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Item 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 inhibitionItem 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.Item Approach of Hindi poetries for a sustainable life style towards the lasting happiness with special reference to the SADVATTA in Ayurveda(4th International conference on Multidisciplinary Approaches-2017, Organized by Faculty of Graduate studies, University of Sri Jayewardenepura, 2017) Fernando, W.C.M.Ayurveda is an ancient Indian medical system that guides human in maintaining a healthy mind and body. It has been described good conducts-or ethical regimens for a balanced state of life as Sadvatta. If due follows these rules and regulations, it leads to a long and healthy life as well as wealth. Poetries are literary works in which special intensity is given to the expression of feelings and ideas by the use of distinctive style and rhythm. With the civilization of Indian culture since ancient era, Hindi poets adopted ethical regimens as topics for their poetries and gave a message to maintain a sustainable life. 'Pie objective of this literary study was to analyze the Hindi poetries that emphasize the ethical regimens and compare with Sadvatta mentioned in Ayurveda. Hindi. poetries • were taken for the study and compared the.. information with Sadvdtta mentioned in Ayurveda Vaddhatrai.According to the information obtained from study, Hindi poetries related to medieval period (1375 — 1700 Century) and modern period (1900 -Century up to date) have been emphasized ethical regimens which are supporting for a sustainable life style towards the lasting happiness. When they compared with the Sadvatta in Ayurveda, they are mentioned under Vyavaharika (Habitual), Manasika (Mental), Samajika (Social), DhZirnulka (Moral) and Vaiyaktika (Personal) categories of Sadvatta since Vedic era. Ayurveda stands to protect the health of a healthy person as well as cure diseases and India as the originated place of Ayurveda, it is bonded with Indians. ; Poetries can speak to a person's mind smoothly. Hence, it might be the Hindi poets in medieval and modern periods wielded the ethicalregimens mentioned in Ayurveda as their topics and given to the society for the betterment of sustainable life style towards the lasting happinessItem An approach to develop Multi Techniques Integrated Expert System for Diagnosis of Human Constitutions(2008) Mendis, D.S.K.; Karunananda, A.S.; Samaratunga, U.This paper presents a multi techniques integrated expert system for diagnosis of Prakurthi in Ayurvedic medicine. The present mechanisms used for diagnosis of Prakurthi, which is considered, as classification of human constitutions and is inconsistent about its findings. Therefore a research has been conducted to reduce such inconsistencies using an expert system. In this issue multi techniques integrated expert system has been implemented for addressing the problem. Statistical technique and fuzzy logic have been described as multi techniques involved in the expert system. Tacit knowledge has always been influential to change the directions and emphasis of explicit models of knowledge. All explicit knowledge is rooted in tacit knowledge. Due to these reasons modelling of tacit knowledge is of great interest. Tacit knowledge in Ayurvedic sub-domain of individual classification has been acquired through a questionnaire and analysed to identify the dependencies, which lead to make tacit knowledge in the particular domain. In the first place analysis was done using statistical techniques of principal components and the results were not compatible with the experiences of Ayurvedic experts. As such, fuzzy logic has been used to further model the Ayurvedic sub-domain. The result of the modelling of Ayurvedic domain using fuzzy logic has been compatible with the experiences of the Ayurvedic experts. A framework for diagnosis of human constitutions has been integrated with an expert system shell thereby enabling the development of expert systems for domains with tacit knowledge. Currently, it has been integrated with FLEX expert system shell.Item An approach to the development of commonsense knowledge modeling system for disaster management(Springer, 2007) Mendis, D.S.K.; Karunananda, A.S.; Samaratunga, U.; Rathnayake, U.Knowledge is the fundamental resource that allows us to function intelligently. Similarly, organizations typically use different types of knowledge to enhance their performance. Commonsense knowledge that is not well formalized modelling is the key to disaster management in the process of information gathering into a formalized way. Modelling commonsense knowledge is crucial for classifying and presenting of unstructured knowledge. This paper suggests an approach to achieving this objective, by proposing a three-phase knowledge modelling approach. At the initial stage commonsense knowledge is converted into a questionnaire. Removing dependencies among the questions are modelled using principal component analysis. Classification of the knowledge is processed through fuzzy logic module, which is constructed on the basis of principal components. Further explanations for classified knowledge are derived by expert system technology. We have implemented the system using FLEX expert system shell, SPSS, XML and VB. This paper describes one such approach using classification of human constituents in Ayurvedic medicine. Evaluation of the system has shown 77% accuracyItem An approach to the development of commonsense knowledge modelling systems for land selection(2012) Mendis, D.S.K.; Karunananda, A.S.; Samaratunga, U.The land use methods which are ergonomically and environmentally