Rajiv gandhi university of health sciences, karnataka



Download 66.8 Kb.
Date30.04.2018
Size66.8 Kb.
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA

BANGALORE.
COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT
FOR DISSERTATION
A COMPARATIVE CLINICAL STUDY ON THE THERAPEUTIC EFFECT OF KSHEERA BALA TAILA NASYA ANDVATA GAJANKUSA RASAIN MANYASTAMBHA w.s.r.TO CERVICAL SPONDYLOSIS”
BY

Dr. ASWIN.M

M.D. (AYU), (SCHOLAR)

DEPT. OF POST GRADUATE STUDIES IN KAYACHIKITSA

GUIDE

Dr.JONAH.S, M.D.(Ayu)

PROFESSOR

DEPT. OF POSTGRADUATE STUDIES IN KAYACHIKITSA,

2011-2012

DEPARTMENT OF POST GRADUATE STUDIES IN KAYA CHIKITSA

S.D.M COLLEGE OF AYURVEDA, KUTHPADY, UDUPI – 574 118

From,

Dr. ASWIN.M

M.D. (Ayu), SCHOLAR

DEPARTMENT OF P.G. STUDIES IN KAYACHIKITSA

S.D.M COLLEGE OF AYURVEDA, UDUPI-574118



To,

THE REGISTRAR,

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA,

BANGALORE.
Through,

THE PRINCIPAL

S.D.M.COLLLEGE OF AYURVEDA

KUTHPADY, UDUPI– 574 118
Respected Sir,
Subject:Submission of completed proforma for registration of subject for dissertation.

I request you to kindly register the below mentioned subject against my name for the submission of dissertation to the Rajiv Gandhi University of Health Sciences, Karnataka Bangalore for the partial fulfillment of M.D. (Ayu) in Kayachikitsa.


TITLE OF DISSERTATION :

A COMPARATIVE CLINICAL STUDY TO EVALUATE THE THERAPEUTIC EFFECT OF KSHEERA BALA TAILA NASYA AND VATA GAJANKUSA RASA IN MANYASTAMBHAw. s. r.TOCERVICAL SPONDYLOSIS”


Herewith I am enclosing completed Proforma for registration of subject for dissertation.
Thanking you,
Place:UdupiYours Sincerely

Date:


(Dr.ASWIN.M)

1.] NAME OF THE CANDIDATE: Dr. ASWIN.M

Ist YEAR (M.D)

DEPT. OF PG. STUDIES IN KAYACHIKITSA,

S.D.M.COLLEGE OF AYURVEDA,

KUTHPADY- UDUPI– 574 118
PERAMANENT ADDRESS : Dr. ASWIN.M

“SREEVALSAM”, H.NO.1/1013A

NEAR U.P SCHOOL, PADAMUGHAL

KAKKANAD.P.O, KERALA - 682030
2.] NAME OF THE INSTITUTION: S.D.M. COLLEGE OF AYURVEDA

KUTHPADY, UDUPI – 574 118

3.] COURSE OF STUDY AND SUBJECT: M.D. (AYURVEDA) IN KAYACHIKITSA.

4.] DATE OF ADMISSION OF COURSE : 12-09-2011
5.] TITLE OF THE STUDY:
A COMPARATIVE CLINICAL STUDY TO EVALUATE THE THERAPEUTIC EFFECT OF KSHEERA BALA TAILA NASYA AND VATA GAJANKUSA RASA IN MANYASTAMBHAw. s. r. TO CERVICAL SPONDYLOSIS.”


6].BRIEF RESUME OF INTENDED WORK:

