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President’s Message<br />

May your Baisakhi be blessed<br />

with bounty of the season<br />

and a harvest of joy and<br />

prosperity<br />

Best Wishes!!<br />

Vaidya Devender Triguna<br />

Honored with Padma Shri and Padma Bhushan<br />

Volume 1, No.<strong>12</strong>, April –June’ 20<strong>12</strong><br />

Index<br />

Contents Page<br />

From the Editor’s desk 2<br />

• Editorial Board<br />

• Executive Committee<br />

News Update 3<br />

• Union govt. draws up roadmap to<br />

promote ISM through NRHM<br />

• European Pharmacopoeia commences<br />

development of ‘Community<br />

Monographs’ for herbal remedies<br />

Pharamocopial Standards 5<br />

• Pushyanuga Churan<br />

• Patha<br />

• Jambu<br />

• Amra<br />

• Pashanbheda<br />

• Ativisha<br />

• Indrayava<br />

Clinical Study Report 11<br />

• Basant Kusmakar Ras<br />

Upcoming Events 15


Dear Members,<br />

From the Editor’s desk<br />

Ayurvedic medicines have been in use since ages. But today the whole<br />

world is looking at it, especially as a remedy for lifestyle ailments.<br />

Lot of research work has been done on ayurvedic herbs since its<br />

inception. Therefore there emerged a need for compilation of entire<br />

scientific development done so far post to the classical period.<br />

Realizing this need gap, a thought emerged and all the important work<br />

was compiled into a book form by Shri CP Khare and Dr. C K Katiyar<br />

along with Dr. VK Agrawal and Dr. Arun Gupta who aptly named<br />

the book as The Modern Ayurveda: Milestones Beyond the Classical<br />

Age. Mr. VC Burman (former chairman of Dabur India Limited) was<br />

the major inspiring factor behind conceptualizing this book. This<br />

book contains several topics that are essential to understand the surge<br />

of scientific work that is now being conducted on this age old system<br />

of medicine.<br />

The book enumerates more than 400 Ayurvedic herbs in a user friendly<br />

tabulated format including their botanical name, common Ayurvedic<br />

name, its family, chemical constituents, phytochemical markers,<br />

pharmacological actions, with their interactions and toxicity.<br />

For the evaluation of safety and efficacy of herbal medicine, this<br />

book explores current research methodologies adopted and makes us<br />

aware of the contemporary international regulatory status of herbal<br />

drugs in overseas.<br />

Today, a lot of universities have started academic courses; however<br />

there were no text books on Ayurveda containing chemical and<br />

pharmacological actions on herbs.<br />

Besides providing safety evaluation for the first time a book has been<br />

published by Francis and Taylor to fill the need gap.<br />

The writers of this book Mr. CP Khare has written many books on<br />

Indian medicinal herbs and Dr. C K Katiyar who is well known<br />

expert in ayurvedic research has published several research papers<br />

to his credit. This book is useful for students of Ayurveda in India<br />

and worldwide. The book will be equally helpful to researchers and<br />

academicians of Ayurveda.<br />

Dr. Manju Rakesh<br />

On behalf of full editorial board<br />

Disclaimer: Articles in the newsletter are written by independent individuals. News Clips of Upcoming<br />

Events, Govt. Notifications, Schemes have been taken from different sources. Their opinions do not<br />

necessarily reflect those of Info Ayurveda. They are put here for interest and reference only. None of the<br />

contributors, sponsors, administrators, or anyone else connected with Info Ayurveda in any way whatsoever<br />

shall be responsible for the appearance of any inaccurate information or for your use of the information<br />

contained in the newsletter.<br />

info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />

Patron<br />

Members of AMAM’s Management<br />

Committee<br />

Vaidya Brahaspati Dev Triguna<br />

Suresh Sharma<br />

Pradip Burman<br />

President<br />

Vaidya Devender Triguna<br />

Tel: 011-24354141<br />

Vice President<br />

Anurag Sharma<br />

Shri Baidyanath Ayurved Bhawan<br />

Ltd., (Jhansi)<br />

E-mail: anurag@baidyanathayurved.com<br />

Asad Mueed<br />

Hamdard (WAKF) Laboratories<br />

E-mail: amueed@hamdardindia.com<br />

Devendra Garg<br />

Dabur India Limited<br />

E-mail: gargd@dabur.com<br />

Ravi Prasad<br />

The Himalaya Drug Co.<br />

E-mail: ravi.prasad@himalayahealthcare.com<br />

Hon. Gen. Secretary<br />

Pradeep Multani<br />

Multani Pharmaceuticals Ltd.<br />

e-mail: chairman@multaniayurved.<strong>org</strong><br />

Treasurer<br />

Tejinder Singh<br />

Dabur India Limited<br />

e-mail: singht@dabur.com<br />

Jt. Secretary<br />

Ajay Sharma<br />

Shri Baidyanath Ayurved Bhawan,<br />

New Delhi<br />

E-mail: ajdelhi@msn.com<br />

Arun Chauhan<br />

BACFO Pharmaceuticals (India) Ltd.<br />

E-mail: chauhanarun@akcgroup.com<br />

Dr. N.B. Brindavanam<br />

Dabur India Limited<br />

E-mail: baba@dabur.com<br />

M. J. Saxena<br />

Sanat Laboratories Ltd.<br />

E-mail: mjsaxena@anatproducts.co.in<br />

Members<br />

Vijay Grover<br />

Kamal Pharmacy, New Delhi<br />

E-mail: vijay@kamalpharmacy.com<br />

Pramod Sharma<br />

Shri Baidyanath Ayurved Bhawan<br />

Ltd. Patna<br />

E-mail: pramodsharma54@yahoo.com<br />

Dr. Manju Rakesh<br />

Dabur India Limited<br />

E-mail: rakeshm@dabur.com<br />

Amit Agarwal<br />

Natural Remedies<br />

E-mail: amit@naturalremedies.com<br />

Dr. Anantha Narayana D B,<br />

Ph.D., Consultant<br />

Email: dba.narayana@gmail.com<br />

Editorial Board:<br />

Chief Editor:<br />

Mr. Pradeep Multani<br />

Honorary General Secretary AMAM<br />

Chairman Multani Pharmaceutical Limited<br />

36-H Connaught place, New Delhi- 1<br />

Editor:<br />

Dr. Manju Rakesh<br />

Dabur India Limited, Plot No. 22, Site IV,<br />

Sahibabad - 201010, Ghaziabad (U.P.)<br />

Mr. Anurag Sharma, Executive Director<br />

Shri Baidyanath Ayurved Bhawan Pvt. Ltd. (Jhansi)<br />

B- 6/5, Safdarjung Enclave, New Delhi<br />

Mr. Asad Mueed, Director<br />

Hamdard (WAKF) Laboratories, Asaf Ali Road, New Delhi – 2<br />

Mr. Ajay Sharma, President<br />

Shri Baidyanath Ayurved Bhawan, Naini,<br />

28, Ishwar Nagar East, New Delhi – 65<br />

A Publication of:<br />

Association of Manufacturers of Ayurvedic Medicines<br />

Regd. Office: 22, Site –IV, Sahibabad,<br />

Ghaziabad - 201010 (UP), Tel: 0<strong>12</strong>0 4378400, Fax: 0<strong>12</strong>0 4376909<br />

Correspondence Address: H-36, Connaught Place, New Delhi-110001,<br />

Tel: 011-23350062, Fax: 011-23350063<br />

E-mail : <strong>amam</strong>india@gmail.com website: www.<strong>amam</strong>-<strong>ayurveda</strong>.<strong>org</strong><br />

2


Nandita Vijay, Bengaluru, Thursday, February 16, 20<strong>12</strong>, 08:00 Hrs [IST]<br />

