Due to transition in the journal platform, the previously submitted articles, which are under process can be re-submitted here for quick process, kindly co-operate

Biomedicine

Volume: 43 Issue: Supplementary 1

  • Open Access
  • Original Article

A clinical study of sickle cell anemia and its management through Kiratatikta (Swertia chirayata) Ghanvati and Guduchi (Tinospora Cordifolia) Ghanvati

 

 Chandreshwar Prasad Sinha1, P.K. Panda2, Sushmirekha Panda3, Apratim Sai Rajesh

 

1Department of Kaya Chikitsa, Govt. Ayurvedic College and Hospital Bilaspur, Chhattisgarh, India 

2,4 Sri Sri College of Ayurvedic Science and Research Hospital Sri Sri University, Cuttack, Odisha, India 

3Dept. of Biochemistry, AIIMS, Bibinagar, Hyderabad, Telangana 

 

 Corresponding author: Chandreshwar Prasad Sinha. Email: [email protected] 

Year: 2023, Page: 15-20, Doi: https://doi.org/10.51248/.v43i1.2564

Abstract

 

Introduction and Aim: Sickle cell anemia (SCA) is a genetic condition of mutation of beta globin chain and has been acknowledged to have a global public health impact. This disease is very common among many tribal and backward populations in India. In the central part of India its prevalence varies from 10-40% and in western area of Odisha varying from 10-17%. It can be classified as two types of homozygous sickle cell disease and heterozygous sickle cell trait. In Classical Ayurveda texts word to word correlation with SCA is not found. Clinical features of SCA correspond and are in line with Sannipataja Pandu Roga as described in classical texts. In the present work, a scientific effort was made for management of sickle cell disease through Ayurvedic interventions. 

Materials and Methods: A prospective clinical study was carried out in a total of thirty (30) patients of both sexes and randomly registered according to the clinical features of SCA from OPD and IPD of Government Ayurvedic College hospital, Bilaspur, Chhattisgarh. After assessment of subjective and objective criteria Kiratatikta Ghanvati and Guduchi Ghanvati were given 500 mg. each drug after meal with suitable fluid twice a day for a period of two months. Efficacy of therapy was inferred in 15 days interval and evaluated statistically by student’s paired ‘t’ test. 

Results: The overall improvement was assessed after study. The mean score before treatment was 3.53 while the mean score after treatment was 1.52. The statistical evaluation revealed that the mean difference was ± 2.01, SD±0.85, SE± 0.22 and t value 8.803. Trial medications were statistically highly significant with p<0.001. 

Conclusion: From the present study, it can be concluded that the trial drugs are very effective in the management of SCA; they reduce the subjective and objective parameters and its complications. 

Keywords: Sickle cell anemia; Kiratatikta Ghanvati; Guduchi Ghanvati; Sannipataja Pandu roga

References

 

1. Panigrahi, H.K. Treatment of sickle cell disorders by Ayurvedic medicine. Ancient science of life. 1997; 17(1):15-22. 

2. Stuart, M.J., Nagel, R.L. Sickle cell disease. Lancet. 2004; 364: 1343-1360. 

3. Rees, D.C., Williams, T.M., Gladwin, M.T. Sickle cell disease. Lancet. 2010; 376: 2018-2031. 

4. Serjeant, G. R. Sickle-cell disease. Lancet. 1997; 350(9079):725-730. 

5. Anie, K.A., Treadwell, M.J., Grant, A.M., Dennis-Antwi, J.A., Asafo, M.K., Lamptey, M.E., et al., Community engagement to inform the development of a sickle cell counsellor training and certification program in Ghana. J Community Genet. 2016;7(3):195-202. 

6. Census of India 2011. Office of the Registrar General and Census Commissioner. Ministry of Home Affairs, Govt of India. Available from: http://www.censusindia.gov.in, accessed on March 27,2015. 

7. Singh, K.S. People of India: An introduction. Calcutta, India: Anthropological Survey of India; 1992. 

8. Reich, D., Thangaraj, K., Patterson, N., Prince, A.L., Singh, L. Restructuring Indian population history. Nature. 2009; 461 :489-494. 

