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A Clinical Evaluation of Efficacy of Khadiradi Yoga Avachurnana in Kacchu w.s.r. to genito-inguinal intertrigo, Shubha, Department of post graduate studies in Prasooti Tantra & Stree roga, S. D. M. COLLEGE OF AYURVEDA, UDUPI

Text of Yoni kacchu psr

A Clinical Evaluation of Efficacy of Khadiradi Yoga

Avachurnana in Kacchu w.s.r. to genito-inguinal intertrigo

By

DR. SHUBHA, B.A.M.S.

Dissertation submitted to the Rajiv Gandhi University of Health Sciences, Karnataka, Bangalore In partial

fulfillment of the requirements for the degree of

MASTER OF SURGERY (AYU.) In

PRASUTI TANTRA AND STREE ROGA

Under the guidance of Dr. MAMATHA K.V. M.D. (Ayu)

Professor Dept of Prasooti Tantra and Stree Roga,

S.D.M. College of Ayurveda, Udupi.

Co-Guide Dr. Vidya Ballal. M.D. (Ayu)

Lecturer Dept of Prasooti Tantra and Stree Roga,

S.D.M. College of Ayurveda, Udupi.

S. D. M. COLLEGE OF AYURVEDA, UDUPI

2008-09

DEPARTMENT OF P. G. STUDIES IN PRASUTI TANTRA AND STREE ROGA

S.D.M. COLLEGE OF AYURVEDA, UDUPI-574118 Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka.

DECLARATION BY THE CANDIDATE

I hereby declare that this dissertation entitled A Clinical Evaluation of

Efficacy of Khadiradi Yoga Avachurnana in Kachchu w.s.r. to

genito-inguinal intertrigo, is bonafide and genuine research work carried out by me under the guidance of Dr. Mamatha K.V., Professor, Dept. of

Prasooti Tantra and Stree Roga and Co-Guide Dr. Vidya Ballal. Lecturer, Dept. of

Prasooti Tantra and Stree Roga, S.D.M. College of Ayurveda, Udupi.

Dr. Shubha

Date: Dept. of Prasooti Tantra and Stree Roga

Place: Udupi

DEPARTMENT OF P. G. STUDIES IN PRASUTI TANTRA AND STREE ROGA

S.D.M. COLLEGE OF AYURVEDA, UDUPI-574118

CERTIFICATE BY THE GUIDE

This is to certify that A Clinical Evaluation of Efficacy of Khadiradi

Yoga Avachurnana in Kacchu w.s.r. to genito-inguinal intertrigo, is bonafide and genuine research work carried out by Dr. Shubha in partial

fulfillment of the requirement for the degree of M.S. (Ayu) in Prasooti Tantra

and Stree Roga, under my guidance.

Signature of Guide

Dr. MAMATHA K.V. M.D. (Ayu) Professor.

Date: Dept.of Prasooti Tantra and Stree Roga, S.D.M.C.A, Udupi. Place: Udupi

DEPARTMENT OF P. G. STUDIES IN PRASUTI TANTRA AND STREE ROGA

S.D.M. COLLEGE OF AYURVEDA, UDUPI-574118

ENDORSEMENT

This is to certify that A Clinical Evaluation of Efficacy of

Khadiradi Yoga Avachurnana in Kacchu w.s.r. to genito-

inguinal intertrigo, is bonafide and genuine research work carried out by Dr. Shubha under the guidance of Dr. Mamatha K.V., Professor, Dept. of

Prasooti Tantra and Stree Roga and Co-Guide Dr. Vidya Ballal, Lecturer Dept.

of Prasooti Tantra and Stree Roga, S.D.M. College of Ayurveda, Udupi.

Signature of H.O.D. Signature of Principal Dr. V.N.K. USHA Dr.U.N. PRASAD. MD(Ayu) MD(Ayu) Dept. of Prasooti Tantra S.D.M.C.A, Udupi. and Stree Roga, S.D.M.C.A, Udupi.

Date: Date:

Place: Udupi Place: Udupi

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,

KARNATAKA

COPYRIGHT

I hereby declare that the Rajiv Gandhi University of Health Sciences,

Karnataka shall have the rights to preserve, use and disseminate this

dissertation in print or electronic format for academic / research purpose.

Date:

Place: Udupi DR. SHUBHA

Rajiv Gandhi University of Health Sciences, Karnataka

Acknowledgement

Clinical Efficacy of Kadiradiyogavachoornana in Kachchu Acknolwedgement

ACKNOWLEDGEMENT

At the very juncture of completing my dissertation work as a part of post graduation

curriculum, I would like to thank all the people who helped me directly or indirectly.

On the occasion of completion of this work, I bow my head with utmost devotion to

almighty for blessing me with the courage to complete the post graduation.

I would like to thank my parents without whom I would not have made this task and I

bow my head at their feet. I would like to thank

Sri. Ashok Raj Yermal, without whom, starting this task would have been a difficult

one.

