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2 RESEARCH ARTICLE Scientific Journal Impact Factor (2015) by InnoSpace Sci. Res., Morocco EFFECT OF DHANYAKA HIMA ON GRISHMA RITUJANYA PITTATMAKA VIKAR: A CLINICAL STUDY Yogesh Bhagwanrao Shinde 1*, Jagamohan B. Rathi 2 1. Assistant Professor, Dept. of Swasthavritta & Yoga, C.S.M.S.S. Ayurveda College, Kanchanwadi, Aurangabad, Maharashtra, Contact- (+91240) , / , - yogesh.ayurved@gmail.com 2. Associate Professor & Head, Dept. of Swasthavritta & Yoga & Ex. Vice Principal - Shri Ayurveda College, Hanuman Nagar, Nagpur, Maharashtra, Contact , - drjbrathi@gmail.com Article Received on - 17 th Nov 2015 Article Revised on - 17 th Jan 2016 Article Accepted on - 31 st Jan 2016 All articles published in IJAAM are peer-reviewed and can be downloaded, printed and distributed freely for non commercial purpose (see copyright notice below). (Full Text Page IJAAM This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( which permits unrestricted non commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

3 RESEARCH ARTICLE EFFECT OF DHANYAKA HIMA ON GRISHMA RITUJANYA PITTATMAKA VIKAR: A CLINICAL STUDY *Corresponding Author Yogesh B. Shinde Assistant Professor, Dept. of Swasthavritta & Yoga, C.S.M.S.S. Ayurveda College, Kanchanwadi, Aurangabad, Maharashtra, Contact:- (+91240) , / , - yogesh.ayurved@gmail.com QR Code IJAAM DIDS: ABSTRACT: A Placebo controlled open labelled, randomized comparative clinical efficacy trial was conducted to study the effects of Dhanyaka Hima (Cold Infusion of Coriander Seeds) on Grishma Ritujanya Pittatmaka Vikar (Pitta - Heat disorders due to Summer Season) and to provide a cost effective remedy in this context. The study was conducted in 60 patients with the daily administration of 100 ml. of Dhanyaka Hima per day in Trial group and 1 Starch filled capsule each of 250 mg per day in Control group early in the morning daily for 30 days. The Upashaya Anupashayatmaka Effect (Efficacy) of Dhanyaka Hima was studied by the presence or absence of Grishma Ritujanya Pittatmak Vikar from baseline and at consecutive follow ups on 10 th, 20 th and 30 th Day. The symptoms considered were Daha (Generalised burning sensation in the body), Osha (Severe generalised burning sensation in the body with sweating and anxiety), Plosha (Localized burning sensation without sweating), Dava [Burning sensation in Mukha (Oral cavity) / Oshtha (Lips) / Talu (Palate)], Davathu i.e. Netradaha (Burning sensation in the eyes), Vidaha i.e. Hastapadatala Daha (Burning sensation in the Hands / Feet), Antardaha (Internal burning sensation), Dhumaka i.e. Shira / Griva / Kantha / Talu Dhumayanam (Feeling of hot fumes in the Head / Neck / Throat / Palate), Amlaka (Acidic Eructations), Atisweda (Excess Sweating) and Trishnadhikya (Excess Thirst). Grishma Ritujanya Pittatmaka Vikar were found predominantly in the Males or Students or in the individuals who are Mishrahari (Eating both Veg and Nonveg foods) or with Teekshnagni (High Appetite and Digestion Rate) or Mrudukoshtha (Easy Soft Digestive System) or Pittapradhana Prakruti (Pitta Dominant Constitution) or in the Madhayavastha of Ayu (Middle Age Span of Life). With statistical analysis by paired and unpaired t - tests, the changes in pathological investigations were insignificant. With statistical analysis of the clinical parameters by chi - square test, only Trishnadhikya symptom was relieved on 10 th day while Davathu and Antardaha symptoms were relieved on 20 th day. However, on 30 th Day Dava, Vidaha and Dhumaka symptoms were relieved completely along with Trishnadhikya, Davathu and Antardaha symptoms. This clinical study concluded that Dhanyaka Hima is an easy, clinically effective, and economic remedy in the Grishma Ritujanya Pittatmaka Vikar (Pitta - Heat disorders due to Summer Season). The conclusion about regular administration of Dhanyaka Hima over a longer duration confirmed the importance of following Grishma Ritucharya (Summer Seasonal Regime) as well. Key Words: Swasthavritta, Dhanyaka Hima, Grishma Ritu, Pitta Vikar, Ritucharya INTRODUCTION: The part of Ayurveda, which encompasses all the aspects of health (Swasthya), is called as Swasthavritta. Swasthavritta includes unique modalities in Ayurveda such as Dincharya (Daily Regime) and Ritucharya (Seasonal Regime) for the maintenance and promotion of the health status. The one who regularly follows Daily Regime, Nocturnal Regime and Seasonal Regime as advised in Ayurveda remains always healthy. [1] Ritucharya i.e. Seasonal Regime includes season specific diet, behaviour and Therapy for the maintenance of Dosha (Humours) equilibrium of the body, which in turn maintains our health status. Presently increasing temperature in the environment is a matter of global concern. The general limit of high temperature tolerance in a healthy individual is about 40 0 C. In the summer of 2010, temperature of some of the cities in India was recorded around 49 0 C. An increase of about 3 o c would take place in the average global surface temperature by the year [2] The Urban Heat Island Phenomenon that makes cities warmer than the surrounding rural areas will lead to longer and more severe heat waves than we are accustomed to now. [3] During the Chicago heat wave of 1995, more than 700 people died in their homes from heat exposure. [4] According to Ayurveda during the Grishma Ritu Page41

4 (Summer Season), everyone experiences Pittatmaka Vikar (Disorders of Pitta) such as Trishnadhikya (Excessive Thirst), Daha (Heat), Swedadhikya (Excessive Sweat) etc. This is because, of the Pittadosha (Pitta), which spontaneously and abnormally aggravates in the Grishma Ritu (Summer Season). [5] It is very necessary to adopt certain changes in the food habits as well as in the mode of living to protect the body against the harmful effects of changing environment. [6] In most of the scriptures of Ayurveda, sweet, cold and liquid regimen is recommended in Grishma Ritu (Summer Season). Panaka (Syrups), Mantha (Thin Gruels) prepared with corn-flour and sugar, which are cold, very sweet in taste are the ideal drinks in the Grishma Ritu (Summer Season). [7] Dhanyaka Hima (Cold infusion of coriander seeds) is indicated early in the morning along with raw sugar against Trishna (Thirst) and Antardaha (Internal burning) in Sharandhar Samhita. [8] One should quickly drink cold water to prevent ill effects of Trishna (Thirst) over the body. [9] In addition, researches in the modern science conclude that morning hydrotherapy is extremely beneficial during the Summer Season. [10] Dhanyaka Hima can be a cost effective and home based remedy for Grishma Ritujanya Pittatmaka Vikar (Pitta - Heat disorders due to Summer Season) and hence selected for the study. AIM AND OBJECTIVES: 1. To study the effect of Dhanyaka Hima (Cold Infusion of Coriander Seeds) on Grishma Ritujanya Pittatmaka Vikar. (Pitta - Heat disorders due to Summer Season) 2. To provide a cost effective and home based remedy for Grishma Ritujanya Pittatmaka Vikar. (Pitta - Heat disorders due to Summer Season) MATERIAL AND METHODS: 1. Material : a. Freshly prepared powder of dried Dhanyaka. (Coriander seeds) Sr. Group - A Character No. Experimental Group 1. No. of Patients Drug for study Dhanyaka Hima b. Freshly prepared powder of Sita. (Raw sugar) c. A fresh Mruttika Patra (Mud pot) d. A measuring flask of 100 ml e. Strainer with a fine net f. Stainless steel spoon g. Starch filled capsules 2. Analysis of Study Drugs : Pharmacopeial Identification of Dhanyaka (Coriander seeds) was studied. Analysis of the study drugs was done in a FDA (M.S.) and AGMARK approved and an ISO Certified laboratory. 