Clinical study to evaluate the upashayatmaka effect of Raktamokshana in shonita dushti essential hypertension

BRIEF RESUME OF INTENDED WORK:"CLINICAL STUDY TO EVALUATE THE EFFECT OF RAKTAMOKSHANA IN SHONITADUSHTI( ESSENTIAL HYPERTENSION)"

NEED FOR THE STUDY

Life style disorders are major health issues found Globally. The country has been undergoing a rapid transition in health over the past several decades -a shift from infectious disease to non-communicable diseaseAIM OF STUDY

To evaluate therapeutic effect of raktamokshana in patient suffering from   shonithadushti/Essential Hypertension.

   OBJECTIVES OF THE STUDY:

·       To evaluate the therapeutic effect of siravyadha in patient suffering from Shonithadushti /Essential  Hypertension

HYPOTHESIS

·       H01-there is no statistical significant effect of raktamokshana on systolic hypertension.

·       H1-There is statistical significant effect of raktamokshana on systolic hypertension.

·       H02-There is no statistical significant effect of raktamokshana on diastolic hypertension.

·       H2-There is statistical significant effect of raktamokshana on diastolic hypertension.

·       H03-There is  no statistical  significant effect of Raktamokshana on Shonithadushti/   Hypertension.

·       H3-There is statistical  significant effect of Raktamokshana on Shonithadushti/ Hypertension.

7.METERIALS AND METHODOLOGY:

7.1 SOURCE OF DATA

LITERARY SOURCE:

Literary source of Shonithadushti, Raktamokshana ,Hypertension from all classical ayurvedic texts, modern works, internet sources and concerned articles, previous works done also will be studied and documented for intended study.

SAMPLE SOURCE:

For the present study patients of either sex will be selected  randomly without bias of social, economic, or religious status from the O.P.D and I.P.D. of Alva’s Ayurveda Medical College, and other referrals.

  7.2 METHOD OF COLLECTION OF DATA:

20  patients will be selected suffering from Shonitadushti/Essential Hypertension. A special case Proforma will be prepared with the details of causative factors, history taking, physical signs and symptoms as mentioned in our classics and allied science. Patients will be analysed and selected accordingly who fulfills the diagnostic and inclusion criteria.

 MATERIALS USED FOR SIRAVYADHA

·       Scalp vein set number 18

·       Gauze

·       Torniquet

·       Sterile glove no.6

·       Sterile cotton

·       Cotton pad

·       Surgical spirit

·       Sterile bandage

·       Measuring jar

·       Snehana with Murchitha tila taila

·       pata sweda

 SIRAVYADHA PROCEDURE;

Poorvakarma

o   procedure will be explained to patient in advance, and written consent  will be  taken.

o   Yavagu pana;120 ml

o   Abhyanga and sweda;Abhyanga with   Murchitha oil   to  RT  lower limb (posterior Tibial vein)gently followed by sthanika pata sweda for 3-5 min.

Pradhana karma;

o   Patient is made to sit comfortably over examination table with leg hanging down.

o   Then the part is cleaned with surgical spirit

o   A torniquet is tied above the site to  make sira prominent and if essential mild blow will  given over the sira.

o   The sterile needle of   18 gauze no. will  introduced into the sira.

o   When the needle is in situ a measuring jar kept for collection of blood.

o   Needle is taken out after the collected blood measures 300ml.

pashchathkarma ;

o   After letting out blood needle is taken  out  and sterile cotton pad is kept and bandaged.

o   Patient will be advised to take  rest in supine position

a) STUDY DESIGN:

It will be a Single Arm clinical  study of  20 patients suffering Shonitadushti / Essential hypertension.

b) DIAGNOSTIC CRITERIA9**:**

-The patients suffering from stage 1 Essential hypertension along with minimum  3 of  below symptoms will be selected for the study.

·       Shiroruk/Headache

·       Atidaurbalya/Debility

·       Krodapracurata/Anger

·       Tamodarshana/Flashes before eyes

·       Brama/giddiness

·       Klama/Easy fatigability

·       Akshiraga/redness of eye