Wickramarachchi Ayurveda Institute-Gampaha
Permanent URI for this communityhttp://repository.kln.ac.lk/handle/123456789/4611
Browse
47 results
Search Results
Item Interactivity in Goodsalls’ Rule and Fistula-in-ano(International Journal of Trend in Scientific Research and Development (IJTSRD), 2020) Samaranayake, G.V.P.; Chandimal, K.M.Fistula-in-ano is a tract lined by granulation tissue which opens deeply in the anal canal or rectum and superficially on the skin around the anus. Managing fistula-in-ano is a challenging task. Because recognizing the internal opening and cause of the fistula tract is difficult. goth external and internal openings of the fistula tract are essential for the complete identification of the tract. The purpose of the present study was to study the relevance between Goodsall's rule and course of the fistula tract. A sample of 106 patients with simple fistula was studied. In this study Hydrogen Peroxide was injected by using syringe through the external opening of the fistula and seenthe appearance of air bubbles which are come out from the internal opening. The site and number of internal and external openings and the course of the tract were recorded, The median age of the participants was 37 years. The majority were male 157.54%). Thirty one point one percent (31.1%) showed intersphincteric fistula, 51,8% showed transphincteric fistula and 16.9% had superficial fistula. The overall predictive accuracy of Goodsail's ruie in studied group was 68.30/o. It is significantly associated with the type of fistula. The high predictive accuracy in superficial fistula (94.4%), intersphincteric fistula (84.4%) and transphicteric fistula (69.09%) were observed. It was concluded that, Goodsalls'rule was not accurate in 31.7% of all fistulae; it can be used as a guide in locating the course of the tract and the internal opening.Item The Efficacy of Raktha Apamargadi Dhooma Varthi in the Management of Nasa Arsas (Nasal Polyps)(International Journal of Multidisciplinary Research and Development, 2019) Peiris, K.P.P.; Ranasinghe, H.N.K.P.; Samaranayake, G.V.P.Nasal Polyps represent a challenging diagnosis for the physician to treat. Management of nasal polyps forms a large part of the workload because the available treatment modalities having unsuccessful results with reincarnation of removed polypoidal tissues. Among the Ayurvedic treatments, fumigation treatment (Doopana Kalpana) was used for the management of Nasal polyposis. This study aimed to introduce a new treatment modality with new formulation, which named as Rakta Apamargadi dhooma varti. lt had been practiced clinically but not scientifically evaluated. In the clinical study 20 patients were selected between the age of 16-60 years irespective of their sex, religion, occupation & habitat etc. They were divided randomly by lottery method into two groups. Group A was treated with Rakta ,4pamargadi dhooma varti as local treatment with internal medicine and Croup B was treated only with internal medicine. Al1 the patients were completed the treatment and follow up study. According to analysis, fumigation treatment has been shown better result for nasal obstruction and reducing the size of the polypoidal sprouts. However, while considering the other symptoms, headache, running nose, sneezing and ltching of eyes, both groups have been shown significant results.Item Effect of Yogasana on Improvement of Immunity related Outcomes – A Literature Review(2nd International Research Conference & Exhibition on Siddha Medicine -2020, Organized by Unit of Siddha Medicine, University of Jaffna, Kaithady, Sri Lanka, 2020) Abegunasekara, N.S.; Samaranayake, G.V.P.; Dharmapriya, A.K.H.; Dissanayake, S.A.R.R.P.; Ven Dhammissara MaduruoyeYoga is a universal practice which strengthens body physically as well as mentally. There is recent research evidence to suggest that regular practice of yoga postures strengthens the immune system and reduce chronic inflammation. ln fact, researchers have found an overall pattern that yoga duces pro-inflammatory markers, with the strongest evidence for the reduction of a cytokine called IL-Ibeta. This study was primarily designed to study the effect of Yogasana on enhancing immunity of the individual. An extensive literature review was conducted based onHathayogapradipikå journal papers and other related e-papers on yoga. All the Yogasanas mentioned in Hathayogapradipikåwere critically analyzed to determine a relationship between the regular practice of yoga posturesand the degree of immunity. The study revealed that the most effective yoga to activate the regular functions of the immune system is combination of Yogasanas, Pranayama and meditation. Further, practice of Yogasana increasesthe amount of antibodies such as leukocyte, eosinophils and monocytes and stimulate inflammatory responses. Yogasanas are also extremely beneficial to manage Stress which is often associated with an increased occurrence of autonomic and immune system pathology. On the basis of the review, it can be concluded that Yogasanas are effective in improving a variety of immune system-related outcome measures. However, these effects warrant further methodologically rigorous studies to determine the clinical implications of the findings for inflammatory outcomesItem Diagnostic Procedure Associated with Astrological Concepts: A Literature Review(2nd International Research Conference & Exhibition on Siddha Medicine -2020, Organized by Unit of Siddha Medicine, University of Jaffna, Kaithady, Sri Lanka, 2020) Samaranayake, G.V.P.; Abegunasekara, N.S.; Dharmapriya, A.K.H.; Dissanayake, S.A.R.R.P.; Ven Dhammissara MaduruoyeAstrology and medicine are intimately linked in as