3. Determination of Grishma Ritu : Grishma Ritu was considered as per Bhartiya Kala Nirdesh Patraka i.e. Panchanga. (Indian Calender). Accordingly, the duration of 2 months from 20 April to 20 June was considered as Grishma Ritu. In these 2 months, due to extensive heat of sun, Pittatmaka Vikar is generally found in Maharashtra State of India. Hence, these 2 months were considered for the study and patients were examined in this period only. 4. Selection of 11 Pittatmaka Vikar : 11 Pittatmaka vikar, commonly occurring in the Grishma ritu, was selected from Nanatmaja Pittavikar stated in various Ayurvedic texts. [11] 5. Symptomatology of Pittatmaka Vikar : Symptomatology of Pittatmaka Vikar was considered according to Ashtanga Sangraha. [12] 6. Preparation of Study Drugs : Group - A: Preparation of Dhanyaka Hima Patients were educated to prepare the Dhanyaka Hima on home basis as per the reference of Sharandhar Samhita. [13] Group - B: Preparation of Placebo Drug Starch field capsules each of 250 mg. were used in the control Group. 7. Conduction Of Clinical Trial : 1) Study Design: Placebo controlled open labelled, randomized comparative clinical efficacy trial. 3. Matra (Dose) 100 ml. (250 mg) 1 capsule 4. Anupana (Adjuvant) Since drug was in liquid form, no Anupana was required. Water Group B Control Group Starch filled capsules considered as placebo. 5. Aushadhi Sevan Kala (Drug Administration Timings) Early Morning - Once a day Early Morning- Once a day 6. Total duration of the treatment 30 Days 30 Days 7. Follow up On 10 th, 20 th, 30 th Day On 10 th, 20 th, 30 th Day Page42

5 2) Indication: Grishmaritujanya Pittatmaka Vikar. 3) Inclusion Criteria : 1. Patients facing Grishma Ritujanya Pittatmaka Vikar 2. Patients between years of age group 3. Patients of either sex 4. Patients living in the similar environment 4) Exclusion Criteria : 1. Patients with any other vikar than the Grishma Ritujanya Pittatmaka Vikar 2. Infants, young children and older people 3. Females in ANC and PNC period 4. Workers in hot environments or A/C 5. Athletes and frequent exercisers 6. Patients exposed to heat stress 5) Methods Of Observations : a. From the OPD of Swasthyarakshana Vibhaga (Health Promotion OPD) 60 patients having Grishma Ritujanya Pittatmaka Vikar were selected randomly from the age group of years irrespective of their Sex, Caste, Religion, Educational Status and Socio- Economical status. b. 11 Grishma Ritujanya Pittatmaka Vikar were considered to evaluate each patient. c. Informed consent from each patient was procured prior the study. d. Detailed Clinical examination of each patient was done according to the case record form. e. Patients having minimum 3 of the 11 Grishma Ritujanya Pittatmaka Vikar were selected for the study. f. For Group - A i.e. Experimental Group 100 ml of Dhanyaka Hima was given early in the morning before 7 am, daily for 1 month. g. For Group - B i.e. Control Group a placebo capsule of 250 mg was given with water early in the morning up to 7 am, daily for 1 month. h. Study specific do s and don ts were instructed to each patient of the study. i. The patients were followed up on 10 th, 20 th, 30 th Day of study in the Grishma Ritu. j. Comparative study was done between the Group - A i.e. Experimental Group and Group - B i.e. Control Group. k. Observations were recorded based on the Clinical Parameters before the treatment, at the first follow up i.e. on the 10 th day (AT1 ), at the second follow up i.e. on the 20 th day (AT2 ), and at the last follow up i.e. on the 30 th day (AT3 ) of the study in both the groups l. Pathological evaluation (Hb %, TLC, Platelet Count, RBC Count, ESR, RBS, Urine Routine and Urine