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AAMJ ISSN: 2395-4159
Anveshana Ayurveda Medical Journal Research Article

Clinical study of Pariṇatakeri Kṣīrādi taila Nasya in the

management of the disease Avabāhuka
K.S. Manjunatha1 Shankar Gowda2 Ranjith B.M3 Lavanya S.A4
Parikshitha Navada5 Soumyashree Sharma6

Abstract
The disease Avabāhuka is one among vataja Nanatmaja vyadhi which hampers the day to day
activity of an individual. Vata among three Dosha is considered to be superior most in all
aspects. Vata which is motivating factor of other two doshas get easily aggravated in this fast
life and affects Amsa moola, Avabāhuka affecting the Amsa Moola exhibits the symptoms in
Bahu. It exhibits various symptoms like Bahu praspandana hara, Amsa bandhana shosha,
Amsa Sthabdatha, Amsa sandhi śūla.
In the management of Avabāhuka, Nasya karma is one of the modality of treatment principle,
as the properly administered Nasya karma not only cures disorders of jatrurdhwa but also
imparts strenght to Twak, Skandha, Greeva, Mukha and Vaksha Pradesha.
Pariṇatakeri kṣīrādi taila one among Taila kalpana explained in Sahasrayoga containing
drugs Pariṇatakeri ksheera(narikela ksheera), Jambeera phalodaka, Tila taila,
Kshanada(Haridra), Sura dhuma(Sarja) is having phalashruti in Avabāhuka.
Hence study has been conducted to evaluate the efficacy of Pariṇatakeri kṣīrādi taila Nasya
in the management of Avabāhuka.

Key words – Avabahuka, Parinatakeri ksheeradi taila, Nasya.

1,3,4,5,6
PG Scholar, 2 Professor and HOD, Dept of RS & BK, T.G.A.M.C Bellary, Karnataka, India.

CORRESPONDING AUTHOR
Dr. K.S. Manjunatha
PG Scholar,
Department of RS & BK,
T.G.A.M.C, Bellary,
Karnataka, (India). http://aamj.in/wp-
content/uploads/Volume4/Is
Email: drksmanjunath14@gmail.com sue3/AAMJ_1752_1755.pdf

AAMJ / Vol. 4 / Issue 3 / May – June 2018

 Manjunath et.al,. : Clinical study of Pariṇatakeri Kṣīrādi taila Nasya in the management of the disease Avabāhuka

