Effect of apamarga paniya kshara on udarashula and biliary colic.
Journal name: Ayushdhara
Original article title: To evaluate the effect of apamarga paniya kshara in the management of udarashula with special reference to biliary colic
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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Mayur V. Shiralkar
Associate Professor, Dept. of Shalakya Tantra, Dr. D.Y.Patil College of Ayurved, Pimpri, Pune. Maharashtra, India.
Devata M. Shiralkar
Associate Professor, Dept. of Shalya Tantra, K.P.S.V.S. College of Ayurved, Manavi, Karnataka, India.
*Shende Krushnadev
Assistant Professor, Dept. of Kayachikitsa Dr.D.Y. Patil Ayurved College, Pune, Maharashtra, India.
Rupesh Wagh
Associate Professor, Dept. of Shalya Tantra, SMBT Ayurvedic Medical College, Nandi Hills, Igatpuri, Nasik, M.S. India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: To evaluate the effect of apamarga paniya kshara in the management of udarashula with special reference to biliary colic
Year: 2015
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
The article presents a clinical study evaluating the effectiveness of Apamarga Paniya Kshara in managing Udarashula—severe abdominal pain—specifically related to biliary colic. The study acknowledges the rising incidence of gallstones due to changing dietary habits and the limitations of surgical interventions, such as cholecystectomy, which can have significant complications. The study aims to explore the conservative management of biliary colic through Ayurvedic principles, focusing on the administration of Apamarga Kshara as a treatment option, assessing its impacts on pain, tenderness, and other clinical signs.
Efficacy of Apamarga Kshara in Pain Management
The research highlights the significant pain relief experienced by patients treated with Apamarga Kshara. Initially, patients presented with severe abdominal pain at a mean score of 2.6. Following treatment for seven days, patients reported a remarkable 96.15% reduction in pain. The grading of pain decreased significantly from higher grades to zero, indicating a high effectiveness of Apamarga Kshara in alleviating pain associated with biliary colic. The study also documented consistent improvements in pain levels as the treatment progressed, providing compelling evidence regarding the therapeutic potential of this Ayurvedic remedy.
Influence on Tenderness and Murphy’s Sign
Another key finding of the study is the efficacy of Apamarga Kshara in reducing tenderness and improving Murphy’s sign indicative of cholecystitis. Before treatment, the mean tenderness score among patients was 3.05, which decreased to just 0.15 by the end of the seven-day treatment period, reflecting a 95.08% relief rate. Additionally, the presence of Murphy’s sign, which suggests acute cholecystitis, reduced significantly, indicating a potential anti-inflammatory action of the treatment. The consistent outcomes across these clinical assessments suggest that Apamarga Kshara not only alleviates pain but also addresses underlying inflammation related to biliary colic.
Conclusion
In conclusion, the study demonstrates that Apamarga Paniya Kshara is a highly effective and economical treatment option for managing Udarashula related to biliary colic. The substantive improvements observed in pain and tenderness, coupled with reduced incidence of recurrent attacks, advocate for the use of this Ayurvedic remedy as a valid alternative to more invasive procedures. The results highlight the merit of integrating traditional Ayurvedic treatments in contemporary clinical practice, especially for conditions like biliary colic that have significant implications for patient quality of life.
FAQ section (important questions/answers):
What is the objective of the study on Apamarga Kshara?
The study aims to evaluate the effect of Apamarga Paniya Kshara in managing Udarashula, specifically in relation to biliary colic, by identifying its efficacy and reviewing related literature.
What were the main symptoms observed in patients with Udarashula?
Patients typically presented with severe abdominal pain, tenderness, nausea, vomiting, and burning sensation, which are commonly associated with conditions such as biliary colic and are reflected in the Ayurvedic description of Udarashula.
What were the results of using Apamarga Kshara for treatment?
After treatment, 90% of patients achieved complete relief from symptoms. The administration significantly reduced pain, tenderness, and positive Murphy’s sign, indicating effective management of biliary colic through this Ayurvedic approach.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Effect of apamarga paniya kshara on udarashula and biliary colic.�. 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) Pain:
Pain is described as Shula in Ayurveda and is a significant symptom in the context of the study, as severe abdominal pain, or Udarashula, is addressed using Apamarga Paniya Kshara to manage biliary colic.
2) Kshara (Ksara):
Kshara refers to an alkaline preparation used in Ayurveda that possesses properties such as Dahana, Pachana, and Darana. In this study, Apamarga Kshara is used to relieve symptoms of Udarashula due to its anti-inflammatory and spasmolytic actions.
3) Apamarga:
Apamarga, identified for its properties like Tikta and Katu Rasa, is the herb used to prepare the Apamarga Paniya Kshara. It exhibits qualities like spasmolytic and anti-inflammatory actions which are crucial in treating Udarashula.
4) Disease:
The disease in the context of the study is Udarashula, particularly relating to the condition of biliary colic, characterized by severe abdominal pain due to gallstone obstruction.
