A Study on Diagnostic Methodology and Symptomatology of Kaakkai Vali (Grandmal Epilepsy)

Guru Manekandan, A (2013) A Study on Diagnostic Methodology and Symptomatology of Kaakkai Vali (Grandmal Epilepsy). Masters thesis, National Institute of Siddha, Chennai.

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Abstract

INTRODUCTION: Epilepsy is a brief recurrent disorder of Cerebral function usually associated with disturbance of Consciousness and accompanied by a sudden excessive electrical discharge of Cerebral neurons. It is not a Contagious disease and is not caused by mental illness or mental retardation. One in ten individuals will have single Seizure at some time in their lives.The Prevalence of Epilepsy is 1% and the incidence is 0.1%. Recent Studies in developed countries suggest an annual incidence of epilepsy of approximately 50 per 100,000 of the general population. However, studies in developing countries suggest that this incidence is nearly double that at 100 per 100,000. Grandmal Epilepsy is a common form of Epilepsy. It comes under the type of Generalised Seizures which are always associated with loss of awareness of the surroundings. These type of Seizures are recognized as Epileptic Fits by laymen. In this dissertation, the author tries to expound this Kaakkai Vali with a detailed analytical approach through Siddha Diagnostic methods. AIM & OBJECTIVES: AIM: To conduct a study on Kaakkai vali as mentioned in Agathiyar Vaithiya Kaandam, thereby to evolve a diagnostic methodology for Kaakkai vali in Siddha system of medicine. OBJECTIVES: Primary Objectives: 1. To conduct the cause and clinical course of disease by keen observation on the symptoms of Kaakkai vali. 2. To elucidate a diagnostic methodology for Kaakkai vali. Secondary Objectives: 1. The Objective of this dissertation work includes literary and observational study on the etiology, pathogenesis and Clinical presentation of Kaakkai vali. 2. By evolving a diagnostic method for the disease, it helps the clinicians to derive a proper line of treatment and adopt preventive measures based on Siddha system of medicines. 3. This study is also to correlate clinically, the symptoms of Kaakkai vali with that of closely resembling condition Grandmal Epilepsy in modern medical literature which in turn helps in globalization of Siddha system. 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: 1. Total period - 1yr. 2. Recruitment for the study - upto 10 months. 3. Data entry analysis - 1 month. 4. Report preparation and submission - 1 month. Sample Size: Total – 30, Patients – 20, Healthy volunteers – 10. Inclusion Criteria: 1. Age 18-55yrs both sex. 2. Complaints of periodic Episodes of Seizures. 3. Epileptic aura. 4. Dryness of the tongue. 5. Hypertonocity of the limbs. 6. History of Confused state. 7. History of Faecal incontinence. 8. History of Urinary incontinence. Patients who fulfill any of the four criteria are included to the study. EXCLUSION CRITERIA: 1. Systemic illness. 2. History of Head injury. 3. Eclampsia. 4. Endocrinal diseases. 5. Vulnerable group. CONCLUSION: The study was aimed at investigating into the details of the symptoms given under Kaakkai vali and to define Siddha diagnostic methods and prognosis of Kaakkai vali. The author concludes the study on Kaakkai vali with valuable results validating the Symptomatology and Siddha diagnostic methodology. Mental stress is said to be an important factor precipitating the disease. Vatha and Kaba humour get deranged by emotional stress. In this study also all patients were having mental agony prior to onset of disease.So Yoga and meditation can be advised along with medicines for the disease, Clinically the disease is manifestated with symptoms like Periodic Episodes of Seizures, Hypertonicity of the limbs, Epileptic aura,History of Urinary incontinence,History of faecal incontinence and dryness of the tongue. Surprisingly, it was found that the symptoms presented by the patients in the study were those of a constant subset of symptoms of Grandmal Epilepsy explained in the present day classification. In Neerkkuri Examination it was found that many cases of Kaakkai vali had fastly spreading and pearl bearded shape .So Neerkkuri can be taken as one of the significant diagnostic tool for diagnosing this disease. From the pulse study,it was evident that majority of cases (65%) had Vatha Kabam naadi which can be taken as one of the significant diagnostic tool for diagnosing this disease. In the study of tongue,majority of cases some had Pulipu (sour taste) & Inippu suvai (sweee taste) lingering in tongue and increased salivation. As per the text Agathiar Naadi, Pulipu taste (sour taste) in tongue is a sign of Vatha derangement and Inippu taste(sweee taste) in tongue is a sign of deranged Kaba humour. So it may be inferred that deranged Vatha and Kaba humour forms the base for Kaakai vali which can be taken as one of the significant diagnostic tool for diagnosing this disease. From the study, it was evident that majority of them had derangement in Abanan, Viyaanan, Udhanan, Samanan, Naagan, Koorman And Kirukaran. The components of Kabam connected with respiration and joint movements are mostly affected. Regarding Udal thathukal, almost all thathus (except Seneer) are affected. So drugs that strengthen the Udal thathukkal should be prescribed. Mannikkadai nool findings were also conforming to the range 8 - 8 ¼ which according to Agathiyar Soodamani kayaru soothiramindicates the chances of acquiring diseases of head. Remarkable variations were observed in both Siddha and Modern parameters from the analysis done between Kaakkai vali cases and Control group. Finally with the results and observation of various Siddha parameters, it was found that the disease Kaakkai vali is caused due to vitiation of Vatha and Kaba humours. Thus this study has validated the symptomatology elucidated by Sage Agathiyar and matched it with that of a disease – Grandmal Epilepsy. So the author concludes that these Siddha diagnostic parameters can be successfully used by a physician at the clinical desk in the diagnosis of Kaakkai vali.

Item Type: Thesis (Masters)
Additional Information: Reg. No. 32103203
Uncontrolled Keywords: Kaakkai Vali ; Diagnostic Methodology ; Symptomatology ; Grandmal Epilepsy.
Subjects: AYUSH > Noi-naadal
Depositing User: Kambaraman B
Date Deposited: 26 Apr 2018 05:27
Last Modified: 01 Jan 2019 15:01
URI: http://repository-tnmgrmu.ac.in/id/eprint/7292

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