Browsing by Author "Samaranayake, G.V.P."

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Anti-bacterial Activity of different extract of Curcuma longa in the management of Fistula in ano
(European Journal of Biomedical and Pharmaceutical Sciences, 2017) Pushpakumara, A.A.J.; Jayaratne, D.L; Samaranayake, G.V.P.
Ayurvedic parasurgieal treatment procedure Ksharasutra was one of the effective treatment for management of the fistula in ano. Curcuma longa was the one of the main ingredient in a thread. In the present work an attempt hæ; been made to analyn the antibacterial and potential of methanol, ethanol and aqueous extracts of Curcuma longa against E coli S. aureug, Sagalactiae and P_aeruginosa among bacterial strains by disc diffusion method and the antibacterial were determined by masuring the diameter of mne of inhibition. The reports on extraction method using soxhlet extractor The methanol extracts of Curcuma longa p»ssessed the highest antibacterial with a zone of inhibition of 34 mm for, S aureus and lowest 13mm for P. aeruginosa, ethanol extract has range of Of inhibition 3 1 mm-IOmm while lowest antibacterial activities was reported alueous extract range 28mm-l I mm zone Of inhibition
Antibacterial Activity of Euphobia antiquorum latex
(International Journal of Applied Pharmaceutical Science and Research, 2017) Pushpakumara, A.A.J.,; Jayaratne, D.L.; Samaranayake, G.V.P.
Eumorbia antrquorum is a shrub tree Monging to the largest and the rnost family in the plant kingdom. Euphorbiaceae. E emnquram latex was used as a classical binding agent the kshu-a sutra in the management of the anal fistula. In the present study, an attempt made to evaluate the antimicrobial properties of latex Of E. antiquorum on certain microbes. methanolic extract Of the latex prepared. The fractions of methanol extract were tested br their antibacterial activity against the Gram positi•.e bwteria, Streptococus agrlactiæ and aweus Gram negative bacteria Escherichia coli and P. aeruginosa. results revealed that the latex showed minimum inhibition only to E coli and S aureus_ Latex did not antibacterial activity against S agalactiae and P. aerugintßa_ results suggest that the E. anuquorum latex extract account for the antibacterial propcrtics and has a potential use as an antimicrobial agent.
An Ayurvedic Appraoch in the management of Ashmari (Urolithiasis)
(International Journal of Current Innovations in Advanced Research, 2019) Samaranayake, G.V.P.; Peiris, K.P.P.; Pushpakumara, A.A.J.
In ancient centuries urolithiasis was often a disease, with a catastrophic outcome all too often leading to the patient's death. Even today, urolithiasis is the one of the most common affliction of the urinary tract. Detailed medical literature on urolithiasis is available from ancient India. As per classics, Ashmari is included in Ashtamahagada due to its fatal nature. Description of Ashmari is found in almost all Samhita Of Ayurveda as etiopathogenesis, classification, symptomatology, complications and management in a most scientific manner- Modem science also emphasizes on involvement of various factors like heredity, age, sex, metabolic disorders, hydration status, mineral content of water, nutritional deficiency, etc. For urinary stone formation. Urolithiasis typically occurs in middle age which is the most productive years of life. It causes pain, loss of working time, medical expenses, needs for hospitalization as well as it is infrequent cause of renal failure and death. Different management of urolithiasis has been developed in modern system but inspite of all these techniques, surgery remain treatment of choice. Even after surgery patients have to take medicines to check its further recurrence. In this way the need of medicinal treatment is always required.
An Ayurvedic Appraoch in the management of Ashmari (Urolithiasis)
(International Journal of Current Innovations in Advanced Research, 2019) Samaranayake, G.V.P.; Peiris, K.P.P.; Pushpakumara, A.A.J.
In ancient centuries urolithiasis was often a disease, with a catastrophic outcome all too often leading to the patient's death. Even today, urolithiasis is the one of the most common affliction of the urinary tract. Detailed medical literature on urolithiasis is available from ancient India. As per classics, Ashmari is included in Ashtamahagada due to its fatal nature. Description of Ashmari is found in almost all Samhita Of Ayurveda as etiopathogenesis, classification, symptomatology, complications and management in a most scientific manner- Modem science also emphasizes on involvement of various factors like heredity, age, sex, metabolic disorders, hydration status, mineral content of water, nutritional deficiency, etc. For urinary stone formation. Urolithiasis typically occurs in middle age which is the most productive years of life. It causes pain, loss of working time, medical expenses, needs for hospitalization as well as it is infrequent cause of renal failure and death. Different management of urolithiasis has been developed in modern system but inspite of all these techniques, surgery remain treatment of choice. Even after surgery patients have to take medicines to check its further recurrence. In this way the need of medicinal treatment is always required.
