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RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES KARNATAKA, BANGALORE COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION COMPARATIVE STUDY OF JATYADI TAILA AND KARANJADI TAILA IN DUSHTAVRANABy Dr K.P SREEJITH M.S. SCHOLAR Dept.of PG studies in Shalyatantra SDM College of Ayurveda Udupi GUIDE Dr.K. R.RAMACHANDRA BSc.MD(AYU) PROFESSOR AND HOD DEPT OF STUDIES IN SHALYATANTRA SDM COLLEGE OF AYURVEDA, UDUPI CO - GUIDE Dr.JAYAKRISHNA NAYAK MS (AYU) LECTURER DEPT OF STUDIES IN SHALYATANTRA SDM COLLEGE OF AYURVEDA, UDUPI 1

Transcript of 03_A009_5275

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RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

KARNATAKA, BANGALORE

COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT

FOR DISSERTATION

“COMPARATIVE STUDY OF JATYADI TAILA AND

KARANJADI TAILA IN DUSHTAVRANA”

By

Dr K.P SREEJITH

M.S. SCHOLAR

Dept.of PG studies in Shalyatantra

SDM College of Ayurveda

Udupi

GUIDEDr.K. R.RAMACHANDRA

BSc.MD(AYU)PROFESSOR AND HOD

DEPT OF STUDIES IN SHALYATANTRASDM COLLEGE OF AYURVEDA,

UDUPI

CO - GUIDEDr.JAYAKRISHNA NAYAK

MS (AYU)LECTURER

DEPT OF STUDIES IN SHALYATANTRASDM COLLEGE OF AYURVEDA,

UDUPI

2008 – 2009SDM College of Ayurveda

Kuthpady, Udupi

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From

Dr.K.P Sreejith 1st yr. M.S. Scholar Dept of P.G Studies in Shalyatantra S.D.M College of Ayurveda, Kuthpady, Udupi -574118

To The Registrar, Rajiv Gandhi University of Health Sciences Bangalore, Karnataka.

Through The Principal & Head Of The Department – Shalyatantra S.D.M College of Ayurveda, Kuthpady, Udupi- 574118

SUBJECT: Submission of completed proforma for the 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, The Rajiv Gandhi University of Health Sciences

Bangalore, for the partial fulfillment of M S (Ayu) in Shalyatantra.

TITLE OF DISSERTATION

“COMPARITIVE STUDY OF JATYADI TAILA AND KARANJADI TAILA IN

DUSHTAVRANA”

Here with I am enclosing completed prescribed Proforma for registration of

subject for dissertation.

Thanking you

Place: Udupi Yours

sincerely

Date: (Dr.K.P Sreejith)

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1. NAME OF THE CANDIDATE DR.K.P. SREEJITH

1ST YR. MS

DEPT.OF SHALYATANTRA

SDMCA, KUTHPADY.UDUPI.

PERMANENT ADDRESS DR.K.P. SREEJITH

S/O LATE K.R P NAMBOOTHIRY.

KONDAMARUKU MANA

METHIRY P.O

RAMAPURAM.KOTTAYAM

KERALA

2. NAME OF INSTITUTION S.D.M. COLLEGE OF AYURVEDA

KUTHPADY, UDUPI -574118

3. COURSE OF STUDY & SUBJECT : M.S. (AYU) IN SHALYATANTRA

4. DATE OF ADMISSION : 2/6/2008

5. TITLE OF THE TOPIC :

“COMPARATIVE STUDY OF JATYADI TAILA AND KARANJADI TAILA

IN DUSHTAVRANA”

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6. BRIEF RESUME OF THE INTENDED WORK:

6.1 NEED FOR STUDY :

In every aspect management of chronic/ non-healing ulcer is a challenge to surgeons.

Therefore a primary attention is needed for healing of wound with in a short span of

time with out any complications. As such there is a lack of comparative studies of

thaila upakramas. Hence to fulfill this lacuna present study is taken up.

In the management of vrana, Acharya Susruta has mentioned 60 different

upakramas,taila is one among them for sodhana and ropana.1,2,3 It should be used for

sodhana of vrana when it has the following characteristics;

1.Unnata mamsa,

2.Asnigdha

3.Alpasrava yukta,

Indication of taila upakrama for ropana, when there is predominancy of

vathakapha dosha.

