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STR
STR
TO
ESSENTIAL HYPERTENSION AND ITS SAMPRAPTI VIGHATANA USING
JATAMAMSI CHOORNA”
By
Dr. RADHIKA T.P.
i
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE,
KARNATAKA
the guidance of Dr. R.K. HIBARE M.D. (Ayu), Professor and H.O.D., Department
i
CERTIFICATE BY THE GUIDE
Sciences, Bangalore.
I recommend this dissertation for the above degree to the University for
ii
GOVERNMENT AYURVEDIC MEDICAL COLLEGE
Dhanwanthari Road,
Bangalore –560 009
T.P. under the guidance of Dr. R.K. Hibare M.D. (Ayu), Professor, Department of Post
Date: Date:
Place: Place:
iii
COPYRIGHT
Karnataka shall have the rights to preserve, use and disseminate this dissertation
iv
DEDICATED TO MY
FAMILY
&
REVEREND TEACHERS
v
ACKNOWLEDGEMENT
Blessing of my Family.
This work is the outcome of the combined endeavor of a good number of people who
include researchers, academicians, friends, colleagues, parents and above all the patients who
cooperated with us in all aspects. Moreover it is the grace of Lord Almighty that this work
At this moment of submitting this dissertation in this Post Graduate study, my head bows down
with great humility in the feet of Lord Dhanwantari, Lord Shiva, Lord Krishna without whose
blessings, I would not have been able to attain these stages in my life. I take this opportunity to
acknowledge with holy passion and sincere gratitude, the unique guidance, enthusiasm and
knowledge to me by my reverend and proficient guide Dr. R.K. Hibare, Head of the Department of
Roga Nidana, Govt Ayurvedic Medical College Bangalore. I take this opportunity to express my
sincere gratitude with due respect to Dr.M. Ramesh Department of Roga Nidana, Govt Ayurvedic
Medical College Bangalore for his kind support and valuable guidance. I am very much thankful
to our Principal Dr. H.T. Sreenivas, Incharge Principal Dr. Ashalatha M. and Ex-Principal
Dr.S.G. Mangalagi, who gave me a chance to complete this work successfully. And also I thank
Dr. S.K. Hugar, Dr. Lalitha B.R., Dr. Shyla R. Yoganand, Dr.Shylaja Kumari & Dr.Anant
Desai for providing all sorts of help to carry out this research study. I also thank Dr. M.S. Ramesh
Lecturer Department of Roganidana Govt Ayurvedic Medical College, Bangalore who helped me
during the preparation of this work. I sincerely bow my head to my mother Smt Padmavathi T.S.
and my father Shri Thukaram S. for cultivating basic virtues which has lead me to where I am
now. And also I am very much obliged to my brother Prashanth T.P. for his moral support.
vi
I express my sincere thanks to all of my Colleagues Dr. Dileep, Dr. Pradeep, Dr.Nazima,
Dr.Jyothi and Dr. Sachin for their kind help and support. I am very thankful to my juniors Dr.
Rashmi, Dr. Chethana, Dr. Arun, Dr. Moh’d Yunus, Dr. Sangeeta, Dr. Indira Priyadarshini, Dr.
Priyanka, Dr. Madhusudan, Dr. Sudeesha and Dr. Kishore for their timely help and support. And
also I want to thank Dr. Navya for her suggestion which helped me in completing this work
successfully.
I also express my thanks to Dr. K.P. Suresh, Biostatistician who helped in completing my
statistics work. I also want to thank Dr. Sandeep K.C. for his in timely help in completing my
research work. I also express my warm thanks to staff of hospital and library for their positive
approach and prompt co-operation. Medicinal research cannot be carried out without the
enthusiastic attitude and due patience of the patients; I sincerely thank all my patients who
kindly allowed me to carry out the research studies on themselves. At last I express my thanks to
each & every person who are directly or indirectly associated in the smooth completion of this work.
Date:
vii
ABBREVIATIONS
viii
ABSTRACT
pressure is the pressure exerted by blood on the walls of the blood vessel. The arterial
estimated that 600 million people are affected worldwide. In India 14 % of people
Dushti w.s.r.to Essential Hypertension and its Samprapti Vighatana using Jatamamsi
vighatana of Shonita Dushti. The present study is based upon a reference from Bhava
ZÉhQû.89.
Jatamamsi being Medhya, Tridoshahara and Rakta doshahara helps in pacifying the
Shonita Dushti.
Study Design: It is a randomized comparative open clinical study with Pre-test and
Post-test design.
Setting: Shri Jayachamarajendra Institute of Indian Medicine Hospital (Teaching
ix
Study Selection: 40 patients suffering from Shonita Dushti of either sex between the
Intervention:
and Group B Randomly, with both the groups containing 20 patients each. The
findings was recorded in a special proforma and given due regard to the Past History,
and also kept on appropriate Pathya Ahara and Vihara. Patients in Group B-were kept
as Control Group on only Pathya Ahara and Vihara. The study was carried out for a
period of 30 days. Blood Pressure of patients was recorded before and after the trial at
a particular time.
Main Outcome Measures: The data were graded based on standard methods and
analyzed statistically using Paired and Unpaired Student ‘t’ Test and Chi-
RESULT: The trial produced highly significant result among patients of Group A
with regard to Systolic B.P., Diastolic B.P., Headache, Dizziness and Easy Fatigue
and Significant result with regard to Palpitation after trial in comparison to Group B.
The data thus obtained among patients of group A & group B leads one to the
interpretation that the trial employed for patients of group A is much superior in
comparison to group B.
Key Words: Shonita Dushti, Jatamamsi Choorna, Pathya Ahara and Vihara, Essential
Hypertension.
x
CONTENTS
1 Introduction 1-5
2 Objectives 6
3 Review of Literature
1) Etymological Derivation 12
2) Nidana 13-17
3) Samprapti 18-25
4) Rupa 26-32
5) Chikitsa 33-37
6) Pathya-Apathya 38
7) Sadhya-Asadhyata 39-40
4 Methodology 45-49
6 Discussion 111-125
7 Conclusion 126-128
8 Summary 129-130
10 Annexure 140-150
ix
LIST OF TABLES
x
29. Distribution of patients according to Rest taken during work 70
30. Distribution of patients according to Built 71
31. Distribution of patients according to Nourishment 72
32. Distribution of patients according to Deha Prakruti 73
33. Distribution of patients according to Dosha 74
34. Distribution of patients according to Satva 75
35. Distribution of patients according to Satmya 76
36. Distribution of patients according to Samhanana 77
37 Distribution of patients according to Pramana 78
38 Distribution of patients according to Vaya 79
39 Distribution of patients according to Sara 80
40 Distribution of patients according to Purva Kaleena Vyayama 81
Shakti
41. Distribution of patients according to Adyatana Vyayama Shakti 82
42. Distribution of patients according to Purva kaleena Abhyavaharana 83
Ahara Shakti
43. Distribution of patients according to Adyatana Abhyavaharana 84
Ahara Shakti
44. Distribution of patients according to Purva Kaleena Jarana Ahara 85
Shakti
45. Distribution of patients according to Adyatana Jarana Ahara Shakti 86
46. Distribution of patients according to Agni 87
47. Distribution of patients according to Koshta 88
48. Distribution of patients according to Aharatah Nidana 90
49. Distribution of patients according to Viharatah Nidana 91
50. Distribution of patients according to Manasika Nidana 92
51. Distribution of patients according to Other Nidana 93
52. Distribution of patients according to Rupa/Lakshana 94
53. Distribution of patients according to Dosha 95
54. Distribution of patients according to Dushya 96
55. Distribution of patients according to Family History 97
56. Distribution of patients according to Main Complaints 98
57. Distribution of patients according to Blood Pressure 99
58. Distribution of patients according to duration of Hypertension 100
59. Comparative evaluation of Headache in two groups of patients 101
studied
xi
60. Comparative evaluation of Dizziness in two groups of patients 103
studied
61. Comparative evaluation of Palpitation in two groups of patients 104
studied
62. Comparative evaluation of Easy Fatigue in two groups of patients 106
studied
63. Comparative evaluation of SBP (mm of pg) in two groups of 107
patients studied
64. Comparative evaluation of DBP (mm of pg) in two groups of 108
patients studied
65. Assessment of Overall Response (based on 6 parameters) 109
xii
LIST OF GRAPHS
xiii
28. Distribution of Samhanana 78
29. Distribution ofPramana 79
30. Distribution of Vaya 80
31. Distribution of Sara 81
32. Distribution of Purva Kaleena Vyayama Shakti 82
33. Distribution of Adyatana Vyayama Shakti 83
34. Distribution of Purva Kaleena Abhyavaharana Ahara Shakti 84
35. Distribution of Adyatana Abhyavaharana Ahara Shakti 85
36. Distribution of Purva Kaleena Jarana Ahara Shakti 86
37. Distribution of Adyatana Jarana Ahara Shakti 87
38. Distribution of Agni 88
39. Distribution of Koshta 89
40. Distribution of Aharatah Nidana 90
41. Distribution of Viharatah Nidana 91
42. Distribution of Manasika Nidana 92
43. Distribution of Anya Nidana 93
44. Distribution of Rupa/Lakshana 94
45. Distribution of Dosha 95
46. Distribution of Dushya 96
47. Distribution of Family History 97
48. Distribution of Main Complaints 98
49. Distribution according to Blood Pressure 99
50. Distribution according to duration of Hypertension 100
51. Comparative Evaluation of Headache in two groups 102
52. Comparative Evaluation of Dizziness in two groups 103
53. Comparative Evaluation of Palpitation in two groups 105
54. Comparative Evaluation of Easy Fatigue in two groups 106
55. Comparative Evaluation of SBP (mm of Hg) in two groups 108
56. Comparative Evaluation of DBP (mm of Hg) in two groups 109
57. Assessment of Overall Response (based on 6 parameters) 110
xiv
LIST OF PHOTOS
xv
LIST OF FLOW CHARTS
xvi
INTRODUCTION
INTRODUCTION 2012
INTRODUCTION
pressure is the pressure exerted by blood on the walls of the blood vessel. The arterial
sometimes asymptomatic, readily detectable, and usually easily treatable and often
14% of people suffers from hypertension, and majority of them have essential
health challenge in the pesent era because of its prevalence and concomitant risk of
will provide us with sufficient clarity regarding the chikitsa siddhanta to be employed
in this disorder. Thus the present study is expected to contribute significantly in the
modern life style. Shonita dushti corelated to essential hypertension has so far awaited
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
1
INTRODUCTION 2012
date. Attempts are made to explain hypertension according to the morbidity of Dosha.
hypertension. Although none of these names are universally accepted, in the fraternity
of Ayurveda.
Following is the small list of terms referred to essential hypertension coined by many
of the academicians.3
Leaving behind all these names, the essential hypertension when thought
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
2
INTRODUCTION 2012
adapting the principle of dosa, dhatu and mala theory, the pathology seems to be
manifestation of Shonita dushti and is seen diseases like pandu, kamala4. Another
characteristic of Shonita dushti is different types of skin lesions that are collectively
called as kushta. Bleeding tendency is also indicative of affliction of rakta dhatu and
resultant diseases are raktapitta, raktapradara, rakta meha and so on.5A group of
shonitha dushti.6
The list of the diseases caused due to shonitadushti does not end here.
buddhi sammoha, kampa etc. do not fall under any of the above said class.7 Also it is
interesting to note that all these symptoms are akin to manifestations of hypertension.