An Ayurvedic Approach in the Management of Urolithiasis
(International Journal of Current Innovations in Advanced Research, 2019) Samaranayake, G.V.P.; Peiris, K.P.P; Pushpakumara, A.A.J.
In ancient centuries urolithiasis was Often a disease, with a catastrophic outcome all too often leading to the patient's death. Even today, urolithiasis is the one of the most common affliction of the urinary tract. Detailed medical literature on urolithiasis is available from ancient India. As per classics, Ashmari is included in Ashtamahagada due to its fatal nature. Description Of Ashmari is found in almost all Samhita Of Ayurveda as etiopathogenesis, classification, complications and management in a most scientific manner. Modern science also emphasizes on involvement of various factors like heredity, age, sex, metabolic disorders, hydration status, mineral content of water, nutritional deficiency, etc. For urinary stone formation. Urolithiasis typically occurs in middle age which is the most productive years of life. It causes pain, loss of working time, medical expenses, needs for hospitalization as well as it is infrequent cause of renal failure and death. Different management of urolithiasis has been developed in modern system but inspite of ail these techniques, surgery remain treatment Of choice. Even after surgery patients have to take medicines to cheek its further recurrence. In this way the need of medicinal treatment is always required.
Case Study Of Leech Application In Varicose Ulcer
(International Journal of Scientific & Technology Research, 2016) Samaranayake, G.V.P.; Pushpakumara, A.A.J.; Waliwita, W.A.L.C.
Varicose ulcers are wounds that are thought to due to impropr fundioning of venous valves, usually of the legs. They are the major occurrence of chronic wounds, occurring in 70% to 90% of leg ulcer cases. In Sushrut Samhita, where get the most scientific description of wound and its management Similarly, Sushrut has given the almost importance to Bloodletting therapy and considered leech as the most unique and effective method of bloodletting even in infected wounds and abscesses. Aforesaid description let us to try leech therapy in venous ulcer was advised to continue weekly application of leech around the ulcer which was followed by dressing with Seethodaka oil and Dashanga lepa. This leech therapy proved very effective and the ulcer healed completely within 30 days. However further evaluation is required to done by taking a large samples size to prove is' treating Venous ulcer
A Case Study of observe the effect of unripe Carica papaya pulp in improving the Blood Circulation around Chronic Wound
(1st International Conference and Exhibition in Indigenous Medicine – ICEIM – 2018, Organized by Indigenous Medicine, Eastern Province with the collaboration of Unit of Siddha Medicine, Trincomalee Campus, Eastern University of Sri Lanka, 2018) Samaranayake, G.V.P.; Pushpakumara, A.A.J.
A chronic wound ig a wound has does not heal in an orderly set Of Stages and in predictable amount of time the Way. poor blood circulation is one Of the major factors which hinder wound healing leading to chronic ulcers. Accumulation of deoxygenated blood around the wound is responsible for giving rise to blackening of the skin, itching and low temperature around the wound while decelerating the healing process. The pulp of the unripe Carica papaya fruit is traditionally used as a paste around the chronic wound as an aid to improve the skin condition. This study was conducted to observe i*effect on circulation improvement taking two cardinal signs of poor blood circulation which are discoloration of skin and itching as indicators. This study was conducted at Shalya Clinic Of Gampaha Wickramarachchi Ayurveda Hospital. A _ 54 years old female patient presented with a non-healing wound in dorsum of the left lower limb for 2 years. First cleaned the wound by using Pancha walkala quatha and applied a paste Of the pulp of unripe Carica papaya fruit mixed with bee's honey around the wound. Treatment was carried out for 6 weeks. The results were recorded weekly using a scoring system based on the severity of symptoms. At the end of the period the patient was relieved of itching considerably, replaced the wound base with healthy granulation tissues and showed an improvement of skin color around the wound. Reduction of these symptoms could be taken as indications of an improving blood circulation around the affected area. In this study, it was seen that Carica papaya pulp applied around wounds which are positive for the above 3 symptoms were successful in reducing discoloration, itching and increasing healthy granulation tissues. Therefore, it was concluded that the pulp of unripe Carica papaya has the ability to improve the circulation around chronic wound.
