International Conference of the Shalakya Tantra – ‘Shalakya Sandipani’

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Start date: 2015Subject: search.filters.subject.Ayurvedic treatment

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    Healing effects of Sri Lankan traditional and Ayurvedic medicine in shaft of humorous fractures with non-union state: a case report.
    (Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Attanayake, A.M.H.S.; De Silva, U.M.G.D.; Jayaweera, J.A.A.S.
    In Ayurveda, Sushruta Samhita describes Bhagna Chikitsa (treatments for fractures). Sri Lanka has a well-established traditional orthopedic treatment system (Kedum Bindum Vedakama).Shaft of humerus fractures are common over middle one-third. It is common in adults as well as in children. A 14 year-old child was subjected to a compound fracture over shaft of humorous. Three months following allopathic treatment, he was presented to Ayurveda for further management. At the beginning, fracture was aligned and immobilized using “k” wire (mode of internal xation) over three weeks and it was removed. The patient presented with an external wound with wasting of forearm and restricted movements of elbow, wrist and ngers. Anteroposterior(AP) and lateral (L) views of the X-ray reports showed non-union of the bones. Total duration of the treatment was 6 months. Initially, all non-united bone fragments were immobilized for 6 months using bamboo splints. Prior to applying the two splints over lateral and medial sides of the arm, herbal oils of Seethodaka, Pinda, Narayana and herbal paste ofKatakala were applied. Subsequently, up to 6 months, motor, sensory function assessment and quality of life assessment with quality of life of the international osteoporosis foundation(QLIOF) were done following Ayurveda treatment. Initial power of wrist and ngers was grade 1and at the end of 6-month it improved to grade 5. The difference in the QLIOF scores was analyzed using Wilcoxon signed rank test. There was a signicant (p<0.05) difference between the pre-treatment (14) and post-treatment (59) QLIOF scores. The evidence of AP and L views of the X-ray showed complete heal of the fracture. A study with a larger population is proposed to assess the efcacy of the given Ayurveda treatment protocol.
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    A clinical study on Ayurvedic management of Keratoconus.
    (Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Manjusree, S.; Namboothirif, N.P.P.; Sreekanth, N.P.
    Keratoconus is corneal disorder in which there is a progressive thinning of the central part leading to conical protrusion and thereby uncorrected visual error, usually found in second and third decade. In a population based on cohort analysis, the Central India Eye and Medical Study reported the prevalence of Keratoconus in central India to be 1.4%. The contemporary science advocates power glasses, contact lenses, corneal implants, corneal collagen crosslinking with riboavin (C3R), Laser assisted surgeries and Keratoplasty in Keratoconus. It is difcult to nd out an exact reference about Keratoconus condition from classical texts of Ayurveda. In Ayurveda, the clinical features related to visual disturbances are seen only in Drushtigata Rogas. Hence, all cases of visual disturbances can be correlated under the broad heading of the Timira – Kacha – Linganasha complex. Open labeled, observational, 28-week study using selected Ayurvedic medicines and therapies was conducted on 30 subjects with the diagnosis of early or advanced Keratoconus, who were between ages of 18 to 45 years, : 28 weeks IPD/OPD trial with 3 In-patient visits and 3 telephonic visits. The in-patient treatment duration for each patient was 14 days (± 3 days), which included treatments like Nasyam, Sekam, Anjanam, Aschyotanam, Tharpanam, Sirodhara / Sirovasthy, Pichu and Nethra Bandhana. The study was conducted using black box design,: the study did not focus on assessment of any therapeutic protocol in specic, but the treatment principles of the entire Ayurvedic system in treatment of Keratoconus. The subjects who satised the selection criteria entered into the study and received treatment for 24 weeks followed by End of Study visit and a 4-week follow up visit. The duration of the study for each subject was approximately 7 months (28 weeks). All statistical tests were two-sided with a signicance level of = 0.05. Data were summarized using descriptive statistics (number of subjects [n], mean, standard deviation [SD]) for continuous variables, and using frequency and percentage (i.e., number and proportion of subjects – n, %) for discrete/categorical variables, unless specied otherwise. Paired sample t-test was used to assess the outcome of the trial. LogMAR was used to convert visual acuity observed using Snellen's Chart to reach decimal values. KISA% was used to assess the changes in topography from baseline to end of treatment. The study showed clinically and statistically signicant changes in Corneal Topography, Visual Acuity and Refraction. Visual acuity showed a 7.3% improvement (p<0.05) and refraction showed a reduction of 10% (p<0.05 KISA% showed a reduction of 14.6% (p<0.05).