Basic Principles
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Item Interactivity in Goodsalls’ Rule and Fistula-in-ano(International Journal of Trend in Scientific Research and Development (IJTSRD), 2020) Samaranayake, G.V.P.; Chandimal, K.M.Fistula-in-ano is a tract lined by granulation tissue which opens deeply in the anal canal or rectum and superficially on the skin around the anus. Managing fistula-in-ano is a challenging task. Because recognizing the internal opening and cause of the fistula tract is difficult. goth external and internal openings of the fistula tract are essential for the complete identification of the tract. The purpose of the present study was to study the relevance between Goodsall's rule and course of the fistula tract. A sample of 106 patients with simple fistula was studied. In this study Hydrogen Peroxide was injected by using syringe through the external opening of the fistula and seenthe appearance of air bubbles which are come out from the internal opening. The site and number of internal and external openings and the course of the tract were recorded, The median age of the participants was 37 years. The majority were male 157.54%). Thirty one point one percent (31.1%) showed intersphincteric fistula, 51,8% showed transphincteric fistula and 16.9% had superficial fistula. The overall predictive accuracy of Goodsail's ruie in studied group was 68.30/o. It is significantly associated with the type of fistula. The high predictive accuracy in superficial fistula (94.4%), intersphincteric fistula (84.4%) and transphicteric fistula (69.09%) were observed. It was concluded that, Goodsalls'rule was not accurate in 31.7% of all fistulae; it can be used as a guide in locating the course of the tract and the internal opening.Item The Efficacy of Raktha Apamargadi Dhooma Varthi in the Management of Nasa Arsas (Nasal Polyps)(International Journal of Multidisciplinary Research and Development, 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 of the 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 Apamargadi dhooma varti. lt had been practiced clinically but not scientifically evaluated. In the clinical study 20 patients were selected between the age of 16-60 years irespective of their sex, religion, occupation & habitat etc. They were divided randomly by lottery method into two groups. Group A was treated with Rakta ,4pamargadi dhooma varti as local treatment with internal medicine and Croup B was treated only with internal medicine. Al1 the patients were completed the treatment and follow up study. According to analysis, fumigation treatment has been shown better result for nasal obstruction and reducing the size of the polypoidal sprouts. However, while considering the other symptoms, headache, running nose, sneezing and ltching of eyes, both groups have been shown significant results.Item 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 MaduruoyeYoga 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 outcomesItem 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 MaduruoyeAstrology 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.Item 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.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.Item Management of Carpal Tunnel Syndrome by Agnikarma – 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) Samaranayake, G.V.P.; Pushpakumara, A.A.J.Carpal Tunnel Syndrome is a common condition that causes pain, numbness and tingling in the hand and arm. The condition occurs when one of the major nerves to the hand, the median nerve is squeezed or compressed as it travels through the wrist. In most patients, carpal tunnel syndrome gets worse over time, so early diagnosis and treatment are important. If pressure on the median nerve continues, however, it can lead to nerve damage and worsening symptoms. To prevent permanent damage, surgery to take pressure off the median nerve may be recommended for some patients. Ayurveda has an advocated various treatment modalities such as Snéha, Upanäha, Agnikarma and Bandhana. Amongst these, Agnikarma seems to be more effective in providing distinct and instant relief. A 40 years old female patient was presented with severe pain, numbness and tingling in the hand and arm for 8 months. On examination, it was elicited that the patient was unable to hold objects properly by the affected hand. After careful examination, patient was treated with Agnikarma without any oral medication. Superficial multiple wounds produced by Agnikarma healed within 5-7 days. Patient visited for follow-up for 1 month after completion of treatment. Patient was advised not to lift any heavy objects and perform any twisting movement for further 6months. It was concluded that Agnikarma can be recommended as an effectiveness treatment for Carpal Tunnel Syndrome.Item Efficacy of Traditional Formula as a Pratisarana in the Management of Danthaveshta(2nd International Research Conference & Exhibition on Siddha Medicine -2020, Organized by Unit of Siddha Medicine, University of Jaffna, Kaithady, Sri Lanka, 2020) Rupasinghe, R.A.A.N.; Samaranayake, G.V.P.Danthaveshta is one of the main periodontal disease which mentioned in Ayurveda medical system. It is simulated with the "Suppurative gingivitis". According to recent statistics, 10-15% of world adult population was suffering from this condition. Hence, there is a need to evaluate the role of —theother alternative techniques for the management of this disease so as to minimize recurrence, make it cost effective and safety The present study aimed at evaluating