9
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
KARNATAKA, BANGALORE.
COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION
“A COMPARATIVE STUDY TO EVALUATE THE EFFICACY OF VALUKA SWEDA WITH AND WITHOUT GANDHARVAHASTADI TAILA PANA IN VATAKANTAKA ”
BY
VIJAYALAKSHMI S
PG SCHOLAR
DEPT., OF PG STUDIES IN KAYACHIKITSA
SKAMCH & RC,
VIJAYANAGAR, BANGALORE-560 104
GUIDE:
DR. MURALIDHARA MD(AYU)
PROFESSOR AND HOD
DEPT., OF PG STUDIES IN KAYACHIKITSA
SKAMCH & RC,
VIJAYANAGAR, BANGALORE-560 104
2012 – 2013
SRI KALABYRAVESHWARASWAMY AYURVEDIC MEDICAL COLLEGE, HOSPITAL AND RESEARCH CENTRE, VIJAYANAGAR, BANGALORE-560 104
From,
VIJAYALAKSHMI S.
PG SCHOLAR
DEPT., OF PG STUDIES IN KAYACHIKITSA,
SKAMCH AND RC,
VIJAYANAGAR, BANGALORE – 560 104
To,
THE REGISTRAR,
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
KARNATAKA, BANGALORE.
Through:
THE PRINCIPAL,
DEAN PG STUDIES AND HOD OF PG STUDIES IN KAYACHIKITSA SKAMCH RC,
VIJAYANAGAR, BANGALORE – 560 104
Subject: Submission of completed proforma for registration of the subject for Dissertation.
Respected Sir,
I request you to kindly register the below mentioned subject against my name for the submission of dissertation to Rajiv Gandhi University Of Health Sciences Karnataka, Bangalore, for partial fulfillment of MD(AYU) in Kayachikitsa.
TITLE OF DISSERTATION:
“A COMPARATIVE STUDY TO EVALUATE THE EFFICACY OF VALUKA SWEDA WITH AND WITHOUT GANDHARVAHASTADI TAILA PANA IN VATAKANTAKA”
Herewith I am enclosing completed proforma for registration of subject for dissertation. Thanking you,
Yours faithfully,
Date: 02-04-2013
Place: BANGALORE.
(VIJAYALAKSHMI S)
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
KARNATAKA, BANGALORE.
ANNEXURE – II
PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION
1) NAME OF THE CANDIDATE VIJAYALAKSHMI S
AND ADDRESS MD(AYU) PG SCHOLAR
DEPT OF PG STUDIES IN KAYACHIKITSA
SKAMCH & RC,
#10, PIPE LINE ROAD, R.P.C LAYOUT,
VIJAYANAGAR,
BANGALORE - 560 104
PERMANENT ADDRESS NO-16, JAGADEESH NILAYA,
AJJAPPA ROAD, SRI KRISHNA NAGAR,
SHETTYHALLI, JALAHALLI (W),
BANGALORE – 560015
KARNATAKA
2) NAME OF THE INSTITUTION SRI KALABYRAVESHWARASWAMY
AYURVEDIC MEDICAL COLLEGE, HOSPITAL
AND RESEARCH CENTRE, VIJAYANAGAR,
BANGALORE - 560 104
3) COURSE OF STUDY & MD(AYU) IN KAYACHIKITSA.
SUBJECT
4) DATE OF ADMISSION 30th OCTOBER 2012
TO THE COURSE
5) TITLE OF THE TOPIC
“A COMPARATIVE STUDY TO EVALUATE THE EFFICACY OF VALUKA SWEDA WITH AND WITHOUT GANDHARVAHASTADI TAILA PANA IN VATAKANTAKA”
6) BRIEF RESUME OF INTENDED WORK:
6.1 Need for the study:
Vatakantaka is a disease explained by Sushruta in the context of vatavyadhi as a painful condition of heel caused by its improper placement of foot on the ground1.
Pain beneath the heel is seen in infra calcaneum bursitis and plantar fasciitis2. Plantar fasciitis is a common cause for pain in the heel region, which occurs in about 10% of the general population and represents 10–15% of foot problems requiring professional care . Women are twice as likely as men to get plantar fasciitis3.Treatment modalities for Plantar Fascitis in contemporary system of medicine includes- placing a soft pad under the tender heel. Other treatments include Analgesics, NSAIDS and steroid injections at the tender part which provide temporary relief4.
