A Study on Diagnostic Methodology and Symptomatology of Seya Kamaalai (Iron Deficiency Anaemia)

Sangeetha, S (2013) A Study on Diagnostic Methodology and Symptomatology of Seya Kamaalai (Iron Deficiency Anaemia). Masters thesis, National Institute of Siddha, Chennai.

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Abstract

INTRODUCTION: The clinical symptoms of “Seya kamaalai” relates more with the signs and symptoms of “Iron deficiency anemia”in Modern classification than any other condition. Iron deficiency is the most common cause of nutritional anaemia in the world and it is recognised as a major public health problem throughout the globe, especially in the developing countries. Iron deficiency anemia is so common in rural and remote places due to poor standard of living, ignorance about diet though various reasons. It affects billions of people worldwide, especially women of reproductive age, pregnancy women and young children. It is the most common type of anemia met in clinical practice. The WHO estimates that more than 1/3rd of the world population are anemic, of which iron deficiency anemia is the most common and serious problem of public health significance. Prevalence of anemia in India is among the highest in the world but within the country prevalence rates differ substantially between different regions. Globally, Anemia affects 1.62 million people which correspond to 24.8% of the population. The highest prevalence is in preschool-age children (47.4%) and the lowest prevalence is the men (12.7%). However, the population group with the greatest number of individuals affected is non-pregnant women (468.4 million/30.2%). National Family Health Survey has reported anemia prevalence of 56.2 percent in women of 15-49 yr and 24.3 precent in men aged 15-49 yr. Iron deficiency is the most common cause of anemia in the world affecting 30% of the world's population equivalent to 500 million people. Prevalence of anemia in rural populations in Tamilnadu is as high as 52%. This could be explained due to lack of awareness in these individuals. 60-70% of Indian adolescent girls are anemic. In children and young adults particularly in deprived socioeconomic group, the prevalence of Iron deficiency anemia is 5% and 10% respectively. In most developing countries anaemia in pregnancy makes an important contribution to maternal mortality and morbidity. Early detection of anaemia can help to prevent complications related to pregnancy and delivery as well as child development problem. So it is most important to diagnose seya kamalai for its proper treatment. AIM AND OBJECTIVES: AIM: To conduct a study on Seya kamaalai as mentioned in yugimuni vaithiya kaaviyam, thereby to evolve a diagnostic methodology for Seya kamaalai in Siddha system of medicine. OBJECTIVES: PRIMARY OBJECTIVES: 1. To elucidate a diagnostic methodology for Seya kamaalai 2. To correlate clinically, the symptoms of Seya kamaalai 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 Seya kamaalai. 2. To help in deriving a proper line of treatment and preventive measures for Seya kamaalai 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 - 1yr. • Recruitment for the study - upto 10 months. • Data entry analysis - 1 month. • Report preparation and submission - 1 month. Gannt Chart: (Study Period - 1 year). Sample size: Total – 40, Patients – 30, Healthy volunteers – 10. Selection Criteria: Inclusion Criteria: • Age group:18-50. • Pallor of eyes. • Breathlessness on exertion. • Palpitation. • Loss of appetite. • Pallor of the skin and mucous membrane. • Giddiness. • Facial edema. Exclusion Criteria: • Anemia of chronic diseases. • Pitha paandu (Hypothyroidism). • Vulnerable group (pregnancy,lactation). • Bleeding disorders. • Post surgery, post trauma. CONCLUSION: The symptoms and signs mentioned in Sage Yugimuni literature are in close conformity with that of Iron deficiency anaemia mentioned in modern medical literature. Study on Manikkadai nool threw up a narrow identifiable range (8fbs) for Seya kamaalai. So with all the symptomatology and the observed results a clinician can diagnose this study clinical entity as Seya kamaalai with confidence. From the study on Naadi (Pulse), it was found that majority of patients were with Pithavatha Naadi. So presence of Pithavatha naadi in Seya kamaalai patients should be taken as a sign of increased Pitha humour which might lead on to seya kamaalai and drugs for balancing Pitha naadi should be selected. From the study on Neikkuri (Examination of Urine), though it was found that many (93.33 %) cases of seya kamaalai had slowly spreading nature, it cannot be taken as one of the significant diagnostic tool for diagnosing this disease.because this pattern has also been reported in other diseases in our institute and considered as a non specific pattern. This is because most of them were reproductive age group. In the study majority of cases had pallor tongue, no abnormal taste in tongue and normal vainer oral. Majority of cases in the study were seen with pallor of eyes. With the study on Udalthathukkal, it was found that all the cases had all the Udal Thathukkal affected. So drugs that strengthen the Udal thathukkal in general should be prescribed. The patients with symptoms of Seya kamaalai mentioned by SageYugi conformed to majority of symptoms mentioned in the modern literature of iron deficiency anaemia. Thus this study has validated the symptomatology elucidated by Sage Yugi and matched it with that of a disease of iron deficiency anaemia.

Item Type: Thesis (Masters)
Additional Information: Reg. No.32103206
Uncontrolled Keywords: Seya Kamaalai ; Diagnostic Methodology ; Symptomatology ; Iron Deficiency Anaemia.
Subjects: AYUSH > Noi-naadal
Depositing User: Subramani R
Date Deposited: 26 Apr 2018 04:00
Last Modified: 01 Jan 2019 15:09
URI: http://repository-tnmgrmu.ac.in/id/eprint/7291

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