1 1532 125 IYENGAR YOGA THERAPY INTERVENTION FOR ISCHIAL PRESSURE ULCERS IN A PATIENT WITH AMYOTROPHIC LATERAL SCLEROSIS: A CASE STUDY. BACKGROUND: ALTHOUGH SOME RESEARCH SUGGESTS THAT THE FORMATION OF PRESSURE ULCERS IS RARE IN PATIENTS WITH AMYOTROPHIC LATERAL SCLEROSIS (ALS), SEVERAL PATIENTS HAVE NONETHELESS DEVELOPED THIS PROBLEM. TO DATE, HOWEVER, NO CASE REPORTS IN THE LITERATURE HAVE DESCRIBED PATIENTS WITH ALS WHO DEVELOP ISCHIAL PRESSURE ULCERS. OUTSIDE OF THE ALS LITERATURE, EVIDENCE SUGGESTS THAT ISCHIAL PRESSURE ULCERS FREQUENTLY DEVELOP IN WHEELCHAIR USERS AND ALSO IN PATIENTS TREATED IN VARIOUS HEALTH CARE SETTINGS. CASE DESCRIPTION: A PATIENT DIAGNOSED WITH ALS REPORTED THE DEVELOPMENT OF ISCHIAL PRESSURE ULCERS AFTER CONSISTENT IMMOBILITY FOR 1 YEAR (32 MONTHS AFTER HER ALS DIAGNOSIS). THIS PATIENT, WHO WAS SITTING ON THE WOUNDS, WAS TREATED WITH OINTMENT AND MORPHINE; THE LATTER WAS INEFFECTIVE IN CONTROLLING THE PAIN. MOVING THE PATIENT FROM SITTING TO SUPINE, LATERAL, OR SEMILATERAL POSITIONS, EITHER ON THE BED OR WHEELCHAIR, TO SEPARATE THE ULCERS FROM THE SURFACE OF THE CHAIR OR BED WAS DEEMED IMPOSSIBLE BECAUSE OF EXAGGERATION OF OTHER SYMPTOMS, INCLUDING SHORTNESS OF BREATH AND PAIN IN OTHER PARTS OF THE BODY. A NEW METHOD OF POSTURAL ALIGNMENT WAS DEVELOPED TO ALLEVIATE THE PAIN ASSOCIATED WITH THE PRESSURE ULCER. THIS METHOD, IYENGAR YOGA THERAPY, WHICH USES PROPS TO REPOSITION A PATIENT, ALLEVIATED PAIN AND HEALING OF TWO PRESSURE ULCERS OF THE PATIENT AFTER 3 WEEKS OF STARTING THIS INTERVENTION. CONCLUSION: ALTHOUGH THE ISCHIAL PRESSURE ULCERS WERE SUCCESSFULLY TREATED IN A PATIENT WITH ALS, FURTHER STUDY IS NECESSARY TO INVESTIGATE THE EFFECTIVENESS OF THIS POSTURAL ALIGNMENT INTERVENTION IN ALS AND OTHER PATIENT POPULATIONS FOR THE MANAGEMENT OF ISCHIAL PRESSURE ULCERS. 2015 2 481 22 CLINICAL EFFICACY OF APAMARGA KSHARA YOGA IN THE MANAGEMENT OF SHVITRA (VITILIGO). INTRODUCTION: VITILIGO IS A PROGRESSIVE, IDIOPATHIC, PIGMENTATION DISORDER OF THE SKIN, CHARACTERIZED BY HYPOPIGMENTED PATCHES. THIS CONDITION IS COMPARED WITH SHVITRA IN AYURVEDA. MANY AYURVEDIC DRUGS ARE BENEFICIAL IN SUCH CASES AND APAMARGA KSHARA YOGA IS ONE AMONG THEM. AIM: TO EVALUATE THE EFFICACY OF APAMARGA KSHARA YOGA IN LEPA AND OINTMENT FORMS IN THE MANAGEMENT OF SHVITRA. MATERIALS AND METHODS: TOTAL 50 PATIENTS OF SHVITRA WERE RANDOMLY GROUPED INTO TWO. PATIENTS REGISTERED IN GROUP A (N = 25) WERE TREATED WITH APAMARGA KSHARA YOGA LEPA AND GROUP B (N = 25) WITH APAMARGA KSHARA YOGA OINTMENT FOR 2 MONTHS. RASAYANA CHURNA (3G) ALONG WITH HONEY AND GHEE WAS GIVEN TWICE DAILY INTERNALLY IN THE BOTH GROUPS. RESULTS: SIGNIFICANT IMPROVEMENT WAS FOUND IN THE SYMPTOMS OF SHVITRA WITH TREATMENT IN BOTH THE GROUPS. THE DIFFERENCE IN BETWEEN THE GROUPS WAS STATISTICALLY INSIGNIFICANT. CONCLUSION: BOTH FORMS OF APAMRAGA KSHARA YOGA ARE EFFECTIVE IN CASES OF SHVITRA AND CAN BE GOOD ALTERNATIVES FOR CONTEMPORARY MEDICINES. 