Effect of punnagavyosha choorna pindasweda in tilataila and patoladi gana kashaya in vrischika visha: A Research article- International Ayurvedic Medical Journal ISSN Approved Journal No:  ISSN:  2320-5091, IMPACT FACTOR: 6.719 (Volume 12, Issue 09, September 2024)

ABSTRACT

Scorpion envenomation is a major public health problem in many rural areas of India. The annual number of scorpion sting cases exceeds 1.23 million, with over 32,250 (0.27%) potentially being fatal. Scorpion stings are primarily the result of accidental contact. Vrischika visha (scorpion envenomation) is of significant clinical importance due to the severity of local and systemic symptoms like Daha (Burning sensation), Ruk (Pain), Damsasopha (Oedema), Jwara (Fever), Chardi (Vomiting), etc. Acharya Vaghbata described Vrischika visha with predominance of Vata dosha & the general line of treatment should be Vatahara. In this context, all ayurvedic textbooks have mentioned Swedana as the first treatment procedure as it is Vatahara and Shoolahara. Choornapindasweda with Punnagavyosha choorna in Tilataila is one of the formulations mentioned in Keetadivisha prakarana in Kriyakoumudi, a traditional Malayalam Visha Chikitsa textbook. Ushna Teekshna gunas of Punnagavyosha choorna can act as Vatashamana. Tilataila is considered as the Agryoushadha for Vata. Patoladi Gana Kashayam which is mentioned in Ashtangahridayam is widely used in Visha conditions. This study was an interventional pre-post study with a sample size of 30. Subjects of the age group 16- 60 years, and those reported by the subject as scorpion sting and within 24 hours of the sting were selected for the study.

A detailed case history was taken according to the case proforma that included relevant signs and symptoms of Vrischika visha & Class I Scorpion Sting Syndrome. Subjects who have already undergone any other treatment for the same and with any other systemic or infectious diseases which may interfere with the study were excluded. Punnagavyosha   choorna Pottali was dipped in warm Tila taila and gently applied over the sting site, after confirming the temperature (42 C – 45  C), for 15 minutes to 45 minutes maximum or till symptoms are reduced at the affected site. After completing the procedure, 48 ml of Patoladigana Kashaya was given for internal administration. Choornapinda sweda and Patoladigana Kashaya were given for 3 days in total. Symptomatic assessment was done on 1 st day – before the treatment, after 1 hour from starting of the treatment, on 2nd day, 3rd day and on 5th day (including follow up period of two days). The result shows there is a decrease in the mean score values of Vedana, Daha, Sopha and raktavarnata after Punnagavyosha choorna pinda sweda in Tila taila and Patoladi Gana Kashayapana.