A clinical study on the role of herbal compound belfaladi churna in the management of atisaar Shirsath Sunita Devidas* 1, Sing HB 2, Chavan Hemlata 3 1. HOD and Associate Professor Kriyasharir Dept., Smt. KGMP Ayu. College & Hosp. 2. Professor, Kayachikitsa Dept. Smt. KGMP Ayu. College & Hosp. 3. Practioner. ABSTRACT Ayurvedic literature has through description of ATISAAR 1 disease and many formulations decided in charak samhita. Aim to take this research project to assess efficacy of described drug. We selected herbal drug only, which is cost effective and easily available to patients. 46 patients of ATISAAR were selected out of which 40 patients completed treatment duration was 5 days only. No complications or adverse effect incurred during treatment. Drug is effective in management of ATISAAR Patients. Key Words :- ATISAAR, HERBAL COMPOUND, BELFALADI CHURNA DIARRHOE. Introduction : Meaning of word ATISAAR is passing of weary Stool 2. Madhukosh Commentary on Madhav Nidan mentioned liquid character of faces in Atisaar. Diarrhea frequency, a chance to fluid consistency or a mean stool weight the excess of 250 ml day. Though it controllable, the disease 3 is life threatening. Different research fellows in medical field studied the disease with different effective remedies. Still Belfaladi Churna is a remedy which is effective potent, cheap and easily available herbal, acceptable by any age group. Therefore selected Belfaladi Churna for research project. This drug has no adverse reactions seen. Inclusive Criteria :- 1. Age group 5 to 65 years. 2. All types of Atisaar. 3. Patients suffering with moderate severity of Atisaar upto II nd degree dehydration (degree of dehydration according to international standards.) Exclusive Criteria :- 73
1. Age below 5 years and above 65 years. 2. Patients with III rd degree dehydration. 3. Drug induced Atisaar. 4. Atisaar secondary to other serious illness i.e. Grahani Arsia, Jwara Shotha & Arsha, Poison. 5. Patient with serious illness ulcerative cullitis, CA colon. Urania were excluded. Detailed history, clinical examination and other relevant observation were recorded in proforma designed for project. Laboratory investigations. 1. Complete Blood count. 2. ESR 3. Stool Examination I. Routine. II. Microscopic. The above mentioned investigations were done on 0 day and 5 th day i.e. in the beginning and on completion of treatment. Contains of BELFALADI CHURNA. Drug Name Botanical Name Part Used Quantity BELFAL CHURNA Aegle Marmelos Fruit 500 mg KUTAJCHAL CHURNA Holarrhena antidysentrica Stem Bark 500 mg INDRAYAVA CHURNA Holarrhena antidysentrica Seed 500 mg Medicine Preparation Details as raw material were subjected to standard test. All three churnas mixed together. Dosage. ADULT 1500 mg two times daily. CHILDREN 750 mg two times daily. Dosage form CHURNA. Route of Administration Oral. Time of Administration Two times daily. Before food in take. Anupana Lukewarm water. Assessment Criteria :- 1) Daily follow up taken for change in baseline signs and symptoms. 2) Change in frequency and consistency of stools. 74
3) Stool examination. Observation and Results :- Total 46 Patients were registered, out of which 6 Age Groups Numbers (in years) of Patients 05 10 1 11 20 10 21 30 6 31 40 6 41 50 9 51 60 8 Total 40 patients drop out and 40 patients completed the treatment. Number of Patients according to age groups. 40 30 20 10 0 Age Groups (in years) 05 10 11 20 21 30 31 40 41 50 Signs & Symptoms No. of Patients on 0 day 1 st 2 nd 3 rd 4 th 5 th Drava-mala parvruti (Loose motions) 40 27 8 4 1 - Udar-shool (Pain in abdomen) 33 15 9 6 1 2 Pravahana (Tenesmus) 32 15 12 4-1 (Abdominal tenderness) 19 7 1 1-1 Krute api akrut Samdnya (feeling of incomplete evacuation) 17 9 4 3-1 Kshudha-mandhya (Loss of appetite) 36 4 15 10 4 3 Ap-dhatuKshaya (Dehydration) 22 17 5 - - - Sa-rakta mal (Blood with stool) 14 5 7 1 - - Visra Gandhi mala (Foul smelling stool) 9 6 3 - - - Jwara (Fever) 6 5 - - 1 - Chhardi (Vomiting) 3 3 - - - - Total 239 118 73 31 7 10 Cumulative score 118 191 222 229 239 75
