Exploratory study on role of fracture healing activities of thelkiri
a fundamental analysis supporting traditinal benifits
Journal name: World Journal of Pharmaceutical Research
Original article title: Exploratory study on role of fracture healing activities of thelkiri
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Subtitle: a fundamental analysis supporting traditinal benifits
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Anoma Geethani Samarawickrama, G. N. Rathnayake
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Exploratory study on role of fracture healing activities of thelkiri
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr202213-25754
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
The Sri Lankan Indigenous Medical System recognizes the significance of Kedum Bidum Chikitsa, with Thelkiri being a vital preparation for the treatment of fractures and dislocations. Thelkiri is applied in the final stages of treatment to enrich the affected joints and facilitate recovery. This exploratory study aimed to investigate various preparation methods of Thelkiri, its pharmacodynamic properties, and its applications in fracture healing.
The Role of Thelkiri in Fracture Healing
Thelkiri is primarily utilized in managing conditions associated with Bhagna, particularly fractures (Khanda) and dislocations (Sandhi). Its preparation involves a diverse array of herbal ingredients, with 42 unique formulations identified in the study. Thelkiri is claimed to alleviate symptoms of stiffness in joints, promote muscle strength, and support the healing of injured tissues. The herbal properties of Thelkiri, such as Vedana Sthapana (pain relief) and Shothahara (anti-inflammatory effects), contribute significantly to the recovery process while also addressing subsequent complications from improper healing, commonly referred to as "Avahandi."
Pharmacodynamic Properties of Thelkiri
Analysis of the studied ingredients revealed that a majority possessed Tikta Rasa (bitter taste), with notable properties such as Laghu Guna (lightness) and Ushna/Sheeta Veerya (hot/cold potency) appearing in equal proportion. This suggests that Thelkiri can address a range of conditions caused by imbalances in the body's doshas, particularly Vata and Kapha. The ingredients’ composition and their Dosha Karma indicate that Thelkiri is capable of promoting healing through a synergistic effect on wound healing and addressing inflammation, thus supporting post-fracture recovery.
Preparation and Application Methods
The study identified 21 different preparation methods for Thelkiri, emphasizing the predominance of using king-coconut kernel and the importance of avoiding water in the extraction process. Various herbal parts, including leaves, bark, and tubers, are utilized depending on their identified properties. Thelkiri's application is primarily for joint fixation, with a significant focus on treating not only fractures but also other muscle and ligament-related conditions. Most formulations recommended using methods such as Bhanu Paka, where the mixture is exposed to sunlight, enhancing the therapeutic effect.
Conclusion
In conclusion, Thelkiri serves as a multifaceted remedy within the Sri Lankan Indigenous Medical framework, effectively addressing fractures and their complications. Its diverse preparation methods and rich pharmacodynamic properties highlight its relevance in traditional healing practices. The findings of this exploratory study not only reinforce the traditional benefits of Thelkiri but also pave the way for further research into its potential applications in modern medicine. The study underscores the importance of preserving and documenting traditional knowledge regarding herbal remedies for future therapeutic exploration.
FAQ section (important questions/answers):
What is Thelkiri and its significance in Sri Lankan medicine?
Thelkiri is a unique drug preparation used in Sri Lankan Indigenous Medicine, specifically in Kedum Bidum Chikitsa for fracture healing. It nourishes affected areas, helps in recovery, and addresses stiffness after dislocations or fractures.
What are the main properties of Thelkiri according to the study?
Thelkiri exhibits various properties, including Vedana Sthapana (pain-relieving), Shothahara (anti-inflammatory), and Vruna Ropana (wound healing). It also pacifies vitiated Vata and Kapha doshas, supporting its use in injuries.
How many different preparation methods for Thelkiri were identified?
The study identified twenty-one different preparation methods for Thelkiri, highlighting the variability in how it can be made, as well as the common practices observed in traditional remedies.
What ingredients are primarily used in Thelkiri preparation?
Thelkiri is made from various herbal ingredients, with a special emphasis on coconut kernel, which is used in multiple forms such as fresh, dried, and ripened, contributing to its therapeutic properties.
