International Journal of Ayurveda and Pharma Research https://ijapr.in/index.php/ijapr <div align="justify"> <p class="para1"><strong>International Journal of Ayurveda and Pharma Research (IJAPR)</strong>&nbsp;is an international peer reviewed Monthly open access Online and Print journal. The aim of the journal is to increase the impact of research in both academic and industry, with strong emphasis on quality and originality. The journal promotes to publish the articles in the field of&nbsp;<strong>Ayurveda, Siddha, Yoga, Naturopathy, Unani, Homeopathy and Allopathy</strong>&nbsp;systems of medicine and Pharmaceutical Sciences. Researchers may submit (1). Original Research Articles (2). Review articles (3). Book Reviews (4). Short Communications/ Research Letter (5). Case Report (6). Letter to the Editor/Correspondence.</p> </div> International Journal of Ayurveda and Pharma Research en-US International Journal of Ayurveda and Pharma Research 2322-0902 REVIEW ON NASA ROGA (NASAL DISEASES) IN AYURVEDA MEDICINE WITH SPECIAL REFERENCE TO THE PINASA (CATARRH) IN SRI LANKAN TRADITIONAL MEDICINE https://ijapr.in/index.php/ijapr/article/view/1848 <p><em>Pinasa </em>(Catarrh) is an inflammatory disease of respiratory mucosa accompanied by sneezing, cough, headache, rhinorrhea, itching in throat and eyes. This cascade challenges the management of the disease and ultimately leads to negative impact to quality of life of the patient. At present, intervention strategies have been implemented in the management based on the herbal formulae with the light of Sri Lankan traditional medicine (SLTM). The study is focused to compile this scattered indigenous knowledge on <em>Pinasa </em>and compare them with the findings of Ayurveda medicine to explore the diagnosis and management gaps in both Ayurveda and SLTM. Data collection was done through documentary surveys, interviews and observations. The study revealed that the <em>Pinasa </em>has been considered as collective phenomena of <em>Pratishyaya</em>, <em>Dushta Pratishyaya </em>and <em>Apinasa </em>in Ayurveda medicine. Similarities has been found in etiology, clinical features and treatments stratergies in SLTM and Ayurveda medicine but types of the disease are varying. <em>Pinasa </em>was classified into 12 and 19 sub types in SLTM while 05 sub types of <em>Pratishyaya </em>have been described in Ayurveda medicine. <em>Snehana </em>(oleation), <em>Swedana </em>(fomentation) and <em>Nasya</em> (inhalation) were mentioned as external treatment modalities in Ayurveda medicine while same regimn are mentioned in SLTM but in different medical terminologies. Decoctions, pills, <em>Kalka</em>, <em>Choorna</em> and porridge were administered as internal remedies in both the medical system with different formulae while <em>Nidana Parivarjana </em>and <em>Patyapatya Sewana </em>considered as preventive measures. It can be concluded that the knowledge on <em>Pinasa </em>in SLTM is crucial important to conduct further research studies to find effective management along with novel preparation for <em>Pinasa</em>.</p> Nanayakkara Vidanagamage Yasangi Diloopa E.D. Thanuja Priyangani Gunarathna Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-11 2021-04-11 1 9 10.47070/ijapr.v9i3.1848 MODIFIED MARICHAYADI TAILYA (MMT) IN THE MANAGEMENT OF PRATISHAYA (RHINITIS)- A MULTI DIMENSIONAL STUDIES https://ijapr.in/index.php/ijapr/article/view/1851 <p>Rhinitis is a very common and complicating disease condition usually affects more than 90% of the population varying from simple sneezing to multiple complications along with frequency. Usually, it affects due to pollution further follower by bacterial infection in naso-pharyngeal track. Most often it is managed instantly with anti-allergic medications like nasal drop &amp; tablet, syrup, etc. but due to suppression of condition for a longer period it remains dormant causing multiple complications in future. Looking to the