Escolar Documentos
Profissional Documentos
Cultura Documentos
Steps of Oil Medication 4. Kalka I and decoction I then added to the oil and heating
1. A coarse powder of 38.41 gm each of item nos. 1-23 was of mixture was started. heating was continued at a
made and divided equally in to 10 parts. Numbered them medium heat till all the moisture evaporates and the oil
as Qwatha churna. One part at a time was soaked reaches the Mridu paka stage.
overnight (apprx. 12 hours) in 100 times water (9.986 5. This oil was filtered and Kalka II and decoction II was
liters for each part of qwatha for a 1 liter batch of sesame added to it and again it was heated at a medium heat till
oil). Next morning it was boiled on medium heat till it all the moisture evaporates and the oil reaches the
reduced to 1/10 i.e. 998.6 ml. Filtered and kept aside. Mridu paka stage
2. A fine powder of 3.2 gm of items 26 48 was prepared 6. This process was repeated with all the 10 parts of Kalka
and divided again into 10 equal parts. Then it was and the decoction.
labeled as Kalka. Sufficient water was added to one part 7. After the 10th Paka, specified quantity of milk and two
at a time so that it becomes like a paste. Each part was times the quantity of water (1 liter of milk and 2 liter of
added to oil at a time and the paka done. water for a 1 liter batch of sesame oil) was added and
3. 1 liter of sesame oil was heated in a stainless steel boiled till the correct Paka Mridu Paka is reached. This
container till the Mango leaf test was positive. Then fire was ascertained by absence of moisture in the oil.
was put off, oil was allowed to cool slightly.
Page 296
Patil Y. R et al. IRJP 2012, 3 (5)
8. The oil was filtered while it was hot and stored in Physicochemical Analysis
appropriate containers. Because of presence of milk, it Following is the result of Physiochemical analysis of the Anu
was cooked for two days. Tailam.
Figure 1 & 2 - T1, T2, T4, T5: Methanolic Extract of Anu Tailam, Different dilutions, T3: Methanolic Extract of Plain Sesame Oil
Before the initiation of the study, the study protocol and related documents were reviewed and approved by Institutional Ethics
Committee at Shri Ayurved College, Nagpur, Maharashtra.
Healthy volunteers (age group, 20 to 50 years) attending the Outpatient Clinic at Shri Ayurved College, Nagpur, Maharashtra
and meeting all the inclusion criteria were recruited in the trial.
Inclusion Criteria
Healthy volunteers, age between 20 to 50yrs. were included in this study. Each and every volunteer in the study was
investigated to rule out any type of pathology.
Exclusion Criteria
Criteria of exclusion was decided as per mentioned in ayurvedic texts10.
1. Upper respiratory tract infections (acute / chronic Rhinitis),
2. Volunteers who has consumed alcohol
3. Volunteer who just had bath, food, sex.
4. During pregnancy or menstruation.
5. Volunteer below 20 years or over 50 years of age
Criteria for Assessment (Subjective Parameters)
1. Klam (Relief from tiredness) (Mild +, Moderate ++, Severe+++)
2. Drishti Kshamata (Intensity of eyesight) (Mild +, Moderate ++, Severe+++)
3. Capacity of senses (Mild +, Moderate ++, Severe+++)
4. Palitya (Premature hair graying prevention) (Mild +, Moderate ++, Severe+++)
5. Sparsha Kshamata (Skin complexion Particularly over face) (Mild +, Moderate ++, Severe+++)
Grouping of Volunteers for Experiment Group B (Control group) (n=20) These volunteers were
All 40 volunteers were divided in 2 groups given 1 gm glucose powder with lukewarm water every day
Group A (Experiment group) (n=20) These volunteers in morning for total period of 1 month.
were advised to perform Pratimarsha Nasya, two times per Study Procedure
day i.e. in morning 8 am & in evening 6 pm for total period All volunteers in group A was advised to perform
of 1 month. Pratimarsha Nasya as per procedure mentioned in ayurvedic
Medication- Anu Tailam texts.
