Study on haritaki rasayana for vatarakta in mild PAD patients.

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Journal name: World Journal of Pharmaceutical Research
Original article title: Open label study assessing the efficacy of haritaki rasayana in patients with vatarakta w. s.r to mild to moderate peripheral artery disease
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Original source:

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Author:

Dr. Manjunath, Dr. Nishanth K. Pai and Dr. G. Shrinivasa Acharya


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World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Open label study assessing the efficacy of haritaki rasayana in patients with vatarakta w. s.r to mild to moderate peripheral artery disease

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr201912-16083

Copyright (license): WJPR: All rights reserved


Summary of article contents:

Introduction

The study conducted by Dr. Manjunath and colleagues focuses on assessing the efficacy of Haritaki Rasayana in patients suffering from vatarakta, a condition analogous to peripheral arterial disease. Peripheral vascular disease is a significant source of morbidity globally, with a notable prevalence in India among individuals over the age of 45. The research aims to determine the remission of symptoms and the impact on the quality of life for patients diagnosed with this condition through the administration of Haritaki Rasayana. The study's findings illustrate that the treatment resulted in statistically significant improvements in various clinical parameters.

Importance of Pain-Free Walking Distance

One of the primary outcomes of the study was the measurement of pain-free walking distance (PWD) before and after treatment. Initially, the mean walking distance was recorded at 77 meters. After a treatment period of 30 days using Haritaki Rasayana, the mean distance increased significantly to 480 meters, demonstrating a marked improvement in patients’ functional capacity and relief from claudication pain. This enhancement signifies the efficacy of Haritaki Rasayana in improving mobility and pain management in patients experiencing vatarakta.

Improvement in Arterial Circulation

The study also evaluated the effect of Haritaki Rasayana on arterial circulation using color Doppler ultrasound studies. Pre-treatment measurements of blood flow velocity showed an increase in the common femoral artery from 97.1 cm/s to 107.15 cm/s and the peroneal artery from 11.35 cm/s to 25.05 cm/s after treatment. Such significant changes indicate that Haritaki Rasayana effectively enhances blood flow and circulation in ischemic limbs, addressing one of the fundamental issues underlying vatarakta pathology.

Effects on Quality of Life and Lipid Profile

Improvements in the quality of life were measured using the Short Form (36) Health Survey (SF-36), which exhibited an increase in the mean quality of life score from 90.6 to 98.05 following treatment. Additionally, there were notable changes in the lipid profiles of patients, with reductions in total cholesterol and triglycerides, alongside an increase in HDL levels. These findings are instrumental in reflecting the holistic benefits of Haritaki Rasayana on overall health, symptom management, and the biochemical parameters associated with vatarakta.

Conclusion

In conclusion, the open-label study strongly supports the efficacy and safety of Haritaki Rasayana in treating vatarakta. The significant improvement in key clinical measures such as pain-free walking distance, arterial circulation, quality of life, and lipid profiles portrays Haritaki Rasayana as a viable treatment option. This research highlights the potential for using Haritaki Rasayana as part of a broader therapeutic strategy addressing peripheral arterial disease and associated morbidities, providing a promising avenue for future studies and clinical applications.

FAQ section (important questions/answers):

What is the objective of the study on Haritaki Rasayana?

The study aims to assess symptom remission and quality of life changes in patients suffering from vatarakta or ischemic limb disease after using Haritaki Rasayana for a designated period.

What methodology was used in the Haritaki Rasayana study?

The study involved 20 selected participants undergoing Koshta shodhana followed by daily administration of Haritaki Rasayana over 30 days, with assessments before and after treatment.

What were the primary outcome measures of the study?

Primary outcome measures included pain-free walking distance, Doppler ultrasound results, and improvement in symptoms related to ischemic limb disease.

What results were observed after treatment with Haritaki Rasayana?

The study showed statistically significant improvements in pain-free walking distances, arterial blood circulation, and overall quality of life after using Haritaki Rasayana for 30 days.

What demographic was primarily affected by vatarakta in the study?

The majority of participants were aged 61-70 years, with a predominant male representation and most belonging to an upper middle socio-economic status.

Is Haritaki Rasayana safe for patients suffering from vatarakta?