More to add, mada, moorcha and sanyasa, the different diseases caused by
dushti. So also, such a sequel is equally true in relation to malignant hypertension. All
these deliberation corroborates parlance of the shonita dushti and its different clinical
malignant hypertension.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
3
INTRODUCTION 2012
The clinical studies carried out in the past exploring the different
diagnostic and therapeutic aspects of the essential hypertension in aurveda are enlisted
below.
1.2001- Pathania Sunil Kumar- Role of Takra Dhara and Sarpagandha Ghana vati
4. 2005- Shah Pragna- Role of Virechana with Snuhi bhavita katuki in the
good health, hypertensive patients are looking towards Ayurveda. So it has become an
important duty of Ayurvedic research scholars and physicians to study the theory of
Hence an effort has been made here to Evaluate the Naidanika Samprapti
of Shonita Dushti and its Samprapti Vighatana using Jatamamsi Choorna is expected
better line of treatment. The present study entitled – “A study on Naidanika Samprapti
of Shonita Dushti w.s.r. to Essential Hypertension and its Samprapti Vighatana using
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
4
INTRODUCTION 2012
The present study has been carried out in two parts; Conceptual Study and
Clinical Study. Conceptual Study includes disease review and drug review. Disease
review starts with derivation of shonita dushti, nidana, roopa, samprapti, chikitsa,
Hypertension.
Drug Review starts with the basic information regarding the drug
Jatamamsi, its detailed explanation, chemical constituents, active principle and its
dosage.
This study was carried out on two groups namely Group A and Group B.
Group A was given with Jatamamsi Choorna and kept under proper pathya ahara and
vihara; Whereas Group B was considered as control group with only pathya ahara and
vihara.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
5
OBJECTIVES
OBJECTIVES 2012
OBJECTIVES
Hypertension.
Essential Hypertension.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
6
REVIEW OF
LITERATURE
HISTORICAL REVIEW 2012
HISTORICAL REVIEW
The History is the witness of the times. It tells us about the past time
and how the development and evolution of the mankind occurs. It helps to reveal
hidden facts and ideas of concerned subject. It also assists to pave pathway for future,
but these facts can be put together with structure to know what these facts are
supposed to tell us. Though Hypertension is a little older than a century, but its
relevant organ like Heart and relevant physiology like blood circulation etc. can be
traced back in our epics. The understanding of Nadi has been known since antique
VEDIC KALA:
Nymphaceae family). Deva kosha , kosha are also term attributed to Hridaya.12
• Atharvaveda explained types of Rakta gati, they are teevra gati and jata gati.15
(Blood). This can be understood as a circulation of Rasa Rakta within the body.16
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
7
HISTORICAL REVIEW 2012
between body temperature and heart beat. Heart beats can be heard till the
• Also we can get references for different types of heart sounds .They are compared
brahma jnaana.
• Blood supply of hridaya has been explained. Anta hridaya nadi s are distributed
within the heart like thousand times divided hair, heart receives nourishment
through it.
• How the nadi s are present in leaf of Ashwatha tree in the same way nadi s are
• Hridaya has got two parts vama aksha and dakshina aksha .
• Different internal parts of hridaya are, antarhita nadi, rakta keshika, hita,
composed of three words i.e. Hri-Da-Ya means the organ performs the duties of
• The Rasa is collected in Hridaya and from Hridaya it circulates throughout the
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
8
HISTORICAL REVIEW 2012
SAMHITA KALA:
Vishayas.18
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
9
HISTORICAL REVIEW 2012
NIGHANTU KALA:
Doshahara.24
A.D.
131 : Blood circulation described by GALEN first time. He also established the
1628 : The inventor of blood circulation “William Harvey” was the first to learn
1733 : Reverend Stephen Hales performed that blood rose to a height of 8 feet 3
Troube.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
10
HISTORICAL REVIEW 2012
1964 : George Pickering showed for the first time the profound fall in
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
11
ETYMOLOGICAL DERIVATION 2012
ETYMOLOGICAL DERIVATION
SHONITA DUSHTI
Shonita
Dushti
English dictionary.
Thus Shonita Dushti on the whole means blood that is defiled or corrupted.
HYPERTENSION
than normal for his age- Clarence Wilbur Taber medical dictionary Hypertension or
High blood pressure is a circulatory state; arising from any cause, in which the
pressure of the blood in the arteries becomes elevated beyond normal limits. In
general the term includes, any rise in arterial pressure whether temporary involving
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
12
NIDANA 2012
NIDANA
due to morbidity of any, some or all Dosha. Resultant diseases exhibit plurality
from trivial mouth ulcers to extremes of altered state of consciousness and death. It is
equally true that Shonita dushti arise due to plethora of etiologies ranging from
dietary elements to behavioral factors. Following table enlists the etiological factors of
Shonita dushti.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
13
NIDANA 2012
Environmental conditions
1 Sharath kala swabhavatcha + - +
Sedentary habits
1 Bhuktva diva praswapanam + + -
Consumption of alcohol, good nutrition with sedentary habits, too much intake
of dietary salt, mental stress and physical strain are said to cause Shonita dushti and
same causative factors are analogous to trigger of hypertension. The modes of these
etiological factors leading to Shonita dushti and hypertension are discussed at full
Alcohol intake :U
consumption of excessive alcohol renders aggravation of Vata & Pitta Dosha which in
turn afflicts Raktadhatu precipitating Shonita dushti. On the other hand, alcohol has
intoxicating doses of alcohol raises heart rate, cardiac output and hence increasing
systolic as well as pulse pressures. Most epidemiological studies have shown a close
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
14
NIDANA 2012
hypertension is common and if they drink more, it boosts up their blood pressure
also. Needless to say alcohol consumption has direct bearing in causing hypertension
Salt intake:
Moreover, literature also stress that, Lavana should not be consumed in excess and for
longer duration29. Lavana possessing properties like Ushna and Tikshna tend to
abnormally increase in the liquid portion within the body. Evidently, excessive
consumption of dietary salt causes fatigue, lassitude and weakness in the body and are
attributed to the morbid change in Rakta dhatu. In parlance, an excessive intake of salt
(sodium chloride) in the diet enhances ability of blood to hold water eventually
increasing the blood volume in the body. As the blood volume is directly proportional
U Sedentary habits:
Excessive consumption of foods that are heavy for digestion and also
having Madhura rasa and Snigdha property tend to increase the Kapha and Medas.
Lack of physical exercise and day sleep further adds to the pathogenesis30. These
factors in turn contribute to the Upalepa of the Srotas precipitating the Margavarana.
Identical to this explanation; it is said that, nutritious food habit with sedentary
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
15
NIDANA 2012
Mental stress: U
It is clear that psychological factors like stress, anger, anxiety etc, may
play a major role in the causation of Shonitadushti.32 When person is calm, heart
beat is regular, pulse is even, blood pressure is relatively low and visceral organs
are well supplied with blood. Contrary to this with stress – vessels of visceral
organs constrict, blood flows in larger quantities to muscles, heart beats faster and
work harder. As the heart speeds up, pulse quickens and blood pressure mounts. Due
Physical strain:
Isotonic exercises like jogging and swimming that does not cause any
physical strain helps in lowering the body weight. Isometric exercises like weight
lifting increases blood pressure. Corroborating the same in Ayurveda it is said that,
the word Shrama refers to such workout that cause strain to the body and
Seasonal influences:34
prevent heat loss. Volume of blood remains same, but vascular compartment is
More to add:
comparison of different racial groups. Most studies of blood pressure in black and
white people have reported a higher average blood pressure in blacks, and
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
16
NIDANA 2012
in rural area have low blood pressure and no rise with advancing age.35
of factors. The concept that genetic factors play an important role in blood pressure
in some communities and some families than others. Some has suggested that the
both parents have hypertension, the incidence of this disease in children is about 45%
and if one parent has hypertension, the incidence is about 30% and in normotensive
Hypertension in subjects with normal blood pressure and weight loss in obese subjects
with Hypertension. It lowers their arterial pressure, because obese people take more
sodium & less potassium and therefore may develop a rise of blood pressure due
to dietary factors.
Shonita dushti may also influence in causing the illness hypertension. To be more
precise salt intake, alcohol intake, sedentary habits, mental stress, physical strain and
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
17
SAMPRAPTI 2012
SAMPRAPTI
human body towards any disease is known as Samprapti.37 Dosha, dushya, srotus,
agni, ama etc. involved are of great importance and are known as samprapti
ghatakas. On the other hand, Acharya Sushruta’s concept of kriyakala describes the
understanding of it is very essential for early diagnosis, prognosis and for adapting
preventive and curative measures. The six distinct consecutive steps of kriyakala’s are
These are also suggestive of morbid doshas in association with shonita dushti,
afflicting the shiro marma eventually manifest with different clinical conditions of
Essential HTN. With this perspective following analysis of samprapti ghataka are
The Nidanas like Aharaja, Viharaja, Manasika and Anya which are already
explained before will cause Jatharagni and Dhatwagni mandya. Due to this there will
be Vata pradhana Tridosha prakopa, Rajo guna bahulata and Dushta shonita affecting
Sanjnavaha srotas. These tridosha incriminating the rakta dhatu, circulates all over the
body gets localized in head and siras, as a resultant of sanga and vimargagamana
manifest as shonita dushti. The detail of the same is shown in Flow Chart no. 1.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
18
SAMPRAPTI 2012
Shiras, Hridaya and Indriya presents with clinical symptoms ranging from trivial
HTN.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
19
SAMPRAPTI 2012
NIDANA
ADHISTANA IN SHIRAS
SHONITA DUSHTI
(ESSENTIAL HYPERTENSION)
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
20
SAMPRAPTI 2012
Samprapti Ghataka:
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
21
SAMPRAPTI 2012
increased peripheral resistance because of other two factors which determine the
height of the blood pressure i.e. cardiac output and the viscosity of the blood, are
unchanged. Increased resistance occurs chiefly in the arterioles and is more severe in
MECHANISM OF HYPERTENSION:
Angiotensin II has a wide range of action on the various organs of the body.40
1) Heart & Blood Vessels: Increases the blood pressure sharply and increases the
quantity and also salt or sodium content of the urine. But in large doses it
of water and salt in the body. The salt retention in turn reduces the secretion of
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
22
SAMPRAPTI 2012
Though the etiology of Essential HTN is ill defined, but the heredity is an
important factor. General causes include anxiety, worry, modern city life, alcoholism,
mental strain, especially when combined with sleeplessness and lack of regular
exercise.41
alterations in renal sodium homeostasis and/or vessel wall tone or structure underlie
Essential HTN. In established HTN, both increased blood volume and increased
Vasomotor Centre. Due to this there will be vaso constriction. It in terms constricts
Renal vessels. It leads to Renal Ischemia. So that there will be excessive liberation of
Renin. Renin acts on a plasma protein called Renin substrate and converts it into a
leads to more secretion of Aldosterone to cause water and salt retention and also
With the retention of water and salt the circulatory blood volume also
increases and leads to increase in blood pressure. This suppresses the secretion of
renin which leads to reduction in the level of angiotensin and aldosterone. If there is a
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
23
SAMPRAPTI 2012
break in this smooth cycle of control mechanism, the production of these substances
leads to hypertension.43
is probably a key initiating event; indeed, it is a final common pathway for the
obligatory increase in fluid volume and increased cardiac output, thereby elevating
blood pressure. At the higher setting of blood pressure, enough additional sodium will
be excreted by the kidneys to equal intake and prevent fluid retention. Thus, a new
steady state of sodium excretion would be achieved, but at the expense of an elevated
blood pressure.
