A study on the Granthigna effect of Chincha Beeja Yoga (Tamarindus indica l.) Paint W.S.R to Tundikeri (Tonsillitis).
Dr M. PARAMKUSHA RAOM.D.(Ayu),Ph.D.
P.G.Professor& H.O.D.Department of Dravyaguna
S.V.Ayurvedic college, Tirupati,
Andhrapradesh
By-Dr K.RAGHU RAMUDU,
Final year P.G ScholarDepartment of Dravyaguna
S.V.Ayurvedic college,Tirupati,Andhrapradesh
Tundikeri is commonly encountered now a days due to the dietary habits of taking spicy food, cold beverages, refrigerated milk products and cold climate. Lower socio-economic group people are particularly prone as the immunity status is low in them. These factors coupled together results in recurrent episodes of disease. Tundikeri not only cripples children from majority of their enjoyable and learning movement but also makes adults to feel uneasy, restless.
INTRODUCTION
Antibiotics are the main stay in treatment of tonsillitis as far as the conventional medicine is concerned. They can give temporary relief to the patient but cannot check the frequent reoccurrence of the disease. Their surgical removal put a straight forward attack on respiratory, gastrointestinal tract and immunity. Further surgical procedure has its own complications also.
INTRODUCTION
Late Sri Balaraj Maharshi the Former advisor on Ayurveda to the government of Andhra Pradesh, India & Brazil founder of this college has suggested Chincha beeja Lepa in Tonsillitis.My guide Dr M. Param kusha Rao close associated of Balaraj maharshi was observing its promising effect.Therefore Chincha beeja is taken to study its Grandhighna effect in Tundikeri.
Why CHINCHA BEEJA is taken?
Dr. Balraj Maharishi (1917-1998)
AIMS & OBJECTIVES
•To study the efficacy of chincha beeja lepa in tonsillitis•To develop a safe single drug for management of tonsillitis•To find out economical therapy for tonsillitis with minimum or with out side effects
Kingdom PlantaePhylum Spermatophyte
Class AngiospermSub class DicotyledoneFamily LeguminosaeSubfamily Caesalpiniaceae
Genus TamarindusSpecies Indica
Taxonomical classification of chincha
DRUG REVIEW
Rasa Kasaya ReferenceVasthuguna
Dipika
Guna Not mentionedVipaka Not mentionedVirya Not mentioned
Doshaghnata Kapha haraKarma Sukra sthambaka
Rakta sthambaka Upayukta Vyadhi Krimi roga,
Grahani, Sukra nasta,Raktatisara,
Rakta pradaram
Properties of chincha bheeja
PHARMACO THERAPEUTIC APPLICATIONS
(DRAVYAGUNA KRIYAYOGA) 1.Gudha Bramsha: Fried amlika seeds are rubbed with water and pasted on anus after setting the tract in position. By this it dose not prolapse again. (S.B.4.919)2.Somaroga: The seeds of amlika are soaked with water the previous day and then pounded with milk. This past, if taken regularly, alleviates somaroga. (VD.2.13 )3.Rakta arshas: burn the seeds of chincha and make bhasma give in 1-2 masha curd. (G.P.113)4.Amaatisara: Remove the outer covering of ripened chincha seed, white jeeraka and mishri each 6 masha. Make a churna of all make a dose in 3 parts and give at every 3 hour interval with honey. This will cure old disease also. G.P.109 (a)
5.Sweta pradara ( in other pradara also): Soak seeds in water and next day remove seed coat and make a paste of 4 seeds administered with mishri will cure sweeta pradara. (G.P.110)6.Jwara: If daha and palpitations is there seeds of chincha and kharjura 2-2 tola are boiled in sera milk on low flame, sieve it and given to patient. No other food or medication should be given on that day. (G.P.111 ) 7.Kanta sotha: 6 masha of chincha in 2 sera of jala is boiled till the jala remains half then 2 tola of rose water is added and sieved. Gargling with this will cure kanta sotha. (G.P.112 )8.Athisara: Seed coat of Amlika seeds, Sunthi, Rock salt and Yavani are mixed together and taken with fresh buttermilk it checks Athisara quickly. (VD.6.5)
PHARMACO THERAPEUTIC APPLICATIONS
(DRAVYAGUNA KRIYAYOGA)
Mineral mg/100g
Tamarind Seed
Calcium 9.3-786.0Phosphorus 68.4-165.0Magnesium 17.5-118.3Potassium 272.8-610.0Sodium 19.2-28.8Copper 1.6-19.0Iron 6.5Zinc 2.8Manganese 0.9
Mineral content of tamarind seed
Source: Marangoni et al. (1988); Ishola et al. (1990); Bhattacharya et al. (1994); Parvez et al. (2003).
