Rajiv Gandhi University of Health Sciences · Web viewTiwari Radhesyam, Tripati J S, Gupta Sanjay,...

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

KARNATAKA, BANGALORE

COMPLETED PROFORMA FOR THE REGISTRATION OF SUBJECT

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

“A CLINICAL STUDY TO EVALUATE THE EFFICACY OF SARASVATA TABLET

ON MEDHA AND ACADEMIC PERFORMANCE IN SCHOOL GOING CHILDREN”

BY

DR. THEJASWINI H.J

PRELIMINARY M.D.(Ayu) SCHOLAR

DEPARTMENT OF PG STUDIES IN MANASAROGA

S.D.M. COLLEGE OF AYURVEDA & HOSPITAL,

HASSAN -573201, KARNATAKA

GUIDE

DR. NARAYANA PRAKASH .B. M.D (Ayu),Ph.D

PROFESSOR AND HOD

DEPARTMENT OF MANASAROGA

2011-2012

S. D. M. COLLEGE OF AYURVEDA & HOSPITAL,

HASSAN, KARNATAKA

FROM,

DR.THEJASWINI H J,

Preliminary M.D (Ayu) Scholar,

Department of Manasaroga

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

HASSAN- 573201.

TO,

THE REGISTRAR,

Rajiv Gandhi University of Health Sciences

Karnataka, Bangalore.

THROUGH,

The Principal and

Head of the Dept. of Manasaroga,

S.D.M. College of Ayurveda and Hospital, Hassan- 573201.

Respected Sir,

Subject: Submission of Completed Proforma for Registration of Synopsis of 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, Bangalore,

Karnataka, for the partial fulfillment of M.D.(Ayurveda) in Manasaroga.

THE TITLE OF DISSERTATION:

“A CLINICAL STUDY TO EVALUATE THE EFFICACY OF SARASVATA

TABLET ON MEDHA AND ACADEMIC PERFORMANCE IN SCHOOL GOING

CHILDREN”

Here with I am enclosing a completed Proforma of synopsis for registration of subject

for Dissertation.

Thanking you,

Yours faithfully,

Place: Hassan

Date: 3/04/2012 (DR. THEJASWINI H.J)

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

KARNATAKA, BANGALORE.

ANNEXURE - II

COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT FOR

DISSERTATION.

1. NAME OF THE CANDIDATE : THEJASWINI H.J

AND ADDRESS PRELIMINARY M.D (AYU) SCHOLAR.

(IN BLOCK LETTERS) DEPT. OF MANASAROGA,

S.D.M. COLLEGE OF AYURVEDA

& HOSPITAL, P.O. BOX 164,

HASSAN – 573201

PERMANENT ADDRESS : THEJASWINI H.J

D/O JAYADEVE GOWDA H.K

# 18, 2ND CROSS,

RAJKUMAR LAYOUT,

MANDYA-571402,

KARNATAKA

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

& HOSPITAL, HASSAN – 573201

3. COURSE OF STUDY & SUBJECT : M.D. (AYURVEDA) MANASAROGA

4. DATE OF ADMISSION TO : 29TH OCTOBER 2011

THE COURSE

5. TITLE OF THE TOPIC :

“A CLINICAL STUDY TO EVALUATE THE EFFICACY OF SARASVATA

TABLET ON MEDHA AND ACADEMIC PERFORMANCE IN SCHOOL GOING

CHILDREN”

6. BRIEF RESUME OF THE STUDY:

6.1) NEED FOR THE STUDY

In the era of competitive world, academic achievements are considered as most

important. Scholastic backwardness resulting from multiple causes amounts to tremendous stress

for students.

Education is one of the most important aspects of human resource development.Every

child should have the opportunity to achieve his/ her academic potential. It is generally noticed

that at least 20% of children in a classroom get poor marks and they are scholastically backward.

There are many reasons for children to underperform at school, such as medical

problems, below average intelligence, specific learning disabilities, ADHD, emotional problems,

poor socio-cultural home, psychiatric disorders & even environmental causes.1 It is well known that intelligence is one of the important prognostic variables in the

academic outcome of children. Children with borderline intelligence (IQ 71-84) or ‘slow

learners’ irrespective of etiology present with poor school performance.1 Attention, concentration

and memory also play a remarkable role in academic performance.

