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CONCEPT AND MANAGEMENT OF COVID-19: REVIEW ARTICLES
Lessons from COVID-19 Pandemic – SWOT analysis
Sathya N Dornala, Snehalatha S N Dornala
October-December 2020, 14(4):38-41
DOI
:10.4103/joa.joa_158_20
Introduction:
The whole world is witnessing the transition of every sphere of human activity – home, work, education, health, time, travel, eating/drinking, shopping, etc., due to the COVID-19 pandemic. Neither hard power nor soft power could stop a tiny member of the coronavirus family from its global spread of COVID-19. Majorly, it has affected the health of the people and wealth of the nations. Society has explored many new normal thereby learn to live with corona.
Objectives:
The objectives of the study were to analyze what lessons we have learned from this once-in-a-lifetime experience, i.e., the COVID-19 pandemic and the issues and challenges in combating the sudden outbreaks.
Materials and Methods:
SWOT (Strengths Weakness Opportunities Threats) analysis has been used as a tool to depict the lessons learned in general and for Ayurveda in specific from the COVID-19 pandemic.
Conclusion:
There are no shortcuts to combat pandemics. Pandemics remind us about the common adage “Prevention is better than cure.” An ongoing situation may end tomorrow or the day after, but when all this is over, the earth will continue to spin, and life will flow again. Ultimately, it is the time to pause and rewind the lessons from pandemic and guidance for our future public health hazards.
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SURVEY STUDY: REVIEW ARTICLES
Review on
Druti Kalpana
with special reference to
Gandhaka Druti
Dev Raj Kshetri, Mohar Pal Meena, Sanjay Kumar
January-March 2021, 15(1):51-54
DOI
:10.4103/joa.joa_29_20
Background:
Dehavada
and
Lohavada
are the two major aims of
Rasashastra
.
Parada Samskara
is essential for both
Vada
. Many herbs, minerals, instruments, and preparations are needed for processing
Parada
.
Drutis
are one of such essential dosage form, along with its therapeutic and other utilities.
Druti Kalpana
are the processes of converting metals,
gemstones
and minerals in a liquefied state with the help of
Agni samskar
and addition of few herbal drugs,
Ksharas
, etc. Among many
Druti Kalpana, Gandhaka Druti
is a well-known preparation. Different classical texts have described different methods for preparing it. To ascertain difference between them and to come out with a brief conclusion this review work has been made.
Data Source:
Classical texts of
Rasashastra
, various published research works on the topic and valuable dissertations were also referred for this review article.
Review Methods:
An extensive search of literature was done to collect scattered materials on
Druti Kalpana
under an umbrella. Advices were taken from the professors of
Rasashastra
for the review of literature and their correct understanding.
Result and Conclusion:
Detailed review on
Druti
and
Gandhaka Druti
has been made. Comparisions on different methods of Gandhaka Druti preparation and the best method for high yield was found. Depending on the uses Variations in themethod of
Gandhaka Druti
preparation was found.
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EDITORIAL FORUM: GUEST EDITORIALS
Answering a critical question: Are Ayurvedic medicines against COVID-19 Placebos?
Deep Narayan Pandey
October-December 2020, 14(4):3-7
DOI
:10.4103/joa.joa_274_20
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GARBHINI PARICHARYA IN COVID-19: REVIEW ARTICLES
Garbhini Paricharya
in COVID-19 pandemic: A leading role of Ayurveda
Pankhuri Hitesh, Sunita Suman
October-December 2020, 14(4):171-176
DOI
:10.4103/joa.joa_214_20
Introduction:
The coronavirus disease 2019 (COVID-19) is a highly transmittable and pathogenic viral infection caused by severe acute respiratory syndrome corona virus 2 (SARS COV-2) and
Garbha-kala
is one of the most crucial and responsible stage in woman's life. COVID-19 can produce devastating effect on maternal wellbeing.
Garbhini Jwara
can be interrelated to some extent with features of COVID-19 in pregnancy.
Objective:
As, there is still some time for the approval and distribution of anti-viral vaccine against it. Thus, imperative critical care is a pre-requisite to manage COVID-19 during pregnancy. Due to shortfall of data on COVID-19 in traditional system of knowledge, present trial utilizes treatment modalities mentioned in ayurvedic classics to conquer novel COVID-19 symptomatically.
Data Source:
The proposed review article draws the data from different ayurvedic texts, research papers and drudging efforts are made to gather the knowlegde of Garbhini Paricharya from contemporary science to fulfill the lacunas and thoroughly excel in it.
Review Method:
The symptoms of COVID-19 can be analogized with the features of
Sannipata Jwara
during pregnancy. It epitomizes as
Janapada-dhamsa vikara
and can be categorized into
Bhutabhisanga Agantuga Vikara
(External cause of microbes).
Result and Conclusion:
Ayurveda exhilarate intensive approach to cope-up with this unprecedented pandemic of COVID-19 during pregnancy. Decoction prepared from the ayurvedic drugs like
Tulsi patra, Shirish twak, Guduchi kanda, Yastimadhu mool
and
Nimba patra
acts as
Daha-prashaman, Jantughna, Swashara, Kasahara, Krimighna, Jwarahara
and
Rasayana
. It possess Anti-viral, Anti-bacterial, Anti-inflammatory, Anti-oxidant, Immuno-modulatory properties due to various chemical constituents.
