Rajiv Gandhi University of Health Sciences, Karnataka s46

Rajiv Gandhi University of Health Sciences, Karnataka

COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION

“A COMPARATIVE STUDY BETWEEN PADA ABHYANGA AND PADA PRAMARJANA IN THE MANAGEMENT OF PADADARI”

BY DR. PURNIMA SANGWAN P.G Scholar. Dept. of Post Graduate Studies in Swasthavrita, Sri Jagadguru Gavisiddeshwar Ayurvedic Medical College&Hospital P.G.Studies&Research Centre, Gavimath campus, Koppal, Karnataka

DR. M.KARUNAKARA REDDY., M.D. (Ayu). Professor & H.O.D. Dept. of Swasthavrita S.J.G.A.M.C.,Koppal

2012-2013

Sri Jagadguru Gavisiddeshwar Ayurvedic Medical College&Hospital P.G.Studies&Research Centre,Gavimath campus, Koppal,Karnataka. From

Dr. Purnima Sangwan 1st Year M.D., Department of Post Graduate Studies in Swasthavritta S.J.G. Ayurvedic Medical College, Gavimath campus, Koppal -583231, Karnataka.

To The Registrar Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka.

Through The Principal and the Head of the Department of Swasthavritta, Sri Jagadguru Gavisiddeshwara Ayurveda Medical College and Hospital, Post Graduate Studies and Research Centre, Koppal-583231, Karnataka Respected Sir, Sub: Regarding the submission of completed proforma for registration of subject for dissertation I request you to kindly register the below mentioned subject against my name for the submission of dissertation to the Rajiv Gandhi University of Health Sciences, Bangalore for the partial fulfillment of M.D. (Ayurveda).

Title of the Dissertation: “A COMPARATIVE STUDY BETWEEN PADA ABHYANGA AND PADA PRAMARJANA IN THE MANAGEMENT OF PADADARI” Herewith I am enclosing completed proforma for registration of the subject for dissertation. Thanking you, Yours faithfully,

Place: Koppal (Dr. Purnima Sangwan) Date: RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE, KARNATAKA

Proforma for registration of subject for dissertation ANNEXURE II VIVEK NAGAR, GALI 1. NAME OF THE CANDIDATE : DR. PURNIMA SANGWAN, NO 3, D/O MR.AJIT SANGWAN, NEAR WATER WORKS, CHARKHI DADARI -127306 (BHIWANI), HARAYANA

2. NAME OF THE INSTITUTION :SRI JAGADGURU GAVISIDDESHWARA AYURVEDA MEDICAL COLLEGE, POST GRADUATE STUDIES AND RESEARCH CENTRE, GAVIMATH CAMPUS,KOPPAL-583231

