View
52
Download
0
Category
Preview:
Citation preview
To Evaluate the Efficacy of sarshap Taila Ear Drops In the Management of Tinnitus (Karnashweda)
forwarded by-
Dr. G.A WAGHMAREMS(SHALAKYA)
Asst. ProfessorMOB +91 9096566633
E MAIL drgw007@gmail.com
SHALAKYA TANTRA DEPARTMENT
Tinnitus-
Tinnitus is the perception of sound in the
ears or head.
In Ayurveda Sushrutacharya refers it as
Karnashweda
AIMS & OBJECTIVE
1) To collect & study the literary data related to Tinnitus
(Karnasweda) from samhita grantha .
2) To study efficacy of sarshap Taila Ear Drops in Tinnitus
(Karnashweda )
sarshap Taila as experimental drug,
Bala taila as standard drug.
objective-
which includes patient’s history, Sign , symptoms
& diagnosis And treatment with sarshap Taila
Ear Drops, both WILCOXON SIGNED RANK TEST & MANN WHITENY TEST are used to find efficacy
of the above drugs in management of Tinnitus
(Karnashweda ) is the objective of my study.
Hetu(causes)AYURVED MODERN
OVER EXERTION
DHATU KSHAYA
FOOD DOMINANT IN
KASHAYA RASA & RUKSHA
GUNA
VAYU PRAKOPA
ABNORMALITY IN EXT,MIDDLE ,INTERNAL EAR.
8TH NERVE ABNORMALITY
ANAEMIA
ARTERIOSCLEROSIS
HYPERTENSION
OTOTOXICITY
Classification-
1)Subjective
&
2)Objective
1)Organic
&
2)functional
According to nature of
disease
1)Short duration
&
2)Long duration
1)Continuous
&
2)Intermittent or
fluctuant
SAMPRAPTI OF KARNASHWEDA
VATA & OTHER DOSHAS EITHER INDIVIDUALLY OR
IN COMBINATION ALONG WITH RAKTA DOSHA
GETS VITIATED BY EXCITING CAUSES &
ACCUMULATED IN SHABDAVAHA STROTAS THERE
BY PRODUCES KARNASHWEDA.
MATERIAL &METHOD
PLACE OF WORK-PATIENT WAS SELECTED FROM OPD & IPD OF SHALAKYA TANTRA DEPARTMENT
NUMBER OF PATIENT -- 60
30 PATIENT IN EACH GROUP.
DURATION OF TREATMENT-
TOTAL RELATIVE DURATION OF TREATMENT IN BOTH GROUPS WERE 21 DAYS,WITH 3 DAYS INTERVAL IN 3 SITTINGS.
GROUP A - sarshap TailaGROUP B - Bala TailaDOSE - 6 drops in each ear canal, in morning & evening.
PATHOLOGICAL INVESTGATION- Hb, TLC, DLC, ESR, BSL
OTHER- Otoscopic examination, Audiogram, X-ray Mastoid etc
METHOD -SIMPLE RANDOM SAMPLING METHOD WAS APPLIED
CRITERIA FOR ASSESMENT-
A)SELECTION
1)DIAGNOSIS FULLY BASED ON AYURVEDIC PRINCIPLE
2)PATIENT WITH AGE GROUP BETWEEN 30 TO 70 Yrs SELECTED
IRRESPECTIVE OF THEIR CASTE, RELIGION & SEX.
B)REJECTION
1)PATIENT SUFFERING FROM MENIERES DISEASE, OTOSCLEROSIS,CSOM.
2)PATIENT WITH OTORRHEA, OTOMYCOSIS & OTHER INFECTIOUS EAR
DISEASE.
Sr. No. Test Result
1. Description
Brown colour oil
-
2. pH(2gm in 100ml water)
Method :by pH Meter
4.86
3. Refractive Index at 400c
Method: as per IS-548
1.465
4. Viscosity at 400c
Method : by Ostwald viscometer
cps 77.44
5. Iodine value
Method : as per IS-548
gl/100gm 116
6. Acid value
Method : as per IS-548
mgkoh/gm 3.53
7. Saponification value
Method : as per IS-548
mgkoh/gm 182
Analysis of sarshap Taila
Sr. No. Test Result
1. Description
Brown colour
-
2. pH(2gm in 100ml water)
Method :by pH Meter
5.45
3. Butyro- Refractometer reading Method of sampling and test for
oils and fats(part1)IS- 548
42.5
4. Viscocity at 400c
Method : by Ostwald viscometer
cps 69.69
5. Iodine value
Method : as per IS-548
gl/100gm 56.19
6. Acid value
Method : as per IS-548
mgkoh/gm 5.59
7. Saponification value
Method : as per IS-548
mgkoh/gm 204
Analysis of BALA Taila
CRITERIA FOR EVALUATION
1.Relief from ringing in ear
2.Relief from deafness
3.Relief from dizziness
4.Relief from earache
5.Relief from blocking of ear
0
0.05
0.1
0.15
0.2
0.25
30-35yr 35-40yr 40-45yr 45-50yr 50-55yr 55-60yr 60-65yr 65-70yr
AGE
OBSERVATION &RESULT
0%
10%
20%
30%
40%
50%
60%
70%
80%
GROUP A B
MALE
FEMALE
Gender
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
Hindu Boudha Muslim
Group A
Group B
RELIGION
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
Lower Middle High
Group A
Group B
ECONOMIC STATUS
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
1 to 2 yrs 2 to 5 yrs. Above 5 yrs.