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MENTAL HEALTH AND YOGA FOR COVID-19: REVIEW ARTICLES
Role of yoga and meditation in sustainability and maintaining healthy life in pandemic
Chander Shekhar Sharma, Amrita Sharma
October-December 2020, 14(4):147-151
DOI
:10.4103/joa.joa_156_20
Introduction:
Yoga
and meditation are believed to start with the very inception of civilization and have munificent effects physically as well as mentally. As the entire world is facing dreadful COVID-19 pandemic, the concept of
Yoga
and meditation is the best way to keep a person in good shape, physically and mentally.
Yoga
along with meditation, as an integral part of our lifestyle tells us how to control the basic thought process and to stabilize oneself and integrate the state of health.
Methods:
Keeping the COVID-19 pandemic in mind, it is time for us to look back to utilize the treasure of
Yoga
and meditation for immunity, strengthening our willpower to stand the challenges of pandemic and develop resilience against negativity.
Yoga
usually emphasizes
Asana, Pranayama, Dhyana
and if practiced on daily basis will increase endorphins-feel-good-chemicals within the body and reduces cortisol levels that cause stress.
Result and Conclusion:
This pandemic has shown worldwide devastating effects on health-care-system, so
Yoga
and meditation practices could be utilized to counter the negatives of individual's physical, emotional as well as social health. In the current scenario, it is of utmost importance to deal the negative emotions with nonpharmacological interventions. The current paper focuses on the ways to protect ourselves in COVID-19 pandemic and live healthy life with regular practice of
Yoga
and meditation. It also highlights the role of Yoga and meditation in controlling a person's body, mind and soul. It also combines physical and mental discipline of the body and mind; to aid in managing stress, anxiety, and keep ourselves relaxed. Hence, developing a positive state of mind and promote better health to fight against the pandemic.
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IMMUNITY AND COVID-19: REVIEW ARTICLES
Understanding COVID-19 in light of Ayurveda and exploring possible role of immune booster Kashaya in its management
Ram Kishor Joshi, Deepika Gupta, Shankar Gautam, Abhishek Upadhyay
October-December 2020, 14(4):73-84
DOI
:10.4103/joa.joa_130_20
Background:
A new virus of corona family known as novel coronavirus causes coronavirus disease 2019 (COVID-19) also known severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). A good number of principles are found in the classical texts of Ayurveda, which can be compared with the concepts of SARS-CoV-2, and many herbal drugs written in the Ayurvedic text, through its immunomodulatory effect, may enhance host–defense mechanism against such diseases to decrease the mortality.
Aim:
Our objectives of this review are (i) to understand the concepts of SARS-CoV-2 in light of Ayurveda with their approximate delineation through theoretical analysis; (ii) to review the role of Immune Booster
Kashaya
Special (IBKS) in boosting and regulating immunity and in preventing complications; and (iii) to explore the effectiveness of each drug among scientific community to facilitate for their extensive research.
Methodology:
We also searched for relevant keywords in various texts of Ayurveda as well as on online databases such as PubMed, Science Direct, Scopus, CrossRef, and Google Scholar to understand the concepts of SARS-CoV-2 in light of Ayurveda and to explore the possible role of 14 medicinal plants of “immune booster
Kashaya
” formulation.
Result:
We found that SARS-CoV-2 is symptomatically very much similar to
Sannipataj Jwar
as described in Ayurveda and the content of IBKS possesses antiviral, immunomodulatory, antioxidant, antipyretic, anti-inflammatory, cardioprotective, antianxiety, and phagocytic properties. It seems to promote the body's immune mechanism against viral activity and to prevent complications such as inflammation-induced damage and cytokine storming in COVID-19.
Conclusion:
As there is a lack of an effective SARS-CoV-2 virus-specific medicine or vaccine, these immunomodulatory strategies may be implemented before or shortly after viral exposure and may be paired with antiviral therapies to improve antiviral immune responses by providing interferon-inducing agents or by nonspecific boosting of immunity with innate factors. Immune booster
Kashaya
should be gone through extensive
in vivo
and
in vitro
studies and clinical trials for further validation.
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CLINICAL STUDIES: CASE REPORTS
Ayurvedic management of vitiligo (
Shvitra
)
Meenakshi Sharma, Sisir Kumar Mandal
January-March 2021, 15(1):24-29
DOI
:10.4103/joa.joa_89_20
Introduction:
Vitiligo is a common autoimmune disorder in which the destruction of melanocytes occurs, resulting in the formation of white spots on the skin. It has a major impact on the quality of life of patients, as they feel distressed and stigmatized by their condition. Treatment available in contemporary medicine has its own limitations and side effects. In Ayurveda, Shvitra is the term employed for the hypopigmentation disorders of the skin. Due to the holistic approach, Ayurveda has the vast potential to treat such autoimmune skin diseases. Here, a case study of chronic vitiligo treated successfully with ayurvedic interventions is reported.