3. COURSE OF THE STUDY : AYURVEDA VACHASPATHI (M.D) IN SWASTHAVRITTA AND SUBJECT

4. DATE OF ADMISSION : 25-10-2012

5. TITLE OF DISSERTATION : A COMPARATIVE STUDY BETWEEN PADA ABHYANGA AND PADA PRAMARJANA IN THE MANAGEMENT OF PADADARI

6) BRIEF REVIEW OF THE INTENDED WORK: 6.1) NEED FOR STUDY: Foot is theleast covered part of the body which makes it susceptible to many diseases like Kadara, Kunakha etc among which Padadari is also one.Padadari has a lot of cosmetic importance as it destroys the aesthetic value of the feet. It is a very common condition usually seen in the tropics which affects eithersex. It can be seen in farmers, obese persons, housewives and person who walk long distance daily. Negligence of this condition serve as portal entry of organism leading to increasing fissure which may further leads toLymphangitis, Cellulitis etc.The skin of sole usually loses its natural moisture by exposure to dry weather, frequent exposureto detergents anddust. In the modern life style causes of crack foot are high heel footwear,sports,industrial and house hold heat especially in kitchen and in conditions like Psoriasis, Diabetes and skin allergies. In contemporary science, treatments for cracked feet are keratolytics (salicylic acid), paraffin,petroleum gel etc. These medicines give temporary relief and fail to minimize the recurrence. This condition can be clinically understood as Padadarione of the Kshudra Roga described in Ayurveda.Acharya Charaka explained the preventive measure for this condition in context of Dinacharya under the heading ‘‘Padabhyanga’’1. It should be done regularly before Snana with medicated oils.This procedure will help to overcome Roukshya, Sphutanata, Vedana, Shrama and pacifies the Vata dosha.Henceit can be presumed that Padabhyanga will help to protect soles from Padadari.Also one must wear proper foot wear while going out,which protects feet from dustand keep foot smooth, beautiful andprevents them from cracking2 andalso provides Drushti Prasadana. In the classical texts of Ayurveda the treatment for Padadari are Snehana, Swedana, Siravyada, and Lepa. As Tila taila3 is best Vatashamaka, it helps to cure Padadari. It gives strength to the skin and prevents the cracked feet. It is simple, effective,economical and reliable treatment. According to Chakradatta, one of the treatments forPadadari is Padapramarjanai.e Rubbing4withyoga prepared by Sarjarasa, Saindhava lavana,Madhu,Ghruta and Sarshapa taila5. Hence a comparative study between Padabhyanga and Padapramarjana will be done to see their effect. 6.2) REVIEW OF LITERATURE:  The Nidana and Lakshanas will be reviewed from various classical texts6,8.  The importance of Padabhayanga is mentioned in Ashtanga samgraha under Dinacharya7.  In Yogaratnakara, Abhyanga is advised giving special care to Siras, Karna and Pada. The effect of Padabhyanga i.e massage of soles with medicated oil brings strength, sleep, proper vision and alleviates Padasputana9.  Yogaratnakara description of Nidana and Chikitsa of Padadari10.

PREVIOUS WORKS DONE: 1) Dr. Sangale M.S: Utility of Padadari malahara and rakta mokshana in Padadari disease, Department of Kaya chikitsa; R.K Toshniwal Ayurveda Mahavidyalaya, Amaravati University, Akola.2000 2) Dr.Ambabhavani P: A clinical study on the comparative effects of Upokadi Kshara taila and Madhuchistadi lepa in the management of Padadari,Department of Shalya tantra; Govt Ayurvedic medical college;Bangalore. 2000 3) Dr.Thyagaraja C : A clinical study in the comparative effects of Madanaphaladi lepa and Saindhavadi lepa in the management of Padadari,Department of Shalya tantra, Govt Ayurvedic medical college; Bangalore, 2002 4) Dr.Ambadkar Prajakar D; Role of Madhavadi lepa in Padadari,M.A.M.S.B Ayurvedic college, Hadapsor, Pune; 2004

6.3) OBJECTIVES OF STUDY: 1) To study the concept of Padabhyangaas one of the Dinacharya procedure as explained in classics. 2) To assess the effect of Padabhyangain the treatment and prevention of Padadari. 3) Toevaluate the effect of Padapramarjanain Padadari. 4) To compare the results of Padabhyanga and Padapramarjana.

7) MATERIALS AND METHODS: 7.1) Source of data: a) Clinical source: The patients fulfilling the inclusioncriteria will be selected randomly from OPD and IPD of S.J.G.A.M. College and Hospital, Koppalirrespective of sex, religion and socio economic status will be subjected for either Padapramarjana or Padabhyanga group. b)Literary Source:  Clinical text of Ayurveda and Modern text.  Text from Magazines and Journals.  Related Source of Data from Web.

7.2)Drugs: Drug1) Padapramarjana Yoga Ingredients: Sarjarasa choorna, Saindhava Lavana, Ghruta, Madhu and Sarshapa Taila. This Yoga willbe prepared in co-ordination with Dept of Rasa Shastra and Bhaishajya Kalpana of S.J.G.A.M.C Koppal. Drug 2)Tila Taila for Pada abhyanga

7.3) METHOD OF COLLECTION OF DATA 7.3 a. Study design: A comparative clinical study 7.3 b. Sample size and Grouping: The sample of 30 patients of Padadari will be randomly divided into the following two groups. Group A: 15 patients of this group will be advised to do Padapramarjana for 5 minutes to each foot with Padapramarjana Yoga in the morning before taking bath. Group B: 15 patients of this group will be advised to do Padabhyanga for 5 minutes to each foot with Tila Taila in the morning before taking bath. The patients will be advised Pathyapathya. 7.3 c. Inclusion criteria: 1. Patients of Padadari between the age group of 16 to 60 yrs. 2. Patients having symptoms of Padadari as explained in classical text books.