INTRODUCTION  Patients fulfilling the criteria of diagnosis with no

restriction of Gender and Religon
The main aims and objectives of Ayurveda are maintaining  Age group between 20 to 70 yrs
the positive health and curing the disease. The success of any Exclusion criteria
Bhishak finally lies upon the quality of the medicine  Dislocation / Fracture of shoulder joint
(Bheshaja) .This concept gave rise to a new branch –Bhaisha-  Autoimmune disorders like SLE and RA
jya kalpana-an Ayurvedic pharmaceutical science. The word  Age group below 20 and above 70 yrs
Bhaishajya kalpana comprises of two words Bhaishajya-  Pregnant and Lactating women
means drug & kalpana-means modification or processing. Treatment plan
This branch helps the physician to utilize the bheshaja in var-  Nasya Karma was done for first 7 days.
ious formulations and forms to derive maximum benefits. It  Abhyanga with Pariṇatakeri Kṣīrādi taila and
also increases the palatability& shelf life of the drug. swedana.
The disease Avabāhuka is one among vataja  Nasya with Pariṇatakeri Kṣīrādi taila
Nanatmajavyadhi which hampers the day to day activity of  Matra- 08-08 drops was instilled into each
an individual. Vata among three Dosha is considered to be nostril.
superior most in all aspects. Vata which is motivating factor  Followed by Capsules 500 mg placebo (Capsules
of other two doshas get easily aggravated in this fast life and containing Wheat floar) TID.
affects Amsamoola, Avabāhuka affecting the AmsaMoola ex- Duration – 23 days.
hibits the symptoms in Bahu. It exhibits various symptoms  Follow up – 10 days after the treatment.
like Bahupraspandanahara, Amsabandhanashosha,  During the treatment period the patients were
AmsaSthabdatha, Amsa sandhi śūla. advised to follow regular and comfortable diet
Sneha kalpana play an important role in the treatment aspects regimen.
of Ayurvedic science. It is the process where the active prin- Parameters
ciples of the drugs are transferred in to sneha. Ghrita, Taila or The parameters for the assessment results were
such other fatty substances are used here as base. This kal- 1) Subjective parameters
pana helps to obtain the extra benefits of the Ghrita or Taila  Amsa Śūla.
used, helps to preserve the drugs for the longer time. It also  Amsa sandhi stabdhata.
enhances the absorption of the drugs. Various Ghritas and tai-  Bahu praspanadana hara.
las have been mentioned as medicine in many diseased con-
ditions. 2) Objective parameters
Parinatakeri ksheeradi taila one among Taila kalpana ex-  Tenderness.
plained in Sahasrayoga containing drugs Parinatakerik-  Amsa bandana shosha.
sheera(narikela ksheera), Jambeera phalodaka, Tila taila,
Kshanada(Haridra), Suradhuma(sarja) is having phalashruti Grading for parameters
in Avabahuka.
Subjective Parameters:
Aim 1) Bahu Praspandana Hara:
Clinical study of Pariṇatakeri kṣīrādi taila1,2 Nasya3 in the Table No. 1- Showing grading of Bahu praspandana hara
management of Avabāhuka4. Symptom Grade
1) Can do any work without any difficulty 0
Objectives 2) Can do strenuous work with less difficulty 1
 To do the procedure Nasya karma with Pariṇatakeri 3) Can do minimum work with difficulty 2
kṣīrādi taila.
4) Cannot do any work 3
 To evaluate the clinical efficacy of Nasya karma in
Avabhuka.
2) Śūla:
Table No. 2 - Showing grading of Śūla
MATERIALS AND METHODS Symptom Grade
1) No pain 0
Materials:
2) Mild pain & can do strenuous work 1
 Gokarnika, towel, steel vessel, Pariṇatakeri kṣīrādi
taila. 3) Moderate pain & can do minimum work 2
 15 Patients of either sex selected from the O.P.D. and 4) Severe pain & cannot do any work 3
I.P.D. of Taranath Government Ayurvedic hospital,
Ballari, Karnataka. Which are diagnosed as Avabāhuka 3) Stamba:
for the present study. Table No. 3 - Showing grading of Stambha
Symptom Grade
Methods:Nasya karma with Pariṇatakeri kṣīrādi taila. 1) No stiffness 0
2) Mild & can lift without support 1
Methodology 3) Moderate & can lift with support 2
Inclusion criteria 4) Severe stiffness & unable to lift 3

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 Manjunath et.al,. : Clinical study of Pariṇatakeri Kṣīrādi taila Nasya in the management of the disease Avabāhuka

Amsabandha shosha 14
Objective Parameters: Tenderness 14
1) Amsa Bandha Shosha:
Table No. 4 - Showing grading of Amsa bandha shosha. Observation
Sign Grade The changes obtained through clinical investigations were
1) Wasting is absent 0 recorded and an effort was made to interpret the effect on
2) Mild wasting & can move easily 1 disease management.
3) Moderate wasting & can move with
2
difficulty RESULT
4) Severe Wasting cannot move 3
For the analysis of results, parameter grading before and after
2) Tenderness: treatment was considered. The difference in grading before
Table No. 5 - Showing grading of Tenderness. and after treatment was calculated. The grading parameters of
Sign Grade the clinical study were subjected to Paired t test and Unpaired
1) No complaints 0 t test.
2) Patient complains of pain 1 Mean difference was obtained by average of differences of
3) Patient complains of pain & tends grading before and after treatment. Standard Deviation (SD)
2 of the differences of parameter grading before and after
to pull back.
4) Patients complains of pain & treatment was estimated.
3 Standard error = SD/SQRT(n)
withdraws suddenly
Where, n=number of patients SQRT = Square root
Table No. 6 - Symptom wise distribution of patients. The differences in the mean values were considered highly
Symptom Number of patients significant at p<0.001 and <0.01, significant at p<0.05, and
non-significant at p>0.05.
Bahupraspandanahara 15
Śūla 15
Stambha 15
1) Paired t test
Effect of PKKT Nasya & placebo on 15 Patients of Group-A
GROUP-A

