A Study on Diagnostic Methodology Neerkkuri Neikkuri of Manthaara Kaasam (Bronchial Asthma)

Chithra, P (2013) A Study on Diagnostic Methodology Neerkkuri Neikkuri of Manthaara Kaasam (Bronchial Asthma). Masters thesis, National Institute of Siddha, Chennai.


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INTRODUCTION: Urine examination has got demonstrable objectivity with clear cut tangible rules laid down by Siddhars which will reduce the variations in examination between one physician and another. The urine examination consists of macroscopic observation of colour, odour, froth, density and deposits. Apart from this general examination of urine, there is a unique methodology of urine examination originally conceived and crafted by Siddhars in which a drop of gingely oil is instilled over the urine sample surface collected under standard set of conditions. This unique methodology is called as “Neikuri”. The word ‘Nei’ in Tamil means oil or gingely oil to be more precise. ‘Kuri’ refers to sign. The procedure and various patterns in Neikuri are illustrated in the text of Theran, a Siddhar who excelled in propounding 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. In Siddha system, diseases are defined as alteration in own nature of seven udal thathukkal and Uyir thathukkal in gross material body and also in subtle body. One among such diseases is ‘MANTHAARA KAASAM’. A worldwide rise in the prevalence of asthma is being reported with increase in wheeze at an alarming rate of 5% per year. From 1983 onwards an increase in asthma mortality and morbidity has been noticed worldwide. This condition is developed on the allergic constitutional setting in an individual. This hypersensitive nature can be modulated by various treatments and Siddha system has a major role in this regard. Therefore, a simple and cost effective diagnostic tool needs to be developed which will enable physicians to detect this hypersensitive nature at the time treatment commencement, during the course and even during the symptom free period. Hence this study explores the possibility of establishing this investigation procedure in diagnosing the ‘MANTHARA KAASAM’ and will be the low economic technique available to common man. AIM AND OBJECTIVES: AIM: To develop the Neerkkuri, Neikkuri examination in Siddha system as a cost effective, yet powerful tool for diagnose and appropriate prognosis of the condition Manthaara kaasam. OBJECTIVES: 1. To document the diagnostic patterns of Neerkkuri, Neikkuri in Manthaara kaasam/Bronchial asthma. 2. To observe for any significant Neerkkuri, Neikkuri pattern which may provide a clue in the diagnosis, prognosis or its complication. 3. To establish the review of literature. 4. To compare the neikkuri patterns of Manthaara kaasam patients with Modern parameters. 5. To elucidate the three shapes of Neerkkuri, Neikkuri on the three consecutive days. MATERIALS AND METHODS: “A Study on Neerkkuri Neikkuri Diagnostic Methodology in Manthaara Kaasam – Bronchial Asthma” would be carried out in the Out patients and In Patients NoiNaadal 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. The study would be followed under the supervision of the HOD and Lecturers of the Noi Naadal Department. Sample Size: Total : 50. Normal Healthy Volunteers : 10, Manthaara kaasam patients : 40. 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 -18 to 60 years. 2. Difficulty in breathing. 3. Wheezing. 4. Cough with mild expectoration. 5. Increased perspiration. Exclusion Criteria: 1. Lung carcinoma. 2. Tuberculosis. 3. Major systemic illness (DM, HT). 4. Any vulnerable groups (Pregnancy, Lactation). CONCLUSION: In Neerkkuri, colour, odour, froth, specific gravity, volume and pH were observed. The urine was mostly straw colour and aromatic odour. The froth was mostly absent and the specific gravity was mostly ranged from 1.003-1.010. The volume of urine passed per day was mostly 1-1.5 lit per day. The pH was mostly ranged between 5.1 and 6. The reason for the difference in the Neikkuri patterns of a given patient on three consecutive days could be dietary variations. In most of the cases the dissemination dynamics of oil drop observed were of slow spreading nature. It indicates good prognosis. If there is kabam in urine, the spread of the instilled oil drop will be slow. As the spread of oil is limited, the oil forms a pearl like appearance which can be observed in Neikuri. So, the pearl formation can be predominantly presumed to be because of kapham in the urine. More concentrated the pearl formation, higher the kapham in urine. The Neikuri pattern observed for members in green zone, yellow zone and red zone were coin shape, circular shape and pearl shape respectively. In other words, from the Neikuri pattern, the zone of BA can be identified. From the above study it is clearly evident that there was no variation of neikkuri shapes observed on the three consecutive days. This study the author conclude that the Neikuri in Manthaara kaasam can be a good diagnostic tool for differentiating the zones of Bronchial asthma. This study may throw new lights to standardize the Neerkkuri and Neikkuri and provide a lead to carry out further researches by the upcoming generation.

Item Type: Thesis (Masters)
Additional Information: Reg No. 32103202
Uncontrolled Keywords: Manthaara Kaasam ; Bronchial Asthma ; Neerkkuri Neikkuri ; Diagnostic Methodology.
Subjects: AYUSH > Noi-naadal
Depositing User: Kambaraman B
Date Deposited: 26 Apr 2018 16:50
Last Modified: 01 Jan 2019 15:01
URI: http://repository-tnmgrmu.ac.in/id/eprint/7294

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