RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,

KARNATAKA, BENGALURU

SYNOPSIS BYDr. VIJAYALAKSHMI. HADIMANI

FOR THE DEGREE OF AYURVEDA DHANVANTARIM.S (AYURVEDA) IN SHALYATANTRA

TITLE OF THE TOPIC

“A STUDY ON THE EFFICACY OF SIRAVYADHA FOLLOWED BY SNUHI

KAANDA LEPA IN THE MANAGEMENT OF VICHARCHIKA (ECZEMA)”.

GOVERNMENT AYURVEDIC MEDICAL COLLEGE,

DHANVANTARI ROAD,

BENGALURU – 09,

KARNATAKA

1

From:Dr. VIJAYALAKSHMI HADIMANI.I Year MS (Ayu),Dept. of P.G Studies in Shalyatantra,Govt. Ayurvedic Medical College,Bengaluru-560009

To:The Registrar,Rajiv Gandhi University of Health Sciences,Bengaluru.

Through:

THE PRINCIPAL AND H.O.D. OF PG STUDIES IN SHALYATANTRAGovernment Ayurvedic Medical College, Bangaluru- 560009

Respected Sir,

Sub: - Submission of completed proforma for the registration of subject for Dissertation.

I, request you to kindly register the below mentioned subject against my name for

submission of dissertation to Rajiv Gandhi University of Health Sciences, Bengaluru as

partial fulfillment of MS (Ayu) in Shalyatantra.

TITLE OF DISSERTATION:

“A STUDY ON THE EFFICACY OF SIRAVYADHA FOLLOWED BY SNUHI

KAANDA LEPA IN THE MANAGEMENT OF VICHARCHIKA (ECZEMA).”

Herewith, I am enclosing completed proforma for registration of subject for dissertation.

Thanking you, Place: Bengaluru

Yours Sincerely, Date:

2

Dr.Vijayalakshmi Hadimani

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALURUKARNATAKA.

ANNEXURE-I

COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT FORDISSERTATION

1. NAME OF THE CANDIDATE : DR.VIJAYALAKSHMI HADIMANIAND ADDRESS 1st YEAR MS (AYU),

DEPT. OF PG STUDIES IN SHALYA TANTRA,

GOVERNMENT AYURVEDICMEDICAL COLLEGE,BENGALURU.

RESIDENTIAL ADDRESS : D/O BASAVARAJ.Y.HADIMANI, C/O RAVINDRA HALYAL HOUSE NO.744 WARD NO-22 VIVEK NAGAR. BIJAPUR-586101

2. NAME OF THE INSTITUTE : GOVERNMENT AYURVEDICMEDICAL COLLEGE,BENGALURU.

3. COURSE OF STUDY : AYURVEDA DHANVANTARI,IN SUBJECT I YEAR M.S. (AYURVEDA)

SHALYATANTRA.

4. DATE OF ADMISSION TOTHE COURSE : 29.10.2011

5. TITLE OF THE DISSERTATION: A STUDY ON EFFICACY OF SIRAVYADHA FOLLOWED BY SNUHI KAANDA LEPA IN THE MANAGEMENT OF VICHARCHIKA(ECZEMA).

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6. BRIEF RESUME OF THE INTENDED WORK

6.1 NEED FOR THE STUDY:

Ayurveda has given importance to Skin disease and reference of Kushta can be

found since Vedic period. Even during Samhita Period, details of Kushta can be found

and have categorised it under Maharoga. Kushta has been classified as Maha Kushta and

Kshudra Kustha. Vicharchika is one among Kshudra Kustha which is Kapha and Pitta

pradhana among three Doshas.

Vicharchika presents itself on skin, exhibiting features namely Kandu, Srava,

Pidaka, Shyavata, Rukshata and Raji. This can be correlated to Eczema of modern

science. Eczema is an inflammatory reaction of skin. It is the second commonest Skin

disease, affecting all age groups all over the world, with its incidence rate of 2-3% seen

in practice. This is assosciated with high rate of remissions.

