Role of Rookshana as Purvakarma for Virechana in the Management of Sthaulya (Prediabetic)
Transcript of Role of Rookshana as Purvakarma for Virechana in the Management of Sthaulya (Prediabetic)
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ROLE OF ROOKSHANA AS
PURVAKARMA FOR VIRECHANA INTHE MANAGEMENT OF STHAULYA(PREDIABETIC)”
Presenter:Dr. Karanvir Singh
Guide:Dr. Muralidhar P. Pujar M.D (Ayu.) PhD
Professor & Deputy Medial Superintendent
D!PA"#M!$# % PA$'AKA"MA
SDM 'ollege of Ayurveda & ospital assan
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prevalene of pre*dia+etes and its syndro,e has
s-y ro-ed /0 in the last deade.
South !ast Asian ountries li-e 1ndia 2ill +ear
,a3i,u, i.e. 440 glo+al +urden of the disease
as the ratio is e3peted to reah fro, 54.0
(/667) to 46.70 (5857).
'linial trials proved evidene of +ene9t only for
the peoples 2ith pre*dia+etes.
All the peoples 2ho develop dia+etes go through
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INTRODUCTION
#argeting peoples 2ith pre*dia+etes;< A,erian Dia+etes Assoiation.
=ifestyle intervention should +e
ai,ed at peoples 2ith pre*dia+etes; < $ational Dia+etesAssoiation Progra,,e.
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Madhu,eha also has +een ,entioned as one of the
se>uel of Sthaulya (o+esity).
or the Sthautya one of the lines of treat,ent is
?irehana. in the Sthula patients there is a fear that Snehapana
,ay further inrease Meda (dyslipide,ia).
"oo-shana as Purva-ar,a prior to Snehana
partiularly in the onditions li-e Ma,sala and
Medura (o+ese) patients.
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OBJECTIVES
#o assess the e@ay of ?irehana perfor,ed +y using
lassial Snehana as Purva-ar,a in pre*dia+etes.
#o evaluate the role of ?irehana perfor,ed +y
onduting "oo-shana as Purva-ar,a prior to Snehana
in pre*dia+etes.
#o asertain 2hether perfor,ane of "oo-shana prior
to A+hyantara Snehapana in ?irehana provide +etter
relief in the pre*dia+etes +y o,paring +oth the
groups.
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MATERIAL & METHODS
Sourc o! D"#"
#he patients 2ere seleted fro, the Panha-ar,a
%.P.D and 1.P.D of S.D.M. Ayurveda ospital
assan.
M#$o% o! Co''c#o o! D"#"
8 o+ese patients 2ho 2ere 2ith or 2ithout 9rst
degree relative suBering fro, type 5 D.M 2ere
seleted for the further detail investigation as per
the follo2ing inlusion riteria.
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INCLUSION CRITERIA
Patients having i,paired fasting gluose (1G) or i,paired
gluose tolerane (1G#) having Cody Mass 1nde3 (C.M.1) 8
along 2ith ful9ll,ent of any one of the follo2ing riteria 2ere
seleted.
Eo,en 2ith F8 of gestational dia+etes.
irst degree relative of the patient 2ith type 5D.M.
Patients having Purvarupa of ,adhu,eha. E*CLUSION CRITERIA
Patients 2ith esta+lished type / or type 5 D.M.
Patients on steroids.
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PLAN OF STUDY
#he seleted patients 2ere divided into
follo2ing 5 groups for the treat,ent.
Grou+ ,S-
Grou+ ,R-
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GROUP ,S-
S$"+"" Moorita Ghrita 2as ad,inistered orally in
the inreasing dose till Sa,ya- Snigdha =a-shanas 2ere
o+served
S.%"" Sarvanga A+hyanga 2ith Moorhita taila
and Mrudu Cashpa Sveda 2as given on three gap days.
Vrc$""" /"r0"
?irehana-ar,a 2rth "eha-avati in the dose of 5 ta+lets2as perfor,ed +y lassial ,ethods.
