a clinical study on aya bringaraja karpam in veluppu noi

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  • 8/11/2019 A Clinical Study on Aya Bringaraja Karpam in Veluppu Noi

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    M

    S.Vol.XX, No. 1-2, (1999) pp. 83-88

    t'VJJ

    7*

    ' C M l C A L S T U D Y

    tin Mi

    BRINGARAJA

    KARPAM IN

    VELUPPU

    NOI

    m-

    K. Ganapathiraman

    1

    , J. Annathai

    2

    and K. Sivaprakasam

    3

    (Received on 2-11-99)

    clinical study on Ay a Bringaraja

    im in the treatment ofVeluppu Noi

    inducted in I.P.D. level. A total

    Herof 321VeluppuNoi patients were

    ted with the trial drug A y a Bringaraja

    m at a dose of260mgs.three timesa

    to evolveits therape utic efficacy.

    Periodical assessment and routine

    oratory investigations such as Hb ,

    PCV, MC V, urine and motion

    inations were also carriedout. It has

    observed that the Ranjaka Pitham

    pihala Pitham have been mainly

    I in VeluppuNo i patients. The trial

    |gives a significant effect in the

    ition of Veluppu Noi (A condition

    or less similar in the hypochronic

    icrocyticanaemia).

    IK; *

    i p :

    Introduction

    Veluppu Noi (anaemia) is one among

    tbe common d iseases, which predominently

    seai in most of the people. Though the

    VeluppuNoi (anaemia) is a symptom ofa

    disease as per modern aspect, the ancient

    Siddhars included it as a disease in their

    texts. In which, explains that this disease

    also occurs due to Karma and it is also

    called asKarma Noi.

    In this clinical study it has been

    observed that the

    Ranjaka Pitham

    and

    Anala Pitham have been mainly affected

    due to extrinsic and intrinsic factors. A

    total number of 321 cases in both sexes

    were studied in I.P.D . level. In a sequential

    study

    Aya B ringaraja Karpam

    was taken

    upfo r the clinical trial to evolve the efficacy

    of the drug in Veluppu Noi.

    Materials and Methods

    A total number of 321

    Veluppu Noi

    patients were studied in I.P.D. level. Both

    male and female patients having

    low

    I. Research Officer

    |L Asst. Rese arch Off icer

    Assistant Director

    begional Res earch Institute (Siddha ), Central Coun cil for Resea rch in Ayurveda and Siddha, G ovt.

    barmacy (Ups) Indira Nagar, Pondicheny-6

    83

  • 8/11/2019 A Clinical Study on Aya Bringaraja Karpam in Veluppu Noi

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    K. GANAPATHERAMAN, et al.

    percentage of heamoglobin between 40%

    and 60 % were admitted for the study,

    laboratory findings were recorded before

    and after treatment.

    The patients were kept for observation

    on the first day and they were given

    Megana tha Mathirai was administred and

    in the next day m orning with hot water a t

    empty stomach according to the patient's

    condition as a purgative. The patients who

    were suffering from worms infestation were

    given

    Murukkan VithaiMathirai.

    The trial drugAy a Bringaraja Karpam

    260 mgs. was administred three times a

    day with honey. During the course of

    treatment patients werecarefullyexamined

    and symptomatic treatment were also given.

    Ordinary Indian diet was given containing

    egg, meat, green vegetables and fruits.

    Clinical progress was assesed by the

    periodical laboratory investigation.

    Results and observation :

    In this clinical study it has been

    observed that the various aspect such as

    sex, age, Prakruthi, symptom wise

    distribution, etc. The details of studies

    given below in (Tables 1 to 7).

    Table 1

    Sex distribution in 321 cases of

    Vellupu Noi

    Sex

    Number of patients

    Male

    Female

    119

    202

    Table 2

    Distribution of 321 case of VellupuNc

    in different age groups 1

    Age group

    Number of

    (age in years)

    patients ^

    10-20

    -ii

    106

    21-30

    63

    31-40

    53 1

    i-i

    41-50

    56

    51-60 42

    60 andabove 1 J

    Table 3

    Classification of

    Prakruthi

    in 321 cases

    of Vellupu Noi J

    Prakruthi Num ber of

    patient v

    Valha Udal

    Pitha Udal

    Kaba Udal

    Thontha Udal

    80

    102

    78

    41

    {

    4

    Table 4

    Duration of illness in 321

    Vellupu Noi

    case

    i .w;

    4

    Duration

    (in months)

    Number of

    patient

    T

    0 1

    1-4

    5-8

    9-12

    More than1 year

    8

    49

    96

    80

    88

    m

    j j

    iU

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    CLINICAL ST UD Y Obi Y BRING R J KARPAM W V LUPPUNOI

    3 * Table 5

    wise classification of 321 cases

    1

    of VellupuNoi

    Liii

    Number of

    patient

    57

    111

    110

    42

    1

    Table 6

    W&M J..

    if Duration of treatment in 321

    V n ; Vellupu Noi cases

    it,

    Number of

    cases

    '{'I

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    K. GANAPATHIRAMAN, et al.

    improvement was noted in the patients.