6.1].NEED FOR STUDY:
Life without movement is worst tragedy that can happen to any living organism. Ayurvedic literature explains that Vatadosha is responsible for all sorts of the movements of the body and its derangement leads to loss of the same1.Manyastambha2is one among these vatavikaraswhich result in karma kshaya of manyapradeshaand is widely observed in the present era.Manyastambha is the disorder in which vitiated vatagets localized in the manyapradesha and causes sankocha of the siras; in turn leads to stiffness of the neck with restricted and painful movements.3Nearest comparison of Manyastambhacan be done with Cervical Spondylosisof Contemporary Sciences.
Cervical Spondylosis is one of the degenerative conditions of the cervical spine. It was commonly seen in old age, but nowadays it is encountered in young and middle aged people. In males the prevalence is 100% by age 70 yrs, 96% in women older than 70 yrs.60-70% women and 85% of men show changes related with Cervical Spondylosis by the age 454.
Nasyakarma is the prime line of treatment for all jatrurdhwagatavikaras. Manyasthambha, one of the jatrurdhwagavatavikaras, is explained to treatwith snehanasya5,6,7,8. Ksheerabala Taila9 is one of the taila yoga of Sahasrayoga, indicated for nasya in the treatment of Manyasthambha. Vatagajankusa Rasa10, one of the rasayoga with minimum ingredients, is indicated by BhaishajyaRatnavali in the treatment of Manyasthambha.
With an intention to find out aneffective, economical and affordable treatment modality with minimal hospitalization, the study is planned to evaluate and to compare the individual and synergistic therapeutic effect of Vatagajankusa Rasa and KsheerabalaTailanasya in the management of Manyasthambha (CervicalSpondylosis).
6.2]REVIEW OF LITERATURE
Manyastambha is one among the nanatmajavatavyadhi in which vitiated vata located in the manya, causes sankochaof thesiras and the greeva sinks inwards that leads to restricted painful movements.The line of treatment of Manyastambhaitself suggests the importance of nasya karma in its management.Vatagajankusha Rasa is one among such preparations which contains Louha, Gandhaka, Talakaetc as its main ingredients. In the Manyastambhachikitsanasya is one of the main treatments.KsheerabalaTailais one among the taila which is indicated in Manyastambha.
PREVIOUS WORK DONE

  1. “A clinical study on the development of sub type of abhyanga with reference to its role in the management of GrivaHundana(Cervical Spondylosis)”, showed that the combined therapy provided the better relief on the signs and symptoms of Cervical Spondylosis. Hence, it can be stated that the management of Cervical Spondylosis should be done with the combined treatment of abhyanga and RasonasuktiVatito obtain relief that is more beneficial. It was also found that if more attention is given to the affected muscle during the abhyanga then better relief might be obtained.11



  1. “Effect of ThiktaksheeraBastiand PatraPindaSweda in the management of Cervical Spondylosis(AsthigataVata)”, showed that basti can offer good benefit in neurological manifestation of Cervical Spondylosis like tingling sensation, numbness, diminished muscle power and diminished reflexes whereasPatraPindaSweda can do better to relieve pain, tenderness, stiffness, vertigo and restricted movements.12



  1. A Clinical study of Nasya Karma in Cervical Spondylosis, two groups were taken group-BDT and group-MST. Both the groups showed highly significant result in neckpain, paraesthesia through neck disability index, no significant result in sensory loss, power, reflexes & Neurological deficit.13



6.3] OBJECTIVES OF STUDY:


  1. To evaluate the therapeutic efficacy of KsheerabalaTailaNasyain Manyastambha.

  2. To evaluate the therapeutic efficacy of inVatagajankusa RasaManyastambha.

  3. To evaluate the combined therapeutic effect ofKsheerabalaTailaNasyaand Vatagajankusa Rasa in Manyastambha.

  4. To compare the individual and synergetic effect ofKsheerabalaTailanasya and Vatagajankusa RasainManyastambha.

7]MATERIAL AND METHODS:

7.1]STUDY DESIGN

It will be anopen label comparative clinical study with pre and post-test design wherein a minimum 30 patients suffering from Manyastambhawill be selected irrespective of their gender, caste and creed. Investigations and the parameters of signs and symptoms will be scored on the basis of standard method and will be analyzed statistically using appropriate test.


INTERVENTION:

Thirty patients are divided into three groups.



  1. Group I

  1. Group II

  • Vatagajankusa Rasa- 1 tab of 250 mgthrice a dayfor 14 days.

  1. Group III

  • KsheerabalaTailanasya6 bindusin each nostril once a day for 14 daysandVatagajankusa Rasa- 1 tab of 250 mg thrice a dayfor 14 days.

SOURCE OF DATA

A minimum of 30 patients fulfilling the inclusion criteria will be selected for the study from the OPD and IPD of S.D.M Ayurveda Hospital, Kuthpady, Udupi, Karnataka.



