1st-2017
Permanent URI for this collectionhttp://repository.kln.ac.lk/handle/123456789/17673
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Item Jalaukavacharana and wet cupping in the management of sciatic nerve compression: a comparative clinical study.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Nuwansiri, L.S.B.; Abeysooriya, S.R.; Wickramarachchi, W.J.The classically sciatic pain is distributed in pathway of sciatic nerve. Herniated intervertebral disc is believed to cause most cases around 90%. Other lesions affecting the integrity of the lumbosacral nerve roots (L4-S3) or the sciatic nerve include lumbar canal or foramina, stenosis, tumors, cysts, hemorrhages, abscess, fractures and some more uncommon conditions may produce same clinical features. The characteristic condition of sciatica is most related to Gudhrasi mentioned in Ayurveda. Gudhrasi cikitsa is considered under Vatavyadhi cikitsa. Chakradatta mentioned that blood letting is effective in the management of Vatavyadhi. Jalaukavacharana is one of the common methods used for blood letting in Ayurveda. Wet cupping is also a procedure of blood letting related to Alabu mentioned in Ayurveda. A comparative clinical study was designed with 20 patients of Group A being treated with Jalaukavacharana alone and 20 patients of Group B with wet cupping alone. The data were analyzed individually with Sciatica Bothersomeness Index (SBI) and Sciatica Frequency index (SFI) and compared using contingency coefcient and two way ANOVA. The results show signicant difference between the groups with P value less than 0.001. Wet cupping group (B) showed highly signicant results dominating over Jalaukavacharana group (A). Though both Jalavkavacharana and Wet cupping provided relief, Wet cupping provided an acute and sustained relief.Item A literary survey on traditional Nasya formulae indicated for Shiroroga.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Abeysooriya, S.R.; Nuwansiri, L.S.B.; Kasturirathne, K.T.A.S.C.Administration of medicines through nasal route is known as Nasya Karma. As it is the nearest root, any disease related to head is best treated by this procedure. A Nasya formulae which is used for Shiroroga was collected from selected traditional texts and categorized according to the indications, medical preparations, type of dravyas and Panchapadartha. Data were analyzed paying attention to proper variations. All the texts have mentioned 85 formulas in the chapters dedicated for treatments of Shiroroga; 17 in Sarartha Sangrahaya, 22 in Yogarnavaya, 19 in Besajjamanjusa, 17 in Varayogasaraya and 10 in Sinhala Yogarathnakara. 26 formulae were repeatedly mentioned and 59 formulae were exclusive. Among them, formulae wereidentied as indicated for Sarwashirorogas (35.59%), Krimija Shirobhithapa (ST) (11.86%), Akalapalithya (10.17%), Pittaja ST, Suryawartha and Ardhawabhedaka (6.76% per each). 59 formulae have been used as Taila (42.37%), Kalka (13.56%), Kwata (11.86%), Churna (11.86%), Grita (10.17%) and Ksheera (1.69%). These formulae contain 82.76% of Oudbhidadravya, 10.34 % of Janthawadravya and 06.90% of Parthiwadravya. Among 48 Oudbhidadravya, Nagara (25.42%), Madhuyasthi (22.03%), Pippalli (15.25%), Marica (13.56%), Vidanga (11.86%), Nirgundi (10.17%) were commonly found. Cow's milk (10.17%), breast milk (6.78%), bee honey and cow's urine (each in 03.39%), animal blood (1.69%) were mentioned under the Janthawadravya. Saindhawalavana (5.08%), Yawakshara (3.39%), Galmada and Kasisa (each in 1.69%) were used as Parthiwadravya. Dravya contain Thikta (61.11%), Katuka (59.26%), Madhura (40.74%), Kashaya (31.48%), Amla and Lavana (each in 1.85%) Rasa. Lagu (83.33%), Ruksha (51.85%), Singdha and Theekshna (each in 37.04%) were the predominant Gunas.74.55% were Ushnavirya and 25.45% were Shitavirya. 72% of Katukavipaka and 28% of Madhuravipaka. 50% of Dravya were Kaphavatashamaka. In conclusion, most of formulae indicated for Sarwashiroroga and Taila are the predominant types of preparation. Oudbhida is the common type of ingredient. Thikta and Katu Rasa, laghuguna, ushnavirya and katuvipaka were predominant Panchapadartha. Kaphavatashamaka is the predominant type of Dosa Karma.