Table Of ContentA
A STUDY ON SIRAJA GRANTHI AND ITS MANAGEMENT WITH
S
T PUNARNAVADI GUGGULU AND NIMBADI GUGGULU-A
U
D COMPARATIVE STUDY.
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D I By
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Dr. NADAF A.N.
U D
G I
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G Dissertation Submitted to the
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Rajiv Gandhi University of Health Sciences, Bengaluru,
U A
- N
A
A Karnataka
C G
O E In partial fulfillment of the requirements for the degree of
M M
P E
A N
R T AYURVEDA DHANWANTARI
A W
T (MASTER OF SURGERY)
IV IT
E H In
S P
T U
U N SHALYA TANTRA
D A
Y R
.N Under the guidance of
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Dr. B.A.VENKATESH
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D BSAM, BAMS, MD (Ayu), FICA
I
Professor & H.O.D.
Dept. Of P.G. Studies in Shalya Tantra
G.A.M.C, Bengaluru - 09
DEPARTMENT OF POST GRADUATE STUDIES
IN SHALYA TANTRA
D
r
.
2
N GOVERNMENT AYURVEDIC MEDICAL COLLEGE
0
0A
9
D
- A Bengaluru - 560009
2
0F
1
0A 2009 - 2010
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A STUDY ON SIRAJA GRANTHI AND ITS MANAGEMENT
WITH PUNARNAVADI GUGGULU AND NIMBADI
GUGGULU-A COMPARATIVE STUDY.
By
Dr. NADAF A.N.
Dissertation Submitted to the
Rajiv Gandhi University of Health Sciences, Bengaluru,
Karnataka
In partial fulfillment of the requirements for the degree of
AYURVEDA DHANWANTARI
(MASTER OF SURGERY)
In
SHALYA TANTRA
Under the guidance of
Dr. B.A.VENKATESH
BSAM, BAMS, MD (Ayu), FICA
Professor & H.O.D.
Dept. Of P.G. Studies in Shalya Tantra
G.A.M.C, Bengaluru - 09
DEPARTMENT OF POST GRADUATE STUDIES
IN SHALYA TANTRA
GOVERNMENT AYURVEDIC MEDICAL COLLEGE
Bengaluru - 560009
2009 - 10
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
KARNATAKA, BENGALURU
DECLARATION BY THE CANDIDATE
I hereby declare that this dissertation entitled “A study on Siraja granthi and
its management with Punarnavadi guggulu and Nimbadi guggulu – Comparative
study, is a bonafide and genuine research work carried out by me under the guidance
of Dr.B.A.Venkatesh Professor and HOD of Dept of PG studies in Shalya Tantra,
GAMC Bangalore.
Date: Signature of the candidate
Place:
Dr.NADAF. A.N
Department of Post Graduate Studies in Shalya Tantra.
Government Ayurvedic Medical College
Bengaluru : 560009
CERTIFICATE BY THE GUIDE
This is to certify that the dissertation entitled “A study on Siraja granthi and
its management with Punarnavadi guggulu and Nimbadi guggulu – Comparative
study” is a bonafide and genuine research work carried out by Dr.NADAF.A.N in
partial fulfillment of the requirement for the degree of “AYURVEDA
DHANWANTARI” [Shalya Tantra] – Master of Surgery [Ayu].
I recommend this dissertation for the above degree to the University for assessment
and approval.
Date: Dr.B.A.Venkatesh
BSAM,BAMS,M.D (Ayu),FICA
Place: Professor and HOD
Dept of PG Studies ShalyaTantra
GAMC Bengaluru: 09
Department of Post Graduate Studies in Shalya Tantra.
Government Ayurvedic Medical College
Bengaluru: 560009
ENDORSEMENT BY HOD
This is to certify that the dissertation entitled “A study on Siraja granthi and
its management with Punarnavadi guggulu and Nimbadi guggulu – Comparative
study” is bonafide research work done by Dr.NADAF.A.N under the guidance of
Dr.B.A.VENKATESH. Professor and HOD, Dept of PG studies in Shalya Tantra.
I recommend this dissertation for the above degree to the University for Assessment
and approval.
Head of the Department
Dr.B.A.Venkatesh
Professor and HOD
Dept of PG Studies in ShalyaTantra
GAMC Bengaluru: 09
Department of Post Graduate Studies in Shalya Tantra.
Government Ayurvedic Medical College
Bengaluru: 560009
ENDORSEMENT BY PRINCIPAL
This is to certify that the dissertation entitled “A study on Siraja granthi and
its management with Punarnavadi guggulu and Nimbadi guggulu – Comparative
study” is a bonafide research work done by Dr. NADAF.A.N under the guidance of
Dr.B.A.VENKATESH. Professor and HOD, Dept of PG studies in Shalya Tantra.
I recommend this dissertation for the above degree to the University for Assessment
and approval.
