3. Acharya JT., Charaka Samhita of Agnivesa, Reprint ed. Varanasi: Chaukhamba Surbharati Prakashan; 2005. p.79.

4. Kunte AM, Sastri KR. Paradakara HS (ed). Ashtanga Hrdaya of Vagbhata, Reprint ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2011. p.193.

5. Acharya JT. Charaka Samhita of Agnivesa, Reprint ed. Varanasi: Chaukhamba Surbharati Prakashan; 2005. p.616.

6. Acharya JT, Acharya Narayan Ram.Susruta Samhita of Susruta, Reprint ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2010. p.259.

7. Acharya JT. Charaka Samhita of Agnivesa, Reprint ed. Varanasi: Chaukhamba Surbharati Prakashan; 2005. p.250.

8. Acharya JT. Charaka Samhita of Agnivesa, Reprint ed. Varanasi: Chaukhamba Surbharati Prakashan; 2005. p.540.

9. Acharya JT. Charaka Samhita of Agnivesa, Reprint ed. Varanasi: Chaukhamba Surbharati Prakashan; 2005. p.535.

10. Kunte AM, Sastri KR. Paradakara HS (ed). Ashtanga Hrdaya of Vagbhata, Reprint ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2011. p.193.

11. Acharya JT. Charaka Samhita of Agnivesa, Reprint ed. Varanasi: Chaukhamba Surbharati Prakashan; 2005. p.625.

12. Acharya JT. Charaka Samhita of Agnivesa, Reprint ed. Varanasi: Chaukhamba Surbharati Prakashan; 2005. p.536.

13. Acharya JT. Charaka Samhita of Agnivesa, Reprint ed. Varanasi: Chaukhamba Surbharati Prakashan; 2005. p.616.

14. Kunte AM, Sastri KR. Paradakara HS (ed). Ashtanga Hrdaya of Vagbhata, Reprint ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2011. p.193.

15. Acharya JT. Susruta samhita of Susruta, Reprint ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2010. p.269.

16.Kunte AM, Sastri KR. Paradakara HS (ed). Ashtanga Hrdaya of Vagbhata, Reprint ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2011. p.538.

17. Acharya JT,Acharya Narayan Ram. Susruta Samhita of Susruta, Reprint ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2010. p.209.

18. Acharya JT. Charaka Samhita of Agnivesa, Reprint ed. Varanasi: Chaukhamba Surbharati Prakashan; 2005. p.377-78.

19. Acharya JT. Charaka Samhita of Agnivesa, Reprint ed. Varanasi: Chaukhamba Surbharati Prakashan; 2005. p.504.

20. Himasagara Chandramurthy P. Sarngdhara Samhita of Sarngdhara, 1st ed. Varanasi: Choukambha Sanskrit Series Office; 2001. p.152.

21. NIH.gov. Guidelines for diagnosis and management of asthma. [Internet]. [Cited 2012 Mar14]. Available from:

9. Signature of the Candidate :

10. Remarks of Guide:

11. Name and Designation of:

(IN BLOCK LETTERS)

11.1 Guide :DR.SRINATH M VAIDYA

READER,

DEPARTMENT OF P.G STUDIES IN SANSKRIT SAMHITA AND SIDDHANTA,

S. D. M. COLLEGE OF AYURVEDA AND

HOSPITAL, HASSAN.

11.2 signature:

11.3 Co-Guide:DR. MALLIKA K.J

READER, DEPARTMENT OF P.G STUDIES IN SANSKRIT SAMHITA AND SIDDHANTA,

S. D. M. COLLEGE OF AYURVEDA AND

HOSPITAL, HASSAN.

Remarks:

11.4 Signature:

11.5 Head of the Department:DR. MALLIKA K.J

READERAND H.O.D,

P.G STUDIES IN SAMHITA SAMSKRUTA

AND SIDDHANTA,

S.D.M.COLLEGE OF AYURVEDA

AND HOSPITAL, HASSAN.

Remarks:

11.6 Signature:

12.1 Remarks of the Principal:

12.2 Principal:DR. PRASANNA N. RAO

M.S. (AYU), IMS, BHU, PhD

S.D.M.COLLEGE OF AYURVEDA AND

HOSPITAL, HASSAN – 573 201

12.3SIGNATURE:

1