Microscopic examination) of each patient was done before and after the treatment to rule out systemic diseases. m. The Upashaya Anupashayatmaka effect (Efficacy) of study drugs was recorded based on presence or absence of Grishma Ritujanya Pittatmak Vikar at consecutive follow ups in each group. n. Data was collected, documented and analyzed according to statistical methods. Criteria of Assessment: Clinical Parameters: The Upashaya Anupashayatmaka effect (Efficacy) of study drugs was recorded as per the Ayurved, based on the presence or absence of Grishma Ritujanya Pittatmak Vikar i.e. Daha, Osha, Dava, Davathu, Vidaha, Antardaha, Dhumaka, Amlaka, Atisweda, Trishnadhikya at consecutive follow up in each group. Pathological Investigations: A. Blood sample of each patient was taken for following pathological investigations. 1. Haemoglobin% (Hb %) 2. Total leucocyte count (TLC) 3. Platelet Count 4. RBC Count 5. Erythrocyte sedimentation rate (ESR) and 6. Random blood sugar (RBS). B. Urine Routine and Microscopic Examination. OBSERVATIONS AND ANALYSIS : A. Demographical Observations : Table No. 1. Distribution of Grishma Ritujanya Pittatmaka Vikar in 60 Patients Sr. Grishma Ritujanya Group A Group B Total No Pittatmaka Vikar (30) (30) (60) % % % 1. Daha Osha Plosha Dava Davathu Vidaha Antaradaha Dhumuka Amlaka Atisweda Trushanadhikya Page43

6 In the present study Trushanadhikya symptom was found in all the patients showing 100% incidence in the Grishma Ritujanya Pittatmaka Vikar. Davathu symptom was present in % patients and Antardaha symptom was present in 75% of the patients. Vidaha symptom was present in 45% of patients and Atisweda symptom was present in 43.33% of patients while Dava symptom was present in 41.66% of patients. Daha symptom was present in 16.66% of patients and Amlaka symptom was present in 15% of the patients. Plosha symptom was present in 10% of patients and Osha was present only in 5% of the patients. Graph 1: Distribution of Grishma Ritujanya Pittatmaka Vikar Distribution of Grishma Ritujanya Pittatmaka Vikar in 60 Patients 120% 100% 100% 100% Percentage of Patients 80% 60% 40% 20% 83.33% 83.33% 70% 66.66% 46.66% 50% 50% 40% 36.66% 36.66% 36.66% 20% 16.66% 16.66% 16.66% 16.66% 13.33% 3.33% 3.33% 6.66% Group A Group B 0% B. Statistical Analysis : a) Clinical Parameters : The effect of Dhanyaka Hima on each symptom within the two groups was compared on three consecutive follow ups from the base line by applying Chi square Test. Effect of Dhanyaka Hima on each symptom between the two groups was compared on three consecutive follow ups by applying Chi square Test. b) Pathological Investigations : Pathological Investigations were compared before and after the treatment within the individual groups by Paired t - test. Mean change in these investigations between the two groups was compared by unpaired t - test. Data was analyzed by statistical software STATA Version 10. DISCUSSION: A. Demographical Observations : 1. Age : The distribution of patients according to age revealed the predominance of Grishma Ritujanya Pittatmaka Vikar in the age group of years followed by years of age group i.e. madhayavastha of ayu (Middle Age Span of Life) which is a Pittapradhana Kala of Ayu (Life period of Pitta Dominance) as per Ayurveda. 2. Sex: The distribution of patients according to sex reveals that males were suffered more from the Grishma Ritujanya Pittatmaka Vikar. In the present study out of total 17 Females 5 were homemakers while rest were belonging to student s class and none was a working woman. 3. Occupation: The distribution of patients according to Occupation reveals that students suffered mostly from the Grishma Ritujanya Pittatmaka Vikar. Students, which constitute an actively working group, were more prone to Grishma Ritujanya Pittatmaka Vikar. 4. Ahara: (Diet) The distribution of patients according to Ahara reveals that the Mishrahar individuals (People eating both Veg and Nonveg foods) suffered more from the Grishma Ritujanya Pittatmaka Vikar. Nonvegetarian Diet is Ushnavirya (hot) and aggravates the Pittadosha. Hence, the incidence was more in Mishrahari individuals. Page44