S"0"r1""/"r0"
#arpanadi Sa,sarjana-ra,a depending on the Shuddhi.
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GROUP ,R-Roo/$""
D#
#he rie and 2heat hapati 2as replaed +y hapati,ade +y yava (+arley).
#he patient 2as advised to ta-e #a-ra (+utter ,il-) 788
,l t2o ti,es a day +efore ,eal. Dru2
#he patient 2as ad,inistered #riphala K2atha orally inthe dose of 78,l three ti,es a day +efore ,eal.
Si,ultaneously dvartana 2ith #riphaladi 'hurna 2asdone all over the +ody.
All the a+ove diet and drugs 2ere givensi,ultaneously daily for 4 days or till the Sa,ya-
"oo-shana =a-shanas are o+served.
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S$"+""3 Moorhitaghrita 2as ad,inistered
orally in the inreasing dose till Sa,ya- Snigdha
=a-shana 2as o+served.
S.%""3 Sarvanga A+hyanga 2ith Moorhita
#aila and Mrudu Cashpasveda 2as given for three
days.
Vrc$"" /"r0" :?irehana-ar,a 2ith
"ea-avati in the dose of 5 ta+lets 2as arried out
+y lassial ,ethods.
S"0"r1"" /"r0" 3 #arpanadi Sa,sarjana-ra,a
depending on the Shuddhi.
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ASSESSMENT CRITERIA
Cased on suppression on para,eters suh as
CS
CM1
%G##
=1P1D P"%1=!
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"!S=#S
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CM1 &CS %G## =D= #riglyeride ?=D= (D=85
H
.
I
/8
/5
/H/.
/I
O.r"'' (0+ro.0)#& 4(#$ Ru/&$")" +oor."/" V(rc$")"
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CM1 CS %G## =D= ?=D=#riglyeride D=8
5
H
I
/8
/5
O.r"'' 0+ro.0# 4#$ S$"" +ur."/" Vrc$""
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DISCUSSION
As the Sthaulya is the B"$u%o$" Pr"%$""
V5"%$6 Shodhana is the 9rst line of treat,ent 2hih
should +e adopted 2here inreased Kapha Pradhana
Doshas 2hih are +rought to Koshtha +y Snehana
and Svedana are e3pelled out +y ?irehana.
#hus "oo-shana Purva-a Snehana and ?irehana
help in e3pelling the Doshas in larger >uantity and
redue the signs and sy,pto,s of pre*dia+etes for
2hih it is very neessary.
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?irehana yoga gets a+sor+ed and due to ?irya it
reahes to the ridaya then the Dha,anis and
thereafter it reahes to Sthula and Anu Srotas i.e.
,aro and ,irohannels of the +ody.
Due to shna Guna the Dosha Sanghata
(o,patness) is li>ue9ed (?ishyandana).
Ation of #i-shna Guna is to +rea- the Mala and Dosha
in ,iro for,. Aording to Dalhana it is responsi+le of
>ui- e3retion (Dosha Sravana Karatva).
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Due to Su-sh,a Guna +y reahing in ,iro
hannels disintegrates endogeni to3ins 2hih are
then e3reted through ,irohannels (Anupravana
Chava).
Mainly due to Pra+hava Prthvi*Jala onstitution and
presene of Sara Guna ?irehana ours. #his is the
evauate ation.
"u-shana has antagonist nature to the Meda and
-apha thus "u-shana Poorva-a ?irehana does the
added +ene9t to the Shodhana.
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CONCLUSION
"oo-shana Purva-a ?irehana and Sneha Purva-a
?irehana provided +etter relief 2ith respet to all the
su+jetive and o+jetive para,eters.
"oo-shana Purva-a ?irehana has +etter role in
providing relief to the patients of Sthaulya( Pre*dia+etes)
"oo-shana Purva-a ?irehana therapy proved very
signi9ant in 2eight ,anage,ent and redution of
gluose and lipid levels.
Ayurveda has very +road and synergeti vie2 for
understanding the pathophysiology and treat,ent
priniple for o+esity and its onse>uenes.
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#han- you..