From,
Dr. ANIL KUMAR YADAV
I M.D.(Ayu)
Dept of Panchakarma
Shri Shivayogeeshwar Rural Ayurvedic Medical College & Hospital
Inchal. Dist-Belgaum
To,
THE REGISTRAR,
Rajiv Gandhi University of Health Sciences,Bengaluru.
Through,
THE PRINCIPAL AND H.O.D OF PANCHAKARMA.
Shri Shivayogeeshwar Rural Ayurveda Medical College & Hospital
Inchal. Dist-Belgaum
Respected Sir,
Sub: Submission of completed proforma for registration of subject for Dissertation.
I humbly request you to kindly register the below subject against my name for submission of dissertation to Rajiv Gandhi University of Health Sciences, Bengaluru for the partial fulfillment of M.D.(Ayu)
Title of Dissertation
“ A COMPARATIVE CLINICAL STUDY ON THE EFFECT OF VIRECHANA
KARMA WITH TRIPHALA AND AMALAKI KWATHA Y0GA IN AMLAPITTA”
Here I am enclosing completed proforma for registration of subject for dissertation
Thanking you,
Date : 27-04-2012 Yours faithfully
Place : INCHAL
( Dr. Anil Kumar Yadav )
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
KARNATAKA,BENGALURU.
ANEXURE II
PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION
1. NAME OF THE CANDIDATE : Dr. ANIL KUMAR YADAV
AND ADDRESS : S/O SHYAMLAL YADAV
VILLAGE-BHAR, POST-PIPARIDIH,
DIST-MAU (UTTARPRADESH)
2. NAME OF INSTITUTION : SHRI SHIVAYOGEESHWAR RURAL
AYURVEDIC MEDICAL COLLEGE &
HOSPITAL INCHAL, TQ- SAUDATTI,
DIST- BELGAUM-591102
3. COURSE OF STUDY : AYURVEDA VACHASPATI
AND SUBJECT : M.D (AYU) PANCHAKARMA
4. DATE OF ADMISSION : NOVEMBER 2011
5. TITLE OF THE TOPIC :
“ A COMPARATIVE CLINICAL STUDY ON THE EFFECT OF VIRECHANA
KARMA WITH TRIPHALA AND AMALAKI KWATHA YOGA IN AMLAPITTA”
6) BRIEF RESUME OF INTENDED WORK:
6.1 NEED FOR THE STUDY:
Amlapitta is a very common problem in day today life of the modern and urban cities where the people are commonly suffering due to changed life style which affects almost 25% people each year.
Viruddha, Dusta, Amla, Vidahi, Pittaprokopaka Ahara - Viharas are the causative factors in precipitating the disease Amlapitta.2 Avipaka, Klama, Utklesha, Tikta-Amlodgara, Gaurava, Hritakanthadaha, Aruchi is a chief symptoms of Amlapitta,3 explained under Annavah srotos Vikar.
It is burning problem in society as proper medicament is not available for it. The food articles which are not according to normal code and conduct creates gastric peptic disorders. Medication from modern system gives symptomatic relief for short period and a repeated long term use of drugs is found to cause serious side effects. Ayurveda has alot to offer in this regard. Virechana is one among the samsodhan chikitsa indicated in pitta dosha pradhana vyadhi4 which is indicated by almost all the acharyas for its effective management in Amlapitta.5Triphala kwatha yoga6 and Amalaki kwatha yoga7 are selected for Virechana in Amlapitta.
This work is intended to study and compare the efficacy of Virechana karma with Triphala and Amalaki Kwatha yoga in Amlapitta.
6.2 REVIEW OF LITERATURE:
A thorough screening of classical texts like Kashyapa samhita, Madhava nidan,
Yogaratnakar,Vangasenasamhita,Bhaishajyaratnawali,Chakradutta,Contemporary texts,Websites will be reviewed for Nidan, Samprapti, Lakshanas, Chikitsa and
documented for the present study.
· Nidan, Samprapti, Lakshana, Bheda, Chikitsa elaborately discussed in Kashyapa samhita- 16th Chapter.1
· Nidana samprapti of the Amlapitta is mentioned in Madhava nidan 51/1.2
· Lakshana of Amlapitta is mentioned in Madhava nidan 51/2.3
· Indication of Virechana karma in pitta dosha pradhana vyadhi is mentioned in Charaka samhita sutrasthana 25/40.4
· Indication of Virechana karma in Amlapitta vyadhi is mentioned in Yogaratnakar Uttarardha, Amlapittasya chikitsa – 2.5
· Indication of Triphala kwatha Virechana yoga is mentioned in Yogaratnakar Uttarardha, Amlapittasya chikitsa – 1 .6
· Indication of Amalaki kwatha Virechana yoga is mentioned in Bhaishajya ratnavali Amlapitta chikitsa prakarana – 4 .7
· Pippali ghrita is explained Bhaishajyaratnavali Amlapitta chikitsa prakaran- 18,8 and Vangasena samhita Amlapitta chikitsa 62/44.9
6.3 PREVIOUS WORK DONE:
1. Dr. Naseema Akthar – A Study on the eftect of Virechana in Adhoga
Amlapitta – 1994 – G.A.M.C. Mysore Karnatka.
