RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,

KARNATAKA, BANGALORE.

PROFORMA FOR REGISTRATION OF SUBJECT FOR

DISSERTATION IN M.D. (AYURVEDA) PANCHAKARMA

“A COMPARATIVE CLINICAL STUDY ON CHARAKOKTA

AND VAGBHATOKTA NASYA VIDHI WITH BRINGARAJA
TAILA IN KHALITYA”

By
Dr. Rajani Thankan
1st year P.G Scholar,
Dept.of P.G. Studies in Panchakarma,
Alva’s Ayurveda Medical College,
Moodbidri, D.K, Karnataka.

Guide
Dr. Sudeep Kumar M.D (Ayu)
Professor,
Dept of P.G.studies in Panchakarma,
Alva’s Ayurveda Medical College,
Moodbidri, D.K District, Karnataka

Co- Guide
Dr. Vasant C Patil M. D (Ayu)
Lecturer,
Dept of P.G studies in Panchakarma,
Alva’s Ayurveda Medical College,
Moodbidri , D.K District, Karnataka.

2010-2011
Alva’s Ayurveda Medical College,
Moodbidri, D.K.District.
 From,

Dr. RAJANI THANKAN

1st Year P.G Scholar,
Dept.of P.G.Studies in Panchakarma,
Alva’s Ayurveda Medical College,
Moodbidri, D.K. Karnataka.

To,
THE REGISTRAR,
Rajiv Gandhi University of Health Sciences,
Karnataka, Bangalore.

Through:

THE PRINCIPAL AND HEAD OF DEPARTMENT OF PANCHAKARMA,

Alva’s Ayurveda Medical College, Moodbidri, Karnataka.

Subject: Submission of completed Proforma for Registration of synopsis of

Dissertation in M.D (AYU)

Respected sir,
I request you to kindly register the below mentioned subject against my
name for the submission of dissertation to the Rajiv Gandhi University of
Health Sciences, Karnataka, Bangalore, in partial fulfilment of M.D(Ayu) in
Panchakarma.

Title of the Dissertation:

“A COMPARATIVE CLINICAL STUDY ON CHARAKOKTA AND

VAGBHATOKTA NASYA VIDHI WITH BRINGARAJA TAILA IN
KHALITYA”

Here with I am enclosing the completed proforma for registration.

Thanking you, Yours faithfully,

Place : Moodbidri
Date : 21/4/2011
(Dr. Rajani Thankan)
 RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
KARNATAKA, BANGALORE.

PROFORMA FOR REGISTRATION OF SUBJECT –DISSERTATION IN M.D.

(AYURVEDA) PANCHAKARMA

1. NAME OF THE CANDIDATE : Dr. RAJANI THANKAN

AND ADDRESS 1st YEAR M.D (Ayu) SCHOLAR,
DEPT.OF P.G. STUDIES IN PANCHAKARMA
ALVA’S AYURVEDA MEDICAL COLLEGE
MOODBIDRI- 574227

PERMANENT ADDRESS : Dr. RAJANI THANKAN

D/O Sri C. THANKAPPAN
T.O. COTTAGE, KAITHAKUZHY
ADICHANALLOOR P.O.
KOLLAM DIST, KERALA-691573

2. NAME OF THE
INSTITUTION : ALVA’S AYURVEDA MEDICAL COLLEGE
MOODBIDRI-574227 D.K.

3. COURSE OF STUDY
AND SUBJECT : M.D (AYURVEDA)-PANCHAKARMA

4. DATE OF ADMISSION
TO THE COURSE : 23.08.2010

5. TITLE OF THE TOPIC :

“A COMPARATIVE CLINICAL STUDY ON CHARAKOKTA AND

VAGBHATOKTA NASYA VIDHI WITH BHRINGARAJA TAILA IN
KHALITYA”
6. BRIEF RESUME OF THE INTENDED WORK

6.1 NEED FOR THE STUDY:

In this most advanced modernized era, the humans are gifted with lot of
sophistication, luxuries but at the same time left with sedentary ways of life, stress induced
hectic and unhealthy schedules. These along with indiscriminate dietary habits result in
malnutrition, low Hb level, low calcium level, & low aminoacid level causes many problem
which directly reflect in loss of hair. Regular uses of cosmetic soaps, synthetic shampoos,
hair jellies & other chemicals also damage the luster of the hair. Exposure to sunlight &
pollution further worsen the health of hair. All the above factor and malnutrition, poor
hygiene, sleep disturbances, stress & pollution propping into one’s life are adversely
influencing the homeostasis leading to Khalitya (Hair fall). According to survey upto 40% of
men and 25% of women in India are victims of hair fall1
Nasya Karma can be considered as an interventional treatment in Khalitya 2. Charaka3
and Vagbhata4 have explained their unique views in this procedure. Many studies on the
effect of Nasya in Khalitya Roga have been done. But no study has been done on comparing
the different procedure of Nasya. So in this study, an effort is made to compare between the
Charaka’s and Vagbhata’s method of Nasya Vidhi with Bringaraja Taila, which is having
Vatapittahara and Keshya property5 in Khalitya having special focus on hair fall.