Case study on Kshara Application in Diabetes foot ulcer
(5th International Conference on Ayurveda, Unani, Siddha & Traditional Medicine 2017 (ICAUST 2017)-Ayurveda organized by Institute of Indigenous Medicine, University of Colombo, Rajagiriya, Sri Lanka, 2017) Samaranayake, G.V.P.; Pushpakumara, A.A.J.
Diabetes foot ulcer are a consequence of many factors including loss of protective sensation due to peripheral neuropathy when the feet become numb and the injury goes unnoticed. Also arterial insufficiency complicates the neuropathic ulcer which leads to poor wound healing. Infection further deteriorates the diabetic foot resulting in a non- healing chronic wound. The primary goal in the treatment of diabetes foot ulcer is to obtain wound closure. Main stay of treatment includes antibiotics, detriments and local wound and foot wear improvisation. In spite of all advances in health sciences. Statistic reveals that about 3% patients yet have to undergo lower limb amputation. In Sushruta Samhita, we get the most scientific descriptions of wound and their management. Similarly, Sushruta has given the utmost importance to Kshara application in Diabetes foot ulcer. Patient with Diabetes foot ulcer was advised to continue anti diabetes medicines along with weekly application of Achyrenthus aspera alkali powder. This Kshara application proved very effective and the ulcer healed completely with 40 days. With Kshara application the wound completely healed within 40 days. Whereas statistic reveals that about 30% of Diabetes Mellitus neuropathic ulcer receiving standard care requires around 20 weeks for healing. Thus Kshara application proves to be effective, time saving affordable and acceptable treatment. Though treating Diabetes foot is a difficult task, we have managed to treat with Kshara application along with conventional (Ayulwedic) methods of wound care. However, further evaluation is required to be done by taking a large sample size to prove its significance in healing Diabetes foot ulcer and avoiding lower limb amputation.
A Case Study on the Ayurvedic Management of Varicose Vein
(1st International Conference and Exhibition in Indigenous Medicine – ICEIM – 2018, Organized by Indigenous Medicine, Eastern Province with the collaboration of Unit of Siddha Medicine, Trincomalee Campus, Eastern University of Sri Lanka, 2018) Samaranayake, G.V.P.; Pushpakumara, A.A.J.
A Condition, in which a vein becomes dilated, elongated and tortuous, this is said to be "Varicose". There are primary as well as secondary causes of varicose veins. The superficial perforating as well as the deep veins are involved in varicose veins. The contemporary treatment for varicose veins includes ligation, ligation with stripping surgical treatments. But these treatments can cause reoccurrence of this disease. Ayurveda reveal Siravedha (venesection) cures varicose veins. We hereby report a case of a 60-year-old female with complaints of pain in the lower limbs from calf to the dorsum of the foot of both legs associated with dilated and tortuous veins in the anterior aspect of lower leg with discoloration. She was advised admission for ten days and was treated with internal medication, external treatments and Siravedha (venesection). During the treatment all the signs and symptoms of varicosity reduced to a very high extend. As the case showed significant changes in the symptoms of pain, swelling, burning sensation and dilated veins with discoloration, during the ten days of treatment with internal medicines as well as Siravedha done for 3 alternate day. It can be concluded that in such conditions of varicose vein, Rakta mokshana along with Raktaprasadana drugs will be choice of treatment. A large-scale clinical study should be conducted to evaluate the efficacy and benefits of this modality of treatment with longer follow ups.
Clinical evaluation of Passiflora foetida decoction in the management of Urolithiasis
(International symposium on Traditional and Complementary Medicine of the Tradmed International 2017-Sri Lanka organized by Ministry of Health, Nutrition & Indigenous Medicine and Department of Ayurveda Sri Lanka, @ Waters Edge, Battaramulla, Sri Lanka, 2017) Samaranayake, G.V.P.; Pushpakumara, A.A.J.
