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ROLE OF ROOKSHANA AS

PURVAKARMA FOR VIRECHANA INTHE MANAGEMENT OF STHAULYA(PREDIABETIC)”

Presenter:Dr. Karanvir Singh

Guide:Dr. Muralidhar P. Pujar M.D (Ayu.) PhD

Professor & Deputy Medial Superintendent

D!PA"#M!$# % PA$'AKA"MA 

SDM 'ollege of Ayurveda & ospital assan

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prevalene of pre*dia+etes and its syndro,e has

s-y ro-ed /0 in the last deade.

South !ast Asian ountries li-e 1ndia 2ill +ear

,a3i,u, i.e. 440 glo+al +urden of the disease

as the ratio is e3peted to reah fro, 54.0

(/667) to 46.70 (5857).

'linial trials proved evidene of +ene9t only for

the peoples 2ith pre*dia+etes.

All the peoples 2ho develop dia+etes go through

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INTRODUCTION

#argeting peoples 2ith pre*dia+etes;< A,erian Dia+etes Assoiation.

=ifestyle intervention should +e

ai,ed at peoples 2ith pre*dia+etes; < $ational Dia+etesAssoiation Progra,,e.

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Madhu,eha also has +een ,entioned as one of the

se>uel of Sthaulya (o+esity).

or the Sthautya one of the lines of treat,ent is

?irehana. in the Sthula patients there is a fear that Snehapana

,ay further inrease Meda (dyslipide,ia).

"oo-shana as Purva-ar,a prior to Snehana

partiularly in the onditions li-e Ma,sala and

Medura (o+ese) patients.

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OBJECTIVES

 #o assess the e@ay of ?irehana perfor,ed +y using

lassial Snehana as Purva-ar,a in pre*dia+etes.

 #o evaluate the role of ?irehana perfor,ed +y

onduting "oo-shana as Purva-ar,a prior to Snehana

in pre*dia+etes.

 #o asertain 2hether perfor,ane of "oo-shana prior

to A+hyantara Snehapana in ?irehana provide +etter

relief in the pre*dia+etes +y o,paring +oth the

groups.

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MATERIAL & METHODS

Sourc o! D"#"

 #he patients 2ere seleted fro, the Panha-ar,a

%.P.D and 1.P.D of S.D.M. Ayurveda ospital

assan.

M#$o% o! Co''c#o o! D"#"

8 o+ese patients 2ho 2ere 2ith or 2ithout 9rst

degree relative suBering fro, type 5 D.M 2ere

seleted for the further detail investigation as per

the follo2ing inlusion riteria.

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INCLUSION CRITERIA

Patients having i,paired fasting gluose (1G) or i,paired

gluose tolerane (1G#) having Cody Mass 1nde3 (C.M.1) 8

along 2ith ful9ll,ent of any one of the follo2ing riteria 2ere

seleted.

Eo,en 2ith F8 of gestational dia+etes.

irst degree relative of the patient 2ith type 5D.M.

Patients having Purvarupa of ,adhu,eha. E*CLUSION CRITERIA

 Patients 2ith esta+lished type / or type 5 D.M.

  Patients on steroids.

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PLAN OF STUDY 

 #he seleted patients 2ere divided into

follo2ing 5 groups for the treat,ent.

 Grou+ ,S- 

Grou+ ,R- 

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GROUP ,S-

S$"+""  Moorita Ghrita 2as ad,inistered orally in

the inreasing dose till Sa,ya- Snigdha =a-shanas 2ere

o+served

 S.%""  Sarvanga A+hyanga 2ith Moorhita taila

and Mrudu Cashpa Sveda 2as given on three gap days.

  Vrc$""" /"r0" 

?irehana-ar,a 2rth "eha-avati in the dose of 5 ta+lets2as perfor,ed +y lassial ,ethods.

 S"0"r1""/"r0"

 #arpanadi Sa,sarjana-ra,a depending on the Shuddhi.