What are the common applications of Thelkiri in treatment?
Thelkiri is commonly applied during the final stage of Bhagna Chikitsa (fracture treatment) to prevent stiffness and strengthen injured muscles, tendons, and ligaments while promoting healing and recovery.
What are the primary actions Thelkiri performs in treating injuries?
Thelkiri is used for six different actions: fixation of joints, wound healing, reducing inflammation, relieving pain, and strengthening muscles and ligaments, making it an essential preparation in traditional orthopedic management.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Exploratory study on role of fracture healing activities of thelkiri”. 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) Guna:
In Ayurveda, 'Guna' refers to the inherent qualities or attributes of substances, which influence their therapeutic effects. The original text mentions various 'Guna' such as Laghu (light), Ruksha (rough), and Snigdha (unctuous), which determine how herbal ingredients in Thelkiri behave in the body and their efficacy in treating conditions.
2) Coconut (Cocoanut):
Coconut plays a vital role in the preparation of Thelkiri, being one of the main ingredients. Its various forms—fresh pulp, dried, or ripened—contribute to the medicinal properties of the formulation. Coconut's qualities as per Ayurveda, such as Madhura Rasa (sweet) and Guru Guna (heavy), are believed to support healing.
3) Study (Studying):
The study explores the fracture healing properties of Thelkiri and its applications in traditional Sri Lankan medicine. By analyzing various preparation methods, ingredients, and their pharmacodynamic properties, the research aims to document and validate the historical uses of Thelkiri in managing bone health and recovery.
4) Dosha (Dosa):
In Ayurveda, 'Dosha' represents the bioenergetic forces that govern physiological and psychological functions. Thelkiri's effectiveness addresses vitiated Vata and Kapha Doshas, suggesting its use in conditions characterized by these imbalances, such as fractures and dislocations, thus indicating its role in holistic health.
5) Bhagna:
Bhagna refers to fractures and dislocations in Sri Lankan traditional medicine. Thelkiri is typically applied in the management of Bhagna to treat and promote recovery in affected joints and muscles, alleviating pain and symptoms associated with the healing process of such injuries.
6) Vedanasthapana (Vedana-sthapana):
'Vedana-sthapana' signifies pain relief properties. Thelkiri is believed to provide Vedana-sthapana benefits, helping to alleviate pain associated with fractures and dislocations. This action is crucial for the comfort and recovery of patients undergoing treatment for orthopedic injuries in traditional practice.
7) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine originating from India, focusing on maintaining health through a balance of body, mind, and spirit. Thelkiri and its properties are grounded in Ayurvedic principles, emphasizing natural ingredients and holistic approaches to treat various ailments, including fractures.
8) Sthapana:
The term 'Sthapana' indicates establishment or stabilization, particularly in the context of joint and skeletal health. In treating Bhagna, Thelkiri aims to stabilize affected areas, supporting the recovery of bones and muscles through its ingredients' therapeutic actions.
9) Vedana:
Vedana translates to pain in Sanskrit. Understanding Vedana is essential for developing treatments in both traditional and modern medicine. Thelkiri's ability to manage Vedana, particularly related to fractures and dislocations, makes it a valuable remedy in the sphere of pain management.
10) Karma (Karman):
'Karma' in Ayurveda refers to the actions or effects of a substance on the body. Analyzing the Karma of Thelkiri's ingredients provides insight into their therapeutic benefits and how they influence the healing processes associated with fractures and dislocations.
11) Rasa (Rasha):
'Rasa' means taste, but in Ayurveda, it reflects the therapeutic qualities of all substances. Thelkiri's composition contains varying Rasas, such as Tikta (bitter) and Katu (pungent), which play crucial roles in determining its effectiveness in treating specific conditions like fractures.
12) Vata:
Vata is one of the three Doshas in Ayurveda, representing movement and dynamic processes. Thelkiri is significant for managing conditions associated with aggravated Vata, like fractures and dislocations, as it helps in restoring balance and promoting recovery in these ailments.