the effect Of traditional herbal' formulation in the management Of Danthaveshta, which described in Thalpatepiliyam. In the clinical study 30 patients were selected in age between 16-60 years irrespective Of their Sex, religion, Occupation and habitat etc. They were divided equally in two groups by using simple random sampling method. Group A was treated with traditional formula with Prathyakshadhathripanthaya and Kaishoraguli , also group B was treated with Prathyakshadhathripanthaya and Kaishoraguli . No one has complained about any experience about allergy, infections or discomfort at any time that they have encountered during the follow-up period. Group A was showed significant results in the improvements Of Rakthasrava. Puyasrava. danthashopa, Krishnatha, Mukhadurgandha and Shoola. (p<0.05) Group B showed significant results only Rakthasravaandshopa. But other symptoms were not Significantly reduced (p>0.05). These results were proved that the traditional herbal formula has worked well on reducing Symptoms Of danthaveshta as a pratisarana.Item Management of Second Degree Hemorrhoids with the application of Achyrenthus aspera alkali powder: a case report(National Research Symposium -2016, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka,, 2016) Samaranayake, G.V.P.; Pushpakumara, A.A.J.Hemorrhoid, which is a condition defined as the symptomatic enlargement and distal displacement of the normal anal cushions, affects millions of people around the world, and represent a major medical and socioeconomic problem. Multiple factors have been claimed to be the etiologies of hemorrhoidal development, including constipation and prolonged straining. Abnormal dilatation and distortion of the vascular channel, together with destructive, changes in the supporting connective tissue within the anal cushion, are paramount findings of hemorrhoidal disease. Application of alkali (kshara karma) is a para surgical procedure indicated in the management of hemorrhoids, which has been extensively described in Susrutasamhita under the category of eight major diseases (Ashtamahagada). It is mentioned that alkali (kshara) can exert the properties of incision (chedana), excision (bhedana) and scraping (lekhana) without using surgical instruments. It destroys unhealthy tissues and removes debris while promoting the growth of new granulations. Achyrenthus aspera alkali powder (AAAP) is a water soluble caustic extract derived from the ash of Achyrenthus aspera plant. Because of its numerous medicinal properties, it is used in a wide range of diseases both externally and internally. In this case report, the effect of the application of AAAP on haemorrhoids is discussed. A 30 year old male patient visited surgical clinic of Gampaha Wickramarachchi Ayurveda Teaching Hospital with complaints of severe pain, bleeding per rectum, protrusion of a mass from anus on defecation. After systematic clinical examination the case was diagnosed as a second degree hemorrhoid at 3, 7, and 11 (Yclock positions. This case was managed with the application of AAAP. AAAP was applied on the oedematous mass in the anal canal with the help of proctoscope and after one minute it was neutralized with the application of lime (Citrus aurantifolia) juice. This procedure was performed for 14 days without administration of any other medicine. After 14 days of treatment it was noted that the oedematous mass became shrink on proctoscopy and per rectal bleeding resolved. Further, the patient relieved from all symptoms gradually within the period of treatment. On this ground, it could be postulated that the application of AAAP would be effective in the management of second degree haem01Thoids.Item A Literary review on traditional medical systems for cancer in Sri Lanka(National Research Symposium -2016, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka, 2016) Samaranayake, G.V.P.; Pushpakumara, A.A.J.Sri Lanka developed its own medical system based on a series of prescriptions handed down from generation to generation over a period of 3000 years. Indigenous medicine of Sri Lanka called "Deshiya Chikitsa" was originated before 8000-10000 years ago. There are several ancestries in Sri Lanka which continue their special field of "Deshiya Chikitsa" even today. Sri Lanka has its own special science of medical treatments since the ancient times which employs indigenous and rare herbs and substances derived from plants. These medications can be used internally and externally as treatment for a number of illness as well as to prevent from lethal diseases like cancer. Herbs offer great potential to stimulate the healing process and can even destroy cancer cells. The research explores whether some herbs or plants treatment used in traditional medicine could help to prevent or treat cancer and improve the quality of life of all cancer patients. There is very little published information on the herbal remedies used by traditional medical systems. In traditional medical books and an ancient Ola leaf books, there is no direct definition for cancer. In indigenous texts cancer is described in many forms with signs and symptoms; for example, "Ala palaa gaduwa", "Ata palaa gaduwa", "Ila palaa gaduvva"ect. There is no any data base or compilation of traditional medicinal formulas. Therefore, this kind of study is an important need of era. The study is designed to refer the traditional indigenous medical texts to collect data on medicinally valuable remedies and details of cancer. This research intends to carry out a literary review on traditional medical systems for cancer.