The central government has drawn up an ambitious<br />

roadmap to promote Indian Systems of Medicine<br />

(ISM) like Ayurveda, Siddha, Unani, and therapies such<br />

as yoga and naturopathy through the National Rural<br />

Health Mission (NRHM).<br />

With yoga and naturopathy gaining worldwide<br />

acceptance, the government is now gearing up to address<br />

health issues across the population through these systems<br />

of medicine, stated S Gandhiselvan, minister of state for<br />

health and family welfare.<br />

“It is a foregone conclusion that yoga and naturopathy<br />

can prevent and cure various forms of ailments. In the last<br />

three decades, Yoga, in particular, has become popular<br />

all over the world as an effective disease management<br />

strategy. The government has decided to give special<br />

impetus to Yoga and Naturopathy so that the objectives<br />

of NRHM are met through the ISM,” he stated at the<br />

‘Arogya Expo 20<strong>12</strong>’ and the ‘International Conference<br />

on Yoga and Naturopathy’ (ICYN) Bengaluru held here<br />

from February 9-13.<br />

The broad policy support extended to the development<br />

of Ayush systems of medicine has ensured the <strong>org</strong>anized<br />

development of all these six systems of healthcare based<br />

on their individual merits and strengths.<br />

The launch of NRHM has been significant for Ayush<br />

systems, as one of its objectives was to promote the<br />

effective provision of the healthcare to the masses.<br />

info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />

News update<br />

Union govt. draws up roadmap to promote<br />

ISM through NRHM<br />

Under NRHM, AYUSH doctors and facilities are being<br />

introduced in primary health centres and community<br />

health centres throughout the country. The availability<br />

of AYUSH facilities in PHCs and CHCs would ensure<br />

that the entire range of medical facilities would be<br />

available to the public and to the poor in particular. The<br />

main streaming of AYUSH in the healthcare system<br />

will have a significant impact on the health status of the<br />

people, stated the minister.<br />

“The NRHM is significant for ISM, as it is capable of<br />

meeting the objectives of India’s health requirements.<br />

The government intends to introduce ISM at the primary<br />

health centres and community health centres all over<br />

the country shortly. Yoga and naturopathy have been<br />

accepted for effective disease management because of<br />

their unique and holistic healing approaches. It is time<br />

we also took advantages of the same by introducing them<br />

through public health system,” the minister added.<br />

He pointed out that there were 6 lakh practitioners of<br />

ISM and homoeopathy in the country. However, that<br />

number was still insufficient to address the health issues<br />

plaguing the country.<br />

“The government is evolving a broad policy to promote<br />

ISM and Ayush colleges. At present, there are 488 Ayush<br />

colleges in the country. But the quality of education<br />

is a concern. We will make suitable suggestions after<br />

consulting experts in the field to improve the quality of<br />

education,” he explained.<br />

Courtesy : PHARMABIZ.com<br />

3


Nandita Vijay, Bengaluru, Friday, December 30, 2011, 08:00 Hrs [IST]<br />

info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />

European Pharmacopoeia commences<br />

development of ‘Community Monographs’ for<br />

European Pharmacopoeia and the European Medicine<br />

Agency have commenced the preparation of<br />

‘Community Monographs’ for herbal remedies. To begin<br />

with, the monographs will be made applicable for single<br />

herbs.<br />

The decision to create monographs is driven by<br />

the increasing shift in consumers opting for dietary<br />

supplements and nutraceuticals developed from herbs.<br />

The development of pharmacopoeia monographs would<br />

provide the much-needed information, stated Dr D B<br />

Anantha Narayana, leading scientist in herbal drugs and<br />

plant medicine.<br />

Even the government of India through the Indian<br />

Pharmacopoeia or Ayurveda Pharmacopoeia needs to<br />

take up this. It would be the best way to ensure India gets<br />

its prominent position in the global herbal map. In an age<br />

of growing consumption of herbal nutraceuticals, there<br />

is need for authentic information on products, its usage,<br />

quality, dosage forms and disease indications, he added.<br />

Pharmacopoeia monographs would serve not just for<br />

consumers but is important for physicians and pharmacists.<br />

US Pharmacopoeia (USP) is now primarily a regulatory<br />

quality specifications for all categories of drugs which<br />

can be extended to cover the ‘Dietary Supplements’.<br />

Although, mere presence of a herb in a Pharmacopoeia<br />

does not mean it is approved as a drug, yet its importance<br />

cannot be underestimated. Pharmacopoeia monographs<br />

provide a reference globally for quality specifications<br />

for the authentic identity, content, component quality. It<br />

is an assurance that the product sans contaminants like<br />

microbial, pesticides and heavy metals. The very mention<br />

of a herb in the pharmacopoeia monograph allows easy<br />

trade and reduces rejections in the global market. It is<br />

herbal remedies<br />

also an indication to ensure batch-to-batch consistency<br />

for researchers. While the herb with a monograph can<br />

promote future technology developments, it provides<br />

regulators a confidence on the history of usage and safety<br />

profiles in the large scale production of a product, said Dr<br />

Narayana.<br />

Globally, in the area of traditional knowledge based<br />

treatments, over 90 per cent of the products are botanical<br />

based. Despite the considerable discussions on need for<br />

standardization for herbal products, there has been a rise<br />

of use in herbal botanicals as supplements which do not<br />

come under the category of drugs. But the Pharmacopoeia<br />

experience coming handy has been largely to access the<br />

specifications of the herbs.<br />

Indian Pharmacopoeia 2010 [IP2010] has 89 monographs<br />

for herbs, processed herbs, including for extracts/oils, and<br />

herbal products. USP has over 180 monographs for herbs,<br />

powdered herbs, processed herbs including extracts, oils,<br />

and herbal products. British Pharmacopoeia (BP) has over<br />

50 monographs for herbs, powdered herbs, processed<br />

herbs including extracts, oils, and herbal products.<br />

European Pharmacopoeia (EP) has over 60 monographs<br />

for herbs, powdered herbs, processed herbs including<br />

extracts, oils, and herbal products. Pharmacopoeia of<br />

Republic of China [PRC] has over 180 monographs<br />

for herbs, powdered herbs, processed herbs including<br />

extracts, oils, and herbal products besides being the<br />

one that has quality specifications for large number of<br />

Traditional Chinese medicines (poly herbal).<br />

With international regulators insisting now insisting on<br />

authentic herbs with defined botanical identity India<br />

will need to look at building a ‘Minimum Therapeutic<br />

Guarantee’ basis and establish a natural window of few<br />

compounds and test for the compliance to the window,<br />

pointed out Dr Narayana.<br />