Poor academic performance though not mentioned explicitly in Ayurvedic classics, but

much emphasis is given for promotion of Buddhi, Medha, Dhriti & Smriti. Medha (Retention

power) is an unobstructed and uninterrupted perception and retention of knowledge in all aspect

of an object2 and it is the basic step for the process of Smriti (Recall).Recollecting the things

which are observed, heard, experienced is called Smriti.3

Poor academic performance can be tackled through measures that help in promotion of

Buddhi, Medha, Dhriti, Smriti.

Sarasvata Churna selected for the clinical study, is a unique combination of Ayurvedic

herbal drug, containing mainly Medhya Rasayana drugs, which is mentioned by Bhavaprakash in

Unmadadhikara4. Later Bhaishajya Ratnavali also mentioned about Sarasvata Churna.5 This

combination of Medhya drugs has high content of Vacha which promotes Buddhi, Smriti6 &

Medha7. It contains mainly three category of drugs namely (a) Medhya Rasayana viz Vacha,

Shankapushpi, Ashwaghandha, Brahmi, (b) Rasayana that acts at the level of Agni viz Pippali,

Maricha, Shunti, Ajamoda, Dwe-Jeeraka, and (c)Drugs that spreads the active principles of all

other drugs all over the body viz Saindava lavana along with Rakthashodhaka dravyas viz

Kushta and Patha.8 By the combined action of all these ingredients, it is mainly indicated for

promotion of Buddhi, Medha, Dhriti, Smriti & Kavitashakti.

As Sarasvata Churna contains Vacha which is equal to total quantity of other drugs. The

individual dosage of Vacha becomes4-6gms/day as per classical dosage. The classical dosage of

Sarasvata churna is 12gms4 and the AFI (Ayurvedic Formulary of India) dosage is 3-5gms9.

Vacha induces vomiting in the dosage of 1-2gms10.Hence the dosage of Sarasvata Churna is

reduced to 1gm/day in two divided doses. To make it easily administrable and palatable the

Churna will be used in the form of tablet.

Here an attempt is made to study the efficacy of Sarasvata tablet on promoting the Medha

and Academic performance.

6.2 REVIEW OF LITERATURE:

In Ayurveda a number of synonyms have been assigned to the word Buddhi such as

Prajna, Smriti, Jnana, Prajna. According to Charaka it is related to the aspects of Dhi, Dhriti, and

Smriti. Dhi means the perception of true knowledge, while Dhriti refers to the power of

controlling the mind and Smriti to recalling of the past experiences.11

In Shabdhakalpadruma Medha is a type of Buddhi which has power of retaining

knowledge for a long period.12 According to Vacahspatya it is a type of knowledge which is

retained for long period and will not be forgotten.13 According to Charaka is a type of Dhi having

the power of retention of knowledge.14 According to Sushruta, Medha is meaning of perception

and retention power of knowledge of the text.15 According to Vagbhata Medha is the faculty of

Buddhi.16

Smriti is a sort of perception from his previous experience. According to Acharya

Charaka, it is said to be an attribute of Atma.17 Smriti is nothing but the remembrance of things

directly perceived, heard or experienced earlier.18 According to Acharya Sushruta it is one among

the Shodashakala-the qualities of living person.19 Smriti refers to remember, recollect, bear in

mind, call to mind, the action remembered is expressed.20

Sarasvata churna mentioned by Bhavaprakasha, is a compound preparation, contains

Kushta, Ashwagandha , Lavana, Ajamoda , Jeeraka , Krishna Jeeraka , Pippali, Maricha, Shunti,

Patha, Shankapushpi, Vacha, which is triturated with Brahmi Swarasa. Specially mentioned to

promote the Buddhi, Medha, Dhriti, Smriti & Kavitashakthi.4 Shankhapushpi21 & Pippali22 are

Medhya and Rasayana. Shankhapushpi is best among the Medhya Rasayana.23 Brahmi is

Medhya, Smritiprada and Rasayani.24 Vacha is Buddhi Smritida6 and Medhya7. It is mentioned

that Patha is utilized for improving the I.Q. and conquering the opponent during debates.25

Jeeraka is Medhya in nature26 and Aswagandha has Rasayana property.27 Kushta is Vatahara.28