Main Clinical Finding:
There were white patches measuring about 7x5 cm, 4x3 cm, 3x3 cm and 4x2 cm on right and left arm, neck, chest, forehead region respectively. There were multiple small patches on fingers of hand also. The spots and patches were asymmetric, well defined whitish-pink and without scaling and discharge.
Diagnosis:
The patches were spread on large area (bahala), colour of patches was white/whitish pink (tvaka vaivarnyata), no secretion from lesion (aparisravi) ,with no itching (kandu) and loss of hair (romavidhvamsha) on affected area, so the case was diagnosed as Shvitra kustha on the bases of observed sign and symptoms.
Intervention:
The management approach was personalized and holistic in nature incorporating Ahara,vihara and Aushadha. In Sanshamana chikitsa Pitta-kapha shamaka and Vyadhi pratyanika line of treatment including internal administration of Khadira sara, decotition of Amla and Udumbara Chhala and Shashilekha Vati with external application of Chakramarda beeja, Muli beeja and Vakuchi beeja lepa was incorporated.
Outcome:
After 3 months of interventions, skinny spots appeared between the white patches. After six months, patches of chest, neck and forehead almost disappeared and that of arms significantly decreased with no recurrence. No adverse effect was seen during treatment and in follow up period
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PRE - CLINICAL STUDY: ORIGINAL ARTICLE
Antipyretic activity of mrityunjaya rasa prepared by various compounds of mercury in experimental animals
Manoj Kumar Dash, Namrata Joshi, Madhuri Vindhyaraj, Saroj M Parhate
January-March 2021, 15(1):2-8
DOI
:10.4103/joa.joa_112_20
Introduction:
Mrityunjaya Rasa
(MR) is a herbomineral Ayurvedic anti-pyretic formulation containing
Shuddha Hingula
(Purified Cinnabar),
Shuddha Gandhaka
(Purified Sulphur),
Shuddha Tankana
(Purified Borax),
Shuddha Vatsanabh
(Purified Aconite)
Pippali
(Piper lonum) and
Maricha
(Piper nigrum).
Objective:
The present pharmacological study was undertaken to study the comparative antipyretic activity of different samples of
Mrityunjaya Rasa
with slight variations in ingredients;
Mrityunjaya Rasa
'A' (Hingula based),
Mrityunjaya Rasa
'B' (
Kajjali
based), Mrityunjaya Rasa 'C' (
Rasasindura
based),
Mrityunjaya Rasa
'D' (without metallic content).
Material and Method:
Pyrexia was induced by subcutaneous injection of 20% wt/v of Brewer's yeast in distilled water (10ml/kg) in 36 animals divided into 6 groups, each group containing 6 animals. Basal rectal temperature was measured before the injection of yeast, and the rise in rectal temperature was recorded after 18 hrs of yeast injection. Group 'A' treated as normal control while group 'B' as standard control (treated with Paracetamol) Group C, D, E, F were drug tested groups.
Results:
The data generated during all stages of study showed that all samples of
Mrityunjaya Rasa
(22.5 mg/kg per day) exert highly significant (P<0.001) decrease in temperature after ½ hour and 1 hr of administration except
Mrityunjaya Rasa
D which was non-significant after 1 hr.
Mrityunjaya Rasa
'C' (
Rasasindura
based), was found to be significant (P<0.05) even after 3 hrs in comparison to standard drug (Paracetamol).
Conclusion:
The results of present study show the importance of mercury in intensifying the therapeutic efficacy of a formulation. Further, result obtained in
Mrityunjaya Rasa
containing
Rasasindura
group explains the importance of concept of gandhakaj jarana in rasashastra.
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MENTAL HEALTH AND YOGA FOR COVID-19: REVIEW ARTICLES
Scientific rationale of pragmatic intervention of
Chakra
meditation as bioenergetic medicine in COVID-19
Pooja Sabharwal, Rima Dada, Chandra Shekher Kaushik, Akanksha Sharma
October-December 2020, 14(4):159-163
DOI
:10.4103/joa.joa_252_20
Objective:
All around the globe the COVID-19 pandemic has jolted the minds of Scientists. They are trying to find any possible measures to fight against this pandemic. There is no specific treatment available for corona virus till now and a vaccine is yet to become available until 2021. The patients suffering from COVID-19 are under physical as well psychological trauma. Any intervention which improves quality of life of these patients is of paramount importance at this juncture.
Chakras
mediation which is a non pharmacological intervention for psychological wellbeing of patients is a time tested and scientifically proven approach to deliver holistic treatment to them. Traditional Indian practices are real soft power of India being followed for spiritual wellbeing even in this time of crisis.
Data Source:
Extract of various research studies related to Intervention of such practices like meditation, Pranic healing have been reviewed for therapeutic intervention of
Shadchakra
healing in health and diseases.
Review Method:
Evidence generated after pragmatic intervention of
Chakras
meditation will be a scientific contribution which will further generate interest throughout the scientific community.
Result and Conclusion:
Shadchakra
healing therapy is most effective and experienced Psycho-immunological therapy for COVID patients.
