During my Kayachikitsa P.G. at Govt. Ayurveda College, Thiruvananthapuram, while discussing about our thesis topics, our department Head Dr. P. Sankarankutty suggested me to do a work on Thuvaraka rasayana in some obstinate skin disorder. I opted to do it in psoriasis vulgaris.
I was very happy to get such a wonderful guide like Dr. M.R. Vasudevan Namboodiri. The study had excellent results. The histopathology was done by Dr. M. Balaraman Nair, Retired Principal of Govt. Medical College, TVm. While assessing the results, he commented me that this drug shows wonderful results and you should publish it in some international journals. There was profound changes in histopathology showing the rasayana nature of Thuvaraka. I bow my head in front of our Acharyas who were able to know it without the microscope.
After joining in I.S.M. Department also, whenever I treated extreme psoriatic patients, I opted to give THuvaraka rasayana after Sodhana. I was very much Satisfied with the result. Many Ayurvedic doctors enquired me about the administration of Thuvaraka rasayana. As a result of demand from many doctors, I decided to publish my thesis work.
I extend my sincere gratitude to my respected guide Dr. M. R. Vasudevan Namboodiri M.D. (Ay.) for his valuable guidance and support. I am grateful to Dr. P. Sankaran kutty M.D. (Ay.) as this work is the outcome of the idea that budded in his mind. I am thankful to Dr. M. Balaraman Nair M.D., D.P.B., D.M.F., who helped me in histopathological evaluation and to all my patients who have voluntarily submitted themselves for this study.
I express my heartful thanks to my father Mr. A. T. Divanniassios who has done hard work in the collection and preparation of Thuvaraka seeds and oil, and to my husband Mr. Joseph. N. George for his constant support and encouragement.
I am extremely thankful to Dr. Manoj Sankara narayanan who has taken great effort and made it possible to get this book published.
Ancient India was the original birth place of many great sciences such as Ayurveda, which attracted the attention of the entire world and influenced considerably the science of medicine of other ancient nations as well. Ayurveda, is not merely a science of ‘diseases and drugs’ but has in its sphere every aspect of life.
In the frame-work of Indian culture with a definite out look on life, Ayurveda forms a basic science in the sense that all other objectives of life such as Dharma, Artha, Kama and Moksha, embodied in the formula of ‘Chaturvidha Purushartha’ are not possible without health and happiness. The man has therefore, eternally endeavoured to keep himself healthy and free from miseries.
Ayurveda or the science of life, really encompasses in its scope all old and new knowledge, that is useful to preserve health and happiness which lies in the equilibrium of the constituent ingredients such as doshas, dhatus, malas, agni, Athma, indriyas and manas. Ayurveda is the way of living according to the laws of nature inherent in all living things.
The important concepts presented by Ayurveda and the scientific view points propounded, need rational considerations. The ethical concepts as well as the important values of life presented in Ayurveda, need emphesis even now.
The occurance of Dermatological diseases in India was long back recognized. The ancient Ayurvedic books like Charaka Samhita, Susruta Samhita and Ashtanga hridaya described dermatological diseases under the heading Kushtam. The word Kushta in Ayurveda refers to a group of skin disorders which includes leprosy also.
Psoriasis is a common, genetically determined, inflammatory and proliferative disease of the skin, the most characteristic lesions consisting of chronic, sharply demarcated, dull-red scaly plaques, particularly on the extensor prominences and in the scalp. The most common type of psoriasis is psoriasis vulgaris. There are millions of men and women all over the world today, who suffer from psoriasis. Psoriasis is actually a complexity of the disease which does not kill, but is responsible for a great deal of unhappiness and depression.
|List of tables||vi|
|List of Figures||ix|
|Section I General Introduction||vi|
|1.2||Need and Significance||4|
|1.3||Statement of the problem||5|
|1.4||Objectives of the study||5|
|1.8||Contents of the Thesis||5|
|Section –II Review of Literature||vi|
|Chapter -1||Anatomy and Pysiology of skin||9|
|2.1.6||Function of the skin||12|
|2.1.8||Layers of skin||15|
|2.1.9||Functions of skin according to Ayurveda||17|
|2.2.3||Aetiology of psoriasis||20|
|2.2.8||Signs and symptoms of psoriasis||40|
|2.3.3||General nidana of kustha||55|
|2.3.6||Dhatu involvement of Kushta||58|
|2.3.7||Classification of kushtaroga||61|
|2.3.9||Involvement of doshas in kustha||67|
|2.3.11||Principles of classical management of kushtam||71|
|2.3.13||Commonly used medicines in kushtachikitsa||76|
|Chapter -4||Comparitive study of psoriasis and diseases in Ayurveda||78|
|2.4.2||Comparison of signs and symptoms||78|
|2.4.3||Role of thridoshas in the manifestation of Psoriasis||82|
|Chapter -5||Thuvaraka rasayana||84|
|2.5.2||Types of rasayana||84|
|2.5.3||Importance of sodhana prior to rasayana chikitsa||85|
|Chapter -6||Review of Drugs||89|
|2.6.2||Drugs of Thuvaraka rasayana||89|
|2.6.3||Drugs of AragwadhaMahathikthakaghrita||94|
|2.6.4||Drugs used for vamana||109|
|2.6.5||Drugs used for virechana||109|
|Section –III Methodology of Clinical Study|
|3.4||Setting for the study||114|
|3.9||Duration of the study||115|
|3.12||Collection of data||115|
|3.15||Assessment of response||119|
|Section –IV Observation, Analysis and Interpretation|
|4.1||Observation and analysis||123|
|4.1.2||Data related to psoriasis vulgaris||126|
|4.1.3||Data related to response to treatment||130|
|4.2.1||Interpretations of Demographic Data||150|
|4.2.2||Interpretations of data related to psoriasis vulgaris||150|
|4.2.3||Interpretations of data related to response to treatment||152|
|4.2.4||Probable mode of action of the treatment procedures||153|
|Section –V Summary And Conclusions|
|5.1||Summary of the study||157|
|5.2||Summary of the results||158|
|5.5||Recommendations for further research||160|
Item Code: NAH062 Author: Dr. Sherly Devanni Cover: Paperback Edition: 2010 Publisher: Chowkhamba Sanskrit Series Office ISBN: 9788170803485 Language: English Size: 8.5 inch X 5.5 inch Pages: 192 Other Details: Weight of the Book: 210 gms