6.3 PREVIOUS REASERCH WORK:

1. Agrawal P S - Manas Karma Adhyayana (smriti – Medha – Buddhi Vivechana).

Jamnagar, Gujarat Ayurveda University. 1963

2. Sharma RD - Role of medhya rasayana in school going childrens. Varanasi,Banaras

Hindu University.1974

3. Abhimanyu kumar - Studies on medhya effect of Ashtamangala ghrita in Children.

Varanasi, Banaras Hindu University. 1984

4. Potbharesm - Comparative clinical study of role of saraswatha choorna in Apasmara.

Nagpur, Nagpur University.1995

5. Dash PB - Role of Medhya rasayana in school children. Jamnagar, Gujarat Ayurveda

University. 1996

6. Peshve Raghavendra M - The effect of Medhya Rasayana in School going children.

Bijapur, RGUHS Bangalore. 2001

7. Bhatia Soma - A clinical study on the role of Manasa Bhava in the aetio-pathogenisis of

Madhumeha(Diabetes mellitus)and its management by Sarasvata choorna.Jamnagar ,

Gujarat Ayurveda University. 2001

8. Sharma R P - Mana ke Medhya Karma ke Sandarbha mein Vaya-Sthapana Mahakashaya

ka Prayogatmaka Adhyayana. Jaipur , Rajasthan University.2002

9. Arbar aziz ahemad - A survey to asses IQ & to detect MR in school going childrens.

Hassan , RGUHS Bangalore.2003

10. Dinesh KS - Role of Saraswatadi yoga in improving IQ of school going children.

Jamnagar , Gujarat Ayurveda University. 2004

11. Chandramouli R - Study of Medhya Rasayana(Yashtimadhu Choorna)in primary school

children of Puri town. Puri, Utkal University. 2004

12. Pandya Siddesh - Ayurvedokta Sattvavajaya Chikitsa aur Self-hypnosis ka Smriti-

Vardhaka evam Anidropacharaka Chikitsakeeya Paksha ka Adhyayana in terms of

Ayurveda as well as modern psychology. Jamnagar , Gujarat Ayurveda University. 2005

13. Kadam Abhijit Ashok - A Study on the effect of Medhya rasayana in school going

children. Hassan , RGUHS Bangalore. 2005

14. Neeta patel - The conceptual and Applied study of Medha and Manas in Ayurveda.

Jamnagar, Gujarat Ayurveda University. 2008

6.4 AIMS AND OBJECTIVES OF THE STUDY:

To evaluate the efficacy of Sarasvata tablet in improving the Medha in School going

children.

To evaluate the efficacy of Sarasvata tablet on Academic performance in school going

children.

To compare the efficacy of Sarasvata tablet on Medha and Academic performance in

school going children.

7 MATERIALS & METHODS:

7.1 SOURCE OF DATA:

Students of age group 13-15 years studying 8th and 9th standard, in different schools of in

and around Hassan will be enrolled in the study.

7.2 METHODS OF COLLECTION OF DATA:

After obtaining a necessary consent and establishing the rapport with different schools in

and around Hassan, school visits will be planned. Students are screened on the basis of academic

performance, among them 30 students who are fulfilling the criteria for diagnosis & inclusion

will be included in this study irrespective of sex, caste and religion.

A. DIAGNOSTIC CRITERIA:

Diagnosis will be made on the basis of Academic performance using school progress

records followed by assessment of Medha.

B. INCLUSION CRITERIA:

Students of either sex, aged between13-15 years studying 8 thand 9th standards regularly

attending the classes with poor academic performance studying in various normal schools in and

around Hassan, Karnataka.

C. EXCLUSION CRITERIA:

1. Students with learning disabilities.

2. Students with mental retardation.

3. Students with ADHD.

4. Students with developmental disorders.

5. Students with psychiatric illness like depression, anxiety etc.

6. Students with personality disorders.

7. Students with Chronic systemic illness.

STUDY DESIGN: It is a single group observational study.

D. PLAN FOR THE STUDY:

30 students full filling the inclusion criteria, after the initial screening for Medha will be

selected for the study. The details will be noted in the specially designed clinical Proforma and

Sarasvata tablet will be administered in the dosage of 2(250mg each) tablets twice daily in the

morning, and night after food, for a period of 3 months. Children will be reviewed once in a

month.

DRUG: SARASVATA TABLET:

(Ref: Bhavaprakasha Unmada Adhikara 22/46-49)

CONTENTS OF FORMULATION:

