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Table of Contents
July-December 2021
Volume 8 | Issue 2
Page Nos. 39-103
Online since Wednesday, June 29, 2022
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EDITORIAL
Research hub: Northeast India vision
p. 39
Neeta Mahesekar
DOI
:10.4103/AYUHOM.AYUHOM_28_22
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GUEST EDITORIAL
Better sight and clarity of vision through Yoga
p. 40
Rituparna Barooah
DOI
:10.4103/AYUHOM.AYUHOM_13_22
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REVIEW ARTICLES
Blue print of Ayurvedic modalities to prevent risk factors in cancer
p. 42
Amulya Murthy Aku, Ashok Patil
DOI
:10.4103/AYUHOM.AYUHOM_48_21
The cancerous process is the result of disturbed cell function. This is due to the accumulation of many genetic and epigenetic changes within the cell, expressed in the accumulation of chromosomal or molecular aberrations, which leads to genetic instability. Cancer is an uncontrolled growth disorder of cells characterized by the formation of tumor, invasiveness, metastasis, and anaplasia. Ayurveda describes a variety of clinical conditions which have approximate similarities with cancer. The disease is a major cause of motility and morbidity across the world. Despite a huge advancement in therapeutic strategies, it is still a major cause of death worldwide. Prevention of cancer is the need of the hour. To explore and understand the modifiable, nonmodifiable risk factors of cancer as well as to find out the various Ayurvedic preventive perspective, this review study has been undertaken. Ayurvedic classics, articles, books, and journals were gone through manually for relevant theories and principles related to risk factors of cancer and how they contribute to cancer. Ayurvedic modalities were also explored, which can help to prevent these risk factors. On exploring different literatures, it was found that mainly under modifiable risk factors-diet, lack of activity, stress, habits (e.g., smoking and alcohol), environmental factors, and unsafe sex with infected personals (human papillomavirus) contribute to cancer. While under nonmodifiable risk factors, family history was found to be a main contributory risk factor.
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Therapeutics aspects of Apamarga Kshara (Herbomineral Formulation) in Ayurveda - A review
p. 51
Pravin Jawanjal, Bishwajyoti Patgiri
DOI
:10.4103/AYUHOM.AYUHOM_57_21
Kshara
is one of the dosage forms utilizes in Ayurveda.
Apamarga Kshara
is prepared from alkaline ash of herbs used in Ayurveda as local and internal therapeutics. In local therapeutics, it is used in the form of
Ksharasutra
and as
Pratisrniya Kashara
. It can be also administered for internal use termed as
Paniya Khara
.
Apamarga Kshara
is a herbomineral formulation commonly used in anorectal disorders. It is used in various ailments such as warts, polyp, renal disorders calculus, nasal diseases, ear diseases, and leukoderma. The
Apamarga Kshara
having properties of
Ksharana
(debridation),
Bhedana
(incision),
Chhedana
(excision),
Shodhana
(purification),
Stambhana
(haemostatic), and
Ropana
(healing).
Apamarga Ksharodaka
is an aqueous solution of
Apamarga Kshara
useful in the management of warts.
Apamargakshara Taila
is medicated oil prepared from
Acyranthes aspera
and sesame oil is indicated in-ear disorder. Hence, a review of the therapeutics aspects
of Apamarga Kshara
is selected for the study. The present review study aimed to analyze available information from the different databases and published literature to provide information about clinical studies and case reports of
Apamarga Kshara
. The published clinical data suggest the safety and efficacy of
Apamarga Kshara
.
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Indian cow urine as a therapeutic alternative in treatment of human diseases: A review
p. 57
Aallani Meghana, Ummadistty Obulapathi, Sanjiv Singh
DOI
:10.4103/AYUHOM.AYUHOM_2_22
Oxidative stress plays a vital role in implicating various pathological conditions in the development of various human diseases. Cow urine therapy has strong scientific evidence for its various therapeutic actions on cancer, oxidative stress, diabetes, dyslipidemia, obesity, epilepsy, inflammation, wound healing, neurotoxicity, genotoxicity, hepatotoxicity as an antitoxic agent and kidney diseases, etc. This shows cow urine derived from animal source as an effective antioxidant very much useful to counteract oxidative stress-mediated diseases. In this review, we aim to summarize the research updates on implications of Indian cow urine for its role as a potential antioxidant as a therapeutic alternative in treating various human diseases in preventing and repairing the deleterious damage caused due to oxidative stress. This review helps in understanding the potential role of cow urine as an antioxidant in treating various human diseases triggered by oxidative stress as a therapeutic alternative.