condition a nasal drop prepared from few herbs processed with mustard oil was taken into multiple clinico – experimental trail both invivo &amp; invitro study to access the efficacy. The nasal drop in the form of <em>Nasya</em> i.e., modified <em>Marichyadi taila</em> (MMT) in management of <em>Pratishyaya</em> (rhinitis) has been evaluated from different angle i.e., clinical, radiological, biochemical, biological and anti-bio gram study etc. show significant result in comparison with modern control drug Otrivin. After comparing both the results it has found that MMT was more effective than Otrivin as because of its multi-stained bactericidal &amp; virucidal effect along with maximum relief in clinical sign &amp; symptoms. It was also observed that the drug is effective from 48-72hrs &amp; to be continued for one to two weeks for optimum relief. Efforts have been taken to highlight the specific findings pretraining to different study in the present paper.</p> Gopal C Nanda Debashree Priyadarshini Binodini Tripathy Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-12 2021-04-12 10 17 10.47070/ijapr.v9i3.1851 A CLINICAL COMPARATIVE STUDY TO EVALUATE THE EFFECTIVENESS OF RASNA SWADAMSTRADI KSHEERAPAKA WITH SUKUMARAM KASHAYAM IN SPASMODIC DYSMENORRHOEA https://ijapr.in/index.php/ijapr/article/view/1809 <p>Many women are familiar with the experience of spasmodic dysmenorrhoea, one of the commonest gynaecological conditions that affects the quality of life of many in their reproductive years.<a href="http://bestpractice.bmj.com/best-practice/monograph/420/resources/references.html#ref-1">&nbsp;</a>This condition manifested as painful menstruation, is the most frequently encountered gynaecological complaint and it can be included under <em>Udavartha yonivyapat</em>, caused by <em>Apana vata vaigunya</em> described in Ayurvedic classics. As the condition has significant effect on quality of life, personal health, and working hours and there are several limitations and adverse effects in modern medicine, its Ayurvedic management is of great importance. Randomized clinical study was conducted in Govt. Ayurveda College Hospital for Women and Children, Poojappura to evaluate the effectiveness of <em>Rasna swadamstraadi ksheerapaaka</em> in spasmodic dysmenorrhoea and to compare its result with that of <em>Sukumaram kashayam</em><em>. </em>Total 30 patients between the age group 15-35 yrs were taken in to the study who had complaints of severe or moderate lower abdominal pain and associated complaints such as low back ache, nausea, vomiting, diarrhoea, and allocated them into two groups. Study group were treated with <em>Rasna swadamstraadi ksheerapaaka</em> and control group with <em>Sukumaram kashayam</em>. Administration of drug started10 days before menstruation and continued till 4<sup>th</sup> day of menstruation for 3 consecutive cycles for study group and control group. Follow up without medicine was done for next 3 consecutive cycles for both the groups. Results were analyzed and compared statistically. The research drug <em>Rasna swadamstraadi ksheerapaaka</em> had shown effectiveness in controlling pain in spasmodic dysmenorrhoea and associated symptoms like low back ache and nausea, but in the case of vomiting, and diarrhoea it showed less sustained action in follow up period. The control drug <em>Sukumaram kashayam</em> had also shown effectiveness in controlling pain in spasmodic dysmenorrhoea and associated complaints nausea and low back ache. But in the case of vomiting, and diarrhoea this medicine also showed less sustained action in follow up period. On conclusion the study revealed that the research drug<em> Rasna swadamstraadi ksheerapaaka</em> and control drug <em>Sukumaram kashayam</em> are equally effective in treating spasmodic dysmenorrhoea, without any side effects.