1

SYNOPSIS FOR THE THESIS

A CLINICAL STUDY ON RAJONIVRITI KALAJ
LAKSHAN AND ITS MANAGEMENT WITH
INDIGENOUS DRUGS SHATAVARI, GUDUCHI
AND YASTIMADHU.

TITLE SUBMITTED FOR THE DEGREE OF AYURVED
DHANVANTARI (M.S. AYU)
IN PRASUTI TANTRA AND STRI ROG
UNDER

CHHATRAPATI SHAHU JI MAHARAJ UNIVERSITY
KANPUR (U.P.)



SUBMITTED BY:
DR. VASUNDHRA CHAUDHARY
B.A.M.S.
M.S. (SCHOLAR) S.A.M.C., ALIGARH
GUIDE
DR. RANI GUPTA
M.S. (AYURVEDA)
READER, PRASUTI TANTRA EVAM STRI ROGA
S.S.A.M.C. & HOSPITAL, ALIGARH

POST GRADUATE DEPARTMENT OF PRASUTI TANTRA
EVAM STRI ROGA
SRI SAI AYURVEDIC MEDICAL COLLEGE & HOSPITAL
ALIGARH- 202001, U.P.

SESSION 2010-11
2

From
Dr. Vasundhra Chaudhary B.A.M.S
I Year M.S. (Ayu)
Department of post graduate studies in prasuti tantra evam stri rog
Sri sai ayurvedic medical P.G. college and hospital Aligarh 202001


To,
The Registar,
Chatrapati Sahuji Maharaj University
Kanpur, Uttar Pradesh.


Through: The Principal and Head of department in Prasuti Tantra evam Stri Rog
Sri Sai Ayurvedic Medical P.G. College And Hospital
ALIGARH 202001


Respected Sir/Madam,

Subject: Submission of complete Performa for registration of subject for dissertation.

I request you to register the below mentioned subject in my name for the
registration of subject for dissertation to the Chatrapati Sahuji Maharaj University Kanpur for
partial fulfillment of M.S [ Ay].


Title of the Dissertation:

A CLINICAL STUDY ON RAJONIVRITI KALAJ LAKSHAN AND ITS
MANAGEMENT WITH INDIGENOUS DRUGS SHATAVARI ,GUDUCHI AND
YASTIMADHU.

Herewith I am enclosing completed Performa for registration of subject dissertation.


Thanking You Yours faithful
Place : ALIGARH Dr. Vasundhra Chaudhary
Date :











3

ANNEXURE - 11


Completed preformed for registration of subject for dissertation



1. Name of the Candidate : Dr. VASUNDHRA CHAUDHARY
and address I YEAR M.S. POST GRADUATE STUDIES IN
PRASUTI TANTRA EVAM STRI ROG
S.S.A.M.C. H ALIGARH

Dr.VASUNDHRA CHAUDHARY
W/O Dr. BALRAJ SINGH
C- 2 / 170, MANSAROVER COLONY,
DELHI ROAD, MORADABAD, U.P.




2. Name of Institution : SRI SAI AYURVEDIC MEDICAL P.G. COLLEGE
ALIGARH




3. Course of study : M.S. IN PRASUTI TANTRA EVAM STRI ROG




4. Title of Topic : A CLINICAL STUDY ON RAJONIVRITI
KALAJ LAKSHAN AND ITS
MANAGEMENT WITH INDIGENOUS
DRUGS SHATAVARI , GUDUCHI AND
YASTIMADHU.













4



5. BRIEF RESUME OF INTENDED WORK

5.1. Need for the study

Problems of different age group of women are still present and the most suffering age group
is forty-plus due to change in reproductive life by permanent cessation of menstruation
causing untoward physical and mental agonies called as menopause. Every woman faces
varies physiological and psychological changes during this "change of life" as a part of
hormonal derangement. Sometimes such disturbances attain the stage of disease or syndrome
called as "Menopausal Syndrome" which is accompanied by various vasomotor,
psychological, genital, locomotors and GIT related symptoms.

Normally, menopause occurs at a median age of 51 years, so a woman spends up to one third
of her life in menopause About 75% of women are having uncomfortable physical symptoms
and 50% experience psychological manifestations during menopause. About 50-60% of
women seek
medical help for that. Though menopause is a natural event as a part of the normal process of
aging, it is turning into a major health problem in recent years in developed as well as
developing countries like India.Being an alarming problem, it needs an effective and safe
treatment.

In modern science, Hormone Replacement Therapy (HRT) is one and only alternative for this
health hazard by which one can get spectacular achievement in combating the disease, but it
has a wider range of secondary health complications like vaginal bleeding, breast cancer,
endometrical cancer, gallbladder diseases etc. On the other hand, this therapy is not much
effective in the psychological manifestations of this stage. They manage them by the long
term use of Sedative, Hypnotics and Anxiolytic drugs, which may lead to various side effects
like drowsiness, impaired motor functions, loss of memory, allergic reactions, non social
behaviors, drug dependence etc.

Therefore, there is a wide scope of research to find out safe, potent, cost effective remedy
from Ayurveda for the management of rajonivritijanya lakshana. From the previous works, it
is well proved that this health hazard can be well managed with certain Ayurvedic
therapeutics having Medhya and Rasayana properties. so, considering this view, some known
rasayana drugs like shatavari, Yastimadhu, Guduchi (A.H. Ut. 39/60-61 ) is taken for present
work in an attempt to search effective remedy for rajonivriti kalaj lakshana.