2015 3 1531 51 IYENGAR YOGA THERAPY AS AN INTERVENTION FOR CRAMP MANAGEMENT IN INDIVIDUALS WITH AMYOTROPHIC LATERAL SCLEROSIS: THREE CASE REPORTS. OBJECTIVES: PATIENTS WITH AMYOTROPHIC LATERAL SCLEROSIS (ALS), A NEURODEGENERATIVE DISEASE OF MOTOR NEURONS, EXPERIENCE CRAMPS AT ALL STAGES OF THE ILLNESS. THERE IS, AT PRESENT, NO EFFECTIVE MEDICATION TO CONTROL THE CRAMPS AND NO AGREEMENT ON HOW TO TREAT THE SYMPTOM IN ALS PATIENTS. SUBJECTS: THREE INDIVIDUALS WHO WERE DIAGNOSED WITH ALS AND REPORTED SUFFERING CRAMPS IN VARIOUS PARTS OF THE BODY, WHICH LIMITED THEIR ACTIVITIES OR AFFECTED THEIR SLEEP WERE INVITED TO TRY IYENGAR YOGA. INTERVENTION AND OUTCOME: YOGA THERAPY, COMPOSED OF STRETCHING, BREATHING, AND RELAXATION EXERCISES, WAS PRESCRIBED FOR EACH CASE, BASED ON THE SUBJECT'S PHYSICAL DISABILITY AND THE PRESENCE OF OTHER SYMPTOMS. ALTHOUGH TWO SUBJECTS EXPERIENCED CRAMPS DURING THE FIRST THERAPY SESSION, ALL THREE SUBJECTS REPORTED THE COMPLETE CESSATION OF CRAMPING WITHIN 3 WEEKS TO 8 WEEKS OF THERAPY. ONE OF THE SUBJECTS DEVELOPED CRAMPS IN THE HAND AFTER DISCONTINUING YOGA THERAPY FOR 7 MONTHS. HOWEVER, THE SYMPTOM STOPPED WITHIN 2 WEEKS OF RESUMING YOGA THERAPY. CONCLUSION: THE ALLEVIATION OF CRAMPS IN THESE THREE SUBJECTS INDICATES THE POSSIBILITY OF YOGIC INTERVENTION FOR THE MANAGEMENT OF CRAMPS IN INDIVIDUALS WITH ALS, BUT FURTHER RESEARCH IS NECESSARY TO UNDERSTAND THE EFFECTIVENESS OF YOGA THERAPY AND TO DETERMINE THE EXERCISES THAT ARE MORE PRONE TO LEAD TO CRAMPING IN SOME ALS INDIVIDUALS. 2014 4 512 28 COMPARATIVE STUDY ON THE EFFECT OF SAPTAMRITA LAUHA AND YOGA THERAPY IN MYOPIA. BACKGROUND: MYOPIA IS VERY COMMON OPHTHALMIC DISEASE ESPECIALLY IN CHILDREN AND ADOLESCENCE. IN AYURVEDIC TEXTS, ONLY BY THE MAIN FEATURE IMPAIRMENT OF DISTANT VISION MYOPIA CAN BE CORRELATED WITH DRISHTIGATA ROGAS (2(ND) PATALGATA TIMIRA). AIM: TO COMPARE THE EFFECT OF SAPTAMRUTA LAUHA AND YOGA THERAPY IN MYOPIA. MATERIALS AND METHODS: IN PRESENT STUDY, A TOTAL 60 PATIENTS WITH AGE GROUP BETWEEN 8 TO 30 YEARS WERE SELECTED RANDOMLY FROM THE OUT-PATIENT DEPARTMENT OF SWASTHAVRITTA AND SHALAKYATANTRA DEPARTMENT OF GOVERNMENT AYURVEDA COLLEGE, TRIVANDRUM, AND WERE DIVIDED IN TWO GROUPS. IN GROUP A, SAPTAMRITA LAUHA 250 MG TWICE DAILY WITH UNEQUAL QUANTITY OF HONEY AND GHRITA WAS ADMINISTERED WHILE IN GROUP B, PATIENTS SUBJECTED TO YOGA THERAPY (JALA NETI, NADI SHODHANA, SHITALI PRANAYAMA AND POINT TRATAK) FOR 3 MONTHS DURATION WITH 1 MONTH FOLLOW-UP. RESULTS AND CONCLUSION: THE RESULT OBTAINED FROM THE STUDY REVEALS THAT THERE IS NO SIGNIFICANT REDUCTION IN THE VISUAL ACUITY AND CLINICAL REFRACTION, BUT ASSOCIATED CHANGES WERE OBSERVED AS REDUCED IN GROUP B WHEN COMPARED TO GROUP A. HOWEVER, RELIEF FROM HEADACHE WAS FOUND TO BE EQUALLY EFFECTIVE IN BOTH THE GROUPS. 2014 5 1128 31 EFFICACY OF VAMANA KARMA WITH IKSHVAKU KSHEERA YOGA IN THE MANAGEMENT OF TAMAKA SHVASA (BRONCHIAL ASTHMA). INTRODUCTION: BRONCHIAL ASTHMA IS A HIGHLY PREVALENT DISEASE, AND IN MOST OF THE ETIOPATHOGENESIS AND SYMPTOMATOLOGY, IT CAN BE CORRELATED WITH TAMAKA SHVASA. IKSHVAKU (LAGENARIA VULGARIS [MANILA] STANDLEY.) IS AN ANNUAL HERBACEOUS CLIMBING PLANT WITH A LONG HISTORY OF MEDICINAL USES FOR THE TREATMENT OF VARIOUS AILMENTS INCLUDING JAUNDICE, DIABETES, ULCER, PILES, COLITIS, ASTHMA, INSANITY, HYPERTENSION, CONGESTIVE CARDIAC FAILURE AND SKIN DISORDERS. ITS FRUIT PULP IS USED BOTH AS AN EMETIC AND AS A PURGATIVE. AIMS: TO STUDY THE EFFICACY OF VAMANA KARMA WITH IKSHVAKU (LAGENARIA VULGARIS [MANILA] STANDLEY) KSHEERA YOGA. MATERIALS AND METHODS: A TOTAL OF 15 PATIENTS FULFILLING THE DIAGNOSTIC CRITERIA FOR BRONCHIAL ASTHMA WERE SELECTED FROM OUTPATIENT AND INPATIENT DEPARTMENT OF PANCHAKARMA DEPARTMENT. THE SIGN AND