Sl

No

Name of

the drug

Botanical

Name

Parts

Used

Rasa Guna Virya Vipaka Prop

ortio

n

1. Kushta29 Saussuria

lappa

Root Tiktha,

Katu,

Madhura

Laghu,

Ruksha

Teekshna

Ushna Katu 1

2. Ashwagan

dha30

Withania

somnifera

Root Tiktha

Katu

Madhura

Laghu,

Snigdha

Ushna Madhura 1

3. Lavana31 Rock salt Rock

salt

Lavana Laghu Anushna Madhura 1

4. Ajamoda32 Apium

graveolens

Fruit Katu,

Tiktha

Laghu,

Ruksha

Teekshna

Ushna Katu 1

5. Jeeraka33 Cumium

cymium

Fruit Katu Laghu,

Ruksha

Ushna Katu 1

6. Krishna

jeeraka34

Carum

carvi

Fruit Katu Laghu,

Ruksha

Ushna Katu 1

7. Shunti35 Zingiber

Officinale

Rhizo

me

Katu Laghu,

Snigdha

Ushna Madhura 1

8. Maricha36 Piper

nigrum

Fruit Katu Laghu,

teekshna

Ushna Katu 1

9. Pippali37 Piper

longum

Fruit Katu Laghu,

Snigda,

Teekshna

Anushna

Sheeta

Madhura 1

10. Patha38 Cissampelo

s peareira

Root Tiktha Laghu,

Teekshna

Ushna Katu 1

11. Shankapus

hpi39

Convolvulu

s pluricaulis

Whol

e

plant

Tiktha Snigdha,

picchila

Sheeta Madhura 1

12. Vacha10 Acorus

calamus

Rhizo

me

Katu,

Tikta

Laghu

Teekshan

a

Ushna Katu 11

13. Brahmi40 Bacopa

monnieri

Whol

e

plant

as

swara

sa

Tikta,

Kashaya

Madhura

Laghu,

Sara

Sheeta Madhura Q.S

METHOD OF PREPRATION:

Kushta, Ashwagandha, Lavana, Ajamoda, Jeeraka, Krishna Jeeraka, Shunti, Maricha,

Pippali, Patha, Shankapushpi are taken in equal parts and the quantity of Vacha is taken equal to

total quantity of other drugs ,taken together and made in to fine powder, to this 3 Bhavanas of

Brahmi swarasa is given. This churna is converted into tablet form having dosage of 250 mg.

DURATION OF TREATMENT: 3 months

FOLLOW UP: One week after the completion of treatment.

E.ASSESSMENT CRITERIA:

Assessment will be done on the basis of subjective and objective parameters.

Assessment of results:

Statistical evaluation of the research will be done by using: Paired ’t’ test.

SUBJECTIVE PARAMETER:

Reduced concentration

Poor attention

Poor grasping power

Poor retention

Lethargy

OBJECTIVE PARAMETERS:

Academic performance in school using progress records.

Malin’s Intelligence Scale for Indian Children [MISIC] (Indian adaptation of WISC-

Wechslers intelligence scale for children) will be adopted for the assessment of Medha

before and after administration for the stipulated period of time.

Kuppuswamy Socio-economical scale.

7.3) DOES THIS STUDY REQUIRES ANY INVESTIGATIONS OR INTERVENTION

TO BE CONDUCTED ON PATIENTS OR OTHER HUMANS OR ANIMALS?

IF SO, PLEASE DESCRIBE BRIEFLY.

Blood & Urine routine-if necessary

7.4) HAS THE ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR

INSTITUTION? YES

8. LIST OF REFERENCES

1. http://www.medworm.com/rss/search.php?qu=poor+school+performance &s=search &

r=any & news=on journals=on. Indian journal of pediatrics, Volume 72(11):961-

November,2005

2. Bhisagacharya Harisastri Paradakar Vaidya.(ed). Astangahrudayam with commentary by

Sarvangasundara of Arunadatta and Ayurvedarasayana of Hemadri, 9 th ed. Varanasi:

Chaukambha orientalia; 2005.p.37.

3. Acharya Y T. (ed). Charakasamhita of Agnivesha with Ayurveda Deepika commentary

of Chakrapanidatta.2011 reprint ed. Varanasi: Chaukamba Orientalia; 2011. p.300.

4. Pandit Brahma Sankara Mishra. Bhavaprakasha of Bhavamishra. 11th ed. Varanasi:

Chaukamba Sanskrit Bhawan; 2010.p.214.

5. Sri Rajeshwara data shastry ayurvedashastra acharya. (ed). Bhaishajyaratnavali of

Bhishagratna Shri Brahmashankaramishra revised by Govindadas with Vidyothini hindi

commentary of Kaviraj Sri Ambikadattashastry, 14th ed. Varanasi: Chaukhambha

Sanskrit Sansthan; 2001.p.364.

