A Study on Diagnostic Methodology of Kaba Kaasam in the Context of Ennvagai Thervugal

Sankar Devi, S (2013) A Study on Diagnostic Methodology of Kaba Kaasam in the Context of Ennvagai Thervugal. Masters thesis, Government Siddha Medical College, Palayamkottai.

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Abstract

AIM AND OBJECTIVES: 1. To study the significance of Envagai thervu in diagnosing kabakaasam. 2. To review the literature about etiology premonitory symptoms classification naaadi nadi. 3. To Evaluate the Etiopathogeneis of Kabakaasam. 4. To find the Astrological significance responding the prevalence of the disease. 5. To find the significance of Manikadainool. 6. Comparetive study of Manikadai Nool with body mass Index of patient suffering from Kabakaasam. 7. To study the Incidence of kabakaasam in relationship with kaalam, Nilam, ozhukkam. 8. To use the modern parameters to confirm the diseases. MATERIALS AND METHOD: Materials: The clinical sudy on kabakaasam was carried in the OP in post graduate department of noi naadal of Govt, Siddha Medical College, Palayamkottai. Out of cases – 72 cases 68 with clinical signs and symptoms of kaba kaasam of both sex of all different ages were studied under the guidance of faculties of post graduate department. Selection of Patients: The clinical study was done in cases out of that 68 cases were selected on the basis of clinical symptoms indicated in the siddha text. SELECTION CRITERIA: Inclusion Criteria: 1. All Age group, 2. Both sex, 3. Cough. with Expetoration, 4. Loss of Appetite, 5. Loss of Weight, 6. Either Positive AFB or positive chest X –ray. Exclusion Criteria: 1. Associated with Rheumatoid arthritis, 2. Associated with Extra Pulmonary tuberculosis, 3. Patients on Corticosteroid therapy, 4. Associated with Diabetes Mellitus. METHODOLOGY: Study Design: Observational type of study. Study Enrollment: 1. In the study, patients reporting at the OPD&IPD of GSMC Palayamkottai with the clinical symptoms of “Kabakaasam” will be referred to the Research group. Those patients will be screened using the screening proforma (Form-I) and examined clinically for enrolling in the study based on the inclusion and exclusion criteria. Based on the inclusion criteria the patients will be included first and excluded from the study on the same day if they hit the exclusion criteria. 2. The patients who are to be enrolled would be informed (Form IV-A) about the study, and the objectives of the study in the language and terms understandable for them. 3. After ascertaining the patients’ willingness, a written informed consent would be obtained from them in the consent form (Form IV). 4. All these patients will be given unique Register card in which patients’ Register number of the study, Address, Phone number and Doctors phone number etc. will be given, so as to report to research group easily if any complication arises. 5. Complete clinical history, complaints and duration, examination findings all would be recorded in the prescribed proforma in the history and clinical assessment forms separately. Screening Form- I will be filled up; Form I-A, Form –II and Form –III will be used for recording the patients’ history, clinical examination of symptoms and signs and lab investigations respectively. STUDY PERIOD: 1. Total period - 1 yr, 2. Recruitment for the study - Upto 10 months, 3. Data entry analysis - 1 month, 4. Report preparation and submission - 1 month. STATISTICAL ANALYSIS: All collected data will be entered in to computer using MS Access/MS Excel software by the investigators. Descriptive analysis will be made and necessary tables/graphs generated to understand the profile of patients included in the study. OBSERVATION AND RESULTS: Results were observed with respect of the following aspects: Age distribution, Six distribution, Occupational status, Socio Economic status, Life span references, Thirai, Seasonal variation, Dietic habits, Etiologic factors, Site of lesion, Clinical features references, Mukkutra nilai references, Envagai thervugal, Mani kadai nool, Jothidam, Laboratory finding. SUMMARY: 1. The author had selected the disease kabha kaasam and to find the significance of Envagai thervugal in diagnosis. 2. This disease is characterized by cough with expectoration, fevers, loss of appetite, Giddiness and emaciation 3. Kabha kaasam is one of 12 kaasam as per siddhar yugi munivar text. 4. The author had reviewed the Literatures for aetiology, premonitory symptoms, symptoms classification, pathogenesis, Naadi Nadaigal and fatality of disease. 5. The literary collection of astrology related to kaba kaasam has been collected. 6. Literary collection about Envagai thervugal has been done and its significance had evaluated. 7. Clinical standardization of Manikadai Nool has been done. 8. Significance of Astrological in kabakaasam is dealt. CONCLUSION: The main barrier to the development of Siddha is the Lack of documentation hence, with a view to Enlighten the hidden truths of Siddha the author has prompted to document the observation and results of ENNVAGAI, THERVUGAL, JOTHIDAM, MANIKADAI NOOL. Naadi along with Neerkuri correlated with clinical symptoms of Kabakaasam useful in diagnosis to some extent only. But, Ennvagai thervugal is very significant in Evaluation of prognosis and Infering the Sathiya and asathiya Nilai. The study on Kabakaasam may be corelated with pulmonary tuberclousis which had given relevenced modern clinical entity. Nutrition Adequate nutrition is an important feature though all stages of infection. Malnutrition appears to increase the risk for tuberculosis; persons with low body mass index are greatly more at risk for tuberculosis than are those with a high index. Additionally, among patients underweight at the time of diagnosis, those who increase their weight by 5% during the first 2 months of treatment have significantly less relapse than do patients who gain less than 5%. Nurses should take particular note of underweight tuberculosis patients, recognizing that being underweight is a risk factor for relapse and encouraging aggressive nutritional support. Also, because functional recovery often lags behind microbiological cure, the aim of nutritional intervention should be to restore lean tissue. Nurses should also encourage patients to engage in physical activity to counter the loss of muscle mass and subsequent fatigue. Advocating for a nutritionist and physical therapist to evaluate a patient with tuberculosis to make patient-specific recommendations would be an appropriate action for nurses. Emotional Support and Education In addition to the direct responsibilities of nursing, many nurses are also a key source of emotional support for patients and patients’ families during times of illness. Perceived emotional support from nursing staff can improve adherence to therapy. Many patients with tuberculosis experience feelings of guilt and face stigma, and patients’ family members often fear associating with the patients. Nurses can provide education to patients and patients’ families about transmission and treatment to help reduce misconceptions and can elicit conversations to communicate concerns. Encouragement combined with education can affect a patient’s adherence to therapy, as well as improve the patient’s mood and perception of the illness.

Item Type: Thesis (Masters)
Additional Information: Reg No. 32103007
Uncontrolled Keywords: Kaba Kaasam ; Diagnostic Methodology ; Context of Ennvagai Thervugal
Subjects: AYUSH > Noi-naadal
Depositing User: Kambaraman B
Date Deposited: 02 May 2018 17:30
Last Modified: 01 Jan 2019 15:14
URI: http://repository-tnmgrmu.ac.in/id/eprint/7400

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