6.2 REVIEW OF THE LITERATURE:

The review of literature includes Ayurvedic texts, contemporary Ayurvedic literatures,
modern texts, and internet sources.

 Ashtanga Hridayam
.
 Charaka Samhita

 Ashtanga Samgraha

 Sushrutha Samhitha

 Bhaishajaya Ratnavali
PREVIOUS WORK DONE:

1. Clinical study on Etiopathogenesis of Khalitya and its management with Gunja Taila
and Kesya Drugs combination by Namrata Sharma- Jamnagar-2006
2. Role of Nasya and Shiro Abhanga along with Narasimha Ghrita in the management
of Khalitya by Jotishi Hetal R- Jamnagar-2003
3. A Pharmaco- clinical study on Bhringaraja in the management of Khalitya by Mehta
D I- Jamnagar-2001
4. Khalitya Mein Kesha- Hardhana Yoga Sahita Nasya Karma evam Abhayanga ka
Tulanat maka Adhyayana by Singh Shobha R- Jamnagar-1996
5. Hasti danta ka Khalitya roga ka pariprekshya me guna-karmatmaka- Adhayaya by
Sharma R.K- Jaipur-1995.

6.3 OBJECTIVES OF THE STUDY:

 To evalute and compare the effect of Charakokta Nasya Vidhi and Vagbhatokta
Nasya Vidhi with Bhringaraja Taila in Khalitya.

 To standardize the Bindu Pramana of Nasya.

6.4 HYPOTHESIS

H0- There is neither effect of Charakokta nor Vagbhatokta Nasya Vidhi with
Bhringaraja Taila in Khalitya

H1- There is significant effect of Charakokta Nasya Vidhi with Bhringaraja Taila than
Vagbhatokta Nasya Vidhi in Khalitya

H2-There is significant effect of Vagbhatokta Nasya Vidhi with Bhringaraja Taila than
Charakokta Nasya Vidhi in Khalitya
7.MATERIALS AND METHODS

7.1 SOURCE OF DATA

a) LITERARY SOURCE
All the classical, modern literatures and contemporary text including websites about
the disease, drug and procedure will be reviewed and documented for the intended
study.
b) DRUG SOURCE
Bhringaraja Taila will be prepared from the raw drugs selecting from Alva’s
Pharmacy.
c) SAMPLE SOURCE
Khalitya patients will be selected randomly from O.P.D. and I.P.D. of P.G. studies of
Panchakarma, Alva’s Ayurveda Medical College Moodbidri. Special medical and other
referrals also considered as sample source.

7.2 METHOD OF COLLECTION OF DATA

A minimum of 30 patients fulfilling the diagnostic and inclusion criteria of either sex are
selected for the study. Out of 30, fifteen will be administered Nasya Vidhi according to
Charaka and remaining fifteen will be administered Vagbhatokta Nasya Vidhi.

a) Diagnostic criteria:
 Breaking of hair
 Roughness of hair
 Thinning of hair
 Hair fall.

b) Inclusion criteria:
 Patients between age group of 18-40 years.
 Patients fulfilling diagnostic criteria selected for Nasya karma irrespective of sex,
occupation.
 Patient fit for Nasya karma.
 c) Exclusion criteria:
 Patients below the age of 18 and above the age of 40 years.
 Patients having Alopecia Areata, Alopecia Totalis, Tinea Capitis,Dandruff, Traction
Alopecia.
 Patient suffering from any systemic illness.

d) Procedure

GROUP ACCORDING TO VRIDDHA VAGHBATA

 The Nasal therapy will be administered after all the urges are voided.
 Abhyanga with Murchitha Tila Taila will be done only to Vertex for 5 minutes.
 Mridu Bashpa Sweda for head will be done for 5- 10 minutes.
 Followed by Prayogika Dhumapana .
 Patient is made to lie in supine position and the head should be Pralambita.
 Patient’s eyes should be covered with cotton pad.
 Nostrils of the patient’s should be widened with left hand of the physician.
 Then 8 Bindu of lukewarm Bhringaraja Taila should be taken in Nasya Pranadi and
then instill into each nostril in a continuous stream (Anavacchinna).
 After administration of Nasya, patient is advised to lie on supine position for about 2
minutes.
 Then the region of the ears, forehead, skin of scalp, cheeks, nape of the neck,
shoulder, palms and soles should be massaged.
 Patient should be instructed to spit out Kaphadi Dosha into the Kidney tray placed
right and left side of the patient.
 Prayogika Dhumapana.
 Ushna Jala Kavalagraha should be followed.