</p> Shahina Mole.S Anisha A Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-14 2021-04-14 18 27 10.47070/ijapr.v9i3.1809 A RESEARCH ON PHARMACUETICAL PREPARATION OF TAMRA GARBHA POTTALI https://ijapr.in/index.php/ijapr/article/view/1811 <p>Ayurveda a science of life bloomed on its own concepts of health maintenance and curative aspects. One of the prenomial off shoot of Ayurveda is <em>Rasashastra</em>, an Indian alchemy. <em>Pottali</em> <em>kalpana</em> is a peculiar pharmaceutical dosage form, is unique in terms of its preparation, mode of administration, quick in action, less dose and easy for transportation. <em>Tamra</em> <em>Garbha</em> <em>pottali</em> (TMGP) is one such herbo-mineral-metallic complex formulation containing <em>Tamra</em> <em>bhasma</em> (T.B), <em>Shodita</em> <em>Swarna</em>, <em>Hingulotta</em> <em>Parada</em> and <em>Shodhit Gandhaka</em>. Among the different pharmaceutical methods, <em>Gandhaka</em> <em>paka</em> method is considered to be the best method to enhance the properties of the drugs and to keep them in a concise form.</p> <p>Pilot study of 6 <em>Pottalis</em> was conducted to standardize the temperature required to do <em>Pottali</em> <em>paka</em> and to assess the <em>Pottali</em> <em>siddi</em> <em>lakshanas</em> like <em>Vyoma</em> <em>varna</em> of <em>Gandhaka</em> <em>paka,</em> hardness of <em>Pottali</em> and changes of silk cloth tied to the <em>Pottali</em>. The main study conducted in 2 batches on the standards made by the pilot study. Observations made on the time duration required for the study, temperature to be given to <em>Paka</em>, changes in the <em>Gandhaka</em> <em>varna</em> till attainment <em>Vyoma</em> <em>varna</em> noted. The Study gave standard pharmaceutical method of <em>Pottali</em> <em>paka</em> w.s.r to <em>Tamra</em> <em>garbha</em> <em>pottali</em>.</p> Himabindu Ravi Chavan M.S.Doddamani Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-14 2021-04-14 28 34 10.47070/ijapr.v9i3.1811 AN OBSERVATIONAL STUDY REGARDING VARIOUS AETIOLOGICAL FACTORS IN VATARAKTA https://ijapr.in/index.php/ijapr/article/view/1810 <p><strong>Objective: </strong>The prime causative factors of <em>Vatarakta</em> are <em>Vata Dosha </em>and <em>Rakta Dhatu </em>which vitiates by their own different <em>Nidana</em> simultaneously and later on vitiates each other. This study mainly aims to assess the aetiological factors in <em>Vatarakta</em> patients and to identify the common causative factors that causes <em>Vatarakta</em> which are already mentioned in the <em>Samhitas</em>.</p> <p><strong>Methods: </strong>An observational study was conducted in Rishikul Ayurvedic Hospital among 30 patients. Data was obtained by assessing the diet and lifestyle related etiological factors of the patients.</p> <p><strong>Results: </strong>Majority of the patients (60%) were in the age group of 30-40 years. Most common <em>Aharaj</em> aetiological factors observed in this study were <em>Katu Bhojan</em> (60%) and <em>Lavan Bhojan</em> (67%) while <em>Viharaj</em> aetiological factors were <em>Ratrijagrana</em> (24%) and <em>Achankramansheela </em>(50%). <strong>&nbsp;</strong></p> <p><strong>Conclusion: </strong>It is concluded that life style and food habit changes are responsible for the disease <em>Vatarakta</em>. A proper wholesome diet and physical activity must be adopted to fight with this disease.</p> Arya Archana Tripathi Sanjay Kr Shukla Shweta Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-14 2021-04-14 35 39 10.47070/ijapr.v9i3.1810 IMPORTANCE OF REPEATED SHODHANA IN KITIBHA KUSHTA (PSORIASIS) A CASE STUDY https://ijapr.in/index.php/ijapr/article/view/1854 <p><strong>Introduction:</strong> Skin conditions adversely affect one’s physical and emotional well-being, thereby causing negative impact on one’s own quality of life. In <em>Ayurveda Kushta</em> is the term used to denote different varieties of skin diseases, which includes all major skin manifestations such as Psoriasis. <em>Kitibha kushta</em> is one among <em>Kshudra kushta</em> with predominance of vitiated <em>Vata-Kapha dosha</em>. The clinical features are<em>: Shyava, Kina-Kara sparsha </em>and<em> Parushata</em>, which can be co-related to Psoriasis. Psoriasis is a commonly encountered chronic skin disease, regularly encountered in day-to- day clinical practice with prevalence of 2% worldwide.