A To Study the Efficacy of Kustumbari Churna with Tandulodak in Garbhini Chhardi Garbhini Chhardi Section Original Research Articles
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Abstract
“TO STUDY THE EFFICACY OF KUSTUMBARI CHURNA WITH TANDULODAK IN GARBHINI CHARDIâ€
Raut Sonal Hitendra1, Ukey Sapna Amol2, Varade Shilpa Abhay3
- Assistant Professor (Streerog Prasutitantra)
- Assistant Professor (Swasthvrutha)
- Assistant Professor (Sharir Rachana)
___________________________________________________________________________
Abstract
Motherhood is a part and parcel of womenhood. Womenhood is incomplete without motherhood. It is the apex of a life, she has to pass through the state of pregnancy for achieving this valuable pearl of life.
The symptoms of pregnancy morning sickness vomiting, water brash etc according to our culture is the greatest moment of joy in women's life as well as for her complete family. Fetus Can become weak due to morning sickness, vomiting water brash, nausea during pregnancy period. Even excessive nausea, vomiting can result in dehydration, weight loss, electrolyte imbalance and it also creates adverse condition for pregnant women.
In Ayurveda pregnant women are given very special care and importance. Classics of Ayurveda preferred to treat pregnant women with use of soft medicine so that there should be no harm to mother and foetus. So we tried to overcome garbhini chhardi with the help of Ayurveda remedy.
Keywords: Garbhini Chardi, Kustumbari churna, Sharkara efficacy
Introduction
The strongest child is the real property of the nation. Every mother feels that her child should be strongest or ‘Sudrud’. A pregnant woman has to maintain herself strong both physically and mentally and even after pregnancy she used to keep up the same because she is the only source of her child’s food, during pregnancy and after pregnancy also the proper growth of fetus is itself a sign of healthy child.
Ayurveda conferres various hopes of treatment to outsmart these inferior State of pregnant women Acharyas believe that the nomenculature of each and every disease is impossible, The state should be treated with equal importance on the basis of knowledge of dosha, dhatu, Mala vigyan for maintaining this Samyavastha, various drug are also suggested and explain with great details of Acharyas. The aim of the work is the Same to try and see the efficacy of Kustumbari churna with Tandulodak in Garbhini Chhardi. ( pregnancy vomiting) Garbhini Chhardi shows symptoms such as Chhardi, hrullas, trishana, Annadwesh, Daurbalaya etc.) These troublesome symptoms hamper the daily routine activity a patient.
To serve the purpose, study was planned to evaluate the effect of Kustumbari Churana in garbhini chardi.
Aims and objects:-
- To study the efficacy of Kustumbari Churana with Sharkar and Tandulolak in Garbhini Chhardi.
- Comparative study of efficacy Kustumbari Churana with Tandulolak and plain Tandulolak in case Garbhini chhardi.
Methodology:-
The present study has been carried out of 60 patients. The research was carried out at the strceroga prasotitantra vibhaga in SVNH’s Ayurveda Mahavidyalaya and chikitsalaya Rahuri.
60 Garbhini patient having complaints of Chhardi were selected randomly. Patients from OPD/IPD Were selected for the study strictly binding to the inclusion and exclusion criteria.
Study design:-
60 patients were selected for study. Patients were divided into two groups.
- Group A- Trial Group
- Group B- Placebo Group
Inclusive criteria :-
These patients were selected randomly after confirmation of diagnosis by means of Symptoms and urine examination. The gradation of symptoms of each patient was noted, patients were selected irrespective of caste, religion, age, weight, income, education, Parity, gravida, with complaints of vomiting, above 19 years, married, having recurrent nausea and vomiting during pregnancy.
Investigation done :- UPT, USG, Hameogram, Urine Examination.
Exclusion criteria:-
Below 19 years, unmarried, patients were not taken into consideration who were associated with other disease like heart disease, Bronchial asthma, Tuberculosis, Hypertension HIV positive.
Patients who not able to continue treatment were excluded from the statistical analysis of data.
The drug:-
kustUmbarInaaM klkM tNDUlaaodksaMyau@t ||
ipbaot Sak-ra )dyama gaBaI-NaI Cid- inavaa-Nama ||
yaao.r.s~I. rao. ica,.43 /11 -12
As described by yogratnakar kustumbari churna was prepared with Sharkara churna and tandulodak was prescribed to the patience to evaluate the efficiency regarding the symptoms relief and changes.