Swedana is indicated in Vatakantaka according to Caraka5 and Chakrapanidatta has indicated Valuka Sweda in Vata and Kaphaja vyadhi6. The treatment for Vata kantaka also includes Raktavasechana, Eranda tailapana and Agnikarma as mentioned in classics7. Gandharvahasta taila mentioned in Ashtanga Sangraha is told to be the same as Eranda taila according to Indu Commentary8 which is the main ingredient in Gandharvahastadi taila. Hence the present study is selected to evaluate the efficacy of Valuka Sweda and Gandharvahastadi Taila in Vatakantaka.
6.2) Review of literature:
· Vatakantaka Nidanas & lakshanas is mentioned in Sushruta Samhita & Astanga Hrudaya1,9.
· Reference of Eranda taila pana in the management of Vatakantaka is mentioned in Chakradatta.
· Gandharvahastadi Taila mentioned in Ashtanga Sangraha.
· Valuka Sweda explained in Chakradatta.
· Pinda Taila mentioned in Astanga Hrudaya10.
Previous works done:-
· Shivalingappa - “Evaluation of Agnikarma in Vatakantaka” Government Ayurvedic Medical College, Bangalore: RGUHS Karnataka, Bangalore, 2005.
· Santosh Yadava - “To study The Effect of Eranda tailapana (castor oil ingestion) on Vatastila w s r Benign Prostatic hypertrophy(B.P.H.)” Nashik , M.U.H.S: 2006.
· Bhuvaneshwari - “Effect of Sira vyadha & Agni karma in management of vatakantaka” Government Ayurvedic Medical College, Bangalore: RGUHS Karnataka, Bangalore, 2007.
· Deepak. D - “The role of Agnikarma in Vatakantaka w.s.r. to Achilles tendinitis and plantar fasciitis”, Alva’s Ayurvedic Medical College, Moodbidri: RGUHS Karnataka, 2008.
· Nitin kumar - “Comprehensive study on parshni Shaareera w.s.r. to its structural changes in Vatakantaka”, S.D.M. College of Ayurveda Udupi: RGUHS Karnataka, 2008.
· Anjali N.V – “A Study on the effect of Swedana with Kolakulathadi and Valuka in Katigraha”, K.V.G Ayurveda Medical College and Hospital, Sullia: RGUHS Karnataka, 2010
6.3) Objectives of the study:
· To evaluate the effect of Valuka Sweda in the management of Vatakantaka.
· To evaluate the effect of Valuka Sweda with Gandharvahastadi Taila Pana in the management of Vatakantaka.
· To compare both groups and evaluate the effect of Gandharvahastadi Taila Pana in the management of Vatakantaka.
7) MATERIALS AND METHODS:-
7.1) Source of data:
A minimum of 40 patients with Vatakantaka coming under the inclusion criteria will be selected for the study from the OPD and IPD of SKAMCH RC, Bangalore-104.
7.2) Method of collection of data:
· It is a comparative clinical study with pre-test and post-test design, where in 40 patients of either sex, diagnosed as Vatakantaka, will be randomly assigned into two groups, each comprising of 20 patients.
· A case proforma will be specially designed and duly filled with all points of history-taking, physical signs & lab investigations.
· The parameters of signs and symptoms will be scored as mentioned in the proforma.
· The data obtained in both groups will be recorded, tabulated & statistically analysed using suitable statistical methods.
Diagnostic criteria:
· Patients suffering with lakshanas of Vatakantaka.
Inclusion criteria:
· Patients presenting with lakshanas of Vatakantaka.
· Patients of either sex, above 18 years.
Exclusion criteria:
· Other systemic diseases which interfere with the course of treatment.
· Patients with the Fracture and dislocation of ankle joint.
Study design:
A comparative clinical study with pre-test and post-test design will be conducted on 40 patients with lakshanas of Vatakantaka.
Intervention:
40 patients of Vatakantaka will be selected and randomly divided into two equal groups, as Group-A and Group-B.
Group-A- will be subjected to Sthanika Abhyanga with Pinda Taila followed by Valuka Sweda till Samyak swinna lakshanas are seen for 7 consecutive days.
Group-B- will be subjected to Sthanika Abhyanga with Pinda Taila followed by Valuka Sweda till Samyak swinna lakshanas are seen along with Gandharvahastadi taila pana(10 ml) in the early morning on empty stomach with warm water for 7 consecutive days.
Course of Treatment – 7 consecutive days.
Assessment will be done on:
Pre test – 1st day, Post test – 7th day, 1st follow up – 14th day.
