rpjj kUjJtk 2015-2016

STUDENTS ASSOCIATION

UNIT OF SIDDHA MEDICINE

UNIVERSITY OF JAFFNA

SRI LANKA

rpjj kUjJt khztu xdwpak (2017-2018)

Unit of Siddha Medicine

University of Jaffna

Student Association

(20172018)

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1 Xtpak

2 rpjj kUjJtdpd yffzk

3 awif jej kUjJtk

4 awif czNt dpa kUeJ

4000 rjJzTg nghUlfs

Phytochemicals

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Fah rplbd

5 kPsg ngWNthk awif thotpay

6 rpjj kUjJtKk MAhNtj kUjJtKk (NtWghL)

7 rpjj kUjJtjjpd rpwgG

8 rpjj kUjJtk (Xtpak)

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10 MNuhffpakhd gjJ fQrp tiffs

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ciw fQrp

nfhjp fQrp

ghyf fQrp

newnghupf fQrp

nfhsSf fQrp

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Gdwghff fQrp

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KbrRf fQrp

11 Ra RjjKk gpsisfSk

12 jLgG+rp gwwpa tpopgGzuT

13 nfhkG Kwp

14 jpUfFwspd mjpraqfs

15 isapd tpidjjpwdpd njhopwghlbwF cjTk nfhOggkpyqfs

16 Vd ej khwwk (ftpij)

17 KjjpiufSk eukGfSk

18 Stress

19 tukf fiy

20 awif kUjJtk

21 yF itjjpa Kiwfs

22 kUeJfF gadgLk ypifj jhtuqfs

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KUqif

fwp NtkG

23 Psoriasis

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cUthtjwfhd fhuzqfs

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tiffs

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25 kdpjk njhiyjj thoT (ftpij)

26 diwa cyF (Xtpak)

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27 aytpyiy vddhy (ftpij)

28 ePupopT Neha

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31 gadjUk kUjJtf FwpgGffs

Kf moif ghJfhff

jiy Kbia ghJfhff

jiygghujijf Fiwff

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37 MNuhffpa czT

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40 ePh dwp mikahJ cyF

41 rpjj kUjJt Gfo gugGNthk (ftpij)

42 jilfisj jhzb

43 Common Medical Abbreviations

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nrytp[PtuhrhfPujjpfh

30th BSMS

xdwpa nrayhsu kdjpypUeJhelliphellip

vkJ Jiwapy xU jrhgjfhy jtjjpd Ngwhf ttUlk vk xdwpajjpdhy

rpjjkUjJt jo - 20152016(2018) kyuTssij epidjJ mfk kfpofpdNwd jwF mUsghypjj vyyhk tyy iwtdpd jpUtbfis tzqfpf nfhzLgt Mrhdha Nfhypdwp Nfhgkpdwp NghjpfFk NjLjy jejpLkgt NjltplhJ jtnwyyhk jpUjjpLk tdnrhyypyyhJ vd cyfhapUfFk kdpjNuapdwp NghdhYk Gjjfk NghJk

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மனித உயிரகள மகததுவம பெறறpட மனம gt nமhழிgt பமயயால பதாணடு பெயது தமிழுககும தமிழ

மருததுவததிறகும பெருமம செரததவரகள ெிததரகள அவரகளால உயிர பகாடுககபெடடு ெல

ொிணாமஙகமள அமடநது இனறு கமழதசதெ நாடுகள மடடுமனறி சமமலதசதய நாடுகளிலும

செெபெடும மருததுவமாக ெிதத மருததுவம வளரநது வருகினறது இததமகய பெருமமகள பகாணட

ெிதத மருததுவதமத கறகும யாழபொண ெலகமலககழக ெிதத மருததுவ துமறயில கலவி ெயிலும

மாணவரகள ொரொக ெிதத மருததுவ மாணவர ஒனறியததினால வருடாநத இதழ பவளியிடபெடடு

வருகினறது அசத சொல இநத வருடமும 20172018 மாணவர ஒனறியததினால நூல

பவளியிடுவமத இடடு உதவி இதழாெிாியர எனற வமகயில மடடிலலா மகிழசெி அமடகினசறன ஒரு

நூல பவழியடு எனெது ெல இனனலகமளயும தியாகஙகமளயும தாணடி எழுதது வடிவில இருநது நூல

வடிவில உயிர பெறறு எழுவதாகும இனறு உஙகள மககளில தவழநது பகாணடிருககும இநநூலுககும

இதழாெிாியரgt விாிவுமையாளரகள மறறும மாணவரகளின ெஙகளிபபு வாரதமதகளால வரணிகக

முடியாது இநநூலிறகாக உறொகததுடன ஆககஙகள தநத ெக மாணவரகளின ஆககஙகமள ெல

சவமலப ெழுககளுககு மததியில ொி ொரதது விாிவுமையாளரகளால தைபெடட ஆககஙகமள பதாகுதது

தைமான ெிதத மருததுவததின மகததுவதமத எடுததுககாடடும வமகயில நூல வடிவில தநதுளசளாம என

நமபுகினசறாம சமலும எமது மாணவரகளின ஆககததிறமனயும ஆறறமலயும பவளிபெடுததும

வமகயில அடுததடுதத வருடஙகளும எமது மாணவரகளால பவளியிடபெடNtzLk vdTk iwtidg gpuhjjpffpdNwd

KThivakar(31st BSMS)

rpjj kUjJtDfFupa yffzk

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kUjJtjjpd Kjdik rpjjuhf mfjjpau fUjggLfpdwhu rpjjufspDlhf gupkhwgglL

tej titjjpa Kiwapid NkwnfhsSk xtnthU itjjpaDk mjwFupa jFjp

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tdik cilatdhf Uff NtzLk

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1 mopgG ndash Nehapid mopfFk kUeJ

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3 epiugG ndash clypy Fdwpa rjJffis epugGjy

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4 ifgG

5 fhugG

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gwwpa mwpT

kUjJtdpd taJ

10 - 20 taJ - $lhJ

30 - 40 taJ - mjkk

40 - 50 taJ - cjjkk

50 - 60 taJ - kjjpkk

90 - 100 taJ - mjkhjkjk kUjJtdpd cil

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Sinthuja Rajeswaran (33rd BSMS)

awifj jej kUjJtk

MjpapNy kdpjd Njhwwk

Mzltd toptej awifapNy

Mapuk ftp nrhyYk kdpj thofif

Mwwqfiu tdr NrhiyapNyhellip

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Mzt Mlkgu thoifayy

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MwWk tyyik cilaJk

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SJalini (33rd BSMS)

awifahd czNt dpa kUeJ

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4000 rjJzTg nghUlfs

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it kuqfsgt nrb nfhbfspy fhzggLk urhazqfshFk

iglNlh nfkpffyfs (Phytochemicals)

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( From RfthoT khjhej jo) Shankeerna Subendran (32nd BSMS)

gbjjjpy gpbjjJhellip

kPsg ngWNthk awif thotpay

cwTfF tukgpyiy ahtUk NfsPu

coit NghwW ePjjhiu epidjJ tho

ngupahiuJiz Nkwnfhs $lh elG jtpu

cupahiu mutizjJ cyfjij Nerp

Cupnyyyhk eykh vjjid kd tsurrp

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Page 61 62

- NTharshanah ( 30th BSMS)

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By Shankeerna Subendran 2nd BSMS

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SMayoori(30th BSMS)

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KUmashangary32nd BSMS

jpUfFwspd mjpraqfs

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jpUfFwspYss nkhjj vOjJffs 42194

jpUfFwspy jkpo vOjJffs 247 y 37 klLk lkngwtpyiy

jpUfFwspy lk ngWk U kyufs - mdprirgt Ftis

jpUfFwspy lk ngWk xNu gok - neUQrp gok

jpUfFwspy lk ngWk xNu tpij- FdWkzp

jpUfFwspy lkngww uzL kuqfs - gid qfpy

jpUfFwspy mjpfk gadgLjjggll xNu vOjJ ndash dp ( 1705)

jpUfFwspy xUKiw klLk gadgLjjggll U vOjJffs - sP q

jpUfFwspy lkngwhj xNu vz - xdgJ

jpUfFws Jtiu 26 nkhopfspy ntspteJssJ

jpUfFwis Mqfpyjjpy 40 Ngu nkhop ngajJssdu

B Renuka 33rd BSMS

isapd tpidjjpwdhd njhopwghlbwF cjTk nfhOggkpyqfs

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isapd Kjy vjpup epiwTww nfhOggkpyqfs it epidthwwiyAk fwFk jpwidAk rPuFiyfFk Mono unsaturated fatty acids epidthwwiy tsufff$bad Poly

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nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

epiwTww nfhOggkpyqfs(

saturated fatty acids)

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diseases) Gay Ntf tsurrp ngwWssd

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44g mstpy xNkfh -6 gt12 Nkirffuzb Nrhah vziz myyJ kuffwp vziz myyj Nrhs vziz

650mg xNkfh-3 fly czTfspy UeJk ( ePzl rqfpyp xNkfh-3)

22g ( FWfpa rqfpyp xNkfh-3) thJikfnfhlil ( walnut) gt grir fhafwpfspy UeJk ngwggLk

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disability)gtftdfFiwT(Attention deficit)gtis mrjpNeha(Schizopherenia)gtisia rpijTfF csshfFk Nehafs(Neurologycal degenerative

disease)gtkJgghtid(Alcoholism)gtmjpfNfhgk(Irritability)gtgifik(Hostility)gtftdkpdik(Po

or consenration)gtMfNuhrk(Aggressive)gttdKiw(Violence)gtfwwy FiwghL(Dyslexia)gtKJik

miljy(Senility)gtjjfa kd rPuNfLfSfF xNkfh-3 CllrrjJ gwwhfFiwNa mbggilf fhuzk

xNkfh-3 nrawgLk tpjk

isapd eukGfid xwiw kpddZ cUG( free radicals ) mopggij vjpujJ nrayoffr nrafpdwd

kpifahd Neha vjpugG nrawghLfspd yk eukGfis mopfff $ba jhgpjjjpy UeJ ghJfhffpdwJ

eukGffljjpfspd ( Neuro transmitters) nrawghLfis rPugLjJfpwJ

eukGfyqfspd mbggil nrawghLfis eukGfNs khwwpfnfhss cjTfpwJ

isfFupa czTfs fzlwpagglljd mbggilapy

1 kPd kwWk kPd vziz xNkfh-3 2 jhtu vzizfs ( vegitable oils) xNkfh-6

mjhtJ xNkfh-3 y Kffpa 2 nfhOggkpyqfs cssd mitahtdgt Docosahexaenoic

acid ndash DHA Eicosapntaenoic acid ndash EPA MFk jpy Docosahexaenoic acid is nfhOgGffspd murd vd tuzpffggLfpwJ

ehk czZk kPdfspd rpwgG

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kPdfs kPdfisNa czfpdwd mjdhy kPdpd clypy Docosahexaenoic acid kwWk Eicosapntaenoic acid msT kpFjpahfpwJ kPdfspy xNkfh-3 kpifahf UggjwF itNa fhuzk kPd xU mUikahd is czT

xNkfh-3 kwWk fwwy FiwghL( Dysexia)

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xNkfh nfhOgGffs gwwhfFiw mwpFwpfs

msTfF Nky jzzPu jhfk

mbffb rpWePu fopjy

cyueJ fhzggLk Njhy

fhaeJ Nfhiu Nghy fhzggLk kapu

jiyapy nghLF

iffsgtnjhilfsgtNjhsfspygtrpwpa fbdkhd rpW flbfs(Bumps)

kPd czT gwwp CllrrjJ Muharrpahsufs

kPd- is czT vggb

ekJ EzzwpTjjpwDfFgt mikjpahd kd epiyfFgt kd jsurrpia jtpuggjwFgt kdk miyghahky xdwpy epiyggjwFgt $uikahd ftdjjpwF kPdjhd rpwej is czT

ngz fUTWtjwF uzL MzLfSfF KdNg kPd czzj njhlqf NtzLk tho ehs KStJk kPd czz kpFej gaidj jUk

lsquois eyNd ek thofif eykrsquo vdgJ awif tpjp is rPuhf aqf NtzLkhdhy ekJ vzzk nray uzLk rpwgghf Uff NtzLk isapd kpfrrpwpa rPuNfL ekJ nray jpwid jsujjptpLfpwJ vdwhYk jjfa tpisTfis ekkhy czuKbtjpyiy is eyk NgZtjwnfdW vttpj kUeJk fzLgpbffggltpyiy capu rjJffsgt fdpAgGffsgt capu nghUs vjpupfs kwWk dwpaikah xNkfh-3gtxNkfh-6 MfpaitNa jpy JizGupfpdwd twwpd mbggilapy is czTfis clnfhzL is eyk fhgNghkhf

Reference rpt tyyhsd r(2007)isfF czT(kUjJt Muharrp tpsffk)

PVThillany(29th BSMS)

Vdpej khwwk

mdnwhU fhykhelliphellip

gRik mdidapd ghr mizggpy

jtzL fplejdu mtzpapy- kheju

grir gNryd guej Gy ntspAk

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thrk gupzkpfFk tzz kyufSknjdNdhiy $iuAk nrkkz jiuAk

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$bf FbjJ fspjjpll fhyk

nghUSfF nghUNs gzlkhwW

XaTfF xJffpa jhuhs Neuk

gpukk K$ujjjpy fztpopjnjOjYk

fisjJk rhaejdu - gRk Gw ghapy

gRik Gulrrp vd khwwjij Ntzb

khwwjjpd ghijapy njhiyjjdu thoit

aejpu thofif yyhj Neuk

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capiufnfhyYkgpsh]bf ghtidAk

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nrawif mofhy kpspUk eqifAk

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fhyjjpd khwwjjpy njhiyej thoit

rpeijfFs rpejpff kWjj kdpjh

rhitj Njb cd gazk njhlutij

vkidf fzL jhd njspeJ nfhsthNa

BTharshika

29th BSMS

KjjpiufSk eukGfSk

dW ehk gadgLjJk Kjjpiufs ekfF NtzLkhdhy Gjpait Mdhy

fhyjjpwNfh it edF goffkhdit vdw czikia ehk VwW nfhss NtzLk

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cUtglKk ghufFk NghJ njupAk rpd Kjjpiuahd ekfF ntWkNd iwtopghL

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filggpbjjy kpfTk eyyJ

SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

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khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

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M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

clw L FiweJ fz Fsphik ngWkgt kykpsfpg NghFk 2 mffuhfhujjpy 2g msT vLjJj jlb thapyplL nkdW mlfFk NghJ RufFk

ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

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5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

9 MkzfF iyia rpwwhkzfnfznza jltp mdypy thlb ghytwwpa ngzfspf khhgpy Nghl ghy RufFk tthW nraJ rpWf mupeJ KbrR flb Mrdjjpy xwwlk

l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

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gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

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mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

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epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

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NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

Nrhupahrp] Gsspfs nghLFNghdw rpwpa gilfs njhlffk ngupa mstpyhd jbgGfSld guej mstpYk Vwglyhk

ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

Plaque psoriasis(gpNsf Nrhupahrp]) o nghJthf Vwglf$bagt cyuejgt jbjjgt rptej Njhy(plaques)gt rpytu

epwkhd nrjpypdhy lgglbUfFk

o ej plaques fllhakhf fbiaNah myyJ typiaNah nfhzbUfFk mjJld rpwpa mstpNyh myyJ gueJglljhfNth fhzggLk

o gpwgG cWgGffsgt thafFopapd clGwk vdgd csslqfshf clypd vggFjpapNyDk Njhdwf$Lk

Nail psoriasis(neapy Nrhupahrp]) o Nrhupahrp] MdJ if fhy tpuy efqfis ghjpfFk epiyia

tthW mioggu mjpy efqfspy Fopfs tpOjygt toikfF khwhd ef tsurrp kwWk efqfspy epwk khwwkiljy vdgd Vwglyhk

o ttif efqfs nail bed vdggLk efggLfifapypUeJ gpuptilAk jid onycholysis vdgu jPtpu epiyikfspy efkhdJ crumble Mf khwwkilAk

Guttate psoriasis(fwNuw Nrhupahrp]) o ej tif Nrhupahrp] ngupJk ghjpggJ isNahu kwWk

gpsisfisahFk J toikahf gfuPupahffshy njhzilapy VwgLk xUtif njhwWf fhuzkhf(strep throat) KLffptplggLfpwJ

o jidg ghuggjwF rpwpajhfTkgt ePujJspfs Nghdw tbtKilajhfTk fhzggLk it KzljjpYkgt if fhyfspYkgt jiyapYk gutpf fhzggLk

e epiyapy Ezzpa nrjpyfs fhzggLkgt jbjj plaque fhzgglhJgt jhdhfNt kiwAk vdpDk kPzlk kPzLk NjhdWk

Inverse psoriasis(dNtu] Nrhupahrp]) o it gpujhdkhf jhfFtJ mfFs gFjpfs(armpits) kwWk

ftlLggFjpfs(groin)gt khugfqfspd fPoggFjp(under the breast) kwWk dgngUff cWgGfisr oTss gFjpfisahFk(genitals) qF jbgGffs mww rptej Gsspfs fhzggLkgt ghjpffggll Njhypy cuhaTfsgt ntbgGfs vdgdTkgt tpauitAk fhzggLk gqfR njhwWffs ej tifahd Nrhupahrp] epiyia KLffptplyhk

Pustular psoriasis(g]bA+yu Nrhupahrp]) o J nghJthf VwgLtjpyiy vdpDk guej xU Nrhupahrp] gilapy

Vwglyhk(gentralized pustular psoariasis) iffsgt ghjqfsgt tpuy Edpfs Nghdw rpwpa ghfqfspyp Vwglyhk

it nghJthf Ntfkhf NjhdwptpLkgt jpypy rpwpa rPo epukgpa nfhggsqfs fhzggLk rpy kzp Neujjpd gpddu mej NjhygFjp rptejjhfTk njhLk NghJ Ntjid jUtjhfTk fhzggLk

nfhggsqfs mbffb Njhdwp kiwAk ehd NkNy $wpggpll gentralized pustular psoariasis epyikapy fharry eLffk fLikahd fb ePujjdikahf kyk mbffb fopjy(diarrhea) vdgd fhzgglyhk

Rythrodermic psoariasis(vupjNjhNlkpf Nrhupahrp]) o J kpf kpf mupjhd xdW jpy cly KwwhfTk rpteJ

cupaf$ba gil fhzggLk mjJld fb myyJ vuprry fhzggLk

Psoariatic arthritis(Nrhypahbf Mjjpiurp]) o Nrhupahrp] Njhypy VwgLjJk gpurrid xU GwkpUff jwF

$Ljyhf Nrhupahbf Mjiub] vdgJ llffspy tPffjijAk typiaAk VwgLjJfpdw epiyikahFk rpy rejugqfspy lLffspy VwgLk ej gpurrpid Kjypy ntspffhllgglL mjid njhlueJ efqfspy Fop tpOjy Nghdw khwwqfs Vwglyhk mjd gpddu NjhYk ghjpffgglyhk jd ghjpgGfs rpwpa msT Kjy jhqf KbahjtiufFk NtWglyhk

o J vej tif lLffis NtzLkhdhYk ghjpffyhk mjJld lLffspd mirit flLggLjjp mjd fllikgGfis ghjpjJ mjpy epuejukhd khwwjij $l VwgLjjyhk

Nrhupahrp] tUtjwfhd fhuzqfs

czikapy Nrhupahrp] tUtjwfhd fhuzk vdgJ rupahf njupahj xdwhfNt UffpdwJ

MapDk J cqfs immune system vdggLk NehnajpugG nghwpKiwAld njhlughdJ mjpYk ej NehnajpugG nghwpKiwapy gqFtfpfFk t fyqfs (t cells) eLepiyffyqfs (neutophils) njhlughdJ

t cells toikahf clnyqFk Rwwp clypYss cly fyqfs myyhj gpw nghUlfis (foreign substance) vjpujJ mopfFk Ntiyapy gqnfLffpdwJ cjhuzk viruses and

bacteria

Mdhy cqfSfF Nrhupahrp] Uejhy t cells jtWjyhf cqfspd Njhy fyqfis mopffpdwd vdW nghUs

over active t cells MNuhffpakhd Njhy fyqfs cwgjjpahtij JzLfpdwd mjJld mjpf t cells and neutrophils $l

it Njhiy Nehffp nrdW mjpy ujjf Fohafis tpuptilar nraJ mqF rptej jdikiaAk(Redness) lbidAk rpyNtis rPo nfhzl nfhggsqfisAk(pustular

lesion) VwgLjJfpdwd

mjdhy NjhyhdJ rhjhuzkhdij tpl mbffb GJggpffgglLf nfhzbUfFk mjhtJ fyqfs wggJk GJggpffggLtJk kpf Ntfkhf eilngWk jdhy Njhy jbgghfpdwJ nrjpyfs NjhdWfpdwJ

Vd tthW T cells jtWjyhf tthW njhopwgLfpdwd vdW rupahf njupatpyiy Mathsufs J xU ghukgupak kwWk RwWroy rhuej tplakhf Uffyhk vd ekGfpdwdu

MVithurshana

30th BSMS

Njhy NehafSffhd rpy kUjJtf FwpgGffs

FgigNkdp iyfis kQrSld miujJ fugghdgt fpuejpfSfF ntspgG+rrhf G+ryhk

Ntggk iyia kQrSld miujJ nrhwp rpuqFfSfF g+ryhk fpuejpehafd nrbapy UeJ ngwggll rhwiw Njqfha vzizAld fyeJ

fharrp mjid fpuejpfSfF G+ryhk Fggpsha iyrrhwWld NjrpgGsp tplliujJg gir Nghy vLjJ nrhwp

rpuqFfSfFg G+ryhk f]Jup kQris miujJj NjajJf Fspff fugghdgt Gz ePqFk Gqfk NthgliliapypUeJ gpopej ghiy rpuqFgt fugghDfF G+rptu ePqFk Gqfk NthgglilapypUeJ mtpjj FbePiu rpuqFgt fugghDfF G+rptu ePqFk G+turk G+it miujJ rpuqFfSfspd kPJ flb tuyhk G+turk fhagt glilia vzizAld fharrp Njhy NehafSfF gadgLjjyhk mdprir iyfis kQrSld NrhjJ gir Nghy miujJ rpuqF kwWk

njhwWfshy Vwgll Njhy NehafSfF G+ryhk NjsnfhLfF iyrrhwiw rk msT Njqfha vzizAld fharrp tww itjJ

rpuqFgt fugghDfF G+ryhk Mthuk G+Tld ghrpggawiw NrhjjiujJ eikrrygt nrhwpfSfF NjajJ

Fspffyhk rufnfhdiw iyfis NjrpgGsp tplliujJ clypy NjajJ Fspff Njkygt

Nrhwpgt fugghd ePqFk rufnfhdiw G+it vYkprrkgorrhW tplliujJ clkgpy NjajJf Fspff

Njkygt nrhwpgt rpuqFgt fugghd ePqFk MLjPzlhgghiy rhwWld mNjasT eynyziz $lb vupjJ gfFt gjjjpy

tbflb fUkgilgt fugghDfF g+ryhk rptfueijfgt nfhlil fueij iyia epoypy cyhjjpg nghb nraJ jpdk 1

Ntis frac12 -1 fuzb vLff fugghd Nghdw Nehafs jPUk tzLnfhyyp iyia bjJ ngww rhwwpDs NjrpgGsp tplL mejr rhwiw

tbflb G+ryhk tzLnfhyyp rhwWfFr rk msT Njqfha vznza fyeJ frac12 gqfhf fharrp

tllffbfF G+ryhk fhhNghfhprpia ghypy fharrp vLjJ Rjjp nraJ ntapypy itjJ vLjJ

mjid Njqfha vzizAld fharrp cUll jphp Nghy tUk gjjjpy wffp Fggpapy miljJ ntzgilfF gadgLjj FzkhFk

SMithushy ( 31st BSMS)

kdpjk njiyej thoT

eyYssk nfhzl koiyaha

ePAk kzzpy tejhNah

R+J nfhzl tTyfpy

fglk gofp tsuejhNah

kyufspy gyypdk mofhf

kdpjupy gyypdk NtwWikahf

ePNa tFjj tpjpfnsyyhk

cdid Ms tpLthNah

vqNf fwwha gpuptpid

vdW fwwha tQrid

mdgpd tyyik Gupahky

MAjk Vejy mwpejhNah

rhjp d kj Ngjqfs

it klLk cdid gpupffpwJ

Nfll kdKk FzKk NrueNjjhd

cdid jdpikapy itffpwJ

Ntfkha tsUJ tpQQhdk

mjdhNy mopAJ nkQQhdk

kdpj cssk cwqfpf fplfifapNy

aejpu kdpjd klLk elffpdwhd

tpgjjpidf fzl khjjpujjpy

capiuffhff Kidahky

Gifggljjpy ePAk mlfFfpdwha

mij gjpNtwwp Gfis NjLfpdwha

vqNf NghdJ uffFzk

qNf vQrpaJd nghwhikNa

elgpdpy nrafpdwha JNuhfk

ePAk mOfpdwha mjdhNy

kdpjk njhiyej kdpjNd

mopit ePNa NjLfpwha

cwtpd gpizggpy fyffhky

cwit ePNa nfhyYfpwha

Nfhgqfs cssd ntdwplNt

cdid ePNa nfhyYfpdwha

rpjjd nrhdd topfspNy

kdij mlff KaythNa

czik xdNw njspT jUk

nghaapid ePAk kweJtpL

nfhLk nrhwfis ePffp ePAk

dpikaha Ngrp caueJ tpL

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

MissKugarani Konesswaran(29th BSMS)

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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Unit of Siddha Medicine

University of Jaffna

Student Association

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30th BSMS

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மனித உயிரகள மகததுவம பெறறpட மனம gt nமhழிgt பமயயால பதாணடு பெயது தமிழுககும தமிழ

மருததுவததிறகும பெருமம செரததவரகள ெிததரகள அவரகளால உயிர பகாடுககபெடடு ெல

ொிணாமஙகமள அமடநது இனறு கமழதசதெ நாடுகள மடடுமனறி சமமலதசதய நாடுகளிலும

செெபெடும மருததுவமாக ெிதத மருததுவம வளரநது வருகினறது இததமகய பெருமமகள பகாணட

ெிதத மருததுவதமத கறகும யாழபொண ெலகமலககழக ெிதத மருததுவ துமறயில கலவி ெயிலும

மாணவரகள ொரொக ெிதத மருததுவ மாணவர ஒனறியததினால வருடாநத இதழ பவளியிடபெடடு

வருகினறது அசத சொல இநத வருடமும 20172018 மாணவர ஒனறியததினால நூல

பவளியிடுவமத இடடு உதவி இதழாெிாியர எனற வமகயில மடடிலலா மகிழசெி அமடகினசறன ஒரு

நூல பவழியடு எனெது ெல இனனலகமளயும தியாகஙகமளயும தாணடி எழுதது வடிவில இருநது நூல

வடிவில உயிர பெறறு எழுவதாகும இனறு உஙகள மககளில தவழநது பகாணடிருககும இநநூலுககும

இதழாெிாியரgt விாிவுமையாளரகள மறறும மாணவரகளின ெஙகளிபபு வாரதமதகளால வரணிகக

முடியாது இநநூலிறகாக உறொகததுடன ஆககஙகள தநத ெக மாணவரகளின ஆககஙகமள ெல

சவமலப ெழுககளுககு மததியில ொி ொரதது விாிவுமையாளரகளால தைபெடட ஆககஙகமள பதாகுதது

தைமான ெிதத மருததுவததின மகததுவதமத எடுததுககாடடும வமகயில நூல வடிவில தநதுளசளாம என

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SIndusiya (32nd BSMS)

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Page 61 62

- NTharshanah ( 30th BSMS)

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KUmashangary32nd BSMS

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B Renuka 33rd BSMS

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nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

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saturated fatty acids)

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diseases) Gay Ntf tsurrp ngwWssd

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PVThillany(29th BSMS)

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BTharshika

29th BSMS

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SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

lL typia NghfFk ldquoKlffjjhd fPiurdquo

Ukygt ffilgGgt FzkhfFk ldquofwG+utssprdquo (Xktyyp)

ePupopT Neha FzkhfFk ldquomiuffPiurdquo

thagGzgt Fly Gzfis FzkhfFk ldquokzpjjffhsprdquo

cliyg nghddpwkh khwWk ldquonghddhqfzzp fPiurdquo

khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

is typikfF Xh ldquoggghspg gokrdquo

ePupopT Nehia FzkhfFk ldquoKssqfprdquo

thAj njhyiyapypUeJ tpLgl ldquontejaf fPiurdquo

ujj mOjjjij FzkhfFk ldquoJsrprdquo

khhGr rsp ePfFk ldquoRzilffhardquo

rspgt M]JkhTfF ldquoMlhNjhilrdquo

Qhgf rfjpiaf nfhLfFk ldquotyyhiurdquo

ujjNrhifia ePfFk ldquogPwWlrdquo

[Puz rfjpia mjpfggLjJk ldquomddhrp gokrdquo

Kb eiuffhky Uff ldquofyahz KUqifrdquo ldquoKsKUqifrdquo

khuGr rspgt Ukiy FzkhfFk ldquoJJtisrdquo

Kfk moF ngw ldquojpuhlirg gokrdquo

M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

clw L FiweJ fz Fsphik ngWkgt kykpsfpg NghFk 2 mffuhfhujjpy 2g msT vLjJj jlb thapyplL nkdW mlfFk NghJ RufFk

ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

4 mjjpf fhapd gpQRfisg grirg gaW NrhjJ Kiwggb rikjJ czz clwLgt kyfflL ePqFk Njfk tdik ngWk

5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

9 MkzfF iyia rpwwhkzfnfznza jltp mdypy thlb ghytwwpa ngzfspf khhgpy Nghl ghy RufFk tthW nraJ rpWf mupeJ KbrR flb Mrdjjpy xwwlk

l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

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Gifgpbjjy(smoking)

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Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

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to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

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disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

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Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

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ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

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MVithurshana

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SMithushy ( 31st BSMS)

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JKeerthika ( 30th BSMS)

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SThuvanikara(31st BSMS)

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

MissKugarani Konesswaran(29th BSMS)

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Author kUjJth fhrp gprir

SIndusiya(32nd Batch)

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ldquoYour Health is Your Real Wealthrdquo

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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STheyigah(30th BSMS)

jopd csNshelliphellip

1 Xtpak

2 rpjj kUjJtdpd yffzk

3 awif jej kUjJtk

4 awif czNt dpa kUeJ

4000 rjJzTg nghUlfs

Phytochemicals

irt czTfs

Fah rplbd

5 kPsg ngWNthk awif thotpay

6 rpjj kUjJtKk MAhNtj kUjJtKk (NtWghL)

7 rpjj kUjJtjjpd rpwgG

8 rpjj kUjJtk (Xtpak)

9 nrgGg ghjjpujjpy Vd jzzPu gUf NtzLk

10 MNuhffpakhd gjJ fQrp tiffs

tb fQrp

ciw fQrp

nfhjp fQrp

ghyf fQrp

newnghupf fQrp

nfhsSf fQrp

rpW gawWf fQrp

Gdwghff fQrp

gQr K~bf fQrp

KbrRf fQrp

11 Ra RjjKk gpsisfSk

12 jLgG+rp gwwpa tpopgGzuT

13 nfhkG Kwp

14 jpUfFwspd mjpraqfs

15 isapd tpidjjpwdpd njhopwghlbwF cjTk nfhOggkpyqfs

16 Vd ej khwwk (ftpij)

17 KjjpiufSk eukGfSk

18 Stress

19 tukf fiy

20 awif kUjJtk

21 yF itjjpa Kiwfs

22 kUeJfF gadgLk ypifj jhtuqfs

mfjjp

KUqif

fwp NtkG

23 Psoriasis

JzLk fhuzpfs

cUthtjwfhd fhuzqfs

Fwp Fzqfs

tiffs

24 Njhy NehafSffhd rpy kUjJt FwpgGfs

25 kdpjk njhiyjj thoT (ftpij)

26 diwa cyF (Xtpak)

fhdy ePhpy kPdfs Njb miyAk VlLf fytpr rfk

27 aytpyiy vddhy (ftpij)

28 ePupopT Neha

29 jiy typahy Jdgg gLfpwPhfsh (Njhhelliphelliphellip

xwiwj jiy typ

Migraine

jiyfF xU gzNl[

Nfhggp

jtphff Ntzbait

fzfisg ghJfhffTk

jkpoh kUjJtjjpy jiy typfF ypifr rpfprirfs

30 ngzzhfg gpweJtpllhy

31 gadjUk kUjJtf FwpgGffs

Kf moif ghJfhff

jiy Kbia ghJfhff

jiygghujijf Fiwff

kyrrpffy ePqf

y Neha Fzkhf

ePupopT Neha Fzkhf

cly typik ngw

fzfisg ghJfhff

fhJ NehafSffhf

tapwWf NfhshWfs Fzkhf

32 Nahf Kiwfs

R+hpa ek]fhuk

R+hpa ek]fhujjpd gadfs

rpu Nahfhrdqfs

GIqfhrdk

ry ghrdk

`yhrdk

jDuhrdk

ruthqfhrdk

kj] ahrdk

Nahf Kjuhrdk

gjj Nfhzhrdk

k]up Nkhjjhrdk

ehb Nrhjid gpuhzhahkk

mDNyhk tpyhk gpuhzhahkk

Rthrdk

33 jkpoh vqNfhellip (ftpij)

34 Qrp RfF fLffha

35 gpuzhahkk

36 thoTfFfej tsSt newp

37 MNuhffpa czT

38 thoitfFk thioAk MwitfFk mjjpAk

39 mjpfhiyapy ntWk tapwwpy ePh mUeJtjhy VwgLk edikfs

40 ePh dwp mikahJ cyF

41 rpjj kUjJt Gfo gugGNthk (ftpij)

