ppt manageable on Bmi ayurveda detailed desciption

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1. P. G. DEPARTMENT OF ROG NIDAN & VIKRITI VIGYAN RISHIKUL CAMPUS, U. A. U., HARIDWAR SUPERVISOR: PROF.(DR) RUBY RANI AGARWAL H.O.D. P. G. Deptt . of Rog Nidan & Vikriti Vigyan Rishikul Campus, UAU, Haridwar PRESENTED BY: SURUCHI BALUNI P. G. Scholar Batch 2021 ANALYTICAL STUDY OF AMA IN RHEUMATOID ARTHRITIS IN CORRESPONDANCE TO RA FACTOR AND CRP CO-SUPERVISOR: DR. SHOBHIT KUMAR (ASSOCIATE PROF. & H.O.D.) Deptt . of Swasthavritta Rishikul Campus, UAU, Haridwar

2. Word Meda is derived from Sanskrit word meaning oleation or to apply oil. Meda Dhatu is derived from Ahara Rasa after the nourishment of Mamsa Dhatu . According to Acharya Chakarpani , Meda is classified into two forms:- Abaddha Meda Baddha Meda (unbound meda (bound fat i.e. adipose i.e. Lipid form) tissue) As per Ayurveda , vitiation or Vikriti of Meda Dhatu causes Meda Dhatu Kshaya , Vridhi and Medovahasroto Dhusti . “ Vikriti “ means the study of changes taking place at the fundamental level, factors of disease i.e change may be in the form of either Vriddhi (exacerbation) or Kshaya (depletion) or Medovaha Srotodusti .

3. CONTINUE… Body Mass Index (BMI) is a value derived from the Mass (weight) and height of a person. Categorize a person as underweight, normal weight, overweight, or obese based on tissue mass and height. Serum cholesterol level represents the amount of total cholesterol in their blood. Cholesterol is one of the major lipid in the blood as it is insoluble in water, are carried by lipoproteins.

4. NEED OF STUDY This is an era for Ayurveda to go hand with modern science to cope up with various diagnostic difficulties and also to prove diagnostic methods described in Ayurveda , as per modern science with evidence. Hence, the study has been taken to analyse Meda Dhatu with relation to BMI and Serum Cholesterol.

5. RELATED PREVIOUS WORK DONE There are no related research works found about assessment of “ Meda Dhatu ” in Ayurveda but there are some articles on the related topic that are available in various journals .

6. To assess the status of Meda Dhatu on the basis of BMI. To assess the status of Meda Dhatu on the basis of Serum Cholesterol .

7. HYPOTHESIS

8. Null hypothesis (H ) There is no significant relation between Meda Dhatu and BMI. There is no significant relation between Meda Dhatu and Serum Cholesterol Alternative hypothesis (H 1 ) There is a significant relation between Meda Dhatu and BMI. There is a significant relation between Meda Dhatu and Serum Cholesterol.

9. PLAN OF STUDY

10. REVIEW OF LITERATURE

11. AYURVEDIC REVIEW : Meda Dhatu Vishamta ( i.e Medadhatu Vridhi and Kshaya ) is mentioned in Charak Samhita , Susruta Samhita , Astanghridaya . Vitiation in Meda Dhatu in other Ayurvedic classics like Yogaratanakar , Sharanghdhar Samhita etc mentioned as Medodosha . Meda dhatu is considered as Sneha dominant Drava Dhatu which is having Guru (heavy), Snigdha (oiliness) properties and dominance of Prithvi , Apa and Teja Mahabhoota . The total quantity of Meda i s 2 Anjali .

