1st-2017
Permanent URI for this collectionhttp://repository.kln.ac.lk/handle/123456789/17673
Browse
Item Analysis of the properties of Tamalakyadi Kvatha: a critique.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Ranasinghe, R.L.D.S.; Ediriweera, E.R.H.S.S.Tamalakyadi Kvatha is one of the popular decoctions among Ayurveda physicians. It is commonly used for ailments such as Peenasa, Arsha, Shwasa, Kasa and Agnimandya. This comprehensive overview is a step towards analysing Ayurveda pharmacodynamic properties, phytochemical content and bioactivities of the ingredients of Tamalakyadi Kvatha and its utility in the selected diseases. Data were collected from authentic Ayurveda texts and electronic sources. It covers the entire plants of Phyllanthus amarus and Solanum xanthocarpum, pericarp of Terminalia chebula, roots of Solanum trilobatum, Solanum melongina, Adhatoda vasica, Piper chaba and Clerodendrum serrutum, fruits of Piper longum, rhizome of Zingiber officinale, stem of Tinospora cordifolia, and seeds of Piper nigrum. With the predominance of Tikta Rasa (67%), Katu Rasa (67%), Laghu Guna (92%), Ruksha Guna (75%) and Katu Vipaka (50%), Tamalakyadi Kvatha pacies vitiated Kapha Dosha. Due to its Ushna Veerya (75%) it pacies both vitiated Kapha and Vata Dosha. Madhura Vipaka (50%) is capable of pacifying vitiated Pitta Dosha. It also has Deepana (83%), Pachana (83%), Shwasahara (58%), Vatanulomana (58%), Kasahara (50%), Kaphaghna (50%), Jvaraghna (33%) and Sirovirechana (32%) properties. The ingredients are rich with valuable phytochemicals viz; alkaloids, avonoids, glycosides, tannin and volatile oils. These phytochemicals are scientically proven to possess anti-inammatory, anti-cholinergic, antioxidant, antimicrobial, diuretic and hypoglycaemic activities. Therefore, it can be justied that due to its pharmacodynamic properties and bioactivities Tamalakyadi Kvatha can be specically used in the management of Vata Kapha Janya diseases. The administration of this Kvatha is useful in Agnimandya and Arsha since it possesses the properties of Agnivardhaka.Item 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.Item 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 specic 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.Item Antibacterial activity of two different Prathisaranas against periodontitis.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Abegunasekara, N.S.; Peiris, K.P.P.; Sudesh, A.D.H.'Kushtaadi Choorna and Shwethamanjana Choorna' are used in the treatment ofDanthamulagatha Roga such as Sheethada, Danthaweshta and Upakusha. These formulations are used specially as a local treatment. Staphylococcus aureus and Methicillin resistant Staphylococcus aureus (MRSA) are main causative organisms of periodontal diseases. The present study was carried out to determine the antibacterial activity of Kushtaadi choorna andShwethamanjana choorna using agar well diffusion method in comparison with standard antibiotic Amoxicillin against the Staphylococcus aureus (ATCC 25923) and Methicillin resistant Staphylococcus aureus (MRSA). The samples of Prathisarana were prepared in ne powder form, Amoxicillin as positive control and triplicates were made for each test. Observation was recorded by measuring the diameter of the inhibitory zones surrounding the wells. According to the results, inhibitory effect of both Prathisarana samples were signicantfor Staphylococcus aureus and Methicillin resistant Staphylococcus aureus (MRSA).Item Application of special Ayurvedic treatment procedures for enhancement of quality of Uttamanga.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Punchihewa, S.G.The human being, the most complexed creature in the world, has excellent brain functions including the ability of literacy, speaking, thinking, creativity, sensibility, technical knowledge and many more. With the evolution of the world, God Mahabrahma presented this unbelievable gift to mankind. Since then the human used and exploited his brain to fulll his needs and appetence, not only for constructive purposes but also for destructive purposes changing this world to its present state. As a result, people are suffering from numerous medical problems which further develop competitiveness, sedentary and comfortable life style, stress and unsatised egos etc. Among all these countless disorders, those which affect Uttamanga (Head)should be given prime concern. Skin, Nethra (eye), Karna (ear), Nasa (nose) and Mukha (mouth)are the main doors which inuence the brain and lead not only for the causation of Urdhvachatrugata diseases but also for other physical illnesses. 