1. Effect of NavayasaRasayana
Lehaand MedhyaRasayana
tablet in the management of Ekkakushta(psoriasis).
Clinical study.
By: Dr.Rajimunnisa begum.sk
P.g scholar ,Dept.of k.c:
Guide : Dr.S.Ramalingeswar rao.M.D (Ayu)
16-Dec-14 1k.C dept
2. INTRODUCTION
16-Dec-14 k.C dept 2
EPIDEMIOLOGY
PREVALENCE
MORTALITY &
MORBIDITY
GENDER&
AGE
INTERNATIONAL
RANKING
INTERNATIONAL
DISTRIBUTION
c
Causative factors
4. OBJECTIVES &
CLINICAL PLAN
OBJECTIVES
OF THE STUDY
TO ASSESSES
THE
EFFICACY OF
1.NAVAYASA
RASAYANALEHA
2.MEDHYARASAY
ANA TABLET
CLINICAL
PLAN
3 PATIENTS
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DURATION-3MONTHS
5. PARAMETERS
SUBJECTIVE
• Matsyashakala
• Aswedha
• Ruksha
• Kandu
• Daha
• Mandala
• Bahalatva
• Srava
• Unnati
OBJECTIVE
• Diagnosis was supported by
the following clinical tests.
• 1. Candle grease sign
• 2. Auspitz sign
• 3. Koebne phenomena
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6. CLINICAL PLAN
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•Diagnosis was supported by the
followingclinical tests.
•1. Candle grease sign
•2. Auspitz sign
•3. Koebner phenomen
DIAGNOSTIVC
CRITERIA
• 1. Age- 13-70 years
• 2. Cardinal symptoms of Ekkakushta.
chronicity less than 5yrs
• 3. Positive Signs of Psoriasis like
Auspitz sign, Candle grease sign etc.
INCLUSIVE
CRITERIA
• PATIENTS WITH MAJOR
SYSTEMIC ILLNESS
EXCLUSIVE
CRITERIA
9. k.C dept 9
• The initiation and maintenance of lesions requires
activated T Lymphocytes
• Drugs suppressing T-cell activity contribute to the
improvement of psoriasis t of psoriasis activity contribute to
the improvement of psoriasis
16-Dec-14
24. DRUGREVIEW
• Navayasa Rasayana (5gms bid)
• Leha is taken from the reference found in
Chakradatta It has the following ingredients
in increasing proportions - Dhatri, Aksha,
Haritaki, Vidanga, Chitraka,
Shuddha Bhallataka, Bakuchi, Loha
• Bhasma, Bhrungraj and Tila Taila
(Q.S). The fine powder of the drugs is to be licked
with Tila Taila at the time of drug
administration.
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25. CONT……………
Medhya Rasayana tablet ( 500mg 1 bid)
• Stress is the most crucial factor in onset
and progression of the disease
• Hence, Medhya Rasayana tablet is
Anubhuta Yoga (non-classical
formulation).
• It contains the following drugs in
increasing proportions-
• Vacha, Haritaki, Jatamansi, Jyotishmati,
Yashtimadhu, Shuddha Bhallataka,
Guduchi, Brahmi and Shankhpushphi.
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28. RESULTS
GRADING
Matsya shakalalopam .asweda .daha, Ruksha other signs
PRESENT--------2
MPROVED--------1
ABSENT---------0
Mandala
NORMAL SKIN –0
FAINT OR NEAR TO NORMAL—1
Blanching + redness-2
No blanching + redness—3
Red color + subcutaneous---4
Kandu
No itching-------0
Mild itching------------1
Severe itching----------2
Very severe itching----3
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33. DISCUSSION
• Navayasa rasayanaleha has provided better relief
• in symptom of Matsyashakala,
Asvedanam,
• Rukshata, Koebner phenomenon and
Kandu
• On the other hand comparatively better
improvement in Mandala,
• candle grease sign and Daha.
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34. CONCLUSION
Stress may lead to early onset of disease (maximum
patients-21-30 years) and early recurrence.
Virrudhaashana is one of the predominant Nidana which
is also described by Acharya Charaka as cause of
Ninditavyadhies
one among which is Kushtaroga.
Maximum patients were depressed/ anxious- which clearly
shows the psychosomatic nature of the disease.
Family history was positive in some of the patients,
suggesting a genetic cause of the disease.
In the present study, it may be inferred that people of
Vata-Kapha Prakruti may be more susceptible to
Psoriasis. k.C dept
34
16-Dec-14
35. References
• VaraBehl PN, Agarval A and Shrivastava
Govinda:Practice of Dermatology.
• Cha Chi 7:21,39
• Su.Chi 9: 43,68
• Chakradatta :Kusta roga prakarana
• A.s 21:9
• A.h 19:31,32
• Etc...........
• 1999)
16-Dec-14 k.C dept 35
