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AiÎa QÈLÈísÇ gÇZÈ
AqÉ×iÉ ÍcÉÌMüixÉÉ uÉÉÍhÉ Amrita Chikitsa Vani
CªÀÄÈvÀ aQvÁì ªÁtÂ
January 2009
Department of Kayachikitsa & Panchakarma
Winner of excellence
A five year kid driving the car makes people astonished. Amrita school of
Ayurveda, made such an event in the history of Indian Ayurveda colleges. It opens
the gates of success by getting “A” grade in NAAC accreditation. It is ever memorable
event of the history celebrated in the Amrutapuri campus on Saturday, 31st January
2009 and relayed the message to the rest as the “Involvement, Discipline, Industry,
Dedication and Teamwork” makes ones to reach the goal. It spirits us to get involved
more in to our duties and enrich the name to reach the destiny under the bestowed
blessings of Mata Amritanandamai Devi.
“A STUDY ON AGASTHYA HARITAKI RASAYANA IN IMPROVING
THE NUTRITIONAL STATUS IN PATIENTS OF RAJAYAKSHAMA”
Dr. GUHESHWAR B. PATIL, Dr. RAMANA.G.V. (Dept. of Swasthavritha), S.D.M. AMC, Hassan
The primary aim of Ayurveda is to enable chemotherapeutic agents employed, the
a person to lead a disease free life to the fullest person become grossly debilitated and needs
extent. The benefits and applicability of Rasayana adjuvant nutritional support. Decreased
is many folds. Starting with the daily employable nutritional status is considered to be one of
Rasayana, to achieving a desired effect like the chief predisposing factors of the disease.
medhya Rasayana can be employed. They bring Modern nutritional supplementations may not
up the excellent qualities in dhatus and there by fulfill the requirement as they do not aim at
enhances immunity. correcting metabolic derangements. But
Agasthaya Haritaki Rasayana is explained Rasayana oushadhis exert their efficacy by
in Sharangadhara samhita as a Naimittika correcting dhatvagni and clearing the Srotas
rasayana in kasa, Shwasa and Rajayakshma for due to their deepana and pachana effects.
getting vyadhiharana and Urjaskara effect. The modern AKT regimen has resulted
‘Rajayakshma’ can affect an individual at in successful control of the disease, but makes
any age. Due to many associated constitutional the individual subjected to plenty of adverse
disturbances, the nourishment of the body is effects. Hence it is essential to find a suitable
greatly impaired and this aptly suits the compound, which fulfills the criteria of
synonyms of Kshaya which is coined for this supporting nutritional status and also
disease. The nearest clinical entity for decreasing the adversities associated with
Rajayakshma is pulmonary tuberculosis. The AKT. Study includes diagnosed cases of
incidence of the disease is 1.3 /1000 in a year. pulmonary tuberculosis undergoing revised
With the prolonged course of illness and potent tuberculosis regimen. The Assessment of the
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2. effect is undertaken by –1. Decrease in adverse principles of Avaleha Kalpana. It is mentioned
effects. by following Acharyas viz Charaka,
2. Improvement in the nutritional status. Sharangadhara, Vagbhata, Harita, Chakrapani,
• Anthropometery. Vrinda Madhava, Bhaishajya ratnavali,
• Hematological. Yogaratnakara, Gada Nigraha, Bhaishajya samhita
3. Decrease in clinical signs & symptoms of & Ayurveda Sara samgraha. Only difference
the disease. observed between Agastya Yoga and Rasayana is
AGASTHYAHARITAKI RASAYANA that the Haritaki was put in powder form in
The Agastya Haritaki rasayana consisting Agastya yoga where as in Agastya Rasayana
of 26 drugs was prepared according to the Haritaki has to be put as such in Avaleha media
without making it in to a powder form.
Showing the relief in subjective parameters before and after treatment in both the group.
BT(AHR+AKT)AT(AHR+AKT) BT(AKT) AT(AKT)
Sl. No Lakshana % % % %
1 Kasa 92.3 23.0 100 92.30
2 Kapha shtivana 61.5 0 84.6 38.4
3 Parshva shula 46.10 15.3 69.2 38.4
4 Jvara 69.2 7.6 46.1 15.3
5 Skandha shula 76.0 00 84.6 84.6
6 Aruchi 69.2 7.6 46.1 30.7
7 Swasa 76.0 30.7 100 84.6
8 Rakta shthivana 7.6 00 7.6 00
9 Shiro ruja 61.5 00 30.7 7.6
10 Svara bheda 00 00 00 00
11 Atisara 00 00 00 00
Showing the relief in adverse affects in both the group.
