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Synopsis On Shati and Karchur.... FINALone
Synopsis On Shati and Karchur.... FINALone
SYNOPSIS FOR
PROPOSED THESIS WORK FOR THE DEGREE OF AYURVEDA VACHASPATI
M.D. (Ayu.) DRAVYAGUNA
TITLE
“A Pharmacognostical study on Shati (Hedychium spicatum Buch. Ham. ex. Smith)
and Karchura (Curcuma zedoaria Rosc.) for its identification and to evaluate the
clinical efficacy of Karchura (Curcuma zedoaria Rosc.) in Tamaka Shwasa.”
Research Scholar
Dr. Shefali Rana
B.A.M.S.
(Dayanand Ayurvedic College & Hospital, Jalandhar, Punjab)
Guide
Dr. Navneet Sharma
M.D. (Ayu.)
Reader
P.G. Deptt. Of Dravyaguna
R.G.G.P.G. Ayurvedic College & Hospital, Paprola, Kangra (H.P.) 176115
Co-Guide
Dr. Rashmi Srivastava
Respected Sir,
Thanking you,
Date……………. Yours sincerely,
This is to certify that the plan of the proposed research work entitled “A
Pharmacognostical study on Shati (Hedychium spicatum Buch. Ham. ex. Smith)
and Karchura (Curcuma zedoaria Rosc.) for its identification and to evaluate the
clinical efficacy of Karchura (Curcuma zedoaria Rosc.) in Tamaka Shwasa.” has
been prepared by Dr. Shefali Rana under our supervision and further research work
will also be carried out during M.D.(Ayu.) course under the guidance of the
undersigned.
Supervisor Scholar
7. Introduction
Ayurveda is traditional holistic healing system of Indian medicine which
depends on plant support to form major chunk of its medicines.
The aim of Ayurvedic science is to maintain the health of healthy individual and
to cure the diseases of the patients, which can be achieved by use of Ayurvedic
herbs which offer a variety of health benefits, including improving physical and
mental health and keeping the mind, body and spirit in balance.
This ever vibrant science of life ‘Ayurveda’ has bestowed us with innumerable
number of herbs which have great potential in managing various types of
ailments, some of which were considered impossible to treat by other fields of
medical sciences and have shown marvelous results.
Because of above reason, Ayurvedic herbs have become very popular in last few
decades and gaining more interest of modern world.
7.1 Justification for the selection of drugs for the Pharmacognostical study :
Both the plants are Himalayan species belong to same family Zingiberaceae,
distributed wildly in Himachal Pradesh, Uttarakhand, Nepal and Sikkim and both
have Shwasahara Karma as per Ayurvedic classics but in comparison to each
other, Shati is well established Shwasahara drug.
Because of same family, both plants share similar morphological characters that
create confusion in their identification and because of this confusion, both drugs
are used as substitute to each other in the market. Moreover there is no proper
authentication of both drugs. So with this purpose, a pharmacognostical study is
selected for their identification to standardize the authenticity of both drugs for
further use in future.
7.2 Justification for the selection of disease for the Clinical study :
Life of Human beings mainly runs on three “B’s”. First BRAIN, second BEAT
and third last but not least BREATH i.e. Shwasan.
Any disturbance in this process may lead to Shwasa Roga. Tamaka Shwasa is one
of the important disease of such disturbance of Pranvaha Srotasa. ‘Tamaka
Shwasa’ has two component words. The term Shwasa refers to both physiological
and pathological state of respiration and the word Tamaka indicates the specific
variety of the Shwasa Roga and emphasizes specific symptom ‘darkness in front
of eyes’ or ‘tiredness of eyes’ without much strenuous work to the organ.
Thus the nomenclature ‘Tamaka Shwasa’ clearly indicates the disease where
difficult breathing associated with feeling of merging in darkness. It has the
predominance of Vata and Kapha Doshas and mentioned as Yapya Vyadhi i.e. a
disease of chronic nature in Charaka Samhita, while Sushruta considered it as
Krichchra Sadhya Vyadhi.
Acharya Charaka quoted that “Shwasa & Hicca are two diseases, which are
much fatal to life amongst all other diseases” as mentioned below -
As per various survey suggest that in Himachal Pradesh, diseases related to upper
respiratory tract like Kasa-Shwasa-Hicca has more prevalence as compare to
other diseases. This is either because Himachal Pradesh considered as Anupa
Desha (mountain climatic condition) where there is predominance of Kapha
Dosha, thereby people are more susceptible to diseases related to Kapha Dosha
or due to excessive use of tobacoo and smoking.
7.3 Justification for the selection of drug for the Clinical study :
Our Acharyas have listed many herbs which have Shwasahara action. The
Shwasahara drugs include respiratory tonics and naturally occurring broncho-
dilators and immuno-modulators. Karchura (Curcuma zedoaria.Rosc) is one such
herbal drug, which acts as Shwasahara as mentioned in classics and it is
abundantly available in Himachal Pradesh and cost effective which may satisfy the
need of present day situation by acting as potent herbal bronchodilator but
clinically its efficacy on Tamaka Shwasa as Shwasahara drug, is still not popularly
known as compared to Shati. So with this perspective, the drug Karchura
(Curcuma zedoaria. Rosc) is selected to evaluate the clinical efficacy in Tamaka
Shwasa.