13) Kapha:
Kapha is the Dosha associated with stability, structure, and moisture. Thelkiri's formulation aims to address Kapha imbalances, especially in the context of joint health and recovery from injuries. Its properties are believed to help reduce stiffness and support overall strength.
14) Rakta:
Rakta refers to blood in Ayurveda and is vital for nourishing tissues and organs. Thelkiri's ability to influence Rakta Prasadana (blood nourishment) emphasizes its role in promoting healing and restoring vitality in the affected areas post-fracture.
15) Pain:
Pain, a critical symptom often experienced during fractures and dislocations, drives the need for effective treatment methods. Thelkiri aims to alleviate pain through its properties, ensuring the comfort of patients as part of their recovery journey from orthopedic injuries.
16) Shri-lanka (Srilanka, Sri-lanka, Shrilanka):
Sri Lanka is the culturally rich origin of Thelkiri and its applications in traditional medicine. The study investigates local herbal practices in fracture healing, connecting indigenous knowledge and practices to documented Ayurvedic principles within the context of Sri Lankan therapeutic systems.
17) Bhanupaka (Bhanu-paka):
'Bhanu-paka' refers to a specific heating method involving sun exposure. In preparing Thelkiri, this technique emphasizes the importance of natural heating, believed to enhance the medicinal properties of the formulation while aligning with traditional practices within Ayurveda.
18) Shothahara (Sothahara, Shotha-hara):
Shothahara describes the property of reducing swelling. Thelkiri's Shothahara effects can be vital in managing post-fracture swelling, a common concern in recovery. This healing quality helps ensure a more comfortable and effective rehabilitation for patients with orthopedic issues.
19) Stambhana:
'Stambhana' denotes the action of halting or solidifying certain bodily functions, such as excessive bleeding or discharge. Thelkiri's properties may include Stambhana, further contributing to its efficacy in managing fractures by stabilizing tissues and promoting healing in affected areas.
20) Stiffness:
Stiffness is a frequent complication following fractures or joint dislocations. Thelkiri's application is intended to minimize stiffness, allowing for better mobility and recovery of function in affected joints, thus playing a significant role in rehabilitation protocols.
21) Shodhana (Sodhana):
'Shodhana' refers to the purifying or cleansing action. Thelkiri may possess Shodhana properties, which can help eliminate toxins or impurities in the affected areas, facilitating a more effective healing process in traditional injury management.
22) Medicine:
Medicine encompasses various treatments and approaches to promote health and manage ailments. Thelkiri represents a natural therapeutic option within traditional Sri Lankan medicine, reflecting the principles of Ayurveda, offering holistic care for conditions like fractures and dislocations.
23) Heating:
Heating plays a critical role in the preparation of Thelkiri, particularly through the Bhanu-paka method. This process aims to activate the medicinal properties of the ingredients, a key aspect of traditional preparation methods in Ayurveda that influences efficacy.
24) Disease:
Diseases addressed by Thelkiri mainly include fractures and dislocations. The research elucidates the effectiveness of traditional formulations in managing symptoms and promoting healing, demonstrating the integration of ancient wisdom with modern medicinal understanding in addressing these health issues.
25) Ropana:
'Ropana' refers to the action of healing or wound closure. Thelkiri is believed to possess Ropana properties that make it suitable for postoperative recovery and the treatment of injuries, focusing on restoring health to damaged tissues and structures.
26) Vipaka:
'Vipaka' pertains to the post-digestive effect of a substance. Understanding Vipaka helps identify how the ingredients in Thelkiri act after digestion and their long-term effects on the body, enhancing the formulation's therapeutic potential in treating Bhagna.
27) Srotas (Shrotas):
'Srotas' are channels within the body responsible for transporting substances. Thelkiri's effectiveness in managing diseases involving Vata and Kapha considers how it interacts with Srotas related to the musculoskeletal system, promoting healing and restoring balance in the body.
28) Laghu:
'Laghu' refers to the quality of being light in Ayurveda. Thelkiri predominantly contains Laghu Guna ingredients, making it beneficial in pain relief and inflammation management, particularly in treating conditions like fractures where an excess of weight can impede healing.
