Shalya Shalakya
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Item Comparative study on different treatment modules in the management of Fistula – In - Ano (Bhagandara)(International Journal of Current Advanced Research, 2020) Samaranayake, G.V.P.; Pushpakumara, A.A.J.; Peiris, K.P.P.Bhagandara is a common disease occurring in the ano-rectal region. Acharya Susruta, the father of surgery has included this disease as one among the Ashtamahagada. It can be correlated with Fistula-in-ano as described in western medical science. Fistula-in-ano is a track lined by granulation tissue which opens deeply in the anal canal or rectum and superficially on the skin around the anus. The incidence of a Fistula-in-ano developing from an anal abscess ranges from 26-38%. The prevalence in men is 12.3 cases per 100 ,000 populations and in women are 5.6 cases per 100,000 populations. The male to female ratio is 1.8: l. The mean age of patients is 38.3 years. This randomized prospective cohort clinical study was done to compare and evaluate the effect of new herbal formulation consisting of Vitex nigundo(root), Crativa adansoni (bark), Ricinus communis (bark), Plumbago indica(root) in managing fistula-in-ano conditions of patients in comparison to the effect of tripala decoction and kshara sutra. The patients were selected according to the selection criteria and randomly assign in to 2 groups (Group A, Group B) consisting of 20 patients for each. The patients of Group A was be treated with, Tripala decoction, kshara sutra and prescribed dietary management. The patients of group B were treated with, new herbal formulation, kshara sutra and prescribed dietary management during the period of 8 weeks. In the group A and group B mean changes or decrement of pain, burning sensation, itching and discharge, P values = 0.00 95% confidence level P < 0.05 both groups are same P=O.()()O. Therefore, no difference between both groups and it shows statistically significant. In the group A mean decrement of length of the fistulous track P value p = 0.005 at confidence level P < 0.05. It shows a significant decrement of the length of fistulous track statistically in 95% confidence level. In the group B mean decrement of length of fistulous track P value p = 0.000 at 95% confidence level P < 0.05. It shows a significant decrement of the length of fistulous track statistically in 95% confidence level. But mean decrement of length of fistulous track of the group B greater than that of group A, which means group B more statistically significant. Finally, based on the observed results and the pharmacodynamic properties of both treatment protocols, it may be concluded that new herbal formulation + kshara sutra + dietary management treatment module is more effective than Tripala decoction + kshara sutra + dietary management in the management of fistula-in-ano.Item An Ayurvedic Appraoch in the management of Ashmari (Urolithiasis)(International Journal of Current Innovations in Advanced Research, 2019) Samaranayake, G.V.P.; Peiris, K.P.P.; Pushpakumara, A.A.J.In ancient centuries urolithiasis was often a disease, with a catastrophic outcome all too often leading to the patient's death. Even today, urolithiasis is the one of the most common affliction of the urinary tract. Detailed medical literature on urolithiasis is available from ancient India. As per classics, Ashmari is included in Ashtamahagada due to its fatal nature. Description of Ashmari is found in almost all Samhita Of Ayurveda as etiopathogenesis, classification, symptomatology, complications and management in a most scientific manner- Modem science also emphasizes on involvement of various factors like heredity, age, sex, metabolic disorders, hydration status, mineral content of water, nutritional deficiency, etc. For urinary stone formation. Urolithiasis typically occurs in middle age which is the most productive years of life. It causes pain, loss of working time, medical expenses, needs for hospitalization as well as it is infrequent cause of renal failure and death. Different management of urolithiasis has been developed in modern system but inspite of all these techniques, surgery remain treatment of choice. Even after surgery patients have to take medicines to check its further recurrence. In this way the need of medicinal treatment is always required.Item An Ayurvedic Appraoch in the management of Ashmari (Urolithiasis)(International Journal of Current Innovations in Advanced Research, 2019) Samaranayake, G.V.P.; Peiris, K.P.P.; Pushpakumara, A.A.J.In ancient centuries urolithiasis was often a disease, with a catastrophic outcome all too often leading to the patient's death. Even today, urolithiasis is the one of the most common affliction of the urinary tract. Detailed medical literature on urolithiasis is available from ancient India. As per classics, Ashmari is included in Ashtamahagada due to its fatal nature. Description of Ashmari is found in almost all Samhita Of Ayurveda as etiopathogenesis, classification, symptomatology, complications and management in a most scientific manner- Modem science also emphasizes on involvement of various factors like heredity, age, sex, metabolic disorders, hydration status, mineral content of water, nutritional deficiency, etc. For urinary stone formation. Urolithiasis typically occurs in middle age which is the most productive years of life. It causes pain, loss of working time, medical expenses, needs for hospitalization as well as it is infrequent cause of renal failure and death. Different management of urolithiasis has been developed in modern system but inspite of all these techniques, surgery remain treatment of choice. Even after surgery patients have to take medicines to check its further recurrence. In this way the need of medicinal treatment is always required.Item Ayurvedic Management of Benign Prostate Hypertrophy(S. Godage and Brothers (Pvt) Ltd, 675, P. de S. Kularatne Mw., Colombo 10, Sri Lanka, 2014) Pushpakumara, A.A.J.Item Ayurvedic Management of Heamorrhoids(S. Godage and Brothers (Pvt) Ltd, 675, P. de S. Kularatne Mw., Colombo 10, Sri Lanka, 2014) Pushpakumara, A.A.J.Item Concept of Agni Karma in Ayurveda(S. Godage and Brothers (Pvt) Ltd, 675, P. de S. Kularatne Mw., Colombo 10, Sri Lanka, 2015) Pushpakumara, A.A.J.Item Clinical evaluation of the efficacy of Prathis (Plasta) in the management of Haemorrhoids(Bandaranaike Memorial Ayurvedic Research Institute, Navinna, Maharagama, 2015) Rajapakse, T.S.; Pushpakumara, A.A.J.Item Evaluation of the antibacterial activity of Panchawalkala against the laboratory specimens of Staphylococcus aureus: An experimental study(Institute of Indigenous medicine, University of Colombo, Rajagiriya, Sri Lanka, 2015) Peiris, R.M.; Priyantha, S.R.A.; Pushpakumara, A.A.J.Item A study of clinical risk management in Ayurveda teaching Hospitals in Sri Lanka(Institute of Indigenous medicine, University of Colombo, Rajagiriya, Sri Lanka., 2015) Lakmali, K.P.G.; Pushpakumara, A.A.J.Item A review on management of khadara (corns and calluses) in Ayurveda(Institute of Indigenous medicine, University of Colombo, Rajagiriya, Sri Lanka, 2015) Kularathna, D.P.D.N.; Pushpakumara, A.A.J.