9
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
BANGALORE, KARNATAKA
COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION
“A COMPARATIVE STUDY ON THE EFFICACY OF SHIRO BASTI WITH AND WITHOUT PADA ABHYANGA IN NIDRANASHA W.S.R. TO INSOMNIA”
BY
VARUN B.M
PG SCHOLAR
DEPT. OF P.G. STUDIES IN PANCHAKARMA,
S.K.A.M.C, H & R.C,
VIJAYANAGAR, BANGALORE
GUIDE
DR. SWATI S. DESHPANDE M.D. (AYU)
PROFESSOR
DEPT. OF P.G. STUDIES IN PANCHAKARMA,
S.K.A.M.C, H & R.C.,
VIJAYANAGAR, BANGALORE
2011 – 2012
SRI KALABYRAVESHWARASWAMY AYURVEDIC MEDICAL COLLEGE, HOSPITAL & RESEARCH CENTRE, VIJAYANAGAR, BANGALORE – 560 104
From,
VARUN B.M
P.G. SCHOLAR
DEPT. OF.P.G.STUDIES IN PANCHAKARMA
S.K.A.M.C, H & R.C,
VIJAYANAGAR, BANGALORE – 560 104
To,
THE REGISTRAR,
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
BANGALORE, KARNATAKA.
Through,
THE PRINCIPAL,
DEAN PG STUDIES AND H.O.D. OF PG STUDIES IN PANCHAKARMA,
S.K.A.M.C, H & R.C,
VIJAYANAGAR, BANGALORE – 560 104
Respected Sir,
Subject: Submission of completed proforma for registration of synopsis for Dissertation
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, Bangalore, for partial fulfillment of M.D. (AYU) in Panchakarma.
Title of Dissertation
“A COMPARATIVE STUDY ON THE EFFICACY OF SHIRO BASTI WITH AND WITHOUT PADA ABHYANGA IN NIDRANASHA W.S.R TO INSOMNIA”
Herewith I am enclosing completed proforma for registration of subject for dissertation.
Thanking You,
Yours faithfully,
Date: 26th April 2012
Place: BANGALORE (VARUN B M)
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
BANGALORE, KARNATAKA.
ANNEXURE – II
PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION
1) NAME OF THE CANDIDATE VARUN B.M
AND ADDRESS P.G SCHOLAR
DEPT.OF PG STUDIES IN
PANCHAKARMA
S.K.A.M.C, H & R.C,
#10, PIPELINE ROAD,R.P.C LAYOUT
VIJAYANAGAR, BANGALORE – 560 104.
PERMANENT ADDRESS: S/O DR B.V MOHAN
# 253, “SHREE RANGA”, 8th MAIN,
3RD BLOCK, 4TH STAGE, AGHARAHARA
DASARAHALLI MAIN ROAD,
BASAVESHWARANAGAR,
BANGALORE – 560 079
2) NAME OF THE INSTITUTION SRI KALABYRAVESHWARASWAMY
AYURVEDIC MEDICAL COLLEGE,
HOSPITAL AND RESEARCH CENTRE.
VIJAYANAGAR BANGALORE- 560 104.
3) COURSE OF STUDY AND M.D (AYU) IN PANCHAKARMA
SUBJECT
4) DATE OF ADMISSION TO 20TH JUNE 2011
COURSE
5) TITLE OF THE TOPIC:
“A COMPARATIVE STUDY ON THE EFFICACY OF SHIRO BASTI WITH
AND WITHOUT PADA ABHYANGA IN NIDRANASHA W.S.R. TO
INSOMNIA”
6) BRIEF RESUME OF INTENDED WORK
6.1) Need for the study
Nidra is considered as one among the Trayopstambhas1 in Ayurvedic Classics and is needed for physical and mental maintenance of the body. In the present day, various Sleep-related disorders are increasing day by day.Working tendency during the night-time has increased due to busy lifestyle. Insomnia is affecting nearly one third of adults in western developed countries and the incidence is increasing day by day in developing countries also.2If Insomnia is left untreated it may reduce the mental capacity and efficacy and may drag the individual towards several psycho - somatic disorders.
Modern management for Insomnia is mainly tranquilizers. Initially tranquilizers give considerable relief but continuous and long term use may cause various side effects including drug dependency. Need has always been felt to develop certain Ayurvedic treatment modalities for the management of Nidranasha (Insomnia) which is safe, effective, readily available, cost effective and without any side effects.
Among Moordhini Taila Shirobasti stands high and superior in attributing maximum therapeutic effect especially in Prajagara 3(Insomnia). On the other hand, Padabhyanga which has been side lined from the main stream of Ayurvedic Treatment needs to be given considerable importance as it is told to be beneficial in inducing Nidra 4. Hence an Effort is made to evaluate the Efficacy of Shiro Basti with and without Pada Abhyanga along with the administration of Placebo.
