AN OBSERVATIONAL STUDY ON SIDDHA DIAGNOSTIC

TOOLS OF SANTHUVATHAM ( Polyarthritis- Sero

negative) INCLUDING LINE OF TREATMENT AND
DIETARY REGIMEN

Submitted by
Dr.N.Sakthivel,
PG I year Student,
Dept. of Noi Naadal,
Govt. Siddha Medical College,
Chennai-106
Guided by
Dr.R.NEELAVATHY,M.D(S),P.hD
H.O.D.,
Dept. of PG Noi Naadal,
Govt. Siddha Medical College,
Chennai-106

1
AIM
To evaluate Envagai Thervu (Naadi, Sparisam,
Malam, Neikuri and Manikadainool) in patients of
Santhuvatham.

2
OBJECTIVE
Primary Objective
To elucidate the siddha diagnostic methodology of
causes and clinical methods in Santhuvatham
Secondary Objective
To analyze the line of treatment for Santhuvatham .
To recommend the dietary regimen for
Santhuvatham

3
STUDY METHODOLOGY
STUDY TYPE: Observational type of study

STUDY DESIGN: An analytical, single centric study

STUDY PERIOD: 2 Years
STUDY PLACE: Arignar Anna Govt. Hospital of Indian
Medicine & Homeopathy
Arumbakkam, Chennai-106.

SAMPLE SIZE: 40 patients

4
Review of literature
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5
Modern Aspects
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Polyarthritis
(Sero negative)
Stiffness of the joints
Pain in the Joints; Redness, Swelling,
Warmth
Malaise; Horripillation
Deformation,change in gait
Giddiness, Salivation
Dryness of Mouth
Restricted Movement,difficulty in
standing firm due to pain
(Textbook of Davidsons principles
and practice of Medicine , pg no.
1101)
6
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7
Polyarthritis
Polyarthritis is any type of arthritis that involves 2 or
more joints simultaneously.
Pain
Swelling
Redness
Warmth
Restricted Movement
Deformation
Pain Duration of 6 weeks or more

(Textbook of Davidsons principles and practice of

Medicine , pg no. 1101)
8
PREVALENCE

The frequency of sero-negative polyarthritis in the general

population has not been estimated using longitudinal
populations survey, and therefore remains speculative. If
25% of Rheumatoid Arthritis Patients are considered RF
negative and 1% of total population as rheumatoid
arthritis, than the estimated population prevalence of sero-
negative polyarthritis would be 0.25% the population
frequency of sero-negative polyarthritis likely ranges
between 0.03% to 0.25% depending on the diagnostic
criteria employed

Among the age group of 18 and above affected.

9
SELECTION CRITERIA
Inclusion Criteria:
Age: 18 and above
Sex: Both female and male

Patients with clinical features like

Pain
Swelling
Redness
Warmth
Restricted Movement
Deformation
Pain Duration of 6 weeks or more
Radiologic Bony Erosions
Negative Test for Seram RA Factor

10
Exclusion Criteria:
Patients below 18 years of age

History of Psoriatic arthropathy

History of Tubercular arthritis

History of Gonococcal arthritis

Any other Rheumatic Disease

11
 METHODOLOGY

PATIENT SCREENED
(INCLUSION & EXCLUSION CRITERIA)

SATISFIED
NOT SATISFIED

Informed about the study

(Information sheet)
Excluded from the study
Getting Consent
NORMAL OPD TREATMENT GIVEN
(Consent form)

Patient subjected to
Registration card given

History taken
(History proforma)
Clinical assessment Lab investigtion
(Clinical assessment form) 12
SIDDHA DIAGNOSTIC MODALITY
1. ENVAGAI THERVU
Naadi Vatham, Pitham, Kabam ,Thontha Nadigal.
Naa (tongue) Niram, Maa padithal, Suvai, Vaai neer ooral,
Vedippu
Niram (comlexion) Karuppu, Manjal, Veluppu
Mozhi (voice) Sama oli, Uratha oli, Thaazhntha oli
Vizhi (eye) Niram, Erichal, Kanneer, Peelai seruthal
Meikkuri (physical signs) Veppam,Thatpam, Viyarvai, Thoduvali
Malam (stools) Niram, Nurai, Irugal, Ilagal
Moothiram (urine) i. Neerkuri Niram, Edai, Manam, Nurai,
Enjal
ii. Neikuri
13
Cont.

