Declaration. June Tilak Maharashtra Vidyapeeth, Pune

Transcription

1 Declaration I hereby declare that the thesis entitled Developing a Standardized Clinical Protocol for Ayurveda clinicians based on Ayurveda theory and clinical practice completed and written by me has not previously formed the basis for the award of any Degree or other similar title upon me of this or any other Vidyapeeth or examining body. I declare that this dissertation is a true and original compilation carried out by me towards the fulfillment of the requirements for the degree of Doctor of Philosophy (PhD) in Ayurveda from the Tilak Maharashtra Vidyapeeth, Pune. I also declare that the Tilak Maharashtra Vidyapeeth, Pune shall have the rights to preserve, use and disseminate this compilation in print or electronic format for academic/research purpose. Dr. G. G. Gangadharan June 2011 Tilak Maharashtra Vidyapeeth, Pune iii

2 Dedicated to my parents Sri K. Gopinathan Nair & Smt. C. K. Bhargavi Amma iv

3 ACKNOWLEDGMENT My pranaams to Sri P. R. Krishnakumarji for being instrumental in introducing me to the wonderful world of Ayurveda through his first of its kind Gurukula system of Ayurveda teaching in Modern India. I wholeheartedly thank Sri Darshan Shankar for encouraging me to pursue PhD and the Institute of Ayurveda and Integrative Medicine (FRLHT) for providing the platform for this study. I sincerely thank my Guide Vaidya Ramesh Nanal, whose constant guidance enthused me to finish the work and his critical inputs gave a direction to this study. I thank my colleagues Sri. D. K. Ved, Dr. Padma Venkat and Dr. K. Haridasan for their encouragement and support. I would like to thank my wife Dr. T. K. Girija Kumari, Principal, Sri Ramakrishna Ayurveda Medical College, Bangalore, who insisted on pursuing with this work. I thank Dr. K. G. Raveendran, Dr. N. K. Mahadevan, Vaidya Vilas Nanal, Dr. L. Mahadevan and Dr. C. Suresh Kumar for their review of the clinical protocol of the study and their valuable inputs in improving the same. I thank Dr. M. K. Vivek Sanker for all his assistance and help. I would like to express my appreciation to Dr. Jaimo, Dr. Asharani, Dr. Sriranjini and Dr. Ashwini for all their assistance. I want to thank Sri. R. R. Prasad and Smt. Prema for their assistance and support. June 2011 Bangalore Dr. G. G. Gangadharan v

4 List of figures/ charts/ tables Page No. Description vii : Keywords viii : Abbreviations 12 : Table 1A: Avrita-vata Lakshanas 24 : Fig 1: Most common sites of v tarakta Fig 2: Common joints affected in v tarakta 30 : Table 1B: Ahara-hetu 31 : Table 2: The lifestyle factors that cause v tarakta 33 : Table 3: Purvarupa of v tarakta 37 : Table 4: Signs & Symptoms of Utthana & Gambhira v tarakta 38 : Fig 3: Indicates swelling & redness in the affected joint. Fig 4: Skin color & Texure in the affected joint Fig 5: Indicates that pain in v tarakta spreads like that of rat poison 39 : Fig 6: Indicates the deformity of joints in v tarakta Fig 7: Stages of v tarakta 42 : Table 5: Signs & Symptoms based on involvement of Doshas 49 : Table 6: Food and Lifestyle that has to be avoided 104 : Table 7: Therapies for v tarakta patients 134 : Chart 1: Classification based on Sex of the patients 135 : Chart 2: Classification based on Age 136 : Chart 3: Classification based on Religion 137 : Chart 4: Classification based on Symptomatology 138 : Chart 5: Classification based on Habitat 139 : Chart 6: Classification based on Treatment 140 : Chart 7: Classification based on Profession/ Lifestyle 141 : Chart 8: Classification based on Severity 142 : Chart 9: Classification based on Marital Status 143 : Chart 10: Classification based on Food Habit 144 : Chart 11: Classification based on Joints Affected 145 : Chart 12: Classification based on Bowel Habits 146 : Chart 13: Classification based on Sleeping Habit vi

5 147 : Chart 14: Classification based on Smoking Habit 148 : Chart 15: Classification based on Alcoholic Habit 149 : Chart 16: Classification on the basis of Kala (time of onset) 151 : Chart 17: Effect of Therapies on Pain Chart 18: Effect of Therapies on Inflammation 152 : Chart 19: Effect of Therapies on Discoloration (Charts 17, 18 & 19 tabulated) 163 : Table 8: Twenty most frequently used formulations 164 : Table 9: Frequency of use of çamana-cikitsä medicines vii

