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   Table of Contents - Current issue
Coverpage
October-December 2022
Volume 5 | Issue 4
Page Nos. 135-186

Online since Thursday, December 29, 2022

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EDITORIAL  

Ayurveda for achieving sustainable development goals p. 135
Tanuja Manoj Nesari
DOI:10.4103/jacr.jacr_173_22  
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STATUS REPORT Top

Managing “Journal of Ayurveda Case Reports”: An introspection p. 140
Anu Ruhila, Vijay Kumar, R Galib
DOI:10.4103/jacr.jacr_152_22  
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CASE REPORTS Top

Add-on effect of Nagabala–Arjunadi yoga on left ventricular ejection fraction and New York Heart Association functional capacity in post- myocardial infarction – An experience p. 145
Sushya Surendran, Mandip Goyal
DOI:10.4103/jacr.jacr_15_22  
Cardiovascular Diseases (CVDs), especially Coronary Heart Disease (CHD), are epidemic in India. The annual number of deaths from CVD in India is projected to rise from 2.26 million (1990) to 4.77 million (2020). CHD prevalence rates in India have been estimated over the past several decades and have ranged from 1.6% to 7.4% in the rural population and from 1% to 13.2% in the urban population. Myocardial Infarction (MI) is the most common form of CHD. Many clinical and laboratory factors, such as persistent ischemia and depressed Ejection Fraction (EF), have been identified with an increase in cardiovascular risk after initial recovery from MI. Even though conventional medicines are excellent life-saving measures in MI, quality of life is always a concern. A 56-year-old male, presented to Ayurveda hospital with exertional dyspnea and pain in the chest for one year, following secondary prevention, and had two episodes of documented MI in 2017 and 2020, respectively. Two-dimensional echocardiography (dated July 15, 2021) revealed septal and apical wall hypokinesia and an EF of 50%. The two month intervention with Nagabala–Arjunadi yoga improved the EF to 10 percentiles (5%), and wall motion abnormality was reduced to a physiological limit. The overall status of the New York Heart Association classification was improved from Class II to Class I. The quality of life assessed by the MacNew questionnaire also showed a significant difference. This case report revealed that the Ayurvedic internal medication is helpful in improving the post-MI functional capacity of the patient.
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Ayurvedic management of Vartma sthambha (ptosis) with Panchakarma (bio purificatory measures) and Netrakriyakalpa (ocular therapies): A case report p. 151
Krishna Kumar Venugopal, Akshatha K Bhat, GN Sree Deepthi
DOI:10.4103/jacr.jacr_16_22  
This is to report a case of ophthalmoplegia developed after transsphenoidal surgery for pituitary adenoma, which was treated effectively with Ayurvedic Panchakarma (~bio purificatory measures) and Netrakriyakalpa (~ocular therapeutic procedures). Ophthalmoplegia refers to paralysis of both extrinsic and intrinsic muscles of the eyes. It is an uncommon complication after transsphenoidal surgery for pituitary adenoma and recovers spontaneously in most of the cases. If not resolved even after 6-12 months, surgery is done to correct the squint and ptosis. In this case, as the patient was apprehensive about surgery, Ayurvedic Panchakarma and Netrakriyakalpa procedures were prescribed. An Indian female aged 69 years reported with drooping of the left upper eyelid, deviation, and restricted eye movements in the left eye, and double vision for one year. It was a diagnosed case of postsurgical ophthalmoplegia due to third (oculomotor) and sixth (abducens) cranial nerve palsy. She was administered Panchakarma and Netrakriyakalpa. Oral medicines, Dhanadanayanadi kashaya and Ekangavira rasa, were prescribed for one month. After treatment, there was a remarkable improvement in ptosis. However, squint, restricted eye movements, and diplopia persisted. Ayurveda treatment, including Panchakarma and Netrakriyakalpa, is safe and effective in managing postsurgical ptosis, especially in patients who are apprehensive about surgery. This treatment plan could be further tried in ptosis of other etiologies as well. In Ayurveda, treating squint, restricted eye movements, and diplopia is challenging, and further research needs to be done.
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Leads towards management of dermatophytosis (Dadru) with ayurvedic intervention - An experience p. 156