vascular wall structure that result in increased resistance. Chronic functional vaso-
resistant vessels.
wisdom is that Essential HTN results from interplay of multiple genetic and
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
24
SAMPRAPTI 2012
ETIOLOGICAL FACTORS
NEUROGENIC INADEQUATE
STIMULI FROM SODIUM
HYPOTHALAMUS EXCRETION
VASO CONSTRICTION
RENAL VASO
CONSTRICTION
EXCESSIVE
LIBERATION OF RENIN
NATRIURETIC
HORMONE
PRODUCTION OF
ANGIOTENSIN I VASCULAR
PLASMA & ECF VASCULAR WALL
ACE REACTIVITY
VOLUME THICKNESS
PRODUCTION OF
ANGIOTENSIN II
TOTAL PERIPHERAL
CARDIAC OUTPUT
SECRETION OF RESISTANCE
(AUTOREGULATION)
ALDOSTERONE
ESSENTIAL HYPERTENSION
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
25
RUPA 2012
RUPA
and shonita dushti. Even the different stages of hypertension regards to severity
diseases like pandu and kamala. Another characteristic of Shonita dushti is different
resultant diseases are raktapitta, raktapradara and rakta meha46. A group of vascular
darshana, Dourbalya Buddi sammoha, Kampa48 these does not fall under any of the
above said categories and these symptoms are akin to manifestations of hypertension.
Shonita dushti includes list of illness ranging from obstinate skin disorders to
hypertension.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
26
RUPA 2012
Shiroruk (Headache):49
Head ache is caused due to the Shonita dushti. The illness is said to be
patient does not suffer from any sort of discomfort; the condition is likely to be
unnoticed. Furthermore, about 40% of the patients suffering from the hypertension
more particularly the malignant type develop head ache. And is said to be present on
Sushruta has stated “Vata Drute Nasti Ruja”.50 That is any type of
Shoola cannot occur without the vitiation of vata. Charaka has included shira shoola
samprapti of shiro roga mentions that prakupita vatadi dosha cause dushti of rakta
and then by localizing in shiras, produce shiro roga, which includes shira shoola also.
In this way in shira shoola vata dushti may be considered as a leading factor.
Harrison’s text book of medicine. The exact pathophysiology of this symptom is not
clear. Charaka also opines that it is a symptom of shonita dusti. Ati dourbalya and
klama are the two words mentioned in Charaka samhita referring to tiredness.
Without any physical or mental work, tiredness of the body and mind is
called as Klama.51 Charaka has mentioned Klama under Shonitaja roga because due to
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
27
RUPA 2012
Bhrama (Dizziness):
spell is seen in some patients suffering from hypertension. This may be transient or
persistent. Sometimes it may be mild and the patient is likely to ignore the
symptom. And in some the dizziness is likely to affect the routine functioning of the
patient there by making patient to seek medical help. Bhrama is one of the 80 types of
nanatmaja diseases of vata. The involvement of pitta also occurs with excessive raja
(manasa guna) causes bhrama. Obviously vata and pitta are main dosha in producing
bhrama.
Krodha-pracurata (Anger):
hemorrhages and exudates, which usually happen in the patient of hypertension. Pitta
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
28
RUPA 2012
and rakta are said to be of same nature.54 Sushruta also authenticate that redness of
Insomnia:
hypertension seek medical help for the same complaint. And the sphygmomanometer
examination reveals the hypertension. Charaka has clearly stated that disturbance in
Vomiting:
present with vomiting along with other symptoms. This is also true in case of
Shonita dushti as stated in Charaka Samhita.56 The vomitus may contain the
foods, gastric acidic content, or bile. Accordingly the patient feels the taste in
the mouth, and also according to the vomitus the associated symptom may vary.
well as spasm of the vessels are said to precipitate cerebral edema. This cerebral
edema presents with altered state of consciousness. A study shows that about 50
to 90% of the patients suffering from malignant hypertension develop this altered
state of consciousness. This may range from the simple confused state to stupor and
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
29
RUPA 2012
Seizures:
of the visual perception is also a feature of shonita dusti as cited in the following lines
of Charaka Samhita.
neurological Deficits. The following reference from Charaka samhita reveals the same
opinion.
Oliguria, proteinuria, haematuria and decline in the renal function are the
stage mental faculties are deranged, ability of perception may be affected, patients
attention cannot be drawn easily, when patient is aroused fails to understand the
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
30
RUPA 2012
surroundings with all earlier precision, continuous stimulation is needed to keep him
Just speaking may irritate patient and is likely to respond in scolding words,
maintain alertness, appears thinking and concentrating, speak less, are suggestive of
are injected, rapid pulse, raised temperature, increased sweating, scanty urination, and
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
31
RUPA 2012
Progressive illness:
compared with hypertension. Several etiological factors of rakta dushti are also
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
32
CHIKITSA 2012
CHIKITSA
on the morbid dosha incriminating the rakta dhatu afflicting the shiras. The rationality
rectification of rakta dhatu clearing the shiras. With this understanding following
Virechana69
Upavasa/Apatarpana71
Rasayana72
Murdhni Taila
Raktapittahara Medications
Nidana Parivarjana
Rakta mokshana:
Rakta plays significant role in the samprapti of Shonita dushti as the very
name indicates. Clinical symptoms are result of all the tridosha incriminating the rakta
dhatu, circulating all over body localizing in head and siras, as a resultant of sanga
morbid shonita.
Apatarpana chikitsa:
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
33
CHIKITSA 2012
snidga ahara without any physical exertion Another important treatment has been
quoted for Shonitadushti i.e upavasa.By upavasa there will be digestion of kapha
medas.
Rasayana:
such as, Vardhamana Pippali rasayana ,shilajatu rasayana73 etc. which are said to be
raktadi dhatus, rather it reduces the kapha and medas by virtue of its ruksha, lekhana
guna. Because of its kapha medohara action, it has got wide Clinical application i.e.
Murdhni Taila:
Shirobasti is the one among the Murdhni Taila’s explained in literature for Vata
And some of these complaints are also the symptoms of Shonita dushti/essential
relieving the above symptoms and decrease the blood pressure. Different institutions
carried out studies on effect of Jala dhara, takra dhara in the patients of essential
shiras, hridaya and indriya, leads to plethora of manifestations ranging from headache
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
34
CHIKITSA 2012
prescription in day today practice. Sarpagandha Ghana vati 150 -250 mg prescribed
some of herbal drugs. Following are few drugs which are proved to have
hypotensive action.
Table no. 3 shows few drugs which are proved to have hypotensive action.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
35
CHIKITSA 2012
Nidana Parivarjana:
Ahara and Achara come under nidana parivarjana. The patient and the
disease carefully and collectively must be in the mind of physician at the time of
therapy for any ailment. Variations relating to dushyas, dosha, drug, place, time,
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
36
CHIKITSA 2012
strength, body, diet, mind, constitution and agni should be minutely observed. By this
proper care and stepwise journey to the disease physician never fail in the selection of
MODERN PERSPECTIVE:
Caloric restriction
3) Regular exercises
3) Vasodilator
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
37
PATHYA-APATHYA 2012
PATHYA-APATHYA
dietetic or behavioral factors that facilitate the remission of the Tridosha and shonita are
likely to be the Pathya of Shonita dushti. Following list unravels the Pathya and Apathya
in Shonita dushti
PATHYA: 74, 75
Tanduliyaka.
APATHYA: 76
Ahara Varga : Virudda annapana, Pancha shaka, Tamboola, Katu rasa dravya,
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
38
SADHYA-ASADHYATA 2012
SADHYA-ASADHYATA
number of factors including Dosha, Dushya, Purvarupa, Rupa of the disease, Prakriti
of the patient etc. According to modern science, the prognosis of the disease depends
Tridoshaja Vyadhi with vitiated Doshas being held up in the Madhyama Rogamarga.
Along with this, involvement of all the 3 Mahamarmas (Shira, Hridaya, Basti) is
evident from the etiopathogenesis of the disease. The disease is known to run a
chronic course. Thus summing up the above facts it can be said that:
1) Shonita dushti is Vata pradhana Tridoshaja Vyadhi. All Vata vyadhi after
Madhyama Rogamarga.
nature.
benign and present without complications and is treated at an early state is Yapya.
After the disease gets associated with complications or it is malignant and present for
Black race
Youth
Male sex
Smoking
Diabetes mellitus
Hypercholesterolemia
Obesity
Myocardial infarction
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
40
DRUG REVIEW 2012
DRUG REVIEW
Name – Jatamamsi
Family – Valerianaceae
HABITAT:
meters, extending b/w Panjab to Sikkim at 17,000 ft and in Bhutan. Also found
HABIT:
and has pink, bell-shaped flowers. The leaves are opposite, grow from the rhizome,
and are 15 to 20 cm long, 2.5 cm wide, spatulate and narrow toward the petiole. The
cauline leaves are sessile, opposite, 2.5 to 7.5 cm. long and narrow-ovate. The finger-
thick, woody rhizome is covered with reddish brown fibers from the remains of the
petioles.
CHEMICAL COMPOSITION:79
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
41
DRUG REVIEW 2012
HISTORY:
The plant has a rich history of medicinal use and has been valued for
The rhizomes of the plant are used in the Ayurvedic system of medicine as a bitter
tonic, stimulant, antispasmodic, and to treat hysteria, convulsions, and epilepsy. The
root has been medically used to treat insomnia and blood, circulatory, and mental
disorders. Some preparations of the plant have been used as a heptotonic, cardiotonic,
analgesic, and diuretic in the Unani system of medicine. The plant is of economic
GUNA PANCHAKA:83
3 Veerya Sheeta
4 Vipaka Katu
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
42
DRUG REVIEW 2012
KARMA:
S.No. Karma
Samsthana
Samsthana
Samsthana
Bahya
Other Uses:
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
43
DRUG REVIEW 2012
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
44
METHODOLOGY
METHODOLOGY 2012
METHODOLOGY
To evaluate the efficacy of Jatamamsi Choorna along with Pathya Ahara and
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
45
METHODOLOGY 2012
DIAGNOSTIC CRITERIA:
2) The patients suffering from Pre and Stage 1 essential HTN were included in the
study; the systolic and diastolic pressure of the same is depicted in the Table no.
6.
INCLUSION CRITERIA:
1) The patients suffering from Pre HTN and Stage 1 Essential HTN were taken for
the study.
EXCLUSION CRITERIA:
1) The patients suffering from Stage 2, Stage 3 and Stage 4 essential HTN were
excluded from the study; the systolic and diastolic pressure of the same is
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
46
METHODOLOGY 2012
cerebrovascular diseases.
STUDY DESIGN :
subdivided into 2 groups with both the groups containing 20 patients each, randomly
selected in lieu of comparing efficacy of the therapy. The treatment schedule decided
Vihara
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
47
METHODOLOGY 2012
Objective Parameters:
1) Systolic B.P.