7.3 d. Exclusion criteria: 1. Patient with Diabetes mellitus, Foot ulcer,Psoriasis,Athlete foot, other skin diseases and any other systemic disease. 2. Complicated lesions. 3. Patient with history of Padadari for more than 5 yrs. 4. Patient Ayogya for Padaabhyanga11. 7.3 e. Diagnostic criteria: Diagnosis will be made on the basis of Lakshanas of Padadari such as  Rukshatha,Ruja, Sputanata  Red flaky patches, Peeling of skin, Itching 7.3 f. Study duration: 60 days. Treatment duration: Treatment will be performed for 30 days. 7.3 g. Follow up: After completion of the course, patients will be advised to attend the OPD after 30 days. 7.3 h. ASSESSMENT OF RESULTS: The data will be collected before and after treatment and subjected to relevant statistical analysis. 7.3 i. Subjective parameters:a)Ruja. b)Kandu. 7.3 j. Objective Parameters: a)No. of cracks. b) Size of crack. c)Rukshata.

7.4) HAS ETHICAL CLEARANCE BEEN OBTAINED FROM THE INSTITUTION? : YES

8.LIST OF REFERENCES 1) Ram kumar Sharmaand Vaidya A.Bhagwan Dash;Charaka Samhitha-Volume 1- Suthrastana, 5/ 90-92;Edition-2011;Published by Chaukhambha Orientalia,Varanasi; Page no - 125. 2) Ram kumar Sharma and Vaidya A.Bhagwan Dash; Charaka Samhitha- Volume 1- Suthrastana, 5/ 100; Edition-2011;Published by Chaukhambha Orientalia,Varanasi; Page no-126. 3) Dr.Madhan Shetthy Suresh Babu; YogaRatnakara Sanskrit text with English translation;Tailguna-Shloka.no-1;2ndEdition-2011;Published by Chaukhambha Orientalia,Varanasi;Page no-134 4) Vaman Shiv Ram Aapaty- Editor-Dr.Uma Prasad Panadya;Sanskrit Hindi Dictionary,Kamala Prakashan,New Delhi,2ndEdition; Page no-716. 5) P.V Sharma; Cakrdatta Samhita, Sanskrit text with English translations, Chiktsastana 55/13 Edition-2007; Published by Chaukhambha Orientalia Kashi Ayurveda series; Page no- 435 6) Vaidya Yadavji Trikamji Acharya and NarayanRam Acharya; Nibandha sangraha commentary of Shri Dalhanacharya- SusrutaSamhita -Volume1- Nidanastana,13/29; 8th Edition -2005; Published by Chaukhambha Orientalia, Varanasi; Page no- 321 7) Dr.Ravidutt Tripathi; Ashtangsamgrah, Sutrasthana-3/60; Edition 2001; published by Chaukhamba Sanskrit Pratishthan; Page no-47,48 8) Prof. K.R Shrikanth Murthi; MadhavaNidana-55/25, Part-2nd Edition-2011; Published by Chaukhambha Orientali;, Page no-180. 9) Dr.Madhan Shetthy Suresh Babu; Yoga Ratnakara Sanskrit text with English translation Nitayapravartikaraadhayay/shloka-54,61; Edition-2nd2011;Published by Chaukhambha Orientalia, Varanasi; Page no-81,82. 10) Indradeva Tripathi and Dr Daya Shankar Tripathi;Yoga Ratnakar with Vaidya Prabha Hindi commentary, Kshudra Roga Chikitsa, Shloka no 88;First Edition- 1998;Krishna Das Academy,Varanasi; Page no- 69. 11) Prof.K.R.Srikantha Murthy; Astanga HrdayamVolume -1,Sutrasthana,2/9; 7 th Edition-2010; Published By Choukhambha KrishnaDas Academy,Varanasi; Page no-6.

9.Signature of the candidate : 10. Remarks of Guide :Recommended for Registration.

11.Name and Designation (in Block letters)

11.1. Guide :DR. M.KARUNAKARA REDDY(M.D) AYU PROFESSOR 11.2. Signature :

11.3. Co-Guide : DR.PRABHU C. NAGALAPUR(M.D) AYU LECTURER 11.4. Signature :

11.5. Head of the Department :DR. M.KARUNAKARA REDDY (M.D) AYU PROFESSOR 11.6. Signature :

12.1. Remarks of Chairman and Principal: The above synopsis is scrutinized by the Postgraduate studies and Research centre committee of S.J.G Ayurvedic Medical College,Koppal and submitted for registration as subject of dissertation at R.G.U.H.S,Bangalore.

Principal/C.M.O