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A Comparative Study of Vamana the Management Of INTERNATIONAL AYURVEDIC MEDICAL JOURNAL International Ayurvedic Medical Journal, (ISSN: 2320 5091) (October, 2017) 5(10) A COMPARATIVE STUDY OF VAMANA KARMA AND SHAMANA CHIKITSA IN THE MANAGEMENT OF YUVAN PIDIKA W.S.R. TO ACNE VULGARIS Krupali Raut Assistant Professor, Department of Panchkarma, Govt. Akhandanand Ayurved College, Ahmedabad, Gujarat, India Email: [email protected] ABSTRACT As an outcome of industrial development, environmental, professional hazards anxieties, worries, anger & depression etc. So many diseases are emerging out in modern life patterns. Due to these factors, now a day various types of skin diseases are on rampage. Acne vulgaris is one of the most common dermatosis, which develop at puberty and young age. Acharya Sushruta has mentioned such a disease as ‘YuvanPidika’. The disease YauvanPidika has shown great resemblance with Acne vulgaris in modern medicine. Vitiation of Vata and Kaphadosha along with Raktadhatu is seen in this disease. Because Vamana Karma is the best treatment for the elimination of Kaphadosha and for the management of YuvanPidika, Vamana Karma was selected for present study. In the present study, total 20 patients of YuvanPidika were registered and divided into 2 groups. Patients of Group- A were given Vamanapoorvak Shamana therapy and in Group-B only Shamana therapy was administered. Most of the patients responded statistically significant to the treatment in both groups but better relief was observed in Group-A. Keywords: YuvanPidika, Acne vulgaris, Vamana Karma, Tarunyapidikahara yoga. INTRODUCTION Yuvan Pidika is the disease which occurs at disease is described under the heading of puberty and adolescent and affects the face Kshudra roga1in Ayurveda and many remedies mostly, when beauty consciousness is at peak are described to cure this disease. Vamana level. Therefore it is very much embarrassing Karma2 is the best treatment for this disease, and frustrating to the patient. Modern which is repeatedly recommended by the medicine has failed at some or more extent to Acharyas. Hence, in this disease Vamana complete eradication of this disease. This Karma was selected for present study. Krupali Raut: A Comparative Study Of Vamana Karma And Shamana Chikitsa In The Management Of Yuvan Pidika W.S.R. To Acne Vulgaris AIMS AND OBJECTIVES: disorders which lead fetal conditions for To assess the role of Vamana karma & patients were excluded. Shamana Chikitsa in the management of 2. Vamana Ayogya3 as per classical texts was YuvanPidika w.s.r. to Acne Vulgaris. excluded from the study. To compare the efficacy of both the therapies in management of YuvanPidika. PLAN OF STUDY: 20 patients with classical sign and symptoms MATERIALS AND METHODS: of YuvanPidika according to Ayurvedic a) Literary – It was compiled from ancient classics after subjection of modern parameters texts of Ayurveda and the modern parallels were randomly divided into two groups. along with latest research papers. Group A: Vamana Karma Poorvaka b) Clinical – by analyzing the data from Shamana Chikitsa. results obtained from the above clinical study. 1. Dipana-pachana– Trikatuchurna (3 gm t.d.s. for at least 3 days). CRITERIA FOR SELECTION OF 2. Snehapana– Lodhradighruta in PATIENTS: vardhamanmatra according to Koshtha INCLUSION CRITERIA: and Agni. 3. Anupana- Koshnajala 1. For clinical study, patients having classical 4 4. Vamaka Yoga – Madanphaladiyoga symptoms of YuvanPidika were selected (matraas per individual koshtha etc.). from the O.P.D. and I.P.D. of Govt. 5. Shamana yoga- LodhradiVati (9 tabs/day) Akhandan and Ayurved Hospital and - TarunyapidikaharaLepa5 (2 times/day with Maniben Ayurvedic Hospital Ahmedabad. rose water) 2. Uncomplicated cases with classical Duration: 6 weeks pictures of YuvanPidika were selected Group B: Shamana Chikitsa. irrespective of cast, religion and 1. LodhradiVati (9 tabs of 500mg each/day) profession. 2. TarunyapidikaharaLepa (2 times/day with 3. Patients were selected between the ages of rose water) 16 to 30years. Duration: 6 weeks CRITERIA FOR ASSESSMENT: EXCLUSION CRITERIA: The detail of score given to each sign and 1. Diseases like Diabetes, hypertension, symptom and clinical test carried out is Asthma, Acne conglobate, Chloracne. Acne described below:- fulminas, tropical acne and other systemic Table 1: Chief Complaints: Comedone Papules Pustules Nodules Cysts Abscess Scars Score No comedone No Papule No Pustule No Nodule No Cyst No Abscess No Scar 0 Less spread Less spread Less spread Less spread Less spread Less spread Less spread 1 Moderately Moderately Moderately Moderately Moderately Moderately Moderately 2 spread spread spread spread spread spread spread IAMJ: OCTOBER, 2017 3771 Krupali Raut: A Comparative Study Of Vamana Karma And Shamana Chikitsa In The Management Of Yuvan Pidika W.S.R. To Acne Vulgaris Widely spread Widely Widely Widely Widely Widely Widely 3 spread spread spread spread spread spread Table 2: Associated Complaints: Twaksnig Vedana