</p> <p><strong>Methodology: </strong>The present case report is of 26 years old female, came with complaints of Scaly Patchy discoloration all over the body predominantly over Extensor surface of both limbs and face with dry crusty flakes over scalp margins associated with Itching and Blood discharge on scratching and was effectively treated with <em>Shodhana</em>.</p> <p><strong>Result:</strong> Patient showed encouraging result after repeated <em>Shodhana </em>followed by <em>Shamana</em> <em>aushadis.</em></p> <p><strong>Discussion:</strong> Patient was Initially treated with <em>Virechana</em>, were the flare up of the condition was observed, later treated with repeated course of <em>Vamana</em> followed by <em>Virechana</em> in regular intervals, where she was observed with 75% of relief with no further episodes of recurrence. Hence, the present case study highlights the importance of repeated <em>Shodhana (Vamana, Virechana</em>) as mentioned in classics for the management of <em>Kitibha Kushta.</em></p> Sneha Patil Prashanth Bhat Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-13 2021-04-13 40 47 10.47070/ijapr.v9i3.1854 KNOWLEDGE AND PRACTICE OF POSSIBLE AYURVEDIC, SIDDHA AND HOMEOPATHIC REGIMENS AGAINST NOVEL CORONA VIRUS PANDEMIC AMONG HEALTHCARE WORKERS: A CROSS-SECTIONAL STUDY https://ijapr.in/index.php/ijapr/article/view/1792 <p><strong>Background: </strong>In the light of the pandemic COVID 19, world’s attention has turned to the immune system and body’s defense force. Identification of the level of epidemic preparedness and understanding of Ayurvedic, Homeopathic and Siddha regimens among health care workers is required to utilize their services in main stream health care effectively.</p> <p><strong>Aim: </strong>The aim of this study to access the knowledge and practices of possible Ayurvedic, Homeopathic and Siddha regimens during novel corona virus pandemic.</p> <p><strong>Materials and methods: </strong>A cross-sectional survey was undertaken among the health care workers with the help of 15 close ended questions. The one out of six-knowledge question were scored and analysed to identify differences with sociodemographic variables (age and occupation). Response to the three out of five questions on practices were analysed to Identify the differences, differing significantly in both knowledge and practice score.</p> <p><strong>Result: </strong>Out of 286 responses, knowledge score significantly differed with age (P-value 0.04) and occupation (P-value 0.01). Practice scores significantly differed with age (P-value 0.01) and occupation (P-value 0.00). Our study shows that 70% of study population is aware of the medicinal properties of <em>Neem, Tulsi</em> and <em>Ashwagandha</em> against COVID 19 and 65% strongly believes the immune boosting effect of Vitamin C and 77% include citrus fruits in their diet.</p> <p><strong>Conclusion: </strong>Adopting prophylactic and therapeutic strategies on the basis of Ayurveda, Homeopathy and Siddha are useful to the mankind in fighting against the COVID 19.