'Stress' is a mental condition which can destroy the man within few seconds. Most non-communicable diseases and occupation AL diseases too are stemming from these organs as a result of stress. Modern science and technologies have failed in nding solutions for these problems. But Ayurveda system explains and clearly advocates effective measures to prevent and overcome all such diseases by using powerful therapeutic techniques. Shiromurdha Thila treatment (for head), Vakthra Vimardhana(for face), Akshi Tharpana (for eyes), Karna Poorna (for Ear), Nasya (for nose) are some of them. Ayurvedic medicine has very powerful therapeutic methods which revealed primary importance in self - care and self - healing individualized system. The preventive measures ofUrdhva-chathrugata diseases from great Vedic tradition must be identied.Item Ayurveda management of chronic headache: a case report(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Dhiman, K.Chronic headache is termed as a headache experiencing for fteen or more days per month. It is estimated that chronic headache affects 4% to 5% of general population. A 58 - year old workingwoman visited for Ayurveda management with the complaint of headache with insomnia. Her history and clinical examinations revealed that she was having history of being unable to sleep and headache for last 4 -5 years. She was being treated at Modern Medical Institute, New Delhi for last 3 -4 years. Sedatives and pain killers had been prescribed to her and had taken since the treatment started from modern hospital. Being within the age group of menopausal age, she was given counseling and Ayurvedic management based on Ayurveda principles. Within weeks of Ayurveda management she received relief and all the allopathic medicines were gradually withdrawn.Item Ayurvedic management of Ardhavabhedaka (Migraine).(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Vaghela, D.B.Ardhavabhedaka denes Ardha Mastaka Vedana. Migraine, the most common cause of vascular headache aficts approximately 15% of women and 6% of men. Migraine can often be recognized by its activators like stress, lack of sleep, worries, red wine, menses, estrogen etc. and by its deactivators like sleep, relaxation, meditation, pregnancy, exhilaration and drugs. Modern life style and stress are the main causative factors for the condition. Many medications have been tried and a many are still under research, but modern drugs are not acceptable due to their inherent drawbacks. In contrast, Ayurveda has a variety of natural medication in the treatment of Ardhavabhedaka. It was planned to compare the results between Laghu Sutashekhara Rasa orally in Group A, Brihat Dashamoola Taila Nasya in Group B, placebo drug in Group C and Goghrita Nasya in Group D. Total 150 patients were selected. The overall effect of therapy showed that in Group A, 38% patients cured while 36% patients showed marked improvement. In Group B, 46.67% patients moderately improved while 35.55% patients showed marked improvement. In Group C, 90% patients did not show considerable change. In Group D, 48.89% patients moderately improved and 28.89% patients showed marked improvement. No any adverse drug reaction was found during the whole study. From the results and observation it can be concluded that Group A shows better results in Ardhavabhedaka.Item 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 identied 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 efcacy 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.Item Ayurvedic management of Stargardt disease: a case report(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Adithya Babu, P.T.P.Stargardt disease is the most common form of inherited juvenile macular degeneration which causes progressive vision loss. Mutations in ABCA4 gene cause the production of dysfunctional protein that cannot perform energy transport to and from photoreceptor cells in the retina and the photoreceptors in turn undergo degeneration causing vision loss. Symptoms typically develop in the rst to second decades with bilateral, gradual impairment of central vision which may be out of proportion to the macular changes, so that the child may be suspected of malingering. Though the disease is considered rare, it is not so uncommon and is very troublesome to the affected. The most alarming part of this disease is that there are no treatments available in modern ophthalmology. Using magniers and sunglasses may give some relief. The role of Ayurveda is crucial in this case in providing some measures to prevent the progression of the disease. From the Ayurvedic perspective, the condition is to be discussed under the concept of Timira-Kacha- Linganasa. The signs and symptoms may contribute to the involvement of tridosha vitiation. If there are changes in the retina which are irreversible, the disease may be considered sannipatika. Here the case of a 15 year old girl is discussed who presented with dimness of vision and increased sensitivity to glare and fundus changes which are suggestive of Stargardt disease. She positively responded to the proposed Ayurvedic management procedure.Item Ayurvedic perspective of the relationship between periodontal disease and cardiovascular disease(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Sadungama, M.K.N.G.; Madushani, P.U.Periodontal disease is one of the diseases of mouth region, which is also known as ''gum disease'' and in Ayurveda it falls into the category of ''Dantamoolagata roga''. Periodontal diseases are infections of the structures around the teeth, which include the gums, periodontal ligament and alveolar bone. Recent researches have recorded that periodontal disease has been associated with an increased risk of cardiovascular events and is highly prevalent among patients of chronic heart failure. Theoretically, the inammatory proteins and the bacteria in the periodontal tissue that enter the blood stream can cause