42 jilfisj jhzb

43 Common Medical Abbreviations

44 vdJ ghlrhiyapy Mwwpa NgrR 45 rpjjkUjJtk gwwpa mbggil tpdhffSk tpsffqfSk

khztu xdwpa jiytuJ cssjjpy UeJhelliphellip

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jfdPrhej rpjj kUjJt khztxdwpaj jiytu rpjj kUjjtjJiw aho gyfiyffofk

johrpupaupd cssjjpypUeJhelliphelliphellip

ldquo rpjj kUjJtk 2015-2016rdquo vDk eEiy xU jrhgj fhyjjpd gpddu mrrplL ntsptpLtjpy kpfTk ngUkpjk milfpdNwd fhyjjpwF Vwg khwptpll cyfpNy xU jrhgjjjpd gpddu eEiy Ey tbtkhf ntspapl vzzpa vd Nghuhllqfspy Jiz epdw iwtDfFkgt vd jeijfFk Kjypy edwp $w flikgglLsNsd

rpjj kUjJt khztufsJ Mffqfis jhqfpa eEypwF jqfs Mffqfis jeJ cjtpa khztufsgt mt Mffqfis kpFej rpukjjpwF kjjpapy jpUjjqis nraJ jej tpupTiuahsufsgt kwWk Ey Mffjjpy ngupJk cjtpa rpjj kUjjt khztu xdwpa jiytugt cg jiytugtcjtp johrpupaugt Mffqfis NrfupjJ jej khztufs midtUfFk edwpia njuptpjJf nfhsfpdNwd

kwWk eEiy tbtikjJ ntspapLtjpy ngupJk gqfhwwp Mffqfis Type gzZtjpy cjtpa Kjyhk tUl khztp nrytp jukpfhtpwFkgt vdJ ezgufSfFk kpff edwpfs

mjJld eEiy mrrpl epjp cjtp toqfpa lsquoKIRUBAA LEARNERSrsquo rhujp

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J Nghdw khztufspd gilgGffs vjputUk fhyqfspYk ntsptu iwtid gpuhjjpwgNjhL eEy rfjjpwFk rpjj kUjJtjjpwFk gaDilajha UfFk vdW ekGfpdNwd

nrytp[PtuhrhfPujjpfh

30th BSMS

xdwpa nrayhsu kdjpypUeJhelliphellip

vkJ Jiwapy xU jrhgjfhy jtjjpd Ngwhf ttUlk vk xdwpajjpdhy

rpjjkUjJt jo - 20152016(2018) kyuTssij epidjJ mfk kfpofpdNwd jwF mUsghypjj vyyhk tyy iwtdpd jpUtbfis tzqfpf nfhzLgt Mrhdha Nfhypdwp Nfhgkpdwp NghjpfFk NjLjy jejpLkgt NjltplhJ jtnwyyhk jpUjjpLk tdnrhyypyyhJ vd cyfhapUfFk kdpjNuapdwp NghdhYk Gjjfk NghJk

cww ezgd NghyhFkhellip vDk ftptupfSffpzqf xU eyy Gjjfk EW ezgufis tplr rpwejJ vdyhk mej tifapy eEyhdJ rpjj kUjJtk njhlugpyhd gy czikfisAkgt mjpYss cddj tplaqfisAk gwwpa mwGj Mffqfisr RkeJ tUfpdwJ vdW $wpdhy kpifahfhJ eEypid ntspapl midjJ tifapYk cjtpGupej vk Jiw jiytUfFkgt tpupTiuahsufSfFk vk xdwpak rhugpyhd edwpfisj njuptpjJf nfhsfpdNwd eEypwfhd mwGj Mffqfisj jeJ vkJ KawrpfF cWJizahf epdw vkJiw khztufSfFkgt xdwpajjpd nrawFO cWggpdufsgt jo FOtpdu kwWk ednfhil toqfpa midjJ eyYssqfSfFk vd cskhuej edwpfisj njuptpggNjhL dptUk fhyqfspYk rpjjkUjJt tUlhej jo ntsptu vdJ kdkhuej thojJffisj njuptpjJf nfhsfpdNwd

vlLjjpfFk xypfflLk rpjjkUjJtjjpd jpUehkNkhellip nrytp rejpuffhejd Rfzah (xdwpa nrayhsu)

cjtp johrpupaupd cssjjpypUeJhelliphelliphelliphelliphellip

மனித உயிரகள மகததுவம பெறறpட மனம gt nமhழிgt பமயயால பதாணடு பெயது தமிழுககும தமிழ

மருததுவததிறகும பெருமம செரததவரகள ெிததரகள அவரகளால உயிர பகாடுககபெடடு ெல

ொிணாமஙகமள அமடநது இனறு கமழதசதெ நாடுகள மடடுமனறி சமமலதசதய நாடுகளிலும

செெபெடும மருததுவமாக ெிதத மருததுவம வளரநது வருகினறது இததமகய பெருமமகள பகாணட

ெிதத மருததுவதமத கறகும யாழபொண ெலகமலககழக ெிதத மருததுவ துமறயில கலவி ெயிலும

மாணவரகள ொரொக ெிதத மருததுவ மாணவர ஒனறியததினால வருடாநத இதழ பவளியிடபெடடு

வருகினறது அசத சொல இநத வருடமும 20172018 மாணவர ஒனறியததினால நூல

பவளியிடுவமத இடடு உதவி இதழாெிாியர எனற வமகயில மடடிலலா மகிழசெி அமடகினசறன ஒரு

நூல பவழியடு எனெது ெல இனனலகமளயும தியாகஙகமளயும தாணடி எழுதது வடிவில இருநது நூல

வடிவில உயிர பெறறு எழுவதாகும இனறு உஙகள மககளில தவழநது பகாணடிருககும இநநூலுககும

இதழாெிாியரgt விாிவுமையாளரகள மறறும மாணவரகளின ெஙகளிபபு வாரதமதகளால வரணிகக

முடியாது இநநூலிறகாக உறொகததுடன ஆககஙகள தநத ெக மாணவரகளின ஆககஙகமள ெல

சவமலப ெழுககளுககு மததியில ொி ொரதது விாிவுமையாளரகளால தைபெடட ஆககஙகமள பதாகுதது

தைமான ெிதத மருததுவததின மகததுவதமத எடுததுககாடடும வமகயில நூல வடிவில தநதுளசளாம என

நமபுகினசறாம சமலும எமது மாணவரகளின ஆககததிறமனயும ஆறறமலயும பவளிபெடுததும

வமகயில அடுததடுதத வருடஙகளும எமது மாணவரகளால பவளியிடபெடNtzLk vdTk iwtidg gpuhjjpffpdNwd

KThivakar(31st BSMS)

rpjj kUjJtDfFupa yffzk

rptngUkhd top tej kUjJtkhf rpjj kUjJtk fUjggLfpwJ rpjj

kUjJtjjpd Kjdik rpjjuhf mfjjpau fUjggLfpdwhu rpjjufspDlhf gupkhwgglL

tej titjjpa Kiwapid NkwnfhsSk xtnthU itjjpaDk mjwFupa jFjp

cilatdhf Uff NtzLk kUjJtd nghJthf nkhopg GyikapYk fzpj EypYk

tdik cilatdhf Uff NtzLk

rpjj kUjJtd iwtDfF xgghf dW fzfs cilatd vd fUjggLfpdwhd

1 mopgG ndash Nehapid mopfFk kUeJ

2 fhgG ndash Neha tuhky fhfFk kUeJ

3 epiugG ndash clypy Fdwpa rjJffis epugGjy

kUjJtDfF 3 tifahd mwpT dwpaikahjJ

1 kUeJfis Jaik nraAk Kiw

2 Nehafis epjhdpfFk Kiwapy NjhT csstdhf Ujjy

3 kUeJfspd nttNtW ngaufis mwpeJ nfhsSk jdik

rpjj kUjJtDfF Kfk 5 vd $wggLfpwJ

1 IkG+jqfspd affk gwwpa mwpT

2 fUj Njhwwkgt cs cWgGffs gwwpa mwpT

3 Nehapd FzqFwpfisAkgt mjwFupa kUeJfisAk gwwpa mwpT

4 kuz epiygt kuzkyyhj epiy mwpjy

5 clypy css rjJg nghUlfs kwWk fopTgnghUlfs gwwpa mwpT

rpjj kUjJtDfF iffs 6 vd $wggLfpdwJ mjhtJ mWRitfs gwwpa

G+uz mwpT

1 dpgG

2 GspgG

3 cthgG

4 ifgG

5 fhugG

6 JthgG

rpjj kUjJtDfF cly vlL vd $wggLfpwJ mjhtJ vz tif NjhTfisg

gwwpa G+uz mwpT

rpjj kUjJtDfF fhyfs gjJ vd $wggLfpwJ mjhtJ jrthAffisg

gwwpa mwpT

kUjJtdpd taJ

10 - 20 taJ - $lhJ

30 - 40 taJ - mjkk

40 - 50 taJ - cjjkk

50 - 60 taJ - kjjpkk

90 - 100 taJ - mjkhjkjk kUjJtdpd cil

ntsis jupjJ czikahd cssjJld kUeJ nfhLjjhy Neha jPUk

gy tuz cilfsgt tpyqFfspd Njhypyhd cilfis jtphff NtzLk

kUjJtdpd cahT

Fspjjy - cly Jaik

dW Ntis G+ir nrajy

Mrpupaugt rptd tufis tzqFjy

nghJr Rfhjhujijg gpdgwWjy

flTs ekgpfif

kdj Jaik

gy Eyfis [ak jPu Muhaej mwpT

Nehafisf fzL mQrhj neQRWjp

ngupNahh elG

mdGlik

EzzwpT

jdJ kidtpiaj jtpu Vida ngzfisj jhagt rNfhjup Mf fUJjy

cly tdikgt grpj jPapd tdik gwwp mwpjy

Sinthuja Rajeswaran (33rd BSMS)

awifj jej kUjJtk

MjpapNy kdpjd Njhwwk

Mzltd toptej awifapNy

Mapuk ftp nrhyYk kdpj thofif

Mwwqfiu tdr NrhiyapNyhellip

mdW mtDfF UejitNah

Mzt Mlkgu thoifayy

mdwpUejd ntyyhNk

Mdej mdG kurNrhiyfNshellip

mejp gfyyy mtDfF

m]jkdKk epyTk jhd

mkutJ mzptJ czgit ahTk

mwGj awif NrhiyfNshellip

mowrrp mtidg gww - awifNa

mkpuj ypifahdJ

mwpthy rpjjkhfp rpjjdhy

mUkgpaJ awif kUjJtkhellip

mqf typahy teNjhiu

MwWk tyyik cilaJk

mugzpgG kUjJtKk cilaNj

Mjp top awifapd rpjjkUjJtkhellip

mdW rpjjdhy njhllij dW

MNuhffpakha NgZtJ ek kUjJtNk

mdG fyej MNuhffpaNk ndash ek

mfpy rpjj kUjJtkhellip

SJalini (33rd BSMS)

awifahd czNt dpa kUeJ

ekkpy gyh awifahff fpilfFk fhafwpfsgt gotiffsgt jhdpaqfs rpwpjsT

khjjpuk NrhjJf nfhzL clYfF xtthj czT tiffis mjpfsT clnfhstjd

yk ngUksthd Nehafis tpiy nfhLjJ thqFfpdwhhfs gpddh kUeJ khjjpiu

vd itjjparhiyfis ehLtjpNyNa KO NeujijAk nrytopffpdwdh mijtpLjJ

awifahfTk Fiwej tpiyapYk fpilfFk goqfsgt fhafwpfsgt jhdpaqfs

vdgtwiw clnfhstjpy mjpf mffiw nrYjj NtzLk

4000 rjJzTg nghUlfs

goqfsgt fhafwpfs kwWk jhdpaqfspy tpwwkpdfsgt jhJ cgGffs

KjypatwwpwF izahf edik nraAk 400 rjJzTg nghUlfs cssd Jtiu

r rjJzTfspy Rkhh 150 nghUlfs gwwp klLNk jPtpu MaTfs eleJssd

it Uja Nehagt GwW Nehagt clgl vyyh NehafisAk Xh rpwgghd uhZt

mikgGg Nghy jLjJ epWjjp ghJfhgG mspfFk Kffpa rjJzTg nghUlfshFk

it kuqfsgt nrb nfhbfspy fhzggLk urhazqfshFk

iglNlh nfkpffyfs (Phytochemicals)

ej urhadg nghUlfs ehk rhggpLk goqfsgt fhafwpfsgt jhdpaqfspy

mjpfk cssd ejg nghUlfSfNf iglNlh nfkpffy vdg ngahplgglLssJ

rpy kuqfis vejtpj G+rrpfSk mopggjpyiy fhuzk ej urhadg

nghUlfNs G+rrp mupggpypUeJ mtwiwg ghJfhffpdwJ

jffhsp ek kdijf ftUk epwjjpYkgt RitapYk UggjwF ej urhadg

nghUlfNs fhuzkhFk thiog gok czZk NghJ dpffpdwjyyth rPufk fuhkG

Kjypaitfs kUjJt FzqfSld jpfofpdwjyyth it midjjpwFk

urhadg nghUlfNs fhuzkhFk

irt czTfs

ej cahpa rjJzTg nghUlfisg ngWtjwF ehk vdd nraa NtzLk

irt czTfisNa njupT nraa NtzLk mirt czitj jtphff Kbahj kd

epiyapy Uggtuhapd thuk xUKiw 50 myyJ 100 fpuhk msT klLNk mirt

czT tiffis cztpy NrhjJf nfhssyhk

goqfsgt kuffwptiffsgt fPiutiffsgt ghygt japh vdgtwiwAk edF NrhjJf

nfhzlhy cly gUkdhfhky MNuhffpakhf thoyhk

kpsifAkgt kpsfhiaAk rikaypy jtwhky Nrhff NtzLk Mdhy msNthL

Nrhff NtzLk

ujjk ciweJ Uja milgG VwgLtijAk GwW Neha czlhtijAk

twwpy css Capsainin vdw iglNlhnfkpffy (Phytochemical) jLjJ

epWjJfpdwJ

NjhlkgorrhW mUejhj ehlfspy vYkprrk gorrhW mUeJqfs fhuzk

ttpuzL goqfspYk n`]nghplbd vdw iglNlh nfkpffy cssJ rfjp

thaej erR KwpT kUejhf clypy nrawgLfpdwJ JNt NehnajphgGr rfjpia

mjpfhpffpdwJ

Fahrplbd

Uja NehahspfSkgt Uja Nehatuhky jLff NtzLk vd epidggthfSk

Faurplbd vdw iglNlh nfkpffy mjpfk css NjePiu jpdKk mUej NtzLk

uzL Ntis ghy Nrhffhj gpNsdB FbggJ NehahspfSfF kpfTk rpwejJ

ghrpggaWgt jlilggaWgt nfhzilffliy Kjypatwwpy nfhy]Nuhiyf

FiwfFk ehhg nghUlfSld 4 tpjkhd iglNlh nfkpffyfs cssd it

ngUqFly GwWNehagt Uja GwWNeha Mfpatwiwj jLffpdwd

clYfF eyy nfhOgigAk ]Nghdp]gt vyIpf mkpyk vdw U iglNlh

nfkpffyfisAk thoewghjk gUgGgt Kejphpg gUgGgt Nthffliy Kjypait

jUfpdwd

khjtpyfFg gpurrpidgt khhgfg GwWNeha vdgd tuhky jLggjpy gyNghnuhNgdgt

gPllh fnuhlbd Nghdw urhadg nghUlfs css KlilfNfh]gt ful kwWk fPiu

tiffs cjTfpdwd

iffFjjy muprpgt rkghgt NfhJikgt NfotuF KjypatwwpYk GwWNehagt ujjf

nfhjpgG Mfpatwiwj jLfFk 5 urhadg nghUlfs cssd

NehnajphgG rfjpia jutyy gorrhwWld xU Nfhgig fhafwp nrylil jpdKk xU Ntis czgjhy vjphfhyjjpy NehnajphgG rfjpiag ngwW MNuhffpakhf thoyhk

( From RfthoT khjhej jo) Shankeerna Subendran (32nd BSMS)

gbjjjpy gpbjjJhellip

kPsg ngWNthk awif thotpay

cwTfF tukgpyiy ahtUk NfsPu

coit NghwW ePjjhiu epidjJ tho

ngupahiuJiz Nkwnfhs $lh elG jtpu

cupahiu mutizjJ cyfjij Nerp

Cupnyyyhk eykh vjjid kd tsurrp

khup tsk NflL khlL tsk NflL

Cuhu eyd NflL cwwhu eyq NflL

gzghNl NghapwNw fwWjju ahupUffhu

grp Mwpahrrh vjjid gzghL

grpfFjjhd czT mwpthd jjJtk

Cuhupd czTzLgt Cuhupd jir Rkjjy

jPuhj NehapUgNg ldquoczT jhd ed kUeJrdquo

ldquofhiy vdgNj fUffy jhdrdquo tpbejgpd JapyhNj

ldquofhiy czNt fQrpjhdrdquo ldquouT czT UlLfF Kejprdquo

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Page 61 62

- NTharshanah ( 30th BSMS)

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( From RfthoT khjhej jo)

By Shankeerna Subendran 2nd BSMS

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SMayoori(30th BSMS)

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KUmashangary32nd BSMS

jpUfFwspd mjpraqfs

jpUfFwspy jkpo vdw nrhy gadgLjjggltpyiy

jpUfFwspYss nkhjj vOjJffs 42194

jpUfFwspy jkpo vOjJffs 247 y 37 klLk lkngwtpyiy

jpUfFwspy lk ngWk U kyufs - mdprirgt Ftis

jpUfFwspy lk ngWk xNu gok - neUQrp gok

jpUfFwspy lk ngWk xNu tpij- FdWkzp

jpUfFwspy lkngww uzL kuqfs - gid qfpy

jpUfFwspy mjpfk gadgLjjggll xNu vOjJ ndash dp ( 1705)

jpUfFwspy xUKiw klLk gadgLjjggll U vOjJffs - sP q

jpUfFwspy lkngwhj xNu vz - xdgJ

jpUfFws Jtiu 26 nkhopfspy ntspteJssJ

jpUfFwis Mqfpyjjpy 40 Ngu nkhop ngajJssdu

B Renuka 33rd BSMS

isapd tpidjjpwdhd njhopwghlbwF cjTk nfhOggkpyqfs

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isapd Kjy vjpup epiwTww nfhOggkpyqfs it epidthwwiyAk fwFk jpwidAk rPuFiyfFk Mono unsaturated fatty acids epidthwwiy tsufff$bad Poly

unsaturated fatty acids isfF edik nratNjh jPik nratNjh gadgLjJk tiffshd xNkfh-3gt xNkfh-6 nfhOggkpyqfisg nghWjJssJ

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nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

epiwTww nfhOggkpyqfs(

saturated fatty acids)

KjypatwwpypUeJ xNkfh-6 ngwggllJ t czT KiwahdJ ehfuPf tsurrpapd ceJjyhy ghupa khwwjij fzLssJ e epiyapy xNkfh-3 I tpl xNkfh-6 czTfis czZk msT 20 klqF $bAssjhf Muhlrpahsufs $Wfpdwdu jjifa khwwkhdJ KdNdhu kuGtop(genstic origins) czTKiw goffjjpwF KwwpYk khWgllJld awifia khwwpf nfhzljhy ayghf tsuNtzba cly Kjpurrp tpiuthf Vwgl fhuzkhfpAssJ jdhy gyNtW ehlgll Nehafs(chronic

diseases) Gay Ntf tsurrp ngwWssd

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44g mstpy xNkfh -6 gt12 Nkirffuzb Nrhah vziz myyJ kuffwp vziz myyj Nrhs vziz

650mg xNkfh-3 fly czTfspy UeJk ( ePzl rqfpyp xNkfh-3)

22g ( FWfpa rqfpyp xNkfh-3) thJikfnfhlil ( walnut) gt grir fhafwpfspy UeJk ngwggLk

fFwpggpll msTfspy czTfis czgjdhy xNkfh-3 kwWk xNkfh-6 clypy ruprk msTfspy clypy mlueJtpLfpdwd ej ruprk msTfspy isffyqfs kwWk cly fyqfspd nrawghLfs rPuhf xOqFgLjjggLfpdwd fyqfis mopfFk msurrpffhuzpfs KlffggLfpdwd ehk czZk cztpy Nrhah vziz myyJ Nrhs vziz twiwjjLjJtplL fLF vziz myyJ xypt vziz gadgLjjyhk fLF vziz xNkfh-3 mjpfk cssJ xypt vziz xNkfh-3 mjpfk cssJ xypt vziz isia ghJfhfFk

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disability)gtftdfFiwT(Attention deficit)gtis mrjpNeha(Schizopherenia)gtisia rpijTfF csshfFk Nehafs(Neurologycal degenerative

disease)gtkJgghtid(Alcoholism)gtmjpfNfhgk(Irritability)gtgifik(Hostility)gtftdkpdik(Po

or consenration)gtMfNuhrk(Aggressive)gttdKiw(Violence)gtfwwy FiwghL(Dyslexia)gtKJik

miljy(Senility)gtjjfa kd rPuNfLfSfF xNkfh-3 CllrrjJ gwwhfFiwNa mbggilf fhuzk

xNkfh-3 nrawgLk tpjk

isapd eukGfid xwiw kpddZ cUG( free radicals ) mopggij vjpujJ nrayoffr nrafpdwd

kpifahd Neha vjpugG nrawghLfspd yk eukGfis mopfff $ba jhgpjjjpy UeJ ghJfhffpdwJ

eukGffljjpfspd ( Neuro transmitters) nrawghLfis rPugLjJfpwJ

eukGfyqfspd mbggil nrawghLfis eukGfNs khwwpfnfhss cjTfpwJ

isfFupa czTfs fzlwpagglljd mbggilapy

1 kPd kwWk kPd vziz xNkfh-3 2 jhtu vzizfs ( vegitable oils) xNkfh-6

mjhtJ xNkfh-3 y Kffpa 2 nfhOggkpyqfs cssd mitahtdgt Docosahexaenoic

acid ndash DHA Eicosapntaenoic acid ndash EPA MFk jpy Docosahexaenoic acid is nfhOgGffspd murd vd tuzpffggLfpwJ

ehk czZk kPdfspd rpwgG

kPdfs ePughrpfis kpifahf czfpdwd ej ghrpfs xNkfh cUthfFk KdNdhb ( precursor) jdhy kPdpd clypy ghrpfs Docosahexaenoic acid Mf khwwggLfpdwd

kPdfs kPdfisNa czfpdwd mjdhy kPdpd clypy Docosahexaenoic acid kwWk Eicosapntaenoic acid msT kpFjpahfpwJ kPdfspy xNkfh-3 kpifahf UggjwF itNa fhuzk kPd xU mUikahd is czT

xNkfh-3 kwWk fwwy FiwghL( Dysexia)

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xNkfh nfhOgGffs gwwhfFiw mwpFwpfs

msTfF Nky jzzPu jhfk

mbffb rpWePu fopjy

cyueJ fhzggLk Njhy

fhaeJ Nfhiu Nghy fhzggLk kapu

jiyapy nghLF

iffsgtnjhilfsgtNjhsfspygtrpwpa fbdkhd rpW flbfs(Bumps)

kPd czT gwwp CllrrjJ Muharrpahsufs

kPd- is czT vggb

ekJ EzzwpTjjpwDfFgt mikjpahd kd epiyfFgt kd jsurrpia jtpuggjwFgt kdk miyghahky xdwpy epiyggjwFgt $uikahd ftdjjpwF kPdjhd rpwej is czT

ngz fUTWtjwF uzL MzLfSfF KdNg kPd czzj njhlqf NtzLk tho ehs KStJk kPd czz kpFej gaidj jUk

lsquois eyNd ek thofif eykrsquo vdgJ awif tpjp is rPuhf aqf NtzLkhdhy ekJ vzzk nray uzLk rpwgghf Uff NtzLk isapd kpfrrpwpa rPuNfL ekJ nray jpwid jsujjptpLfpwJ vdwhYk jjfa tpisTfis ekkhy czuKbtjpyiy is eyk NgZtjwnfdW vttpj kUeJk fzLgpbffggltpyiy capu rjJffsgt fdpAgGffsgt capu nghUs vjpupfs kwWk dwpaikah xNkfh-3gtxNkfh-6 MfpaitNa jpy JizGupfpdwd twwpd mbggilapy is czTfis clnfhzL is eyk fhgNghkhf

Reference rpt tyyhsd r(2007)isfF czT(kUjJt Muharrp tpsffk)

PVThillany(29th BSMS)

Vdpej khwwk

mdnwhU fhykhelliphellip

gRik mdidapd ghr mizggpy

jtzL fplejdu mtzpapy- kheju

grir gNryd guej Gy ntspAk

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thrk gupzkpfFk tzz kyufSknjdNdhiy $iuAk nrkkz jiuAk

mlffisia myqfupfFk kzghidfSkmQrdk jPlba mofpa eqifAk

fkGk Nfs tuFk gyh iyf$Ok

$bf FbjJ fspjjpll fhyk

nghUSfF nghUNs gzlkhwW

XaTfF xJffpa jhuhs Neuk

gpukk K$ujjjpy fztpopjnjOjYk

fisjJk rhaejdu - gRk Gw ghapy

gRik Gulrrp vd khwwjij Ntzb

khwwjjpd ghijapy njhiyjjdu thoit

aejpu thofif yyhj Neuk

m]nglNlh] rPlLk nfhqfpwPl tPLk

capiufnfhyYkgpsh]bf ghtidAk

ifgpupl khLfs fdjij $lLk

neUqfpa tPLk mOejpa rRk

nrawif mofhy kpspUk eqifAk

mtru czTfs IrPAtpwF mioff

cUkhwpgNghd ltd clYk

fhyjjpd khwwjjpy njhiyej thoit

rpeijfFs rpejpff kWjj kdpjh

rhitj Njb cd gazk njhlutij

vkidf fzL jhd njspeJ nfhsthNa

BTharshika

29th BSMS

KjjpiufSk eukGfSk

dW ehk gadgLjJk Kjjpiufs ekfF NtzLkhdhy Gjpait Mdhy

fhyjjpwNfh it edF goffkhdit vdw czikia ehk VwW nfhss NtzLk

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Kjjpiufs vdgJ xUtif FwpaPL MFk ekfF njhpej mstpy mJ ntWkNd

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cUtglKk ghufFk NghJ njupAk rpd Kjjpiuahd ekfF ntWkNd iwtopghL

vdW ehk epidffpdNwhk mJ mjidAk jhzb tuk GsspfSld rkgejkhdit

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filggpbjjy kpfTk eyyJ

SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

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khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

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M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

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ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

4 mjjpf fhapd gpQRfisg grirg gaW NrhjJ Kiwggb rikjJ czz clwLgt kyfflL ePqFk Njfk tdik ngWk

5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

9 MkzfF iyia rpwwhkzfnfznza jltp mdypy thlb ghytwwpa ngzfspf khhgpy Nghl ghy RufFk tthW nraJ rpWf mupeJ KbrR flb Mrdjjpy xwwlk

l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

Nrhupahrp] Gsspfs nghLFNghdw rpwpa gilfs njhlffk ngupa mstpyhd jbgGfSld guej mstpYk Vwglyhk

ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

Plaque psoriasis(gpNsf Nrhupahrp]) o nghJthf Vwglf$bagt cyuejgt jbjjgt rptej Njhy(plaques)gt rpytu

epwkhd nrjpypdhy lgglbUfFk

o ej plaques fllhakhf fbiaNah myyJ typiaNah nfhzbUfFk mjJld rpwpa mstpNyh myyJ gueJglljhfNth fhzggLk

o gpwgG cWgGffsgt thafFopapd clGwk vdgd csslqfshf clypd vggFjpapNyDk Njhdwf$Lk

Nail psoriasis(neapy Nrhupahrp]) o Nrhupahrp] MdJ if fhy tpuy efqfis ghjpfFk epiyia

tthW mioggu mjpy efqfspy Fopfs tpOjygt toikfF khwhd ef tsurrp kwWk efqfspy epwk khwwkiljy vdgd Vwglyhk

o ttif efqfs nail bed vdggLk efggLfifapypUeJ gpuptilAk jid onycholysis vdgu jPtpu epiyikfspy efkhdJ crumble Mf khwwkilAk

Guttate psoriasis(fwNuw Nrhupahrp]) o ej tif Nrhupahrp] ngupJk ghjpggJ isNahu kwWk

gpsisfisahFk J toikahf gfuPupahffshy njhzilapy VwgLk xUtif njhwWf fhuzkhf(strep throat) KLffptplggLfpwJ

o jidg ghuggjwF rpwpajhfTkgt ePujJspfs Nghdw tbtKilajhfTk fhzggLk it KzljjpYkgt if fhyfspYkgt jiyapYk gutpf fhzggLk

e epiyapy Ezzpa nrjpyfs fhzggLkgt jbjj plaque fhzgglhJgt jhdhfNt kiwAk vdpDk kPzlk kPzLk NjhdWk

Inverse psoriasis(dNtu] Nrhupahrp]) o it gpujhdkhf jhfFtJ mfFs gFjpfs(armpits) kwWk

ftlLggFjpfs(groin)gt khugfqfspd fPoggFjp(under the breast) kwWk dgngUff cWgGfisr oTss gFjpfisahFk(genitals) qF jbgGffs mww rptej Gsspfs fhzggLkgt ghjpffggll Njhypy cuhaTfsgt ntbgGfs vdgdTkgt tpauitAk fhzggLk gqfR njhwWffs ej tifahd Nrhupahrp] epiyia KLffptplyhk

Pustular psoriasis(g]bA+yu Nrhupahrp]) o J nghJthf VwgLtjpyiy vdpDk guej xU Nrhupahrp] gilapy

Vwglyhk(gentralized pustular psoariasis) iffsgt ghjqfsgt tpuy Edpfs Nghdw rpwpa ghfqfspyp Vwglyhk

it nghJthf Ntfkhf NjhdwptpLkgt jpypy rpwpa rPo epukgpa nfhggsqfs fhzggLk rpy kzp Neujjpd gpddu mej NjhygFjp rptejjhfTk njhLk NghJ Ntjid jUtjhfTk fhzggLk

nfhggsqfs mbffb Njhdwp kiwAk ehd NkNy $wpggpll gentralized pustular psoariasis epyikapy fharry eLffk fLikahd fb ePujjdikahf kyk mbffb fopjy(diarrhea) vdgd fhzgglyhk

Rythrodermic psoariasis(vupjNjhNlkpf Nrhupahrp]) o J kpf kpf mupjhd xdW jpy cly KwwhfTk rpteJ

cupaf$ba gil fhzggLk mjJld fb myyJ vuprry fhzggLk

Psoariatic arthritis(Nrhypahbf Mjjpiurp]) o Nrhupahrp] Njhypy VwgLjJk gpurrid xU GwkpUff jwF

$Ljyhf Nrhupahbf Mjiub] vdgJ llffspy tPffjijAk typiaAk VwgLjJfpdw epiyikahFk rpy rejugqfspy lLffspy VwgLk ej gpurrpid Kjypy ntspffhllgglL mjid njhlueJ efqfspy Fop tpOjy Nghdw khwwqfs Vwglyhk mjd gpddu NjhYk ghjpffgglyhk jd ghjpgGfs rpwpa msT Kjy jhqf KbahjtiufFk NtWglyhk

o J vej tif lLffis NtzLkhdhYk ghjpffyhk mjJld lLffspd mirit flLggLjjp mjd fllikgGfis ghjpjJ mjpy epuejukhd khwwjij $l VwgLjjyhk

Nrhupahrp] tUtjwfhd fhuzqfs

czikapy Nrhupahrp] tUtjwfhd fhuzk vdgJ rupahf njupahj xdwhfNt UffpdwJ

MapDk J cqfs immune system vdggLk NehnajpugG nghwpKiwAld njhlughdJ mjpYk ej NehnajpugG nghwpKiwapy gqFtfpfFk t fyqfs (t cells) eLepiyffyqfs (neutophils) njhlughdJ

t cells toikahf clnyqFk Rwwp clypYss cly fyqfs myyhj gpw nghUlfis (foreign substance) vjpujJ mopfFk Ntiyapy gqnfLffpdwJ cjhuzk viruses and

bacteria

Mdhy cqfSfF Nrhupahrp] Uejhy t cells jtWjyhf cqfspd Njhy fyqfis mopffpdwd vdW nghUs

over active t cells MNuhffpakhd Njhy fyqfs cwgjjpahtij JzLfpdwd mjJld mjpf t cells and neutrophils $l

it Njhiy Nehffp nrdW mjpy ujjf Fohafis tpuptilar nraJ mqF rptej jdikiaAk(Redness) lbidAk rpyNtis rPo nfhzl nfhggsqfisAk(pustular

lesion) VwgLjJfpdwd

mjdhy NjhyhdJ rhjhuzkhdij tpl mbffb GJggpffgglLf nfhzbUfFk mjhtJ fyqfs wggJk GJggpffggLtJk kpf Ntfkhf eilngWk jdhy Njhy jbgghfpdwJ nrjpyfs NjhdWfpdwJ

Vd tthW T cells jtWjyhf tthW njhopwgLfpdwd vdW rupahf njupatpyiy Mathsufs J xU ghukgupak kwWk RwWroy rhuej tplakhf Uffyhk vd ekGfpdwdu

MVithurshana

30th BSMS

Njhy NehafSffhd rpy kUjJtf FwpgGffs

FgigNkdp iyfis kQrSld miujJ fugghdgt fpuejpfSfF ntspgG+rrhf G+ryhk

Ntggk iyia kQrSld miujJ nrhwp rpuqFfSfF g+ryhk fpuejpehafd nrbapy UeJ ngwggll rhwiw Njqfha vzizAld fyeJ

fharrp mjid fpuejpfSfF G+ryhk Fggpsha iyrrhwWld NjrpgGsp tplliujJg gir Nghy vLjJ nrhwp

rpuqFfSfFg G+ryhk f]Jup kQris miujJj NjajJf Fspff fugghdgt Gz ePqFk Gqfk NthgliliapypUeJ gpopej ghiy rpuqFgt fugghDfF G+rptu ePqFk Gqfk NthgglilapypUeJ mtpjj FbePiu rpuqFgt fugghDfF G+rptu ePqFk G+turk G+it miujJ rpuqFfSfspd kPJ flb tuyhk G+turk fhagt glilia vzizAld fharrp Njhy NehafSfF gadgLjjyhk mdprir iyfis kQrSld NrhjJ gir Nghy miujJ rpuqF kwWk

njhwWfshy Vwgll Njhy NehafSfF G+ryhk NjsnfhLfF iyrrhwiw rk msT Njqfha vzizAld fharrp tww itjJ

rpuqFgt fugghDfF G+ryhk Mthuk G+Tld ghrpggawiw NrhjjiujJ eikrrygt nrhwpfSfF NjajJ

Fspffyhk rufnfhdiw iyfis NjrpgGsp tplliujJ clypy NjajJ Fspff Njkygt

Nrhwpgt fugghd ePqFk rufnfhdiw G+it vYkprrkgorrhW tplliujJ clkgpy NjajJf Fspff

Njkygt nrhwpgt rpuqFgt fugghd ePqFk MLjPzlhgghiy rhwWld mNjasT eynyziz $lb vupjJ gfFt gjjjpy

tbflb fUkgilgt fugghDfF g+ryhk rptfueijfgt nfhlil fueij iyia epoypy cyhjjpg nghb nraJ jpdk 1

Ntis frac12 -1 fuzb vLff fugghd Nghdw Nehafs jPUk tzLnfhyyp iyia bjJ ngww rhwwpDs NjrpgGsp tplL mejr rhwiw

tbflb G+ryhk tzLnfhyyp rhwWfFr rk msT Njqfha vznza fyeJ frac12 gqfhf fharrp

tllffbfF G+ryhk fhhNghfhprpia ghypy fharrp vLjJ Rjjp nraJ ntapypy itjJ vLjJ

mjid Njqfha vzizAld fharrp cUll jphp Nghy tUk gjjjpy wffp Fggpapy miljJ ntzgilfF gadgLjj FzkhFk

SMithushy ( 31st BSMS)

kdpjk njiyej thoT

eyYssk nfhzl koiyaha

ePAk kzzpy tejhNah

R+J nfhzl tTyfpy

fglk gofp tsuejhNah

kyufspy gyypdk mofhf

kdpjupy gyypdk NtwWikahf

ePNa tFjj tpjpfnsyyhk

cdid Ms tpLthNah

vqNf fwwha gpuptpid

vdW fwwha tQrid

mdgpd tyyik Gupahky

MAjk Vejy mwpejhNah

rhjp d kj Ngjqfs

it klLk cdid gpupffpwJ

Nfll kdKk FzKk NrueNjjhd

cdid jdpikapy itffpwJ

Ntfkha tsUJ tpQQhdk

mjdhNy mopAJ nkQQhdk

kdpj cssk cwqfpf fplfifapNy

aejpu kdpjd klLk elffpdwhd

tpgjjpidf fzl khjjpujjpy

capiuffhff Kidahky

Gifggljjpy ePAk mlfFfpdwha

mij gjpNtwwp Gfis NjLfpdwha

vqNf NghdJ uffFzk

qNf vQrpaJd nghwhikNa

elgpdpy nrafpdwha JNuhfk

ePAk mOfpdwha mjdhNy

kdpjk njhiyej kdpjNd

mopit ePNa NjLfpwha

cwtpd gpizggpy fyffhky

cwit ePNa nfhyYfpwha

Nfhgqfs cssd ntdwplNt

cdid ePNa nfhyYfpdwha

rpjjd nrhdd topfspNy

kdij mlff KaythNa

czik xdNw njspT jUk

nghaapid ePAk kweJtpL

nfhLk nrhwfis ePffp ePAk

dpikaha Ngrp caueJ tpL

cdfFs cdid fzLgpb

xOffjij xOqfha gpdgwW

mdghy cyif xdwpizjJ

dgk rpwff thoeJ tpL

NHarishanth(31st BSMS)

JKeerthika ( 30th BSMS)

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A Nuhabanu(33rd BSMS)

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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Mohanashanth(32rd BSMS)

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STheyigah(30th BSMS)