Eczema mostly affects extensor of limbs and neck; can be dry and wet. Various

effective modalities of treatment are prescribed in Ayurvedic text, including Kaya

shodhana, Siravydhana, Shamanoushada which includes lepas. On the other hand modern

Medical science has no satisfactory treatments. It consists of Anti histamine pills, oral

and topical carticosteroids; Topical immunomodulators and Phototherapy by uv and uvb

rays. Oral steroids are reserved for life saving cases and its prescription is for limited

period and side effects of topical steroids are thinning of skin, strech marks, unwanted

hair growth, redness of skin. Topical immunomodulators can cause skin cancer which

has been proven on animal experimentation. Even Phototherapy may end in white skin

and skin cancer.

It is told that Siravyadha is Ardha chikitsa in overcoming Rakta pradoshaja

vyadhi. Hence Raktamokshana is taken up for the present study which is been followed

by Lepa of dagdha snuhi kaanda, whose main action being antimicrobial,

antinflammatory and vasodilator, which is cost effective and easily available drug.

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6.2 REVIEW OF LITERATURE:

Ayurvedic review on Vicharchika:

Vyuthpati:

ÌuÉzÉåwÉåhÉ cÉcÉïÌiÉ mÉÉÍhÉmÉÉSxrÉ iuÉMü ÌuÉSÉrrÉïiÉå AlÉrÉÉ CÌiÉ || ¹(chatu. Kha. p.378)

It is a disease with main characteristic features of breaking and intense itching over hands and feet.

Nidana and samprapthi:

ÍqÉjrÉÉWûÉUÉcÉÉUxrÉ ÌuÉzÉåwÉÉSaÉÑÂÌuÉ®ÉxÉÉiqrÉÉeÉÏhÉÉïÌWûiÉÉÍzÉlÉ: xlÉåWûmÉÏiÉxrÉ uÉÉliÉxrÉ uÉÉurÉÉrÉÉqÉaÉëÉqrÉkÉqÉïxÉåÌuÉlÉÉå aÉëÉqrÉÉlÉÑmÉÉæSMüqÉÉÇxÉÉÌlÉ uÉÉ mÉrÉxÉÉÅpÉϤÉhÉÉ rÉÉå uÉÉ qÉ‹irÉmxÉÔwqÉÉÍpÉiÉmiÉ: xÉWûxÉÉ NûÌSïÇ uÉÉ mÉëÌiÉWûÎliÉ, iÉxrÉ ÌmɨÉzsÉåwqÉÉhÉÉæ mÉëMÑüÌmÉiÉÉæ mÉËUaÉë½ÉÌlÉsÉ: mÉëuÉëÑ®ÎxiÉrÉïaaÉÉ: ÍxÉUÉ: xÉÇmÉëmɬ xÉqÉÑ®ÕrÉ oÉɽÉÇ ÇqÉÉaÉïÇ mÉëÌiÉ xÉqÉliÉÉ̲ͤÉmÉÌiÉ, rÉ§É rÉ§É cÉ SÉåwÉÉå ÌuÉͤÉmiÉÉå ÌlɶÉUÌiÉ iÉ§É iÉ§É qÉhQûsÉÉÌlÉ mÉëÉSÒpÉïuÉÎliÉ, LuÉÇ xÉqÉÑimɳÉxiuÉÍcÉ SÉåwÉÉåxiÉ§É iÉ§É cÉ mÉËUuÉëÑ먂 mÉëÉmrÉÉmÉëÌiÉÌ¢ürÉqÉÉhÉÉåÅprÉliÉUÇ mÉëÌiÉmÉkrÉiÉå kÉÉiÉÑlÉÍpÉSÒwÉrÉlÉ||

In the person with faulty diet and behaviour particularly eating heavy,

incompatible, unsuitable and unwholesome items and also during indigestion; or

indulging in physical exercise and sexual intercourse after intake of sneha (unctuous

substance) or emesis; or frequently eating meats of domestic, marshy and aquatic animals

with milk; or taking dip in water after having been heated by fire (or the sun); or by

suppressing vomiting suddenly increased vayu carrying aggravated pitta and kapha

reaches the obliquely moving channels further aggravates and scatters them all around

towards the external passage; wherever scattered dosa moves patches appear; thus dosa

started in skin further increases and, if not treated, goes inwards vitiating dhatus.²

(Ni. Cha.5 sl.3 p.36)