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CLINICAL STUDIES: ORIGINAL ARTICLES
A randomized controlled trial to assess the effect of
Pathya Ahara
in
Grahani
Mamta Saini, Agrawal Sarvesh Kumar, Sharma Kamalesh Kumar
January-March 2021, 15(1):14-18
DOI
:10.4103/joa.joa_128_20
Introduction:
The disorders of digestion and absorption are broadly covered under the heading of “
Grahani roga
” in
Ayurvedic
classics.
Grahani
is the seat of
agni
. It retains the food till the food is fully digested and passed to
Pakvashaya
.
Mandagni
(weak digestive fire) causes improper digestion of food and leads to
Grahani roga.
In
Grahani roga, mala
is released in undigested form. The role of diet and
Deepana-Pachana
is very important, while treating the patient of the
Grahani
.
Pathya Ahara, Bilva,
and
Panchakola Churna
help to cure
Grahani Dosha
with considerable health benefits.
Objectives:
This study was conducted with the objectives to prepare a dietary module for the patients of
Grahani
and to study the clinical effect of the prescribed diet
(Pathya Ahara
) in
Grahani
.
Material and Methods:
A total of 60 patients of
Grahani Dosha
of either sex were registered. These patients were divided into two groups by random sampling method in Groups A and B. In Group A, patients were given
Bilva
and
Panchakola Churna
without any dietary modification, and patients of Group B were given a diet module to modify their diet along with
Bilva
and
Panchakola Churna.
All the patients were evaluated for subjective parameters.
Results:
Statistical analysis was done after the intervention of therapies for 6 weeks. Group B showed statistically significant results in all signs and symptoms as compared to Group A.
Conclusion:
Pathya Ahara
improves the efficacy of the medicine in
Grahani roga
without the presence of any adverse effects.
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CONCEPT AND MANAGEMENT OF COVID-19: REVIEW ARTICLES
COVID-19- Understanding the emerging viral disease through the concepts of
Ayurveda
Minu Yadav, Gopesh Mangal, Gunjan Garg
October-December 2020, 14(4):16-21
DOI
:10.4103/joa.joa_124_20
Introduction:
Disease pattern is constantly changing yet infectious disease remain the major cause of mortality and morbidity in less developed countries. The world around has experienced many outbreaks and epidemic in the last few decades most recently being the COVID 19. The viral infections emerging in India can be classified in three major categories of respiratory viral infections, arboviral infections and bat-borne viral infections. There are seven variants of corona virus that are known to infect human. The SARS and COVID-19 are closely related and pose a threat to the global population. The life-saving drugs and antibiotics used against these infections are rapidly losing effectiveness and the viruses develops resistance against it. The mortality is higher in individual with low immunity, having respiratory tract related illnesses and metabolic disorders.
Aim:
To understand the currently prevalent pandemic COVID-19 through various Ayurvedic concepts which may further assist in knowing the disease pathology correctly.
Data Source and Review Method:
For the systematic review article, various Ayurvedic texts-
Charaka
and
Sushruta Samhita
with
Chakrapani
and
Dalhana Teeka
are studied. Peer-reviewed clinical studies, review articles, evidence-based articles published on-line, various websites are considered.
Result:
Ayurveda
has vast treatment modalities like
Rasayana
,
Panchakarma
,
Sadvritta
etc which not only prevents the occurrence of viral infection but also avoids the spread and mortality. The ideas of
Ojas
, improving the
Bala
through
Yukti
, undergoing
Ritu Shodhana
can certainly add years to the life along with improving the quality of life.
Conclusion:
The emerging viral disease can be prevented by proper use of the knowledge and principles of Ayurvedic texts.
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HERBS AND DRUGS FOR COVID-19: REVIEW ARTICLES
COVID-19: Clinical aspects and role of single herbal drugs – A review from classical texts of Ayurveda
Rinky Thakur, Raghavendra Naik, Santhosh Avangapur
October-December 2020, 14(4):103-111
DOI
:10.4103/joa.joa_157_20
Objectives:
The present review was carried out to compile and evaluate the clinical aspects of corona virus disease 2019 (COVID-19) described in classical texts of Ayurveda.
Data Sources:
Information available in different classical texts of Ayurveda, compendiums, and latest Nighantu (lexicons) was compiled, analyzed and presented systematically.
Review Methods:
Concepts of epidemics, possible management approach, different single herbal drugs indicated in the management of symptoms related to COVID-19 as described in Ayurveda is presented systematically with the help of published scientific literature.
Results and Conclusion:
A comprehensive review of single herbal drugs indicated for the management of symptoms related to COVID-19 shows that, they can be categorized into symptom modifiers and general health promoters. The drugs having symptom specific indications along with reported research related to that indication such as
shunthi, pippali, haridra, tulasi, saptaparna
can be considered for their role in the effective management of symptoms. General health promoting agents such as
Ashvagandha, Guduchi, Yashtimadhu, Haritaki, Amalaki
which are having
rasāyana, balya
properties can improve quality of life, provides strength, or resistance against the disease. Some experimental and clinical studies are also reported to establish their efficacy which supports the classical claims. Further scientific studies to understand the exact mechanism of action of these drugs individually or in combinations is need of the time.
