International Conference of the Shalakya Tantra – ‘Shalakya Sandipani’

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Author: search.filters.author.Wickramarachchi, W.J.

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    Series of case studies on the efficacy of traditional treatment modality in the management of Carpal Tunnel Syndrome.
    (Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Pramodani, M.P.N.; Wickramarachchi, W.J.
    Carpal Tunnel Syndrome or median neuropathy at the wrist is a disabling condition present in3.8% of the general population. The condition is characterized by the compression of median nerve at the wrist leading to paresthesia, numbness, pain and muscle weakness in the hand. Treatment in allopathic medicine includes the use of anti-inammatory drugs, diuretics and surgery which may lead to persistence of symptoms for prolonged period or the recurrence of the symptoms. Therefore, it requires some therapy which can cure the syndrome with minimum intervention; Ayurvedic principles and management play a vital role in the treatment of Carpal Tunnel Syndrome. Thirty patients with Carpal Tunnel Syndrome were selected randomly irrespective of their age, gender, chronicity, occupation etc. and treated with Nikadi TailaAbhyanga, Nikadi Patra Pottali Sweda followed by application of Siyabaladi Lepa mentioned in traditional medicine, daily for a period of one month. The assessment was carried out on the basis of relief found in the cardinal signs and symptoms of the disease adopting Likert scale, depending upon their severity. The clinical trial showed remarkable reduction of pain, numbness and tingling sensation which were found to have p value of < 0.05 which was statistically signicant. Therefore, it can be concluded that the selected treatment modality is effective and safe in the management of Carpal Tunnel Syndrome.
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    An analytical study on the antimicrobial activity of Visarpahara Tailaya against Candida albicans and Staphylococcus aureus.
    (Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Madumali, M.G.B.; Wickramarachchi, W.J.; Karunarathna, E.D.C.; Sudesh, A.D.H.
    Visarpahara Tailaya is a herbo-mineral preparation recommended to use clinically in the management of eczema, scabies, itches and other types of skin diseases mainly caused by bacteria and fungi. This study was conducted to determine the antimicrobial activity of this drug using the standard Antimicrobial Sensitivity Test against Staphylococcus aureus and Candida albicans. The test was performed according to the Well diffusion Method having 6 mm diameter wells on Mueller Hinton Agar (MHA) for S. aureus and Sabouraud Dextrose Agar (SDA) for C. albicans. As the positive controls, Amoxicillin 10mg/ml was used for S.aureus and Fluconazole 2.5mg /ml for C. albicans. According to the results, the test drug showed an average Inhibition Zone Diameter (IZD) of 12mm for S. aureus and 17mm for C. albicans while the positive controls showed 51mm and 25mm respectively .These results show that the test drug Visarpahara Thailaya is effective for both test organisms with an increased effectiveness for C.albicans compared to S. aureus. Therefore, it is concluded that Visarpahara Tailaya can be effectively used in the management of C. albicans while it is less effective for S. aureus.
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    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 coefcient and two way ANOVA. The results show signicant difference between the groups with P value less than 0.001. Wet cupping group (B) showed highly signicant results dominating over Jalaukavacharana group (A). Though both Jalavkavacharana and Wet cupping provided relief, Wet cupping provided an acute and sustained relief.