Apatarpana ss

download Apatarpana ss

of 176

  • date post

    15-May-2015
  • Category

    Documents

  • view

    1.636
  • download

    9

Embed Size (px)

description

STUDY ON APATARPAN WITH SPECIAL REFERENCE TO UDVARTANA IN STHOULYA" BY Dr. AMIT A. MASULE, DR.BNMET’S SHRI MALLIKARJUNA SWAMIJI POST GRADUATE AND RESEARCH CENTRE, BIJAPUR

Transcript of Apatarpana ss

  • 1.A STUDY ON APATARPAN WITH SPECIAL REFERENCE TOUDVARTANA IN STHOULYA. BY Dr. AMIT A. MASULE DISSERTATION SUBMITTED TO THE RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA, BANGALORE.IN THE PARTIAL FULFILLMENT OF THE REQUIREMENT FOR THE DEGREE OF DOCTOR OF MEDICINE(Ayurveda)IN AYURVEDA SIDDHANTAUNDER THE GUIDANCE OF DR.M. B. KARAMBELKAR D.S.A.C., A.V.P., Ph.D.PROFESSOR DEPARTMENT OF POST GRADUATE STUDIES IN SIDDHANTA, DR.BNMETS SHRI MALLIKARJUNA SWAMIJI POST GRADUATE ANDRESEARCH CENTRE, BIJAPUR NOVEMBER - 2009

2. RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA, BANGALORE. DECLARATION BY THE CANDIDATEI, hereby declare that this dissertation entitled A STUDY ON APATARPANWITH SPECIAL REFERENCE TO UDVARTANA IN STHOULYA is a bonafideand genuine research work carried out by me under the guidance of DR. M. B.KARAMBELKAR D.S.A.C., A.V.P., Ph.D. Prof., Dept. of Siddhanta, ShriMallikarjuna Swamiji Post Graduate and Research Center, Bijapur.Date: Signature of the CandidatePlace: Bijapur.Dr. AMIT A. MASULE 3. RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,KARNATAKA, BANGALORE. Dr. B. N. M. E. Ts SHRI MALLIKARJUNA SWAMIJI POST GRADUATE AND RESEARCH CENTER, BIJAPUR. DEPARTMENT OF POST GRADUATE STUDIES IN SIDDHANTA CERTIFICATE BY THE GUIDE This is to certify that the dissertation entitled A STUDY ON APATARPANWITH SPECIAL REFERENCE TO UDVARTANA IN STHOULYA is a bonafideresearch work done by Dr. AMIT A.MASULE in partial fulfillment of the requirementfor the degree of DOCTOR OF MEDICINE (AYURVEDA). Signature of the Guide.Date:DR.M. B. KARAMBELKAR D.S.A.C.,A.V.P.,Ph.DPlace: Professor and Guide . Dept. of Siddhanta Shri Mallikarjuna Swamiji PostGraduate and Research centre,Bijapur 4. RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,KARNATAKA, BANGALORE Dr. B. N. M. E. Ts SHRI MALLIKARJUNA SWAMIJI POST GRADUATE AND RESEARCH CENTRE, BIJAPUR. DEPARTMENT OF POST GRADUATE STUDIES IN SIDDHANTA ENDORSEMENT BY THE H.O.D, PRINCIPAL/HEAD OF THE INSTITUTION This is to certify that the dissertation entitled A STUDY ON APATARPANWITH SPECIAL REFERENCE TO UDVARTANA IN STHOULYA is a bonafideresearch work done by Dr. AMIT A. MASULE under the guidance of DR. M. B.KARAMBELKAR D.S.A.C., A.V.P., Ph.D. Prof. DEPT. OF SIDDHANTA, Shri MallikarjunaSwamiji Post Graduate and Research Centre, Bijapur.Seal & Signature of the HOD Seal & Signature of the PrincipalDr. J. C. HUDDAR M.D (Ayu)Dr.R.N.GENNUR M.D (Ayu)Date :Date :Place:Place: 5. COPYRIGHT DECLARATION BY THE CANDIDATEI here by declare that the Rajiv Gandhi University of Health Sciences, Karnatakashall have the rights to preserve, use and disseminate this dissertation / thesis in print orelectronic format for academic/research purpose.Date: Signature of the CandidatePlace: Bijapur.Dr. AMIT A. MASULE Rajiv Gandhi University of Health Sciences, Karnataka. 6. ACKNOWLEDGEMENT Autsukya moha aratidhan jaghaana Yo apurva vaidyaya namo astu tasmai On the eve of completion of this dissertation work, I bow my head to the greatalmighty that always showers the blessings on me and without him I would not reach thisstage in my life.I am very thankful of my grand father Sri. Annaso G. Masule and Late.Sou. Indira A.Masule for their blessings which makes me helpful to achieve the goal. This is an unforgettable moment of contentment on the successful fulfillmentof an ambition fostered for long. I offer my salutations to my parentsProf.Appasaheb A.Masule and Sou. Rajani A.Masule for suffering great agony tobring me up to this position. I am highly obliged for their blessing, support andsacrifice which have always been the constant sources of inspiration in my life. I am very thankful towards my brother Mr.Atul A. Masule,his wife AnujaA. Masule and my sister Chi. Priyadarshani A. Masule for their kind support andencouragement. The smile of our sweet little kid Chi. Atharav A. Masule always encouraged mefor being ambitious and also helpful in gaining confidence. I would like to offer my gratitude to the chairman Dr. K. B. Nagur, MD (Ayu), forproviding me all the requisites, including financial support. I am also grateful towards themembers of Dr. B.N.M. Education Trust for their support. I extend my thanks to the principal Dr. R. N. Gennur,MD (Ayu), for providingnecessary facilities throughout my work. i 7. I express my gratitude towards my guide, Dr. M. B. Karambelkar, D.S.A.C., A.V.P.,Ph.D., whose cooperation and encouragement made this dissertation a possible task. My grateful thanks to our H.O.D., Dr. J. C. Huddar, MD (Ayu), whose guidelinesand support encouraged me in every step of this work. Criticism by the teacher makes the student perfect; Dr. G.B.Bagali, MD (Ayu), sucha teacher is always remembered by me for his inspiration and genuine guidance. Honesty gives success in life is always heard from Dr. Mahesh Patil MD (Ayu), towhom I express my special gratitude for his loving kindness. My hearty thanks to Dr. Gopu .S for his immense support in my work. I express my thanks towards Dr. Shridhar B. Gouder MD (Ayu), for his guidanceduring my dissertation work. I express my special thanks to the member of scientific screening committee,Dr. B. S. Tamagonda, MD(Ayu), for his patient observation and recommendationsthroughout the dissertation. I