</p> Premnath Parvathy V S. Aiswariya P. Abinaya Thomas Aiswarya B. Hariharasudan Abdullah Zoha Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-14 2021-04-14 48 54 10.47070/ijapr.v9i3.1792 EFFECT OF SHWETHA PARPATI IN UNCOMPLICATED LOWER URINARY TRACT E.COLI INFECTION - A CASE REPORT https://ijapr.in/index.php/ijapr/article/view/1857 <p>UTI is one of the most common infections which is faced by women in this era. Even though the pathogens like bacteria, virus, fungi, protozoans etc are causing the infection, E.coli is the predominant bacteria causing UTI. If it is not treated in time it can cause organ damage. The symptoms of UTI are similar to the disease <em>Mutrakrichra </em>in Ayurveda. Even Though Antibiotics are helpful, the resistance of bacteria can increase and the options for treatment can decrease. It is observed that study of <em>Swetha</em> <em>parpati</em> gives good outcomes while treating the UTI caused by E-coli which is used by the Ayurveda community. A 42 year old female patient who was diagnosed as having Lower urinary tract infection caused by E-coli for the last 5 months. She was administered with the drug <em>Shwetaparpati</em> for 14 days, by using subjective and objective assessment criteria showed the significant outcome. ICD 10 CM-N39.0 is used for selection &amp; assessment. Fever, Chillness, urgency, Dysuria, Lower abdominal pain with bacteriuria (E.Coli), and pyuria were the signs and symptoms. After the treatment symptoms vanished and on the follow up concluded that there was no presence of E. Coli bacteria.</p> Ratna Prava Misra Krishnakumar K Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-14 2021-04-14 55 61 10.47070/ijapr.v9i3.1857 THE ROLE OF SHAMAN CHIKITSA IN EKAKUSHTHA WITH SPECIFIC REFERENCE TO PSORIASIS: A CASE STUDY https://ijapr.in/index.php/ijapr/article/view/1790 <p>Skin diseases are increases day by day due to unhealthy food habits and life style changes. People are also very cautious about the skin problem because of skin is the mirror which reflects the harmony of internal functions of body. Any change in skin color disturbs the patient both mentally and physically. Psoriasis is chronic inflammatory, hyperproliferative skin disease. It is an autoimmune disease in which scaling and itching of skin present. Because of its recurrent nature the disease has remained a great problem. There is no definite cure for this disease till now. Modern medicine provides symptomatic relief but also has side effects in long course.</p> <p>Here an effort was made to treat a sixty-four years old male diagnosed case of Plaque Psoriasis, by combined Ayurvedic regimen. The Ayurvedic diagnosis is considered as <em>Ekakushtha </em>which is a <em>Vata Kapha </em>predominant <em>Kshudrakushtha</em>. As the principle of treatment, all types of <em>Kushtha </em>will be treated with <em>Samshodhana </em>and <em>Samshamana</em>. In Covid pandemic, <em>Shamana</em> <em>Chikitsa</em> was preferably given for 45 days. PASI (Psoriasis area severity index) score was taken for assessment criteria. PASI score before starting the treatment was found to be 9.6 which decreased to 0.4 at the end of treatment. Also, significant improvements in subjective parameters were observed.</p> <p>This case report showed that combined Ayurvedic modalities resulted in great improvement in overall condition of the patient with no recurrence in five months follow-up. Such a combine Ayurvedic modalities can be very useful in the management of Psoriasis and betterment of mankind.</p> Sushir Pavan Dnyandeo Umate Pooja Suresh Chawre Sushil Vilas Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-14 2021-04-14 62 67 10.47070/ijapr.v9i3.1790 CONCEPT OF UDAVARTA (PRIMARY/SPASMODIC DYSMENORRHOEA) – AN AYURVEDIC PERSPECTIVE https://ijapr.in/index.php/ijapr/article/view/1821 <p>Many women are familiar with the experience of spasmodic dysmenorrhoea, one of the commonest gynaecological conditions that affects the quality of life of many in their reproductive years.This condition manifested as painful menstruation, is the most frequently encountered gynaecological complaint and it can be included under <em>Udavartha yonivyapat</em>, caused by <em>Apana vata vaigunya</em> described in Ayurvedic classics. <em>Nidana samprapthi</em> and <em>Rupa </em>of <em>Udavartha yonivyapat</em> can well explain the etiopathogenesis and clinical features of Spasmodic dysmenorrhoea. “<em>Arthave sa vimukthe tu tat kshanam labhate sukham</em>” mentioned by <em>Acharya</em> Charaka