2. Dr. Deep Kumar – The role of ubhayato shodhana in the management
of uradhwaga Amlapitta1999–G.A.M.C. Mysore, Karnatka.
3. Dr. Jogad Goutham – Clinical study on the role of Virechana and
Bhoonimbadi vati in the management of urdhwaga Amlapitta – 2004 –G.A.U. Jamnagar Gujrat.
4. Dr. Hitha k shetty – An observational Study on Triphaladi
Virechana yoga in the management of
Amlapitta -2007 – Alva’s A.M.C Mudbidri Karnatka.
6.4 HYPOTHESIS :
H0- There is neither effect of Triphala kwatha yoga Virechana nor
Amalaki kwatha yoga Virechana in Amlapitta.
H1- There is significant effect of Triphala kwatha yoga Virechana in Amlapitta.
H2- There is significant effect of Amalaki kwatha yoga Virechana in Amlapitta.
6.5 AIMS AND OBJECTIVES:
1.To study in detail about Amlapitta.
2.To evaluate the efficacy of Arohana krama Snehapana with Pippali ghrita
3.To study Virechana karma in detail.
4.To evaluate the efficacy of Triphala kwatha yoga Virechana in Amlapitta
5.To evaluate the efficacy of Amalaki kwatha yoga Virechana in Amlapitta.
6.To compare and assertain the effect of Triphala kwatha yoga and Amalaki
kwatha yoga Virechana in amlapitta.
7.MATERIALS AND METHODS :
7.1 SOURCES OF DATA :
LITERARY SOURCE:
· Classical texts.
· Related sources of data from the websites.
· Published articles from Periodicals, Journals and other magazines and modern text books.
DRUG SOURCE:
The drug will be selected from local areas & market after prope
identification and required medicines will be preapared in S.S.R.A.M.C.
Pharmacy Inchal.
SAMPLE SOURCE:
Patients of Amlapitta fullfilling diagnostic and inclusion criteria will
be selected from OPD & IPD,P.G. Department of Panchkarma of Shri Shiva
Yogeeshwar Rural Ayurvedic Medical College & Hospital,Inchal.
7.2 METHOD OF COLLECTION OF DATA:
A minimum of 30 patients fulfilling diagnostic and inclusion criteria of either sex will be taken for study and divided into two equal groups of 15 patients in each group.
STUDY DESIGN: A comparative clinical study.
DIAGNOSTIC CRITERIA:
· Avipaka
· Klama
· Utklesha
· Tikta-Amlodgara
· Gaurava
· Hritakanthadaha
· Aruchi
INCLUSION CRITERIA:
1. Patients between the age group of 16-60 years.
2. Patients fullfiling the diagnostic criteria irrespective of sex, religion, occupation.
3. Patients fit for Virechan karma.
EXCLUSION CRITERIA:
1. Patients below 16 and above 60 years.
2. Patients suffering with other systemic illness Annadrava shula, Parinam shula, Gastric ulcer which interfere with the course of treatment.
3. Patients unfit for Virechana karma.
PROCEDURE:
· Before the commencement of the treatment kostha will be assessed by giving milk.
· Deepana-Pachana will be done till Nirama lakshana.
Procedure / Drug / DurationPurva karma / Arohana krama
Snehapana / Pippali ghrita / 5-7 days or Till
samyak snigdh
lakshana
Vishrama kala / Abhyanga and Bhaspa sweda / Murchhita tila tail / 3 days
Pradhana karma / Virechena yoga / A.Triphala kwatha yoga
B.Amalaki kwatha yoga
Dose is modified as according to kostha 2-8 tola / One day
Paschat karma / Samsarjan krama / Based on shuddhi / 3-7 days or Based on shuddi
STUDY DURATION :
· Assesment will be done before treatment, After Arohana krama
Snehapana and Virechana karma.
· Follow up-Period 15 days on 25th, and 36th day.
· Total Study Duration- 36 days.
ASSESSMENT CRITERIA:
SUBJECTIVE PARAMETERS:
· Avipaka
· Klama
· Utklesha
· Tikta-Amlodgara
· Gaurava
· Hritakanthadaha
· Aruchi
The data will be collected before, after treatment.
It will be statistically analyzed by applying student ‘t' test.
7.3 Does the study requires any investigations or interventions to be conducted
on patients or other human or animals? If so please describe briefly.