much as the science of healing forms an important part of remedial astrology. Principles and training of medical astrology is an intricatesubject that needs a great compact of knowledge and in-depth study. The main utility of medical astrology is to cosmic effects under different planetary conditions at the time of a disease are likely to be beneficial or detrimental to the patient and implement the diagnostic plan accordingly. This study was designed to review the astrological concepts that have been used to establish a correlation between the planets and diseases in terms of the signs of the zodiac that have shown a strong relationship with diseases and different parts of the human body. The review was based on notable manuscripts and other texts that contain descriptions of this relationship. The study revealed that the signs form the part of the body of the Kälpuruya starting from Aries and starting from the Ascendant. Thus an astrologer can foresee the possibility of a person liable to suffer before the onset of the disease. From the calculation of the period and sub-periods of the planets, he can determine the time of the onset of the disease and its duration on the basis of one's horoscope. Horoscope is a very potential instrument that can be used effectively in diagnostic and treatment plans. However, apart fromthe indications of the diseases that may be present in a horoscope, the astrologer must seriously analyze the transiting influences and the circumstances of the case on hand for accurate diagnosis. Thus it can be concluded that medical astrology, if used with a sense of proper understanding, can aid medical diagnosis.Item Effective Ayurveda Treatment Protocol for Hemorrhoids – A Case Study(2nd International Research Conference & Exhibition on Siddha Medicine -2020, Organized by Unit of Siddha Medicine, University of Jaffna, Kaithady, Sri Lanka, 2020) Balasooriya, M.G.D.N.; Samaranayake, G.V.P.; Dharmapriya, A.K.H.; Dissanayake, S.A.R.R.P.Hemorrhoids are swollen veins that occur in the anus and lower rectum. They can be external, appearing around the skin of the anus, or internal, arising in the lining of the anus or rectum. Hemorrhoid swelling occurs when there is an increase in the pressure in the small blood vessels causing them to swell and engorge with blood. The major causes of hemorrhoids include prolong constipation, poor dietary habits, lack of consumption of water and straining while defecation. The complications of hemorrhoids can be prevented by treating the hemorrhoids at early stage. This case study-assessed the efficacy of a treatment protocol used in the management of a 54-year-old male hemorrhoid patient presented at the surgery clinic of Gampaha Wickramarachchi Ayurveda Teaching Hospital, Yakkala, Sri Lanka, complaining of permanent bulging out a mass after defecation along with rectal bleeding and mucus discharge. His medical history revealed that he has been subjected to constipation over a period of 4 years. On examination he was diagnosed with degree hemorrhoids in early stage. Treatments were scheduled both internal and external medication along with yoga. He was treated internally with Triphala churna, external application of Sarvavishadi oil and practicing Sarvangasana for ten minutes daily up to one-month period. After the treatment protocol, rectal bleeding and mucus discharge completely stopped and 3rd degree hemorrhoid was reduced to the 2nd degree hemorrhoid stage. Patient was followed up through one month and there were no any signs of advancing the stage of hemorrhoid. Triphala churna possesses the potential to purify blood and balance the vitiated doshas while Sarvavishadi oil reduces the inflammatory signs of hemorrhoids. Sarvangasana acts as a supportive medication to trigger the action of internal and external medication. It is suggested to design a clinical trial with a larger sample size in order to confirm the effect of this treatment protocol.Item Comparative Clinical Study of Efficacy of Seethodaka Oil & Dashanga Lepa in the Management of Chronic Wounds(2nd International Research Conference & Exhibition on Siddha Medicine -2020, Organized by Unit of Siddha Medicine, University of Jaffna, Kaithady, Sri Lanka, 2020) Samaranayake, G.V.P.; Pushpakumara, A.A.J.Wound healing is a complex and dynamic process with the wound environment changing with the changing health status of the individual. The knowledge of the physiology of the nonnal wound healing trajectory through the phases of haemostasis, inflammation, granulation and maturation provides a framework for an understanding of the basic principles of wound healing. Through this understanding the health care professional can develop the skills required to care for a wound and the body can be assisted in the complex task of tissue repair. A chronic wound should prompt the health care professional to begin a search for unresolved underlying causes. Healing a chronic wound requires care that is patient centered, holistic, interdisciplinary, costeffective and evidence based. Forty patients with varicose ulcer were enrolled in this comparative clinical study. For each group twenty patients were selected randomly, informed consent was attained and then they underwent treatment with either Seethodaka oil or Dashanga Lepa for dressing daily for 8 weeks. The follow up duration was minimally I -2 months. In the study percentage of 57.5% male and 42.5% female patients in the sample Age group of 30 to 40 years 20%, 41 to 50 years 32.5% and 51 to 60 years 47.5% of patients were chronic ulcers with different wound size, pain and other criterias in the two groups. P values of group A (P=O.005) > P values of group B (P = 0.000), therefore