In the present study an effort was made to evaluate the efficacy of a decoction of the whole plant Passiflora foetida. The main aim Of this particular study was inclined towards the disintegration, dissolution, dislodgement and expulsion of renal stones. These drugs are easily available, economical and easy to administer, and also have anti-inflammatory, diuretic and anti-lithic properties. A total Of 30 patients were selected randomly and were divided in to two groups. Each group contained IS patients. Group-I was treated with the decoction Of Passiflora foetida at a dose Of 45 ml, twice daily, after food for a period of 45 days. Group-Il was treated with Flush out therapy (hydro-therapy). The efficacy of decoction of Passiflora foetida in the relief of pain (76%), haematuria (83%), dysuria (76%), size of calculi (74%) and number of calculi (68.7%) was highly significant. Hence this study suggests that traditional Ayurvedic management is effective and did not have any obvious adverse effects on the patients with Urolithiasis.
Clinical Evaluation of Polyherbal Ayurvedic Formula (PHAF) in the management of Acne vulgaris
(World Journal of Pharmaceutical and Life Sciences (WJPLS), 2018) Samaranayake, G.V.P.; Pushpakumara, A.A.J.
Acne vulgaris is the most common disease among young generation. A preliminary trail was conducted in the Shalya Clinic in Gampaha Wickramarachchi Ayurvedic Hospital, to assess the safety and efficacy of a Polyherbal Ayurvedic Formulation in the management of Acne vulgaris on scientific parameter. Twenty five patient were clinically assessed and diagnosed on the basis of thorough history. Then polyherbal Ayurvedic Formulation was administered locally once at night for a period of 45 days. The severity of acne and efficacy of treatment was assessed by Cook's acne grading scale. The results showed significant reduction in the Cook's acne grading Scores of post-treatment group ) as compared to pre-treatment scores. Further, Polyherbal Ayurvedic Formula was found safe and fairly well accepted by the patient- It was therefore concluded that Polyherbal Ayurvedic Formulation can be used safely and effectively for the treatment Of Acne vulgaris
Comparative Clinical Study of Efficacy of Seethodaka Oil & Dashanga Lepa in the Management of Chronic Wounds
(2nd International Research Conference & Exhibition on Siddha Medicine -2020, Organized by Unit of Siddha Medicine, University of Jaffna, Kaithady, Sri Lanka, 2020) Samaranayake, G.V.P.; Pushpakumara, A.A.J.
Wound healing is a complex and dynamic process with the wound environment changing with the changing health status of the individual. The knowledge of the physiology of the nonnal wound healing trajectory through the phases of haemostasis, inflammation, granulation and maturation provides a framework for an understanding of the basic principles of wound healing. Through this understanding the health care professional can develop the skills required to care for a wound and the body can be assisted in the complex task of tissue repair. A chronic wound should prompt the health care professional to begin a search for unresolved underlying causes. Healing a chronic wound requires care that is patient centered, holistic, interdisciplinary, costeffective and evidence based. Forty patients with varicose ulcer were enrolled in this comparative clinical study. For each group twenty patients were selected randomly, informed consent was attained and then they underwent treatment with either Seethodaka oil or Dashanga Lepa for dressing daily for 8 weeks. The follow up duration was minimally I -2 months. In the study percentage of 57.5% male and 42.5% female patients in the sample Age group of 30 to 40 years 20%, 41 to 50 years 32.5% and 51 to 60 years 47.5% of patients were chronic ulcers with different wound size, pain and other criterias in the two groups. P values of group A (P=O.005) > P values of group B (P = 0.000), therefore reduction of the wound size in the Group B (Dashanga Lepa) is more significant than Group A (Seethodaka oil). It was concluded that the application of Dashanga Lepa can be used more effective than Seethodaka oil on healing of the wound management.
Comparative study on different treatment modules in the management of Fistula – In - Ano (Bhagandara)
(International Journal of Current Advanced Research, 2020) Samaranayake, G.V.P.; Pushpakumara, A.A.J.; Peiris, K.P.P.