Yes, the study concluded that Haritaki Rasayana is effective and safe, with no adverse effects noted in the patients throughout the treatment duration.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Study on haritaki rasayana for vatarakta in mild PAD patients.”. 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) Haritaki:
Haritaki is an herbal remedy derived from the fruit of the Terminalia chebula tree, known for its numerous health benefits in Ayurvedic medicine. It is particularly recognized for its ability to aid digestion, detoxify the body, and improve overall vitality, making it relevant in the treatment of ailments like Vatarakta.

2) Rasayana (Rasa-ayana):
Rasayana refers to a category of Ayurvedic treatments that promote rejuvenation and longevity. These therapies focus on enhancing the body's resistance to disease, improving vitality, and promoting overall wellness. In the context of Vatarakta, Rasayana, particularly Haritaki Rasayana, is utilized to restore balance and health to the affected individuals.

3) Vatarakta (Vata-rakta):
Vata-rakta refers to the condition encompassing both Vata dosha and Rakta dhatu's impairment, illustrating a combination of symptoms related to vascular health violations. Understanding this syndrome allows practitioners to implement targeted treatment strategies that address underlying doshic imbalances and improve circulation.

4) Study (Studying):
The study mentioned refers to a research investigation assessing the efficacy of Haritaki Rasayana in managing Vatarakta. It aims to evaluate symptom remission and quality of life improvements in patients, utilizing pretest and posttest methodologies to statistically analyze the treatment's effects on peripheral artery disease.

5) Disease:
Diseases encompass a range of pathological conditions that disrupt normal bodily functions. The focus on Vatarakta as a key representation of such disorders highlights the importance of holistic treatment options in Ayurveda to restore balance and alleviate symptoms associated with vascular health.

6) Vata:
Vata, one of the three doshas in Ayurveda, represents the elements of air and space. It governs movement and is associated with physiological functions like circulation and nerve impulses. Imbalance in Vata is considered a primary cause of many diseases, including Vatarakta, affecting bodily functions and overall health.

7) Rakta:
Rakta signifies the blood component in Ayurveda, vital for sustaining life and maintaining health. It is essential for nourishing tissues and carrying oxygen throughout the body. In the context of Vatarakta, Rakta's role in circulation becomes crucial, as the disorder relates to the impairment of blood flow in the limbs.

8) Pain:
Pain is a significant symptom experienced by patients with Vatarakta, often resulting from ischemia or inadequate blood supply to the limbs. Assessing and managing this pain is critical in evaluating treatment efficacy, particularly how Haritaki Rasayana may alleviate discomfort and improve patients' quality of life.

9) Kapha:
Kapha is another dosha in Ayurveda, representing water and earth elements. It is associated with structure and stability but can lead to stagnation and fluid retention when imbalanced. In Vatarakta, the accumulation of Kapha can contribute to blockages in circulation, necessitating its management in treatment considerations.

10) Dhatu:
Dhatu refers to the seven fundamental tissues in the body that support physical and mental health in Ayurvedic medicine. Rakta Dhatu, or blood tissue, is critical in the context of Vatarakta, as its proper flow and quality are necessary for tissue nourishment and the prevention of vascular diseases.

11) Life:
Life within the Ayurvedic context encompasses physical health, mental well-being, and spiritual balance. A holistic approach in treating Vatarakta focuses on restoring vitality and enabling patients to lead healthier, more active lives through effective interventions like Haritaki Rasayana and lifestyle modifications.

12) Raktadhatu (Rakta-dhatu):
Rakta-dhatu specifically refers to the blood tissue according to Ayurvedic principles. It plays a crucial role in circulation and nourishment of the body's tissues, highlighting its importance in Vatarakta, where obstruction of Rakta is pivotal to understanding the disease's pathology and treatment strategies.

13) Blood:
Blood is the bodily fluid that circulates nutrients, gases, and waste products throughout the body. In the context of Vatarakta, blood flow is critically impaired, leading to ischemic symptoms. Restoration of proper blood circulation is a primary focus of the management strategy employing Haritaki Rasayana.

14) Dosha (Dosa):
Dosa refers to the dynamic elements or energies that govern physiological functions in Ayurveda. Recognizing the interplay among Vata, Pitta, and Kapha is crucial in understanding and treating conditions such as Vatarakta, where their imbalance directly impacts symptoms and overall health.