SYMPTOMS, MAINLY BREATHLESSNESS, COUGH AND RHONCHI WERE GIVEN SCORES DEPENDING ON THEIR SEVERITY. THE PATIENTS WERE ALSO ASSESSED FOR LUNG FUNCTION TEST TO DETERMINE PULMONARY IMPAIRMENT. FOR VAMANA, THEY WERE GIVEN DEEPANA AND PACHANA WITH TRIKATU CHURNA FOR 3 DAYS AND THEN THEY WERE SUBJECTED TO SNEHAPANA WITH LUKEWARM COW'S GHEE. AFTER THE COMPLETION OF SNEHAPANA, THE PATIENT WERE GIVEN ABHYANGA, VASHPA SWEDANA AND DIET WITH PREDOMINANCE OF KAPHA (KAPHA BAHULA AHARA- DIET MIXED WITH MILK OR CURD), WHICH WAS THEN FOLLOWED BY VAMANA WITH IKSHVAKU KSHEERA YOGA AND SAMSARJANA KRAMA. FOLLOW-UP WAS DONE AT AN INTERVAL OF 15 DAYS FOR THREE TIMES AND T SCORES WERE NOTED BEFORE AND AFTER THE TREATMENT. THE SCORES WERE ANALYZED USING WILCOXON SIGNED-RANK TEST FOR SUBJECTIVE PARAMETERS AND STUDENT'S PAIRED T-TEST FOR OBJECTIVE PARAMETERS. RESULTS: THE TRIAL DRUG HAS SHOWN STATISTICALLY HIGHLY SIGNIFICANT REDUCTION IN BREATHLESSNESS, COUGH, RHONCHI, AND SIGNIFICANT CHANGES IN LUNG FUNCTION TESTS. CONCLUSION: THE TEST DRUG PROVED ITS EMETIC EFFECT ON THE PATIENTS OF BRONCHIAL ASTHMA AND THUS RELIEVED THE SYMPTOMS OF THE DISEASE IMMEDIATELY. IT HAS REDUCED FREQUENCY OF EPISODES OF BREATHLESSNESS AND SEVERITY OF SYMPTOMS. 2017 6 426 21 CAN YOGA BE USED TO TREAT GASTROESOPHAGEAL REFLUX DISEASE? YOGA METHODS INCLUDING PRANAYAMA ARE THE BEST WAYS TO PREVENT MANY DISEASES AND THEIR PROGRESSION. EVEN THOUGH, YOGA IS WIDELY PRACTICED, ITS EFFECTS ON CERTAIN MEDICAL CONDITIONS HAVE NOT BEEN STUDIED OR REPORTED. GASTROESOPHAGEAL REFLUX DISEASE (GERD) IS ONE OF THEM. GERD IS EXTREMELY COMMON CONDITION REQUIRING FREQUENT CONSUMPTION OF OVER-THE-COUNTER OR PRESCRIBED PROTON PUMP INHIBITORS (PPI). IN SEVERE SYMPTOMS OF GERD AND IN THE PRESENCE OF MULTIPLE ETIOLOGIES, PPIS ARE INSUFFICIENT TO RELIEVE THE SYMPTOMS OF GASTRIC REFLUX. REGULAR AND PROPER USE OF THE YOGA ALONG WITH PPI CAN CONTROL THE SEVERE SYMPTOMS OF GERD AND CAN AVOID OR DELAY THE NECESSITY OF INVASIVE PROCEDURES. THIS EVIDENCE-BASED CASE REPORT FOCUSES ON THE EFFECTS OF YOGA ON GERD. OUR CASE REPORT SHOWED THAT REGULAR PRACTICE OF KAPALBHATI AND AGNISAR KRIYA ALONG WITH PPI, PATIENTS WITH HIATAL HERNIA HAD IMPROVEMENT IN SEVERE SYMPTOMS OF GERD, WHICH WERE INITIALLY REFRACTORY TO PPI ALONE. 2013 7 1178 22 EVALUATION OF STAMBHANAKARAKA YOGA AND COUNSELING IN THE MANAGEMENT OF SHUKRAGATA VATA (PREMATURE EJACULATION). PREMATURE EJACULATION (PE) IS A VERY COMMON MALE SEXUAL PROBLEM. ANXIETY, STRESS, FEAR ETC., ARE THE MAIN PREDISPOSING FACTORS OF PE. IN AYURVEDA, THIS CONDITION CAN BE CORRELATED WITH SHUKRAGATA VATA. IN THE PRESENT STUDY, FIFTY FIVE PATIENTS WITH PE WERE GROUPED INTO TWO AND WERE TREATED WITH STAMBHANAKARAKA YOGA (N = 30) AND PLACEBO (N = 20) FOR A DURATION OF TWO MONTHS, WITH LUKE WARM WATER AS ANUPANA. PSYCHOLOGICAL COUNSELING WAS GIVEN TO THE PATIENTS IN BOTH THE GROUPS. AFTER COMPLETION OF TREATMENT, STAMBHANAKARAKA YOGA SHOWED SIGNIFICANT RESULTS AGAINST PLACEBO IN ALL PARAMETERS, NAMELY INTRAVAGINAL EJACULATION LATENCY TIME (IELT), VOLUNTARY CONTROL OVER EJACULATION, PATIENT AND PARTNER'S SATISFACTION, PERFORMANCE ANXIETY. 