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nrytp[PtuhrhfPujjpfh

30th BSMS

xdwpa nrayhsu kdjpypUeJhelliphellip

vkJ Jiwapy xU jrhgjfhy jtjjpd Ngwhf ttUlk vk xdwpajjpdhy

rpjjkUjJt jo - 20152016(2018) kyuTssij epidjJ mfk kfpofpdNwd jwF mUsghypjj vyyhk tyy iwtdpd jpUtbfis tzqfpf nfhzLgt Mrhdha Nfhypdwp Nfhgkpdwp NghjpfFk NjLjy jejpLkgt NjltplhJ jtnwyyhk jpUjjpLk tdnrhyypyyhJ vd cyfhapUfFk kdpjNuapdwp NghdhYk Gjjfk NghJk

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மனித உயிரகள மகததுவம பெறறpட மனம gt nமhழிgt பமயயால பதாணடு பெயது தமிழுககும தமிழ

மருததுவததிறகும பெருமம செரததவரகள ெிததரகள அவரகளால உயிர பகாடுககபெடடு ெல

ொிணாமஙகமள அமடநது இனறு கமழதசதெ நாடுகள மடடுமனறி சமமலதசதய நாடுகளிலும

செெபெடும மருததுவமாக ெிதத மருததுவம வளரநது வருகினறது இததமகய பெருமமகள பகாணட

ெிதத மருததுவதமத கறகும யாழபொண ெலகமலககழக ெிதத மருததுவ துமறயில கலவி ெயிலும

மாணவரகள ொரொக ெிதத மருததுவ மாணவர ஒனறியததினால வருடாநத இதழ பவளியிடபெடடு

வருகினறது அசத சொல இநத வருடமும 20172018 மாணவர ஒனறியததினால நூல

பவளியிடுவமத இடடு உதவி இதழாெிாியர எனற வமகயில மடடிலலா மகிழசெி அமடகினசறன ஒரு

நூல பவழியடு எனெது ெல இனனலகமளயும தியாகஙகமளயும தாணடி எழுதது வடிவில இருநது நூல

வடிவில உயிர பெறறு எழுவதாகும இனறு உஙகள மககளில தவழநது பகாணடிருககும இநநூலுககும

இதழாெிாியரgt விாிவுமையாளரகள மறறும மாணவரகளின ெஙகளிபபு வாரதமதகளால வரணிகக

முடியாது இநநூலிறகாக உறொகததுடன ஆககஙகள தநத ெக மாணவரகளின ஆககஙகமள ெல

சவமலப ெழுககளுககு மததியில ொி ொரதது விாிவுமையாளரகளால தைபெடட ஆககஙகமள பதாகுதது

தைமான ெிதத மருததுவததின மகததுவதமத எடுததுககாடடும வமகயில நூல வடிவில தநதுளசளாம என

நமபுகினசறாம சமலும எமது மாணவரகளின ஆககததிறமனயும ஆறறமலயும பவளிபெடுததும

வமகயில அடுததடுதத வருடஙகளும எமது மாணவரகளால பவளியிடபெடNtzLk vdTk iwtidg gpuhjjpffpdNwd

KThivakar(31st BSMS)

rpjj kUjJtDfFupa yffzk

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tej titjjpa Kiwapid NkwnfhsSk xtnthU itjjpaDk mjwFupa jFjp

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Page 61 62

- NTharshanah ( 30th BSMS)

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Reference ahoghz kffspd irt czT gofftoffqfs( jkpou thotpy rpjj

kUjJtk)DrSSivasanmugarajah MD(S)

Rtpjah~pdp(33rd BSMS)

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( From RfthoT khjhej jo)

By Shankeerna Subendran 2nd BSMS

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SMayoori(30th BSMS)

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KUmashangary32nd BSMS

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B Renuka 33rd BSMS

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nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

epiwTww nfhOggkpyqfs(

saturated fatty acids)

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diseases) Gay Ntf tsurrp ngwWssd

xNkfh-6 czTfis kpFjpahf czgjhy isffyqfspy jhgpjk VwgLjjggLfpwJ J isia NguopT oepiyfF jsSfpwJ J is mopT(brain distruction)gt ghuprthjk(stroke)gt kdepiy khwwjjhy tUk Nehafs(mood disorders)gt kd rpijT Neha (schizophrenia)gt is mrjp Neha(alzheheimer) Nghdw isia rpijTfFsshfFk Nehafs(neuro degenerative disease) VwgLjJk vdNt isfF vJ Kffpak vdwhy czZk xNkfh-3 xNkfh-6 Mfpatwwpd msTfs myy mit uzbd tpfpj msT ej uzL nfhOggkpyqfspYk clypy rk msT Uejhy mJNt kpfrrpwej clyey ghJfhgG is rPuhf crrfll jpwNdhL nrawgl NtzLkhdhy ehk czzNtzba cztpy xNkfh-6 xNkfh-3 13 Mf Ujjy NtzLnkdW Muhlrpahsufs $Wfpdwdu jdgb xUehisfF 2000 fNyhup czT czgtufspwFgt

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650mg xNkfh-3 fly czTfspy UeJk ( ePzl rqfpyp xNkfh-3)

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disability)gtftdfFiwT(Attention deficit)gtis mrjpNeha(Schizopherenia)gtisia rpijTfF csshfFk Nehafs(Neurologycal degenerative

disease)gtkJgghtid(Alcoholism)gtmjpfNfhgk(Irritability)gtgifik(Hostility)gtftdkpdik(Po

or consenration)gtMfNuhrk(Aggressive)gttdKiw(Violence)gtfwwy FiwghL(Dyslexia)gtKJik

miljy(Senility)gtjjfa kd rPuNfLfSfF xNkfh-3 CllrrjJ gwwhfFiwNa mbggilf fhuzk

xNkfh-3 nrawgLk tpjk

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eukGffljjpfspd ( Neuro transmitters) nrawghLfis rPugLjJfpwJ

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ehk czZk kPdfspd rpwgG

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Reference rpt tyyhsd r(2007)isfF czT(kUjJt Muharrp tpsffk)

PVThillany(29th BSMS)

Vdpej khwwk

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BTharshika

29th BSMS

KjjpiufSk eukGfSk

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filggpbjjy kpfTk eyyJ

SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

lL typia NghfFk ldquoKlffjjhd fPiurdquo

Ukygt ffilgGgt FzkhfFk ldquofwG+utssprdquo (Xktyyp)

ePupopT Neha FzkhfFk ldquomiuffPiurdquo

thagGzgt Fly Gzfis FzkhfFk ldquokzpjjffhsprdquo

cliyg nghddpwkh khwWk ldquonghddhqfzzp fPiurdquo

khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

is typikfF Xh ldquoggghspg gokrdquo

ePupopT Nehia FzkhfFk ldquoKssqfprdquo

thAj njhyiyapypUeJ tpLgl ldquontejaf fPiurdquo

ujj mOjjjij FzkhfFk ldquoJsrprdquo

khhGr rsp ePfFk ldquoRzilffhardquo

rspgt M]JkhTfF ldquoMlhNjhilrdquo

Qhgf rfjpiaf nfhLfFk ldquotyyhiurdquo

ujjNrhifia ePfFk ldquogPwWlrdquo

[Puz rfjpia mjpfggLjJk ldquomddhrp gokrdquo

Kb eiuffhky Uff ldquofyahz KUqifrdquo ldquoKsKUqifrdquo

khuGr rspgt Ukiy FzkhfFk ldquoJJtisrdquo

Kfk moF ngw ldquojpuhlirg gokrdquo

M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

clw L FiweJ fz Fsphik ngWkgt kykpsfpg NghFk 2 mffuhfhujjpy 2g msT vLjJj jlb thapyplL nkdW mlfFk NghJ RufFk

ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

4 mjjpf fhapd gpQRfisg grirg gaW NrhjJ Kiwggb rikjJ czz clwLgt kyfflL ePqFk Njfk tdik ngWk

5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

9 MkzfF iyia rpwwhkzfnfznza jltp mdypy thlb ghytwwpa ngzfspf khhgpy Nghl ghy RufFk tthW nraJ rpWf mupeJ KbrR flb Mrdjjpy xwwlk

l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

Nrhupahrp] Gsspfs nghLFNghdw rpwpa gilfs njhlffk ngupa mstpyhd jbgGfSld guej mstpYk Vwglyhk

ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

Plaque psoriasis(gpNsf Nrhupahrp]) o nghJthf Vwglf$bagt cyuejgt jbjjgt rptej Njhy(plaques)gt rpytu

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o ej plaques fllhakhf fbiaNah myyJ typiaNah nfhzbUfFk mjJld rpwpa mstpNyh myyJ gueJglljhfNth fhzggLk

o gpwgG cWgGffsgt thafFopapd clGwk vdgd csslqfshf clypd vggFjpapNyDk Njhdwf$Lk

Nail psoriasis(neapy Nrhupahrp]) o Nrhupahrp] MdJ if fhy tpuy efqfis ghjpfFk epiyia

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o ttif efqfs nail bed vdggLk efggLfifapypUeJ gpuptilAk jid onycholysis vdgu jPtpu epiyikfspy efkhdJ crumble Mf khwwkilAk

Guttate psoriasis(fwNuw Nrhupahrp]) o ej tif Nrhupahrp] ngupJk ghjpggJ isNahu kwWk

gpsisfisahFk J toikahf gfuPupahffshy njhzilapy VwgLk xUtif njhwWf fhuzkhf(strep throat) KLffptplggLfpwJ

o jidg ghuggjwF rpwpajhfTkgt ePujJspfs Nghdw tbtKilajhfTk fhzggLk it KzljjpYkgt if fhyfspYkgt jiyapYk gutpf fhzggLk

e epiyapy Ezzpa nrjpyfs fhzggLkgt jbjj plaque fhzgglhJgt jhdhfNt kiwAk vdpDk kPzlk kPzLk NjhdWk

Inverse psoriasis(dNtu] Nrhupahrp]) o it gpujhdkhf jhfFtJ mfFs gFjpfs(armpits) kwWk

ftlLggFjpfs(groin)gt khugfqfspd fPoggFjp(under the breast) kwWk dgngUff cWgGfisr oTss gFjpfisahFk(genitals) qF jbgGffs mww rptej Gsspfs fhzggLkgt ghjpffggll Njhypy cuhaTfsgt ntbgGfs vdgdTkgt tpauitAk fhzggLk gqfR njhwWffs ej tifahd Nrhupahrp] epiyia KLffptplyhk

Pustular psoriasis(g]bA+yu Nrhupahrp]) o J nghJthf VwgLtjpyiy vdpDk guej xU Nrhupahrp] gilapy

Vwglyhk(gentralized pustular psoariasis) iffsgt ghjqfsgt tpuy Edpfs Nghdw rpwpa ghfqfspyp Vwglyhk

it nghJthf Ntfkhf NjhdwptpLkgt jpypy rpwpa rPo epukgpa nfhggsqfs fhzggLk rpy kzp Neujjpd gpddu mej NjhygFjp rptejjhfTk njhLk NghJ Ntjid jUtjhfTk fhzggLk

nfhggsqfs mbffb Njhdwp kiwAk ehd NkNy $wpggpll gentralized pustular psoariasis epyikapy fharry eLffk fLikahd fb ePujjdikahf kyk mbffb fopjy(diarrhea) vdgd fhzgglyhk

Rythrodermic psoariasis(vupjNjhNlkpf Nrhupahrp]) o J kpf kpf mupjhd xdW jpy cly KwwhfTk rpteJ

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Psoariatic arthritis(Nrhypahbf Mjjpiurp]) o Nrhupahrp] Njhypy VwgLjJk gpurrid xU GwkpUff jwF

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Nrhupahrp] tUtjwfhd fhuzqfs

czikapy Nrhupahrp] tUtjwfhd fhuzk vdgJ rupahf njupahj xdwhfNt UffpdwJ

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it Njhiy Nehffp nrdW mjpy ujjf Fohafis tpuptilar nraJ mqF rptej jdikiaAk(Redness) lbidAk rpyNtis rPo nfhzl nfhggsqfisAk(pustular

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MVithurshana

30th BSMS

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SMithushy ( 31st BSMS)

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NHarishanth(31st BSMS)

JKeerthika ( 30th BSMS)

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SThuvanikara(31st BSMS)

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RDurkaa(31st BSMS)

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

MissKugarani Konesswaran(29th BSMS)

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Author kUjJth fhrp gprir

SIndusiya(32nd Batch)

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ldquoYour Health is Your Real Wealthrdquo

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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Mohanashanth(32rd BSMS)

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STheyigah(30th BSMS)

cly typik ngw

fzfisg ghJfhff

fhJ NehafSffhf

tapwWf NfhshWfs Fzkhf

32 Nahf Kiwfs

R+hpa ek]fhuk

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rpu Nahfhrdqfs

GIqfhrdk

ry ghrdk

`yhrdk

jDuhrdk

ruthqfhrdk

kj] ahrdk

Nahf Kjuhrdk

gjj Nfhzhrdk

k]up Nkhjjhrdk

ehb Nrhjid gpuhzhahkk

mDNyhk tpyhk gpuhzhahkk

Rthrdk

33 jkpoh vqNfhellip (ftpij)

34 Qrp RfF fLffha

35 gpuzhahkk

36 thoTfFfej tsSt newp

37 MNuhffpa czT

38 thoitfFk thioAk MwitfFk mjjpAk

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40 ePh dwp mikahJ cyF

41 rpjj kUjJt Gfo gugGNthk (ftpij)

42 jilfisj jhzb

43 Common Medical Abbreviations

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30th BSMS

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மனித உயிரகள மகததுவம பெறறpட மனம gt nமhழிgt பமயயால பதாணடு பெயது தமிழுககும தமிழ

மருததுவததிறகும பெருமம செரததவரகள ெிததரகள அவரகளால உயிர பகாடுககபெடடு ெல

ொிணாமஙகமள அமடநது இனறு கமழதசதெ நாடுகள மடடுமனறி சமமலதசதய நாடுகளிலும

செெபெடும மருததுவமாக ெிதத மருததுவம வளரநது வருகினறது இததமகய பெருமமகள பகாணட

ெிதத மருததுவதமத கறகும யாழபொண ெலகமலககழக ெிதத மருததுவ துமறயில கலவி ெயிலும

மாணவரகள ொரொக ெிதத மருததுவ மாணவர ஒனறியததினால வருடாநத இதழ பவளியிடபெடடு

வருகினறது அசத சொல இநத வருடமும 20172018 மாணவர ஒனறியததினால நூல

பவளியிடுவமத இடடு உதவி இதழாெிாியர எனற வமகயில மடடிலலா மகிழசெி அமடகினசறன ஒரு

நூல பவழியடு எனெது ெல இனனலகமளயும தியாகஙகமளயும தாணடி எழுதது வடிவில இருநது நூல

வடிவில உயிர பெறறு எழுவதாகும இனறு உஙகள மககளில தவழநது பகாணடிருககும இநநூலுககும

இதழாெிாியரgt விாிவுமையாளரகள மறறும மாணவரகளின ெஙகளிபபு வாரதமதகளால வரணிகக

முடியாது இநநூலிறகாக உறொகததுடன ஆககஙகள தநத ெக மாணவரகளின ஆககஙகமள ெல

சவமலப ெழுககளுககு மததியில ொி ொரதது விாிவுமையாளரகளால தைபெடட ஆககஙகமள பதாகுதது

தைமான ெிதத மருததுவததின மகததுவதமத எடுததுககாடடும வமகயில நூல வடிவில தநதுளசளாம என

நமபுகினசறாம சமலும எமது மாணவரகளின ஆககததிறமனயும ஆறறமலயும பவளிபெடுததும

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KThivakar(31st BSMS)

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Sinthuja Rajeswaran (33rd BSMS)

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SJalini (33rd BSMS)

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( From RfthoT khjhej jo) Shankeerna Subendran (32nd BSMS)

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SIndusiya (32nd BSMS)

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Page 61 62

- NTharshanah ( 30th BSMS)

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By Shankeerna Subendran 2nd BSMS

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KUmashangary32nd BSMS

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jpUfFwspy lk ngWk U kyufs - mdprirgt Ftis

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B Renuka 33rd BSMS

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acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

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xNkfh-3 nrawgLk tpjk

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ehk czZk kPdfspd rpwgG

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jiyapy nghLF

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kPd czT gwwp CllrrjJ Muharrpahsufs

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ngz fUTWtjwF uzL MzLfSfF KdNg kPd czzj njhlqf NtzLk tho ehs KStJk kPd czz kpFej gaidj jUk

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Reference rpt tyyhsd r(2007)isfF czT(kUjJt Muharrp tpsffk)

PVThillany(29th BSMS)

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BTharshika

29th BSMS

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ghhjjhy

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Nkyjpf jftyfisg ngwyhk

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nraAk NghJ rpwej guid ngwyhk tshgpiwfspy Mukgpjjy Nghdwtwiw

filggpbjjy kpfTk eyyJ

SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

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khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

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ePupopT Nehia FzkhfFk ldquoKssqfprdquo

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[Puz rfjpia mjpfggLjJk ldquomddhrp gokrdquo

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M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

clw L FiweJ fz Fsphik ngWkgt kykpsfpg NghFk 2 mffuhfhujjpy 2g msT vLjJj jlb thapyplL nkdW mlfFk NghJ RufFk

ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

4 mjjpf fhapd gpQRfisg grirg gaW NrhjJ Kiwggb rikjJ czz clwLgt kyfflL ePqFk Njfk tdik ngWk

5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

9 MkzfF iyia rpwwhkzfnfznza jltp mdypy thlb ghytwwpa ngzfspf khhgpy Nghl ghy RufFk tthW nraJ rpWf mupeJ KbrR flb Mrdjjpy xwwlk

l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

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ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

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czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

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FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

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vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

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NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

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fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

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FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

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kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

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Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

Nrhupahrp] Gsspfs nghLFNghdw rpwpa gilfs njhlffk ngupa mstpyhd jbgGfSld guej mstpYk Vwglyhk

ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

Plaque psoriasis(gpNsf Nrhupahrp]) o nghJthf Vwglf$bagt cyuejgt jbjjgt rptej Njhy(plaques)gt rpytu

epwkhd nrjpypdhy lgglbUfFk

o ej plaques fllhakhf fbiaNah myyJ typiaNah nfhzbUfFk mjJld rpwpa mstpNyh myyJ gueJglljhfNth fhzggLk

o gpwgG cWgGffsgt thafFopapd clGwk vdgd csslqfshf clypd vggFjpapNyDk Njhdwf$Lk

Nail psoriasis(neapy Nrhupahrp]) o Nrhupahrp] MdJ if fhy tpuy efqfis ghjpfFk epiyia

tthW mioggu mjpy efqfspy Fopfs tpOjygt toikfF khwhd ef tsurrp kwWk efqfspy epwk khwwkiljy vdgd Vwglyhk

o ttif efqfs nail bed vdggLk efggLfifapypUeJ gpuptilAk jid onycholysis vdgu jPtpu epiyikfspy efkhdJ crumble Mf khwwkilAk

Guttate psoriasis(fwNuw Nrhupahrp]) o ej tif Nrhupahrp] ngupJk ghjpggJ isNahu kwWk

gpsisfisahFk J toikahf gfuPupahffshy njhzilapy VwgLk xUtif njhwWf fhuzkhf(strep throat) KLffptplggLfpwJ

o jidg ghuggjwF rpwpajhfTkgt ePujJspfs Nghdw tbtKilajhfTk fhzggLk it KzljjpYkgt if fhyfspYkgt jiyapYk gutpf fhzggLk

e epiyapy Ezzpa nrjpyfs fhzggLkgt jbjj plaque fhzgglhJgt jhdhfNt kiwAk vdpDk kPzlk kPzLk NjhdWk

Inverse psoriasis(dNtu] Nrhupahrp]) o it gpujhdkhf jhfFtJ mfFs gFjpfs(armpits) kwWk

ftlLggFjpfs(groin)gt khugfqfspd fPoggFjp(under the breast) kwWk dgngUff cWgGfisr oTss gFjpfisahFk(genitals) qF jbgGffs mww rptej Gsspfs fhzggLkgt ghjpffggll Njhypy cuhaTfsgt ntbgGfs vdgdTkgt tpauitAk fhzggLk gqfR njhwWffs ej tifahd Nrhupahrp] epiyia KLffptplyhk

Pustular psoriasis(g]bA+yu Nrhupahrp]) o J nghJthf VwgLtjpyiy vdpDk guej xU Nrhupahrp] gilapy

Vwglyhk(gentralized pustular psoariasis) iffsgt ghjqfsgt tpuy Edpfs Nghdw rpwpa ghfqfspyp Vwglyhk

it nghJthf Ntfkhf NjhdwptpLkgt jpypy rpwpa rPo epukgpa nfhggsqfs fhzggLk rpy kzp Neujjpd gpddu mej NjhygFjp rptejjhfTk njhLk NghJ Ntjid jUtjhfTk fhzggLk

nfhggsqfs mbffb Njhdwp kiwAk ehd NkNy $wpggpll gentralized pustular psoariasis epyikapy fharry eLffk fLikahd fb ePujjdikahf kyk mbffb fopjy(diarrhea) vdgd fhzgglyhk

Rythrodermic psoariasis(vupjNjhNlkpf Nrhupahrp]) o J kpf kpf mupjhd xdW jpy cly KwwhfTk rpteJ

cupaf$ba gil fhzggLk mjJld fb myyJ vuprry fhzggLk

Psoariatic arthritis(Nrhypahbf Mjjpiurp]) o Nrhupahrp] Njhypy VwgLjJk gpurrid xU GwkpUff jwF

$Ljyhf Nrhupahbf Mjiub] vdgJ llffspy tPffjijAk typiaAk VwgLjJfpdw epiyikahFk rpy rejugqfspy lLffspy VwgLk ej gpurrpid Kjypy ntspffhllgglL mjid njhlueJ efqfspy Fop tpOjy Nghdw khwwqfs Vwglyhk mjd gpddu NjhYk ghjpffgglyhk jd ghjpgGfs rpwpa msT Kjy jhqf KbahjtiufFk NtWglyhk

o J vej tif lLffis NtzLkhdhYk ghjpffyhk mjJld lLffspd mirit flLggLjjp mjd fllikgGfis ghjpjJ mjpy epuejukhd khwwjij $l VwgLjjyhk

Nrhupahrp] tUtjwfhd fhuzqfs

czikapy Nrhupahrp] tUtjwfhd fhuzk vdgJ rupahf njupahj xdwhfNt UffpdwJ

MapDk J cqfs immune system vdggLk NehnajpugG nghwpKiwAld njhlughdJ mjpYk ej NehnajpugG nghwpKiwapy gqFtfpfFk t fyqfs (t cells) eLepiyffyqfs (neutophils) njhlughdJ

t cells toikahf clnyqFk Rwwp clypYss cly fyqfs myyhj gpw nghUlfis (foreign substance) vjpujJ mopfFk Ntiyapy gqnfLffpdwJ cjhuzk viruses and

bacteria

Mdhy cqfSfF Nrhupahrp] Uejhy t cells jtWjyhf cqfspd Njhy fyqfis mopffpdwd vdW nghUs

over active t cells MNuhffpakhd Njhy fyqfs cwgjjpahtij JzLfpdwd mjJld mjpf t cells and neutrophils $l

it Njhiy Nehffp nrdW mjpy ujjf Fohafis tpuptilar nraJ mqF rptej jdikiaAk(Redness) lbidAk rpyNtis rPo nfhzl nfhggsqfisAk(pustular

lesion) VwgLjJfpdwd

mjdhy NjhyhdJ rhjhuzkhdij tpl mbffb GJggpffgglLf nfhzbUfFk mjhtJ fyqfs wggJk GJggpffggLtJk kpf Ntfkhf eilngWk jdhy Njhy jbgghfpdwJ nrjpyfs NjhdWfpdwJ

Vd tthW T cells jtWjyhf tthW njhopwgLfpdwd vdW rupahf njupatpyiy Mathsufs J xU ghukgupak kwWk RwWroy rhuej tplakhf Uffyhk vd ekGfpdwdu

MVithurshana

30th BSMS

Njhy NehafSffhd rpy kUjJtf FwpgGffs

FgigNkdp iyfis kQrSld miujJ fugghdgt fpuejpfSfF ntspgG+rrhf G+ryhk

Ntggk iyia kQrSld miujJ nrhwp rpuqFfSfF g+ryhk fpuejpehafd nrbapy UeJ ngwggll rhwiw Njqfha vzizAld fyeJ

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rpuqFfSfFg G+ryhk f]Jup kQris miujJj NjajJf Fspff fugghdgt Gz ePqFk Gqfk NthgliliapypUeJ gpopej ghiy rpuqFgt fugghDfF G+rptu ePqFk Gqfk NthgglilapypUeJ mtpjj FbePiu rpuqFgt fugghDfF G+rptu ePqFk G+turk G+it miujJ rpuqFfSfspd kPJ flb tuyhk G+turk fhagt glilia vzizAld fharrp Njhy NehafSfF gadgLjjyhk mdprir iyfis kQrSld NrhjJ gir Nghy miujJ rpuqF kwWk

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rpuqFgt fugghDfF G+ryhk Mthuk G+Tld ghrpggawiw NrhjjiujJ eikrrygt nrhwpfSfF NjajJ

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Njkygt nrhwpgt rpuqFgt fugghd ePqFk MLjPzlhgghiy rhwWld mNjasT eynyziz $lb vupjJ gfFt gjjjpy

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Ntis frac12 -1 fuzb vLff fugghd Nghdw Nehafs jPUk tzLnfhyyp iyia bjJ ngww rhwwpDs NjrpgGsp tplL mejr rhwiw

tbflb G+ryhk tzLnfhyyp rhwWfFr rk msT Njqfha vznza fyeJ frac12 gqfhf fharrp

tllffbfF G+ryhk fhhNghfhprpia ghypy fharrp vLjJ Rjjp nraJ ntapypy itjJ vLjJ

mjid Njqfha vzizAld fharrp cUll jphp Nghy tUk gjjjpy wffp Fggpapy miljJ ntzgilfF gadgLjj FzkhFk

SMithushy ( 31st BSMS)

kdpjk njiyej thoT

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R+J nfhzl tTyfpy

fglk gofp tsuejhNah

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ePNa tFjj tpjpfnsyyhk

cdid Ms tpLthNah

vqNf fwwha gpuptpid

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mdgpd tyyik Gupahky

MAjk Vejy mwpejhNah

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capiuffhff Kidahky

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czik xdNw njspT jUk

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cdfFs cdid fzLgpb

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NHarishanth(31st BSMS)

JKeerthika ( 30th BSMS)

aytpyiy vddhy

kdpjh cd nfh^u eff fPwyfs

cd nfhba tQrpdg ghuitfs

nfhjjpf fpopfFk cd ghjrRtLfs

vid JzL JzlhfFk cd ghjfrnrayfs

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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STheyigah(30th BSMS)

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nrytp[PtuhrhfPujjpfh

30th BSMS

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மனித உயிரகள மகததுவம பெறறpட மனம gt nமhழிgt பமயயால பதாணடு பெயது தமிழுககும தமிழ

மருததுவததிறகும பெருமம செரததவரகள ெிததரகள அவரகளால உயிர பகாடுககபெடடு ெல

ொிணாமஙகமள அமடநது இனறு கமழதசதெ நாடுகள மடடுமனறி சமமலதசதய நாடுகளிலும

செெபெடும மருததுவமாக ெிதத மருததுவம வளரநது வருகினறது இததமகய பெருமமகள பகாணட

ெிதத மருததுவதமத கறகும யாழபொண ெலகமலககழக ெிதத மருததுவ துமறயில கலவி ெயிலும

மாணவரகள ொரொக ெிதத மருததுவ மாணவர ஒனறியததினால வருடாநத இதழ பவளியிடபெடடு

வருகினறது அசத சொல இநத வருடமும 20172018 மாணவர ஒனறியததினால நூல

பவளியிடுவமத இடடு உதவி இதழாெிாியர எனற வமகயில மடடிலலா மகிழசெி அமடகினசறன ஒரு

நூல பவழியடு எனெது ெல இனனலகமளயும தியாகஙகமளயும தாணடி எழுதது வடிவில இருநது நூல

வடிவில உயிர பெறறு எழுவதாகும இனறு உஙகள மககளில தவழநது பகாணடிருககும இநநூலுககும

இதழாெிாியரgt விாிவுமையாளரகள மறறும மாணவரகளின ெஙகளிபபு வாரதமதகளால வரணிகக

முடியாது இநநூலிறகாக உறொகததுடன ஆககஙகள தநத ெக மாணவரகளின ஆககஙகமள ெல

சவமலப ெழுககளுககு மததியில ொி ொரதது விாிவுமையாளரகளால தைபெடட ஆககஙகமள பதாகுதது

தைமான ெிதத மருததுவததின மகததுவதமத எடுததுககாடடும வமகயில நூல வடிவில தநதுளசளாம என

நமபுகினசறாம சமலும எமது மாணவரகளின ஆககததிறமனயும ஆறறமலயும பவளிபெடுததும

வமகயில அடுததடுதத வருடஙகளும எமது மாணவரகளால பவளியிடபெடNtzLk vdTk iwtidg gpuhjjpffpdNwd

KThivakar(31st BSMS)

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10 - 20 taJ - $lhJ

30 - 40 taJ - mjkk

40 - 50 taJ - cjjkk

50 - 60 taJ - kjjpkk

90 - 100 taJ - mjkhjkjk kUjJtdpd cil

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Sinthuja Rajeswaran (33rd BSMS)

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SJalini (33rd BSMS)

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Page 61 62

- NTharshanah ( 30th BSMS)

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it muprp Nghdw jhdpa tifapy gwwhfFiwahf css mNjNghy gUgG tifapy

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vdgd jhdpa tiffspy mjpfstpy czL vdNt it uzLk NrUk NghJ xdwpd

gwwhfFiwia kwwJ ltL nratjhy cztpd juk mjpfupfFk

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Reference ahoghz kffspd irt czT gofftoffqfs( jkpou thotpy rpjj

kUjJtk)DrSSivasanmugarajah MD(S)

Rtpjah~pdp(33rd BSMS)

Ra RjjKk gpsisfSk

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mej tifapy RaRjjjij filggpbggjwFk NgZtjwFk vgNghJk gpsisfs

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thfs jpdKk FspjJ Rjjkhd Milfis mzpeJ itjjpahpd MNyhridapd

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topfhllYld ceJ rfjpahf ehk nrawgl NtzLk

vdNt RaRjjjijg Ngzp MNuhffpajjpd Clhf moif fhjJ mjpy eyy

nrawghLfis rpwhhfSfF fwWf nfhLgNghk

( From RfthoT khjhej jo)

By Shankeerna Subendran 2nd BSMS

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cyf Rfhjhu fzPggPlbdgb 2015k MzbNy cyfshtpa uPjpapy 86 rjtPjkhd Foeijfs (116 kpyypad) Kf$lL tfrPid (njhzilffugghdgt VwGNehagt Fffy Nehanfjpuhd jLgG+rp) dW jlitAk Vwwpfnfhzljhy ghJfhgghd jdikiag ngwWfnfhzldu NkYkgt 126 ehLfs Kf$lL jLgG kUeij 90 Md mstpy ngwWfnfhsfpdwdu

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SMayoori(30th BSMS)

nfhkG Kwp

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mupggpy gpizjj ngU tljjpid U flrrp nghJ kffSk Oggu mggyUila Oitapdhy ghjp nfhkG cilAk Kwpahj nfhkgpd flrrpapdNu ntwwp ngwwtufshf fUjggLfpdwdu tthW xU fpuhkjjpy uT gfyhf eil ngWk rka rhuGss nfhkG tpisahlL FSujpAk ghLtNjhL epiwTWk

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KUmashangary32nd BSMS

jpUfFwspd mjpraqfs

jpUfFwspy jkpo vdw nrhy gadgLjjggltpyiy

jpUfFwspYss nkhjj vOjJffs 42194

jpUfFwspy jkpo vOjJffs 247 y 37 klLk lkngwtpyiy

jpUfFwspy lk ngWk U kyufs - mdprirgt Ftis

jpUfFwspy lk ngWk xNu gok - neUQrp gok

jpUfFwspy lk ngWk xNu tpij- FdWkzp

jpUfFwspy lkngww uzL kuqfs - gid qfpy

jpUfFwspy mjpfk gadgLjjggll xNu vOjJ ndash dp ( 1705)

jpUfFwspy xUKiw klLk gadgLjjggll U vOjJffs - sP q

jpUfFwspy lkngwhj xNu vz - xdgJ

jpUfFws Jtiu 26 nkhopfspy ntspteJssJ

jpUfFwis Mqfpyjjpy 40 Ngu nkhop ngajJssdu

B Renuka 33rd BSMS

isapd tpidjjpwdhd njhopwghlbwF cjTk nfhOggkpyqfs

awifapd mupa gilgGfspy ekJ isiagNghdw tpeijahd kwNwhu cWgG gilffggltpyiy vdW tpQQhdpfs tpaeJ FwpgglLssdu is jiyaha cWgG vdgjhy kzilNahlbDs ghJfhgghf itffgglLssJ mupaizapy mkueJ ehlhSk kddidgNghy ekJ jiyapy mkueJ ekik MzLnfhzbUffpwJ isapd rPuhd affNk ekJ rpwgghd thofif

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isapd Kjy vjpup epiwTww nfhOggkpyqfs it epidthwwiyAk fwFk jpwidAk rPuFiyfFk Mono unsaturated fatty acids epidthwwiy tsufff$bad Poly

unsaturated fatty acids isfF edik nratNjh jPik nratNjh gadgLjJk tiffshd xNkfh-3gt xNkfh-6 nfhOggkpyqfisg nghWjJssJ

poly unsaturated fatty acids Ds mlqFk 2 tiffSk KwwpYk NtWgll urhad gzGfis cilad tuyhwWfF gyyhapuk MzLfspwF KdNg kffsgt is awifahf tsujnjhlqfpa epiyapy mtufs xNkfh-3gt xNkfh-6 Mfpa Utif nfhOggkpyqfis czZk oepiyfspy thoeJ tejdu fly czTfspy UeJ xNkfh-3 ngwggllJ goqfsgt fhafwpfsgt fPiufsgt gUgG kwWk mtiu d tpijfs

nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

epiwTww nfhOggkpyqfs(

saturated fatty acids)

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diseases) Gay Ntf tsurrp ngwWssd

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44g mstpy xNkfh -6 gt12 Nkirffuzb Nrhah vziz myyJ kuffwp vziz myyj Nrhs vziz

650mg xNkfh-3 fly czTfspy UeJk ( ePzl rqfpyp xNkfh-3)

22g ( FWfpa rqfpyp xNkfh-3) thJikfnfhlil ( walnut) gt grir fhafwpfspy UeJk ngwggLk

fFwpggpll msTfspy czTfis czgjdhy xNkfh-3 kwWk xNkfh-6 clypy ruprk msTfspy clypy mlueJtpLfpdwd ej ruprk msTfspy isffyqfs kwWk cly fyqfspd nrawghLfs rPuhf xOqFgLjjggLfpdwd fyqfis mopfFk msurrpffhuzpfs KlffggLfpdwd ehk czZk cztpy Nrhah vziz myyJ Nrhs vziz twiwjjLjJtplL fLF vziz myyJ xypt vziz gadgLjjyhk fLF vziz xNkfh-3 mjpfk cssJ xypt vziz xNkfh-3 mjpfk cssJ xypt vziz isia ghJfhfFk

ekJ czT isapy xNkfh-6 nfhOggkpyqfs kpFjpahf Uggjhjhy mtwwpd rPu NfLfisf Fiwff xNkfh-3 czTfis czz NtzLk fly czTfspy xNkfh-3 mjpfk fhzggLtJld it xNkfh-6 nfhOgGfis rkggLjjptpLk

xNkfh-3 czTfis czzjjtwpajdhy VwgLk kd rPuNfL Nehafspd vzzpfif jwfhyjjpy ngUfptpllJ mitahtd ghupa kdmOjjk( Major Depression) gt Qhgf kwjp(poor memory)gtmwpthwwy FiwT( Low intelligence)gtfwwy FiwghL(learning

disability)gtftdfFiwT(Attention deficit)gtis mrjpNeha(Schizopherenia)gtisia rpijTfF csshfFk Nehafs(Neurologycal degenerative

disease)gtkJgghtid(Alcoholism)gtmjpfNfhgk(Irritability)gtgifik(Hostility)gtftdkpdik(Po

or consenration)gtMfNuhrk(Aggressive)gttdKiw(Violence)gtfwwy FiwghL(Dyslexia)gtKJik

miljy(Senility)gtjjfa kd rPuNfLfSfF xNkfh-3 CllrrjJ gwwhfFiwNa mbggilf fhuzk

xNkfh-3 nrawgLk tpjk

isapd eukGfid xwiw kpddZ cUG( free radicals ) mopggij vjpujJ nrayoffr nrafpdwd

kpifahd Neha vjpugG nrawghLfspd yk eukGfis mopfff $ba jhgpjjjpy UeJ ghJfhffpdwJ

eukGffljjpfspd ( Neuro transmitters) nrawghLfis rPugLjJfpwJ

eukGfyqfspd mbggil nrawghLfis eukGfNs khwwpfnfhss cjTfpwJ

isfFupa czTfs fzlwpagglljd mbggilapy

1 kPd kwWk kPd vziz xNkfh-3 2 jhtu vzizfs ( vegitable oils) xNkfh-6

mjhtJ xNkfh-3 y Kffpa 2 nfhOggkpyqfs cssd mitahtdgt Docosahexaenoic

acid ndash DHA Eicosapntaenoic acid ndash EPA MFk jpy Docosahexaenoic acid is nfhOgGffspd murd vd tuzpffggLfpwJ

ehk czZk kPdfspd rpwgG

kPdfs ePughrpfis kpifahf czfpdwd ej ghrpfs xNkfh cUthfFk KdNdhb ( precursor) jdhy kPdpd clypy ghrpfs Docosahexaenoic acid Mf khwwggLfpdwd