9. Lehman, H., Cutbush, M. Sickle cell trait in southern India. Brit Med J 1952; 1: 404-405. 

10. Dunlop, K.J., Mazumber, U.K. The occurrence of sickle cell anemia among a group of tea garden labourers in Upper Assam. Indian Med Gaz. 1952; 87: 387-391. 

11. Colah, R., B., Mukharjee, M.B., Martin, S., Ghosh, K. Sickle cell disease in tribal populations in India. Indian J Med Res. May 2015; 141: 509-515. 

12. Sinha, C.P., Baghel, P.K., Patra, P.K. A clinical study of sickle cell disease and its management with S-Compound, Int J Ayu Pharm Chem. 2018; 9(2): 321-333. 

13. Agnivesha Charakasamhita with Ayur-veda Deepika commentary of Chakrapani-datta revised by Charaka And Dridhabala, Ayushi Hindi comentry by Vaidya H.C. Kushvaha, Chaukamba publishers, reprint 2016 Sutra sthana,Chapter 18, sloka 44,45.46 p.287. 

14. Agnivesa: Caraka Samhita: Rev. by Caraka and Dradhabala with Charaka chandrika Hindi commentary by Brahmanand Tripathi: reprint (2004) Chaukhamba Surbharti Prakashan: Varanasi, Vimana sthana chapter 4, sloka 6, pg.692. 

15. Agnivesha Charaka samhita with hindi Gujrati English comentry by Shri Gulab Kunverba Ayurvedic Society Jamnagar India. 1949; First edition, Vol. 2 Sutrasthan chapter 18, Sloka No. 44-46: 313-314. 

16. Agnivesha Charaka samhita with hindi Gujrati English comentry by Shri Gulab Kunverba Ayurvedic Society Jamnagar India. 1949; First edition, Vol. 2, Vimana sthan chapter 4, Sloka No. 6: 301. 

17. Ruchi Singh IPGT & RA Jamnagar. A study of disease thalassemia and its management with Dhatri Avaleha.2007. 

18. Bhav Prakash Nighantu by shri Bhav Mishra.Vidyutini Hindi Commentry by Bramhashankar Mishra and Sri Rupalaji Vaisya,Choukhambha Sanskrit Sansthana,Varanasi, 8th edition 1997. Haritakyadi varga Sloka No: 153-155: 72 and Guduchyadi varga, Sloka No.1-10: 269. 

19. Database of Indian medicinal plants used in Ayurveda Vol.1-7 By central council for research in Ayurveda and Siddha Dept. of ISM & H Ministry of health and family Welfare, Govt. of India 2005: 225 and 256. 

20. Spies-Dorgelo, M.N., Terwee, C.B., Stalman, W.A.B., van der Windt, D. A.W.M. Reproducibility and responsiveness of the symptoms severity scale and the hand and finger function subscale of the Dutch arthritis impact measurement scale (Dutch-AIMS2-HFF) in primary care patients with wrist or hand problems, Health and quality of life Outcomes. 2006; 4:87. 

21. Sharma, P.V. Dravyaguna Vijnana Vol. II, Chaukhambha Bharati Academy Varanasi, Reprint 2003. Pg nos. 761-763. 

22. Sharma, P.V. Dravyaguna Vijnana Vol. II, Chaukhambha Bharti Academy Varanasi,Reprint 2003. Pg no.791-793. 

23. Khare, C.P. Indian medicinal plants. ISBN-978-0-387-70637-5 springer-Verlag/Berlin/Delberg, Edition 2007; pp 632-633 and 662. 

Cite this article

 

Chandreshwar Prasad Sinha, P.K. Panda, Sushmirekha Panda, Apratim Sai Rajesh. A clinical study of sickle cell anemia and its management through Kiratatikta (Swertia chirayata) Ghanvati and Guduchi (Tinospora Cordifolia) Ghanvati . Biomedicine: 2023; 43(1) Supplementary issue: 15-20 

Views
466
Downloads
158
Citations