This study is conducted clinically. No animal experiment will be carried out.
INVESTIGATIONS :
Blood – Hb, TC, DC, ESR, RBS
Routine urine examination.
Anyother investigation if needed.
7.4 Has the ethical clearance been obtained from your institution in case
of 7.3?
“YES”
8. LIST OF REFERENCES :
1. Vridha Jivakacharyen, virachitam Kashyapa Samhita, khilasthana, Chapter- 16th,Shloka – 2nd,-15th, edited by Ayurvedalankar Shri Satyapal Bhisagacharya with Vidyotini Hindi commentary, Reprinted Varansi - Chaukhambha sanskrita Sansthan - 1994, P- 235,236.
2. Acharya Madhwakar, virichitam Madhava Nidanam, Uttarardh, chapter – 51TH, Amlapitta Nidanam, Shloka - 1st . edited by Shri Yadunandanopadhyaya with Vidyotini Hindi commentary, Reprinted Varanasi – Chaukhambha Prakashan - 2010, P- 202.
3. Acharya Madhwakar, virichitam Madhava Nidanam, Uttarardh, chapter - 51TH, Amlapitta Nidanam, Shloka - 2nd, edited by Shri Yadunandanopadhyaya with Vidyotini Hindi commentary, Reprinted Varanasi - Chaukhambha Prakashan - 2010, P- 203.
4. Acharya charak Parisanskritam Agniveshasya Charak samhita, Kalpasthanam , Chapter – 25th, Shloka - 40th, edited by Acharya Vidyadhar Shukla and Prof. Ravidutta Tripathi with Vaidyamanorama Hindi commentary, Reprinted Delhi - Chaukhambha sanskrita pratisthana - 2005, P- 806
5. Yogaratnakar, Uttarardh, Athamlapittasya chikitsa, Shloka – 2nd, edited by Brhamashankar shastri with Vidyotini Hindi commentary, Reprinted Varansi - Chaukhambha sanskrita Sansthan - 2005, P- 239.
6. Yogaratnakar, Uttarardh, Athamlapittasya chikitsa, Shloka–1st, edited by Brhamashankar shastri with Vidyotini Hindi commentary, Reprinted Varansi - Chaukhambha sanskrita Sansthan - 2005, P- 239.
7. Acharya Govindadas sena, virachitam, Bhaishajyaratnawli, Amlapitta chikitsa prakaran, Shloka - 4th, edited by Shree Ambikadutta Shastri with Vidyotini Hindi commentary, Reprinted Varansi - Chaukhambha sanskrita Sansthan - 1997,P- 643.
8. Acharya Govindadas sena, virachitam, Bhaishajyaratnawli, Amlapitta chikitsa prakaran, Shloka -18th, edited by Shree Ambikadutta Shastri with Vidyotini Hindi commentary, Reprinted Varansi - Chaukhambha sanskrita Sansthan - 1997,P- 644.
9. Acharya Vangasena, virachitam Vangasena Samhita, Amlapitta Chikitsa, chapter-62, Shloka-44th, edited by Dr. Nirmal Saxena with English commentary, voll-2, Reprinted Varansi - Chaukhambha sanskrita series office - 2004, P- 765.
10. Yogaratnakar, Uttarardh, Athamlapitta nidanam, Athamlapittasya chitsa, edited by Brhamashankar shastri with Vidyotini Hindi commentary, Reprinted Varansi - Chaukhambha sanskrita Sansthan - 2005, P- 237,239.
11. Acharya Vangasena, virachitam Vangasena Samhita, Amlapitta Chikitsa, chapter-62, edited by Dr. Nirmal Saxena with English commentary, voll-2, Reprinted Varansi - Chaukhambha sanskrita series office - 2004, P- 765.
9. Signature of the Candidate :
( Dr.Anil Kumar Yadav )
10. Remarks of Guide :
11. Name and Designation
11.1 Guide : Dr. D. Jayaprakash M.D (Ayu)
Professor & HOD
Dept. of P.G Studies in Panchakarma
Shri Shivayogeeshwar Rural Ayurvedic
Medical College, Inchal-591102
11.2 Signature :
11.3 Co-Guide : Dr. C.R. Pujar M.D (Ayu)
Lecturer
Dept. of P.G Studies in Panchakarma
Shri Shivayogeeshwar Rural Ayurvedic
Medical College, Inchal-591102
11.4 Signature :
11.5 Head of the Department : Dr. D. Jayaprakash M.D (Ayu)
Professor & HOD
Dept. of P.G Studies in Pachakarma
Shri Shivayogeeshwar Rural Ayurvedic
Medical College, Inchal-591102
11.6 Signature :
12. Remarks of the
Chairman & Principal :
12.1 Signature & Seal :
Principal / CMO
(Dr.G.Vinay Mohan)
8