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xNkfh-3 kwWk fwwy FiwghL( Dysexia)

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Reference rpt tyyhsd r(2007)isfF czT(kUjJt Muharrp tpsffk)

PVThillany(29th BSMS)

Vdpej khwwk

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BTharshika

29th BSMS

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filggpbjjy kpfTk eyyJ

SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

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SLFA Asra Begum

33rd BSMS

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gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

Nrhupahrp] Gsspfs nghLFNghdw rpwpa gilfs njhlffk ngupa mstpyhd jbgGfSld guej mstpYk Vwglyhk

ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

Plaque psoriasis(gpNsf Nrhupahrp]) o nghJthf Vwglf$bagt cyuejgt jbjjgt rptej Njhy(plaques)gt rpytu

epwkhd nrjpypdhy lgglbUfFk

o ej plaques fllhakhf fbiaNah myyJ typiaNah nfhzbUfFk mjJld rpwpa mstpNyh myyJ gueJglljhfNth fhzggLk

o gpwgG cWgGffsgt thafFopapd clGwk vdgd csslqfshf clypd vggFjpapNyDk Njhdwf$Lk

Nail psoriasis(neapy Nrhupahrp]) o Nrhupahrp] MdJ if fhy tpuy efqfis ghjpfFk epiyia

tthW mioggu mjpy efqfspy Fopfs tpOjygt toikfF khwhd ef tsurrp kwWk efqfspy epwk khwwkiljy vdgd Vwglyhk

o ttif efqfs nail bed vdggLk efggLfifapypUeJ gpuptilAk jid onycholysis vdgu jPtpu epiyikfspy efkhdJ crumble Mf khwwkilAk

Guttate psoriasis(fwNuw Nrhupahrp]) o ej tif Nrhupahrp] ngupJk ghjpggJ isNahu kwWk

gpsisfisahFk J toikahf gfuPupahffshy njhzilapy VwgLk xUtif njhwWf fhuzkhf(strep throat) KLffptplggLfpwJ

o jidg ghuggjwF rpwpajhfTkgt ePujJspfs Nghdw tbtKilajhfTk fhzggLk it KzljjpYkgt if fhyfspYkgt jiyapYk gutpf fhzggLk

e epiyapy Ezzpa nrjpyfs fhzggLkgt jbjj plaque fhzgglhJgt jhdhfNt kiwAk vdpDk kPzlk kPzLk NjhdWk

Inverse psoriasis(dNtu] Nrhupahrp]) o it gpujhdkhf jhfFtJ mfFs gFjpfs(armpits) kwWk

ftlLggFjpfs(groin)gt khugfqfspd fPoggFjp(under the breast) kwWk dgngUff cWgGfisr oTss gFjpfisahFk(genitals) qF jbgGffs mww rptej Gsspfs fhzggLkgt ghjpffggll Njhypy cuhaTfsgt ntbgGfs vdgdTkgt tpauitAk fhzggLk gqfR njhwWffs ej tifahd Nrhupahrp] epiyia KLffptplyhk

Pustular psoriasis(g]bA+yu Nrhupahrp]) o J nghJthf VwgLtjpyiy vdpDk guej xU Nrhupahrp] gilapy

Vwglyhk(gentralized pustular psoariasis) iffsgt ghjqfsgt tpuy Edpfs Nghdw rpwpa ghfqfspyp Vwglyhk

it nghJthf Ntfkhf NjhdwptpLkgt jpypy rpwpa rPo epukgpa nfhggsqfs fhzggLk rpy kzp Neujjpd gpddu mej NjhygFjp rptejjhfTk njhLk NghJ Ntjid jUtjhfTk fhzggLk

nfhggsqfs mbffb Njhdwp kiwAk ehd NkNy $wpggpll gentralized pustular psoariasis epyikapy fharry eLffk fLikahd fb ePujjdikahf kyk mbffb fopjy(diarrhea) vdgd fhzgglyhk

Rythrodermic psoariasis(vupjNjhNlkpf Nrhupahrp]) o J kpf kpf mupjhd xdW jpy cly KwwhfTk rpteJ

cupaf$ba gil fhzggLk mjJld fb myyJ vuprry fhzggLk

Psoariatic arthritis(Nrhypahbf Mjjpiurp]) o Nrhupahrp] Njhypy VwgLjJk gpurrid xU GwkpUff jwF

$Ljyhf Nrhupahbf Mjiub] vdgJ llffspy tPffjijAk typiaAk VwgLjJfpdw epiyikahFk rpy rejugqfspy lLffspy VwgLk ej gpurrpid Kjypy ntspffhllgglL mjid njhlueJ efqfspy Fop tpOjy Nghdw khwwqfs Vwglyhk mjd gpddu NjhYk ghjpffgglyhk jd ghjpgGfs rpwpa msT Kjy jhqf KbahjtiufFk NtWglyhk

o J vej tif lLffis NtzLkhdhYk ghjpffyhk mjJld lLffspd mirit flLggLjjp mjd fllikgGfis ghjpjJ mjpy epuejukhd khwwjij $l VwgLjjyhk

Nrhupahrp] tUtjwfhd fhuzqfs

czikapy Nrhupahrp] tUtjwfhd fhuzk vdgJ rupahf njupahj xdwhfNt UffpdwJ

MapDk J cqfs immune system vdggLk NehnajpugG nghwpKiwAld njhlughdJ mjpYk ej NehnajpugG nghwpKiwapy gqFtfpfFk t fyqfs (t cells) eLepiyffyqfs (neutophils) njhlughdJ

t cells toikahf clnyqFk Rwwp clypYss cly fyqfs myyhj gpw nghUlfis (foreign substance) vjpujJ mopfFk Ntiyapy gqnfLffpdwJ cjhuzk viruses and

bacteria

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MSowmiya(32nd BSMS)

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

MissKugarani Konesswaran(29th BSMS)

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(rpjjk - mwpT)

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Author kUjJth fhrp gprir

SIndusiya(32nd Batch)

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ldquoYour Health is Your Real Wealthrdquo

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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STheyigah(30th BSMS)

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30th BSMS

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மனித உயிரகள மகததுவம பெறறpட மனம gt nமhழிgt பமயயால பதாணடு பெயது தமிழுககும தமிழ

மருததுவததிறகும பெருமம செரததவரகள ெிததரகள அவரகளால உயிர பகாடுககபெடடு ெல

ொிணாமஙகமள அமடநது இனறு கமழதசதெ நாடுகள மடடுமனறி சமமலதசதய நாடுகளிலும

செெபெடும மருததுவமாக ெிதத மருததுவம வளரநது வருகினறது இததமகய பெருமமகள பகாணட

ெிதத மருததுவதமத கறகும யாழபொண ெலகமலககழக ெிதத மருததுவ துமறயில கலவி ெயிலும

மாணவரகள ொரொக ெிதத மருததுவ மாணவர ஒனறியததினால வருடாநத இதழ பவளியிடபெடடு

வருகினறது அசத சொல இநத வருடமும 20172018 மாணவர ஒனறியததினால நூல

பவளியிடுவமத இடடு உதவி இதழாெிாியர எனற வமகயில மடடிலலா மகிழசெி அமடகினசறன ஒரு

நூல பவழியடு எனெது ெல இனனலகமளயும தியாகஙகமளயும தாணடி எழுதது வடிவில இருநது நூல

வடிவில உயிர பெறறு எழுவதாகும இனறு உஙகள மககளில தவழநது பகாணடிருககும இநநூலுககும

இதழாெிாியரgt விாிவுமையாளரகள மறறும மாணவரகளின ெஙகளிபபு வாரதமதகளால வரணிகக

முடியாது இநநூலிறகாக உறொகததுடன ஆககஙகள தநத ெக மாணவரகளின ஆககஙகமள ெல

சவமலப ெழுககளுககு மததியில ொி ொரதது விாிவுமையாளரகளால தைபெடட ஆககஙகமள பதாகுதது

தைமான ெிதத மருததுவததின மகததுவதமத எடுததுககாடடும வமகயில நூல வடிவில தநதுளசளாம என

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SIndusiya (32nd BSMS)

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Page 61 62

- NTharshanah ( 30th BSMS)

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KUmashangary32nd BSMS

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B Renuka 33rd BSMS

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nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

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saturated fatty acids)

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diseases) Gay Ntf tsurrp ngwWssd

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PVThillany(29th BSMS)

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BTharshika

29th BSMS

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SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

lL typia NghfFk ldquoKlffjjhd fPiurdquo

Ukygt ffilgGgt FzkhfFk ldquofwG+utssprdquo (Xktyyp)

ePupopT Neha FzkhfFk ldquomiuffPiurdquo

thagGzgt Fly Gzfis FzkhfFk ldquokzpjjffhsprdquo

cliyg nghddpwkh khwWk ldquonghddhqfzzp fPiurdquo

khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

is typikfF Xh ldquoggghspg gokrdquo

ePupopT Nehia FzkhfFk ldquoKssqfprdquo

thAj njhyiyapypUeJ tpLgl ldquontejaf fPiurdquo

ujj mOjjjij FzkhfFk ldquoJsrprdquo

khhGr rsp ePfFk ldquoRzilffhardquo

rspgt M]JkhTfF ldquoMlhNjhilrdquo

Qhgf rfjpiaf nfhLfFk ldquotyyhiurdquo

ujjNrhifia ePfFk ldquogPwWlrdquo

[Puz rfjpia mjpfggLjJk ldquomddhrp gokrdquo

Kb eiuffhky Uff ldquofyahz KUqifrdquo ldquoKsKUqifrdquo

khuGr rspgt Ukiy FzkhfFk ldquoJJtisrdquo

Kfk moF ngw ldquojpuhlirg gokrdquo

M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

clw L FiweJ fz Fsphik ngWkgt kykpsfpg NghFk 2 mffuhfhujjpy 2g msT vLjJj jlb thapyplL nkdW mlfFk NghJ RufFk

ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

4 mjjpf fhapd gpQRfisg grirg gaW NrhjJ Kiwggb rikjJ czz clwLgt kyfflL ePqFk Njfk tdik ngWk

5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

9 MkzfF iyia rpwwhkzfnfznza jltp mdypy thlb ghytwwpa ngzfspf khhgpy Nghl ghy RufFk tthW nraJ rpWf mupeJ KbrR flb Mrdjjpy xwwlk

l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

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Gifgpbjjy(smoking)

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Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

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to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

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disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

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Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

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ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

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MVithurshana

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SMithushy ( 31st BSMS)

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JKeerthika ( 30th BSMS)

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SThuvanikara(31st BSMS)

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

MissKugarani Konesswaran(29th BSMS)

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Author kUjJth fhrp gprir

SIndusiya(32nd Batch)

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ldquoYour Health is Your Real Wealthrdquo

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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STheyigah(30th BSMS)

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மனித உயிரகள மகததுவம பெறறpட மனம gt nமhழிgt பமயயால பதாணடு பெயது தமிழுககும தமிழ

மருததுவததிறகும பெருமம செரததவரகள ெிததரகள அவரகளால உயிர பகாடுககபெடடு ெல

ொிணாமஙகமள அமடநது இனறு கமழதசதெ நாடுகள மடடுமனறி சமமலதசதய நாடுகளிலும

செெபெடும மருததுவமாக ெிதத மருததுவம வளரநது வருகினறது இததமகய பெருமமகள பகாணட

ெிதத மருததுவதமத கறகும யாழபொண ெலகமலககழக ெிதத மருததுவ துமறயில கலவி ெயிலும

மாணவரகள ொரொக ெிதத மருததுவ மாணவர ஒனறியததினால வருடாநத இதழ பவளியிடபெடடு

வருகினறது அசத சொல இநத வருடமும 20172018 மாணவர ஒனறியததினால நூல

பவளியிடுவமத இடடு உதவி இதழாெிாியர எனற வமகயில மடடிலலா மகிழசெி அமடகினசறன ஒரு

நூல பவழியடு எனெது ெல இனனலகமளயும தியாகஙகமளயும தாணடி எழுதது வடிவில இருநது நூல

வடிவில உயிர பெறறு எழுவதாகும இனறு உஙகள மககளில தவழநது பகாணடிருககும இநநூலுககும

இதழாெிாியரgt விாிவுமையாளரகள மறறும மாணவரகளின ெஙகளிபபு வாரதமதகளால வரணிகக

முடியாது இநநூலிறகாக உறொகததுடன ஆககஙகள தநத ெக மாணவரகளின ஆககஙகமள ெல

சவமலப ெழுககளுககு மததியில ொி ொரதது விாிவுமையாளரகளால தைபெடட ஆககஙகமள பதாகுதது

தைமான ெிதத மருததுவததின மகததுவதமத எடுததுககாடடும வமகயில நூல வடிவில தநதுளசளாம என

நமபுகினசறாம சமலும எமது மாணவரகளின ஆககததிறமனயும ஆறறமலயும பவளிபெடுததும

வமகயில அடுததடுதத வருடஙகளும எமது மாணவரகளால பவளியிடபெடNtzLk vdTk iwtidg gpuhjjpffpdNwd

KThivakar(31st BSMS)

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Sinthuja Rajeswaran (33rd BSMS)

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SJalini (33rd BSMS)

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( From RfthoT khjhej jo) Shankeerna Subendran (32nd BSMS)

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SIndusiya (32nd BSMS)

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KUmashangary32nd BSMS

jpUfFwspd mjpraqfs

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jpUfFwspy jkpo vOjJffs 247 y 37 klLk lkngwtpyiy

jpUfFwspy lk ngWk U kyufs - mdprirgt Ftis

jpUfFwspy lk ngWk xNu gok - neUQrp gok

jpUfFwspy lk ngWk xNu tpij- FdWkzp

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jpUfFws Jtiu 26 nkhopfspy ntspteJssJ

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B Renuka 33rd BSMS

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nfhOggkpyqfs

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acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

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saturated fatty acids)

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diseases) Gay Ntf tsurrp ngwWssd

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disease)gtkJgghtid(Alcoholism)gtmjpfNfhgk(Irritability)gtgifik(Hostility)gtftdkpdik(Po

or consenration)gtMfNuhrk(Aggressive)gttdKiw(Violence)gtfwwy FiwghL(Dyslexia)gtKJik

miljy(Senility)gtjjfa kd rPuNfLfSfF xNkfh-3 CllrrjJ gwwhfFiwNa mbggilf fhuzk

xNkfh-3 nrawgLk tpjk

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ehk czZk kPdfspd rpwgG

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jiyapy nghLF

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kPd czT gwwp CllrrjJ Muharrpahsufs

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ngz fUTWtjwF uzL MzLfSfF KdNg kPd czzj njhlqf NtzLk tho ehs KStJk kPd czz kpFej gaidj jUk

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Reference rpt tyyhsd r(2007)isfF czT(kUjJt Muharrp tpsffk)

PVThillany(29th BSMS)

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BTharshika

29th BSMS

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2 kdKjjpiu

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5 Mjhu Kjjpiu

Kjypy vkfF vdd NtzLk vd jPhffkhd KbTfF tuNtzLk gpdG mjwF

cupa Kjjpiu njhpT nraa NtzLk jid Eygt izak gadgLjjpdhy

Nkyjpf jftyfisg ngwyhk

gpdG jwfhd fhy msit tfpjJf nfhss NtzLk Fwpgghf fhiyapy

gpukk K$hjjkgt khiy rejpu K$hjjk myyJ vkJ XaT Neuk vd Xh

Fwpggpll Neujij NjhT nraJ mjid khwhJ mDjpdKk nraa NtzLk

clNd gyd fpilffhJ nryy nryy gydfis ngwyhk Xh Kjjpiu 20 ndash 30

epkplk xJffyhk NkYk kejpuqfis cgNahfpjjy mjpkfkhd gyid jUk

nraAk NghJ gjkhrdkgt Rfhrdk Nghdwtwiw Nkwjiuapy tpupgG tpupjJ

nraa NtzLkgt jdNghJ nksdkhf Ujjy eyyJ mjJld nkJ nkJthf

nraa MukgpffTk yFthdtwwpy UeJ fbdkhdtwwpwF nryyTk edF

fhwNwhllkhd ljjpy nraayhk

iffis clYfF kpfTk mzikapYkgt njhgGs Nkyhf itggJ mjpf edik

jUk Kfjjpy rpupgGldgt iffspy f~lk dwp nraa NtzLk

nraa KdG cly Jaikgt iffisr Rjjk nraJ JiljJf nfhzL nraa

NtzLk nraAk fhyjjpy awifgt irt czT czgJ eyyJ Mf mikAk

2gt3 KjjpiufSk nraayhk NjitfF Vwg khwwyhk Fwpgghf 1 kzly fhyk

nraAk NghJ rpwej guid ngwyhk tshgpiwfspy Mukgpjjy Nghdwtwiw

filggpbjjy kpfTk eyyJ

SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

lL typia NghfFk ldquoKlffjjhd fPiurdquo

Ukygt ffilgGgt FzkhfFk ldquofwG+utssprdquo (Xktyyp)

ePupopT Neha FzkhfFk ldquomiuffPiurdquo

thagGzgt Fly Gzfis FzkhfFk ldquokzpjjffhsprdquo

cliyg nghddpwkh khwWk ldquonghddhqfzzp fPiurdquo

khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

is typikfF Xh ldquoggghspg gokrdquo

ePupopT Nehia FzkhfFk ldquoKssqfprdquo

thAj njhyiyapypUeJ tpLgl ldquontejaf fPiurdquo

ujj mOjjjij FzkhfFk ldquoJsrprdquo

khhGr rsp ePfFk ldquoRzilffhardquo

rspgt M]JkhTfF ldquoMlhNjhilrdquo

Qhgf rfjpiaf nfhLfFk ldquotyyhiurdquo

ujjNrhifia ePfFk ldquogPwWlrdquo

[Puz rfjpia mjpfggLjJk ldquomddhrp gokrdquo

Kb eiuffhky Uff ldquofyahz KUqifrdquo ldquoKsKUqifrdquo

khuGr rspgt Ukiy FzkhfFk ldquoJJtisrdquo

Kfk moF ngw ldquojpuhlirg gokrdquo

M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

clw L FiweJ fz Fsphik ngWkgt kykpsfpg NghFk 2 mffuhfhujjpy 2g msT vLjJj jlb thapyplL nkdW mlfFk NghJ RufFk

ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

4 mjjpf fhapd gpQRfisg grirg gaW NrhjJ Kiwggb rikjJ czz clwLgt kyfflL ePqFk Njfk tdik ngWk

5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

9 MkzfF iyia rpwwhkzfnfznza jltp mdypy thlb ghytwwpa ngzfspf khhgpy Nghl ghy RufFk tthW nraJ rpWf mupeJ KbrR flb Mrdjjpy xwwlk

l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

Nrhupahrp] Gsspfs nghLFNghdw rpwpa gilfs njhlffk ngupa mstpyhd jbgGfSld guej mstpYk Vwglyhk

ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

Plaque psoriasis(gpNsf Nrhupahrp]) o nghJthf Vwglf$bagt cyuejgt jbjjgt rptej Njhy(plaques)gt rpytu

epwkhd nrjpypdhy lgglbUfFk

o ej plaques fllhakhf fbiaNah myyJ typiaNah nfhzbUfFk mjJld rpwpa mstpNyh myyJ gueJglljhfNth fhzggLk

o gpwgG cWgGffsgt thafFopapd clGwk vdgd csslqfshf clypd vggFjpapNyDk Njhdwf$Lk

Nail psoriasis(neapy Nrhupahrp]) o Nrhupahrp] MdJ if fhy tpuy efqfis ghjpfFk epiyia

tthW mioggu mjpy efqfspy Fopfs tpOjygt toikfF khwhd ef tsurrp kwWk efqfspy epwk khwwkiljy vdgd Vwglyhk

o ttif efqfs nail bed vdggLk efggLfifapypUeJ gpuptilAk jid onycholysis vdgu jPtpu epiyikfspy efkhdJ crumble Mf khwwkilAk

Guttate psoriasis(fwNuw Nrhupahrp]) o ej tif Nrhupahrp] ngupJk ghjpggJ isNahu kwWk

gpsisfisahFk J toikahf gfuPupahffshy njhzilapy VwgLk xUtif njhwWf fhuzkhf(strep throat) KLffptplggLfpwJ

o jidg ghuggjwF rpwpajhfTkgt ePujJspfs Nghdw tbtKilajhfTk fhzggLk it KzljjpYkgt if fhyfspYkgt jiyapYk gutpf fhzggLk

e epiyapy Ezzpa nrjpyfs fhzggLkgt jbjj plaque fhzgglhJgt jhdhfNt kiwAk vdpDk kPzlk kPzLk NjhdWk

Inverse psoriasis(dNtu] Nrhupahrp]) o it gpujhdkhf jhfFtJ mfFs gFjpfs(armpits) kwWk

ftlLggFjpfs(groin)gt khugfqfspd fPoggFjp(under the breast) kwWk dgngUff cWgGfisr oTss gFjpfisahFk(genitals) qF jbgGffs mww rptej Gsspfs fhzggLkgt ghjpffggll Njhypy cuhaTfsgt ntbgGfs vdgdTkgt tpauitAk fhzggLk gqfR njhwWffs ej tifahd Nrhupahrp] epiyia KLffptplyhk

Pustular psoriasis(g]bA+yu Nrhupahrp]) o J nghJthf VwgLtjpyiy vdpDk guej xU Nrhupahrp] gilapy

Vwglyhk(gentralized pustular psoariasis) iffsgt ghjqfsgt tpuy Edpfs Nghdw rpwpa ghfqfspyp Vwglyhk

it nghJthf Ntfkhf NjhdwptpLkgt jpypy rpwpa rPo epukgpa nfhggsqfs fhzggLk rpy kzp Neujjpd gpddu mej NjhygFjp rptejjhfTk njhLk NghJ Ntjid jUtjhfTk fhzggLk

nfhggsqfs mbffb Njhdwp kiwAk ehd NkNy $wpggpll gentralized pustular psoariasis epyikapy fharry eLffk fLikahd fb ePujjdikahf kyk mbffb fopjy(diarrhea) vdgd fhzgglyhk

Rythrodermic psoariasis(vupjNjhNlkpf Nrhupahrp]) o J kpf kpf mupjhd xdW jpy cly KwwhfTk rpteJ

cupaf$ba gil fhzggLk mjJld fb myyJ vuprry fhzggLk

Psoariatic arthritis(Nrhypahbf Mjjpiurp]) o Nrhupahrp] Njhypy VwgLjJk gpurrid xU GwkpUff jwF

$Ljyhf Nrhupahbf Mjiub] vdgJ llffspy tPffjijAk typiaAk VwgLjJfpdw epiyikahFk rpy rejugqfspy lLffspy VwgLk ej gpurrpid Kjypy ntspffhllgglL mjid njhlueJ efqfspy Fop tpOjy Nghdw khwwqfs Vwglyhk mjd gpddu NjhYk ghjpffgglyhk jd ghjpgGfs rpwpa msT Kjy jhqf KbahjtiufFk NtWglyhk

o J vej tif lLffis NtzLkhdhYk ghjpffyhk mjJld lLffspd mirit flLggLjjp mjd fllikgGfis ghjpjJ mjpy epuejukhd khwwjij $l VwgLjjyhk

Nrhupahrp] tUtjwfhd fhuzqfs

czikapy Nrhupahrp] tUtjwfhd fhuzk vdgJ rupahf njupahj xdwhfNt UffpdwJ

MapDk J cqfs immune system vdggLk NehnajpugG nghwpKiwAld njhlughdJ mjpYk ej NehnajpugG nghwpKiwapy gqFtfpfFk t fyqfs (t cells) eLepiyffyqfs (neutophils) njhlughdJ

t cells toikahf clnyqFk Rwwp clypYss cly fyqfs myyhj gpw nghUlfis (foreign substance) vjpujJ mopfFk Ntiyapy gqnfLffpdwJ cjhuzk viruses and

bacteria

Mdhy cqfSfF Nrhupahrp] Uejhy t cells jtWjyhf cqfspd Njhy fyqfis mopffpdwd vdW nghUs

over active t cells MNuhffpakhd Njhy fyqfs cwgjjpahtij JzLfpdwd mjJld mjpf t cells and neutrophils $l

it Njhiy Nehffp nrdW mjpy ujjf Fohafis tpuptilar nraJ mqF rptej jdikiaAk(Redness) lbidAk rpyNtis rPo nfhzl nfhggsqfisAk(pustular

lesion) VwgLjJfpdwd

mjdhy NjhyhdJ rhjhuzkhdij tpl mbffb GJggpffgglLf nfhzbUfFk mjhtJ fyqfs wggJk GJggpffggLtJk kpf Ntfkhf eilngWk jdhy Njhy jbgghfpdwJ nrjpyfs NjhdWfpdwJ

Vd tthW T cells jtWjyhf tthW njhopwgLfpdwd vdW rupahf njupatpyiy Mathsufs J xU ghukgupak kwWk RwWroy rhuej tplakhf Uffyhk vd ekGfpdwdu

MVithurshana

30th BSMS

Njhy NehafSffhd rpy kUjJtf FwpgGffs

FgigNkdp iyfis kQrSld miujJ fugghdgt fpuejpfSfF ntspgG+rrhf G+ryhk

Ntggk iyia kQrSld miujJ nrhwp rpuqFfSfF g+ryhk fpuejpehafd nrbapy UeJ ngwggll rhwiw Njqfha vzizAld fyeJ

fharrp mjid fpuejpfSfF G+ryhk Fggpsha iyrrhwWld NjrpgGsp tplliujJg gir Nghy vLjJ nrhwp

rpuqFfSfFg G+ryhk f]Jup kQris miujJj NjajJf Fspff fugghdgt Gz ePqFk Gqfk NthgliliapypUeJ gpopej ghiy rpuqFgt fugghDfF G+rptu ePqFk Gqfk NthgglilapypUeJ mtpjj FbePiu rpuqFgt fugghDfF G+rptu ePqFk G+turk G+it miujJ rpuqFfSfspd kPJ flb tuyhk G+turk fhagt glilia vzizAld fharrp Njhy NehafSfF gadgLjjyhk mdprir iyfis kQrSld NrhjJ gir Nghy miujJ rpuqF kwWk

njhwWfshy Vwgll Njhy NehafSfF G+ryhk NjsnfhLfF iyrrhwiw rk msT Njqfha vzizAld fharrp tww itjJ

rpuqFgt fugghDfF G+ryhk Mthuk G+Tld ghrpggawiw NrhjjiujJ eikrrygt nrhwpfSfF NjajJ

Fspffyhk rufnfhdiw iyfis NjrpgGsp tplliujJ clypy NjajJ Fspff Njkygt

Nrhwpgt fugghd ePqFk rufnfhdiw G+it vYkprrkgorrhW tplliujJ clkgpy NjajJf Fspff

Njkygt nrhwpgt rpuqFgt fugghd ePqFk MLjPzlhgghiy rhwWld mNjasT eynyziz $lb vupjJ gfFt gjjjpy

tbflb fUkgilgt fugghDfF g+ryhk rptfueijfgt nfhlil fueij iyia epoypy cyhjjpg nghb nraJ jpdk 1

Ntis frac12 -1 fuzb vLff fugghd Nghdw Nehafs jPUk tzLnfhyyp iyia bjJ ngww rhwwpDs NjrpgGsp tplL mejr rhwiw

tbflb G+ryhk tzLnfhyyp rhwWfFr rk msT Njqfha vznza fyeJ frac12 gqfhf fharrp

tllffbfF G+ryhk fhhNghfhprpia ghypy fharrp vLjJ Rjjp nraJ ntapypy itjJ vLjJ

mjid Njqfha vzizAld fharrp cUll jphp Nghy tUk gjjjpy wffp Fggpapy miljJ ntzgilfF gadgLjj FzkhFk

SMithushy ( 31st BSMS)

kdpjk njiyej thoT

eyYssk nfhzl koiyaha

ePAk kzzpy tejhNah

R+J nfhzl tTyfpy

fglk gofp tsuejhNah

kyufspy gyypdk mofhf

kdpjupy gyypdk NtwWikahf

ePNa tFjj tpjpfnsyyhk

cdid Ms tpLthNah

vqNf fwwha gpuptpid

vdW fwwha tQrid

mdgpd tyyik Gupahky

MAjk Vejy mwpejhNah

rhjp d kj Ngjqfs

it klLk cdid gpupffpwJ

Nfll kdKk FzKk NrueNjjhd

cdid jdpikapy itffpwJ

Ntfkha tsUJ tpQQhdk

mjdhNy mopAJ nkQQhdk

kdpj cssk cwqfpf fplfifapNy

aejpu kdpjd klLk elffpdwhd

tpgjjpidf fzl khjjpujjpy

capiuffhff Kidahky

Gifggljjpy ePAk mlfFfpdwha

mij gjpNtwwp Gfis NjLfpdwha

vqNf NghdJ uffFzk

qNf vQrpaJd nghwhikNa

elgpdpy nrafpdwha JNuhfk

ePAk mOfpdwha mjdhNy

kdpjk njhiyej kdpjNd

mopit ePNa NjLfpwha

cwtpd gpizggpy fyffhky

cwit ePNa nfhyYfpwha

Nfhgqfs cssd ntdwplNt

cdid ePNa nfhyYfpdwha

rpjjd nrhdd topfspNy

kdij mlff KaythNa

czik xdNw njspT jUk

nghaapid ePAk kweJtpL

nfhLk nrhwfis ePffp ePAk

dpikaha Ngrp caueJ tpL

cdfFs cdid fzLgpb

xOffjij xOqfha gpdgwW

mdghy cyif xdwpizjJ

dgk rpwff thoeJ tpL

NHarishanth(31st BSMS)

JKeerthika ( 30th BSMS)

aytpyiy vddhy

kdpjh cd nfh^u eff fPwyfs

cd nfhba tQrpdg ghuitfs

nfhjjpf fpopfFk cd ghjrRtLfs

vid JzL JzlhfFk cd ghjfrnrayfs

twiwj jhqf aytpyiy vddhy

thdsht khspiffs thd cauej NfhGuqfs

tpzizKlLk tpQQhdqfsgt fzizfflLk fzLgpbgGffs

ghujj lnkyyhk gykhbfflllqfs ghuffKbahljjpYk$l gyMuharrpf$lqfs

gytwiw ePNa mikjjha ghjfNd vid Vd kwejha

cd tsurrp fzL gpukpjNjd ehd mdW

gpukpjjij gpwtpjJdgkha mDgtpffpNwd ehd dW

cidjjhqfpggpbjJ jhyhlba vd kdJ

dW cidj jhqf KbahJ jsshLfpwJ mJ VNdh

jhaha Nraha ehk UeNjhk mdW ndash kdpjh

jhqnfhzhj NeujjpYk jsutpyiyna ek gwW

jhd vdw Mztk tsuejJ cddpljjpy

jiyffzkha mJ khwpl jsujjpaNj ek Nerjij

gy fhykha ehDk ePAk UeNjhk gejkha

gy fhupaqfs rhjpjNjhk tTyfpy gejkha

gadfs gy fiu Guzld mdW

gydwW jlk GuzlNj mit dW

awif ehdpUffgt dgkha ePapUff

jkha thoej fhykgt mJ wej fhykha NgdNj dW

ddyfs gy jeJ iltplhJ vid tUjjpl

jkha Uej vdid dW akdha khwwpaJ VNdh

nghqfp vOej ehd nghwp fyqf cid tijff

nghWikNa yyhj ePNah vjpu Nghuhspaha vid vjpuff

whtspaha ehd Rodwbff RfF Ewhag Nghdha eP

Rfkha Rkej ehNd dW cid Ruzbg NghNdNd VNdh

kdpjdhy thojjpa ehNd cid kio ntssjjhy tPojjpNdd

vdJapuha cid tsuj ehNd vupjiyaha cid nghRffpNdd

fhy gjpjJ elee flNy dW flwNfhs mdujjkhdNj

cd G+ ghjqfs elej ljjpy Gtp eLffk GFeeJ VNdh

vd nrhejkha cid epidjJ nrhyy Kbah mdG itjJ

thdhsht caujjpa ehNd dW cid thlb tijffpdNwNd

cd nrayfspd gyNd ghjfdha cid tijjjhYk

ghyfdha cid ghujJ vdfF ghuff KbatpyiyNa ij

kdpjh cd kdjpy khwwqfs vdNwDk tUkh

yiyNay khwhJ cid ePNa khajJ nfhsthNah

fhjjpUfFk vdfF fhdy ePu jhd gupNrh

ghu kdpjh ghu aytpyiy vddhy jwF NkYk

SThuvanikara(31st BSMS)

ePhpopT Neha

jwfhyjjpy njhwwhNehafs gy capuhgjij tpistpffpdw khngUk Nehafshf

Uffpwd twwpy ePhpopT Neha Kjypljjpy UffpdwJ

vdNt eNeha tUKd fhggJ kpf mtrpak Mjwfhf czTfflLgghlil

NkwnfhzL tajpwNfwg cauk mjwNfww epiwia NgzNtzLk clwjpzpTrRlbia

rhjhuz tPrrpDs NgzpfnfhstJ mtrpak MdhYk U gukgiu MfTk

fljjggLfpwJ twiww jhzbAk mwpahj fhuzqfshy eNeha VwgLfpwJ vdNt

eNehahshfs mwpejpUff Ntzba rpy FwpgGffs

eNehahshfs cztpy NrhjJfnfhssf $ba ypiffs

1 rpWFwpQrh

rpWf mhpeJ Rzly nraJ rhggplyhk

iyia ntapypy cyujjp uzpjJ fspggplL twWld fyeJ

mtpjJ rhggplyhk

iyia gpopeJ rhwiwg gUfyhk

2 ggghrpgpQR

jid edF fOtp Njhy ePffp mjpypUeJ tbAk ghiy ePffptplL

rpWJzLfshf mhpeJ 3k ghiy tplL fwp rikjJ rhggplLtuyhk

3 ghfy gpQR

jid edF fOtp rpWJzLfshf mhpeJ ku cuypy lL

bjJg gpopnjLjJ rhwiwf fhiyapy gUFjy

jid rpWJzLfshf mhpeJ ntapypy cyhjjp twwyhf

rhggply

jpy UfFk chacantin vDk urhazk nghUs pancrease iz

Jhzb insulin [ $Ljyhf Euffr nrafpdwJ

4 tuF

tuF muprpiar Nrhwhfr rikjJ rhggpLtjd yk ePupopT

Nehiaf FzggLjJtJld kykpsffpsahfTk njhopwgLk

5 neyyprrhW

jDld ntwwpiyrrhW 15 mlgt Njd 15mlgt vYkprrkgorrhW 15ml

xdwhff fyeJ fhiy khiy klLk rhggplLtuy

6 fwwhisrrhW

rhgghlbd gpd 1 Njffuzb 14 fpoikfSfF njhlheJ vLjJtu

ePupopT flLggLk

7 ghjpup Nthgglil

ghjpup Nthgglilia cyhjjp nghbjJ frac12 Njffuzb fhiy

khiy MilePffpa ghYld vLffTk

8 Njwwhtpijgnghb

1 Njffuzb nteePhpy fyeJ fhiy khiy nfhLff ePupopT

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9 fUqfhypggprpd

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vLjjy

10 NtggqnfhOeJ

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czzy

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1 FbePh

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eluhIh rpeJ[h( 33rd BSMS)