Group A
Group B
CHRONICITY OF DISEASE
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
VP VK PK
GROUP
A
B
PRAKRITI OF PATIENT
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
Married Unmarried
Group A
Group B
MARRIETAL STATUS
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
40.00%
45.00%
Sama Manda Tikshna Visham
Group A
Group B
AGNI
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
40.00%
Sama Alpa Adhyashan Visham
Group A
Group B
AHAR PRAMAN
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
Ruksha Snigdha Ushna Shit
Group A
Group B
AHAR GUNA
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
40.00%
45.00%
50.00%
Madhur Amla Lavan Katu
Group A
Group B
AHAR RASA
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
Veg Veg+Non Veg
Group A
Group B
TYPE OF AHAR
RESIDENTIAL AREA
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
NOISY CALM
A
B
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
0.45
0.5
LABOUR OFFICIAL HOUSEHOLD
GROUP
A
B
NATURE OF WORK
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
0.45
0.5
RATRIJAGRAN SAMYAK DIVASWAP
GROUP
A
B
NIDRA
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
TOBBACO SMOKING ALCOHOL NO HABBIT
GROUP
A
B
ADDICTION
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Vata Dushti Pitta Dushti Kapha Dushti
Group A
Group B
DOSH DUSHTI
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Rasa Dushti Rakta Dushti Mansa Dushti Asthi Dushti Majja Dushti
Group A
Group B
DUSHYA DUSHTI
50.00%
51.00%
52.00%
53.00%
54.00%
55.00%
56.00%
57.00%
Group A Group B
Dizziness
RELIEF IN SYMPTOMS
RESULT-
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
Grop A Group B
Ringing in Ear
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
Grop A Group B
Deafness
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
Grop A Group B
Ear-ache
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
Grop A Group B
Blocking of ear
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
Grop A Group B
Total relief in symptom
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
Excellent Good Fair Unchanged Bad
Group A
Group B
TOTAL EFFECT OF THERAPY
Ringing in ear Mean Median P value Inference
B.T.2.5 2.000
<0.05 Highly
Significant
A.T.0.6667 1.000
Dizziness Mean Median P value Inference
B.T.2.133 2.000
<0.05 Highly
Significant
A.T.0.9333 1.000
WILCOXON SIGNED RANK TEST(EXPERIMENTAL GROUP)
Deafness Mean Median P value Inference
B.T.2.467 2.500
<0.05 Highly
Significant
A.T.0.7000 1.000
Earache Mean Median P value Inference
B.T.1.333 1.000
<0.05 Highly
SignificantA.T.
0.5667 1.000
Blocking of ear Mean Median P value Inference
B.T.2.133 2.000
<0.05 Highly
Significant
A.T.0.9000 1.000
STANDARD GROUP
Dizziness Mean Median P value Inference
B.T.2.233 2.000
<0.05 Highly Significant
A.T.1.067 1.000
Ringing in ear Mean Median P value Inference
B.T.2.333 2.000
<0.05 Highly Significant
A.T.1.367 1.500
deafness Mean Median P value Inference
B.T.2.300 2.000
<0.05 highly Significant
A.T.1.067 1.000
Earache Mean Median P value Inference
B.T.1.467 1.000
<0.05 Highly Significant
A.T.0.8333 1.000
Blocking of ear Mean Median P value Inference
B.T.2.033 2.000
<0.05 Highly Significant
A.T.1.167 1.000
MANN WHITENY TESTDizziness Mean Difference P value Inference
Group A1.200
0.7944 In Significant
Group B1.167
ringing in ear Mean Difference P value Inference
Group A1.833
<0.05 Extremely Significant
Group B0.9667
Deafness Mean Difference P value Inference
Group A1.767
0.0003 Extremely
Significant
Group B1.233
Earache Mean Difference P value Inference
Group A0.7667
0.4641 In Significant
Group B0.6333
Blocking of ear Mean Difference P value Inference
Group A1.233
0.0396 Significant
Group B0.8667
DISSCUSSION
1)The Percentage relief in Dizziness
is found to be 56.25% in group A & 52.23% in group B
2) The Percentage relief in Ringing in ear
is found to be 71.62% in group A & 41.42% in group B
3) The Percentage relief in Deafness
is Found to be 56.25% in group A& 53.62% in group B
4) The Percentage relief in Earache
is Found to be 57.50% in group A & 43.18% in group B
5) The percentage relief In Blocking of ear
is Found to be 58.46% in group A & 42.62 % in group B
AFTER DOING INFERENCE STATISTCALLY BY WILCOXON SIGNNED RANK TEST IT IS FOUND THAT,
1)PATIENT IN GROUP A AFTER TREATMENT SHOWS HIGHLY SIGNIFICANT RESULT IN ALL SYMPTOMS
2)PATIENT IN GROUP B ALSO SHOWS SIGNIFICANT RESULT IN ALL SYMPTOMS
HOWEVER SIGNIFICANT RESULT SHOWNED BY GROUP A IS MORE THAN GROUP B…….
AFTER DOING MANN WHITNEY TEST TO EXAMINE DIFFERENCE BETWWEN RESULT OF BOTH GROUP, IT IS FOUND THAT,
FOR Earache & Dizziness THE INFERENCE IS IN-SIGNIFICANT
i.e THERE IS NO ANY DIFFERENCE IN EFFECT OF TREATMENT IN BOTH GROUP FOR ABOVE SYMPTOMS.
BUT FOR Ringing in ear, deafness & Blocking of ear
THE INFERENCE IS SIGNIFICANT
i.e THERE IS DIFFERENCE IN EFFET OF THERAPY IN BOTH GROUP
FOR ABOVE SYMPTOMS
EFFECT OF THERAPY IN GROUP A SHOWS BETTER RESULT
THAN IN GROUP B.
Recommended