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Pandeypur, Varanasi-221 002, INDIA Ph. 0542-3252795

REASONS FOR OPENING Arogya Arogya Arogya Arogya AYURVEDA & PANCHKARMA HOSPITAL

Reasons for Running the Center - 1. WHO Alma Ata Declaration 1978 - Health For All - The target of health for all

cannot be achieved without the help of Traditional System of medicine and total

resources.2. Report of Joint Study Group, ICSSR and ICMR, 1981 - Alternative model of

health care services - Within the health sector, our most important recommendation is

that the existing exotic, top-down, elite-oriented, urban-biased, centralized and

bureaucratic system which over-emphasizes the curative aspects, large urban hospitals,

doctors and drugs should be replaced by the alternative model of health care services in a

planed and phased manner by 2000 AD. This alternative model is strongly rooted in the

community, provides adequate, efficient and equitable referral services, integrates

promotive, preventive and curative aspects, and combines the valuable elements in our

culture and tradition with the best elements of the western system. It is also more

economical and cost effective.

3. The Awaji Declaration - WHO - 13th September 2000 - We the international

participants at the Awaji International symposium on traditional medicine, celebrate the

people-led movement in health care and the spirit of progress made in Awaji and declare

the importance of traditional medicine in creating and nurturing health for the people of

the world, and request all people to promote the use of traditional medicine and integrateit into their health systems to benefit those in need, through a satisfactory method of

health care that builds on time tested cultural knowledge to alleviate suffering and to

assist people in establishing balance in their lives in a closer relationship with nature and

for the health of the Earth, our Mother.

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Bio - Clinical markers which are intended to be used at Arogya Arogya Arogya Arogya Ayurveda & Panchkarma Hospital -Vamana -

(a) Clinical signs of proper Vaman.

(b) Muco polysaccharide estimation - As proved by R.S. Singh and R.H. Singh, the muco

polysaccharide content of vomitus could be taken as a standard marker for estimating

the aggravated Kapha Dosa in Vaman therapy.

(c) Blood Histamine estimation - Before and after Vaman therapy, it has been observed

that blood histamine level significantly reduces immediately after Vaman and remains

low even after several months of Vaman therapy, suggesting an elimination of

histamine in the vomiting through Gut dialysis.

The sustained reduction of blood histamine level indicate, lowered physiological

demand of histamine in the system due to purified bio-interior (Mast Cell Stabilizing

Effect)

(d) Lipid profile estimation - Since, it is indicated in obesity, the lipid profile changes

before and after the therapy should be observed.

(e) Long term benefits by estimating:

(i) Immunoglobulin assessment, (IGg levels), before and after therapy.

(ii) Reduction in free radicals by evaluating serum SOD ( Super oxide dismutase

analysis).

(iii) Changes in Neuro-endocrine hormones - Thyroid profile, ACTH, Androgens

and Insulin levels.

BIO - CLINICAL MARKERS OF VIRECHANA -

(1) Assessment of Procedural Success:

Good Moderate Mild

(i) No. of bouts ( Vegas ) 15 - 30 10 - 15 5 -10

(ii) Quantity of faeces 2.5 - 3.0 1.5 - 2.0 1.0 - 1.5( Monaki ) in liters

(iii) Order of contents Kapha /mucin Pitta Vata

(Antaki) in the end

(iv) Symptoms ( laingiki ) Sings and symptoms of proper purgation

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(2) Estimation of Stercobilinogen :

Rate of elimination of stercobilinogen in the faeces can be taken as an index of

elimination of stool (Mala) Pitta during Virechan (Singh and Singh 1974)

(3) Gradation of cure of specific disease by.

(i) Clinical symptom grading, according to disease

(ii) Relevant biochemical analysis for estimating therapeutic effect.

(4) Long term benefits can be assessed by.

(i) Estimation of Immunoglobulin IGg levels before and after therapy.

(ii) Reduction in levels of free radicals by super oxide dismutase (SOD) analysis

(iii) Changes in Neuro-endocrine hormones, thyroid profile, ACTH androgens

and insulin levels etc.Complications of Virechana:

1. Adhmana (Tympanitis) 2. Parikartika (Cutting pain)

3. Parisrawa (Dischrage) 4. Hrdgraha (Cardiac discomfort)

5. Gatragraha (Stiffness) 6. Jiwadana (haemorrhage)

7. Vibhrama (Confusion) 8. Stambha (Stiffness)

9. Klama (Neurasthenia) 10. Other Complication

Here tympanitis, dischrage, cardiac discomfort, Gatragraha (stiffness), confusion,

neurasthenia, & other complication are due to inadequate Virechana & cutting pain,

haemorrhage, stiffness are due to excess Virechana.

Bio - Clinical Markers of Vasti:

(i) Proper symptoms of good Vasti

(ii) Estimation of Immune - globulin levels before and after treatment

(iii) Free Radical estimation

(iv) Role of Neurotransmitters to evaluate the long term effect of Vasti

Vasti Research Area:

It is now being proved that enteric nervous system is a collection of neurons that

apart from influencing the GIT also influence the Autonomic nervous system there by

producing systemic effects. Thus there is need to know -

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(1) Effect of Vasti on enteric nervous system.

(2) Its biophysical effect on the colon, viz Intracolonic pressure, Changes in viscosity and

PH etc.

(3) Osmosis/ Dialysis of toxins.

(4) Changes in bacterial flora of the colon and its neuro - bio - attributes.

(5) To monitor the retention time of Vasti.

(6) Analysis of expelled material in Vasti.

(7) Medicinal effect of Vasti.

Bio - clnical Markers of Nasaya:

(1) Number of sneezing bouts.

(2) Quantity and Quality of sneezed material.(3) Symptomatic relief, it any by suitable grading scales.

(4) Disease specific clinical and investigatory evaluation.

The objective of Samsarjan Krama is to restore digestive power through specific dietary

schedule. After Samsarjan Krama not only Appetite increases but also absorptive and

assimilatory functions of G.I. tract is improved.

Bio-clinical evaluation:

D-Xylose Excretion test -The excretion of D-Xylose is increased after Samsodhan and Samsarjan

procedure which directly signifies the improved state of absorption of G.I. tract.