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

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Reference kweJ Nghd kUjJtk

Author kUjJth fhrp gprir

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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Mohanashanth(32rd BSMS)

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GspgGss czTfsgt fly czTfsgt mirt czTfisj jtphff NtzLk

10 mDghdk vdwhy vdd

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11 rpjj kUjJt Kiw MAhNtjjjpy UeJ vtthW NtWgllJ

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Mdhy MAhNtjjjpy fgkgt gpjjkgt thjk

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Rzzkgt KgG Mfpait rpjj yffpaqfspy FwpggplgglLssd

Mdhy MAhNtjjjpy mit Fwpggplggltpyiy

12 rpjj kUjJt Kiwapy thkk vdgjwF mhjjk vdd

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13 jhJffisf nfhzl kUeJfs ghJfhgghditfsh

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14 rpjj kUeJfs nkJthf nrawgLkh

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tpisTfs epuejdkhf UfFk

15 rpjj kUjJtjjpy mWit kUjJtk czlh

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dWk Goffjjpy

16 KfFwwk vdwhy vdd

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dW FwwqfSk khdpl clypd mbggilf $Wfshd 96 jjJtqfis

KiwggLjJfpdwd k KfFwwjjpy rkepiy jtWk NghJ Neha czlhfpaJ

17 rpjj kUjJtjjpy UfFk rpwgG rpfprirfs vit

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fhafwgk(GjJaphgG) Mfpait rpy jdpjJtkhd rpfprir Kiwfs

STheyigah(30th BSMS)

cjtp johrpupaupd cssjjpypUeJhelliphelliphelliphelliphellip

மனித உயிரகள மகததுவம பெறறpட மனம gt nமhழிgt பமயயால பதாணடு பெயது தமிழுககும தமிழ

மருததுவததிறகும பெருமம செரததவரகள ெிததரகள அவரகளால உயிர பகாடுககபெடடு ெல

ொிணாமஙகமள அமடநது இனறு கமழதசதெ நாடுகள மடடுமனறி சமமலதசதய நாடுகளிலும

செெபெடும மருததுவமாக ெிதத மருததுவம வளரநது வருகினறது இததமகய பெருமமகள பகாணட

ெிதத மருததுவதமத கறகும யாழபொண ெலகமலககழக ெிதத மருததுவ துமறயில கலவி ெயிலும

மாணவரகள ொரொக ெிதத மருததுவ மாணவர ஒனறியததினால வருடாநத இதழ பவளியிடபெடடு

வருகினறது அசத சொல இநத வருடமும 20172018 மாணவர ஒனறியததினால நூல

பவளியிடுவமத இடடு உதவி இதழாெிாியர எனற வமகயில மடடிலலா மகிழசெி அமடகினசறன ஒரு

நூல பவழியடு எனெது ெல இனனலகமளயும தியாகஙகமளயும தாணடி எழுதது வடிவில இருநது நூல

வடிவில உயிர பெறறு எழுவதாகும இனறு உஙகள மககளில தவழநது பகாணடிருககும இநநூலுககும

இதழாெிாியரgt விாிவுமையாளரகள மறறும மாணவரகளின ெஙகளிபபு வாரதமதகளால வரணிகக

முடியாது இநநூலிறகாக உறொகததுடன ஆககஙகள தநத ெக மாணவரகளின ஆககஙகமள ெல

சவமலப ெழுககளுககு மததியில ொி ொரதது விாிவுமையாளரகளால தைபெடட ஆககஙகமள பதாகுதது

தைமான ெிதத மருததுவததின மகததுவதமத எடுததுககாடடும வமகயில நூல வடிவில தநதுளசளாம என

நமபுகினசறாம சமலும எமது மாணவரகளின ஆககததிறமனயும ஆறறமலயும பவளிபெடுததும

வமகயில அடுததடுதத வருடஙகளும எமது மாணவரகளால பவளியிடபெடNtzLk vdTk iwtidg gpuhjjpffpdNwd

KThivakar(31st BSMS)

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kUjJtjjpd Kjdik rpjjuhf mfjjpau fUjggLfpdwhu rpjjufspDlhf gupkhwgglL

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tdik cilatdhf Uff NtzLk

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G+uz mwpT

1 dpgG

2 GspgG

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5 fhugG

6 JthgG

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gwwpa mwpT

kUjJtdpd taJ

10 - 20 taJ - $lhJ

30 - 40 taJ - mjkk

40 - 50 taJ - cjjkk

50 - 60 taJ - kjjpkk

90 - 100 taJ - mjkhjkjk kUjJtdpd cil

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gy tuz cilfsgt tpyqFfspd Njhypyhd cilfis jtphff NtzLk

kUjJtdpd cahT

Fspjjy - cly Jaik

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Mrpupaugt rptd tufis tzqFjy

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flTs ekgpfif

kdj Jaik

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Nehafisf fzL mQrhj neQRWjp

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Sinthuja Rajeswaran (33rd BSMS)

awifj jej kUjJtk

MjpapNy kdpjd Njhwwk

Mzltd toptej awifapNy

Mapuk ftp nrhyYk kdpj thofif

Mwwqfiu tdr NrhiyapNyhellip

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Mzt Mlkgu thoifayy

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mwGj awif NrhiyfNshellip

mowrrp mtidg gww - awifNa

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MwWk tyyik cilaJk

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MNuhffpakha NgZtJ ek kUjJtNk

mdG fyej MNuhffpaNk ndash ek

mfpy rpjj kUjJtkhellip

SJalini (33rd BSMS)

awifahd czNt dpa kUeJ

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4000 rjJzTg nghUlfs

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it kuqfsgt nrb nfhbfspy fhzggLk urhazqfshFk

iglNlh nfkpffyfs (Phytochemicals)

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( From RfthoT khjhej jo) Shankeerna Subendran (32nd BSMS)

gbjjjpy gpbjjJhellip

kPsg ngWNthk awif thotpay

cwTfF tukgpyiy ahtUk NfsPu

coit NghwW ePjjhiu epidjJ tho

ngupahiuJiz Nkwnfhs $lh elG jtpu

cupahiu mutizjJ cyfjij Nerp

Cupnyyyhk eykh vjjid kd tsurrp

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SIndusiya (32nd BSMS)

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Page 61 62

- NTharshanah ( 30th BSMS)

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Reference ahoghz kffspd irt czT gofftoffqfs( jkpou thotpy rpjj

kUjJtk)DrSSivasanmugarajah MD(S)

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( From RfthoT khjhej jo)

By Shankeerna Subendran 2nd BSMS

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KUmashangary32nd BSMS

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B Renuka 33rd BSMS

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acids)

Mono unsaturated fatty acids

Eg- Olive oil

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Eg- Omega-3 Omega-6

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Reference rpt tyyhsd r(2007)isfF czT(kUjJt Muharrp tpsffk)

PVThillany(29th BSMS)

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BTharshika

29th BSMS

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filggpbjjy kpfTk eyyJ

SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

lL typia NghfFk ldquoKlffjjhd fPiurdquo

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ePupopT Neha FzkhfFk ldquomiuffPiurdquo

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khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

is typikfF Xh ldquoggghspg gokrdquo

ePupopT Nehia FzkhfFk ldquoKssqfprdquo

thAj njhyiyapypUeJ tpLgl ldquontejaf fPiurdquo

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[Puz rfjpia mjpfggLjJk ldquomddhrp gokrdquo

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khuGr rspgt Ukiy FzkhfFk ldquoJJtisrdquo

Kfk moF ngw ldquojpuhlirg gokrdquo

M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

clw L FiweJ fz Fsphik ngWkgt kykpsfpg NghFk 2 mffuhfhujjpy 2g msT vLjJj jlb thapyplL nkdW mlfFk NghJ RufFk

ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

4 mjjpf fhapd gpQRfisg grirg gaW NrhjJ Kiwggb rikjJ czz clwLgt kyfflL ePqFk Njfk tdik ngWk

5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

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l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

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ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

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gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

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y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

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28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

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32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

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thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

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GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

Nrhupahrp] Gsspfs nghLFNghdw rpwpa gilfs njhlffk ngupa mstpyhd jbgGfSld guej mstpYk Vwglyhk

ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

Plaque psoriasis(gpNsf Nrhupahrp]) o nghJthf Vwglf$bagt cyuejgt jbjjgt rptej Njhy(plaques)gt rpytu

epwkhd nrjpypdhy lgglbUfFk

o ej plaques fllhakhf fbiaNah myyJ typiaNah nfhzbUfFk mjJld rpwpa mstpNyh myyJ gueJglljhfNth fhzggLk

o gpwgG cWgGffsgt thafFopapd clGwk vdgd csslqfshf clypd vggFjpapNyDk Njhdwf$Lk

Nail psoriasis(neapy Nrhupahrp]) o Nrhupahrp] MdJ if fhy tpuy efqfis ghjpfFk epiyia

tthW mioggu mjpy efqfspy Fopfs tpOjygt toikfF khwhd ef tsurrp kwWk efqfspy epwk khwwkiljy vdgd Vwglyhk

o ttif efqfs nail bed vdggLk efggLfifapypUeJ gpuptilAk jid onycholysis vdgu jPtpu epiyikfspy efkhdJ crumble Mf khwwkilAk

Guttate psoriasis(fwNuw Nrhupahrp]) o ej tif Nrhupahrp] ngupJk ghjpggJ isNahu kwWk

gpsisfisahFk J toikahf gfuPupahffshy njhzilapy VwgLk xUtif njhwWf fhuzkhf(strep throat) KLffptplggLfpwJ

o jidg ghuggjwF rpwpajhfTkgt ePujJspfs Nghdw tbtKilajhfTk fhzggLk it KzljjpYkgt if fhyfspYkgt jiyapYk gutpf fhzggLk

e epiyapy Ezzpa nrjpyfs fhzggLkgt jbjj plaque fhzgglhJgt jhdhfNt kiwAk vdpDk kPzlk kPzLk NjhdWk

Inverse psoriasis(dNtu] Nrhupahrp]) o it gpujhdkhf jhfFtJ mfFs gFjpfs(armpits) kwWk

ftlLggFjpfs(groin)gt khugfqfspd fPoggFjp(under the breast) kwWk dgngUff cWgGfisr oTss gFjpfisahFk(genitals) qF jbgGffs mww rptej Gsspfs fhzggLkgt ghjpffggll Njhypy cuhaTfsgt ntbgGfs vdgdTkgt tpauitAk fhzggLk gqfR njhwWffs ej tifahd Nrhupahrp] epiyia KLffptplyhk

Pustular psoriasis(g]bA+yu Nrhupahrp]) o J nghJthf VwgLtjpyiy vdpDk guej xU Nrhupahrp] gilapy

Vwglyhk(gentralized pustular psoariasis) iffsgt ghjqfsgt tpuy Edpfs Nghdw rpwpa ghfqfspyp Vwglyhk

it nghJthf Ntfkhf NjhdwptpLkgt jpypy rpwpa rPo epukgpa nfhggsqfs fhzggLk rpy kzp Neujjpd gpddu mej NjhygFjp rptejjhfTk njhLk NghJ Ntjid jUtjhfTk fhzggLk

nfhggsqfs mbffb Njhdwp kiwAk ehd NkNy $wpggpll gentralized pustular psoariasis epyikapy fharry eLffk fLikahd fb ePujjdikahf kyk mbffb fopjy(diarrhea) vdgd fhzgglyhk

Rythrodermic psoariasis(vupjNjhNlkpf Nrhupahrp]) o J kpf kpf mupjhd xdW jpy cly KwwhfTk rpteJ

cupaf$ba gil fhzggLk mjJld fb myyJ vuprry fhzggLk

Psoariatic arthritis(Nrhypahbf Mjjpiurp]) o Nrhupahrp] Njhypy VwgLjJk gpurrid xU GwkpUff jwF

$Ljyhf Nrhupahbf Mjiub] vdgJ llffspy tPffjijAk typiaAk VwgLjJfpdw epiyikahFk rpy rejugqfspy lLffspy VwgLk ej gpurrpid Kjypy ntspffhllgglL mjid njhlueJ efqfspy Fop tpOjy Nghdw khwwqfs Vwglyhk mjd gpddu NjhYk ghjpffgglyhk jd ghjpgGfs rpwpa msT Kjy jhqf KbahjtiufFk NtWglyhk

o J vej tif lLffis NtzLkhdhYk ghjpffyhk mjJld lLffspd mirit flLggLjjp mjd fllikgGfis ghjpjJ mjpy epuejukhd khwwjij $l VwgLjjyhk

Nrhupahrp] tUtjwfhd fhuzqfs

czikapy Nrhupahrp] tUtjwfhd fhuzk vdgJ rupahf njupahj xdwhfNt UffpdwJ

MapDk J cqfs immune system vdggLk NehnajpugG nghwpKiwAld njhlughdJ mjpYk ej NehnajpugG nghwpKiwapy gqFtfpfFk t fyqfs (t cells) eLepiyffyqfs (neutophils) njhlughdJ

t cells toikahf clnyqFk Rwwp clypYss cly fyqfs myyhj gpw nghUlfis (foreign substance) vjpujJ mopfFk Ntiyapy gqnfLffpdwJ cjhuzk viruses and

bacteria

Mdhy cqfSfF Nrhupahrp] Uejhy t cells jtWjyhf cqfspd Njhy fyqfis mopffpdwd vdW nghUs

over active t cells MNuhffpakhd Njhy fyqfs cwgjjpahtij JzLfpdwd mjJld mjpf t cells and neutrophils $l

it Njhiy Nehffp nrdW mjpy ujjf Fohafis tpuptilar nraJ mqF rptej jdikiaAk(Redness) lbidAk rpyNtis rPo nfhzl nfhggsqfisAk(pustular

lesion) VwgLjJfpdwd

mjdhy NjhyhdJ rhjhuzkhdij tpl mbffb GJggpffgglLf nfhzbUfFk mjhtJ fyqfs wggJk GJggpffggLtJk kpf Ntfkhf eilngWk jdhy Njhy jbgghfpdwJ nrjpyfs NjhdWfpdwJ

Vd tthW T cells jtWjyhf tthW njhopwgLfpdwd vdW rupahf njupatpyiy Mathsufs J xU ghukgupak kwWk RwWroy rhuej tplakhf Uffyhk vd ekGfpdwdu

MVithurshana

30th BSMS

Njhy NehafSffhd rpy kUjJtf FwpgGffs

FgigNkdp iyfis kQrSld miujJ fugghdgt fpuejpfSfF ntspgG+rrhf G+ryhk

Ntggk iyia kQrSld miujJ nrhwp rpuqFfSfF g+ryhk fpuejpehafd nrbapy UeJ ngwggll rhwiw Njqfha vzizAld fyeJ

fharrp mjid fpuejpfSfF G+ryhk Fggpsha iyrrhwWld NjrpgGsp tplliujJg gir Nghy vLjJ nrhwp

rpuqFfSfFg G+ryhk f]Jup kQris miujJj NjajJf Fspff fugghdgt Gz ePqFk Gqfk NthgliliapypUeJ gpopej ghiy rpuqFgt fugghDfF G+rptu ePqFk Gqfk NthgglilapypUeJ mtpjj FbePiu rpuqFgt fugghDfF G+rptu ePqFk G+turk G+it miujJ rpuqFfSfspd kPJ flb tuyhk G+turk fhagt glilia vzizAld fharrp Njhy NehafSfF gadgLjjyhk mdprir iyfis kQrSld NrhjJ gir Nghy miujJ rpuqF kwWk

njhwWfshy Vwgll Njhy NehafSfF G+ryhk NjsnfhLfF iyrrhwiw rk msT Njqfha vzizAld fharrp tww itjJ

rpuqFgt fugghDfF G+ryhk Mthuk G+Tld ghrpggawiw NrhjjiujJ eikrrygt nrhwpfSfF NjajJ

Fspffyhk rufnfhdiw iyfis NjrpgGsp tplliujJ clypy NjajJ Fspff Njkygt

Nrhwpgt fugghd ePqFk rufnfhdiw G+it vYkprrkgorrhW tplliujJ clkgpy NjajJf Fspff

Njkygt nrhwpgt rpuqFgt fugghd ePqFk MLjPzlhgghiy rhwWld mNjasT eynyziz $lb vupjJ gfFt gjjjpy

tbflb fUkgilgt fugghDfF g+ryhk rptfueijfgt nfhlil fueij iyia epoypy cyhjjpg nghb nraJ jpdk 1

Ntis frac12 -1 fuzb vLff fugghd Nghdw Nehafs jPUk tzLnfhyyp iyia bjJ ngww rhwwpDs NjrpgGsp tplL mejr rhwiw

tbflb G+ryhk tzLnfhyyp rhwWfFr rk msT Njqfha vznza fyeJ frac12 gqfhf fharrp

tllffbfF G+ryhk fhhNghfhprpia ghypy fharrp vLjJ Rjjp nraJ ntapypy itjJ vLjJ

mjid Njqfha vzizAld fharrp cUll jphp Nghy tUk gjjjpy wffp Fggpapy miljJ ntzgilfF gadgLjj FzkhFk

SMithushy ( 31st BSMS)

kdpjk njiyej thoT

eyYssk nfhzl koiyaha

ePAk kzzpy tejhNah

R+J nfhzl tTyfpy

fglk gofp tsuejhNah

kyufspy gyypdk mofhf

kdpjupy gyypdk NtwWikahf

ePNa tFjj tpjpfnsyyhk

cdid Ms tpLthNah

vqNf fwwha gpuptpid

vdW fwwha tQrid

mdgpd tyyik Gupahky

MAjk Vejy mwpejhNah

rhjp d kj Ngjqfs

it klLk cdid gpupffpwJ

Nfll kdKk FzKk NrueNjjhd

cdid jdpikapy itffpwJ

Ntfkha tsUJ tpQQhdk

mjdhNy mopAJ nkQQhdk

kdpj cssk cwqfpf fplfifapNy

aejpu kdpjd klLk elffpdwhd

tpgjjpidf fzl khjjpujjpy

capiuffhff Kidahky

Gifggljjpy ePAk mlfFfpdwha

mij gjpNtwwp Gfis NjLfpdwha

vqNf NghdJ uffFzk

qNf vQrpaJd nghwhikNa

elgpdpy nrafpdwha JNuhfk

ePAk mOfpdwha mjdhNy

kdpjk njhiyej kdpjNd

mopit ePNa NjLfpwha

cwtpd gpizggpy fyffhky

cwit ePNa nfhyYfpwha

Nfhgqfs cssd ntdwplNt

cdid ePNa nfhyYfpdwha

rpjjd nrhdd topfspNy

kdij mlff KaythNa

czik xdNw njspT jUk

nghaapid ePAk kweJtpL

nfhLk nrhwfis ePffp ePAk

dpikaha Ngrp caueJ tpL

cdfFs cdid fzLgpb

xOffjij xOqfha gpdgwW

mdghy cyif xdwpizjJ

dgk rpwff thoeJ tpL

NHarishanth(31st BSMS)

JKeerthika ( 30th BSMS)

aytpyiy vddhy

kdpjh cd nfh^u eff fPwyfs

cd nfhba tQrpdg ghuitfs

nfhjjpf fpopfFk cd ghjrRtLfs

vid JzL JzlhfFk cd ghjfrnrayfs

twiwj jhqf aytpyiy vddhy

thdsht khspiffs thd cauej NfhGuqfs

tpzizKlLk tpQQhdqfsgt fzizfflLk fzLgpbgGffs

ghujj lnkyyhk gykhbfflllqfs ghuffKbahljjpYk$l gyMuharrpf$lqfs

gytwiw ePNa mikjjha ghjfNd vid Vd kwejha

cd tsurrp fzL gpukpjNjd ehd mdW

gpukpjjij gpwtpjJdgkha mDgtpffpNwd ehd dW

cidjjhqfpggpbjJ jhyhlba vd kdJ

dW cidj jhqf KbahJ jsshLfpwJ mJ VNdh

jhaha Nraha ehk UeNjhk mdW ndash kdpjh

jhqnfhzhj NeujjpYk jsutpyiyna ek gwW

jhd vdw Mztk tsuejJ cddpljjpy

jiyffzkha mJ khwpl jsujjpaNj ek Nerjij

gy fhykha ehDk ePAk UeNjhk gejkha

gy fhupaqfs rhjpjNjhk tTyfpy gejkha

gadfs gy fiu Guzld mdW

gydwW jlk GuzlNj mit dW

awif ehdpUffgt dgkha ePapUff

jkha thoej fhykgt mJ wej fhykha NgdNj dW

ddyfs gy jeJ iltplhJ vid tUjjpl

jkha Uej vdid dW akdha khwwpaJ VNdh

nghqfp vOej ehd nghwp fyqf cid tijff

nghWikNa yyhj ePNah vjpu Nghuhspaha vid vjpuff

whtspaha ehd Rodwbff RfF Ewhag Nghdha eP

Rfkha Rkej ehNd dW cid Ruzbg NghNdNd VNdh

kdpjdhy thojjpa ehNd cid kio ntssjjhy tPojjpNdd

vdJapuha cid tsuj ehNd vupjiyaha cid nghRffpNdd

fhy gjpjJ elee flNy dW flwNfhs mdujjkhdNj

cd G+ ghjqfs elej ljjpy Gtp eLffk GFeeJ VNdh

vd nrhejkha cid epidjJ nrhyy Kbah mdG itjJ

thdhsht caujjpa ehNd dW cid thlb tijffpdNwNd

cd nrayfspd gyNd ghjfdha cid tijjjhYk

ghyfdha cid ghujJ vdfF ghuff KbatpyiyNa ij

kdpjh cd kdjpy khwwqfs vdNwDk tUkh

yiyNay khwhJ cid ePNa khajJ nfhsthNah

fhjjpUfFk vdfF fhdy ePu jhd gupNrh

ghu kdpjh ghu aytpyiy vddhy jwF NkYk

SThuvanikara(31st BSMS)

ePhpopT Neha

jwfhyjjpy njhwwhNehafs gy capuhgjij tpistpffpdw khngUk Nehafshf

Uffpwd twwpy ePhpopT Neha Kjypljjpy UffpdwJ

vdNt eNeha tUKd fhggJ kpf mtrpak Mjwfhf czTfflLgghlil

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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Mohanashanth(32rd BSMS)

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( From RfthoT khjhej jo) Shankeerna Subendran (32nd BSMS)

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Page 61 62

- NTharshanah ( 30th BSMS)

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KUmashangary32nd BSMS

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jpUfFwspy lk ngWk U kyufs - mdprirgt Ftis

jpUfFwspy lk ngWk xNu gok - neUQrp gok

jpUfFwspy lk ngWk xNu tpij- FdWkzp

jpUfFwspy lkngww uzL kuqfs - gid qfpy

jpUfFwspy mjpfk gadgLjjggll xNu vOjJ ndash dp ( 1705)

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jpUfFws Jtiu 26 nkhopfspy ntspteJssJ

jpUfFwis Mqfpyjjpy 40 Ngu nkhop ngajJssdu

B Renuka 33rd BSMS

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nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

epiwTww nfhOggkpyqfs(

saturated fatty acids)

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diseases) Gay Ntf tsurrp ngwWssd

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650mg xNkfh-3 fly czTfspy UeJk ( ePzl rqfpyp xNkfh-3)

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disease)gtkJgghtid(Alcoholism)gtmjpfNfhgk(Irritability)gtgifik(Hostility)gtftdkpdik(Po

or consenration)gtMfNuhrk(Aggressive)gttdKiw(Violence)gtfwwy FiwghL(Dyslexia)gtKJik

miljy(Senility)gtjjfa kd rPuNfLfSfF xNkfh-3 CllrrjJ gwwhfFiwNa mbggilf fhuzk

xNkfh-3 nrawgLk tpjk

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ehk czZk kPdfspd rpwgG

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jiyapy nghLF

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kPd czT gwwp CllrrjJ Muharrpahsufs

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Reference rpt tyyhsd r(2007)isfF czT(kUjJt Muharrp tpsffk)

PVThillany(29th BSMS)

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BTharshika

29th BSMS

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1 iftpuy Kjjpiu

A) xU if Kjjpiu EG rpdgt thAgt gpuhzgt upa Kjjpiu

B) U iffs Kjjpiu EG ypqfkgt mQrypgt rqFgt fUl Kjjpiu

2 kdKjjpiu

3 clygt fha Kjjpiu

4 gejqfs Kjjpiu

5 Mjhu Kjjpiu

Kjypy vkfF vdd NtzLk vd jPhffkhd KbTfF tuNtzLk gpdG mjwF

cupa Kjjpiu njhpT nraa NtzLk jid Eygt izak gadgLjjpdhy

Nkyjpf jftyfisg ngwyhk

gpdG jwfhd fhy msit tfpjJf nfhss NtzLk Fwpgghf fhiyapy

gpukk K$hjjkgt khiy rejpu K$hjjk myyJ vkJ XaT Neuk vd Xh

Fwpggpll Neujij NjhT nraJ mjid khwhJ mDjpdKk nraa NtzLk

clNd gyd fpilffhJ nryy nryy gydfis ngwyhk Xh Kjjpiu 20 ndash 30

epkplk xJffyhk NkYk kejpuqfis cgNahfpjjy mjpkfkhd gyid jUk

nraAk NghJ gjkhrdkgt Rfhrdk Nghdwtwiw Nkwjiuapy tpupgG tpupjJ

nraa NtzLkgt jdNghJ nksdkhf Ujjy eyyJ mjJld nkJ nkJthf

nraa MukgpffTk yFthdtwwpy UeJ fbdkhdtwwpwF nryyTk edF

fhwNwhllkhd ljjpy nraayhk

iffis clYfF kpfTk mzikapYkgt njhgGs Nkyhf itggJ mjpf edik

jUk Kfjjpy rpupgGldgt iffspy f~lk dwp nraa NtzLk

nraa KdG cly Jaikgt iffisr Rjjk nraJ JiljJf nfhzL nraa

NtzLk nraAk fhyjjpy awifgt irt czT czgJ eyyJ Mf mikAk

2gt3 KjjpiufSk nraayhk NjitfF Vwg khwwyhk Fwpgghf 1 kzly fhyk

nraAk NghJ rpwej guid ngwyhk tshgpiwfspy Mukgpjjy Nghdwtwiw

filggpbjjy kpfTk eyyJ

SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

lL typia NghfFk ldquoKlffjjhd fPiurdquo

Ukygt ffilgGgt FzkhfFk ldquofwG+utssprdquo (Xktyyp)

ePupopT Neha FzkhfFk ldquomiuffPiurdquo

thagGzgt Fly Gzfis FzkhfFk ldquokzpjjffhsprdquo

cliyg nghddpwkh khwWk ldquonghddhqfzzp fPiurdquo

khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

is typikfF Xh ldquoggghspg gokrdquo

ePupopT Nehia FzkhfFk ldquoKssqfprdquo

thAj njhyiyapypUeJ tpLgl ldquontejaf fPiurdquo

ujj mOjjjij FzkhfFk ldquoJsrprdquo

khhGr rsp ePfFk ldquoRzilffhardquo

rspgt M]JkhTfF ldquoMlhNjhilrdquo

Qhgf rfjpiaf nfhLfFk ldquotyyhiurdquo

ujjNrhifia ePfFk ldquogPwWlrdquo

[Puz rfjpia mjpfggLjJk ldquomddhrp gokrdquo

Kb eiuffhky Uff ldquofyahz KUqifrdquo ldquoKsKUqifrdquo

khuGr rspgt Ukiy FzkhfFk ldquoJJtisrdquo

Kfk moF ngw ldquojpuhlirg gokrdquo

M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

clw L FiweJ fz Fsphik ngWkgt kykpsfpg NghFk 2 mffuhfhujjpy 2g msT vLjJj jlb thapyplL nkdW mlfFk NghJ RufFk

ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

4 mjjpf fhapd gpQRfisg grirg gaW NrhjJ Kiwggb rikjJ czz clwLgt kyfflL ePqFk Njfk tdik ngWk

5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

9 MkzfF iyia rpwwhkzfnfznza jltp mdypy thlb ghytwwpa ngzfspf khhgpy Nghl ghy RufFk tthW nraJ rpWf mupeJ KbrR flb Mrdjjpy xwwlk

l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

Nrhupahrp] Gsspfs nghLFNghdw rpwpa gilfs njhlffk ngupa mstpyhd jbgGfSld guej mstpYk Vwglyhk

ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

Plaque psoriasis(gpNsf Nrhupahrp]) o nghJthf Vwglf$bagt cyuejgt jbjjgt rptej Njhy(plaques)gt rpytu

epwkhd nrjpypdhy lgglbUfFk

o ej plaques fllhakhf fbiaNah myyJ typiaNah nfhzbUfFk mjJld rpwpa mstpNyh myyJ gueJglljhfNth fhzggLk

o gpwgG cWgGffsgt thafFopapd clGwk vdgd csslqfshf clypd vggFjpapNyDk Njhdwf$Lk

Nail psoriasis(neapy Nrhupahrp]) o Nrhupahrp] MdJ if fhy tpuy efqfis ghjpfFk epiyia

tthW mioggu mjpy efqfspy Fopfs tpOjygt toikfF khwhd ef tsurrp kwWk efqfspy epwk khwwkiljy vdgd Vwglyhk

o ttif efqfs nail bed vdggLk efggLfifapypUeJ gpuptilAk jid onycholysis vdgu jPtpu epiyikfspy efkhdJ crumble Mf khwwkilAk

Guttate psoriasis(fwNuw Nrhupahrp]) o ej tif Nrhupahrp] ngupJk ghjpggJ isNahu kwWk

gpsisfisahFk J toikahf gfuPupahffshy njhzilapy VwgLk xUtif njhwWf fhuzkhf(strep throat) KLffptplggLfpwJ

o jidg ghuggjwF rpwpajhfTkgt ePujJspfs Nghdw tbtKilajhfTk fhzggLk it KzljjpYkgt if fhyfspYkgt jiyapYk gutpf fhzggLk

e epiyapy Ezzpa nrjpyfs fhzggLkgt jbjj plaque fhzgglhJgt jhdhfNt kiwAk vdpDk kPzlk kPzLk NjhdWk

Inverse psoriasis(dNtu] Nrhupahrp]) o it gpujhdkhf jhfFtJ mfFs gFjpfs(armpits) kwWk

ftlLggFjpfs(groin)gt khugfqfspd fPoggFjp(under the breast) kwWk dgngUff cWgGfisr oTss gFjpfisahFk(genitals) qF jbgGffs mww rptej Gsspfs fhzggLkgt ghjpffggll Njhypy cuhaTfsgt ntbgGfs vdgdTkgt tpauitAk fhzggLk gqfR njhwWffs ej tifahd Nrhupahrp] epiyia KLffptplyhk

Pustular psoriasis(g]bA+yu Nrhupahrp]) o J nghJthf VwgLtjpyiy vdpDk guej xU Nrhupahrp] gilapy

Vwglyhk(gentralized pustular psoariasis) iffsgt ghjqfsgt tpuy Edpfs Nghdw rpwpa ghfqfspyp Vwglyhk

it nghJthf Ntfkhf NjhdwptpLkgt jpypy rpwpa rPo epukgpa nfhggsqfs fhzggLk rpy kzp Neujjpd gpddu mej NjhygFjp rptejjhfTk njhLk NghJ Ntjid jUtjhfTk fhzggLk

nfhggsqfs mbffb Njhdwp kiwAk ehd NkNy $wpggpll gentralized pustular psoariasis epyikapy fharry eLffk fLikahd fb ePujjdikahf kyk mbffb fopjy(diarrhea) vdgd fhzgglyhk

Rythrodermic psoariasis(vupjNjhNlkpf Nrhupahrp]) o J kpf kpf mupjhd xdW jpy cly KwwhfTk rpteJ

cupaf$ba gil fhzggLk mjJld fb myyJ vuprry fhzggLk

Psoariatic arthritis(Nrhypahbf Mjjpiurp]) o Nrhupahrp] Njhypy VwgLjJk gpurrid xU GwkpUff jwF

$Ljyhf Nrhupahbf Mjiub] vdgJ llffspy tPffjijAk typiaAk VwgLjJfpdw epiyikahFk rpy rejugqfspy lLffspy VwgLk ej gpurrpid Kjypy ntspffhllgglL mjid njhlueJ efqfspy Fop tpOjy Nghdw khwwqfs Vwglyhk mjd gpddu NjhYk ghjpffgglyhk jd ghjpgGfs rpwpa msT Kjy jhqf KbahjtiufFk NtWglyhk

o J vej tif lLffis NtzLkhdhYk ghjpffyhk mjJld lLffspd mirit flLggLjjp mjd fllikgGfis ghjpjJ mjpy epuejukhd khwwjij $l VwgLjjyhk

Nrhupahrp] tUtjwfhd fhuzqfs

czikapy Nrhupahrp] tUtjwfhd fhuzk vdgJ rupahf njupahj xdwhfNt UffpdwJ

MapDk J cqfs immune system vdggLk NehnajpugG nghwpKiwAld njhlughdJ mjpYk ej NehnajpugG nghwpKiwapy gqFtfpfFk t fyqfs (t cells) eLepiyffyqfs (neutophils) njhlughdJ

t cells toikahf clnyqFk Rwwp clypYss cly fyqfs myyhj gpw nghUlfis (foreign substance) vjpujJ mopfFk Ntiyapy gqnfLffpdwJ cjhuzk viruses and

bacteria

Mdhy cqfSfF Nrhupahrp] Uejhy t cells jtWjyhf cqfspd Njhy fyqfis mopffpdwd vdW nghUs

over active t cells MNuhffpakhd Njhy fyqfs cwgjjpahtij JzLfpdwd mjJld mjpf t cells and neutrophils $l

it Njhiy Nehffp nrdW mjpy ujjf Fohafis tpuptilar nraJ mqF rptej jdikiaAk(Redness) lbidAk rpyNtis rPo nfhzl nfhggsqfisAk(pustular

lesion) VwgLjJfpdwd

mjdhy NjhyhdJ rhjhuzkhdij tpl mbffb GJggpffgglLf nfhzbUfFk mjhtJ fyqfs wggJk GJggpffggLtJk kpf Ntfkhf eilngWk jdhy Njhy jbgghfpdwJ nrjpyfs NjhdWfpdwJ

Vd tthW T cells jtWjyhf tthW njhopwgLfpdwd vdW rupahf njupatpyiy Mathsufs J xU ghukgupak kwWk RwWroy rhuej tplakhf Uffyhk vd ekGfpdwdu

MVithurshana

30th BSMS

Njhy NehafSffhd rpy kUjJtf FwpgGffs

FgigNkdp iyfis kQrSld miujJ fugghdgt fpuejpfSfF ntspgG+rrhf G+ryhk

Ntggk iyia kQrSld miujJ nrhwp rpuqFfSfF g+ryhk fpuejpehafd nrbapy UeJ ngwggll rhwiw Njqfha vzizAld fyeJ

fharrp mjid fpuejpfSfF G+ryhk Fggpsha iyrrhwWld NjrpgGsp tplliujJg gir Nghy vLjJ nrhwp

rpuqFfSfFg G+ryhk f]Jup kQris miujJj NjajJf Fspff fugghdgt Gz ePqFk Gqfk NthgliliapypUeJ gpopej ghiy rpuqFgt fugghDfF G+rptu ePqFk Gqfk NthgglilapypUeJ mtpjj FbePiu rpuqFgt fugghDfF G+rptu ePqFk G+turk G+it miujJ rpuqFfSfspd kPJ flb tuyhk G+turk fhagt glilia vzizAld fharrp Njhy NehafSfF gadgLjjyhk mdprir iyfis kQrSld NrhjJ gir Nghy miujJ rpuqF kwWk

njhwWfshy Vwgll Njhy NehafSfF G+ryhk NjsnfhLfF iyrrhwiw rk msT Njqfha vzizAld fharrp tww itjJ

rpuqFgt fugghDfF G+ryhk Mthuk G+Tld ghrpggawiw NrhjjiujJ eikrrygt nrhwpfSfF NjajJ

