Thuvaraka Rasayana and Psoriasis

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Book Specification

Item Code:	NAH062
Author:	Dr. Sherly Devanni
Publisher:	Chowkhamba Sanskrit Series Office
Language:	English
Edition:	2010
ISBN:	9788170803485
Pages:	192
Cover:	Paperback
Other Details	8.5 inch X 5.5 inch
Weight	210 gm

Book Description

Preface

During my Kayachikitsa P.G. at Govt. Ayurveda College, Thiruvananthapuram, while discussing about our thesis topics, our department Head Dr. P. Sankarankutty suggested me to do a work on Thuvaraka rasayana in some obstinate skin disorder. I opted to do it in psoriasis vulgaris.

I was very happy to get such a wonderful guide like Dr. M.R. Vasudevan Namboodiri. The study had excellent results. The histopathology was done by Dr. M. Balaraman Nair, Retired Principal of Govt. Medical College, TVm. While assessing the results, he commented me that this drug shows wonderful results and you should publish it in some international journals. There was profound changes in histopathology showing the rasayana nature of Thuvaraka. I bow my head in front of our Acharyas who were able to know it without the microscope.

After joining in I.S.M. Department also, whenever I treated extreme psoriatic patients, I opted to give THuvaraka rasayana after Sodhana. I was very much Satisfied with the result. Many Ayurvedic doctors enquired me about the administration of Thuvaraka rasayana. As a result of demand from many doctors, I decided to publish my thesis work.

I extend my sincere gratitude to my respected guide Dr. M. R. Vasudevan Namboodiri M.D. (Ay.) for his valuable guidance and support. I am grateful to Dr. P. Sankaran kutty M.D. (Ay.) as this work is the outcome of the idea that budded in his mind. I am thankful to Dr. M. Balaraman Nair M.D., D.P.B., D.M.F., who helped me in histopathological evaluation and to all my patients who have voluntarily submitted themselves for this study.

I express my heartful thanks to my father Mr. A. T. Divanniassios who has done hard work in the collection and preparation of Thuvaraka seeds and oil, and to my husband Mr. Joseph. N. George for his constant support and encouragement.

I am extremely thankful to Dr. Manoj Sankara narayanan who has taken great effort and made it possible to get this book published.

Introduction

Ancient India was the original birth place of many great sciences such as Ayurveda, which attracted the attention of the entire world and influenced considerably the science of medicine of other ancient nations as well. Ayurveda, is not merely a science of ‘diseases and drugs’ but has in its sphere every aspect of life.

In the frame-work of Indian culture with a definite out look on life, Ayurveda forms a basic science in the sense that all other objectives of life such as Dharma, Artha, Kama and Moksha, embodied in the formula of ‘Chaturvidha Purushartha’ are not possible without health and happiness. The man has therefore, eternally endeavoured to keep himself healthy and free from miseries.

Ayurveda or the science of life, really encompasses in its scope all old and new knowledge, that is useful to preserve health and happiness which lies in the equilibrium of the constituent ingredients such as doshas, dhatus, malas, agni, Athma, indriyas and manas. Ayurveda is the way of living according to the laws of nature inherent in all living things.

The important concepts presented by Ayurveda and the scientific view points propounded, need rational considerations. The ethical concepts as well as the important values of life presented in Ayurveda, need emphesis even now.

The occurance of Dermatological diseases in India was long back recognized. The ancient Ayurvedic books like Charaka Samhita, Susruta Samhita and Ashtanga hridaya described dermatological diseases under the heading Kushtam. The word Kushta in Ayurveda refers to a group of skin disorders which includes leprosy also.

Psoriasis is a common, genetically determined, inflammatory and proliferative disease of the skin, the most characteristic lesions consisting of chronic, sharply demarcated, dull-red scaly plaques, particularly on the extensor prominences and in the scalp. The most common type of psoriasis is psoriasis vulgaris. There are millions of men and women all over the world today, who suffer from psoriasis. Psoriasis is actually a complexity of the disease which does not kill, but is responsible for a great deal of unhappiness and depression.

