Department of Post Graduate Studies in Swasthavritta

From, DR.SOWMYA M.N. 1st year PG Scholar Department of Post Graduate Studies in Swasthavritta S.D.M College of Ayurveda and Hospital Hassan -573201 To, The Registrar Rajiv Gandhi University of Health Sciences Bangalore, Karnataka.Through,The Principal and Head of the Department of PG Studies in SwasthavrittaS.D.M College of Ayurveda and HospitalHassan -573201Subject : Submission of completed Proforma for Registration of Subject for Dissertation.Respected sir,I request you to kindly register the below mentioned subject against my name for the submission of the dissertation to the Rajeev Gandhi university of health Sciences, Bangalore for partial fulfilment of M.D (Ayurveda ) in SwasthavrittaTITLE OF DISSERTATION “THE EFFECT OF AMALAKI AS PATHYA IN AMLAPITTA (HYPERACIDITY).Here with I am enclosing a complete proforma of synopsis for registration of subject for dissertation.Date: Yours faithfully,Place: Hassan ( DR.SOWMYA M.N.) RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES KARNATAKA, BANGALORE. Annexure-IICOMPLETED PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSEARTATION.1. NAME OF THE CANDIDATE : DR.SOWMYA. M.NAND ADDRESS 1ST year PG SCHOLARDEPARTMENT OF PG STUDIES IN SWASTHAVRITTA S.D.M.COLLEGE OF AYURVEDA AND HOSPITAL HASSAN -573201.PERMANENT ADDRESS : D/O NANJAIAH #40, V.A LAYOUT , NEAR NEW WATER TANKK.H.B COLONY , NANJANGUD -571301MYSORE DIST2. NAME OF THE INSTITUTE : S.D.M. COLLEGE OF AYURVEDA & HOSPITAL,HASSAN -573201.3. COURSE OF STUDY & : M.D.(AYURVEDA),SWASTHAVRITTASUBJECT 4. DATE OF ADMISSION TO : 11-10-2010 THE COURSE5. TITLE OF DISSERTATION : “THE EFFECT OF AMALAKI AS PATHYA IN AMLAPITTA (HYPERACIDITY)”6. BRIEF RESUME OF THE STUDY6.1 Need for the Study:The period of 21st century is regarded as the era of fast technology and tough competition. The man of this era is becoming prey to series of life style disorder which are much more bothering than the infective diseases. The altered life style activities like fried food, night shifts, mental stress, addictions etc. are the major risk factors for Amlapitta.Due to excess consumption of Pitta Prakopakara Ahara, Vihara leads to Amlatha, Dravata, Vriddi of Pitta causing Shuktata of Pitta and manifest the disease Amlapitta and Manasika Bhavas plays important role in it1. As it is said that medicine alone cannot bring the desired therapeutic effect without Pathya on the other hand if Pathya is observed there will be no need of medications. Amalaki is considered as Pathya in Amlapitta2. With this back ground an attempt has been made in this study by advising Amalalaki as Pathya in the subjects of Amlapitta, its effect as Pathya will be evaluated.Amalaki is Amla Pradhana Pancha Rasa and is Pitta Shamaka. It is having Guru, Ruksa, Sheeta Guna, Sheeta Veerya, Madhura Vipaka, Tridosha Shamaka. It has Karmas like Vaya Sthapana, Rasayana, Chakshusya and Vrishya3. So Amalaki Churna may be expected to have beneficial impact in clinical conditions of Amlapitta as Pathya.Hence this study proposes to evaluate the effect of Amalaki Churna as Pathya in Amlapitta.6.2 Review of Literature  Among the ancient texts Kashyapa Samhitha is the first text, which has mentioned Amlapitta as separate disease. He mentioned the involvement of Tridosha with the dominance of Pitta. It also gives suggestion to change the place of living to have peace of mind to cure disease. Thus suggesting Manasika Bhavas have a great impact on Amlapitta Vyadhi1. Bhaishajya Rathnavali mention Amalaki as Pathya in Amlapitta2.  Madhava Nidana explained Nidana as Virudda Bojana, Dushta, Amla, Vidhahi Bhojana and other Pitta Prakopakara Ahara Vihara. The person suffering from Amlapitta will be having symptoms like Avipaka, Aruchi, Tiktha or Amlaudgaara, Hrith Kanta Daaha, Shiroruja, Chardi, Udara Gowrava4. Amlapitta is one among the Abhyanthara Marga Vyadhi, its detailed explanation is not found in any of Brihatrayis. Charaka while explaining Chikithsa of Grahani has just mentioned the word Amlapitta in the context of Ajeerna5 Amalaki as mentioned in Charaka Samhitha is having Ruksha, Swadu, Kashaya, Amla, Kaphapittahara. Even though it is having Amla Rasa but acts as Pitta Shamaka. So Amalaki Churna form may act as a effective remedy in Amlapitta6.  In Sushrutha Samhitha mentioned that among fruits Amalaki is the best and can be consumed before food ,in the middle and at the end of meals7. Yogarathnakara mentioned Amalaki as pathya8.PREVIOUS RESEARCH WORKS(1) Das R.C.– An anatomical and physiological approach to Annavahasrotas with special reference to etiopathological study of Parinamasula and its principles of management – Jamnagar-1990.(2) Tewari.S- The role of Pugakhanda in the management of Amlapitta and its Shula-Jamnagar- 1993.(3) Gandhi S.P.- A Comparative study of therapeutic efficacy of SuthasekaraRas in the management of Amlapitta and Parinamashula- B H U -1991.