various effects on the cardiovascular system. The aim of this study was to interpret the relationship between periodontal disease and cardiovascular ailments from Ayurvedic perspective. Ayurvedic classics were used as the primary sources and research papers published on the relationship between periodontal disease and cardiovascular disease were the secondary sources. Ayurveda has not directly or indirectly mentioned any relationship between periodontal disease and cardiovascular disease in any text and no research had been published on the same. In the present study, aconceptual pathway was design where Mukharoga nidana can lead to produce Agnimandaya due to vitiated Kapha dosha, Pacaka pitta and Raktha dhatu. Ama produced due to Agnimandya can create an unwholesome biochemical atmosphere that is friendly for growth of pathogenic bacteria and a mixture of inammatory proteins that can be harmful. The bacteria found in periodontal disease play a role in strokes that spreads to the heart. When Amavisha enters the Raktha Dhatu it acts as an antigen and produces antigenantibody complex that leads to cellular and tissue level changes in cardiovascular system. It can be concluded that the relationship between periodontal disease and cardiovascular disease is possible to be described from Ayurvedic perspective.Item 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 conrmed on OCT.Item Chakshushya Dravya guidelines for health promotion of eyes.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Ramteke, R.B.; Vaijwade, A.P.Various Chakshushya Dravyas have been described in Ayurvedic literature both in Bruhatrayi and Laghutrayi. Bhavprakash Nighantu is one among these Samhitas of Laghutrayi. This Bhavprakash Nighantu mainly deals with Dravyaguna. Due to its Karmapradhanya, Bhavprakash Nighantu was selected for this study. Two types of Chakshushya Dravyas have been described in this Nighantu, one of which is Chakshuhitakaraka i.e. benecial for eyes, the other one, Chakshurogahara, is used for treating eye disorders. However, the effect of Chakshushya Dravyas on Chakshurindriyas has not been elaborated by any author. The present study is a critical analysis on Chakshushya Dravyas and their line of action on the basis of Rasapanchaka. In the fourth generation of antibiotics, Chakshushya dravyas contribute in the protection of eyes and prevention of eye diseases.Item Clinical application of Sri Lankan traditional formulae (Sétärämavaöé and Denibädi Kashäya) in the management of Ürdhvajatrugata Roga: a survey based study(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Karunarathna, H.M.H.L.; Peiris, R.M.; Samaratunga, U.; Dharmapriya, A.K.H.The history of Sri Lankan traditional medicine dates back to the period of riñi Pulasthi and king Rävaëa. It consists of a vast range of indigenous drug formulae in the management of various kinds of diseases. There are a number of authentic texts related to traditional medicine. Vaöikä Prakaraëaya is one such authentic classic which was written in the 18th century. The formulae used for this study was obtained from Vaöikä Prakaraëaya. The objective of the study was to identify clinical application of Sétäräma Vaöé and Denibädi Kañäya in the management of Ürdhvajatrugata Roga. One hundred indigenous medical practitioners were randomly selected for this study. The data were collected through a specially designed questionnaire. In the literature review of the formulae, Bin kohomba (Munronia pinnata) and Kudumirissa (Toddalia asiatica) were identied as native plants in Sri Lanka.Another specic feature is that Lunuwarana (Crateva adansonii) which is mostly used in the urinary tract diseases in Ayurveda, has been used to treat diseases in the Ürdhvajatrugata Roga in traditional medicine. The results revealed that 100% of physicians use this combination for Çiro Roga, especially in Kaphaja and Vätaja Çiro Roga. Apart from that, many physicians (85%) use it for PénasRoga. 45% of physicians use it for Karëa Roga, especially in Karëa Päka and Karëa Sräva and 40% of physicians use it for Näsä Roga, especially in Kaphaja Pratiçyä. Further, Akñi Roga (30%) and Mukha Roga (20%) were also treated by the physicians using this formula. Therefore, it can be concluded that most of the indigenous physicians in Sri Lanka use this traditional formula in the management of a wide range of Ürdhvajatrugata Roga.Item 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 signicant 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, signicant 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 insignicant results. The study veried 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.Item Clinical efficacy of Haridradi Ashcyotana (herbal eye drop) in the management of Abhishyanda with special reference to bacterial conjunctivitis.