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EVALUATION OF THE EFFICACY OF VAITARANABASTI IN AMAVATA AN OBSERVATIONAL STUDY

PRESENTER. EVALUATION OF THE EFFICACY OF VAITARANABASTI IN AMAVATA AN OBSERVATIONAL STUDY. Dr. Siba Prasad M.D. ( Panchakarma ). Lec . In Dept. Of Panchakarma. Guru Nanak Ayurvedic Meical Collehe & Hospital Shri Muktsar Sahib, Punjab. contents. INTRODUCTION OBJECTIVES VASTI

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EVALUATION OF THE EFFICACY OF VAITARANABASTI IN AMAVATA AN OBSERVATIONAL STUDY

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  1. PRESENTER EVALUATION OF THE EFFICACY OF VAITARANABASTI IN AMAVATA AN OBSERVATIONAL STUDY • Dr. Siba Prasad M.D. (Panchakarma) • Lec. In Dept. Of Panchakarma Guru Nanak AyurvedicMeicalCollehe & Hospital ShriMuktsar Sahib, Punjab.

  2. contents • INTRODUCTION • OBJECTIVES • VASTI • EFFECTS OF THE VASTI • CURATIVE ASPECT • SAMPRAPTI • SAMPRAPTI GHATAKA • CHIKITSA • DRUGS OF VAITARANA VASTI • ASSESSMENT OF TREATMENT • RESULTS • CONCLUSION V A I T A R A N A V A S T I I N A M A V A T A

  3. INTRODUCTION • Rheumatoid Arthritis occurs throughout the world and in all ethnic groups. The prevalence is highest in Indians. • In Caucasians it is around 1-1.5% with a female: male ratio. • The onset of Rheumatoid Arthritis may occur at any time of the life approximately 70% of RA occurs between the 3rd to 5th decades. • The crippling nature, repetitive attacks and chronic course of Amavata, forced the scientific world to conduct extensive studies on Amavata. V A I T A R A N A V A S T I I N A M A V A T A

  4. Objectives • The lives of more than one million people are physically impaired due to Rheumatic disorders and one fifth of these are severely disabled. 1. Evaluation of the effect of Bastikarma in Amavata. 2. Evaluation of the efficacy of Vaitaranabasti in Amavata. V A I T A R A N A V A S T I I N A M A V A T A

  5. Vasti • Shodhana • Shamana • Lekhana • Bruhana • Vajikarana • Vayasthapana V A I T A R A N A V A S T I I N A M A V A T A

  6. VAITARANABASTI • Vaitaranabasti is indicated in Amavata as well as in Shula. • The ingredients of Vaitaranabasti are cheap and easily available • The ingredients of the Vaitaranabasti are having the quality of • Deepana, • Pachanagunas • Directly influences the Koshtagni and Dhatwagni • Vatanulomana and VataShlesmahara properties. V A I T A R A N A V A S T I I N A M A V A T A

  7. EFFECTS OF THE VASTI • Promotive aspects • Curative aspects • Preventive aspects • Effect on dhatu • Effect on Brain and Psychology • Effective at any age and in any season V A I T A R A N A V A S T I I N A M A V A T A

  8. CURATIVE ASPECT • Relieves Stiffness • Relieves contractions and adhesions. • Effective in paralytic conditions • Effective in dislocation and fracture conditions • Effective in Those conditions where vata aggravated in Shakha • Relieves pain • Effective in disorders of GI tract • Effective in diseases of Shakha and Kostha. • Effective in diseases of vital parts, upper extremities localized or general parts. • Beneficial to debilated and weak persons. V A I T A R A N A V A S T I I N A M A V A T A

  9. AMAVATA • ‘Amenasamhitavata Amavata’. • The virulent Ama circulates in the whole body propelled by the vitiated VataDoshas producing block in the body channels that stations itself in the sandhi giving rise to Amavata. V A I T A R A N A V A S T I I N A M A V A T A

  10. SAMPRAPTI V A I T A R A N A V A S T I I N A M A V A T A

  11. SampraptiGhatakas • Dosha- Tridosha mainly Vata(Vyana, Samana, Apana) & Kapha (Kledaka, Bodhaka, Slemaka) • Dhatu- Rasa, Mamasa. Asthi, Majja. • Upadhatu - Snayu and Kandara. • Srotases - Annavaha, Rasavaha, Asthivaha, Majjavaha. • Srotodusti - Sanga, Vimaragagmana. • Udbhavasthana- Amashya (Ama), Pakvasaya (Vata). V A I T A R A N A V A S T I I N A M A V A T A