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ÌuÉUÉåÍkÉåųÉmÉÉlÉÉÌlÉ SìuÉÎxlÉakÉaÉÑÂhÉÏ cÉ| pÉeÉiÉÉqÉÉaÉiÉÇ NûÍkÉïÇ uÉåaÉÉǶÉÉirÉÉlmÉëÌiÉblÉiÉÉqÉ||4||urÉÉrÉÉqÉ qÉÌiÉxÉÇiÉÉmÉqÉÌiÉpÉÑYiuÉÉåmÉxÉåÌuÉlÉÉqÉ| ÍzÉiÉÉåwhsÉÇbÉlÉÉWûÉUÉlÉ ¢üqÉÇ qÉÑYiuÉÉ ÌlÉwÉåÌuÉhÉÉqÉ||5|| bÉqÉï´ÉqÉpÉrÉÉiÉÉïlÉÉÇ SìÓiÉÇ ÍzÉiÉÉqoÉÑxÉåÌuÉlÉÉqÉ| AeÉÏhÉÉïkrÉÍzÉlÉÉÇ SìÓiÉÇ mÉÇcÉMüqÉÉïmÉcÉÉËUhÉÉqÉ||6||lÉuÉɳÉSÍkÉqÉixrÉÉÌiÉsÉuÉhÉÉqsÉÌlÉwÉåÌuÉhÉÉqÉ| qÉÉwÉqÉÑsÉMüÌmɹÉlÉÉÌiÉsɤÉÉUaÉÑQûÉÍzÉlÉÉqÉ||7||urÉuÉÉrÉ crÉÉÌmÉeÉÏhÉãïA³Éå ÌlÉSìÉÇ cÉ pÉeÉiÉÉÇ ÌSuÉÉ| ÌuÉmÉëÉlÉ aÉÑÂlÉ bÉwÉïrÉiÉÉÇ mÉÉmÉÇ MüqÉï cÉ MÑüuÉïiÉÉqÉ||8||

Those who habitually take incompatible food items and liquids, unctuous and

heavy substances, suppress the natural urges particularly of vomiting, are exposed to

physical exercise and intense heat after eating excessively, use cold, hot, lightening

measures and diet against the prescribed order, apply cold water immediately after

intensive exposure to sun, exertion and fear, take food during indigestion and when

previous meal is not properly digested, use contraindicated items while undergoing

pancakarma therapy, use excessively new cereals, curd, fish, salt and sour substances,

indulge in eating black gram, radish, (rice) flour preprations, sesamum, milk and jaggery,

perform sexual intercourse during indigestion, sleep regularly in day, insult Brahmanas,

teachers (and other respectable persons) and indulge in sinful activities (fall prey to

leprosy and other skin disorders).³ (Chi. Cha.7 sl.4-8 p.125)

uÉÉiÉÉSrÉx§ÉrÉÉå SÒ¹xiuÉaÉë£Çü qÉÉÇxÉÉqÉqoÉÑ cÉ| SÒwrÉrÉÎliÉ xÉ MÑü¹ÉlÉÉÇ xÉmiÉMüÉå SìurÉxÉÇaÉëWû:||9|| AiÉ: MÑü¹ÉÌlÉ eÉÉrÉliÉå xÉmiÉ cÉæMüÉSzÉåuÉ cÉ| lÉ cÉæMüSÉåwÉeÉÇ ÌMüÎlcÉiÉ MÑü¹Ç xÉqÉÑmÉsÉprÉåiÉå||10||

The three dosas (vata etc.) being vitiated affect the skin, blood, and lymph, thus

these seven are the pathogenic materials for leprosy and other skin disorders.

Henceforth seven types (of proper leprosy) and eleven types (of other skin disorders)

arise. No leprosy or other skin disorder is caused by a single dosa.³

(Chi. Cha.7 sl.9-10 p.125)

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ÍqÉjrÉÉWûÉUÌuÉWûÉUåhÉ ÌuÉzÉåwÉåhÉ ÌuÉUÉåÍkÉlÉÉ| xÉÉkÉÑÌlÉlSÉuÉkÉÉlrÉxuÉWûUhÉÉkÉæ¶É xÉåÌuÉiÉæ: || 1||mÉqmÉÉÍpÉ: MüqÉïÍpÉ: xÉkrÉç: mÉëÉ£üÉlÉæuÉæïËUiÉÉ qÉsÉÉ:| ÍxÉUÉ: mÉëmɱ ÌiÉrÉïaaÉÉxiuÉasÉÍxÉMüÉxÉÚaÉÉÍqÉwÉqÉ ç||2|| SÒwÉrÉÎliÉ ¶sÉÍjÉMÚüirÉ ÌlɶÉUliÉxiÉiÉÉå oÉÌWû:| iuÉcÉ: MÑüuÉïÎliÉ uÉæuÉhÄrÉï SÒ¹É: MÑü¹qÉÑzÉÎliÉ iÉiÉ ç||3||