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ORIGINAL ARTICLES
Effect of
Lagerstroemia Speciosa
(L.) Pers. (
Jarula
) leaves powder as a hypoglycemic agent in the management of Type 2 diabetes mellitus: An interventional study
p. 64
Bishnu Choudhury
DOI
:10.4103/AYUHOM.AYUHOM_4_22
Background:
Perusal of history revels the earliest description of
Madhumeha
(diabetes mellitus [DM]) is found in Vedic literature of India. The hypoglycemic effect of
Lagerstroemia speciosa
(L.) Pers. has been date back from the old writing of Ayurveda (Bhavaprakash Nighantu).
Objective:
The objective is to assess the efficacy of
L. speciosa
(L.) Pers as an oral hypoglycemic agent.
Materials and Methods:
The present study is a single group, open label, clinical trial with pre-post follow-up test design on 100 subjects of type 2 DM. Subjects were intervened with
L. speciosa
(L.) Pers. leaves powder in the dose of 12 g daily in two divided dose ½ h before breakfast and dinner with warm water for 90 days along with advice for standard control of diet and lifestyle modification. The result of the study was determined by the changes in fasting and postprandial blood sugar and glycosylated hemoglobin (HbA
1C
) level before and after completion of study. Statistical analysis was done using all values which are expressed as mean ± standard deviation and “
Z
” test. The results were assessed through “
P
” value.
Results:
After 90 days of intervention, mean laboratory measured fasting and postprandial blood glucose showed a decrease from 168 and 202 mg/dl to 135 and 166 mg/dl respectively. Reduction in mean HbA
1C
was also observed from 7.3% to 6.5%. The rate of shift of grade was observed statistically significant (
P
< 0.01) in all parameters.
Conclusion:
Leaf's powder of
L. speciosa
(L.) Pers. showed significant hypoglycemic effect.
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A comparative study to assess the
Vajikarana
effect of
Vrishya Pupalika
and
Modak
(Aphrodisiac Food Preparations) against placebo
p. 68
Sukh Ram, Durgawati Devi, Pankaj Kumar
DOI
:10.4103/AYUHOM.AYUHOM_54_21
Introduction:
Sexual health is essential for happy marital life and healthy conception.
Vajikarana
(aphrodisiac) can be used as preventive and curative method in the sexual health. Various food preparations mentioned under
Vajikarana
(aphrodisiac) therapy for healthy and diseased.
Materials and Methods:
The study has been designed as open randomized comparative trial with thirty healthy married males between 25 and 45 years of age which were randomly assigned into three groups, each with ten healthy volunteers. Group A or placebo Group was treated with
Amalaki churna
500 mg orally in capsule form once a day with
Anupana
of
Sharkara yukta Dugdha
along with healthy sexual lifestyle. Group B was treated with
Vrishya Modak
1
Pala
or 48 g orally once a day with
Anupana
of
Sharkara yukta Dugdha
along with healthy sexual lifestyle, and Group C was treated with
Vrishya Pupalika
1
Pala
or 48 g orally once a day with
Anupana
of
Sharkara yukta Dugdha
along with healthy sexual lifestyle respectively for 3 months.
Results:
The results were statistically significant on various subjective parameters. In the erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction the greatest improvement were shown in Group B, which improved by 74.28%, followed by Group C, which improved by 36.49%, and Group A, which improved by −1.99%.
Conclusion:
Based on the observations and outcomes, it is concluded that the result of
Vrishya Modak
was found better than placebo and
Vrishya Pupalika
.
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Role of
Hridayarnava Rasa
on inflammatory responses in rabbits with high fat diet induced atherosclerosis
p. 73
Subramani Chitra, Rathinam Arunadevi, Gaidhani Sudesh, Raju Ilavarasan, Veeraswamy Sharmila Devi, Erram Narasimha Thri Vikram, Gautam K Manish
DOI
:10.4103/AYUHOM.AYUHOM_46_21
Background:
Atherosclerotic plaque formation is a chain of events that begins with fatty streak accumulation followed by monocytes infiltration and lipid core formation. Monocytes/macrophages play an important role in the initiation and progression of atherosclerosis. The role of inflammation and atherosclerosis provides a mechanistic framework for understanding the clinical benefits of lipid-lowering therapies in high-fat diet (HFD) induced atherosclerosis rabbits. Identifying triggers for inflammation and uncovering the details of inflammatory pathways may ultimately present new therapeutic targets.
