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Efficacy of Ushnodaka pana on Aama over Japanese people
Ref. Bhava prakasha Jwara chikitsa/86
Dr. Shiho Oikawa IPGT & RA, Jamnagar Dept. of Panchakarma
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Aim and Objectives
2
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Status of Ushnodaka pana as trend of urban lifestyle
3
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Aim and objectives
4
Evaluate the effect of Ushnodaka pana on Aama
To propagate effective way of ushnodaka pana practice and correct information to the society
To find out efficacy of ushnodaka pana according to Bhava Prakash.
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Method
5
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Quest. 1: Why Ushonodaka is good?
6
Ans.: Most easiest and fastest to assimilate into body
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Qust.2: When to take ?
7
The effect of Ushnodaka pana at Night:
श्ऱेष्माननऱाममेदोघ्नं दीऩनं बस्तिशोधनम ्। श्वासकासज्वरहरं ऩीिमषु्णोदकं ननशश ।।
Bhava prakasa jwara chikitsa/86
ushonodaka if it taken in night, it will help to subside excess Kapha and Vata, dissimilate Ama and meda dhatu, ignite Agni, clear the urinary system, cure the cough and asthma, and jvara
Among several timings, in this context, recommend
At Night
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Observation from Pilot study n=15
Positive result Negative result
Taking just before sleep
Keep High temperature
Taking much before sleep
Luke warm water has been taken
Timing :Just before sleep
Temperature :65~80℃
Quantity :200cc
Duration :7days
8
fixed
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Selection of participant
9
Criteria for selection
・people who are not suffering any serious illness.
・people who has Aama symptoms
Criteria for exclusion
・people who are not willing to participate this study
・people who are having serious illness.
Criterial for the assessment
The questionnaire is made based on the sign and symptoms of self assessment of bowel status an Aama Lakshana. And distributed to the participants. Participants are taken detail explanation regarding how to filling the questionnaire.
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Questionnaire - part 1 Self assessment for bowel status
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• Consistency: Hard/Normal/Soft
• Frequency per Day
• Feeling after evacuation : Incomplete or Satisfactory evacuation
• Observation of stool: float in water or sink in bottom
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Questionnaire Scoring pattern of Ama Lakshana features
Classical description Modified query
11
गुरुगात्रिा Gurugatrata:
उत्त्साह Utsaha:
उऩशऱप्ि Upalipta:
अभ्यवहरण शस्तिAbhyavarana shakti:
िन्द्रा Tandra:
आऱतय Alasya:
Heaviness without any physical work. Luck of freshness in morning.
Passionate and Enthusiasm toward daily task
Thickness of tongue coating
Feeling of Hunger on time
Sleepiness during day time
Feeling of Malaise and fatigue
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Resultsn=120
12
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Male[
パーセ
ンテー
ジ]
Femal
e 83%Gender
Participants distribution ~Gender and Age~
13
20’s5%
30’s34%
40’s36%
50’s14%
Above 60’S11%
Age group
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Observation on Stool
14
What to observe?
• Feeling after evacuation (Satisfactory or not)
• Frequency
• Consistency (Hard/Normal/Soft)
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66.6%
96.7%
33.3%
3.2%
0.0% 20.0% 40.0% 60.0% 80.0% 100.0% 120.0%
残便感があった人
快便だった人
残便感あり 快便
Incomplete evacuation
(✖⇒)
Incompleteevacuation
~Change in feeling after evacuation~unsatisfactory(✖) to satisfactory(〇) evacuation
15
Unsatisfactory evacuation is one of Aama symptom
Satisfactory Evacuation
(〇⇒)
Satisfactoryevacuation
B.T. A.T.
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0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00%
硬いまま
柔らかくなった
普通便になった
26.0%
[値]
[値]
~Change in the stool consistency ~Hard consistency to・・・・
16
Become Normalconsistency
Become softconsistency
No change
74%
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17
76.9%
29.6%
29.6%
23%
70.3%
51.8%
0
0
18.5%
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0%
0回13人
1回64人
2回以上27人
減少 同じ 増加
~ Change in the frequency of evacuation ~
数回/週
↓ed ↑edNo change
B.T.
>2times/day
1time/day
1time/2~3days
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Observation of Aama Lakshana
18
गरुुगात्रिा GURUGATRATA: Heaviness without any physical work.
Feeling of freshness in morning.
