Evaluate yashti-madhu-ghrita for post-op agnidagdha vrana in arshas.
Journal name: Ayushdhara
Original article title: To evaluate the effect of yashti-madhu-ghrita application in post-operative management of agnidagdha vrana in arshas
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Mayur V.Shiralkar
Associate. Professor, Dept. of Shalakya Tantra, Dr. D.Y.Patil College of Ayurved, Pimpri, Pune, M.S., India.
Devata M. Shiralkar
Associate. Professor, Dept. of Shalya Tantra, K.P.S.V.S. College of Ayurved, Manavi, Karnataka, India.
*Shende Krushnadev
Associate. Professor, Dept. of Kayachikitsa Dr.D.Y. Patil Ayurved College, Pune, M.S. India.
Vishal Tamhane
Associate. Professor, Dept. of Shalya Tantra, Ashwin Rural Ayurved College, Manchi Hill, India.
Rupesh Wagh
Associate. Professor, Dept. of Shalya Tantra, SMBT Ayurvedic Medical College, Nandi Hills, Igatpuri, Nasik, M.S., India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: To evaluate the effect of yashti-madhu-ghrita application in post-operative management of agnidagdha vrana in arshas
Year: 2015
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
The study investigated the effectiveness of Yashti-Madhu-Ghrita application in the post-operative management of Agnidagdha Vrana in individuals suffering from Arsha. Arsha, often manifested in the anal region, has been a persistent discomfort for people historically, prompting various treatment modalities. Agnikarma is a traditional Ayurvedic surgical procedure used to treat this condition, but it often leads to post-operative complications such as pain, burning sensation, and delayed wound healing. There has been a need to focus on improving post-operative care for patients undergoing Agnikarma, specifically through the application of Yashti-Madhu-Ghrita, which is believed to aid in pain relief and expedite wound healing.
The Role of Yashti-Madhu-Ghrita in Pain Relief
Yashti-Madhu-Ghrita serves as an important therapeutic agent due to its analgesic and anti-inflammatory properties. The study examined its impact on alleviating pain (Vedana) and burning sensations (Daha) experienced by patients post-Agnikarma. Initial findings indicated that on the first day post-procedure, the pain was considerably high; however, subsequent applications of Yashti-Madhu-Ghrita significantly reduced pain over the following weeks. Statistical analyses showed substantial improvement, with patients reporting a 91.11% reduction in pain by the 21st day. This highlights the efficacy of Yashti-Madhu-Ghrita as an analgesic in the context of Agnidagdha Vrana, maximizing patient comfort during recovery.
Wound Healing and Recovery
In addition to pain management, the study placed significant emphasis on the wound healing properties of Yashti-Madhu-Ghrita. The application of this combination not only alleviated pain but also expedited the healing process of Agnidagdha Vrana wounds. The wound color (Vrana Varna) transitioned from necrotic to granulated tissue within weeks, demonstrating effective tissue repair and regeneration. Moreover, the presence of slough and other related complications diminished significantly, indicating that the treatment promoted a healthy environment for wound healing. Following the guidelines for post-operative care, including hot sitz baths and dietary modifications, further complimented the use of Yashti-Madhu-Ghrita in facilitating recovery.
Conclusion
The study concludes that Yashti-Madhu-Ghrita is highly effective in the post-operative management of Agnidagdha Vrana in Arsha cases. Its dual action of pain relief and enhancement of wound healing significantly improves the quality of care for patients undergoing Agnikarma. The data suggests a promising avenue for the integration of traditional Ayurvedic treatments in conjunction with modern surgical practices. However, it also underscores the necessity for further research with larger samples and extended follow-up periods to validate these findings comprehensively. Effective management of post-operative care not only results in improved patient outcomes but also enhances overall satisfaction with Ayurvedic treatments.
FAQ section (important questions/answers):
What is the purpose of using Yashti-Madhu-Ghrita in treatment?
Yashti-Madhu-Ghrita is used in post-operative management of Agnidagdha Vrana to relieve pain, burning sensation, and to promote wound healing. The study found significant improvement in the symptoms after its application.
What patient demographics were included in the study?