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) De Silva, L.D.R.; Peiris, A.; Kamal, S.V.Abhishyanda is an inammatory condition of the eye where Pittaja, Kaphaja and Raktaja Abhishyanda are compared with bacterial conjunctivitis. Bacterial conjunctivitis is a common presentation in general practice which can account for over 60% of all conjunctivitis cases and unsuccessful treatment may lead to many adverse effects. The present study was conducted to study the efcacy of Haridrādi Ashcyotana with its anti-inammatory and anti- bacterial potentials in the management of Abhishyanda with special reference to bacterial conjunctivitis. The study was conducted in the OPD of Ayurveda Teaching Hospital, Borella. Consecutive convenience sampling method was applied to register the study population of 20 patients of either sex, aged between 10 – 70 years with signs and symptoms of bacterial conjunctivitis. Haridrādi Ashcyotana was instilled to the affected eye/s as two drops three times a day until the clinical and microbial resolution with the follow up. Data analysis was done using SPSS 16.0 by t-Test: Two-sample assuming equal variances. Level of signicance was set at p<0.05. Standardization of Haridrādi Ashcyotana was conducted to address the quality control parameters and the safety prole. Haridrādi Ashcyotana was proved for the antibacterial property against Staphylococcus aureus and Escherichia coli by conjunctival swab culture analysis. Digital photography justied the absence of inammatory spectra and thus proved the anti-inammatory effects. Haridrādi Ashcyotana revealed highly signicant 'p' values (p<0.001) with 100% remission of all inammatory features as Netra srava (lacrimation), Raktata (redness), Kandu (itching) and Upadeha (matting). Global efcacy / total mean days for complete remission was 4.45. The side effects or drug related effects were not observed and the tolerability was satisfactory. Haridrādi Ashcyotana was a safe, sterile, quick relieving and effective poly herbal eye drop for all ages with its anti-inammatory and anti-bacterial potentials. Thus it can be concluded that Haridrādi Ashcyotana is effective in the management of Abhishyanda with special reference to bacterial conjunctivitis which can be used in the treatment of infectious eye diseases.Item Clinical efficacy of indigenous Patrapottali Sweda (Heenudupiyaliya Tavilla) in the management of Sūryavarta.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Thennakoon, T.M.D.M.; Sakunthala, H.S.Sūryavarta is one type of Śiroroga out of eleven Śirorogas explained in Ayurveda classics. This pathological condition is characterized by its cardinal feature of headache. Headache is found to be starting at the time of sunrise, with pain in the eyes and eye- brows, gradually increasing in severity with the upward movement of the sun and slowly reducing by the time of sunset. Fontal sinusitis is a special type of headache (Śirahsūla) that changes according to the intensity of the sun rays. Headache is dened as a result of specic changes within the brain. It causes severe pain in the head that is often accompanied by sensitivity to light, sound, or smell. Migraine affects approximately 15% of people. It most often starts at puberty and is worst during middle age. Prevailing treatments of migraine are not successful due to its recurrence. In view of magnitude of problem, it is important to drain the sinuses by removing the pathology with sustained effect and reduced recurrence. The present study was done to evaluate the efcacy of Patrapottali Sweda (Heenudupitliya Tavilla) in the management of Sūryavarta (Frontalsinusitis ).Thirty patients between 15- 60 years were selected from the OPD Gampaha Wickramarachchi Ayurveda Teaching Hospital on the basis of sign and symptoms. The selected patients were divided in to two equal groups through random sampling method. The control group (GA) was treated with Patyakshadhatri Phanta (PD) and Seetarama Vati (SV). Treatment group (GB) received Pottali Sweda for four weeks daily morning and evening regularly with PD and SV. The assessment was carried out on the basis of relief found in the cardinal signs and symptoms of the disease adopting scoring depending upon their severity. Data analysis was done according to independent samples Mann – Whitney U test.Signicant reduction in pain was observed at the end of the study with p<0.05.When comparing overall results of both groups, it revealed that group GB was statistically signicant with regard to the reduction of complaints and clinical signs compared to group GA. There were no adverse effects reported during the study. Therefore, it can be concluded that the selected treatment of Patrapottali Sweada is effective in the management of Sūryavarta.Item Clinical efficacy of Pathyakshadhathree Kashaya and Triphala Ghritha in themanagement of Ananthavata with special reference to tension type headache.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Liyanage, R.P.; Karunarathne, H.K.B.M.S.; Hettige, S.S.According to Acharya Charaka's Trimarmiya adhyaya, Shiras is one major marma which seats for Pranavata, Alochaka pitta and Tarpaka kapha. Imbalance of doshadhatu and mala related to the Sirasa and Manya pradesha will cause Shiro Rogas such as Ananthavata. Ananthavata is abenign and recurrent syndrome of headache, neck pain, eye pain and other neurological dysfunction. In terms of the etio-pathogenesis of the ailment, it co-relates with Tension Type Headache. The present study shows clinical efficacy of Pathyakshadhathree kashaya (PDK) and Triphala Ghrita (TG) in the management of Ananthavata. Three separate groups with randomly selected samples (n=10) were studied for 21 days. Group A was prescribed with freshly prepared PDK 120 ml