1st-2017

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Regaining visual elds in a case of POAG: an integrative approach.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2015) Hemant, B.; Rajesh, P.; Preeti, A.
According to WHO, glaucoma is the second leading cause of blindness [12.3%] worldwide. Present available treatment options in allopathic medicine for glaucoma have very little encouraging results for neuro protection. This case report narrates a motivating experience in treating glaucoma with an integrative approach with Ayurved and modern Ophthalmology. A 42 year-old, married, non-smoking, non-alcoholic Asian female housewife presented with symptoms of dimness of vision in both eyes [LE>RE]and moderate headache. On examination, she had vision RE-6/36, LE-counting ngers, both eyes IOP before mydriasis on NCT was 18 mmHg, which was found to be raised to RE-25mmHg, LE-22mmHg after mydriasis. The anterior chambers of her both eyes were shallow, Fundus revealed bilateral glaucomatous cupping [RE-0.9:1, LE-0.7:1]. Patient had similar symptoms experienced in the past, for which she had taken modern medicinal treatment for short and at irregular intervals. She had undergone visual eld analysis and OCT of both eyes six years ago, stating bilateral glaucomatous advance changes. She had started local antiglaucoma eye drops with which the IOP came to near normal. [RE-18.9 mmHg, Le-14.6 mmHg] The patient was advised to take Ayurvedic treatment along with routine antiglaucoma medicines specially from systemic health and neuro protection point of view. She was also advised on systemic Shaman cikitsa and local treatments including Bidalaka, Shirotarpana, Anjan. She also underwent Basti cikitsa for 16 days. She responded well to this integrative line of treatment. Marked visual recovery was noted both on Snellen's chart as well as in eld analysis within 4 months after starting Ayurvedic treatment which sustained thereafter.
Effect of Ayurvedic medicine in the management of Vartma Sharkara with special reference to conjunctival concretions.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Surangi, K.G.; Shamsa, F.
Vartma Sharkara is one of the Sannipataja Vartmagata Roga and is a curable disease by Lekhana Karma (scraping procedures). It can be correlated with “conjunctival concretion” which is a degenerative condition of the conjunctiva. Treatments are not essential if it is asymptomatic but if it gives symptoms, concretions should be removed by hypodermic needle which causes conjunctival damages and sometimes conjunctival inammation. Thus this study was designed to develop a successful, safe and sustainable line of treatment in the management of conjunctival concretion according to the principles of Ayurveda. The study was carried out as case studies with 10 patients at the eye OPD of NIA, Jaipur as per the exclusion and inclusion criteria. All the assessments were done with self-designed scoring system as before treatment, after treatment and after the follow up period. The line of treatment was mainly focused on Shodhana, Lekhana and Santarpana type of medicines. Hence Samudraphena Varti Pratisarana and Anjana, Thriphaladi Netra Parisheka and Ashwagandha–Shatavari powders were selected. The duration of trial depended upon the severity of the disease. The uniqueness of this therapy was that conjunctival concretion can be removed without causing any damage to the conjunctiva and without antibiotics being given. The number of times of Pratisarana depended on the severity of the disease. Those which were at the level of conjunctiva were managed by using Samudraphena Varti Anjana. Rasayana property was helpful for preventing recurrence. It can be concluded that Vartma Sharkara or conjunctival concretion can be successfully managed with Ayurvedic treatments without any adverse effects.
The effect of Chatur Sneha in the management of Netra roga.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Balasooriya, M.G.D.N.; Premarathna, W.G.L.U.; Muthugala, S.K.R.