Dose 2 drops per nostril Pretreatment
Massage of forehead and face with oils
Fomentation of forehead and face
Page 297
Patil Y. R et al. IRJP 2012, 3 (5)
Main Procedure increased mean of difference (0.70.47) was found to be
Nasya was given in lying down position with head low. Eyes statistically highly significant (t = 4.71, P<0.001). Mean
of the patient were covered with a cloth. Nasya substance score of Kesha Patan (hair fall) was 2.250.44; which was
(Anu Tailam 2 drops) was instilled in one nostril while the decreased to 1.550.88 & statistically significant. When
other nostril is closed and vice-versa. The patient is asked to statistically analyzed, the increased mean of difference
inhale the substance or medicine forcefully. The oily (0.70.47) was found to be statistically highly significant (t =
substance or Kapha accumulates in throat. Volunteer was 6.66, P<0.001). Also mean score of Klam was 2.200.41;
advised to spit out. Never swallow it11. which was reduced to 1.50.82 & statistically highly
After Treatment significant. When statistically analyzed, the increased mean
Percussion on face, forehead of difference (0.70.47) was also found to be statistically
Fomentation on face, forehead highly significant (t = 6.66, P<0.001).
Gandusha with lukewarm water Shravan Kshamata was evaluated with help of Audiometry.
Avoid exercise, excess movement, mental Mean frequency for left ear before Nasya was 464.47 which
disturbances like anger, fear etc. was reduced to 41.754.38. The mean of difference was
All volunteers were advised to take normal diet. After (4.253.73) statistically highly significant (t = 5.101,
completion of this course of study all volunteer were P<0.001). Mean frequency for right ear before Nasya was
reviewed on criteria of assessment. 47.56.17 which was reduced to 42.756.97. The mean of
Statistical Analysis difference was (4.754.12) statistically highly significant (t =
The data collected from the CRF were then subjected to 5.14, P<0.001).
demographic and statistical analysis. Paired and Unpaired t Control group was not given any type of Nasya. However 1
test was applied to the data generated. The t test, gm. of glucose powder was given as described earlier. The
probability, co-relations, demography, sampling, graphical volunteers assessed before & after placebo treatment. Results
presentations and other statistical methods were applied to obtained are summarized in table 4 to 7. Also these results
find out the significance of the improvement. were analyzed on basis of criteria of assessment which are
Observation & Results discussed below.
In this study 40 volunteers were selected randomly and these Mean score of Gandha Dnyana in control group at baseline
volunteers were grouped under experimental & control group was 1.80.41; which was increased significantly to 1.880.49
i.e. 20 volunteers per group. The important demographic at end of study. When statistically analyzed, the mean of
finding of these groups are compiled in table 3 difference (0.050.39) was found to be negligible (t = 0.56,
P>0.1). Mean score of Rasa Dnyana in control group was
Table3 Showing Results after Analyzing Demographic Data 2.20.41 before experiment; which was increased by
Data Percentage (%) 0.150.49 up to 2.350.58. The increase difference was
Sex Female 65% found to be by chance at 10% level (t=1.37, P>0.1). This
Habit tea 92.5%
insignificancy might be due to no effect of drug in control
Dietary habits Mixed 67.5%
Daily regimen (Dinacharya) followers 80% group. Also mean score of Drishti kshamata in control group
Prakuti Kapha Vata Prominent 35% at baseline was 2.350.49; which was increased marginally to
2.50.5 at end of study. When statistically analyzed, the
Pratimarsha Nasya was administered in experimental group increased mean of difference (0.150.58) was found to be
with the help of Anu Tailam in morning & evening for about statistically extremely less (t = 1.14, P>0.1). Mean score of
30 days. The volunteers assessed before after therapy & Sprsha kshamata in control group at baseline was 2.30.47;
results obtained are analyzed on basis of criteria of which was increased marginally to 2.450.51 at end of study.
assessment and revealed which is discussed below & results When statistically analyzed, the increased mean of difference
are summarized in table 4 to 7. (0.150.49) was found to be statistically insignificant (t =
Mean score of Gandha Dnyana at baseline was 1.90.31; 1.37, P>0.1). Mean score of Kesha Patan (hair fall) in control
which was increased significantly to 2.750.45 at end of group at baseline was 2.150.36; which was increased to
study. When statistically analyzed, the increased mean of 2.200.62. When statistically analyzed, the very negligible
difference (0.850.37) was found to be statistically highly decrease in mean score Xd = 0.050.60 was statistically
significant (t = 7.347, P<0.001). Mean score of Rasa Dnyana insignificant (t = 0.37, P>0.1). Also mean score of Klam in
was 2.250.44; which was raised to 2.550.51 & when control group was primarily 2.250.44; which was increased
statistically analyzed, increased mean of difference marginally to 2.300.47. When statistically analyzed, the
(0.300.47) was found to be statistically significant (t = marginal increased mean of difference (0.050.6) was also
2.017, P<0.05). Also mean score of Drishti kshamata (eye found to be statistically insignificant (t = 0.37, P>0.1).