Kustumbari churna 1gm
Sharkara churna 2 gm
Tandulodak 20 ml
The fine powder was made of Kustumbari and mixed with Sharkara churna.
Dose Of The Drug - 3gm thrice a day
Aunpan - Tandulodak
Route of Administration - oral route is followed
Seven kal - The drug was administrated in morning hours before meal
Group A - 30 patients were treated with kustumbari churna
Group B - Placebo group 30 patients were treated with plain Tandulodak.
DRVG Review:-
L.N - Coriandrum Sativom
Gan - Truptighna
Kul - Umbellifereae
Sanskrit - Dhanya, kustumbari
Hin - Dhania, Dhanya
Marathi - Dhanna, kothimber
Gun:-
Rasa – Madhur, Katu, Tikta, Kashya
Virya – Ushna
Vipak – Madhur
Do shaghanat – Tridoshaghria
Sharkara-
Gan – Mutravirechaniya, Stanyajanan
Kul – Yav-kul
Synonyms – Kandeshu, Kash, Kas
Latin Name – Saccharum offianale
Marathi – usa
English – Sugarcane
Hindi – Ikh, Ganna,
Gun – Ras – Madhur
Vipak – Madhur
Guna – Laghu
Doshaghnata – Vat pittashamak
Tandulodak
kiNDtM tNDuplaM jalaoYTgauiNato ixapot |
Baavaiya<vaa jalaM ga`ahyaM doyaM sava-~ kma-sau ||
Saa. sa. pu K /29
Latin name – Oryaza
Marathi – Shali, Tandul
Family – Gramineae
Hindi – Dhan, Chawal
Gun- Ras – Madhur Kashaya
Virya - Sheet
Vipak – Madhur
Gun – simigdha laghu
Doshaghnita – Tridoshaghna
Group B Placebo
Does – 50 ml four time in a day for 7 days.
In study of 30 patients were selected randomly after confirmation of diagnosis by means of symptoms and urine hematological Examination. The gradation of symptoms of each patient is noted.
Selection of patients:-
Age 19 years or above
Married
Patient having recurrent nausea and omitting were taken in account from Vivekanand Nursing Home’s Ayurved Mahavidyalaya Rahuri, Rugnalaya OPD.
Criteria of diagnosis:-
For the study the patients were diagnosed mainly on the basis of clinical features of Garbhini Chhardi. The features compare of Chhardi, Hrullas, Trishana, Anadwesh, Dawrbalya.
At the time of starting the treatment, blood test, urine test of each patient was done.
Respectively Ashthavidha parikshan, Prakriti parikshan, Vikruti parikshan and systematic examination at started was done along with The treatment patient were given instructions of pathyapathya. The patient where restricted from taking another medicine during course of treatment. every patient was called for follow up after two days, five, ten, twenty, and thirty five days Variation in symptoms and percentage of relief where observed in data collection.
The patients suffering from Garbhini Chhardi were summarized as Age, Religion, Educational Status, Mode Of Work, Diet, Agni, Koshtha, Doshaj Prakruti according to the gradation of symptoms at started previously the side effect of each drug were also looked after result, were put forward according to statistical analysis of symptoms variations .
Grading of symptoms:-
Chharadi
1
No Chharadi
0 (0)
2
Ones a time in /24 Hrs.
1 (+)
3
2-3 time in /24 hrs.
2 (++)
4
5 time or more in / 24 hrs.
3 (+++)
Hrullas
1
No Hrullas
0 (0)
2
Before chhardi only
1 (+)
3
2-3 time in /24 hrs.
2 (++)
4
5 time or more in /24 hrs.
3 (+++)
Trishna
1
Normal
0 (0)
2
Mild trishna then normal
1 (+)
3
Moderate Trishna
2 (++)
4
Severe Trishana
3 (+++)
Anadewesh
1
Good Apetite
0 (0)
2
Only while visualizing food
1 (+)
3
Visual and preparing food
2 (++)
4
Smell of food, intake of food
3 (+++)
Daurbalya
1
Normal
0 (0)
2
Able to perform routine work
1 (+)
3
Able to perform routine with difficulty
2 (++)
4
Unable to perform routine work
3 (+++)
Table showing distribution of patients according to Age, Group, Agni Parikshan, Koshtha, Doshaj Prakuti.