BT(AHR) AT(AHR) BT(AKT) AT(AKT)
Sl. No Adverse action % % % %
1 Nausea 76.0 15.3 53.8 30.7
2 Vomiting 61.5 30.7 30.7 23.0
3 Abdominal pain 23.00 15.3 7.6 7.6
4 Burning sensation in 38.4 7.6 53.8 46.1
epigastric region
5 Edema 7.6 00 00 00
6 Rash 15.3 7.6 23.0 15.3
Assessment of Weight in both groups before and after treatment
Sl. No. Group Bt At %
1 ATT 36.84 37.30 1.46
2 ATT +AHR 38.03 39.4 3.58
Assessment of BMI in both groups before and after treatment
Sl. No. Group Bt At %
1 ATT group 15.53 15.72 1.23
2 ATT +AHR 15.95 16.48 4.01
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3. Assessment of HB% in both groups before and from this indigestion and mal-absorption
after treatment aggravates the problem. The caloric requirement
Sl. No. Group Bt At % during infection will be usually higher, which
1 ATT 10.81 12.06 11.45 may not be met satisfactorily in many of the
2 ATT +AHR 9.461 11.23 18.69 cases.
Assessment of serum protein in both groups before
Statistics
and after treatment
Sl. No. Group Bt At %
In the present study statistics shows
1 ATT 6.85 7.35 9.63 greater increase of serum proteins in the
2 ATT +AHR 6.4 7.32 14.92 rasayana group. Apart from this observation,
positive gains are noted in anthropometrical
Discussion on results assessments also.
Among the 11 lakshana explained for Discussion on subjective parameters
Rajayakshma majority of the symptoms are Weight
found in the studied cases. Kasa symptom was Patients in both the groups got gain in
present in 96%, and rakta steevana was the least weight with an average percentage of 1.46 Kg in
with 11.5% case involvement. Other symptoms ATT group and 3.5 Kg in Rasayana group.
were reported in the range between 40 to 80%. BMI (Body Mass Index)
At the ends of study period observations show There is an increase in Body mass index
greater percentage of reduction of lakshana in in both the groups after the treatment with a mean
the Rasayana group. value of 1.23 in ATT (Control) group, and 4.01
Rasayana therapy in reducing the adversities in Rasayana group.
Common adverse reactions reported for ATT Hemoglobin %
treatment are pertaining to GIT symptoms like The mean percentage improvement noted
nausea, vomiting, burning sensation in epigastric in the control group is 11.45% and in rasayana
region, edema and rashes. All these symptoms group 18.69%. This shows the high significance
were reported in both the groups during the in both the groups. But gains were higher in
commencement of treatment. At the ends of Rasayana group.
study period observations show greater Serum protein
percentage of reduction of adversities in the In both the groups there was gain of
rasayana group. serum protein. However the gains were higher
Discussion on nutritional status in Rasayana group. The improvement was 9.63%
Under- nutrition is one of the risk factor for the in ATT group, and 14.9 in Rasayana group.
infection of Tuberculosis as the disease is seen Probable mode of action
more in lower socio economic group, where the The ingredients of Agasthya Haritaki rasayana
deficiency of proteins essential vitamins and include - Dashamula, which are predominantly
minerals is very common. Deficiencies of these vata kapha hara. These are the Pradhana doshas
nutrients also impair the immunity. Further the involved for the samprapti of the disease; hence
commencement of multi drug therapy reduces all the symptoms of the diseases Rajayakshma
the appetite and digestion and causes certain improved by rasayana therapy.
other constitutional disturbances also. In the Gaja pippali, chitraka which are known for their
initial stages of the disease, presence of carminative action and promoting proper
infection contributes to greater break down of metabolism. This may be the reason for
muscle protein, which causes for wasting. Apart reduction of nausea, vomiting, and abdominal
pain more in the rasayana group.
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4. Bharangi, Pushkaramoola, Apamarga, “PATHYA KALPANA – Manda”
Shati, which are having the shopha and shotha Dr. Ravi Angdi, P.G. Dept of Bhaishajya Kalpana,
hara properties. The anti inflammatory action of S.D.M. College of Ayurveda, Udupi
these drugs helps in reducing the inflammatory PATHYA:
changes in the alveoli and respiratory tract there Introduction:
by reduction of the disease symptoms like Pathya is said to be the greatest medicament.
parshva shoola, swara bheda and Shwasa. No other medicine just like pathya is available.
CONCLUSION One cannot sustain life without diet even with any
· Explanation about the ekadasha roopa amount of medicine.
Rajayakshma is very much evident in Importance of Pathya:
the selected clinical entity “pulmonary Brings stability in all the living beings.
One among the basic needs of life.
tuberculosis”
Needed for the growth & development of the body.
