Role of Viddha Karma in Management of Galaganda
Journal name: Ayushdhara
Original article title: Role of Viddha Karma in Management of Galaganda
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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Sayali S. Shinde
Ayurved Physician, Shri. Sukhayu Ayurvedic Chikitsalaya And Panchakarma Center, Wardha
Neeta S. Kala
Ayurved Physician, Agni-Viddhakarma Specialist, Vishwa Ayurved Chikitsalaya, Aurangabad.
Sumit N. Kala
General Physician, Chintamani Clinic, Aurangabad.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Role of Viddha Karma in Management of Galaganda
Year: 2024 | Doi: 10.47070/ayushdhara.v11i2.1537
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Galaganda, commonly referred to in modern terms as goiter, is characterized by swelling in the neck due to disorders of the thyroid gland. In Ayurveda, it is often linked to vitiation in the doshas—s±è±đ³¦¾±´Ú¾±³¦²¹±ô±ô²â Vata, Kapha, and Meda—caused by various dietary and lifestyle factors. This study discusses the effectiveness of Viddha Karma therapy in managing a case of Galaganda, particularly focusing on a 30-year-old female patient suffering from hyperthyroidism and swelling in the neck. Through during seven sessions of Viddha Karma therapy, the study aimed to observe improvements in clinical signs, symptoms, and thyroid function.
Role of Viddha Karma Therapy
Viddha Karma is a therapeutic intervention involving specific puncture points to alleviate symptoms and improve health outcomes in Ayurvedic practice. In the case reported, the therapy was initiated post an extensive examination and aimed at addressing multiple symptoms, including neck swelling, pain, difficulty in swallowing, weakness, and tremors. The treatment involved a detailed sequence of punctures around the Nabhi Marma, targeting specific doshic imbalances. This method led to significant reduction in swelling, improvement in symptoms, and notable changes in the patient's thyroid profile, highlighting the efficacy of Viddha Karma in managing Galaganda.
Results and Observations
Following the seven sessions of Viddha Karma, the patient experienced a marked improvement. The size of the thyroid swelling reduced significantly, symptoms such as pricking chest pain, hair loss, and tremors disappeared, and normal bowel movement patterns were restored. Additionally, there were substantial positive changes in the thyroid hormone levels, with T3 and T4 levels decreasing and TSH levels increasing towards normal. Ultrasound reports corroborated the improvement, showing a reduction in the overall size of the thyroid gland, suggesting that the therapy facilitated better blood circulation and the removal of pathological obstructive factors affecting the thyroid.
Conclusion
Viddha Karma therapy emerged as a promising therapeutic approach in the management of Galaganda in this case study. It demonstrated significant clinical effectiveness in reducing thyroid swelling, alleviating symptoms, and improving thyroid function markers. With ongoing treatment, the patient reported no further symptoms, indicating the potential for this Ayurvedic method to serve as a viable alternative for individuals reluctant or unable to pursue invasive surgical options. Overall, the intervention not only improved the patient's physical state but also contributed to restoring normalcy in her daily life.
FAQ section (important questions/answers):
What is Galaganda and its relation to thyroid disorders?
Galaganda, characterized by neck swelling, is associated with thyroid disorders, particularly goiter. In Ayurveda, it is said to be caused by vitiation of Vata, Kapha, and Meda doshas, which leads to swelling in the neck region.
How was the patient with Galaganda treated in this study?
The patient underwent Viddha Karma therapy for seven consecutive sittings. This approach resulted in a significant reduction in the size of the thyroid gland and alleviated associated symptoms like pain, weakness, and difficulty swallowing.
What were the results of the Viddha Karma treatment?