7 5. AGNI : (Digestive Fire) The distribution of patients according to Agni reveals that Teekshnagni (High Appetite and Digestion Rate) individuals suffered more from the Grishma Ritujanya Pittatmaka Vikar followed by Vishmagni (Odd Appetite and Digestion rate) individuals. According to Ayurveda, Pittadosha is Agneya (Fire Element Dominanat). Teekshnagni contributes to the aggravation of Pittadosha. Hence, the incidence seems to be more in Teekshnagni individuals. 6. Koshtha: (Digestive System) The distribution of patients according to Koshtha reveals that Mrudukoshtha (Easy and Soft Digestive System) individuals suffered more from the Grishma Ritujanya Pittatmaka Vikar followed by Madhyakoshtha (Medium Digestive System) individuals. According to Ayurveda, the individuals with Mrudukoshtha have abundance of Pittadosha. Hence, the incidence seems to be more in Mrudukoshtha individuals. 7. Prakruti: (Constitution): The distribution of patients according to Prakruti reveals that Pittapradhanavata Prakruti (Pitta and Vata Dominant Constitution) individuals suffered more from the Grishma Ritujanya Pittatmaka Vikar followed by Pittapradhanakapha Prakruti (Pitta and Kapha Dominant Constitution) individuals. This shows that Grishma Ritujanya Pittatmaka Vikar is found mostly in the Pittapradhan Prakruti (Pitta Dominant Constitution) individuals. B. Clinical Parameters : 1. Daha: Generalised burning sensation in the body (Sarvangadaha). As no statistical test could be applied to the Daha symptom, no results could be obtained. 2. Osha: Severe generalised burning sensation in the body with sweating and anxiety. As no statistical test could be applied to the Osha symptom, no results could be obtained. 3. Plosha: Localized burning sensation without sweating. As no statistical test could be applied to the Plosha symptom, no results could be obtained. 4. Dava: Burning sensation in Mukha (Oral cavity), Oshtha (Lips) and Talu (Palate). No change was observed after the treatment in Dava symptom at the first two follow ups. But at the last follow up i.e. on 30 th Day Dava was relieved completely (100%) in the Experimental Group as compared to the control group (9.1 %) only (P = S)(Chi-square Test). This reveals the effect of Dhanyaka Hima on Dava symptom on 30 th Day. 5. Davathu : Netradaha (Burning sensation in the eyes) No change was observed in the Davathu symptom at the first follow up but at second follow up Davathu was relieved completely in 96 % of the patients in the Experimental Group as compared to 0 % in the control group after the treatment by (P = HS) (Chi-square Test). The same result was found at the last follow up i.e. on 30 th Day. This reveals the effect of Dhanyaka Hima on Davathu symptom i.e. on 20 th and 30 th Day. This result can be contributed to the Chakashushya (Eye Health Promoting) property of Dhanyaka as stated in Dhanvantari Nighantu. [14] 6. Vidaha: Burning sensation in the Hands and Feet (Hastapadatala Daha). No significant change was observed in the Vidaha symptom at the first and second follow ups. But on 30 th Day Vidaha symtom was relieved completely in 100 % of the patients in the Experimental Group as compared to no change in the control group. (P = HS) (Chi-square Test). This indicates the effect of Dhanyaka Hima on Vidaha symptom on 30 th Day. 7. Antardaha : Internal burning sensation. No change was observed in the Antardaha symptom at the first follow