RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES KARNATAKA, BANGALORE.
PROFORMA FOR REGISTRATION OF SUBJECT (KOUMAARABHRUTHYA) FOR DISSERTATION IN M.D. (AYURVEDA)
“ ROLE OF AYURVEDIC DRUG COMPOUNDS IN THE MANAGEMENT OF PAMA w.s.r.to SCABIES”
By DR.NARESH K. BABAR Dept. of P.G. Studies in Koumarabhritya, Alva’s Ayurveda Medical College, Moodbidri, D.K.District, Karnataka– 574227.
GUIDE Dr.CHANDRAKANT JOSHI M.D (Ayu) Assistant Professor Dept. of P.G. Studies in Koumarabhritya, Alva’s Ayurveda Medical College, Moodbidri.
2008-2009 Alva’s Ayurveda Medical College, Moodbidri, D.K.District, Karnataka. From, Dr.Naresh K. Babar 1st M.D. (Ay) Scholar, Dept. of P.G. Studies in Koumarabhritya, Alva’s Ayurveda Medical College, Moodbidri, Dakshina Kannada, Karnataka – 574227
To, THE REGISTRAR, Rajiv Gandhi University of Health Sciences, Karnataka, Bangalore.
Through Proper Channel, THE PRINCIPAL, Alva’s Ayurveda Medical College, Moodbidri, Dakshina Kannada, Karnataka – 574227 Respected sir, Sub: - Submission of completed proforma for registration of subject for dissertation I request you to kindly register the below mentioned subject against my name for submission of dissertation to the Rajiv Gandhi University of Health Sciences Karnataka, Bangalore as partial fulfillment of M.D. (Ay) in Koumarabhritya Title of dissertation: - “ROLE OF AYURVEDIC DRUG COMPOUNDS IN THE MANAGEMENT OF PAMA w.s.r.to SCABIES” Herewith I am enclosing the completed proforma for registration. Thanking you,
Place-Moodbidri Yours sincerely, Date- 27 /11/2008 Dr. Naresh K. Babar
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES KARNATAKA,BANGLORE.
ANNEXURE II
PROFORMA FOR REGISTRATION OF SUBJECT (KOUMAARABHRUTHYA) FOR DISSERTATION IN M.D. (AYURVEDA)
1. Name of the candidate & address : Dr.Naresh K. Babar M.D. (Ay) Scholar, Dept. of Koumarabhritya, Alva’s Ayurveda Medical College, Moodbidri, Dakshina Kannada, Karnataka – 574227.
Permanent address : Dr.Naresh K. Babar . Near Z.P School, Kundal Tal-Palus, Dist-Sangli, State-Maharashtra-416309
2. Name of the institution : Alva’s Ayurveda Medical College, Moodbidri, Dakshina Kannada, Karnataka 574227
3. Name of faculty : M.D (Ayurveda) Koumarabhritya
4. Date of admission to the course : 3rd June, 2008
5. Title of the topic to study : “ROLE OF AYURVEDIC DRUG COMPOUNDS IN THE MANAGEMENT OF PAMA w.s.r.to SCABIES” 6. BRIEF RESUME OF INTENDED WORK
6.1 Need for the study Pama is a Kapha Pitta1 predominant disorder presenting in Ayurvedic clinical practice, which may be considered as “Scabies” in contemporary science. It is highly infectious and may spreads in a group of population within short period, so its control leads to prophylaxis towards the further spread of the disease.
The incidence of this disease is very high in children and young adult age group.
This disease is caused by an Arthropoda called “Sarcoptes Scabie”.
Khadirashtaka Kwatha contains the drugs Khadira,Triphala, Nimba, Guduchi, Vasa and Patola which are having Kustaghna and Kandughna properties because of Tikta Rasa predominance. Hence in Yogaratnakara it is indicated for the treatment of all varieties of
Kusta5.
Chakradatta has advised Durvadya Taila for Abhyanga in the treatment of
Vicharchika, Kacchu and Pama6.
As both External and Internal medications are mostly useful in the treatment of skin disorders. The present study is included to observe the role of Khadirashtaka Kwatha internally and Durvadya Taila externally in the management of Pama Kusta
6.2 Review of literature
Review of literature related to Pama-Kusta as per Bhruhatrayi, Laghutrayi and other
textbooks of Ayurveda.
Review of literature in detail related to Scabies as per modern texts.
Review of the ingredients of Khadirashtaka Kwatha and Durvadya Taila including the
properties and actions of Yogas as per Yogaratnakara and Chakradatta
Collections of related references from available sources like Journals, Internet regarding the
disease and drug combinations. Previous work done
1. Scabies ke chikitsa mein Pamahar Lepa evam Mahatikta Ghrita ki karmukta ka
chikitsatmak adhyayan by Dr. Varma Rajendra kumar, National Institute Ayurveda
Jaipur,2003.
2. Preparation and physio-chemical evaluation of Gandhaka Yoga + Katu Taila and its topical
efficacy in Pama (Scabies) by Dr. Sawal Sanjay B. KLE’s Ayurveda College Belgum, 2003.
3. Effect of Haridradi Yoga in Pama(scabies)- a clinical study, Govt. Ayurveda Medical
College Banglore,1999.
4. Role of Virechana and Mahatikta Ghrita in the management of Pama (Eczema) by Dr.Sasmal
Sipra Govt. Ayurveda College Raipur, 1999.
5. Controlled clinical study on the effect of the application of Arka Taila in Pama by
Dr. Sharada , Govt. Ayurveda Medical College, Mysore,1998.