5) Pitta:
Pitta dosha, described as having qualities similar to bile, is implicated in causing conditions like biliary colic. Management involves leveraging the Pitta-pacifying properties of the Kshara used in the study.
6) Paniya:
[see source text or glossary: Paniya]
7) Food:
Food, particularly oily and fatty foods, are mentioned as etiological factors both in Ayurveda and modern medicine for conditions like biliary colic, which can precipitate symptoms of Udarashula.
8) Ayurveda (Ayus-veda):
Ayurveda, an ancient Indian system of medicine, provides the framework for treatments like Apamarga Paniya Kshara in managing ailments such as Udarashula by addressing pain and inflammation through herbal formulations.
9) Shula (Sula):
Shula in Ayurveda refers to severe pain, often abdominal, which is intricately described in texts like Sushruta Samhita and managed using preparations like Apamarga Paniya Kshara for conditions like biliary colic.
10) India:
India, where the traditional medical system of Ayurveda originated, is the geographical context of the study, with locations such as Maharashtra and Karnataka being significant.
11) Bile:
Bile, considered analogous to Pitta in Ayurveda, is involved in digestive processes. Its obstruction due to gallstones causes biliary colic or Udarashula in the study, which is managed using Apamarga Paniya Kshara.
12) Drug:
The drug in context is Apamarga Paniya Kshara, an Ayurvedic preparation used in this study to manage Udarashula, providing relief from pain and inflammation due to its specific properties.
13) Dosha (Dosa):
Dosha refers to the three fundamental biological energies in Ayurveda: Vata, Pitta, and Kapha. Imbalances in these doshas are considered the root cause of diseases like Udarashula.
14) Kloma:
Kloma, as hypothesized in the study, is considered equivalent to the gall bladder in Ayurvedic texts. It’s associated with the storage of bile and linked to conditions involving gallstones.
15) Diet:
Diet, especially the intake of high-fat and oily foods, is considered a significant etiological factor for diseases like Udarashula and biliary colic in both Ayurveda and modern medical perspectives.
16) Medicine:
Medicine in the study refers to Ayurvedic treatment practices like using Apamarga Paniya Kshara, which utilizes traditional knowledge to manage complex conditions like Udarashula.
17) Kapha:
Kapha is one of the three doshas in Ayurveda, and its imbalance can contribute to conditions like Udarashula. The treatment with Apamarga Paniya Kshara helps in balancing Kapha to relieve symptoms.
18) Burning sensation:
Burning sensation, a symptom described in the context of Udarashula, is managed in the study through the therapeutic use of Apamarga Paniya Kshara, which helps alleviate inflammatory conditions.
19) Inflammation:
Inflammation in conditions like biliary colic leads to severe pain and tenderness. The study highlights the anti-inflammatory properties of Apamarga Paniya Kshara in reducing these symptoms effectively.
20) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is one of the Indian states where the study's context is set, with involvement from academic institutions in cities like Pune, reflecting the region's contribution to Ayurvedic research.
21) Vomiting:
Vomiting is one of the symptoms associated with Udarashula and is managed using Apamarga Paniya Kshara in the study, which helps reduce the overall discomfort and pain in patients.
22) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]
23) Ushna (Usna):
Ushna, meaning heat or warmth, is one of the properties of Apamarga Kshara which helps in reducing the symptoms of Udarashula by balancing aggravated Doshas.
24) Virya:
Virya refers to the potency or strength of a substance in Ayurveda. Ushna Virya, or heating potency, of Apamarga Kshara is significant in its action against conditions like biliary colic.
25) Patil:
Patil likely refers to Dr. D.Y. Patil Ayurved College mentioned in the study, which is a key institution in Maharashtra contributing to the research on Apamarga Paniya Kshara.
26) Katu:
Katu, meaning pungent taste, is one of the qualities of Apamarga Kshara that aids in digestion and helps relieve the symptoms of Udarashula like severe pain and inflammation.
27) Pune:
Pune, a city in Maharashtra, India, is significant in the study as it hosts the Dr. D.Y. Patil Ayurved College where research on Apamarga Paniya Kshara was conducted.
28) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
[see source text or glossary: Shalyatantra]
29) Samhita:
[see source text or glossary: Samhita]
30) Samaka (Shamaka):
Shamaka refers to the pacifying property of a substance in Ayurveda. Apamarga Kshara exhibits Shamaka properties for Pitta, effectively managing the symptoms of Udarashula.
31) Pittaja (Pitta-ja):
Pittaja refers to conditions caused by aggravated Pitta dosha. Pittaja Shula, which resembles biliary colic, is mentioned in the study where Apamarga Kshara is used for treatment.
32) Shalya (Salya):
[see source text or glossary: Shalya]
33) Darana:
Darana refers to a penetrating or corroding action. The Darana property of Apamarga Kshara is essential for breaking down obstructions like gallstones in the management of Udarashula.
