Azhal Keel Vayu

Siddha is a holistic medical system that gives importance to physical as well as mental well- being of an individual. Siddhars have listed the diseases of mankind as 4448 based on the derangement of Uyirthathukkal i.e., Vali, Azhal and Iyyam. [1] As per Yugi and Theraiyar, excessive intake of bitter, pungent and astringent foods, altered sleep rhythm, excessive walking in summer, frequent fasting and more weight bearing are mentioned as the causes for Vatha diseases. The Vatha diseases are classified into 80 types as mentioned in the text „Yugi Vaidhiya Chinthamani’. Vali Azhal Keel Vayu (VAKV) is one among them and the signs and symptoms of this disease is correlated with Rheumatoid arthritis.

Azhal Keel vayu is one of the major bony joint problems i.e. really the movable joints affected which makes the elder people most troublesome especially. The disease Azhal Keel vayu as explained in Siddha system of medicine has got close resemblance with that of osteoarthritis of modern system of medicines in conservation as well as clinical importance.

Taking part in this study is voluntary. No compensation will be paid to you for taking part in this study. You can choose not to answer any specific question. There is no specific benefit for you if you take part in the study, but you will be under our clinical monitoring and specific attention will be given for your health. Taking part in the study may be of benefit to the community, as it may help us to develop medicine for VALI AZHAL KEEL VAYU (RHEUMATOID ARTHRITIS). In case of any adverse symptoms during the treatment few patients during the treatment, shall be reported to PIs and care will be taken in GSMC H for relief. You can withdraw from the study at the midst of treatment period, if you are not interested to continue and you will receive our usual treatment without condition.

Vali azhal keel vayu present with articular and extra articular manifestations in this study both this manifestation were noticed and recorded. Cent percent of patients had joint pain, swelling, Easy fatigue and morning stiffness, 25% of cases had restriction to walk and fever, 50% of cases had difficult to walk, neck pain and loss of appetite, 75% of cases had sleeplessness, and 90% had habitually constipated.

Vali azhal keel vayu is a universal disease affecting 3% of the total population, involving poor as well as rich people and causing disabilities and deformities. Vast studies on this disease and as per the opinions from the concerned specialists reveal that still there is not a total curative therapy for this disease. The signs and symptoms of the disease are correlative with Rheumatoid arthritis. The author has selected this disease and treated with the help of gwq;fpg;gl;il ,urha d k; (Parangipattai Rasayanam) 1-2 gms 2 times Morning and Evening after food a day internally and fPy;thjj;jpw;F Ie;njd;nza; (Keelvathathuku Iynthennai) externally.

Vali azhal keel vayu present with articular and extra articular manifestations. In this study both this manifestation were noticed and recorded. Cent percent of patients had joint pain, swelling, Easy fatigue and morning stiffness, 30% of cases had restriction to walk and fever, 60% of cases had difficult to walk, neck pain and loss of appetite, 80% of cases had sleeplessness, and 95% had habitually constipated.

Azhal Keel Vayu is caused by the derangement of Vali and Azhal humors. Avuri has kaippu suvai. Kaippu suvai is formed by the combination of kaatru and aagaya boothas. Kaippu Suvai (Bitter taste) is known for its ability to normalise the pitha kutram. The vehicle used was lukewarm water which has a vital role to play here. According to Siddha literature, the lukewarm water itself has the ability to cure diseases and deranged vatha Kutram is one among them. Thus, the drug with its vehicle can help in normalizing the deranged Vali and Azhal humors acting on the basis of ethirurai theory.

According to the above criteria Fifty five Cases were treated. Among them Thirty Cases were admitted for this study from both sexes of various age groups and Twenty Five Cases were treated as out patients. Priority for admission was given according to the clinical findings. The most of the signs and symptoms of Azhal Keel vayu correlated with the osteoarthritis in modern system of medicine. Conducting all necessary investigations in siddha as well as modern medicine were made to firm the diagnosis.

As per yoogi vaithiya sinthamani vatha disease is classified as 80 types. One such type is keelvayu otherwise called as Santhuvatham. As per sabapathy kaiyedu keelvayu is further classified into 10 types. One such type is Azhal keel vayu. As per sabapathy kaiyedu Azhal keel vayu is a disease with the symptoms of pain and swelling in the knee joints, fever difficulty in walking etc…it has the correlation with Osteoarthritis(OA) of modern science.