15) Vatadosha (Vatadosa, Vata-dosha):
Vatadosha embodies the energetic qualities related to the Vata dosha. Imbalances in Vatadosha are critical in the pathogenesis of conditions like Vatarakta, as they directly influence symptoms like pain and circulation, necessitating effective management strategies in Ayurvedic practices.

16) Swelling:
Swelling is a potential symptom of Vatarakta, indicating inflammation or poor circulation in the limbs. It may prompt diagnostic evaluations to determine the underlying cause. Effective treatment with Haritaki Rasayana can alleviate swelling, thereby improving overall patient comfort and quality of life.

17) Pravara:
Pravara denotes a superior or optimal condition within Ayurvedic classifications. In the study, patients' characteristics are assessed to determine their dosha and overall health status, with an emphasis on those who may benefit more significantly from treatments like Haritaki Rasayana based on their individual profiles.

18) Suffering:
Suffering refers to the experiences of discomfort and pain related to health conditions. In patients with Vatarakta, this could manifest through physical limitations and psychological distress stemming from reduced mobility. Effective treatment strategies aim to alleviate suffering and enhance the patients’ quality of life.

19) Medas (Meda, Medash):
Meda refers to the adipose (fat) tissue in Ayurveda, which plays a crucial role in transformation and energy management in the body. The excess or imbalance of Meda is critical in conditions like Vatarakta, where it may contribute to vascular obstruction through fatty accumulations.

20) Avara:
Avara signifies inferior or lower categories in Ayurvedic terms. It may refer to suboptimal states of health or vitality, prompting investigations into how patients with lower attributes (e.g., Avara Prakriti) may respond to treatments like Haritaki Rasayana in managing Vatarakta.

21) Ayurveda (Ayus-veda):
Ayurveda is a holistic ancient Indian system of medicine that emphasizes balance among body, mind, and spirit. The principles of Ayurveda guide the understanding and treatment of diseases like Vatarakta through natural remedies, dietary adjustments, and lifestyle changes, aiming for comprehensive wellness.

22) Quality:
Quality relates to the standard of health and well-being, especially regarding the patients' life post-treatment. Evaluating improvements in quality of life scores before and after applying Haritaki Rasayana in Vatarakta management underscores the objective of achieving tangible benefits for individuals' overall health.

23) Shakti (Sakti):
Shakti denotes energy or strength in Ayurvedic terminology, essential for vital functions and perseverance in overcoming health challenges. In the context of Vatarakta, restoring Shakti through effective treatments can improve patients' capabilities and activity levels, thus enhancing their overall health status.

24) Vaivarṇya (Vaivarnya, Vaivanrya):
Vaivarnya describes the discoloration of the skin resulting from inadequate blood circulation characteristics of Vatarakta. This symptom serves as a key clinical sign during diagnosis and treatment assessments, highlighting the effects of therapies like Haritaki Rasayana on restoring normal skin color and circulation.

25) Supti (Shupti):
Supti translates to numbness or tingling sensations and is often a symptom associated with Vatarakta due to compromised blood flow. Managing Supti is a central focus of treatment that aims to enhance patients' sensory perceptions and overall limb function through interventions like Haritaki Rasayana.

26) Vyayamashakti (Vyayamasakti, Vyayama-shakti):
Vyayama-shakti refers to the ability or capacity for physical activity and exercise. In patients with Vatarakta, assessing Vyayama-shakti can help determine mobility levels and the practicability of personalized rehabilitative approaches advocated during treatment with Haritaki Rasayana.

27) Samhanana:
Samhanana translates to body structure or cohesiveness in Ayurveda. Evaluating a patient's Samhanana can provide insights into their physical condition and susceptibility to diseases like Vatarakta, giving practitioners perspective in customizing treatment plans that emphasize strengthening and restoring balance.

28) Shodhana (Sodhana):
Shodhana denotes purification therapies in Ayurveda designed to detoxify the body of accumulated toxins. Applying Shodhana techniques can be beneficial for patients with Vatarakta to eliminate excess Kapha and Medas, aiding in the restoration of healthy blood flow and mitigating disease symptoms.

29) Vyayama:
Vyayama signifies exercise or physical activity relevant to maintaining health and well-being. In patients with Vatarakta, appropriate levels of Vyayama can improve circulation and functional capabilities, making it an essential consideration alongside remedies like Haritaki Rasayana in enhancing patient outcomes.

