Tuesday, April 20, 2010

इ न टी एंड आयुर्वेद

Oto-rhino-laryngo-oro-ophthlmology and Ayurveda.
-Dr. Pranav Bhagwat.MD.

The following articles contains following paragraphs-
- What is Ayurveda?
- What is necessity of exploring Ayurveda for E N T diseases?
- Some basic concepts of E N T in Ayurveda-
- Fields of application-
- Future –

What is Ayurveda?
Ayurveda is an ancient but not old medical science. This is the first ever medical science existed in the world, according to historians. The history dates back to pre-Vedic periods. The flow of constant up gradation of knowledge through series of experiments and observations continues till date. That’s how it is not an old science. The roots and basic principles of Ayurveda are so much embedded in nature that it is aptly called the science in tune with nature. The physio-pathology of Ayurveda revolves around 5 basic elements of nature:- prithvi , aapa, tejas, vayu, aakasha. Through the centuries, though opposed and oppressed by constant invasions on India by Arabs, Greeks, Muslims and Europeans, this science not only existed, it flourished by adding analogous facts from other medical sciences of the world. Ayurveda has eight specialities. Shalakya-tantra or oto-laryngo-rhino-oro-ophthalmology is one of the branches. It deals with diseases of ENT, Eye, Oral cavity, head and neck region.

What is necessity of exploring Ayurveda for ENT,eye or oral diseases?
ENT dept in allopathic system of medicine is expanding in leaps and bounds. With millions of dynamic, research oriented, genius minds including scientists from physics, chemistry and other life sciences working to resolve the mysteries of upper respiratory tract, the advent of this science is astonishing. But still something is missing. Even after the operation is successful, the patient is not happy.
There are a large varieties of patients who are on constant anti – allergic medicines , including steroids and that’s not the “treatment” because they are not being treated but they are suppressed. There are large number of patients who, even after getting the best antibiotics, fail to get rid of running ear. There are a large number of patients who feel the lump in the throat and without finding out the reason properly we are naming them as globus hystericus. There are a large number of patients who deal with difficulties even walking around due to their blindness due to degenerated macula.
Not to mention bothering nasal obstructions, chronic tonsillitis, trigeminal neuralgia, migraine, sinusitis, aphthous ulcers, chronic rhinitis, Menier’s and a number of degenerative conditions, they all need something special, something different form the conventional system of medicine and surgery.
These large number of unsolved queries need to be addressed from different viewpoint and Ayurveda provides that angle.

Some basic concepts of ENT and Eye in Ayurveda-
Ayurveda describes 96 eye conditions, 28 ear conditions, 31 nose conditions, 11 types of headache, 67 oral conditions. Eye is the place of agni or fire and ear of vaayu (air), oral cavity as jala(water) and prithvi (earth), and nose as akasha(space) and jala. The derangement of these basic elements cause the diseases. And restoration of the balance is the treatment.
Ayurveda is a holistic science. Thus while diagnosing a disease it gives paramount importance to the status of digestion, elimination, diet, surroundings, , pt’s age, strength, the time of increase or decrease of symptoms, along with examination of the part concerned. For example, in case of recurrent sinusitis, excessive drinking water can be a cause and when water is digested properly by medications, the sinusitis goes away.
So instead of directly intervening with sinuses, in this case we dealt with whole of the internal milieu and thus the patient is treated and not suppressed.
Ayurveda believes in increasing the resistance power of the part and the patient, rather than killing the micro-organisms. So ayurvedic treatments provide very efficient measures as far as immunomodulation is concerned.
Ayurveda describes various de-toxification procedures called as panchakarmas. The essence of these procedures lies in the fact that many of the modern day diseases occur due to excessive accumulation of unwanted material, can be called as free radicals or pathologies responsible for chronic, degenerative or allergic diseases. And these materials, called as mala are removed by those procedures. And panchakarmas can be employed for prevention as well as treatment of diseases.
The medicines used are purely herbomineral and hence are known for very few side effects. In addition when these are chosen, the constitution of patient is taken into consideration minimizing possibility of allergic reactions from patients’ tissues.

Fields of application-
Basically any chronic, degenerative, allergic or auto immune disorder or disorder of unknown etiology.


