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Browsing by Author "Perera, H. A. R. P."

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    A Critical Analysis of Cultural Ties Related to Marriage for Healthy Progeny with Special Reference to Ayurveda Philosophy
    (Faculty of Humanities, University of Kelaniya, 2023) Gunarathna, B. W. A. S.; Perera, H. A. R. P.; Dissanayaka, D. M. A. C. E.
    Ayurveda is considered as holistic system of medicine and one of the oldest natural healing systems in the world. It is a philosophy that deals with both preventive as well as curative aspects of life. Ayurveda is considered as one of the unique medical systems well-established in India and it is linked to Vedic and Indian cultural aspects. Marriage is one of the most important and prominent cultural events in the Indian cultural system. Especially, the Ayurveda medical system emphasizes the medical aspect of some cultural events related to marriage and pregnancy. There is an intrinsic link between marriage and procreation. Ayurveda emphasizes age limits, the selection of the right partner, consanguinity, and many other important criteria that should be considered during marriage. Most studies show that in a population with a high rate of consanguinity, there is a significant increase in the prevalence of common adult diseases like cancer and infertility. Infertility has become a global challenge in the modern era due to lack of knowledge and because of ignoring the cultural ties related to marriage. Therefore, it is essential to turn back to history and compile valuable cultural data before the information gets destroyed over time. Hence the objective of this study was to collect literature data on the scientific aspect of cultural background linked with marriage according to Ayurveda medical system. Available data was compiled through authentic Ayurveda texts, scientific journals, and other relevant authentic texts. According to literature analysis, all compiled data concluded that many of the cultural rituals scientifically affect the procreation process and are more applicable to the modern era. Further, this study would provide an intuition to develop an effective awareness programs focused on young individuals in society, based on revealed data linked with traditional knowledge systems to promote healthy progeny.
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    A Literature Investigation on Ayurveda Management and Cultural Practices for Female Infertility
    (Faculty of Humanities, University of Kelaniya, 2023) Chathurangani, U.M.K.; Perera, H. A. R. P.
    Infertility is a significant public health issue in the modern world, affecting over 10 % of women involved in active marital relationships. Ayurveda has mentioned most possible factors responsible for infertility are Yonidosha, Mansika-Abhitapa, Shukra- Artavadosha, Ahara-Vihara Dosha, Akalyoga, Bala-Kshaya. Another major factor in infertility is alterations in sperm quality. The fertile ratio of Sri Lanka which was 5.00 (-1.950%) in 1965 has decreased to 2.128 (-0.750%) in the present era. Sociologically, this is a problematic situation for the future of Sri Lanka. This literature investigation attempted to make a successful exploration of Ayurveda and cultural treatments for infertility in society. The data-collecting part of the research was done by the literature review method. Ayurveda classical textbooks, local cultural books, and previous research articles published on Google Scholar, ResearchGate, PubMed, etc. were used for data collecting. According to the Ayurveda view of the infertility condition, the patient should be treated with Agnideepana, and Ama pāchana treatments, and after that, respectively Vātānulōmana treatments, and Shōdhana Karma like panchakarma should be applied. And also during the treatment period, the patient has recommended a strict diet plan like Peyadi Karma. These detoxification treatments help to eliminate free radicals from the body. According to classical practices Rata Yakuma ritual performance, Kadawara Kankariya, and Kumara Samayama Shanthikarma were mentioned as effective psychological therapies for infertile women to get pregnant. The main purposes of these Shanthikaramas included having a baby for infertile women, protecting the fetus of women who have habitual miscarriages, and protective delivery. According to the scientific basis, the items contained in these Shanthikarmas induce a pleasant mind in the infertile woman and induce chemical changes in the body. It helps to create mental satisfaction for the conceiving. Therefore physically and mentally the woman has been balanced by Ayurveda and cultural treatments and made positive outcomes for female infertility.
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    A Literature Review on Concept of Antenatal Care through Ayurvedic Philosophy
    (Faculty of Humanities, University of Kelaniya, 2023) Jayasinghe, M. M. H. M.; Perera, H. A. R. P.
    Ayurvedic philosophy is based on holistic thinking. The progress of humanity is its goal. The well-being of one individual has an impact on the well-being of the entire society, the environment, and the cosmos. And also, the most significant position in humanity is that of the woman. Women are responsible for childbirth and the creation of the human race. The women are "the prime source of progeny," according to Charaka Acharya. Ayurveda emphasizes the importance of caring for the woman before, during, and after pregnancy. As a result, the review concentrated primarily on antenatal care. Antenatal care refers to the care given to an expectant mother from the time of conception until the beginning of labor. In Ayurveda, antenatal care falls under the Garbhini Paricharya (GP). This literature study aims to explore the information and concepts related to antenatal care and to understand the clinical importance of GP according to Ayurveda. The review was conducted using authentic books of Ayurveda and different standard electronic databases like Google Scholar and PubMed, which publish research articles and journals. Pregnancy is a special time in a woman's life. A healthy woman is especially important to bare the fetus in the uterus and deliver the baby in a healthy state. In Ayurveda, proper ahara (diet), vihara (lifestyle), and vichara (psychological aspect) are considered GP. Food is considered the best source of nourishment and medication for pregnant women. Because the baby is dependent on the mother's nourishment, when the mother follows proper ahara, vihara and psychological aspects, it leads to proper development and growth of the fetus as well as the health of the mother. According to the evidence found in this study, it could be concluded that Ayurveda clearly emphasizes the importance of antenatal care along with the GP.