Fspffyhk rufnfhdiw iyfis NjrpgGsp tplliujJ clypy NjajJ Fspff Njkygt

Nrhwpgt fugghd ePqFk rufnfhdiw G+it vYkprrkgorrhW tplliujJ clkgpy NjajJf Fspff

Njkygt nrhwpgt rpuqFgt fugghd ePqFk MLjPzlhgghiy rhwWld mNjasT eynyziz $lb vupjJ gfFt gjjjpy

tbflb fUkgilgt fugghDfF g+ryhk rptfueijfgt nfhlil fueij iyia epoypy cyhjjpg nghb nraJ jpdk 1

Ntis frac12 -1 fuzb vLff fugghd Nghdw Nehafs jPUk tzLnfhyyp iyia bjJ ngww rhwwpDs NjrpgGsp tplL mejr rhwiw

tbflb G+ryhk tzLnfhyyp rhwWfFr rk msT Njqfha vznza fyeJ frac12 gqfhf fharrp

tllffbfF G+ryhk fhhNghfhprpia ghypy fharrp vLjJ Rjjp nraJ ntapypy itjJ vLjJ

mjid Njqfha vzizAld fharrp cUll jphp Nghy tUk gjjjpy wffp Fggpapy miljJ ntzgilfF gadgLjj FzkhFk

SMithushy ( 31st BSMS)

kdpjk njiyej thoT

eyYssk nfhzl koiyaha

ePAk kzzpy tejhNah

R+J nfhzl tTyfpy

fglk gofp tsuejhNah

kyufspy gyypdk mofhf

kdpjupy gyypdk NtwWikahf

ePNa tFjj tpjpfnsyyhk

cdid Ms tpLthNah

vqNf fwwha gpuptpid

vdW fwwha tQrid

mdgpd tyyik Gupahky

MAjk Vejy mwpejhNah

rhjp d kj Ngjqfs

it klLk cdid gpupffpwJ

Nfll kdKk FzKk NrueNjjhd

cdid jdpikapy itffpwJ

Ntfkha tsUJ tpQQhdk

mjdhNy mopAJ nkQQhdk

kdpj cssk cwqfpf fplfifapNy

aejpu kdpjd klLk elffpdwhd

tpgjjpidf fzl khjjpujjpy

capiuffhff Kidahky

Gifggljjpy ePAk mlfFfpdwha

mij gjpNtwwp Gfis NjLfpdwha

vqNf NghdJ uffFzk

qNf vQrpaJd nghwhikNa

elgpdpy nrafpdwha JNuhfk

ePAk mOfpdwha mjdhNy

kdpjk njhiyej kdpjNd

mopit ePNa NjLfpwha

cwtpd gpizggpy fyffhky

cwit ePNa nfhyYfpwha

Nfhgqfs cssd ntdwplNt

cdid ePNa nfhyYfpdwha

rpjjd nrhdd topfspNy

kdij mlff KaythNa

czik xdNw njspT jUk

nghaapid ePAk kweJtpL

nfhLk nrhwfis ePffp ePAk

dpikaha Ngrp caueJ tpL

cdfFs cdid fzLgpb

xOffjij xOqfha gpdgwW

mdghy cyif xdwpizjJ

dgk rpwff thoeJ tpL

NHarishanth(31st BSMS)

JKeerthika ( 30th BSMS)

aytpyiy vddhy

kdpjh cd nfh^u eff fPwyfs

cd nfhba tQrpdg ghuitfs

nfhjjpf fpopfFk cd ghjrRtLfs

vid JzL JzlhfFk cd ghjfrnrayfs

twiwj jhqf aytpyiy vddhy

thdsht khspiffs thd cauej NfhGuqfs

tpzizKlLk tpQQhdqfsgt fzizfflLk fzLgpbgGffs

ghujj lnkyyhk gykhbfflllqfs ghuffKbahljjpYk$l gyMuharrpf$lqfs

gytwiw ePNa mikjjha ghjfNd vid Vd kwejha

cd tsurrp fzL gpukpjNjd ehd mdW

gpukpjjij gpwtpjJdgkha mDgtpffpNwd ehd dW

cidjjhqfpggpbjJ jhyhlba vd kdJ

dW cidj jhqf KbahJ jsshLfpwJ mJ VNdh

jhaha Nraha ehk UeNjhk mdW ndash kdpjh

jhqnfhzhj NeujjpYk jsutpyiyna ek gwW

jhd vdw Mztk tsuejJ cddpljjpy

jiyffzkha mJ khwpl jsujjpaNj ek Nerjij

gy fhykha ehDk ePAk UeNjhk gejkha

gy fhupaqfs rhjpjNjhk tTyfpy gejkha

gadfs gy fiu Guzld mdW

gydwW jlk GuzlNj mit dW

awif ehdpUffgt dgkha ePapUff

jkha thoej fhykgt mJ wej fhykha NgdNj dW

ddyfs gy jeJ iltplhJ vid tUjjpl

jkha Uej vdid dW akdha khwwpaJ VNdh

nghqfp vOej ehd nghwp fyqf cid tijff

nghWikNa yyhj ePNah vjpu Nghuhspaha vid vjpuff

whtspaha ehd Rodwbff RfF Ewhag Nghdha eP

Rfkha Rkej ehNd dW cid Ruzbg NghNdNd VNdh

kdpjdhy thojjpa ehNd cid kio ntssjjhy tPojjpNdd

vdJapuha cid tsuj ehNd vupjiyaha cid nghRffpNdd

fhy gjpjJ elee flNy dW flwNfhs mdujjkhdNj

cd G+ ghjqfs elej ljjpy Gtp eLffk GFeeJ VNdh

vd nrhejkha cid epidjJ nrhyy Kbah mdG itjJ

thdhsht caujjpa ehNd dW cid thlb tijffpdNwNd

cd nrayfspd gyNd ghjfdha cid tijjjhYk

ghyfdha cid ghujJ vdfF ghuff KbatpyiyNa ij

kdpjh cd kdjpy khwwqfs vdNwDk tUkh

yiyNay khwhJ cid ePNa khajJ nfhsthNah

fhjjpUfFk vdfF fhdy ePu jhd gupNrh

ghu kdpjh ghu aytpyiy vddhy jwF NkYk

SThuvanikara(31st BSMS)

ePhpopT Neha

jwfhyjjpy njhwwhNehafs gy capuhgjij tpistpffpdw khngUk Nehafshf

Uffpwd twwpy ePhpopT Neha Kjypljjpy UffpdwJ

vdNt eNeha tUKd fhggJ kpf mtrpak Mjwfhf czTfflLgghlil

NkwnfhzL tajpwNfwg cauk mjwNfww epiwia NgzNtzLk clwjpzpTrRlbia

rhjhuz tPrrpDs NgzpfnfhstJ mtrpak MdhYk U gukgiu MfTk

fljjggLfpwJ twiww jhzbAk mwpahj fhuzqfshy eNeha VwgLfpwJ vdNt

eNehahshfs mwpejpUff Ntzba rpy FwpgGffs

eNehahshfs cztpy NrhjJfnfhssf $ba ypiffs

1 rpWFwpQrh

rpWf mhpeJ Rzly nraJ rhggplyhk

iyia ntapypy cyujjp uzpjJ fspggplL twWld fyeJ

mtpjJ rhggplyhk

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2 ggghrpgpQR

jid edF fOtp Njhy ePffp mjpypUeJ tbAk ghiy ePffptplL

rpWJzLfshf mhpeJ 3k ghiy tplL fwp rikjJ rhggplLtuyhk

3 ghfy gpQR

jid edF fOtp rpWJzLfshf mhpeJ ku cuypy lL

bjJg gpopnjLjJ rhwiwf fhiyapy gUFjy

jid rpWJzLfshf mhpeJ ntapypy cyhjjp twwyhf

rhggply

jpy UfFk chacantin vDk urhazk nghUs pancrease iz

Jhzb insulin [ $Ljyhf Euffr nrafpdwJ

4 tuF

tuF muprpiar Nrhwhfr rikjJ rhggpLtjd yk ePupopT

Nehiaf FzggLjJtJld kykpsffpsahfTk njhopwgLk

5 neyyprrhW

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xdwhff fyeJ fhiy khiy klLk rhggplLtuy

6 fwwhisrrhW

rhgghlbd gpd 1 Njffuzb 14 fpoikfSfF njhlheJ vLjJtu

ePupopT flLggLk

7 ghjpup Nthgglil

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8 Njwwhtpijgnghb

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9 fUqfhypggprpd

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czzy

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1 FbePh

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eluhIh rpeJ[h( 33rd BSMS)

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

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Reference kweJ Nghd kUjJtk

Author kUjJth fhrp gprir

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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Mohanashanth(32rd BSMS)

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KUmashangary32nd BSMS

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nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

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saturated fatty acids)

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PVThillany(29th BSMS)

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BTharshika

29th BSMS

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SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

lL typia NghfFk ldquoKlffjjhd fPiurdquo

Ukygt ffilgGgt FzkhfFk ldquofwG+utssprdquo (Xktyyp)

ePupopT Neha FzkhfFk ldquomiuffPiurdquo

thagGzgt Fly Gzfis FzkhfFk ldquokzpjjffhsprdquo

cliyg nghddpwkh khwWk ldquonghddhqfzzp fPiurdquo

khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

is typikfF Xh ldquoggghspg gokrdquo

ePupopT Nehia FzkhfFk ldquoKssqfprdquo

thAj njhyiyapypUeJ tpLgl ldquontejaf fPiurdquo

ujj mOjjjij FzkhfFk ldquoJsrprdquo

khhGr rsp ePfFk ldquoRzilffhardquo

rspgt M]JkhTfF ldquoMlhNjhilrdquo

Qhgf rfjpiaf nfhLfFk ldquotyyhiurdquo

ujjNrhifia ePfFk ldquogPwWlrdquo

[Puz rfjpia mjpfggLjJk ldquomddhrp gokrdquo

Kb eiuffhky Uff ldquofyahz KUqifrdquo ldquoKsKUqifrdquo

khuGr rspgt Ukiy FzkhfFk ldquoJJtisrdquo

Kfk moF ngw ldquojpuhlirg gokrdquo

M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

clw L FiweJ fz Fsphik ngWkgt kykpsfpg NghFk 2 mffuhfhujjpy 2g msT vLjJj jlb thapyplL nkdW mlfFk NghJ RufFk

ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

4 mjjpf fhapd gpQRfisg grirg gaW NrhjJ Kiwggb rikjJ czz clwLgt kyfflL ePqFk Njfk tdik ngWk

5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

9 MkzfF iyia rpwwhkzfnfznza jltp mdypy thlb ghytwwpa ngzfspf khhgpy Nghl ghy RufFk tthW nraJ rpWf mupeJ KbrR flb Mrdjjpy xwwlk

l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

Nrhupahrp] Gsspfs nghLFNghdw rpwpa gilfs njhlffk ngupa mstpyhd jbgGfSld guej mstpYk Vwglyhk

ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

Plaque psoriasis(gpNsf Nrhupahrp]) o nghJthf Vwglf$bagt cyuejgt jbjjgt rptej Njhy(plaques)gt rpytu

epwkhd nrjpypdhy lgglbUfFk

o ej plaques fllhakhf fbiaNah myyJ typiaNah nfhzbUfFk mjJld rpwpa mstpNyh myyJ gueJglljhfNth fhzggLk

o gpwgG cWgGffsgt thafFopapd clGwk vdgd csslqfshf clypd vggFjpapNyDk Njhdwf$Lk

Nail psoriasis(neapy Nrhupahrp]) o Nrhupahrp] MdJ if fhy tpuy efqfis ghjpfFk epiyia

tthW mioggu mjpy efqfspy Fopfs tpOjygt toikfF khwhd ef tsurrp kwWk efqfspy epwk khwwkiljy vdgd Vwglyhk

o ttif efqfs nail bed vdggLk efggLfifapypUeJ gpuptilAk jid onycholysis vdgu jPtpu epiyikfspy efkhdJ crumble Mf khwwkilAk

Guttate psoriasis(fwNuw Nrhupahrp]) o ej tif Nrhupahrp] ngupJk ghjpggJ isNahu kwWk

gpsisfisahFk J toikahf gfuPupahffshy njhzilapy VwgLk xUtif njhwWf fhuzkhf(strep throat) KLffptplggLfpwJ

o jidg ghuggjwF rpwpajhfTkgt ePujJspfs Nghdw tbtKilajhfTk fhzggLk it KzljjpYkgt if fhyfspYkgt jiyapYk gutpf fhzggLk

e epiyapy Ezzpa nrjpyfs fhzggLkgt jbjj plaque fhzgglhJgt jhdhfNt kiwAk vdpDk kPzlk kPzLk NjhdWk

Inverse psoriasis(dNtu] Nrhupahrp]) o it gpujhdkhf jhfFtJ mfFs gFjpfs(armpits) kwWk

ftlLggFjpfs(groin)gt khugfqfspd fPoggFjp(under the breast) kwWk dgngUff cWgGfisr oTss gFjpfisahFk(genitals) qF jbgGffs mww rptej Gsspfs fhzggLkgt ghjpffggll Njhypy cuhaTfsgt ntbgGfs vdgdTkgt tpauitAk fhzggLk gqfR njhwWffs ej tifahd Nrhupahrp] epiyia KLffptplyhk

Pustular psoriasis(g]bA+yu Nrhupahrp]) o J nghJthf VwgLtjpyiy vdpDk guej xU Nrhupahrp] gilapy

Vwglyhk(gentralized pustular psoariasis) iffsgt ghjqfsgt tpuy Edpfs Nghdw rpwpa ghfqfspyp Vwglyhk

it nghJthf Ntfkhf NjhdwptpLkgt jpypy rpwpa rPo epukgpa nfhggsqfs fhzggLk rpy kzp Neujjpd gpddu mej NjhygFjp rptejjhfTk njhLk NghJ Ntjid jUtjhfTk fhzggLk

nfhggsqfs mbffb Njhdwp kiwAk ehd NkNy $wpggpll gentralized pustular psoariasis epyikapy fharry eLffk fLikahd fb ePujjdikahf kyk mbffb fopjy(diarrhea) vdgd fhzgglyhk

Rythrodermic psoariasis(vupjNjhNlkpf Nrhupahrp]) o J kpf kpf mupjhd xdW jpy cly KwwhfTk rpteJ

cupaf$ba gil fhzggLk mjJld fb myyJ vuprry fhzggLk

Psoariatic arthritis(Nrhypahbf Mjjpiurp]) o Nrhupahrp] Njhypy VwgLjJk gpurrid xU GwkpUff jwF

$Ljyhf Nrhupahbf Mjiub] vdgJ llffspy tPffjijAk typiaAk VwgLjJfpdw epiyikahFk rpy rejugqfspy lLffspy VwgLk ej gpurrpid Kjypy ntspffhllgglL mjid njhlueJ efqfspy Fop tpOjy Nghdw khwwqfs Vwglyhk mjd gpddu NjhYk ghjpffgglyhk jd ghjpgGfs rpwpa msT Kjy jhqf KbahjtiufFk NtWglyhk

o J vej tif lLffis NtzLkhdhYk ghjpffyhk mjJld lLffspd mirit flLggLjjp mjd fllikgGfis ghjpjJ mjpy epuejukhd khwwjij $l VwgLjjyhk

Nrhupahrp] tUtjwfhd fhuzqfs

czikapy Nrhupahrp] tUtjwfhd fhuzk vdgJ rupahf njupahj xdwhfNt UffpdwJ

MapDk J cqfs immune system vdggLk NehnajpugG nghwpKiwAld njhlughdJ mjpYk ej NehnajpugG nghwpKiwapy gqFtfpfFk t fyqfs (t cells) eLepiyffyqfs (neutophils) njhlughdJ

t cells toikahf clnyqFk Rwwp clypYss cly fyqfs myyhj gpw nghUlfis (foreign substance) vjpujJ mopfFk Ntiyapy gqnfLffpdwJ cjhuzk viruses and

bacteria

Mdhy cqfSfF Nrhupahrp] Uejhy t cells jtWjyhf cqfspd Njhy fyqfis mopffpdwd vdW nghUs

over active t cells MNuhffpakhd Njhy fyqfs cwgjjpahtij JzLfpdwd mjJld mjpf t cells and neutrophils $l

it Njhiy Nehffp nrdW mjpy ujjf Fohafis tpuptilar nraJ mqF rptej jdikiaAk(Redness) lbidAk rpyNtis rPo nfhzl nfhggsqfisAk(pustular

lesion) VwgLjJfpdwd

mjdhy NjhyhdJ rhjhuzkhdij tpl mbffb GJggpffgglLf nfhzbUfFk mjhtJ fyqfs wggJk GJggpffggLtJk kpf Ntfkhf eilngWk jdhy Njhy jbgghfpdwJ nrjpyfs NjhdWfpdwJ

Vd tthW T cells jtWjyhf tthW njhopwgLfpdwd vdW rupahf njupatpyiy Mathsufs J xU ghukgupak kwWk RwWroy rhuej tplakhf Uffyhk vd ekGfpdwdu

MVithurshana

30th BSMS

Njhy NehafSffhd rpy kUjJtf FwpgGffs

FgigNkdp iyfis kQrSld miujJ fugghdgt fpuejpfSfF ntspgG+rrhf G+ryhk

Ntggk iyia kQrSld miujJ nrhwp rpuqFfSfF g+ryhk fpuejpehafd nrbapy UeJ ngwggll rhwiw Njqfha vzizAld fyeJ

fharrp mjid fpuejpfSfF G+ryhk Fggpsha iyrrhwWld NjrpgGsp tplliujJg gir Nghy vLjJ nrhwp

rpuqFfSfFg G+ryhk f]Jup kQris miujJj NjajJf Fspff fugghdgt Gz ePqFk Gqfk NthgliliapypUeJ gpopej ghiy rpuqFgt fugghDfF G+rptu ePqFk Gqfk NthgglilapypUeJ mtpjj FbePiu rpuqFgt fugghDfF G+rptu ePqFk G+turk G+it miujJ rpuqFfSfspd kPJ flb tuyhk G+turk fhagt glilia vzizAld fharrp Njhy NehafSfF gadgLjjyhk mdprir iyfis kQrSld NrhjJ gir Nghy miujJ rpuqF kwWk

njhwWfshy Vwgll Njhy NehafSfF G+ryhk NjsnfhLfF iyrrhwiw rk msT Njqfha vzizAld fharrp tww itjJ

rpuqFgt fugghDfF G+ryhk Mthuk G+Tld ghrpggawiw NrhjjiujJ eikrrygt nrhwpfSfF NjajJ

Fspffyhk rufnfhdiw iyfis NjrpgGsp tplliujJ clypy NjajJ Fspff Njkygt

Nrhwpgt fugghd ePqFk rufnfhdiw G+it vYkprrkgorrhW tplliujJ clkgpy NjajJf Fspff

Njkygt nrhwpgt rpuqFgt fugghd ePqFk MLjPzlhgghiy rhwWld mNjasT eynyziz $lb vupjJ gfFt gjjjpy

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Ntis frac12 -1 fuzb vLff fugghd Nghdw Nehafs jPUk tzLnfhyyp iyia bjJ ngww rhwwpDs NjrpgGsp tplL mejr rhwiw

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tllffbfF G+ryhk fhhNghfhprpia ghypy fharrp vLjJ Rjjp nraJ ntapypy itjJ vLjJ

mjid Njqfha vzizAld fharrp cUll jphp Nghy tUk gjjjpy wffp Fggpapy miljJ ntzgilfF gadgLjj FzkhFk

SMithushy ( 31st BSMS)

kdpjk njiyej thoT

eyYssk nfhzl koiyaha

ePAk kzzpy tejhNah

R+J nfhzl tTyfpy

fglk gofp tsuejhNah

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capiuffhff Kidahky

Gifggljjpy ePAk mlfFfpdwha

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kdij mlff KaythNa

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dgk rpwff thoeJ tpL

NHarishanth(31st BSMS)

JKeerthika ( 30th BSMS)

aytpyiy vddhy

kdpjh cd nfh^u eff fPwyfs

cd nfhba tQrpdg ghuitfs

nfhjjpf fpopfFk cd ghjrRtLfs

vid JzL JzlhfFk cd ghjfrnrayfs

twiwj jhqf aytpyiy vddhy

thdsht khspiffs thd cauej NfhGuqfs

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cd tsurrp fzL gpukpjNjd ehd mdW

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thdhsht caujjpa ehNd dW cid thlb tijffpdNwNd

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SThuvanikara(31st BSMS)

ePhpopT Neha

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RDurkaa(31st BSMS)

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

MissKugarani Konesswaran(29th BSMS)

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(rpjjk - mwpT)

Reference kweJ Nghd kUjJtk

Author kUjJth fhrp gprir

SIndusiya(32nd Batch)

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MNuhffpajij rpwej Kiwapy NgzpfnfhsNthk

ldquoYour Health is Your Real Wealthrdquo

AImarliya(31st BSMS)

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j fdprhe(30th BSMS)

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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Mohanashanth(32rd BSMS)

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Page 61 62

- NTharshanah ( 30th BSMS)

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SMayoori(30th BSMS)

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KUmashangary32nd BSMS

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B Renuka 33rd BSMS

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poly unsaturated fatty acids Ds mlqFk 2 tiffSk KwwpYk NtWgll urhad gzGfis cilad tuyhwWfF gyyhapuk MzLfspwF KdNg kffsgt is awifahf tsujnjhlqfpa epiyapy mtufs xNkfh-3gt xNkfh-6 Mfpa Utif nfhOggkpyqfis czZk oepiyfspy thoeJ tejdu fly czTfspy UeJ xNkfh-3 ngwggllJ goqfsgt fhafwpfsgt fPiufsgt gUgG kwWk mtiu d tpijfs

nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

epiwTww nfhOggkpyqfs(

saturated fatty acids)

KjypatwwpypUeJ xNkfh-6 ngwggllJ t czT KiwahdJ ehfuPf tsurrpapd ceJjyhy ghupa khwwjij fzLssJ e epiyapy xNkfh-3 I tpl xNkfh-6 czTfis czZk msT 20 klqF $bAssjhf Muhlrpahsufs $Wfpdwdu jjifa khwwkhdJ KdNdhu kuGtop(genstic origins) czTKiw goffjjpwF KwwpYk khWgllJld awifia khwwpf nfhzljhy ayghf tsuNtzba cly Kjpurrp tpiuthf Vwgl fhuzkhfpAssJ jdhy gyNtW ehlgll Nehafs(chronic

diseases) Gay Ntf tsurrp ngwWssd

xNkfh-6 czTfis kpFjpahf czgjhy isffyqfspy jhgpjk VwgLjjggLfpwJ J isia NguopT oepiyfF jsSfpwJ J is mopT(brain distruction)gt ghuprthjk(stroke)gt kdepiy khwwjjhy tUk Nehafs(mood disorders)gt kd rpijT Neha (schizophrenia)gt is mrjp Neha(alzheheimer) Nghdw isia rpijTfFsshfFk Nehafs(neuro degenerative disease) VwgLjJk vdNt isfF vJ Kffpak vdwhy czZk xNkfh-3 xNkfh-6 Mfpatwwpd msTfs myy mit uzbd tpfpj msT ej uzL nfhOggkpyqfspYk clypy rk msT Uejhy mJNt kpfrrpwej clyey ghJfhgG is rPuhf crrfll jpwNdhL nrawgl NtzLkhdhy ehk czzNtzba cztpy xNkfh-6 xNkfh-3 13 Mf Ujjy NtzLnkdW Muhlrpahsufs $Wfpdwdu jdgb xUehisfF 2000 fNyhup czT czgtufspwFgt

44g mstpy xNkfh -6 gt12 Nkirffuzb Nrhah vziz myyJ kuffwp vziz myyj Nrhs vziz

650mg xNkfh-3 fly czTfspy UeJk ( ePzl rqfpyp xNkfh-3)

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fFwpggpll msTfspy czTfis czgjdhy xNkfh-3 kwWk xNkfh-6 clypy ruprk msTfspy clypy mlueJtpLfpdwd ej ruprk msTfspy isffyqfs kwWk cly fyqfspd nrawghLfs rPuhf xOqFgLjjggLfpdwd fyqfis mopfFk msurrpffhuzpfs KlffggLfpdwd ehk czZk cztpy Nrhah vziz myyJ Nrhs vziz twiwjjLjJtplL fLF vziz myyJ xypt vziz gadgLjjyhk fLF vziz xNkfh-3 mjpfk cssJ xypt vziz xNkfh-3 mjpfk cssJ xypt vziz isia ghJfhfFk

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xNkfh-3 czTfis czzjjtwpajdhy VwgLk kd rPuNfL Nehafspd vzzpfif jwfhyjjpy ngUfptpllJ mitahtd ghupa kdmOjjk( Major Depression) gt Qhgf kwjp(poor memory)gtmwpthwwy FiwT( Low intelligence)gtfwwy FiwghL(learning

disability)gtftdfFiwT(Attention deficit)gtis mrjpNeha(Schizopherenia)gtisia rpijTfF csshfFk Nehafs(Neurologycal degenerative

disease)gtkJgghtid(Alcoholism)gtmjpfNfhgk(Irritability)gtgifik(Hostility)gtftdkpdik(Po

or consenration)gtMfNuhrk(Aggressive)gttdKiw(Violence)gtfwwy FiwghL(Dyslexia)gtKJik

miljy(Senility)gtjjfa kd rPuNfLfSfF xNkfh-3 CllrrjJ gwwhfFiwNa mbggilf fhuzk

xNkfh-3 nrawgLk tpjk

isapd eukGfid xwiw kpddZ cUG( free radicals ) mopggij vjpujJ nrayoffr nrafpdwd

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eukGffljjpfspd ( Neuro transmitters) nrawghLfis rPugLjJfpwJ

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isfFupa czTfs fzlwpagglljd mbggilapy

1 kPd kwWk kPd vziz xNkfh-3 2 jhtu vzizfs ( vegitable oils) xNkfh-6

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acid ndash DHA Eicosapntaenoic acid ndash EPA MFk jpy Docosahexaenoic acid is nfhOgGffspd murd vd tuzpffggLfpwJ

ehk czZk kPdfspd rpwgG

kPdfs ePughrpfis kpifahf czfpdwd ej ghrpfs xNkfh cUthfFk KdNdhb ( precursor) jdhy kPdpd clypy ghrpfs Docosahexaenoic acid Mf khwwggLfpdwd

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xNkfh-3 kwWk fwwy FiwghL( Dysexia)

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xNkfh nfhOgGffs gwwhfFiw mwpFwpfs

msTfF Nky jzzPu jhfk

mbffb rpWePu fopjy

cyueJ fhzggLk Njhy

fhaeJ Nfhiu Nghy fhzggLk kapu

jiyapy nghLF

iffsgtnjhilfsgtNjhsfspygtrpwpa fbdkhd rpW flbfs(Bumps)

kPd czT gwwp CllrrjJ Muharrpahsufs

kPd- is czT vggb

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Reference rpt tyyhsd r(2007)isfF czT(kUjJt Muharrp tpsffk)

PVThillany(29th BSMS)

Vdpej khwwk

mdnwhU fhykhelliphellip

gRik mdidapd ghr mizggpy

jtzL fplejdu mtzpapy- kheju

grir gNryd guej Gy ntspAk

Kwwjjpy NkAk fhqNfad fhisAk

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$bf FbjJ fspjjpll fhyk

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XaTfF xJffpa jhuhs Neuk

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gRik Gulrrp vd khwwjij Ntzb

khwwjjpd ghijapy njhiyjjdu thoit

aejpu thofif yyhj Neuk

m]nglNlh] rPlLk nfhqfpwPl tPLk

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neUqfpa tPLk mOejpa rRk

nrawif mofhy kpspUk eqifAk

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fhyjjpd khwwjjpy njhiyej thoit

rpeijfFs rpejpff kWjj kdpjh

rhitj Njb cd gazk njhlutij

vkidf fzL jhd njspeJ nfhsthNa

BTharshika

29th BSMS

KjjpiufSk eukGfSk

dW ehk gadgLjJk Kjjpiufs ekfF NtzLkhdhy Gjpait Mdhy

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Kjjpiufs vdgJ xUtif FwpaPL MFk ekfF njhpej mstpy mJ ntWkNd

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cUtglKk ghufFk NghJ njupAk rpd Kjjpiuahd ekfF ntWkNd iwtopghL

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ghhjjhy

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1 iftpuy Kjjpiu

A) xU if Kjjpiu EG rpdgt thAgt gpuhzgt upa Kjjpiu

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2 kdKjjpiu

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Nkyjpf jftyfisg ngwyhk

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nraAk NghJ rpwej guid ngwyhk tshgpiwfspy Mukgpjjy Nghdwtwiw

filggpbjjy kpfTk eyyJ

SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

lL typia NghfFk ldquoKlffjjhd fPiurdquo

Ukygt ffilgGgt FzkhfFk ldquofwG+utssprdquo (Xktyyp)

ePupopT Neha FzkhfFk ldquomiuffPiurdquo

thagGzgt Fly Gzfis FzkhfFk ldquokzpjjffhsprdquo

cliyg nghddpwkh khwWk ldquonghddhqfzzp fPiurdquo

khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

is typikfF Xh ldquoggghspg gokrdquo

ePupopT Nehia FzkhfFk ldquoKssqfprdquo

thAj njhyiyapypUeJ tpLgl ldquontejaf fPiurdquo

ujj mOjjjij FzkhfFk ldquoJsrprdquo

khhGr rsp ePfFk ldquoRzilffhardquo

rspgt M]JkhTfF ldquoMlhNjhilrdquo

Qhgf rfjpiaf nfhLfFk ldquotyyhiurdquo

ujjNrhifia ePfFk ldquogPwWlrdquo

[Puz rfjpia mjpfggLjJk ldquomddhrp gokrdquo

Kb eiuffhky Uff ldquofyahz KUqifrdquo ldquoKsKUqifrdquo

khuGr rspgt Ukiy FzkhfFk ldquoJJtisrdquo

Kfk moF ngw ldquojpuhlirg gokrdquo

M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

clw L FiweJ fz Fsphik ngWkgt kykpsfpg NghFk 2 mffuhfhujjpy 2g msT vLjJj jlb thapyplL nkdW mlfFk NghJ RufFk

ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

4 mjjpf fhapd gpQRfisg grirg gaW NrhjJ Kiwggb rikjJ czz clwLgt kyfflL ePqFk Njfk tdik ngWk

5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

9 MkzfF iyia rpwwhkzfnfznza jltp mdypy thlb ghytwwpa ngzfspf khhgpy Nghl ghy RufFk tthW nraJ rpWf mupeJ KbrR flb Mrdjjpy xwwlk

l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

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Nrhupahp] tiffs

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JKeerthika ( 30th BSMS)

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

MissKugarani Konesswaran(29th BSMS)

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(rpjjk - mwpT)

Reference kweJ Nghd kUjJtk

Author kUjJth fhrp gprir

SIndusiya(32nd Batch)

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ldquoYour Health is Your Real Wealthrdquo

AImarliya(31st BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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STheyigah(30th BSMS)

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SJalini (33rd BSMS)

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Page 61 62

- NTharshanah ( 30th BSMS)

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Reference ahoghz kffspd irt czT gofftoffqfs( jkpou thotpy rpjj

kUjJtk)DrSSivasanmugarajah MD(S)

Rtpjah~pdp(33rd BSMS)

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( From RfthoT khjhej jo)

By Shankeerna Subendran 2nd BSMS

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KUmashangary32nd BSMS

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jpUfFwspy lk ngWk U kyufs - mdprirgt Ftis

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B Renuka 33rd BSMS

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nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

epiwTww nfhOggkpyqfs(

saturated fatty acids)

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diseases) Gay Ntf tsurrp ngwWssd

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disease)gtkJgghtid(Alcoholism)gtmjpfNfhgk(Irritability)gtgifik(Hostility)gtftdkpdik(Po

or consenration)gtMfNuhrk(Aggressive)gttdKiw(Violence)gtfwwy FiwghL(Dyslexia)gtKJik

miljy(Senility)gtjjfa kd rPuNfLfSfF xNkfh-3 CllrrjJ gwwhfFiwNa mbggilf fhuzk

xNkfh-3 nrawgLk tpjk

isapd eukGfid xwiw kpddZ cUG( free radicals ) mopggij vjpujJ nrayoffr nrafpdwd

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eukGffljjpfspd ( Neuro transmitters) nrawghLfis rPugLjJfpwJ

eukGfyqfspd mbggil nrawghLfis eukGfNs khwwpfnfhss cjTfpwJ

isfFupa czTfs fzlwpagglljd mbggilapy

1 kPd kwWk kPd vziz xNkfh-3 2 jhtu vzizfs ( vegitable oils) xNkfh-6

mjhtJ xNkfh-3 y Kffpa 2 nfhOggkpyqfs cssd mitahtdgt Docosahexaenoic

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ehk czZk kPdfspd rpwgG

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Reference rpt tyyhsd r(2007)isfF czT(kUjJt Muharrp tpsffk)

PVThillany(29th BSMS)

Vdpej khwwk

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BTharshika

29th BSMS

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filggpbjjy kpfTk eyyJ

SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

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SLFA Asra Begum

33rd BSMS

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13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

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17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

Nrhupahrp] Gsspfs nghLFNghdw rpwpa gilfs njhlffk ngupa mstpyhd jbgGfSld guej mstpYk Vwglyhk

ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

Plaque psoriasis(gpNsf Nrhupahrp]) o nghJthf Vwglf$bagt cyuejgt jbjjgt rptej Njhy(plaques)gt rpytu

epwkhd nrjpypdhy lgglbUfFk

o ej plaques fllhakhf fbiaNah myyJ typiaNah nfhzbUfFk mjJld rpwpa mstpNyh myyJ gueJglljhfNth fhzggLk

o gpwgG cWgGffsgt thafFopapd clGwk vdgd csslqfshf clypd vggFjpapNyDk Njhdwf$Lk

Nail psoriasis(neapy Nrhupahrp]) o Nrhupahrp] MdJ if fhy tpuy efqfis ghjpfFk epiyia

tthW mioggu mjpy efqfspy Fopfs tpOjygt toikfF khwhd ef tsurrp kwWk efqfspy epwk khwwkiljy vdgd Vwglyhk

o ttif efqfs nail bed vdggLk efggLfifapypUeJ gpuptilAk jid onycholysis vdgu jPtpu epiyikfspy efkhdJ crumble Mf khwwkilAk

Guttate psoriasis(fwNuw Nrhupahrp]) o ej tif Nrhupahrp] ngupJk ghjpggJ isNahu kwWk

gpsisfisahFk J toikahf gfuPupahffshy njhzilapy VwgLk xUtif njhwWf fhuzkhf(strep throat) KLffptplggLfpwJ

o jidg ghuggjwF rpwpajhfTkgt ePujJspfs Nghdw tbtKilajhfTk fhzggLk it KzljjpYkgt if fhyfspYkgt jiyapYk gutpf fhzggLk

e epiyapy Ezzpa nrjpyfs fhzggLkgt jbjj plaque fhzgglhJgt jhdhfNt kiwAk vdpDk kPzlk kPzLk NjhdWk

Inverse psoriasis(dNtu] Nrhupahrp]) o it gpujhdkhf jhfFtJ mfFs gFjpfs(armpits) kwWk

ftlLggFjpfs(groin)gt khugfqfspd fPoggFjp(under the breast) kwWk dgngUff cWgGfisr oTss gFjpfisahFk(genitals) qF jbgGffs mww rptej Gsspfs fhzggLkgt ghjpffggll Njhypy cuhaTfsgt ntbgGfs vdgdTkgt tpauitAk fhzggLk gqfR njhwWffs ej tifahd Nrhupahrp] epiyia KLffptplyhk

Pustular psoriasis(g]bA+yu Nrhupahrp]) o J nghJthf VwgLtjpyiy vdpDk guej xU Nrhupahrp] gilapy

