Symposia & Conferences
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Item Supremacy of Shalya Tantra over modern surgery.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Samaranayake, G.V.P.; Pushpakumara, A.A.J.Sushrutasamhita describes the ancient tradition of surgery in India and is considered as one of the brilliant texts in ancient Indian medical literature. This treatise contains detailed descriptions of the way of teaching and practice of surgery by our great ancient surgeon, Acharya Sushruta, who had wide knowledge of surgery which has extreme relevance even in today's practice of surgery and other related surgical and medical branches. Sushruta was the famous surgeon of Kashi, known as Banaras. He used to teach and practice around 600 BC and had made signicant contributions to various branches of medicine. Sushrutasamhita written by him is the foundation of Indian traditional system of medicine and it contains 186 chapters in which he has given description of 1120 diseases, 700 medicinal plants, 64 preparations from mineral sources and 57 from animal sources. He has given precise description of method of dissection, preservation of Cadaver, types of suturing and suture material used, Yantra-Shastra (instruments), minor and major operative procedures, Bhagna (fractures and dislocation), Kaumarbhritya (pediatrics), Twak Vikara (skin diseases), Panchakarma, and many more in addition to his well-known work of plastic surgery. Sushrutasamhita is considered as the landmark in the eld of surgery and Acharya Sushruta is gloried as "Father of Indian Surgery". He performed surgeries in an era when no diagnostic facilities were available. Probably, it was his wide knowledge of basic science which made him such a versatile surgeon. The list of his contributions is never ending. In this review an attempt has been made to highlight the ancient surgical concepts of Sushrutasamhita which are being practiced even today based on same basic principles with later modications and amendments.Item Nagaradi Modaka in the management of hemorrhoids: rationality from Ayurvedic perspective(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Pushpakumara, A.A.J.; Willamuna, S.M.S.K.Hemorrhoid is a disease, which torments people both physically and mentally, even disturbing their day-to-day activities. According to the WHO, 60 – 65% of the world population suffers from hemorrhoids, regardless of age and sex. Nagaradi Modaka is an oral medicine that can be used in hemorrhoid which has been mentioned in Chakradatta. It is an herbal preparation which contains Shunti (Zingiber officinale), puried Ballathaka (Semecarpus anacardium), Vrudhadaru (Argyreia speciosa) and jaggery (Saccharum officinale). The present study aimed at nding out the rationality of this drug in the management of hemorrhoid by analyzing its properties from Ayurveda perspective. In-depth literature study was carried out in respect of its ingredients and analyzed its relevance in the management of hemorrhoid. Shunti has Katu Rasa, Madura Vipaka, Ushna Veerya and Agni Deepana properties. Puried Bhallataka contains Katu, Thikta, Kasaya and Madura Rasa, Madura Vipaka, Ushna Veerya and Deepana-Pachana properties. Puried Bhallataka and Shunti has also been mentioned as Arshoghna Dravyas in Ayurveda texts. Vruddhadaru has Katu, Tikta and Kasaya Rasa, Sheta Veerya and Vata, Pitta Shamaka properties and jaggery has Madura Rasa, Madura Vipaka and Vata Kapha Nashaka properties. Shunti produces carminative, anti-oxidant and anti-inammatory actions while antioxidant, anti-inammatory, aphrodisiac, anabolic action of puried Ballathaka can be found. Analgesic and anti-inammatory actions of Vruddhadaru have also been scientically proven. Therefore, it can be concluded that the Nagaradi Modaka is effective according to Ayurveda.Item A literary review on traditional medical systems for cancer in Sri Lanka(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 gaduwa"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.Item Evaluation of the efficacy of Nagaradi Modaka in the management of Raktharsas; a clinical study(Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka, 2016) Willamuna, S.M.S.K.; Pushpakumara, A.A.J.Hemorrhoid is one of the diseases which has been spreading rapidly nowadays. Bleeding Hemorrhoid is a highly distress type among Hemorrhoid varieties. Nagaradi Modaka treatment was identified from the “Chakradatta” which recommends its efficacy in management of symptoms such as anal pain, anal itching and anal bleeding. “Chakrdatta” was written by Acharya Chakrapani, the greatest and a renowned commentator of various Ayurvedic samhitas. It is a comprehensive text on pharmacy with many important formulations. The present study was carried out to evaluate the efficacy of Nagaradi Modaka in the management of Raktharshas. Forty (40) patients were selected and divided in to two groups, each group consisting of twenty (20) patients. Test group received Nagaradi Modaka, Thripala phanta and Nugadi Awagahana and the control group recieved only Thripala phanta and Nugadi Awagahana. The Nagaradi Modaka was given 5g (one tea spoon) with ghee twice per day for one week. Details of pre and post treatment conditions of both groups were collected through a questionnaire. The results were statistically analyzed. According to the findings, Bleeding Hemorrhoid is commonly found among elderly males (65%, n=40). Constipation was a common symptom among the selected patients (85%, n=40). According to the significant values between the before and after results, the symptoms such as anal pain, anal itching and anal bleeding have significantly reduced (p<0.05) in the test group where Nagaradi Modaka was used. These symptoms have not significantly reduced (p>0.05) in the control group. The pharmacological properties of Nagaradi Modaka reduce Pitta dosha, restore vata dushi and regulate the function of Apana vayu which help it break the samprapthi. It can be concluded that Nagaradi Modaka is effective in reducing the above symptoms of Raktharshas.Item Management of second degree hemorrhoids with the application of Achyrenthus aspera Alkali powder: a case report(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 O'clock 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 haemorrhoids.Item Leech application (jalauka) on Utthana vatarakta: literature survey(Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, 2014) Lokuge, J.; Pushpakumara, A.A.J.Item Indigenous formulae for the management of sushka arshas(Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, 2014) Piyasena, K.M.R.L.; Pushpakumara, A.A.J.Item Clinical study of the efficacy of a selected indigenous decoction (Rathulunukalan 06) in the management of Raktarsas (Bleeding piles)(Gampaha Wickramarachchi Ayurveda Institute, 2012) Kaldera, H.P.I.J.; Pushpakumara, A.A.J.Item A clinical study on the efficacy of Triphal-Kihiri, a traditional formula, on the management of chronic wounds(Gampaha Wickramarachchi Ayurveda Institute, 2012) Eranga, K.K.I.; Perera, B.S.R.; Pushpakumara, A.A.J.