Symptoms N Mean score % of S.D of S.E of t P value Remarks

reduction mean Diff mean value
BT AT Diff
Bahu 14 2.2857 0.93333 59.16% 0.2582 0.06901 13.5253 <0.001 H.Si
praspandanahara
Śūla 15 2.9333 1.6 45.44% 0.61721 0.15936 8.3666 <0.001 H.Si
Stambha 15 2.3333 1.4 39.99% 0.59362 0.15327 6.08942 <0.001 H.Si
Amsabandha 14 1.78571 1.33333 25.33% 0.5164 0.13801 3.8643 <0.01 H.Si
shosha
Tenderness 13 2.61538 1.2 54..11% 0.70373 0.19518 5.46504 <0.001 H.Si

Highly significant results were obtained in Bahu praspandanahara with 59.16%, Śūla with 45.44%, Stambha with 39.99%,
Amsabandha shosha with 25.33%, Tenderness with 54.11%.
DISCUSSION
Symptoms Bahu praspandanahara, Śūla, Stambha,
Amsabandha shosha and Tenderness are reduced Highly
significantly after a course of Nasya karma with Pariṇatakeri
kṣīrādi taila for 7 days and Placebo for 23 days.
Relieve in symptom Bahu praspandanahara (59.16%) may
be due the presence of Haridra and sarja rasa, alkaloids
present in them proven Anti-inflamatory.
Relieve in symptom Amsabandha shosha (25.33%) suggests
it as chirakari and more sittings of Nasya karma needed in
this condition.
CONCLUSION
Taila kalpana is one of the important kalpana of Bhiashajya
kalpana which are used in preserving of lipid soluble constit-
uents of raw drugs for a longer duration, Pariṇatakeri kṣīrādi
taila one among Taila kalpana is explained in Taila
prakarana of Sahasrayogam and indicated in Avabāhuka dis-
ease.
Avabāhuka is one among vataja Nanatmaja vyadhi which
hampers the day to day activity of an individual. Vata among
three Dosha is considered to be superior most in all aspects.
Nasya karma is the modality of the treatment in case of
Avabāhuka disease explained by classics
as the properly administered Nasya karma not only cures dis-
orders of jatrurdhwa but also imparts strenght to Twak,
Skandha, Greeva, Mukha and Vaksha Pradesha.

AAMJ / Vol. 4 / Issue 3 / May – June 2018 1754

 Manjunath et.al,. : Clinical study of Pariṇatakeri Kṣīrādi taila Nasya in the management of the disease Avabāhuka

Hence research work was conducted on 15 patients of
Avabhauka and results were noted and analysed accordingly.
It was concluded that Pariṇatakeri kṣīrādi taila Nasya karma
gives a promising results in the disease Avabāhuka.
4. Sushruta. Sushruta Samhita. edited by Vd Acharya Y.T,8th edi-
tion. Varanasi: Choukhamba orientalia; 2005. Nidana sthana,
1st Chapter, verse 82, 269pp.

ΛΛΛΛ
Source of Support: Nil.
REFERENCES Conflict of Interest: None declared

1. Anonymous. Ayurvedic Formulary Of India. Second Revised

English edition. Delhi: The controller of publications civil How to cite this article: Manjunath et.al,. : Clinical
lines;2003.Ministry of health and family welfare, Government study of Pariṇatakeri Kṣīrādi taila Nasya in the man-
of India, Dept of ISM & H, Part-1, Taila Prakarana, 139-140pp. agement of the disease Avabāhuka. AAMJ 2018; 3:
2. Anonymous.Sahasrayoga. edited by Dr.Ramnivas Sharma and 1752 – 1755.
Dr.Surendra Sharma. 2nd edition. Hyderabad:Dakashina
prakshan; 1990. Taila prakarana, 78pp.
3. AcharyaVaghbata.Astanga Sangraha. Edited by Dr Sharma ΛΛΛΛ
Shivaprasad.Varanasi: Coukambha Sanskrit Series; 2006.
Chikitsa stahna, 28th chapter, Verse 158, 568pp.

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