    The results are given at (Table-8).

    Discussion

    An attempt

    has

    been made in the present

    study about the various aspects of the

    Veluppu

    Noi

    from the view point of Siddha

    concept. The trial drug

    Ay a Bringaraja

    Karpam has been taken up to evolve its

    efficacy in the treatment ofVeluppuNoi,

    which was prepared by IMPCO PS, Adayar-

    Chennai, having the combination of herbs

    and minerals. It w as also noticed, that there

    were more number ofPitha Udalpatients,

    in present study. The efficacy of the

    treatment shows significantly well in

    conformity with clinical observation of

    signs and symptoms. Out of321patients

    122 complete relief, 125 moderate relief,

    11 mild relief and 63 patients had left

    against medical advice. In this study the

    mean haemoglobin valuewas48.7% before

    treatment and 72.6% after treatment.

    It was observed that more number of

    patients had pallor of the skin due to

    derangement of Pirasaka Pitham and

    Ranjaka Pitham. These two factors are

    mainly responsible for the colour of the

    skin and

    blood.

    Since the

    Ranjaka Pitham

    is in the stomach it gives red colour to the

    absorbed food material suchasRasaby the

    intestine. Pirasaka and Ranjaka Pitham

    have also been found affected in this

    condition.

    301

    patients had loss of appetite due to

    impairment of

    Analapitham,

    which, helps

    in the digestion of food.

    120 cases had dyspnoea on exerticjj

    due to derangement of Pram V ^ f ^

    oxygen. All the 131 patients had kg

    number of red blood corpuscles who.ag

    responsible to carry oxygen to van.

    parts of the body. As the R .B.C . a re less

    Veluppu Noipatients, the transportation

    oxygen is considerably reduced which

    inturn leads to dyspnoea.

    On observation of SevenUdalDhathus

    that a l l pat ien ts were subjected to

    defficieney of

    Rasa Dhathu

    and

    Raktha

    Dhathu.

    The deficiency of

    RakthaDhathu

    was found out through the signs pallorof

    the skin, eye and nail beds. It was also

    confirmed by the laboratory findings

    t h

    the all patients showed low percentage,

    HB and RBC.

    When the digestion is impaired,

    is less possibility fo r the forma tion ofRasa

    Dhathu. Rasa DhathuandRakthaDhathu

    are the basic factors for the formation of

    other Dhathu. The Raktha Dhathu takes

    place a vital role in

    Veluppu Noi.

    Conclusion

    In this study it is observed the

    malnutrition is the main cau se f orVeluppn\

    Noi. Poor socio economic conditions and

    f-

    excess bleeding during the menstrual cycle,

    frequent delivery and worm in festationare,-

    seen to be the m ain causative fac tors of his??

    disease. The clinical study was made in-

    various aspects with relevant factors. Thg

    /S:

    characteristic of

    Raktha Dhathu

    and

    Rasa

    Dhathu

    aiid- its fo rm atio n hav e been

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    [CLINICAL STUDY

    ON Y BRING R J KARPAM I

    N

    VALUPPUNOI

    plained in Siddha aspects. In this study

    found that more female patients

    |affected than males. The e fficacy of

    i

    treatment is well in conformity with the

    ion of clinicalsignsand symptoms.

    therapeutic value ofAya Bringaraja

    irpamwas also assessed. T he results are

    at (Table 8).

    Acknowledgement

    The authors are very grateful to the

    Director, Central Council for Research in

    Ayurveda and Siddha, New Delhi for his

    encouragement & financial assistance.

    Authors also thanks to Sh. V. R ajendran,

    UDC and Sh. George Joseph, GDA for

    their secretarial assistance.

    REFERENCES

    if

    lyan, C. S.

    h

    r, Kuppu Samy &

    lyan, C.S.

    ludaliar, Kuppu Samy

    rnga Velu, M.

    Yugimuni

    1975 Agasthiar Paripooranam400, P. 47 &

    48, Rathina Nay ak K ar and Sons.

    1953 SiddhaMaruthu Vanga Page 50 to 58

    & 60 , Churukkam, G ovt. Press. Tamil

    Nadu.

    1966 Siddha VaidyaThiratha

    3rd,

    Edn., Page

    234, Shunmuga Nande Book shop

    1954 Siddha Maruthuvam, P. 263 & 269,

    Govt. Press, Tam il Nadu.

    1967 NoiNadal NoiMudalNadal, Part II, P.

    201-202, Govt, press, Tamil Nadu.

    1969

    Yugimnivar Viadya Chinthamani

    , P.

    112 &. 114, B. Rathina Nayak Kar &

    Sons.

    87

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    K. GANAPATHTRAMAN, et al.

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