Amino acid content of tamarind seed There are 20 amino acids present in the human body. 9 Essential Amino acids and 11 Non-Essential Amino acidsChincha bheeja contain 8 Essential amino acids and 9 Non-Essential amino acids.
Amino Acid
Tamarind mg/g N (Total
N)
Isoleucine 313Leucine 531Lycine 475
Methionine 113Cystine 106
Phenylalanin 318
Tyrosine 287Threonine 200
Valine 306
Arginine 450
Histidine 143
Alanine 312
Aspartic 768
Glutamic 1056
Glycine 331
Proline 287
Serine 350Source: FAO (1970); de Lumen et al. (1986, 1990).
Reported Pharmacological Activity of Tamarindus indica seed
Antidiabetic activityAntioxidant activity Anti Inflammatory activity Antimicrobial activityAntipyretic activityAnticancer activityAntitumor and Immunopotentiating ActivityAntiemetic activityHepato protective activityAnalgesic activityAnti Diarrheal activityLaxative activity Anti venom activityAnti ulcer activityAnti obesity activity Hypolipidemic activity
Granthi
Any localised swelling looking like a knot caused by vitiated Tridoshas, Rakta, Mamsa and medas with the Predominance of Kapha and Vata.
Vagbhata also opinion that Kapha Pradhana doshas along with Rakta, Mamsa and Medas cause a swelling which is vritta, unnata and gradhita(Round, elevated and compact).
REVIEW OF GRANTHIGHNA KARMA ON TUNDIKERI
Tundikeri
शॊफः सु्थलस्तोददाह प्रपाकि� । प्रागु�ताभ्यां तुण्डि���ेरि� मता तु ॥ (Su.Ni.16/44) Tundikeri is that disease caused by the vitiation of Kapha and
Rakta. There is Sthula Shotha (oedema), Toda (pricking type of pain), Daha (burning sensation), Prapaki (Suppuration).
According to Acharya Vagbhatta, Tundikeri is having the shape of Karpasiphala and is Hanusandhi Asrita Kanta (root of the temperomandibular joint) It is Picchila (Slimy), Manda Ruk (Mild pain) and a firm swelling.
The definition given by Acharya Sushruta resembles the acute stage of tonsillitis.
where as the definition by Acharya Vagbhatta is featuring probably the chronic stage of tonsillitis.
Involvement of Mamsa dhatu could be at the level of poshaka mamsa dhatu level. Rakta dhatu Marghavarodha caused by the either sotha (caused by Bacteria, virus, allergens) or Kapha dosha produced by Nidhana. They obstruct the flow of Rasa Rakta dhatu and inhibit the further dhatu posana (metabolism). The nutrients fraction of Mamsa dhatu retained in the blood accumulate in Tonsils. The accumulated mamsa dhatu produces a Granthi.
