Efficacy of Ushnodaka pana on Aama over Japanese people

Ref. Bhava prakasha Jwara chikitsa/86

Dr. Shiho Oikawa IPGT & RA, Jamnagar Dept. of Panchakarma

Aim and Objectives

2

Status of Ushnodaka pana as trend of urban lifestyle

3

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.

Method

5

Quest. 1: Why Ushonodaka is good?

6

Ans.: Most easiest and fastest to assimilate into body

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

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

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.

Questionnaire - part 1 Self assessment for bowel status

10

• Consistency: Hard/Normal/Soft

• Frequency per Day

• Feeling after evacuation : Incomplete or Satisfactory evacuation

• Observation of stool: float in water or sink in bottom

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

Resultsn=120

12

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

Observation on Stool

14

What to observe?

• Feeling after evacuation (Satisfactory or not)

• Frequency

• Consistency (Hard/Normal/Soft)

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.

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%

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

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

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

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

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

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

Discussion

23

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

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.

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.

Conclusion

27

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

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.

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

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

32

Thank you for listening with interest.