Courtesy: PHARMABIZ.com<br />

4


Pharmocopial Standards For Ayurvedic Formulations<br />

and Raw Materials<br />

PUSHYANUGA CHURNA<br />

(AFI PART – I, PG. 91-92.)<br />

ikBktECo;kseZ?;a f”kykHksna jlk¥tue~A<br />

vEc’Bdh ekspjl% leM~xk ineds”kje~AA46AA<br />

dV~Qya efjpa “kq.Bh e`}hdk jäpUnueAA47AA<br />

dV~oM~xoRldkuUrk /kkrdh e/kqdktZque~A<br />

iq’;s.kksÌR; rqY;kkfu “y{.kpw.kkZfu dkj;sr~AA48AA<br />

rkfu {kkSnzs.k la;ksT; ik;s;sÙk.M`ykEcqukA<br />

vl`Xnjkfrlkjs’kq jäa ;Ppksios”;rsAA49AA<br />

nks”kkxUrqd`rk ;s p ckykuka rka”p uk”k;sr~A<br />

;ksfunks’ka jtksnks’ka Üosra uhya lihrde~AA50AA<br />

L=h.kka “;kok:.k ;Pp rRizlã fuoÙkZ;srA<br />

pw.kZa iq’;kuqxa uke fgrek=s;iwftre~A<br />

vEc’Bk nf{k.ks [;krk x`à.kUr;U;s rq y{e.kke~AA51AA<br />

¼HkS’kT;jRukoyh] L=hjksxkf/kdj] 46&51½<br />

1. Patha (Rt.) 1 Part<br />

2. Jambu (beeja majja) (Enm.) 1 Part<br />

3. Amra (beeja majja) (Enm.) 1 Part<br />

4. Shilabheda (Pashanabheda) (Rz.) 1 Part<br />

5. Rasanjana (Daruharidra) (St.Ext.) 1 Part<br />

6. Ambashthaki (patha) (Rt.) 1 Part<br />

7. Mocarasa (Exd.) 1 Part<br />

8. Samanga (Manjishtha) (Rt./Pl.) 1 Part<br />

9. Padma kesara (Adr.) 1 Part<br />

10. Vahika (Kumkuma) (Stl./Stg) 1 Part<br />

11. Ativisha (Rt.Tr.) 1 Part<br />

<strong>12</strong>. Musta (Rz.) 1 Part<br />

13. Bilva (St.Bk.) 1 Part<br />

14. Lodhra (St.Bk.) 1 Part<br />

15. Gairika 1 Part<br />

16. Katphala St.Bk.) 1 Part<br />

17. Marica (Fr.) 1 Part<br />

18. Shunthi (Rz.) 1 Part<br />

19. Mridvika (Dr.Fr.) 1 Part<br />

20. Rakta candana (Ht.Wd.) 1 Part<br />

21. Katvanga (Araluka) (St.Bk. 1 Part<br />

22. Vatsaka (Kutaja) (St.Bk.) 1 Part<br />

23. Ananta (Rt.) 1 Part<br />

24. Dhataki (Fl.) 1 Part<br />

25. Madhuka (Yashti) (Rt.) 1 Part<br />

26. Arjuna (St.Bk.) 1 Part<br />

info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />

Dose: 1 to 3 g<br />

Anupana: Honey and Tandulodaka<br />

Important Therapeutic Uses: Asrigdara, Shveta Pradara, Rajodosha<br />

PATHA (Root)<br />

(API Part –I, Vol. 1, Pg.92)<br />

Patha consists of roots of Cissampelos pareira Linn. (Fam.<br />

Menisperrnaceae), an extensively spreading, glabrous to softy pubescent,<br />

perennial climbing shrub with nodose stem, common in warm and dry<br />

regions of tropical and sub-tropical parts of India upto an altitude of about<br />

1500 m.<br />

SYNONYMS<br />

Sanskrit : Ambashthaki<br />

Assamese : Tuprilata<br />

Bengali : Patha, Akanadi<br />

English : Velvet leaf<br />

Gujrati : Venivel, Karedhium Kalipath, Karondhium, Karondium,<br />

Hindi : Patha, Padh, Akanadi<br />

Kannada : Pahadavela, Agalushunthi<br />

Kashmiri : Pad<br />

Malayalam : Patha<br />

Marathi : Pashadvel, Paharrel, Pahadavel, Padali<br />

Oriya : Kanabindhi, Patha<br />

Punjabi : Patha<br />

Tamil : Vatta tiruppi<br />

Telugu : Adivibankatiga, chiru boddi, Boddi tiga<br />

DESCRIPTION<br />

a) Macroscopic<br />

Roots, cylindrical, often tortuous, 1-1.5 cm in diameter, light brown to<br />

yellowish in colour, surface rough and at places rugged due to transverse<br />

wrinkles, cracks and fissures, fracture short and splintery, odour, faint<br />

aromatic, taste, bitter.<br />

b) Microscopic<br />

Transverse section of root shows, 6-10 layers of thin-walled, rectangular<br />

cork cells secondary cortex, 1-3 layered of oval to tangentially elongated<br />

5


cells, discontinuous ring consisting of 2-3 rows of stone cells and group<br />

of phloem fibres, stone cells variable in shape with simple pits, vascular<br />

strands as radiating strips usually 8-<strong>12</strong> of xylem and phloem some reaching<br />

up to the centre, phloem consists of small strands of sieve elements and<br />

parenchyma just below the ring of stone cells, xylem consists of vessels,<br />

tracheids, fibres and xylem parenchyma, vessels and tracheids show simple<br />

pits on the walls, xylem parenchyma usually thick-walled and lignified<br />

but due to delignification patches of thin-walled parenchyma appear in<br />

the xylem region., medullary rays 1-3 seriate appear to be very wide at<br />

a number of places due to addition of delignified xylem parenchymatous<br />

cells, ray cells thin-walled, a few lignified and thick-walled while some<br />

show reticulate thickening, plenty of starch grains present in some of ray<br />

cells.<br />

Powder – Greyish-brown; under microscope shows group of cells, fibres<br />

and starch grains; crystals absent.<br />

IDENTITY, PURITY AND STRENGTH<br />

Foreign matter: Not more than 2 per cent,<br />

Total Ash: Not more than 7 per cent,<br />

Acid-insoluble ash: Not more than 1 per cent,<br />

Alcohol-soluble extractive: Not less than 11 per cent,<br />

Water-soluble extractive: Not less than 13 per cent,<br />

CONSTITUENTS - Alkaloids, saponin and quarternary ammonium<br />

bases, flavonol and sterol.<br />

PROPERTIES AND ACTION<br />

Rasa : Tikta, Katu<br />

Guna : Laghu, Tikshna<br />

Virya : Ushna<br />

Vipaka : Katu<br />

Karma : Tridoshashamana, Raktashodhaka, Vishaghna, Bhagnasand-<br />

hanakrit, Grahi, Stanyashodhana<br />

IMPORTANT FORMULATIONS - Pushyanuga Churna, Pradarantaka<br />

Lauha, Sarasvata Ghrita, Brihat Gangadhara Churna, Stanyashodhana<br />

Kashaya Churna<br />

THERAPEUTIC USES - Shularoga, Atisara, Kushtha, Kandu, Jvara,<br />

Chardi, Stanyadushti<br />

DOSE - 3-6 g of the drug in powder form.<br />

JAMBU (Seed)<br />

(API Part –I, Vol. II, Pg.54)<br />

Jambu consists of dried seeds of Syzygium cuminii (Linn.) Skeels Syn.<br />

Eugenia jambolana Lam.; E. cuminii Druce. (Fam. Myrtaceae); a large<br />

info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />

evergreen tree, attaining a height of 30 m and a girth of 3.6 m with a bole<br />

up to 15 m, found throughout India upto an altitude of 1,800 m.<br />

SYNONYMS<br />

Bengali : Badjam, Kalajam<br />

English : Jambul tree<br />

Gujrati : Gambu, Jamun<br />

Hindi : Jamuna<br />

Kannada : Nerale Beeja, Jambu Nerale<br />

Malayalam : Njaval<br />

Marathi : Jambul<br />

Oriya : Jam Kol, Jamu Kol<br />

Punjabi : Jaamun<br />

Tamil : Naval<br />

Telugu : Alla Nereduchettu, Neredu chettu<br />

Urdu : Jamun<br />

DESCRIPTION<br />

a) Macroscopic:<br />

2-5 seeds, compressed together into a mass resembling a single seed,<br />

the whole seed enclosed in a cream coloured, coriaceous covering,<br />

smooth, oval or roundish, 1 cm long, 1 cm wide, brownish-black; taste,<br />

astringent.<br />

b) Microscopic<br />

Seed - Shows cotyledons consisting of single layered epidermis, mesophyll<br />

composed of isodiametric, thin-walled, parenchymatous cells fully packed<br />

with simple starch grains, oval, rounded measuring 7-28 μ in dia., a few<br />

schizogenous cavities are also found.<br />

Powder - Brown coloured; shows a few parenchymatous cells and<br />

numerous oval, rounded starch grains, measuring 7-28 μ in diameter.<br />

IDENTITY, PURITY AND STRENGTH<br />

Foreign matter: Not more than 1 per cent,<br />

Total Ash: Not more than 5 per cent,<br />

Acid-insoluble ash: Not more than 1 per cent,<br />

Alcohol-soluble extractive: Not less than 6 per cent,<br />

Water-soluble extractive: Not less than 15 per cent.<br />

T.L.C.<br />

T.L.C. of alcoholic extract of the drug on Silica gel ‘G’ plate using<br />

Toluene:Ethylaceate<br />

(90: 10) shows under U.V. light (366 nm) one fluorescent zone at Rf.<br />

0.30 (blue). On exposure to Iodine vapour four spots appear at Rf. 0.<strong>12</strong>,<br />