30) Pitta:
Pitta, one of the three doshas in Ayurveda, embodies the elements of fire and water. It governs metabolism and transformation within the body. Understanding Pitta's interaction with Vata and Kapha is essential in treating Vatarakta, where imbalance may exacerbate disease symptoms and complications.

31) Water:
Water, symbolizing hydration and balance, plays a vital role in bodily functions. From an Ayurvedic perspective, maintaining appropriate hydration levels is essential for the proper function of dhatus and doshas, particularly when treating conditions like Vatarakta where blood flow and tissue perfusion are compromised.

32) Sara (Shara):
Sara signifies essential quality or best state within Ayurvedic contexts. Each individual's Sara characteristics inform their predispositions toward health issues, including Vatarakta. Evaluation of Sara helps guide treatment modalities, optimizing patient outcomes in managing conditions related to doshic imbalances.

33) Aharashakti (Aharasakti, Ahara-shakti):
Aharashakti refers to the effectiveness of food in sustaining the body’s health and vitality. Recognizing its role in health management is essential, particularly for Vatarakta, where dietary interventions can significantly influence patient outcomes and the overall success of Ayurvedic treatments.

34) Accumulation (Accumulate, Accumulating):
Accumulation denotes the buildup of substances, such as Kapha or Medas, potentially leading to imbalances or diseases in Ayurveda. Understanding the implications of such accumulations is critical in managing Vatarakta, where proper treatment seeks to reverse these buildups and restore healthy circulation.

35) Samtarpana (Santarpana):
Santarpana refers to excess nourishment leading to the accumulation of toxic substances within the body, contributing to various diseases. In the context of Vatarakta, addressing Santarpana is crucial in preventing or managing the condition, aligning treatment strategies toward achieving balance.

36) Education:
Education in the context of health augments awareness and knowledge regarding lifestyle, diet, and disease management. Promoting educational initiatives can empower individuals, especially those susceptible to Vatarakta, leading to healthier choices that enhance quality of life and prevent disease onset.

37) Pregnant:
Pregnant refers to a state of carrying a developing fetus. Women in this condition may require tailored health considerations, especially regarding doshic balance and safe treatment options. Awareness of how Vatarakta may affect pregnant individuals underscores the need for precautionary measures in Ayurvedic treatment.

38) Pramana (Pramanas):
Pramana signifies measurement or assessment criteria within Ayurvedic practices. It assists in evaluating a patient’s condition accurately, thereby aiding in customizing treatment plans. In managing Vatarakta, appropriate Pramana can align therapeutic strategies with the unique needs and health profiles of patients.

39) Satmya:
Satmya refers to adaptability or compatibility of an individual with their diet and lifestyle choices in Ayurveda. Understanding a patient’s Satmya is vital in designing personalized treatment strategies, especially for Vatarakta, to ensure their dietary modifications align with their unique physiological requirements.

40) Nidana:
Nidana translates to the cause or origin of a disease. In Ayurveda, identifying Nidana is key to unraveling the root factors contributing to conditions like Vatarakta, guiding treatment strategies aimed at mitigating these underlying causes for improved health outcomes.

41) Srotas (Shrotas):
Srotas denotes the channels or pathways through which bodily fluids circulate. In Ayurveda, maintaining the health of Srotas is crucial for overall well-being. Understanding the role of Srotas in Vatarakta highlights the importance of ensuring unobstructed blood flow for vascular health.

42) Ahara:
Ahara relates to dietary intake in Ayurvedic philosophy, emphasizing the importance of nutrition for health and disease prevention. Proper Ahara plays a pivotal role in maintaining doshic balance and preventing conditions like Vatarakta through mindful dietary choices that promote circulation and vitality.

43) Marga:
Marga signifies the channels or pathways within the body, specifically relating to circulation and flow in Ayurvedic discussions. In Vatarakta, addressing the Marga is essential, as obstruction or impairment within these pathways directly impacts blood circulation, necessitating effective treatment interventions.

44) Sveda:
Sveda translates to perspiration or sweating, which is a bodily function significant in regulating body temperature and detoxification. In patients with Vatarakta, abnormal sweating may indicate endotoxins or circulatory problems, serving as important diagnostic markers for evaluating disease severity and treatment responses.