उत्त्साह UTSAHA: Passionate and Enthusiasm toward daily task
उऩशऱप्ि UPALIPTA: Thickness of tongue coating
अव्यवरन शतिी ABHYAVARANA SHAKTI: Feeling of Hunger on time
िान्द्र TANDRA: Sleepiness during day time
आऱतय ALASYA: Feeling of Malaise and fatigue
1 2 3 4 5 6 7 8 9 10Absence Presence
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83.3% 72.7%60.0%
92.3%
62.5%73.5%
寝起き やる気・情熱 舌苔 空腹感 日中眠気 倦怠・疲労感
改善あり 変化なし マイナス
Change in “Bahu Aamaja group”
19
Improved No-change Decrease
गरुुगात्रिा उत्त्साह उऩशऱप्ि Hunger िन्द्रा आऱतय
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Change in “Alpa Aamaja group”
20
26.7% 22.7% 29.4%14.3% 14.3% 19.0%
66.7% 77.3% 70.6%
73.5%60.7%
76.2%
6.7% 12.2% 25.0% 4.8%
寝起き やる気・情熱 舌苔 空腹感 日中眠気 倦怠・疲労感
改善あり 変化なし マイナスImproved DecreaseNo-change
20
गरुुगात्रिा उत्त्साह उऩशऱप्ि Hunger िन्द्रा आऱतय
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Age group wise efficacy
21
0.00
0.50
1.00
1.50
2.00
2.50
20代 30代 40代 50代 60代以上
寝起き やる気 舌苔 食欲 眠気 倦怠感गरुुगात्रिा उत्त्साह उऩशऱप्ि Hunger िन्द्रा आऱतय
20’s 60’s50’s40’s30’s
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2.93
0.40
2.27
0.25
2.70
0.32
3.69
-0.20 1.54
-0.14
2.38
0.17
-0.50
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
重度アーマの人 軽度アーマの人
寝起き やる気 舌苔差 食欲差 昼間の眠気 倦怠感
Bahu Aamajya group Alpa Aamajya group
िन्द्रा
Effect of Agni Deepaka
22
गुरुगात्रिा उत्त्साह उऩशऱप्ि Hunger आऱतय
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Discussion
23
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To whom Ushnodaka pana is beneficial?
Beneficial To Those suffer from
24
Incomplete evacuation
Hard stool
Constipation
Bahu Aama accumulation
Heaviness in morning
Malaise and fatigue esp. 20~40’s
Above 60 years old
not having good appetite on time
Less beneficialTo those
Not having Aama Lakshana
Evacuation >2times/Day
Having good appetite on time
50’s specially female
More pitta Lakshana people
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Some opinion from participants.
Positive comments Negative comments
25
Falling asleep becomes better and quality of sleep improved
There was no hunger before, but began to belly make hunger sounds before noon
It became to make action as soon as wake up in morning
It makes me to wake up in night for urination, disturb the sound sleep
Became bloated face in morning.
Originally I used to have headache, pain worsen after started drinking hot water.
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Why some people are not getting benefit?
26
श्ऱेष्माननऱाममेदोघ्नं दीऩनं बस्तिशोधनम ्। श्वासकासज्वरहरं ऩीिमुष्णोदकं ननशश ।।
Bhava Prakash have not mention any benefit to
Pitta,
Less benefited group of people are
Less ama Lakshana → may have Teekshna Angi → Pitta
Further study is needed for prakrity evaluation before the trial.
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Conclusion
27
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Ushnodaka pana in the night has efficacy in to
28
• Ease the constipation →Vata anulomana
• More improvement are seen in Bahu Ama Lakshana group
• →Aama Pachana
• Improvement in feeling of Hunger on time→Agni Deepana
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Ushnodaka pana in the night has effective
29
☆Its just water, but still it is Dravya.
if we follow indication and usage, it will act as Medicine.
☆Ushnodaka is very useful remedy for ama
☆efficacy of ushnodaka pana at night
has been demonstrated.
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Reference
30
BHAVAPRAKASA of BHAVAMISRA Vol.2chowkhamba krishnadas academy varanasi
by Prof. K.R.Srikantha murthy
Baghel MS, Rajgopala S. Guidelines for Clinical Research Methodology in Ayurveda: A report submitted to WHO. Jamnagar: IPGT and RA, Gujarat Ayurved University, 2011.
Anil D. avhad, Rambabu Divedi Effect of Pippalimula on Ama w.s.r. to Samavaya. Dep. Of Basic principle, IPGT&RA Gujarat Ayurved University,
Concept of ama in Ayurveda chowkhamba Sanskrit series office Varanasi.
by Dr.M.Srinivasulu
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Acknowledgement
• Shima Miyamoto
• Natuko Ogura
• Maki Miura
• Asami Hatakeyama
• Mayumi Kondou
• Tamae Nakao
• Miyuki Matsuura
• Naoko Sawada
• Machiko Konno
• Mitsuru Ichihara
• Natsu Ozaki
31
Nippon Ayurveda Research Centre:Member of Ushnodaka Study group
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32
Thank you for listening with interest.