6.3 Objectives of the study
To study the efficacy of Khadirashtaka Kwatha internally and Durvadya Taila externally in
the management of Pama Kusta.
To study in detail about Pama Kusta as per Ayurveda.
To study about Scabies as per modern science.
6.4 Hypothesis
Ho: There is no significant effect of Durvadya Taila and Khadirashtaka Kwatha in the
Management of Pama
HA: There is significant effect of both Durvadya taila and Khadirashtaka Kwatha in
Pama
HB: There is significant effect of Durvadya Taila in Pama 7. MATERIALS AND METHODS
7.1 SOURCE OF DATA
Children attending to Koumarabhritya OPD and IPD of Alva’s Ayurveda Medical
College and Hospital Moodbidri, within the age group of 6-12 years will be selected for the proposed study irrespective of their sex, caste, religion and socio-economic status.
7.2 METHOD OF COLLECTION OF DATA
Minimum 40 diagnosed children with Pama Kusta will be randomly selected for the clinical study with pre-test and post-test design and will be divided into 2 groups of 20 children each.
A) Procedure of administration of drug
Group A- Patients will be treated with internal administration of Khadirashtaka Kwatha in the dose of 5-10 ml twice before food diluting by adding water accordingly and Durvadya Taila Abhyanga is advised once daily before bath. Group B- Patients will be treated with only Durvadya Taila Abhyanga as advised in Group A. Treatment will be continued for a period of 28 days or until satisfactory result is obtained which ever comes earlier.
B) Observation period
Clinical response will be assessed on 7th, 14th, 21st, 28th day
C) Inclusion criteria
Children diagnosed as the case of Pama Kusta /scabies with the presenting symptoms.
Children in between the age group of 6-12 years.
Children of either sex irrespective of caste, religion and socio-economic status. D) Exclusion criteria
Children below the age of 6 years and above 12 years.
Kusta other than the Pama Kusta.
Children suffering from any other systemic disorders like Tuberculosis, HIV, Leprosy etc.
Scabies leading to complications such as Eczematization, Secondary streptococcal infection,
Urticaria etc.
E) Diagnostic criteria
Diagnosis will be made based upon signs and symptoms of Pama Kusta /Scabies such as
Thoda (Pain)
Kandu (Itching)
Daha (Burning sensation)
Pitika(Burrows)
Srava(Discharge)
F) Assessment criteria
Detailed proforma will be prepared for the assessment of effect of the ingredients in both the groups by grading subjective and objective parameters. The data obtained will be assessed statistically by adopting appropriate tests 7.3. Does the study require any investigations or interventions to be conducted on patients
or humans or animals? If so, please describe briefly: -
Yes. The clinical study will be conducted in the OPD patients of Alva’s Ayurveda Medical College Hospital. No animal experiment will be carried out. Laboratory investigations Blood –Hb%,TC,DC.ESR. Microscopic examination of burrows (if necessary).
7.4. Has ethical clearance been obtained from your institution in case 7.3? Yes, clearance has been obtained through the ethical committee formulated in the Institution.
8. List of references: 1. Agnivesha ,Charaka Samhita ,Chakrapanidatta commentary Ed, R.K Sharma,Bhagawandash,Chaukhamba Sanskrit Series,Varanasi,1998, Chikitsa Sthana 7/25,30,68 2. Sushruta,Sushruta Samhita, Anantaram Sharma vidyotini Tika, Chaukhamba Surabharti Prakashana, Varansi,2001, Nidana Sthana 5/14 3. Vaghbata ,Astanga Hridaya with commentary of Sarvanga Sundari of Arunadutta, Nidana Sthana 14/28 ,Chikitsa Sthana 19/71 4. Vaghbata , Astanga Sangraha with Indu commentary, Nidana Sthana 4/28 5. Anonymous : Yograthnakaraedited by Dr.Endradev Tripati and Dr.Daya Sankar Tripati,series no.54 Chaukhamba Krishnadas Academy,Varanasi,2007,Sloka no63 6. Chakrapani ,Chakradata, edited by Priya Vrat Sharma, 2nd edition Chaukhamba Publishers Varanasi,1998Sloka no 54/25 ,50/158 7. Shri Govinda Das,Bhaisajya Rathnavali, edited with Vidhyotini Hindi Commentary by Shri Shastri Ambikadatta,12th edition, Chaukhamba Sanskrit Samsthana,Varanasi,1996, 59/40- 41, 54/281st Sloka. 8. Davidson’s Medicine/Principles & Practice of Medicine, edited by C.R.W. Edwards/I.A.D. Boucher/C.Haslatt/E.R. Chilvers.17th edition page no 181,182,189. 9 Signature of candidate :
10 Remarks of the guide :
11 Name and designation of 11.1 Guide :Dr.CHANDRAKANT JOSHI M.D(AYU), ASSISTANT PROFESSOR P.G. STUDIES KOUMAARABHRUTHYA ALVA’S AYURVEDA MEDICAL COLLEGE, MOODBIDRI, DAKSHINA KANNADA, KARNATAKA – 574227
11.2 Signature and Seal :
11.3 Head of the department : DR. K. LAKHMEESH UPADHAYA M.D(AYU) PROFESSOR AND HEAD, P.G. STUDIES KOUMAARABHRUTHYA ALVA’S AYURVEDA MEDICAL COLLEGE, MOODIDRI, DAKSHINA KANNADA, KARNATAKA – 574227
11.6 Signature & Seal :
12.1 Remarks of Principal :
12.2 Signature & Seal :