Karanjadi taila, which is the Taila form of Karanjadi Ghritha4, is indicated for

dushtavrana in vidradhi adhyaya and also in medoarbuda chikitsa of Susruta

Samhita.5 Jatyadi taila is mentioned in Bhavaprakasa for dushtavrana.6 Previously

works have studied them individually. The results of the study was encouraging in

terms of size reduction of the wound and other features. The present study is very

much merited to compare the effects of the two tailas in management of Dushta

vrana.

The study will be carried out to evaluate the clinical effects of Jatyadi taila

and Karanjadi taila separately on dushtavrana. The study is planned to do in those

ulcers which are mentioned as indications of Taila upakramas.

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6.2 REVIEW OF LITERATURE:

This section will contain:-

Description of dushta vrana in Ayurveda.7

Description and drugs used in Jatyadi taila and Karanjadi taila.4,6

Description of taila upakrama in Ayurveda.1,2,3

Description of treatment of ulcer in Modern surgery.8

Description of ulcers and chronic ulcers in Modern surgery.9

6.3 PREVIOUS WORK DONE 7 :

1. Panduranga Rao, Management of dushtavrana with Karanjadi taila. Dr.BKRR

Govt. Ayu.College AP University, Vijayavada. 1991.10

2. Bhatt Rajesh, Effect of Nimbadi taila in the management of Dushtavrana,

Faculty of Ayurvedic Institute of Medical Sciences, Banaras Hindu

University, Varanasi, 2000.10

3. Prasad. K, management of Dusta Vrana with Sapthanga Guggulu (internally)

and Karanjadi ghrita(externally) Dr.BKRR Govt. Ayu. College AP University,

Vijayavada 2001.10

4. Shetty Naarayan, Effect of Ksharataila in Dushtavrana, Govt.Ayurveda

College, Bangalore, RGUHS, Bangalore, 2001.10

5. Chikaram M.K, Efficacy of Nirgundi taila for Vrana ropana-Sodhana in the

treatment of Dushtavrana, Tilak Ayurveda Mahavidyalaya, Pune University,

Pune. 2005.10

6. Keerthana C.J, The study of Triphala kwatha parisheka and Jatyadi taila

application in the Manegment of Dushtavrana, SDMCA, RGUHS, Bangalore,

2006.11

7. Dr.Madhu.T, Efficacy of Jatyadi taila in the management of Dushtavrana

SDMCA Udupi. RGUHS, Bangalore, 2004.12

6.4 OBJECTIVES OF STUDY:

To study in detail about dushtavrana and chronic ulcers.

To compare the efficacy of Jatyadi taila and Karanjadi taila in the

management of dushtavrana.

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7. MATERIALS AND METHODS:-

7.1) STUDY DESIGN : This is a single blind randomized study with Pretest-Post test design.

SOURCE OF DATA:-

The comparative study will be planned to evaluate the efficacy of Jatyadi taila and

Karanjadi taila on Dushtavrana. Patients attending the O.P.D $ I.P.D of SDM

Ayurveda college, Kuthpady,Udupi will be the source of data.

7.2METHOD OF COLLECTION OF DATA:-

Minimum of 20 patients suffering from dushtavrana in an age group of 18-60

yrs will be selected randomly and will be subjected to clinical trial. The selected

patients are categorized in 2 groups of 10 each.

Group A in this group Jatyadi taila is used for application on

dushta vrana

Group B in this group Karanjadi taila is used for application on

dushta vrana

INTERVENTION:

First wound will be cleaned by using Triphala kwatha, then gauze dipped in Jatyadi

taila is to be applied for Group A. The same procedure will be carried out for group B

with Karanjadi taila.

DURATION OF TREATMENT:

The duration of treatment will be of one month or the time taken by the

wound to heal properly.

OBSERVATION PERIOD:

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The changes in the Ulcer will be observed daily, till the Dushtavran (Vitiated

ulcer) becomes Sudhavrana and thereafter, it will be observed once in a week till it

attain Rudha vrana avastha.

FOLLOW UP PERIOD- one month

INCLUSION CRITERIA:

Patients aged between 18-60 yrs.

Patients of either sex are taken.

Patients of dushtavrana with following characteristic like;

1. Chronic ulcers

2. Wound with less discharge

3. Wound with raised surface

EXCLUSION CRITERIA:

Tubercular ulcers

Malignant ulcers.