2) Diastolic B.P.
INVESTIGATIONS:
1. Hematological Tests :
3) Differential Count
2. Biochemical Test :
1) Micro
2) Albumin
3) Sugar
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
48
METHODOLOGY 2012
Essential HTN, with all points of history taking, physical signs and laboratory
fulfilling the diagnostic inclusion criteria were recruited for the study. The recruited
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
49
OBSERVATIONS
AND
RESULTS
OBSERVATIONS & RESULTS 2012
who fulfilled the inclusion criteria and all the patients completed the treatment. The
observed data were recorded in well designed proforma before and after the treatment.
Total observed data and the results are divided into two sections as demographic data
DEMOGRAPHIC DATA:
Among 40 patients 25% belongs to age group ranging from 30-40 years, 45% belongs
to 41-50, 30% belongs to 51-60. Detail of the same is elaborated in following Table
Group A Group B
30 – 40 04 06 10 25%
41 – 50 09 09 18 45%
51 – 60 07 05 12 30%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
50
OBSERVATIONS & RESULTS 2012
Age
Age
45%
50%
40% 30%
25%
30%
20%
10%
0%
30-40 41-50 51-60
Among 20 patients selected for the study 60% were males and 40% were
females. Detail of the same is elaborated in following Table no. 10 and Graph no.2.
Group A Group B
Male 15 14 29 72.5%
Female 05 06 11 27.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
51
OBSERVATIONS & RESULTS 2012
72.50%
Sex
80.00% Sex
60.00%
27.50%
40.00%
20.00%
0.00%
Male Female
the study. Among them 87.5% of patients were Hindus, 7.5% were Muslim and 5%
belonged to Christian community. Details are given in following Table no. 11 and
Graph no.3.
Group A Group B
Hindu 18 17 35 87.5%
Muslim 1 2 3 7.5%
Christian 1 1 2 5%
Other 0 0 0 0%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
52
OBSERVATIONS & RESULTS 2012
Religion
Religion
87.50%
100.00%
50.00%
7.50% 5% 0%
0.00%
Hindu Muslim Christian Other
The study showed that majority of patients were Graduates 35%, followed by 20% of
patients completed their High School, 15% with Pre University, 12.5% with Post
graduation, 10% with Primary and 7.5% of Uneducated. Detail is depicted in Table
Group A Group B
Uneducated 2 1 3 7.5%
Primary 3 1 4 10%
Graduate 5 9 14 35%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
53
OBSERVATIONS & RESULTS 2012
EDUCATION
EDUCATION
35%
40.00%
30.00% 20%
15% 12.50%
20.00% 10%
7.50%
10.00%
0.00%
Analysis of the 40 patients revealed that 97.5% were married while 2.5% of patients
were unmarried. Details are shown in below Table no. 13 and Graph no.5.
Group A Group B
Married 20 19 39 97.5%
Unmarried 00 01 01 2.5%
Widow 00 00 00 0%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
54
OBSERVATIONS & RESULTS 2012
Marital Status
Marital Status
97.50%
100.00%
80.00%
60.00%
40.00%
20.00% 2.50% 0%
0.00%
Married Unmarried Widow
The study revealed that among 20 patients 40% were Employee, 25% were
Businessmen, 20% were Housewife, and 12.5% were Laborer and 2.5% were
Agriculturist. Details are stated in the Table no. 14 and Graph no.6.
Group A Group B
Business 4 6 10 25%
Employee 8 8 16 40%
Laborer 4 1 5 12.5%
Agriculturist 1 0 1 2.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
55
OBSERVATIONS & RESULTS 2012
Occupation
Occupation
40%
40% 25% 20%
12.50%
20% 2.50%
0%
The study revealed that 52.5% of patients belonged to Middle class while 25% were
of Upper Middle Class, 17.5 % of patients were of Lower Middle Class and 2.5%
each belonged to Poor and Upper Class. Details are depicted in Table no. 15 and
Graph no.7.
Group A Group B
Poor 1 0 1 2.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
56
OBSERVATIONS & RESULTS 2012
Socio-Economic Status
Socio-Economic Status
52.50%
60.00%
40.00% 25%
17.50%
20.00% 2.50% 2.50%
0.00%
Poor Lower Middle Upper Upper
Middle Class Middle Class
Class Class
The study revealed that 70% of patients belonged to Nuclear Family and 30% of
patients belonged to Joint Family. Details are shown in Table no. 16 and Graph no. 8.
Group A Group B
Nuclear 13 15 28 70%
Joint 7 5 12 30%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
57
OBSERVATIONS & RESULTS 2012
Family
Family
70%
100% 30%
0%
Nuclear Joint
The analysis showed maximum percentages of patient i.e. 90% were urban dwellers
and only 7.5% were rural dwellers and 2.5% were Slum dwellers. The details are
Group A Group B
Rural 2 1 3 7.5%
Urban 17 19 36 90%
Slum 1 0 1 2.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
58
OBSERVATIONS & RESULTS 2012
Habitat/Place
Habitat/Place
90%
100.00%
Both Vegetarians and Non vegetarians were observed in the study. Among which
67.5% of patients were of mixed diet and 32.5% of patients were Vegetarians. Details
Group A Group B
Vegetarian 5 8 13 32.5%
Mixed 15 12 27 67.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
59
OBSERVATIONS & RESULTS 2012
Diet
Diet
67.50%
100.00% 32.50%
0.00%
Vegetarian Mixed
Among the 40 patients 47.5% had Katu rasa as Dominant rasa intake, 30% had
Madhura rasa, 10% each had Amla and Lavana rasa, 2.5% had Kasahaya rasa and no
one was taking Tikta rasa as dominant rasa. The details are depicted in Table No. 19
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
60
OBSERVATIONS & RESULTS 2012
Dominant Rasa
Dominant Rasa
60% 47.50%
40% 30%
Among the 40 patients 50% were indulged in Akala Bhojana, 25% habituated for
Adhyashana, 20% habituated for Kala Bhojana, 2.5% each habituated for Samashana
and Adhyashana and no one was habituate for Anashana. Details are shown in Table
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
61
OBSERVATIONS & RESULTS 2012
Dietary Habit
Dietary Habit
60% 50%
40%
25%
20%
20%
2.50% 2.50% 0%
0%
Among the 40 patients 2% had Poor Appetite, 57.5% had Moderate Appetite and
37.5% had Good Appetite. The details are given in the following Table No. 21 and
Group A Group B
Poor 2 0 2 5%
Moderate 10 13 23 57.5%
Good 8 7 15 37.5%
Total 20 20 40 100
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
62
OBSERVATIONS & RESULTS 2012
Appetite
Appetite
57.50%
60% 37.50%
40%
20% 5%
0%
Poor Moderate Good
Among the 40 patients 55% had Regular Bowel Habit, 45% had Constipation and
none had Irregular Bowel Habit. The details are depicted in Table No. 22 and Graph
No. 14.
Group A Group B
Regular 11 11 22 55%
Irregular 0 0 0 0%
Constipated 9 9 18 45%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
63
OBSERVATIONS & RESULTS 2012
Bowel Habit
Bowel Habit
Among the 40 patients 5% had Sound Sleep, 67.5% had Disturbed Sleep and 27.5%
had Delayed Sleep Habit. The details are shown in Table No. 23and Graph No. 15.
Group A Group B
Sound 2 0 2 5%
Disturbed 12 15 27 67.5%
Delayed 6 5 11 27.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
64
OBSERVATIONS & RESULTS 2012
Sleep Habit
Sleep Habit
67.50%
80%
60%
27.50%
40%
20% 5%
0%
Sound Disturbed Delayed
Among the 40 patients maximum had Mental Strain i.e. 97.5% and in 2.5% of them
Mental Strain was absent. The details are shown in the Table No. 24 and Graph No.
16.
Group A Group B
Present 19 20 39 97.5%
Absent 1 0 1 2.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
65
OBSERVATIONS & RESULTS 2012
Mental Strain
Mental Strain
97.50%
100.00%
50.00%
2.50%
0.00%
Present Absent
Among the 40 patients maximum were reported with Less Exercise i.e. 50%, 35% had
Adequate Exercise and 15% had Excess Exercise. The details are shown in the Table
Group A Group B
Less 12 8 20 50%
Adequate 4 10 14 35%
Excess 4 2 6 15%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
66
OBSERVATIONS & RESULTS 2012
Exercise
Exercise
50%
50% 35%
15%
0%
Less Adequate Excess
Among the 40 patients 45% had the habit Tea, 17.5% had habit of Coffee, 25% were
addicted to Alcohol, 35% were addicted to Cigarette Smoking and 10% had the habit
of Tobacco Chewing. Details are shown in the Table No. 26 and Graph No. 18.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
67
OBSERVATIONS & RESULTS 2012
Addiction
45% Addiction
50% 35%
25%
17.50%
10%
0% 0%
0%
Among 40 patients 27.5% had Anxiety, 35% had Tension, 5% had Depression, 10%
had Jolly mood, 7.5% were Sentimental and 15% had Normal Emotional makeup. No
one had Phobic Emotional makeup. Details are shown in the Table No. 27and Graph
no. 19.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
68
OBSERVATIONS & RESULTS 2012
Emotional Make up
Emotional Make up
35%
40.00% 27.50%
30.00% 15%
20.00% 10% 7.50%
5%
10.00% 0%
0.00%
Among the 40 patients 32.5% were doing Manual work, 27.5% were doing Sedentary
work, 10% were doing Labor work, 17.5% were Travelers, 2.5% had Walking and
10% were doing Mental work. No one was reported as Studying. Details are depicted
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
69
OBSERVATIONS & RESULTS 2012
Nature of Work
Nature of Work
40.00% 32.50%
27.50%
30.00%
17.50%
20.00% 10% 10%
10.00% 2.50% 0%
0.00%
Among the 40 patients 37.5% had Adequate Rest, 62.5% had Inadequate Rest and
none was recorded as having Excessive Rest. The details are shown in the Table No.
Group A Group B
Adequate 7 8 15 37.5%
Inadequate 13 12 25 62.5%
Excessive 0 0 0 0%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
70
OBSERVATIONS & RESULTS 2012
Rest
Rest
100.00%
62.50%
37.50%
50.00%
0%
0.00%
Adequate Inadequate Excessive
Among 40 patients 27.5% were of Well Built, 65% were of Moderate Built and 7.5%
were of Poor Built. The details are shown in the Table No. 30 and Graph No. 22.
Group A Group B
Well 5 6 11 27.5%
Moderate 13 13 26 65%
Poor 2 1 3 7.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
71
OBSERVATIONS & RESULTS 2012
Built
Built
80.00% 65%
60.00%
40.00% 27.50%
20.00% 7.50%
0.00%
Well Moderate Poor
Among the 40 patients 52.5% had Well Nourishment, 40% had Moderate and 7.5%
had Poor Nourishment. The details are shown in the Table No. 31 and Graph No. 23.
Group A Group B
Well 10 11 21 52.5%
Moderate 8 8 16 40%
Poor 2 1 3 7.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
72
OBSERVATIONS & RESULTS 2012
Nourishment
Nourishment
52.50%
60.00% 40%
40.00%
20.00% 7.50%
0.00%
Well Moderate Poor
Among the 40 patients 42.5% each were of Vata Pittaja and Pitta Kaphaja Prakruti.