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GROUP ,R-Roo/$""

 D# 

 #he rie and 2heat hapati 2as replaed +y hapati,ade +y yava (+arley).

 #he patient 2as advised to ta-e #a-ra (+utter ,il-) 788

,l t2o ti,es a day +efore ,eal. Dru2 

 #he patient 2as ad,inistered #riphala K2atha orally inthe dose of 78,l three ti,es a day +efore ,eal.

  Si,ultaneously dvartana 2ith #riphaladi 'hurna 2asdone all over the +ody.

All the a+ove diet and drugs 2ere givensi,ultaneously daily for 4 days or till the Sa,ya-

"oo-shana =a-shanas are o+served.

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S$"+""3  Moorhitaghrita 2as ad,inistered

orally in the inreasing dose till Sa,ya- Snigdha

=a-shana 2as o+served.

 S.%""3 Sarvanga A+hyanga 2ith Moorhita

 #aila and Mrudu Cashpasveda 2as given for three

days.

 Vrc$"" /"r0" :?irehana-ar,a 2ith

"ea-avati in the dose of 5 ta+lets 2as arried out

+y lassial ,ethods.

S"0"r1"" /"r0" 3 #arpanadi Sa,sarjana-ra,a

depending on the Shuddhi.

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ASSESSMENT CRITERIA

Cased on suppression on para,eters suh as

CS

CM1

%G##

=1P1D P"%1=!

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"!S=#S

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CM1 &CS %G## =D= #riglyeride ?=D= (D=85

H

.

I

/8

/5

/H/.

/I

O.r"'' (0+ro.0)#& 4(#$ Ru/&$")" +oor."/" V(rc$")"

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CM1 CS %G## =D= ?=D=#riglyeride D=8

5

H

I

/8

/5

O.r"'' 0+ro.0# 4#$ S$"" +ur."/" Vrc$""

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  DISCUSSION

As the Sthaulya is the B"$u%o$" Pr"%$""

V5"%$6 Shodhana is the 9rst line of treat,ent 2hih

should +e adopted 2here inreased Kapha Pradhana

Doshas 2hih are +rought to Koshtha +y Snehana

and Svedana are e3pelled out +y ?irehana.

 #hus "oo-shana Purva-a Snehana and ?irehana

help in e3pelling the Doshas in larger >uantity and

redue the signs and sy,pto,s of pre*dia+etes for

2hih it is very neessary.

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?irehana yoga gets a+sor+ed and due to ?irya it

reahes to the ridaya then the Dha,anis and

thereafter it reahes to Sthula and Anu Srotas i.e.

,aro and ,irohannels of the +ody.

Due to shna Guna the Dosha Sanghata

(o,patness) is li>ue9ed (?ishyandana).

Ation of #i-shna Guna is to +rea- the Mala and Dosha

in ,iro for,. Aording to Dalhana it is responsi+le of

>ui- e3retion (Dosha Sravana Karatva).

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Due to Su-sh,a Guna +y reahing in ,iro

hannels disintegrates endogeni to3ins 2hih are

then e3reted through ,irohannels (Anupravana

Chava).

Mainly due to Pra+hava Prthvi*Jala onstitution and

presene of Sara Guna ?irehana ours. #his is the

evauate ation.

"u-shana has antagonist nature to the Meda and

-apha thus "u-shana Poorva-a ?irehana does the

added +ene9t to the Shodhana.

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CONCLUSION

 

"oo-shana Purva-a ?irehana and Sneha Purva-a

?irehana provided +etter relief 2ith respet to all the

su+jetive and o+jetive para,eters.

"oo-shana Purva-a ?irehana has +etter role in

providing relief to the patients of Sthaulya( Pre*dia+etes)

"oo-shana Purva-a ?irehana therapy proved very

signi9ant in 2eight ,anage,ent and redution of

gluose and lipid levels.

Ayurveda has very +road and synergeti vie2 for

understanding the pathophysiology and treat,ent

priniple for o+esity and its onse>uenes.

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 #han- you..