A Study on Vali Azhal Keel Vayu (வளி அழல் கீல் வாயு)

Aruna, S (2009) A Study on Vali Azhal Keel Vayu (வளி அழல் கீல் வாயு). Masters thesis, Government Siddha Medical College, Palayamkottai.

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Abstract

AIM AND OBJECTIVES: The disease, Valiazhal Keelvayu produces tremendous pain and discomfort to the patients. So far a perfect and complete remedy for this disease has not yet been arrived at all. The purpose of the author’s work is to elucidate a good medicine from the ancient Siddha Literature and to create hope and faith in the treatment. This being a preliminary endeavour by the author, as it would be a helping hand to the sufferers. With this view this dissertation subject was undertaken. The other aims of this study are 1. To collect authentic measures and review the ideas mentioned in ancient Siddha literature about the disease. 2. To study the clinical features of the disease Valiazhal Keelvayu. 3. To review the altered Tridosha or Mukkutram and changes in the physiology as per Siddha aspect. 4. To study the disease Valiazhal keelvayu on the basis of Udal thathu, Paruva kaalam, food, taste, age, sex, socio-economic status, Ennvagai thervu, Neerkuri and Neikuri. 5. To expose the unique diagnostic procedure mentioned in Siddha literature for the disease Valiazhal keelvayu. 6. To know the extent of correlation of aetiology, signs and symptoms of Valiazhal keelvayu, in Siddha aspect with Rheumatoid Arthritis in Modern Medicine. 7. To diagnose the disease on the basis of modern parameters 8. To have a clinical trial on Valiazhal Keelvayu with Kumari Mathirai as internal Medicine and Nochi Thylam as external medicine on 28 inpatients and 30 outpatients. 9. To have a detailed analysis to prove the clinical efficacy of the drugs through the pharmacological and biochemical analysis. 10. To insist Thokanam, Asanaas, exercise, diet and life style modification along with medicine to achieve good results. SUMMARY: Valiazhal Keelvayu is very well correlate to Rheumatoid arthritis in modern medicine. It is one among a common problem in clinical practice. It has received an international attention in search of finding out of a new drug for the ailment of the sufferers. In Valiazhal Keelvayu, usually small joints are affected in symmetrical manner. Joint pain, Swelling, tenderness which may be aggravated on motion. Morning stiffness of 2 to 3 hours duration, easy fatigability, anaemia, occasional fever are the common manifestation of the disease. The study on Valiazhal keelvayu (R.A) was with trial drugs. 1. Kumari Maathirai 1 tablet with jaggery B.D. Internal. 2. Nochi Thylam External. Twenty cases of both sexes and of various age groups were chosen and the study was carried out. 90% Valiazhal Keelvayu patients were female. 90% of the patients belonged to Pitha kaalam. 40% of the cases were seemed to develop the disease during Muthuvenil kaalam (Aani- Aadi). Most of the cases (75%) came from Marutha Nilam. Seventy five percent of cases belonged to poor class families. Considering aetiology 15% of the cases had a positive family history. 85% of the cases had a gradual on set of disease. All the cases had joint pain, swelling, morning stiffness. 90% 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. 20% of the cases had deformities in their interphanlangeal, 15% metacarpophalangeal joints and 10% wrist and elbow joint. Regarding Uuyir thathukkal, viyanan was affected in 100% of the cases. Abanan, Samanan were affected in 75% of cases. Aanala pitham, Ranjakam were affected 75% of the cases. Sathaka pitham was affected in 100% of cases. And santhigam were affected in all the cases, kilethagam was affected in 75% of cases. Saaram, Seeneer, Kollupu and enbu were affected in all the cases. Regarding Enn Vagai Thervugal, sparism. Naadi were affected in all the cases. Neerkuri was found straw in colour. Neikuri indicated Vatha neer in 50% of the cases and Kaba Neer in 40 % of cases. Malam was affected in 75% of cases. 60% of the cases had moderate restriction but with an ability to perform normal activities. R.A. factor was positive in eighteen cases. 75% of the cases showed a decrease in haemoglobin percentage. E.S.R. was raised in all the cases. The trial medicines were given to 20 Cases with Valiazhal keel vayu. The internal drug was Kumari Maathirai in the dose of 1 tablet in jaggery twice a day after food. The external drug was Nochi Thylam which was applied externally to the affected joints. Hot water and Nochi leaf 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. The potency of the drugs were studied by pharmacological and biochemical analysis. It shows that the drugs have significant, acute and chronic anti inflammatory, anti pyretic and analgesic actions. CONCLUSION: In this study, results were found to be good in 45% of the cases. No adverse effects were noticed during the treatment period. Further follow up of these patients showed good recovery and fine improvement in the general well beings as they could carry out their day to day activities. The preparations of both medicines are simple and expiry is upto one year. So they can be stored and used. The trial medicine has significant acute and chronic anti inflammatory, analgesic and antipyretic actions. Early diagnosis and prompt management prevents the disabilities and deformities resulting from Rheumatoid arthritis. So it is concluded that the treatment with Kumari Mathirai, Nochi Thylam is good in the view of efficacy and safety.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Valiazhal keel vayu ; Nochi Thylam ; Kumari Maathirai.
Subjects: AYUSH > Sirappu Maruthuvam
Depositing User: Kambaraman B
Date Deposited: 18 Apr 2018 01:47
Last Modified: 18 Apr 2018 01:47
URI: http://repository-tnmgrmu.ac.in/id/eprint/7062

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