An observational study to assess the applicability of Jihwa Pariksha to determine the doshik predominance in subjects of Diabetes mellitus

INTRODUCTION: In According to Ayurvedic principles, the tongue reflects the state of the body’s various system and overall health. The tongue’s colour, shape, size, texture, and coating can provide information about the doshas that govern the body. Tongue examination can be a part of the comprehensive assessment of a Diabetic patient done by an Ayurvedic practitioner. In Diabetes, the tongue’s appearance can provide information about the presence of imbalances in the body. In diabetes, Jihwa Pariksha can help to identify imbalances in the body’s doshas, which can help in early diagnosis and help in the formulation of personalized treatment plans according to doshik predominance.

LITERATURE REVIEW: As per Acharya Yogratnakara, change in characters/appearance of Tongue vitiated by Doshas:

जिह्वा शीता खरस्पर्शा स्फुटिता मारुतेऽधिके । रक्ता श्यामा भवेत्पित्ते कफे शुभ्राऽतिपिच्छिला ||1

कृष्णा सकण्टका शुष्का संनिपाताधिके तु सा। मिश्रिते मिश्रिता ज्ञेया सर्वलक्षणवर्जिता à¥¥à¥¨

AIMS: To study and assess doshik predominance in Jihwa by the aid of Jihwa Pariksha in subjects of Diabetes mellitus.

Primary objective: To assess the applicability of Jihwa Pariksha in evaluating the dosha predominance in subjects of diagnosed Type-1 and Type-2 Diabetes mellitus.

Secondary objective: To correlate the clinical significance of Ayurvedic concepts of Jihwa Pariksha and DM and observe different manifestations according to doshas.

NEED FOR THE STUDY:

The level of excellence in Jihwa Pariksha is starting to decline gradually and nowadays Jihwa Pariksha is meant for assessing the state of digestion alone. So, it is my attempt to study the observations and manifestations seen in Jihwa due to DM to facilitate easy diagnosis according to dosha predominance which will sequentially provide better management of the disease. This database may be helpful in further studies in the same subjects prophylactically and clinically.

MATERIALS AND METHODS: An observational study will be done on 400 patients. Subjects desired for the study will be taken from OPD &IPD of Shri Dhanwantry Ayurvedic College and Hospital, Chandigarh and associated institutes will be screened. Patients fulfilling the following diagnostic and inclusion criteria will be included. Diagnosis will be made on the basis of laboratory investigation to confirm the diagnosis of diabetes mellitus. An image acquisition device will used for the collection of tongue images developed by CSIR-CSIO, Chandigarh

STATISTICAL ANALYSIS:

Data will be collected using case report form (CRF) designed by incorporating all aspects (Ayurveda & modern medicine) for the study. Descriptive statistics will be computed to understand the central tendencies and variabilities within each group. Continuous data will be analysed using parametric test like t- test, Z-test, Karl Pearson’s correlation coefficient as and when required. Nominal & ordinal data will be analysed using nonparametric tests like spearman’s rank correlation, Kendall’s tau correlation coefficient, Mann-Whitney U test. SPSS will serve as the primary analysis tool, supplemented by Python and R. The changes with p value<0.05 will be considered as statistically significant. We will utilize Al-enhanced capabilities in power BI and Tableau for advanced Statistical analysis and data Visualization.