am thankful to Shri A. I. Tapashetty,M.Sc. (Stat) for his timely guidance andsuggestions in the statistical analysis of data. I am very much thankful to Dr. Vijay Tungal, MD (Ayu), for his help. My immense thanks to the seniors Dr, Shantibhushan S. HandurDr.Rajrajeshwari,Dr. VinodS. Gurav,Dr.DeepaBhairshetty,Dr.SunilNair,Dr.Sudhir Koli, Dr.J.D.Khot and also to my colleagues Dr. ParashuramappaTurabeen and Dr. Savita Padashetty and my juniors Dr.Kulgeri, Dr.Harron,Dr.Sumangala and Dr.Ukumnal My hearty thanks to Dr. Savita M. Sajjan MD(Ayu), for her immense support in mywork.ii 8. The real friendship is proved by the love and affection rendered by the friend,well wisher, my hostel room partner, Dr. Santosh D.Kodag and Pavan Lalsangi withouttheir cooperation, this work could not be completed.I am thankful to Mr. R. G. Dolli, office superintendent and other non-teachingstaff of the college for their timely help.I extend my thanks to the library staff for their kind cooperation during my work.My humble thanks towards my patients without whose cooperation, this workcould not be completed at all.Certain names might have been missed unintentionally, who helped directly orindirectly. I thank all of them.Bijapur.Date: (Dr. Amit A. Masule.)iii 9. LIST OF ABBREVIATIONS1.A.H. - Astanga Hridaya2.A. S.- Astanga Sangraha3.A. T.- After Treatment4.Bh.Ra. - Bhaishajya Ratnavali5.Bh.S.- Bhela Samhita6.B.P.N. - Bhava Prakasha Nighantu7.B.T. - Before Treatment8.C.R. - Complete Reduction9.C.S. - Charaka Samhita10. D.N. - Dhanvantari Nighantu11. Ha.S.- Harita Samhita12. H.S. - Highly Significant13. Ka.S.- Kashyapa Samhita14. K.D.N. - Kaiya Deva Nighantu15. Lt - Left16. MW - Monnier Williams17. PTFU - Post Treatment Follow Up18. Rt - Right19. S- Significant20. Sh.Ka.Dr. - Shabda Kalpa Druma21. SR - Slight Reduction22. S.S- Sushruta Samhita23. Y.R. - Yoga Ratnakaraiv 10. ABSTRACT: Apatarpana and Santarpana are the two folds of therapy explained insamhitas.The six folds of therapies as Langhana, Brumhana, Rukshana, Sneehana,Swedana and Sthambhana comes under these two folds. From which Langhana,Rukshana and Swedana comes under Apatarpana while Brumhana, Snehana andSthambhana comes under Santarpana.So detail study on Apatarpana is taken as the basicfundamental principle. As Sthoulya itself is a Santarpanotta vyadhi so Apatarpana therapy is indicated inthe treatment of Sthoulya.It is achieved by Ruksha udvartana with Chanaka pishthi whichcomes under Rukshana therapy.So this study has been taken to evaluate the effects ofRuksha udvaratana with chanaka pishthi in the treatment of sthoulya under the basicprinciple of Apatarpana. Sthoulya is the most common disorder occurs in society. It is defined as acondition in which there is an excessive amount of meda in sphik, sthana and udarapradesha. It correlates to obesity which is defined as a nutritional disorder and accumulation ofexcessive amount of body fat. Obesity is a chronic metabolic disease which requires persistant approach withgradual improvement. The prevalence of obesity is rising at an alarming rate. In the developingcountries it has been estimated that 115 million people suffer from obesity relatedproblem. About every fourth person on earth is too fat around the globe, about 1.7 billionpeople should lose weight according to international obesity task force.v 11. The existing obesity treatment options, in modern medicine includes drugs likeFenfluramine, Dexfenfluramine and Sibutramine which acts as appetite inhibitors andcannot be used for long periods and have got side effects.The present study intends to know the effect of Ruksha udvartana with Chanakpishthi in the treatment of sthoulya under the concept of basic principle,ie,Apatarpan.Objective of study:-The present study has following objectives,1) Detail study on Apatarpana2) Detail study of Sthoulya.3) To study the effect of Ruksha udvartana with chanaka pishthi in Sthoulya.Methods:-Aim: The aim is To assess the effect of Ruksha udvartana with Chanaka pishthi inSthoulya under the concept of Apatarpana.Study design:- The patients of sthoulya within the age group of 20-50 yrs wererselected.A group of 30 patients is selected for ruksha udvartana with chanaka pishthi.Patients were assessed for BMI, vaksha, udara and sphika circumference along with thesymptoms adhika kshudha,adhika trishna ,kshudra shwasa and swedadhikata.Data wascollected as before treatment,after treatment and post treatment follow up. The data wasstatistically analyzed.Result:-The result of the clinical study showed more significant with Chanaka pishthi udvartanain treatment of sthoulya.vi 12. Interpretation and conclusion:- Apatarpana is a basic fundamental principle in dwividhopkrama.The rukshaudvartan