6.2) Review of literature
· Charaka mentions Nidra as one of the Trayopastambhas.1
· Vagbhata mentions Nidranasha as a symptom of Vata Vruddhi.5
· Charaka and Vagbhata mention the causes for Nidranasha.6 7
· Vagbhata mentions lakshanas of Nidranasha.
· Charaka mentions Moordhni taila as a treatment for Nidranasha.8
· Susrutha mentions Pada Abhyanga as treatment for Nidranasha.9
· Tungadrumadi Taila is mentioned in Tailaprakarana in Sahasrayogam.10
· Detailed description of Insomnia is mentioned in Harrison principle of Internal Medicine11 and Comprehensive Text Book of Psychiatry.12
Previous work done
· Trivedi(Mrs)Kavitha – The Comparative study of Shirodhara and Shirobasti in the
· Management of Anidra, I P G T & R A, Gujarat Ayurveda University, Jamnagar (1995).
· Muralidhar P Pujar – The Effect of Shirobasti in the Management of Nidranasha w.s.r to
· Primary Insomnia – An Observational Study .Government Ayurvedic Medical College
· Mysore, RGUHS (1999).
· Kulakarni A.V – To Study the Efficacy of Tila Taila Padabhyanga as a Upakrama w.s.r
· to Nidranasha (Disturbed Sleep) Tilak Ayurveda Mahavidyalaya Pune University, Pune (2001)
6.3) Objectives of study
· To Evaluate the Efficacy of Shiro Basti with Pada Abhyanga in Nidranasha.
· To Evaluate the Efficacy of Shiro Basti without Pada Abhyanga in Nidranasha.
· To Compare the Therapeutic Effect of two groups.
7) MATERIALS AND METHODS
7.1) Source of data:
A minimum of 40 patients of Nidranasha will be selected randomly by Purposive Sampling Technique from OPD and IPD of SKAMC Hospital & Research centre, Bangalore.
7.2) Method of Collection of data
· This is a comparative clinical study with pre test and post test design where in a minimum of 40 diagnosed Nidranasha patients of either sex will be randomly assigned into two groups, each comprising of 20 patients.
· A case proforma specially designed for the study will be prepared with all points of history taking, signs and symptoms as mentioned in the text.
· The parameters of signs and symptoms will be scored as per the proforma.
· Following statistical methods will be employed for the data collected –Descriptive Statistics, Contingency table analysis and Repeated measure ANOVA using SPSS for Windows Software.
Inclusion criteria
· Patients Presenting with the Lakshanas of Nidranasha.13
· Patients of either sex aged 20 years and above.
· Diagnosed Patients of Insomnia.
Exclusion Criteria
· Below 16 yrs of age
· Patients unfit for Snehana.14
· Patients unfit for Abhangya.15
· Other systemic diseases which interferes with the course of treatment.
STUDY DESIGN
This is a Comparative clinical study with Pre-test & Post-test design will be conducted
on 40 Patients, with minimum 20 patients in each group having signs and symptoms of Nidranasha.
DURATION OF THE STUDY
· It will be for 7 consecutive days .
· Pre test -1st day , Post test – 7th day , Follow up – 14th and 21st day.
INTERVENTION
40 patients of Nidranasha (Insomnia) who fulfils the Inclusion criteria will be selected and randomnly assigned into following 2 groups each comprising of 20 patients.
Group –A
· The patients of this group will be subjected to Shiro Basti with Tungadrumadi taila till the
· appearance of samyak lakshanas - for 7 days.
· Pada Abhyanga will be done with Tungadrumadi taila for 15 min - for 7 days.
· Placebo in form of capsule filled with starch powder will be given 2 capsules at bed time - for
· 7 days.
· Follow up will be done on 14th and 21st day.
Group – B
· The patients of this group will be subjected to Shiro Basti with Tungadrumadi taila till the
· appearance of samyak lakshanas – for 7 days.
· Placebo in the form of capsule filled with starch powder will be given 2 capsule at bed time
· For - 7 days.
· Follow up will be done on 14th and 21st day.
Assessment criteria:
Assessment will be done based on following -
Sleep diary assessment –
· Time into bed
· Time of lights out
· Time to fall asleep
· Number of awakenings
· Time out of bed
· Naps – day time
· Rate how you felt today
· Irritability
· Total time of sleep
· Sleep quality.
Nidra nasha Lakshanas –
· Angamarda
· Shiro gaurava
· Jrumba
· Jadya
· Glani
· Bhrama
· Apakti.
Parameters will be assessed using different grading before and after the treatment.
7.3) Does this study requires any investigations or intervention to be conducted on patients or other humans or animals?
YES
7.4) Has ethical clearance been obtained from your institution?
YES
8) List of References
1) Agnivesha, Charaka Samhita, Ayurveda Deepika tika of Chakrapani, Chaukhamba Surbharati
Prakashan Varanasi, edition –2011 Sutra Sthana 11th chapter, verse – 35, pp- 738, pg -74.
2) Harrison’ s Principles of Internal Medicine, volume 1 ,16th edition , edited by Eugene
Braundwald ,Anathony S Fanchi , Stephen L Hauser , Dennis L Kasper , Dan L Longo , J Larry
Jameson, Published by Mc Graw Hill pp-1364 pg -153,156 .
