1 2874 70 YOGA-INDUCED UVEITIS GLAUCOMA HYPHEMA SYNDROME. A 74-YEAR-OLD PSEUDOPHAKIC WHITE WOMAN WITH PSEUDOEXFOLIATION SYNDROME PRESENTED WITH RIGHT EYE PAIN AND PHOTOPHOBIA AND WAS FOUND TO HAVE PSEUDOPHACODENESIS WITH RECURRENT EPISODES OF ANTERIOR UVEITIS, MICROHYPHEMA, AND ELEVATED INTRAOCULAR PRESSURE (IOP). ALL EPISODES OCCURRED AFTER YOGA SESSIONS WITH INTENSIVE FACEDOWN POSTURES. ULTRASOUND BIOMICROSCOPY (UBM) PERFORMED IN SUPINE AND PRONE POSITIONS DEMONSTRATED SIGNIFICANT CHANGE IN THE LENS-BAG COMPLEX POSITION, WITH LENS-IRIS TOUCH. THE PATIENT UNDERWENT INTRAOCULAR LENS (IOL) EXPLANTATION, ANTERIOR VITRECTOMY, AND FLANGED INTRASCLERAL HAPTIC-FIXATED IOL PLACEMENT VIA DOUBLE-NEEDLE TECHNIQUE, WITH RESOLUTION OF ALL SYMPTOMS. 2021 2 573 13 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 3 1909 12 RIGHT UNINOSTRIL YOGA BREATHING INFLUENCES IPSILATERAL COMPONENTS OF MIDDLE LATENCY AUDITORY EVOKED POTENTIALS. A PREVIOUS REPORT DESCRIBED SELECTIVE ELECTRICAL ACTIVITY OF THE CEREBRAL HEMISPHERES WITH UNINOSTRIL BREATHING. IN THE PRESENT STUDY, MIDDLE LATENCY AUDITORY EVOKED POTENTIALS (MLAEPS) WERE RECORDED FROM SYMMETRICAL SCALP SITES DURING THE PRACTICE OF UNINOSTRIL YOGA BREATHING. THERE WERE TWO SESSIONS (40 MIN EACH) OF RIGHT NOSTRIL YOGA BREATHING (RNB) AND OF BREATH AWARENESS (BAW), WITH (I) 'BEFORE', (II) TEST (EITHER RNB OR BAW) AND (III) 'AFTER' PERIODS. THE PARTICIPANTS WERE 14 MALE VOLUNTEERS AGED BETWEEN 18 AND 33 YEARS, AND THE SETTING WAS A YOGA CENTRE. MLAEPS WERE RECORDED FROM SYMMETRICAL SCALP SITES (C4 AND C3). DURING RNB, THE PEAK AMPLITUDES OF TWO NEGATIVE COMPONENTS (VIZ. NA WAVE AND NB WAVE) WERE SIGNIFICANTLY INCREASED ON THE RIGHT SIDE. INCREASED PEAK AMPLITUDES OF NA AND NB WAVES SUGGESTED THAT RNB INCREASED THE NUMBER OF NEURONS RECRUITED ON THE RIGHT SIDE, SUGGESTING A POSSIBLE APPLICATION OF RNB IN CERTAIN PSYCHIATRIC DISORDERS WITH CEREBRAL HEMISPHERIC IMBALANCE. 2004 4 2911 13 [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 5 1736 14 PHOTO URTICARIA CAUSED BY EXPOSURE TO LED EMITTING 633-NM WAVELENGTH DURING HOT YOGA EXERCISE. PHOTO URTICARIA (PU) IS A RARE TYPE OF URTICARIA THAT DEVELOPS AFTER EXPOSURE TO VARIOUS WAVELENGTHS OF LIGHT. INDUCING URTICARIAL WHEALS USING LIGHT SOURCES OF PERTINENT WAVELENGTHS CAN HELP MAKE THE DEFINITIVE DIAGNOSIS OF PU. THE ACTION SPECTRA (AS) IN JAPANESE PATIENTS WITH PU COMMONLY FALL WITHIN THE ULTRAVIOLET RADIATION A AND VISIBLE LIGHT RANGE. HEREIN, TO THE BEST OF OUR KNOWLEDGE, WE PRESENT THE FIRST CASE OF PU CAUSED BY 633-NM WAVELENGTH