up but at the second follow up, 23 (92 %) patients were cured as compared to none in the control group. At the last follow up Vidaha, symtom was relieved completely in 100 % of patients in the Experimental Group as compared to only 10 % patients in the control group. (P = HS) (Chi-square Test). This indicates the effect of Dhanyaka Hima on Antardaha symptom on 20 th Day and 30 th day. This also confirms the effect of Dhanyaka Hima primarily on Antardaha as quoted in Sharandhar Samhita. [15] 8. Dhumaka : Feeling of hot fumes in the Head, Neck, Throat or Palate. (Shira / Griva / Kantha / Talu Dhumayanam) No change was observed in the Dhumaka symptom at the first and Second follow ups but on 30 th Day Dhumaka was relieved completely in the 100 % of patients in the Experimental Group as compared to no change in the control group. (P = HS)(Chi-square Test). This indicates the effect of Dhanyaka Hima on Dhumaka symptom on 30 th Day. 9. Amlaka: (Acidic Eructation) In experimental group, one (25%) patient of Amlaka symptom was cured while no patient in control group was cured on 30 th day. Chi-square Test showed non-significant difference. (P = 0.236, NS). 10. Atisweda: (Excess Sweating) since none of these patients with Atisweda symptom was cured in both the groups, Chi-square test could not be applied. Page45

8 11. Trishnadhikya: (Excess Thirst) Trishnadhikya symptom was relieved completely in 93.3% of the patients in the Experimental Group on 10 th Day and in 100 % of the patients on 20 th Day and 30 th Day. (P = HS) (Chi-square Test). This indicates the effect of Dhanyaka Hima on Trishnadhikya on 10 th, 20 th and 30 th Day. The highly significant effect of Dhanyaka Hima on Trishnadhikya symptom on 10 th Day confirms Trishnanigrahana karma i.e. Thirst Quenching Effect of Dhanyaka stated in Charak Samhita [16] and Trishnaprashamana effect of Dhanyaka Hima stated in Sharanadhar Samhita. [17] C. Pathological Investigations: Pathological Investigations did not altered significantly in Group - A and in Group - B after the treatment. This shows that Dhanyaka Hima does not have any effect on these Pathological Investigations. However, for all the individuals pathological values were in their respective normal ranges throughout the treatment. D. Comparison of the effect of Dhanyaka Hima on each Grishma Ritujanya Pittatmaka Vikar with Percentage Upashaya and the Day of result in both groups. Graph 2: Comparative effect of Dhanyaka Hima Comparitive effect of Dhanyaka Hima wrt Symptoms, % Upashaya and Day of result in both groups. Percentage Upashaya Group A Group B Day of result E. Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar Table No. 2. Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar Sr. No. Symptom Result of the Therapy AT1 AT2 AT3 1. Trushanadhikya 10 th Day 20 th Day 30 th Day 2. Davathu th Day 30 th Day 3. Antardha th Day 30 th Day 4. Dava th Day 5. Vidaha th Day 6. Dhumaka th Day Graph 3: The Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar Day of Upashaya Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar AT1 AT2 AT3 Page46

9 Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar : Only Trishnadhikya symptom was relieved on 10 th Day while Davathu and Antardaha symptoms were relieved on 20 th day. However, on 30 th Day Dava, Vidaha and Dhumaka symptoms were relieved completely along with Trishnadhikya, Davathu and Antardaha symptoms. This implies that Dhanyaka Hima should be used over a longer duration. This indicates that the use of Dhanyaka Hima throughout the Grishma Ritu i.e. for 2 months is more beneficial to conquer the Grishma Ritujanya Pittatmaka Vikar. Hence, Ritucharya i.e. Seasonal Regime if followed through out and regularly cures the diseases. In addition, the studies on Coriander suggest, The medicinal properties and health benefits of coriander can be fully used by making them as part of the routine diet. This will help to prevent various diseases and keep the person healthy. [18] F. Dhanyaka HIMA as a Home based and Cost Effective Remedy on Grishma Ritujanya Pittatmaka vikar: 1) Summer Drinks or Cold drinks, which may be hazardous to our health due to plenty of preservatives, are not always available in fresh form. 2) Many people cannot afford the rising costs of summer health drinks. 