intensity) at baseline was 2.450.51; which was increased Mean frequency for left ear before experiment in control
marginally to 2.700.47 at end of study. When statistically group was 40.254.12 which was reduced to 404.29. The
analyzed, the increased mean of difference (0.250.44) was mean of difference was 0.253.02 which is statistically
found to be statistically insignificant (t = 1.779, P>0.1). insignificant (t = 0.37, P>0.1). Also mean frequency for right
Effect of Pratimarsha Nasya was evaluated on Sparsha ear before experiment was 40.255.49 which was reduced to
Kshamata particularly on face. Mean score of Sparsha 404.59. The mean of difference was 0.253.02 which is also
kshamata at baseline was 2.250.44; which was increased to statistically insignificant (t = 0.37, P>0.1).
2.950.22 at end of study. When statistically analyzed, the
Page 298
Patil Y. R et al. IRJP 2012, 3 (5)
Table 4 - Various Parameters for Study and Control Group before Experiment
Sr.
Characteristic functions of Indriya Study Group Control Group F = (S1)2/(S2)2 p at 5%
No.
1 Gandha Dnyan Score 1.90 0.31 1.8 0.41 1.78 > 0.05
2 Rasa Dnyan Score 2.25 0.44 2.2 0.41 1.17 > 0.05
3 Drishti Kshamata Score 2.45 0.51 2.35 0.49 1.09 > 0.05
7 Kesha Patan Score 2.25 0.44 2.15 0.37 1.47 > 0.05
8 Klam Score 2.2 0.41 2.25 0.44 1.17 > 0.05
Table 5 - Various Parameters for Study and Control Group after Experiment
Sr.
Characteristic functions of Indriya Study Group Control Group F = (S1)2/(S2)2 p at 5%
No.
1 Gandha Dnyan Score 2.75 0.44 1.85 0.5 1.21 > 0.05
2 Rasa Dnyan Score 2.55 0.51 2.35 0.59 1.32 > 0.05
3 Drishti Kshamata Score 2.70 0.47 2.5 0.51 1.11 > 0.05
4 Sparsha Kshamata 2.95 0.22 2.45 0.51 0.19 > 0.05
Shravan Kshamata
5 41.75 4.38 40.0 4.29 1.04 > 0.05
(Left Ear)
6 Shravan Kshamata (Right Ear) 42.75 6.97 40.00 5.59 2.30 > 0.05
7 Kesha Patan Score 1.55 0.89 2.2 0.61 2.076 > 0.05
8 Klam Score 1.5 0.83 2.3 0.47 3.09 > 0.05
Page 299
Patil Y. R et al. IRJP 2012, 3 (5)
level) which may indicate that Nasya should be administered ayurvedic contention of Pratimarsha Nasya to some extent.
for longer period than 30 days for better intensity of vision. To evaluate the probable drug action, the drug in study group
Sparsha Kshamata All the volunteers in these respective should be loaded with particular radio-isotopes.
groups were analyzed with F test. Before experiment all were REFERENCES
at base line. After experiment insignificant F test directed to 1. Garde G. K. editor, Sartha vagbhata marathi commentary. In Ashtanga
Hridaya, 8th edition, Pune, India. Raghuvanshi publications 1996 page
perform unpaired t test, which reveals that difference 85
between two groups before experiment was insignificant 2. Tripathi R; Shukla V. editor, Vaidyamanorama hindi commentary. In
(t=0.34) while after experiment was highly significant Charak Samhita part 2, 2nd edition, Varanasi, India. Chaukhambha
Surbharati publications 2001 page 958
(t=4.013).