The ve main sensations obtained from the sensory organs are the taste, fragrance, vision, sound, and touch. From these senses, the vision is very important and it is perceived by the eyes located in head region. Any disturbances to this area lead for the mismanagement of day to day activities. Mahasneha is widely used in the management of Urdhvajathrugatha roga because it has Snigdakaraka, Jeevana hita, Varnakaraka and Bala-pushti Vardhaka Guna. Grtha, Taila, Vasa and Majja are the four types of Mahasneha. The aim of this study was to nd out the mostly used drug and its qualities among Chatur Sneha in treating Netra Roga. This study was carried out as a literary review. The study consisted of two steps. Primary data were collected through Bruhattrayee, while secondary study was done to nd out the values and qualities of widely used Maha sneha and to understand the rationale behind Maha Sneha in the treatment of Netra Roga. Ayurveda and modern books and World Wide Web were used to collect secondary data. In Akshi Roga Cikitsa, according to Carakasamhita, there are 6 external applications using Grita. Vidalaka, Rasakriya and Anjana mentioned in Carakasamhita use Grita. According to Susruta Samhita there are 8 internal applications and 31 external applications in Chatur Sneha. Among internal applications Grita is included in 87% applications. Among external applications it is 80%; Anjana and 13% Ashchotana formulas of Ghee. According to Ashtanga Hridaya Samhita, Chatur Sneha is used in 22 external applications and 14 internal applications. Ghee is the main drug of over 80% external applications. Anjana (65%) and Tarpana (15%) are the major external applications which include ghee. Therefore, it can be concluded that, according to Brhattrayee, ghee is the mostly used Sneha among Chatur Sneha in treating Netra Roga internally and externally. Ghee possesses Yogavahi and Sanskara Anuvartana Guna and increases absorption efciency in lipid media.
Study of acute and 28 days repeated oral toxicity of Siddha formulae Seenthilchooranam in Wistar albino rat.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Ushakanthan, S.; Visweswaran, S.; Sivakkumar, S.; Mariyappan, A.; Banumathi, V.
Seenthil Chooranam is one of the traditional Siddha formulae used in various kinds of diseases in Siddha system of medicine. The test drug Seenthil Chooranam (Chooranam-one of the 32 types of internal medicine), mentioned in classical Siddha text Agasthiyar Paripuranam – 400, is used for Megam (diabetic mellitus), Eelai (tuberculosis), Kasam (cough), Elaipu (bronchial asthma),Erandavayu (scrotal swelling). The ingredients of this formulae include Seenthil (Tinosporacordifolia), Karisalai (Eclipta Alba), and Earthworm (Eudriluseugeniae). The present studyaimed at evaluating the safety of Seenthil Chooranam as per OECD Guidelines 423,407. This study focused on acute and repeated dose 28 days oral toxicity studies in wistar albino rat. In acute study, Seenthil Chooranam was administered orally at the dose of 2000mg/kg. b.w and animals were observed for toxic signs for a period of 14 days. In repeated dose 28 days oraltoxicity study, Seenthil Chooranam was administered at the dose of 900mg and 1800mg/kg b.w.Mortality, toxic signs, body weight, food and water consumption, haematological, plasma biochemical parameters, gross necropsy, relative organ weights and histopathology were assessed. The results of these studies revealed that the drug Seenthil Chooranam did not produce any death at the dose of 2000mg/kg body weight. The LD value is greater than 2000mg/kg body 50weight. Repeated dose 28 days oral toxicity study was observed without any abnormalities and No-Observed Adverse Effect Level (NOAEL) was noted. It conrms the safety of the drug which proved its utility in long term administration without any harm to the human being.
Utility of Dhooma preparations in the treatment of Nāsa Roga in indigenous medicine in Sri Lanka.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Pathirana, K.P.M.P.; Jayasinghe, J.M.P.R.K.