The malas (dosa) getting aggrevated by unsuitable foods and activities, especially by foods which are incompitable, by sinful acts of the present life such as scolding/defaming or killng the pius (ascetics, elders, preceptors etc), robbing the properties of others etc. or sinful acts of the previous lives; invade the channels present everywhere inside, vitiate the skin, lasika (lymph), blood and muscles make them flabby (loose, weak) and fall out, cause discolouration of the skin; this disease is called Kustha.4

(Ni. Cha.14 sl.1-3 p.136)Laxanas of vicharchika:

UÉerÉÉåAÌiÉMülQèuÉÌiÉïÂeÉ: xÉÂYzÉ pÉuÉÎliÉ aÉɧÉåwÉÑ ÌuÉcÉÍcÉïMüÉrÉÉqÉç||

In vicharchika, rough streaks with intense itching and pain appear on limbs.² (Ni.Cha.5 sl.12 p.39)

xÉMülQÕû ÌmÉQûMüÉ zrÉÉuÉÉ oÉWÒûxÉëÉuÉÉ ÌuÉcÉÍcÉïMüÉ ||

Vicharchika consists of pimples itching, blackish and with excessive discharge.³ (Chi. Cha.7 sl.26 p.127)

xÉMülQÕûÌmÉOûÏMüÉzrÉÉuÉÉ sÉÍxÉMüÉžÉ ÌuÉcÉÍcÉïMüÉ ||

Vicarcika has eruption which are itching, black and full of lymph.4

(Ni. Cha.14 sl.17 p.139)

Dosha pradhanyatha:AÂ: xÉÍxÉkqÉ UMüxÉÉ qÉWûŠ rÉŠæMüMÑü¹Ç MüTüÉeÉÉlrÉÉÌlÉ |uÉÉrÉÉå: mÉëMüÉåmÉÉiÉç mÉËUxÉmÉïqÉåMÇü zÉåwÉÉÍhÉ ÌmɨÉmÉëpÉÉuÉÍhÉ ÌuÉkrÉÉiÉ ||

Of these, sthularuska, sidhma, rakasa, mahakustha, and ekakustha are caused by kapha; parisarpa alone is caused by vata; while the remaining ones are caused by pitta.² (Ni. Cha.5 sl.16 p.40)

mÉÉqÉÉ zÉiÉÉÂÌuÉïxTüÉåOÇû SSìÓ¶ÉqÉïSsÉÇ iÉjÉÉ| ÌmɨÉzsÉåwqÉÉÌSMÇü mÉëÉrÉ: MüTümÉëÉrÉÉ ÌuÉcÉÍcÉïMüÉ||

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Pama------------------------------. Vicharchika is predominantly kaphaja.³ (Chi. Cha.7 sl.30 p.128)uÉÉiÉålÉ MÑü¹Ç MüÉmÉÉsÉÇ ÌmɨÉÉSÉæSÒqoÉUÇ MüTüÉiÉ |qÉhQûsÉÉZrÉÇ ÌuÉcÉÍcÉï cÉ G¤ÉÉZrÉÇ uÉÉiÉÌmɨÉeÉqÉç ||

From (the predominance of ) vata arises kapala; from pitta, arises audumbara; from kapha arises mandala and vicarci.4 (Ni. Cha.14 sl.7 p.137)

Chikitsa: ‘

1) Siravyadha:

iÉ§É ÎxlÉakÉÎxuɳÉqÉÉiÉÑUÇ rÉjÉÉSÉåwÉmÉëirÉÌlÉMÇü SìuÉmÉëÉrÉqɳÉÇ pÉÑ£üuÉliÉÇ rÉuÉÉaÉÑÇ ÌmÉiÉuÉliÉÇ uÉÉ rÉjÉÉMüÉsÉqÉÑmÉxjÉÉmrÉÉÍxÉlÉÇ ÎxjÉiÉÇ uÉÉ mÉëÉhÉÉlÉoÉÉkÉqÉÉlÉÉåuÉx§ÉmÉûcÉqÉÉïl§ÉuÉsMüsÉsÉiÉÉlÉÉqÉlrÉiÉqÉålÉ rÉl§ÉÌrÉiuÉÉ lÉÉÌiÉaÉÉRÇû lÉÉÌiÉÍzÉÍjÉsÉÇzÉÉUÏU mÉëSåzÉqÉÉxÉÉkrÉ mÉëÉmiÉÇ zÉx§ÉqÉÉSÉrÉ ÍxÉUÉÇ ÌuɱåiÉ ||