15% were of Vata Kaphaja Prakruti. None were of Vataja, Pittaja, Kaphaja and of
Sama Prakruti. The details are shown in the Table No. 32 and Graph No. 24.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
73
OBSERVATIONS & RESULTS 2012
Deha Prakruti
Deha Prakruti
42.50% 42.50%
50%
40%
30% 15%
20%
10% 0% 0% 0% 0%
0%
Among the 40 patients 87.5% had Vata and Pitta Dosha and 5% had only Pitta Dosha
as Vikruti. The details are shown in the Table No. 33 and Graph No. 25.
Group A Group B
Pitta 4 1 5 12.5%
Kapha 0 0 0 0%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
74
OBSERVATIONS & RESULTS 2012
Dosha
Dosha
87.50%
100.00%
50.00%
12.50%
0%
0.00%
Vata & Pitta Piita Kapha
Among the 40 patients 25% were of Pravara Satva, 70% were of Madhyama and 5%
were of Avara Satva. The details are shown in the Table No. 34 and Graph No. 26.
Group A Group B
Pravara 4 6 10 25%
Madhyama 15 13 28 70%
Avara 1 1 2 5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
75
OBSERVATIONS & RESULTS 2012
Satva
Satva
70%
80%
60%
40% 25%
20% 5%
0%
Pravara Madhyama Avara
Among the 40 patients 22.5% were of Pravara Satmya, 72.5% were of Madhyama and
5% were of Avara Satmya. The details are shown in the Table No. 35 and Graph No.
27.
Group A Group B
Pravara 3 6 9 22.5%
Madhyama 16 13 29 72.5%
Avara 1 1 2 5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
76
OBSERVATIONS & RESULTS 2012
Satmya
Satmya
100.00% 72.50%
50.00% 22.50%
5%
0.00%
Pravara Madhyama Avara
Among the 40 patients 25% were of Pravara, 72.5% were of Madhyama and 2.5%
were of Avara Samhanana. The details are shown in the Table No. 36 and Graph No.
28.
Group A Group B
Pravara 3 7 10 25%
Madhyama 17 12 29 72.5%
Avara 0 1 1 2.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
77
OBSERVATIONS & RESULTS 2012
Samhanana
Samhanana
72.50%
80%
60%
40% 25%
20% 2.50%
0%
Pravara Madhyama Avara
Among the 40 patients 17.5% were of Pravara Pramana, 77.5% were of Madhyama
and 5% were of Avara Pramana. The details are shown in the Table No. 37 and Graph
No. 29.
Group A Group B
Pravara 3 4 7 17.5%
Madhyama 16 15 31 77.5%
Avara 1 1 2 5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
78
OBSERVATIONS & RESULTS 2012
Pramana
Pramana
77.50%
80.00%
60.00%
40.00% 17.50%
20.00% 5%
0.00%
Pravara Madhyama Avara
Among the 40 patients everyone belonged to Madhyama Vaya. The details are shown
Group A Group B
Bala 0 0 0 0%
Madhyama 20 20 40 100%
Vriddha 0 0 0 0%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
79
OBSERVATIONS & RESULTS 2012
Vaya
Vaya
100%
100%
50% 0% 0%
0%
Bala Madhyama Vriddha
Among the 40 patients 27.5% were of Twak Sara, 37.5% were of Rakta, 32.5% were
of Mamsa and 2.5% were of Asthi Sara. None were of Meda, Majja, Shukra and
Sarva Sara. The details are shown in the Table No. 39 and Graph No. 31.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
80
OBSERVATIONS & RESULTS 2012
Sara
Sara
37.50%
40.00% 32.50%
27.50%
30.00%
20.00%
10.00% 0% 2.50% 0% 0% 0%
0.00%
Twak Rakta Mamsa Meda Asthi Majja Shukra Sarva
Purva Kaleena:
Among the 40 patients 65% had Pravara and 35% had Madhyama Purva Kaleena
Vyayama Shakti. No one was reported having Avara Purva Kaleena Vyayama Shakti.
The details are shown in the Table No. 40 and Graph No. 32.
Shakti
Group A Group B
Pravara 11 15 26 65%
Madhyama 9 5 14 35%
Avara 0 0 0 0%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
81
OBSERVATIONS & RESULTS 2012
Purva kaleena
Purva kaleena
100% 65%
35%
50%
0%
0%
Pravara Madhyama Avara
Among the 40 patients 10% had Pravara, 82.5% had Madhyama and 7.5% had Avara
Adyatana Vyayama Shakti. The details are shown in the Table No. 41 and Graph No.
33.
Group A Group B
Pravara 0 4 4 10%
Madhyama 19 14 33 82.5%
Avara 1 2 3 7.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
82
OBSERVATIONS & RESULTS 2012
Adyatana
Adyatana
82.50%
100%
Abhyavaharana:
Purva Kaleena:
Among 40 patients 70% had Pravara, 30% had Madhyama Purva Kaleena
Abhyavaharana Shakti. The details are shown in the Table No. 42 and Graph No. 34.
Ahara Shakti
Group A Group B
Pravara 12 16 28 70%
Madhyama 8 4 12 30%
Avara 0 0 0 0%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
83
OBSERVATIONS & RESULTS 2012
Purva kaleena
Purva kaleena
100% 70%
30%
50% 0%
0%
Pravara Madhyama Avara
Among the 40 patients 27.5% had Pravara, 67.5% had Madhyama and 5% had Avara
Adyatana Abhyavaharana Ahara Shakti. The details are shown in the Table No. 43
Ahara Shakti
Group A Group B
Pravara 5 6 11 27.5%
Madhyama 13 14 27 67.5%
Avara 2 0 2 5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
84
OBSERVATIONS & RESULTS 2012
Adyatana
Adyatana
100.00% 67.50%
27.50%
50.00% 5%
0.00%
Pravara Madhyama Avara
Purva Kaleena:
Among the 40 patients 75% had Pravara and 25% had Madhyama Purva Kaleena
Jarana Ahara Shakti. No one was reported to have Avara Purva Kaleena Jarana Ahara
Shakti. The details are shown in the Table No. 44 and Graph No. 36.
Shakti
Group A Group B
Pravara 12 18 30 75%
Madhyama 8 2 10 25%
Avara 0 0 0 0%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
85
OBSERVATIONS & RESULTS 2012
Purva Kaleena
Purva Kaleena
75%
100%
25%
50% 0%
0%
Pravara Madhyama Avara
Among the 40 patients 27.5% had Pravara, 67.5% had Madhyama and 5% had Avara
Adyatana Jarana Ahara Shakti. The details are shown in the Table No. 45 and Graph
No. 37.
Shakti
Group A Group B
Pravara 5 6 11 27.5%
Madhyama 13 14 27 67.5%
Avara 2 0 2 5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
86
OBSERVATIONS & RESULTS 2012
Adyatana
Adyatana
100.00% 67.50%
27.50%
50.00% 5%
0.00%
Pravara Madhyama Avara
Among the 40 patients 25% had Sama, 50% had Vishama, 22.5% had Teekshna and
2.5% had Manda Agni. The details are shown in the Table No. 46 and Graph No. 38.
Group A Group B
Sama 4 6 10 25%
Vishama 10 10 20 50%
Teekshna 6 3 9 22.5%
Manda 0 1 1 2.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
87
OBSERVATIONS & RESULTS 2012
Agni
Agni
50%
60%
Among the 40 patients 25% had Mridu, 27.5% had Madhyama and 47.5% had Krura
Koshta. The details are depicted in the Table No. 47 and Graph No. 39.
Group A Group B
Mridu 4 6 10 25%
Madhyama 6 5 11 27.5%
Krura 10 9 19 47.5%
Total 20 20 40 100%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
88
OBSERVATIONS & RESULTS 2012
Koshta
Koshta
60% 47.50%
20%
0%
Mridu Madhyama Krura
Aharatah Nidana:
Among the 40 patients maximum were found to be consuming Ati Lavana i.e. 80%,
followed by Ati Amla Sevana i.e. 77.5%, 72.5% Ati Katu Sevana, 60% each Ati
Dadhi and Ati Anupa Anupa Mamsa Sevana, 55% Ati Masha Sevana, 37.5% Ati
Moolaka Sevana, 35% Ati Kshara Sevana, 25% Ati Teekshna Ushna Madya Sevana,
22.5% Ati Kulatha and 20% Ati Jalaja Mamsa Sevana. None were found to be
consuming Ati Tila Taila, Ati Pindalu and Ati Nishpava. The details are depicted in
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
89
OBSERVATIONS & RESULTS 2012
Ahara
Ahara
80%
77.50%
72.50%
80%
70%
60% 55% 60% 60%
50% 35%
40% 37.50%
30% 22.50%
20% 25%
10% 20%
0% 0 0%
0%
Ati Lavana
Ati Kshara
Ati Katu
Ati Amla
Ati Kulatha
Ati Masha
Ati Tila Taila
Ati Pindalu
Ati Moolaka
Ati Nishpava
Ati Dadhi
Ati Teekshna Ushna Madya
Ati Jalaja Mamsa
Ati Anupa Mamsa
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
90
OBSERVATIONS & RESULTS 2012
Among the 40 patients maximum were indulged in Shrama i.e. 85%, followed by Ati
Adana and Ati Atapa i.e. 52.5% each, 40% were indulged in Adhyashana, 37.5%
Santaapa and 15% were found to be indulged in Bhuktwa Diva Praswapanam. The
details are depicted in the Table No. 49 and Graph No. 41.
Group A Group B
Santaapa 8 7 15 37.5%
Shrama 18 16 34 85%
Adhyashana 6 10 16 40%
Vihara
Vihara
85%
100.00% 52.50% 52.50% 37.50% 40%
50.00% 15%
0.00%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
91
OBSERVATIONS & RESULTS 2012
Among the 40 patients 100% were found to be indulged in Chinta and 95% were
found to be indulged in Krodha. The details are depicted in the Table No. 50 and
Chinta 20 20 40 100%
Krodha 18 20 38 95%
Manasika Nidana
Manasika Nidana
100%
95%
100%
90%
Chinta Krodha
Among the 40 patients 40% had Ajeerna and none were found to be indulged in
Chardi Vega Pratighata. The details are depicted in the Table No. 51 and Graph No.
43.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
92
OBSERVATIONS & RESULTS 2012
Group A Group B
Ajeerna 9 7 16 40%
Chardi Vega 0 0 0 0%
Pratighata
Anya Nidana
Other Nidana
40%
40%
20% 0%
0%
Ajeerna Chardi Vega
Pratighata
Among the 40 patients in 100% Krodha Prachurata, Anidra and Ati Sveda was seen,
52.5% Tamasaatidarshana and in 25% Akshiraga was seen along with Krodha
Prachurata, Anidra and Ati Sveda. The details are depicted in the Table No. 52 and
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
93
OBSERVATIONS & RESULTS 2012
Rupa/Lakshana
Rupa/Lakshana
100%
97.50%
100.00% 100% 100%
87.50% 92.50%
80.00%
60.00% 52.50% 55%
40.00%
20.00% 25%
0.00%
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
94
OBSERVATIONS & RESULTS 2012
Among the 40 patients in 100% only Vata and Pitta Dosha was involved in Samprapti
Ghataka and in 15% Kapha Dosha was involved along with Vata and Pitta Dosha.
