The present research work entitled “A critical study on Trividha Aushadha
and applied aspect of Ahitebhayo Arthebhayo Manonigraha in
the management of Anidraâ€
was carried out by giving special emphasis on literary research and to
highlight the special contributions of the various philosophies in Ayurveda to clarify the concept so that
it becomes access to find the concealed conventional knowledge.
The present study was planned with
following aims and objectives.
1. To explain and explore the concept of Trividha Aushadham according to Ayurvedic classics.
2. To assess the effect of Sattvavajaya Chikitsa in
the form of relaxation technique and Guda Pipplimula Churana
in the management of Anidra.
Outline of the Thesis:
The study is
divided into eight sections viz.
1.
Conceptual
study
2.
Disease review
3.
Drug review – a.
Adravyabhoota Chikitsa
b.Dravyabhoota
Chikitsa
4.
Pharmacognostical
study
5.
Analytical
study
6.
Clinical study
7.
Discussion
8.
Conclusion
In the
introduction the subject has been introduced with its utility and importance.
The previous works done are also reported. The relevance and the importance of
present study were also specified.
1. Conceptual
Study:
Under literary
review the literature relevant to the Concepts
of Trividha Aushdha was compiled from various treatises along with their
commentaries. Concepts from CharakaSamhita,
Sushruta Samhita, Ashtanga Sangraha, Hridaya, Kashyapa Samhita, and their
various commentaries and also contemporary Samhitas,
Sangraha granthas, Nigantus and their commentaries were compiled and then
sorted under the following sections in order to generate the review, so as to
fulfill the aims according to the each objective.
·
Concept of Aushadha was studied briefly with its
synonyms and classification.
·
Concept of Daivavyapashraya along with
its content like Mantra, Mani, Mangala etc is explained along with
its importance.
·
Concept of Yuktivyapashraya with Vayutpati and Nirukti of Yukti is explained along with its importance.
·
Nirukti and Vyutpati of Sattvavajya along with its definition.
·
Concept of Sattvavajaya
Chikitsa with brief introduction about the description in
Veda, Upanishada and Bhagwat Gita was mentioned.
·
Concept
of Hita, Ahita Artha and Manonigraha was explained.
·
Various
methods for Manonigraha like Gyana,Vigyana,Dhairya,
Smriti,Samadhi, Trivarga Anvekhsahna explained by Acharya
Charaka, Acharya Vagbhata and Acharya Sushruta
was explained.
·
Applied
Aspect of Sattvavajaya Chikitsa in different Disease was
mentioned.
·
A effort have been made
to Compare of western psychotherapy with Indian psychotherapy i.e. Sattvavajaya.
2.
Disease
Review:
The disease
undertaken, Anidra was reviewed
through various texts of classical and contemporary modern science. The study of the aetio-pathogenesis of the disease Anidra
incorporating the reasons to select the disease, its possible causes, its signs
and symptoms and an acceptable Samprapti.
3. Drug Review:
Adravayabhoota Chikitsa/ Relaxation
Techniques
It includes Relaxation
techniques, which evokes relaxation responses in the body and mind help in
dissociation of mind from its Ahita Artha that’s why it included
in Sattavavajaya Chikitsa.
Relaxation Techniques selected for the study
were:
1. Shithilikarana
Vyayama - (3-5 min)
2.
Surya Namaskara - (2 rounds)
3.
Nadi Shuddhi Pranayama - (9 rounds)
4.
Brahmari Pranayama - (5 rounds)
5.
Aum chanting
- (9 times)
6. Yoga Nidra - (20 min)
Time: Morning total
duration: 40 minutes and 20 min Yoga Nidra at night also.
Dravayabhoota
Chikitsa
Pippalimula
powder has Vatahara property and thus is able to break the pathogenesis
of Anidra at different levels. 1gm of Pippalimula is given to
patient with Guda and Anupana of Mahishi Ksheera
twice a Day.
4.Pharmacognostical
Study:
In this study,
organoleptic characters, macroscopic feature and microscopic characteristics of
Pippalimula have been studied for
authentication.
5.Analytical
Study:
In this study, Drugs were analyzed with appropriate
protocols for standard physico-chemical parameters, Qualitative analysis.
6. Clinical Study:
In
clinical study section aims and objectives of the applied clinical study,
patients and methodology, criteria for selection and assessment of the
patients, divisions of groups and drug administration there in etc. were
mentioned.
The study was conducted to assess the
effect of Sattvavajya Chikitsa in the form of relaxation
techniques and Guda Pippalimula Churana in the management
of Anidra. Total 64 patient were registered for study out of them 33 in
group A and 31 in group B. 3 Patient were dropped out from group A and one from
group B .The patients selected for the study were randomly divided into 2
groups viz. as shown in below table.
Table showing grouping for clinical
study
|
Group
A
|
Group
B
|
|
Relaxation
techniques
|
Pippalimula
Churana
|
|
Shithilikarana Vyayama -
(3-5 min)
|
2 gm in
two divided doses
|
|
Surya Namaskara - (2 rounds)
|
|
Nadi Shuddhi Pranayama - (9
rounds)
|
Adhobhakta kala
|
|
Brahmari Pranayama -
(5 rounds)
|
Anupana- Mahishi Kshira and 5 gm Guda
|
|
Aum chanting - (9 times)
|
Study time- 28 days
Follow up -28 days
|
|
Yoga
Nidra
– ( 20 min)
|
|
Total
time – 40 min in morning and 20 min Yoga Nidra at night also
|
|
Assessment of the effect of treatment
was done on the basis of the relief in the clinical signs and symptoms of the
disease as well as improvement present in the subjective criteria.
7.
Discussion:
In this part the discussion
regarding every chapter of the conceptual study was critically analysed. Findings observed in
Pharmacognostical study, analytical study and clinical study was discussed. The effect of therapy on
the symptoms was discussed logically.
8. Conclusion:
Ø
In both the groups A and B no patients got cured
completely. Marked improvement in Group A and Group B was 80 % and 63.33 %
respectively. Moderate improvement observed in Group A was 20% and in Group B
was 36.66%.