Vwglyhk(gentralized pustular psoariasis) iffsgt ghjqfsgt tpuy Edpfs Nghdw rpwpa ghfqfspyp Vwglyhk

it nghJthf Ntfkhf NjhdwptpLkgt jpypy rpwpa rPo epukgpa nfhggsqfs fhzggLk rpy kzp Neujjpd gpddu mej NjhygFjp rptejjhfTk njhLk NghJ Ntjid jUtjhfTk fhzggLk

nfhggsqfs mbffb Njhdwp kiwAk ehd NkNy $wpggpll gentralized pustular psoariasis epyikapy fharry eLffk fLikahd fb ePujjdikahf kyk mbffb fopjy(diarrhea) vdgd fhzgglyhk

Rythrodermic psoariasis(vupjNjhNlkpf Nrhupahrp]) o J kpf kpf mupjhd xdW jpy cly KwwhfTk rpteJ

cupaf$ba gil fhzggLk mjJld fb myyJ vuprry fhzggLk

Psoariatic arthritis(Nrhypahbf Mjjpiurp]) o Nrhupahrp] Njhypy VwgLjJk gpurrid xU GwkpUff jwF

$Ljyhf Nrhupahbf Mjiub] vdgJ llffspy tPffjijAk typiaAk VwgLjJfpdw epiyikahFk rpy rejugqfspy lLffspy VwgLk ej gpurrpid Kjypy ntspffhllgglL mjid njhlueJ efqfspy Fop tpOjy Nghdw khwwqfs Vwglyhk mjd gpddu NjhYk ghjpffgglyhk jd ghjpgGfs rpwpa msT Kjy jhqf KbahjtiufFk NtWglyhk

o J vej tif lLffis NtzLkhdhYk ghjpffyhk mjJld lLffspd mirit flLggLjjp mjd fllikgGfis ghjpjJ mjpy epuejukhd khwwjij $l VwgLjjyhk

Nrhupahrp] tUtjwfhd fhuzqfs

czikapy Nrhupahrp] tUtjwfhd fhuzk vdgJ rupahf njupahj xdwhfNt UffpdwJ

MapDk J cqfs immune system vdggLk NehnajpugG nghwpKiwAld njhlughdJ mjpYk ej NehnajpugG nghwpKiwapy gqFtfpfFk t fyqfs (t cells) eLepiyffyqfs (neutophils) njhlughdJ

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bacteria

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MSowmiya(32nd BSMS)

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

MissKugarani Konesswaran(29th BSMS)

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(rpjjk - mwpT)

Reference kweJ Nghd kUjJtk

Author kUjJth fhrp gprir

SIndusiya(32nd Batch)

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ldquoYour Health is Your Real Wealthrdquo

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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STheyigah(30th BSMS)

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( From RfthoT khjhej jo) Shankeerna Subendran (32nd BSMS)

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Page 61 62

- NTharshanah ( 30th BSMS)

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( From RfthoT khjhej jo)

By Shankeerna Subendran 2nd BSMS

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SMayoori(30th BSMS)

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KUmashangary32nd BSMS

jpUfFwspd mjpraqfs

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jpUfFwspy jkpo vOjJffs 247 y 37 klLk lkngwtpyiy

jpUfFwspy lk ngWk U kyufs - mdprirgt Ftis

jpUfFwspy lk ngWk xNu gok - neUQrp gok

jpUfFwspy lk ngWk xNu tpij- FdWkzp

jpUfFwspy lkngww uzL kuqfs - gid qfpy

jpUfFwspy mjpfk gadgLjjggll xNu vOjJ ndash dp ( 1705)

jpUfFwspy xUKiw klLk gadgLjjggll U vOjJffs - sP q

jpUfFwspy lkngwhj xNu vz - xdgJ

jpUfFws Jtiu 26 nkhopfspy ntspteJssJ

jpUfFwis Mqfpyjjpy 40 Ngu nkhop ngajJssdu

B Renuka 33rd BSMS

isapd tpidjjpwdhd njhopwghlbwF cjTk nfhOggkpyqfs

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isapd Kjy vjpup epiwTww nfhOggkpyqfs it epidthwwiyAk fwFk jpwidAk rPuFiyfFk Mono unsaturated fatty acids epidthwwiy tsufff$bad Poly

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nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

epiwTww nfhOggkpyqfs(

saturated fatty acids)

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diseases) Gay Ntf tsurrp ngwWssd

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44g mstpy xNkfh -6 gt12 Nkirffuzb Nrhah vziz myyJ kuffwp vziz myyj Nrhs vziz

650mg xNkfh-3 fly czTfspy UeJk ( ePzl rqfpyp xNkfh-3)

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disease)gtkJgghtid(Alcoholism)gtmjpfNfhgk(Irritability)gtgifik(Hostility)gtftdkpdik(Po

or consenration)gtMfNuhrk(Aggressive)gttdKiw(Violence)gtfwwy FiwghL(Dyslexia)gtKJik

miljy(Senility)gtjjfa kd rPuNfLfSfF xNkfh-3 CllrrjJ gwwhfFiwNa mbggilf fhuzk

xNkfh-3 nrawgLk tpjk

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eukGfyqfspd mbggil nrawghLfis eukGfNs khwwpfnfhss cjTfpwJ

isfFupa czTfs fzlwpagglljd mbggilapy

1 kPd kwWk kPd vziz xNkfh-3 2 jhtu vzizfs ( vegitable oils) xNkfh-6

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ehk czZk kPdfspd rpwgG

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xNkfh nfhOgGffs gwwhfFiw mwpFwpfs

msTfF Nky jzzPu jhfk

mbffb rpWePu fopjy

cyueJ fhzggLk Njhy

fhaeJ Nfhiu Nghy fhzggLk kapu

jiyapy nghLF

iffsgtnjhilfsgtNjhsfspygtrpwpa fbdkhd rpW flbfs(Bumps)

kPd czT gwwp CllrrjJ Muharrpahsufs

kPd- is czT vggb

ekJ EzzwpTjjpwDfFgt mikjpahd kd epiyfFgt kd jsurrpia jtpuggjwFgt kdk miyghahky xdwpy epiyggjwFgt $uikahd ftdjjpwF kPdjhd rpwej is czT

ngz fUTWtjwF uzL MzLfSfF KdNg kPd czzj njhlqf NtzLk tho ehs KStJk kPd czz kpFej gaidj jUk

lsquois eyNd ek thofif eykrsquo vdgJ awif tpjp is rPuhf aqf NtzLkhdhy ekJ vzzk nray uzLk rpwgghf Uff NtzLk isapd kpfrrpwpa rPuNfL ekJ nray jpwid jsujjptpLfpwJ vdwhYk jjfa tpisTfis ekkhy czuKbtjpyiy is eyk NgZtjwnfdW vttpj kUeJk fzLgpbffggltpyiy capu rjJffsgt fdpAgGffsgt capu nghUs vjpupfs kwWk dwpaikah xNkfh-3gtxNkfh-6 MfpaitNa jpy JizGupfpdwd twwpd mbggilapy is czTfis clnfhzL is eyk fhgNghkhf

Reference rpt tyyhsd r(2007)isfF czT(kUjJt Muharrp tpsffk)

PVThillany(29th BSMS)

Vdpej khwwk

mdnwhU fhykhelliphellip

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khwwjjpd ghijapy njhiyjjdu thoit

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BTharshika

29th BSMS

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ngUtpuy - jPgt Msfhlb tpuy - fhwWgt eLtpuy - Mfhakgt Nkhjputpuy - kzgt

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Nkyjpf jftyfisg ngwyhk

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nraAk NghJ rpwej guid ngwyhk tshgpiwfspy Mukgpjjy Nghdwtwiw

filggpbjjy kpfTk eyyJ

SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

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khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

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ePupopT Nehia FzkhfFk ldquoKssqfprdquo

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[Puz rfjpia mjpfggLjJk ldquomddhrp gokrdquo

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khuGr rspgt Ukiy FzkhfFk ldquoJJtisrdquo

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M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

clw L FiweJ fz Fsphik ngWkgt kykpsfpg NghFk 2 mffuhfhujjpy 2g msT vLjJj jlb thapyplL nkdW mlfFk NghJ RufFk

ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

4 mjjpf fhapd gpQRfisg grirg gaW NrhjJ Kiwggb rikjJ czz clwLgt kyfflL ePqFk Njfk tdik ngWk

5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

9 MkzfF iyia rpwwhkzfnfznza jltp mdypy thlb ghytwwpa ngzfspf khhgpy Nghl ghy RufFk tthW nraJ rpWf mupeJ KbrR flb Mrdjjpy xwwlk

l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

Nrhupahrp] Gsspfs nghLFNghdw rpwpa gilfs njhlffk ngupa mstpyhd jbgGfSld guej mstpYk Vwglyhk

ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

Plaque psoriasis(gpNsf Nrhupahrp]) o nghJthf Vwglf$bagt cyuejgt jbjjgt rptej Njhy(plaques)gt rpytu

epwkhd nrjpypdhy lgglbUfFk

o ej plaques fllhakhf fbiaNah myyJ typiaNah nfhzbUfFk mjJld rpwpa mstpNyh myyJ gueJglljhfNth fhzggLk

o gpwgG cWgGffsgt thafFopapd clGwk vdgd csslqfshf clypd vggFjpapNyDk Njhdwf$Lk

Nail psoriasis(neapy Nrhupahrp]) o Nrhupahrp] MdJ if fhy tpuy efqfis ghjpfFk epiyia

tthW mioggu mjpy efqfspy Fopfs tpOjygt toikfF khwhd ef tsurrp kwWk efqfspy epwk khwwkiljy vdgd Vwglyhk

o ttif efqfs nail bed vdggLk efggLfifapypUeJ gpuptilAk jid onycholysis vdgu jPtpu epiyikfspy efkhdJ crumble Mf khwwkilAk

Guttate psoriasis(fwNuw Nrhupahrp]) o ej tif Nrhupahrp] ngupJk ghjpggJ isNahu kwWk

gpsisfisahFk J toikahf gfuPupahffshy njhzilapy VwgLk xUtif njhwWf fhuzkhf(strep throat) KLffptplggLfpwJ

o jidg ghuggjwF rpwpajhfTkgt ePujJspfs Nghdw tbtKilajhfTk fhzggLk it KzljjpYkgt if fhyfspYkgt jiyapYk gutpf fhzggLk

e epiyapy Ezzpa nrjpyfs fhzggLkgt jbjj plaque fhzgglhJgt jhdhfNt kiwAk vdpDk kPzlk kPzLk NjhdWk

Inverse psoriasis(dNtu] Nrhupahrp]) o it gpujhdkhf jhfFtJ mfFs gFjpfs(armpits) kwWk

ftlLggFjpfs(groin)gt khugfqfspd fPoggFjp(under the breast) kwWk dgngUff cWgGfisr oTss gFjpfisahFk(genitals) qF jbgGffs mww rptej Gsspfs fhzggLkgt ghjpffggll Njhypy cuhaTfsgt ntbgGfs vdgdTkgt tpauitAk fhzggLk gqfR njhwWffs ej tifahd Nrhupahrp] epiyia KLffptplyhk

Pustular psoriasis(g]bA+yu Nrhupahrp]) o J nghJthf VwgLtjpyiy vdpDk guej xU Nrhupahrp] gilapy

Vwglyhk(gentralized pustular psoariasis) iffsgt ghjqfsgt tpuy Edpfs Nghdw rpwpa ghfqfspyp Vwglyhk

it nghJthf Ntfkhf NjhdwptpLkgt jpypy rpwpa rPo epukgpa nfhggsqfs fhzggLk rpy kzp Neujjpd gpddu mej NjhygFjp rptejjhfTk njhLk NghJ Ntjid jUtjhfTk fhzggLk

nfhggsqfs mbffb Njhdwp kiwAk ehd NkNy $wpggpll gentralized pustular psoariasis epyikapy fharry eLffk fLikahd fb ePujjdikahf kyk mbffb fopjy(diarrhea) vdgd fhzgglyhk

Rythrodermic psoariasis(vupjNjhNlkpf Nrhupahrp]) o J kpf kpf mupjhd xdW jpy cly KwwhfTk rpteJ

cupaf$ba gil fhzggLk mjJld fb myyJ vuprry fhzggLk

Psoariatic arthritis(Nrhypahbf Mjjpiurp]) o Nrhupahrp] Njhypy VwgLjJk gpurrid xU GwkpUff jwF

$Ljyhf Nrhupahbf Mjiub] vdgJ llffspy tPffjijAk typiaAk VwgLjJfpdw epiyikahFk rpy rejugqfspy lLffspy VwgLk ej gpurrpid Kjypy ntspffhllgglL mjid njhlueJ efqfspy Fop tpOjy Nghdw khwwqfs Vwglyhk mjd gpddu NjhYk ghjpffgglyhk jd ghjpgGfs rpwpa msT Kjy jhqf KbahjtiufFk NtWglyhk

o J vej tif lLffis NtzLkhdhYk ghjpffyhk mjJld lLffspd mirit flLggLjjp mjd fllikgGfis ghjpjJ mjpy epuejukhd khwwjij $l VwgLjjyhk

Nrhupahrp] tUtjwfhd fhuzqfs

czikapy Nrhupahrp] tUtjwfhd fhuzk vdgJ rupahf njupahj xdwhfNt UffpdwJ

MapDk J cqfs immune system vdggLk NehnajpugG nghwpKiwAld njhlughdJ mjpYk ej NehnajpugG nghwpKiwapy gqFtfpfFk t fyqfs (t cells) eLepiyffyqfs (neutophils) njhlughdJ

t cells toikahf clnyqFk Rwwp clypYss cly fyqfs myyhj gpw nghUlfis (foreign substance) vjpujJ mopfFk Ntiyapy gqnfLffpdwJ cjhuzk viruses and

bacteria

Mdhy cqfSfF Nrhupahrp] Uejhy t cells jtWjyhf cqfspd Njhy fyqfis mopffpdwd vdW nghUs

over active t cells MNuhffpakhd Njhy fyqfs cwgjjpahtij JzLfpdwd mjJld mjpf t cells and neutrophils $l

it Njhiy Nehffp nrdW mjpy ujjf Fohafis tpuptilar nraJ mqF rptej jdikiaAk(Redness) lbidAk rpyNtis rPo nfhzl nfhggsqfisAk(pustular

lesion) VwgLjJfpdwd

mjdhy NjhyhdJ rhjhuzkhdij tpl mbffb GJggpffgglLf nfhzbUfFk mjhtJ fyqfs wggJk GJggpffggLtJk kpf Ntfkhf eilngWk jdhy Njhy jbgghfpdwJ nrjpyfs NjhdWfpdwJ

Vd tthW T cells jtWjyhf tthW njhopwgLfpdwd vdW rupahf njupatpyiy Mathsufs J xU ghukgupak kwWk RwWroy rhuej tplakhf Uffyhk vd ekGfpdwdu

MVithurshana

30th BSMS

Njhy NehafSffhd rpy kUjJtf FwpgGffs

FgigNkdp iyfis kQrSld miujJ fugghdgt fpuejpfSfF ntspgG+rrhf G+ryhk

Ntggk iyia kQrSld miujJ nrhwp rpuqFfSfF g+ryhk fpuejpehafd nrbapy UeJ ngwggll rhwiw Njqfha vzizAld fyeJ

fharrp mjid fpuejpfSfF G+ryhk Fggpsha iyrrhwWld NjrpgGsp tplliujJg gir Nghy vLjJ nrhwp

rpuqFfSfFg G+ryhk f]Jup kQris miujJj NjajJf Fspff fugghdgt Gz ePqFk Gqfk NthgliliapypUeJ gpopej ghiy rpuqFgt fugghDfF G+rptu ePqFk Gqfk NthgglilapypUeJ mtpjj FbePiu rpuqFgt fugghDfF G+rptu ePqFk G+turk G+it miujJ rpuqFfSfspd kPJ flb tuyhk G+turk fhagt glilia vzizAld fharrp Njhy NehafSfF gadgLjjyhk mdprir iyfis kQrSld NrhjJ gir Nghy miujJ rpuqF kwWk

njhwWfshy Vwgll Njhy NehafSfF G+ryhk NjsnfhLfF iyrrhwiw rk msT Njqfha vzizAld fharrp tww itjJ

rpuqFgt fugghDfF G+ryhk Mthuk G+Tld ghrpggawiw NrhjjiujJ eikrrygt nrhwpfSfF NjajJ

Fspffyhk rufnfhdiw iyfis NjrpgGsp tplliujJ clypy NjajJ Fspff Njkygt

Nrhwpgt fugghd ePqFk rufnfhdiw G+it vYkprrkgorrhW tplliujJ clkgpy NjajJf Fspff

Njkygt nrhwpgt rpuqFgt fugghd ePqFk MLjPzlhgghiy rhwWld mNjasT eynyziz $lb vupjJ gfFt gjjjpy

tbflb fUkgilgt fugghDfF g+ryhk rptfueijfgt nfhlil fueij iyia epoypy cyhjjpg nghb nraJ jpdk 1

Ntis frac12 -1 fuzb vLff fugghd Nghdw Nehafs jPUk tzLnfhyyp iyia bjJ ngww rhwwpDs NjrpgGsp tplL mejr rhwiw

tbflb G+ryhk tzLnfhyyp rhwWfFr rk msT Njqfha vznza fyeJ frac12 gqfhf fharrp

tllffbfF G+ryhk fhhNghfhprpia ghypy fharrp vLjJ Rjjp nraJ ntapypy itjJ vLjJ

mjid Njqfha vzizAld fharrp cUll jphp Nghy tUk gjjjpy wffp Fggpapy miljJ ntzgilfF gadgLjj FzkhFk

SMithushy ( 31st BSMS)

kdpjk njiyej thoT

eyYssk nfhzl koiyaha

ePAk kzzpy tejhNah

R+J nfhzl tTyfpy

fglk gofp tsuejhNah

kyufspy gyypdk mofhf

kdpjupy gyypdk NtwWikahf

ePNa tFjj tpjpfnsyyhk

cdid Ms tpLthNah

vqNf fwwha gpuptpid

vdW fwwha tQrid

mdgpd tyyik Gupahky

MAjk Vejy mwpejhNah

rhjp d kj Ngjqfs

it klLk cdid gpupffpwJ

Nfll kdKk FzKk NrueNjjhd

cdid jdpikapy itffpwJ

Ntfkha tsUJ tpQQhdk

mjdhNy mopAJ nkQQhdk

kdpj cssk cwqfpf fplfifapNy

aejpu kdpjd klLk elffpdwhd

tpgjjpidf fzl khjjpujjpy

capiuffhff Kidahky

Gifggljjpy ePAk mlfFfpdwha

mij gjpNtwwp Gfis NjLfpdwha

vqNf NghdJ uffFzk

qNf vQrpaJd nghwhikNa

elgpdpy nrafpdwha JNuhfk

ePAk mOfpdwha mjdhNy

kdpjk njhiyej kdpjNd

mopit ePNa NjLfpwha

cwtpd gpizggpy fyffhky

cwit ePNa nfhyYfpwha

Nfhgqfs cssd ntdwplNt

cdid ePNa nfhyYfpdwha

rpjjd nrhdd topfspNy

kdij mlff KaythNa

czik xdNw njspT jUk

nghaapid ePAk kweJtpL

nfhLk nrhwfis ePffp ePAk

dpikaha Ngrp caueJ tpL

cdfFs cdid fzLgpb

xOffjij xOqfha gpdgwW

mdghy cyif xdwpizjJ

dgk rpwff thoeJ tpL

NHarishanth(31st BSMS)

JKeerthika ( 30th BSMS)

aytpyiy vddhy

kdpjh cd nfh^u eff fPwyfs

cd nfhba tQrpdg ghuitfs

nfhjjpf fpopfFk cd ghjrRtLfs

vid JzL JzlhfFk cd ghjfrnrayfs

twiwj jhqf aytpyiy vddhy

thdsht khspiffs thd cauej NfhGuqfs

tpzizKlLk tpQQhdqfsgt fzizfflLk fzLgpbgGffs

ghujj lnkyyhk gykhbfflllqfs ghuffKbahljjpYk$l gyMuharrpf$lqfs

gytwiw ePNa mikjjha ghjfNd vid Vd kwejha

cd tsurrp fzL gpukpjNjd ehd mdW

gpukpjjij gpwtpjJdgkha mDgtpffpNwd ehd dW

cidjjhqfpggpbjJ jhyhlba vd kdJ

dW cidj jhqf KbahJ jsshLfpwJ mJ VNdh

jhaha Nraha ehk UeNjhk mdW ndash kdpjh

jhqnfhzhj NeujjpYk jsutpyiyna ek gwW

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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Page 61 62

- NTharshanah ( 30th BSMS)

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KUmashangary32nd BSMS

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B Renuka 33rd BSMS

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nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

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saturated fatty acids)

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diseases) Gay Ntf tsurrp ngwWssd

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PVThillany(29th BSMS)

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BTharshika

29th BSMS

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SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

lL typia NghfFk ldquoKlffjjhd fPiurdquo

Ukygt ffilgGgt FzkhfFk ldquofwG+utssprdquo (Xktyyp)

ePupopT Neha FzkhfFk ldquomiuffPiurdquo

thagGzgt Fly Gzfis FzkhfFk ldquokzpjjffhsprdquo

cliyg nghddpwkh khwWk ldquonghddhqfzzp fPiurdquo

khuilgG ePqFk ldquokhJsk gokrdquo

ujjjij RjjkhfFk ldquomWfk Gyrdquo

GwW Nehia FzkhfFk ldquo rPjh gokrdquo

is typikfF Xh ldquoggghspg gokrdquo

ePupopT Nehia FzkhfFk ldquoKssqfprdquo

thAj njhyiyapypUeJ tpLgl ldquontejaf fPiurdquo

ujj mOjjjij FzkhfFk ldquoJsrprdquo

khhGr rsp ePfFk ldquoRzilffhardquo

rspgt M]JkhTfF ldquoMlhNjhilrdquo

Qhgf rfjpiaf nfhLfFk ldquotyyhiurdquo

ujjNrhifia ePfFk ldquogPwWlrdquo

[Puz rfjpia mjpfggLjJk ldquomddhrp gokrdquo

Kb eiuffhky Uff ldquofyahz KUqifrdquo ldquoKsKUqifrdquo

khuGr rspgt Ukiy FzkhfFk ldquoJJtisrdquo

Kfk moF ngw ldquojpuhlirg gokrdquo

M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

clw L FiweJ fz Fsphik ngWkgt kykpsfpg NghFk 2 mffuhfhujjpy 2g msT vLjJj jlb thapyplL nkdW mlfFk NghJ RufFk

ckpoePiu RitjJ tpOqfpd ehmrjpgt gytypgt csehfF tshrrpgt njhzilfkky NghFk

3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

4 mjjpf fhapd gpQRfisg grirg gaW NrhjJ Kiwggb rikjJ czz clwLgt kyfflL ePqFk Njfk tdik ngWk

5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

9 MkzfF iyia rpwwhkzfnfznza jltp mdypy thlb ghytwwpa ngzfspf khhgpy Nghl ghy RufFk tthW nraJ rpWf mupeJ KbrR flb Mrdjjpy xwwlk

l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

ghy nfhLfFk jhakhhfs njhlheJ mfjjpf fPiuia czLtejhy edF ghy

RufFk fLikahd jiytypgt kNyhpah Nghdw NehafisAk Fzkilar nraAk

mfjjpf fPiuapypUeJ ngwggLk ijyk fzghhitiaj njspthffTk jiykaph

nropjJ tsuTk fzFsphrrpailaTk gadgLfpdwJ

mfjjpg G+tpd rhwiw fzghhitf Fiwit ePfFtjwFg gadgLjJfpwhhfs

mfjjpgglilf FbePh itup vdggLk nghpakik Nehapd Mukg flljjpy

gadnfhLfFk mfjjp Nthgglilapid tpjpggb FbePh nraJ clnfhzlhy cly

vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

cztpy thuk xUehs f fPiuia NrhjJr rhggpLtJ eyyJ kyrrpffy

cssthfsgt ntapypy Rwwp miygthfsgt Nfhggpgt NjePh mUejp gpjjk clypy

mjpfggllthfs klLk mfjjpf fPiuia thuk xUKiw czTld nfhzlhy kpfg

gadjUk VidNahh khjk UKiw mfjjpf fPiuia czLtuyhk

rpwej kUjJtg gaDila f fPiuia mbffb czgjhy edikfFg gjpy jPikNa

mjpfkhFk MfjjpffPiu gjjpajij KwpfftyyJ Mjyhy kUeJ clnfhsSk

fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

RzzhkGgt UkGr rjJffSk epiwejpUffpdwd f fPiuia nghupay nraJkgt

jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

KUqiffPiu clYfF nfhLfftyyJ VOtifj jhJffspd lilj

jzpfftyyJ rpW ePiug ngUffpfnfhsSk MwwYilaJ eukG rpGfisj jLjJ

epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

gadgLfpwJ KUqifgglilapypUeJ vLffggLk rhW gy ijyqfspy

NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

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Gifgpbjjy(smoking)

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Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

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to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

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disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

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Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

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ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

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MVithurshana

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SMithushy ( 31st BSMS)

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JKeerthika ( 30th BSMS)

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SThuvanikara(31st BSMS)

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Referance Nehapyyh newp -Dr KJiujhrd ( 187-260)

MissKugarani Konesswaran(29th BSMS)

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Author kUjJth fhrp gprir

SIndusiya(32nd Batch)

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ldquoYour Health is Your Real Wealthrdquo

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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STheyigah(30th BSMS)

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Page 61 62

- NTharshanah ( 30th BSMS)

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T Thinesh(30th BSMS)

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Reference ahoghz kffspd irt czT gofftoffqfs( jkpou thotpy rpjj

kUjJtk)DrSSivasanmugarajah MD(S)

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By Shankeerna Subendran 2nd BSMS

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SMayoori(30th BSMS)

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KUmashangary32nd BSMS

jpUfFwspd mjpraqfs

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jpUfFwspYss nkhjj vOjJffs 42194

jpUfFwspy jkpo vOjJffs 247 y 37 klLk lkngwtpyiy

jpUfFwspy lk ngWk U kyufs - mdprirgt Ftis

jpUfFwspy lk ngWk xNu gok - neUQrp gok

jpUfFwspy lk ngWk xNu tpij- FdWkzp

jpUfFwspy lkngww uzL kuqfs - gid qfpy

jpUfFwspy mjpfk gadgLjjggll xNu vOjJ ndash dp ( 1705)

jpUfFwspy xUKiw klLk gadgLjjggll U vOjJffs - sP q

jpUfFwspy lkngwhj xNu vz - xdgJ

jpUfFws Jtiu 26 nkhopfspy ntspteJssJ

jpUfFwis Mqfpyjjpy 40 Ngu nkhop ngajJssdu

B Renuka 33rd BSMS

isapd tpidjjpwdhd njhopwghlbwF cjTk nfhOggkpyqfs

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isapd Kjy vjpup epiwTww nfhOggkpyqfs it epidthwwiyAk fwFk jpwidAk rPuFiyfFk Mono unsaturated fatty acids epidthwwiy tsufff$bad Poly

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nfhOggkpyqfs

epiwtilah nfhOggkpyqfs(Unsaturated fatty

acids)

Mono unsaturated fatty acids

Eg- Olive oil

Poly unsaturated fatty acid

Eg- Omega-3 Omega-6

epiwTww nfhOggkpyqfs(

saturated fatty acids)

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diseases) Gay Ntf tsurrp ngwWssd

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44g mstpy xNkfh -6 gt12 Nkirffuzb Nrhah vziz myyJ kuffwp vziz myyj Nrhs vziz

650mg xNkfh-3 fly czTfspy UeJk ( ePzl rqfpyp xNkfh-3)

22g ( FWfpa rqfpyp xNkfh-3) thJikfnfhlil ( walnut) gt grir fhafwpfspy UeJk ngwggLk

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disability)gtftdfFiwT(Attention deficit)gtis mrjpNeha(Schizopherenia)gtisia rpijTfF csshfFk Nehafs(Neurologycal degenerative

disease)gtkJgghtid(Alcoholism)gtmjpfNfhgk(Irritability)gtgifik(Hostility)gtftdkpdik(Po

or consenration)gtMfNuhrk(Aggressive)gttdKiw(Violence)gtfwwy FiwghL(Dyslexia)gtKJik

miljy(Senility)gtjjfa kd rPuNfLfSfF xNkfh-3 CllrrjJ gwwhfFiwNa mbggilf fhuzk

xNkfh-3 nrawgLk tpjk

isapd eukGfid xwiw kpddZ cUG( free radicals ) mopggij vjpujJ nrayoffr nrafpdwd

kpifahd Neha vjpugG nrawghLfspd yk eukGfis mopfff $ba jhgpjjjpy UeJ ghJfhffpdwJ

eukGffljjpfspd ( Neuro transmitters) nrawghLfis rPugLjJfpwJ

eukGfyqfspd mbggil nrawghLfis eukGfNs khwwpfnfhss cjTfpwJ

isfFupa czTfs fzlwpagglljd mbggilapy

1 kPd kwWk kPd vziz xNkfh-3 2 jhtu vzizfs ( vegitable oils) xNkfh-6

mjhtJ xNkfh-3 y Kffpa 2 nfhOggkpyqfs cssd mitahtdgt Docosahexaenoic

acid ndash DHA Eicosapntaenoic acid ndash EPA MFk jpy Docosahexaenoic acid is nfhOgGffspd murd vd tuzpffggLfpwJ

ehk czZk kPdfspd rpwgG

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kPdfs kPdfisNa czfpdwd mjdhy kPdpd clypy Docosahexaenoic acid kwWk Eicosapntaenoic acid msT kpFjpahfpwJ kPdfspy xNkfh-3 kpifahf UggjwF itNa fhuzk kPd xU mUikahd is czT

xNkfh-3 kwWk fwwy FiwghL( Dysexia)

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xNkfh nfhOgGffs gwwhfFiw mwpFwpfs

msTfF Nky jzzPu jhfk

mbffb rpWePu fopjy

cyueJ fhzggLk Njhy

fhaeJ Nfhiu Nghy fhzggLk kapu

jiyapy nghLF

iffsgtnjhilfsgtNjhsfspygtrpwpa fbdkhd rpW flbfs(Bumps)

kPd czT gwwp CllrrjJ Muharrpahsufs

kPd- is czT vggb

ekJ EzzwpTjjpwDfFgt mikjpahd kd epiyfFgt kd jsurrpia jtpuggjwFgt kdk miyghahky xdwpy epiyggjwFgt $uikahd ftdjjpwF kPdjhd rpwej is czT

ngz fUTWtjwF uzL MzLfSfF KdNg kPd czzj njhlqf NtzLk tho ehs KStJk kPd czz kpFej gaidj jUk

lsquois eyNd ek thofif eykrsquo vdgJ awif tpjp is rPuhf aqf NtzLkhdhy ekJ vzzk nray uzLk rpwgghf Uff NtzLk isapd kpfrrpwpa rPuNfL ekJ nray jpwid jsujjptpLfpwJ vdwhYk jjfa tpisTfis ekkhy czuKbtjpyiy is eyk NgZtjwnfdW vttpj kUeJk fzLgpbffggltpyiy capu rjJffsgt fdpAgGffsgt capu nghUs vjpupfs kwWk dwpaikah xNkfh-3gtxNkfh-6 MfpaitNa jpy JizGupfpdwd twwpd mbggilapy is czTfis clnfhzL is eyk fhgNghkhf

Reference rpt tyyhsd r(2007)isfF czT(kUjJt Muharrp tpsffk)

PVThillany(29th BSMS)

Vdpej khwwk

mdnwhU fhykhelliphellip

gRik mdidapd ghr mizggpy

jtzL fplejdu mtzpapy- kheju

grir gNryd guej Gy ntspAk

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thrk gupzkpfFk tzz kyufSknjdNdhiy $iuAk nrkkz jiuAk

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$bf FbjJ fspjjpll fhyk

nghUSfF nghUNs gzlkhwW

XaTfF xJffpa jhuhs Neuk

gpukk K$ujjjpy fztpopjnjOjYk

fisjJk rhaejdu - gRk Gw ghapy

gRik Gulrrp vd khwwjij Ntzb

khwwjjpd ghijapy njhiyjjdu thoit

aejpu thofif yyhj Neuk

m]nglNlh] rPlLk nfhqfpwPl tPLk

capiufnfhyYkgpsh]bf ghtidAk

ifgpupl khLfs fdjij $lLk

neUqfpa tPLk mOejpa rRk

nrawif mofhy kpspUk eqifAk

mtru czTfs IrPAtpwF mioff

cUkhwpgNghd ltd clYk

fhyjjpd khwwjjpy njhiyej thoit

rpeijfFs rpejpff kWjj kdpjh

rhitj Njb cd gazk njhlutij

vkidf fzL jhd njspeJ nfhsthNa

BTharshika

29th BSMS

KjjpiufSk eukGfSk

dW ehk gadgLjJk Kjjpiufs ekfF NtzLkhdhy Gjpait Mdhy

fhyjjpwNfh it edF goffkhdit vdw czikia ehk VwW nfhss NtzLk

gokngWk Mya rpwgqfSkgt gujehlbaKkgt ghukgupa tukKk jwF XH vLjJffhlL

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filggpbjjy kpfTk eyyJ

SSivagajendran(31st BSMS)

STRESS

What is stress

Hansselye a Canadian doctor who first recognized stress is in 1936 Called it the General

Adaption Syndrome or GAS Cox in stress copying and problem solving defined stress as

the perceived imbalance in the HANS STYLE interface between an individual and the

environment and other individuals According to the psychologist it is the opposite of the

feeling relaxed or nervous tension that result from the external situation Put simply stress

is the feeling that is created in an individual when she or he reacts to particular situations

Stress occurs when Animals undergo what ldquoWalter Cannonrdquo an American Harvard

university psychologist term the ldquofight or flight responserdquo In his ground ndash breaking studies

during 1920rdquos cannon noted that when faced with danger animal instinctively prepare to

stand their ground or run Their reaction to potential harm triggers changes within their

bodies by activating the nervous system The Adrenal Glands produce hormones

Adrenaline and cortisol releasing them in to blood stream and them to muscles and organs

Heart ndash beat rate respiration and blood pressure All increase as a result of it muscles

tighten and liver releases some of its stored glucose so that bodyrsquos energy increases all the

senses go on the alert All those changes occurred within body prepare to the threatening

situation The Fight or Flight response in aliving organization Therefore its ability to

respondappropriately and spontaneously to physical threat

Man also experiences the Fight or Flight response But as human society has grown more

complex the reaction has been extended beyond direct physical threats

It is now applied to emotional situations as well Thus situation covers a whole range of

situations from outright physical danger to situation like presenting a speech or sitting For

an examination where there is no actual dangerit is also can be a positive situation as well

as negative one Cox suggest when people are faced with demands to which they are unable

to respond adequately the response of organism is activated to cope with the situations

The situation that proves physical change is called stressor The natural reaction of the

body is known as a stress response or fight or flight response Accordingly stress is a

physiological state resulting from stressor setting in motion a complex set of reaction

within bodyit is the natural and necessary physiological reaction of the body to challenge

and the bodyrsquos way of preparing to meet a tough situation

It should note that stressor may not be actual one in which case it would exist only as a

conjecture about what might happen Man not only feels but also speculates and imagines

thus much of stress he encounters emanates from his own emotions and mind

Stress is normal and necessary in our life a sit energizes people to work harder Stress

response for example is activated in milder form at a time when student preparing for an

examination so that he is motivated to study hard Likewise emergency situations warrant

stress responseit for example is critical for a driver halting his car suddenly to avoid an

accident In these instances activated nervous system returns to normal state as soon as

stress full situation diffuse and stress subsides

Too much of stressor however could mean trouble indorsing a wide spectrums of mental

and physical illness This excessive stress I referred to as stress over load where pressure

is too much for the body to cope with it Presence of stressor that last long too

intensebecause people feel stress overload It can keep some people in a more or less

constant state fight or flight and consequence of living in this state can be brutal Hansselye

describes this state as distress ldquoDamaging or unpleasant stressrdquo he wrote