29) Ushna (Usna):
'Ushna' means hot or heating potency in Ayurveda. Thelkiri's balance of Ushna and Sheeta Veerya (cold potency) suggests that it can effectively treat different conditions according to the patient's specific needs and the nature of their injuries or ailments.
30) Lanka (Lamka, Lànkà):
Lanka, referring to Sri Lanka, is where the indigenous medical traditions studied arise. Thelkiri is part of this traditional medical system, deeply embedded in cultural practices and healing methodologies specific to the country, exemplifying its diverse herbal lore.
31) Bhanu:
'Bhanu' embodies the sun's energy, utilized in traditional processes like Bhanu-paka. This method harnesses sunlight for heating the ingredients while preparing Thelkiri, reflecting a natural approach in conventional Ayurvedic practices to enhance therapeutic outcomes.
32) Water:
In the preparation of Thelkiri, it is recommended not to use water for extraction, valuing the purity and potency of the juice extracted from ingredients. This reflects traditional beliefs in Ayurveda, that water may dilute or alter the efficacy of medicinal preparations.
33) Paka:
'Paka' refers to the process of cooking or preparing substances in Ayurveda. Thelkiri undergoes specific Paka methods that enhance its therapeutic properties, showcasing the significance of cooking techniques in maximizing the health benefits derived from its ingredients.
34) Pakshaghata (Paksaghata, Paksha-ghata, Paksha-aghata):
'Pakshaghata' is a condition arising from Vata imbalance, resulting in paralysis or weakness. Understanding this condition's implications highlights Thelkiri's targeted use to alleviate symptoms associated with such neurological issues, emphasizing its relevance in traditional Ayurvedic treatment plans.
35) Kaphadosha (Kapha-dosha, Kaphadosa):
Kapha-dosha embodies stability and substance but can lead to issues like stiffness when aggravated. Thelkiri assists in managing Kapha-dosha’s effects on the body, especially after injuries, helping restore balance and enhance recovery in patients experiencing muscular or joint-related conditions.
36) Vishaghna (Visaghna, Visha-ghna):
'Vishaghna' refers to properties that eliminate toxins. Thelkiri may possess Vishaghna benefits, promoting healing in a holistic manner by ensuring that the body can effectively detoxify as part of the recovery process from injuries or surgeries.
37) Madhura:
'Madhura' indicates sweetness in taste and is often associated with nourishing effects on the body. Ingredients with Madhura Rasa in Thelkiri support tissue growth and recovery, making sweetness beneficial in formulations targeting injury recovery and overall health.
38) Snigdha:
'Snigdha' refers to a viscous, unctuous quality that enhances lubrication in the body. Thelkiri's inclusion of Snigdha ingredients aims to improve joint flexibility and function, critical in the healing process following orthopedic injuries or procedures.
39) Sandhi (Shandhi, Samdhi):
'Sandhi' means joint, which is crucial in the context of fractures and dislocations. Thelkiri plays a role in stabilizing and nourishing Sandhi post-injury, aligning with traditional treatments focused on restoring joint health and mobility.
40) Ruksha (Ruksa):
'Ruksha' translates to dryness, which, when imbalanced, can lead to discomfort in joints and muscles. Thelkiri's composition aims to counteract Ruksha tendencies, providing moisture and nourishment to facilitate healing and recovery in affected areas.
41) Powder:
Powdered forms of herbs and substances are often utilized in traditional formulations like Thelkiri. The use of dry powders enhances the absorption and effectiveness of the medicinal properties, contributing to the overall efficacy of the preparation in treating fractures.
42) Anoma:
Anoma Geethani Samarawickrama is the primary author of the study, representing a key contributor to the exploration of Thelkiri's medicinal properties. Her background in indigenous medicine supports the research's credibility and roots in traditional healing practices.
43) Tikta:
'Tikta' means bitter taste and is demonstrated to possess detoxifying properties. Ingredients of Thelkiri with Tikta Rasa aid in balancing bodily functions and can be essential in managing conditions related to inflammation and tissue repair after fractures.
