CLINICAL STUDY ON SARA PARIKSHA IN THE PATIENTS

ATTENDING IN GOVT. AYURVEDIC COLLEGE. ASSAM

PRESENTED BYDR. PRIYANKA BURAGOHAIN*

DR. NIBEDITA SARMAH**DR. ANUP BAISHYA***

*1st YEAR PG SCHOLAR** 2nd YEAR PG SCHOLAR*** ASSOCIATE PROFESSORDEPT. OF ROGA NIDAN

INTRODUCTION• Sara pariksa plays an important role to diagnose a

disease. “Sara sabdena visodhataro dhatur ucchyate”. It means the perfectness of tissues (dhatu) anatomically, physiologically and immunologically. Disease means dhatu vaisamya which is possible when sarata of dhatu will be dearranged. So in different diseases by observing the sarata we can know the severity of dhatu dusti which is helpful for the diagnosis and prevention of the disease.

• In our study we have tried to identify the involvement of sara in relation with the different dhatu gata vyadhis clinically.

PURPOSE Clinical study was carried out with the

following aim and objectives:• Sara Pariksha in the patient attending in the

Roga Nidan OPD • Evaluating the Sara in the patients admitted in

IPD.• Study of Sara pariksha in healthy volunteers.

METHODS• All the patient were randomly selected from OPD and

IPD of Govt. Ayurvedic College and Hospital, Guwahati.

• All the patients were above 18 years.• Total 100 patients and 50 healthy volunteers were

registered for the study.• All were divided into 3 groups asGroup A- 50 patients of IPD.Group B- 50 patients of OPD.Group C- 50 healthy volunteers.

METHODS CONTD...

• 50 patient for each group was selected for the study to know about the affect on Sara with special reference to the disease diagnosed and in relation with the dhatu, upadhatu pradoshaja Vikara in a specially designed Performa.

• All the patient were examined for their clinical symptoms along with presence of factors of sara mentioned in Ayurvedic classics.

RESULTS

21-30 31-40 41-50 51-60 61-70 71-800

51015202530

354045

IPDOPDHEALTHY

AGE IN YEARS

No

of p

atien

ts

NO. OF PATIENTS IN RELATION TO AGE

21-30 31-40 41-50 51-60 61-70 71-8054

56

58

60

62

64

66

68

70

SARASA

RATA

IN P

ERCE

NTA

GE

RELATION OF SARA WITH AGE IN GROUP C

AGE IN YEARS

PRAVAR MADHYAM AVARA0

5

10

15

20

25

30

35

IPDOPDHEALTHY

No

of p

atien

ts

SARATA IN RESPECTIVE GROUPS

Comparision of sarata in different groups

RASA RAKTA MAMSA MEDA ASTHI MAJJA SUKRA

21

11

22

8

23

14

3

NO. OF PATIENTS

DHATU GATA VYADHI (GROUP A AND B)

No.

Of p

atien

ts

Patients registered for the study with their involvement of dhatu

Relationship of dhatupradoshaja vikara with their respective sara

DHATU SROTA INVOLVED

TOTAL SARATA IN THE PATIENT

PRAVAR MADHYAM AVARA

RASA RASAVAHA 21 1 10 11

RAKTA RAKTAVAHA 11 0 4 7

MAMSA MAMSAVAHA 22 5 6 11

MEDA MEDAVAHA 8 0 2 6

ASTHI ASTHIVAHA 23 8 9 6

MAJJA MAJJAVAHA 14 2 7 5

SUKRA SUKRAVAHA 3 0 1 2

TWAK RAKTA MAMSA MEDA ASTHI MAJJA SUKRA SATWA0

10

20

30

40

50

60

70

80

90

RASARAKTAMAMSAMEDAASTHIMAJJASUKRA

SARA

TA IN

PAT

IEN

TS

SARA

SARATA IN RELATION TO DIFFERENT DHATU PRADOSAJA VIKARA

CONCLUSIONFrom the above study we can observe that• Sarata decreases with the advancement of age.• Pravar sara was observed maximum in healthy individuals,

followed by OPD and IPD patients respectively.• Madhyam sara was observed maximum in IPD patients

followed by OPD patients and healthy individuals respectively.

• Avara sara was found in IPD and OPD patients but not in healthy individuals.

• Maximum number of patient was found of Asthi dhatu pradoshaja vikara followed by Mamsa, Rasa, Majja, Rakta, Meda and Sukra dhatu pradoshaja vikara respectively.

CONCLUSION CONTD...

• Pravara sarata are found in Asthi, Mamsa, Majja and Rasa dhatu respectively

• Madhyam sarata are found in Rasa, Asthi, Majja, Mamsa, Rakta, Meda and sukra dhatu respectively

• Avara sarata are found in Rasa, Mamsa, Rakta, Meda, Asthi, Majja, sukra dhatu respectively.

• It was observed that in all the patient that though the disease comes under specific dhatu gata vyadhi but sara of the other dhatu was also affected along with the specific dhatu.

• Prakriti of a patient is related to sara which is related to vikriti in a patient.

ACKNOWLEDGEMENT• I would like to thank the organising

committee of WAC for selecting my abstract for oral presentation.

• I also thank Dr. Anup Baishya for his guidance.

THANK YOU ALL