Monica, R (2013) A Study on Pitha Thalai Nokkaadu (Sinusitis). Masters thesis, Government Siddha Medical College, Palayamkottai.
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Abstract
The incidence of increasing diseases in recent times is due to changes in environment, abnormal dietary habits and life style. One of the most common disease in the society and the number of sufferers are increasing day by day is Pitha Thalai Nokkadu. Twenty patients of both sexes were selected as inpatients and another twenty patients as outpatients in PG Pothu Maruthuvam department, GSMC, Palayamkottai. The selected patients were administered with the trial medicine till the period of study. Peenisathuku chooranam 2 gms twice a day with honey after meals. The trial medicine was subjected to pharmacological and biochemical analysis as well as microbiological analysis. Along with medicines pranayama and yoga were also advised to patients. At end of the trial study, majority of the cases showed good results. AIM AND OBJECTIVES: The chief aim of this study is to collect and review the views about Pitha Thalai Nokkadu from various Siddha Literature and to elucidate effective medicine for the same. In Siddha kabam is considered as the most effective cause of the disease. It affects the children and adults of both sexes. It alters the normal conditions under the topics Mukkutram, Poripulankal, 7 Udal thathukal, En vagal thervugal, Naadi, Neerkuri and Neikuri. 1. To expose the diagnostic parameters and the efficacy of siddhars. To have clinical trial in the treatment of Pitha Thalai Nokkadu with the trial drug Peenisathuku Chooranam (internal). 2. To know medical advices and diet restrictions that helps in curative of this disease. 3. To know the correlation of aetiology, classification, signs and symptomps, investigation, diagnostic method and line of treatment in modern aspect. 4. To use modern parameters to investigate and conform the diagnosis. 5. To analyse Biochemical, Pharmacological and Microbiological actions of the trial drug. SUMMARY: Pitha Thalai Nokkadu is one of the most commonly occuring disease. It seeks proper treatment in the early stage itself; otherwise it may leads to serious complications like cranial complications etc. This disease is correlated with Sinusitis, according to the clinical symptoms. Peenisathuku Chooranam was taken as trial drug for this clinical study. The aim of the study is to evaluate the efficacy of Peenisathuku Chooranam. The aetiology, classification, clinical features, diagnosis, pathology, treatment, prognosis and prevention were collected from both siddha and modern system of medicine. In this clinical study, twenty patients of both sexes at various age groups with classical symptoms were selected as in-patients and another twenty as out-patients. All the selected patients were treated with the trial drug. From the results and observations, its clear that the disease was common in the following aspects. PithaThalai Nokkadu affects both the sexes, and few persent is more in females than males. Age incidence was seen in all age groups, and more seen between 51-60. The majority of the patients were treated in pitha kaalam. Incidence of this disease in encountered in all the six perumpoluthugal. The disease was more seen among poor people, it may be due to their unhygiene, porr health, poverty and ignorance of treatment. The disease was seen both as acute and chronic onset. The altered equilibrium in three dhosa were elicited. In vatham viyanan, kirukaran and uthanan were affected. In pitham anar pitham and sathaga pitham were affected. In kabam avalambagam and tharpagam were affected. Among udarkattugal saaram and seneer were affected in majority of cases. In envagai thervugal, sparisam, mozhi and vizhi were affected in more cases. In Pitha Thalai Nokkadu, the naadi were pitha vatham and vatha pitham in majority of cases. Kaba pitham and kaba vatham were also seen in few cases. Neerkuri in all the patients show normal urinary outflow. Neikuri showed in shapes of vatham, pitham and kaba neer. In modern aspect, routine urine and blood investigation and X-ray PNS had seen in all the patients. Blood investigation showed raised ESR and eosinophil count. X-ray PNS showed the frontal, maxillary and deviated nasal septum. Most of the patients had significant relief of symptoms and had no side affects. Every patient was advised to follow proper diet and prophylaxis for this disease. Biochemical analysis showed that the samle Peenisathuku chooranam contains calcium, chloride, ferrous iron, tannic acid, unsaturated compound and reducing sugar. The pharmacological study revealed that the trial drug Peenisathuku chooranam had significant acute anti-inflammatory action and significant Anti-histaminic effect, and Modrate analgesic effect. Anti microbial analysisalso releaved that the trial drug Peenisathuku chooranam was sensitive against E. coli, moderatively sensitive against Proteaus and Staphylococcus and resistance against streptococcus. CONCLUSION: In this research, clinical results found to be satisfactory in about 85% of cases. The trial drug was clinically very effective to the suffering patients and they were relieved completely from their symptoms. Further follow up of recurrent sinusitis patients showed the efficacy of the study drug. This clinical study showed no adverse effects of the trial medicine during the period of study. So it is concluded that the disease Pitha Thalai Nokkadu is well controlled by the trial medicine Peenisathuku Chooranam. The identification of suvaigal are on the basis of the individual ingredients of these preparations. These drugs which are under the trials as got Suvaigal - kaippu, thuvarppu. Thanmai - veppam. Pirivu - karppu. The trial drug has thanmai veppam that eliminates the excessive kabam which is elevated due to raised vatham. So the medicine act as anti-vatha. After ingestion, the drug is changed into vibagam karppu. At this stage, the trial drug acts as anti-kabam. Peenisathuku chooranam act as anti-vatham on the basis of suvaigal, thanmai, vibagamand pirivu. Thus Peenisathuku Chooranam was highly effective in Pitha Thalai Nokkadu.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | Reg. No. 32101005 |
| Uncontrolled Keywords: | Pitha Thalai Nokkaadu ; Peenisathuku chooranam. |
| Subjects: | AYUSH > Maruthuvam |
| Depositing User: | Subramani R |
| Date Deposited: | 12 Apr 2018 17:34 |
| Last Modified: | 29 Dec 2018 15:41 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/6963 |
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