Group A Group B
Vata 20 20 40 100%
Pitta 20 20 40 100%
Kapha 4 2 6 15%
Dosha
Dosha
100% 100%
100%
50%
15%
0%
Vata Pitta Kapha
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
95
OBSERVATIONS & RESULTS 2012
Among the 40 patients 100% had Rakta as Dushya, 90% had Majja and 60% had Rasa
as Dushya. Details are stated in Table no. 54 and Graph no. 46.
Group A Group B
Rasa 15 9 24 60%
Rakta 20 20 40 100%
Majja 18 18 36 90%
Dushya
Dushya
100%
90%
100%
60%
50%
0%
Rasa Rakta Majja
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
96
OBSERVATIONS & RESULTS 2012
The study revealed that 87.5% of patients had Family History and in 12.5% of
patients Family History was absent. Details are shown in Table no. 55 and Graph no.
47.
Group A Group B
Present 15 20 35 87.5%
Absent 5 0 5 12.5%
Total 20 20 40 100%
Family History
Family History
87.50%
100.00%
50.00% 12.50%
0.00%
Present Absent
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
97
OBSERVATIONS & RESULTS 2012
Among the 40 patients selected for the study, about 100% of people had Fatigue,
Head Ache was seen in 97.5% of people, 90% had Dizziness and 32.5% had
Palpitation. Details are shown in Table no. 56 and Graph no. 48.
Dizziness 18 18 36 90%
Palpitation 10 3 13 32.5%
Main Complaints
Main Complaints
97.50% 100%
90%
100.00%
80.00%
60.00%
32.50%
40.00%
20.00%
0.00%
Headache Dizziness Palpitation Easy Fatigue
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
98
OBSERVATIONS & RESULTS 2012
Among the 40 patients 67.5% had Moderate Hypertension and 32.5% had Mild
Hypertension. Details are depicted in the Table no. 57 and Graph no. 49.
Group A Group B
Mild 7 6 13 32.5%
Moderate 13 14 27 67.5%
Total 20 20 40 100%
B.P.
B.P.
100.00% 67.50%
32.50%
50.00%
0.00%
Mild Moderate
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
99
OBSERVATIONS & RESULTS 2012
Among the 40 patients i n 65% duration of illness was less than a year. In
remaining 35% duration of illness was more than a year. Details are predicted in
New 10 16 26 65%
Old 10 4 14 35%
Total 20 20 40 100%
Duration
Duration
100% 65%
35%
50%
0%
New Old
Results:
The effect of the therapy was analyzed statistically by calculating the t and
p values by using Unpaired Student t test for quantitative data in between the groups.
The effect of the therapy was analyzed statistically by calculating the p values by
using Chi-Square/Fisher Exact test for qualitative data.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
100
OBSERVATIONS & RESULTS 2012
Table No. 59: Comparative evaluation of Head ache in two groups of patients
studied
Head ache
BT AT %
No. % No. %
Group A
Group B
Remark - HS -
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
101
OBSERVATIONS & RESULTS 2012
HEAD ACHE
Present
Absent
100
90 25
80
Percentage
70
70
60
50 100 95
40 75
30
20
30
10
0 0 5
BT AT BT AT
GROUP A GROUP B
presented with Headache before the clinical trial. After the trial, Headache was
relieved in 15 patients with 75% results in Group A and 6 patients in Group B with
25% result.
Effect on Dizziness:
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
102
OBSERVATIONS & RESULTS 2012
studied
Dizziness
BT AT %
No. % No. %
Group A
Group B
Remark - HS -
DIZZINESS
Present
Absent
100
90 20
80
Percentage
70
70
60
90 90
50
40 80
30
20
30
10
10 10
0
BT AT BT AT
GROUP A GROUP B
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
103
OBSERVATIONS & RESULTS 2012
Among the 40 patients, 18 patients each of Group A and Group B presented with
Dizziness before the clinical trial. After the trial, Dizziness was relieved in 16 patients
with 70% result in Group A and 6 patients in Group B with 20% result.
Effect on Palpitation:
studied
Palpitation BT AT %
No. % No. %
Group A
Group B
Remark - NS -
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
104
OBSERVATIONS & RESULTS 2012
PALPITATION
Present
Absent
100 5
15 10
90
80
Percentage
50
70
60
50
95 90
40 85
30
20
50
10
0
BT AT BT AT
GROUP A GROUP B
with Palpitation before the clinical trial. After the trial, Palpitation was relieved in 9
patients with 45% result in Group A and 1 patient in Group B with 5% result.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
105
OBSERVATIONS & RESULTS 2012
No. % No. %
Group A
Group B
Remark - HS -
100
90 20
80
Percentage
70
60 75
50 100 100
40 80
30
20
10 25
0 0 0
BT AT BT AT
Group A Group B
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
106
OBSERVATIONS & RESULTS 2012
Among the 40 patients, all the patients of Group A and Group B presented with Easy
Fatigue before the clinical trial. After the trial, Easy Fatigue was relieved in 16
patients with 80% result in Group A and 5 patients in Group B with 25% result.
Table No. 63: Comparative evaluation of SBP (mm of Hg) in two groups of
patients studied
BT AT
(9.14) (4.67)
(8.11) (8.58)
Remark - HS
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
107
OBSERVATIONS & RESULTS 2012
Group A
Group B
100
50
0
BT AT
Significant improvement after trial with ‘t’ value 9.974 and ‘p’ value <0.001 in
comparison to patients in Group B. Details are shown in Table No. 63 and Graph No.
55.
Table No. 64: Comparative evaluation of DBP (mm Hg) in two groups of patients
studied
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
108
OBSERVATIONS & RESULTS 2012
93.8
95 89.5
86.8
90
85 80.7
80
75
70
BT AT
Significant improvement after trial with ‘t’ value 6.026 and ‘p’ value <0.001 in
comparison to patients in Group B. Details are shown in Table No. 64 and Graph No.
56.
No % No %
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
109
OBSERVATIONS & RESULTS 2012
40
30
20
10
0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
-10
Patient number
response: 100%) when compared to patients of Group B (30%) with P<0.001. Details
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
110
DISCUSSION
DISCUSSION 2012
DISCUSSION
all the aspects of data obtained in observation is essential. The discussion takes care
of different dimensions of the problem that was analyzed and the data obtained. In
properly for merits and demerits, and necessary modifications are to be made on the
basis of these findings. In the present study the Naidanika Samprapti of Shonita
Dushti and its Samprapti Vighatana using Jatamamsi choorna along with Pathya ahara
and vihara and only Pathya ahara and vihara has been studied in 2 groups of patients
Trial and control group. The data obtained during these trials is opened to discussion.
The clinical study has been discussed under the following headings:
4. Discussion on Methodology
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
111
DISCUSSION 2012
important public health challenge in the pesent era because of its prevalence and
Essential Hypertension.
far from satisfactory and is often accompanied with several side effects. Hence the
vighatana using Jatamamsi choorna being made here is expected contribute towards
Hridaya is one among the vital organ in living beings. It maintains the
blood circulation in the body. It is said to be the mula of Manas according to Acharya
Chraka and Acharya Sushruta. But Acharya Bhela opines that adhistana of Manas is
in between Shiras and Talu. While considering these opinion we can conclude that
though Hridaya is said to be the mula of Manovaha Srotas, its Adhistana is in Shiras.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
112
DISCUSSION 2012
Jatamamsi being snigdha pacifies vata dosha; being sheeta veerya and
tikta, kashaya and madhura rasa pacifies pitta dosha; being tikta and kashaya rasa and
katu vipaka pacifies kapha dosha; being tikta rasa and sheeta veerya pacifies rakta
dosha; and through prabhava pacifies manasa doshas namely rajas and tamas.
balya and nidrajanaka. Thus Jatamamsi choorna very much suits for the samprapthi
vighatana of Shonita dushti. Hence it has been taken for the samprapthi vighatana
along with suitable pathya ahara and vihara mentioned for Shonita dushti.
Discussion on Methodology:
1. Group A – Jatamamsi choorna along with pathya ahara and vihara (Trial Group)
Discussion on Observations:
dropouts. These observations were based on the clinical trial on 46 patients registered
in the study. The data was collected in the case sheet and were analyzed after the
Dropouts:
Of the total 46 patients registered for the study, there were 6 drop outs
among which 4 patients belonged to group A and 2 belonged to group B. The exact
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
113
DISCUSSION 2012
Age: Data obtained pertaining to the age group of the patients (Table no.9) shows that
highest incident of Essential HTN is seen in the patients belonged to age group of 41-
50 years (45%). The different survey studies at different places have shown
prevalence of the essential hypertension during the 4th and 5th decade of the
individuals. The present study corroborating the same recorded highest percentage of
Sex: Sex wise distribution of patients (Table no.10) shows that highest incidence is
seen in Males (72.5%). This tally well with the general understanding that incidence
Religion: Data obtained pertaining to the religion of the patients (Table no.11) shows
that highest incidence of Essential HTN is seen in Hindu Community (87.5%). This
may not be due to any particular reason, but because of Hindu dominated population
Education: Data obtained pertaining to the education of the patients (Table no.12)
shows that highest incidence is seen in educated people and were Graduates (35%),
followed by 20% with High School Education. This only indicates that educated
no.14) shows that highest incidence is seen in Employee (40%). It shows that they are
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
114
DISCUSSION 2012
the patients (Table no.15) shows that highest incidence is seen in the patients from
Middle Class family (52.5%) followed by upper middle class 25%. It shows that
middle class people are more stress prone compared to other classes in society at
today’s scenario.
Family: Data obtained pertaining to type of family of the patients (Table no. 16)
shows that highest incidence is seen in the patients from Nuclear Family (70%). It
17) shows that highest incidence is seen in numbers of patients i.e. 90% were Urban
Dwellers, which can be attributed to the study area which is an urban locality.
Diet: Data obtained pertaining to diet of the patients (Table no. 18) shows that
(67.5%). It goes well with the Ayurvedic theory that Rajo Guna Bahulata is seen
maximum in the persons habituated for mamsahara. And also Non-vegetarian diet is
low in fibers and high in fat content, which may be a predisposing factor for
Hypertension.
rasa shows those patients (Table no.19) consuming Katu rasa had the highest
incidence of Essential Hypertension i.e. 47.5%. It shows that vitiation of Vata and
Pitta dosha took place; there by Rakta dhatu got vitiated. As it is said in the classics
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
115
DISCUSSION 2012
Diet Habit: Data obtained pertaining to diet habit of the patients (Table no. 20)
shows that highest incidence is seen in the patients indulged in Akala Bhojana i.e.
50%, followed by 25% were indulged in Adhyashana. It shows that akala bhojana and
adhyashana are among the causes of shonita dushti as it is said in the classics.
Sleep Habit: Data obtained pertaining to sleep habit of the patients (Table no. 23)
shows that highest incidence is seen in the patients with Disturbed Sleep (67.5%),
followed by 27.5% with Delayed Sleep. It indicates the involvement of manas in the
Mental Strain: Data obtained pertaining to mental strain in patients (Table no. 24)
shows that highest incidence of Essential HTN is seen in the patients with mental
Exercise: Data obtained pertaining to exercise (Table no. 25) shows that highest
incidence is seen in the patients reported with Less Exercise (50%). It goes well with
the present scenario that HTN is seen in the persons with sedentary life style.