45) India:
India is the birthplace of Ayurveda, the ancient system of medicine from which practices like Haritaki Rasayana are derived. The cultural and historical significance of India in promoting these traditional herbal remedies emphasizes their relevance in contemporary healthcare, particularly in managing diseases like Vatarakta.

46) Tvak:
Tvak refers to the skin, which can be affected in conditions like Vatarakta where circulation is compromised. Assessments of Tvak's condition, including color and texture, become critical for evaluating treatment efficacy and overall improvement in conditions due to improved blood flow.

47) Rupa:
Rupa denotes the form or manifestation of a condition, especially regarding symptoms associated with diseases like Vatarakta. Understanding a patient's Rupa assists practitioners in diagnosing the extent of vascular compromise and tailoring treatment strategies that address observable clinical features.

48) Post:
Post refers to the period following an intervention or treatment, crucial in evaluating its effectiveness. Monitoring patients in the post-treatment phase of the study with Haritaki Rasayana is essential to measure improvements in symptoms and quality of life for those experiencing Vatarakta.

49) Raktamokshana (Raktamoksana, Rakta-mokshana):
Raktamokshana is a therapeutic technique in Ayurveda aimed at purifying the blood, thereby alleviating various ailments. In the context of Vatarakta, incorporating Raktamokshana can address circulating impurities and obstructions, aligning with treatment protocols to improve vascular health through methods like Haritaki Rasayana.

50) Kaphapitta (Kapha-pitta):
Kapha-pitta signifies the combination of two doshas in Ayurveda, revealing complex interactions that may influence health. Understanding the interplay between these doshas is crucial in managing conditions like Vatarakta, as imbalances can exacerbate symptoms and complicate treatment strategies.

51) Agriculture:
Agriculture relates to farming practices, which can impact dietary habits and consequently the health of populations in regions like India. Understanding agricultural contributions to nutrition and health can inform holistic approaches to manage diseases like Vatarakta through improved food systems.

52) Observation:
Observation entails the systematic examination of symptoms, responses, and outcomes within clinical studies. In the context of Vatarakta, clinical observations provide essential data that inform treatment efficacy, guide adjustments, and enhance understanding of how interventions like Haritaki Rasayana affect patient health.

53) Shrinivasa (Shri-nivasa, Srinivasa):
Shrinivasa is a name generally referring to individuals or figures of significance, possibly representing the authors or researchers in the study. Their insights and expertise contribute to the field of Ayurveda and the broader understanding of conditions like Vatarakta and potential treatment modalities.

54) Vatavyadhi (Vata-vyadhi):
Vatavyadhi refers to diseases primarily attributed to imbalances in the Vata dosha. Conditions classified under Vatavyadhi, including Vatarakta, represent significant health concerns in Ayurveda, emphasizing the need for targeted interventions that address Vata imbalances to restore health and function.

55) Samvatsara:
Samvatsara denotes a year-long duration in Ayurvedic practices, often indicating a recommended treatment period for chronic conditions. For Vatarakta, extending treatment to a Samvatsara could enhance therapeutic outcomes through continued management of symptoms, improvement in quality of life, and health stability.

56) Vatapitta (Vata-pitta):
Vata-pitta represents the dynamic interplay between these two doshas. Understanding how Vata and Pitta contribute to conditions like Vatarakta helps Ayurveda practitioners design effective treatment plans that mitigate symptoms and restore balance in patients' health and well-being.

57) Kaphavata (Kapha-vata):
Kapha-vata indicates the duality of both doshas' influence on health. When managing conditions like Vatarakta, understanding how Kapha and Vata interact can guide interventions aimed at restoring circulatory health and achieving a holistic treatment approach through Ayurveda.

58) Shvayathu (Svayathu):
Shvayathu translates to swelling, often a critical symptom in conditions like Vatarakta. Managing Shvayathu is essential for improving circulation and patient comfort, making it a focal point in evaluating treatment effectiveness with remedies like Haritaki Rasayana.

59) Purvarupa (Purva-rupa):
Purvarupa signifies the preceding indicators or stages of a disease. Recognizing Purvarupa in Vatarakta allows practitioners to diagnose early and implement timely interventions, which is essential for favorable outcomes and preventing disease progression.

60) Dvandvaja (Dvandva-ja, Dvamdvaja):
Dvandvaja refers to the concept of duality or opposing elements in Ayurveda. Understanding Dvandvaja helps assess the balance between doshas, particularly in conditions like Vatarakta, where interactions between Vata and Kapha can complicate disease presentations and treatment responses.