Future-
The immense potential of Ayurveda unfortunately is remaining limited to certain parts of the world and certain sections of society. To make it more popular ,so that many and many sections of society wil benefit from it, Ayurveda needs to be researched further. Though , the verses written in ayurvedic treatises are conclusions of years of experiments by the scientists of yore called as rishis and munis, somehow, they need to re-presented to modern society in modern language. And it asks for the collaboration between western and Indian scientist from both the fields.
- Dr. Pranav Bhagwat,
MD
Reader and HOD OF Shalakya,
Ayurveda College, Goa.
www.ayurgoa.com

Wednesday, March 17, 2010

M C Q s in Shalakya.

Types of oshtha rogas acc. to vagbhat are
8 b)3 c)9 d) 11
Ghrita-mandabha utseda is seen in which oshtha roga
a)Raktaj b)medoj c)mansaj d)sannipataj
3) which part of the teeth is considered as hardest substance in the body
a)crown b)enamel c)dentine d)pulp cavity
4) Dantapak due to pitta is seen in this disease
a)shitadb)dantapupputakc)soushird)mahasoushir
5) which disease is asadhya amongst following
a)dantavaidarbha b)dantapupputak c)soushir d)karal
6) Scaling is done in this disease of teeth
dantasharkara b)krumidanta c)dantakapalika d)shitada
7) ushnasahatva is seen in which disease of teeth
dantavidradhi b) krumidanta c)bhanjanak d)dantaharsha
8)Danttotpatti types are
a)15 b)08 c)06 d)4
9) which dosha dushti is seen in dantaveshtak
vata b)pitta c)kapha d)rakta
10) Complete dantaveshta daran is seen in this disease
a) upkusha b)dantavaidarbha c)soushir d)paridar
11) According to vagbhat which disease is shitadanta
a) dantaharsha b)shyavadanta c)bhanjanak d)dalan
12) adhishtan of krumidanta is
a)dantavalkal b)danta c)dantamajja d)all of the above
13) Iridectomy is done in which disease
a) adhimantha b) akshipakatyay c) ajakajat d) abhishyanda
14) treatment of shuktika according to modern science
inj.vit. B b)inj vit C c)inj vit A d) all of the above
15) The nodule like an insect Indragpa is seen in this disease
a) arjun b)shuktika c)pishtak d)sirajpidaka
16) Dah prapakou shishirabhinanda dhumayan bashpasamucha yasyam as a symptom is seen in this netrabhishyanda
a) pittaj b)vataj c)kaphaj d)raktaj
17) Rice flour like dot on shukla part of eye due to kaphadushti is known as
a) balasgrathit b)pishtak c)arjun d)sirajal
18) Ajakajat can be co-related with
iris atrophy b)iris detachment c)iris prolapse d)iritis
19) Shankha – kamal like white spots on krushnamandal is seen in
a)avrana-shukla b)savranashukla c)ajakajat d)none of the above
20) normal intra occular pressure
a)10-15mm of hg b)15-22m of hg c)22-26mm of hg d)30-40mm of hg
21) Layers of cornea
a)1 b)2 c)4 d)5
22) Adhik dantotpatti due to vata prakopa is seen in
a) karal b)dantavaidarbha c)paridar d)dantakapalika
23) amongst following which is due to deficiency of vit. D and calcium
a) dalan b)krumidanta c)dantasharkara d)dantakapalika
24)rise in intra-occular pressure is a main symptom of
a)abhishyanda b)adhimantha c)sashophapaka d)siraharsha
25) Eye lids become kathin and ruksha in
a) shushkakshi paka b)siraharsha c)sirotpat d)hatadhimantha
26) According to Madhav nidan pishtak is _______vyadhi.
a) vataj b)kaphaj c)vatakaphaj d)sannipataj
27) Foul smelling, blood stained discharge, unilateral nasal discharge is suggestive of_______
a)DNS b)nasal polyp c)old foreign body d)atrophic rhinitis
28) number of siras present in karna
a) 4 b)8 c)6 d)10
29)_____dosha prakopa is seen in nimesha.
a) vata b)pitta c)kapha d)tridosha
30)Shonitarsha is having _______sparsha.