0.20, 0.30 and 0.95 (all yellow). On spraying with Vanillin-Sulphuric acid<br />

reagent and heating the plate for ten minutes at 105°C, three spots appear<br />

at Rf. 0.20, 0.30 and 0.95 and 0.95 (all violet).<br />

CONSTITUENTS<br />

Glycoside (Jamboline), Tannin, Ellagic acid and Gallic acid.<br />

PROPERTIES AND ACTION<br />

Rasa : Madhura, Amla, Kashaya<br />

Guna : Guru, Ruksha<br />

Virya : Shita<br />

Vipaka : Katu<br />

Karma : Vatala, Pittahara, Kaphahara, Vishtambhi, Grahi<br />

IMPORTANT FORMULATIONS – Pushyanuga Churan<br />

THERAPEUTIC USES - Madhumeha, Udakameha<br />

DOSE - 3-6 g of the drug in powder form.<br />

6


AMRA (Seed)<br />

(API Part –I, Vol. III, Pg.7)<br />

Amra consists of dried seed of Mangifera indica Linn. (Fam.<br />

Anacardiaceae), a tree found wild or cultivated throughout the country.<br />

SYNONYMS<br />

Sanskrit : Amrabijamajja<br />

Bengali : Am<br />

English : Mango<br />

Gujrati : Aambaro, Ambanoo, Aambo, Keri<br />

Hindi : Aam<br />

Kannada : Amavina<br />

Malayalam : Manga<br />

Marathi : Aamba<br />

Oriya : Amkoili, Ambakoiti<br />

Tamil : Mangottai Paruppu, Maangottai<br />

Telugu : Mamidi-Jeedi<br />

Urdu : Aam<br />

DESCRIPTION<br />

a) Macroscopic<br />

Seed 3-4.5 cm long, 1.5-2.5 cm wide, ovoid, oblong covered with<br />

wrinkled integument, both outer and inner integument closely united,<br />

outer integument buff coloured, inner integument reddish-brown; taste,<br />

bitter and astringent.<br />

b) Microscopic<br />

Seed shows outer integument consisting of tangentially elongated, irregular,<br />

thin walled, parenchymatous cells, with poorly developed conducting<br />

tissues of vessels showing spiral thickenings towards inner integument,<br />

inner integument consisting of slightly rectangular, wavy and large thinwalled<br />

parenchymatous cells; cotyledons 2, composed of isodiametric,<br />

parenchymatous cells fully packed with simple and compound starch<br />

grains; compound starch grains consisting of 2-6 components, each<br />

starch grain round to oval, measuring 2-28 μ in dia., a few conducting<br />

tissues with spiral vessels also found scattered in parenchymatous cells<br />

of cotyledons.<br />

Powder - Greyish-buff; shows reddish-orange coloured cells of integument,<br />

thin-walled, parenchymatous cells, simple and compound starch grains,<br />

consisting of 2-6 components, measuring 2-28 μ in diameter.<br />

IDENTITY, PURITY AND STRENGTH<br />

Foreign matter: Not more than 1 per cent,<br />

Total Ash: Not more than 3 per cent,<br />

Acid-insoluble ash: Not more than 0.5 per cent,<br />

Alcohol-soluble extractive: Not less than 10 per cent,<br />

Water-soluble extractive: Not less than 10 per cent,<br />

T.L.C.-<br />

T.L.C. of the alcoholic extract on Silica gel ‘G’ plate using n-Butanol :<br />

Acetic acid: Water (4:1:5) shows under U.V. (366 nm) two fluorescent<br />

info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />

zones at Rf. 0.62 (yellowish) and 0.92 (blue). On exposure to Iodine<br />

vapour five spots appear at Rf. 0.07, 0.29, 0.62, 0.77 and 0.93 (all yellow).<br />

On spraying with 5% Methanolic-Sulphuric acid reagent and heating the<br />

plate for about ten minutes at 110°C five spots appear at Rf. 0.07 (grey),<br />

0.29 (grey), 0.62 (grey), 0.77 (brown) and 0.93 (brown).<br />

CONSTITUENTS - Tannins - Pyrogallotannins<br />

PROPERTIES AND ACTION<br />

Rasa: Kashaya, Madhura<br />

Guna: Ruksha<br />

Virya: Shita<br />

Vipaka: Katu<br />

Karma : Samgrahi, Vatakara, Krimighna<br />

IMPORTANT FORMULATIONS - Pushyanuga Churna, Brihat<br />

Gangadhara Churna, Ashokarishta<br />

THERAPEUTIC USES - Atisara, Pravahika, Chardi, Daha, Tvagroga<br />

DOSE - 1-2 g of the drug in powder form<br />

PASHANABHEDA (Rhizome)<br />

(API Part –I, Vol. I, Pg.90)<br />

Pashanabheda consists of rhizomes of Bergenia ciliata (Haw.) Sternb.,<br />

Syn. Bergenia ligulata (Wall.) Engl. (Fam. Saxifragaceae), a small<br />

perennial herb found throughout temperate Himalayas from Bhutan to<br />

Kashmir at an altitude between 2000-3000 m and in Khasia hills upto<br />

<strong>12</strong>00 m altitude.<br />

SYNONYMS<br />

Sanskrit: Ashmabhedaka, Shilabheda<br />

Assamese: Patharkuchi<br />

Bengali: Patharkuchi, Himasagara, Patrankur<br />

Gujrati: Pashanbheda, Pakhanbheda<br />

Hindi: Pakhanabheda, Silphara, Patharcua, Pakhanabhed, Silpbheda<br />

Kannada: Alepgaya, Pahanbhedi, Hittaga, Pasanaberu, Hittulaka<br />

Kashmiri : Pashanbhed<br />

Malayalam : Kallurvanchi, Kallurvanni, Kallorvanchi<br />

Marathi : Pashanbheda<br />

Oriya : Pasanbhedi, Pashanabheda<br />

Punjabi : Kachalu, Pashanbhed<br />

Tamil : Sirupilai<br />

Telugu : Kondapindi<br />

DESCRIPTION<br />

a) Macroscopic<br />

Rhizome, solid, barrel shaped, cylindrical, 1.5-3 cm long and 1-2 cm<br />

in diameter with small roots, ridges, furrows and root scars distinct,<br />

tranversely cut surface shows outer ring of brown coloured cork, short<br />

middle cortex, vascular bundles and large central pith, odour, aromatic,<br />

taste, astringent.<br />

7


) Microscopic<br />

Transverse section of rhizome shows cork divided into two zones, outer<br />

a few layers of slightly compressed and brown coloured cells, inner<br />

zone multilayered consisting of thin-walled tangentially elongatd and<br />

colourless cells, followed by a single layered cork cambium and 2-3 layers<br />

of secondary cortex composed of thick-walled, tangentially elongated,<br />

rectangular cells with intercellular spaces, some cells contain<br />

rosette crystals of calcium oxalate and simple starch grains cortex a narrowzone<br />

