A Study on Neerkkuri Neikkuri Diagnostic Methodology in Uthira Vatha Suronitham (Rheumatoid Arthritis)

Ramesh Kumar, P (2013) A Study on Neerkkuri Neikkuri Diagnostic Methodology in Uthira Vatha Suronitham (Rheumatoid Arthritis). Masters thesis, National Institute of Siddha, Chennai.


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INTRODUCTION: Urine examination is one of those ‘Envagai thervugal’. 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. Urine is an ultra filtrate of blood. Urine tests are very useful for providing information to assist in the diagnosis, monitoring and treatment of a wide range of diseases. In such cases, the abnormal conditions either due to metabolic or systemic or local conditions, the normal physico-chemical nature of urine is altered. To diagnose a disease and to get a hint on prognosis, urine analysis has been given much emphasis in Siddha. It includes physical examination such as colour, specific gravity, odour, froth and volume. In addition a special procedure called as Neikkuri (Oil in urine sign) is in practice in Siddha system, in which the shape and spreading nature of Gingelly oil drop over an urine sample surface is observed. Siddha way of urine analysis is an easier and individualistic technique with high reliability than the other parameters. This reliable, simpler, but effective diagnostic methodology can be utilised to approach varying medically challenging diseases of patients in the present world. One such disease is Rheumatoid arthritis. Rheumatoid arthritis (RA) is the most common persistent inflammatory arthritis, occurring throughout the world and in all ethnic groups. The prevalence of RA is approximately 0.8% of the world population. In India it is quite similar to that reported from the developed countries. It is higher than that reported from China, Indonesia, Philippines and rural Africa. In India a house-to-house survey of a rural population near Delhi was conducted by two trained health workers. The target population comprised 44,551 adults (above 16 years of age). A response rate of 89.5% was obtained and 3393 persons were listed as possible cases of RA by the health workers. Of these, 299 satisfied the revised ARA criteria for the diagnosis of RA, giving a prevalence of 0.75%. All the sensitive and specific laboratory investigations for Rheumatoid arthritis cost very high. Hence it is not helpful for all classes of people. On the other hand, though Siddha states Neerkkuri Neikkuri procedure as good diagnostic tool, proper observation and studies about Neerkkuri Neikkuri for Rheumatoid arthritis have not yet been done. The author hopes that this dissertation work can fill up this lacuna to a good extent. AIM AND OBJECTIVES: AIM: To develop the Neerkkuri Neikkuri examination in Siddha system as a cost effective, yet powerful tool to diagnose and appropriate prognosis of condition Uthira vatha suronitham/ Rheumatoid Arthritis. OBJECTIVES: 1. To document the diagnostic patterns of Neerkkuri Neikkuri in Uthira Vatha Suronitham/ Rheumatoid Arthritis. 2. To observe for any significant Neerkkuri Neikkuri pattern, which may provide a clue in the diagnosis, prognosis or its complications. 3. To establish the review of literature. 4. To compare the Neerkkuri Neikkuri patterns of Uthira Vatha. 5. Suronitham patients with Modern parameters. 6. To elucidate the shapes of Neerkkuri Neikkuri on the three consecutive days. MATERIALS AND METHODS: “A Study on Neerkkuri Neikkuri Diagnostic Methodology in Uthiravathasuronitham- Rheumatoid Arthritis” 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 subjectswill be selected. The study followed under the supervision of the HOD and Lecturers of the Noi Naadal Department. Sample Size: Normal Healthy Volunteers : 10, Uthiravathasuronitham 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: 18- 60 years in both sex. 2. Pain in the knee joint, ankle joint and inter phalangeal joints of the body. 3. Swelling of the knee joint, ankle joint and inter phalangeal joints of the Body. 4. Loss of appetite. 5. Patient who are willing to give blood and Urine samples for laboratory 6. Investigation. Exclusion Criteria: 1. Major systemic illness. 2. Vulnerable group. 3. Complications of rheumatoid arthritis other than joint contracture. CONCLUSION: Uthiravatha suronitham is one of the Vatha disease propounded by Sage Yugi. It affects all the major and minor joints, which could be easily diagnosed by eight fold examination. Neerkkuri, Neikkuri are couple of the special diagnostic and prognostic tools to elucidate the disease Uthiravatha suronitham. Based on the Neerkkuri examination done in this study, no specific association could be found out between the test results and diagnosis. There results were more of non-specific in character. In many of the cases coin shaped Neikkuri was observed as finding, this showed the involvement of Pitham and Kabam humors in the pathogenesis of Uthiravatha suronitham. So, study recommendation could be made from the results of the study to choose drugs which good correct the vitiation in the above humors. From the study, no association could be made between the chronicity, severity, sero positivity, deformity and shapes of the Neikkuri patterns observed; as there were no specific patterns of Neikkuri showed up in this study. According to Siddha literature, predominant involvement of Kabam and Pitham humour is consider to be favourable prognostic factor. Here in this study, many patients had coin shaped Neikkuri which is a manifestation of Kabapitha involvement, those patients can be said to have a less severe course of diseases and amenability to treatment. 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. 32103205
Uncontrolled Keywords: Rheumatoid Arthritis ; Uthira Vatha Suronitham ; Neerkkuri Neikkuri Diagnostic Methodology.
Subjects: AYUSH > Noi-naadal
Depositing User: Kambaraman B
Date Deposited: 27 Apr 2018 01:49
Last Modified: 01 Jan 2019 15:15
URI: http://repository-tnmgrmu.ac.in/id/eprint/7295

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