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CLINICAL STUDIES: ORIGINAL ARTICLES
A clinical study to assess the efficacy of satavari yoga in perimenopausal syndrome
K Rinku Kuwar, Vasudev Anand Rao Chate, Shrivathsa
January-March 2021, 15(1):9-13
DOI
:10.4103/joa.joa_94_20
Introduction:
In Vedas priority has been given to women in all her walks of life. Women lifespan can be broadly categorized into 3 phases based on the reproductive function i.e. Kanya (stage prior to menopause), Patni or Mata (active reproductive stage) and Vridhavastha (menopausal stage). The Matrutva or Motherhood of women is well appreciated in Bharatvarsh. A mother who cares, protect and bring up a small life into a capable citizen needs the same care and protection in her old age. After 40 years women body undergoes physiological changes. In some women these physiological changes goes without a notice and in some women, it results in the manifestation of group of symptoms i.e. Perimenopausal syndrome which need Medical attention using HRT. Looking at the adverse effect of HRT and lack of scientific evidence to support or refute claims that the commonly used botanical product offer Therapeutic benefit in Perimenopausal syndrome Satavari-yoga was selected for the present study.
Aims and Objective:
Aim and objective of the study is to assess the efficacy of Satavari choorna in Perimenopausal syndrome.
Method:
The Present study is a single group, open label, clinical trial with pre-post follow up test design. Totally 36 subjects were diagnosed as Perimenopausal syndrome based on STRAW Scale and MRS (Menopausal rating scale), Subjects were intervened with Satavari yoga (Satavari choorna along with Gruta and Madhu) as mentioned in Kasyapa Samhita for the duration of one month with dose of 4 grams TID before food. Its effectiveness was assessed before treatment (0th day) and after treatment (31
st
day) and after follow up (61
st
day) using MRS.
Results:
The efficacy of Satavari-yoga was assessed based on the parameters provide in MRS. Before the intervention with Satavari yoga, mean was 17.61 and after intervention mean it reduced to 5.28 and After follow up (in absence Satavari-yoga) mean was raised to 10.19. This increasing and reducing of mean was highly significant with p value <0.001.
Conclusion:
Satavari yoga is highly beneficial in Perimenopausal syndrome.
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HERBS AND DRUGS FOR COVID-19: REVIEW ARTICLES
Kshara
(Alkali) in the prevention and treatment of Coronavirus Disease 2019: An ayurvedic specialized pharmacotherapy w.s.r. to the traditional diet of Northeast India
Binay Sen, Anuradha Roy
October-December 2020, 14(4):119-126
DOI
:10.4103/joa.joa_227_20
Objective:
At present, the entire world is fighting against the coronavirus disease 2019 (COVID-19) pandemic. Despite all the possible efforts, there is no proven and effective medicine or vaccine discovered till date. There are strong reasons for demanding alternative therapies that could be used in the prevention and treatment of COVID-19.
Data Source and Review methods:
An extensive literary and multiple database (Science Direct, PubMed, Springer, and Google Scholar) search was carried out for related published works on
kshara
and alkali in the domains of Ayurvedic, traditional, and modern knowledge.
Kshara
(alkali) made of
aswagandha
,
tulasi
, and
pippali
is used as a medicine and a dietetic adjuvant in respiratory diseases in Ayurveda. “
Khar
” is one of the popular traditional food items of Northeast India, well known for different therapeutics.
Kshara
(alkaline water), prepared from banana and black gram, contains a rich amount of potassium (K), chloride (Cl), calcium (Ca), magnesium (Mg), and iron (Fe), with pH of 10.22–13.00 and 10.02, respectively.
Kolakhar
(alkali made of banana) has been found to inhibit the growth of different pathogens in
in vitro
studies.
Result and Discussion:
Alkaline environment within the normal range of blood pH positively influences the inflammatory, immune, and antiviral mechanisms of the body, which is said to be one of the reasons to keep the body healthy and immune to disease. There is scientific evidence regarding the effectiveness of
kshara
in treating viral respiratory infections.
In vitro
studies have demonstrated the inactivation effect of alkaline medium on respiratory viruses.
Conclusion:
Kshara
could be a potential pharmacotherapy and food adjuvant in the prevention and treatment of COVID-19.
[ABSTRACT]
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IMMUNITY AND COVID-19: REVIEW ARTICLES
The concept of immunity in Ayurveda W. S. R. to COVID-19 – Review paper
B M. N. Kumar
October-December 2020, 14(4):85-91
DOI
:10.4103/joa.joa_152_20
Objective:
The world was confronted with an illness 'COVID-19', caused by the novel coronavirus SARS-CoV-2. This novel coronavirus is highly contagious and in just a few months has become a serious threat to human health all over the world. The mainstay in the management of corona viral infections has been supportive care, nutrition, and preventing secondary infections in the absence of any antiviral agent or vaccine. The best way of preventing COVID-19 infection is by enhancing an individual's body immunity. Hence the main objective of this study is to bring forward to the concept of immunity in
Ayurveda
for preventing COVID-19.