of parenchymatous cells containing a number of simple starch grains,<br />

most of cortical cells also contain large rosette crystals of calcium oxalate,<br />

endoderm is and pericycle absent. vascular bundles, arranged in a ring,<br />

collateral, conjoint and open, phloem tissues cornposed of sieve elements<br />

and parenchyma, in outer region found as compressed masses while in<br />

inner region intact. a number of rosette crystals of calcium oxalate also<br />

found as crystal fibres, cambium present as continuous ring composed of<br />

2-3 layers of thin walled, tangentially elongated cells, xylem consist of<br />

fibres, tracheids, vessels and parenchyma, with centre occupied by large<br />

pith composed of circular to oval, parenchymatous cells, varying in size<br />

and containing starch grains with crystals of calcium oxalate similar to<br />

those found in cortical region.<br />

IDENTITY, PURITY AND STRENGTH<br />

Foreign matter: Not more than 2 per cent,<br />

Total Ash: Not more than 13 per cent,<br />

Acid-insoluble ash: Not more than 0.5 per cent,<br />

Alcohol-soluble extractive: Not less than 9 per cent,<br />

Water-soluble extractive: Not less than 15 per cent,<br />

CONSTITUENTS - Tannic acid, gallic acid and glucose<br />

PROPERTIES AND ACTION<br />

Rasa: Tikta, Kashaya<br />

Guna: Laghu<br />

Virya: Shita<br />

Vipaka: Katu<br />

Karma: Ashmarighna, Bhedana, Vastishodhana, Mutravirecaniya<br />

IMPORTANT FORMULATIONS - Ashmarihara Kashaya Churna,<br />

Mutravirechaniya Kashaya Churna<br />

THERAPEUTIC USES - Meha, Mutrakricchra, Ashmari<br />

DOSE - 3-6 g of the drug in powder form 20-30 g of the drug for<br />

decoction.<br />

ATIVISHA (Root)<br />

(API Part –I, Vol.I, Pg.22)<br />

Ativisha consists of dried, tuberous roots of Aconitum heterophyllum<br />

Wall. ex. Royle (Fam, Ranunculaceae), a perennial herb, native of western<br />

Himalayas and found in Garhwal, Kumaon and Kashmir at altitude<br />

between 2,500-4,000 m.<br />

info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />

SYNONYMS<br />

Sanskrit: Aruna, Ghunapriya, Visa<br />

Assamese: Aatich<br />

Bengali: Ataicha<br />

English: Atis Root<br />

Gujrati: Ativishni Kali, Ativikhani Kali<br />

Hindi: Atis<br />

Kannada: Ativisha, Athihage<br />

Malayalam: Atividayam, Ativitayam<br />

Marathi: Ativisha<br />

Oriya: Atushi<br />

Punjabi: Atisa, Atees<br />

Tamil: Atividayam<br />

Urdu: Atees<br />

DESCRIPTION<br />

a) Macroscopic<br />

Roots, ovoid-conical, tapering downwards to a print, 2.0-7.5 cm long,<br />

0.4-1.6 cm or more thick at its upper extremity, gradually decreasing in<br />

thickness towards tapering end, externally light ash-grey, white or greybrown,<br />

while internally starch white, external surface wrinkled marked<br />

with scars of fallen rootlet and with a rosette of scaly rudimentary<br />

leaves on top: fracture, short, starchy, showing uniform white surface,<br />

marked towards centre by 4-7 concentrically arranged yellowish-brown<br />

dots, corresponding to end of fibro vascular bundles traversing root<br />

longitudinally taste, bitter with no tingling sensation.<br />

b) Microscopic<br />

Transverse section of mature root shows, single layered epidermis<br />

consisting of light brown tabular cells rupturing on formation of cork,<br />

cork consists of 5-10 rows of tangentially elongated, thin-walled cells,<br />

cork cambium single layered consisting of tangentially elongated, thinwalled<br />

cells, cortex much wider consisting of tangentially elongated or<br />

rounded, thin-walled parenchymatous cells with intercellular spaces,<br />

cells fully packed with both simple as well as compound starch grains,<br />

compound starch gains composed of 2-4 components of spherical body,<br />

endodermis distinct composed of barrel shaped cells, elements of vascular<br />

bundles poorly developed, vascular bundles, arranged in a ring, interfascicular<br />