substantiate the close similarity of <em>Udavarta </em>with Spasmodic dysmenorrhoea. <em>Vegodavarthana</em> leading to <em>Pratiloma gati</em> of <em>Apana vata</em> and <em>rajas</em> is the pathology behind <em>Udavartha yonivyapath</em>. So treatment should aim at the relief of pain by normalising the direction of menstrual flow which in turn is by normalising the vitiated <em>Apana vayu</em>. The present paper is aimed at incorporating all the references regarding <em>Udavartha</em> including <em>Nidana panchakas</em> from Ayurvedic classics and tried to give an Ayurvedic view to the concept and postulated theories on spasmodic dysmenorrhoea.</p> Anisha A Amrutha B Shahina Mole S Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-14 2021-04-14 68 75 10.47070/ijapr.v9i3.1821 AYURVEDIC MANAGEMENT OF SYSTEMIC SCLEROSIS - A SINGLE CASE STUDY https://ijapr.in/index.php/ijapr/article/view/1784 <p>Systemic sclerosis (SSc) is a multisystem autoimmune disorder caused by unknown factors. Which results in fibrosis of the skin, blood vessels, and visceral organs, including the gastrointestinal tract, lungs, heart, and kidneys. One among subset is referred to as diffuse cutaneous scleroderma and characterized by the rapid development of symmetric skin thickening of proximal and distal extremity, face, and trunk. When it affects on musculoskeletal system, the synovium in patients with arthritis is similar to that seen in early rheumatoid arthritis and shows edema with infiltration of lymphocytes and plasma cells. A 35-year-old house wife with this diagnosis came to OPD, which is managed by the principle of <em>Amavata</em> (diseases of connective tissue in Ayurveda) line of treatment. <em>Vaitarana basti</em> and <em>Valuka sweda</em> has done for 7 days with oral medication <em>Vaishwanara churna</em> ½ teaspoon with first morsal of food for 3 times. The QOL (quality of life) has been improved with in 7 days of treatment.</p> Sreenithya.M Neelakanta. J. Sajjanar Sowmyashree.U.P Gopalakrishna.G Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-14 2021-04-14 76 83 10.47070/ijapr.v9i3.1784 AN AYURVEDIC INTERVENTION IN AMAVATA: A CASE REPORT https://ijapr.in/index.php/ijapr/article/view/1858 <p><em>Amavata</em> is described by <em>Madhavakara</em> in details in the classical text <em>Madhavanidana</em>. We can compare <em>Amavata</em> with Rheumatoid Arthritis of modern science based on similar clinical features. Rheumatoid arthritis is most common chronic inflammatory disorders which affecting 0.5% Worldwide and about 0.65% to 0.75% in India. In <em>Amavata</em>, <em>Ama</em> <em>dosha</em> is directly involved with <em>Vata</em> <em>dosha</em> which causes joint inflammation, resulting in deformity and immobility in the fingers, feet, ankles and stiffness of the body etc. RA is managed by DMARDs and steroids but it is not completely cured by the medicines. In Ayurveda details description of management of <em>Amavata</em> is mentioned which includes <em>Langhana</em>, <em>Swedana</em>, <em>Deepana</em>, <em>Tikta</em>-<em>katu</em> <em>rasa</em>, <em>Virechana</em>, <em>Basti</em> etc. In this case study patient was given <em>Udwartana</em>, <em>Pariseka</em>, <em>Matra</em> <em>basti</em>, <em>Vaitarana</em> <em>basti</em> and <em>Valuka</em> <em>sweda</em> along with oral medications i.e., <em>Amavatari</em> <em>rasa</em>, <em>Guduchi</em> <em>choorna</em> with <em>Yastimadhu</em> <em>choorna</em> etc for ten days. Clinical improvement in the sign and symptoms was reported after two months which also improving the quality of life.