2013 8 2911 27 [PSEUDOARTHROSIS OF THE FIRST RIB IN A PATIENT WHO PRACTICES YOGA. A CASE REPORT]. INTRODUCTION: PSEUDOARTHROSIS OF THE FIRST RIB IS A RARE CONDITION THAT MAY OCCUR IN ATHLETES AS A RESULT OF REPETITIVE ACTIVITIES, MAINLY OVERHEAD. THE USUAL CLINICAL PRESENTATION IS PAIN IN THE NECK OR THE IPSILATERAL SHOULDER. CASE REPORT: THIS IS THE CASE OF A 19-YEAR-OLD FEMALE PATIENT WHO HAD SUDDEN PAIN OF THE BASE OF THE NECK WHILE DOING YOGA. PSEUDOARTHROSIS OF THE FIRST RIB WAS DIAGNOSED WITH X-RAYS AND CAT SCAN. TREATMENT CONSISTED OF A REHABILITATION AND PHYSICAL THERAPY PROGRAM THAT WAS SUCCESSFUL DESPITE THE PERSISTENCE OF THE PSEUDOARTHROSIS. DISCUSSION: CASES OF FIRST RIB FRACTURES HAVE BEEN REPORTED IN ATHLETES PRACTICING MULTIPLE ACTIVITIES; HOWEVER, PSEUDOARTHROSIS CASES ARE RARE SINCE MOST OF THEM PROGRESS TO BONE HEALING. THIS IS THE FIRST REPORTED CASE OF A FRACTURE OR PSEUDOARTHROSIS IN A PATIENT PRACTICING YOGA. AS IN MOST REPORTED CASES, CONSERVATIVE TREATMENT WAS SUCCESSFUL. CONCLUSION: FRACTURES AND PSEUDOARTHROSIS OF THE FIRST RIB ARE RARE IN ATHLETES AND SHOULD BE INCLUDED IN THE DIFFERENTIAL DIAGNOSIS OF ATHLETES PRESENTING WITH SHOULDER AND NECK PAIN. CONSERVATIVE TREATMENT IS SUCCESSFUL IN MOST CASES. 2009 9 487 21 CLINICAL STUDY OF AN AYURVEDIC COMPOUND (DIVYADI YOGA) IN THE MANAGEMENT OF SHAYYAMUTRATA (ENURESIS). CHILD HEALTH HAS ASSUMED GREAT SIGNIFICANCE IN ALL OVER WORLD. ITS IMPORTANCE IS BEING REALIZED MORE AND MORE BY PEDIATRICIANS AND GENERAL PUBLIC IN DEVELOPING AS WELL AS DEVELOPED COUNTRIES. ENURESIS IS DEFINED AS THE VOLUNTARY OR INVOLUNTARY REPEATED DISCHARGE OF URINE INTO CLOTHES OR BED AFTER A DEVELOPMENTAL AGE WHEN BLADDER CONTROL SHOULD BE ESTABLISHED. THE PRESENT CLINICAL STUDY WAS PLANNED TO EVALUATE THE EFFECT OF DIVYADI YOGA ALONG WITH COUNSELING IN THE MANAGEMENT OF SHAYYAMUTRA. TOTAL 40 SELECTED CASES WERE DIVIDED INTO TWO GROUPS, I.E. 20 IN EACH GROUP. ONE GROUP OF CHILDREN WERE GIVEN THE TRIAL DRUG DIVYADI YOGA (D(1)) WITH COUNSELING AND OTHER GROUP OF CHILDREN WERE GIVEN PLACEBO DIVYADI YOGA (D(2)) WITH COUNSELING. DIVYADI YOGA WAS GIVEN IN THE DOSE OF 3-6 GMS. TWICE A DAY WITH LUKE WARM WATER. THE RESULT OF THE STUDY SHOWED THAT GROUPS PROVIDED A HIGHLY SIGNIFICANT. 2010 10 45 25 A CLINICAL STUDY TO EVALUATE THE EFFICACY OF TRATAKA YOGA KRIYA AND EYE EXERCISES (NON-PHARMOCOLOGICAL METHODS) IN THE MANAGEMENT OF TIMIRA (AMMETROPIA AND PRESBYOPIA). TIMIRA IS A DISEASE THAT CAN BE ATTRIBUTED TO WIDE RANGE OF CLINICAL CONDITIONS STARTING FROM MILD BLURRING OF VISION AND HAVING POTENTIAL RISK OF PERMANENT VISION LOSS. ACCORDING TO THE INVOLVEMENT OF DHATUS (BODY ELEMENTS) THE CONDITION CAN BE GROUPED INTO TWO STAGES. THE INITIAL STAGE OR UTTANA, WHERE THE INVOLVEMENT OF DHATUS IS LIMITED TO RASA, RAKTA (BLOOD), AND MAMSA DHATU (MUSCLE TISSUE). WHEN THE DOSHAS ARE LOCALIZED IN THE FIRST AND SECOND PATALA REFRACTIVE ERROR DO HAPPEN AND IN PRESBYOPIA MORE EMPHASIS IS GIVEN TO MAMSA DHATU. IN THIS STUDY ONLY UTTANA STAGE OF TIMIRA WAS CONSIDERED. THE CLINICAL STUDY WAS DONE ON 66 PATIENTS OF TIMIRA IN TWO GROUPS OF FOUR SUB GROUPS EACH OF MYOPIA, HYPERMETROPIA, ASTIGMATISM, AND PRESBYOPIA. GROUP A WAS SUBJECTED TO EYE EXERCISES (BATES METHOD) AND GROUP B WAS SUBJECTED TO TRATAKA YOGA KRIYA. AFTER THE ENROLMENT OF PATIENTS FOR THIS STUDY, SIGNS AND SYMPTOMS WERE ASSESSED BOTH SUBJECTIVELY AND OBJECTIVELY BEFORE, DURING, AND AFTER TREATMENT. THE STUDY INDICATES THAT SUBJECTIVELY THERE ARE SIGNIFICANT RESULTS IN BOTH THE GROUPS BUT OBJECTIVELY THERE IS NOT MUCH IMPROVEMENT. 