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मंगलवार, 17 नवंबर 2015

STUDY THE EFFICACY OF ORAL TRUSHAN CHURNA IN COMPARISON TO GANDHAK RASAYAN IN GILAYU W.R.T ACUTE TOSILITIS

STUDY THE EFFICACY OF ORAL TRUSHAN CHURNA IN COMPARISON TO

GANDHAK RASAYAN IN GILAYU W.R.T ACUTE TOSILITIS

ABSTRACT: Todays changing life style and drinking chilled bevarages etc
have became cause for predispositio of gilayu(acute tosilitis) is leading to
sore throat ,dificulty in swallowing,pyrexia and various throat infections.
.
A Clinical study was conducted where 60 patients selected
randomly & divide into 2 same groups.Group A was treated with trushan
churna and Group B was treated with gandhak rasayan.A clinical assessment
was done on the basis of grading criteria.trushan churna shows better effect
to reducing the symptoms of tonsilitis.
KEYWORDS:Acute tonsilitis,Trushan Churna,Gandhak Rasayan etc.
INTRODUCTION - Palatine tonsils are a part of lymphatic system,are
lymph nodes and plays an important role in immune defence system.there is
antigen-antibody reaction to fight fron infection & illness.antibiotics may
supress the infection temporarly but there is chances of recurrence.
In Ayuveda.Gilayu is somewhat related to acute tosilitis and
dominant doshas are kapha & rakta .As per ayurvedic classics,Trushan
churna has ushna,tikshna with raktshodhak & kaphaghn properties.so,can be
used in Gilayu.
As per ayurveda,ayurvedic medicines acts from the root of
the disease with less or without side effects and improves immune
system.Trushan churna is katu,tikshna,ushna,raktashodhak,kaphaghn used
in management of gilayu.

MATERIALS & METHODS
 DRUG INFORMATION

DRUG
NAME
PIPPALI
BEEJA
MARICH BEEJA SHUNTTHI
KANDA
MADHU
LATIN
NAME
Piper longam Piper nigrum Zingiber
officinale
Mel
FAMILY pipereceace piperaceace Zingibarecaece
RAS katu katu katu Madhur
GUNA Tikshna,
ruksha
Laghu,
tikshna
Laghu,
snigdha
Laghu,
ruksha,
sukshma,
yogvahi
KARMA Kapha
chedan
Kaphagn,medogn Tridoshagn Kaphagn
VEERYA anushnasheet Ushna Ushna Ushna
VIPAK katu katu madhur
METHODS-
60 Pt. is divided in two groups.
GROUP-A (TRIAL DRUG)
TRUSHAN CHURNA WITH ANUPAN MADHU
Dose-2 gm twice a day for 7 days
Follow up-0,3,5,7
GROUP-B(CONTROL DRUG)
GANDHAK RASAYAN WITH ANUPAN MADHU
Dose-500 mg twice a day for 7 days.
Follow up-0,3,5,7
PLACE OF WORK-sanjeewan hospital of sst,s ayurved mahavidyalaya & P.G
institute,sangamner,dist.ahmednagar.

DRUG
NAME
PIPPALI
BEEJA
MARICH BEEJA SHUNTTHI
KANDA
MADHU
LATIN
NAME
Piper longam Piper nigrum Zingiber
officinale
Mel
FAMILY pipereceace piperaceace Zingibarecaece
RAS katu katu katu Madhur
GUNA Tikshna,
ruksha
Laghu,
tikshna
Laghu,
snigdha
Laghu,
ruksha,
sukshma,
yogvahi
KARMA Kapha
chedan
Kaphagn,medogn Tridoshagn Kaphagn
VEERYA anushnasheet Ushna Ushna Ushna
VIPAK katu katu madhur katu
SELECTION CRITERIA:
INCLUSION CRITERIA-pt.having signs& symptoms of acute tosilitis.
-Age between 10-60 yrs
-Written consent taken from the pateint.
EXCLUSION CRITERIA- Pt, with major systemic disorders
e.g.DM,HTN.IHD etc.
-Vincet angina
-Necrotic tonsils
-Tosillar foreign body
-Exopthalmous fever
-Acute LRTI
-Pregnant & lactacting women
-Autoimmune disorders
-Pt. having sulpha drug sensitivity
-Diptheria
-Peritonsillar abscess
-Tonsillar neoplasm.
INVESTIGATIONS - CBC
- ESR
-C&S(THROAT SWAB)
(3)
DISCUSSION-Tonsils are known as “guards or oral cavity”,is a part of
immune system of the body.they fight from infections & illness.inflammation
of tonsils called tonsillitis.due to micro organism,s infection,due to exposure
to environmental factors,change of climate causes infections.mostly school
going childrens are effected due to low immunity.tonsilitis can be correlated
with gilayu as described by sushrut.
According to Ayurveda,Gilayu is kaphaj and raktaj dominant entity.sushrut
advised surgical treatment for Gilayu wherever Vagbhata & Chakradatta
advised katu,tikta,ushna dravyas(medical management).in modern
science,conservative treatment like antibiotics,analgesics,anti-inflammatory
drugs are available,but they all having limitations and side effects i.e.allergic
reactions,contra-indication in children,pregnant and lactacting women.long
term use may cause harmful results and its also vey costly,cant be afforded
by low socio-economic people.so,due to this,it is neccessory to use such kind
of treatment which has less side effect and also cost effective.
In gilayu,we need kaphagn and raktshodhak chikitsa.trushan churns has
katu rasa,ushna veerya.tikshna,ruksha,sookshma guna.hence,works as
kaphashamak &raktshodhak.honey was used as anupan as it is yogvahi.
Gandhak rasayan has already proved its anti microbial and antiinflammatory
result hence it is ed in control group.
By statistical analysis,it was found that in all parameters paired t test is
significant in both group but when we compare both groups by applying
unpaired t test,the

CONCLUSION-After statistical analysis,it is conducted that oral trushan
churna is effective than control group in Gilayu.
It is safe,cost effective,easily available.
It decreases the severity of throat infection.
Further research with new ideas can be done-
By increasing the samole siz.
By making in ointment form which can be applied locally.
REFERENCES-
 Sharangdhar samhita-dr.brahmanand tripathi-chaukhamba sanskrit
series,varanasi
 Textbook of ENT-bhargav shah-usha prakashan
 Shalakyatantra(nimitantra)-dr.ramnath dwivedi-chaukhamba
surbharati prakashan
 Tonsilitis-wikipedia,the free encyclopedia
 Sushrut samhita-anantram sharma
 Ashtang samgraha-indumati-vd.athalye
 Chakradatta-dr.tripathi
 Yogratnakar-shastri-chaukhamba orientalia

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