Bhagandara is a common disease occurring in the ano-rectal region. Acharya Susruta, the father of surgery has included this disease as one among the Ashtamahagada. It can be correlated with Fistula-in-ano as described in western medical science. Fistula-in-ano is a track lined by granulation tissue which opens deeply in the anal canal or rectum and superficially on the skin around the anus. The incidence of a Fistula-in-ano developing from an anal abscess ranges from 26-38%. The prevalence in men is 12.3 cases per 100 ,000 populations and in women are 5.6 cases per 100,000 populations. The male to female ratio is 1.8: l. The mean age of patients is 38.3 years. This randomized prospective cohort clinical study was done to compare and evaluate the effect of new herbal formulation consisting of Vitex nigundo(root), Crativa adansoni (bark), Ricinus communis (bark), Plumbago indica(root) in managing fistula-in-ano conditions of patients in comparison to the effect of tripala decoction and kshara sutra. The patients were selected according to the selection criteria and randomly assign in to 2 groups (Group A, Group B) consisting of 20 patients for each. The patients of Group A was be treated with, Tripala decoction, kshara sutra and prescribed dietary management. The patients of group B were treated with, new herbal formulation, kshara sutra and prescribed dietary management during the period of 8 weeks. In the group A and group B mean changes or decrement of pain, burning sensation, itching and discharge, P values = 0.00 95% confidence level P < 0.05 both groups are same P=O.()()O. Therefore, no difference between both groups and it shows statistically significant. In the group A mean decrement of length of the fistulous track P value p = 0.005 at confidence level P < 0.05. It shows a significant decrement of the length of fistulous track statistically in 95% confidence level. In the group B mean decrement of length of fistulous track P value p = 0.000 at 95% confidence level P < 0.05. It shows a significant decrement of the length of fistulous track statistically in 95% confidence level. But mean decrement of length of fistulous track of the group B greater than that of group A, which means group B more statistically significant. Finally, based on the observed results and the pharmacodynamic properties of both treatment protocols, it may be concluded that new herbal formulation + kshara sutra + dietary management treatment module is more effective than Tripala decoction + kshara sutra + dietary management in the management of fistula-in-ano.
A Comparative Study on the Anti-microbial efficacy of Two Ayurveda Powders (Prathisarana) Used in Periodontal Disease
(International Journal of Dental Science and Innovative Research (IJDSIR), 2019) Peiris, K.P.P.; Samaranayake, G.V.P.; Wijebandara, D.M.K.K
Kushtadi (KU) and Karanjadi (KR) are prominently used Ayurvedic powders (Prathisarana) in the management of periodontal diseases. This study was carried out for the determination of antimicrobial efficacy of these two drugs using standard Antimicrobial Sensitivity Test against Candida albicans and a fungal culture isolated from a patient. The Antimicrobial Sensitivity Test was performed according to the Well diffusion method having 6 mm diameter wells on Sabouraud Dextrose Agar (SDA). Each well was loaded with test drugs mixed in 20 gl of sterile distilled water and fluconazole 2.5 mg/ml as the positive control. According to the results, KR showed an average Inhibition Zone Diameter (iZD) of 20 mm for the isolated culture while KU did not show any inhibition. The results were similar for Candida albicans and KR showing IZD 18 mm, KU IZD 0 mm while positive control giving an Inhibition of 25 mm. Therefore, it can be concluded that Candida albicans and the isolated culture were sensitive Only for KR making it the only effective drug out of the two drugs tested in this study.
Diagnostic Procedure Associated with Astrological Concepts: A Literature Review
(2nd International Research Conference & Exhibition on Siddha Medicine -2020, Organized by Unit of Siddha Medicine, University of Jaffna, Kaithady, Sri Lanka, 2020) Samaranayake, G.V.P.; Abegunasekara, N.S.; Dharmapriya, A.K.H.; Dissanayake, S.A.R.R.P.; Ven Dhammissara Maduruoye
Astrology and medicine are intimately linked in as much as the science of healing forms an important part of remedial astrology. Principles and training of medical astrology is an intricatesubject that needs a great compact of knowledge and in-depth study. The main utility of medical astrology is to cosmic effects under different planetary conditions at the time of a disease are likely to be beneficial or detrimental to the patient and implement the diagnostic plan accordingly. This study was designed to review the astrological concepts that have been used to establish a correlation between the planets and diseases in terms of the signs of the zodiac that have shown a strong relationship with diseases and different parts of the human body. The review was based on notable manuscripts and other texts that contain descriptions of this relationship. The study revealed that the signs form the part of the body of the Kälpuruya starting from Aries and starting from the Ascendant. Thus an astrologer can foresee the possibility of a person liable to suffer before the onset of the disease. From the calculation of the period and sub-periods of the planets, he can determine the time of the onset of the disease and its duration on the basis of one's horoscope. Horoscope is a very potential instrument that can be used effectively in diagnostic and treatment plans. However, apart fromthe indications of the diseases that may be present in a horoscope, the astrologer must seriously analyze the transiting influences and the circumstances of the case on hand for accurate diagnosis. Thus it can be concluded that medical astrology, if used with a sense of proper understanding, can aid medical diagnosis.