The study involved 20 patients, mostly young adults aged 21-30 years, with a higher prevalence among males. Most participants had a mixed dietary habit and were experiencing symptoms related to Arsha and Agnidagdha Vrana.
What were the key findings from the study on Yashti-Madhu-Ghrita?
The application of Yashti-Madhu-Ghrita resulted in significant symptom relief, with 95% of patients achieving complete remission by the end of the study. It effectively reduced pain, burning sensation, and promoted wound healing.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Evaluate yashti-madhu-ghrita for post-op agnidagdha vrana in arshas.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Vrana:
In Ayurveda, 'Vrana' refers to wounds. The text discusses the postoperative management of wounds, particularly 'Agnidagdha Vrana', which are burns formed due to thermal procedures. Yashti-Madhu-Ghrita is used for its wound healing properties. [see source text or glossary: Vrana].
2) Arshas (Arsa, Arsas, Arsha):
'Arshas' is another term for Arsha, indicating hemorrhoids treated through methods like Agnikarma and managed postoperatively with Yashti-Madhu-Ghrita. [see source text or glossary: Arshas].
3) Madhu:
'Madhu' is honey, which has significant wound healing capabilities, including antimicrobial and debridement properties. It is used in combination with Yashti and Ghrita to treat Agnidagdha Vrana effectively. [see source text or glossary: Madhu].
4) Ghrita (Ghrta):
'Ghrita' refers to clarified butter (ghee), valued in Ayurveda for its cooling properties and ability to soothe burns and wounds like those from Agnikarma, reducing pain and aiding in wound healing. [see source text or glossary: Ghrita].
5) Pain:
'Vedana' is the term used for pain in the text. The study measures the effectiveness of Yashti-Madhu-Ghrita in reducing postoperative pain associated with Agnidagdha Vrana. [see source text or glossary: Pain].
6) Daha:
'Daha' refers to the burning sensation. The application of Yashti-Madhu-Ghrita significantly reduces the burning sensation in Agnidagdha Vrana. [see source text or glossary: Daha].
7) Yashti (Yasti):
'Yashti' refers to licorice, used in Yashti-Madhu-Ghrita for its anti-inflammatory and analgesic properties, which help in pain and burn management. [see source text or glossary: Yashti].
8) Yashtimadhu (Yastimadhu, Yashti-madhu):
'Yashti-madhu' is a formulation combining Yashti (licorice) and Madhu (honey), specifically effective for postoperative management of wounds caused by Agnikarma. [see source text or glossary: Yashti-madhu].
9) Agnikarma (Agni-karma):
'Agnikarma' is an Ayurvedic technique involving thermal cauterization used to treat conditions like Arsha. Postoperative care focuses on managing the wounds, or Agnidagdha Vrana. [see source text or glossary: Agnikarma].
10) Shrava (Srava):
'Srava' denotes wound discharge. The study evaluates the efficacy of Yashti-Madhu-Ghrita in reducing Srava in Agnidagdha Vrana to promote faster healing. [see source text or glossary: Srava].
11) Varna:
'Varna' refers to the color of the wound. The text measures how Yashti-Madhu-Ghrita influences the color change in healing wounds (Agnidagdha Vrana). [see source text or glossary: Varna].
12) Burning sensation:
'Daha' translates to burning sensation, a key postoperative issue addressed by Yashti-Madhu-Ghrita in the treatment of Agnidagdha Vrana. [see source text or glossary: Burning sensation].
13) Vedana:
Vedana is the term describing pain. This study assesses relief from pain in Agnidagdha Vrana post-Agnikarma treatment using Yashti-Madhu-Ghrita. [see source text or glossary: Vedana].
14) Discussion:
The 'Discussion' section critically analyzes the results, materials, methods, and observations made during the study on the efficacy of Yashti-Madhu-Ghrita. [see source text or glossary: Discussion].
15) Pitta:
'Pitta' is one of the three doshas in Ayurveda. Agnidagdha Vrana involves the vitiation of Pitta, which causes pain and burning, addressed by the cooling properties of Yashti-Madhu-Ghrita. [see source text or glossary: Pitta].
16) Ankura (Amkura):
'Ankura' refers to pile masses in Piles (Arsha). Agnikarma treats these outgrowths, or Ankura, which are then managed postoperatively with Yashti-Madhu-Ghrita. [see source text or glossary: Ankura].
