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   Table of Contents - Current issue
January-June 2022
Volume 3 | Issue 1
Page Nos. 1-56

Online since Wednesday, June 15, 2022

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Ayurveda education – Transformation, challenges ahead, and the way forward p. 1
BS Prasad, Basavaraj R Tubaki, Divya Khare
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Alochaka Pitta of Ayurved and its affiliates in modern perspective p. 5
Pritam Moharana, Rakesh Roushan
In Ayurved, a person is said to be healthy when Dosha, Agni, and Dhatu, all the physiological processes are in a homeostatic state and the soul, sense organ and mind are in a state of total well-being. The theory of tridosha is a unique concept to Ayurveda. In general, Pitta doshas are liquid in nature except pachaka pitta which has devoid of liquidity. Acharya Sushrut has mentioned five types of pitta. Those are Pachaka, Ranjaka, Alochaka, Bhrajaka, and Sadhaka pitta. The seat of Alochaka pitta is drishti and function of Alochaka pitta is vision. Ayurveda is the science-based on functional understandings. Hence, Alochaka pitta can be identified by understanding its physiological functions in relation to contemporary modern medical science. The functions of Alochaka pitta can be recognized as functions of photochemicals (rhodopsins and color pigments) of rod and cone and the neurotransmitter that helps in communication between neurons throughout the visual pathway between the retina and visual cortex. Few works have been mentioned on the conceptual features of Alochaka pitta in relation to modern physiology. In this article, we intended to identify liquid bio-chemicals, helpful in perception of vision, provided no lesion is present in the visual pathway. The physiological functions of these bio-chemicals may have similar physiological functions of Alochaka pitta.
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Experimental antithrombotic effect of medicinal plants: A critical review p. 12
Shweta Mandloi, Nitin Ujjaliya, Priyanka Vinodbhai Jain
Thrombosis is one of the major causes of morbidity and mortality in a wide range of cardiovascular disorders (CVDs). CVDs are listed among top ten killer diseases. Antithrombotic drugs reduce the incidence of cardiovascular events about 20%–25% in people. Due to the high prevalence of thrombotic disorders, researches are being carried out on novel antithrombotic agents with minimal adverse effects in which herbal drugs are considered as alternative remedy. Medicinal plants have been used for the management of ailments since ancient times. The objective of this study is to do documentations the effect of herbal drugs on antithrombotic therapy. Herbal remedies are used to treat a large variety of thrombotic disorders. However, a number of herbal preparations have been reported to cause variations in clotting time, bleeding time, prothrombin time, activated partial thromboplastin time, thrombin time, fibrinogen, D-dimer, protein C, TXA2, etc. This is mainly by disruption of the coagulation cascade and platelet plug formation. This review can help to design future researches for antithrombotic drugs discovery with more effectiveness and safety. The reported antithrombotic drugs have the potential of improving quality of life while avoiding the side effects of conventional treatment. Data were collected by existing article on antithrombotic studies from various search engines. This review is focused on plants like Syzygium cumini L. Morus alba L., Zingiber officinal Roscoe, Allium cepa L., Nigella sativa L., Punica granatum L., Mentha longifolia L., Allium sativa L., Boswellia serrate Roxb. and Sesamum indicum L.
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Setting up of an integrative center for the management of mild-moderate COVID-19 p. 21
Tanuja Manoj Nesari, Prasanth Dharmarajan, Arun Kumar Mahapatra, S Rajagopala, Manoj Nesari, Alka Kapoor, Deepak Bhati, Anil Kumar, Sonam Kumari, PS Arshathjyothi, Aparna Dileep
Introduction: Besides the expansion of vaccine drive, the discovery of new strains of corona virus is creating havoc all around the world. Based on the pragmatic trial conducted, there is an increasing recognition that an effective integrated holistic approach is urgently needed to combat the COVID pandemic. During an infectious outbreak, a health-care unit is anticipated to function as a high-level isolation unit. Herein, we describe the execution plan, experiences, observations, and challenges that were encountered during the establishment and functioning of COVID Health-Care Ward at All India Institute of Ayurveda. Methodology: Since the situation was novel, standard operative procedures and protocols were developed accordingly. Strategic plans carried out in infrastructure, biomedical waste management, surveillance, and observations were compiled directly from the hospital administration. Results: Till date when the 29th team has completed the duty rotation, about 600 COVID mild-to-moderate positive cases have been successfully managed. Zero incidence of nosocomial COVID transmission or death has been reported so far. The recovery speed of patients was found to be remarkably faster at COVID Health Center-AIIA as compared to all other hospitals of the state and a significant number of patients were recovered with the use of Ayurvedic medications alone. On follow-up, only a limited number of patients (two patients) turned up with mild severity of post-COVID complications. Mild respiratory discomfort was noted in these patients for a period of 2 months. The score for Anxiety Depression Scale of among patients and health-care workers reduced significantly. Conclusion: Indigenous system of medicines is comparatively less explored in pandemic times. Here, a tertiary care hospital has upgraded to integrative health-care model in the management of mild-to-moderate COVID-19 cases.
