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Swedakarma's Role in Ocular Pathology in Diabetic Patients Study

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Journal name: Ayushdhara
Original article title: The Role of Swedakarma in the Manifestation of Ocular Pathological Findings Among Diabetic Patients- A Prospective Observational Study
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Author(s):

Arunima T S
MS Scholar, Department of Shalakya Tantra, Government Ayurveda College, Tripunithura, Kerala, India
Sreeja Sukesan
Vice Principal, Professor and HOD, Department of Shalakya Tantra, Government Ayurveda College, Tripunithura, Kerala, India


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: The Role of Swedakarma in the Manifestation of Ocular Pathological Findings Among Diabetic Patients- A Prospective Observational Study

Year: 2023 | Doi: 10.47070/ayushdhara.v10i2.1193

Copyright (license): CC BY-NC-SA 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

The increasing prevalence of diabetes mellitus (DM) has led to significant ocular complications that can rapidly result in blindness if not diagnosed and managed promptly. Ayurvedic practices, particularly Sudation therapy or Swedana, are widely used for treating various ailments, including neurological disorders associated with diabetes. This study aimed to explore the role of Swedakarma (a form of Swedana) in the manifestation of ocular pathological conditions among diabetic patients, establishing a correlation between this traditional therapy and ocular complications.

The Impact of Swedakarma on Ocular Health

The study findings indicated a notable association between Swedakarma and ocular complications in diabetic patients, with exposed individuals showing a 3.74-fold increase in issues such as watering and redness of the eyes. This correlation is critical since Ayurvedic texts warn against the use of Swedana in diabetic patients due to its potential to exacerbate existing eye conditions. The research utilized a sample of 108 diabetic patients, with a chi-square test released to analyze associated complications, emphasizing the need for more caution when administering Swedana in this demographic.

Diabetes and Its Ocular Complications

Diabetes is a multi-faceted disorder that can lead to several ocular issues, including diabetic retinopathy, cataract formation, and other related diseases. The study highlighted that the risk of severe complications can markedly rise when patients with conditions like diabetic retinopathy undergo Swedakarma. Since many diabetic patients remain asymptomatic until advanced stages, thorough ocular evaluations are essential before and after any Swedana treatment to prevent worsening conditions and ensure timely intervention.

Conclusion

The study underscores the significant role of Swedakarma in exacerbating ocular complications in diabetic patients. It calls for heightened awareness about the potential risks of Sudation therapy in this population, suggesting that patients should undergo comprehensive ocular assessments ahead of and following Swedakarma. Additionally, specific Swedana forms, particularly Drava swedas such as Kashayadhara and Takradhara, might be safer alternatives. Continuous monitoring and early diagnosis of diabetic eye diseases are essential to mitigate the risks associated with Swedakarma and ensure effective management.

FAQ section (important questions/answers):

What is the main focus of the study on Swedakarma?

The study analyzes the role of Swedakarma (sudation therapy) in the incidence of ocular complications among diabetic patients, identifying its potential risks and associations with various ocular pathologies.

How does Swedakarma affect diabetic patients' ocular health?

The findings indicate a significant association between Swedakarma and increased ocular complications in diabetic patients, with a 3.74-fold increase in such complications among those who underwent this therapy.

What precautions should be taken when performing Swedakarma on diabetics?

Precautions include avoiding Swedakarma in patients with proliferative diabetic retinopathy and performing thorough ocular evaluations before and after the therapy to monitor for complications.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Swedakarma's Role in Ocular Pathology in Diabetic Patients Study�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Disease:
A disease refers to an abnormal condition affecting the body of an organism. In the context of this document, the focus is on diabetes as a chronic metabolic disease and its associated ocular complications.

2) Ayurveda (Ayus-veda):
Ayurveda is a traditional Indian system of medicine that involves natural therapies and holistic treatment. It plays a crucial role in the treatment of various ailments, including those related to diabetes known as Prameha.

3) Prameha:
Prameha is an Ayurvedic term for a group of disorders, one of which includes diabetes mellitus. The document details its complications and how treatments like Swedakarma may influence its progression and associated eye diseases.

4) Kerala:
Kerala refers to the state in India where traditional Ayurvedic practices, such as Keraleeya Panchakarma, are commonly practiced. The study focused on patients at the Government Ayurveda College in Tripunithura, Kerala.