17) Dagdha:
'Dagdha' means burnt. The text discusses Agnidagdha Vrana, burns caused by thermal cauterization, and their treatment using Yashti-Madhu-Ghrita. [see source text or glossary: Dagdha].
18) India:
India is the country where the study was conducted, particularly focusing on traditional Ayurvedic treatments for Agnidagdha Vrana. [see source text or glossary: India].
19) Agni:
'Agni' translates to fire. The treatment involves Agnikarma, which uses heat (Agni) to treat Arsha, resulting in Agnidagdha Vrana, later managed with Yashti-Madhu-Ghrita. [see source text or glossary: Agni].
20) Madhura:
'Madhura' means sweet. It denotes the taste and properties of Yashti-Madhu-Ghrita ingredients, beneficial for soothing Pitta-related conditions like Agnidagdha Vrana. [see source text or glossary: Madhura].
21) Disease:
'Disease' in this context refers to conditions like Arsha (Hemorrhoids), which involve postoperative care methods explored in the study using Yashti-Madhu-Ghrita for Agnidagdha Vrana. [see source text or glossary: Disease].
22) Tantra (Tamtra, Tantrism):
'Tantra' in Ayurveda refers to a system or branch of treatment. The text involves Shalya Tantra, focusing on surgical treatments like Agnikarma for Arsha. [see source text or glossary: Tantra].
23) Nature:
'Nature' in the text refers to the characteristics of conditions, treatments, and patient profiles studied, such as the nature of Agnidagdha Vrana and the nature of relief provided by Yashti-Madhu-Ghrita. [see source text or glossary: Nature].
24) Kapha:
'Kapha' is one of the three doshas. The text mentions the vitiation of Kapha in Arsha patients, affecting treatments like Agnikarma and healing via Yashti-Madhu-Ghrita. [see source text or glossary: Kapha].
25) Rakta:
Rakta, or blood, is a bodily fluid whose vitiation by Pitta often causes complications like burning in Agnidagdha Vrana, treatable by Yashti-Madhu-Ghrita. [see source text or glossary: Rakta].
26) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is a branch of Ayurveda focusing on surgical interventions. This study is housed within Shalya-tantra units, exploring postoperative care. [see source text or glossary: Shalya-tantra].
27) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandhya refers to weak digestive fire, often leading to Arsha. It's one of the predisposing factors discussed for conditions treated in the study. [see source text or glossary: Agnimandhya].
28) Shalya (Salya):
Shalya translates to surgery. Shalya Tantra deals with surgical treatments like Agnikarma for Arsha, followed by management of resulting Vrana with Yashti-Madhu-Ghrita. [see source text or glossary: Shalya].
29) Nidana:
Nidana refers to causative factors or diagnostic criteria. The text discusses Nidana specific to diseases like Arsha and their postoperative care. [see source text or glossary: Nidana].
30) Blood:
Blood, or Rakta, needs management in surgeries like Agnikarma for Arsha. The study involves managing postoperative wound healing and blood-related issues using Yashti-Madhu-Ghrita. [see source text or glossary: Blood].
31) Drug:
Drug refers to the substances used in treatments. Yashti-Madhu-Ghrita, a combination of Yashti, Madhu, and Ghrita, is studied for its efficacy in managing wounds post Agnikarma. [see source text or glossary: Drug].
32) Chedana:
Chedana means excision. Agnikarma acts as a Chedana technique for Arsha, removing growths like Ankura, with postoperative management explored in the study. [see source text or glossary: Chedana].
33) Lekhana:
Lekhana refers to scraping action. Madhu in the study has Lekhana properties, aiding in cleaning the wound and promoting healing after procedures like Agnikarma. [see source text or glossary: Lekhana].
34) Kaphaja:
'Kaphaja' indicates conditions arising from Kapha dosha. The text refers to Kaphaja Arsha treated using Agnikarma and managed postoperatively with Yashti-Madhu-Ghrita. [see source text or glossary: Kaphaja].