H. Rasa
maintains the heart by providing cardioprotective activity along with changes in certain inflammatory markers in atherosclerosis.
Objectives:
The primary objective of the study is to evaluate the role of oxidized low-density lipoprotein cholesterol (LDLc) in the inflammatory response and how this inflammation triggers the level of white blood cells. The secondary objective is how this
Hridayarnava Rasa
, an Ayurvedic formulation inhibits the oxidation of LDLc and protects cells from inflammation in HFD-induced atherosclerosis model rabbits.
Materials and Methods:
Newzealand white rabbits of 24 were randomly divided into 6 groups of 4 animals each. Group I rabbits fed with standard pellet diet; group II rabbits fed with HFD; group III, IV, and V were fed with HFD and different doses of
H. Rasa
and group VI rabbits were fed with HFD plus Atorvastatin.
Results:
Total leucocytes, lymphocytes, monocytes, LDLc: high-density lipoprotein cholesterol (HDLc) ratio and total cholesterol (TC): HDLc ratio were increased in group II, III, IV, and VI of 30, 60, and 90 days when compared to group I. The levels of total leukocytes, lymphocytes, monocytes, LDLc: HDLc ratio, and TC: HDLc ratio were significantly reduced in group IV and V of 30, 60, and 90 days when compared to group II. In the present study, treatment with
H. Rasa
(group V) (i.e., 41.07 mg/kg. b. wt/p. o) was shown to be most effective over 90 days.
Conclusion:
These results suggest that HFD accelerates the development of atherosclerosis by increasing the inflammatory markers such as oxidized LDL (oxLDLc) and leukocyte counts in a time-dependent manner and
H. Rasa
protects the aorta by preventing the oxidative damage of LDLc which inturn maintains the inflammatory markers and provided the anti-inflammatory responses and protects the aorta from atherosclerotic plaque formation in a dose-and time-dependent manner.
Limitation of the Study:
This study focused on the characteristics of the rabbit lipoprotein pathway and pathophysiology of atherosclerotic lesions via inflammatory markers. This paper primarily determines how
H. Rasa
protects the aorta from the formation of atherosclerotic plaques caused by oxidative low-density lipoprotein. Further studies will need to focus specifically on the inflammatory pathways and the role of
H. Rasa
.
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A pilot clinical study of
Mashadibasti
in the management of
Pakshaghata
(Hemiplegia)
p. 82
Sayantan Bera, Sonali Mukherjee
DOI
:10.4103/AYUHOM.AYUHOM_45_21
Background:
Pakshaghata
is one of the diseases of central nervous system, considered as
vatavyadhi
in
Ayurveda
which occurs mainly due to vitiation of
Vata
. The disease
pakshaghata
can be compared with hemiplegia according to contemporary medicine. The mode of onset is sudden or gradual with the association of hypertension or diabetes mellitus. Loss of functions of limbs with or without the involvement of face is observed in this disease. It affects either left half or right half or both sides even. The present study is to evaluate the effect of
Mashadi Basti
in
Pakshaghata
.
Objective:
To evaluate the efficacy of
Mashadi Basti,
a type of medicated enema in management of
Pakshaghata
.
Materials and Methods:
A total of 15 patients were selected randomly. They were examined on the ground of
Astavidha pariksha
(eight-fold examination) from
Ayurvedic
point of view on the basis on specially prepared data research questionnaire. Selected subjects were administered with
kala basti
for 15 days and it was followed up of 30 days. Assessment was done through various variables like
shareera akarmanyata
or
chestanivriti
(Loss of motor activity),
hasta pada ruja
(pain in hand and leg),
hasta pada sankocha
(contraction in hand and leg),
sira snayu shosha
(rigidity),
sandhibandha vimokshana
(looseness of joints),
and vak stambha
(loss of speech), stroke specific– quality life scale, modified barthel index (MBI) and grip test.
Results:
The study showed that
mashadi basti
produced a significant (
P
< 0.05,
P
< 0.001) improvement in all the variables like
shareera akarmanyata
or
chesta nivriti, hasta pada ruja, hasta pada sankocha, sira snayu shosha, sandhibandha vimokshana
and
vakstambha,
stroke specific– quality life scale, MBI and grip test.