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A survey on supply status of Shilajatu (Asphaltum Punjabinum) its sources, processing media and cost in India p. 30
Rohit Singh, Pramod Yadav, Pradeep Kumar Prajapati
Introduction: Survey studies are used as a tool to analyze and explore human knowledge and practices in reference to a particular attribute. It is also used to assess the status of raw materials, drugs, etc. In the market to find out price variation, quality, adulteration, etc. It comprises a variety of data collection techniques with the most common being questionnaires and interviews. Ayurvedic medicines and products got a huge surge in its demand during the COVID-19 pandemic. Shilajatu is one such drug whose increased worldwide consumption leads to scarcity, replacing with substitutes or adulterants to the sample and, in turn, compromising the quality, safety, and efficacy of the products. A current survey study has been planned to document the different aspects pertaining to Shilajatu, i.e., availability status, price, etc. Methodology: A questionnaire comprising open- and closed ended questions was designed and a survey (face-to-face interview) was conducted at preidentified major supply markets of Shilajatu in India. Results: A wide range of variation in price/kg of Shilajatu has been found in the study. It has been revealed that the major supply of Shilajatu in India is from Nepal, commonly used processing media is water, and trading cost ranges between Rs. 350 to Rs. 2200/kg and Rs. 1500 to Rs. 10,000/kg for Ashuddha and Shuddha Shilajatu, respectively. Conclusion: The present study provides comprehensive data pertaining to supply sources, type, price, processing media, and availability of Shilajatu in India and emphasizes the urgent need of strict regulatory provisions for crucial drugs such as Shilajatu.
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Nonalcoholic fatty liver disease from an ayurvedic perspective: A challenging paradigm for practitioners p. 37
Manjiri Anil Ranade
Nonalcoholic fatty liver disease (NAFLD) is a metabolic dysfunction. If left untreated, it can proceed to cirrhosis of the liver and hepatocellular carcinoma. This condition can further lead to other metabolic problems, such as diabetes and eventually, coronary artery disease. Modern medicine can only provide limited assistance with a basic treatment plan that includes lifestyle and dietary adjustments. Ayurveda, with its comprehensive range of medicines, can cure the disease at an early stage and prevent serious complications. We present a case of stage 3 NAFLD, which was treated with Arogyavardhinivati, Panchakolachurna, and Mahatiktaghrita. The patient's condition improved, and ultrasound evidence of pathology remission was seen. The purpose of this case study is to explore the mechanism of action of the medications indicated above, as well as the Ayurvedic approach to treatment. Effective approach to disease care could make a world of difference in the early stages of disease.
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Efficacy of Piccha Basti and immune enhancer medicines in the management of ulcerative colitis p. 41
Pooja Sharma, Divya Kajaria
Ulcerative colitis (UC) is an immune-mediated disease; the intestine contains an enormous colitis antigenic load derived from the food and microbial flora. There appear to be four main factors which influence the disease: host genetic susceptibility, a dysregulated immune response, impairment of intestinal epithelial barrier function, and environmental factors. According to Ayurveda, it may be correlated with Raktatisara, which is mentioned as advanced stages of Pittatisara with similar signs and symptoms. A 19-year-old female patient was diagnosed with UC in May 2018, with the complaints of frequent defecation of stool mixed with blood and pain in the abdomen. She consulted allopathic physician and where the patient was diagnosed with UC through sigmoidoscopy, colonoscopy, and biopsy. The patient was on conservative treatment for 2 months. The patient gradually developed the following symptoms like bilateral pain in all major and minor joints, hair loss, reddish discoloration on both medial aspect of thigh and hips. After getting no relief, the patient visited outpatient department of AllA, Sarita Vihar, New Delhi. The patient was admitted to the inpatient department of AIIA hospital. After the 41 days of treatment, stool examination shows no occult blood in stool, followed by 2 months follow-up and the patient got 80% relief in all the signs and symptoms. Piccha Basti along with oral medicines is highly effective in the management of Raktatisara. This case report highlights the efficacy of Piccha basti and immune enhancer medicines in the management of UC and provide a better pathway for this disease.
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An effective approach through ayurveda in the management of urinary incontinence: A case study p. 47
Kamini Dhiman, MD Divyamol
Micturition or urination is a complex and multisystem involved process. Many alterations to this system are possible which a health-care worker may get encountered with during routine practice. Among them, urinary incontinence (UI) symptoms are highly prevalent among women, in which the patient is unable to hold urine voluntarily and can broadly classify it into stress UI, urge UI, and mixed UI. As per Ayurveda, urinary disorders can be classified as mutra apravrtti rogas and mutra atipravritti rogas. UI is considered one among the latter one. A 38-year-old married woman presented with involuntary urination of 1-month duration along with urinary urgency and frequency lasting for 3 months. She was also having abdominal pain with this. After thorough examinations and investigations, the patient was treated with ayurvedic medications for 42 days.
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“Studies on medicinal plants and drugs in Bhavaprakasa Nighantuh” – Book review p. 51
Saketh Ram Thrigulla, Shruthi Gangapuram, K Rudrama, Manohar S Gundeti, GP Prasad
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National workshop on quality control of herbal and herbo-mineral preparations – an event report p. 54
Divya Khare, Giridhar Vedantam, Mahadev B Gundakalle, Ajit Lingayat, Veena Babu Kupati
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