2012 11 704 23 EFFECT OF INTEGRATED APPROACH OF YOGA AND NATUROPATHY ON POLYCYSTIC OVARIAN SYNDROME: A CASE STUDY. OWING TO STRESS, SEDENTARY LIFESTYLE AND CHANGES IN DIET PATTERN, THERE IS AN INCREASE IN THE SURGE OF LIFESTYLE AND METABOLIC DISORDERS. POLYCYSTIC OVARIAN SYNDROME (PCOS) AFFECTS 8-13% OF REPRODUCTIVE-AGED WOMEN. PCOS IS CHARACTERISED BY MENSTRUAL IRREGULARITY, HYPERANDROGENISM AND POLYCYSTIC OVARIAN MORPHOLOGY (PCOM). THE EFFICACY OF YOGA AS A THERAPY TO TACKLE THE DIRECT AND INDIRECT CAUSE OF AILMENT IN THE MANAGEMENT OF PCOS IS TO BE DOCUMENTED. THIS IS THE CASE STUDY OF A FEMALE PATIENT AGE 25 YEARS, A DIAGNOSED CASE OF PCOS WAS REGISTERED AT THE AYURVEDA, YOGA, UNANI,SIDDHA,HOMEOPATHY (AYUSH), YOGA OPD, WITH COMPLAINTS OF IRREGULAR MENSTRUATION, TREATED SUCCESSFULLY BY YOGA AND NATUROPATHY (Y AND N), I.E., YOGA, DIET AND LIFESTYLE MODIFICATION. THIS IS EVIDENT FROM THE REDUCTION IN WEIGHT, REGULARISATION OF THE MENSTRUAL CYCLE ALONG WITH MORPHOLOGICAL CHANGES IN THE OVARY AFTER A FOLLOW-UP OF 6 MONTHS. 2022 12 2356 19 VALSALVA HAEMORRHAGIC RETINOPATHY IN PREGNANCY AFTER YOGA. A 35-YEAR-OLD PREGNANT CAUCASIAN WOMAN AT 27 WEEKS GESTATION PRESENTED WITH SUDDEN ONSET PAINLESS LOSS OF VISION AND A LARGE FLOATER IN HER LEFT EYE WHILE DOING YOGA. SHE WAS FOUND TO HAVE A DENSE VITREOUS HAEMORRHAGE WITH A SMALL PRERETINAL HAEMORRHAGE. ULTRASOUND IMAGING CONFIRMED THE HAEMORRHAGE AND SHOWED NO OTHER RETINAL DAMAGE. SHE WAS DIAGNOSED WITH VALSALVA HAEMORRHAGIC RETINOPATHY AND WAS TREATED CONSERVATIVELY. AFTER 5 MONTHS OF FOLLOW-UP, THIS WOMAN HAD HAD A NORMAL DELIVERY AND HER HAEMORRHAGES AND VISION LOSS HAD RESOLVED. 2017 13 1570 34 MANAGEMENT OF ACUTE CALCULUS CHOLECYSTITIS WITH INTEGRATED AYURVEDA AND YOGA INTERVENTION: A CASE REPORT. ACUTE CALCULUS CHOLECYSTITIS (ACC) IS A FREQUENTLY REPORTED MEDICAL CONDITION IN GENERAL PRACTICE. APPROXIMATELY 20% OF PATIENTS WITH GALLBLADDER STONES EXPERIENCE ACC IN THEIR LIFETIME. AYURVEDA AND YOGA ARE ANCIENT TRADITIONAL SYSTEMS OF MEDICINE USED FOR TREATMENT OF DISEASES AND IMPROVING AND MAINTAINING HEALTH. THERE HAS BEEN AN INCREASED USE OF AYURVEDA AND YOGA IN THE MANAGEMENT OF SEVERAL HEALTH CONDITIONS IN INDIA AND WORLDWIDE. THE PRESENT CASE STUDY IS OF 34 YEARS FEMALE PATIENT WHO HAD ACC. POST DIAGNOSIS OF ACC PATIENT WAS ADVISED TO UNDERGO CHOLECYSTECTOMY; HOWEVER, SHE APPROACHED ALTERNATIVE THERAPIES WITH C/O VOMITING, NAUSEA, ABDOMINAL PAIN, JAUNDICE, ITCHING, AND ABDOMINAL BLOATING WITH DERANGED LIVER FUNCTIONS. AYURVEDA AND YOGA INTERVENTION PROTOCOL WAS DESIGNED. AYURVEDA TREATMENT CONSISTED OF MILD PURGATION (MRUDUVIRECHANA) WITH TRIVRITTALEHYAM FOR CONSECUTIVE SEVEN DAYS, FOLLOWED BY ORAL ADMINISTRATION OF TAB LIV 52, BHUNIMBADI KADHA TWICE DAILY, AND AMALAKI RASAYANA IN THE MORNING FOR 45 DAYS. PATIENTS RECEIVED 8 TELEYOGA SESSIONS OVER A PERIOD OF 45 DAYS. A THERAPEUTIC DIET WAS ADVISED DURING TREATMENT PERIOD. AFTER TWO MONTHS PATIENT REPORTED COMPLETE RECOVERY IN SYMPTOMS, AND ALL LABORATORY INVESTIGATIONS REACHED TO NORMAL RANGE. THIS CASE STUDY SUGGESTS THE POSITIVE ROLE OF AYURVEDA AND YOGA INTERVENTION IN THE MANAGEMENT OF ACC. THIS CASE REPORT WARRANTS FUTURE CLINICAL STUDIES ON INTEGRATIVE MEDICINE IN ACC. 2021 14 775 30 EFFECT OF YOGA AND NATUROPATHY ON LIVER, RENAL AND CARDIORESPIRATORY FUNCTIONS OF A PATIENT WITH HEPATIC CIRRHOSIS