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    A Literature Study of Ayurvedic Classics on Cultural Events Related to Childbirth
    (Faculty of Humanities, University of Kelaniya, 2023) Sandamali, J. A. N.; Perera, H. A. R. P.
    Ayurveda means “The Science of Life” and it supports maintaining the protection of healthy individuals and curing unhealthy individuals. Ayurveda could play a significant role in prenatal (before birth) and postpartum (after birth) healthcare for pregnant mothers. Pregnancy and childbirth are considered as the most critical events in a woman's life cycle that regulate the stability and survival of human species in the world. Ayurveda considers childbirth to be a natural event. The objective of this study was to gather literature data on cultural events related to childbirth according to Ayurveda classics. The data is compiled through authentic Ayurveda texts, scientific journals, trusted websites following the PRISMA model. According to the literature analysis, Ayurvedic classical texts emphasize the Garbha Samskara (unique scientific way of planning the pregnancy) and Garbhani Paricharya (regimen for pregnant women according to each month). Especially when considering the childbirth Acharyas also mentioned the pregnant women enters the ninth month, she moves to Sootikagara (delivery room) which is specially prepared for delivery. Further, they described the Mangalaacharana (cultural ceremony for pay to God) and way of preparation for the delivery including both body and mind. This analysis will require creating successful awareness programs focused on maintaining the healthy pregnancy period and childbirth related to the traditional and Ayurveda systems.
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    Timely intervention of Garbhani Paricharya to manage the increased tendency of gestational diabetes mellitus (GDM) (Garbhani Madumeha)
    (Faculty of Graduate Studies, University of Kelaniya Sri Lanka, 2022) Perera, H. A. R. P.; Madugalle, S.; Tharangani, W. A. S.; Attanayake, M. K. D. K.
    There has been a marked increase in the prevalence of diabetes in Asia over recent years. Multi-ethnic studies have highlighted the increased risk of gestational diabetes mellitus among different Asian populations. Prevalence of gestational diabetes in Asian countries varies substantially according to the screening strategy and diagnostic criteria applied, and ranges from 1% - 20%, with evidence of an increasing trend over recent years. Diabetes prevalence (% of population ages 20 - 79) in Sri Lanka was reported as 11.3% in 2021, according to the World Bank collection of development indicators, compiled from officially recognized sources. Sri Lanka - Diabetes prevalence actual values, historical data, forecasts and projections were sourced from the World Bank in August of 2022. As per Ayurvedic view Garbha vruddhi can be co-related with GDM as it is a condition where the abdomen will be increase in size excessively with increased perspiration and therefore the labor also gets difficult. The objective of this study was to estimate the increased tendency of GDM among pregnant women and to determine the timely intervention of Garbhani paricharya. In the methodology of this study, the Oral Glucose Tolerance Test (OGTT) levels of 446 pregnant women were collected during the first trimester of their pregnancy, who attended three antenatal clinics in Gampaha district as the subjective data and thereby tendency of GDM was determined in those pregnant women who attended the antenatal clinics from 2017 to 2021. Primary data regarding Garbhani Madhumeha and its prevention methods was collected from authentic books written in ancient times by Ayurveda authors. According to clinical data statistics, GDM percentages since 2017 to 2021 were 31.6%, 34.5%, 45.9%, 47.8% and 49.2% respectively which had shown that the tendency of GDM has been increased. Therefore, it could be suggested that timely intervention of Garbhani paricharya mentioned in Ayurveda classical texts should be recommended in which the use of herbs as home remedies are indicated especially turmeric powder, bee honey, Attikka (Ficus racemose L.) etc. Scientific analysis of this compound revealed that bee honey helps in maintaining regularity in all internal functions of the body. Accordingly, it is confirmed that these remedies have the capability of preventing the occurrence of GDM and improving the normal functioning of the pancreas. Research papers explained that they have unique properties that help to minimize or prevent GDM. Attikka has been used in the treatments of diabetes due to its antidiabetic effect. Ayurveda recommends the use of the combination of turmeric powder with bee honey and as a special dietary supplement, to eat Attikka nuts with coconut. Research papers confirm that the chemical constitutes of Attikka act as hypoglycemic which can be used in the prevention of GDM. So, it is justifying to use these as home remedies to prevent GDM, which is currently on the rise and it is recommended that the primary health care has to be strengthened while the prevention, early diagnosis, and treatment of GDM to be given priority.

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