7.4 Aim and Objectives
To review the classical and modern literature of Shati (Hedychium spicatum Buch.
Ham. ex. Smith) and Karchura (Curcuma zedoaria Rosc.).
To carry out macroscopic and microscopic study on Shati (Hedychium spicatum
Buch. Ham. ex. Smith) and Karchura (Curcuma zedoaria Rosc.) for its
identification to standardize the trial drugs.
To prepare standard quality medicine as per GMP & classical Ayurvedic texts.
To review the literature of Tamaka Shwasa, as per classical references.
To evaluate the effect of Karchura (Curcuma zedoaria Rosc.) in Tamaka Shwasa.
8. Review of literature
A detailed review of Shati and Karchura will be done from Ayurvedic
literature, journals, internet and recent research works for its identification.
Ayurvedic and modern literature will be reviewed thoroughly to know Tamaka
Shwasa in detail and its treatment, according to Ayurvedic therapeutics.
Veerya - Ushna
Vipaka - Katu
PLANT DESCRIPTION:
4. Name of Drug - Karchura
5. Botanical Name - Curcuma zedoaria Rosc.
6. Family - Zingiberaceae
Veerya - Ushna
Vipaka - Katu
(च.सप.२७)
On the basis of above references, the trial drug has been selected for present
research work.
1. Literary source: All classical literature and latest information like website will
be reviewed and documented.
2. Source of plant: Plant will be identified authentically and collected from the
natural sources.
3. Pharmacognostical laboratory
4. Clinical study will be carried out in patients suffering from the Tamaka
Shwasa.
Collection of the drug: Shati and Karchura will be freshly collected, found in
mid hill zone of Distt. Kangra (H.P.).
Clinical study: After preparation of the trial drug, clinical study will be done
on the patients presenting with symptomology of Tamaka Shwasa selected
from OPD and IPD of R. G. G. P. G. Ayurvedic College and Hospital, Paprola,
Distt. Kangra (H.P.), irrespective of caste and religion.
Consent of patient: Awareness about the duration and nature of the trial and
written informed consent will be taken.
Investigation mentioned will be advised to the patient before and after the
treatment.
Patient information sheet: The detail about the nature of disease, various
aspects of clinical study will be shared with the patients and their quires will be
addressed.
Case Record Proforma: The detailed case record proforma will be prepared
for the assessment of the patient before treatment and after treatment.
Data so available and deducted clinically will be statistically analyzed.
Kasa (Cough)
Nistivanam (Phlegm)
Exclusion Criteria -
e) Asthma in pregnancy.
f) Occupational Asthma.
Follow up
o There will be a follow up after 7, 14, 21 days during treatment and one after
completion of trial.
o Subjective criteria
No Shwasa Kricchrata. -0
No cough -0
Coughing for >10 min, Freq. > 5-10 times/day without pain -2
Nistivanam
No Nistivanam -0
Ghurghurukam
No wheezing -0
Peenasa
No Peenasa -0
Peenasa during attack and subsided 1-2 days after asthma attack -1
Peenasa during attack and persist for week after asthma attack -2
Respiration rate
Estimation of Hb%, TLC, DLC, ESR and FBS will be carried out for general
assessment of patients and exclusion of other pathologies. After treatment
investigation will be done in those cases where before treatment hematological
values are found abnormal.
Result : Final result based on clinical study, will be statistically evaluated and
categorized according to the following grades:
REQUIREMENTS
o Well-equipped laboratory
This is expected that the findings obtained through this research trial will
certainly prove fruitful to enrich the present knowledge of subject.
P.G. DEPARTMENT OF DRAVYAGUNA
R.G.G.P.G. Ayurvedic College & Hospital, Paprola (H.P.)
CONSENT FORM
Name of Patient -
I have been informed to my satisfaction about the trial and agree to take part in
clinical trial for a period of 4 weeks.
I will not make any claim for compensation for any hazardous effect if it occurs
during or after the treatment.
I confirm that I have explained the nature, purpose and possible hazards of the above
mentioned study to Mr. /Mrs.………………………….
Invitation – As an ideal candidate for research study conducted by Dr. Shefali Rana
you are being invited to take part in it, but before starting the trial it is necessary to
know about the purpose and nature of trial. Read the following information carefully
and decide whether you will take part in it or not.
Purpose of the study – This is a research study being conducted by research scholar
Dr. Shefali Rana under the guidance of Dr. Navneet Sharma to prove the efficacy and
safety of Ayurvedic drug and assess the effect of the drug on Tamaka Shwasa.
Procedure of the trial – If you are agree to take part in this study, you will be given
Karchura Churna two times orally in 1gm dose for period of 4 weeks.
You have to undergo investigation before and after the trial for assessment.
Expected side effects - The trial drug as such involves no side effects but yet
individual specific variations may occur at any time during the course of clinical trial.
If you want to ask anything about the clinical trial, you are free to ask at any stage of
trial. A copy of the information sheet and signed consent form will also be given to
you.
All your information will be kept confidential and the result will be published in
leading medical journals so that other doctors get benefit from the result.
Signature Date
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