WITH PORTAL HYPERTENSION AND ASCITES: A CASE REPORT. A 39-YEAR-OLD, MARRIED MAN WAS DIAGNOSED WITH HEPATIC CIRRHOSIS WITH PORTAL HYPERTENSION AND ASCITES IN FEBRUARY 2016. HIS SYMPTOMS AS DESCRIBED BY HIM BEGAN WITH GENERALIZED BODY WEAKNESS, BREATHLESSNESS AND SUDDEN WEIGHT GAIN OF 16KG WITHIN 3 WEEKS. HISTORY OF REGULAR INTAKE OF ALCOHOL SINCE 7 YEARS AND TREMENDOUS FAMILY STRESS WERE PRESENT. PATIENT UNDERWENT CONVENTIONAL MEDICATION FOR 6 MONTHS AND AYURVEDIC MEDICATIONS FOR 4 MONTHS. IN JANUARY 2017, HE VISITED OUR HOSPITAL WITH THE SAME COMPLAINTS AND UNDERWENT INTEGRATED NATUROPATHY AND YOGA THERAPIES (INYTS) FOR 4 WEEKS ALONG WITH AYURVEDA AND CONVENTIONAL MEDICATIONS. THE RESULTS OF THIS STUDY SHOWED A BETTER REDUCTION IN BODY WEIGHT, BODY MASS INDEX, ABDOMINAL GIRTH, SYSTOLIC BLOOD PRESSURE AND DIASTOLIC BLOOD PRESSURE ALONG WITH IMPROVEMENT IN BREATH HOLDING TIME, HEMOGLOBIN LEVEL, LIVER FUNCTION TEST AND RENAL FUNCTION TEST. IT SUGGESTS THAT 4 WEEKS OF INYT WITH AYURVEDA AND CONVENTIONAL MEDICATIONS WAS EFFECTIVE IN PATIENTS WITH HEPATIC CIRRHOSIS WITH PORTAL HYPERTENSION AND ASCITES. FURTHER STUDIES ARE REQUIRED TO WARRANT THESE RESULTS. 2018 15 718 22 EFFECT OF INTEGRATIVE NATUROPATHY AND YOGA IN A PATIENT WITH RHEUMATOID ARTHRITIS ASSOCIATED WITH TYPE 2 DIABETES AND HYPERTENSION. A 54-YEAR OLD MARRIED WOMAN WAS DIAGNOSED WITH RHEUMATOID ARTHRITIS IN 2002, ESSENTIAL HYPERTENSION IN 2008, TYPE-2 DIABETES IN 2011 AND GANGRENE OVER 2(ND) TOE OF RIGHT FOOT. SHE UNDERWENT CONVENTIONAL MANAGEMENT IN PRIVATE HOSPITALS. HER SYMPTOMS, BEGAN WITH MODERATE TO SEVERE PAIN ASSOCIATED WITH SWELLING, STIFFNESS (MORE IN THE MORNING) IN MULTIPLE JOINTS ESPECIALLY OVER SMALL JOINTS. IN JULY-2014 SHE VISITED OUR COLLEGE HOSPITAL WITH THE COMPLAINTS OF PAIN, MILD SWELLING AND STIFFNESS OVER MULTIPLE JOINTS ASSOCIATED WITH POOR QUALITY OF SLEEP (QOS) AND QUALITY OF LIFE (QOL). SUBJECT RECEIVED INTEGRATIVE NATUROPATHY AND YOGA THERAPIES (INYT) WITH CONVENTIONAL MEDICINE DAILY FOR 10-DAYS. AFTER 10-DAYS, IMPROVEMENTS IN PAIN, BLOOD SUGAR, DEPRESSION, ANXIETY, STRESS, QOS, QOL, BLOOD ANALYSIS WITH NORMAL BLOOD PRESSURE (BP) WAS OBSERVED. THIS SUGGESTS THAT INYT COULD BE CONSIDERED AS AN ADJUVANT TO CONVENTIONAL MEDICINE IN RA ASSOCIATED WITH TYPE-2 DIABETES AND ESSENTIAL HYPERTENSION. 2017 16 689 33 EFFECT OF AYURVEDA INTERVENTION, LIFESTYLE MODIFICATION AND YOGA IN PREDIABETIC AND TYPE 2 DIABETES UNDER THE NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF CANCER, DIABETES, CARDIOVASCULAR DISEASES AND STROKE (NPCDCS)-AYUSH INTEGRATION PROJECT. BACKGROUND: TYPE 2 DIABETES IS A LIFESTYLE-RELATED DISORDER THAT AFFECTS AROUND 422 MILLION INDIVIDUALS IN INDIA. INTEGRATION OF AYUSH (AYURVEDA) WITH THE NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF CANCER, DIABETES, CARDIOVASCULAR DISEASES AND STROKE (NPCDCS) WAS CONCEIVED ON PILOT BASIS AT GAYA, BIHAR, TO PROVIDE INTEGRATIVE TREATMENT FOR NON-COMMUNICABLE DISEASE PATIENTS AND TO MANAGE THE BURDEN OF NON-COMMUNICABLE DISEASES IN INDIA. OBJECTIVES: THE OBJECTIVE OF THIS STUDY WAS TO ANALYZE THE EFFECT OF AYURVEDA INTERVENTION, LIFESTYLE MODIFICATION AND YOGA IN THE MANAGEMENT OF TYPE 2 DIABETES UNDER NPCDCS-AYUSH INTEGRATION PROJECT. MATERIALS AND METHODS: A MULTI-CENTRIC, OPEN-LABELED, PROSPECTIVE, COMPARATIVE CLINICAL STUDY WAS CONDUCTED AT 17 COMMUNITY