cambium present in form of a ring composed of few layered<br />

thin-walled cells, central core consisting of thin-walled parenchymatous<br />

cells, possessing starch grains similar to those found in cortical cells.<br />

Powder- Ash coloured to light brown, under microscope shows abundant<br />

simple and compound starch grains and parenchymatous cells.<br />

IDENTITY, PURITY AND STRENGTH<br />

Foreign matter: Not more than 2 per cent,<br />

Total Ash: Not more than 4 per cent,<br />

Acid-insoluble ash: Not more than 1 per cent,<br />

Alcohol-soluble extractive: Not less than 6 per cent,<br />

Water-soluble extractive: Not less than 24 per cent,<br />

CONSTITUENTS - Alkaloids (atisine, dihydroatisine, hetisined and<br />

heteratisine).<br />

PROPERTIES AND ACTION<br />

Rasa: Tikta, Katu<br />

Guna: Laghu, Ruksha<br />

Virya: Ushna<br />

Vipaka: Katu<br />

Karma: Dipana, Pachana, Sangrahika, Kaphapittahara<br />

IMPORTANT FORMULATIONS - Rodhrasava, Shiva Gutika,<br />

Lakshminarayana Rasa, Maha Vishagarbha Taila, Rasnairanadi<br />

Kvatha Churna, Sudarshana Churna, Panchatikta Guggulu Ghrita,<br />

Balachaturbhadrika Churna<br />

THERAPEUTIC USES - Jvara, Kasa, Chardi, Amatisara, Krimiroga<br />

DOSE - 0.6-2.0 g of the drug in powder form<br />

8


INDRAYAVA (Seed)<br />

(API Part I, Vol.III, pg.67-68)<br />

Indrayava consists of dried seeds of Holarrhena antidysenterica Wall.<br />

(Fam. Apocynaceae); a small to medium sized tree, found throughout<br />

India.<br />

SYNONYMS<br />

Sanskrit : Bhadra Yava, Kalinga, Sakra, Vatsaka<br />

Assamese : Dudhkuri<br />

Bengali : Kurchi<br />

English : Ester Tree, Conessi Seeds<br />

Gujrati : Kuda, Kudo<br />

Hindi : Indraju, Kurchi, Kuraiya<br />

Kannada : Kodasige Beeja<br />

Malayalam : Kutakappala<br />

Marathi : Kudayache Beej<br />

Oriya : Kurei, Keruan<br />

Punjabi : Indrajau, Kaurasakh, Kura<br />

Tamil : Kudasapalai<br />

Telugu : Kodisapala Vittulu, Palakodisa-Vittulu<br />

Urdu : Tukhm-e-Kurchi, Indarjao Talkh<br />

DESCRIPTION<br />

a) Macroscopic<br />

Seeds compressed, linear, or oblong, elongated, margins curved inside,<br />

one side convex and other side concave with a longitudinal striation; 1-2<br />

cm long, 0.2-0.3 cm thick, surface light yellowish- brown; odour, not<br />

distinct; taste, bitter.<br />

b) Microscopic<br />

Seed shows 2-3 layered integument consisting of single layered, rounded,<br />

oval or radially elongated, thick-walled, reddish-brown parenchymatous<br />

info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />

cells, some of them elongate outwards forming small papillose structure,<br />

covered by a few unicellular, and uniseriate, multicellular types of<br />

trichomes; below this layer, 1 or 2 layers of small rounded or irregular<br />

cells, a few having single prismatic crystals of calcium oxalate, followed<br />

by a few layers of collapsed, brown coloured cells; endosperm 4-6 layered<br />

consisting of rounded, oval or polygonal, thin-walled, parenchymatous<br />

cells, containing aleurone grains; most ofthe cells also contain oil<br />

globules; embryo having conical radicle and two foliaceous, convoluted<br />

cotyledons consisting of single layered tabular epidermal cells towards<br />

dorsal side and rectangular cells towards ventral side, and externally<br />

covered with cuticle; rest of the cotyledon cells composed of rounded,<br />

oval or rectangular parenchymatous cells containing rosette crystals of<br />

calcium oxalate and oil globules.<br />

Powder - Light yellowish-brown; shows fragments of endosperm, pigment<br />

cells, oil globules, prismatic and rosette crystals of calcium oxalate.<br />

IDENTITY, PURITY AND STRENGTH<br />

Foreign matter: Not more than 2 per cent,<br />

Total Ash; Not more than 8 per cent,<br />

Acid-insoluble ash: Not more than 3 per cent,<br />

Alcohol-soluble extractive: Not less than <strong>12</strong> per cent,<br />

T.L.C.<br />

T.L.C. of the alcoholic extract on Silica gel 'G' plate using Chloroform:<br />

Methanol (1:1) shows under U.V. (366 nm) four fluorescent zones at Rf.<br />

0.67, 0.72, 0.76 and 0.93 (all blue). On spraying with Dragendorff reagent<br />

followed by 5% Methanolic-Sulphuric acidreagent five spots appear at Rf.<br />

0.15, 0.28, 0.43, 0.59 and 0.67 (all orange).<br />

CONSTITUENTS - Alkaloids -Steroidal Alkaloid, Conessine etc., Fats,<br />

Tannin and resin.<br />

PROPERTIES AND ACTION<br />

Rasa : Katu, Tikta<br />

Guna : Laghu, Ruksha<br />

Veerya : Shita<br />

Vipaka : Katu<br />

Karma : Deepana, Tridoshashamaka, Sangrahi<br />

IMPORTANT FORMULATIONS - Pancha Nimba Churan, Palasha<br />

Beejadi Churan, Laghu Gangadhardhara Churan, Krimi Kuthar<br />

Rasa, Piyushvalli Rasa, Jvaraghni Gutika, Siddha Praneshwar Rasa,<br />

Ahiphenasava<br />

THERAPEUTIC USES - Atisara, Kushtha, Jvaratisara, Krimi, Visarpa,<br />

Grahani, Raktatisara, Ela, Chardi, Tvagroga, Daha<br />

DOSE - 3-6 g (Churna)<br />

20-30 g (Decoction)<br />

Ancient Wisdom<br />

Among a man’s many good possessions, A good command of speech has no<br />

equal. Prosperity and ruin issue from the power of the tongue. Therefore,<br />

guard yourself against thoughtless speech.<br />

Tirukkural 65: 641-642<br />

9


FORMULATION COMPOSITION:<br />

1. Patha API Cissampelos pareira Rt. 1 part<br />

2. Jambu -bija majja API Syzygium cumini Enm. 1 part<br />

3. Amra-bija majja API Mangifera indica Enm. 1 part<br />

4. Shilabheda (Pashanabheda API) Bergenia ligulata Rz. 1 part<br />

5. Rasanjana API Berberis aristata Rt./St. Ext. 1 part<br />

6. Ambashthaki API Hibiscus sabdariffa Rt. 1 part<br />

7. Mocarasa (Shalmali) Salmalia malabarica Exd. 1 part<br />

8. Samanga (Lajjalu) API Mimosa pudica Rt./Pl. 1 part<br />

9. Padma kesara (Kamala) Nelumbo nucifera Adr. 1 part<br />

10. Vahlika (Kumkuma API) Crocus sativus Stl./Stg. 1 part<br />

11. Ativisha API Aconitum heterophyllum Rt. Tr. 1 part<br />

<strong>12</strong>. Musta API Cyperus rotundus Rf.Tr. 1 part<br />

13. Bilva API Aegle marmelos Rt./St.Bk. 1 part<br />

14. Lodhra API Symplocos racemosa St.Bk. 1 part<br />

15. Gairika (Shuddha) API Red ochre 1 part<br />

16. Katphala API Myrica nagi (M. esculenta) St. Bk. 1 part<br />

17. Marica API Piper nigrum Fr. 1 part<br />

18. Shunthi API Zingiber officinale Rz. 1 part<br />

19. Mridvika (Draksha API) Vitis vinifera Dr. Fr. 1 part<br />

20. Rakta candana API Pterocarpus santalinus Ht. Wd. 1 part<br />

21. Katvanga (Araluka API) Ailanthus excelsa St. Bk. 1 part<br />

22. Vatsaka (Kutaja API) Holarrhena antidysenterica St. Bk. 1 part<br />

23. Ananta (Shveta sariva API) Hemidesmus indicus Rt 1 part<br />

24. Dhataki API Woodfordia fruticosa Fl. 1 part<br />

25. Madhuka (Yasti API) Glycyrrhiza glabra Rt. 1 part<br />

26. Arjuna API Terminalia arjuna St. Bk. 1 part<br />

Method of preparation:<br />

Take all the ingredients of pharmacopoeial quality.<br />

Treat Gairika (No. 15) to prepare Shuddha Gairika (Appendix 6.2.7.2.),<br />

powder and pass through sieve number 85. Clean, dry and powder<br />

ingredients numbered 1 to 26 individually (except 15) and pass through<br />

sieve number 85. Weigh separately each powdered ingredient and mix<br />

together in specified ratio. Pass through sieve number 44 to prepare a<br />

homogeneous blend.<br />

Pack it in tightly closed containers to protect from light and moisture.<br />

Description:<br />

Reddish brown-coloured fine powder with a pungent odour and a bitter,<br />

sweet taste. The powder completely pass on through sieve number 44 and<br />

not less than 50 per cent pass on through sieve number 85.<br />

Identification<br />

Thin Layer Chromatography:<br />

Pharmocopial Standards For Pushyanuga Churna<br />

Extract 4 g of churna in alcohol (25 ml x 3) under reflux on a waterbath<br />

for 30 min filter, concentrate to 10 ml and carry out the thin layer<br />

chromatography. Apply 10 μl of the extract on TLC plate and develop the<br />

plate to a distance of 8 cm using toluene : ethyl acetate (5 : 2) as mobile<br />

phase. After development, allow the plate, to dry in air and examine under<br />

ultraviolet light (366 nm). It shows major spots at Rf 0.18 (blue), 0.73<br />

info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />

PUSHYANUGA CHURNA<br />

(API PART II, VOL.I, PG.55-56)<br />

DEFINITION:Pushyanuga Churan is a powder preparation made with the ingredients in the Formulation composition given below<br />