44) Dhatu:
'Dhatu' translates to tissue or substance in Ayurveda, playing a vital role in overall health and healing. Thelkiri's effectiveness in nourishing Dhatu is crucial for recovery from fractures and ensuring overall structural integrity in the body.
45) Guru:
'Guru' denotes heaviness, which can influence bodily functions significantly. Ingredients of Thelkiri exhibiting Guru Guna promote nourishment and stabilization of the body, supporting recovery in injuries and enhancing overall healing from fractures.
46) Katu:
'Katu' signifies a pungent taste, associated with stimulation and digestion. The inclusion of Katu Rasa in Thelkiri formulations hints at improved metabolic activities, potentially aiding in the healing process and the restoration of balance post-injury.
47) King:
King refers to the king coconut, a variety integral to Thelkiri preparations. This type is highly valued in Sri Lankan tradition for its unique properties, contributing significantly to the preparation process and potential therapeutic outcomes of the formulation.
48) Oil:
Oils, such as Tila (sesame) and Eranda (castor), are commonly used in traditional medicine preparations, including Thelkiri. Their therapeutic properties can enhance the overall effectiveness of the formulation, providing additional benefits in terms of pain relief and nourishment during recovery.
49) Dahaprashamana (Dahaprasamana, Daha-prashamana):
'Daha-prashamana' refers to properties that alleviate burning sensations or heat. Thelkiri’s ability to provide Daha-prashamana benefits can be essential for managing discomfort associated with fractures, ensuring patient comfort during healing processes.
50) Madhurarasa (Madhura-rasa):
'Madhura-rasa' translates to a sweet taste, contributing to balancing the body's qualities. Thelkiri's sweet components may support recovery and enhance its palatability, making it a desirable option in traditional treatments for fractures.
51) Lavanarasa (Lavana-rasa):
'Lavana-rasa' denotes a salty taste, which is less common in the context of Thelkiri. Understanding its rarity in formulating Thelkiri reflects the specific selection of ingredients that prioritize tastes aligning with certain therapeutic actions in Ayurveda.
52) Observation:
Observation involves meticulous recording and analysis of the preparation methods, ingredients, and effects of Thelkiri. This study utilizes direct observation to elucidate historical practices and validate their applications in contemporary health contexts, reinforcing the significance of traditional knowledge.
53) Sandhaniya:
'Sandhaniya' refers to properties that facilitate binding or healing together. Thelkiri is designed to promote Sandhaniya effects, crucial for the rehabilitation process of fractures, ensuring that affected areas become stable and recover effectively.
54) Prashamana (Prasamana):
'Prashamana' denotes the action of soothing or alleviating discomfort. Thelkiri aims to provide Prashamana effects for pain, inflammation, and other symptoms associated with fractures, supporting patients' recovery through traditional healing methodologies.
55) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha encapsulates the principles of movement, nervous function, and the body's kinetic aspects in Ayurveda. Managing Vata-dosha is essential during fracture recovery, making Thelkiri particularly relevant in addressing the symptoms of Vata imbalances after injuries.
56) Discussion:
Discussion comprises interpretation and analysis of findings related to Thelkiri's properties and preparation methods. It provides a deep understanding of the implications of the study, contextualizing the importance of traditional practices in modern healthcare and exploring avenues for further research.
57) Substance:
In the context of Thelkiri, 'substance' refers to the individual ingredients utilized in its preparation. Each substance is carefully selected for its unique properties, contributing to the overall efficacy of the formulation in treating orthopedic concerns.
58) Gridhrasi (Gridhrashi, Grdhrasi):
'Gridhrasi' pertains to a condition involving pain and stiffness, often linked to Vata disorders. Thelkiri's potential to alleviate symptoms associated with Gridhrasi highlights its versatility in managing both common and chronic ailments found in traditional Ayurvedic practices.
59) Kandughna (Kandu-ghna):
'Kandughna' signifies the quality of alleviating itching. Although primarily focused on fractures, Thelkiri's properties may also extend to conditions involving acute discomforts, showcasing its broader application in traditional medicine practices beyond just skeletal issues.
