Wickramarachchi Ayurveda Institute-Gampaha
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Item 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 wereidentied 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.Item A study on efficacy of Patha oil Nasya in the management of Dushta Pratishyaya.(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Sooriyakumar. A.; Samarakoon, S.M.S.Dushta Pratishyaya (DP) is a type of Pratishyaya which is mainly a Kapha dominant disease. When Pratishyaya becomes chronic, it is termed Dushta Pratishyaya. Based on symptomatology, DP could be correlated with sinusitis which is an inammatory condition of the sinuses. This study was a randomized comparative clinical study on DP to evaluate the effect of Patha Oil Nasya (PON) in its treatment. The selected patients were randomly divided into two equal groups; Group A and Group B. Group A was treated with PON (pratimarsha) daily in the morning for seven days. All the symptoms were graded and evaluated before and after treatment. Data were analyzed by using SPSS statistical software system. Patha oil Nasya improved pain tenderness over frontal region, nasal block and anosmia in statistically highly signicant manner (p<0.001). The ingredients of Patha oil consist of Kashaya, Tikta and Katu rasa, Ushnavirya, Katuvipaka and Laghuguna. Total effect of PON is of kaphashamaka. The PON has antiin ammatory, antiseptic, astringent, analgesic and anti-histamine effects which may relieve the symptoms of Dushta Pratishyaya. Finally, it can be concluded that PON is effective on Dushta Pratishyaya.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 A comparative clinical study on the efcacy of oral Sarasvata Ghrita and Sarasvata Ghrita Nasya in the management of Vataja Shirah Shoola (tension headache)(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Senadheera, T.; Samarakoon, S.M.S.Acharya Charaka considered Shiro-ruk as a separate disease in eighty types of Nanatmaja Vata- Vyadhi. He has mentioned ve types of Shiroroga (05) including Vataja Shiroroga. Considering the line of treatment, Caraka recommended specic ghee preparations for Vatika Shiroroga. Vataja Shirah Shoola (VSS) can be correlated with tension headache which is the most common type of headache. The prevalence of tension headache is about 3% of the general population. The present study is a comparative clinical study on the efcacy of oral Sarasvata Grita (SG) and Sarasvata Ghrita Nasya (SGN) on Vataja Shirah Shoola. Thirty patients (30) were selected from the OPD of Ayurveda Hospital, Meegoda and were randomly divided into two groups: group A and group B. Group A was treated with oral SG, 10 ml orally twice a day before meals for a period of thirty (30) days while group B was treated with SGN at the dose of 8 drops daily at 9.00 am after a light meal for same duration. Patients were evaluated before and after treatment. Data were analyzed by using SPSS statistical software. The result revealed that the 36 – 45 age group (76.7%), female (56.7%) and Vata-pitta prakriti (56%) are more vulnerable to VSS. Oral SG improved subjective parameters and blood pressure in a highly signicant manner (p>0.001) whereas Oral SG improved bi-temporal headache and disturbed sleep in a signicant manner (p<0.05). Collectively, the ingredients of SG have tridosha shamaka effect, especially Vata shamaka effect. Due to synergistic effect of SG, most of the parameters have shown signicant improvement. SGN improved subjective parameter in signicant manner (p<0.05) whereas the improvement of blood pressure is highly signicant (p<0.001). When comparing the effect of two treatments on VSS, it is reported that the difference of mean of most of the subjective parameters between group A and B is highly signicant (p<0.001). Hence, it is concluded that oral Sarasvata Ghrita has higher degree of efcacy on Vataja Shirahshoola over Sarasvata Ghrita Nasya.