Effect of a Polyherbal Ayurvedic Formulation in Acne Vulgaris – A preliminary study
(International symposium on Traditional and Complementary Medicine of the Tradmed International 2017- Sri Lanka organized by Ministry of Health, Nutrition & Indigenous Medicine and Department of Ayurveda Sri Lanka, @ Waters Edge, Battaramulla, Sri Lanka, 2017) Samaranayake, G.V.P.; Pushpakumara, A.A.J.
Acne Vulgaris is the most common disease among the young generation. A preliminary trail was conducted in the Shalya Clinic in Gampaha Wickramarachchi Ayurvedic Hospital to assess the safety and efficacy of a polyherbal ayurvedic formulation in the management of Acne Vulgaris on scientific parameters. Twenty five patients were clinically assessed and diagnosed on the basis of a thorough history. Polyherbal ayurveic formulation was then administered locally once at night for a period of 45 days. The severity of acne and efficacy of treatment was assessed by Cook's acne grading scale. The results showed significant reduction in the Cook's acne grading scores of the post-treatment (p«O.01) as compared to pre-treatment scores. Further, polyherbal ayurvedic formula was found safe and fairly well accepted by the patient. It was therefore concluded that polyherbal ayurvedic formulation can be used safely and effectively for the treatment of Acne Vulgaris.
Effect of Yogasana on Improvement of Immunity related Outcomes – A Literature Review
(2nd International Research Conference & Exhibition on Siddha Medicine -2020, Organized by Unit of Siddha Medicine, University of Jaffna, Kaithady, Sri Lanka, 2020) Abegunasekara, N.S.; Samaranayake, G.V.P.; Dharmapriya, A.K.H.; Dissanayake, S.A.R.R.P.; Ven Dhammissara Maduruoye
Yoga is a universal practice which strengthens body physically as well as mentally. There is recent research evidence to suggest that regular practice of yoga postures strengthens the immune system and reduce chronic inflammation. ln fact, researchers have found an overall pattern that yoga duces pro-inflammatory markers, with the strongest evidence for the reduction of a cytokine called IL-Ibeta. This study was primarily designed to study the effect of Yogasana on enhancing immunity of the individual. An extensive literature review was conducted based onHathayogapradipikå journal papers and other related e-papers on yoga. All the Yogasanas mentioned in Hathayogapradipikåwere critically analyzed to determine a relationship between the regular practice of yoga posturesand the degree of immunity. The study revealed that the most effective yoga to activate the regular functions of the immune system is combination of Yogasanas, Pranayama and meditation. Further, practice of Yogasana increasesthe amount of antibodies such as leukocyte, eosinophils and monocytes and stimulate inflammatory responses. Yogasanas are also extremely beneficial to manage Stress which is often associated with an increased occurrence of autonomic and immune system pathology. On the basis of the review, it can be concluded that Yogasanas are effective in improving a variety of immune system-related outcome measures. However, these effects warrant further methodologically rigorous studies to determine the clinical implications of the findings for inflammatory outcomes
Effective Ayurveda Treatment Protocol for Hemorrhoids – A Case Study
(2nd International Research Conference & Exhibition on Siddha Medicine -2020, Organized by Unit of Siddha Medicine, University of Jaffna, Kaithady, Sri Lanka, 2020) Balasooriya, M.G.D.N.; Samaranayake, G.V.P.; Dharmapriya, A.K.H.; Dissanayake, S.A.R.R.P.
