A To Study the Efficacy of Kustumbari Churna with Tandulodak in Garbhini Chhardi

Garbhini Chhardi

Abstract

“TO STUDY THE EFFICACY OF KUSTUMBARI CHURNA WITH TANDULODAK IN GARBHINI CHARDI”

     Raut Sonal Hitendra¹, Ukey Sapna Amol², Varade Shilpa Abhay³

1. Assistant Professor (Streerog Prasutitantra)
2. Assistant Professor (Swasthvrutha)
3. Assistant Professor (Sharir Rachana)

___________________________________________________________________________

Abstract

Motherhood is a part and parcel of womenhood. Womenhood is incomplete without motherhood. It is the apex of a life, she has to pass through the state of pregnancy for achieving this valuable pearl of life.

The symptoms of pregnancy morning sickness vomiting, water brash etc according to our culture is the greatest moment of joy in women's life as well as for her complete family. Fetus Can become weak due to morning sickness, vomiting water brash, nausea during pregnancy period. Even excessive nausea, vomiting can result in dehydration, weight loss, electrolyte imbalance and it also creates adverse condition for pregnant women.

In Ayurveda pregnant women are given very special care and importance. Classics of Ayurveda preferred to treat pregnant women with use of soft medicine so that there should be no harm to mother and foetus.  So we tried to overcome garbhini chhardi with the help of Ayurveda remedy.

Keywords: Garbhini Chardi, Kustumbari churna, Sharkara efficacy

Introduction

The strongest child is the real property of the nation. Every mother feels that her child should be strongest or ‘Sudrud’. A pregnant woman has to maintain herself strong both physically and mentally and even after pregnancy she used to keep up the same because she is the only source of her child’s food, during pregnancy and after pregnancy also the proper growth of fetus is itself a sign of healthy child.

Ayurveda conferres various hopes of treatment to outsmart these inferior State of pregnant women Acharyas believe that the nomenculature of each and every disease is impossible, The state should be treated with equal importance on the basis of knowledge of dosha, dhatu, Mala vigyan for maintaining this Samyavastha, various drug are also suggested and explain with great details of Acharyas. The aim of the work is the Same to try and see the efficacy of Kustumbari churna with Tandulodak in Garbhini Chhardi. ( pregnancy vomiting) Garbhini Chhardi shows symptoms such as Chhardi, hrullas, trishana, Annadwesh, Daurbalaya etc.) These troublesome symptoms hamper the daily routine activity a patient.

To serve the purpose, study was planned to evaluate the effect of Kustumbari Churana in garbhini chardi.

Aims and objects:-

• To study the efficacy of Kustumbari Churana with Sharkar and Tandulolak in Garbhini Chhardi.

• Comparative study of efficacy Kustumbari Churana with Tandulolak and plain Tandulolak in case Garbhini chhardi.

Methodology:-

The present study has been carried out of 60 patients. The research was carried out at the strceroga prasotitantra vibhaga in SVNH’s Ayurveda Mahavidyalaya and chikitsalaya Rahuri.

60 Garbhini patient having complaints of Chhardi were selected randomly. Patients from OPD/IPD Were  selected for the study strictly binding to the inclusion and exclusion criteria.

Study design:-

60 patients were selected for study. Patients were divided into two groups.

• Group A- Trial Group
• Group B- Placebo Group

Inclusive criteria :-

These patients were selected randomly after confirmation of diagnosis by means of Symptoms and urine examination. The gradation of symptoms of each patient was noted, patients were selected irrespective of caste, religion, age, weight, income, education, Parity, gravida, with complaints of vomiting,  above 19 years, married, having recurrent nausea and vomiting during pregnancy.

Investigation done :- UPT, USG, Hameogram, Urine Examination.

Exclusion criteria:-

Below 19 years, unmarried, patients were not taken into consideration who were associated with other disease like heart disease, Bronchial asthma, Tuberculosis, Hypertension HIV positive.

Patients who not able to continue treatment were excluded from the statistical analysis of data.

