Browsing by Author "Nuwansiri, L.S.B."

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    Awareness on alternative medical systems among diabetes mellitus patients in Uva and North Central provinces; Mullaithivu, Mannar and Killinochchi districts in the Northern Province
    (Faculty of Medicine, University of Kelaniya, Sri Lanka, 2016) Nuwansiri, L.S.B.; Abeysooriya, S.R.; Thilakarathne, M.G.T.C.; Pathirana, G.K.M.; Peiris, L.D.C.; Mirfaha, M.A.F.
    BACKGROUND: Diabetes Mellitus is a metabolic disorder due to deficiency of insulin. According to Ayurveda concepts this is part of urinary disorders characterized by profuse urination with several abnormal qualities due to Dhosic imbalances. According to the Siddha concept Alaldhosha increase first, then Walidhosha increase, afterwards Wali and Aryamdhoshas is increased. Concurrently disturbance of seven Dhathus function occur and eliminate body energy through urine. The concept of Unani that mentioned Zinbatusshukkari (Diabetes Mellitus) develops due to weakness of the kidney as a result of strong exposures power, weakness of the retentive power and causative factors. Prevention is the best method to control this disease. Awareness among people should be increased to prevent this disease. All medical systems should combine efforts. Other than allopathic system Ayurveda, Siddha, and Unani are other alternative medical systems that can provide awareness. OBJECTIVE: To find out awareness of people about other alternative medical systems that can control Diabetes Mellitus and to find out method of continuing treatment at diabetes clinics in these medical systems. METHODS: An interviewer administered questionnaire was used to collect data visiting Sidda, Unani, Ayurveda District Hospitals, Central Dispensaries and free Ayurveda Dispensaries in Uva province, North central province, Killinochhi, Mannar,and Mullaithivu districts. RESULTS: There were few hospitals that provide Diabetic clinics (Uva-20%, North central -11%, Killinochchi, Mannar and Mullaithivu districts -25%). Of 40 patients identified from clinics only 50% of patients were aware of Ayurveda, Siddha, Unani treatments for Diabetes. CONCLUSIONS: Availability of alternative medical facilities for management of Diabetes Mellitus is limited in these districts. The awareness of people about these systems is not satisfactory.
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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.
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    A literary survey on indications and preparations using Lavana Panchakaya according to Carakasamhita
    (Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka, 2016) Pathirana, K.P.M.P.; Abeysooriya, S.R.; Nuwansiri, L.S.B.
    Lavana Panchakaya stands for five types of salts which are clinically used in Ayurvedic Medicine. Sauvarchala, saindhava, audbhida, vida, and samuddra are the five types and their properties are unctuous, hot, sharp, best promoters of Agni and they are used in purgative, emetic, enema, massage, suppositories, surgical measures and collyriums. This study is based on clinical applications of five salts according to Carakasamhita. Data were collected according to indications and preparations of Panchalavana mentioned in Carakasamhitha and analyzed with proper variations. According to Carakasamhita, gritha preparations which contain any type of panchalavana contained 52% of saindhava, 35% of vida, 29% of sauvarchala, 12% of samuddra and 6% of audbhida and 6% of gritha contain lavana panchakaya. Choorna which contain any type of panchalavana contain 32% of sauvarchala, 24% of saindava, 16% of audbhida and samuddra from each and 16% contain all types together. Vasti preparations which contain any types of lavana contain 94% of saindava and 5% of sauvarchala. 75% of saindava, 12.5% of audbhida and sauvarchala equally are contained in thaila preparations which contain any type of panchalavana. The medicinal preparations with lavana panchakaya are used for Arshas, Gulma, Udara, Atisara, Grahani, Chardi, Thrushna, Pliha, Visha and Thrimarma cikitsa. Triushnadi churna, Thakra prayoga Dasamooladi gritha, Citrakadi gutika, Panchamooladi thaila, Pippalyadi churna, Thakraarista, Ksharagrita, Mukthadi churna, Hingvadi yawagu, Thejovyathadi gritha are some of the preparations which include panchalavana. Vasti, Virechana, Vamana are the common shodhana procedures that indicate panchalavana and they are commonly used in disorders of pachanavyuha.
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    A literary survey on traditional Nasya formulae indicated for Shiroroga.
    (Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Abeysooriya, S.R.; Nuwansiri, L.S.B.; Kasturirathne, K.T.A.S.C.