(fluorescent blue). Spray the plate with vanillin-sulphuric acid reagent<br />

followed by heating at 1100 for about 10 min and observe under visible<br />

light. The plate shows major spots at Rf 0.13 (grey), 0.27 (purple), 0.33<br />

(yellow), 0.53 (purple), 0.66 and 0.97 (both purple).<br />

Physico-chemical parameters:<br />

Loss on drying at 105 degree: Not more than 11 per cent,<br />

Total ash: Not more than 15 per cent,<br />

Acid-Insoluble ash: Not more than 4 per cent,<br />

Alcohol-soluble extractive: Not less than <strong>12</strong> per cent,<br />

Water-soluble extractive: Not less than 13 per cent,<br />

pH (10% )aqueous solution: 5 to 6,<br />

Other requirements:<br />

Microbial limit: As in Appendix 2.4 of the book.<br />

Aflatoxin: As in Appendix 2.7 of the book.<br />

Storage: Store in a cool place in tightly closed containers, protected from<br />

light and moisture.<br />

Therapeutic uses: Asrigdhara (Menorrhagia), Shvetapradara<br />

(Leucorrhoea), Rajodosha (Menstrual disorder), Arsha (Piles), Yonidosha<br />

(disorders of female genital tract).<br />

Dose: 6 g daily in divided dose.<br />

Anupana: Milk or Tandulodaka.<br />

10


Observational Clinical Study On Basant Kusumarkar Ras<br />

In Diabetes & Diabetic Neuropathy<br />

INVESTIGATORS:<br />

Dr. Ashok Kumar Jain,<br />

Head, Department of Ayurveda, Panchkarma & Yoga<br />

and<br />

Dr. T. K. Das,<br />

Chief Neurologist,<br />

at<br />

SVS Marwari Hospital, Kolkata<br />

1. INTRODUCTION:<br />

Diabetes mellitus – generally termed as Madhumeha in Ayurvedic<br />

terminology, is a frequent clinical problem. The incidence of Diabetes has<br />

been on a constant rise during last few decades more in particular, in the<br />

developing countries like India. Insulin is a hormone produced by β islets<br />

of Langerhan’s cells in pancreas and this hormone is implicated to play a<br />

vital role in the metabolism of carbohydrates and utilization of glucose.<br />

Diabetes is characterized by a defective synthesis of insulin.<br />

Based on the mode of onset and the extent of damage to the insulin<br />

producing cells, diabetes is clinically classified into two types. The first<br />

type is termed as insulin dependent Diabetes mellitus [IDDM] and other is<br />

termed as Non-Insulin Dependent Diabetes Mellitus [NIDDM]. Modern<br />

therapeutic approaches have been fairly successful to handle the primary<br />

sequel of the problem, the hyperglycaemia. In case of IDDM, direct<br />

administration of Insulin and in case of NIDDM, hypoglycaemic agents<br />

have been successfully employed.<br />

Notwithstanding these developments, there are two major areas of<br />

concern. The first one being the incidence and distribution of diabetes.<br />

Of an estimated 80 million of diabetics, over 50m. belong to heavily<br />

populated, developing countries like India. The incidence also leans<br />

primarily, towards urban population. About 1.5% of urban population<br />

is diabetics as against a 0.8% rural population. There are countries/<br />

communities with over 35% population being diabetics. Going by the<br />

upward trends in diabetic population the incidence appears to reach a<br />

phenomenally complex stage.<br />

The second important issue is the secondary sequel to diabetes. Many<br />

internal <strong>org</strong>ans are likely to be effected due to a paradoxical glucose<br />

metabolism. Of all the diabetic maladies, diabetic neuropathy affects<br />

almost 30% cases in maturity on-set diabetes. In fact, the on-set of diabetes<br />

is often manifested by early changes of neuropathy like, tingling sensations<br />

in soles and palms, muscular pain in lower extremities, claudication etc.<br />

Thus, neuropathy is essentially identified together with diabetes mellitus.<br />

Unfortunately, the sequel of diabetes is mostly irreversible and there<br />

appears no practical approach to address them.<br />

On the other hand, Ayurveda has laid down a range of therapeutic measure<br />

to address various issues linked to diabetes or madhumeha. Many studies<br />

were conducted on a number of herbs mentioned in Ayurvedic literature<br />

with an objective to develop natural hypoglycaemic agents. The success<br />

in this direction has been very little for, most of the herbs failed to reduce<br />

blood sugar levels in the desired manner. The altered approach of these<br />

investigations was found to more effective, where, an ayurvedic medicinal<br />

plant is used as an adjuvant therapy to overcome drug resistance in<br />

diabetes. However, the efficacy of Ayurvedic drugs or formulations in<br />

different complications of diabetes was sparingly reported.<br />

Basant Kusumakar Ras in Diabetes:<br />

Basant Kusumakar Ras is a generic Ayurvedic, herbo-mineral formulation<br />

info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />

described in ancient Ayurvedic texts. As per Rasendrasar Sangraha,<br />

it contains Swarna Bhasma, Rajata Bhasma, Vanga Bhasma, Naga<br />

Bhasma, Kantaloha Bhasma, Abhraka Bhasma, Pravala Bhasma, and<br />

Mukta Bhasma. The blend is further processed in the extracts of 9 herbal<br />

ingredients and flavoured with Musk.<br />

Basant Kusumakar Ras is primarily, a Rasayana formulation but the<br />

text enumerates diabetes as one of its main therapeutic indication. The<br />

formulation is acclaimed to strengthen physiology as whole, to prevent<br />

loss of hair, premature graying of hair, to promote memory and fertility.<br />

Considering these descriptions, Ayurvedic physicians often recommend<br />

Basant Kusumakar Ras to improve/maintain the quality of life in diabetic<br />

patients. However, there have been no scientific reports to validate the<br />

acclaimed clinical usage of this formulation.<br />

Dabur Research centre have concluded experimental studies in<br />

collaboration with Department of Pharmacology, AIIMS – where Basant<br />

Kusumakar Ras was found to be having some improvement in blood sugar<br />

in Alloxan induced diabetic rats. This study thus succeeded to shed a little<br />

light on the role of formulation in diabetes mellitus. However, the role<br />

of Basant Kusumakar Ras in improving the quality of life during diabetic<br />

phase remains to be addressed. It is with this viewpoint; this observational<br />

clinical study was conducted at SVS Marwari Hospital, Kolkota from<br />

August 1998 to September. 2000<br />

2. OBJECTIVES OF THE STUDY:<br />

2.1. To ascertain the clinical efficacy of Basant Kusumakar Ras in<br />

controlling blood sugar as an adjuvant.<br />

2.2. To evaluate the role of Basant Kusumakar Ras in diabetic<br />

neuropathy.<br />

3. MATERIAL & METHODS:<br />

3.1. Inclusion Criteria:<br />

• Patients of both genders, suffering from clinically established diabetes<br />

for a period not less than 5 years duration and with a basal blood sugar<br />

levels of not less than 170 mg/dl were included in the study.<br />

• Both Insulin dependent [IDDM] and non-Insulin dependent [NIDDM]<br />

types of diabetics were included in the study.<br />

• Only those patients suffering from a marked degree of polyneuritis<br />

were included.<br />

3.2. Exclusion Criteria:<br />

• Pregnant women were excluded from the scope of this study.<br />

• Patients having renal impairment, hypertension and other forms of<br />

cardiovascular problems, liver afflictions were also excluded for the<br />

purpose of the study.<br />

3.3. Study Design:<br />

Open label prospective study<br />

3.4. Enrollment & Method of Study:<br />

The study was conducted at the SVS Marwari Hospital of Calcutta in<br />

11


collaboration with a Neurologist. Patients attending the Diabetes clinic<br />

at SVS Mawari Hospital meeting the above inclusion and exclusion<br />

criteria were enrolled in the study after recording baseline data. Basant<br />

Kusumakar Ras was administered at a dose of <strong>12</strong>5 mg. twice a day for a<br />

total period of <strong>12</strong> weeks. The patients were advised to continue the use<br />

of conventional therapy with Insulin or oral hypoglycaemic drugs as the<br />

case may be, to maintain the blood sugar levels. They were advised to visit<br />

follow-up clinic on day 15th, day 30th for a general observation related<br />

to dose adaptations. The efficacy follow-up was taken up, at the end of<br />

6 weeks and <strong>12</strong> weeks of therapy for recording subjective and objective<br />

data – which was subjected to statistical analysis at the end of study. The<br />