3. Tripathi B. editor, Charak chandrika hindi commentary. In Charak
Shravan Kshamata F test was also performed for Shravan Samhita part 1, 6th edition, Varanasi, India. Chaukhambha Surbharati
Kshamata. Before experiment all volunteers were at base publications 1999 page 335
line as F test for both ears was insignificant. When same test 4. Tripathi R; Shukla V. editor, Vaidyamanorama hindi commentary. In
Charak Samhita part 2, 2nd edition, Varanasi, India. Chaukhambha
was carried out after experiment, it was significant at 5% Surbharati publications 2001 page 945
level in case of right ear. However F test was insignificant for 5. Sharma A. editor, Sushrut vimarshini hindi commentary. In Sushrut
after experiment results for left ear. So further it will be Samhita part 2, 1st edition, Varanasi, India. Chaukhambha Surbharati
evaluated on unpaired t test which reveals highly significant publications 2001 page 495
results. So Pratimarsha Nasya is also beneficial for left ear. 6. Tripathi R; Shukla V. editor, Vaidyamanorama hindi commentary. In
Charak Samhita part 2, 2nd edition, Varanasi, India. Chaukhambha
Kesha Patan (Hair Fall) From results chapter in can be Surbharati publications 2001 page 958
suggested that Pratimarsha Nasya has beneficial effect on 7. Garde G. K. editor, Sartha vagbhata marathi commentary. In Ashtanga
premature graying of hairs. By performing F test, it was Hridaya, 8th edition, Pune, India. Raghuvanshi publications 1996 page
88
revealed that volunteers both groups were at base before the
8. Garde G. K. editor, Sartha vagbhata marathi commentary. In Ashtanga
experiment as test in this case was insignificant. After Hridaya, 8th edition, Pune, India. Raghuvanshi publications 1996 page
experiment also F test was insignificant. So effects were 87
calculated with unpaired t test. Before experiement 9. Garde G. K. editor, Sartha vagbhata marathi commentary. In Ashtanga
Hridaya, 8th edition, Pune, India. Raghuvanshi publications 1996 page
difference between two means of respective groups was 0.1,
87
which was significant. However after the experiment 10. Garde G. K. editor, Sartha vagbhata marathi commentary. In Ashtanga
difference of both group was calculated statistically which Hridaya, 8th edition, Pune, India. Raghuvanshi publications 1996 page
was significant at 1% level. 86
Klam To evaluate beneficial effects of Pratimarsha Nasya 11. Garde G. K. editor, Sartha vagbhata marathi commentary. In Ashtanga
Hridaya, 8th edition, Pune, India. Raghuvanshi publications 1996 page
on Klam, statistical values of F test in both group before 86
experiment very well explained that all volunteers in both 12. Tripathi B. editor, Charak chandrika hindi commentary. In Charak
groups were at same level for Klam Score. But after Samhita part 1, 6th edition, Varanasi, India. Chaukhambha Surbharati
publications 1999 page 414
experiment same test revels that volunteers were not at same
13. Garde G. K. editor, Sartha vagbhata marathi commentary. In Ashtanga
level. This difference was tabulated to be significant at 5% Hridaya, 8th edition, Pune, India. Raghuvanshi publications 1996 page
level which clearly indicates that volunteers in study group 85
were benefited by Pratimarsha Nasya of Anu Tailam. O n the 14. Garde G. K. editor, Sartha vagbhata marathi commentary. In Ashtanga
Hridaya, 8th edition, Pune, India. Raghuvanshi publications 1996 page
basis of these statistical values for Klam score, it can be
87
depicted that Klam was reduced more significantly by 15. Garde G. K. editor, Sartha vagbhata marathi commentary. In Ashtanga
experimental group (Pratimarsha Nasya) than control group. Hridaya, 8th edition, Pune, India. Raghuvanshi publications 1996 page
According to Ayurved concept drug used for Nasya enters 88
into body. These drugs might be acting on olfactory lobe and 16. Srikanth KY, Krishna murthy V, Srinivasulu M et al.
Pharmacodynamics of nasya karma. International J Research in
might be absorbed. Hejamadi S et al has explained its Ayurveda & pharmacy 2011; 2(1):24-26
systemic action by observing lymphatic systems in nostrils, it 17. Paun JS, Bagada AA, Raval MK et al. Nasal Drug Delivery As an
acknowledges us that some sensation nerves are Effective Tool for Brain Targeting A Review. International Journal of
Pharmaceutical and Applied Sciences 2010; 1(2): 43-55
accompanying with sensation nerves for smell16, 17, 18.
18. Sangeeta HJ, Toshikhane HD et al. A critical evaluation of concept of
Results shown that Pratimarsha Nasya of Anu Tailam Nasa hi shiraso dwaram. The pacific journal of science & technology
provides significant beneficial effect on functioning of some 2009; 10(1) :338-341
Indriyas. As well as, it also provides the ground to prove the
Page 300