6 Keywords Ayurveda V tarakta Arthritis Standardized Clinical Protocol Clinical Observational Study viii

7 List of Abbreviations SCP C Sa Su Sa A H A S Ma Ni Bhä Pra B R YR Ca Da Su Sh Ni Vi Ci Ka Si : Standardized Clinical Protocol : Carakasa hita : Su¾rutasa hita : A¾ ³gah»daya : A¾ ³gasa graha : M dhavanid na : Bh vaprak ¾a : Bhai¾ajyaratn va : Yµgaratn kara : Cakradatta : SÀtrasth na : ¾ar rasth na : Nid nasth na : Vim nasth na : Cikits sth na : Kalpasth na : Siddhisth na ix

8 To: INSTITUTE OF AYURVEDA & INTERGRATIVE MEDICINE an expression of FRLHT Dr. S. P. Sardeshmukh Dean, Faculty of Ayurveda Tilak Maharashtra Vidyapeeth Vidyapeeth Bhavan, Gultekdi Pune Tel: , , th Sept Sub: Thesis submission Ref: Outward No. AYU/06/114 dt. 20 th July 2006 and Voucher No dt of TMV, Pune Respected Sir, Please receive my thesis on Developing a Standardized Clinical Protocol for Ayurveda clinicians based on Ayurveda theory and clinical practice for Ph.D Degree in Ayurveda. As per instructions given in your website, I am sending 4 hard copies and 2 soft copies in CDs for your kind perusal. Kindly acknowledge receipt of the same. Thanking you Yours sincerely, Sd/- (Prof. G. G. Gangadharan) Medical Director 74/2, Jarakabande Kaval Post Attur via Yelahanka, Bengaluru Karnataka India Tel: Fax: Centre of Excellence of Dept. of Ayush, Ministry of Health and MoEF Govt. of India; Recipient of Norman Borlaug Award 1998, Equator Prize UNO

9 INSTITUTE OF AYURVEDA & INTERGRATIVE MEDICINE an expression of FRLHT To: 12 th March 2011 Dr. S. P. Sardeshmukh Dean, Faculty of Ayurveda Tilak Maharashtra Vidyapeeth, Vidyapeeth Bhavan, Gultekdi, Pune Sub: Submission of PhD Thesis Ref: Pre-PhD presentation on 17 th January 2012 & Outward No. AYU/06/114 dt. 20 th July 2006 and Voucher No dt of TMV, Pune Respected Sir, Please receive my thesis on Developing a Standardized Clinical Protocol for Ayurveda clinicians based on Ayurveda theory and clinical practice for fulfilling the requirements of the PhD Degree in Ayurveda. I have duly incorporated the suggestions given by the expert committee during the pre-phd presentation held on 17 th January Consequently, the sections on Materials and methods, Observations, Results and Discussion have been redrafted in this submission. As per instructions given in your website, I am sending 4 hard copies and 2 soft copies in CDs for your kind perusal. Kindly do the needful and acknowledge receipt of the same. Thanking you Yours sincerely, (Prof. G. G. Gangadharan) Medical Director 74/2, Jarakabande Kaval Post Attur via Yelahanka, Bengaluru Karnataka India Tel: Fax: Centre of Excellence of Dept. of Ayush, Ministry of Health and MoEF Govt. of India; Recipient of Norman Borlaug Award 1998, Equator Prize UNO

10 To: 12 th March 2011 Dr. S. P. Sardeshmukh Dean, Faculty of Ayurveda Tilak Maharashtra Vidyapeeth, Vidyapeeth Bhavan, Gultekdi, Pune Sub: Submission of PhD Thesis Ref: Pre-PhD presentation on 17 th January 2012 & Outward No. AYU/06/114 dt. 20 th July 2006 and Voucher No dt of TMV, Pune Respected Sir, Please receive my thesis on Developing a Standardized Clinical Protocol for Ayurveda clinicians based on Ayurveda theory and clinical practice for fulfilling the requirements of the PhD Degree in Ayurveda. I have duly incorporated the suggestions given by the expert committee during the pre-phd presentation held on 17 th January Consequently, the sections on Materials and methods, Observations, Results and Discussion have been redrafted in this submission. As per instructions given in your website, I am sending 4 hard copies and 2 soft copies in CDs for your kind perusal. Kindly do the needful and acknowledge receipt of the same. Thanking you Yours sincerely, (Prof. G. G. Gangadharan) Medical Director