No. of Patients on 0 day 2nd 4th ISBN 978-93-5173-179-3 ISSN 2320-7329 45 40 35 30 25 20 15 10 5 0 Drava-mala parvruti (Loose motions) Udar-shool (Pain in abdomen) Pravahana (Tenesmus) Effects of BELFALADI CHURNA was significant. DISCUSSION :- Belfal, Indrayav, Kutaj have been described to have excellent antidiarrhoeal 6 properties in Ayurved simulates. Kutaj is Katu (Pungent) and Kashaya (Strigent) in taste (Rasa) and its veerya is sheeta (cold). It cures Atisaar, Arsha, Amelesha 7, etc. Indrayav os Katu (Pungent) teekshna, Usna (hot) in veerya, subsides three doshas and cures Atisaar, Shool, krimiroya 8. Bel fal is Madhur (sweet) Kashaya (Astrigent) guru (heavy) deepan and it subsides 9 Vata and Kapha Dosha and cures Atisaar. Thus all three drugs have antidiarrhoel, antihelmintic, antidysentric properties 10 11. Vitiation of Jathargni is the main reason for Atisaar above three drugs acts as to Satharagni Deepana and Aampachana patients relieves sign and symptoms. 76
Conclusion on the basis of this study Belfaladi churna is found to be effective in reliving symptoms of Atisar. There was no adverse reaction seen. ACKNOWLEDGEMENT :- We are thankful to Dr. B.V. Sathaye, Dean M.A. Podar Hospital Bom, Dr. P. C. Jamkhedkar Kayaelinits Desai. Dr. Minal Vaidya, Dr. Ashlesha Raut and all resident hospital staff supportive to our research team and off course all patients involved in our project. REFERENCES :- 1. Agnivesha. Charaka Dridhabala Chikitsasthana Atisaar chikitsa Adhyay 19/4 in edited by Vaidya Yadhavji Prikamji Aacharya, editor 5 th, New Delhi Munshiram Mohanlal Piblishers Pvt. Ltd. 1992 P. 547-554. 2. Agnivesha. Charaka Dridhabala Chikitsasthana Rajeshwar dutta shastri Reprint 2001 chaukhambha bharati Delhi 2001 P. 557 3. Laurence S. Freidman/ Kuyt J Diarrhea and Constipation Kaunt J Isselbacher Harrison s Principles of Internal Medicine 13 th Edition New York International Edition 1994 P. 213 4. Agnivesha. Charaka Dridhabala Chikitsasthana Chikitsasthana Atisaar chikitsa Adhyay 19 in edited by Vaidya Rajeshwar dutta shastri Reprint 2001 chaukhambha bharati Delhi 2001 P. 565, 567, 569, 575, 576. 5. Agnivesha. Charaka Dridhabala Chikitsasthana Chikitsasthana Atisaar chikitsa Adhyay 19 in edited by Vaidya Rajeshwar dutta shastri Reprint 2001 chaukhambha bharati Delhi 2001 P. 568, 571, 572, 575. 6. Agnivesha. Charaka Dridhabala Chikitsasthana Chikitsasthana Atisaar chikitsa Adhyay 19 in edited by Vaidya Rajeshwar dutta shastri Reprint 2001 chaukhambha bharati Delhi 2001 P. 571. 7. Priyavrata Sharma Aushadi Varga Kaiyadev nighantu first edition ChauKhambha Orientalia Delhi 1979 P. 6. 8. Priyavrata Sharma Aushadi Varga Kaiyadev nighantu first edition 77
ChauKhambha Orientalia Delhi 1979 P. 165, 166. 9. Priyavrata Sharma Aushadi Varga Kaiyadev nighantu first edition ChauKhambha Orientalia Delhi 1979 P. 6. 10. K.M. Madkarni Vegetable Kingdom The Indian Materia Medica Reprint 1994 Popular Prakashan Pvt. Ltd. Mumbai 1976 P. 45. 11. K.M. Madkarni Vegetable Kingdom The Indian Materia Medica Reprint 1994 Popular Prakashan Pvt. Ltd. Mumbai 1976 P. 634, 635, 636 652 Cite this article: A clinical study on the role of herbal compound belfaladi churna in the management of atisaar Shirsath Sunita Devidas, Sing HB, Chavan Hemlata -2015; 3(3): 73-78 78