61) Gambhira:
Gambhira indicates a serious or profound state, often used in reference to more complex or severe conditions. In the context of Vatarakta, addressing Gambhira manifestations requires targeted interventions that effectively restore health and mitigate advanced stages of the disease.

62) Upadrava:
Upadrava refers to complications or associate disorders related to a primary illness. In Vatarakta, understanding potential Upadrava is important for comprehensive diagnosis and management, ensuring all aspects of patient health are considered to optimize treatment outcomes.

63) Toxicity:
Toxicity signifies the accumulation of harmful substances or imbalances within the body. In the context of Vatarakta, addressing toxicity is crucial for restoring health. Effective treatment strategies may include herbal remedies like Haritaki Rasayana that detoxify and improve circulation.

64) Medicine:
Medicine encompasses the diverse approaches and methodologies aimed at diagnosing, treating, and preventing illness. In the context of Vatarakta, Ayurvedic medicine, particularly through the use of natural remedies like Haritaki Rasayana, emphasizes holistic treatment strategies tailored to individual patients’ needs.

65) Vitiation (Vitiated):
Vitiated refers to the disturbed or altered state of doshas that leads to disease development. In Vatarakta, identifying and correcting vitiated conditions is essential for restoring health, focusing therapies like Haritaki Rasayana on rebalancing affected doshas.

66) Sweating (Sweat):
Sweating, a bodily function essential for thermoregulation and toxin elimination, can relate to health conditions like Vatarakta. Evaluating sweating patterns helps assess disease severity, guide treatment choices, and monitor responses to interventions aimed at restoring balance and health.

67) Samhita:
Samhita refers to a collection of texts or writings in Ayurveda that encapsulate knowledge on health practices, treatments, and holistic approaches. Understanding concepts from Samhita is vital in managing conditions like Vatarakta, linking ancient wisdom with contemporary therapeutic strategies.

68) Prameha:
Prameha encompasses conditions related to metabolic disorders commonly associated with diabetes. Its relevance to Vatarakta highlights how metabolic factors can influence vascular health, necessitating integrative approaches that address both conditions within Ayurvedic treatment paradigms.

69) Shonita (Sonita):
Shonita refers to blood and its significance in health management. Understanding Shonita is vital in Ayurveda, especially concerning conditions like Vatarakta, where effective blood circulation and quality are crucial for prevention and alleviation of symptoms.

70) Samana (Shamana):
Shamana refers to palliative therapies aimed at alleviating symptoms without necessarily addressing the root cause. In Vatarakta, employing Shamana strategies may help manage discomfort and improve patients' quality of life, emphasizing the need for balanced holistic care.

71) Surface:
Surface implies the outermost layer or aspect of a condition. In clinical evaluations of Vatarakta, assessing surface indicators like skin color changes aids in understanding disease severity and the effectiveness of treatments like Haritaki Rasayana.

72) Eranda (Eramda):
Eranda, or castor oil, is utilized in Ayurveda for its medicinal properties, particularly in detoxification and enhancing digestion. Its relevance in treatment protocols often supports therapies in managing conditions like Vatarakta, especially during Shodhana or purifying processes.

73) Nature:
Nature captures the essence of balance, harmony, and health inherent in Ayurvedic principles. Acknowledging the interplay between an individual's nature and their environment is crucial in understanding and managing conditions like Vatarakta effectively through holistic practices.

74) Taila (Thaila):
Taila, or oil, is central to Ayurvedic practices, often utilized in treatments for its nourishing and therapeutic properties. Relevant in managing conditions like Vatarakta, specific oils play a role in balancing doshas and improving skin health and circulation through external applications.

75) Table:
Table refers to organized data representation used for clarity and ease in evaluation. In research contexts, tables facilitate the presentation of results concerning patients' status, enabling concise comparisons of pre-treatment and post-treatment assessments associated with interventions for Vatarakta.

[Note: The above list is limited to 75. Total glossary definitions available: 83]

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Vatarakta, Supti, Assessment criteria, Statistically Significant, Koshta shodhana, Wilcoxon signed-rank test, Twak Vaivarnya, Peripheral arterial disease, Rakta margavarana, Transcutaneous oxygen pressure, Quality of life score.

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