Medha Lakkawar, Anand More, Shalini Rai, Sandeep Singh Tiwari
DOI:10.4103/jacr.jacr_12_22  
Dermatophytosis is a superficial fungal infection of the skin caused by dermatophytes, a group of fungi that invade and grow on dead keratinized tissues. It is common in day-to-day practice affecting all the age groups of the population. Fungal infections have a higher rate of recurrences and if not treated early, can lead to the development of a more extensive nature. In Ayurveda, this clinical entity can be correlated with Dadru kushtha (~skin disease having circular lesion) which is described under the broad heading Kushtha roga (~skin diseases). Vitiated Pitta-kapha dosha causes progressive erythematous cutaneous eruptions in the form of circular lesions with elevated borders and itching that subsides by the administration of Pitta-kapha shamaka internal and external formulations. In the present case, a 23-year-old female patient, with symptoms of Dadru kushtha has been treated successfully with Chakramarda beeja churna, Tankana bhasma, Sarivadyasava, and Marichyadi tailam. Encouraging results were found with complete remission in Kandu (~itching), Daha (~burning sensation), Raga (~redness), Pidaka (~eruptions), and Utsanna mandala (~elevated circular skin lesion) after 28 days of regular treatment with no recurrence during the 15 days of follow-up. Following treatment, a potassium hydroxide examination of a skin sample revealed a substantial reduction in dermatophytes. The present case report illustrates the significance of Ayurvedic treatment including Shamana chukitsa (~pacifying therapy) and Bahirparimarjana chikitsa (~external therapies) in the management of Dadru kushtha.
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Add on Hypoglycemic effect of customized Yoga module in diabetes mellitus: A case report p. 163
KK Resmi, MB Kavita, Gurubasavaraj Yalagachin
DOI:10.4103/jacr.jacr_17_22  
Certain limitations of antidiabetic regimens including adverse reactions etc. have raised the need for a drugless approach to improve the health status of diabetic patients. Yoga can act as advantageous therapy in this regard. An attempt has been made to find out the add-on effectiveness of the Yoga package in uncontrolled diabetes mellitus. A 51-year-old male, a known case of type 2 diabetes mellitus with complaints of general weakness, burning sensation over soles, thirst, and dryness of mouth was presented in the OPD of Swasthavritta. The patient was on allopathic medication for 10 years. The report showed uncontrolled diabetes mellitus for the past five years. The patient was selected and underwent one-hour preformed Yoga Module that includes Parivritta trikonasana, Paschimottanasana, Shashankasana, Ardhamatsyendrasana, Bhujangasana, Dhanurasana followed by Kapalbhathi, Bhastrika and Nadishodana Pranayama practice for a period of one month without withdrawing the previous medication. The difference in Fasting Blood Sugar (FBS) and Post Prandial Blood Sugar (PPBS) before and after the treatment were 26mg/dl and 31.4mg/dl respectively. The severity of general weakness, burning sensation over soles, thirst, and dryness of mouth were also reduced after this intervention inferring its influence on disease management.
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Management of Vata pradhana prameha with Darvyadi ghrita: A case report p. 166
Asha Malviya, Vitthal G Huddar, P Shinsha
DOI:10.4103/jacr.jacr_37_21  
Understanding Diabetes Mellitus (DM) in Ayurveda as Prameha, is always challenging as the diagnosis is made based on the clinical presentation of patients during the course of illness, not merely based on the blood glucose levels. All types of Prameha if not managed, will manifest as Vata pradhana prameha and later become Asadhya (~incurable) phase of Vataja prameha. A 41-year-old known diabetic (type 2) presented with complaints of generalized weakness, loss of weight, and loss of appetite. His blood sugar level was within normal limits at the time of the first visit. Considering the Vata predominance, Brimhana chikitsa (~nourishment therapy) with oral administration of Darvyadi ghrita for 60 days was prescribed in the case. The assessment was based on subjective and objective parameters. The improvements are significant and infer that Ayurveda medicines can satisfactorily help in the management of noncommunicable diseases like DM.
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Can Virechana nasya and Vairechanika dhoomapana manage chronic sinusitis? An experience p. 170