Tundikeri is modified Granthi*Samprapthi
*Dr. M. Rama Sunder rao, text book of Shalya Tantra Vignamam,2002,page No.397
Samprapthi vighatana ( Dravya Karma)
20x Image of Chincha beeja 200x image of chincha beeja
MEANOSCOPIC EVALUATION OF CHINCHA BEEJA
Pharmacognostic study
T.S of Chincha beeja
DRAVYA RASA GUNA VIPAKA VIRYACUMULATIVE
SANKHYA
CHINCHA
BHEEJA
Kashaya
P1K1
Picchala
Ruksha
V1
K1P1
Katu
K2
Sheeta
P3
V1P5K4
Vata; 1
Pitta; 5
Kapha; 4
Doshaghna Gunaganana of chincha bheeja
Reference : Doshagna Guna Ganana (DGG) By Dr M.Paramkusha Rao A new arithmetic assessment of drugs effect on dosha based on Guna prabhava, International Journal of Ayurvedic Medicine, 2012,3 (3), 130-139, published online in http://ijam.co.in.
S.No. Test Type of test
usedFP PP PDP
I Alkaloids Mayer’s test - - -II Carbohydrates Molisch test + + +III Starch Iodine test + + +
IV Tannins Ferric chloride test
+ + +
V Protein and Amino Acid Biuret Test - - -VI Flavonoids Led acetate - - -VII Saponins Foam test - - -VIII Acid test (pH) 7 7 7
Results and observations: Carbohydrates, Starch and Tannins are present in PF Group
drug, PP group drug & PDP group drug. Ph is 7 in three groups.
Phytochemical analysis results
Pharmaceutical preparationChincha beeja yoga
Preparation – 1 Paste of powder (PP)
Preparation -2 Paste of dried paste (PDP)
Preparation -3 Fresh paste (FP)
Microbiological study
Materials:•Bacteria- Staphylococcus aureus• Agar plate•Test tube•Dropper •Test tube stand •Incubator Method followed: Disc diffusion method.
Procedure of culture & sensitivity
Sensitivity Streptococcus aureus to Chincha beeja fresh paste (FP), Paste of Powder (PP) and paste of Dry powder (PDP).
Sensitivity of FP Sensitivity of PP
Sensitivity of PDP
Sample Sensitivity
FP + + +
PP + +
PDP +
The result shows that Chincha beeja fresh paste (FP) was more effective on Streptococcus aureus than the Paste of Powder (PP), paste of Dry powder (PDP).
REPORT
Chincha bheejaDistilled waterHot WaterSandalwood stone(which is used for chandan paste preparation) Sterilized cottonThundikeri salaka(Tonsil cops)Spirit lampWater heater Glass bowlGlass tumbler
MATERIAL AND METHODS
CLINICAL STUDY
Distilled waterSandalwood stone
Sterilized cotton Thundikeri salaka(Tonsil cops)Spirit lamp
Water heater Chincha bheeja churna
Glass bowl
Glass tumbler
Patients selected from P.G department of Dravyaguna and Kaumarabhritya OPD.
A Health checkup camp conducted for the students of Nehru municipal school, Thirupati And examined 300 students and picked up few patients and gave treatment to them.
MATERIAL AND METHODS
HEALTH CHECKUP CAMP
In this study 40 patients were divided in to 4 groups. Groups Treated With
Group-1 Fresh paste (FP)
Group-2 Paste of dried paste (PDP)
Group-3 Paste of powder (PP)
Group-4 Placebo (PL) Wheat Powder with water
Patient allowed to gargle with lukewarm
water
Applied the chincha bheeja lepa on affected
tonsils with the help of tonsil cops.