(4) Sharma.A- Amlapitta Roga Mein Shathavari Ghritha Va Patoladi Kvatha Ka Prayogathmaka Adhyayan-Udaipur-1990.(5) Sudhakara- The study of effect of Dathri Yoga in Amlapitta-Hyderbad -1991.(6) Mohanti.P- A clinical study of Amlapitta and its management by Amlapittanthaka Churna- Puri-1996.6.3 Objective of Study (1) To evaluate the efficacy of Amalaki Churna as a Pathya in Amlapitta7. MATERIALS AND METHODS7.1 Source of Data:Patients who are diagnosed as Amlapitta will be selected from OPD and IPD of SDM College of Ayurveda and Hospital, Hassan.Diagnostic Criteria The patients having Hrit Kantha Daaha, Tikta and/or Amlodgara along with having at least three symptoms among the following list Avipaka Aruchi Shiroruja Chardi UdaragowravaInclusion Criteria 1. The patients of Amlapitta irrespective of gender, caste & socioeconomic status will be included under the study.2. The patients of age group of 16 – 60yrs will be selected.Exclusion Criteria 1. Patients who have undergone gastric surgeries.2. Known cases of gastric & duodenal ulcers.3. Patients with gastric malignancies.4. Gastritis with other systemic disorders.STUDY GROUP 40 Patients of Amlapitta will be randomly divided into following two groups each comprising of 20 patients. Group A: Amalaki churna will be given in the dose of 5gm, three times a day, in first bolus of food with water for 1 month.Group B: The patient of this group will be kept on Placebo containing Ragi flour which will be given in the same dose and manner. Routine diet of the patients will be allowed. Assessment Criteria The patients will be assessed at the interval of every week of the regimen. Improvement in signs & symptoms of Amlapitta will be noted. Side effect or any discomfort during regimen. Pulse , B.P will be recorded before and after treatment. Routine urine and blood examination will be done before & after treatment.DURATION OF REGIMEN: The duration of regimen will be one month in both the groups.FOLLOW UP STUDY:On the completion of the trial the patients will be asked to attend the OPD for follow up study at the fortnightly interval for one month. 7.4 HAS ETHICAL CLEARENCE BEEN OBTAINED FROM THE INSTITUTION? : Yes.8. LIST OF REFERENCES 1) Kashyapa: Kashyapa Samhita, English translated by Dr. P V Tewari, Ed-1996, Varanasi, Chaukhambha visvabharati, khila sthana, Amlapitta chikithsa adhyaya 16 ch, sloka no 8-9, P.630,634. 2) Govinda dasji; Bhaishajya Ratnavali, bhisagratna Sri Bhramha Shankara Misra, English translation by Dr.Kanjiv Lochan, Ed- reprint 2009 , Varanasi, chaukhambha Sanskrit Sansthan, ,III Vol, 56 Ch , 159 sloka, p 137. 3) Prof.P.V. Sharma: Dravyaguna-vignana, 14 Ed-1993, Varanasi, chaukhambha bharathi academy,III vol, p 759.4) Madhavakara: Madhava Nidhana with Madhukosha Hindi commentary by Dr. Bramananda tripati, Ed – 2003 , Varanasi, Chaukhambha surbharati prakashana, II Vol, 41 ch , sloka no 1,2 . p 225, 226. 5) Agnivesha: charaka samhita, vidyodini hindi commentary, pandit kashinath shastri, Ed- 2006, Varanasi , chaukambha bharati academy , II Vol, chikithsa sthana 15 ch ,sloka no 46, p387 . 6) Agnivesha: Charaka samhita, editor –translator by prof. Priyavrat Sharma, I Vol, sutrasthana Ch 27, sloka no 147,148, p 205.7) Sushrutha; Susrutha samhitha , translator prof .K R srikanta murthy, Ed- 2004, Varanasi, chaukambha orientalia , sutra sthana, ch 46, sloka no 463, p 445. 8) Yogaratnakara; Yogaratnakara Hindi translated by Dr. Indradev tripathi & Dr. Daya Shankar tripathi, Ed-1998, Varanasi Krishnadas Academy, sloka no 64 , p 26 9. SIGNATURE OF CANDIDATE :10. REMARKS OF GUIDE :11. NAMES AND DESIGNATION : (IN BLOCK LETTERS)11.1. GUIDE : DR. JYOTHI.K READER DEPT. OF PG STUDIES IN SWASTHAVRITTA SDMCA &H , HASSAN. 11.2 SIGNATURE :11.3 CO – GUIDE :11.4 SIGNATURE : 11.5 H.O.D : DR.T.B.TRIPATHY PROFESSOR & HOD, DEPT. OF PG STUDIES IN SWASTHAVRITTA SDMCA & H, HASSAN.12. SIGNATURE :12.1 REMARK OF CHAIRMAN & PRINCIPAL :12.2 SIGNATURE : From, DR.SOWMYA.M.N1st year PG ScholarDepartment of Post Graduate Studies in SwasthavrittaS.D.M College of Ayurveda and Hospital Hassan -573201To,The RegistrarRajiv Gandhi University of Health SciencesBangalore, Karnataka.Through,The Principal and Head of the Department of PG Studies in SwasthavrittaS.D.M College of Ayurveda and HospitalHassan -573201Subject : Submission of completed Proforma for Registration of Subject for Dissertation.Respected sir,I request you to kindly register the below mentioned subject against my name for the submission of the dissertation to the Rajeev Gandhi university of health Sciences, Bangalore for partial fulfilment of M.D (Ayurveda ) in SwasthavrittaTITLE OF DISSERTATION “THE EFFECT OF AMALAKI AS PATHYA IN AMLAPITTA (HYPERACIDITY).Here with I am enclosing a complete proforma of synopsis for registration of subject for dissertation.Date: Yours faithfully,Place: Hassan ( DR.SOWMYA.M.N)

Department of Post Graduate Studies in Swasthavritta

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