35) Vipaka:
Vipaka refers to the post-digestive effect of a substance. Yashti-Madhu-Ghrita's Madhura (sweet) Vipaka aids in soothing burns and wounds from Agnikarma. [see source text or glossary: Vipaka].
36) Vataja (Vata-ja):
'Vataja' indicates conditions arising from Vata dosha. The study discusses Vataja Arsha and its postoperative treatment using Yashti-Madhu-Ghrita after Agnikarma. [see source text or glossary: Vataja].
37) Dosha (Dosa):
Dosha refers to the body's constitutional energies in Ayurveda—Vata, Pitta, and Kapha. Their balance or vitiation is crucial in conditions like Arsha, treated postoperatively with Yashti-Madhu-Ghrita. [see source text or glossary: Dosha].
38) Patil:
Patil refers to a specific name mentioned in the author affiliations. The research team includes authors from institutions headed by individuals like Dr. Patil. [see source text or glossary: Patil].
39) Rasa (Rasha):
Rasa refers to taste. The Madhura Rasa (sweet taste) in Yashti and Madhu provides cooling, pain-relieving, and healing benefits for Agnidagdha Vrana. [see source text or glossary: Rasa].
40) Vata:
Vata is one of the three doshas, often vitiated in conditions like Arsha. The study focuses on postoperative care for Vataja Arsha using Yashti-Madhu-Ghrita. [see source text or glossary: Vata].
41) Guna:
Guna means properties or qualities. The Guna of ingredients like Yashti include anti-inflammatory and analgesic properties beneficial for healing Agnidagdha Vrana. [see source text or glossary: Guna].
42) Pune:
Pune is a city in India where part of the study was conducted, involving institutions like Dr. D.Y. Patil Ayurved College. [see source text or glossary: Pune].
43) Food:
Food habits are significant in the study, highlighting the impact of diet on conditions like Arsha. The research records patient dietary habits for analysis. [see source text or glossary: Food].
44) Diet:
Dietary habits influence the development and treatment outcomes of diseases like Arsha. The patients' diets, including non-vegetarian preferences, are recorded in the study. [see source text or glossary: Diet].
45) Vranashodhana (Vranasodhana, Vrana-shodhana):
Vrana-shodhana means wound cleansing. This study uses Madhu for its Vrana-shodhana properties in treating postoperative burns (Agnidagdha Vrana). [see source text or glossary: Vrana-shodhana].
46) Madhurarasa (Madhura-rasa):
'Madhurarasa' is the sweet taste, featured in key ingredients like Yashti and Madhu, providing soothing effects for Agnidagdha Vrana. [see source text or glossary: Madhurarasa].
47) Vranaropana (Vrana-ropana):
'Vranaropana' denotes wound healing properties. Madhu, in Yashti-Madhu-Ghrita, promotes healing in Agnidagdha Vrana. [see source text or glossary: Vranaropana].
48) Atidagdha:
'Atidagdha' refers to severe burns, excluded from this study focusing on moderate burns (Agnidagdha Vrana) treated with Yashti-Madhu-Ghrita. [see source text or glossary: Atidagdha].
49) Durdagdha (Dur-dagdha):
'Durdagdha' denotes improperly healed burns, another exclusion criterion in the study, which looks at well-defined Agnidagdha Vrana treatable with Yashti-Madhu-Ghrita. [see source text or glossary: Durdagdha].
50) Vitiation (Vitiated):
Vitiation means the imbalance of doshas. Agnidagdha Vrana involves Pitta and Rakta vitiation, treatable by cooling agents like Yashti-Madhu-Ghrita. [see source text or glossary: Vitiation].
51) Ayurveda (Ayus-veda):
Ayurveda is the traditional Indian medical system employing treatments like Agnikarma and postoperative care using formulations such as Yashti-Madhu-Ghrita. [see source text or glossary: Ayurveda].
52) Shodhana (Sodhana):
'Shodhana' refers to cleansing actions. Madhu, one of the ingredients in Yashti-Madhu-Ghrita, has Shodhana properties beneficial for wound management. [see source text or glossary: Shodhana].
53) Pradhana:
'Pradhana' means primary or chief. Certain doshas like Pitta are Pradhana in causing conditions like Agnidagdha Vrana, which are managed with Yashti-Madhu-Ghrita. [see source text or glossary: Pradhana].