Principal
Govt.Ayurvedic Medical College
Bengaluru
COPYRIGHT
DECLARATION BY THE CANDIDATE
I hereby declare that the Rajiv Gandhi University of Health Sciences,
Bengaluru, Karnataka, shall have the rights to preserve, use and
disseminate this dissertation in print or electronic format for
Academic / research purposes.
Signature of the candidate
Dr. NADAF.A.N
@ Rajiv Gandhi University of Health Sciences, Bengaluru
ACKNOWLEDGEMENT
No work is a result of individual effort. It is contributory effort of many
hearts, hands and heads. It gives me immense pleasure to offer my sincere thanks to
all those who have rendered their wholehearted support, guidance and Co-operation in
completing my thesis work.
I place on record my utmost gratitude to my adorable guide and HOD
Dr.B.A.Venkatesh, Professor and Head, Department of P.G.Studies in Shalyatantra
G.A.M.C. Bengaluru, for his incessant, untiring, round the clock guidance with all the
diligence, his sustained fostering and encouragement instilled considerable impetus in
me enabling to achieve this milestone which otherwise would have lacked this
particular finish.
I extend earnest thanks to Dr. H.T.Sreenivas, Principal, G.A.M.C, Bengaluru,
for unstinted help extended whenever solicited.
I express my sincere thanks to, Dr. Vijaya Sarathi .R, Professor,
Dr.R.KHibare, Professor, Dr.Ahalya, Professor and Dr. Narmada., Asst. Professor,
Dr.Sridhar Rao.A, Asst. Professor Dr. Shivu Arekeri, Dr. Srinivas, Dr.Durgesh,
lecturers, Dept. of P.G Studies in Shalya Tantra, G.A.M.C, Bengaluru, for their kind
suggestion and guidance throughout the course of my study.
I am at no words to explain the amount of gratitude and thanks to
Dr.Ravikumar, Gen.Surgeon, KCG Hospital for his dedicated professionalism,
indefatigable efforts and cheerful co-operation.
I sincerely thank my Senior colleagues for their tremendous suggestions and
support through out my work.
I acknowledge my gratitude to all my colleagues, Dr. Vishwanath sharma,
Dr. Ramya bhat, Dr. Veena koppal, Dr. Sweta, Dr. Abhinetri hegde and
Dr.Rajeshwari, who gave me unstinted support and stood solidly beside me
throughout my study.
I also profusely thank my junior colleagues, Jayanth, Laxman, Prashanth,
Manjunath Joshi, Vivek, Naveen, Jayashree and Divya lakshmi for their
continuous support and kind help.
I would like to thank my friend Dr.Naveen, for his support.
I express my sincere gratitude to all the teaching fraternity, Physicians, library
staff, hospital and office staff of G.A.M.C, Bengaluru, for sincere advices and
assistance.
I am very much thankful to my department colleagues and friends for their
needful support to fulfill this task.
It fills joy in my heart to express my sincere gratitude to all my Teachers of
DGM Ayurvedic Medical College, Gadag, who designed my career in Ayurveda. I am
grateful to all the teachers who came in my life and taught me ‘the science of life’.
I sincerely thank Dr.Arun biradar for his utmost support and help during my
study period.
I thank Dr K.P.Suresh, Statistician, without whose help whole of my work
would have looked meaningless
I take this opportunity to appreciate the generous co-operation offered by my
patients by being supportive and compliant during the study period.
I express my thanks to all the persons who have helped me directly &
indirectly with apologies for my ability to identify them individually.
Dr. NADAF.A.N
ABSTRACT
Background: Siraja granthi (varicose veins) is one of the commonest
disorders in surgical practice. Ayurveda has given a great contribution in the
management of this disorder, while describing the management of Vata Vyadhi and
siraja granthi.
In Ayurveda there are various terminology for varicose veins such as Siraja
granthi, Siraakunchan, Sirakutilata and Siragata vata. Research works have been done
with both internal and external medicines along with conservative treatment such as
external application of Sahacharadi Taila, internal Basti and Para surgical procedure
such as Jaloukavacharana and Siravyadha.
A preliminary pilot study was conducted on a selective patient of varicose vein
for a period of 2 months where in selected subject were divided into 2 groups of 5
patients in each group. Group A was administrated with Punarnavadi guggulu vati in
dose of two vati twice daily for a period of 2 months. In-group B, Nimbadi guggulu
two vati twice daily was administered for a period of 2 months.
Objectives of the study:
• To evaluate the efficacy of the Punarnavadi guggulu in Siraja granthi.
• To evaluate the efficacy of the Nimbadi guggulu in Siraja granthi.
• To evaluate the comparative efficacies of Punarnavadi guggulu vati and
Nimbadi guggulu vati in Siraja granthi.
• To assess the management of varicose vein with that of conservative line
of treatment like control study with elastic stockings.
Description:Background: Siraja granthi (varicose veins) is one of the commonest disorders in surgical practice. Ayurveda has given a great contribution in the.