WITHIN THE VISIBLE LIGHT SPECTRUM. OUR PATIENT WORKED AS A "HOT YOGA" INSTRUCTOR, WHERE LIGHT-EMITTING DIODES (LEDS) ON THE CEILING WERE USED TO IRRADIATE THE ENTIRE ROOM WITH 633-NM WAVELENGTH OF LIGHT FOR "LIGHT TREATMENT." SHE REPORTED ITCHING AND WHEALS ON THE FACE AND NECK DURING HER "HOT YOGA" SESSIONS. "HOT YOGA" HAS RECENTLY GAINED POPULARITY GLOBALLY. THE "LIGHT TREATMENT" IS BASED ON THE THEORY THAT 633-NM WAVELENGTH LIGHT WITHIN THE VISIBLE LIGHT SPECTRUM REPORTEDLY PREVENTS THE SKIN FROM AGING. WE INDUCED WHEALS WITH ERYTHEMA BY IRRADIATING HER SKIN USING A 633-NM LED AT A DOSE OF 0.008 J/CM(2) /S FOR 1 H. HER CONDITION WAS DIAGNOSED AS PU CAUSED BY EXPOSURE TO 633 NM. LIGHT. HER SYMPTOMS HAVE NOT RECURRED SINCE SHE HAS AVOIDED BEING EXPOSED TO THE 633-NM WAVELENGTH OF LED LIGHT. 2021 6 49 10 A COMPARATIVE CLINICAL STUDY OF SHATAPATRAYADI CHURNA TABLET AND PATOLADI YOGA IN THE MANAGEMENT OF AMLAPITTA. AMLAPITTA IS A VERY COMMON DISEASE CAUSED BY VIDAGDHA PITTA WITH FEATURES SUCH AS AMLODGARA, HRID KANTHA DAHA, AND AVIPAKA. THIS IS A BURNING PROBLEM OF THE SOCIETY. IRREGULAR AND IMPROPER FOOD HABITS, AND BUSY STRESSFUL LIFESTYLE IS ONE OF THE MAIN CULPRIT. AMLAPITTA IS THE GI DISORDER DESCRIBED IN AYURVEDIC TEXTS THAT CLOSELY RESEMBLES WITH GASTRITIS IN MODERN SCIENCE. IN CHRONIC STAGE, IT MAY LEAD TO ULCERATIVE CONDITIONS. IN THIS STUDY, TOTAL 41 PATIENTS WERE REGISTERED AND WERE RANDOMLY DIVIDED INTO TWO GROUPS. IN GROUP A, SHATAPATRAYADICHURNA TABLET AND IN GROUP B PATOLADI YOGA TABLET WERE GIVEN FOR 1 MONTH. THE NIDANA, SIGNS, AND SYMPTOMS WERE OBSERVED CAREFULLY TO GET IDEA ABOUT THE SAMPRAPTI OF THE DISEASE. THE EFFECT OF PATOLADI YOGA ON ROGA BALA IS 65.79%, 62.11% ON AGNI BALA, AND 63.35% ON DEHA AND CHETASA BALA. THE OVERALL RELIEF WAS 63.75%. THE EFFECT OF SHATAPATRAYADI TABLET ON ROGA BALA WAS 71.94%, 73.15% ON AGNI BALA, AND 77.68% ON DEHA AND CHETAS BALA. THE OVERALL RELIEF WAS 74.25%. 2011 7 2289 9 THE YOGA OF RAG GTPASES: DYNAMIC STRUCTURAL POSES CONFER AMINO ACID SENSING BY MTORC1. HETERODIMERIC RAG GTPASES PLAY A CRITICAL ROLE IN RELAYING FLUCTUATING LEVELS OF CELLULAR AMINO ACIDS TO THE SENSOR MECHANISTIC TARGET OF RAPAMYCIN COMPLEX 1. IMPORTANT MECHANISTIC QUESTIONS REMAIN UNRESOLVED, HOWEVER, REGARDING HOW GUANINE NUCLEOTIDE BINDING ENABLES RAG GTPASES TO TRANSITION DYNAMICALLY BETWEEN DISTINCT YOGA-LIKE STRUCTURAL POSES THAT CONTROL ACTIVATION STATE. EGRI AND SHEN IDENTIFIED A CRITICAL INTERDOMAIN HYDROGEN BOND WITHIN RAGA AND RAGC THAT STABILIZES THEIR GDP-BOUND STATES. THEY DEMONSTRATE THAT THIS LONG-DISTANCE INTERACTION CONTROLS RAG STRUCTURE AND FUNCTION TO CONFER APPROPRIATE AMINO ACID SENSING BY MECHANISTIC TARGET OF RAPAMYCIN COMPLEX 1. 