Increased job pressure been exposed to islands or injuries family unflicts heavy

immorsions that accompany a broken heart or the death of love one and being bullied are

some of the things that can over whelm the bodyrsquos ability to cope if they continue for the

long time for an example in the case of ongoing family conflicts that lasts long the nerve

system of those involve in the conflicts sense continue pressure and may remain slightly

activated releasing extra stress hormones over extended periodit produces a lasting low-

level stress which can leave a person feelings depleted and over whelmed causing physical

and psychological illness likewise stressing out too much over a task or too much work

such as crammed scheduled not having enough time to rest and relax exerts too much

pressure beyond the bodyrsquos ability to cope with it

As one tasks on increasing responsibilities and risks the number of stressful situations are

bound to increase A worker may face family or health problems financial worries and

job pressure such factors increase stress load in the worker

Many physical and psychological aliments are associated with excessive stress

Psychological signs

1 Anxiety

2 Sadness or depression

3 irritability

4 panic attack

5 inability to relax

6 mental confusion

7 insomnia

8 tobacco and alcohol abuse

9 eluting disorder

Physical signs

10 blood pressure

11 chest pain

12 migraine

13 headache

14 neck pain

15 lower back pain

16 stomach problems

17 irritate bowel movement

18 ulcer

19 Allergic reactions such as eczema asthma scratching and other skin reactions

Stress Management

It means acting at onersquos optimal level managing situations that generate the stress It

involves the right type amount and timing stress for onersquos personality Emphasizing this

point as physiotherapist say as long as you pitch your life to a level you want stress your

life to that point where your equilibrium is not affected stress will not affected stress will

not bother you

One can manage stress by planning ones action managing g time well handing things in

order of importance learning to relax and identifying what one can control and what

cannot be controlled ldquoLearn to ignore what you canrsquot control learn to control what you

canrsquot Says DrPeter GHanson author of ldquoThe joy of stressrdquo unfitness is major source of

negative stress in its own rightby following healthful diet and exercising one can keep

onersquos self physically fitter And one can reduce onersquos stress load by being assertive and

flexible where necessary A positive attitude and positive self-concept are important

Stress prevention and control activities

1 A yoga meditation prayer or other religious activity leave one with sense of relaxation

and peacefulness

2 The creative and the recreational activities are proven ways of reducing stress level

3 Shorting concerns such as fear anxieties and communication with trusted friend or family

member help one feel that he is not alone problems

4 Job satisfaction greatly reduces stress at work place sense of humor also helps de stress

Todayrsquos turbulent society plays vital role in stress pheromone diving due to stressful

life situations giving rise to stressful situations in numerous ways The question of

whether or not stress takes heavy rolls on our physical and mental health ultimately

depends on how we handle it The movement we being to crumble under it emotionally

mentally or physically is the movement we need to control and overcome it

We should control stress before it controls us Stress when uncontrolled can play

havoc with our life becoming silent killer

Reduce the stress and live the life happily

GShyamily( 30 th BSMS)

Varma kalai

varmakkalai is a Tamil term for the Idian knowledge of vital points It is originated I Tamilnadu

It is a component of traditional massage alternative medicine traditional yoga and martial art in

which the bodyrsquos pressurs points are manipulated to heal or cause harm the healing application

called vaidhiya murai is used in Ayurveda and Siddha medicine to treat patients suffering from

Ear Nose Throat related disease paralysis nervous disorder sciatica spondylitis and other

conditions Its combat application is known as varma adi or marma adi meaning ldquopressure point

strikingrdquo and can be done either empty handed or with a blunt weapon such as a stick or stuff

Usually taught as advanced stages of Indian fighting system strikes are targeted at the nerves

veins tendons organs and bone joints

Folklore traces varma kalai to the god Shiva who is said to have tought it to his son Murugan

While disguised as an old man Murugan passed the knowledge of varmam to the sage Agastiya

who then recoeded it and disseminated the skill among his students Siddha medicine is also

attributed to Agastya The Sushrutha samhita identifies 108 vital points on the human body of

which 64 were classified as being lethal it properly struck with a fist or stick Sushrutarsquos work

fromed the basis of the medicate discipiline Ayurveda which was taught alongside various martial

arts with numerous other scattered references to marma in vedi and epic sources it is certain South

Asia early fighters knew and practiced attacking and defending vital points

T Dilukshi

2nd BSMS

awfif kUjJtk

vdWk 16 taJ khhffzNladhf tho Xu ldquoneyypffdprdquo

jajij tYggLjj ldquonrkgUjjpg G+rdquo

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M[Puzjij NghfFk ldquoGjpdhrdquo

kQrs fhkhiy tpulLk ldquofPohneyyprdquo

rpW ePuffwfis JsJshf MfFk ldquothioj jzLrdquo

SLFA Asra Begum

33rd BSMS

yF itjjpa Kiwfs

I thujjpy xUKiw 1 mfjjpf fPiuia JaikggLjjpgt tiw nraJ czlhy

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3 mjpkJujij bjJ uzkhffp frac12 - 1g Njdpy nfhLff rkpghlLj njhFjp njhlhghd NfhshWfs ePqFkgt ehlgll y tpahjp ePqFk

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5 mtiug gpQRfis Rjjk nraJ Jtuk gUgG $lb rikjJ czz rpwej MNuhffpak fplLk

6 mtiu iyapd rhwwpid 1 ndash 2 Njffuzb msT vUikapd japNuhL fyeJ fhiyapy Fbff yffLgGgt Mrd vhprry ePqFk

7 MlhNjhil iyfis Kiwggb Rurk nraJ Njd $lb 2 ndash 3 Ntis nfhLff fgk rkkejkhd Nehafs tpyFk

8 mddhrpg goqfisr rhW gpspeJ rhffiu $lb kzgghF nraJgt Fsphghdkhf mUejpl ntsisgt thejpgt Urpapdik ePqFk Njfk moF ngWk

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l yffLgG ePqFk 10 Miuf fPiuia Jtlly nraJ czz

gpjj Nehagt mjpjjpujijAk ePfFk 11 Mkgypid thapyplLf nfhggspjJ rpwpJ Neuk mlffp itjJ gpd ckpo ePiu

ckpkoeJ tply tthW 2 ndash 3 ehs nraa ehtpYss uzk ePqFk

12 Mthuk G+ffis grirgaW $lb czz kJjjpukgt ngUkghLgt clfhqif NghFk

13 Qrpapd GwjNjhiy ePffp bjJr rhW gpspeJ njspit vLjJ Rurk nraJ gUfpby nrupahikgt kejk tpyFk

14 yeijg goqfis nfhlil ePffp cgGgt kpsfhajJs NrhjJ gpulb mil jlb fhaitjJ czlhy thejpgt Urpapdikgt khejk ePqfp eyy grp czlhFk

15 ytqfg glilia tWjJ bjJ uzk nraJ Njdpy 1 ndash 2g czL tUfpy isgt Ujak vdgtwwpwF gyjij nfhLfFk

16 nrttpsePiuj jpdKk mUejptu gpjj tpUjjpgt eilahYzlhd mahrrp vdgd Nghk

17 cfhtpd gliliaf nfhzL gy Jyffp tUfpy gyyPWfFg gyjijf nfhLfFk

18 Nuh[hg G+tpd FbePuhy tha nfhggspff

thauzk Nghk 19 Njdpy gjkhf Cwtpll cyh jpuhlirfis czL tUfpy

gioa kyjij ntspahfFkgt Nkf moiy jzpfFk 20 cSeJ khit Kiwggb clfsp nraJ czL tUfpy

Njf G~b czlhFkgt LggpwF tYit nfhLfFk 21 Crp kyypifg G+it jiyapy b tu

kdNehahy czlhd cghijfs ePqFk 22 Ckjjqfhapd Nky KlfisAkgt NjhiyAk ePffp gR nea tplL tjffp miujJ

y Kisapy itjJ fll Mrdf fLgG ePqFkgt KisAk mwWg NghFk

23 vYkprir CWfhapid goikahdjpd gpd NrhwWld czL tUfpy Kj Njh~g gpzpfSk ePqFk

24 Xkjij nghd tWtyhf tWjJ fwpgG $lb uzpjJ itjJ ckpoeJ czz jPgdjij czlhfFk

25 Xupjoj jhkiuapid miujJ neyypffhasT ghypy fyeJ czz jhJ tpUjjp czlhFkgt ntsisgt ePhrRUfF NghFk

26 Xupiyjjhkiuapid miujJ neyypffhasT Nkhupy czL tu gpurtkhd ngzfspy Kiygghy tpUjjpia JzLk

27 fLFNuhfpdpgt KUqifggliliaAk edwhf miujJ Koqfhy filrrypwF gwwpl typ ePqFkgt tPffk jPUk

28 fzlqfjjhp iyia Klfis ePffp neUggpdpy thlb bjJ rhW gpopeJ Njd $lb frac12 mTz] nfhLff rspgt Jkkygt Uky Nghk

29 fUQrPufjij muprp fOtpa ePupy miujJ nfhLff tapwW G+rrp ePqFk

30 fUQ nrkig iyapid tjffp tPffKss lqfspy fll tPffk twWk

31 fU nehrrp iyapd rhWld rk vil eynyznza $lb ijyk fharrp FspjJ tu gPeprk ePqFk

32 fwG+utsspia mdypy thlb rhW gpopeJ Kiygghypy $lbf FoeijfSfF nfhLff rspjnjhyiy ePqFk

33 fwpNtggpiyapid edF miujJ nfhlilg ghffsT czL tu eiu ePqFk

34 fPiujjzbid Kiwggb rikjJ czz ePhfflLgt ePhrRUfF Nghk

35 fwwhisapd Nrhwwpid edF fOtp Rjjk nraJ fwfzL nghb $lb czz clwL ePqFk

VApilashini (30th BSMS)

Reference fzZrhkp gjhhjjFz tpsffk

kUeJfF gadgLk ypifj jhtuqfs

mfjjp ndash Sesbania grandiflora (Linn)

NtWngahfs - mfjjpakgt mrrkgt Edpgt fuPukgt KdptpUlrkgt tfuG~gk

thdjjpy mfjjpa Kdpthpd elrjjpuk NjhdWfpdw fhyflljjpy mfjjpak

G+ffjnjhlqFtjhy jwF mfjjpak vdWk Kdp tpUlrk vdWk tlnkhopahsh

ngahpllioffpdwdh jd G+thdJ tiseJ tffhpjJr mupths NghdW fhzggLtjhy

jwF tfuG~gk vdWk ngaUk toqfggLfpdwJ

Neha jPfFk ypiffspy mfjjpAk xdW J kuk NghdW ( 20 mb Kjy 50 mbtiu

) caheJ tshej NghjpYk nrbapdjijr NrhejNjahFk rnrb kpf tpiutpy

tsuf$ba gaphtifiar rhhejjhapDk ePzl fhyk thof $bajdW

gadgLk cWgGffs - iy

G+

glil

Nth

Rit - iy Kjypa ahTk rpW ifgG

jdik ndash jlgk

gphpT ndash fhhgG

iy nraif ndash errhp Antidote

FsphrrpAzlhffp Refirgerant

kykpsffp Laxative

GOtfwwp Vermifuge

mfjjp iy rpwpJ ifgGr RitAilaJ J clypy czlhFk tp~ePhfis

KwpjJ ntspNaWk kyrrpffiyg NghfFk gpjjjjhy czlhFk ntgg NehafisAk

clwlilAk jzpjJtpLk kUeJfspd NtfjijAk jzpfFk J kUeJfs (

kUejPL ) tapwiw tplLf fopaTk J cjTk

ehk czZk czT edF rPuzkila mfjjpf fPiu cjTfpdwJ grirahd

mfjjpapiyfisf frffp gpopeJ rhnwLjJgt ffpDs uznlhU nrhlL tplL tejhy

ffpd rsprrtTfspy VwgLfpdw mowrpgt ryNjh~kgt Nghdw Nehafs FzkhFk

mfjjpapiyfis thapy itjJr RitfFk NghJ thapy fpUkpfshy VwgLk

njhwWffis xopjJfflLfpdwJ clypy mbgll fhaqfspdhy VwgLk fzbgNghd

tPffqfSfF mfjjpapiyfis miujJf Rl itjJg gwwhfg Nghllhy rpwej Fzk

fpilfFk

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vhpTgt if vhpTgt MzFwpapd csnshpTgt Nkfkgt jhfk midjJk ePqFk

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fhyjjpYkgt gjjpak UfFk fhyjjpYk ffPiuia czzf$lhJ

KUqif Moringa oleifera (Lam)

NtWngahfs - rpfFUgt fpuQrdkgt rpstpgt Nrhghrdkgt gpukktpU~k

KUqifkuk iyKjy mbNth tiu rpwej czTg nghUshfTkgt kUeJg

nghUshfTk gadgLfpdwJ KUqiff fPiuapy caphrrjJffSkgt Gujg nghUlfSk

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jhspJkgt czTld NrhjJ czzyhk JtukgUggpid f fPiuAld NrhjJ Jtllyhf

nraJ czgJ kpffr Rit mspfFk

gadgLk cWgG - vyyhg ghfqfSk

Rit - ifgGgt JthgGgt dpgG

jdik - jlgk

gpupT - dpgG (fha)

fhhgG (glilgt Nth)

nraif - rptfwwp ndash Antipasmotic

ntggKzlhffp ndash Stimulant

Nfhioafwwp - Expectorant

rpWePhg ngUffp- Diuretic

cukhffp - Tonic

jfKzlhffp - Emmenagogue

grirNth

fhuYzlhffp Acrid

nfhgGsnkOggp Vosiceant

fwWfshQrp Antilithiz

KUqifggpQR rpwej fwp czthFk G+tpy UeJ gpupeJ NjhdwpaTld vLjJgghfk

nraJ czZk czT rpwej czthff fUjggLfpdwJ KUqifffha gy tiffspy

gadgLjjggLfpdwJ fhAs UfFk Kwwhj tpijAld $ba mjd clrij kpff

RitAilaJ ehUld $ba mjd Nkwghfk dpgGrRit epiwejJ mk NkwNwhiy

nkyYtjhy gyYfF cWjp VwgLfpdwJ

KUqif fhapy mikejpUfFk tpijAk mjDsspUfFk gUgGk kpff

RitAilaJ nfhOgGrrjJ epiwejd KUqifapiy G+gt gpQRgt fha midjJNk rpwej

gjjpa fwpahFk RUqff $wpd KUqif kukhdJ mbKjy Edptiu kUeJffhfg

gadgLfpwJ

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epWjJk tyyikAilaJ Rffpy cwgjjpia ngUfFk

KUqiff fPiu czgjhy nrhwpgt rpuqF Kjypa Nehafs ePqFk fzxsp

ngUFk KUqiff fPiuAld vs NrhjJr rikjJ czLtu ePupopT Neha ePqFk cly

tYgngWk fhkhiygt khiyffz Nghdw NehafisAk ePfFk

ffPiu ujjtpUjjpfFkgt jhJ gyk ngwTk ngupJk gadgLk KUqifg G+itg

gUgGld NtfitjJ czLtejhy jiyfNfwpa gpjjKk ntggKk jzpeJ

fznzuprry ePqFk KUqifg g+itg gUgGld NtfitjJ czLtejhy jiyfNfwpa

gpjjKk ntggKk jzpeJ fznzuprry ePqFk KUqifg G+itg gRgghypy NrhjJ

NtfitjJg ghiyAk gUfpg G+itAk jpdwhy jhJ ngUFk Mzikr rfjpAk

czlhFk KUqifffhaf FokGtiffis czgjhy khuGrrspgt fgk Mfpad ePqFk

eukGfs typikngWk Mjpfkhf czlhy c~zthA Nehafs czlhFk

FoeijfSfFg ghy nfhLfFk jhakhhfs KUqifffPiuia czTld NrhjJ

tejhy ghy edF RufFk KUqiff fPiur rhwWld rpwpJ RzzhkGj NjDk fyeJ

njhzilfFopapy jlt Ukygt Fuyfkky Kjypad ePqFk jak typikngw

tpUgGNthh KUqifg G+it mtpjJ czNthL NrhjJr rpyehlfs njhlheJ czlhy

G+uz gad fpilfFk thjkgt KlfFthjk sk gpsisthjk KjypatwwpwFk

KUqiftpijapypUeJ vLffggLk vznza thjtyp ePfFk G+rRkUejhfg

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NrhffggLfpdwJ KUqifg gliliaj Jshffp tPffqfsgt flbfs Mfpatwwpd kPJ

itjJf flLtJk czL KUqif glilr rhwWld FgigNkdpr rhwiwr NrhjJ

vznza tplLf fharrp fugghdgt nrhwpgt rpuqF Mfpad ePqFk KUqifapiy gprpid

eynyznzaapy fiujJ fhjpy tpl fhJtyp ePqFk KUqifNthpd rhWld ghy

NrhjJj jff mstpy czLtu tpffygt M]Jkhgt fPythjkgt csSWgGffspd tPffkgt

KJFtyp Kjypad ePqFk

fwpNtkG ndash Murraya coenlgii

NtWngahfs - fUNtggpiygt fupagt fUNtggpiy

fwpNtggpiy fhLfspYkgt kiyfspYkgt tPlLjNjhllqfspYk gapuhff $baJ

ngUknrb djijr NrhejJ vdpDk kffs jidr rpWkuk vdNw mioffpdwdh

fwpNtggpiyapy ehlLf fwpNtggpiygt fhlLf fwpNtggpiy vdDk Utif

czL ehlLf fwpNtggpiy czthfTk fhlLffwpNtggpiy kUejhfTk gadgLfpwJ

fwpNtggpiyapd iygt lthfFgt glilgt Nth Kjypad czthfTk kUejhfTk

gadgLjjggLfpdwJ

gadgLk cWgG - iygt lthfFgt glilgt Nth

Rit - rpWfhhgG

jdik - ntggk

gpupT - fhhgG

nraif cukhffp - Tonic

grpjJzb - Stomachic

jd iy czTfF kzlLk jdikAilaJ jdhy gzilffhyk Kjy

kffs fhafwpfSld fwpNtggpiyiar NrhjJfnfhsSk goffKilah

fwpNtggpiyiaj Jitay nraJ rhggpllhy thaffrgGgt gpjjkgt tha ePh Cwy Mfpad

FzkhFk fwpNtggpiyAld Qrpgt grirf nfhjjkyypgt vYkprrkgorrhW NrhjJ

miujJ msthf cggplL czTld fyeJ czlhy thaT fiyAk

fwpNtggpiyahy Fkllygt rPjNgjpahy tUk tapwWioTgt ehlgll fharry

Mfpad ePqFk

fwpNtggpiyia epoypy cyhjjp mjJld kpsFgt cgGgt rPufkgt RfF

Kjypatwiwj Js nraJ rhjjNjhL gnghbiaf $lbr rpwpjsT neatplLf fyeJ

rhggplL tejhy kejkgt kejNgjpgt kyNjh~kgt kyfflLgt gpuNkfk Nghdw Nehafs

FzkhFkiyAld flGspgt tWjj cgGgt tWjj kpsfha Mfpatwiwf $lbj Jitay

nraJ czTld czzyhk jdhy tapwNwhllk gpjjthejpgt czT rPuzkhfhikgt

tapwWiorrygt gpjjrak Nghdw Neha FzkhFkjd iygt glilgt Nth twiwf

fhak nraJ nfhLffg gpjjk ePqFk thejpAk ePqFk fwpNtggpiyj Jitay Fly

NehAssthfSfFg ngUk gadspfftyyJ J FlYfF tYT+lLk

1 tPj Jiurpqfkgt lhfuh tPj sqNfhtdgt Neha jPhfFk ypiffsgt ypif

kUjJt Muharrp riggt GqFLjPT

2 fr KUNfrKjypahhgt Fzghlk Kjy ghfk (nghUlgzG Ey)gt ejpa kUjJtk -

XkpNah gjpjJiw

u nreJud(33rd BSMS)

Nrhupahrp](Psoriasis)

J xU nghJthd Njhy gpurrpidahFk qF NjhypYss fyqfspd thofiftllk KlffptplggLfpwJ(dpeeds up the life cycle of skin cells) mjhtJ tpsffkhf $wpdhygt rhjhuzkhf xU Njhypd fyk xU ehspy cwgjjpahfp uzL ehlfs tiu capugghf UfFnkd itjJfnfhzlhy Nrhupahrp] epyikapy mNj fyk xU ehspwF uzlhf cwgjjpnraagglL xu ehspNy weJtpLk

jdhy wej fyqfs njhlurrpahf Njhypd Nkwguggpy NrueJnfhzbUfFk ej Nkyjpf fyqfspd $llk xU nrjpy NghyTkgt rptej Gsspfs nfhzljhfTk fbAld $bajhfTkgt rpy rkak typAld $bajhfTk fhzggLk

Nrhupahrp] xU ePzlfhy mbggilapy NjhdWfpdw xU NehahFk J ilapilNa tUtJk gpddu kiwtJkhf Uffk jwfhd rpfprirapd gpujhd Nehffk Ntfkhf gpuptilAk Njhy fyqfis epWjjp toikfF nfhzLtUtjhFk

vdpDk jwF jPuT yiy vdpdk jd FwpFzqfis FiwjJ itjjpUff KbAk thofif Kiwikfis khwWjygt kd mOjjqfisf Fiwjjy vdgd jwF cjtpahf UfFk

Nrhupahrp] VwgLtjwfhd fhuzqfs

e Neha vtUfF NtzLnkdwhYk Vwglf$Lk MdhYk fPNo fhzggLk fhuzqfs xUtUfF UfFkhapd ej Neha VwgLtjwfhd rhjjpa $Wfs mtUfF mjpfkhf fhzggLk

FLkg tuyhW (family history) J kpfTk Kffpakhd fhuzpahFk cqfs jha jeijapy xUtUfF Nrhupahrp] Vwgllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk cqfs ngwNwhu UtUfFk J fhzggllhy cqfSfF VwgLtjwfhd rhjjpak dDk mjpfkhFk ij tpl cqfs cwtpdufSfF ej gpurrpid UejhYk mJTk cqfSffhd Nrhupahrp] rhjjpajij mjpfupfFk

ituR myyJ gfwPupah njhwW (virus amp bacterial infection) HIV NehahspfSfF rjhuz MNuhffpakhd kffSld xggpLk NghJ rhjjpa $Wfs mjpfk jid tpl rpWtufspy VwgLk njhzil mowrp Nghdw njhwWffSk jwfhd rhjjpajij mjpfupffpdwd

kd mOjjk (stress) kd mOjjk cqfs NehnajpugG Mwwiy Fiwtila nraAk J vej NehafFk nghUeJk vdNt mjpf kd mOjjk jd rhjjpaf$iw mjpfupfFk

msTffjpfkhd cly vil(Obesity) mjpfsT cly vil rhjjpaf$Wfis mjpfupffpdwJ Fwpgghf obesity csstufspy Njhy kbgG mjpfk fhzggLk jdhy mqF Nrhupahrp] Gsspfs mjpfupjJf fhzggLk

Gifgpbjjy(smoking)

Gifggpbjjy Nrhupahrp] VwgLtjwfhd rhjjpajij klLkyyhJ mjd jPtpujjdikiaAk mjpfupggjhf cssJ

Nrhupahrp] Nehia JzLk fhuzpfs

Bacteria njhwWffs- Infections such as strep throat or skin infections

Njhypy Vwglf$ba ntlLf fhaqfsgt cuhaTfsgt G+rrpffbgt ntapy L injury

to the skin such as a cut or scrape bug bite or a severe sunburn

kd mOjjk(stress) Gifggpbjjy(smoking)

mjpfsT kJ ghtid(heavy alcohol consumption) tpwwkpd B FiwghL (vitamin D deficiency) rpy kUeJfs(certain medications- including lithium which is priscribed for bipolar

disorder high blood pressure medication such as beta blockages antimalarial drugs and

iodides)

FwpFzqfs(symptoms)

Nrhupahrp] Nehapd FwpFzqfs kdpjUfF kdpju khWglyhk

rptej Gsspfs jbjj rpytu(silvery) epwkhd nrjpyfshy lgglbUfFk(Red

patches of skin covered with thicksilvery scales)

rpwpa cjpuf$ba Gsspfs small scaling spots(commonly seen in children)

cyuej ntbgGfSld$ba Njhy rpy rejuggqfspy ujjffrpTld fhzgglyhkDrycracked skin that may bleed

fbgt vuprry myyJ typ fhzggLkItching burning oor soreness

jbggilej rpwpa rpwpa Fopfs tpOej efqfs fhzggLk(Thickened pitted or

ridged nails)

tPffKkgt WffKk nfhzl lLffs Swollen and stiff joints

Nrhupahrp] Gsspfs nghLFNghdw rpwpa gilfs njhlffk ngupa mstpyhd jbgGfSld guej mstpYk Vwglyhk

ngUkghyhd Nrhupahrp] tiffs xU Rowrp Kiwapy VwgLfpdwd mjhtJ Njhdwpr rpy thuqfs myyJ khjqfs tiu UeJtplLg gpddu kiweJtpLfpdwd gpddu kPzLk rpy fhyjjpd gpddu NjhdwptpLk

Nrhupahp] tiffs

Plaque psoriasis(gpNsf Nrhupahrp]) o nghJthf Vwglf$bagt cyuejgt jbjjgt rptej Njhy(plaques)gt rpytu

epwkhd nrjpypdhy lgglbUfFk

o ej plaques fllhakhf fbiaNah myyJ typiaNah nfhzbUfFk mjJld rpwpa mstpNyh myyJ gueJglljhfNth fhzggLk

o gpwgG cWgGffsgt thafFopapd clGwk vdgd csslqfshf clypd vggFjpapNyDk Njhdwf$Lk

Nail psoriasis(neapy Nrhupahrp]) o Nrhupahrp] MdJ if fhy tpuy efqfis ghjpfFk epiyia

tthW mioggu mjpy efqfspy Fopfs tpOjygt toikfF khwhd ef tsurrp kwWk efqfspy epwk khwwkiljy vdgd Vwglyhk

o ttif efqfs nail bed vdggLk efggLfifapypUeJ gpuptilAk jid onycholysis vdgu jPtpu epiyikfspy efkhdJ crumble Mf khwwkilAk

Guttate psoriasis(fwNuw Nrhupahrp]) o ej tif Nrhupahrp] ngupJk ghjpggJ isNahu kwWk

gpsisfisahFk J toikahf gfuPupahffshy njhzilapy VwgLk xUtif njhwWf fhuzkhf(strep throat) KLffptplggLfpwJ

o jidg ghuggjwF rpwpajhfTkgt ePujJspfs Nghdw tbtKilajhfTk fhzggLk it KzljjpYkgt if fhyfspYkgt jiyapYk gutpf fhzggLk

e epiyapy Ezzpa nrjpyfs fhzggLkgt jbjj plaque fhzgglhJgt jhdhfNt kiwAk vdpDk kPzlk kPzLk NjhdWk

Inverse psoriasis(dNtu] Nrhupahrp]) o it gpujhdkhf jhfFtJ mfFs gFjpfs(armpits) kwWk

ftlLggFjpfs(groin)gt khugfqfspd fPoggFjp(under the breast) kwWk dgngUff cWgGfisr oTss gFjpfisahFk(genitals) qF jbgGffs mww rptej Gsspfs fhzggLkgt ghjpffggll Njhypy cuhaTfsgt ntbgGfs vdgdTkgt tpauitAk fhzggLk gqfR njhwWffs ej tifahd Nrhupahrp] epiyia KLffptplyhk

Pustular psoriasis(g]bA+yu Nrhupahrp]) o J nghJthf VwgLtjpyiy vdpDk guej xU Nrhupahrp] gilapy

Vwglyhk(gentralized pustular psoariasis) iffsgt ghjqfsgt tpuy Edpfs Nghdw rpwpa ghfqfspyp Vwglyhk

it nghJthf Ntfkhf NjhdwptpLkgt jpypy rpwpa rPo epukgpa nfhggsqfs fhzggLk rpy kzp Neujjpd gpddu mej NjhygFjp rptejjhfTk njhLk NghJ Ntjid jUtjhfTk fhzggLk

nfhggsqfs mbffb Njhdwp kiwAk ehd NkNy $wpggpll gentralized pustular psoariasis epyikapy fharry eLffk fLikahd fb ePujjdikahf kyk mbffb fopjy(diarrhea) vdgd fhzgglyhk

Rythrodermic psoariasis(vupjNjhNlkpf Nrhupahrp]) o J kpf kpf mupjhd xdW jpy cly KwwhfTk rpteJ

cupaf$ba gil fhzggLk mjJld fb myyJ vuprry fhzggLk

Psoariatic arthritis(Nrhypahbf Mjjpiurp]) o Nrhupahrp] Njhypy VwgLjJk gpurrid xU GwkpUff jwF

$Ljyhf Nrhupahbf Mjiub] vdgJ llffspy tPffjijAk typiaAk VwgLjJfpdw epiyikahFk rpy rejugqfspy lLffspy VwgLk ej gpurrpid Kjypy ntspffhllgglL mjid njhlueJ efqfspy Fop tpOjy Nghdw khwwqfs Vwglyhk mjd gpddu NjhYk ghjpffgglyhk jd ghjpgGfs rpwpa msT Kjy jhqf KbahjtiufFk NtWglyhk

o J vej tif lLffis NtzLkhdhYk ghjpffyhk mjJld lLffspd mirit flLggLjjp mjd fllikgGfis ghjpjJ mjpy epuejukhd khwwjij $l VwgLjjyhk

Nrhupahrp] tUtjwfhd fhuzqfs

czikapy Nrhupahrp] tUtjwfhd fhuzk vdgJ rupahf njupahj xdwhfNt UffpdwJ

MapDk J cqfs immune system vdggLk NehnajpugG nghwpKiwAld njhlughdJ mjpYk ej NehnajpugG nghwpKiwapy gqFtfpfFk t fyqfs (t cells) eLepiyffyqfs (neutophils) njhlughdJ

t cells toikahf clnyqFk Rwwp clypYss cly fyqfs myyhj gpw nghUlfis (foreign substance) vjpujJ mopfFk Ntiyapy gqnfLffpdwJ cjhuzk viruses and

bacteria

Mdhy cqfSfF Nrhupahrp] Uejhy t cells jtWjyhf cqfspd Njhy fyqfis mopffpdwd vdW nghUs

over active t cells MNuhffpakhd Njhy fyqfs cwgjjpahtij JzLfpdwd mjJld mjpf t cells and neutrophils $l

it Njhiy Nehffp nrdW mjpy ujjf Fohafis tpuptilar nraJ mqF rptej jdikiaAk(Redness) lbidAk rpyNtis rPo nfhzl nfhggsqfisAk(pustular

lesion) VwgLjJfpdwd

mjdhy NjhyhdJ rhjhuzkhdij tpl mbffb GJggpffgglLf nfhzbUfFk mjhtJ fyqfs wggJk GJggpffggLtJk kpf Ntfkhf eilngWk jdhy Njhy jbgghfpdwJ nrjpyfs NjhdWfpdwJ

Vd tthW T cells jtWjyhf tthW njhopwgLfpdwd vdW rupahf njupatpyiy Mathsufs J xU ghukgupak kwWk RwWroy rhuej tplakhf Uffyhk vd ekGfpdwdu

MVithurshana

30th BSMS

Njhy NehafSffhd rpy kUjJtf FwpgGffs

FgigNkdp iyfis kQrSld miujJ fugghdgt fpuejpfSfF ntspgG+rrhf G+ryhk

Ntggk iyia kQrSld miujJ nrhwp rpuqFfSfF g+ryhk fpuejpehafd nrbapy UeJ ngwggll rhwiw Njqfha vzizAld fyeJ

fharrp mjid fpuejpfSfF G+ryhk Fggpsha iyrrhwWld NjrpgGsp tplliujJg gir Nghy vLjJ nrhwp

rpuqFfSfFg G+ryhk f]Jup kQris miujJj NjajJf Fspff fugghdgt Gz ePqFk Gqfk NthgliliapypUeJ gpopej ghiy rpuqFgt fugghDfF G+rptu ePqFk Gqfk NthgglilapypUeJ mtpjj FbePiu rpuqFgt fugghDfF G+rptu ePqFk G+turk G+it miujJ rpuqFfSfspd kPJ flb tuyhk G+turk fhagt glilia vzizAld fharrp Njhy NehafSfF gadgLjjyhk mdprir iyfis kQrSld NrhjJ gir Nghy miujJ rpuqF kwWk

njhwWfshy Vwgll Njhy NehafSfF G+ryhk NjsnfhLfF iyrrhwiw rk msT Njqfha vzizAld fharrp tww itjJ

rpuqFgt fugghDfF G+ryhk Mthuk G+Tld ghrpggawiw NrhjjiujJ eikrrygt nrhwpfSfF NjajJ

Fspffyhk rufnfhdiw iyfis NjrpgGsp tplliujJ clypy NjajJ Fspff Njkygt

Nrhwpgt fugghd ePqFk rufnfhdiw G+it vYkprrkgorrhW tplliujJ clkgpy NjajJf Fspff

Njkygt nrhwpgt rpuqFgt fugghd ePqFk MLjPzlhgghiy rhwWld mNjasT eynyziz $lb vupjJ gfFt gjjjpy

tbflb fUkgilgt fugghDfF g+ryhk rptfueijfgt nfhlil fueij iyia epoypy cyhjjpg nghb nraJ jpdk 1

Ntis frac12 -1 fuzb vLff fugghd Nghdw Nehafs jPUk tzLnfhyyp iyia bjJ ngww rhwwpDs NjrpgGsp tplL mejr rhwiw

tbflb G+ryhk tzLnfhyyp rhwWfFr rk msT Njqfha vznza fyeJ frac12 gqfhf fharrp

tllffbfF G+ryhk fhhNghfhprpia ghypy fharrp vLjJ Rjjp nraJ ntapypy itjJ vLjJ

mjid Njqfha vzizAld fharrp cUll jphp Nghy tUk gjjjpy wffp Fggpapy miljJ ntzgilfF gadgLjj FzkhFk

SMithushy ( 31st BSMS)

kdpjk njiyej thoT

eyYssk nfhzl koiyaha

ePAk kzzpy tejhNah

R+J nfhzl tTyfpy

fglk gofp tsuejhNah

kyufspy gyypdk mofhf

kdpjupy gyypdk NtwWikahf

ePNa tFjj tpjpfnsyyhk

cdid Ms tpLthNah

vqNf fwwha gpuptpid

vdW fwwha tQrid

mdgpd tyyik Gupahky

MAjk Vejy mwpejhNah

rhjp d kj Ngjqfs

it klLk cdid gpupffpwJ

Nfll kdKk FzKk NrueNjjhd

cdid jdpikapy itffpwJ

Ntfkha tsUJ tpQQhdk

mjdhNy mopAJ nkQQhdk

kdpj cssk cwqfpf fplfifapNy

aejpu kdpjd klLk elffpdwhd

tpgjjpidf fzl khjjpujjpy

capiuffhff Kidahky

Gifggljjpy ePAk mlfFfpdwha

mij gjpNtwwp Gfis NjLfpdwha

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Sujitha Thanabalasingam(33rd BSMS)

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SKarunja( 31st BSMS)

Common medical Abbreviations

DC-discharge

DDX- Differential Diagnosis

DJD ndash Degenerative joint disease

DM- Diabetes Mellitus

DTR ndash Deep tendon reflexes

DVT ndash Deep venous thrombosis

ETOH- Alcohol

FX ndash Fracture

FBS ndash Fasting blood sugar

FUO- Fever of unknown origin

HA- Headache

HRT- Hormone replacement therapy

HX ndash History

HR ndash Heart rate

Hs ndash at bedtime

IBD ndash Inflammatory bowel disease

ICU ndash Intensive care unit

IPF ndash Idiopathic pulmonary fibrosis

INH ndash Inhalation

INH ndash Isoniazid

IV ndash Intravenous

MVP ndash Mitral valve prolapse

NV ndash Nausea or Vomiting

OD- Right eye

OS- Left eye

P- Pulse

P - - After Meals

PO (Per os) ndash By mouth

PD ndash Progressive disease

PMS ndash Premenstrual syndrome

QD- Each day

QID ndash Four times

Q2H ndash Every 2 hours

RA ndash Rheumatoid arthritis

SOB- Shortness of breath

SQ- Subcutaneous

TampA- Tonsillectomy and adenoidectomy

TKR ndash Total knee replacement

URI ndash Upper respiratory infection

VSS ndash Vital signs are stable

XRT ndash Radio therapy (external)

A Imanya(31st BSMS)

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Mohanashanth(32rd BSMS)

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STheyigah(30th BSMS)