There are medicinal preparations used as Dhooma in the treatment of Nāsa Roga according to classical texts. The aim of this study was to analyze the availability of herbal and mineral ingredients used to prepare Dhooma and to evaluate their usages for Nāsa Roga. This was a literature based study and the primary data were collected through indigenous classical texts such as Sārārtha Sangraha, Yogārnava, Yogarathnākara, Varayogasāra, Sārasankshepa and Bhaisajamanjusha. Collected data were comparatively analyzed and demonstrated to identify the availability of different types of ingredients and commonest ingredients in selected formulas. According to data, 16 Dhooma formulas were identied. 07 formulas have been mentioned in Sārartha Sangraha, 05 in Yogarathnakara, 03 in Yogārnava and 01 in Varayogasāra. These formulas are used as Choorna, Pottali and Veti preparations. (13 formulas are Choornas) 48 ingredients were identied in Dhooma. Inguru, Gammiris, Tippili, Walangasahal, Gugul, Perunkayam, Wadakaha, Kaluduru, Sudulunu, Manosheela, Hingula, Gendagam and Sīnakkaram are the commonest ingredients found in these formulas. These preparations can be categorized according to different types of Nāsa Roga. 06 preparations are used for Prathishya, 05 for Pinasa and 02 for Nāsa Srāwa; Puyarakkta, Kshawathu, Bransha, Deepthanasikya 01 for each. Considering the Panchapadārtha of mostly used ingredients, 100% of dravya contain Katurasa and 61% contain Tiktarasa. Katu and Tikta perform Vatavruddhi and Kaphakshaya. The properties are 92% Laghu and 69% Tikshna. Laghu increases Vāta, reduces the thickness of Kapha. Tikshna helps in excreting vitiated Kapha. Ushna Veerya contains 92% of ingredients that help in Vātānulomana and Kaphanissarana. It also helps in reducing the thickness of Kapha. 84% of ingredients contain Katuvipaka and helps in increasing Vāta. According to the available data, Rasa, Guna, Veerya, Vipaka of the ingredients used in Dhooma help to reduce the thickness of vitiated Kapha and they are excreted by the increased Vātadosha.
Potency of Kalludaikudori Maththirai, a herbo mineral Siddha formulation in the management of Kalladaippu Noi (Urolithiasis): a drug review
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Janani, S.; Niruba, K.
Siddha medicine is one of the oldest medical systems in the world. Siddha system is the science which takes human and nature as part of closed system. Siddha insists on leading a healthy life both physically and mentally by keeping pace with the laws of nature. Siddhas have classied 4448 diseases, based on the three humoral pathologies. Among them Kalladaippu Noi is classied under Neerinai Aukkal Noigal. According to Siddha dietary factors play a vital role in the formation of Kalladaippu Noi. Also Pitta humor is said to be the major causative factor of this disease. Many formulations are indicated for Kalladaippu Noi in Siddha literature. Kalludaikudori Maththirai is a herbo mineral drug indicated for Kalladaippu Noi. Kalludaikudori Maththirai is used to remove the urinary stones from the urinary pathway. It contains four ingredients; puried Rasam (Mercury), puried Kanthakam (Sulphur), Vellai Saaranai (Boerhavia diffusa) and Sirupeelai (Aerva lanata). The aim of the study was to review the existing Siddha herbomineral formulation, 􀀂Kalludaikudori Maththirai'' with evidence from the text 'Siddha Vaidya Thiraddu''. The data were obtained from research articles and the globally accepted website such as PubMed, Medline, and Meddler. According to the pharmacological studies, the ingredients are very effective for anti-urolithiasis (Lithotriptic), diuretic and anti-inammatory activities. According to Siddha literature, the main ingredients of Kalludaikudori Maththirai consist of the action for elimination of vitiated Pittam. This review is an initial step towards, scientically analyzing 􀀂 Kalludaikudori Maththirai” in the management of Kalladaippu Noi.
The importance of Dinacharya as a preventive measure for Urdhvajathrugata Roga according to Carakasamhitha.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Premarathna, W.G.L.U.; Balasooriya, M.G.D.N.; Muthugala, S.K.R.