7.2]METHOD OF COLLECTION OF DATA

A special proforma will be prepared incorporating all points of history taking, physical signs, symptoms and laboratory investigations as mentioned in the classics and allied sciences. Accordingly patients will be selected andsubjected to detailed clinical history and physical examination.


INCLUSION CRITERIA:

  • Patients presenting with pratyatmalakshanaof Manyastambha (Cervical Spondylosis).

  • Patients of either sex aged between 16 to 70 years.

  • Patient willing and able to participate in the study for 2 weeks.

  • Patient indicated for nasya.

EXCLUSION CRITERIA:

  • Patients showing Cervical Spondylosis features due to Fracture, RA, Osteoporosis.

  • Patients contra-indicated for Nasya.


DURATION OF CLINICAL TRAIL:

14days of intervention and 14 days of follow up with weekly assessment.


ASSESSMENT CRITERIA:

The full details of history and physical examination of the patients will be recorded as per the proforma. Clinical assessment will be done before treatment, during the treatment and at the end of the treatment. The assessment of pain can be done usingVisual Analogue Scale(VAS)14 and assessment of the movement can be done with Goniometry15, Neck Disability Index (NDI)16, Short Form 12 (SF12)17& Patient Specific Function Scale (PSFS)18. The laboratory investigations will be carried out before and after treatment.


SUBJECTIVE PARAMETERS:

  • Samyaklakshanas of nasya karma

  • Neck pain

  • Stiffness

  • Weakness

  • Clumsy finger movements

  • Vertigo

  • Radiating pain to occipito frontal region, shoulder down to both arms.

  • Paraesthesia

OBJECTIVE PARAMETERS:19

  • Tenderness over cervical region

  • Movements of neck painful/restricted

  • Sensory loss in upper limbs.

  • Neurologic deficit.

  • Power of hand muscles

  • Reflexes of hand ligaments

7.3) DOES THE STUDY REQUIRE ANY INVESTIGATIONS OR INTERVENTIONS TO BE CONDUCTED ON PATIENTS OR OTHER HUMANS OR ANIMALS? IF SO PLEASE DESCRIBE BRIEFLY:

No animal experiments will be conducted.



INVESTIGATIONS:

  • Hematological –TC, DC, ESR, Hb%, Serum Calcium

  • Urological – Urine sugar, Urine Albumine

  • Radiological–X-RAY (Cervical spine AP and lateral)


7.4) HAS ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR INSTITUTION IN CASE OF 7.3?

Yes, concurrence certificate of ethical committee from institution obtained.


8. LIST OF REFERENCES:

  1. Vagbhata, AshtangaHridayam, KavirajAtridev Gupta Vidyalankara&VaidyaYadunandanUpadhyaya, ChowkambhaPrakashan, Varanasi;Pp 839, pgno:126.

  2. MaharshiSushruta, AmbikaDattaShastri, SushrutaSamhita, Chowkambha Sanskrit Samsthan, Varanasi; Reprint 2008, Pp:648,pgno:234.

  3. Agnivesha, AcharyaVidyadharShukla and Prof RavidattaTripathi,Charakasamhita Part- II, Chowkambha Sanskrit Pratishtan, New Delhi; Pp:1052, pgno:695.

  4. SandeepRana edited eMedicine – Medscape’s continually updated clinical reference.

  5. Agnivesha, CharakaSamhitha elaborated by Charaka and Drdhabala with theAyurveda Deepika commentary by Cakrapanidatta on Chikitsasthana, edited by VaidyaYadavjiTrikamjiAcharya, ChaukambaSurbharathi, Prakashan, Varanasi, Reprint 2008. Pp:738, Pg no:621.

  6. Bhavamishra, Bhavaprakasha edited with the Vidyodinihindi commentary, part 2, eleventh edition, Chaukamba Sanskrit Bhavan, 2007, Varanasi. Pp: 836, Pg no: 268.

  7. Vagbhata, AstangaHridayam, with Arunadatta&Hemadri commentary chikitsasthana Edited by ShastriHariSadashiv, Published by ChaukambaSurabharatiPrakashana;U.P; 2007, Pp-956, Pg no:725.