HIV infection and AIDS.

ASSESSMENT CRITERIA:

The patients will be assessed on the basis of subjective & objective

parameters before and after treatment.

SUBJECTIVE PARAMETERS

Pain

Burning sensation

Itching

Tenderness.

Smell. Granulation tissue and floor. Color of the surrounding area of ulcer.

OBJECTIVE PARAMETERS

Size of the wound

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Discharge

Warmth(Local Temperature)

Indurations measured in millimeters in the base of the ulcer.

INVESTIGATIONS

Routine Blood and Urine analysis.

Blood sugar.

Other necessary investigations if needed.

7.3 Does this study require any investigations or intervention to be conducted on

patients or other humans or animals? If so please describe briefly.

The study will be a human clinical study: no animal experimentation will be

conducted.

7.4. Has the ethical clearance is obtained from your institution?

YES, ethical clearance is obtained through the ethical committee

formulated in this institution.

8.LIST OF REFERENCES:-

1. Susrutha/ Acharya vaidya Yadavji Trikamji.Susruta Samhita.chikitsa stana

Varanasi, Chaukamba surbharti prakasha, 2007, p 397, pp824.

2. Susrutha/ Acharya vaidya Yadavji Trikamji.Susruta Samhita.chikitsa stana

Varanasi, Chaukamba surbharti prakasha, 2007, p 402, pp824.

3. Susrutha/ Acharya vaidya Yadavji Trikamji.Susruta Samhita.chikitsa stana

Varanasi, Chaukamba surbharti prakasha, 2007, p 403, pp824.

4. Susrutha/ Acharya vaidya Yadavji Trikamji.Susruta Samhita.chikitsa stana

Varanasi, Chaukamba surbharti prakasha, 2007, p 465, pp824.

5. Susrutha/ Acharya vaidya Yadavji Trikamji.Susruta Samhita.chikitsa stana

Varanasi, Chaukamba surbharti prakasha, 2007, p 474, pp824.

6. Bhavamishra/ Prof. K.R. Srikantha Murthy. Bhavaprakash,

Varanasi,Choukhamba Krishnadas Academy, p 565, pp884.

7. Susrutha/ Acharya vaidya Yadavji Trikamji.Susruta Samhita.sutra stana

Varanasi, Chaukamba surbharti prakasha, 2007, p 108, pp824.

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8. Roshan Lall Gupta/ text book of surgery, chapter 6 ulcers sinuses & fistulae,

IInd addition 2003, New Delhi, Jaypee brothers medical publishers, p 63, pp1274.

9. S.Das, A Concise text book of surgery, Chapter 11 Ulcer Sinus & Fistula, 3rd

Edition-2001, Calcutta, Dr.S.Das old Mysore court., p 126, pp1324.

10. Baghel M.S, Researches in Ayurveda, 2nd Edition, Jamnagar, Mridu

Ayurvedic Publication & Sales, 2005, pp-381.

11. Thesis List, SDMCA, Kuthpady, Udupi, unpublished.

12. Baghel M.S, Researches in Ayurveda, 2nd Edition, Jamnagar, Mridu

Ayurvedic Publication & Sales, 2005, P 202, P84, 178, 264, pp-381.

9. SIGNATURE OF THE CANDIDATE:

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10. REMARKS OF THE GUIDE:

11. NAME & DESIGNATION OF GUIDE Dr.K. R.RAMACHANDRA

BSc.MD(AYU)PROFESSER AND HOD

DEPT OF STUDIES IN SHALYATANTRASDM COLLEGE OF AYURVEDA, UDUPI

11.1. SIGNATURE

11.2. CO GUIDE Dr.JAYAKRISHNA NAYAK MS(AYU)

LECTURERDEPT OF STUDIES IN SHALYATANTRASDM COLLEGE OF AYURVEDA, UDUPI

11.3. SIGNATURE:

11.4. HEAD OF THE DEPT: DR. .R.RAMACHANDRA B.SC. M.D. (AYU)

HOD &PROFESSOR DEPT. OF SHALYATANTRA

S.D.M.C.A. UDUPI11.5. SIGNATURE:

12. REMARKS OF THE CHAIRMAN& PRINCIPAL:

12.1 SIGNATURE:

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