3) Coriander seeds i.e. Dhanyaka and raw sugar i.e. Sita are locally available all over India at a cheaper cost and are available in every kitchen throughout the year. 4) People can grow coriander in the kitchen garden or in a small household pot also. 5) In the present study, the cost of small mud pot was Rs. 5 only while simple transparent plastic glasses with appropriate markings were available for Rs. 10 only. 6) The cost of 1 pouch of coriander and raw sugar each was approximately Rs.1 only. Hence, the remedy was cost effective. 7) In addition, the method of preparation of Dhanyaka Hima was very simple and required least technical skills. 8) Hence, Dhanyaka Hima can be prepared easily and regularly on home basis during the whole summer season. 9) As Dhanyaka Hima is to be prepared regularly, it will be always available and administered in fresh form. 10) Thus, Dhanyaka Hima is an easy and economical remedy for Grishma Ritujaya Pittatmaka Vikar. RESULTS: 1. The critical study of Ayurvedic literature shows that available description in Ayurvedic Classics about the study topic is applied and scientific. 2. In Grishma Ritu, the Pittatmaka Vikar was observed as Pitta dosha is vitiated directly without its accumulation and it is Naimittika (Occasional / Casual). 3. Grishma Ritujanya Pittatmaka Vikar were found predominantly in the Males or Students or in the individuals who are Mishrahari (Eating both Veg and Non-veg foods) or with Teekshnagni (High Appetite and Digestion Rate) or Mrudukoshtha (Easy Soft Digestive System) or Pittapradhana Prakruti (Pitta Dominant Constitution) or in the Madhayavastha of Ayu (Middle Age Span of Life). 4. The incidence of Trishnadhikya symptom was 100% amongst Grishma Ritujanya Pittatmaka Vikar. Trishnadhikya is a cardinal symptom (Pratiniyata Lakshana) amongst Grishma Ritujanya Pittatmaka Vikar. 5. Davathu and Antardaha were prominant symptoms amongst Grishma Ritujanya Pittatmaka Vikar. 6. Vidhaha, Atisweda and Dava symptoms showed marked incidence amongst Grishma Ritujanya Pittatmaka Vikar. 7. Dhumaka, Daha and Amlaka symptoms showed considerable incidence amongst the Grishma Ritujanya Pittatmaka Vikar. 8. The incidence of Plosha and Osha symptom was least amongst the Grishma Ritujanya Pittatmaka Vikar. 9. The changes in Hb %, TLC, Platelet Count, RBC Count, ESR and RBS were insignificant. 10. On 10 th day 93.3% Upashaya (Relief) and on 20 th day 100% Upashaya was found on Trishnadhika symptom i.e. excessive thirst, with regular oral administration of Dhanyaka Hima early in the morning. This confirms the Trishnanigrahana Karma i.e. Thirst Quenching effect of Dhanyaka as stated in Charak Samhita and Trishnaprashamana effect of Dhanyaka Hima as stated in Sharanadhar Samhita. 11. On 20 th day 96% Upashaya and on 30 th day 100% Upashaya was found on Davathu symptom i.e. burning sensation in the eyes (Netradaha), with regular oral administration of Dhanyaka Hima early in the morning. This result can be contributed to the Chakshushya property of Dhanyaka as stated in Dhanvantari Nighantu. 12. On 20 th day 92% Upashaya and on 30 th day 100% Upashaya was found on Antardaha symptom i.e. internal burning sensation, with regular oral administration of Dhanyaka Hima early in the morning. This confirms the action Page47