Srava Kandu Shotha Vaivarnya Daha Paka Score dhata No No Pain No Srava No Kandu No No No Daha No Paka 0 snigdhata shotha vaivarnya Mild Mild pain Lasika Mild Mild Mild Mild Mild 1 snigdhata (Bearable (Bearable) shotha (Bearable) paka pain) Moderate Moderate pain Puya Moderate Moderate Moderate Moderate Moderate 2 snigdhata (moderate and (moderate shotha (moderate paka irregular pain) and and irregular) irregular) Severe Severe pain Pinjar Severe Severe Severe Severe Severe 3 snigdhata (severe and (severe and shotha (severe and paka continuous continuous) continuous) pain) CRITERIA FOR ASSESSING THE the total effect of the therapy has been TOTAL EFFECT: assessed as below:- Considering the overall improvement had shown by the patient in sign and symptoms, Table 3: Cured 100% relief in sign and symptoms Marked relief More than 75% relief in sign and symptoms Moderate relief 50% - 75% relief in sign and symptoms Mild relief 25% - 50%relief in sign and symptoms Unchanged Up to 25% relief in sign and symptoms STATISTICAL ANALYSIS OBSERVATIONS: The collected data was analyzed statistically in In the present study, majority of patients i.e. terms of mean score (x), Standard deviation 35 % belonged to age group of 19-21years and (S.D.) and Standard error (S.E.). Paired ‘t’ test 25 % belonged to age group of 16-18 and 22- was carried out at the level of 0.05, 0.01 and 24 years, which indicates the age of onset of 0.001 of P levels. The result was interpreted the disease. Maximum numbers of patient i.e. as: 55% were male, 75% were Hindu, 90% were P > 0.05 Insignificant improvement Unmarried, 55% were Students. P < 0.05 Significant improvement Maximum patients prefer Madhura Rasa i.e. P < 0.01 and < 0.001 Highly significant 60%, while 45% has Katu rasa pradhana improvement which increase Kaphadosha and does IAMJ: OCTOBER, 2017 3772 Krupali Raut: A Comparative Study Of Vamana Karma And Shamana Chikitsa In The Management Of Yuvan Pidika W.S.R. To Acne Vulgaris Raktadushti. 35% patients had habit of 35% had Dahaas associated symptoms of Diwaswapa, which aggravates KaphaDosha YuvanPidika. (Chart 2) which is one of the main culprits causing Observation reveals that most of patient YauvanPidika. 70% had irregular or i.e.90% patients had Pidika on cheeks, while constipated bowel, which causes the vitiation 75% patients had on chin and forehead, 40% of the Apana Vayu. had on upper back, 35% had on upper arms, Among 9 female patients, 55.55% patients had 25% had on nose and chest and only 15% irregular menstrual history. This observation patients had Pidika on shoulders. This is due favours the modern aetiology of hormonal to the larger number and size of sebaceous imbalance in this disease. All the patients, glands is found at those sites. (Chart 3) under study, observed DwandajaPrakruti. Effect of therapies:- Maximum no. of patients belong to Vata- Group A: Effect of Vamanapoorvak Shamana KaphaPrakruti (45%), MadhyamaSatva Chikitsa in cardinal symptoms of YuvanPidika (55%), Madhyama Satamaya (65%), was 84.61% relief (P< 0.001) in comedones; Madhyama Sara (85%), Madhayama 83.3 % relief (p<0.001) in Papules; 76% relief Samhanana (75%), Madhyama Abhyavarana (P<0.001) in Pustules; 83% relief (P<0.05) in Shakti (65%), MadhamaJarana Shakti (60%). Nodules and 26.6% relief (P>0.05) in Scars. Among Aharajanidana, 75% were taking Results were statistically highly significant in Abhishyandiahara, 65% were taking Guru and comedones, papules and Pustules, 35% were taking Viruddhaahara. In significant in Nodules and insignificant in Viharajanidana, Atapasevan (65%), Scars. Nidraviparyaya (50%) were found. In In associated symptoms of YuvanPidika in Manasikanidana, Krodha was found in group A, there was 83.3% relief (P< 0.001) in maximum number of patients i.e. 70% and Twaksnighdata; 90.90 % relief (p<0.001) in chinta was found in 55%. Vedana; 83.33% relief (P<0.001) in Srava; In Chronicity, in the present study, maximum 92.85% relief (P<0.001) in Kandu; 86.95% numbers of patients had chronic acne i.e. 55%, relief (P<0.001) in Vaivarnyata; 66.66% relief while 30% had sub acute and 15% had acute (P<0.01) in Dahaand 76% relief (p<0.001) in onset of the disease. Paka. Results were statistically highly Among all the Pidika, all the patients had significant in all the associated symptoms. comedones and papules. This is because Group B: Effect of ShamanaChikitsa on comedone is the pathognomic of Acne cardinal symptoms of YuvanPidika was 75% Vulgaris, while 90% had pustules, 30% had relief (P< 0.001) in comedones; 69.56 % relief nodules. Scars were found in 70% of patients. (p<0.001) in Papules; 45% relief (P<0.01) in Cysts and abscess were not found in any Pustules; 66.66% relief (P>0.05) in Nodules patient. (Chart 1) and 25% relief (P>0.05) in Scars. Results were Observation shows that all the patients had statistically highly significant in comedones, Twaksnigdhata, 90% had Paka, 85% had papules and pustules, and insignificant in Vaivarnyata, 80% had Vedana and Shotha, nodules and scars.
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