Mohan, - (2010) A Study on Uthera Vatha Suronitham (உதிரவாத சுரோணிதம்). Masters thesis, Government Siddha Medical College, Palayamkottai.
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Abstract
AIM AND OBJECTIVES: The disease UTHERA VATHA SURONITHAM affects about 1% of the total population, causing disabilities and deformities in all over the world. Out of them females are frequently affected three to four times more than that of male. Our country is the one which is constructed by the joint families and is praised by other countries also. In this females get more responsibilities for the cooperation and managements of family events. But when the home makers are affected by the Uthera Vatha Suronitham (Rheumatoid Arthritis) the whole memebers of the family are suffered by lot of inabilities in their routine life. Rheumatoid arthritis is the one which is to be evaluated for peculiar conditions and searching for the cure with proper medicines. Regarding this aim, the disease UTHERA VATHA SURONITHAM has been selected and clinical trial has been done with the internal medicine Meganathee Mezhugu (மேகநாதி மெழுகு) and the external medicine Mukkuttu Ennai (முக்கூட்டு எண்ணெய்) • To collect authentic measures and review the ideas mentioned in ancient siddha literature about the disease. • To study the clinical features of the disease UTHERA VATHA SURONITHAM with correlation of RHEUMATOID ARTHRITIS in modern aspect. • To review the altered Tridosha or Mukkutram and changes in the physiology as per siddha aspect. • To study the disease UTHERA VATHA SURONITHAM on the basis of Udal thathu, paruva kaalam, food, taste, age, sex, socioeconomic status, ennvagai thervu, neerkuri and neikuri. To expose the unique diagnostic procedure mentioned in siddha literature for the disease UTHERA VATHA SURONITHAM. • To diagnose the disease on the basis of modern parameters. • To have a detailed analysis to prove the clinical efficacy of the drugs through the pharmacological and biolchemical analysis. The work is to be carried out by having a clinical trial by using Meganathee Mezhugu (மேகநாதி மெழுகு) as internal drug and Mukkuttu Ennai (முக்கூட்டு எண்ணெய்) as external drug on 20 inpatients and 20 outpatients with the disease UTHERA VATHA SURONITHAM. SUMMARY: Uthera Vatha Suronitham is one among a common problem in clinical practice mostly affecting the females. It has received an international attention in search of finding out of a new drug for the complete cure of the disease. Uthera Vatha Suronitham is a chronic multi system connective tissue disorder of unknown aetiology. The characteristic feature of Rheumatoid arthritis is persistant inflammatory synovitis usually involve the peripheral joints in a symmetrical fashion. The potential of the synovial inflammation to cause cartilage destruction and bone erosion and subsequent joint deformity is the hall mark of the disease. Joint pain, Swelling, tenderness which may be aggravated on motion. Morning stiffness of 2 to 3 hours duration, easy fatiguability, anaemia, occasional fever are the common manifestation of the disease. Extra articular manifestations are Rheumatoid nodules, lymph adenopathy, Spleenomegaly, Rheumatoid vasculitis, ophthalmic manifestations include scleritis, kerato-conjunctivitis and pleuritis, fibrous alveolitis. The study on Uthera Vatha Suronitham (Rheumatoid Arthritis) was with trial drugs. 1. “Nkfehjp nkOF” (மேகநாதி மெழுகு) 130 m.g. two times per day with palm jaggery after meals internally. 2. “(முக்கூட்டு எண்ணெய்” (Mukkuttu Ennai) externally. Twenty cases of both sexes, and of various age groups were chosen and the study was carried out. 85% of the patients belonged to Pitha kaalam. 35% of the cases were seemed to develop the disease during Kaar kaalam (Aavani-Purattasi), 35% were noted in Koothir Kaalam (Ippasi-Kaarthikai) and 25% were seen on Muthuvenil Kaalam (Aani – Aadi). All the cases came from Marutha nilam. 75% of cases belonged to poor class families. Considering aetiology five percent of the cases had a positive family history. 80% of the cases had a gradual onset of disease. All the cases had joint pain, swelling, morning stiffness. 70% of the cases had restricted movements. 75% of the cases had initial involvement of joints of the upper limb. In all the cases proximal interphalangeal joints and meta carpophalangeal joints were involved. Five percent of the cases had deformities in their interphanlangeal, metacarpophalangeal joints, wrist joint and elbow joint. Regarding uyir thathukkal, viyanan and was were affected in 100% of the cases abanan was affected in 50% of cases samanan was affected in 75% of cases. Anala pitham was affected in 75% of the cases. In 60% of the cases Ranjakam was affected and in 75% of the cases Sathaka pitham was affected. And Santhigam were affected all the cases, Kilethagam was affected in 75% of cases. Saaram was affected in all the cases. Senneer was affected in 60% of the cases. Kozhuppu thathu and Enbu thathu were affected in 90% of cases. Regarding Enn vagai thervugal, sparism. Naadi were affected in all the cases. Neerkuri was found straw in colour. Neikuri indicated that that spreads like Salladaik kan in 30% of cases. Malam was affected in 50% of cases. 35% of the cases had moderate restriction but with an ability to perform normal activities. R.A. factor was positive in ten cases. 60% of the cases showed a decrease in haemoglobin percentage and raised E.S.R. level The trial medicines were given to 20 Cases of Uthera Vatha Suronitham. The internal drug was Meganathee Mezhugu (மேகநாதி மெழுகு) in the dose of 130 m.g. twice a day with palm jaggery after food. The external drug was Mukkuttu Ennai (முக்கூட்டு எண்ணெய்)which was applied externally to the affected joints. Lemon soaked in Gingelly oil fomentation was given after the application of external drug. All the patients were advised to follow the balanced dietary habit. All the patients were also advised to follow the preventive measures like avoiding exposure to cold weather and advised to take bath in warm water. The observation made during this study, showed that the trial medicines were clinically effective in reducing pain and swelling and increasing the range of movements. The fomentation method is useful in reducing swelling and enhancing the flexibililty of joints. The potency of the drugs were studied by Pharmacological and Biochemical analysis. The drug Meganathee Mezhugu contains Calcium, Chloride, Ferrousiron, Unsaturated Compounds and Amino acids. It shows that the drug Meganathee Mezhugu has significant Analgesic actions significant Acute anti inflammatory action significant Chronic anti inflammatory action good anti pyretic action. The drug Mukkuttu Ennai has significant Acute anti inflammatory action. CONCLUSION: In this study, results were found to be moderate relief of signs and symptoms in Uthera Vatha Suronitham. In early diagnosed cases, it shows better results in prevention of disabilities and deformities of Rheumatoid Arthritis. With proper dosage no adverse effects were noticed during the treatment period. The medicine Meganathee Mezhugu can be used upto 5 years and Mukkuttu Ennai upto one year. So they can be stored and used. The trial medicine has acute and chronic anti inflammatory, analgesic and antipyretic actions. The fomentation method with Lemon soaked in Gingelly oil is simple, easy available and effective treatment in Uthera Vatha Suronitham. So it is concluded that the treatment with Meganathee Mezhugu (மேகநாதி மெழுகு) and Mukkuttu Ennai (முக்கூட்டு எண்ணெய்) can be included as the supportive medicines in early stages of Uthera Vatha Suronitham.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Rheumatoid Arthritis ; Uthera Vatha Suronitham ; Meganathee Mezhugu ; Mukkuttu Ennai. |
| Subjects: | AYUSH > Sirappu Maruthuvam |
| Depositing User: | Ravindran C |
| Date Deposited: | 20 Aug 2017 01:52 |
| Last Modified: | 19 Apr 2018 02:28 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/2341 |
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