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Role of Shodhana in Ekkushtha (Psoriasis): Work Done at Gujarat Ayurveda University - a Review Study

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Role of Shodhana in Ekkushtha (Psoriasis): Work Done at Gujarat Ayurveda University - a Review Study International Journal of Research and Review www.ijrrjournal.com E-ISSN: 2349-9788; P-ISSN: 2454-2237 Review Article Role of Shodhana in Ekkushtha (Psoriasis): Work Done at Gujarat Ayurveda University - A Review Study Dr Nilesh Bhatt1, Dr Shital Bhagiya2, Dr Anup Thakar3, Dr Chirag Gujarati4 1Assistant Professor, Dept of Kayachikitsa, IPGT & RA, Jamanagar. 2PhD Scholar, Dept of Panchakarma, IPGT & RA, Jamanagar. 3Professor & HOD, Dept of Panchakarma, IPGT & RA, Jamanagar 4M.D. First Year Scholar, Dept of Panchkarma, IPGT and RA, GAU, Jamanagar Corresponding Author: Dr Nilesh Bhatt ABSTRACT At present century with machine like routine, fast food & fast hectic life, man is being confronting with a variety of diseases. Improper dietary habits, less sleep, stress, pollution accelerate the disturbance in the body. At present era the skin diseases become a major hazard for mental health more than physical because it disturbs the cosmetic harmony. Psoriasis is one of the most common dermatologic diseases, affecting up to 2.5% of the world’s population. It is a non-contagious inflammatory skin disorder clinically characterized by erythematous, sharply demarcated and rounded plaques, covered by silvery scale. It can be co related with Ekakushtha which is having Asvedanam, Mahavastu and Matsyashakalopamam Avastha. Modern sciences advocate use of various medicines such as corticosteroids, anthalin, Psoralen and ultraviolet A phototherapy etc. But each of the treatment has side effects, Panchkarma therapy can give better results without side effect, so many works has been done for treatment of Ekkushtha(Psoriasis) in Gujarat Ayurveda University. Here an attempt has been done to summarize all work which was carried out through Panchkarma procedures e.g. Vamana, Virechana. Key Words: Ekkushtha, Panchkarma, Psoriasis, Shodhana. INTRODUCTION Psoriasis among total skin patients is 1.02%. Psoriasis is one amongst these [6] notorious auto-immune disorders having Skin disorder can be co-related with deep psychological and social impacts. It is Kushtha in Ayurveda. Kushtha (skin a chronic inflammatory disease with skin disorders) has been considered among manifestations, aggravated by or can recur Ashtamahagada [7] (octaominous disorders). by number of triggering factors such as Ekkushtha is one of the subtypes of psychological (anxiety, stress, depression Kushtha, which is equated with Psoriasis as etc.), [1] dietary (incompatible diet), [2] they show similar manifestations such as lifestyle disturbances, [3] environmental Aswedanam (anhydrosis), Mahavastu stress/changes), medications [4] etc. The (extent of lesion), Matsyashakalopamam prevalence of Psoriasis is raising an (scaling). [8] Contemporary available alarming picture, as presently about 120-180 management options (synthetic drugs) are million of global population suffer from not much promising and are reported to Psoriasis. [5] In India, overall incidence of have associated adverse effects, [9] International Journal of Research & Review (www.gkpublication.in) 6 Vol.4; Issue: 5; May 2017 Nilesh Bhatt et al. Role of Shodhana in Ekkushtha (Psoriasis): Work Done at Gujarat Ayurveda University - A Review Study Ayurvedic herbs, which are relatively This study was directed to evaluate the role significantly potent, more suitable and of the psychological factor in Psoriasis by having negligible side effects than available using Mandukparni Vati. Patients were synthetic agents, provide a better therapeutic divided in two Groups. In both the Groups intervention. Along with medicinal Abhyantara Snehana was done by treatment, Ayurvedic procedures viz. Panchatikta Ghrita and Virechana Vamana, Virechana etc. are being Karmawas accomplished by Itchchhabhedi successfully practiced by traditional Rasa and Triphala Kwatha with Prakshepa physicians since long to manage Ekkushtha. of ErandaTaila. In Group A for Shamana Various clinical studies have been purpose BhallatakaVati was administered conducted in different Institutes of India on internally and Jeevantyadi Lepaexternally. management of Ekkushtha. Considering the In Group B Mandukaparni was wide range of treatment modalities of administered in addition to the above Ekkushtha, in Ayurveda many research mentioned Shamana drugs for 2 months works have been carried out in Gujarat after completion of Virechana. Study Ayurved University, Jamnagar aimed to concluded that Mandukparni Group have achieve most suitable, effective better results and recurrence of disease is management of Ekkushtha. The present less too. study is an attempt to compile all available Akhilnath Parida (2008) [11] research works done on