A Study on Neerkkuri Neikkuri Diagnostic Methodology in Kalladaippu (Renal Calculi)

Singararubi, S (2013) A Study on Neerkkuri Neikkuri Diagnostic Methodology in Kalladaippu (Renal Calculi). Masters thesis, National Institute of Siddha, Chennai.


Download (114MB) | Preview


INTRODUCTION: Siddha system of medicine is a treasure dedicated to the world by siddhars. As per Theraiyar, the eight methods of the diagnosis “Envagai thervu” are Naadi (pulse), Naa (tongue), Niram (colour), Mozhi (voice), Vizhi (eyes), Malam (faeces), Neer (urine), and Sparism (touch). Among the eight diagnostic tools, urine is one of the important. In urine the diagnostic modes are Neerkkuri and Neikkuri. The methodology of diagnosing the diseases in our system is based on ‘En vagai thervu’. The system has worked out detailed procedure of urine examination which includes study of its colour, smell, density, quantity and oil drop spreading pattern. It is a holistic approach and the diagnosis involves the study of a person as a whole and his disease as well. This unique methodology “Neikkuri” defined as ‘Nei’ in Tamil means oil or gingely oil to be more precise. ‘Kuri’ refers to sign. The procedure and various patterns in Neikkuri are illustrated in the text of Theran, a Siddhar who excelled in expounding urine examination procedures. Neikkuri is dropping sesame oil drop onto the mid stream urine sample surface collected in a crystal/glass bowl during early morning. The mode of spreading nature of oil indicates the prognosis and diagnosis of diseases. Kalladaippu or Renal calculus is one of the most painful common urologic disorders of the present society. Life style modification plays a key role in the genesis of Renal calculus. Each year, people make almost 3 million visits to health care providers and more than half a million people go to emergency rooms for kidney stone problems. It is estimated that at least 10% of the population in the industrialized part of the world is afflicted by urinary tract stone disease. Kidney stones are common in industrialized nations with an annual incidence of 0.5% to 1.9%. In India, the incidence of renal calculi is comparatively low in the southern part of country, compared to other parts. AIM AND OBJECTIVES AIM: To develop the Neikkuri examination in siddha system to be a cost effective ,yet powerful tool diagnostics. OBJECTIVES: PRIMARY OBJECTIVE: To document the diagnostic patterns of Neikkuri in Kalladaippu -Renal calculi. SECONDARY OBJECTIVE: To observe for any significant Neikkuri pattern which may provide a clue in the diagnosis, prognosis or its complications. MATERIALS AND METHODS: “A STUDY ON NEERKKURI NEIKKURI DIAGNOSTIC METHODOLOGY IN KALLADAIPPU- RENAL CALCULI” would be carried out in the Out patients and In Patients Noi Naadal Department of Ayothidoss Pandithar Hospital of the National Institute of Siddha, Tambaram Sanatorium, and Chennai 47. POPULATION SAMPLE: Out of the 80 cases screened, 40 diagnosed cases will be selected from the outpatient department and 20 normal subjects screened, 10 normal subjects will be selected from the study followed under the supervision of the HOD and Lecturers of the Noi Naadal Department. SAMPLE SIZE : Normal Healthy Volunteers : 10. Kalladaippu patients : 40. Total : 50. SELECTION OF CASES: Selection of cases is based on the screening of patient population as per the inclusion and exclusion criteria listed out in the Screening Proforma. The patient population consists of patients attending the OPD/IPD of Ayothidoss Pandithar Hospital of National Institute of Siddha, Chennai. STUDY PERIOD : one year. INCLUSION CRITERIA: 1. Age -20 to 60 years 2.History of renal colic pain. 3.Presence of Renal stone detected by Ultrasonogram. 4.Willing to do Ultra Sonogram and Radiographic Study. EXCLUSION CRITERIA: 1. Co-existing other kidney diseases. 2. Other major systemic illness. CONCLUSION: In Neerkkuri colour, odour, froth, specific gravity, volume and pH were observed. The urine was mostly straw yellow colour and ammonical odour. The froth was mostly absent and the specific gravity was mostly ranged from 1.010-1.020. The volume of urine passed per day was mostly 500ml-1.5 lit per day. The PH was mostly ranged between 6- 7. The nature of spreading were fast in most of the kalladaippu cases which is because of pitha . In most of the cases, the shape of the Neikkuri observed were of coin and vacuolated sieves. The reason for the difference in the neikkuri patterns of a given patient on three consecutive days could be dietary variations. For a neikkuri shape to take a ring pattern there needs to be a large vacuole fill in the spreaded expanse of the instilled oil drop . So vacuole of a larger form is predominantly presumed to be because of Pitham in the urine. From this study, i conclude that the kalladaippu has got mixed prognosis. This study may throw new lights to Standardize the Neerkkuri and Neikkuri and provide a lead to carry out further researches in Neerkkuri and Neikkuri by the upcoming generation.

Item Type: Thesis (Masters)
Additional Information: Reg. No.32103207
Uncontrolled Keywords: Neerkkuri Neikkuri ; Diagnostic Methodology ; Kalladaippu (கல்லடைப்பு) ; Renal Calculi.
Subjects: AYUSH > Noi-naadal
Depositing User: Subramani R
Date Deposited: 26 Apr 2018 03:02
Last Modified: 01 Jan 2019 15:14
URI: http://repository-tnmgrmu.ac.in/id/eprint/7269

Actions (login required)

View Item View Item