Data Source:
Different
Ayurvedic samhitas
and text books, modern medical books, research papers in different journals and internet sources were referred to understand the concept of
ojas
, immunity and COVID-19.
Review Methods:
To compile the available literatures on immunity and COVID-19. • To compile the importance of
ojas
and
vyadhikshamatva
. • To compile the importance of
Ayurvedic
concept of immunity in prevention of COVID-19.
Results and Conclusion:
The best way of preventing COVID-19 infection is by enhancing an individual's body immunity.
Ojas
is considered as responsible for
Vyadhikshamatva
(immunity). An adequate exposition of the concept of
ojas
concerning immunity is essential during this COVID-19 pandemic.
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HERBS AND DRUGS FOR COVID-19: REVIEW ARTICLES
Visaghna herbs and metals as neutralizing antibodies in the prevention and treatment of infection by severe acute respiratory syndrome-Coronavirus-2
Manoj Kumar Dash, Namrata Joshi, D N. S. Gautam
October-December 2020, 14(4):112-118
DOI
:10.4103/joa.joa_207_20
Introduction:
The severe acute respiratory syndrome (SARS)-CoV2 is a viral respiratory disease threatening worldwide public health, social stability, and financial development. Pathological hallmark for SARS-CoV-2 is an ineffective innate immune reaction. i.e., immune cells recognize it as dangerous toxins in place of self-antigen. Published data on neutralizing antibodies suggests their role in the prevention and treatment of infection SARS-CoV-2 through passive immunity in COVID-19.
Objective:
The present paper discusses the role of
vishghna dravya
in either flushing out or neutralization of toxins from the body.
Material & Method:
We developed the screening system based on Ayurveda & Modern pharmacology from different databases. Reported plants and minerals were retrieved from ancient texts. Furthermore, pharmacology method was used to preliminarily uncover the molecule mechanism.
Results:
Nine herbs and five metallic
bhasmas
having
Vishaghna
property were systematically reviewed, out of which four herbs and five metallic
bhasmas
have been reported to possess neutralizing antibody potential.
Vishagna dravya
works on concept of
Samana pratyarbdha,
the inherent qualities of the predominant
mahabhutas
.
Madhura rasa
(six),
Katu Rasa
(Five),
Tikta Rasa
(seven),
Kasaya Rasa
(two) have
Prithvi, Vayu, Akash & Agni Mahabhuta
that may exert neutralizing effect by making the cells more strong, inhibits the absorption of virus & increasing the various metabolic activities.
Conclusion:
To meet this challenge, this article discusses some published Ayurveda herbs and Nano metals which may neutralize the virus toxin for the prevention and treatment of infection by SARS-CoV-2.
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CONCEPT AND MANAGEMENT OF COVID-19: REVIEW ARTICLES
Ayurveda prophylaxis and intervention for COVID-19 Pandemic
Kavita Chambyal, Sanjeev Sharma, Suman Sharma
October-December 2020, 14(4):22-27
DOI
:10.4103/joa.joa_140_20
Introduction:
Novel coronavirus named SARS-CoV-2 is causing a series of acute atypical respiratory symptoms. It is an
Aupsargika Vyadhi
and virus is transmittable between humans and has been declared as pandemic worldwide. The number of death toll continues to rise and there is no specific treatment till now. Initially, the pathology and symptoms of the disease pertain to the respiratory system and according to Ayurveda, this can be correlated with
Pranavaha Srotas Vyadhi
and the management should be like
Shwasa roga
.
Objective:
To provide critical evaluation of prophylaxis and interventions involved in
Ayurveda
for COVID-19.
Data Source:
Ayurveda Samhita
, text, Journals, Internet etc.
Review Method:
Literary review.
Discussion:
On the basis of COVID-19 clinical features and present understanding of the pathogenesis, it mainly seems to be associated with
Kapha
and
Vata Dosha
vitiation.
Nidana Parivarjana
(not coming in contact with
vyadhita
such as maintain social distancing, use of mask, and proper hand hygiene); use of herbal, mineral, and herbo-mineral drugs; and
Panchkarma
procedures such as
Nasya
(Nasal application),
Abhyanga
, and
Hitakara Ahara
according to
Desha
,
Kala
,
Ritu
, etc., play important role in the prevention and management of this new disease.
Conclusion:
COVID-19 seems to be associated with vitiation of
Kapha
and
Vata Dosha
, and use of
Ayurvedic
principles and drugs can improve and regulate the immunity which helps in preventing the diseases. If disease manifestation occurs, then it can also be managed by
Ayurveda
interventions.
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Pandemic COVID-19 Diseases and
Rajyakshma
in
Charak Samhita
: A conceptual study
Nishi Arora
October-December 2020, 14(4):28-31
DOI
:10.4103/joa.joa_146_20
Introduction:
This paper correlates the vastly detailed concepts of
Janpadod dhwans
and
Rajyakshma
from
Charak Samhita
to the novel coronavirus. The aim of this paper is to draw the attention of the experts toward the similarities between coronavirus and
Rajyakshma
, in hopes of finding some more effective measures of prevention as well as cure for the ongoing pandemic.