  12. Contd…… • Adhisthana - Whole body • Vyaktasthana – Sandhi • Avayava - Sandhi. • Vyadhiswabhava - Ashukar. • SancharaSthana - Hridya, Dhamani. • Roga Marga - Madhyama roga marga • Agni - Jataragni Mandya, Dhatwagni Mandya. V A I T A R A N A V A S T I I N A M A V A T A

  13. Functions of Vata • SabdasparsaPrakrti • Srotasparsanamula • Harshautsahayoni • Agni samirana • Mala ksepta • Grabhakrti Karta • AyushaAnuvratti • Tantrayanradhara • CheshtaPravartaka • ManoNiyanta & Praneta • SharvendriyaUttyojaka • SharvendriyaArthaAbhivodha • SharvashariradhatuVyuhakara • ShariraSandhanakar • Vakpravartaka V A I T A R A N A V A S T I I N A M A V A T A

  14. Chikitsa • Langhana • Swedana • Tikta, Katu & Deepenadrugs • Virechana • Snehapana • Anuvasana and Ksharaabasti • RukshaUpanaha • Sankarasweda V A I T A R A N A V A S T I I N A M A V A T A

  15. PathyadiChurna • Patyadichurna is best DeepanaPachana drug • The ingredients of Patydichurna are : • Haritaki • Yavani • Shunti V A I T A R A N A V A S T I I N A M A V A T A

  16. VAITARANA VASTI FORMULATION • Saindhava lavana -- 12 gms • Guda -- 24 gms • Chincha -- 48 gms • Murchitatilataila -- 120 ml • Gomutra -- 192 ml V A I T A R A N A V A S T I I N A M A V A T A

  17. SAINDHAVA LAVANA • This is the best in the lavanavarga. Rock salt is the common name for the mineral Halite. • Rasa - lavana • Guna - laghu, snigdha, sukshma. • Veerya - ushna. • Vipaka - madhura. • Properties - Chakshushya, Hridya, Ruchikara, Promotes appetite and assists digestion and assimilation. It posses a stronger purgative property also. V A I T A R A N A V A S T I I N A M A V A T A

  18. GUDA • It is often called as Medicinal sugar. It contains natural goodness of minerals and vitamins inherently present in sugarcane • Components - Magnesium, potassium, Iron; 2.8gm/100gm. • Medicinal use - Dry cough, Cough with sputum, Indigestion, Constipation, Vatashamaka, Balya, Vrushya. • Rasa - Madhura • Guna - Kshara, snigdha. • Veerya - Natiseeta • Vipaka - Madhura V A I T A R A N A V A S T I I N A M A V A T A

  19. Amleeka(Tamarind). • Latin name - Tamarindus indicia Linn. • Kula - Simbikula • Family - Leguminoseae. • Latin - Tamarindus • Composition - Tartaric, Citric, Malic, Acetic, Potassium tartarate etc. In these seeds there are 63% Carbohydrate. V A I T A R A N A V A S T I I N A M A V A T A

  20. Contd….. • Rasa - Amla • Guna - Guru, ruksha. • Veerya - Ushna • Dosha - When it is ripen, kapha pitta nashaka and vata nashaka. • Uses - Tamarind and its seeds are applied externally on Inflammation. Fruit is very good in taste and is used in anorexia, polydypsia, indigestion, and liver disorders. In heart diseases sherbet is given. Kshara is used in urinary disorders and abdominal pain. (ShankhaVati). V A I T A R A N A V A S T I I N A M A V A T A

  21. GO MUTRA • Indication - Raktapitta, Gulma, Unmada, Kasa, Sotha, Ruja,Anaha and Ama • Properties - Kapha and Vata • Guna - Teeksna, Ushna, Laghu & Khsaragunas. • Rasa - Katu, Tikta and Kashaya V A I T A R A N A V A S T I I N A M A V A T A

  22. TAILA • Composition - Palmitic acid (9.1%), stearic acid (4.3%), arachidic acid (0.8%), oleic acid (45.4%), linoleic acid (40.4%). • Properties - • Vatagni • Aggravates Pitta, does not aggravate Kapha • Ddeepana & pachana • Brimhana, Balya, Preenana, Lekhana • Promotes skin health, Complexion • Increases Intellect, Digestive power, Health of eyes • Strength and stability of Mamsadhatu, Krimighna • Reduces the quantity of Urine, Cleanses the Garbhasaya and Yoni, Helps in overcoming Aging process. V A I T A R A N A V A S T I I N A M A V A T A