34) Nausea:
Nausea, often accompanying pain in conditions like Udarashula, is managed in the study using Apamarga Paniya Kshara, which helps in alleviating this symptom effectively.
35) Nature:
[see source text or glossary: Nature]
36) Rasa (Rasha):
Rasa, meaning taste, is a key concept in Ayurveda affecting a substance's therapeutic properties. Apamarga Kshara's Katu (pungent) and Lavana (salty) tastes help relieve symptoms of Udarashula.
37) Vata:
Vata is one of the three doshas, primarily responsible for movement and pain (Shula) in Ayurveda. Balancing Vata is crucial in managing Udarashula, and Apamarga Kshara serves this purpose.
38) Sushruta-samhita (Susruta-samhita):
[see source text or glossary: Sushrutasamhita]
39) Shalakyatantra (Salakyatantra, Shalakya-tantra, Shalakyatamtra):
[see source text or glossary: Shalakya-tantra]
40) Madhavanidana (Madhava-nidana):
[see source text or glossary: Madhava-nidana]
41) Agriculturist:
[see source text or glossary: Agriculturist]
42) Atharvaveda (Atharva-Veda):
[see source text or glossary: Atharvaveda]
43) Acchapitta (Accha-pitta):
Accha-pitta denotes a form of Pitta that resembles bile, involved in digestion. The study relates Pitta with bile's role in conditions like biliary colic, managed via Apamarga Paniya Kshara.
44) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
[see source text or glossary: Dhatukshaya]
45) Lavanarasa (Lavana-rasa):
[see source text or glossary: Lavana-rasa]
46) Agriculture:
[see source text or glossary: Agriculture]
47) Raktapitta (Rakta-pitta):
[see source text or glossary: Raktapitta]
48) Vatapitta (Vata-pitta):
[see source text or glossary: Vatapitta]
49) Discussion:
[see source text or glossary: Discussion]
50) Samprapti:
[see source text or glossary: Samprapti]
51) Karnataka:
[see source text or glossary: Karnataka]
52) Abhighata:
[see source text or glossary: Abhighata]
53) Prabhava:
[see source text or glossary: Prabhava]
54) Sweating (Sweat):
Sweating, mentioned as a symptom of Udarashula, signifies an acute condition managed in the study using Apamarga Paniya Kshara to reduce symptoms including pain and inflammation.
55) Purisha (Purisa):
[see source text or glossary: Purisha]
56) Madhava:
[see source text or glossary: Madhava]
57) Ashmari (Asmari):
[see source text or glossary: Ashmari]
58) Tikshna (Tiksna):
Tikshna translates to 'sharp' or 'penetrating', and is a quality of Apamarga Kshara, making it effective in combating obstructive conditions like those seen in Udarashula or biliary colic.
59) Mineral:
Mineral products are combined with herbal compounds in Ayurveda to treat various conditions, as illustrated in the study where Apamarga Paniya Kshara is used to manage Udarashula.
60) Dahana:
Dahana means burning or corroding, a property of Kshara which helps in breaking down obstructions like gallstones, providing relief from Udarashula or biliary colic.
61) Ropana:
Ropana signifies healing. Apamarga Kshara possesses Ropana properties, aiding in the healing process and reduction of inflammation in conditions like Udarashula.
62) Tilaka:
[see source text or glossary: Tilaka]
63) Vedana:
Vedana means pain, a central symptom in conditions like Udarashula. The study focuses on the reduction of Vedana using Apamarga Paniya Kshara.
64) Ruksha (Ruksa):
Ruksha means dry, a guna (quality) of Apamarga which contributes to its effectiveness in treating Udarashula by balancing the doshas involved.
65) Yakrit (Yakrt):
Yakrit means liver in Ayurveda, closely linked with the biliary system. Apamarga Paniya Kshara's efficacy in treating liver-related issues like biliary colic is discussed in the study.
66) Vipaka:
Vipaka refers to the post-digestive effect of a substance. The Katu vipaka of Apamarga Kshara contributes to its therapeutic effects in managing Udarashula.
67) Nidana:
[see source text or glossary: Nidana]
68) Timira:
[see source text or glossary: Timira]
69) Bhrama:
[see source text or glossary: Bhrama]
70) Murcha:
[see source text or glossary: Murcha]
71) Lavana:
Lavana means salty, one of the tastes (Rasa) of Apamarga Kshara. The Kshara's Lavana rasa contributes to its effectiveness in treating conditions like Udarashula.
72) Vataja (Vata-ja):
[see source text or glossary: Vataja]
73) Indian:
[see source text or glossary: Indian]
74) Udara:
Udara means abdomen. Udarashula refers to severe abdominal pain. The study uses Apamarga Paniya Kshara to manage Udarashula, specifically addressing biliary colic.
75) Laghu:
Laghu means light, a quality of Apamarga which helps in digestion and managing the symptoms of Udarashula effectively.
[Note: The above list is limited to 75. Total glossary definitions available: 90]
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