Addiction: Data obtained pertaining to addiction in patients (Table no. 26) shows
that highest incidence is seen in the patients addicted to Tea (45%), followed by
(10%). As it is already mentioned in the etiological factors these all causes HTN.
makeup of the patients (Table no.27) shows that highest incidence of Essential
Hypertension was recorded among patients with Tension (35%), followed by Anxiety
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
116
DISCUSSION 2012
Nature of Work: Data obtained pertaining to the nature of work (Table no. 28)
shows that highest incidence is seen in the patients whose occupation involved with
(17.5%). Physical strain and stressful life may be the reason for more number of
Rest Taken during Work: Data obtained pertaining to the rest taken during work
(Table no. 29) shows that highest incidence is seen in the patients reported with
Inadequate Rest (62.5%) during work time. It indicates the increased workload which
Built: Data obtained pertaining to the built of the patients (Table no. 30) shows that
highest incidence of Essential HTN is seen in the patients with Moderate Built (65%);
followed by Well Built (27.5%). It shows that there is no relation to the body weight
Nourishment: Data obtained pertaining to the nourishment of the patients (Table no.
31) shows that highest incidence is seen in the patients with Well Nourishment
Deha Prakruti: Data obtained pertaining to the deha prakruti of the patients (Table
no. 32) shows that highest incidence of Essential HTN is seen in the patients of Vata
Pittaja and Pitta Kaphaja prakruti (42.5% each), followed by Vata Kaphaja prakruti
(15%). It shows that though Vata pradhana tridoshas are involved in Shonita dushti,
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
117
DISCUSSION 2012
Agni: Data obtained pertaining to Agni of the patients suffering from Essential HTN
(Table no. 46) shows that highest incidence is seen in the patients with Vishama Agni
i.e. 50%, followed by 25% Sama, 22.5% Teekhna and 2.5% Manda Agni. It shows
Koshta: Data obtained pertaining to Koshta of the patients (Table no. 47) shows that
highest incidence is seen in the patients with Krura Koshta (47.5%), followed by
27.5% Madhyama and 25% Mridu Koshta. It signifies that the Shonita Dushti is more
prevalent in people with Krura Koshta. This can be attributed to Vata dushti along
from Essential HTN (Table no.48) shows that highest incidence is seen in the patients
consuming Ati Lavana (80%), followed by Ati Amla (77.5%), Ati Katu (72.5%), Ati
Dadhi and Ati Anupa Anupa Mamsa (60% each), Ati Mash (55%)a, Ati Moolaka
(37.5%), Ati Kshara (35%), Ati Teekshna Ushna Madya (25%), Ati Kulatha (22.5% )
and Ati Jalaja Mamsa (20%). It tallies well with the current understanding of
excessive intake of salt leads to Essential HTN. And also other above said Aharatah
Nidanas like Ati Amla, Ati Katu etc. is said to be the cause for Shonita Dushti
from Essential HTN (Table no.49) shows that highest incidence is seen in the patients
indulged in Shrama (85%), followed by Ati Adana and Ati Atapa (52.5% each),
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
118
DISCUSSION 2012
shows that physical strain in turn lead to mental strain there by vitiating Rakta Dhatu.
from Essential HTN (Table no.50) shows that highest incidence is seen in the patients
indulged in Chinta (100%), followed by Krodha (95%). It tallies well with the current
understanding that mental strain is one among the causative factor behind Essential
HTN.
Other Nidana: Data obtained pertaining to other nidana of the patients suffering
from Essential HTN (Table no.51) shows that highest incidence is seen in the patients
with Ajeerna (40%). It shows that Agnimandya plays an impotant role in commencing
Shonita Dushti.
patients suffering from Essential HTN (Table no. 52) shows that highest incidence is
seen in the patients with the lakshanas like Krodha Prachurata, Anidra and Ati Sveda
the predominance of Vata dosha with the involvement of Pitta and Kapha dosha.
Dosha: Data obtained pertaining to dosha of the patients suffering from Essential
HTN (Table no. 53) shows that Vata and Pitta is the pradhana dosha which underwent
Kapha Dosha which attributed for prevalence 15%. It signifies the importance of Vata
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
119
DISCUSSION 2012
Dushya: Data obtained pertaining to dushya of the patients suffering from Essential
HTN (Table no. 54) shows that highest incidence is seen in the patients with Rakta
(100%) as Dushya; followed by Majja (90%) and Rasa (60%) as Dushya. This is
Family History: Data obtained pertaining to family history of the patients suffering
from Essential HTN (Table no. 55) shows that highest incidence is seen in the patients
with Family History (87.5%). Textual references also mention considerable evidence
that Blood Pressure levels are determined due to specific genetic factors.
suffering from Essential HTN (Table no. 56) shows that highest incidence is seen in
the persons having Easy Fatigue (100%) as a main complaint; followed by Head
Ache (97.5%), Dizziness (90%) and Palpitation (32.5%). It shows the deterioration
Discussion on Results:
40 patients who completed the clinical trial were considered for assessing
the results. The above patients were divided into two groups, Group A and Group B
consisting 20 patients in each group. The cardinal signs and symptoms were
suitable Pathya Ahara and Vihara effectively reduced the signs and symptoms of
Essential HTN in comparison with the other group which was kept only on pathya
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
120
DISCUSSION 2012
Cardinal Symptoms:
Headache:
of 75% than Group B (25%). The grade of improvement was better i.e 50% in Group
A than in Group B.
be due to its Madhura rasa, Snigdha guna and also because of its Vatahara and
Pittahara property.
Dizziness:
of 70% than Group B (20%). The grade of improvement was better i.e. 50% in Group
A than in Group B.
be due to its Tikta, Madhura rasa, Sheeta veerya and Pittahara property.
Palpitation:
of 45% than in Group B (5%). The grade of improvement was better i.e. 40% in
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
121
DISCUSSION 2012
Easy Fatigue:
of 80% than in Group B (25%). The grade of improvement was better i.e. 55% in
Cardinal Signs:
Systolic B.P.:
A after trial compared to Group B with ‘t’ value 9.974 and ‘p’ value <0.001 (Table
no. 63).
be due to its Medhya, Tridoshhara and Rakta Doshahara and Hridya Properties; and
Diastolic B.P.:
A after trial compared to Group B with ‘t’ value 6.026 and ‘p’ value <0.001 (Table
no. 64).
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
122
DISCUSSION 2012
be due to its Medhya, Tridoshhara and Rakta Doshahara and Hridya Properties; and
When data obtained in patients of Group A was statistically compared with the data of
along with Pathya Ahara and Vihara is found to be more effective (Moderate/Marked
response: 100%, p<0.001) than in patients of Group B (30%) i.e. with only Pathya
Dosha:
Pitta: Sheeta veerya and tikta - madhura rasa helps in Pitta Shamana.
Kapha: Tikta - kashaya rasa and katu vipaka helps in Kapha shamana.
Dushya: Tikta rasa and sheeta veerya helps in pacifying Rakta dosha.
Agni: Jatamamsi Choorna causes Deepana, Pachana and Anulomana since it consists
of katu rasa and katu vipaka. This helps in improving the Jatharagni and Dhatwagni
Shonita Dushti which has shown in the Flow Chart no. 3 shows that the nidanas of
Shonita Dushti namely Aaharaja, Vihaaraja, Manasika and Anya nidanas causes
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
123
DISCUSSION 2012
Jatharagni and Dhatwagni mandya. It results in the Vata Pradhana Tridosha Prakopa
The Jatamamsi choorna because of its Katu Rasa, Katu vipaka, Laghu-
Prakopa. Because of Snigdha guna it pacifies Vata Prakopa. Through Tikta - kashaya
rasa and katu vipaka it pacifies Kapha Prakopa. Through prabhava it pacifies manasa
dosha namely Rajas and modulates Sanjnavaha Srotas. There by further prognosis of
disease process stops. Through Tikta rasa, Sheeta veerya and Rakta doshahara
property it pacifies Shonita Dushti. Thus Jatamamsi Choorna helps in the amelioration
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
124
DISCUSSION 2012
NIDANA
SAMPRAPTI
VIGHATANA
ADHISTANA IN SHIRAS
ROGA
UPASHAMANA
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
125
CONCLUSION
CONCLUSION 2012
CONCLUSION
The scientific study starts with propositions and suppositions and progress
to theory and dogmas as the problems at hand becomes clearer. Clarity is gained as
more and more trials are carried out and a comprehensive picture of the disease and
In the present study 40 patients have been listed out divided them into 2
groups - Group A and Group B. Patients in Group A-Trial group were administered
with Jatamamsi Choorna along with pathya aahara and vihaara and patients in
Group B-Control group were kept on only pathya aahara and vihaara.
It can be concluded that the highest incidence of Shonita Dushti is seen among
the male patients of 41-50yrs, most of them on mixed diet and from nuclear
family.
It can be concluded that the highest incidence of Shonita Dushti is seen among
It can be concluded that the highest incidence of Shonita Dushti is seen among
It can be concluded that the highest incidence of Shonita Dushti is seen among
Shonita Dushti since 97.5% of the patients were under Mental Stress.
It can be concluded that the highest incidence of Shonita Dushti is seen among
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
126
CONCLUSION 2012
It can be concluded that the highest incidence of Shonita Dushti is seen among
seen among the patients with tension and anxiety as emotional makeup.
It can be concluded that the highest incidence of Shonita Dushti is seen among
Sedentary Work.
It can be concluded that the highest incidence of Shonita Dushti is seen among
among the patients with Vata Pittaja and Pitta Kaphaja prakruti.
It can be concluded that highest incidence of Shonita Dushti is seen among the
It can be concluded that highest incidence of Shonita Dushti is seen among the
Again it can also be concluded that Shonita Dushti is seen in the patients with
It can be concluded that highest incidence of Shonita Dushti is seen among the
It can be concluded that highest incidence of Shonita Dushti is seen among the
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
127
CONCLUSION 2012
It can be concluded that highest incidence of Shonita Dushti is seen among the
patients with the lakshanas like Krodha Prachurata, Anidra and Ati Sveda;
Akshiraga.
It can be concluded the Vata Pradhana Tridosha along with Rajo Guna
It can be concluded that highest incidence of Shonita Dushti is seen among the
among the patients with the main complaint of Easy Fatigue; followed by
From the signs and symptoms recorded in the present study, Shonita Dushti
Statistical analysis of the data obtained leads to the conclusion that Jatamamsi
It can also be concluded that Pathya aahara and vihaara (Group-B) alone
Aahara and vihaara has a significant role to play in the Samprapti vighatana
of Shonita Dushti’.
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
128
SUMMARY
SUMMARY 2012
SUMMARY
Dushti w.s.r. to Essential Hypertension and its Samprapti Vighatana using Jatamamsi
Summary.
1st Chapter – Deals with introduction where in brief account of need and
scope for the study and the rationality behind selecting the disease.
dealt here.
Panchakas, karma and other uses of the drug Jatamamsi are explained.