HEALTH CENTERS AND 1 DISTRICT HOSPITAL. POPULATION OVER 30 YEARS OF AGE WAS SCREENED AND PREDIABETIC OR TYPE 2 DIABETIC INDIVIDUALS WERE ENROLLED IN TWO COHORTS, I.E., PRE-DIABETIC (COHORT A) AND TYPE 2 DIABETIC (COHORT B). EACH COHORT WAS FURTHER DIVIDED INTO TWO GROUPS: GROUP A1 WAS ADVISED FOR LIFESTYLE MODIFICATION AND YOGA AND GROUP A2 WAS GIVEN AYURVEDA MEDICATION IN ADDITION TO LIFESTYLE MODIFICATION AND YOGA. SIMILARLY, GROUP B1 WAS ADVISED FOR LIFESTYLE MODIFICATION AND YOGA ALONG WITH ALLOPATHIC MEDICATION AND GROUP B2 WAS GIVEN AYURVEDA MEDICATION, I.E., MAMAJJAKA, AMALAKI AND GUDUCHI POWDER IN ADDITION TO LIFESTYLE MODIFICATION AND YOGA ALONG WITH ALLOPATHIC MEDICATION. TREATMENT WAS GIVEN FOR 6 MONTHS. DATA WERE ANALYZED THROUGH PAIRED T-TEST. RESULTS: A SIGNIFICANT REDUCTION WAS OBSERVED IN FASTING BLOOD SUGAR LEVEL IN GROUPS A2 AND B2 (P = 0.001) AND ALSO IN THE POSTPRANDIAL BLOOD SUGAR LEVEL IN GROUPS A2 AND B2 (P = 0.001). FURTHER, IMPROVEMENT IN SUBJECTIVE SYMPTOMS SUCH AS POLYURIA, POLYDIPSIA, POLYPHAGIA, BLURRED VISION AND WEAKNESS WAS FOUND IN ALL THE GROUPS, WHILE NON-HEALING ULCER DOES NOT SHOW ANY IMPROVEMENT. CONCLUSION: THE STUDY REVEALS THAT AYURVEDA INTERVENTION, I.E., MAMAJJAKA CHURNA (1 G), AMALAKI CHURNA (3 G) AND GUDUCHI CHURNA (3 G) TWO TIMES A DAY EFFECTIVELY CONTROLS BLOOD SUGAR LEVEL IN PRE-DIABETIC AND TYPE 2 DIABETIC PATIENTS AND IMPROVES THE DISEASE MANAGEMENT WITH LIFESTYLE MODIFICATION AND YOGASANA AS WELL AS WITH ALLOPATHIC TREATMENT. 2019 17 483 24 CLINICAL EFFICACY OF VAMANA KARMA WITH IKSHWAAKU BEEJA YOGA FOLLOWED BY SHATAPUSHPADI GHANAVATI IN THE MANAGEMENT OF ARTAVA KSHAYA W. S. R TO POLYCYSTIC OVARIAN SYNDROME. BACKGROUND: DUE TO SEDENTARY LIFESTYLE AND STRESS, THE INCIDENCE OF METABOLIC DISORDERS ARE INCREASING DAY BY DAY. AMONG THESE POLYCYSTIC OVARIAN SYNDROME (PCOS) IS AN INTRICATE DISORDER AFFECTING 4%-8% WOMEN IN THEIR REPRODUCTIVE AGE AND RELATED TO OVARIAN DYSFUNCTION CHARACTERIZED BY OBESITY, OLIGOMENORRHEA, ANOVULATION AND HYPERANDROGENISM. IN MODERN SYSTEM OF MEDICINE, THE AVAILABLE ALLOPATHIC REGIMEN HAS ITS OWN LIMITATIONS, SO IT IS NEED OF TIME TO FIND A SAFE AND EFFECTIVE ALTERNATIVE THERAPY FOR SUCH TYPE OF CONDITION. THE MOST COMMON SYMPTOM IN 85%-90% OF PCOS PATIENTS IS OLIGOMENORRHEA WHICH CAN BE CORRELATED TO ARTAVA KSHAYA (LOSS OF MENSTRUAL FLUID) IN AYURVEDA. HENCE, IN THE PRESENT CLINICAL STUDY, VAMANA KARMA (THERAPEUTIC VOMITING) WITH IKSHWAAKU SEED FORMULATION FOLLOWED BY SHATAPUSHPADI GHANAVATI WAS PLANNED. AIMS: TO EVALUATE THE EFFICACY OF VAMANA KARMA (THERAPEUTIC VOMITING) FOLLOWED BY SHATAPUSHPADI GHANAVATI IN THE MANAGEMENT OF AARTAVA KSHAYA (LOSS OF MENSTRUAL FLUID) W. S. R TO PCOS. MATERIALS AND METHODS: A TOTAL OF 15 PATIENTS OF PCOS WERE CLINICALLY DIAGNOSED AND TREATED BY VAMANA KARMA (THERAPEUTIC VOMITING) PROCEDURE WITH IKSHWAAKU SEED FORMULATION. AFTER COMPLETION OF VAMANA KARMA (THERAPEUTIC VOMITING) AND SAMSARJANA KRAMA, (POST THERAPY DIETARY REGIMEN FOR REVIVAL) SHATAPUSHPADI GHANAVATI 2 VATI (EACH 500 MG) TWICE IN A DAY WITH LUKEWARM WATER WAS GIVEN FOR 45 DAYS. AFTER COMPLETION OF 2-MONTH TRIAL, ASSESSMENT OF THERAPY WAS ESTIMATED BY SUBJECTIVE AND OBJECTIVE PARAMETERS. RESULTS: STATISTICALLY EXTREMELY SIGNIFICANT (P < 0.0001) RESULTS WERE FOUND IN MENSTRUAL IRREGULARITIES, OBESITY, AND BODY MASS INDEX. THE SIGNIFICANT RESULT IN REDUCTION OF NONDOMINANT FOLLICLES (P = 0.01 AND 0.03 FOR RIGHT AND LEFT OVARY, RESPECTIVELY), LOWERING THE FASTING BLOOD SUGAR LEVEL (P = 0.02) AND HIRSUTISM (P = 0.03) WAS FOUND. CONCLUSION: VAMANA KARMA (THERAPEUTIC VOMITING) FOLLOWED BY SHATAPUSHPADI GHANAVATI IS VERY EFFECTIVE IN THE MANAGEMENT OF OBESE PCOS PATIENTS AND INCREASING CHANCES OF CONCEPTION. 