Assessment criteria:
The assessment will be done on the basis of Subjective and Objective parameters as per the proforma.
7.3) Does the study require any investigation or intervention to be conducted on patient or other humans or animals? If so please describe briefly.
Yes
Investigations:
· X-ray of Foot – AP & Lateral view
· Blood for Hb%, TC, DC, ESR, RBS
7.4) Has ethical clearance been obtained from your institution in case of 7.3?
Yes.
8) LIST OF REFERENCES:
1. Sushruta, Sushruta Samhita, Nibandha Samgraha Commentary of Sri Dalhanacharya and Nyaya Chandrika Panjika on Nidanasthana Commentary of Sri Gayadasacharya, by; Vaidya Yadavji Trikramji Acharya, Chaukhamba Surabharati Prakashan, Varanasi, reprint-2008, Nidana Sthana, 1st Chapter, Verse-79, pp: 824, pg -269.
2. Das.S, A Concise TextBook Of Surgery, Calcutta, Dr.Somen.Das publications,
2nd edition 1999, pp: 1302, pg-290.
3. http://www.mdguidelines.com/plantar-fasciitis/definition
4. http://en.wikipedia.org/wiki/Plantar_fasciitis#Treatment
5. Agnivesha, Charaka Samhita, Ayurveda Deepika Commentary of Chakrapani, edited by; Vaidya Yadavji Trikramji Acharya, Chaukhamba Surabharati Prakashan, Varanasi, reprint-2013, Sutra Sthana, 14th Chapter, Verse-23, pp: 738, pg -89.
6. Chakrapanidatta, Chakradatta, Edited and translated by Priya Vrat Sharma, Chaukhamba Surabharati Prakashan, Varanasi, Edition-2007,Vatavyadhi Chikitsa ,22nd Chapter,Verse-66 pp: 731, pg -21.
7. Chakrapanidatta, Chakradatta, Edited and translated by Priya Vrat Sharma, Chaukhamba Surabharati Prakashan, Varanasi, Edition-2007,Vatavyadhi Chikitsa ,22nd Chapter,Verse-66 pp: 731, pg -191.
8. Vagbhata, Astanga Sangraha, Shashilekha Commentary of Indu, edited by; Dr. Shivprasad Sharma, Chaukhamba Sanskrit Series Prakashan, Varanasi, reprint-2008, Chikitsa Sthana, 15th Chapter, Verse-25 pp: 965, pg -521.
9. Vagbhata, Astanga Hrudaya, Sarvanga Sundara Commentary of Arunadatta and Ayurveda Rasayana Commentary of Hemadri, edited by; Pandit Hari Sadasiva Sastri Paradikara Bhisagacharya, Chaukhamba Surabharati Prakashan, Varanasi, reprint-2009, Nidana Sthana, 15th Chapter, Verse-53 pp: 956, pg -535.
10. Vagbhata, Astanga Hrudaya, Sarvanga Sundara Commentary of Arunadatta and Ayurveda Rasayana Commentary of Hemadri, edited by; Pandit Hari Sadasiva Sastri Paradikara Bhisagacharya, Chaukhamba Surabharati Prakashan, Varanasi, reprint-2009, Nidana Sthana, 15th Chapter, Verse-53 pp: 956, pg -730.
9) SIGNATURE OF THE CANDIDATE:
10) REMARKS OF GUIDE:
11) NAME AND DESIGNATION
(IN BLOCK LETTERS)
11.1) GUIDE : DR. MURALIDHARA MD(AYU)
PROFESSOR AND HOD
DEPT., OF PG STUDIES IN KAYACHIKITSA
SKAMCH & RC,
VIJAYANAGAR, BANGALORE-560 104
11.2) SIGNATURE :
11.3) CO-GUIDE : DR. MAHESH T.N MD (AYU)
READER
DEPT., OF ROGA NIDANA
SKAMCH & RC,
VIJAYANAGAR, BANGALORE-560 104 11.4) SIGNATURE :
11.5) HEAD OF THE DEPARTMENT:
DR. MURALIDHARA MD (AYU)
PROFESSOR AND HOD
DEPT., OF PG STUDIES IN KAYACHIKITSA
SKAMCH & RC,
VIJAYANAGAR, BANGALORE-560 104
11.6) SIGNATURE :
12 12.1) REMARKS OF THE CHAIRMAN AND PRINCIPAL:
12.2) SIGNATURE :