Age group
Treatment
Group A
Placebo
Group B
Total %
1
19 to 21
6
20.00%
5
16.66%
11 18.33%
2
21 to 24
13
43.33%
7
23.33%
20 33.33%
3
Above 24
11
36.66%
18
60.00%
29 48.33%
Treatment Group A
Placebo Group B
AGNI
No of Patients
%
No of Patients
%
Total %
1
Manda
13
43.33%
13
43.33%
11 18.33%
2
Visham
6
20.00%
6
20.00%
20 33.33%
3
Tikshna
8
26.66%
11
36.66%
29 48.33%
4
Sama
3
10.00%
0
0.0%
3 5.00%
Treatment Group A
Placebo Group B
Koshtha
No of Patients
%
No of Patients
%
Total %
1
Mrudu
12
40
10
33.33%
22 36.66%
2
Madhyam
11
36.66%
15
50.00%
26 45.33%
3
Krura
7
23.33%
5
16.66%
12 20.00%
Treatment Group A
Placebo Group B
Doshaj Prakruti
No of Patients
%
No of Patients
%
Total %
1
Vat – Pittaj
13
43.33%
17
56.66%
30 50.00%
2
Pitta – Kaphaj
13
43.33%
11
36.66%
29 48.33%
3
Vat – Kaphaj
4
13.33%
2
6.66%
1 1.66%
Table showing effect of therapy on symptoms of 60 patients of Garbhni Chhardi by period ‘T’ test.
Chhardi:-
Group
T/t
Mean
SD
SE
P
Significance
Infexnce
A
B.T
2.26
0.78
0.14
-
-
Non-Significant
2 Days
2.16
0.87
0.15
-
1.83
Significant
5 Days
1.7
0.87
0.16
0.05
5.55
Significant
10 Days
1.23
0.85
0.15
0.01
11.74
Significant
20 Days
0.66
0.75
0.13
0.01
13.21
Significant
A.T
0.266
0.52
0.095
0.01
14.14
Significant
B
B.T
2.13
0.81
0.14
-
-
Significant
2 Days
2.13
0.81
0.14
-
-
Non-Significant
5 Days
2.13
0.81
014
0..01
0.00
Significant
10 Days
1.53
0.77
0.14
0.01
6.71
Significant
20 Days
1.13
0.97
0.17
0.1
8.06
Significant
AT
0.93
0.90
0.16
0.01
9.36
Significant
To study the effect of treatment over period of time observation was recorded before treatment, after 2 days, after 5 days, after 10 days, after 20 days and after 35 days. The pair wise comparison result obtained for Chhardi symptom are presented in a above table, it is reveled from above table that in treatment group significant relief was obtained after 5 days and continue over the experimental period. For placebo group relief to the patient obtained after 10 days and continued for experiment period.
It can be concluded the treatment of Kustumbari churna is found to be effective for immediate relief to patient.
Table showing distribution of patients of according to number of pregnancies i.e parity and Chhardi.
Chhardi
Once a day
Chhardi 2-3
Times a day
Chhardi 5
Times or more
Total
Para I
5
10
22
37
Para II/III more
6
10
7
23
Chi squre
11
20
29
60
Hrullas
Before
Chhardi
2-3
Times
5
Times or more
Total
Para I
12
11
14
37
Para II/III more
10
6
7
23
22
17
21
X2=0.5353
Trishna
Mildthirst
Moderate
Severlythirst
Total
Para I
5
6
21
37
Para II/III more
5
6
12
23
10
17
33
X2=0.6422ns
Annadwesh
While visualizing food
Visual and preparing food
Smell and intake of food
Total
Para I
5
5
27
37
Para II/III more
5
5
13
23
10
10
40
X2=1.15ns
Daurbalya
Able to perform routine work
Perform routine work with difficulty
Unable to perform routine work
Total
Para I
5
5
27
37
Para II/III more
5
6
12
23
10
11
39
X2=0.6422
Table showing distribution of patient according to age and parameter & chhardi.