4th Chapter – Deals with the methodology, the study design, source of data
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
129
SUMMARY 2012
5th Chapter - The clinical study, observations made on study, the results of
the data drawn after the study are expressed in tables and charts and the
6th Chapter - Discussion on the study topic, study design, assessment and
objectives of the study are discussed in detail here along with the observations
made during the study and the probable mode of action of the drug is
discussed.
7th Chapter - The conclusion drawn out of the clinical study is dealt here.
8th Chapter – The summary of the whole study is dealt here. It can therefore
be concluded that Jatamamsi Choorna along with Pathya Ahara and Vihara
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
130
BIBLIOGRAPHY
&
REFERENCES
BIBLIOGRAPHIY & REFERENCES 2012
1. Harrison’s Principles of Internal Medicine. Vol. II, Naomi D.L. Fisher, Gordon
H.Williams, 16th edition, pp.2607 page no.1463
2. Davidson.Davidson’s Principles & Practice of Medicine. Edited by Nicholas A.
Boon, Nicki R. Colledge, Brian R. Walker, John A.A. Hunter. Published by
Churchill Livingstone Elsevier, 20th edition, Reprint 2006, page no-608
3. Clinical study on the effect of Takradhara in the essential hypertension :
Dr Rajshekara sanapeti.
4. Charaka samhita by Agnivesha, revised by Charaka and Dridhabala with Dipika
commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamaji Acharya,
Chaukhamba publications, 5th edition 2001 pp. 738, page no 124
5. Charaka samhita by Agnivesha, revised by Charaka and Dridhabala with Dipika
commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamaji Acharya,
Chaukhamba publications, 5th edition 2001 pp. 738, page no 124
6. Charaka samhita by Agnivesha, revised by Charaka and Dridhabala with Dipika
commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamaji Acharya,
Chaukhamba publications, 5th edition 2001 pp. 738, page no 124
7. Charaka samhita by Agnivesha, revised by Charaka and Dridhabala with Dipika
commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamaji Acharya,
Chaukhamba publications, 5th edition 2001 pp. 738, page no 124
8. Vaidya Baghel MS.Research in Ayurveda-2nd edition Jamnagar:Mridu Ayurvedic
Publication and Sales;2005.pp381, page no 43, sl no 942
9. Vaidya Baghel MS.Research in Ayurveda-2nd edition Jamnagar:Mridu Ayurvedic
Publication and Sales;2005.pp381, page no 22, sl no 159
10. Vaidya Baghel MS.Research in Ayurveda-2nd edition Jamnagar:Mridu Ayurvedic
Publication and Sales;2005.pp381, page no 45, sl no 993
11. Vaidya Baghel MS.Research in Ayurveda-2nd edition Jamnagar:Mridu Ayurvedic
Publication and Sales;2005.pp381, page no 62, sl no 76
12. Atharvaveda, Atharva Samhita, Mantranukramya Samhita, Edition 1994,
Naga Prakashak, 10.8.43
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
131
BIBLIOGRAPHIY & REFERENCES 2012
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
133
BIBLIOGRAPHIY & REFERENCES 2012
35. Harrison’s Principles of Internal Medicine. Vol. II, Naomi D.L. Fisher, Gordon
H. Williams, 16th edition, pp.2607 page no.1466
36. Harrison’s Principles of Internal Medicine. Vol. II, Naomi D.L. Fisher, Gordon
H. Williams, 16th edition, pp.2607 page no.1465
37. Astanga Hridayam, by Vagbhata with commentaries of Arunadatta and
Hemadri, edited by Bhishagacharya Hari sadashiva shastri Paradakara vaidya ,
Chaukhamba publications, 9th edition, 2002 pp.956, page no.12
38. Sushrutha, Sushrutha samhita, Nibandhasamgraha commentary of
Daldanacharya and Nyayachandrika Panchika commentary of Gayadasa, edited by
Yadavji Trikamji Acharya, 9 th edition, Krishnadas Achademy, Varanasi, Pp.824,
Pg no: 103, Shloka no: 17
39. Dr. K. Nishteswar and Prof. R. H. Singh. Ayurvedic treatment for Hypertension
(High blood pressure), Krishnadas Academy Varanasi publication, 1st edition
2002, pp.87, page no 8
40. Dr. K. Nishteswar and Prof. R. H. Singh. Ayurvedic treatment for Hypertension
(High blood pressure), Krishnadas Academy Varanasi publication, 1st edition
2002, pp.87, page no 8
41. Dr. K. Nishteswar and Prof. R. H. Singh. Ayurvedic treatment for Hypertension
(High blood pressure), Krishnadas Academy Varanasi publication, 1st edition
2002, pp.87, page no 9,10
42. Robbins Basic Pathology. Edited by Kumar, Abbas, Fausto, Mitchel. Published by
Elsevier. 8th edition 2007, pp.946, page no 355
43. Dr. K. Nishteswar and Prof. R. H. Singh. Ayurvedic treatment for Hypertension
(High blood pressure), Krishnadas Academy Varanasi publication, 1st edition
2002, pp.87, page no 9
44. Robbins Basic Pathology. Edited by Kumar, Abbas, Fausto, Mitchel. Published
by Elsevier. 8th edition 2007, pp.946, page no 355
45. Charaka samhita by Agnivesha, revised by Charaka and Dridhabala with
Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamaji
Acharya, Chaukhamba publications, 5th edition 2001 pp. 738, page no 124 Shloka
no 16
46. Charaka samhita by Agnivesha, revised by Charaka and Dridhabala with
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
134
BIBLIOGRAPHIY & REFERENCES 2012
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
135
BIBLIOGRAPHIY & REFERENCES 2012
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
136
BIBLIOGRAPHIY & REFERENCES 2012
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
137
BIBLIOGRAPHIY & REFERENCES 2012
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
138
BIBLIOGRAPHIY & REFERENCES 2012
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
139
ANNEXURE
ANNEXURE 2012
Occupation:
Address:
Pin:
Phone no.:
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
140
ANNEXURE 2012
Symptoms Duration
Shiroruk
Krodha Prachurata
Tamasaatidarshana
Bhrama
Atidourbalya
Akshiraga
Anidra
Klama
Buddhi Sammoha
Ati Sveda
Consistency: Hard/Semisolid/watery
• Micturition: Frequency………..times/day………times/night
Associated- Pain/Burning
• Sleep: Sound/Disturbed/Delayed
Day-………...hrs
Night-…………hrs
Awakening: Yes/No
Other:
• Exercise: Less/Adequate/Excess
Regular/Irregular
Chewing/Snuffing/Tranquilizers/Others
Duration- ……….yrs
Quantity-
Frequency-
Occupational History:
• Nature of work- Manual/Sedentary/Labor/Sitting/Travelling/Walking/
Studying/Mental
• Hours of work- ……………./day
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
142
ANNEXURE 2012
……………/night
• Rest- Adequate/Inadequate/Excessive (………….hrs)
Gynaecological Hitory:
1) Menstrual History:
• Menarche-………yrs
• Menstrual Cycle- ………… days.
• Period of flow-…………days
• Other details- Regular/Irregular/Scanty/Painful/Menorrhagia/Metrorrhagia/
Dismenorrhoea/ Leucorrhoea
• Menopause-……….yrs
2) Obstetric History:
• Married life - ………….yrs
• No. of delivery –
• No. of LSCS –
• No. of abortion –
General Examination:
Built- Well/Moderate/Poor Pulse-……../min
Nourishment- Well/Moderate/Poor B.P-…………..mm of Hg
Respiratory Rate-………/min Clubbing- P/A
Tongue- Coated/Clear Height-……….cms
Nails- Pink/Pallor/Bluish Weight-………kgs
Conjunctiva- Pink/Pallor/Bluish Lymph nodes- Palpable/Not
palpable
Oedema- Foot/ankle/leg/sacral/hands/face- Pitting/Non pitting
Cyanosis- Extremities: Upper/Lower, buccal mucosa, Lips, conjunctiva
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
143
ANNEXURE 2012
Vaya – Bala/Madhyama/Vriddha
Sara - Twak/Rakta/Mamsa/Meda/Asthi/Majja/Shukra/Sarva
Adyatana: P/M/A
Adyatana – P/M/A
Adyatana – P/M/A
Dosha Pareeksha:
Vata:
Pitta:
Kapha:
Sroto Pareeksha:
Pranavaha srotas:
Annavaha srotas:
Udakavaha srotas:
Rasavaha srotas:
Raktavaha srotas:
Mamsavaha srotas:
Medavaha srotas:
Asthivaha srotas:
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
144
ANNEXURE 2012
Majjavaha srotas:
Shukravaha srotas:
Artavavaha srotas:
Pureeshavaha srotas:
Mutravaha srotas:
Swedavaha srotas:
Systemic Examination:
1. Cardio Vascular System:
Inspection:
Palpation:
Percussion:
Auscultation:
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
145
ANNEXURE 2012
2. Respiratory System:
Inspection:
Palpation:
Percussion:
Auscultation:
Palpation:
Percussion:
Auscultation:
Nidana Panchaka:
Nidana:
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
146
ANNEXURE 2012
Ati
Nishpaava
Ati Dadhi
Ati
Teekshna,
Ushna
madya
Ati Jalaja
Mamsa
Sevana
Ati Aanupa
Mamsa
Sevana
Purva Rupa:
Rupa/Lakshana:
Rupa Duration
Shiroruk
Krodha Prachurata
Tamasaatidarshana
Bhrama
Atidourbalya
Akshiraga
Anidra
Klama
Buddhi Sammoha
Ati Sveda
Upashaya:
Anupashaya:
Samprapti Ghataka:
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
147
ANNEXURE 2012
• Dosha -
• Dushya -
Assessment criteria:
• Subjective Parameters:
Parameters BT
Head ache
Dizziness
Palpitation
Fatigue
• Objective Parameters:
Parameters BT
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
148
ANNEXURE 2012
Blood Systolic
Pressure Diastolic
Investigations:
Parameters B. T A.T Normal value
Blood Routine Hb%
T.C
D.C N
L
E
M
B
E.S.R
R.B.S
Urine Routine Micro
Albumin
Sugar
ECG: B.T-
A.T-
Samprapti Vighatana:
1. Group A Trial Group-Jatamamsi Choorna & pathya ahara and vihara
2. Group B Control Group-Pathya Ahara & Vihara
Group A
Pathya ahara:
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
149
ANNEXURE 2012
Apathy ahara: Katu, Amla ahara, Ati lavana sevana, Dadhi, Masha, Kulatha,
Nishpava, Guru abhishyandakara ahara, Teekshna madya, Jalaja & Anupa mamsa,
Tamboola.
Apathya vihara: Divaswapna, Ati atapa sevana, Ati Shrama, Abhighata, Chardi vega
dharana, Mutra-Pureesha vega dharana.
Group B
Duration: 30 days
Observation:
Subjective parameter AT
Head Ache
Dizziness
Palpitation
Fatigue
Objective parameter BT AT
Blood Pressure Systolic
Diastolic
Pulse Rate
“A STUDY ON NAIDANIKA SAMPRAPTI OF SHONITA DUSHTI W.S.R. TO ESSENTIAL HYPERTENSION & ITS
SAMPRAPTI VIGHATANA USING JATAMAMSI CHOORNA” – Dr. RADHIKA T.P.
DEPARTMENT OF PG STUDIES IN ROGA NIDANA, G.A.M.C., BANGALORE
150