From,
Dr. T. Raghavender,
Preliminary M. D. (Ay) Scholar,
Department of Post Graduate Studies in RACHANA SHAREERA,
N.K.J.A.M.C. & P.G. Centre,
BIDAR- 585403.
To,
The Registrar,
Rajiv Gandhi University of Health Sciences
BANGALORE, Karnataka.
Through:
The Principal and Head of Department of PG studies in Rachana Shareera
N.K.J.A.M.C. & P.G. Centre,
BIDAR 585403
Subject: Submission of Completed Proforma for Registration of subject for
Dissertation.
Respected Sir,
I request you to kindly register the below mentioned subject against my name for the Submission of the dissertation to the Rajiv Gandhi University of Health Sciences, Bangalore, for partial fulfillment of M. D. (Ay) in Rachana Shareera.
THE TITLE OF DISSERTATION
“A STUDY OF KARNA SHAREERA W.S.R.TO BADHIRYA”
I am enclosing completed proforma for Registration of Subject of dissertation.
Thanking You,
Yours faithfully,
Date: 27-11-2007
Place: Bidar (Dr. T. Raghavender.)
RAJIV GANDHI UNIVERSITY OF HEALH SCIENCES
BANGALORE.
ANNEXURE-II
1. Name of the candidate : Dr.T.Raghavender
s/o T.Shesha Raju ,
1-6-125/5, ram nagar,
Zirayath nagar,
Post: Armoor, 503224,
Dist: Nizamabad,
ANDHRA PRADESH.
2. Name of the institution : N.K.Jabshetty Ayurvedic Medical
College &P.G.Center, Bidar.Karnataka.
3. Course of study & subject : M. D. (Shareera Rachana)
4. Date of admission : 31st may 2007
5. Title of the topic :
“A STUDY OF KARNA SHAREERA W.S.R.TO
BADHIRYA.”
6) BRIEF RESUME OF INTENDED WORK:
6.1. NEED FOR THE STUDY:
According to Ayurvedic literature, Shareera Rachana deals with structure of body parts, but some times description of some parts of body is not mentioned properly, such as Karna Shareera. There are five sense organs in our body [1] viz: Srotra, Ghrana, Rasana, Chakshu, and Sparshane. Karna is the adhistana (site) of Sravanendriya. In Karna Akasha Mahabhuta is predominant. [2]It is one of Bahirmukha srotas [3]. The distance between Karna and apanga is 5 Anguli. [4] Karna is supplied by two Dhamani and ten Sira’s. [5] Karna Pali or Karna lathika is one of structure of Karna. It is the lobule of externalear.
According to Ayurvedic classics Karna rogas are following,
1. Sushruta -28 types [6]
2. Charaka-4 types [7]
3. Vagbhata-25 types [8] (15 diseases of ear canal and 10 external ear disease)
Badhirya (Deafness) is one of Karna roga, which is due to vitiated vata and kapha doshas.
In modern sciences it has separate specialization department. i.e.E.N.T. In this subject about ear they described vividly including structures, functions and diseases.
Our Aacharyas has mentioned detailed explanation about Karna gata roga but there is no detail structural consideration of Karna, except external ear (Bahya karna).
Hence this work is taken to study the structure & function of Karna in relation to Karna gata vyadhi and special study on Badhirya.
6.2. REVIEW OF THE LITERATURE:
1) The five sense organs are composed of five Mahabhutas with predominance of one in each. They are known by influence through their actions and it is on basis of which intellect proceeds
2) According to Sarangadhara, the region around the ear is slightly fomented and ears filled with warm oils, juices of plants or urine of animals to treat the Karna rogas. While the patient retains this medication for a duration of 100 or 500 or 1000 matras.[9]
3) According to Yogaratnakara, the vayu and kapha acting together obstruct the sound bearing ducts of the ears, this results the Badhirya[10]
4) According to kashyapa samhita, the desire to increase the ear lobes for wearing the ornaments was very prevalent during ancient days. Naturally the measures to increase and make these corpulent were also in practice.[11]
5) According to Sushruta, on the back side of ears situated below are Vidhura marmas, these, on injury, cause deafness.[12]
6) Deafness is impaired hearing and it is great social and educational handicap. The plight of blind person or lame man can easily be visualized by every one and they evoke sympathy, but no one sympathizes with a deafness as his handicap is not noticeable.[13]
PREVIOUS WORK:
1) Sharma.B.K. Sravanendriya (Karna) vivechana.Dept.of Shareera Rachana, National institute of Ayurveda.Jaipur.1986.
2) Manikya rao-Management of Pooti Karna with Jatyadi taila Karna poorana.Dept.Of shalakya tantra .Dr.B.R.K.R.Govt Ayurvedic College. Hyderabad.1987
3) Narayana raoY.V. Management of Karna shoola with vidangadi choorna.Dept. Of the Shalakya tantra, Dr.B.R.K.R.Govt. Ayurvedic college.Hyderabad.1988.
4) Guggari maheshwar.S.-A clinical study on Karna nada and its management with Apamarga kshara taila, Dept.of Shalakya tantra Govt. Ayurvedic College, Bangalore.1998.