“Swasthasya Swasthya Rakshanam” is an important aspect of Ayurveda. “Swasthya” means the person who has balance with Dosha, Agni, Dhatu, Mala, Atma, Indriya and Manas. Any imbalance leads to manifestation of diseases. Urdhvajathrugata diseases caused due to occupation are common for head and neck region. Matrashitiya Adhyaya carrying Swasthya Rakshanam Vidhi is included in Caraka Sutrastana. Anjana, Dhuma Pana, Danta Dhawana, Nasya, Gandusha Dharana, Karna Purana, Abhyanga, Shirsha thaila Abhyanga are some of the preventive measures mentioned in Matrashitiya Adhyaya. There is a direct link between these methods and Urdhvajathrugata diseases. The aim of this study was to study the importance of following Dinacharya as a preventive measure for Urdhvajathrugata Roga. This study was a literary review which was carried out under several steps. Firstly, Carakasamhita was referred to study the Dinacharya mentioned in classics. Secondly, each Dinacharya Vidhi was studied one by one by referring to Ayurveda texts. Anjana, Pada Abhyanga, Vahan Dharana contribute to improve the eye sight. The relation between how Pada Abhyanga and Vahan Dharana help to improve eye sight can be explained in terms of reexology. Gandusha Dharana, Danta Dhawana, Tambula Bhakshana contribute to improve the oral health. Nasya and Dhuma Pana helps to prevent from nasal diseases and head diseases. Shirsha Taila Abhyanga also helps to prevent from Shiro Roga. To prevent from ear diseases Karna Purana is essential. Chathra Dharana contributes to combat diseases such as Abhishyanda, Peenasa and Pratishya. Snanaya is effective for general health and Mala Dharana and Nirmal Vastra Dharana for mental health. Karna Abharana indirectly helps to improve eye sight. Thus Dinacharya is very useful in preventing from Urdhvajathrugata Roga.
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).
Clinical efficacy of Ayurvedic management in digital eye strain and visual fatigue
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Sunita, V.M.
With the advancement of digital technology, many individuals suffer from physical eye discomfort, visual fatigue, dry eye after screen use for longer than two hours at a time. The Vision Council refers to this collection of symptoms as digital eye strain. The Vision Council's 2014 Digital Eye Strain Report suggests that nearly 70 percent of American adults experiences some form of digital eye strain due to prolonged use of electronic devices including desktop and laptop computers, smart phones, e-readers, television and videos. The study found that adults are most likely to experience digital eye strain in between 6 p.m. to 9 p.m. The number of people subjected to a signicant amounts of on-screen work with digital eye strain and visual fatigue is currently increasing. Improper use of sense organs, violating the moral code of conduct, and the effect of the time are the three basic causative factors. No remedial measures for the cure of this pathology prevail in the domain of modern medicine except using ocular surface lubricants and computer glasses in spite of remarkable progress and advances in the eld of modern ophthalmology. On the basis of critical analysis of the symptoms of Digital Eye Strain on tridosha theory of Ayurveda, it seems to be a Vata–Pittaja ocular cum systemic disease. Jeevantyadi Ghrita (orally), Jeevantyadi Ghrita Netra Tarpana (topically) and counseling regarding proper working conditions on computer were tried in 30 patients, suffering from Digital eye strain. In group I, where oral and local treatment was given, signicant improvement in all the symptoms of Digital eye strain was observed whereas in groups II and III local treatment and counseling regarding proper working conditions, respectively, were given and showed insignicant results. The study veried the hypothesis that Digital Eye Strain from Ayurvedic perspective is a Vata- Pittaja disease affecting mainly eyes and body as a whole and needs a systemic intervention rather than topical ocular medication only.
Management of Arma with Nayansukha Varti Anjan: a clinical study.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Patel, R.S.; Sisodiya, Y.K.; Firke, T.
