1st-2017

Permanent URI for this collectionhttp://repository.kln.ac.lk/handle/123456789/17673

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Author: search.filters.author.Kamal, S.V.

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    A comparative study on the effects of Jalaukavacarana (leech application) and Manjishtadi Lepa in the management of Vyanga (Melasma)
    (Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Jayathilake, T.A.S.C.; Kamal, S.V.
    Among the eight branches of Ayurveda, Salakya Tantra deals with the etiology, diagnosis, prognosis, prevention and treatment of diseases that are located above the human clavicular line. Pancakarma treatments are used in Shalakyatantra to cleanse vitiated Dosas located in this region. Vyanga is one of the facial skin disorders. It affects by certain anomaly at any age of the life with male female ratio of 1:9. Modern treatment includes an external application of creams. But long term usage of these preparations may produce irritation in individuals. Hence this study was carried out to nd out a reliable and long lasting Ayurvedic management for Vyanga. In this study, efcacy of Jalaukavacarana (leech therapy) on Vyanga was compared with that of Manjishtadi Lepa application. Open randomized clinical trial of 50 individuals were selected as total sample population. Individuals were divided into two groups (A and B). Group (A) was treated with the application of leeches on the darkest point of patch, till leeches fell down. This procedure was repeated once in a week with 6 applications. In group (B), Manjishtadi Lepa was applied half Angula thickness on the lesion and kept until it gets dried. The results were assessed by using the photographs of the patch and computer technology. Total effect of therapy was observed as marked and moderate improvement in 84% Jalaukavacarana of the individuals by group (A) and marked and moderate improvement was 68% application of individuals in lepa group (B). Reduction was statistically signicant in the level of p<0.05. The study suggests that Jalaukavacarana (leech therapy) and Manjishtadi Lepa can be used in Vyanga. But Vyanga (Melasma) can more effectively be managed with Jalaukavacarana than the application of Manjishtadi Lepa.
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    A comparative study on the efficacy of Patoladi Lepa Pratisarana and Mustadi Taila Gandusha in the management of Krimidanta (Dental Caries)
    (Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Kumaradharmasena, L.S.P.; Peiris, K.P.P.; Kamal, S.V.
    According recent statistics, more than 50% of Sri Lankan and 36% of world population are suffering from Krimidanta (Dental Caries). Dental Caries is a multi-factorial process that affects on hard dental tissues such as enamel, dentin etc. Once it occurs, its manifestations persist throughout life even though the lesion is treated. Therefore, an effective therapy is required in the treatment of Krimidanta at its early stage, which is simple, safe and effective. In this study, Patoladi Lepa and Mustadi Taila were used as research drugs which have been prescribed in Cakkradatta. A total sample of 60 patients were selected at Ayurvedic Teaching Hospital, Borella and Gampaha Wickramarachchi Ayurveda Hospital, Yakkala. They were divided equally into two groups by using simple random sampling method. Group A was treated with 2g of Patoladi Lepa Pratisarana twice a day and Group B was prescribed 20ml of Mustadi Taila Gandusha twice a day for 4 weeks. Both groups showed signicant results in the improvement of Dantashula, Shopha, Mukha Daurgandhyata, Danta Harsha, Animitta Ruja, Salivary pH and OHI-S. Howwever, chalata was improved in Group B patients only. Improvement in Krishnata was not observed in both the therapies. In the view of all the subjective and objective criteria and recurrences of the clinical features, Mustadi Taila Gandusha has shown better effectiveness than Patoladi Lepa Pratisarana. Therefore, these formulations can be used together at the early stage of Krimidanta as a prophylactic measure.
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    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 inammatory 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 efcacy of Haridrādi Ashcyotana with its anti-inammatory 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 signicance was set at p<0.05. Standardization of Haridrādi Ashcyotana was conducted to address the quality control parameters and the safety prole. Haridrādi Ashcyotana was proved for the antibacterial property against Staphylococcus aureus and Escherichia coli by conjunctival swab culture analysis. Digital photography justied the absence of inammatory spectra and thus proved the anti-inammatory effects. Haridrādi Ashcyotana revealed highly signicant 'p' values (p<0.001) with 100% remission of all inammatory features as Netra srava (lacrimation), Raktata (redness), Kandu (itching) and Upadeha (matting). Global efcacy / 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-inammatory 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.