54) Kathina:
'Kathina' means hard, describing the nature of some Arsha (hemorrhoids), which can be treated by Agnikarma, followed by Yashti-Madhu-Ghrita application. [see source text or glossary: Kathina].
55) Prakopa:
Prakopa refers to the aggravation of doshas. Pitta Prakopa occurs in Agnidagdha Vrana, with cooling treatments like Yashti-Madhu-Ghrita providing relief. [see source text or glossary: Prakopa].
56) Ropana:
'Ropana' indicates healing properties. Ingredients like Madhu and Ghrita in Yashti-Madhu-Ghrita formulation have substantial Ropana effects on Agnidagdha Vrana. [see source text or glossary: Ropana].
57) Sthira:
'Sthira' means stable or firm, which describes the character of certain hemorrhoids (Arsha) treatable by Agnikarma, managed postoperatively with Yashti-Madhu-Ghrita. [see source text or glossary: Sthira].
58) Plushta (Plusta):
'Plusta' indicates blistered burns, excluded from this study that focuses on straightforward Agnidagdha Vrana suitable for treatment with Yashti-Madhu-Ghrita. [see source text or glossary: Plusta].
59) Repair:
'Repair' refers to the body's natural healing process, enhanced by Ayurvedic formulations like Yashti-Madhu-Ghrita for conditions like Agnidagdha Vrana. [see source text or glossary: Repair].
60) Mamsa (Mamsha):
'Mamsa' denotes muscle tissue. Conditions involving muscle tissue burns (Agnidagdha Vrana) benefit from the healing properties of Yashti-Madhu-Ghrita. [see source text or glossary: Mamsa].
61) Ushna (Usna):
'Ushna' means hot or warmth, critical in causing burns like Agnidagdha Vrana, treatable through cooling and healing agents in Yashti-Madhu-Ghrita. [see source text or glossary: Ushna].
62) Ulcer:
While not explicitly mentioned, 'Ulcer' would relate to chronic wounds or sores that require intense management similar to Agnidagdha Vrana treatments. [see source text or glossary: Ulcer].
63) Shalakyatantra (Salakyatantra, Shalakya-tantra, Shalakyatamtra):
Shalakya-tantra refers to Ayurveda's branch dealing with surgery, under which procedures like Agnikarma and their postoperative care with Yashti-Madhu-Ghrita fall. [see source text or glossary: Shalakya-tantra].
64) Cauterisation (Cauterization):
Cauterization is the process used in Agnikarma, leading to burns (Agnidagdha Vrana) that require postoperative management with Yashti-Madhu-Ghrita. [see source text or glossary: Cauterization].
65) Tuberculosis:
Tuberculosis is an exclusion criterion due to its complications, ensuring the study focuses solely on postoperative management of Agnidagdha Vrana. [see source text or glossary: Tuberculosis].
66) Inflammation:
Inflammation, common post-Agni treatment, involves swelling and pain, effectively managed by the anti-inflammatory properties of Yashti-Madhu-Ghrita. [see source text or glossary: Inflammation].
67) Pittadosha (Pittadosa, Pitta-dosha):
Pitta-dosha is a body constitution, imbalanced in conditions like Agnidagdha Vrana, requiring soothing treatments like Yashti-Madhu-Ghrita. [see source text or glossary: Pitta-dosha].
68) Mamsadhatu (Mamsha-dhatu):
'Mamsadhatu' refers to muscle tissues, often involved in Agnidagdha Vrana, treated with Madhu's healing properties in Yashti-Madhu-Ghrita. [see source text or glossary: Mamsadhatu].
69) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha, one of the three body energies, contributes to Arsha. Its conditions require specific interventions like Agnikarma and Yashti-Madhu-Ghrita for postoperative care. [see source text or glossary: Vata-dosha].
70) Ushnodaka (Usnodaka, Ushna-udaka):
'Ushnodaka' refers to hot water, commonly used in sitz baths to clean and reduce pain in Agnidagdha Vrana; mentioned alongside Yashti-Madhu-Ghrita treatment. [see source text or glossary: Ushnodaka].
[Note: The above list is limited to 75. Total glossary definitions available: 118]
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