2021 8 1685 5 OPTICAL TOPOGRAPHY RECORDING OF CORTICAL ACTIVITY DURING HIGH FREQUENCY YOGA BREATHING AND BREATH AWARENESS. COMMENT TO: NON-INVASIVE ASSESSMENT OF HEMISPHERIC LANGUAGE DOMINANCE BY OPTICAL TOPOGRAPHY DURING A BRIEF PASSIVE LISTENING TEST: A PILOT STUDY. STEFANO BEMBICH, SERGIO DEMARINI, ANDREA CLARICI, STEFANO MASSACCESI, DOMENICO GRASSO. MED SCI MONIT 2011; 17(12): CR692-697. 2012 9 52 9 A COMPARATIVE STUDY OF BILVADI YOGA ASHCHYOTANA AND EYE DROPS IN VATAJA ABHISHYANDA (SIMPLE ALLERGIC CONJUNCTIVITIS). SIMPLE ALLERGIC CONJUNCTIVITIS IS THE MOST COMMON FORM OF OCULAR ALLERGY (PREVALENCE 5 - 22 %). IT IS A HYPERSENSITIVITY REACTION TO SPECIFIC AIRBORNE ANTIGENS. THE DISEASE VATAJA ABHISHYANDA, WHICH IS DUE TO VITIATION OF VATA PRADHANA TRIDOSHA IS COMPARABLE WITH THIS CONDITION. THE MANAGEMENT OF SIMPLE ALLERGIC CONJUNCTIVITIS IN MODERN OPHTHALMOLOGY IS VERY EXPENSIVE AND IT SHOULD BE FOLLOWED LIFELONG AND AYURVEDA CAN PROVIDE BETTER RELIEF IN SUCH MANIFESTATION. THIS IS THE FIRST RESEARCH STUDY ON VATAJA ABHISHYANDA. PATIENTS WERE SELECTED FROM THE OUTPATIENT DEPARTMENT (OPD), INPATIENT DEPARTMENT (IPD), OF THE SHALAKYA TANTRA DEPARTMENT AND WERE RANDOMLY DIVIDED INTO TWO GROUPS. IN GROUP-A BILVADI ASHCHYOTANA AND IN GROUP-B BILVADI EYE DROPS WERE INSTILLED FOR THREE MONTHS. TOTAL 32 PATIENTS WERE REGISTERED AND 27 PATIENTS COMPLETED THE COURSE OF TREATMENT. BILVADI ASHCHYOTANA GAVE BETTER RESULTS IN TODA, SANGHARSHA, PARUSHYA, KANDU AND RAGATA AS COMPARED WITH BILVADI EYE DROPS IN VATAJA ABHISHYANDA. 2012 10 1819 9 PROTEIN YOGA: CONFORMATIONAL VERSATILITY OF THE HEMOLYSIN II C-TERMINAL DOMAIN DETAILED BY NMR STRUCTURES FOR MULTIPLE STATES. THE C-TERMINAL DOMAIN OF BACILLUS CEREUS HEMOLYSIN II (HLYIIC), STABILIZES THE TRANS-MEMBRANE-PORE FORMED BY THE HLYII TOXIN AND MAY AID IN TARGET CELL RECOGNITION. INITIAL EFFORTS TO DETERMINE THE NMR STRUCTURE OF HLYIIC WERE HAMPERED BY CIS/TRANS ISOMERIZATION ABOUT THE SINGLE PROLINE AT POSITION 405 THAT LEADS TO DOUBLING OF NMR RESONANCES. WE USED THE MUTANT P405M-HLYIIC THAT ELIMINATES THE CIS PROLINE TO DETERMINE THE NMR STRUCTURE OF THE DOMAIN, WHICH REVEALED A NOVEL FOLD. HERE, WE EXTEND EARLIER STUDIES TO THE NMR STRUCTURE DETERMINATION OF THE CIS AND TRANS STATES OF WT-HLYIIC THAT EXIST SIMULTANEOUSLY IN SOLUTION. THE PRIMARY STRUCTURAL DIFFERENCES BETWEEN THE CIS AND TRANS STATES ARE IN THE LOOP THAT CONTAINS