3) Vagbhata , Astanga Hrudaya, Sarvanga Sundara of Arunadatta and Ayurveda Rasayana of
Hemadri, Chaukhamba Surbharati Prakashan Varanasi, edition – 2010, Sutra Sthana 22nd
Chapter , Verse 26 ,pp- 956 , pg – 301.
4) Susruta Samhita, Nibandha Samgraha tika of Dalhana and Nyaya Chandrika tika of
Gayadasa, Chaukhamba Surbharati Prakashan Varanasi, edition – 2010 Chikitsa Sthana 24th
Chapter ,Verse 70 ,pp -824 , pg – 490 .
5) Vagbhata , Astanga Hrudaya, Sarvanga Sundara of Arunadatta and Ayurveda Rasayana of
Hemadri Chaukhamba Surbharati PrakashanVaranasi, edition – 2010, Sutra Sthana 11th
Chapter , pp – 956 ,pg – 183 .
6) Agnivesha, Charaka Samhita, Ayurveda Deepika tika of Chakrapani, Chaukhamba Surbharathi
Prakashan Varanasi, edition – 2011,Sutra Sthana 21th Chapter , Verse 55-57 , pp – 738 ,
pg – 119 .
7) Vagbhata , Astanga Hrudaya, Sarvanga Sundara of Arunadatta and Ayurveda Rasayana of
Hemadri, Chaukhamba Surbharati Prakashan Varanasi, edition – 2010, Sutra Sthana 7th
Chapter Verse 62-63 , pp – 956 , pg – 143 .
8) Agnivesha, Charaka Samhita, Ayurveda Deepika tika of Chakrapani, Chaukhamba Surbharathi
Prakashan Varanasi, edition – 2011, Sutra Sthana 5th Chapter , Verse 80 -83 ,pp -738 , pg – 42
9)Susruta Samhita, Nibandha Samgraha tika of Dalhana and Nyaya Chandrika tika of
Gayadasa, Chaukhamba Surbharati Prakashan Varanasi, edition – 2010,Chikitsa Sthana 24th
Chapter ,Verse 70 , pp – 824 , pg – 490 .
10)Sahasrayogam , Edited by Dr.K Nishteswar and Dr.R Vidyanath,, Chaukhamba Sanskrit Series
Office Varanasi , Edition – 2006 ,pp- 540 , pg – 140 .
11) Harrison’ s Principles of Internal Medicine 17th edition Volume 1 Edited by
Fauci,Braunwald,Kasper,Hauser,Longo,Jameson,loscalzo, pp -1364, pg 171-180 ,
12) Kaplan and Sadock s Comprehensive Text book of Psychiatry , editors – Benjamin J Sadock
&Virginia A Sadock , Volume 1, 18TH edition, pp – 2054 , pg 2021 – 2034.
13) Vagbhata , Astanga Hrudaya, Sarvanga Sundara of Arunadatta and Ayurveda Rasayana of
Hemadri, Chaukhamba Surbharati Prakashan Varanasi, edition – 2010, Sutra Sthana 7th
Chapter,Verse 64 , pp- 956, pg – 143.
14) Agnivesha, Charaka Samhita, Ayurveda Deepika tika of Chakrapani, Chaukhamba Surbharati
Prakashan Varanasi, edition – 2011, Sutra Sthana, 13th Chapter , Verse 53 -56, pp – 738 ,
pg 84 – 85.
15) Susruta Samhita, Nibandha Samgraha tika of Dalhana and Nyaya Chandrika tika of
Gayadasa, Chaukhamba Surbharati Prakashan Varanasi, edition – 2010, Chikitsa Sthana24th
Chapter , Verse 35- 37, pp – 824 , pg – 488 .
9) SIGNATURE OF THE CANDIDATE
10) REMARKS OF GUIDE
11) NAME AND DESIGNATION OF
(IN BLOCK LETTERS)
11.1) GUIDE DR.SWATI S. DESHPANDE, M.D (AYU)
PROFESSOR
DEPT OF P.G STUDIES IN PANCHAKARMA
S.K.A.M.C, H AND R.C,
VIJAYANAGAR, BANGALORE – 560 040.
11.2) SIGNATURE
11.3) CO-GUIDE: DR. BYRESH . A
READER
DEPT OF P.G STUDIES IN KAYACHIKITSA
S. K.A.M.C, H & R.C,
VIJAYANAGAR , BANGALORE – 560 040.
11.4) SIGNATURE:
11.5) HEAD OF THE DEPARTMENT DR. MURALIDHARA, M.D (AYU)
PROFESSOR AND HOD
DEPT OF P.G STUDIES IN PANCHAKARMA
S. K.A.M.C, H & R.C,
VIJAYANAGAR, BANGALORE – 560 104.
11.6) SIGNATURE:
12.1) REMARKS OF THE CHAIRMAN & PRINCIPAL
12.2) SIGNATURE