A Clinical Study on Standardization of Siddha Diagnostic Methodology for Kirigai (Severe Psychiatric Disorders) with special mention to Line of Treatment and Dietary Regimen

Suberna Devi, A (2016) A Clinical Study on Standardization of Siddha Diagnostic Methodology for Kirigai (Severe Psychiatric Disorders) with special mention to Line of Treatment and Dietary Regimen. Masters thesis, Government Siddha Medical College, Palayamkottai.

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Abstract

SUMMARY: The aim is to conduct a clinical study on standardization of Siddha diagnostic methodology for KIRIGAI with special mention to line of treatment and dietary regimen. The disease is characterized by disturbance in thoughts, actions or feelings or any disequilibrium between the three domains. The author had collected review of literature for definition, etiology, pathogenesis, other characteristic features, specific diagnostic findings, line of treatment and dietary regimen from various texts. For the work, 92 cases were observed and diagnosed in the OPD of Department of Psychiatry, Government Thoothukudi Medical College, Thoothukudi, St. Xavier’s Church, Santhaipettai and Anbu Ullangal, a Govt. aided Home for the aged, destitute children and the mentally ill, Kootampuli, Thoothukudi. Out of these 92 cases, 47 cases were included in the study and the remaining 45 cases were excluded. Case sheet and proforma were maintained for each of these 47 cases individually. The etiopathogenesis and pathology of the disease had been discussed. Derangement of Uyir Thathukkal and Udal Thathukkal in the disease had been discussed. Alterations in Siddha parameters like Saram and Manikkadai Nool have been recorded. Ennvagai Thervugal and Yakkaiyin Ilakkanam had been studied in detail and their interpretation had been done. Line of Treatment and Dietary Regimen for the disease had been discussed. Derangement of Panchabootham and Aathaarangal had been studied through Iympull Iyakka Vidhi and discussed. Relationship between the types of Kirigai and affected Mukkuttram are discussed on the basis of Panchapatchi. CONCLUSION: Kirigai can be diagnosed by the clinical features, history taking and Siddha Diagnostic Parameters. The disease is characterized by disturbance in thoughts, actions or feelings or any disequilibrium between the three domains. Prolonged emotional stress is the major etiological factor. A clinical study on Kirigai had been done in this dissertation and in the study the prime importance had been given to Neerkuri, Neikuri and all other 7 tests of Ennvagai Thervu. The alterations in Udal Thathukkal and Uyir Thathukkal were assessed by Siddha parameters like Poriyal Therdhal, Pulanaal Therdhal, Vinaadhal, Saram, Ennvagai Thervu, Manikkadai Nool and Iympull Iyakka Vidhi. The conclusion of this study is made from the following data:  People in the Pittha Kaalam of their lifespan are mostly affected.  Altered dietary habits and sleep wake cycle, which elevates Pittha humour plays a major role in the incidence of this disease.  The symptoms of the disease exactly resemble the symptoms that are described in Agatthiyar Maanidar Kirukkugal Pathinettukkum Kirigai Nool 64.  There is depletion of Udal Thathukkal which leads to significant reduction in body weight in many cases, especially in those without medication.  In Iymporigal, eye is affected in almost all cases.  Pittha Kabha Thegi are mostly affected.  In Vali, Praanan, Koorman and Naagan are affected in most of the cases.  In Azhal, Anarpittham and Saadhaka Pittham are affected in most of the cases.  In Kabham, Avalambagam and Tharpagam are affected in most of the cases.  Vizhi is yellow in colour in most of the cases.  Sparisam is hot in almost all cases especially, heat can be felt predominently in the head.  Urine colour is mostly the shades of yellow, characteristic of Pittha humour alteration.  Neikuri is mostly slow spreading.  Naadi is mostly Kabha Pittham with alterations in second, seventh and tenth areas.  Manikkadai Nool Examination provides a clue for finding out the unrevealed symptoms.  Saram is altered in most of the cases.  Iympull Iyakka Vidhi helps in finding out the affected Bootham, Aathaaram etc. It is also helpful in classifying the patients to their respective type. Elevated Pittha humour causes alteration in Kapham and causes this disease. During aggressive conditions, Vatham gets increased due to elevated Pittham, as the pressure of heated air increases within a closed compartment. Proper medication has to be provided in right time otherwise, the elevated Pittha humour starts depleting the Udal Thathukkal and leads to end of life. Out of 92 patients screened, 47 patients have the symptoms of Kirigai exactly. Kirigai may be correlated with Severe Psychiatric Disorders. The author has planned to conduct further detailed studies on individual type of Kirigai for better diagnostic approaches.

Item Type: Thesis (Masters)
Additional Information: (Reg. No: 321315008)
Uncontrolled Keywords: Clinical Study ; Standardization of Siddha Diagnostic Methodology ; KIRIGAI ; Severe Psychiatric Disorders ; Line of Treatment ; Dietary Regimen.
Subjects: AYUSH > Noi-naadal
Depositing User: Ravindran C
Date Deposited: 28 Jul 2017 10:03
Last Modified: 01 Jan 2019 15:11
URI: http://repository-tnmgrmu.ac.in/id/eprint/2345

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