  8. Susrutha,SushrutaSamhitha with nibandhasangraha commentary andNyayachandrika of Sri.Gayadasaacharya on Chikitsasthana, edited by VaidyaYadavjiTrikamjiAcharya, ChaukambaSurbharatiPrakashan, Reprint 2008, Pp:824, Pg no:421.

  9. Dr. K. Nishteswar and Dr. R. Vidyanath, Sahasrayogam, Chowkhamba Sanskrit Series Office, Varanasi;Second Edition 2008;Pp 540, pg no: 110.

  10. KavirajGovinda Das Sen, Prof Siddhi Nandan Mishra, BhaishajyaRatnavali, Edited by Siddhiprada Hindi Commentary, ChowkambaSurbharatiPrakashan, Varanasi;Pp 1196,pg no: 528.

  11. Patel Kalapi B “A clinical study on the development of sub type of abhyanga with reference to its role in the management of grivahundana(cervical spondylosis)a dissertation submitted to the Gujarat Ayurveda University, Jamnagar 2001.

  12. Shah P Kumar a dissertation submitted to the Gujarat Ayurveda University, Jamnagar, Gujarat 2008.

  13. Vinay.K.N. A Clinical study of Nasya Karma in Cervical Spondylosis a dissertation submitted to the RGUHS, Bangalore 2009-2010.Pp:103, Pg no:88,89,190.

  14. U.-D Reips (2006) web-based methods. In M.Eid&E.Diener [Eds]; Handbook of Multimethod measurement in Psychology (Pp.73-85) Washington,DC: American Psychological Association.doi:10.1037/11383-006.

  15. Young,T.(1805). “An Essay on the cohesion of Fluids”. Phil.Trans.R.Soc.Land.95:65-87.doi:10.1098/rsH.1805-0005.

  16. Vernon H, Mior S. The Neck Disability Index: A study of reliability and validity. J Manipulative Physiological Therapy;14:409-415.

  17. SF-12R Health Survey C 1994, 2002 by Medical. Outcomes Trust and Quality Metric Incorporated.

  18. Andrey.B.Chatman, Scott.P.Hyams, James.M.Neel, Jill.M.Binkley, Paul.W.Stratford, Ann. Schomberg and Mike Stabler Physical therapy (Journal of American Physical Therapy Association) 1997;77:820-829.

  19. David.J.Magee edited Orthopedic Physical Assessment 5th edition 2008, published by Elservier. Pp no: 1138, Pg no: 130-202.



9.

SIGNATURE OF CANDIDATE :




10.

REMARKS OF THE GUIDE :




11.

NAME & DESIGNATION OF

11.1] GUIDE :

11.2] SIGNATURE

11.3] HEAD OF DEPARTMENT :

11.4] SIGNATURE :

12].

REMARKS OF THE CHAIRMAN & THE PRINCIPAL :

12.1] SIGNATURE :






Dr. JONAH.SM.D (AYU)

PROFESSOR

DEPT. OF PG STUDIES IN KAYACHIKITSA,

S.D.M COLLEGE OF AYURVEDA,

UDUPI – 574118

DR.G.SHRINIVASA ACHARYAM.D (AYU)

PROFESSOR AND H. O. D.

DEPT. OF PG. STUDIES IN KAYACHIKITSA,

S.D.M. COLLEGE OF AYURVEDA,



UDUPI – 574118





Directory: cdc -> onlinecdc -> uploads
uploads -> Bangalore, karnataka profoma for registration of subjects for dessertation
uploads -> Bangalore karnataka synopsis proforma for registration ofsubjects for dissertation
uploads -> Karnataka, bangalore annexure II proforma for registration of subjects for dissertation
uploads -> N. D. R. K. College of nursing b. M road hassan,karnataka
uploads -> Bangalore, karnataka proforma for registration of subject for dissertation the name of candidate : dr. Muneesh sharma and address s
uploads -> Bangalore, karnataka proforma for registration of subjects for dissertation
uploads -> Annexure – 2 proforma for registration of topic for dissertation
uploads -> Bangalore, karnataka proforma for registration of subject for dissertation the name of candidate : dr. Ashish mahajan
uploads -> Address post graduate in pathology, department of pathology, mysore medical college and
uploads -> Annexure-ii proforma for registration of subjects for dissertation

Download 66.8 Kb.

Share with your friends:




The database is protected by copyright ©sckool.org 2020
send message

    Main page