  23. Method of Preparation and Administration of Basti • Mix jaggery in water and evaporate the required amount of water till it becomes dense as to be used as honey. • Prescribed quantity of SaindhavaLavana is added and churned thoroughly. • After proper mixing of above constituents, the Moorchitatilataila should be added slowly while churning in a slightly heated temperature. • Tamarind is mixed and squeezed well in hot water and to be used as Kalka. • The above kalka is to be added into the vessel and continue the churning. • Finally Gomutra of prescribed amount is added very slowly while the churning process continues V A I T A R A N A V A S T I I N A M A V A T A

  24. PROPERTIES OF VAITARANA VASTI • The ingredients of Vaitaranabasti mainly possess Deepana, Pachana, Ushna, Sukshma, Laghu, Teekshna and Lekhanagunas. These gunas helps to alleviate Ama, Vata & Kapha in the body resulting liquefaction, which decreases the Abhishyandi, Picchila, and Guru etc guna. • At the same time it does the Srotovishodhana there by decreasing the Srotobhishyandana which intern leads to Vatanulomana because of removal of obstruction and finally expels Ama and Kapha out of the body. V A I T A R A N A V A S T I I N A M A V A T A

  25. The significant improvement in Shoola, Shotha, Stabdata and Ushnata. • So it justifies that basti is most efficient treatment for Amavta. • Basti has got both Doshapratyanika and Vyadhipratyanika effect on the disease Amavata. V A I T A R A N A V A S T I I N A M A V A T A

  26. Selection criteria • Patients were selected strictly as per present inclusive and exclusive criteria • Inclusive criteria: • Classical signs and symptoms will be considered for the selection of patients. • Patients of Amavata having the history of less than 5 years. • Patients of Amavata between the age group of 20 to 60 years of either sex. • Patient fit for Bastikarma. V A I T A R A N A V A S T I I N A M A V A T A

  27. Exclusive criteria : • The patient of Amavata having the systemic diseases like Diabetes mellitus, • Asthma, Hypertension, Rheumatic heart disease & Heart diseases etc. • Pregnant women and lactating mothers. • Patient with marked joint deformities • Patients suffering from gout, septic arthritis and allied joint disorders. V A I T A R A N A V A S T I I N A M A V A T A

  28. Investigations and selection of patient • Objective parameters • Hb% • E S R • C R P • RA • Subjective parameters • Bahusandhishula • Bahusandhishota • Stabdata • Spershasahishnuta V A I T A R A N A V A S T I I N A M A V A T A

  29. Assessment of the treatment • Bahusandhishoola (Joint Pain): • Among 30 patients 3 patients have got more than 75% improvement, 4 patients have got 66% improvement, and 23 patients have got 50% improvement • Bahusandhishota (Swelling of Joints): • Among 30 patients 18 patients have got more than 75% improvement, patients have got 50% improvement, and 9 patients have not got any improvement. V A I T A R A N A V A S T I I N A M A V A T A

  30. Assessment of the treatment • Bahusandhigraha (Morning stiffness): • Among 30 patients 22 patients have got more than 75% improvement, and 9 patients have not got any improvement. • Spershasahishnuta (Tenderness): • Among 30 patients all patients have got 100% improvement V A I T A R A N A V A S T I I N A M A V A T A

  31. Overall Assessment of the treatment • The results were classified in to four groups as listed below • Completely relieved • Good response • Moderate response • No response V A I T A R A N A V A S T I I N A M A V A T A

  32. RESULTS • The results of the study confirmed that Vaitaranabasti have their own role in the management of Amavata, as the patients shows remarkable reduction in the symptoms. • Good improvement was observed in 13 patients (43.33%) • Moderate improvement was observed in 17 patients (56.66%) among the 30 patients. V A I T A R A N A V A S T I I N A M A V A T A

  33. CONCLUSION • As the disease is genetic and autoimmune in origin the permanent complete remission is not possible. • The specific Ayurvedic line of management and drugs helps in decreasing the auto antigens and may acts as modifying the immune response to auto antigens. • At the same time the drugs are safe can be given for longer duration without any adverse effects. • The active principles of Vaitaranabasti are antagonistic to ama and may acts as anti-inflammatory. • Vaitaranabasti have their specific role in the management of Amavata. V A I T A R A N A V A S T I I N A M A V A T A

  34. V A I T A R A N A V A S T I I N A M A V A T A

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