Eyes are the most sensitive and vulnerable part of our body. Air born infection, UV rays, pollutants, dust and other particles can land directly on the surface of eye, causing eye disease. Arma is dened as gradually developing continuous wing like growth in Shukla Mandala from either Kaninika Sandhi (inner canthus) or Apang Sandhi (outer canthus) towards KrishnaMandala, causing discomfort in eye. Pterygium is found in people residing tropical and subtropical area. Risk factors include outdoor work, exposure to sunlight, dry and dusty climatic etc. Due to geographic and climatic conditions, Pterygium is a common ocular disorder in India. Ayurvedic science can be explored to nd a better alternative to manage this condition. Arma which is at early stage having thin membrane and curd like bluish/ red coloured and smoky should be treated with Lekhana Anjana and recurrent rate is very low after Anjana Kriyakalpa.Considering all these facts Nayansukha Varti Anjana was selected for Arma Chikitsa. In thepresent study, 10 patients of Arma were selected and administered Nayansukha Varti Anjana(Pradhan Karma) after Deepan-pachan and Nasya Karma (Poorva Karma) and ShamanaChikitsa with Triphala Churna. Nayansukha Varti Anjana have Lekhaniya and Rasayana property which is useful in Arma Chikitsa. A signicant relief was found in signs and symptomsof Arma after the treatment and no any adverse effects were found after treatment. Drugs used intreatment are easily available and cost effective.
Role of three Ayurveda regimen in the management of scaling condition of Sidhma Kushta (Psoriasis).
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Jayakody, J.A.D.P.P.; Seneviratna, N.A.K.P.J.; Akarawita, J.K.W.
Psoriasis, generally referred to as 'Potu Kabara' in Sri Lanka, corresponds with Sidhma Kushta in terms of a number of distinguished symptoms elaborated in Ayurveda classics. This study aimed at evaluating the efcacy of three Ayurveda regimen in the management of scaling condition of Sidhma Kushta. The study was carried out at the skin clinic of Gampaha Wickramarachchi Ayurveda Teaching Hospital, Yakkala, Sri Lanka. One hundred and ve patients were selected and randomly divided into three equal groups; A, B and C. All were given selected Ayurveda regimen as an internal mode of therapy while separate external applications viz. EA1 (Takradhara), EB2 (Takra Lepa) and EC3 (Raw herbals boil water) were given separately for each group for a period of three months. Healing effect was monitored by observing the clinical symptom of scaling. Data were collected by using PASI scale. Clinical outcomes were statistically analyzed using a non-parametric test, Wilcoxon Sign Rank Test and parametric tests such as ANOVA, Paired t-test, Pooled t-test. All the treatments given in three groups positively responded from the rst week for the symptom of scaling of the patient's head, upper limb, trunk and lower limb. (P-value 0.000 for each group). It can be concluded that all three treatments can be effectively used in the management of the symptom of scaling.
Irsal e alaq (Hirudo therapy) on Maa e Aksar (glaucoma): a scientic review.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka., 2017) Shifra, A.S.F.; Ayshah Fazeenah, A.H.
Maa e aksar (glaucoma) is caused by either increased production or reduced absorption of rutubat (uid) which makes an accumulation inside the eye ball that produces tanao (tension) and constructs the eyeball hard. It results in zoa'f e basar (weakness of vision) and maidan e basarat (narrowing of visual eld). This condition corresponds with glaucoma in allopathic medicine and is dened as a group of conditions characterized by typical changes in the retinal nerve bers and optic nerve head resulting in reduced visual eld, progressive and irreversible vision loss. Its enormous social and economic impact can be acceptable by the fact that it remains as the second leading cause of blindness globally, after cataracts. In 2013, the number of people aged 40-80 years with glaucoma worldwide was estimated to be 64.3 million, increasing to 76.0 million in 2020 and 111.8 million in 2040. Mostly, glaucoma is asymptomatic; generally patients may have complaints like blurred vision, hardness to see in dark, tearing, soreness / tiredness, pain in the affected eyes or frontal portion of the head, feeling of something in the eye and observing the rainbow halos around the light. The treatment is in contrast to nature and Mizaj (temperament) of the disease. Therefore, the elimination of the root cause is the main treatment modality. Despite the use of numerous newer therapeutic regimens, it has remained confronted because of waning of the sensitive part of the eye. The holistic approach of Unani treatment will have a thriving management of diseases with temperamental afliation and its evidences were found throughout the history. Irsal e Alaq (hirudo / leech therapy) which is one of the most important and widely practiced methods used for local evacuation of morbid (invalidated and waste) matter with the use of medicinal leech, has proven efcacy in Maa e aksar, but lacks scientic evidence for validation. The present literary review was based on Unani classical texts, electronic databases of Google scholar, PubMed and through web search. This review aims at highlighting the concept of glaucoma with special reference to Maa e aksar and its management through Irsal e Alaq.