P405, AND STRUCTURALLY ADJACENT LOOPS. THERMODYNAMIC LINKAGE ANALYSIS SHOWS THAT AT 25 C THE CIS PROLINE, WHICH ALREADY HAS A LARGE FRACTION OF 20% IN THE UNFOLDED PROTEIN, INCREASES TO 50% IN THE FOLDED STATE DUE TO COUPLING WITH THE GLOBAL STABILITY OF THE DOMAIN. THE P405M OR P405A SUBSTITUTIONS ELIMINATE HETEROGENEITY DUE TO PROLINE ISOMERIZATION BUT LEAD TO THE FORMATION OF A NEW DIMERIC SPECIES. THE NMR STRUCTURE OF THE DIMER SHOWS THAT IT IS FORMED THROUGH DOMAIN-SWAPPING OF STRAND BETA5, THE LAST SEGMENT OF SECONDARY STRUCTURE FOLLOWING P405. THE PRESENCE OF P405 IN WT-HLYIIC STRONGLY DISFAVORS THE DIMER COMPARED TO THE P405M-HLYIIC OR P405A-HLYIIC MUTANTS. THE WT PROLINE MAY THUS ACT AS A "GATEKEEPER," WARDING OFF AGGREGATIVE MISFOLDING. 2021 11 42 9 A CASE OF RECTUS SHEATH HEMATOMA CAUSED BY YOGA EXERCISE. RECTUS SHEATH HEMATOMA IS A RELATIVELY RARE CONDITION BUT A SIGNIFICANT CAUSE OF ACUTE ABDOMINAL PAIN. THE ACUTE ABDOMINAL PAIN ASSOCIATED WITH RECTUS SHEATH HEMATOMA CAN MIMIC SEVERAL CONDITIONS, SUCH AS APPENDICITIS, INTESTINAL PROBLEMS (OBSTRUCTION, PERFORATION, HERNIA, MALIGNANCY), AND GYNECOLOGIC DISEASE (OVARIAN CYST, TORSION, TUBO-OVARIAN ABSCESS, ECTOPIC PREGNANCY). CORRECT DIAGNOSIS AND SUBSEQUENT TREATMENT DEPENDS ON CAREFUL HISTORY TAKING AND APPROPRIATE USE OF DIAGNOSTIC TOOLS TO AVOID UNNECESSARY LAPAROTOMY. WE REPORT A CASE OF RECTUS SHEATH HEMATOMA DUE TO NONCONTACT STRENUOUS EXERCISE, YOGA, THAT MIMICKED GYNECOLOGIC DISEASES. 2009 12 379 11 BASILAR ARTERY OCCLUSION FOLLOWING YOGA EXERCISE: A CASE REPORT. BASILAR ARTERY OCCLUSION DEVELOPED IN A 34 YEAR OLD WOMAN 2 MONTHS AFTER ADOPTING UNUSUAL NECK POSTURES DURING YOGA PRACTICE. ON ANGIOGRAPHY, HER BASILAR ARTERY WAS FILLED WITH INTRALUMINAL CLOT WHILE THE VERTEBRAL ARTERIES WERE NORMAL. WE POSTULATE THAT A SEVERE REDUCTION IN BLOOD FLOW AND POSSIBLY AN INTIMAL TEAR TRIGGERED THROMBOSIS OF THE VERTEBRAL ARTERY AND THAT THE FINAL STROKE MECHANISM WAS ARTERY-TO-ARTERY EMBOLISM. 1993 13 2694 13 YOGA INDUCED ACUTE ULNAR NERVE COMPRESSION BY A GANGLION CYST IN GUYON'S CANAL. ACUTE ULNAR NEUROPATHY AT THE WRIST CAN BE DIFFICULT TO DIAGNOSE, AS IT IS AN UNCOMMON NEUROPATHY WITH VARIABLE CLINICAL PRESENTATIONS AND NUMEROUS ETIOLOGIES. WE PRESENT A CASE OF ACUTE ULNAR NEUROPATHY OF THE DEEP MOTOR BRANCH CAUSED BY A GANGLION CYST IN GUYON'S CANAL. INTERESTINGLY, THIS CASE OF ACUTE LOSS OF MOTOR FUNCTION OCCURRED AFTER THE PATIENT PARTICIPATED IN YOGA (SPECIFICALLY THE DOWNWARD DOG POSITION), AND RESOLVED SPONTANEOUSLY OVER TIME AFTER STOPPING YOGA, WITHOUT SURGICAL EXCISION OF THE GANGLION, SUGGESTING EXACERBATION OR PROTRUSION OF AN OCCULT GANGLION CYST DUE TO INCREASED ACTIVITY AND COMPRESSION OF THE HYPOTHENAR EMINENCE. 