a) mrudu b)kathin c)shita d)ushna
31) Anjannamika can be co-related with
a)Hordeolum internum b)Hordeolum externum c)trichiasis d)follicular conjunctivitis
32) Colour of nodule in kumbhika
a) rakta b)shveta c)krushna d)pitabha
33) Site of utsangini is
a) adho vartm abhyantartah b)urdhva vartm abhyantartah
c)adho vartm bahyatah d) urdhva vartm bahyatah
34)_______sebaceous glands are present in lids.
a)lacrimal b)Zeis c)Moll’s d)krause’s
35) ______dosha pradhanya is seen in puyalas.
a)kapha b)pitta c)vata d)sannipata
36)number of bhedya vyadhi is
a)10 b)5 c)9 d)11
37)Anguli praman of netra according to Sushruta
a)01 b)1 ½ c)2 d)2 ½
38)_______pitta adhishthan is seen in drushti.
a)bhrajak b)aalochak c)sadhak d)ranjak
39) site of agnikarma in netra is
a) kaninika b)apang c)karnika d)drushti
40)how many patalas are present in netra
a)4 b)5 c)6 d)2
41) According to Charak number of shiro-rogas
a)4 b)5 c)6 d)3
42) Headache starts at sunrise, reaches peak during afternoon and than regresses slowly, this symptom is seen in
a)anantvata b)suryavarta c)shirahshoola d)ardhavbhedak
43) Karna rogas according to sushruta
a)25 b)28 c)32 d)31
44) Myringotomy is done in
a)karnashoola b)karnabadhirya c)tivra madhya karnashoola d)karna pratinaha
45) ____dosha prakopa is seen in Dipta.
a)vata b)pitta c)kapha d)tridosha
46)death within three days is seen in this shiro-roga
a)shankhak b)ardhavbhedak c)anantvata d)krumija-shiroroga
47) types of nasarbuda
a)7 b)3 c)5 d)8
48) Trans illumination test is used for diagnosis of
a)
49)Kshavathu vyadhi takes place due to _______marma kshobha.
a)phana b)shrungatak c)adhipati d)sthapani
50) Samanyam karnarogeshu _______ rasayanam
a)puranam b)ghritapanam c)dugdhapanam d)tailapanam
51) Navam pratishyamapasya sarva upcharet ______eva pane|
a)dugdham b)niram c)mishra d)sarpish
52)_____nasya is done in dosharahit stage.
a)avapidan b)pratimarsha c)marsha d)dhuma
53)_____nasya is advised in shankhak.
a)dugdha b)madhu c)dhuma d)takra
54)Vagbhat has included _____kapalgat rogas under shiroroga.
a)7 b)9 c)8 d)11
55) Length of external auditory meatus is________cm.
a)1.5 b)2 c)1.8 d)2.5
56) Proptosis is _____
a)backward displacement of eyeball b)forward displacement of eye ball
c)drooping of the eye lid d)congenital ptosis
57) Quinsy is ________
a)hypertrophied nasopharyngeal tonsil b)peritonsillar abcess
c)tonsillar abcess d)acute ulcerative uvulitis
58)Number of sphenoidal sinus
a)3 b)2 c)4 d)1
59)number of unpaired cartilages of Larynx
a)4 b)3 c)2 d)1
60) Uveal tract contains iris +ciliary body +_________
a)sclera b)cornea c)choroid d)retina
61)Normal size of pupil is ______
a)<2mm b)3mm c)5mm d)75mm
62) Most common cause of blindness in India
a)giaucoma b)cataract c)nutritional causes d)audidental
63) _____is the first layer of cornea
a)Bowman’s b)Descement’s c)substantia propria d)epithelium
64) which of the following is not an error of refraction
a) astigmation b)myopia c)hypermatropia d)presbiopia
65)Ptosis is ____
a)forward displacement of the eye ball b)backward displacement
c)drooping of the eye lid d)double vision
66) Kanthashaluka is
a)Quinsy b)adenoid c)ramula d)carcinoma of oesophagus
67) amongst following ______is dantamulagata roga.
a)dantaveshtak b)dalan c)dantaharsha d)dantakapalika
68) Number of mukharogas acording to Charak
a)64 b)60 c)62 d)67
69) Types of oshtha rogas according to Sushruta
a)9 b)8 c)6 d)7
70) Canines appears at
a)7-9yrs b)10-12yrs c)11-14yrs d)16-21yrs
71)Following is not dantamulagata disease
a)soushir b)dantavaidarbha c)adhimamsa d)dantachal
72) Number of dantarogas
a)8 b)10 c)11 d)12