Chhardi
Age
Chhardi
2-3 Times
Chhardi
5 Times or more
Total
19 to 21
5
6
11
21 to 24
6
14
20
24 and Above
10
19
29
21
39
60
Hrullas
Age
Hrullas
2-3 Times
Hrullas
5 Times or more
Total
15 to 21
6
6
11
21 to 24
10
10
20
24 and Above
24
5
29
39
21
60
x=3.85
Trishna
Age
Moderat Trishna
Severe
Trishna
Total
15 to 21
5
6
11
21 to 24
12
8
20
24 and Above
18
11
29
35
25
60
Annadiwesh
Age
Visual & preparing food
Smell & intake of food
Total
19 to 21
5
6
11
21 to 24
6
14
20
24 and Above
9
20
29
20
40
60
Dourbalya
Age
Perform routine work with difficulty
Unable to perform routine work
Total
19 to 21
6
5
10
21 to 24
11
9
20
24 and Above
18
11
29
55
25
60
It is felt that the pregnancy pairity and age of women are associated with symptoms of variety to study the agreement between the attributes:-
- Pairity number and vomiting sensation
- Age of women and vomiting sensation
Chi-square test was used to study the association, distribution of Re respondands according to age and parity number along with x2 value is present in following table that value for all attributes under study where non-significant indicating that there is no association between them i.e Symptoms of vomiting sensation are independent of parity number as well as age of women.
SAMPRAPTI BHANG
GARBHINI CHHARDI
Kustumbari Churna With Tandulodak
Deepan
Agnivardhan
Pachan
Correction Of Strotoarodh (Annavaha & Raswaha Strotas)
Udan And Vyan Vayu In Its Prakrut Gati
Formation Of Samyak Aaharras
Prasadan Of Amashya Grihini
Uttoratar Dhatvposhak Karma & Fetel Development
Correction Of Kha-Vaigunya
Dushya Coorection Doshya Shaman
Breaking Of Chain Of Samprapati
Proper Nourishment Of Mother & Fetus
Ideal Treatment Of Chhardi
Results :-
Kustumbari churna and Sharkara in combination with Tandulodak provide effective in Garbhini Chhardi.
Discussion and conclusion:-
Kustumbari churna with the Sharkara and Tandulodak as very effective safe and good result yielding drug for Garbhini Chhardi as it is Vataghana, Deepan Pachak, easily available cheaper with no side effects.
One can assume that Kustumbari churna can be used for management of Garbhini Chhardi also in symptoms like Chhardi, Trishna, Hrullas, Dourbalya. This is due to Ushna virya, Singdha guna of Kustumbari, Deeepan Pachak and Sharkara is madhur rasatmak and singhdha. We got better results than the placebo group B in which we used only plain Tandulodak.
Vitamin, mineral iron required to pregnant woman is also supplied at Kustumbari churna contains vitamin A, B, C minerals like calcium, Phosphorus, Sodium, Potassium and iron therefore before results are observed in short duration and without any disadvantage and side effects.
Acknowledgement:-
I would like to thanks Dr. P.R Adhav principal S.V.N.H Rahuri, Dr. Mrs. Chetna j. Kulkarni, V Jayant Kulkarni, Dr. R.R Vavhaval Ex. HOD, Dr. C.S. Londhe, Ex. HOD Tarachand Hospital Pune Dr Doiphode ex. principal Pune University.
References:-
Sr. No
Name
Books
1
Sarth Yograthakar
Mulasha Marathi Bhashantar Bhag 2nd
Vaidays Datto Ballal Borkar
2
Charak Samihita
Agnivesh Edited By Bramhanand Tripathi 4th Addition Published By Chukhambha Bharti Academy Varanasi 1996
3
Sushrut Samhita
Translated by Atridev edited by Dr. Channekar, motilalBanwari Das Banlaw Road, Jawahar Nagar, Delhi 5th Addition 1975
4
Ashtang Haridaya
Vaghat Vidyatini Hindi Comm. By K.S.Viraj Atridev Gupta Chaukham by Sanskrit Academy varanaci 10th Edition 1987
5
Bhavprakash Nighartu
Bhavmishra Vidyotini Hindu Comm. By Brahmao Shankar Mishra Shashtri 7th Edition.
6
Ayurivediya Aushadhi Gundharma Shashtra
Vd. Gangadhar Shashtra Gune Vidhyak Grantha Bhandar Shanivarpeth Pune 30-1992
7
Raj. Nighantu
Pt. Narhari edited by Indradev Tripathi, Krishna Das Academy
Orientalla, Varanasi 15th edition 1982.
8
Ayurvediya Streeroga Avm Prasutitantra Part I
Vd. Premvati Tiwari
9
Kashyap Samnhira
Vridna jivaka pt. Hemraja Sharma shri. Bhisagacharya Chavkhamba Sanskrit sansthan Varanasi.
10
Textbook of obstetrics and neonatology & reproductive and Child Health education
C. S. Dawn 6th edition 2003 Dawn books.
11
Text Book of Obstetrics
D.C. Dutta