5) Nagendra kumar-Evaluation of Karna poorana Kriya in the management of Karna srava w.s.r.to Samudraphena choorna and Kshara taila, Dept of Shalakya tantra Govt Ayurvedic College Bangalore.2001.
6) Javale Anant-A clinical study on the efficacy of Arka taila in management of Karna srava special reference to Otomycosis. Dept.of Shalakya tantra Inistitute for Post Graduate teaching and research in Ayurveda, Jam nagar.2005.
6.3) OBJECTIVES OF STUDY:
1) To study structural and functional deformity of Karna in Badhirya.
2) A comparative study of Karna in Ayurvedic literature with Modern Sciences.
7) MATERIALS AND METHODS:
7.1) SOURCE OF DATA:
The subject of this dissertation is conceptual work which will be collected from classics of Ayurveda and Modern Sciences. Other references from various magazines, periodicals, research papers and presented articles
7.2) METHOD OF COLLECTION OF DATA:
1. The literature will be collected, reviewed and analyzed from Library, N.K.J. Ayurvedic Medical College, Bidar.
2. Patients will be selected from I.P.D. and O.P.D. of N.K.J. Ayurvedic medical college attached, Sri Siddharudha Charitable hospital. Bidar.
STUDY DESIGN:
1) 30 diagnosed patients of Badhirya will be selected.
2) Radiological evaluation will be done and correlated with anatomical
features.
INCLUSION CRITERIA:
1. Patients of both sexes between the age 20-60years irrespective of religion, socioeconomic status and occupation will be taken.
EXCLUSION CRITERIA
1. Menier’s Syndrome.
2. Neoplasm of ear.
3. Patients having any other systemic diseases.
ASSESMENT CRITERIA
Diagnosed patients of Badhirya are clinically examined for structural &functinal changes, if necessary radiological help will be taken and correlated with anatomical features.
7.3 Does the study require any investigations to be conducted on
the patients or other animal? (If so please describe briefly)
Yes.
Investigations will be conducted on the patient for the study with the help of Radiological examinations.
7.4. Has ethical clearance been obtained from your institution
incase of 7.3?
Yes, ethical clearance is obtained from institutional ethical committee.
8. List of references
[1] Sharma P. V: - Charakasmhitha, pur0vardha, Vol.-I, Fifth Edition,. Choukhambha publication, Varanasi, 1998, 399pp
[2] Sharma P.V:- Charakasmhita purvardha, Vol.-I, Fifth Edition Choukhambha publication, Varanasi, 1998, 61pp.
[3] Sharma P.V:- Susrutha smahitha, Vol II First edition Choukhambha Sanskrit bhavan Varanasi, 1999,172pp
[4] Sharma P. V.:- Susrutha smahitha, Vol.-I, First Edition Choukhambha Sanskrit bhavan. Varanasi 1999, 330pp.
[5] Sharma P. V:- Susrutha smahitha, Vol.- II, First Edition Choukhambha Sanskrit bhavan Varanasi, 1999, 217pp
[6] Sharma P.V:- Susrutha smhita, Vol.-III First Edition choukambha sansrikit bhavan, 2001, 234pp
[7] Tripati Bramhanand:-Charaka Samhita,Vol II, Reprint-2005 Chaukambha surabharatiprakash,Varanasi,2005, 891pp.
[8] Murthy B. Srikanta K.R.:-, Astanga Hridayam, Vol.-III, reprint 2006 Choukhambha Krishnadas academy Varanasi, Chapter17 ,155.pp
[9] Murthy B srikanta.K.R:- Sarangadhara samhitha (uttarakhanda), Fourth edition choukhamba orientalia, varanasi, 2000, 249pp.
[10] Dr. Sexena Nirmal:- Yogaratnakara Second Edition Choukhambha orientalia , Varanasi, 2003,109pp.
[11] Tewari P. V:- Kashyapa samhita, Reprint 2002, Choukhambha bharati academy, Varanasi,20pp
[12] Sharma P. V: Sushruta samhita,first edition,Chaukhambha bharati academy,Varanasi,2000,194pp.
Bhargava. K. B, Bhargava S. K, Shah T. M. A short text book of E.N.T. diseases, section II, Usha publications, Mumbai, Fourth edition, Fifth reprint, chapter 14.119pp.
9.SIGNATURE OF THE CANDIDATE :
10.REMARKS OF THE GUIDE :
11.NAME & DESIGNATION OF
(In block letters)
11.1Guide : DR. J.K BHARGAVA.
M.S.A.M.
PROF. & HOD
DEPT. OF RACHANA SHAREERA.
11.2 Signature :
11.3 Co-Guide : DR. S.B KOTUR
M.D.(SR)
PROF &HOD
DEPT. OF. KRIYA SHAREERA.
11.4 Signature :
11.5 Head of Department : DR. J.K BHARGAVA.
M.S.A.M.
PROF. & HOD
DEPT. OF RACHANA SHAREERA.
11.6 Signature :
12
12.1 Remarks of the Chairman & :
Principal
12.2 Signature :
8