Now, the patient having been uncted and sudated should be given diet, contrary to the respective dosa, mainly liquids or gruel and, at appropriate time, should be asked to sit or stand comfortably. Then after fixing with anyone of cloth, skin, inner bark, and creeper and selecting area of the body neither too hard nor too loose should puncture the vein with proper instrument.² (Sa.cha.8 sl.6 pg.207)

qÉÉÇxÉsÉåwÉÑuÉMüÉzÉåwÉÑ rÉuÉqÉɧÉÇ zÉx§ÉÇ ÌlÉSkrÉÉiÉ. AiÉÉåÅljÉjÉÉÅkÉïrÉuÉqÉɧÉÇÌuÉëÌWûqÉɧÉÇ uÉÉ ÌuÉëÌWûqÉÑZÉålÉ, AxjlÉÉqÉÑmÉËU MÑüOûÉËUMüÉrÉÉ ÌuÉkrÉåSkÉïrÉuÉqÉɧÉqÉ||

In muscular parts, instrument should be inserted as deep as the measure of a barley grain, otherwise, as measure of half barley or vrihi (rice) with vrihimukha instrument; on bone, however, operation should be performed with kutharika instrument as deep as half barley grain.² (Sa. Cha.8 sl.9 pg.209)

iɧÉmÉÉSSÉWèûmÉÉSWûwÉïÍcÉmmÉÌuÉxÉmÉïuÉÉiÉzÉÉåÍhÉiÉuÉÉiÉMühOûMüÌuÉcÉÍcÉïMüÉmÉÉSSÉËUmÉëpÉÑÌiÉwÉÑ Í¤ÉmÉëqÉqÉÉïÍhÉ EmÉËUxOûÉS ²rÉÉlaÉÑsÉå ÌuÉëÌWûqÉÑZÉålÉ ÍxÉUÉÇ urÉkrÉåiÉ ||

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Now, in padadaha, padaharsa, cippa, erysipelas, vatarakta, vatakantaka, vicarcika,

padadari etc., vein should be punctured with vrihimukha instrument two fingure above

the kshipra marma.² (Sa. Cha.8 sl.17 pg.211)

oÉÍsÉlÉÉå oÉWÒûSÉåwÉxrÉ uÉrÉ:xjÉxrÉ zÉËUËUhÉç:||mÉUÇ mÉëqÉÉhÉÍqÉcNûÎliÉ mÉëxjÉÇ zÉÉåÍhÉiÉqÉÉå¤ÉÉhÉ ã|| In an adult person who is strong and has plenty of dosa, the maximum limit of blood-letting is one prastha.² (Sa. Cha.8 sl.16 pg 210)

AÉzÉÑ®Ç xÉëÉuÉrÉå°ÕrÉ: xÉÉrÉqÉylrÉmÉUåÅÌmÉ uÉÉ |xlÉåWûÉåmÉxMÚüiÉSåWûxrÉ mɤÉÉ²É pÉÚzÉSÒÌwÉiÉqÉ ||

Vitiated blood should be removed again either in the same evening or the next day; if the blood is found greatly vitiated (with more quantity of dosas) it should be removed again after a fortnight, after administering oleation therapy to the body.5

(Su.cha.27 sl.44 p.316)

2) Snuhi kanda lepa:

xlÉÑMüÉhQåû xÉwÉïmÉÉiÉ MüsMü: MÑüMÔüsÉÉlÉsÉmÉÉÍcÉiÉ:| sÉåmÉÉ̲cÉÍcÉïMüÉÇ WûÎliÉ UÉaÉuÉåaÉ CuÉ §ÉmÉÉqÉ || 69 ||