Post-treatment evaluations showed marked improvement in thyroid hormone levels and a reduction in thyroid gland size, as evidenced by ultrasound findings. The patient reported significant relief from symptoms, including weight regain and normal bowel habits.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Role of Viddha Karma in Management of Galaganda�. 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) Viddha:
Viddha Karma is highlighted in this document as a specific therapeutic technique within Ayurveda used for treating Galaganda. This method involves precise needling and is shown to result in significant reduction in swelling and symptoms related to thyroid conditions.[see source text or glossary: Viddha]
2) Galaganda (Gala-ganda, Galagamda):
Galaganda refers to the condition characterized by swelling in the neck, often compared to modern thyroid disorders such as goiter. The study indicates that Galaganda can result from the vitiation of Doshas, which specifically affect the region around the neck.[see source text or glossary: Galaganda]
3) Swelling:
Swelling refers to an abnormal enlargement of a body part or area. In the context of Galaganda, swelling is a primary symptom of thyroid enlargement or goiter. The document describes a reduction in neck swelling after Viddha Karma therapy.[see source text or glossary: Swelling]
4) Karma (Karman):
Karma in this text refers to a therapeutic action or treatment. Viddha Karma is a specific procedure in Ayurvedic medicine involving needling techniques to treat ailments such as Galaganda. It’s important for therapy and relief.[see source text or glossary: Karma]
5) Pain:
Pain such as pricking pain in the chest region is one of the symptoms associated with Galaganda. The study observes that Viddha Karma helped alleviate this pain, demonstrating its effectiveness in symptom management.[see source text or glossary: Pain]
6) Kala:
Kala is mentioned as the author Neeta S. Kala in the document. Neeta S. Kala is an Ayurved Physician specializing in Agni-Viddhakarma at Vishwa Ayurved Chikitsalaya in Aurangabad. Her expertise contributed to the study.[see source text or glossary: Kala]
7) Disease:
Disease in this context refers to conditions such as Galaganda that cause symptoms like neck swelling and are related to thyroid gland issues. Management of such diseases through Viddha Karma is discussed in the text.[see source text or glossary: Disease]
8) Agni:
Agni refers to digestive fire in Ayurveda. Agnimandya, or impaired digestive fire, is mentioned as a condition the patient was suffering from before experiencing swelling. Agni's role is crucial in the pathology of diseases like Galaganda.[see source text or glossary: Agni]
9) Mala:
Mala means waste products in the body. The patient experienced Drava Mala, indicating loose bowel movements after each meal or water intake, a symptom that was managed during the treatment process.[see source text or glossary: Mala]
10) Food:
Food intake (Aaharaja Hetus) and dietary habits are noted as factors causing the vitiation of Doshas leading to Galaganda. The patient’s difficulty in swallowing food was one of the symptoms treated by Viddha Karma.[see source text or glossary: Food]
11) Samprapti:
Samprapti refers to the pathogenesis of a disease in Ayurveda. The document outlines the Samprapti of Galaganda which starts from Agnimandya, reflecting the significant role of digestive fire and vitiated Doshas in disease progression.[see source text or glossary: Samprapti]
12) Nabhi:
Nabhi refers to the navel area. In Viddha Karma, needling around Nabhi Marma points was performed first because it is the seat of Agni (digestive fire), addressing Agnimandya as part of the treatment.[see source text or glossary: Nabhi]
13) Pada:
Pada means foot. Viddha Karma included needling points such as Pada-Anghusta (toe points) to address Apana Vayu disturbances. This helps in symptom relief associated with gastrointestinal functions.[see source text or glossary: Pada]
14) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya is the diminished power of digestion. The patient had a history of Agnimandya prior to swelling manifestation, and treating digestive issues was a crucial part of the therapy given in the study.[see source text or glossary: Agnimandya]
15) Daurbalya:
Daurbalya refers to weakness, which was one of the patient's complaints. After undergoing Viddha Karma therapy, there was an improvement in the patient's strength, indicating effective symptom management.[see source text or glossary: Daurbalya]
16) Nibaddha:
Nibaddha means tied or bound. It describes the neck swelling in Galaganda as persistent and not healing easily, a symptom managed through Viddha Karma as detailed in the study.[see source text or glossary: Nibaddha]