Materials and Methods:
In this paper, a little description was given about
Adharm
and immunity. The concept of pandemic/epidemic is explained with the term “
Janpadod dhwans.
” A detailed comprehensive exploration of corona versus
Rajyakshma
was done by thoroughly analyzing certain concepts in the ancient script Charak Samhita and by conducting meticulous research online.
Results:
It was deduced that every disease changes its mode of onset and course of progression with changing climatic conditions and timeline peculiarities. The diseases are not identical, but the author hopes that the similarities drawn can be of use to better understand the whole spectra of diseases that have come and those that have yet to come.
Conclusion:
A clear conclusion can be drawn that there are many similarities between COVID-19 and
Rajyakshma
in clinical presentation, as well as the preventive measures known so far. The role of good immunity is the key factor in both the cases.
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EDITORIAL
National accreditation board for hospitals and healthcare providers accreditation for ayurveda hospitals
Sanjeev Sharma
January-March 2021, 15(1):1-1
DOI
:10.4103/joa.joa_64_21
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CONCEPT AND MANAGEMENT OF COVID-19: REVIEW ARTICLES
Management approach to Covid-19 associated upper respiratory tract infection in Ayurveda: A review study
Gulab Chand Pamnani, Prabhakar Vardhan, Rajendra Kumar Soni
October-December 2020, 14(4):49-53
DOI
:10.4103/joa.joa_231_20
Introduction:
The outbreak of COVID-19, a global pandemic is extraordinarily contagious, and its fast spread has affected more than 180 countries and has made the containment difficult. It is imperative to have proficient therapeutics to manage the current and upcoming situation. Unfortunately, no acceptable treatment protocol has been developed yet. On the other hand, a number of clinical entities have been described in detail with their treatment in
Ayurvedic
classics which closely resemble various presentations of COVID 19 infections.
Material and Methods:
A meticulous search of classic
Ayurvedic
texts, available contemporary literature pertaining to COVID 19 as well as clinical wisdom of stalwarts of
Ayurveda
was analysed to draw safe and effective treatment protocols as per presentation of the disease.
Results and Discussion:
Treatment protocols for COVID 19 with special reference to upper respiratory tract infections as detailed in
Ayurveda
have been developed and leads from these protocols can be utilized for the better management of COVID 19 related ailments and post COVID 19 complications.
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MENTAL HEALTH AND YOGA FOR COVID-19: REVIEW ARTICLES
Ayurveda management of COVID-19 on the principles of psychoneuroimmunology
Mamta Tiwari, Vineeta Singh, Anurag Pandey, Sarvesh Kumar Agrawal
October-December 2020, 14(4):127-133
DOI
:10.4103/joa.joa_62_20
Introduction:
Coronavirus Disease COVID-19 is caused by SARS-CoV2 that can spread between animals and humans. Ayurveda and yoga, popular traditional and complementary medicine systems, have prophylactic and therapeutic potential that may be the answer to the global search of a comprehensive preventive strategy against COVID 19.The objective of study is to explore and provide an integrated understanding of basic preventive principles of Ayurveda in light psychoneuroimmunology.
Methods:
The present review study was carried out by collecting the literature and research finding from various classical and modern texts books, online reports and online research articles in Google Scholar and PubMed Database.
Results:
In this review it was revealed that the practices of Dinacharya (daily regimen), Ritucharya (seasonal regimen), Ayurveda dietetics, yoga, Achara Rasayana (rejuvenation through right code of conduct), and Rasayana (rejuvenation) drugs may have a comprehensive area of influence on the nervous, endocrine, and digestive systems and immune functions of the body.
Conclusion:
The attempts have been made to deliver an integrated understanding of the above principles in light of psychoneuroimmunology. Adopting these principles may have the restorative role of health and immunity by reducing the susceptibility for COVID infection.
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CONCEPT AND MANAGEMENT OF COVID-19: REVIEW ARTICLES
COVID-19: Opportunity for mainstreaming Ayurveda to transform Indian health care
Nisha Munishwar, Rakesh Bramhankar, Shailesh Deshpande
October-December 2020, 14(4):42-48
DOI
:10.4103/joa.joa_220_20
Introduction:
Every 100 years, world face dreadful pandemic proving human helpless in front of nature. Nowadays, we are struggling with COVID-19 pandemic which is caused by severe acute respiratory syndrome coronavirus 2, has spread worldwide, its first case was reported in Wuhan, China, and since then, it has spread across the world becoming one of the worst pandemics in the history of humankind. Approach to the disease is still relying on a trial basis. No accurate cure or medications have been proved effective till date. The world is trying to invent effective vaccination, but it will take one or 2 years for a successful launch of effective vaccine.
Objectives:
Medical sciences are giving more importance to boosting immunity and that is the heritage of Ayurveda. COVID-19 is equally affecting physical as well as mental health. So, Physical and mental health of covid-19 affected as well as non-affected persons can be very well managed with Pragmatic Ayurvedic approach.