The drug:-

kustUmbarInaaM klkM tNDUlaaodksaMyau@t ||

ipbaot Sak-ra )dyama gaBaI-NaI Cid- inavaa-Nama ||

                        yaao.r.s~I. rao. ica,.43 /11 -12

As described by yogratnakar kustumbari churna was prepared with Sharkara churna and tandulodak was prescribed to the patience to evaluate the efficiency regarding the symptoms relief and changes.

Kustumbari churna 1gm

Sharkara churna 2 gm

Tandulodak 20 ml

The fine powder was made of Kustumbari and mixed with Sharkara churna.

Dose Of The Drug                  -           3gm thrice a day

Aunpan                                   -           Tandulodak

Route of Administration         -           oral route is followed

Seven kal                                 -          The drug was administrated in morning hours before meal

Group A                                   -          30 patients were treated with kustumbari churna

Group B                                   -          Placebo group 30 patients were treated with plain Tandulodak.

DRVG Review:-

L.N                                          -           Coriandrum Sativom

Gan                                         -           Truptighna

Kul                                          -           Umbellifereae

Sanskrit                                   -           Dhanya, kustumbari

Hin                                          -           Dhania, Dhanya

Marathi                                    -           Dhanna, kothimber

Gun:-

Rasa                                        –          Madhur, Katu, Tikta, Kashya

Virya                                       –          Ushna

Vipak                                      –          Madhur

Do shaghanat                          –          Tridoshaghria

Sharkara-

Gan                                         –         Mutravirechaniya, Stanyajanan

Kul                                          –         Yav-kul

Synonyms                                –          Kandeshu, Kash, Kas

Latin Name                              –         Saccharum offianale

Marathi                                     –         usa

English                                     –          Sugarcane

Hindi                                       –         Ikh, Ganna,

Gun                                          –          Ras – Madhur

Vipak                                       –         Madhur

Guna                                        –         Laghu

Doshaghnata                           –         Vat pittashamak

Tandulodak

kiNDtM tNDuplaM jalaoYTgauiNato ixapot |

Baavaiya<vaa jalaM ga`ahyaM doyaM sava-~ kma-sau ||

Saa. sa. pu K /29

Latin name                  –         Oryaza

Marathi                        –         Shali, Tandul

Family                         –         Gramineae

Hindi                            –         Dhan, Chawal

Gun- Ras                                  –         Madhur Kashaya

Virya                           -           Sheet

Vipak                          –          Madhur

Gun                             –          simigdha laghu

Doshaghnita                –          Tridoshaghna

Group B Placebo

Does                           –          50 ml four time in a day for 7 days.

In study of 30 patients were selected randomly after confirmation of diagnosis by means of symptoms and urine hematological Examination. The gradation of symptoms of each patient is noted.

Selection of patients:-

Age 19 years or above

Married

Patient having recurrent nausea and omitting were taken in account from Vivekanand Nursing Home’s Ayurved Mahavidyalaya Rahuri, Rugnalaya OPD.

Criteria of diagnosis:-

For the study the patients were diagnosed mainly on the basis of clinical features of Garbhini Chhardi. The features compare of Chhardi, Hrullas, Trishana, Anadwesh, Dawrbalya.

At the time of starting the treatment, blood test, urine test of each patient was done.

Respectively Ashthavidha parikshan, Prakriti parikshan, Vikruti parikshan and systematic examination at started was done along with The treatment patient were given instructions of pathyapathya. The patient where restricted from taking another medicine during course of treatment. every patient was called for follow up after two days, five, ten, twenty, and thirty five days Variation in symptoms and percentage of relief where observed in data collection.

 The patients suffering from Garbhini Chhardi were summarized as Age, Religion, Educational Status, Mode Of Work, Diet, Agni, Koshtha, Doshaj Prakruti according to the gradation of symptoms at started previously the side effect of each drug were also looked after result, were put forward according to statistical analysis of symptoms variations .

Grading of symptoms:-

Chharadi

1

No Chharadi

0  (0)

2

Ones a time in /24 Hrs.

1  (+)

3

2-3 time in /24 hrs.

2  (++)

4

5 time or more in / 24 hrs.