73) Number of talu rogas
a)8 b)9 c)10 d)11
74) number of galarogas
a)15 b)17 c)18 d)20
75) ____dosha prakopa takes place in balasa.
a)vata,rakta b)vata,kapha c)pitta,kapha d)kapha
76)Sarvasara roga types according to Sushrut
a)4 b)6 c)5 d)3
77)Mahabhuta adhishthan of karna
a)pruthvi b)aap c)tej d)aakash
78)Number of netra mandalas
a)5 b)4 c)3 d)6
79) Avrana shukla is ______
a)corneal ulcer b)corneal opacity c)pseudo-opthalmitis d)iritis
80) Length of netra golak is ______angula.
a) 2 b)1 c)2 ½ d)3 ½
81)Netra roga according to Sushruta
a)76 b)78 c)90 d)92
82) Following is not netra roga hetu
a)kulattha b)masha c)aarnal d)saindhav
83) Shape of netra drushti is like_______
a)masha b)sarshap c)rajika d)masur-dal
84) 4th patal of netra is related to_______
a)rasa-rakta b)mansa c)meda d)asthi
85) netra sandhigata roga sankhya
a)3 b)6 c)9 d)12
86) Puyalas roga affects _______part of netra.
a)sandhi b)vartm c)shukla d)krushna
87) Shiroroga types according to Sushruta
a)7 b)9 c)11 d)13
88) ______taila is used in badhirya
a)apamarga kshar b)bilva c)kushtha d)dhatri
89) Doshaj shirorogas are ______in number.
a)3 b)5 c)7 d)9
90) loss of smell is seen in _______
a)pinas b)vataj pratishyay c)nasapak d)none of the above
91) Types of nasya according to Sushruta
a)1 b)2 c)3 d)4
92) Nasa shushkata and ardrata is seen in ________nasaroga.
a)pinas b)nasashosha c)dushta pratishyay d)nasa srava.
93) Drudh shlakshna yukta shveta part of eyes is known as ______
a)shukla b)karnika c)kalak d)taraka
94) Transparent part infront of shukla mandal is known as______
a)kalak b)taraka c)drushti nadi d)karnika
95) Thickness of shveta patal is _____.
a)1cm b)0.5cm c)1mm d)0.75mm
96)Tenson’s capsule is seen on _____
a)krushna mandal b)shukla mandal
c)drushti mandal d)sarva netra.
97) Length of jivha is ________anguli.
a)2 b)3 c)4 d)5
98) How many dhmanis in jivha are responcible for the function of rasa bodhan
a)1 b)2 c)3 d)4
99) _____vayu carries rasadnyan towards mana.
a)prana b)vyana c)apan d)saman
100)_____types of taste buds are present on tongue.
a)2 b)3 c)4 d)5
102) ____ dosha is main hetu of mukha rogas.
a)vata b)pitta c)kapha d)rakta
103) Adhishthan of gandalaji is ______
a)kapola b)gala c)oshtha d)jivha
104) Shakachadan prakasha is seen in ______ jivha gat roga.
a)kaphaj jivha kantak b)vataj jivha kantak
c)pittaj jivha kantak d)alasa.
105) Number of sakrunjata is ______
a)8 b)5 c)24 d)20
106) ______dosha prakopa is seen in dantavardhan.
a)vata b)pitta c)kapha d)vata,rakta
107) According to modern science krumidanta occurs due to deficiency of_____vitamin.
a) A b) B c) C d) D
108) In 24hrs salivary gland secrete ______cc saliva.
a)1500 b)1000 c)2000 d)500
109) vartm is supplied by ______dhamanis.
a)1 b)2 c)4 d)6
110) Muscles of eye lids are supplied by ______cranial nerves.
a) 5,3 b)3, 6 c)5, 4 d)3,4
111) ____dushti is present in samanya samprapti of vartm rogas.
a) rasa-mansa-rakta b)mansa-sira-rakta
c)meda-rakta-mansa d)rasa-rakta-meda
112) Site of utsangini is ____
a)adho vartm abhyantartah b)urdhva vartm abhyantartah
c)adho vartm bahyatah d)urdhva vartm bahyatah
113) In utsangini ______is done as a primary treatment.
a)lekhan b)chedan c)bhedan d)visravan
114)Number of lekhya vyadhis
a)8 b)9 c)10 d)11
115) Character of pidaka in shushkakshi paka
a) sthira-shushka b)mrudu-chala c)mrudu-shita d)sthira-mrudu
116) Third stage of pothaki is
a)aamavastha b)pakvavastha c)ropanavastha d)pachyamanavastha
117)_______dosha dushti is seen in kukunak.
a)vata b)pitta c)kapha d)tridosha
118) ______dushti takes place in vatahata-vartm
a)mansa b)sira c)dhamani d)snayu.