A case study of CRAO Sequel-Macular Oedema with ERM: an integrative treatment Approach.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Abhyankar, P.; Pawar, R.; Baviskar, H.
A female patient, 43, non-diabetic, non-hypertensive experienced RE-sudden loss of vision in May 2016. Her vision at that time was found to be RE-counting ngers, LE-6/5p, near vision with presbiopic correction +1.50D for RE-N36p, LE-N6. On examination, the patient was diagnosed as RE-Central retinal arterial occlusion with cherry red macular hemorrhage and retinal oedema. She was referred to vitreoretinal surgeon and on his recommendation, she was given LASER treatment after 2 days. She also underwent intravitreal [IV] injectables twice to reduce retinal oedema. With this treatment, her vision was improved to 6/12p, N10. But she had RE-oaters in vision as a new symptom; on examination RE fundus showed macular oedema and epiretinal membrane [ERM] involving partial macular area. The patient underwent OCT to determine severity of macular oedema and other structural pathology. As there was limited relief with IV injectables, she was advised to take Ayurvedic treatment for further improvement in vision and to get rid of other symptoms as an alternative and complementary treatment. The patient was advised only systemic Ayurvedic Shaman treatment and no local treatment was given. She was advised to take Ayurvedic medicines which included Chandraprabha Vati 250mg 2 tabs twice a day, Manjisthadi Vati 750mg 1 tab twice a day, Nimbamrutadi Vati 750mg 1 tab in the morning and 2 tabs at bed time, Amalaki Ghana Vati 250mg 1tab in the morning and 2 tabs at bed time, Gomootra Haritaki 150mg 2 tabs twice a day (All tabs with lukewarm water as Anupana) and Timir Ghrita 10ml bed time with lukewarm milk. This treatment continued from October 2016 to April 2017. With this treatment, her vision improved to 6/6p, N8 in March 2017.She was advised to continue same medicines along with addition of tab Vasanta Kusumakar 40mg at bed time and tab Yashtimadhu Ghana 250mg twice a day. Follow up was done in April 2017, where she had vision in RE 6/6, N6. Her fundus showed regression of ERM with decrease in macular oedema which was conrmed on OCT.
Scope and role of dietary and daily regimen in prevention of life style eye disorders: a literature study.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Rathnayaka, R.L.Y.U.; Vaghela, D.B.; Chudasama, K.
Ayurveda is a holistic healing science that emphasizes the importance of healthy lifestyle in preventing disease. Faulty lifestyle (diet and behavior) are major factors leading to many diseases. Smoking cigarette, tobacco, alcohol consumption, high fat and junk food, lack of exercise, chronic stress, prolong exposure to bright light, working in computer for long time etc. may also increase the risk of developing certain diseases, (diabetes mellitus, cardiovascular and kidney disease, cancer etc.) Vision is also affected; among them ocular disorders are more prevelant in modern era, like Age Related Macular Degeneration, Diabetic and Hypertensive Retinopathies, Computer Vision Syndrome, Dry Eye Syndrome and Infectious eye diseases. For preventing from this type of eye diseases as well as maintaining ocular health, wealth of details are found in various types of classical texts of Ayurveda. Among them Dinacharya (daily regimen), Ritucharya (seasonal regimen), specic ocular therapies (Kriyakalpa) and various type of Chakshshya and Rasayana drugs, special types of Pathya Apathya Vidhi are useful to maintain ocular health and improve vision. Publicity of these techniques using appropriate media would benet the general population by giving more condence on Ayurveda practices, thus preventing from various types of lifestyle eye disorders. In the present study, daily regimen, Kriyakalpa, Pathyapthya, Chakshusya and Rasayana are described in detail.
