VIRECHANA in PANDUROGA

#0126 Panchakarma

CLINICAL EVALUATION OF VIRECHANA THERAPY IN THE MANAGEMENT OF PANDUROGA, Shaila Gurappa Borannavar. Post graduate department of Panchakarma, Shri D. G. Melmalagi Ayurvedic Medical College, Gadag – 582103.

Panchakarma is popular term used for shodhana Chikitsa, which can give satisfactory results in chronic diseases (Chirakari vyadhis) adopted in bahudoshavastha. Virechana is one among them, which eliminates vitiated doshas through adhomarga i.e. Guda. In this especially ama pakwashayagata doshas are eliminating. Globally, 30% of total populations are anaemic and half of these some 600 million people have iron deficiency. Panduroga is a santarpanajanya vyadhi, where pittadosha plays major role in pathogenesis. Hence, Virechana is most appropriate shodhana therapy. Vyoshadi Gutika is upakalpa of Trivrit indicated in Panduroga and can be considered as Sukha Virechaka.

The present study was planned with following aims and objectives –

• 01. To evaluate the effect of Virechana therapy in Panduroga.
• 02. To evaluate the effect of Virechana karma with Vyoshadi Gutika in Panduroga.

It is single group “An observational study” where the patients having symptoms of Panduroga were selected and classical Virechana therapy was administered – The treatment contains the following steps –

• 01. Deepana pachana with Trikatu churna 3-6 gms thrice daily before food, till the appearance of Nirama lakshanas.
• 02. Snehapana with “Dadima Ghrita” in arohana vidhi, till the samyak snigdha lakshanas are seen.
• 03. Abhyanga with murchita tile taila followed by mridu sweda (Ushna jala snana).
• 04. Virechana with “Vyoshadi Gutika” 35-45 gms along with sheetajala as anupana.
• 05. Samsarjana karma was followed for 3-5 days depending upon the shuddhi achieved.
• 06. Follow up study was done for 15 days. During these period patients were advised to follow the pathya apathya mentioned in Panduroga.

Assessment criteria

• Subjective parameter – The classical symptoms of Panduroga i.e. “Panduta”, “Arohanayasa”, “Dourbalya”, “Bhrama” and Agnimandya.
• Objective parameter – Haematological study, i.e. Hb is taken as main criteria, along with that PCV, MCV, MCHC and Smear study was also assessed.

Results: As a result of the proper administration of Virechana karma, it was noted that, it gives long-lasting effect, which includes extraneous variable too. This can be appreciated by comparing both subjective and subjective parameter taken before and after the treatment. Among 30 patient who were taken for this study 9 patients (30%) were responded good, 15 patients (50%) were moderately responded, whereas 6 patients (20%) shown mild response.

Interpretation and Conclusion

Virechana is the most appropriate shodhana therapy in Panduroga. It alone can show significant result if the Pathya apathya is followed properly.

HEMATOLOGICAL CHANGES AND MORBIDITY OF DOSHAS IN PANDU ROGA

#207 Roganidana

A STUDY TO EVALUATE RELATION BETWEEN HEMATOLOGICAL CHANGES AND MORBIDITY OF DOSHAS IN PANDU ROGA by Dr. MUKESH. E., 2006, DEPARTMENT OF POSTGRADUATE STUDIES IN ROGANIDANA, GOVERNMENTAYURVEDACOLLEGE, KANNUR, KERALA

Review of the literature revealed that Pandu is a disease that is named after the different discolorations that it imparts to various body parts. Pandu varnatha mainly signifies swetha and peetha varnatha. Pandu is included under the santharpana janya vikaras, analysis of various nidanas revealed the involvement of apatharpanakaraka aharas as well, along with nidanarthakara rogas and panchakarma vaishamya as the causative factors. The nidanas are mainly causing pitha pradhana thridosha prakopa along with Rasa and Raktha vaha srothodushti finally leading to the Pandu roga. Due to the specificity in the nidanas, Pandu Roga can manifest with specific dosha predominance. Going through the modern aspect, anemia is found to be a condition that has similar clinical features of Pandu roga and analysis of different types of anemia revealed that these conditions can be considered under the spectrum of Pandu roga.

To end with it is to be comprehended that only selected laboratory parameters vary according to the dosha predominance of Pandu in the patients and it is not applicable to all parameters chosen in this study. To formulate such an assumption, the study should be conducted in a large population.

 

AROHANA & SADHARANA KRAMA SNEHAPANA IN PANDUROGA

#201 Panchakarma

EVALUATION OF COMPARATIVE EFFICACY OF AROHANA & SADHARANA KRAMA SNEHAPANA IN PANDUROGA – BY Dr. ANEESH JOSEPH KALAYIL 2008-2011, POST GRADUATE DEPARTMENT OF PANCHAKARMA, D.G M.AYURVEDIC MEDICAL COLLEGE AND RESEARCH CENTER, GADAG – 582103

Panduroga is Pitta pradhana vyadhi, Pitta is responsible for the normal colour of the body but when it gets vitiated, the Rakta as it happens in Panduroga and thus loss of complexion or Panduta occurs. Panduroga is also considered as Santarpanjanya vyadhi, which broadly means Anabolism, brings about an increase in kapha which in term may cause the disease by generating Mandagni thus, any diet which may increase kapha or any disease associated with increase in kapha can cause a change in complexion or Panduroga.

After 4th day of Arohana Snehapana 100% of the patients were observed with vatanulomana, Agnideepti, Shareera Laghuta and Twak Snigdata, wherein Sadharana krama Snehapana after 7 days of treatment ,very few patients observed with vatanulomana, Shareera Laghuta and Twak Snigdata. Patients ended with Samyak snigdha lakshana in Arohana krama Snehapana but in Sadharana krama Snehapana nobody had been observed with samyak snigdha lakshana. In the present study, subjective parameter except Panduta all other parameters were not significant in before treatment, after treatment and after follow up.