A clinical study to assess the efficacy of jalukavacharna and shamana yoga in the management of vicharchika w.s.r. to atopic dermatitis/eczema

Summary of article contents:

The diseases affecting the skin due to its beejadoshaja or karmaja factors, involvement of three dosha and different gambheeradhatus , due to chronic samprapti , is the greatest challenge to the medical field. But some are sadhya due to the opposite factors to the above. Ayurvedareveals all skin diseases under one of the broad heading of “ Kushtha ”(skin diseases) .Vicharchika isone among the kushta categorized under Kshudrakushta and sadhyakushta presenting with pidaka (boils), kandu (Itching ) and shyava . Among chikitsa , as there is alpa, uthanadosha , Jalaukavacharana (leach therapy ) is selected for the study. Shamana (palliative) therapy is much effective with raktamokshana (bloodletting). So, Kusthaghnadashaimani was selected.With this in back drop, a comparative clinical study where in one group of 13 patients, treated with jalaukavacharana weekly once for 4 weeks and in second group of 13 patients, jalaukavacharana with shamana yoga (Kusthaghnadashaimani tablet, 500 mg, thrice daily for 28 days) was given. All the patients in group I and group II were observed for 28 days. The study revealed that, Group A Jalaukavacharana was effective in reducing the symptoms of kandu (itching) 66.19%, Srava (oozing) 88.93%, Vaivarnya (discolouration) 56.89%, Pidaka (boils) 71.54%, Daha (burning sensation) 68.2%, Rukshta (dryness) 74.97%, and Raji 68.44%. Group B ( Jalaukavacharna+ shamana yoga ) was effective in reducing the Kandu 67.18%, Srava 92.30%, Vaivarnya 57.6%, pidaka 81.8%, Daha 75.76%, Rukshata 75.76%, Raji 75.87%. On comparison, there was no statistical significant difference between the two groups. Kusthaghnadashaimani accentuated the improvement in srava, pidaka, daha, Raji and very little relief in Kandu, rukshata and Vaivarnya Keywords: Kusta, Vicharchika, Jalaukavacharana, kustaghnadashaimani INTRODUCTION INTERNATIONAL AYURVEDIC MEDICAL JOURNAL International Ayurvedic Medical Journal, ( ISSN: 2320 5091) (April, 2017) 5 (4) A CLINICAL STUDY TO ASSESS THE EFFICACY OF JALUKAVACHARNA AND SHAMANA YOGA IN THE MANAGEMENT OF VICHARCHIKA W.S.R. TO ATOPIC DERMATITIS/ECZEMA Rajalaxmi M G 1 , Padmakiran C 2 , Teenanargotra 3 1 Associate professor, 2 Assistant professor, 3 PG Scholar;PG Department of Panchakarma, SDMCA, Udupi, Karnataka, India Email: kiranasdm@gmail.com ABSTRACT The diseases affecting the skin due to its beejadoshaja or karmaja factors, involvement of three dosha and different gambheeradhatus , due to chronic samprapti , is the greatest challenge to the medical field. But some are sadhya due to the opposite factors to the above. Ayurvedareveals all skin diseases under one of the broad heading of “ Kushtha ”(skin diseases) .Vicharchika isone among the kushta categorized under Kshudrakushta and sadhyakushta presenting with pidaka (boils), kandu (Itching ) and shyava . Among chikitsa , as there is alpa, uthanadosha , Jalaukavacharana (leach therapy ) is selected for the study. Shamana (palliative) therapy is much effective with raktamokshana (bloodletting). So, Kusthaghnadashaimani was selected.With this in back drop, a comparative clinical study where in one group of 13 patients, treated with jalaukavacharana weekly once for 4 weeks and in second group of 13 patients, jalaukavacharana with shamana yoga (Kusthaghnadashaimani tablet, 500 mg, thrice daily for 28 days) was given. All the patients in group I and group II were observed for 28 days. The study revealed that, Group A Jalaukavacharana was effective in reducing the symptoms of kandu (itching) 66.19%, Srava (oozing) 88.93%, Vaivarnya (discolouration) 56.89%, Pidaka (boils) 71.54%, Daha (burning sensation) 68.2%, Rukshta (dryness) 74.97%, and Raji 68.44%. Group B ( Jalaukavacharna+ shamana yoga ) was effective in reducing the Kandu 67.18%, Srava 92.30%, Vaivarnya 57.6%, pidaka 81.8%, Daha 75.76%, Rukshata 75.76%, Raji 75.87%. On comparison, there was no statistical significant difference between the two groups. Kusthaghnadashaimani accentuated the improvement in srava, pidaka, daha, Raji and very little relief in Kandu, rukshata and Vaivarnya Keywords: Kusta, Vicharchika, Jalaukavacharana, kustaghnadashaimani INTRODUCTION INTERNATIONAL AYURVEDIC MEDICAL JOURNAL International Ayurvedic Medical Journal, ( ISSN: 2320 5091) (April, 2017) 5 (4) A CLINICAL STUDY TO ASSESS THE EFFICACY OF JALUKAVACHARNA AND SHAMANA YOGA IN THE MANAGEMENT OF VICHARCHIKA W.S.R. TO ATOPIC DERMATITIS/ECZEMA Rajalaxmi M G 1 , Padmakiran C 2 , Teenanargotra 3 1 Associate professor, 2 Assistant professor, 3 PG Scholar;PG Department of Panchakarma, SDMCA, Udupi, Karnataka, India Email: kiranasdm@gmail.com ABSTRACT The diseases affecting the skin due to its beejadoshaja or karmaja factors, involvement of three dosha and different gambheeradhatus , due to chronic samprapti , is the greatest challenge to the medical field. But some are sadhya due to the opposite factors to the above. Ayurvedareveals all skin diseases under one of the broad heading of “ Kushtha ”(skin diseases) .Vicharchika isone among the kushta categorized under Kshudrakushta and sadhyakushta presenting with pidaka (boils), kandu (Itching ) and shyava . Among chikitsa , as there is alpa, uthanadosha , Jalaukavacharana (leach therapy ) is selected for the study. Shamana (palliative) therapy is much effective with raktamokshana (bloodletting). So, Kusthaghnadashaimani was selected.With this in back drop, a comparative clinical study where in one group of 13 patients, treated with jalaukavacharana weekly once for 4 weeks and in second group of 13 patients, jalaukavacharana with shamana yoga (Kusthaghnadashaimani tablet, 500 mg, thrice daily for 28 days) was given. All the patients in group I and group II were observed for 28 days. The study revealed that, Group A Jalaukavacharana was effective in reducing the symptoms of kandu (itching) 66.19%, Srava (oozing) 88.93%, Vaivarnya (discolouration) 56.89%, Pidaka (boils) 71.54%, Daha (burning sensation) 68.2%, Rukshta (dryness) 74.97%, and Raji 68.44%. Group B ( Jalaukavacharna+ shamana yoga ) was effective in reducing the Kandu 67.18%, Srava 92.30%, Vaivarnya 57.6%, pidaka 81.8%, Daha 75.76%, Rukshata 75.76%, Raji 75.87%. On comparison, there was no statistical significant difference between the two groups. Kusthaghnadashaimani accentuated the improvement in srava, pidaka, daha, Raji and very little relief in Kandu, rukshata and Vaivarnya Keywords: Kusta, Vicharchika, Jalaukavacharana, kustaghnadashaimani INTRODUCTION INTERNATIONAL AYURVEDIC MEDICAL JOURNAL Padmakiran C Et Al