· The disease is predominantly affecting
Enhance the strength, ojas & complexion.
the lower socioeconomic group of Keep the Indrias in normal state.
people with a slight higher occurrence Keeps one happy ‘sound mind in a sound body’.
among males. Samyak Dhatu Poshana. (Ka. Sam. Khi. 4/4-6)
· Impairment in nutritional status forms Classification of Food Ingredients:
an important predisposing factor for Shuka Dhanya :Corns.
Rajayakshma. However the disease Shami Dhanya :Pulses.
process aggravates malnutrition. Shaaka :Vegetables.
· It is necessary to introduce a suitable Mamsa :Flesh.
nutritional adjuvinant in Rajayakshma. Phala :Fruits.
Such supplement must also correct the Hareeta :Salads.
associated adversities of multi drug Madhya :Wines.
Ambu :Water.
therapy. Agasthya Haritaki rasayana
Gorasa :Milk & its products.
fulfills this requirement. Kritanna :Food preparations.
· With a view of proper administration Ikshuvikaara :Products of sugarcane.
and continuous monitoring; confirmed Aharayogi :Accessory food articles.
Tuberculosis cases, which are Pathya Kalpanas of Sushruta:
undergoing DOTS therapy, were
administered with Rasayana drug daily.
· Most of the cases were selected from qÉhQû mÉãrÉ rÉuÉÉaÉÑ ÌuÉsÉåÌmÉ
tribal areas, and people living in very (All rice preparations in the 1:14 ratio. Rice: Water).
poor socio economic status. This (Acc to Dalhana both Peya & Yavagu are synonyms).
helped in affective monitoring of the Definitions:
cases. In properly cooked rice with 14 parts of water;
Only liquid part : Manda.
This work supports the view that,
Equal solid & liquid : Peya.
administration of Naimittika Rasayana More solid & less liquid : Yavagu.
enhances the efficacy of treatment, and Only solid rice part : Vilepi.
enables the patients for a better
recovery. ÍxÉYjÉMæ ü È UÌWûiÉÉã qÉhQûÈ mÉã r ÉÍxÉYjÉxÉqÉÉÎluÉiÉÉ |
rÉuÉÉaÉÑoÉïWÒûÍxÉYjÉÉ xrÉiÉç ÌuÉsÉãÌmÉ ÌuÉUsÉSìuÉÉ ||”
xÉÑ. xÉÑ.
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5. qÉhQû : - Has 8 Gunas:
The supernatant liquid portion of a gruel Deepana / Pranadharana / Bastishodhana /
prepared by boiling; Raktavardhana / Jwaraghna / Tridosha
1 part of rice + 14 parts of water; Its administered shamana.
with required amount of Shunti & Saindhava. kÉÉlrÉȨ́ÉMüOÒû xÉæÇkÉuÉ qÉѪ iÉÇQÒûsÉ rÉÉãÎeÉiÉÈ |
lÉÏUã cÉiÉÑSïvÉaÉÑhÉã ÍxÉ®Éã qÉÇQûxiuÉÍxÉ£üMüÈ | pÉ×¹¶É ÌWûÇaÉÑiÉæsÉÉprÉÉÇ xÉ qÉhQûÉã A¹aÉÑhÉÈ xqÉ×iÉÈ ||Sha. Ma.
vÉÑÇPûÏ xÉælkÉuÉ xÉÇrÉÑ£üÈ mÉÉcÉlÉÉã SÏmÉlÉ xqÉ×iÉÈ ||” uÉÉPèrÉ qÉhQû:
vÉÉ. qÉ. 3/170. “uÉÉPèrÉ qÉhQû” or “uÉÉOèrÉÉãSlÉ”
Pharmacological actions: Manda prepared out of Broken & fried Yava
Agni pradeepaka. (barley); (1:14 ratio).
Vatanulomaka. It is Kaphahara / Kanthya / Raktapitta
Srotomridukara. prasadana. (Sha. Ma. 3/173-175)
Swedajanaka. sÉÉeÉÉ qÉhQû:
Snehapananantara trishna. Manda of Parched rice; in 1:14 ratio.
In langhita & virikta. It is shleshmapittahara & Grahi ; it relieves
(Cha. Su. 27/251-252) pipasa, Jwara, Atisara, Trishna etc.
A¹aÉÑ h É qÉhQû : Its given along with Lavana, Mareecha,
Manda prepared using: Pippali, Ghrita, Sharkara etc.
Dhanya / Trikatu / Saindava / Mudga / Tandula / sÉÉeÉæuÉÉï iÉÇQÒûsÉæpÉ×ï¹ sÉÉeÉÉqÉÇQû mÉëMüÐÌiÉïiÉÉÈ ||”
Tailabhrishta Hingu. vÉ. qÉ. 3/174.
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