Hemorrhoids are swollen veins that occur in the anus and lower rectum. They can be external, appearing around the skin of the anus, or internal, arising in the lining of the anus or rectum. Hemorrhoid swelling occurs when there is an increase in the pressure in the small blood vessels causing them to swell and engorge with blood. The major causes of hemorrhoids include prolong constipation, poor dietary habits, lack of consumption of water and straining while defecation. The complications of hemorrhoids can be prevented by treating the hemorrhoids at early stage. This case study-assessed the efficacy of a treatment protocol used in the management of a 54-year-old male hemorrhoid patient presented at the surgery clinic of Gampaha Wickramarachchi Ayurveda Teaching Hospital, Yakkala, Sri Lanka, complaining of permanent bulging out a mass after defecation along with rectal bleeding and mucus discharge. His medical history revealed that he has been subjected to constipation over a period of 4 years. On examination he was diagnosed with degree hemorrhoids in early stage. Treatments were scheduled both internal and external medication along with yoga. He was treated internally with Triphala churna, external application of Sarvavishadi oil and practicing Sarvangasana for ten minutes daily up to one-month period. After the treatment protocol, rectal bleeding and mucus discharge completely stopped and 3rd degree hemorrhoid was reduced to the 2nd degree hemorrhoid stage. Patient was followed up through one month and there were no any signs of advancing the stage of hemorrhoid. Triphala churna possesses the potential to purify blood and balance the vitiated doshas while Sarvavishadi oil reduces the inflammatory signs of hemorrhoids. Sarvangasana acts as a supportive medication to trigger the action of internal and external medication. It is suggested to design a clinical trial with a larger sample size in order to confirm the effect of this treatment protocol.
Effectiveness of Traditional herbal formulation in the management of Kadara (Corn): A Case study
(International Symposium on Ayurveda and Indigenous Medicine of the Ayurveda Expo 2018 – Sri Lanka organized by Ministry of Health, Nutrition & Indigenous Medicine and The National Chamber of Commerce of Sri Lanka. BMICH Colombo, Sri Lanka, 2018) Samaranayake, G.V.P.; Pushpakumara, A.A.J.
Kadara (Corn) which are painful hyper keratinized conical indurations and thicken- ing of the stratum corneum of the epidermis of the sole, caused by continuous friction over a weight bearing locations of the sole for an external period of time in addition to other responsible factors including the gait, deformities, and genetic factors. result in difficulties in walking. Present case study was conducted to evaluate the effect of a Sri Lankan Traditional herbal formulation consisting of tender heartwood of Ananas saliva, tender Carica papaya fruit, resin offeru/afoetida and the rhizomes of Curcuma longa. Selected Herbal materials were boiled in coconut milk for 30 minutes and ground in to a fine paste. This study was conducted at Shalya Clinic of Gampaha Wickramarachchi Ayurveda Hospital. A 46 years old female patient presented with a difficulties of walk- ing due to small thickened area in her left sole since 2 years. First, scrapped that place by using surgical scalpel and apply above prepared paste over the affected site. The pa- tient was advice to apply that paste every day for 2 weeks. The outcome was measured related to the pain and the area of hardness. An assessment of pain in patient showed reduction in the mean score from 3.2 to 1.6 after the treatment and further to 0.2 after follow up with an improvement of 50% and 93.75% respectively. It was found to be highly significant An assessment of tenderness in patient showed reduction in the mean score from 2.467 to 1.4 after the treatment and further to 0 after follow up with an improvement of 43.25% and 100% respectively. It was found to be highly sig- nificant (pc:0.001). According to the result, it can be conducted that the selected herbal formulation possesses beneficial effects in reducing the painful condition and hardness of corns.
The efficacv of Raktha Apamargadi Dhooma Varthi in the Management of Nasa Arsas (Nasal Polyps)
(International Journal of Multidisciplinary Research and Development, Volume 6; Issue 12., 2019) Peiris, K.P.P.; Ranasinghe, H.N.K.P.; Samaranayake, G.V.P.
Nasal Polyps represent a challenging diagnosis for the physician to treat. Management of nasal polyps forms a large part ofthe workload because the available treatment modalities having unsuccessful results with reincarnation of removed polypoidal tissues. Among the Ayurvedic treatments, fumigation treatment (Doopana Kalpana) was used for the management of Nasal polyposis. This study aimed to introduce a new treatment modality with new formulation, which named as Rakta ,4pamargadi dhooma varti. It had been practiced clinically but not scientifically evaluated. In the clinical study 20 patients were selected between the age of 16-60 years irrespective of their sex, religion, occupation & habitat etc. They were divided randomly by lottery method into two groups. Group A was treated with Rakia Apamargaåi dhooma varli as local treatment with internal medicine and Group B was treated only with internal medicine. All the patients were completed the treatment and follow up study. According to analysis, fumigation treatment has been shown bktter result for nasal obstruction and reducing the size of the polypoidal sprouts. However, while considering the other sy'mptoms, headache, running nose, sneezing and Itching of eyes, both groups have been shown significant results.