Microbiological study of an indigenous mouth wash (Gandusha) used in periodontal diseases.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Dewasurendra, D.M.W.; Peiris, K.P.P.; Karunarathna, E.D.C.; Sudesh, A.D.H.
Mouth wash (Gandusha) is clinically effective in the management of periodontal diseases. This study is an in-vitro analysis on determining the antimicrobial efcacy of this drug using standard Antimicrobial Sensitivity Test against a fungal culture isolated from a patient. The test was performed according to the Well diffusion method having 6mm diameter wells on Sabouraud Dextrose Agar (SDA). Each well was loaded with the test drug mixed in 20μl of sterile distilled water and uconazole 2.5mg / ml was used as the positive control. According to the results, the test drug showed an average Inhibition Zone Diameter (IZD) of 19mm while the positive control showed IZD of 15mm. Therefore, it can be stated that the test drug is more effective than the positive control and the isolated culture is sensitive to the test drug as it had shown an IZD of 19mm while it is intermediate sensitive for the positive control as 15mm comes under Intermediate sensitive range (15-18mm). These results support the claim that the indigenous mouth wash (Gandusha) is effective in the management of periodontal diseases.
Efficacy of Lakshadi Lepa on controlling mild acne.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Saranga, R.G.S.
In the young age both girls and boys are mostly affected by acne. According to Ayurveda, young age can be described as Pitta Pramukha duration. Cosmetics and acne care treatments are invented every day, but most are not successful. Ayurveda treatments are developed on the basis of Tridosha concept. Acne develops due to blockage and inammation of pilosebaceous units. Lakshadi Lepa, mentioned in Ayurveda pharmacopeia is prescribed to cure the inammatory conditions. But it is still not prescribed to mild acne. Pathology that develops in acne is an inammation. A total of 40 patients between 12-25 years with mild acne on the face were selected. Testing group was treated with cleanser formula of Ayurveda, gentle soft massage with steam, and Lakshadi Lepa collected with bee honey and few drops of lemon juice. Lakshadi Lepa was produced with lac resin, Saussurea lappa root, Brassica nigra, Curcuma longa rhizome, Zingiber officinale rhizome, Piper nigrum seeds, Piper longum roots, Senna alata leaves. Preparation method of Lakshadi Lepa was not changed. The pack was kept for 40 minutes and removed by normal cool water. The same procedure was used in control group except the pack. Bee honey was applied as a pack to control group. Cleansing the face and applying the pack was repeated for seven days. After 3, 5 and 7 days, improvement was checked by skin analyzing instruments. Lakshadi Lepa effectively managed the mild acne within the rst day. After 3 days it was 20%, 5 days it was 50% and 7 days it was 80% and no inammatory lesions could be noted. It produces better results on papule of acne than on pustule. Therefore, to control acne in teenage, Lakshadi Lepa is more effective than other external treatments.
Antenatal care for reducing ocular and auditory disorders.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Kadam, S.