Same procedure continued for 3 days
DRUG ADMINISTRATION
12 c.m
THUNDIKERI SALAKA (TONSIL COPS)
THUNDIKERI SALAKA (TONSIL COPS)
Thundikeri salaka(Tonsil cops) is a arrow shaped instrument which is made up of silverHead of this instrument have rough surfaced edges this type of edges useful for holding Cotton with out escaping.This instrument is very comfortable for applying the medicine on surface of tonsils
Inclusion criteriaAge group of 2years to 60yearsPatient having symptoms of tonsillitis viz. throat pain, dysphagia ,fever etcPatient willing for treatmentPatients of either sex will be included
Exclusion criteria Tonsillitis with complications e.g. Quincy, laryngeal edema, abscessAge group below 2 years and above 60 yearsOther conditions which mimic tonsillitis e.g. diphtheria, herpes etc
Dysphagia Score
No difficulty in swallowing 0
Patient feels difficulty in Swallowing of solid matters
1
Patient unable to swallow even Saliva 2
Patient unable to open his mouth completely due to severe pain
3
ASSESSMENT CRITERIA
Improvement in temperature (as observed by its fall):
Score
Normal temperature i.e., 98.6°F 0
Temperature rises from 98. 6°F - 100°F 1
Temperature rises from 100°F - 102°F 2
Temperature more than 102°F 3
Enlargement of tonsils Score
No enlargement 0
Enlarged within anterior pillars 1
Enlarged within posterior pillars 2
Kissing tonsils 3
Halitosis (Bad Breath) Score
Halitosis absent 0
Halitosis present only when opening of mouth angle completely
1
Halitosis present even during talking
2
Pricking Pain Score
No pain 0
Pain during food intake 1
Continuous pain 2
Symptoms No of patients with grade-0
(Nil)
No of patients with grade-1
(Mild)
No of patients with grade-2(Moderate)
No of patients with grade-3
(severe)
Dysphagia B.T 0 8 2 0
A.T 9 1 0 0
Redness in Mucus Membrane
B.T 0 6 4 0
A.T 9 1 0 0
Temperature B.T 4 5 1 0
A.T 10 0 0 0
Enlargement of Tonsils
B.T 0 3 7 0
A.T 7 3 0 0
Halitosis (Bad Breath)
B.T 3 2 5 0
A.T 9 1 0 0
Pricking Pain B.T 2 5 3 0
A.T 9 1 0 0
OBSERVATION & RESULTSGRADIATION OF SYMPTOMS BEFORE AND AFTER TREATMENT
GRADATION OF SYMPTOMS BEFORE AND AFTER TREATMENT IN GROUP -1(FP)
SYMPTOMS BEFORE AND AFTER TREATMENT OF GROUP-1 (FP)
B.T A.T B.T A.T B.T A.T B.T A.T B.T A.T B.T A.T 1 2 3 4 5 6
0
1
2
3
4
5
6
7
8
9
10
0
9
0
9
4
10
0
7
3
9
2
9
8
1
6
1
5
0
3 3
2
1
5
1
2
0
4
0
1
0
7
0
5
0
3
00 0 0 0 0 0 0 0 0 0 0 0
No of patients with grade-0 (Nil) No of patients with grade-1 (Mild) No of patients with grade-2 (Moderate) No of patients with grade-3 (severe)
Dysphagia 1
Redness in Mucus Membrane
2
Temperature 3Enlargement of Tonsils 4Halitosis (Bad Breath) 5Pricking Pain 6
GRADATION OF SYMPTOMS BEFORE AND AFTER TREATMENT IN GROUP -2 (PDP)
Symptoms No of patients with
grade-0(Nil)
No of patients with
grade-1(Mild)
No of patients with