Paste of sarsapa concealed inside a piece of stem of snuk and cooked in the fire of a Kukula (A small bundle of Hay) applied over the skin cures Vicharchika ( psoriasis, eczema ) just like emotions of lust dispels shyness. 4 (Chi. Cha.19 sl.69 p.484)

Modern review of eczema:The word ‘eczema’ comes from the Greek for ‘boiling’, a reference to the tiny

vesicles (bubbles).Eczema can be defined histologically by the presence of a

predominantly lymphohistiocytic infiltrate around the upperdermal blood vessels,

assosciated with varying degrees of spongiosis and acanthosis.6 (p.147)

Aetiology: 1) Genetic factors

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2) Infection by Pityrosporum ovale

3) Detergents, Alkalies , Acids, Solvents, Abrassive dusts etc

4) Allergens like Nickel, Dichromate, etc

5)Dry skin etc.7 (p.1284-1286)

Histology: The clinical appearance of the different stages of eczema mirrors their

histology. In the acute stage, oedema in the epidermis (spongiosis) progresses

to the formation of intraepidermal vesicles, which may coalesce into larger

blisters or rupture. The chronic stages of eczema show less spongiosis and

vesication but more thickening of the prickle cell layer (acanthosis) and horny

layers (hyperkeratosis and parakeratosis).6 (p.147)

Stages of eczematous inflammation and treatement:

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Classification of Eczema

Atopic Asteatot

Seborrhoeic Gravitational

Discoid Lichen simplex

Irritant Pompholyx 7 (p.1284)

Allergic

STAGE Morphology Symptoms Treatment

AcuteVesicles, blisters, intese red

Intense itch, stinging, burning

Cold wet compresses, steroid, antihistamine, antibiotics

SubacuteRed, scale, fissuring, parched appearance, scalded appearance

Slight to moderate itch, stinging, burning

 

Chronic

Thickened skin, lichenified excoriation, fissuring

Moderate to intense itch

Topical steroid antihistamine, antibiotics, emollients6 (p.148)

Abbreviation: Chathu. – Chaturtha

Kha. – Khanda

P. – Inclusive page number

Ni. – Nidana sthana

Cha. – Chapter

Sl. – Shloka

Chi. – Chikitsa

Sa. – Sarira sthana

Su.- Sutra sthana

PREVIOUS WORKS DONE:

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1) Suresh Negalgudi. A clinical study on the efficacy of Raktamokshan by

siravyadha in vicharchika (dissertation). Bangalore: Bangalore university; 1988.

2) Bhardwaj. The efficacy of Raktamokshan by pracchana in vicharchika

(dissertation). Bangalore: Bangalore university; 1981.

3) Prasanna Kumar. Evaluation of the comparative efficacy of

jalaukavacharana and prachana in vicharchika. Gadag: Rajiva Gandhi University

of Health Sciences; 2005.

4) Bhuyan C. Rakta-mokshan and its effect with reference to

vichachika(Dissertation). Jamanagar: Gujaratha Ayurveda university; 1981.

5) Syed Sirajuddin. A clinical study on the management of Vicharchika by

Raktamokshan w.s.r. to jalaoukavacharan and Vajraka Ghrith

Internally. (Dissertation). Hyderabad: A.P.University, Vijayawada; 2004.

6.3 OBJECTIVES OF THE STUDY:

1) To evaluate the efficacy of Siravyadha followed by Snuhi kanda lepa in the

management of Vicharchika.

2) To evaluate the efficacy of Siravyadha in the management of Vicharchika.

3) To evaluate the comparative efficacy of Siravyadha followed by Snuhi kanda lepa

and Siravyadha in the management of Vicharchika.

7. METHODOLOGY:

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7.1 SOURCE OF DATA:

Patients suffering from features of vicharchika will be selected from OPD and IPD of

Sri Jayachamarajendra Institute of Indian Medicine hospital, Bangalore-09.

7.2 METHOD OF COLLECTION OF DATA:

A total of 40 cases with clinical features of Vicharchika namely kandu, pidaka, srava,

shyavata, rukshata, raji shall be selected for the present study.

INCLUSION CRITERIA:

Patients with clinical features of Vicharchika namely kandu, pidaka, srava,

shyavata, rukshata, raji will be included.

