A COMPARATIVE PHARMACOLOGICAL AND CLINICAL STUDY TO EVALUATE THE EFFICACY OF TEJAS YOGA AND MEDOHAR GUGGULU IN THE MANAGEMENT OF MEDODUSHTI W.S.R. TO DYSLIPIDEMIA
Overview
- Phase
- Phase 3
- Status
- Recruiting
- Sponsor
- Department of Kayachikitsa
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Tejas yoga will be efficacious in the management of dyslipidemia
Overview
Brief Summary
The growing challenges of modernization have resulted in human beings readjusting their
customary behaviour by modifying their dietary and lifestyle preferences. Fast foods, lack of
exercise, stress, and various addictions are some of the factors that are adversely impacting the
lifestyle of man in the 21st century.
In ayurveda Medodushti can be corelated with Dyslipidemia. A person having Avyayama,
Achinta, Diwaswapna, Atisnigdha, Madhura, Adhyashan, Atimatra Ahara and Beejaswabhava
leads to medovaha srotodushti.
In due course of time Srotorodha (Blockage) of medovaha srotas effect tissue metabolism
which leads to Medoroga and its associated disorders like Sthaulya, Prameha, Kushtha,
disorders of Ama, Napunsakata, Dysuria.
Aetiological factor like: high fatty diet (Snighdha, Guru, Pichhila) and Sedentary Lifestyles
(Cheshtadvesha, Asana sukha) may contribute to Medovruddhi, a Santarpanjanya vyadhi in
Ayurveda which finally leads to morbidity of Kapha Dosha and Medo Dhatu. Due to
Medodhatvagni Dushti excessive accumulation of abnormal Kapha and Meda occurs in various
Srotas in body.
Sama Kapha - Sama Meda present in Rasa-Raktavaha Srotasa results in obstruction to the
movement of Vata & Rakta through affected srotas, which finally ends up in disease
manifestation according to the site of affliction. The state of Sama Kapha and Sama Medodhatu
and its excessive presence, margavarana in Rasa-Raktavaha Srotasa is often compared with the
state of dyslipidemia.
The term ‘Dyslipidemia’ denotes disordered lipid metabolism. It is defined as the presence of
raised or abnormal levels of lipids and/or lipoproteins in the blood. Dyslipidemia may result
from inborn defects of lipoprotein production or metabolism; but in most cases, it is secondary
to an unhealthy lifestyle (e.g. excessive cigarette smoking or alcohol consumption), other
health disorders (e.g. obesity, diabetes, infection, and obstructive liver disease), or medication
(e.g. β blockers, steroids).
Dyslipidemia is the disorder which has been identified as a potential risk factor for many
diseases, including cardiovascular diseases, metabolic syndrome, and hypertension.
Dyslipidemia has drawn worldwide interest for its ability to participate in the pathology of
atherosclerotic diseases by its deposition in the walls of arteries. It is responsible for many
life threatening condition like coronary artery disease (CAD), Ischemic heart disease,
hypertension and stroke, which is an important cause of morbidity and mortality the world
over.
Worldwide, cardiovascular disease is now one of the most common cause of death. The large
number of cases get diagnosed of Dyslipidemia while evaluating the Lipid profile of the patient.
Epidemiological study predict that for each 1% reduction in lipid level, the risk of heart diseases
reduces by 2.5%.
In modern system of medicine, we have wide range of drugs like statins, resins, fibric acid
derivatives, nicotinic acid, etc. which are quite effective in normalising the lipid levels. But
they may cause some side effects like headache, nausea, bowel upset, rashes, sleep
disturbances, myalgia, liver damage etc.
Keeping in mind above facts, it can be said that the final purpose of management of
dyslipidemia is to stop the formation of Sama Kapha and Sama Meda and to clear the
Srotorodha and then re-establishing the normal movement of Vata. Hence, Tejas yoga having
Ushna, Tikshna, Katu, Kaphavata shamak and Srotoshodhaka properties was selected for
management of Medodushti (dyslipidemia), which can help to break the Samprapti or clear the
Ama, Kapha, and Meda and to clear the Avarana and then re-establishing the normal movement
of Vata can help to manage the symptoms of dyslipidemia.
In the present study two drugs were selected for comparison ,first one is Medohar guggulu the
standard drug which is already given on our text and 2nd formulation is Tejas yoga whose drugs
are selected on the basis of their effect on medodhatu and having hypolipidemic activity.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Masking
- None
Eligibility Criteria
- Ages
- 20.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Age above 20 years and below 60 years.
- •Patient with abnormal value of Total cholesterol, Serum triglyceride, LDL, VLDL, HDL A following range value was taken for diagnosis of Dyslipidemia.
- •Cholesterol 200-239 mg/dl or/and S.
- •Triglyceride 200-399 mg/dl or/and S.L.D.L 130-159 mg/dl or/and S.H.D.L more than 40 mg/dl.
Exclusion Criteria
- •Age below 20 year and above 60 years.
- •Liver cirrhosis
- •Liver failure
- •Nephrotic syndrome
- •Chronic renal failure
- •Tuberculosis
- •Patients having H/o – Serious cardiac disorder like MI or cardiac failure.
- •Pregnant female and lactating mothers.
- •Patients suffering from D.M. that were poorly controlled and uncontrolled hypertension.
- •Patients taking allopathic medication for dyslipidemia like statins, fibrates derivatives along with ayurvedic medication or does not agree for only ayurvedic medication.
Outcomes
Primary Outcomes
Tejas yoga will be efficacious in the management of dyslipidemia
Time Frame: 12 weeks
Secondary Outcomes
- Tejas yoga will be more efficacious than medohara guggulu in the management of dyslipidemia(1 year)
Investigators
Masum Sharma
Shri NPA Government Ayurveda College Raipur Chhattisgarh