grade-2(Moderate)
No of patients with
grade-3(severe)
Dysphagia B.T 1 7 2 0A.T 7 3 0 0
Redness in Mucus Membrane
B.T 0 9 1 0A.T 9 1 0 0
Temperature B.T 6 2 2 0A.T 8 2 0 0
Enlargement of Tonsils
B.T 0 7 3 0A.T 4 6 0 0
Halitosis (Bad Breath)
B.T 5 5 0 0A.T 8 2 0 0
Pricking Pain
B.T 5 5 0 0A.T 9 1 0 0
SYMPTOMS BEFORE AND AFTER TREATMENT OF GROUP-2 (PDP)
B.T A.T B.T A.T B.T A.T B.T A.T B.T A.T B.T A.T 1 2 3 4 5 6
0
1
2
3
4
5
6
7
8
9
1
7
0
9
6
8
0
4
5
8
5
9
7
3
9
1
2 2
7
6
5
2
5
1
2
0
1
0
2
0
3
0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0
No of patients with grade-0 (Nil) No of patients with grade-1 (Mild) No of patients with grade-2 (Moderate) No of patients with grade-3 (severe)
Dysphagia 1
Redness in Mucus Membrane
2
Temperature 3Enlargement of Tonsils 4Halitosis (Bad Breath) 5Pricking Pain 6
GRADATION OF SYMPTOMS BEFORE AND AFTER TREATMENT IN GROUP -3 (PP)
Symptoms No of patients with
grade-0(Nil)
No of patients with
grade-1(Mild)
No of patients with
grade-2(Moderate)
No of patients with
grade-3(severe)
Dysphagia B.T 1 7 2 0A.T 8 2 0 0
Redness in Mucus Membrane
B.T 0 6 4 0A.T 8 2 0 0
Temperature B.T 6 3 1 0A.T 10 0 0 0
Enlargement of Tonsils
B.T 0 8 2 0A.T 6 4 0 0
Halitosis (Bad Breath)
B.T 4 5 1 0A.T 8 2 0 0
Pricking Pain
B.T 6 4 0 0A.T 10 0 0 0
SYMPTOMS BEFORE AND AFTER TREATMENT OF GROUP-3 (PP)
B.T A.T B.T A.T B.T A.T B.T A.T B.T A.T B.T A.T 1 2 3 4 5 6
0
1
2
3
4
5
6
7
8
9
10
1
8
0
8
6
10
0
6
4
8
6
10
7
2
6
2
3
0
8
4
5
2
4
0
2
0
4
0
1
0
2
0
1
0 0 00 0 0 0 0 0 0 0 0 0 0 0
No of patients with grade-0 (Nil) No of patients with grade-1 (Mild) No of patients with grade-2 (Moderate) No of patients with grade-3 (severe)
Dysphagia 1
Redness in Mucus Membrane
2
Temperature 3Enlargement of Tonsils 4Halitosis (Bad Breath) 5Pricking Pain 6
GRADATION OF SYMPTOMS BEFORE AND AFTER TREATMENT IN GROUP -4 (PL)
Symptoms No of patients with
grade-0(Nil)
No of patients with
grade-1(Mild)
No of patients with
grade-2(Moderate)
No of patients with
grade-3(severe)
Dysphagia B.T 0 8 2 0A.T 2 6 2 0
Redness in Mucus Membrane
B.T 0 9 1 0A.T 3 7 0 0
Temperature B.T 10 0 0 0A.T 9 1 0 0
Enlargement of Tonsils
B.T 0 10 0 0A.T 0 8 2 0
Halitosis (Bad Breath)
B.T 6 4 0 0A.T 7 3 0 0
Pricking Pain
B.T 5 5 0 0A.T 5 5 0 0
SYMPTOMS BEFORE AND AFTER TREATMENT OF GROUP-4 (PL)
B.T A.T B.T A.T B.T A.T B.T A.T B.T A.T B.T A.T 1 2 3 4 5 6
0
1
2
3
4
5
6
7
8
9
10
0
2
0
3
10
9
0 0
6
7
5 5
8
6
9
7
0
1
10
8
4
3
5 5
2 2
1
0 0 0 0
2
0 0 0 00 0 0 0 0 0 0 0 0 0 0 0
No of patients with grade-0 (Nil) No of patients with grade-1 (Mild) No of patients with grade-2 (Moderate) No of patients with grade-3 (severe)
Dysphagia 1
Redness in Mucus Membrane
2
Temperature 3Enlargement of Tonsils 4Halitosis (Bad Breath) 5Pricking Pain 6
ParameterMean
Mean Diff
% of relief
