Role of Shankha Bhasma in the management of Amlapitta

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As mentioned in CHARAKA SAMTHITA the life span of human being is decreasing by ¼ with each yuga various diseases evolving due to changes in

human life style is responsible in reducing life span.


Hurry, Worry and Curry.


These three words which reflects the life style of a man of this century they also reflect the three major causes of various physical mental and pyschomatic

disorders which have cropped up since last few years AMLAPITTA is a common disease which has its root cause in hurry, worry and curry being a common

disease it often over looked by men and by the time medical intervention is sort the disease gets associated with several complications.

BHASMA included in Ayurveda are powder preparations obtained by calcinations of metals or other minerals. SHANKA BHASMA is one among them which widely used in ayurvedic formulation indicated for various conditions such as indigestion, amlapitta,loss of appetite etc.

On the basis of the reference found in RASATARANGINI

“ SHANKHA SUSHEETALA KSHARASTWAMLAPITTA VINASHANA ! [ RT 12 / 20]

an attempt has been done to counter act Amlapitta by using SHANKA BHASMA on patients.



MATERIALS AND METHODS

All the patients with complaints of Amlipitta were included in this study. Initially routine Haematological and biochemical investigations such as Hb%

T.C. D.C. ESR, Blood sugar, Serum cholesterol, Serum calcium, Blood urea and routine urine and stool examinations were carried out to rule out other associated

pathological conditions and diseases.

Total 15 cases were treated with SHANKA BHASMA tablet 250 mg with water twice a day orally the patients were advised to avoid spicy fermented and

sour food.

The duration of treatment was fixed for 21 days with one month follow up.

The criteria for the assessment of response of therapy were fixed as follows.

1) Complete Remission: -

76% to 100% relief in the signs and symptoms

2) Markedly improved: -

51% to 75% relief in the signs and symptoms

3) Improved

26% To 50% relief in the signs and symptoms

4) Unchanged

Below 25% relief in the signs and symptoms

Inclusion Criteria

• The age group of 20 to 60 years patients were selected

• Those patients who are having the clinical features according to Ayurvedic

and modern classics.

• Patients were of both sex.

Exclusion Criteria

• Above 60 years and below 20 years aged group patients of both sexes were excluded.

Preparation of the Drug

The preparation of the SHANKHA BHASMA was carried out in three phases.

1. SHANKHA SHODHANA : SHANKHA obtained form the local market was

subjected to shodhana in kanji using Dolayantra for three hours.

2. SHANKHA BHASMA : Suddha Shankha thus obtained was incinerated

by giving three Gajaputas has per reference of

Kumariswarasa was used as bhavana draya prior to 2nd and 3rd putas.

BHAVINA DRAYA : kumari swarasa.

3. TABLET PREPARATION: Tablets weighing 250 mg were prepared using

gum acacia as binding agent in ratio 1:3.

(Rasatarangini 12 / 13.)


OBSERVATIONS

The age sex occupation chronicity effect of therapies on signs and


symptoms and total effect of therapies have been tabulated.

Table 1.

Age wise distribution of 15 patients of Amlapitta

Age No of patients Percentage
22 to 30 5 33.3
31 to 40 4 26.6
41 t0 50 3 20.0
51 to 60 3

20.0

Table 2.

Sex wise distribution of 15 patients of Amlapitta

Sex No of patients Percentage
Male 10 75
Female 5

25

Table 3.

Occupation wise distribution of 15 patients of Amlapitta

Occupation No of patients Percentage
Housework 1 6.6
Service 2 13.3
labourer 7 46.6
Business 5 33.3

Table 4.

Chronicity wise distribution of 15 patients of Amlapitta

Chronicity No. of patients percentage
Less than 6 months 4 26.6
6 months to 1 year 6 40.0
1 year to 5 years 5 33.3

DISCUSSION

Maximum number of patients ( 33.3%) was from the age group of 20 to 30 years people of this age group are having pitta dosha dominancy by nature. 75%

of patients were male this may be due to faulty dietary habits, increased stress and strains among the males and also due to the habits like Smoking, Pan

chewing, Alcohol. Etc and majority of patients were (46.6%) labourer and 40% were having disease since 6 months to 1 year.

SHANKHA BHASMA therapy provided statistically highly significant relief in all cardinal symptoms of Amlapitta as shown in the tables.

CONCLUSION

It can be concluded for the above study that.

1. SHANKHA BHASMA is found to have better clinical response.

2. SHANKHA BHASMA is cheaper easily available and can be prepared easily is a dependable drug for the treatment of Amlapitta.

3. SHANKHA BHASMA can be prepared in tablet form, while maintaining its therapeutic efficacy for easy Palatability and maintenance of the dosage.

Table 5.

Effect of signs and symptoms of SHANKHA BHASMA treatment.

Signs and

symptoms
B.T A.T % of relief
Amlodgara 2.17 0.74 65.9
Kanthadaha 1.9 0.67 6.4
Shiruruk 1.88 0.35 81.4
Vanti 2.13 0.46 78.4
Avipaka 2.62 1.46 44.3
Vibheda 2.4 1.00 58.3

 

Table 6.

Total effect of the drug.

Result No of patients Percentage
Complete remission 8 53.3
Improvement 4 26.6
Partial Improvement 1 6.6
Unchanged 2 13.3

REFERENCES

1. Madhavakara Madhavanidana – Part II Madhukosha Sanskrit comm. By

Shri Vijay Rakashit and Shri Kantha Dutta - Vidhyotini hindi Comm.

By Shri Sudarshan Shastri, Amlapitta Adhayaya 21st edi. Published by

Chaukamba Sanskrit sansthana, Varanasi 1993, Pg No. 170, 171 and 172.

2. Sadananda Sharma – Rasatarangini 12th Taranga, 11th edi Published by

Shri Jainendra press, New Delhi, 1994 Pg.No. – 285, 286, 287and 288.

3.R.S. Satoskar – Pharmocology and Pharmacotherapeutics, 14th edi.

Published by Bombay popular prakashana 1995.

 

Dr.Vikram S

 

 

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