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Physiological variations in the autonomic responses may be related to the constitutional types defined in Ayurveda

  • Rapolu, Sunil Buchiramulu;Kumar, Manoj;Singh, Girish;Patwardhan, Kishor
    • CELLMED
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    • v.5 no.1
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    • pp.7.1-7.7
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    • 2015
  • According to Ayurveda, an individual can be classified into any one of the seven constitutional types (Prakriti) depending on the dominance of one, two, or three Doshas. A 'Dosha' is representative of fundamental mechanisms that are responsible for homeostasis, and thus, to health. In the recent years, there have been several efforts to see whether certain physiological, haematological or biochemical parameters have any relationship with the constitutional types or not. The objective of the present study was to see if the results of autonomic function tests vary according to Prakriti of an individual. We conducted this study in clinically healthy volunteers of both the gender belonging to the age group of 17 to 35 years after obtaining their written consent. The Prakriti of these volunteers was assessed on the basis of a validated questionnaire and also by traditional method of interviewing. After confirming that the primary Dosha ascertained by both these methods matched, 106 volunteers were grouped into three on the basis of primary Dosha and were subjected to various autonomic function tests such as cold pressor test, standing-to-lying ratio, Valsalva ratio and pupillary responses such as pupil cycle time and pupil size measurement in light and dark. The results suggest that, the autonomic function tests in the healthy individuals may correlate linearly with the primary Dosha expressed in an individual. In particular, people with Kapha as the most dominant Dosha showed a tendency to have either a higher parasympathetic activity or a lower sympathetic activity with respect to their cardiovascular reactivity in comparison to the individuals with Pitta or Vata as the most dominant Dosha.

Virechana karma (therapeutic purgation) in the restoration of gut microbiota concerning Amavata (RA): A scientific exposition

  • Godbole, Amrit;Sweta, Sweta;Abhinav, Abhinav;Singh, O.P.
    • CELLMED
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    • v.11 no.1
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    • pp.1.1-1.4
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    • 2021
  • Background: Amavata is a disease that occurs as a result of the error of metabolism. Poor dietary habits and faulty Dincharya (daily regimen) and ritucharya (seasonal regimen) leading to deranged metabolism and Agni (metabolic fire) which results in the formation of Ama(undigested product of metabolism). When Amaconceals with Vata(subtle energy associated with movement) and circulates in the body under the influence of Vyana Vayu (omnipresent air)it clogs the srotasas (microchannels) and initiates the inflammatory cascade. Amavata is commonly correlated with rheumatoid arthritis (RA) while other forms of auto-immune disorders can also be included in Amavata.Dysbiosis of the gut microbiota (GM) has been connected to the onset of diverse autoimmune diseases. In this study, it was hypothesized that Panchakarma (bio-purificatory methods) based intervention such as Virechana Karma (therapeutic purgation) may influence microbiota. Materials and Methods: Various Ayurvedic literature were reviewed for the etiopathogenesis of Amavata. Different databases were searched with research papers related to Gut Dysbiosis and autoimmunity and management of RA. A connecting link between Intestinal Dysbiosis with the autoimmune mechanisms was established and it was also found that the bowel cleansing introduced a change to the GM. Conclusion: It was concluded that Virechana karma is effective in gut flora Dysbiosis. This study aims to correlate the ancient Ayurvedic principles related to Agni Bala(metabolic energy) and biopurificatory treatment modalities like Virechana karma (therapeutic purgation)with the modern concept of gut microbiota and its role in the pathogenesis of various autoimmune disorders such as rheumatoid arthritis. The article creates an understanding about principles of Ayurveda and its rationality in today's scientific world and thereby opens newer vistas of research in therapeutics from Ayurveda, which may be helpful in the management of various immune-mediated Diseases through Ayurveda.

A Development of the Korean Version of the constitutions in Ayurveda Questionnaire (한국형 아유르베다(Āyurveda) 체질유형 검사지의 개발을 위한 기초연구)

  • Cheong, MeeSook;Rim, Aela
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.62-70
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    • 2016
  • This study investigated the development of a Korean version of the Ayurvedic constitution questionnaire and sought to verify its validity and reliability. Each study subject completed a self-administered questionnaire consisting of 63 questions. The Ayurvedic constitutions were placed into 7 categories. The results from 271 subjects revealed that the internal consistency reliability (Cronbach's ${\alpha}$) in the 41 item biometric signature part of the questionnaire was 0.757. The Cronbach's ${\alpha}$ for the 22 item psychological part was 0.616, whereas the Cronbach's ${\alpha}$ for the entire 63 items was 0.840. Taken together, the results indicate that the Korean version of the Ayurvedic questionnaire was valid. Within the questionnaire, the fourth item about body and the ninth item about psychological showed item-total correlations with negative total values, thereby indicating inconsistent (less reliable) responses. The remaining 61 items had a 0.864 degree of reliability. The results for the pure Vata Pitta and Kapha body types showed a high level of internal consistency reliability, presumably because those participants were of a pure constitution type. The Kappa factor for inter-item coincidence between the judgment of Ayurvedic constitution experts and the judgment derived from the written test scores was 0.619, thereby indicating questionnaire validity. The results of this study may be useful in further development of a Korean version of the Ayurveda constitution questionnaire.

Experimental and Clinical Study of Staple-Line Reinforcement Using Expanded Polytetrafluoroethylene in Thoracoscopic Bullectomy for Spontaneous Pneumothorax (자연 기흉 환자에서 봉합선 보강이 흉강경 폐부분 절제술에 미치는 영향: 동물실험 및 임상연구)

  • 문석환;심성보;왕영필;윤정섭;조건현;박재길;박만실;최시영;곽문섭
    • Journal of Chest Surgery
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    • v.36 no.12
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    • pp.904-910
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    • 2003
  • Thoracoscopic bullectomy (VATS-B) is now the preferred treatment for spontaneous pneumothorax despite of higher recurrence rate than open thoracotomy. Several methods have been used to prevent this problem. The effectiveness of staple line reinforcement (SLR) in VATA-B using endostaplers was assessed by clinical and experimental study. Meterial and Method: In experimental study, canine lungs were harvested immediately (group I N=5) and 48 hours (group II N=5) after stapling. The pressures at which initial air leaks occurred were measured. In clinical study from February 1997 to March 1999, 106 procedures in 104 patients undergoing VATS-B for spontaneous pneumothorax were classified into two groups according to the presence of SLR and were compared. Result: The average pressure of the initial air leakage was significantly higher in SLR than that of staples alone (18$\pm$1.6 vs 48$\pm$3 mm Hg in group I; 23.8$\pm$1.9 vs 54$\pm$4.6 mm Hg in group II, p<0.001). In the clinical data, there were significant differences seen in the duration of drainage, the total length of endostaplers used, and the duration of the postoperative hospital stay between patients with staple alone and patients with SLR (4.4$\pm$1.4 vs 3.1$\pm$1.1 days in duration of drainage, 92.3$\pm$28.1 vs 71.1$\pm$30.6 mm in total length of endostaplers used, 5.9$\pm$1.9 vs 4.6$\pm$1.7 days in postoperative hospital stays, p<0.001). Conclusion: SLR was effective for preventing prolonged air leakage and responsible for shorter hospital stays after VATS-B for the treatment of spontaneous pneumothorax.