6. P V Sharma.(ed). Sodala Nighantu of Vaidyachary Sodala, 1st ed. Baroda: Oriental

institute; 1978.p.113.s

7. P V Sharma, Guruprasad Sharma.(ed). Kaiyadeva Nighantu Pathyapathya – Vibodhakah,

reprint 2009, Varanasi: Chaukhamba Sanskrit Series; 2009.p.224-5

8. Tiwari Radhesyam, Tripati J S, Gupta Sanjay, Reddy K R C. IRJP 2(6) 2011 77-84.

www.irjponline.com

9. Anonymous. The Ayurvedic Formulary of India. New Delhi: The controller of

publications, civil lines;2000.Part II.p.130

10. Anonymus. The Ayurvedic Pharmacopoeia of India. New Delhi: National institute of

Science Communication and Information Resources [NISCAIR], CSIR; 2006. Part I; Vol

I. p. 168-70.

11. Kashinata shastri. Charaka samhita vol 1, edited by Ganagashaya pandeya: Reprint 2007,

Varanasi: Chaukhamba Sanskrit Series, p.711.

12. Raja Radha kanta Deva. (ed).ShabdakalpadrumaVol 3,3rd ed. Varanasi: Chaukhamba

Sanskrit Series; p .780.

13. Sri Taranathatarkavachaspathi, (Cmp).Vachaspatyam. Comprehensive Sanskrit

Dictionary Vol6: Varanasi: Chaukhambha Sanskrit Series Office; 1970. p. 4764.

http://www.irjponline.com/

http://www.medworm.com/rss/search.php?qu=poor+school+performance



15. Acharya Y T. (ed). Susrutasamhita with NibandaSangraha commentary of Sri

Dalhanacharya and the Nyayachandrikapanjika of Sri Gayadasacharya on Nidanasthana,

2003 ed. Varanasi: Chaukhambha Surabharati Prakashan; 2003. p.10.

16. Bhisagacharya H P. (ed). AstangaHridayam of Vagbhata with the commentaries of

SarvangaSundari of Arunadatta and Ayurvedarasayana of Hemadri, 9th ed. Varanasi:

Chaukhamba Orientalia publication; reprint 2005.p.182.





19. Acharya Y T. (ed). Susrutasamhita with NibandaSangraha commentary of Sri

Dalhanacharya and the Nyayachandrikapanjika of Sri Gayadasacharya on Nidanasthana,

2003 ed. Varanasi: Chaukhambha Surabharati Prakashan; 2003. p.342/3.

20. Sir Monier Monier – Williams. A Sanskrit – English Dictionary,1st ed, New Delhi:

Bharatiya Grantha Nikethan. 1899. p.1271.


Chaukamba Sanskrit Bhawan; 2010. p.454






Chaukamba Sanskrit Bhawan; 2010. p.461-2

25. J L N Sastry.(ed). Illustrated Dravyaguna Vijnana, Vol II. 2nd ed. Varanasi: Chaukhambha

Orientalia; 2005.p.50.




Chaukamba Sanskrit Bhawan; 2010. p. 393


Chaukamba Sanskrit Bhawan; 2010. p.62-3



I. p. 76

30. Ibid. p. 15

31. Shilaja Srivastav.(ed). Srimad Vriddavagbhata Astanga Samgraha with hindi commentary

by jeevan, 1st ed. Varanasi: Chaukhambha Orientalia; 2006.p.234.



I. p. 2

33. Ibid. Part I; Vol I. p.106



36. Ibid. Part I; Vol III. p.115-7

37. Ibid. Part I; Vol II. p.133-4

38. Ibid. Part I; Vol I. p. 92

39. Ibid. Part I; Vol II. p. 147-9

40. Ibid. Part I; Vol II. p. 25-6

9. SIGNATURE OF CANDIDATE :

10. REMARKS OF GUIDE :

11. NAME AND DESIGNATION OF, :

(IN BLOCK LETTERS)

11.1. GUIDE : DR.NARAYANAPRAKASH.B

M.D (Ayu),Ph.d

PROFESSOR AND HOD


S.D.M. COLLEGE OF AYURVED AND

HOSPITAL, HASSAN-573201

11.2. SIGNATURE AND SEAL :

11.3. REMARKS OF HOD :

11.4. HEAD OF THE DEPARTMENT : DR.NARAYANAPRAKASH.B

M.D (Ayu),Ph.d

PROFESSOR AND HOD




11.5. SIGNATURE AND SEAL :

12.1. REMARKS OF THE CHAIRMAN

AND PRINCIPAL :

12.2. PRINCIPAL : DR.PRASANNA.N.RAO

M.S (Ayu),Ph.D



12.3. SIGNATURE WITH SEAL :

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