5) Snigdha:
Snigdha refers to therapies characterized by their oily and unctuous nature, often used in Ayurvedic treatments. The document mentions therapies like Snigdha Swedas, which may lead to complications in diabetic patients.

6) Medicine:
Medicine refers to the science and practice of diagnosing, treating, and preventing disease. In this context, both modern medicine and Ayurveda are compared for managing diabetes and its complications.

7) Kleda:
Kleda is a term in Ayurveda that refers to moistness or fluidity in the bodily tissues. In diabetic patients, excessive Kleda can lead to the retention of body fluids, causing various complications, including ocular issues.

8) Dosha (Dosa):
Doshas are the functional principles in Ayurveda. The text specifically discusses Kapha and Pitta Dosha's roles in diabetic ocular complications, emphasizing the need to balance them during treatment.

9) Blindness:
Blindness is a severe complication of diabetes, particularly due to diabetic retinopathy. The paper underscores the need to identify and manage ocular complications early to prevent blindness among diabetic patients.

10) Pinda (Pimda):
[see source text or glossary: Pinda]

11) Diet:
Diet refers to the food and drink consumed by an individual. In Ayurveda, Ahara Vihara, which includes diet and lifestyle, is crucial in managing diseases like Prameha (diabetes).

12) Purification:
Purification involves cleansing the body of toxins, known as Shodhana in Ayurveda. The document argues that Prameha patients require more purificatory therapies rather than pacifying ones to manage the disease effectively.

13) Shodhana (Sodhana):
Shodhana refers to purification treatments in Ayurveda. The text suggests that for diabetic patients undergoing Panchakarma, proper Shodhana should precede Swedakarma to minimize complications.

14) Brimhana (Brmhana):
Brimhana therapies are nourishing treatments in Ayurveda. While beneficial for certain conditions, the document indicates that Brimhana therapies could exacerbate ocular complications in diabetic patients due to excessive nourishment.

15) Nature:
[see source text or glossary: Nature]

16) Pitta:
Pitta is one of the three Doshas in Ayurveda, responsible for metabolic processes. The paper mentions that since Pitta is involved in eye disease pathogenesis, Swedakarma, which vitiates Pitta, is generally contraindicated.

17) Kapha:
Kapha is one of the three Doshas in Ayurveda, associated with structure and lubrication. In the context of diabetes and eye diseases, Kapha's vitiation can lead to complications when Swedakarma is performed.

18) Karma (Karman):
[see source text or glossary: Karma]

19) Dhara:
Dhara is an Ayurvedic treatment involving the continuous pouring of liquids like herbs or buttermilk over the body or specific parts. Treatments like Kashayadhara and Takradhara are considered safer for diabetic patients.

20) Takra:
Takra refers to buttermilk in Ayurveda. It is used in treatments like Takradhara, which is beneficial for diabetic patients as it is cooling and helps manage Kapha and Medo Dushti (fat and tissue vitiation).

21) Shalakyatantra (Salakyatantra, Shalakya-tantra, Shalakyatamtra):
Shalakya-tantra is a branch of Ayurveda dealing with the diagnosis and treatment of diseases of the head and neck, including ocular conditions. The study involves experts from this field to analyze the impact of Swedakarma on diabetic eye diseases.

22) Inflammation:
Inflammation is the body's response to injury or infection. The document notes that ocular inflammation can be worsened by Swedakarma, especially in conditions like diabetic retinopathy and other vascular diseases.

23) Butter milk (Buttermilk):
Buttermilk, or Takra, is used in Ayurvedic treatments such as Takradhara. It has properties that counteract Kapha and Medo Dushti, making it suitable for diabetic patients undergoing Swedakarma.

24) Discussion:
Discussion in the research article refers to the analysis and explanation of the study results. It is an essential section where the implications of Swedakarma on diabetic patients' ocular health are debated.

25) Purvakarma (Purvakarman, Purva-karman):
Purvakarma are preparatory procedures in Panchakarma therapy. The text discusses how Purvakarma, including various types of Sweda or sudation therapies, are applied in treating diabetic patients in Kerala.

26) Shashtika (Sastika):
[see source text or glossary: Shashtika]

27) Netraroga (Netra-roga):
Netraroga refers to eye diseases in Ayurveda. The document talks about diabetic eye diseases, which are considered complications of Prameha and linked to the same Doshas and Dusyas as Prameha.

28) Vitiation (Vitiated):
Vitiation means disturbance or imbalance. In the context of this study, vitiation of Doshas like Pitta and Kapha due to Swedakarma can lead to ocular and other complications in diabetic patients.