Follow up: Will be done 15th, 22nd and 30th day.

Study duration: Nasya - 7 days. Total study duration - 30 days

GROUP ACCORDING TO CHARAKA
 The patient after voiding all the urges, should be made to lie comfortably in supine
position and head should be Pralambita.
 Mridu Bashpa Sweda for head will be done for 5- 10 minutes.
 Then the tip of patient’s nose should be raised with left hand and 8 Bindu of
lukewarm Bhringaraja Taila which is taken in Nasya Pranadi should be instilled in
pause (Avacchinna).
 Bashpa Sweda should be given over the head for 2-5 minutes.
 Patient should be advised to spit out Kaphadi Dosha into the Kidney tray placed right
and left sides of the patient.
 Dhumapana should be followed.
 Later Ushna Jala Kavalagraha should be given.

Follow up: On 15th, 22nd and 30th day.

Study duration: Nasya – 7 days. Total duration – 30 days

e) Assessment of effect of therapy: Baseline assessment and then 8th, 15th, 22nd and
30th day

Assessment criteria:
Detail proforma adopting standard methods of scoring subjective and objective parameters
will be analyzed statistically.
Subjective parameters:
Breaking of hair
Hair fall
Objective parameters:
By Norwood/ Hamilton scale for men5
Ludwig scale for women6

Statistical test: Obtained data will be analyzed statistically with relevant statistical test
accordingly.
7.3 Does the study require any investigations or interventions to be
conducted on patients or other humans or animals? If so describe briefly.
This study will be conducted clinically. No animal experiment will be carried out.

LABORATORY INVESTIGATIONS:
 Routine haematological and urine examination.
 If necessary, any other investigations will be done as per requirement.

7.4 Has ethical clearance been obtained from your institution in case
of 7.3?
The ethical clearance has been obtained by the ethical committee formulated in this
institution

8. LIST OF REFERENCES:
1) http://www.southIndiatourtravel.com/baldness-hair-loss.html

2) Acharya Agnivesha – Vaidya Jadavji Trikamji Acharya edited Charaka Samhita with
Ayurveda Deepika commentary of Chakrapani Datta, published by Choukambha
Krishnadas academy Varanasi. Pg. No.723(Siddhi Sthana 9/98-110)

3) Acharya Vrddha Vagbhata – Vaidya Vrddha Vagbhata edited Ashtanga sangraha with
Sasilekha Sanskrit commentary by Indu, published by Chowkhambha Sanskrit series
office, Varanasi. Pg No.225( Sutra Sthana 29/15)

4) Shri Govinda Dasji edited Bhaishajaya Ratnavali published by Choukhamba Sanskrit

santhan, Varanasi. Pg No.306 ( Netra Roga Chikitsa Prakarana 64/271-272)

5) Acharya Agnivesa, Dr.Ram Karan Sharma and Vaidya Bhagwan Dash edited Charaka
Samhita with English translation and critical Exposition based on Cakrapanidatta’s
Ayurveda Dipika fourth edition 1995 published by Chowkhamba Sanskrit series office,
Varanasi. Pg. No.120 ( Sutra sthana 5/57-62)

6) Assessment of male pattern hair loss

a)By Norwood/ Hamilton scale for men

www.nshts.com/norwood.html

7) Assessment of female pattern hair loss

b) Ludwig scale for women

www.hairlosshelp.com/2000-07
9. Signature of the Candidate:

10. Remarks of the Guide :

11.1 Name and Designation of

Guide : Dr. Sudeep Kumar M.D.(AyU)
Professor,
Dept. of P.G.studies in Panchakarma,
Alva’s Ayurveda Medical College,
Moodbidri,D.K.District, Karnataka.

11.2 Signature & seal :

11.3 Name and Designation of

Co- Guide : Dr. Vasant C Patil M.D.(Ayu)
Lecturer,
Dept. of P.G. studies in Panchakarma,
Alva’s Ayurveda Medical College,
Moodbidri, D.K. District, Karnataka.

11.4 Signature & Seal :

11.5 Head of the Department : Dr. S.G. Prasanna Aithal M.D.(Ayu)

Asst. Professor & H.O.D,
Dept. of P.G. Studies in Panchakrma,
Alva’s Ayurveda Medical College,
Moodbidri, D.K. District,Karnataka.

11.6 Signature & Seal :

12. Remarks of the Principal :

12.2 Signature & Seal :