    Administration of medicines through nasal route is known as Nasya Karma. As it is the nearest root, any disease related to head is best treated by this procedure. A Nasya formulae which is used for Shiroroga was collected from selected traditional texts and categorized according to the indications, medical preparations, type of dravyas and Panchapadartha. Data were analyzed paying attention to proper variations. All the texts have mentioned 85 formulas in the chapters dedicated for treatments of Shiroroga; 17 in Sarartha Sangrahaya, 22 in Yogarnavaya, 19 in Besajjamanjusa, 17 in Varayogasaraya and 10 in Sinhala Yogarathnakara. 26 formulae were repeatedly mentioned and 59 formulae were exclusive. Among them, formulae wereidentied as indicated for Sarwashirorogas (35.59%), Krimija Shirobhithapa (ST) (11.86%), Akalapalithya (10.17%), Pittaja ST, Suryawartha and Ardhawabhedaka (6.76% per each). 59 formulae have been used as Taila (42.37%), Kalka (13.56%), Kwata (11.86%), Churna (11.86%), Grita (10.17%) and Ksheera (1.69%). These formulae contain 82.76% of Oudbhidadravya, 10.34 % of Janthawadravya and 06.90% of Parthiwadravya. Among 48 Oudbhidadravya, Nagara (25.42%), Madhuyasthi (22.03%), Pippalli (15.25%), Marica (13.56%), Vidanga (11.86%), Nirgundi (10.17%) were commonly found. Cow's milk (10.17%), breast milk (6.78%), bee honey and cow's urine (each in 03.39%), animal blood (1.69%) were mentioned under the Janthawadravya. Saindhawalavana (5.08%), Yawakshara (3.39%), Galmada and Kasisa (each in 1.69%) were used as Parthiwadravya. Dravya contain Thikta (61.11%), Katuka (59.26%), Madhura (40.74%), Kashaya (31.48%), Amla and Lavana (each in 1.85%) Rasa. Lagu (83.33%), Ruksha (51.85%), Singdha and Theekshna (each in 37.04%) were the predominant Gunas.74.55% were Ushnavirya and 25.45% were Shitavirya. 72% of Katukavipaka and 28% of Madhuravipaka. 50% of Dravya were Kaphavatashamaka. In conclusion, most of formulae indicated for Sarwashiroroga and Taila are the predominant types of preparation. Oudbhida is the common type of ingredient. Thikta and Katu Rasa, laghuguna, ushnavirya and katuvipaka were predominant Panchapadartha. Kaphavatashamaka is the predominant type of Dosa Karma.
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    Usage of Ashta Kshēra in Shodhana Karma and medical preparations based on Carakasaṃhitā
    (Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka, 2016) Abeysooriya, S.R.; Nuwansiri, L.S.B.; Pathirana, K.P.M.P.
    Eight types of Kshēra mentioned in Carakasaṃhitā are called Ashta Kshēra. Milk of sheep, she-goat, cow, she-buffalo, she-camel, she-elephant, mare and women have been included under Ashta Kshēra. Their properties include madhura rasa, snighdha and shīta guna, vrunhana, prīnana, jēvanīya, Ojaskara, medhya, balya, manaskara and raktapittahara. Amlapitta, Gulma, Udara, Atīsāra, Vidvibhandha, Arsa and Krimi are common indications in Pāchana Vyuha. Pāndu, Shōtha, Dāha, Raktapitta in Raktasanvahana Vyuha and Ksīna, Kshata, Jwara, Rājayākshama, Unmāda, Apasmara, Kāsa, Shōsa, Yonīdosa, Shukradosa, Mutraroga, Vātaroga, and Vātapittavikāra include other indications. Data were collected according to medical preparations and shodhana karma of Ashtakshēra which are mentioned in Caraka Saṃhitā and analyzed with proper variations. Ashtakshēra (Ak) is used in Kashāya (kshērakashāya), Grita, Thaila, Rasāyana and Avaleha in different percentages. Ak contains 54.22% of grita, 21.68% of kashāya, 16.87% of thaila and 3.61% of rasāyana and avaleha. 97.78% of grita(s) contain cows’ milk (CM) and 2.22% of them contain goat’s milk (GM). CM contains 66.67% of Avaleha(s) and 33.33% of them contain GM. 100% of Kashāya(s), Thaila(s) and Rasāyana Preparations contain CM. Vamana, Virechana, Vasti and Nasya are the shodhana procedures which use Ak. Ak contains 56.67% of vasti(s), 16.67% of virechana(s), 13.33% of Nasya(s) and 3.33% of Vamana(s). CM is used in 85% of vasti(s) and GM is in 15% of them. 100% of nasya(s) virechana(s) and vamana(s) contain CM. In conclusion, cows’ milk is the ordinary type of kshēra used in shodhana karma and medical preparations. Other types of milk are used individually for several types of diseases. But they are not recommended for shodhana karma and medical preparations except CM and GM. Vasti and gritha are the predominant shodhana karma and medical preparation which uses Ashta Kshēra.
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