samples of Basant Kusumakar Ras for the study were provided by Dabur<br />

India limited.<br />

3.5. Parameters of evaluation:<br />

Efficacy evaluation was done based on both subjective and objective<br />

parameters for diabetes and diabetic neuropathy.<br />

Subjective parameters included and a general recording of symptoms<br />

related to diabetes. To assess the effect of BKR in polyneuritis, the<br />

following five cardinal symptoms were measured on a 0-3 grading scale:<br />

Pain } Where Gr. – 0 is complete absence<br />

Tingling } Gr. – 1 is Mild intensity<br />

Paraesthesia } Gr. – 2 is Moderate intensity<br />

Loss of Sensation [Los] } Gr. – 3 us Severe Intensity<br />

Impaired Pain Sensation [IPS]<br />

Such grading was done at baseline, at the end of 6 and <strong>12</strong> weeks of therapy<br />

with BKR.<br />

Objective parameters included estimation of blood sugar. Blood urea<br />

and Serum creatinine levels were estimated before during and the end<br />

of therapy to observe any possible effect of therapy on renal functions.<br />

Nerve Conduction Velocity [NCV] was measured in a group of 6 [25%]<br />

cases – to have a fair idea related to the efficacy of trial drug in diabetic<br />

neuropathy.<br />

3.6. Data Recording & Statistical Analysis:<br />

The study data was maintained in specially designed case record forms.<br />

For the purpose of statistical analysis, patients were divided among<br />

NIDDM [Group-A] and IDDM [Group-B]. ANOVA was applied to assess<br />

the inter-group variations and Tukey’s test was employed to analyze the<br />

intra-group variations.<br />

4. RESULTS:<br />

A total of 24 patients were included in the study. There were no dropout<br />

cases. Their age and sex distribution is shown in Table1. For the purpose<br />

of statistical analysis these 24 patients were divided into two groups based<br />

on the type of diabetes. Patient distribution among these two groups is<br />

shown in Table 2.<br />

Table 1: Demographic distribution of Study Population:<br />

Age Groups No. of Patients:<br />

Male Female Total<br />

30-45 years 6 2 8<br />

46-60 years 8 5 13<br />

61-75 years 2 1 3<br />

Grand Totals: 16 8 24<br />

info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />

Table 2: Distribution of patients between two types of Diabetes:<br />

Group(Type of Diabetes) No. of Patients:<br />

Male Female Total<br />

Group-A (NIDDM) 9 7 16<br />

Group-B (IDDM) 7 1 8<br />

Total 16 8 24<br />

4.1. Effect of Basant Kusumakar Ras on Blood Sugar Levels:<br />

While patients were receiving conventional therapy with oral hypoglycemic<br />

agents [in group-A] of Insulin [in Group-B], their blood sugar levels were<br />

found to be higher at baseline. On addition of Basant Kusumakar Ras<br />

at a dose of <strong>12</strong>5 mg. twice a day – there was a consistent drop. As seen<br />

from Table 3, BKR therapy was found to be significantly effective in<br />

controlling blood sugar levels and such therapeutic response was uniform<br />

in both NIDDM and IDDM groups.<br />

Table 3: Effect of Basant Kusumakar Ras on Blood Sugar Levels<br />

Group Mean Blood Sugar (SD±) P-Value S t a t i s t i c a l<br />

Significance<br />

Group-A<br />

(NIDDM)<br />

N=16<br />

Group-B<br />

( I D D M )<br />

N=8<br />

Baseline After 6<br />

Wks<br />

2 3 9 . 3 8<br />

(43.82)<br />

2 3 9 . 1 3<br />

(55.32)<br />

175.25<br />

(43.82)<br />

184.00<br />

(22.60)<br />

A f t e r<br />

<strong>12</strong> Wks<br />

163.75<br />

(37.35)<br />

194.37<br />

(55.38)<br />


Table 4: Effect of Basant Kusumakar Ras on Pain Score:<br />

Group Mean Blood Sugar (SD±) P-Value S t a t i s t i c a l<br />

Significance<br />

Group-A<br />

(NIDDM)<br />

N=16<br />

Group-B<br />

( I D D M )<br />

N=8<br />

Baseline After 6<br />

Wks<br />

1 . 9 4<br />

(0.77)<br />

2 . 2 5<br />

(0.71)<br />

1 . 8 1<br />

(0.66)<br />

2 . 1 3<br />

(0.64)<br />

A f t e r<br />

<strong>12</strong> Wks<br />

1 . 1 9<br />

(0.54)<br />

1 . 7 5<br />

(0.71)<br />

info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />


4.3. Effect of Basant Kusumakar Ras on Nerve Conduction Velocity:<br />

Nerve conduction velocity was done in 25% of enrolled cases before and<br />

after <strong>12</strong> weeks of therapy. No significant changes were noted after therapy<br />

with Basant Kusumakar Ras.<br />

4.4. Effect of Renal Function Tests:<br />

To note any adverse effects of Basant Kusumakar Ras therapy, renal<br />

function tests were carried out on all patients before, during and after<br />

therapy. There were no significant differences in these values – suggesting<br />

that, the metallic ingredients don’t exhibit any renal toxicity.<br />

5. DISCUSSION & CONCLUSION:<br />

Basant Kusumakara Ras (BKR) is described in Ayurvedic literature, to work<br />

as Rasayana. Based on its composition and other relevant descriptions, the<br />

formulation is being used by Ayurvedic fraternity, as a specific Naimittika<br />

Rasayana in diabetic population. The present observational clinical study<br />

was aimed to understand the role of Basant Kusumakar Ras in diabetes<br />

and diabetic neuropathy. Going by the therapeutic attributes of the<br />

formulation and its ingredients, it was presumed that, BKR might play<br />

some significant role in normalizing the neuropathic changes in diabetic<br />

patients. However, the results are not in full favour of this presumption as<br />

Basant Kusumakar Ras have shown some improvement in pain score and<br />

tingling score only and not in parasthaesia score, loss of sensation score<br />

and impaired pain sensation scores. Basant Kusumakar Ras was found<br />

to effective as an adjuvant therapy along with conventional therapy of<br />

Insulin and oral hypoglycemic drugs in controlling blood sugar levels in<br />

both NIDDM and IDDM patients. This observation justifies the current<br />

trends of its usage as naimittika rasayana for diabetic population. No<br />

specific safety concerns were noted for the use of Basant Kusumakar Ras<br />

in diabetic population.<br />

6. ACKNOWLEDGEMENT<br />

The investigators are thankful to Dr C.K. Katiyar from Dabur India<br />

Limited for providing the study drug samples and extending the financial<br />

help for the conduct of the study.<br />

info<br />

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info Ayurveda, Volume 1, No.<strong>12</strong>, April-June’ 20<strong>12</strong><br />

7. REFERENCES:<br />

1. Shah, SN & Tripathi, BB [1992]; in chapter on Diabetes mellitus, API<br />

Textbook of Medicine, edited by Sainani, GS, Association of Physicians<br />

of India, Bombay, 4th ed., pp-204-205.<br />

2. Ritchie AC [ed.] [1990]: In Boyd’s Textbook of Pathology, Lee &<br />

Febiger, Indian Edition published by KM Verghese & Co, Bombay, vol.-<br />

II, pp-1780.<br />

3. Rahman, A & Zaman, K [1989]: Plants with Hypoglycaemic Activity,<br />

Jour, Ethnopharmacol., vo.26, pp-1-55.<br />

4. Mukherjee, PK, Banerjee, SN & Jain, AK [1995]: Clinical studies on<br />

Neem Capsules as an Adjuvant therapy in resistant cases of NIDDM. Data<br />

on files of Dabur Research Foundation.<br />

5. Tripathi. ID [1987]: in Trans. Of & Rasavidyotini commentary to<br />

Rasendrasarasangraha of Gopalabhatta, published by Chaukhambha<br />

Orientalia, Varanasi.<br />

6. Gupta, S K [1999]: effect of Basant Kusumakar Ras on Alloxan<br />

Induced diabetes in experimental Animals. Data on files of Dabur Research<br />

Foundation.<br />

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Herbal International Summit cum Expo on<br />

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