Contents

	List of tables	vi
	List of Figures	ix
	Abbreviations	xi
	Section I General Introduction	vi
1.1	Introduction	3
1.2	Need and Significance	4
1.3	Statement of the problem	5
1.4	Objectives of the study	5
1.5	Assumptions	5
1.6	Hypothesis	5
1.7	Delimitations	5
1.8	Contents of the Thesis	5
	Section –II Review of Literature	vi
Chapter -1	Anatomy and Pysiology of skin	9
2.1.1	Introduction	9
2.1.2	Anatomy	9
2.1.3	Epidermis	10
2.1.4	Dermis	11
2.1.5	Skin Colour	12
2.1.6	Function of the skin	12
2.1.7	Ayurvedic View	14
2.1.8	Layers of skin	15
2.1.9	Functions of skin according to Ayurveda	17
Chapter -2	Psoriasis	19
2.2.1	Introduction	19
2.2.2	Definition	20
2.2.3	Aetiology of psoriasis	20
2.2.4	Pathogenesis	23
2.2.5	Histology	30
2.2.6	Clinical Features	32
2.2.7	Clinical Patterns	33
2.2.8	Signs and symptoms of psoriasis	40
2.2.9	Complications	42
2.2.10	Differential diagnosis	44
2.2.11	Skin biopsy	49
2.2.12	Prognosis	51
2.2.13	Management	52
Chapter -3	Kustam	54
2.3.1	Introduction	54
2.3.2	Nirukti	54
2.3.3	General nidana of kustha	55
2.3.4	Samprapthi	56
2.3.5	Poorvaroopam	56
2.3.6	Dhatu involvement of Kushta	58
2.3.7	Classification of kushtaroga	61
2.3.8	Roopa stage	62
2.3.9	Involvement of doshas in kustha	67
2.3.10	Sadhya-Asadhyata	68
2.3.11	Principles of classical management of kushtam	71
2.3.12	Pathya-Apathya	75
2.3.13	Commonly used medicines in kushtachikitsa	76
Chapter -4	Comparitive study of psoriasis and diseases in Ayurveda	78
2.4.1	Introduction	78
2.4.2	Comparison of signs and symptoms	78
2.4.3	Role of thridoshas in the manifestation of Psoriasis	82
Chapter -5	Thuvaraka rasayana	84
2.5.1	Rasayana	84
2.5.2	Types of rasayana	84
2.5.3	Importance of sodhana prior to rasayana chikitsa	85
2.5.4	Thuvaraka rasayana	86
Chapter -6	Review of Drugs	89
2.6.1	Trial drugs	89
2.6.2	Drugs of Thuvaraka rasayana	89
2.6.3	Drugs of AragwadhaMahathikthakaghrita	94
2.6.4	Drugs used for vamana	109
2.6.5	Drugs used for virechana	109
	Section –III Methodology of Clinical Study
3.1	Introduction	113
3.2	Research approach	113
3.3	Research design	113
3.4	Setting for the study	114
3.5	Population	114
3.6	Sample	114
3.7	Inclusion criteria	115
3.8	Exclusion criteria	115
3.9	Duration of the study	115
3.10	Null hypothesis	115
3.11	Alternate hypothesis	115
3.12	Collection of data	115
3.13	Pilot study	116
3.14	Treatment schedule	116
3.15	Assessment of response	119
	Section –IV Observation, Analysis and Interpretation
4.1	Observation and analysis	123
4.1.1	Demographic data	123
4.1.2	Data related to psoriasis vulgaris	126
4.1.3	Data related to response to treatment	130
4.2.1	Interpretations of Demographic Data	150
4.2.2	Interpretations of data related to psoriasis vulgaris	150
4.2.3	Interpretations of data related to response to treatment	152
4.2.4	Probable mode of action of the treatment procedures	153
	Section –V Summary And Conclusions
5.1	Summary of the study	157
5.2	Summary of the results	158
5.3	Conclusions	159
5.4	Limitations	160
5.5	Recommendations for further research	160
	Bibliography	162
	Appendix	164

Sample Pages

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