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6. BRIEF RESUME OF THE INTENDED WORK:
6.1) NEED FOR THE STUDY:
The main aim of Ayurveda is “Swasthasya swaasthya rakshanam, Aturasya vikara prashamanam” ie to
maintain the health of a healthy person and to eradicate the disease of a diseased person.
In modern era, due to change in life style and habits , lack of physical activity with increased intake of
food specially fat increasing foods, man has become the victim of many diseases. People do not follow the
Dinacharya and Ritucharya as explained in Ayurvedic classics and hence suffers from so many disorders for
themselves. Sthoulya is one among them.
Sthoulya is such a disease which provides the platform for so many hazards like Hridroga, Madhumeha,
,Vandhyatva, Klaibya, etc as well as psychological disorders like stress, depression, anxiety etc. So to say the
mortality and morbidity are more in obese person compared to others. In many countries 50% of the adults are
overweight. Obesity has reached epidemic proportions in India in the 21st century with morbid obesity affecting
5% of the country’s population.
Sthoulya is considered as a Santarpana janya vyadhi in ayurvedic classics.The aetiological factors mainly
vitiate kapha dosha and meda dhatu and vata gets avrita by excessive meda. Thus if apatarpaka dravyas are used
alone,it increases the vitiated vata. Hence treatment should be planned considering vitiated vata, meda and
kapha. In Ayurveda ,Panchakarma includes sodhana therapies and by this it cures the disease from its root,
leaving no chance for recurrence.
In Charaka Samhita, Acharya mentioned the tikta rasatmaka dravyas which are having lekhana and
karshana karma and are suitable for the management of Sthoulya. Here lekhana basti with panchatiktaka ie
guduchi, nimba, patola , vasa ,and kantakari by virtue of its lekhana karma reduces meda and simultaneously
pacifies the vata dosha by affecting its seat pakwasaya, so here panchatikta lekhana basti is selected.
Through lekhana basti, the excessive fat deposited in the body will be reduced and thus useful for the obese
person. Hence the study entitled “Effect Of Panchatikta Lekhana Basti in the Management of Sthoulya “ is
undertaken.
7. MATERIALS AND METHODS:
7.1) SOURCE OF DATA:
a) LITERARY SOURCE:
1. From classical texts of ayurveda.
2. Articles from journals, periodicals and other published works.
3. Related data sources from internet.
b) CLINICAL SOURCE:
The patients who shall be diagnosed to be suffering from Sthoulya will be taken from OPD, IPD and
medical camps those shall be conducted by Dr. B.N.M.E Trust’s Shri Mallikarjuna Swamiji Post Graduation and
Research Centre, Bijapur.
7.2) METHODS OF COLLECTION OF DATA:
Diagnosed patients of Sthoulya will be selected by random sampling with respective of their age group
(16-60 years), irrespective of sex, occupation and socio – economic status from the OPD, IPD and medical
camps conducted by Dr. B.N.M.E Trust’s Shri Mallikarjuna Swamiji Post Graduation and Research Centre,
Bijapur.
SAMPLE SIZE:
A minimum of 30 patients who will be diagnosed to be suffering from Sthoulya excluding the drop-outs,
will be assigned in single group.
STUDY DESIGN:
The mode of study will be a clinical study. 30patients shall be assigned into one group, excluding the dropouts. A complete clinical study will be done by treating the 30 patients with Panchatikta lekhana Basti.
The data will be collected before and after the treatment. Interventions will be compared and analyzed by
using Student’s t-test and with the consultation of a bio-statistician.
INCLUSION CRITERIAS:
1. Diagnosed patients with classical signs and symptoms of Sthoulya.
2. Patients of either sex and in between the age group of 16-60 years.
3. Patients fit for Basti karma.
EXCLUSION CRITERIAS:
1. Patients below the age group of 16 yrs and above 60 yrs.
2. Patients with any other systemic disorders and drug induced obesity..
3. Patients who are unfit for Basti karma.
PARAMETERS OF THE STUDY:
SUBJECTIVE AND OBJECTIVE PARAMETERS:
1. Clinical gradings of the signs and symptoms of Sthoulya.
2. B.M.I criteria will be calculated. Also abdomen circumference and waist circumference uing measuring
tape and skin fold thickness before and after treatment will be noted.
3. The data will be collected before and after the treatment. It will be analyzed for the improvement in the
signs and symptoms according to the gradings.
4. Statistical analysis shall be done with the consultation of a bio-statistician.
7.3
DOES THE STUDY REQUIRE ANY INVESTIGATIONS OR INTERVENTIONS TO BE
CONDUCTED ON THE PATIENTS OR OTHER HUMANS OR OTHER ANIMALS? IF SO DESCRIBE
IN BRIEF.
NO,
Investigations are not needed, as study is based on classical signs and symptoms, while the Interventions will be
conducted on the patients of Sthoulya,
INTERVENTIONS:
Procedure
:
Panchatikta Lekhana Basti
Sample size
:
30 patients
Drug
:
Lekhana Basti Drugs.
Dose
:
1 Prastha (768 ml)
Poorva karma
:
(a) Sthanika Abhyanga – Tila Taila.
(b) Sthanikasweda - Bashpa Sweda.
Pradhana karma
:
Lekhana Basti Karma
Paschat karma
:
Sukhoshna Snana and Bhojana After
Basti dravya pratyagamana
Duration
:
15 days
Ist follow - up
:
16th day.
IInd follow - up
:
30th day.
7.4 HAS ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR INSTITUTION IN CASE OF 7.3?
YES.
The Ethical committee has recommended this project and has advised to inform the patients about the
risks involved and to take the patient’s consent for participating in this clinical study.
8 LIST OF REFERENCES:
1. Vaidya Jadavji Trikamji Acharya, Charaka Samhita with Ayurveda Dipika Commentary of
Chakrapanidatta, Ed 2004, Varanasi, Chaukhambha Sanskrit Sansthan, pp116-117.
2. Vaidya Jadavji Trikamji Acharya, Charaka Samhita with Ayurveda Dipika Commentary of
Chakrapanidatta,Ed2004,Varanasi,Chaukhambha Sanskrit Sansthan, page 122.
3. Prof.Jyotir Mitra, Astanga Samgraha with Sasilekha Sanskrit Commentary by Indu,Ed2006,Varanasi,
Choukhambha Sanskrit Series Office, pp184-188
4. . Vaidya Jadavji Trikamji Acharya, Susruta Samhita with Nibandha Sangraha Commentary of Sri
Dalhanacharya,Ed2006,Varanasi, Chaukhambha Surbharati Prakashan, page116
5. Sri Sudarshana Sastri,Madhavanidanam,Part2 with Madhukosa Commentary,by Srivijayarakshita and
Srikanthadatta,Ed2002,Varanasi, Choukhmbha Sanskrit Sansthan, pp28-29
6. Vaidya Jadavji Trikamji Acharya, Charaka Samhita with Ayurveda Dipika Commentary of
Chakrapanidatta, Ed 2004, Varanasi, Chaukhambha Sanskrit Sansthan,page144
.
Dr. B. N. M. E. T’s