12. CONTINUE….. Karma of Meda Dhatu : मेदः स्नेहस्वेदौ दृढत्वं पुष्टिमस्थ्नां च ॥ (Su.Su.15/7) Snehana (oiliness) Production of Sweda (sweat) Dridhatva (strength) Asthipusti (strengthening of bones) Netra Gatra Snigdhata (oiliness of eyes and body) (A.S.Su. 19 / 2 )

13. FORMATION OF MEDA DHATU : वाय्वम्बुतेजसा रक्तमूष्मणा चाभिसंयुतम् । स्थिरतां प्राप्य मांसं स्यात् स्वोष्मणा पक्वमेव तत् ॥ स्वतेजोऽम्बुगुण स्निग्धोद्रिक्तं मेदोऽभिजायते पृथिव्यग्न्यनिलादीनां संघातः स्वोष्मणां कृतः ॥ (CH.CHI. 15/29-30)

14. MODERN LITERATURE Body Mass Index ( BMI) BMI is a quotient that has been in use since the mid-19 th century. It is to identify adults and adolescents that have an abnormal weight in proportion to their height.  

15. Major lipids. Structural component of membranes and precursor to a wide variety of steroids determining the fluidity and biophysical properties of membrane. It forms a vital part of the membranes of the spinal cord, nervous system, peripheral nerves and the brain. Forerunner of important hormones such as testosterone, estradiol . Homeostasis is matter of vital importance in human physiology, and perturbations in its normal levels have been associated with diseases such as atherosclerosis, diabetes, stroke, and peripheral artery disease .

16. CLINICAL STUDY

17. Selection of patients 100 individuals will be selected randomly from OPD, IPD, Rishikul Ayurvedic Hospital/Campus, for this study irrespective of their sex, religion, occupation etc. A detail performa will be prepared according to the Ayurvedic classics and allied science. Individual fulfilling the inclusion and exclusion criteria will be registered.  

18. INCLUSION CRITERIA Individuals between the age group 16-60 years will be included.   EXCLUSION CRITERIA Individuals less than 16 years and more than 60 years of age. Pregnant women. Individual having cardiovascular disease, abnormal thyroid hormone, renal disease, HIV, hepatitis B, carcinoma etc.

19. CRITERIA FOR ASSESSMENT The assessment for study will be done on following parameters : Subjective : MEDADHATU VRIDHI अल्पऽपिचेष्टाश्वासनम् ( dysponea on mild exertion) स्फिक्उदरलम्बनम् (increase circumference of buttock & abdomen by waist- hip ratio) स्निग्धअङ्ग्ता (unctuousness of body ) कास (cough ) श्वास (breathlessness) दौर्गन्ध्य (Foul smell)

20. MEDADHATU KSHAYA संधीनांस्फुटनं ( Crepitation of joints ) ग्लानिक्ष्णो (lassitude in eyes ) आयास (exhaustion ) तनुत्वंउदरस्य (thin abdomen) प्लीहाभिवृद्धि (spleen enlargement ) सन्धिशून्यता ( decrease strength of joints) रौक्ष्यं ( dryness / rough body) मेदुरमांसप्रार्थना ( desire of fatty food ) कटिसंज्ञाशुन्यता ( numbness in pelvic region) कृशङ्गता (muscle wasting)

21. MEDOVAHASHROTO DHUSTI जवोपरोध (lack of enthusiasm) कृच्छ्रव्यवाय ( lack of sexual activity) दौर्बल्य (weakness) स्वेदाबाध (uncomfortable due to sweating ) क्षुदअतिमात्रा ( polyphagia ) पिपासातिमात्रा ( Polydipsia ) जटिलीभावकेशे (complex hair) माधुर्यआस्य (sweet taste of mouth) करपादसुप्तदाह (numbness and burning sensation in hand and feet) मुखतालुकण्ठशोष (dryness of mouth ) आलस्य (feeling laziness)

22. MEDOVAHASHROTO DHUSTI मलिनकायछिद्रउपदेह (ugly appearance due to excess secretions of mucous from orifices of body) अङ्गपरिदाह और सूप्तता (feeling of burning sensation and numbness in body parts) षटपदपिपीलिकाभिश्चशरीरआभिसरणम् (roaming or attracting of fly, ant, etc toward the patient body) मूत्रेचमूत्रदोषान (change in normal physical appearance of urine) विस्त्रशरीरगन्ध (foul smell) निद्रा ( excessive sleep) तन्द्रा (drowsiness) दौर्गन्ध्य (foul smell)