S.D S.Et-value P value SignificanceB.T A.T B.T A.T B.T A.T
Dysphagia 1.20 0.10 1.10 91.67 0.42 0.32 0.13 0.10 11.0000
<0.0001
Extremely significant
Redness in Mucus Membrane
1.40 0.10 1.30 92.85 0.52 0.32 0.16 0.10 8.5105 <0.0001
Extremely significant
body temperature 0.70 0.00 0.70 100 0.67 0.00 0.21 0.00 3.2796 0.0095 Very
significant
Enlargement of tonsils 1.70 0.30 1.40 82.35 0.48 0.48 0.15 0.15 8.5732 <0.000
1Extremely significant
Halitosis 1.20 0.10 1.10 91.67 0.92 0.32 0.29 0.10 3.9727 0.0032 Very significant
Pricking pain 1.10 0.10 1.00 90.90 0.74 0.32 0.23 0.10 4.7434 0.0011 Very
significant
STATISTICAL ANALYSIS OF DATA STATISTICAL COMPARISON OF GROUP-1
STATISTICAL COMPARISON OF GROUP-2 (PDP)
ParameterMean
Mean Diff
% of relief
S.D S.Et-value P value Significance
B.T A.T B.T A.T B.T A.T
Dysphagia 1.10 0.30 0.80 72.72 0.57 0.48 0.18 0.15 6.0000 0.0002 Extremely significant
Redness in Mucus
Membrane1.10 0.10 1.00 90.90 0.32 0.32 0.10 0.10 6.7082 <0.0001 extremely
significant
body temperature 0.60 0.20 0.40 66.67 0.84 0.42 0.27 0.13 2.4495 0.0368 Significant
enlargement of tonsils 1.30 0.60 0.70 53.84 0.48 0.52 0.15 0.16 4.5826 0.0013 Very
significant
Halitosis 0.50 0.20 0.30 60 0.53 0.42 0.17 0.13 1.9640 0.0811 Not significant
pricking pain 0.50 0.10 0.40 80 0.53 0.32 0.17 0.10 2.4495 0.0368 Significant
STATISTICAL COMPARISON OF GROUP-3 (PP)Parameter Mean Mean
Diff% of relief
S.D S.E t-value
P value Significance
B.T A.T B.T A.T B.T A.T
Dysphagia 1.10 0.20 0.90 81.81 0.57 0.42 0.18 0.13 5.0138 0.0007 Extremely significant
Redness in Mucus Membrane
1.40 0.20 1.20 85.71 0.52 0.42 0.16 0.13 9.0000 <0.0001 Extremely significant
body Temperature
0.50 0.10 0.40 80 0.71 0.32 0.22 0.10 2.4495 0.0368 Significant
enlargement of tonsils
1.20 0.40 0.80 66.67 0.42 0.52 0.13 0.16 6.0000 0.0002 Extremely significant
Halitosis 0.70 0.20 0.50 71.42 0.67 0.42 0.21 0.13 3.0000 0.0150 Significant
Pricking Pain
0.40 0.00 0.40 100 0.52 0.00 0.16 0.00 2.4495 0.0368 Significant
STATISTICAL COMPARISON OF GROUP-4 (PL)
Parameter Mean Mean Diff
% of relief
S.D S.E t-value P value SignificanceB.T A.T B.T A.T B.T A.T
Dysphagia 1.20 1.00 0.20 16.67 0.42 0.67 0.13 0.21 1.0000 0.3434 Not signific
antRedness in
Mucus Membrane
1.10 0.70 0.40 36.37 0.32 0.48 0.10 0.15 2.4495 0.0368 Significant
Temperature 0.00 0.10 0.10 0 0.00 0.32 0.00 0.10 1.0000 0.3434 Not signific
antenlargement
of tonsils1.00 1.20 0.20 20 0.00 0.42 0.00 0.13 1.5000 0.1679 Not
significant
Halitosis 0.40 0.30 0.10 25 0.52 0.48 0.16 0.15 1.0000 0.3434 Not signific
antpricking pain 0.40 0.50 0.10 25 0.52 0.53 0.16 0.17 1.0000 0.3434 Not
significant
OVER ALL RESULT OF THE STUDY ACCORDING TO % OF RELIEF
Parameter % of Relief (B.T-A.T/B.T 100)
Group-1Fresh paste
(FP)
Group-2Paste of dried paste (PDP)
Group-3Paste of