2013 14 2356 16 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 15 1326 7 HIGH FREQUENCY YOGA BREATHING INCREASES ENERGY -EXPENDITURE FROM CARBOHYDRATES. COMMENT TO: ASSESSMENT OF SLEEP PATTERNS, ENERGY EXPENDITURE AND CIRCADIAN RHYTHMS OF SKIN TEMPERATURE IN PATIENTS WITH ACUTE CORONARY SYNDROME HADIL AL OTAIR, MUSTAFA AL-SHAMIRI, MOHAMMED BAHOBAIL, MUNIR M. SHARIF, AHMED S. BAHAMMAM MED SCI MONIT, 2011; 17(7): CR397-403. 2011 16 1071 5 EFFECTS OF YOGA ON NATURAL KILLER CELL COUNTS IN EARLY BREAST CANCER PATIENTS UNDERGOING CONVENTIONAL TREATMENT. COMMENT TO: RECREATIONAL MUSIC-MAKING MODULATES NATURAL KILLER CELL ACTIVITY, CYTOKINES, AND MOOD STATES IN CORPORATE EMPLOYEES MASATADA WACHI, MASAHIRO KOYAMA, MASANORI UTSUYAMA, BARRY B. BITTMAN, MASANOBU KITAGAWA, KATSUIKU HIROKAWA MED SCI MONIT, 2007; 13(2): CR57-70. 2008 17 1265 10 FLEXIBILITY-NOT JUST FOR YOGA ANYMORE! OVER THE PAST FEW YEARS, NUCLEOSIDES HAVE MAINTAINED A PROMINENT ROLE AS ONE OF THE CORNERSTONES OF ANTIVIRAL AND ANTICANCER THERAPEUTICS, AND MANY APPROACHES TO NUCLEOSIDE DRUG DESIGN HAVE BEEN PURSUED. ONE SUCH APPROACH INVOLVES FLEXIBILITY IN THE SUGAR MOIETY OF NUCLEOSIDES, FOR EXAMPLE, IN THE HIGHLY SUCCESSFUL ANTI-HIV AND HBV DRUG TENOFOVIR. IN CONTRAST, INTRODUCTION OF FLEXIBILITY TO THE NUCLEOBASE SCAFFOLD HAS ONLY MORE RECENTLY GAINED SIGNIFICANCE WITH THE INVENTION OF OUR FLEXIMERS. THE HISTORY, DEVELOPMENT, AND SOME BIOLOGICAL RELEVANCE FOR THIS INNOVATIVE CLASS OF NUCLEOSIDES ARE DETAILED HEREIN. 2018 18 1955 7 SELF - REALIZATION THROUGH THROUGH VEDANTA AND YOGA. THE SEEKER OF ULTIMATE TRUTH NEEDS THE UNDERSTANDING OF THE PRACTICAL SIDE OF VEDANTA PHILOSOPHY, THE FIVE KOSHAS OR SHEATHS BEYOND WHICH THE ATMAN, THE SELF REMAINS. THROUGH VEDANTA AND YOGA ONE CAN TRANSCEND THESE LAYERS IN A SYSTEMATIC MANNER TO ATTAIN SELF REALIZATION - ULTIMATE REALITY. 1983 19 2280 7 THE SEVEN SURPRISES: WHAT I'VE LEARNED ABOUT NURSING THROUGH YOGA. UPDATED SEVERAL TIMES A WEEK WITH POSTS BY A WIDE VARIETY OF AUTHORS, AJN'S BLOG OFF THE CHARTS ALLOWS US TO PROVIDE MORE TIMELY-AND OFTEN MORE PERSONAL-PERSPECTIVES ON PROFESSIONAL, POLICY, AND CLINICAL ISSUES. BEST OF THE BLOG IS A REGULAR COLUMN TO DRAW THE ATTENTION OF AJN READERS TO POSTS WE THINK DESERVE A WIDER AUDIENCE. TO READ MORE, PLEASE VISIT: WWW.AJNOFFTHECHARTS.COM. 2021 20 481 12 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