I would like to thank Dr. D. Veerendra Hegde, who gave me the opportunity to do my

masters in his prestigious institution SDM College of Ayurveda, Udupi.

I would like to express my deep gratitude towards my Honourable guide Dr. Mamatha

.K. V., who is the backbone of my career as Obstetrician and who encouraged me in

every part of curriculum.

I would like to thank my co-guide Dr. Vidya Ballal who supported me thorough out

my career in this institution.

I express my sincere regard to Dr. VNK Usha, Dr. Krishna Bai, Dr. Ramadevi, Dr.

Suchetha, and Dr. Veena for their invaluable support.

I would like to pay my gratitude to Mrs. Anitha Kini, Microbiologist and Dr.

Somayaji at KMC Manipal, Dr. Muralidhar Ballal, General Manager, SDM Pharmacy

of Ayurveda, Dr. Chaitra, Dr. Rajalakshmi, Dr. Padmakiran, Dr. Srikanth, Dr.

Niranjan, Dr. B. V. Prasanna, Dr. Muralidhara sharma, Dr. Sethumadhava, Dr.

Sujatha, Mr.Harish Bhat, librarian for their timely help.

Department of Prasooti Tantra and Stree Roga 2

Clinical Efficacy of Kadiradiyogavachoornana in Kachchu Acknolwedgement I would like thank Dr. Y.N. Shetty, and Dr. Deepak for giving me the opportunity to

do my clinical trials in the hospital.

I would like to thank my better half, who shouldered me in my all tasks and problems.

I would like to thank my daughter and my in laws, my brothers for their love, care and

support.

I would like to thank my batch mates Dr. Sujatha, Dr. Shilpa, Dr. Sukanya, Dr. Kavya

and Dr. Vijayalakshmi for their timely help. I would like to thank my friends of other

departments for their timely support and help.

I would like to thank hospital and pharmacy staff for their cooperation.

Last but not the least my heartfelt thanks to all those people and friends who helped

me and encouraged me on the stage and off the stage.

Department of Prasooti Tantra and Stree Roga 3

Abstract

Clinical Efficacy of Kadiradiyogavachoornana in Kachchu Abstract

ABSTRACT

Kachchu is a simple localised dermatological infection of the genito-inguinal

region, occurs because of unhygienic observance, manifests in the form of

inflammation followed by secondary bacterial or fungal infections and can be best

correlated to genito inguinal intertrigo.

It is most prevalent in this costal region, obese females, pregnancy, and

puerperium and in perimenopausal women presenting with menorrhagia. In all these

conditions, improper disposal of sweat because of occlusion is the main aetiology.

Even though it rarely causes systemic manifestations, its mere presence itself

is disturbing because of intractable itching and pain. It may delay the proper healing

of episiotomy wound and may cause difficulty in walking because of severe pain.

Candida powder is the highest selling medicine for the intertrigo as the

incidence of intertrigo is as high as 40% in some particular seasons. In the Ayurveda

fraternity, there is no established preparation which can be preserved, safe in all the

epochs of life in females and easy to apply. After understanding the disease in

ayurvedic and modern medicinal system perspective Khadiradi yoga choorna-a new

ayurvedic formulation is prepared on the basis of stringent ayurvedic principles.

Hence an attempt is made to work out the efficacy of the khadiradi yoga

avachurnana in kachchu with special reference to genito inguinal intertrigo in females.

Key words - Kachchu, itching. intertrigo

Department of Prasooti Tantra and Stree Roga 5

Abbreviations

Clinical Efficacy of Kadiradiyogavachoornana in Kachchu Abbreviations

ABBREVIATIONS

i.e., that is

Sha ka. Dru Shabda kalpa druma

NaCl Sodium chloride

Etc. Etcetra

Eg Example

ATP Adinosine Tri Phospate

Gm Grams

Da Daltons

OPD Out patient department

IPD In patient department

HIV Human immunodeficiency virus

Vg Vaginal

C.S. Charaka Samhita

S.S. Sushruta Samhita

A.S. Astanga Sangraha

A.H. Astanga hridaya

R.N Raja Nighantau

D.N Dhanwantara Nighantu

K.N Kaiyadeva Nighantu

G.N Gada Nigraha

B.P Bhava Prakasha

CH.D Chakra Datta

% Percentage

Department of Prasooti Tantra and Stree Roga 7

List of Contents

Clinical Efficacy of Kadiradiyogavachoornana in Kachchu List of Contents

LIST OF CONTENTS

Sl. No Contents Page No

1 Introduction 16 2 Objectives of the study 20 3 Review of ancient literature 22 4 Review of research literature 25 5 Skin morphology 27 6 Disease review 36 7 Drug review 54 8 Concept of avachurnana 74 9 Concept of absorption 76 10 Methodology 83 11 Observations 86 12 Survey 109 13 Result of clinical study 112 14 Results of phyto chemical analysis 127 15 Results of microbiological study 133 16 Discussion 141 17 Conclusion 163 18 Summary 167 19 Bibliogr