ShodhanaKarmain Total 40 patients of Ekkushtha were selected the management of psoriasis, and provide for the present study. They were divided brief information about management into 2 groups; in group A 17 patients and contributions. group B 18 patients were treated. In Group All the research works carried out in A VamanaKarma was performed, institutes under Gujarat Ayurved University Snehapana was done by using Go-ghrita viz. IPGT and RA, Jamnagar and and Vamana was given with Madanphaladi Akhandanand institute, Ahmedabad, at PhD Yoga (Madanaphala-pippali 4 parts, Vacha and PG levels on psoriasis during 1959 – 2 parts, SaindhavaLavana 1 part & Honey 2013 were compiled and screened and cited Q.S.) was given to the patients. After to analyze the outcomes on the Ayurvedic Samsarjanakrama, ShamanaYoga (Arogya- lines of management on Psoriasis or vardhaniRasa, Rasamanikya, Ekakushta. These studies totaly (PG-24 and GuduchiChurna) & Jivantyadi Yamaka for PhD-3) were carried out. In department of local application was given for 28 days. Basic Principle (3), Kaya Chikitsha (9), Group B patients were treated with Rasa Shastra and Bhaishajya Kalpana (6) Virechana (Virechana Yoga: Triphala and Panchkarma (9) works were carried out. Yavakuta Churna -100gm, KatukiYavakutaChunra-50gm, AIM: To re-establish effect of Shodhana Trivritayavakuta-50gm, Icchabhedi Rasa- (Panchakarma) in Ekkushtha(Psoriasis). 250 mg), after Samsarjana Karma, Shamanawas given as per Group A for 28. MATERIAL AND METHODS Besides cardinal symptoms PASI Score and Works carried out in Department of DLQI score was referred as assessment Panchakarma at Gujarat Ayurved Criteria. Highly significant results were University, Jamnagar, India between the found in both groups. But much better years 2001-2016 were compiled and results were found in Group B (Virechana) screened to revalidate the effect of therapy than Group A (Vamana). in Ekkushtha (Psoriasis). Pooja S (2008) [12] Kanani V (2002) [10] Total 20 patients of Ekkushtha were Total 30 patients were registered out selected for the present study. They were of them 27 patients completed the treatment. divided into two groups; Group A and International Journal of Research & Review (www.gkpublication.in) 7 Vol.4; Issue: 5; May 2017 Nilesh Bhatt et al. Role of Shodhana in Ekkushtha (Psoriasis): Work Done at Gujarat Ayurveda University - A Review Study Group B. In Group A Virechana Karma was Vamana was given with Madanphaladi performed, Snehapana was done by using Yoga. Highly significant results were found TiktashatpalakaGhrita and Virechana in most of all the parameters of Group B. Karma was given with IchhabhediRasa, Group B provided better result in all the 125mg to 1gmas per Koshtha and Bala. In parameters. Group B VirechanaKarma was performed, Jaimin Patel (2010) [15] Snehapana was done by using Total 30 patients were registered; Tiktashatpalaka Ghritaand Virechana among them total 27 patients completed and Karma was given with TrivritadiChurna 3 patients were discontinued. They were (Trivrita, Triphala, Danti), IchhabhediRasa, divided into two groups; Group A and 125mg to 1gm (as per Koshtha and Bala). Group B. In group A VamanaKarma was Overall result of both groups indicate that done by Madanphaladi Yoga and group B Virechana is heaving promising result in Vamana Karma was done by case of Ekkustha. Among two Groups, Krutavedhanaand for Shamana Yoga Group A provided better result in all the Panchatikta Ghrita 20 ml twice daily in parameters. both Groups for 15 days after Samsarjana Satish Padhsala (2009) [13] Krama was given. Among two Groups, Total 28 patients were registered; Group B provided better result in all the among them total 24 completed & 4 were parameters than Group A. LAMA.They were divided into two groups; Chetangulhane (2011) [16] Group A and Group B. In Group A Total 33 patients were registered; VamanaKarma was performed, Snehapana among them total 28 patients were was done by using Go-ghrita and Vamana completed and 5 patients were discontinued. was given with Madanphaladi Yoga They were divided into two groups; Group (Madanaphala-pippali 4 parts,Vacha 2 A and Group B. In group A parts, SaindhavaLavana 1 part & Honey VirechanaKarma (Triphala4 part, Trivrita 2 Q.S.) as per Koshtha and Bala, after part, KatukiYavakuta 1 part, ErandTaila 50- SamsarjanaKramaShamanaYogaPanchanim 100 ml) was performed.Group B-In this baVati500mg thrice a day for 4 weekswas group Takradhara as a Shirodhara was given to the patients. In Group B given for 30-45 min. for 14 days. Takrawas VamanaKarma was performed, Snehapana prepared from cow milk with Amalaki - was done by using Amrita Ghrita and 250gm + Musta -100gm. ShamanaYoga Vamana was given with Madanphaladi (MakandiGhanavati) 500mg thrice a day for Yoga and Shamana yoga (as Group A)was 15 days was given in both Groups after given to the patients. In B group, Virechana & Takradha. Group
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