Site: upper or lower extremities

EXLUSION CRITERIA:

Vicharchika assosciated with other skin disorders

Systemic disorders ,that would come in the way of disease and treatement

Pregnancy

Age below 16 and above 70 years

SAMPLING DESIGN:

A total of 40 cases of Vicharchika after considering the above mentioned criteria

shall be included for the study.

The 40 cases included will be randomly allotted into two groups namely Group-

A & Group-B, each consist of 20 patients.

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C. STUDY DESIGN:

GROUP POORVA

KARMA

PRADHAN

KARMA

PASCHAT

KARMA

GROUP A

1)Tila yavagu pana

2)Sthanika

abhyanga by Tila

taila

3)Nadi sweda

1)Siravyadha 2

angula above

kshipra marma,

on 1st , 15th & 30th

day

2) Application of

snuhi kanda lepa

once daily for 30

days.

Bandha

GROUP B

1)Tila yavagu pana

2)Sthanika

abhyanga byTtila

taila

3)Nadi sweda

Siravyadha 2 angula

above kshipra

marma, on

1st, 15th & 30th day

Bandha

Note: The changes observed with the treatment, Before treatment, on 1st day, on 15th day, and on 30th day shall be recorded in the proforma of case sheet prepared for the study.

In case where total relief would be observed, in such cases a duration of 60 days from the day of completion of treatment would be fixed to observe the possibility of recurrence. The changes observed with the treatment shall be statistically analysed and conclusion will be drawn.

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Suitable pathya and apathya shall be adviced to the patients.

D. ASSESSMENT CRITERIA:

Subjective parameters:

1 Kandu (itching)

Objective parameters:

1 Pidaka (papules/vesicles)

2 Srava (exudation)

3 Shyavata (pigmentation)

4 Rukshata (dry skin)

5 Raji (scaling)

7.3 INVESTIGATION: No investigation will be conducted for the present

study

7.4 ETHICAL CLEARANCE: Ethical clearance shall be obtaind from ethical

committee, Government Ayurvedic medical college, Bangalore.

BIBILIOGRAPHY:

1) Raja Radhakantadev Bahaddur. Shabdakalpadruma, 3rd ed. 1967, Varanasi:

Chowkamba Sanskrit series office; chaturtha khanda. pp.378

2) Sushruta. Sushruta samhita- translated by Priyavrat sharma, 2nd ed. 2005,

Varanasi: Chaukambha visvabharati; vol 2. pp.695

3) Charaka. Charaka samhita- translated by Prof. Priyavrat Sharma, 7th ed. 2005,

Varanasi: Chaukambha Orientalia; vol 2. pp.879

15

4) Vagbhata. Astanga Hridaya- Translated by Prof..R.Shrikantha K Murthy, 4th

ed. 2000, Varanasi: Chowkamba Sanskrit series office; vol 2. pp. 596

5) Vagbhata. Astanga Hridaya- Translated by Prof..R.Shrikantha K Murthy, 4th

ed. 2000, Varanasi: Chowkamba Sanskrit series office; vol 1. pp. 521

6) Vijay k Garg and Kabir Sardana. Comprehensive Textbook of Dermatology- 1st ed. 2010, New Dehli: published by Pawaninder P. Vij; pp.441

7) Stanley Davidson.Davidson’s Principles & Practice of Medicine-22nd ed. 2008, New dehli: published by Nicholas A.Boon, Nicki R.Colledge, Brain R. Walker, John A.A.Hunter; p.1381

09 SIGNATURE OFTHE CANDIDATE

10 REMARKS OF THETHE GUIDE

11 NAME AND DESIGNATIONOF THE GUIDE

Dr. M.G.NARMADA B.A.M.S.,M.S ,

Proffesor,Dept. of P.G. Studies in Shalyatantra,Govt. Ayurvedic Medical College,Bangalore – 560 009

11.1 SIGNATURE OF THE GUIDE

11.2 CO – GUIDE

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11.3 SIGNATURE OF THE CO-GUIDE

11.4NAME AND DESIGNATION OFHEAD OF THE DEPARTMENT

Dr. R.VIJAYASARATHI, B.A.M.S.,M.S ,

HOD,Dept. of P.G. Studies in Shalyatantra,Govt. Ayurvedic Medical College,Bangalore – 560 009

11.5 SIGNATURE OF HOD

12REMARKS OF THEPRINCIPAL

12.1 SIGNATURE OF THE PRINCIPAL

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