23. OBJECTIVE PARAMETER   BODY MASS INDEX

24. According to WHO Classification: BODY MASS INDEX Below 18.5 Underweight 18.5-24.9 Normal 25.0-29.9 Overweight 30.0-39.9 Obese Above 40 Very obese / morbid obesity

25. FOR MEASURING WEIGHT Weighing machine will be used for measuring weight of an individual during the study .

26. For measuring height Measuring scale Will be used to measure height in meter of an individual .

27. SERUM CHOLESTROL Serum cholesterol represents the amount of total cholesterol in the blood. According to National Cholestrol Education Program (NCEP), ATP III GUIDELINES – SERUM CHOLESTEROL VALUE VALUE GRADE DESIRABLE <200 BORDERLINE 200-239 1 HIGH >240 2

28. ASSESSMENT OF DEHA PRAKRITI According to the Ayurvedic concepts of Deha Prakriti of every patient will be assessed on the performa of CCRAS – Ayurveda Prakriti web portal analysis will be made for evaluation and incidence of association of disease with different type of Deha Prakriti .  

29. INVESTIGATION Hb gm% TLC DLC ESR FBS (Fasting Blood Sugar) SERUM CHOLESTROL

30. SAMPLE SIZE - Total 100 individuals will be selected from Rishikul Ayurvedic College campus. TYPE OF STUDY Observational study   LEVEL OF STUDY : OPD

31. PERIOD OF STUDY: 18 months METHOD OF DATA COLLECTION: The data will be collected by two methods : By personal observations. By questionnaires.   OBSERVATION AND RESULT The inference will be made on the basis of statistical analyzed data by applying appropriate statistical test.  

32. ETHICAL CLEARANCE: Study will start after getting clearance from institutional ethical committee . DISSCUSSION: Under this chapter result will be discussed on the basis of Ayurvedic concepts as well as modern scientific parameters.   SUMMARY AND CONCLUSION : All the work will be summarized and conclusion will be made on the basis of results and discussions.

33. REFERENCES Shastri S, Charak Samhita , Vidyotini Hindi Commentary, Volume 1 st Sutra sthana , Chaukhambha Bharti Academy, Varanasi, pp.409-411 Shastri S, Charak Samhita , Vidyotini Hindi Commentary, Volume 1 st Nidan sthan , Chaukhambha Bharti Academy, Varanasi, pp.640 Shastri S, Charak Samhita , Vidyotini Hindi Commentary, Volume 2 nd chikista sthan , Chaukhambha Bharti Academy, Varanasi,chapter 6, pp.234 Shastri A, Sushruta Samhita , Ayurveda tattva sandipika Hindi Commentary, volume 1 st chapter -15 , Chaukhambha Sanskrit Sansthan , Varanasi, pp. Sushruta Samhita , edited with Ayurveda Tatva Sandipika hindi commentary, Shastri AD, Part I, Chaukhambha Sanskrit Sansthan , Varanasi, Re. Ed. 2010; Sutra Sthana 15/3, page no. 73 Tripathi B, Madhava Nidanam , Madhukosh Sanskrit with Hindi Commentary, Vol.2 nd Chaukhambha Prakashan , Varanasi, pp.34-35 Tripati B, Astangahridayam , Vidyotini Hindi Commentary, Sutra sthana , chapter 11, Chaukhambha Prakasan , Varanasi, pp.162. Tripati B, Astangahridayam , Vidyotini Hindi Commentary, Sutra sthana , chapter , Chaukhambha Prakasan , Varanasi, pp.164. Essential Of Medical Physiology, K Sembulingam , Jaypee Brothers Medical Publishers (P) Ltd New Delhi 2013 Page No 3 https://en.wikipedia.org/wiki/Hyperlipid emia Mahabalaraju D, Essential of community medicine practicals 2 nd edition jaypee publishers , pp. 113

34. THANK YOU