reduction of the wound size in the Group B (Dashanga Lepa) is more significant than Group A (Seethodaka oil). It was concluded that the application of Dashanga Lepa can be used more effective than Seethodaka oil on healing of the wound management.Item Management of Carpal Tunnel Syndrome by Agnikarma – A Case Study(, 2nd International Research Conference & Exhibition on Siddha Medicine -2020, Organized by Unit of Siddha Medicine, University of Jaffna, Kaithady, Sri Lanka, 2020) Samaranayake, G.V.P.; Pushpakumara, A.A.J.Carpal Tunnel Syndrome is a common condition that causes pain, numbness and tingling in the hand and arm. The condition occurs when one of the major nerves to the hand, the median nerve is squeezed or compressed as it travels through the wrist. In most patients, carpal tunnel syndrome gets worse over time, so early diagnosis and treatment are important. If pressure on the median nerve continues, however, it can lead to nerve damage and worsening symptoms. To prevent permanent damage, surgery to take pressure off the median nerve may be recommended for some patients. Ayurveda has an advocated various treatment modalities such as Snéha, Upanäha, Agnikarma and Bandhana. Amongst these, Agnikarma seems to be more effective in providing distinct and instant relief. A 40 years old female patient was presented with severe pain, numbness and tingling in the hand and arm for 8 months. On examination, it was elicited that the patient was unable to hold objects properly by the affected hand. After careful examination, patient was treated with Agnikarma without any oral medication. Superficial multiple wounds produced by Agnikarma healed within 5-7 days. Patient visited for follow-up for 1 month after completion of treatment. Patient was advised not to lift any heavy objects and perform any twisting movement for further 6months. It was concluded that Agnikarma can be recommended as an effectiveness treatment for Carpal Tunnel Syndrome.Item Efficacy of Traditional Formula as a Pratisarana in the Management of Danthaveshta(2nd International Research Conference & Exhibition on Siddha Medicine -2020, Organized by Unit of Siddha Medicine, University of Jaffna, Kaithady, Sri Lanka, 2020) Rupasinghe, R.A.A.N.; Samaranayake, G.V.P.Danthaveshta is one of the main periodontal disease which mentioned in Ayurveda medical system. It is simulated with the "Suppurative gingivitis". According to recent statistics, 10-15% of world adult population was suffering from this condition. Hence, there is a need to evaluate the role of —theother alternative techniques for the management of this disease so as to minimize recurrence, make it cost effective and safety The present study aimed at evaluating the effect Of traditional herbal' formulation in the management Of Danthaveshta, which described in Thalpatepiliyam. In the clinical study 30 patients were selected in age between 16-60 years irrespective Of their Sex, religion, Occupation and habitat etc. They were divided equally in two groups by using simple random sampling method. Group A was treated with traditional formula with Prathyakshadhathripanthaya and Kaishoraguli , also group B was treated with Prathyakshadhathripanthaya and Kaishoraguli . No one has complained about any experience about allergy, infections or discomfort at any time that they have encountered during the follow-up period. Group A was showed significant results in the improvements Of Rakthasrava. Puyasrava. danthashopa, Krishnatha, Mukhadurgandha and Shoola. (p<0.05) Group B showed significant results only Rakthasravaandshopa. But other symptoms were not Significantly reduced (p>0.05). These results were proved that the traditional herbal formula has worked well on reducing Symptoms Of danthaveshta as a pratisarana.Item The efficacy of herbal tea as preventive measure for allergic rhinitis(International Journal of Multidisciplinary Research and Development, 2019) Peiris, K.P.P.; Samaranayake, G.V.P.; Senadheera, M.P.R.S.Allergic rhinitis is an atopic disease. Atopic allergy is a type —I hypersensitivity reaction which produces IgE antibodies to allergens like pollen, dust, etc. In Ayurveda direct reference of allergic rhinitis is not available, but concept of allergy is scientifically explained under 'Asatmaja vyadhi' while its effects are explained in context of hereditary, Viruddhahara, Dushi visha and Ritu sandhi. Various types of Pratishyaya are explained clearly in all Samhita's. However, symptoms of Vataja pratishyaya like Tanu nasa srava (rhinorrhea), Shirah shoola (headache), Kshavathu (sneezing) more related with symptoms of allergic rhinitis. In the present study, patients of allergic rhinitis are evaluated on the basis of general evaluation scale consisting parameters like nasal obstruction, sneezing, itching nose etc. In the clinical study 30 patients were selected in age between 16-60 years irrespective of their sex, religion, occupation and habitat etc. They were treated with herbal tea for 14 days in their tea time 5g of tea bag. All of them were completed the treatment accurately and the follow up study continued up to two weeks after the treatment. According to analysis, it can be concluded that, the herbal tea has been shown reducing the symptoms of allergic rhinitis like nasal obstruction, sneezing, itching. While assessing the total effect of therapy, complete remission was observed in 16.7% (n=5), marked improvement was 33.3% (n=IO) and moderate improvement was 50% (n=15). During follow-up period recurrences were observed in the symptoms of running nose. Therefore it is most suitable as a preventive measure to control and cure the disease.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.