10 of Dhanyaka Hima primarily on Antardaha as stated in Sharandhar Samhita % Upashaya was found on Dava symptom i.e. burning sensation in Mukha (oral cavity) and / Oshtha (lips) and / Talu (palate), Vidaha symptom (Hastapadatala Daha) i.e. burning sensation in the hands and / feet and Dhumaka symptom i.e. feeling of hot fumes in the head and / neck and / throat and / palate (Shira and / Griva and / Kantha and / Taludhumayanam) with 30 days of regular oral administration of Dhanyaka Hima early in the morning. CONCLUSION: This clinical study clearly concludes that Dhanyaka Hima (Cold Infusion of Coriander Seeds) is a remedy for Grishma Ritujanya Pittatmaka Vikar (Pitta - Heat disorders due to Summer Season). The significant effect of Dhanyaka Hima on most of the symptoms on 30 th Day indicates the necessity of regular administration of Dhanyaka Hima over a longer duration to cure more intense symptoms. This confirms the importance of following Grishma Ritucharya (Summer Seasonal Regime) as well. To reach a more concrete conclusion the study should be carried in larger number of patients and the duration of treatment should be more up to 2 months i.e. the complete Grishma Ritu (Summer Season). Dhanyaka Hima is a home based and cost effective remedy for Grishma Ritujanya Pittatmaka Vikar. Thus, such an easy, home based, cost effective and potent remedy for should be utilized by everyone during Grishma Ritu (Summer Season) and its efficacy should be popularized in the community. In addition, the society should be aware about the necessity and importance of following Ritucharya (Seasonal Regimen as per Ayurveda) as well, in the view of Swasthavritta and Preventive and Social Medicine. REFERENCES: 1. Misra Bramhashankar, editor, Bhavprakash Samhita, 2 nd ed, Hindi, Poorvakhanda - Part 1-5/13,Choukhambha Sanskrit Bhavan, Varanasi 2012, p , (Assessed date 5/11/2015 at 2.45 pm) 3. (Assessed date 5/11/2015 at 2.46 pm) 4. (Assessed date 5/11/2015 at 2.51 pm) 5. Vaidya Athavale P.G., editor, Ashtanga Sangraham, Marathi, Sutrasthana 12/94, Godavari Publishers, Nagpur, 2001, Maharashtra, p Kaviraj Gupta Atridev, editor, Ashtanga Hridaya, Sutrasthana 11/45, 2004-Edi, Chaukhambha Prakashan, Varanasi, p Vaidya Athavale P.G., editor, Ashtanga Sangraham, 1 st ed., Marathi, Sutrasthana 4/31-32, Godavari Publishers 2001, Nagpur, Maharashtra, p Dr. Tripathi Bramhanand, editor, Sharandhara Sanhita, 2 nd edi, Madhyam Khanda, 4/7, Chaukhambha Surabharti Prakashan, p Dr. Tripathi Bramhanand, editor, Charak Samhita, 2 nd edi, Chikitsa Sthana, 22/60-61, Chaukhambha Surabharti Prakashan, 2011, p (Assessed date 5/11/2015 at 3.07 pm). 11. Dr.TripathiBramhanand, editor, Charak Samhita, 2 nd edi, Sutra Sthana, 20/14, Chaukhambha Surabharti Prakashan2011,p Vaidya Athavale P.G., editor, Ashtanga Sangraham, 1 st ed., Marathi, Sutrasthana 20/13, Godavari Publishers 2001, Nagpur, Maharashtra, p Dr. Tripathi Bramhanand, editor, Sharandhara Sanhita, 2 nd edi, Madhyam Khanda, 4/1, Chaukhambha Surabharti Prakashan, p Dhanvantari Nighantu, Edition , Priyavat Sharma, Shatapushpadi Varga, 2/65, Choukhambha Orientalia, Varanasi, Page No Dr. Tripathi Bramhanand, editor, Sharandhara Sanhita, 2 nd edi, Madhyam Khanda, 4/7, Chaukhambha Surabharti Prakashan, p Charak Samhita, Sutra Sthana 4/29, Bramhanand Tripathi, Edition 2011, Chaukhambha Surabharti Prakashan, Page No Dr. Tripathi Bramhanand, editor, Sharandhara Sanhita, 2 nd edi, Madhyam Khanda, 4/7, Chaukhambha Surabharti Prakashan, p (Assed Date 6/11/2015 1pm) CITE THIS ARTICLE AS Shinde Y.B. et.al., Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar: A Clinical Study, Int. J. Ayu. Alt. Med., 2016; 4(1): Source of Support Nil Conflict of Interest None Declared Page48

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