appropriate are determined first and foremost by characteristics and location. For instance, land selection in architectural construction domain is considered as an area in land use methods, which involves commonsense knowledge of architects. This is because land selection criteria are very personal and there is no theory behind how it should be done. Sometime, there are too many redundancies in the process selection of lands. In this paper we present an approach to modeling commonsense knowledge in a sub field of architecture domain of land selection to come up with land classifications as psychological, physical and social events. This gives three-phase knowledge modeling approach for modeling commonsense knowledge in, which enables holistic approach for land selection. At the initial stage commonsense knowledge is converted into a questionnaire. Removing dependencies among the questions are modeled using principal component analysis. Classification of the knowledge is processed through fuzzy logic module, which is constructed on the basis of principal components. Further explanations for classified knowledge are derived by expert system technology. This paper describes one such approach using classification of human constituents in Ayurvedic medicine. Evaluation of the system has shown 77% accuracy.Item 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.Item Ayurvedic interpretation to oedema caused by inflammation (śvayathu) with special reference to Charakasamhita: review(1st International Conference on Unani, Ayurveda, Siddha and Traditional Medicine. Institute of Indigenous Medicine, University of Colombo, 2013) Wewalwala, S.L.; Kaldera, H.P.I.J.This survey was based on the main authentic text Caraka samhita and the aim was to obtain a clear picture about the inflammatory process in the Ayurvedic perspective. Objectives Were to differentiate the terms Sotha, Svayathu and Sopha and to finalize a graphical interpretation on inflammatory process in the Ayurvedic point of view. Data were collected regarding previously mentioned terms and categorized them under different topics. After comparing them each other it was able to differentiate above terms and finalize the interpretation. Inflammation is a part of the complex biological response Of vascular tissues to harmful stimuli. The cardinal signs of the inflammation are pain, heat, redness, swelling and loss Of function in the affected part. Oedema is an abnormal accumulation of interstitial fluid beneath the skin or cavities of the body and it is clinically shown as swelling. Explaining the pathogenesis Of Svayathu, Carakasamhita describes when kapha (fluid), asnk (blood) and pitta (chemical mediators) enter the external vessels (external channels of circulation) and manifested, they afflict väyu (electrical activity) located there. As a result then that väyu leads the spreading of above factors outside to the nearby areas causing oedema characterized by swelling. Carakasamhita elaborates that usma (heat) davathu (burning sensation) sirär_läm äyäma (dilatation Of the vessels) as premonitory signs and symptoms Of Svayathu. Further it describes heaviness, variability, swelling, rise in temperature, thinning of vessels, horripilation and discoloration of the skin over the limbs as the signs and symptoms in general. In the categories according to the place, the characteristics of different kinds of Syathu and the prognosis also. It has elaborated that sometimes oedema is localised in a particular part or organ of the body and these are of innumerable types depending upon their locations, tissue elements involed, shape and nomenclatures. This might be the first lesson in pathology which we could ever firid precisely in the human history.Item Bhisakko Sallakatto : Buddha as a Psychic Surgeon(All India Oriental Conference, 41st Session, Sri Jagannath Sanskrith Vishvavidyalaya. Puri, 2003) Ven. Dhammissara, M.Surgery. Salla Tikiccä pre-held in Asian health management since olden days. Despite the technique and other accessories , which are now being followed in the modern times. as a surgeon may be strikingly amazing. The apposition of the Buddha as Bhiéäkko Sallakatto is however significant. A surgeon usually drains out pus and black blood of the boils and tumors. He further uses the sürgic.a,i appliances to cleave amputee the anirnate organs and transplant, the better one if required, On this background Gautama Buddha was efficient to redress the psychic ex-orders of the animate beings. So that, the turbidity and hindrances, which becomes a source of mental suffering where surgically operated by his own uncommon techniques.Item A Brief Study On The Milindapanha: In The View of History of Ayurveda(Symposium on Buddhist Studies, Twentieth Anniversary Commemoration Volume, Thames Buddhist Vihara, 2003) Ven. Dhammissara, M.The Milindapanha is the work, which records. the Questions asked by the king my India and • the answers given by the Venerable Nagasena. Some traditions like BUrmese have given more importance to the Milindapanha," which has been treated as a canonical text. 1 They treat it-as a book of the K/yuddakanikaya, the fifth'. division of the Suffapifaka. Even in India, some scholars consid& the Milindapanha as a book of the Khuddakanikaya.2 The Milindapanha, according to the Sri Lankan tradition, 'is not included in the Khuddakanikaya and has been treated as an important non-canonical work.Item Buddhist Sinhala Literature: A Brief Historical Survey(First International Seminar on Buddhism and Literature, Nava Nalanda Mahavihara, Nalanda, India, 2002) Ven. Dhammissara, M.It is believed that Sinhala language came to Sri Lanka with the original migrants. According to the Mahåv,oüsa, the great chronicle of Sri Lanka they who came from Bengal, Magadha and Kälinga are traditionally considered to be the founders of the Sinhala nation. They spoke Indo-Aryan local languages depending on the areas from which they migrated. Further, the Mahäva?