Material and Methods:
An extensive literary search of different classical texts has been conducted to collect classical references along with multiple databases (PubMed and Google Scholar) available online for the related published works.
Conclusion:
In this panic situation, the holistic approach of Ayurveda in the form of curative and preventive medication, Rasayana Chikitsa, Yoga, and Pranayama, etc., will be helpful to manage this disease. This article is going to dig out the treasure of Ayurveda in the form of holistic approach.
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PRE - CLINICAL STUDY: ORIGINAL ARTICLE
Subacute toxicity of vatsanabha (
aconitum ferox
, ranunculaceae) collected from different regions of India and Nepal
Prerok Regmi, S Ravikrishna, Sudhakar Bhat, Chaithra Hebbar, Shiny Jasphin
April-June 2021, 15(2):75-83
DOI
:10.4103/joa.joa_174_20
Introduction:
Aconitum ferox
wall is considered as one of the most poisonous plants in the world and well known for its toxicity. The
Vatsanabha
(Sanskrit terminology) is mentioned as
Mahavisha
(most toxic) in Ayurveda literature. The aim of our study was to evaluate and compare the toxic effects of a root of
Vatsanabha
(
A. ferox
) aqueous extract on hematological, cardiac, and serum biochemical parameters and histopathological changes in the heart.
Methods:
A. ferox crude powder
was prepared from tuber root collected from three geographical location: Naradevi root, Sikkim root and Dolpa root and dosed in three groups Naradevi root dosing Group (NRG), Sikkim root dosing group, and Dolpa root dosing group (DRG), respectively. They were orally administered on Wistar albino rat for 28 consecutive days at doses of 1/5
th
of the respective median lethal dose of dried crude powder per kg body weight in 20 ml of stock solution.
Results:
The results showed significant changes in serum glutamic-pyruvic transaminase, alkaline phosphatase, high-density lipoprotein in NRG, and serum glutamic-oxaloacetic transaminase, cardiac parameters-creatinine kinase MB, lactate dehydrogenase in DRG. Marked pathological changes were perceived in the brain, heart, lungs, and jejunum tissue.
Conclusion:
The marketed sample shows multiple visceral toxicity and higher altitude sample has greater toxicity on brain and cardiac tissue. This study recommends creatine phosphokinase (CPK) isoenzyme testing: CPK-BB, CPK-MB, etc., on the heart and brain to assess the exact source of the damaged tissue.
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HERBS AND DRUGS FOR COVID-19: REVIEW ARTICLES
Herbs and COVID-19 Pandemic
Anubha Chaudhary, Sandeep Garud, Mita Kotecha
October-December 2020, 14(4):100-102
DOI
:10.4103/joa.joa_133_20
Objective:
COVID-19 is the most recently discovered infectious disease by coronavirus. The WHO has declared it a pandemic. Since its outbreak in Wuhan, China, in December 2019, scientists all over the world are working hard to find a treatment modality. However, till now, there has been no definite treatment for COVID-19. The world is looking hopefully towards Ayurveda for the prevention and treatment of COVID-19.
Data Source:
The data was collected from classical texts of Ayurveda along with modern literature and scientific publications.
Review Method:
All the data was critically analysed in the context of COVID 19.
Result:
The Ayurveda herbs with Rasayan, Shwas-Kaashara, Krimighna activity like Haridra, Guduchi, Amalaki, Maricha, Twak, Ashwagandha, and Tulasi are showing promising results in initial experimental studies.
Conclusion:
Various chemical constituents present in these herbs are responsible for preventing cytokine storm and viral penetration and replication in host cells. These herbs also improve immunological function.
[ABSTRACT]
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1,444
115
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CONCEPT AND MANAGEMENT OF COVID-19: REVIEW ARTICLES
Pandemic COVID-19 in relation to
Ayurveda
: A brief review through
Sushruta Samhita
Foram Joshi, Tukaram Dudhamal
October-December 2020, 14(4):58-63
DOI
:10.4103/joa.joa_199_20
Background:
Being the foremost science of life, Ayurveda has upper hand in managing chronic as well as acute clinical conditions varying upon its perseverance in growing clinical strength of contemporary age.
Materials and Methods:
Classical references of contagious and communicable diseases have been mentioned by Sushruta were studied with clinical examples and their modes of transmission for understanding the cascade of COVID-19 conditions now and then.
Results and Discussion:
Current scenario of COVID-19 is a burning issue of human life which resembles with the classical narration of “
Aupasargika Jwara
” and pandemic threat with “
Janapadodhwansa”
term of Sushruta. Along with that, Sushruta has given methods of eradicating such clinical conditions by different measures such as rules of
Sthana Parityaga
(leave the contaminated place and self-quarantine),
Anjali Pranaam
(social greeting by maintaining distance), and
Daana-Japa-Upahara
, ethical practices of charity, chanting, and offerings by means of helping the needy people in crises in any way to survive in critical conditions.
Conclusion:
This article refers to enlighten the area of focus to revalidate the facts, concentrate, and implement for the betterment of humanity in terms of ethical practice of health science and human rituals to manage the life and life cycles.
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