17) Ayurveda (Ayus-veda):
Ayurveda is the ancient Indian system of medicine. The document's case study utilizes Ayurvedic principles like Viddha Karma for treating thyroid-related conditions, exemplifying Ayurveda's relevance in modern therapeutic contexts.[see source text or glossary: Ayurveda]
18) Shvayathu (Svayathu):
Svayathu means swelling. Neck swelling or Nibaddha Svayathu is a primary symptom of Galaganda, which was treated effectively with Viddha Karma therapy, resulting in observable size reduction.[see source text or glossary: Svayathu]
19) Medicine:
Medicine in this text refers to Ayurvedic treatments such as Viddha Karma used to manage conditions like Galaganda. These treatments showed positive outcomes in the patient's symptoms and thyroid function.[see source text or glossary: Medicine]
20) Shabda (Sabda):
Shabda refers to sound or speech. In the case report, one of the patient's symptoms was Swarabheda, or hoarseness of voice, which improved after undergoing Viddha Karma therapy.[see source text or glossary: Shabda]
21) Indian:
Indian refers to the nationality of the patient in the case study. The patient was a 30-year-old Indian female treated for Hyperthyroidism and swelling using Viddha Karma therapy as documented in Ayurvedic practice.[see source text or glossary: Indian]
22) Manas (Mano, Manash):
Manas refers to the mind. Viddha Karma included needling at points like Bhru Madhya and Shankhau, known as Manas points, to address the patient's mental stress and suffering associated with the disease.[see source text or glossary: Manas]
23) Dosha (Dosa):
Dosha are the bio-energetic principles in Ayurveda (Vata, Pitta, Kapha). The Galaganda condition involved vitiation of these Doshas leading to symptoms like neck swelling, which were managed in the study through Viddha Karma.[see source text or glossary: Dosha]
24) Pitta:
Pitta is one of the three Doshas representing heat energy in the body. The patient's issues like Agnimandya suggest an imbalance in Pitta, managed through specific Viddha Karma points to restore the balance.[see source text or glossary: Pitta]
25) Drava:
Drava refers to liquid. One of the patient’s symptoms was Drava Mala Pravrutti, indicating loose motions after meals or intake of water, which was effectively managed during the Viddha Karma therapy sessions.[see source text or glossary: Drava]
26) Kampa:
Kampa means tremors. The patient experienced Kampa as one of the symptoms of hyperthyroidism. Viddha Karma treatment resulted in the cessation of tremors, demonstrating its effectiveness in symptom management.[see source text or glossary: Kampa]
27) Blood:
Blood is referenced in mentioning the reduction of pathogens or toxins due to Viddha Karma. Improved blood circulation and removal of vitiated Doshas are noted as benefits of this therapeutic technique.[see source text or glossary: Blood]
28) Gala (Galam):
Gala means throat or neck. Galaganda, the condition discussed in the document, involves swelling in the neck area, implying that the Gala region is the primary focus of the disorder and its treatment.[see source text or glossary: Gala]
29) Vata:
Vata is one of the three Doshas. Vetiation of Vata along with other Doshas in the neck area causes the symptoms of Galaganda, which were managed effectively in the case study using Viddha Karma therapy.[see source text or glossary: Vata]
30) Mana:
Mana pertains to the mind. Addressing mental health elements like stress and suffering, often related to chronic conditions, was part of the therapy involving Manas points in the Viddha Karma treatment for Galaganda.[see source text or glossary: Mana]
31) Hair:
Hair loss was one of the symptoms of hyperthyroidism in the patient. Following Viddha Karma therapy, there was noticeable improvement and reduction in hair loss, showcasing symptom relief and overall treatment efficacy.[see source text or glossary: Hair]
32) Sushruta-samhita (Susruta-samhita):
Sushruta Samhita is an ancient Sanskrit text on medicine and surgery. It is referenced for describing Viddha Karma points and the treatment principles applied in the management of Galaganda ailments.[see source text or glossary: Sushruta-samhita]
33) Jatharagni (Jathara-agni):
Jathara-agni pertains to the digestive fire located in the stomach. Viddha Karma around Nabhi points helps regulate Jathara-agni, addressing the root cause of Agnimandya in the pathogenesis of Galaganda.[see source text or glossary: Jathara-agni]
34) Nidanasthana (Nidana-sthana):
Nidanasthana suggests the section of texts describing the causes and symptoms of diseases. In the context of Galaganda, Nidanasthana by Acharya Sushruta mentions characteristic nodes and swelling relevant to thyroid disorders.[see source text or glossary: Nidanasthana]
35) Parivartana:
Parivartana means change. The document discusses Gala Talu Parivartana, which refers to changes noticed in the throat and mouth characteristics affecting food intake, managed during the Viddha Karma treatment for Galaganda.[see source text or glossary: Parivartana]
36) Bhrumadhya (Bhru-madhya):
Bhru-madhya refers to the point between the eyebrows. As part of the Manas points, Viddha Karma at Bhru-madhya was used to manage the patient's mental stress, contributing to holistic treatment.[see source text or glossary: Bhru-madhya]
37) Udanavayu (Udana-vayu):
Udana-vayu is a type of Vata Dosha associated with functions in the upper parts of the body, including the throat. Addressing Udana-vayu was part of the therapeutic strategy in the Viddha Karma sequence for Galaganda.[see source text or glossary: Udana-vayu]
38) Samanavayu (Samana-vayu):
Samanavayu is a type of Vata responsible for the assimilation and distribution of nutrients. The Viddha Karma points were chosen to engage Samanavayu and restore its balance, crucial for treating digestive issues and associated disorders.[see source text or glossary: Samanavayu]
39) Panduroga (Pandu-roga, Pamduroga):
Pandu-roga refers to anemia. Shaman Chikitsa included a remedy from Pandu Roga Adhikara, specifically Gaudarishta, implying an integrated treatment approach addressing symptoms like weakness and improving overall blood health.[see source text or glossary: Pandu-roga]
40) Vatapitta (Vata-pitta):
Vata Pitta reflects an imbalance of these two Doshas, mentioned in the patient's pulse diagnosis. Effective Viddha Karma treatment helps bring these Doshas back into harmony, alleviating symptoms of Galaganda.[see source text or glossary: Vata-pitta]
41) Discussion:
Discussion in the document entails the rationale behind the sequence of Viddha Karma points, aiming to address the root causes and resulting symptom relief. The strategy was based on ancient Ayurvedic principles and modern diagnostic reports.[see source text or glossary: Discussion]
42) Apanavayu (Apana-vayu):
Apanavayu is a type of Vata governing excretory functions. Needling the Pada-Anghusta points helped address Apana Dusti, normalizing bowel movements and excretion seen in the patient's improved symptoms.[see source text or glossary: Apanavayu]
43) Anulomana:
Anulomana refers to facilitating the downward movement of Doshas. Viddha Karma at Pada-Anghusta aids in Anulomana of Apana Vayu, essential for treating digestive disturbances seen in Galaganda patients.[see source text or glossary: Anulomana]
44) Vitiation (Vitiated):
Vitiation refers to the imbalance or perturbation of Doshas. The vitiation of Vata, Kapha, and Meda was central to the pathogenesis of Galaganda, which was treated effectively through Viddha Karma to restore Dosha balance.[see source text or glossary: Vitiation]
45) Sthapani:
Sthapani is an acupuncture point located at the center of the forehead, known for relieving mental stress. It was one of the points used in Viddha Karma therapy for overall mental wellbeing and symptomatic relief.[see source text or glossary: Sthapani]
46) Adhikara:
Adhikara refers to a section or chapter. The Shaman Chikitsa used for the patient included remedies from Pandu Roga Adhikara, emphasizing the holistic and detailed approach to treatment in Ayurvedic practice.[see source text or glossary: Adhikara]
47) Samhita:
Samhita refers to classical Ayurvedic texts. Reference to Sushruta Samhita is made for Viddha Karma techniques, showing a strong basis in traditional knowledge for treating modern ailments like Galaganda.[see source text or glossary: Samhita]
48) Granthi (Gramthi):
Granthi means gland or node. The patient experienced Gala Granthi, indicating nodal enlargement in the neck due to thyroid issues, which was effectively reduced with Viddha Karma therapy as observed in the study.[see source text or glossary: Granthi]
49) Grahani:
Grahani refers to the part of the digestive system regulating absorption and excretion. Viddha Karma around Nabhi targeted Grahani dysfunction, linked to the patient’s digestive issues and Agnimandya.[see source text or glossary: Grahani]
50) Koshtha (Kostha):
Koshtha refers to the gastrointestinal tract. Mrudu Koshtha indicates soft bowels, which the patient had, leading to frequent loose motions. Treatment aimed at normalizing Koshtha function was part of the therapy.[see source text or glossary: Koshtha]
51) Jathara:
Jathara refers to the stomach. As part of Jathara-agni, targeting Jathara through Nabhi points during Viddha Karma helped regulate digestion and address the root cause Agnimandya in patients.[see source text or glossary: Jathara]
52) Utpatti:
Utpatti refers to the origin or production, specifically in the context of speech or voice production. The patient's hoarseness of voice (Sakashta Shabda Utpatti) improved post-treatment, indicating effective symptom management.[see source text or glossary: Utpatti]
53) Sparsha (Sparsa):
Sparsha means touch. Anushnasheeta Sparsha (normal touch sensation) was noted, indicating no abnormal sensations during systemic examinations of the patient conducted as part of the case study.[see source text or glossary: Sparsha]
54) Sukhayu:
Sukhayu refers to the name of the clinic, Shri. Sukhayu Ayurvedic Chikitsalaya and Panchakarma Center in Wardha, where Dr. Sayali S. Shinde, one of the authors, practices and conducted the case study.[see source text or glossary: Sukhayu]
55) Pradhan:
Pradhan means predominant. The patient's Nadi Pariksha (pulse examination) noted Vata Pitta Pradhan, indicating a predominance of these Doshas, which guided the Viddha Karma treatment approach.[see source text or glossary: Pradhan]
56) Vikara:
Vikara means disorder or disease. Galaganda is listed among 20 Sleshma Vikara (Kapha disorders). Viddha Karma aims to treat such disorders by addressing the Pitta, Vata, and Kapha involved.[see source text or glossary: Vikara]
57) Vedana:
Vedana refers to pain. One reported symptom was Ura Pradeshi Todavat Vedana (Pricking Pain in Chest Region), which saw reduction post-Viddha Karma treatment, indicating pain relief.[see source text or glossary: Vedana]
58) Madhya:
Madhya means middle or center. Bhru Madhya or the center point of the eyebrows is a needling point used in Viddha Karma to alleviate mental stress, which was part of the patient’s treatment protocol.[see source text or glossary: Madhya]
59) Rohini:
Rohini refers to the sixth layer of the skin. According to Acharya Sushruta, Galaganda primarily manifests in this layer, explaining its subcutaneous nature and the resultant neck swelling.[see source text or glossary: Rohini]
60) Wardha:
Wardha is the location of Shri. Sukhayu Ayurvedic Chikitsalaya and Panchakarma Center, where the primary author operates and conducted the case study involving Viddha Karma for Galaganda treatment.[see source text or glossary: Wardha]
61) Vyadhin (Vyadhi):
Vyadhi means disease. In this case, Galaganda Vyadhi was successfully treated with Viddha Karma, showing regression in symptoms and thyroid gland size, providing a credible Ayurvedic treatment example.[see source text or glossary: Vyadhi]
62) Kapha:
Kapha is one of the three Doshas signifying bodily fluids and structure. Its vitiation, along with Vata and Pitta, contributes to Galaganda, managed effectively in the text through Viddha Karma.[see source text or glossary: Kapha]
63) Udara:
Udara means abdomen. The patient reported Udara Shoola (pain in the abdomen) as one of the symptoms, which Viddha Karma helped alleviate alongside other gastrointestinal symptoms.[see source text or glossary: Udara]
64) Marma:
Marma points are vital areas in the body used in Ayurvedic treatments. Points around Nabhi and Uroomoola, used in Viddha Karma, are considered Marma and were crucial in treating Galaganda in the study.[see source text or glossary: Marma]
65) Udana:
Udana refers to one of the five subtypes of Vata Dosha, governing functions in the throat and chest. Addressing Udana disturbances was part of the therapeutic strategy in Viddha Karma for treating Galaganda symptoms.[see source text or glossary: Udana]
66) Mutra:
Mutra means urine. The patient’s urine output was Alpa (scanty), pointing to possible disturbances in Apana Vayu, which were targeted and improved through the Viddha Karma therapy as part of comprehensive care.[see source text or glossary: Mutra]
67) Pandu (Pamdu, Pamde):
Pandu refers to anemia. The patient received Gaudarishta from Pandu Roga Adhikara as part of Shaman Chikitsa, targeting symptoms like weakness and contributing to overall improvements in health.[see source text or glossary: Pandu]
68) Ayus (Ayush):
Ayush refers to the overall life system and well-being in Ayurveda. The journal, Ayushdhara, publishes research on such health systems, exemplified by the documented case study leveraging Ayurvedic therapy for Galaganda.[see source text or glossary: Ayush]
69) Pulse:
Pulse examination, noted as Nadi Pariksha, is a critical diagnostic tool in Ayurveda. The patient’s Vata Pitta Pradhan pulse guided the Viddha Karma therapy, focusing on balancing these Doshas for effective treatment.[see source text or glossary: Pulse]
70) Salt (Salty):
Salty foods exacerbate certain Doshas. The patient's consumption of salty foods contributed to the vitiation of Doshas leading to Galaganda, which was then regulated through Viddha Karma therapy.[see source text or glossary: Salty]
[Note: The above list is limited to 75. Total glossary definitions available: 85]
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