3  (+++)

Hrullas

1

No Hrullas

0  (0)

2

Before chhardi only

1  (+)

3

2-3 time in /24 hrs.

2  (++)

4

5 time or more in /24 hrs.

3  (+++)

Trishna

1

Normal

0  (0)

2

Mild trishna then normal

1  (+)

3

Moderate Trishna

2  (++)

4

Severe Trishana

3  (+++)

Anadewesh

1

Good Apetite

0  (0)

2

Only while visualizing food

1  (+)

3

Visual and preparing food

2  (++)

4

Smell of food, intake of food

3  (+++)

Daurbalya

1

Normal

0  (0)

2

Able to perform routine work

1  (+)

3

Able to perform routine with difficulty

2  (++)

4

Unable to perform routine work

3  (+++)

Table showing distribution of patients according to Age, Group, Agni Parikshan, Koshtha, Doshaj Prakuti.

Age group

Treatment

Group A

Placebo

Group B

Total    %

1

19 to 21

6

20.00%

5

16.66%

11   18.33%

2

21 to 24

13

43.33%

7

23.33%

20   33.33%

3

Above 24

11

36.66%

18

60.00%

29   48.33%

Treatment Group A

Placebo Group B

AGNI

No of Patients

%

No of Patients

%

Total   %

1

Manda

13

43.33%

13

43.33%

11   18.33%

2

Visham

6

20.00%

6

20.00%

20   33.33%

3

Tikshna

8

26.66%

11

36.66%

29   48.33%

4

Sama

3

10.00%

0

0.0%

3      5.00%

Treatment Group A

Placebo Group B

Koshtha

No of Patients

%

No of Patients

%

Total   %

1

Mrudu

12

40

10

33.33%

22   36.66%

2

Madhyam

11

36.66%

15

50.00%

26   45.33%

3

Krura

7

23.33%

5

16.66%

12   20.00%

Treatment Group A

Placebo Group B

Doshaj Prakruti

No of Patients

%

No of Patients

%

Total   %

1

Vat – Pittaj

13

43.33%

17

56.66%

30   50.00%

2

Pitta – Kaphaj

13

43.33%

11

36.66%

29   48.33%

3

Vat – Kaphaj

4

13.33%

2

6.66%

1     1.66%

Table showing effect of therapy on symptoms of 60 patients of Garbhni Chhardi by period ‘T’ test.

Chhardi:-

Group

T/t

Mean

SD

SE

P

Significance

Infexnce

A

B.T

2.26

0.78

0.14

-

-

Non-Significant

2 Days

2.16

0.87

0.15

-

1.83

Significant

5 Days

1.7

0.87

0.16

0.05

5.55

Significant

10 Days

1.23

0.85

0.15

0.01

11.74

Significant

20 Days

0.66

0.75

0.13

0.01

13.21

Significant

A.T

0.266

0.52

0.095

0.01

14.14

Significant

B

B.T

2.13

0.81

0.14

-

-

Significant

2 Days

2.13

0.81

0.14

-

-

Non-Significant

5 Days

2.13

0.81

014

0..01

0.00

Significant

10 Days

1.53

0.77

0.14

0.01

6.71

Significant

20 Days

1.13

0.97

0.17

0.1

8.06

Significant

AT

0.93

0.90

0.16

0.01

9.36

Significant

To study the effect of treatment over period of time observation was recorded before treatment, after 2 days, after 5 days, after 10 days, after 20 days and after 35 days. The pair wise comparison result obtained for Chhardi symptom are presented in a above table, it is reveled from above table that in treatment group significant relief was obtained after 5 days and continue over the experimental period. For placebo group relief to the patient obtained after 10 days and continued for experiment period.

It can be concluded the treatment of Kustumbari churna is found to be effective for immediate relief to patient.

Table showing distribution of patients of according to number of pregnancies i.e parity and Chhardi.