twice a day. Group B was prescribed with TG 30 ml twice a day. Group C was prescribed with freshly prepared PDK 120 ml and TG 30 ml twice a day. The assessment criteria were based on the symptomatic features with their frequencies and assessments were done before and after the treatments respectively. Clinical assessment of A showed signicant result in headache, neck pain, lessened the frequency of headaches and sleeping disturbances, at p<0.001.Group B showed signicant results in eye ache with 60% relief, at p<0.001 and signicant result in neck pain and irritability with relief of 60% and 59.56%. Also sleeping disturbances were lessened by 80%. Group C showed signicant results as compared to both the groups. Frequency and duration of headaches reduced by 80%, at p<0.001. Tridoshashamaka, Snayudrudakara,Shulahara, Mrudu Virechaka and Rasayana properties of TG and PDK may be effective on Srotas which relate to the Manokarma, Chakshuyindriya and Manya Pradesha. Especially Vata pacifying property of TG may show a signicant result in prognosis. All groups showed prognosis in Ananthavata but overall effect of combination of both the medicine in Group Cshowed highly signicant results when compared.Item A clinical study of Phalatrikadi Ghrita Tarpan in the management of Myopia.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Patel, R.S.; Sisodiya, Y.K.; Firke, T.In Ayurveda, clinical features related to visual disturbances are generally seen in DrishtigataRogas. Hence, all the cases of visual disturbances can be correlated under the broad umbrella of Timira–Kacha-Linganasha complex. The part of clinical features of Timira (rst and second patalagata) can be correlated with myopia, where there is a complaint of difculty in seeing objects distinctly along with headache, eye strain, photophobia and lacrimation. The prevalence of myopia in Asia is as high as 70-90%. Ayurvedic science can be explored to nd a better alternative to manage this condition. In Ayurveda, there is the concept of Chaksushya (benecialfor vision) drugs and food items. Local therapeutic procedures for eye have been grouped under the umbrella of Kriyakalpa by Acharyas and among them, Akshi-Tarpana is the fore most procedure for Timira which provides Vatashamaka effect to the eyes along with nourishment. In this study, Akshi-Tarpana was selected with Phalatrikadi Ghrita along with Poorvakarma andShamana Chikitsa. This study was carried out on 10 patients for a period of 46 days, in which Poorvakarma, Kostha Shodhana and Nasya (for 6 days), Pradhankarma Akshi-tarpana (for 5days into 3 sittings at regular interval of 5 days), Shamana Chikitsa Saptamrita lauha 250mg BDwith Madhu and Ghrita were performed. This treatmemt gives nourishment and strength to eye muscles and a marked improvement could be found in symptoms of myopia.Item 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 riboavin (C3R), Laser assisted surgeries and Keratoplasty in Keratoconus. It is difcult 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 specic, but the treatment principles of the entire Ayurvedic system in treatment of Keratoconus. The subjects who satised 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 signicance 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 specied 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 signicant 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).Item A clinical study on Computer Vision Syndrome.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Ganga, M.P.; Bavalatti, N.; Manjusha, R.Computer has become a household gadget in the present era, found in almost all aspects of life and its convenience has brought with it the disadvantages as with any invention of human civilization. With progressive increase in the usage of computers, the term Repeated Stress Injury (RSI) has found place in the contemporary medical science. The incidence of Computer Vision Syndrome is as high as 50%-90% among the employees of computer profession. Computers have increased the work efciency, communications and have opened access to information like never before. Despite these contributions to the society, prolonged exposure to Video Display Terminals (VDT's) has been the cause of a visual and ergonomic disorder called "Computer Vision Syndrome" (CVS). Symptoms of Computer Vision Syndrome are caused by ocular (ocular-surface abnormalities or accommodative spasms) and / or extra ocular (ergonomic) etiologies. It is out of question to verify the existence of similar condition of “Computer Vision Syndrome” in ancient documents, as the ailment is the consequence of modern invention. But there is a room to understand the disease from Ayurvedic perspectives and to methodically apply Ayurvedic remedies for the modern ailment. In this clinical study on “Computer Vision Syndrome”, a total number of 55 patients were registered and out of these, 53 patients completed the whole treatment. The general observations and the effect of therapy quoted include the data of 53 patients who have completed the entire course of treatment. Oral administration of Saptamrita Lauha tablets, 500 mg BD/day with unequal quantity of Madhu , Ghrita and Triphala eye drops one drop in each eye, 4 times/day for 30 days has found to be effective in the management of CVS.