2. Manikadai Nool
3. Aymporigal / Aympulangal
4. Kanmenthiriyangal / Kanmavidayangal
5. Yaakai
6. Gunam
7. Uyir Thaathukkal Vazhi, Azhal, Iyyam
8. Udal Thaathukkal

14
MODERN DIAGNOSTIC MODALITY
LAB INVESTIGATION

GENERAL INVESTIGATION SPECIFIC INVESTIGATION

BLOOD: RA Factor
TC *Anti CCP
DC * X-RAY
ESR
Hb
B.Sugar
B.Urea
S.Cholesterol

URINE :
Albumin
Sugar
Deposit

15
LINE OF TREATMENT
VIREASANATHAL VATHAM THALUM
Bowel cleaning method;
Meganatha kulikai-100mg hot water at morning
INTERNAL MEDICINE

OPD MEDICINE
Balasanjeevi mathirai 1-2 bd with honey
Amukkara chooranam- 1-2gm bd with milk
Kukkil parpam-100-300mg.bd with milk
Chandamarutham chenduram-100mg with honey
Nilavembu kudineer- 30-60ml twice a day
Sivappu kukkil thailam (External)

16
PATHIYAM
EATABLES
TENDER VEGETABLES:
Kathiri(Solanum melongena)
Avarai(Dolicus lablab)
Murungai(Moringa oleifera)
Karunai kilangu(Colocasia
antigorum)
Vellai mullangi(Raphanus sativus)
Sundai(Solanum torvum)
Pirandai(Solanumtrilobatum)
Kanji (gruel):
kaar, kuruvai,manakathai rice,
kezhvaragu, kaikuthal arisi.

17
PATHIYAM (cont..)
EATABLES
Greens:

Mudakatran (Cardiospermum helicacabutum)

Vathanarayanan (Delonix regia)

Manathakali (Solanum nigram)

Sirukeerai (Amaranthus tricolor)

Ponaanganni (Alternanthera sessils)

18
 PATHIYAM (cont..)
AVOIDABLE VEGETABLES &
NON VEG DIET:
Agathi (Sesbanai grandiflora)
Pulichakeerai(Hisbiscus cannabinus)
Pagal
Valaikai
Kozhi
Karuvaadu
Pandrikari
Egg

19
Outcome of the Study
Establishing the diagnostic characteristics of Santhu vatham
through Siddha diagnostic tools

(1). Eight fold examination (Naadi, Sparisam, Malam, Neikuri)

(2). Manikkadainool

20
ETHICAL ISSUES:
After the consent of the patient(through written consent form)they will
be enrolled in the study.
Informed consent will be obtained from the patient explaining in his/
her own language to the patient.
The data collected from the patient will be kept confidentially. The
patient will be informed about the diagnosis.
To prevent any infection, while collecting blood sample from the
patient, only disposable syringes, disposable gloves, with proper
sterilization of lab equipments will be used.
This study involves only the necessary investigations(mentioned in the
protocol)and no other investigation would be done.
Normal treatment procedure followed in Arignar Anna Govt. Hospital
of Indian Medicine and Homoeopathy will be prescribed to the study
patients and the treatment will be provided at free of cost.
There will be no infringement on the rights of a patient.

21
ASSESSMENT FORMS
Form I Screening and selection Proforma
Form IA History Proforma on enrollment
Form II Clinical Assessment on enrollment
Form III Laboratory investigations on enrollment
during the study
Form IV Consent form
(Vernacular and English versions)
Form -IV- A Patient Information Sheet
(Vernacular and English versions)

22
References
1. YUGI VAITHYA SINTHAMANI by Yugi munivar 2nd edition published by
Indian medicine and Homeopathy department.

2. NOI NAADAL NOI MUDHAL NAADAL PART I &II by

Dr.Shanmugavelu H.P.I.M. 3rd edition published by Indian medicine and
Homeopathy department.
3. T.V.SAMPASIVAM PILLAI dictionary 2nd edition published by Indian
Medicine and Homeopathy department.

4. Davidsons Principles and Practice of Medicine, 20th edition.

5. Robinsion text book of pathology
6.Harshmohan text book of pathology

23
THANK YOU

24