29) Prakriti (Prakrti):
Prakriti refers to an individual's constitution or inherent nature in Ayurveda. The study notes that the complications of Swedakarma can depend on the patient's Prakriti, diet, and other factors.

30) Amalaki:
Amalaki, also known as Amla or Indian Gooseberry, is used in Ayurvedic therapies for its cooling properties. It is recommended for Talam to provide a cooling effect during Swedakarma.

31) Amalaka:
Amalaka, another term for Amalaki or Indian Gooseberry, is recommended in Medicated Talam for its cooling effects during sudation therapies in diabetic patients.

32) Kashaya (Kasaya):
Kashaya refers to astringent preparations in Ayurveda. Treatments like Kashayadhara, which involve the use of astringent decoctions, are beneficial for diabetic patients to manage conditions without aggravating Kleda.

33) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]

34) Ruksha (Ruksa):
Ruksha means dryness in Ayurveda. Takra, with its Ruksha (dry) properties, is used in treatments to manage the moistness (Kleda) and heaviness (Kapha) in diabetic patients.

35) Vihara:
Vihara refers to lifestyle practices in Ayurveda. Proper Ahara (diet) and Vihara (regimens) are essential for managing conditions like Prameha, with any lapse potentially exacerbating the disease.

36) Agneya:
Agneya means relating to heat or fire. Sweda, being Agneya in nature, can aggravate Pitta Dosha, making it contraindicated for eye conditions, as noted in Ayurvedic texts.

37) Vyadhin (Vyadhi):
Vyadhi means disease. Prameha is identified as a Yapyavyadhi (manageable disease) in Ayurveda, indicating that it can be maintained but not entirely cured, stressing the importance of correct treatment protocols.

38) Edema (Oedema):
[see source text or glossary: Oedema]

39) Powder:
[see source text or glossary: Powder]

40) Laghu:
Laghu means lightness. In Ayurveda, Takra (buttermilk) is described as Laghu, making it suitable for treatments like Takradhara to manage the heaviness and moisture (Kleda) in diabetic patients.

41) Rakta:
Rakta means blood. The study mentions its role in diabetic eye diseases due to neovascular changes and hemorrhages, highlighting the intricate link between blood health and ocular complications in diabetes.

42) Drava:
Drava means liquid or fluid. Drava Swedas, such as Kashayadhara and Takradhara, are noted to be safer alternatives for diabetic patients, as opposed to oily treatments that may cause complications.

43) Taila (Thaila):
Taila means oil. Various traditional Kerala therapies use medicated oil, yet the document warns about complications in diabetic patients resulting from oily (Snigdha) treatments.

44) Ahara:
Ahara signifies diet in Ayurveda. Proper Ahara combined with Vihara (lifestyle) is emphasized as crucial for managing Prameha (diabetes), preventing the exacerbation of the disease and complications.

45) Dushya (Dusya):
Dusyas refer to the body tissues or elements that are affected in diseases. Diabetic eye diseases share Dusyas with Prameha, meaning the same tissues and bodily elements are involved in both conditions.

46) India:
[see source text or glossary: India]

47) Ayus (Ayush):
[see source text or glossary: Ayush]

48) Ashta (Asta, Astan, Ashtan):
[see source text or glossary: Ashta]

49) Sugar:
[see source text or glossary: Sugar]

50) Blood:
Blood, or Rakta, is critical in the context of diabetes and its complications. The document highlights the importance of managing blood health to prevent microvascular complications like diabetic retinopathy.

51) Seka (Sheka):
[see source text or glossary: Seka]

52) Rasa (Rasha):
[see source text or glossary: Rasa]

53) Tala:
Tala refers to an ayurvedic application often used in treatments to balance doshas. In this context, applying Tala is a precautionary measure to prevent complications during Swedakarma.

54) Hair:
[see source text or glossary: Hair]

Other Science Concepts:

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Discover the significance of concepts within the article: �Swedakarma's Role in Ocular Pathology in Diabetic Patients Study�. Further sources in the context of Science might help you critically compare this page with similair documents:

Tattu, Prameha, Kleda, Takra, Diabetes mellitus, Chi square test, Panchakarma procedure, Fundus examination, Brimhana therapies, Snigdha Sweda, Prospective observational study, Drava Sweda, Kashayadhara, Ocular complications, Swedakarma, Ocular history.

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