The aim of Garbhini paricharya is to maintain a healthy progeny, i.e., child having long life, good health and fortune, power of supremacy, energy, complexion and healthy sensory organs. Health of all sensory organs (Indriya) of individual can be affected by various factors like Beeja vikriti, diet consumed by mother during antenatal period, consumption of garbhopaghatakarabhavas and diseases occurred during pregnancy. These factors can lead to some disorders of eye or ear, which in turn can affect the whole life of the individual. With the help of Ayurvedic principles, it is possible to prevent from some of these eye and ear disorders to be transmitted to the foetus. For prevention of these disorders, several steps can be followed; preconceptional care, antenatal care and intrapartum and postpartum care. In families having history of eye or ear disorders, preconceptional panchakarma therapy to conception willingcouple and some medicines can be used for preventing transmission of such disorders to the foetus. According to Ayurveda, Indriya utapatti in foetus takes place in the third month and its upachaya in fourth and fth months. During this period, it is important to prescribe specic diet, herbs which can increase the strength of particular organs in order to control some ophthalmic and auditory disorders. An attempt is made in this paper to elaborate the conceptual study of the etiological factors which can affect the functions of eyes and ears. Several measures are suggested to be followed during prenatal and natal period which can increase the strength of these organs and achive Indriyasampannata.
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.
Ayurvedic management of Branch Retinal Vein Occlusion: a case study.
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Abegunasekara, N.S.; Peiris, K.P.P.
Branch Retinal Vein Occlusion (BRVO) is one of the major causes of sudden painless loss of vision after diabetic retinopathy. Two third of patients with ischemic BRVO are prone to blindness.There has been no treatment identied so far to reverse open the blocked vessels to maintain perfusion and the available treatment modality (laser photocoagulation) is not effective in the absence of macular perfusion. The purpose of this study was to evaluate the efcacy of selected Ayurveda modalities in the management of BRVO and to study the pathogenesis of BRVO. A 68 year-old male patient with unilateral BRVO reported to the Shalakya clinic, having a visual acuity 3/60 in right eye and 6/24 in left eye with distorted vision and visual eld defect. His near vision was CF in right eye and N8 in left eye. The patient did not have any other complications such as diabetic, hypertension or any other systemic disease. He was administrated with selected Ayurveda modalities for three (03) months continuously. Treatment protocol consisted of local and systemic therapies. After 14 days of therapy, there was marked improvement of visual acuity. At the end of follow-up period complete remission of symptoms was observed. Thus it is concluded that the treatment protocol which was used to treat the patient was effective in the management of BRVO.
The efficacy of Rakta Apamargadi Dhooma Varti in the management of Nasa Arsha (Nasal polys).
(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Ranasinghe, R.H.S.; Peiris, K.P.P.
Nasal Polyps represent a challenging diagnosis for the physician to treat. Management of nasal polyps forms a large part of the workload due to non-availability of successful treatment modalities with reincarnation of removed polypoidal tissues. Among Ayurvedic treatments, fumigation treatment (Dhoopana Kalpana) was used in the management of Nasa Arsa. This study aimed at introducing a new treatment modality with new formulation Rakta Apamargadi Dhooma Varti. It has been practiced clinically in Shalakya clinic at Gampaha Wickramarachchi Ayurveda Hospital, though not statistically evaluated. In the clinical study, 20 patients were selected in age group between 16-60 years irrespective of their sex, religion, occupation and habitat etc. They were randomly divided in to two groups and a detailed research performa was prepared incorporating all the relevant points to study the patient as well as the disease. Group A was treated with Rakta Apamargadi Dhooma Varti for fumigation treatment with Thamalakyadi Phanta and Seetarama Vati. Group B was treated with above internal medicine without fumigation. All of them completed the treatment accurately within two weeks and the follow up study continued up to one month. After the treatment, the size of the Nasa Arsha was assessed on the basis of the anterior rhinoscopic examination with pre and post photographs and by assisting special symptom wise questionnaire, Nasal Obstruction Symptom Evaluation (NOSE) instrument/scale with visual analogue scale and tested blood for WBC/DC levels as special investigation. According to the analysis, fumigation treatment had shown signicant results for nasal obstruction and reducing the size of the polypoidal sprouts. However, while considering the other symptoms such as headache, running nose, sneezing and itching of eyes Group B too has shown considerable improvement.