2017 18 573 22 DELAYED UNION OF STRESS FRACTURE OF THE FIRST RIB IN A YOGA INSTRUCTOR: A CASE REPORT. CASE: WE DESCRIBE THE CASE OF A 38-YEAR-OLD WOMAN, A YOGA INSTRUCTOR, WHO HAD PAIN IN THE RIGHT SHOULDER AND SCAPULAR REGION OF 4 MONTHS' DURATION WHILE PERFORMING YOGA. RADIOGRAPHY AND COMPUTED TOMOGRAPHY DIAGNOSED DELAYED UNION OF A FIRST RIB STRESS FRACTURE. THE DELAYED UNION OF STRESS FRACTURE OF THE FIRST RIB WAS SUCCESSFULLY TREATED WITH THE LIMITING OF YOGA ACTIVITY AND LOW-INTENSITY PULSED ULTRASOUND (LIPUS). CONCLUSIONS: PHYSICIANS SHOULD BE AWARE THAT EVEN YOGA POSING CAN CAUSE STRESS FRACTURES OF THE FIRST RIB. LIPUS THERAPY MAY BE EFFECTIVE FOR DELAYED UNION IN ADDITION TO REST. 2021 19 1665 23 NATUROPATHY AND YOGA FOR IMPROVING QUALITY OF LIFE IN PEMPHIGUS VULGARIS AND MANAGING CO-MORBID TYPE 2 DIABETES: A CASE REPORT. A 57 YEARS OLD MALE PATIENT WAS ADMITTED TO AN INPATIENT NATUROPATHY AND YOGA (N&Y) HOSPITAL, DIAGNOSED WITH PEMPHIGUS VULGARIS (PV) FOR ONE YEAR AND CO-MORBID TYPE 2 DIABETES (T2DM) FOR 10 YEARS, ASSOCIATED WITH POOR QUALITY OF LIFE (QOL). HE WAS ADMINISTERED N&Y THERAPIES FOR 10 DAYS, ALONG WITH CONVENTIONAL MEDICINES. THERE WAS IMPROVED QOL AND REDUCED DOSAGE OF INSULIN, ALONG WITH REDUCTION IN BODY WEIGHT. THESE CHANGES WERE SUSTAINED AND IMPROVED FURTHER DURING THE 60-DAY FOLLOW-UP PERIOD. ALTHOUGH THERE WAS NO IMPROVEMENT IN THE SKIN LESIONS, THE IMPROVEMENT IN QOL INDICATE A POSSIBLE ROLE OF N&Y IN MANAGEMENT OF PV AND T2DM. THIS CASE REPORT ALSO WARRANTS FURTHER STUDIES FOR N&Y IN THE MANAGEMENT OF DERMATOLOGICAL CONDITIONS AS WELL AS METABOLIC SYNDROME. 2020 20 479 23 CLINICAL EFFECT OF NIRGUNDI PATRA PINDA SWEDA AND ASHWAGANDHADI GUGGULU YOGA IN THE MANAGEMENT OF SANDHIGATA VATA (OSTEOARTHRITIS). SANDHIGATA VATA IS ONE AMONG THE 80 NANATMAJA VATA VYADHIES. SANDHIGATA VATA AND OSTEOARTHRITIS HAVE COMMON SYMPTOMS, AND HENCE, BOTH ARE CONSIDERED AS SIMILAR ENTITIES BY A MAJORITY OF AYURVEDIC SCHOLARS AND SAME HAS BEEN ADOPTED HERE. OSTEOARTHRITIS IS THE MOST COMMON JOINT DISEASE AMONG HUMAN BEINGS TODAY. IN THIS STUDY, A TOTAL OF 116 PATIENTS WERE REGISTERED, OUT OF THEM 101 PATIENTS HAD COMPLETED THE FULL COURSE OF TREATMENT, WHILE 15 PATIENTS LEFT AGAINST MEDICAL ADVICE. THE 101 PATIENTS OF SANDHIGATA VATA WERE TREATED IN TWO GROUPS. GROUP A: IN THIS GROUP 50 PATIENTS OF SANDHIGATA VATA WERE TREATED WITH NIRGUNDI PATRA PINDA SWEDA FOR 21 DAYS AND ASHWAGANDHADI GUGGULU YOGA3 G/DAY FOR 45 DAYS WAS GIVEN ORALLY. GROUP B: IN THIS GROUP 51 PATIENTS OF SANDHIGATA VATA WERE TREATED WITH ONLY ASHWAGANDHADI GUGGULU YOGA 3 G/DAY FOR 45 DAYS. TO ASSESS THE EFFECT OF THE THERAPY OBJECTIVELY, ALL THE SIGNS AND SYMPTOMS OF SANDHIGATA VATA WERE GIVEN A SCORE, DEPENDING UPON THEIR SEVERITY. ALSO FUNCTIONAL TESTS LIKE WALKING TIME, CLIMBING STAIRS, AND JOINT MOVEMENT, WERE MEASURED AS A CRITERIA FOR ASSESSMENT. BOTH THE GROUPS SHOWED GOOD RESULTS, BUT GROUP B SHOWED BETTER RESULTS IN COMPARISON TO GROUP A. 2011