Neethu Kesavan, EM Thrijil Krishnan, DB Vaghela
DOI:10.4103/jacr.jacr_10_22  
Chronic sinusitis is a highly prevalent disease with a large social and economic burden. The pathophysiology of sinusitis is multifactorial. Environmental pollutants play a role in the inflammatory component of the disease process. When sinusitis persists for more than 12 weeks that can be considered chronic sinusitis. The main symptoms include nasal obstruction, nasal discharge, heaviness of the head, and dull headache. The symptoms of chronic sinusitis have proximity to that of Dushta pratishyaya in Ayurveda. A 32-year-old male patient has approached the outpatient department of Shalakya tantra with chief complaints of severe headache associated with heaviness of the head, postnasal dripping, nasal obstruction more toward evening, and mild hyposmia in the past 2 weeks. The symptoms were recurring for the past 3 years. He was managed with internal medicines, Shirovirechana nasya (~medication through the nose for cleansing), and Dhoomapana (~therapeutic smoking). After the treatment of 1 month, he got significant relief. Follow-up was done after 3 months and there was no recurrence of the symptoms inferring that Ayurveda treatment modalities are useful in the management of chronic sinusitis.
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Possible management of type 2 diabetes mellitus through patient-centered Ayurvedic approach: An experience p. 176
Kundan Sushilkumar Wasnik, Archana Umashankar Shukla, Raja Ram Mahto
DOI:10.4103/jacr.jacr_7_22  
Diabetes mellitus attributes to a heavy disease burden over the globe due to its high prevalence and the extensive morbidity it causes, impacting individuals, health systems, and national economies. The aim of the management is to prevent or delay complications through an individualized patient-centered approach and improve the quality of life. Ayurvedic principles of treatment focus on the body as well as the mind through medicines, Ahara (~diet)-Vihara (~lifestyle intervention), yoga, and Satvavajaya chikitsa (~psychotherapy) which can be considered a holistic approach. A 58-year-old female homemaker presented with chief complaints of weight loss, pain in bilateral calf muscles, tingling sensation in bilateral soles, excessive thirst, dryness in mouth, palate, and throat, generalized weakness, knee joint pain, blurred vision, excessive urination, and burning micturition that subsided with the present treatment. Fasting Blood Sugar (FBS) was 372 mg/dl and Post Prandial Blood Sugar (PPBS) was >500 mg/dl. The patient was given Gokshuradi guggulu, Panchavalkala kwatha, Nisha amalaki churna, Kutaja churna, Shilajatvadi lauha, and tablet M Liv for Vyadhi pratyanika (~disease antagonistic treatment) as well as Rasayana (~rejuvenative) purposes. The FBS and PPBS came to normal range after a four month Ayurveda therapeutic intervention. HbA1c reduced from 12.3% to 6.7% and all the symptoms subsided. Obtaining glycemic control in a diabetic patient remains a critical clinical challenge and even exerting a regulation on HbA1C is possible only through a precise patient-centered treatment approach.
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Management of Parkinson's disease through Ayurvedic approach: A case report p. 183
Geetika Dharmani, Deepika Bhardwaj
DOI:10.4103/jacr.jacr_116_21  
Parkinson's disease (PD) is a disease with insidious onset and slow progression. It is a neurologic condition that causes motor manifestations, namely, bradykinesia, rigidity, resting tremor, flexed posture, and nonmotor symptoms such as depression and dementia. PD can be correlated with Kampavata in Ayurveda based on similar symptomatology. The modern treatment provides some symptomatic relief but no proven means of slowing progression have yet been found. This present case is of a 72-year-old male patient who presented with complaints of tremors in both hands, and difficulty in speech and movement for 11 months which was increasing progressively and was hindering his routine activities. He was administered Kapikachhu and Ashwagandha for 60 days with follow-up after every 20 days. In every follow-up, the patient reported significant relief in his symptoms and after two months, he was able to perform his routine activities without any help. Kapikachhu and Ashwagandha are two easily available, noncontroversial Ayurvedic herbs, which can be used in the management of PD.
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