Chhardi

Once a day

Chhardi 2-3

Times a day

Chhardi 5

Times or more

Total

Para I

5

10

22

37

Para II/III more

6

10

7

23

Chi squre

11

20

29

60

Hrullas

Before

Chhardi

2-3

Times

5

Times or more

Total

Para I

12

11

14

37

Para II/III more

10

6

7

23

22

17

21

X²=0.5353

Trishna

Mildthirst

Moderate

Severlythirst

Total

Para I

5

6

21

37

Para II/III more

5

6

12

23

10

17

33

X²=0.6422ns

Annadwesh

While visualizing food

Visual and preparing food

Smell and intake of food

Total

Para I

5

5

27

37

Para II/III more

5

5

13

23

10

10

40

X²=1.15ns

Daurbalya

Able to perform routine work

Perform routine work with difficulty

Unable to perform routine work

Total

Para I

5

5

27

37

Para II/III more

5

6

12

23

10

11

39

X²=0.6422

Table showing distribution of patient according to age and parameter & chhardi.

Chhardi

Age

Chhardi

2-3 Times

Chhardi

5 Times or more

Total

19 to 21

5

6

11

21 to 24

6

14

20

24 and Above

10

19

29

21

39

60

Hrullas

Age

Hrullas

2-3 Times

Hrullas

5 Times or more

Total

15 to 21

6

6

11

21 to 24

10

10

20

24 and Above

24

5

29

39

21

60 

x=3.85

Trishna

Age

Moderat Trishna

Severe

Trishna

Total

15 to 21

5

6

11

21 to 24

12

8

20

24 and Above

18

11

29

35

25

60

Annadiwesh

Age

Visual & preparing food

Smell & intake of food

Total

19 to 21

5

6

11

21 to 24

6

14

20

24 and Above

9

20

29

20

40

60

Dourbalya

Age

Perform routine work with difficulty

Unable to perform routine work

Total

19 to 21

6

5

10

21 to 24

11

9

20

24 and Above

18

11

29

55

25

60

It is felt that the pregnancy pairity and age of women are associated with symptoms of variety to study the agreement between the attributes:-

• Pairity number and vomiting sensation
• Age of women and vomiting sensation

Chi-square test was used to study the association, distribution of Re respondands according to age and parity number along with x² value is present in following table that value for all attributes under study where non-significant indicating that there is no association between them i.e Symptoms of vomiting sensation are independent of parity number as well as age of women.

SAMPRAPTI BHANG

GARBHINI CHHARDI

Kustumbari Churna With Tandulodak

Deepan

Agnivardhan

Pachan

Correction Of Strotoarodh (Annavaha & Raswaha Strotas)

Udan And Vyan Vayu In Its Prakrut Gati

Formation Of Samyak Aaharras

Prasadan Of Amashya Grihini

Uttoratar Dhatvposhak Karma & Fetel Development

Correction Of Kha-Vaigunya

Dushya Coorection                                                                             Doshya Shaman

Breaking Of Chain Of Samprapati

Proper Nourishment Of Mother & Fetus

Ideal Treatment Of Chhardi

Results :-

Kustumbari churna and Sharkara in combination with Tandulodak provide effective in Garbhini Chhardi.

Discussion and conclusion:-

Kustumbari churna with the Sharkara and Tandulodak as very effective safe and good result yielding drug for Garbhini Chhardi as it is Vataghana, Deepan Pachak, easily available cheaper with no side effects.

One can assume that Kustumbari churna can be used for management of Garbhini Chhardi also in symptoms like Chhardi, Trishna, Hrullas, Dourbalya. This is due to Ushna virya, Singdha guna of Kustumbari, Deeepan Pachak and Sharkara is madhur rasatmak and singhdha. We got better results than the placebo group B in which we used only plain Tandulodak.

Vitamin, mineral iron required to pregnant woman is also supplied at Kustumbari churna contains vitamin A, B, C minerals like calcium, Phosphorus, Sodium, Potassium and iron therefore before results are observed in short duration and without any disadvantage and side effects.

Acknowledgement:-

 I would like to thanks Dr. P.R Adhav principal S.V.N.H Rahuri, Dr. Mrs. Chetna j. Kulkarni, V Jayant Kulkarni, Dr. R.R Vavhaval Ex. HOD, Dr.  C.S. Londhe, Ex. HOD Tarachand Hospital Pune Dr Doiphode ex. principal Pune University.

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