Azhal Keel Vayu is the most common joint disease of human and leading cause of disability in elderly and it has become a challenging problem to find out a permanent solution for this disease. Even though many anti-inflammatory, analgesic and anti-pyretic drugs are there in conventional medicine, they are only time being and have side effects. This urged the author to find a safe and easily available drug, which is not having any adverse effects.

Treatment Schedule x Karpoora mezhugu 400 mg two times a day after food x Vehicle-water x Route of administration-enteral route x Duration -6 weeks Study Procedures 50 patients were sele[r]

Thokkanam is the siddha way of touch therapy. it is the physical manipulation of the body usually done with or without oil application. It is very effective for neurological and musculoskeletal problems. It also promotes mental and physical fitness. According to siddha, disease in the body occur due imbalance of three humours that is vatham, pitham and kapham which in turn are governed by five fundamental elements – Akayam (Space, vayu (air), Theyu (fire), Appu (water and Mann (Earth. Thokkanam is one of the 32 types of external medicines mentioned in siddha literature. In this technique, the physician uses his hands on the body of the patient in 9 different unique ways with or without using medicated oil with acurative or palliative point of view. The 9 different techniques in thokkanam which makes siddha medicine unique in all aspects. They are

Enjal : NEIKURI: Vatha Neer Date : Pittha Neer : Kaba Neer : : Station: Signature of the Investigator : Signature of the Lecturer Signature of the HOD : GOVERNMENT SIDDHA MEDICAL COLLEGE[r]

The deterioration of the two main kutram may also accompany Iyakutram. The deterioration of Iyakutram leads to structural changes in the bones and the fluids in the joints which are mainly controlled by the factors of Santhigam. Disturbances in Mukkuram produce different clinical manifestations. There include swelling of joints, pain, stiffness, and restriction of movements due to disturbed Vali. Inflammatory changes of the joints like redness hyperemia and warthness due to disturbed Azhal and erosions of bone margin, increased synovial fluid due to disturbed Iyam.

POST- GRADUATE DEPARTMENT OF SIRAPPU MARUTHUVAM AN OPEN CLINICAL TRIAL OF KARUNGOZHI CHOORANAM & VIDAMUTTI THYLAM FOR AZHAL KEEL VAAYU OSTEOARTHRITIS Form: II CONSENT FORM CERTIFICATE BY[r]

Regarding the Azhal keel vayu patients they are generally seemed to be weakened due to disability to walk and to do day to day activities. Most of them are also deficient of calcium and it leads to friability and porosity of bones causing cracks and fracture of bones. So, the ‘Linga Chendooram’ content of calcium and sulphate which is needed to the formation of Keratin sulphate and chlondraitin sulphate, is as supportive therapy for compensation of density loss in bones and joints in this degenerative condition and also the presence of sulphate may prevent the occurrence of any infection in the joint.

In order to assess the efficacy of the “Nerunjil samoola chooranam” for Azhal keel vayu, a clinical trial was taken on 40 cases of different age in both sexes. They wer[r]

POST- GRADUATE DEPARTMENT OF SIRAPPU MARUTHUVAM PRECLINICAL AND CLINICAL STUDY ON “AVURI KARPAM” INTERNAL AND “VATHA NOIKKU ENNAI” EXTERNAL FOR THE TREATMENT OF “AZHAL KEEL VAYU” OSTEOAR[r]

These are the seven basic constituents that form the physical Body. The Bones are predominantly formed by the earth component, but other elements are also present in it. All the three humours Vali, Azhal and Iyyam are present in these 7 constituents. The food converted to udal thathus in which the intake food is converted to saaram in the first day, and then it converted to chenner in the second day, oon, kozhuppu, enbu, moolai and suronitham respectively in the following days. So in the seventh day only the intake food goes to the suronitham.

Regarding Peenasa Thylam it place very important role in correcting the clinical picture of Azhal Thalai nokkadu by producing local anti-septic, anti-spasmodic, anodyne and astringent action. Lyzozyme is found in nasal secretions, which is responsible for destroying certain bacteria at acidic pH. That this acidic pH factor is present in Peenasa Thylam is proved by lab report. Pon Musuttai root having Immuno modulator activity. So protects the mucous membranes from infection and infestation.