powder (PP)
Group-4Placebo (PL) Wheat Powder
with water
Dysphagia 91.67 72.72 81.81 16.67Redness in Mucus Membrane 92.85 90.9 85.71 36.37
body temperature100 66.67 80 0
Enlargement of tonsils 82.35 53.84 66.67 20
Halitosis 91.67 60 71.42 25Pricking pain 90.9 80 100 25
OVERALL RESULT OF THE STUDY ACCORDING TO % OF RELIEF
Dysphag
ia
Redn
ess in
Mucus M
embra
ne
body t
empe
rature
Enlarg
ement
of to
nsils
Halitos
is
Pricki
ng pa
in0
10
20
30
40
50
60
70
80
90
100
OVER ALL RESULT OF THE STUDY ACCORDING TO % OF RELIEF
Grup-1Group-2Group-3Group-4
Symptoms
% o
f Re
lief
INTER GROUP COMPARISON (ANOVA SINGLE FACTOR RESULT)
S.No Symptom F-Value P-Value Significance
1Dysphagia 6.000 0.0020 Very
significant
2 Redness in Mucus Membrane 7.222 0.0006 Extremely
significant
3 Temperature 4.041 0.014 Significant4 Enlargement of
Tonsils 22.46 <0.0001 Extremely significant
5 Halitosis (Bad Breath) 5.419 0.0035 Very
significant
6.Pricking Pain 7.515 0.0005 Extremely
significant
BEFORE TREATMENT AFTER TREATMENT
Group:3 Pt No: 5
BEFORE TREATMENT AFTER TREATMENT
Group:1 Pt No: 2
BEFORE TREATMENT AFTER TREATMENT
Group:1 Pt No: 8
BEFORE TREATMENT AFTER TREATMENT
Group:3 Pt No: 7
BEFORE TREATMENT AFTER TREATMENT
Group:2 Pt No: 5
DISCUSSION
•Chincha is found in all Nighantus. Cincha Bija description is found only in Vastuguna deepika.
•Sri Balraj maharshi (20th December 1917- 28th August 1998) had demonstrated several single drug applications in various clinical conditions.
•Chincha beeja also a clinical application suggested by him to Dr M. Paramkusha Rao he has treated several tonsillitis patients with this medicine. It has been tried in this study to establish a scientific evidence for a successful practice. Chincha bheeja is Kashaya in rasa, Ruksha in guna promotes absorption, and Kaphahara action removes obstruction. Krimi hara Karma of Chincha bheeja destroys Bacteria, Virus invaded in to tonsils.
•The chemical composition of Chincha beeja is found peculiar with chemical named as Xyloglucan (XG) . It is very hydroscopic in nature and found to be effective. To prove it another study is required.
CONCLUSION
•Group-1 patients have shown better results when compared with other 3 Groups. That means Fresh Paste is more effective than other forms. •The result with 3rd group Chincha beeja powder mixed with water has shown next better results. 2nd group chincha beeja dry powder has not given satisfactory result. But better than Placebo Group.
ACKNOWLEDGEMENT
I am thankful to TTD, Late Sri Balaraj Maharshi, Principal S.V Ayurvedic college Tirupathi, and my guide & Professor Dr M. Paramkusha Rao garu and my teachers for kind support.
Dr Parvathi Devi garu S.V Ayurvedic hospital for providing Dravyaguna theater to conduct the study along with many other dravyaguna kriyayogas.