A Study on Diagnostic Methodology and Symptomatology of Peenisam (Rhinosinusitis)

Janani, L (2013) A Study on Diagnostic Methodology and Symptomatology of Peenisam (Rhinosinusitis). Masters thesis, National Institute of Siddha, Chennai.


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INTRODUCTION: The signs and symptoms of Peenisam mentioned in Siddha literature may be correlated with Rhinosinusitis in Modern disease of classification. The comparative studies of Siddha system of Medicine bring to light high level of medical knowledge the Siddhars had. Rhino Sinusitis affects a tremendous proportion of population, accounts for millions of visits to Primary care Physicians each year, Rhino Sinusitis is a major health care issue that affects in a large proportion. The incidence of chronic sinusitis in Southern Asian countries like India is 136,657,953 out of 1,065,070,607 (US Census Bureau, 2004). More than 120 million Indians suffer from at least one episode of acute sinusitis each year. The prevalence of sinusitis has soared in the last decade due to increased pollution, urban sprawl, and increased resistance to antibiotics. The incidence of morbidity and mortality among patients with complications of sinusitis has been reported to range from 5% to 40%. A sizable number of patients visit National Institute of Siddha with the clinical features of ‘Peenisam’. The study of Peenisam will be helpful to standardize the diagnosis of Peenisam through Sage Nagamunivar’s symptomatology description, which will help clinicians to follow a standard line of treatment and adopt proper preventive measures, so that visits to hospital will get reduced. Detailed study of the disease Peenisam through the symptomatology mentioned in the Siddha literature will enable the physicians to choose appropriate treatement from the wide range of medicines found scattered in the literature with indications of Rhinosinusitis with specific symptomatology groups. Medicines indicated for one group of symptomatology of the same disease may not be found to be a mainstay of therapy to another. Hence emphasis on the study of symptomatology is very vital for the institution of right kind of treatment. The study was aimed at evolving a set of exclusive Siddha diagnostic methods for Peenisam and to correlate the symptoms of Peenisam with that of closely resembling condition in modern medical literature. By relating the ancient Siddha literature with today’s, there will be both augmention of the knowledge of diagnosis and its treatment. The author was aimed at delving in depth into the clinical features mentioned under highly prevailing disease ‘Peenisam’ by Sage Nagamunivar and to structure the Siddha diagnosis and prognostic pattern of Peenisam. AIM AND OBJECTIVES: AIM: To conduct a study on Peenisam as mentioned in Nagamunivar Thalai Noi Maruthuvam, thereby to evolve a diagnostic methodology for Peenisam in Siddha system of medicine. OBJECTIVES: Primary Objectives: 1. To elucidate a diagnostic methodology for Peenisam. 2. To conduct the cause and clinical course of the disease by keen observation on the symptoms of Peenisam. 3. To correlate clinically, the symptoms of Peenisam with that of closely resembling condition in modern medical literature which in turn helps in globalization of Siddha system among other medical systems. Secondary Objectives: 1. To analyse literally on the etiology, pathogenesis, Clinical presentation of Peenisam. 2. To help in deriving a proper line of treatment and preventive measures for Peenisam based on Siddha system of medicine by evolving a diagnostic method for the disease. MATERIALS AND METHODS: STUDY TYPE: Observational study. STUDY DESIGN: An analytical open label, single centric study. STUDY PLACE: Department of Noi Naadal, Ayothidoss Pandithar Hospital, National Institute of Siddha, Tambaram Sanatorium, Chennai-47. STUDY PERIOD: • Total period - 1year. • Recruitment for the study - upto 10 months. • Data entry analysis - 1 month. • Report preparation and submission - 1 month. Sample size: Total – 50, Patients – 40, Healthy volunteers – 10. SELECTION CRITERIA: INCLUSION CRITERIA: 1. Age 18-60yrs. 2. Headache. 3. Mucous discharge from the nose. 4. H/o recurrent sneezing. 5. Nasal polyp. 6. Halitosis. CONCLUSION: The author had come out with valuable results from the study on Peenisam, validating the clinical features of Peenisam elucidated in an ultra short poetic segment by Sage Nagamunivar and also a proper Siddha diagnostic methodology had been elucidated for the disease. The symptoms and signs mentioned in Sage Nagamuni literature are in close conformity with that of Rhinosinusitis mentioned in modern medical literature. The patients reported with the symptoms of Peenisam were subjected to the standard set of investigations, the results and findings of the investigations were suggestive of Rhinosinusitis according to modern classification of disease. The fact that Peenisam which has Kabam as the major etiological factor, according to the Sage Nagamunivar text, was validated by the findings of Oil on urine sign/Neikkuri showing up shapes of pearl beaded appearance of the oil drop in 70% of cases. It is certainly a case of Peenisam, the cases were diagnosed with one hundred percent confidence as Peenisam because the aetiological factors mentioned in the literature and that the elicited history of patients conforms to be the same. Mannikkadai nool findings were also validated for the range 8 ¼ - 9 ¼ which indicates the chances of Peenisam occurrence. Almost all the patients diagnosed as Peenisam had positive radiological evidence conforming to the correlation of disease with RhinoSinusitis. From the analysis done between Peenisam cases and Control group, notable variations were observed in both Siddha and Modern parameters. Finally, with the observations and results of various parameters like eight fold examination, manikkadai nool, astrology, seasonal factor, etc it was found that all of them point to the development or vitiation of Kabha and Pitha humours leading to the disease Peenisam. From this study findings validation, some therapeutic guidelines were framed for the treatment of Peenisam. Thus the author concludes by throwing lights on the validation of symptomatology and exclusive Siddha diagnostic methodology for Peenisam, so that a physician can arrive at proper treatment procedures by rightly diagnosing the disease.

Item Type: Thesis (Masters)
Additional Information: Reg. No. 32103204
Uncontrolled Keywords: Diagnostic Methodology ; Symptomatology ; Peenisam ; Rhinosinusitis.
Subjects: AYUSH > Noi-naadal
Depositing User: Subramani R
Date Deposited: 26 Apr 2018 03:38
Last Modified: 01 Jan 2019 15:03
URI: http://repository-tnmgrmu.ac.in/id/eprint/7290

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