Malliga, M A (2008) A Study on Azhal Thalai Nokkadu (Maxillary Sinusitis). Masters thesis, Government Siddha Medical College, Chennai.
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Abstract
A study on Azhal Thalainokkadu, which has clinical features as like that of headache due to maxillary sinusitis is carried out by the author in Post Graduate Department of Maruthuvam, Govt.Siddha Medical College, Chennai. A detailed study was carried out in various siddha literatures regarding the aetiology of disease, clinical features, mukkutra Nilai, Ezhu udalkattugal nilai and changes in Ennvagai thervugal. 20 cases who fulfilled the stipulated criteria were admitted in the inpatient ward of Arignar Anna Government Hospital of Indian Medicine attached to Government Siddha Medical College, Arumbakkam, Chennai – 600 106. The trial drug regimen prescribed for the patients were. 1. Sira Noikku Choornam 1-g- BD – Hotwater after food. 2. Peenasa Thylam - 3 drops each nostril – 2 times a day. The duration of treatment ranges from 30 to 45 days. Clinical and pathological assessment was carried out on the basis of both Siddha and Modern Medical aspects. The results obtained from the study is summarised as follows: ♦ More percentage of females were affected than male. ♦ High incidence of cases were noted in Pitha Kaalam. ♦ The study reveals 90% of cases from poor socio economic status. ♦ The incidence of disease occur more in Neithal Nilam i.e more of Chennai based patients. ♦ More percentage of cases came due to Allergic aetiology. ♦ 50% cases had associated diseases. ♦ On examination Uyir Thathukkal were deranged. ♦ In Vali – Pranan, Viyanan, Udhanan, Kirukaran and Samaanan. ♦ In Azhal – Sadhagam in all cases Alosagam in 25%, Ranjagam 30% In Iyam – Kliethagam 25%, Tharpagam 40%, Podhagam 10%. ♦ All the cases had involvement of Saaram in Udal Kattukkal – Senneer 70%. ♦ According to Envagi Thervu – Sparisam and Niram affected in all cases – Mozhi affected in 70%, Hoarseness of voice, Vizhi affected in 40%, Irritation and watering of eyes. ♦ In all cases Naadi was predominantly Pitha Kapham or Kapha Vatham. ♦ Neikuri reflected Azhal Neer and Iya Neer. ♦ All the cases were positive X-ray findings of Maxillary sinusitis and apparent raise of ESR in case of infectious aetiology. ♦ All the cases were treated with trial drug aetiology for a period ranging from 30-45 days. No adverse effects noted. ♦ The Pharmacological analysis shows that the trial drugs are having analgesic, Anti inflammatory and Anti histaminic action. Anti microbial analysis shows that the drug is highly sensitive to staphylococcus aureus moderately sensitive to E.coli. ♦ 75% of cases had shown good improvement 15% of cases with moderate results and 10% shown mild improvement. CONCLUSION: Thalai nokkadu is primarily due to the variations in the intrinsic and extrinsic factors, vali deranges its equilibrium. In Azhal Thalai Naokkadu subsequently Azhal also gets deranged with Vali causing pathological changes which results in running nose, with excessive salivation and headache, heaviness of head, inflammation. According to above quotations, Inippu Suvai neutralizes the increased vali Azhal and kept he vital forces Vali, Azhal in its normal place. The trial medicine has got Inippu Suvai and this Inippu. Suvai sets right increased vali. Azhal which is suitable for Thalainokkdu. This medicine is acting as Ethirurai principle in treating Azhal Thalai Nokkadu. Peenasa Thylam have potent astringent action. So it reduces the inflammation of the mucous membranes of the nasal cavity & Para nasal sinuses. The clinical, Microbiological, Biochemical analysis show that the above drugs are free from toxicities and clearly emphasis the effectiveness of the drug. The drugs are easily available and the dosage is also convenient. The preparation of the trial drug is simple. No adverse effects were observed during the entire course of treatment. Cost of drug is very cheap compared with other drugs. So It is concluded that in a developing country like ours, the combined theraphy with Siranoi Chooranam and Peenasa Thylam can be very good in the view of efficacy and safety in the Chemotheraphy for “Azhal Thalai Nokkadu”
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Azhal Thalai Nokkadu ; Maxillary Sinusitis ; Sira Noikku Choornam ; Peenasa Thylam. |
| Subjects: | AYUSH > Maruthuvam |
| Depositing User: | Subramani R |
| Date Deposited: | 06 Jan 2019 16:00 |
| Last Modified: | 07 Jan 2019 08:51 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/10330 |
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