üsa states that King Vijaya (dh century BC) communicated (MV.vi.51) with kings in India to arrange marriages, etc. and for this commonly understood language and script would have been required. It proves that original migrants also brought with them the Brähnzi script. Later, the 'Sinhala Language" came to be influenced by Pali, which is the language in which the Buddhist canonical writings were preserved. It can be accepted because, it is believed that Ven. Mahinda brought the commentaries, which was in Pali and was translated in to Sinhala by him self (Hettiarachchi, Introduction p.6) Later, in Anuradhapura period both Sanskrit and Pali appear to have influenced the Sinhalese. New sounds were added to the language as words were taken into Sinhalese both as derivatives and in the pure form. Verse however remained "Elu" or pure Sinhalese. Further, it is also to be considered that Siyabas/akara and Elu Sandas Lageuna too refer to earlier works and on poetics shows us that there must have been an earlier literature which is lost to us. Here it is a brief historical study on Buddhist Sinhala Literature. Considering the easy way to make the discussion, the method has been föllowed here is after having mentioned about Sinhalese Inscriptions, Sinhalese Commentary Literature and Sigiri Graffiti, history of Sinhalese literature has been discussed according to the periods called Anuradhapura, Polonnaruwa, Damhadeniya etc. That is also has to be limited from the beginning up to Kotte Period (15 h century AD). Periods have named according to the changing of the capital in the history,Item 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 ulcerItem 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.Item 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.Item 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.Item Chunks - noticing technique(Second Language Learning Issues-A Collection of Articles, 2018, ISBN:978-955-71396-0-9, 2018) Dissanayake, S.A.R.R.P.There is now widespread acceptance of the importance of formulaic expressions in language learning. This experimental component was based on the assumption that second language learning is facilitated by acquisition of chunks of language and therefore, when chunks are brought into the attention of the learner, efficiency of language learning increases. The study investigated the effectiveness of the activities for noticing the use of prepositions in chunks. Eighty students studying English as a second language participated in this study. These students were randomly divided into experimehtal and control groups of 40 subjects each. The experimental group received two hours of specially designed activities per week for a period of five weeks (10 hours), while the control group received general instruction. Both groups were tested on the cloze test for prepositions at the end of five-week period. Given that marks were normally distributed, an independent sample t-test was used to see the significance of the mean value difference of the two groups. Two variance tests were conducted to see if the variance of the control group is equal to that of the experimental group. The variances were equal and therefore, the p value of the independent sample test which showed 0.000 indicates that the null hypothesis could be rejected at 0.05. The results are discussed on the basis of how meaningful the actual mean difference was.Item 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.Item 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 vulgarisItem Clinical Study of a selected indegenous decoction (Rathulunu kalan 06) in the management of Raktarsas (bleeding piles).(Pandit G.P. Wickramarachchi Memorial International Research Symposium 2012, 2012) Kaldera, H.P.I.J.; Pushpakumara, A.A.J.Hemorrhoids are the enlarged, bulging veins in the rectum. The main causes for this disease are the bad food habits and health habits of the people. It is recorded that 4% of the world's population are suffering from the hemorrhoids. Blccding from rectum, anal itching, occasional pain, burning sensation arc the common symptoms of the hemorrhoids. According to Ayurvedic Medicine; bleeding piles are called 'Raklarsas'. This decoction mentioned in "Desheeya Cikitsa Samgrahaya". This clinical study was conducted to evaluate the effectiveness of the above decoction in the management Of Raktarsas. Analyzed 30 Cases Of Rakrarsas in people, between 20 to 70 of age , who had complained of bleeding from rectum, constipation. burning sensation and pain in the rectum. They wcrc equally and randomly put into two groups; "Group A" and "Group B". ne "GroupA" was treated with 120ml of the selected decoction twice a day, 30ml Of the mixture Of Abhayarishla and Danthyarishla twice a day after the meal, 30g Of Sukumarachoorna With 240m' Of warm water before bed time and the external application Of the Sarvavishadi oil on the hemorrhoids twice a day for 3 weeks while the "Group B" was given the above prescription without the decoction. The effectiveness of the selected decoction was evaluated on the basis of clinical data. The results of thc trcatmcnt wcrc calculated by using the P-value. Statistically more significant results were observed in Group A than in Group B. According to this clinical study it was revealed that the selected decoction is one of the most effective treatments for Raktarsas.Item 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.