Conclusion:
Mashadi basti
is found to be effective in
Pakshaghata.
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CASE REPORTS
Management of
Vipadika
(~Plantar Psoriasis) in Ayurvedic prospect
p. 90
Jitendrakumar Nathabhai Varsakiya, Mandip Goyal, Divyarani Kathad, Alisha Dhaniya, Ritu Kumari
DOI
:10.4103/AYUHOM.AYUHOM_47_21
Plantar psoriasis accounts for 3%–4% of all psoriasis cases and produces significant functional and social disability. Plantar psoriasis is a variant of psoriasis that characteristically affects the skin of the soles with features, i.e.,; hyperkeratotic, pustular, or mixed morphologies. Many of the skin disorders in Ayurveda have been described under the heading of
Kushtha
(group of skin diseases) and
Kshudra Kustha
.
Vipadika
(Plantar psoriasis) is one of the diseases which has been included under the heading of
Kshudra Kushtha
. In classics, clinical features of
Vipadika
are cracks (
Sphutana
) either in palms or soles or in both with pain. A 42-year-old male patient visited our outpatient department with complaints of scaling and fissure of skin of bilateral soles, with bleeding from cracks for 6–8 months. Examination and history lead to a diagnosis of
Vipadika
(Plantar psoriasis). This case was managed with
Virechana Krama
(~therapeutic purgation), followed by
Shaman Chikitsa
(pacifying therapy) with internal administration of
Guduchi Churna 2 g
twice a day after meal with luke warm water,
Panchvalkal Kwath
once 4 ml morning empty stomach, with
Panchvalkal Kwath
wash in sufficient quantity,
Triphala Churna Avchurnan
(topical dusting of powder) and local application of
Jatyadi tail
along with
Pathya
(wholesome regime), and
Apathya
(unwholesome regimen) for 4 months. The effect of the therapy was assessed by the signs and symptoms before and after the treatment. The treatment modalities showed relief in patient's signs and symptoms. Hence, Ayurveda procedures and medicaments are promising in the management of
Vipadika
(~Plantar psoriasis).
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Ayurvedic add-on therapy for β-Thalassemia major cases on quality of life: A case series
p. 97
Achintya Mitra, Arunabh Tripathi, Rohit Kumar Ravte, Kalyan Hazra, PV V. Prasad
DOI
:10.4103/AYUHOM.AYUHOM_36_21
Blood transfusions which were suggested as treatment for beta thalassemia major cases brought down the quality of life by several means like splenomegaly, growth retardation, poor appetite, low hemoglobin (Hb), increased serum ferritin level, etc. In present study the group of 79 patients which were selected were having such symptoms arouse due to repeated conventional blood transfusion. the patient was given Amlavetas (
Garcinia pedunculata
Roxb. ex Buch. Ham) dry fruit pulp (5 g) once daily in the early morning on an empty stomach regularly for 6 months without imposing any restriction to their regular food and other medicines for his existing comorbidities. Objective parameters such as Hb (g%), body weight (Kg), loss of appetite serum ferritin (ng/dl), and frequency of blood transfusion were assessed which ultimately help to understand the QoL of the subjects. The Hb percentage after 3
rd
month and 6
th
month was 6.94 ± 1.57 g% and 6.99 ± 1.52 g% which were significant when compared with baseline values (6.42 ± 1.37 g%,
P
< 0.001). The serum ferritin was significantly increased (
P
< 0.005) in the follow up visits when compared with baseline value 3112.13 ± 2801.20 ng/dl. The gain in body weight, increase in appetite and reduced blood transfusion rate indicates the quality of life, revealed by the improvement of his blood parameters including the serum ferritin level. Amlavetas fruit pulps can be a potential iron chelating as well as erythropoiesis Ayurvedic intervention to normalize iron metabolism, relieve thalassemia symptoms, and increase BT intervals with better life expectancy.
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LETTER TO EDITOR
Mindfulness-based interventions: Potentials for treatment of pornography
p. 101
Manoj Kumar Sharma, Ajay Kumar, Hemant Bhargav, Raghavendra Bhat, Nitin Anand, Vishnu Digambhar, Shubham Menaria
DOI
:10.4103/AYUHOM.AYUHOM_3_22
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