A Study on Diagnostic Methodology of Atthi Vaadham through Ennvagai Thervugal

Hema Sujatha, R (2013) A Study on Diagnostic Methodology of Atthi Vaadham through Ennvagai Thervugal. Masters thesis, Government Siddha Medical College, Palayamkottai.


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INTRODUCTION: In Dhanvanthri vaithyam, Dhanvanthri described 80 types of Vadha diseases “Atthi vaadham” one of the entity of the vadha diseases. AIM AND OBJECTIVE: 1. Bones are rigid organ that constitute part of the endoskeleton of vertebrates. They support and protect various organs of the body produce red and white blood cells and store minerals. 2. Bone tissue is a type of dense connective tissue. Bones comes in a variety of shape and have a complete internal and external structure are light weight yet strong and hard and serve multiple function. 3. One of the type of tissue that make up bones is the mineralised osseous tissue, all called bone tissue that gives if rigidity and coral – like three dimentional internal structure. 4. Bone diseases have both genetic and environmental components. The risk bone disease appears to be compounded by diet, life style, environment. 5. Atthi vaadham is one of the eighty types of vaadham. It is selected for the study. 6. The aim is to study and to evaluate the etiology and pathology of Atthivaadham. OBJECTIVES: 1. The aim is to establish the following ojectives. 2. To reveiw the literature about vaadha disease in general and Atthivaaadham in specific. 3. To evaluate the etiology of Atthi vaadham from literature. 4. To study the disease Atthi vaadham on the basis of seven physical constituents of the seasonal variations, age, sex, socio economic status, habits and family history. 5. To use modern diagnostic parameters to confirm the disease. 6. To establish the diagnosis of the Atthi Vaadham via, a. Eight fold examination, b. Manikkadainool. MATERIALS AND METHODS: The disease atthivaadham has been dealt in the book of “Dhanvanthri Vaithiyam Part I”. Selection of Patients: For this clinicall study 30 patients of both sex above 40 age groups suffering from Atthivaadham were selected in the out patients department of Government Siddha Medical College, Palayamkottai and guided under the supervision of Professors and Lecturers. A detailed clinical history was taken from the patients are 1. Boricpain; Nature of occurance, 2. Mode of onset and, 3. Severity. In this study, detailed history was taken as 1. Occupation, 2. Personal history, 3. Family history, 4. Repeated trauma and, 5. Diet habits. Special attention was made to equal about 1. Trauma and 2. Stress. The following siddha methods of diagnosis were also employed are; 1. Nilam, 2. Paruvakaalam, 3. Poriyalarithal, 4. Pulanaalarithal, 5. Vinaathal, 6. Mukkutra nilam, 7. Yakkai ilakkanam, 8. Seven udal thathukkal, 9. Ennvagai thervugal. Laboratory Investigation In all patients of Atthi vaadham the following modern laboratory investigations available at the Government Siddha Medical College, Palayamkottai were done blood. 1. Total white blood corpuseles, 2. Differential WBC court, 3. Erythrocyte Sedimentation Rate, 4. Haemoglobin Estimation, 5. Blood sugar, 6. Blood urea, 7. Serum cholesterol. Urine 1. Albumin, 2. Sugar, 3. Deposits. In all the patients clinically diagnosed as Atthi Vaadham. 1. X-Ray, 2. Bone mineral density. METHODOLOGY: Study Design: Observational type of study. Study Enrollment: 1. In the study, patients reporting at the PG Noi Naadal OPD of GSMC, Palayamkottai with the clinical symptoms of "Atthi vaadham" will be referred to the Research group. Those patients will be screened using the screening proforma 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 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. 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 and lab investigation forms. OBSERVATION AND RESULTS: Results were observed with respect of the following aspects Age distribution, Sex distribution, Occupational status, Socio Economic status, Life Span reference, Thinai Reference, Seasonal variation, Diet habit, Clinical features reference, Mukkutra nilai reference, Udal kattugal reference, Envagai Thervugal, Neerkuri, Neikuri, Reference, Mani Kadainool, Laboratory findings. DISCUSSION AND SUMMARY: Atthi Vaadham is one of the 80 types of Vaadham described by Sage Dhanvanthri. In Siddha literature, this disease is characterized by Boric pain, generalized pain in thigh, weakness, pricking pain. The classification of Vaadham, Aetiology and Clinial features were described in many Siddha literatures. From that the author selected the study topic from Dhanvanthri vaithiyam. To describe the Atthi vaadham in detail, the author first made a study on the Anatomy and Physiology of bone. From the Siddhars point of view, bone is a structure which attributes to the element of earth. The function of the bone, mainly carried out by the element Vaayu. The bone and three humours relation were discussed in detail by author. CONCLUSION: Identification of disease and its pathogenesis are pre-requisite for medical practice. A detailed history taking, clinical examinations as per siddha guidelines are necessary to arrive at precise diagnosis. The study on Atthivaadham was carried out in the dissertation giving importance to the characteristics of the disease like Boricpain, tenderness, difficulty in movements. For this study 30 cases were diagnosed clinically in the out patients Dipartment of Govt. Siddha Medical College, Palayamkottai. The selection of cases was carried out under to supervision of Professor and Lecturers of Post Graduate Noi Naadal Department. A case sheet proforma was prepared with particular reference to focusing siddha and modern clinical parameters. Seperate case sheets were maintained for each point and monitoring of vital signs, symptoms, and signs and they are recorded in data. From this study the following datas were clear that the disease was more common in females. Maximum incidence of age above 50. On observation all my patients are anaemic in the study. Diagnosis can be carried out by detailed history taking, classical clinical examination of siddha system, via manikadai nool, 7 physical constituents, 3 Humours, especially wih the help of Envagai Thervugal. The author diagnosed this vaadha disease from siddha parameters like ENNVAGAI THERVUGAL. But the author confirm the diagnosis with the help of modern allied parameters. The disease may be corelate with osteoporosis.

Item Type: Thesis (Masters)
Additional Information: Reg.No.32103003
Uncontrolled Keywords: Diagnostic Methodology ; Atthi vaadham ; Ennvagai Thervugal.
Subjects: AYUSH > Noi-naadal
Depositing User: Kambaraman B
Date Deposited: 03 May 2018 00:55
Last Modified: 01 Jan 2019 15:02
URI: http://repository-tnmgrmu.ac.in/id/eprint/7403

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