Rasayanam cha tajgeyam yajjara vyadhi nashanam. Sharangdhar







5

5.2 References
1. Sushruta samhita with Ayurveda Tatvasandipika Commentary, edited by kaviraj dr.
Ambika Dutta Shastri.
2. Astang Hridyam Nirmala Hindi Vyakhya by Dr. Brahmananda Tripathi
3. Ayurvediya Prasuti Tantra evam Stri Rog Part I by Prof Premvati Tivari.
4. Bhavaprakasha - Jayakrishnadas Haridas Gupta Kashi Sanskrit Granthmala.
5. Charaka Samhita - Ayurved Dipika Commentary of Chakrapanidatta, Edited by Vaidya
Jadavaji Trikamji Acharya; Chaukhamba Surbharti Prakashan, Varanasi.
6. Dravyaguna Vignana by Dr. Gyanendra Pandey, Chaukhamba Prakashan, Varanasi.
7. Text book of Gynaecology by C. S. Dawn, 9th Edition, Calcutta.
8. Text book of Gynaecology by D. C. Dutta, Third Edition
9. Howkins and Bourne Shaws Text book of Gynecology 14
th
edition .

5.3 PREVIOUS WORKS :

AT JAMNAGAR :

1. In 1993-95; A clinical study on Rajonivritti with special reference to menopausal
syndrome by Dr. Kirtidevi
2. In 1996-98; A clinical study on the management of climacteric stage in women with
special reference to menopausal syndrome by using certain Ayurvedic formulations by Dr.
Kirtidevi Gohil (Ph. D. Thesis).
3. In 1998-2000, Comparative study between Rasayankalpavati & Shankhpushpi Vati in
clinical study on Rajonivritti by Dr. Ajay Sood.
4. In 2000-2002, A comparative Pharmaco-clinical study of Rasayankalpvati and masyadivati
on rajonivritti avastha janya Lakshana (Menopausal Syndrome) by Dr. Ami P. Modi.
5. In 2000-2002; A clinical study on Manas bhavas in Menopausal syndrome and its
management by Medhya Rasayana Vati & Shirodhara by Dr. Manju Pateria.

At B.H.U :

1. In 1999, Effect of Vacha, Ashwagandha, Ulatakambala & Jatamansi on manopausal
syndrome by Dr. Shipra Dhar.


5.4 OBJECTIVES OF THE STUDY

A literary work on rajonivriti janya lakshana in both ayurveda and modern literature.
To evaluate the efficacy of indigenous use of shatavari, guduchi and yastimadhu in
management of rajonivriti janya lakshan.

6.1 MATERIALS AND METHODS:

The patients: The patients attending the O.P.D. & I.P.D. of the S.S.A.M.C.H Aligarh will
be registered for the present study.

The drugs : The test drug 'chalk churna' with placebo capsules and the
standard drug "guduchi,shatavariand yastimadhu churna" will be prepared in Pharmacy of
S.S.A.M.C.H Aligarh
6



6.2 PLAN OF STUDY:

Criteria of Selection

Patients willing to participate in the study and who agreed to give the written consent.
Women aged between 40 - 55 years, having cardinal symptom i.e. cessation of
Menstruation will be selected.
Women having clinical features of Menopausal syndrome along with psychological
disturbances will be selected.

Criteria of Exclusion:

Patients not willing to participate in the study
Crippling conditions like malignancy etc.
The cases of primary amenorrhea and other complicated cases.
Menopausal women with untoward effects of HRT will be excluded from the present study.

Criteria of Assessment:

Subjective Criteria:

Results of the treatment will be assessed on the basis of relief in the sings and
symptoms of the menopausal syndrome assessed before and after the treatment.
Sign and symptoms to be assessed are Hot Flushes, Excessive
sweating,Fatigue,Palpitation,Pain in joints, Backache, Loss of appetite, Flatulence,
Constipation, Loss of urinary control ,Dryness of vagina, Headache, Irritability, Mood swing,
Depression, Sleep disturbances, Loss of confidence, Forgetfulness, Decrease Libido.

Objective Criteria:

Routine hematological, urine and stool investigations.



Sample Size:

Total number of patients taken for study will be 30 excluding dropouts. The patients selected
for study will be divided into 2 groups Group A and Group B consisting of 15 patients
each.








7

6.3 Drug dose and duration of treatment

Group A

Drug: Churna of shatavari ,yastimadhu and guduchi.
Dose: 3 gms twice a day
Route: Oral
Anupana :Go Cheer (A.H.Ut 39/44), (A. H. Su 5/21)
Duration: Three month.

Group B

Drug: Chalk churna capsules
Dose: 1 capsules twice a day
Route: Oral
Anupana : Sterile water
Duration: Three month.

Assessment will be done every 30 days interval after administration of the treatment.


6.4 Layout of Design :

Control Group A

Group A Treatment 1(T
1
) 15 cases will be treated with trial drug.

Group B Treatment 2(T
2
) 15 cases will be treated with placebo.



Design - 1

B.T T
1
/V
S

A.T - Effectiveness of T
1
will be assesed

B.T T
2
/V
S

A.T - Effectiveness of T
2
will be assesed


Design - 2

Effectiveness of T
1
will be assessed with T
2
.









8


7. Signature of Candidate :


8. Remarks of Guide :


9. Name and designation of :


9.1 Guide Dr Rani Gupta
Reader
Department of post graduates study
In Prasuti Tantra evam Stri Rog
S.S.A.M.C.H Aligarh




9.2 Signature



9.3 Head of the Department : Dr Balen Vaishaiya
Professor
Department of post graduates study
in Prasuti Tantra evam Stri Rog
S.S.A.M.C.H Aligarh


9.4 Signature



10.1 Remarks of the Principal



10.2 Signature