60) Prasadana:
'Prasadana' denotes the ability to nourish or provide sustenance to the body. Thelkiri's formulation may incorporate Prasadana properties, reinforcing its role in enhancing the body's recovery and health post-fracture or injury.
61) Sukshma (Suksma, Shukshma):
'Shukshma' refers to fine or subtle qualities in Ayurveda. Ingredients possessing Shukshma Guna can aid in achieving a balanced state in the body. Their inclusion in Thelkiri suggests a well-rounded approach to healing and recovery from fractures and dislocations.
62) Vatahara (Vata-ahara):
'Vatahara' properties help pacify Vata dosha. Thelkiri is believed to incorporate ingredients with Vatahara actions, which are crucial in providing relief from conditions associated with Vata excess, particularly stiffness and discomfort related to fractures.
63) Swelling:
Swelling is a common response to injuries such as fractures. Thelkiri's formulation targets the reduction of swelling, thereby promoting faster recovery and addressing complications that may arise from untreated inflammation in affected areas.
64) Fixation:
'Fixation' refers to the stabilization of bones or joints following fracture or dislocation. Thelkiri's properties may assist in fixation, ensuring the support and healing of the affected area, leading to a more effective recovery process.
65) Vitiation (Vitiated):
'Vitiated' describes the state of being disturbed or imbalanced, particularly regarding Doshas in Ayurveda. Thelkiri is designed to restore balance to vitiated doshas, specifically Vata and Kapha, thereby addressing the root causes of injuries and promoting holistic recovery.
66) Lekhana:
'Lekhana' indicates a scraping or elimination action. Though not a primary focus of Thelkiri, understanding Lekhana can provide insights into how certain ingredients might influence detoxification and cleansing of the body alongside their healing roles.
67) Snehana:
'Snehana' involves the application of oils or unctuous substances essential for lubricating joints and tissues. Thelkiri may incorporate Snehana properties to enhance mobility and fluidity post-injury, facilitating a smoother recovery for patients.
68) Kaphaja:
'Kaphaja' refers to conditions arising from imbalances in Kapha dosha, leading to issues like heaviness or stagnation. Thelkiri’s formulation targets Kaphaja diseases effectively, providing relief and promoting easier restoration of balance in the body.
69) Shotha (Sotha):
'Shotha' signifies swelling or inflammation often resulting from injuries. Thelkiri aims to reduce Shotha through its Shothahara properties, facilitating a quicker recovery and minimizing complications linked with excessive swelling in affected areas.
70) Sthana:
'Sthana' translates to location or position; in Ayurvedic terms, it relates to the specific area of treatment. Thelkiri's application aims to restore harmony at the Sthana of injury, promoting localized healing and stability during recovery.
71) Varṇya (Varnya):
'Varnya' refers to properties that enhance the complexion and health of the skin. While Thelkiri primarily focuses on repair and recovery, its Varnya aspects may contribute to the overall health appearance during the healing process.
72) Eranda (Eramda):
'Eranda' refers to castor oil, known for its therapeutic properties. Its potential usage in Thelkiri is linked to enhancing the formulation's effectiveness in managing pain and promoting recovery from fractures through its nutrient-rich profile.
73) Lavana:
'Lavana' refers to salt, a taste that can influence the flavors and efficacy of preparations. While not a focus in Thelkiri, acknowledging its aspect helps broaden the understanding of various tastes in Ayurvedic health formulations.
74) Vataja (Vata-ja):
'Vataja' encompasses diseases and symptoms derived from Vata imbalance. Thelkiri’s primary functions are tailored to counteract Vataja effects, making it essential in treatments related to fractures and dislocations where Vata disturbances often arise.
75) Khanda (Khamda):
'Khanda' refers to fractures in traditional medicine. Studying Thelkiri's effects addresses relevant issues surrounding Khanda, revealing its significance in formulation aimed at aiding recovery from broken bones and supporting the healing process.
[Note: The above list is limited to 75. Total glossary definitions available: 90]
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