</p> Das Aparajita Chakraborty Swagata Copyright (c) 2021-04-13 2021-04-13 84 88 EMERGENCE OF PUBLIC HEALTH CRISIS IN INDIA AMIDST COVID-19 https://ijapr.in/index.php/ijapr/article/view/1787 <p>The Coronavirus Disease 2019 (COVID-19) has affected largest population of world in several aspects. The consequences of this pandemic are multidimensional. Developing countries like India, where health care system is already struggling with many problems, and sudden outburst of COVID-19 created major challenges in terms of public health management. During management of COVID-19 patients, in second most populous country of world, Indian health care system is overburdened. This has left impact on overall health care management of COVID-19 and non COVID-19 patients. <strong>Objective:</strong> To review the public health crisis created during COVID-19 in India. <strong>Method:</strong> Various articles and studies performed during COVID-19 related to health care management are referred to have critical review of COVID-19 situation, its management and public health care challenges. <strong>Result: </strong>In the process of containing COVID-19 spread and treatment various measures and guidelines has been adopted regarding health care like restrictions on hospitalization of other than COVID-19 patients, curtailing surgeries etc. Diversion of health care system to COVID-19 patients has affected essential health services like Immunization, ANC services, treatment for Non-communicable diseases. <strong>Conclusion: </strong>Preparation of health care system for future pandemic like conditions by instituting a regular audit at health care centres and hospitals has become necessary. Need of investing in infrastructure, effective planning and overall strengthening of primary health care services has been identified. It is foremost step to ensure their functioning during emergencies without affecting regular basic health services, which majorly contributes in population health.</p> Madhuri Prakash Kubal Archana Raman Belge Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-14 2021-04-14 89 93 10.47070/ijapr.v9i3.1787 A REVIEW ON THE PROBABLE MODE OF ACTION OF HINGUVACHADI CHURNA (POWDER)- AN AYURVEDIC FORMULATION WITH MULTIFACETED ACTION https://ijapr.in/index.php/ijapr/article/view/1859 <p>Since time immemorial, a wide variety of various formulations have been used by Ayurvedic physicians to treat different gastro intestinal disorders which includes <em>Churna </em>(powder), <em>Kwatha</em> (decoctions), fermented preparations like <em>Asava</em> and <em>Arishta, Lehya </em>(linctus), <em>Vati/ Gutika </em>(tablets) etc. <em>Agnimandya </em>(slow digestive power) is considered as the root cause of all disorders in Ayurveda, especially gastrointestinal disorders. <em>Hinguvachadi</em> <em>Churna </em>is a time tested formulation widely used by Ayurvedic practitioners for correcting the digestive power of our body. There are 24 constituents in this formulation and is indicated in the management of certain specific disease conditions originated because of <em>Vata</em> and <em>Kapha</em> humour. Modern scientific world always need explanations and logic behind the mode of action of various Ayurvedic procedures. This review is an attempt to explain the mode of action of this formulation. On analysing the properties of the ingredients, it was found that it is predominant of <em>Katu rasa</em> (pungent taste), <em>Ruksha</em> (dry) <em>Teekshna</em> (sharp) <em>Guna</em> (property), <em>Ushna</em> <em>veerya</em> (hot potency), <em>Katu vipaka</em> (pungent taste after bio transformation). These properties are responsible for the various pharmacological action of the formulation in Ayurvedic terms. As per modern pharmacology, phytoconstituents of many herbs are having action concerned with motility and secretions of Gastrointestinal tract, ultimately resulting in improved digestive capacity of our body. Analysis of mode of action gives a deep insight about the usage of formulations with a better understanding. The physician can apply his logic to use the medicine in contexts other than indicated.</p> Sinimol.T.P Emy. S.Surendran Varsha Sumedhan Meghna.P.P V.Subhose Copyright (c) 2021 International Journal of Ayurveda and Pharma Research https://creativecommons.org/licenses/by-nc-sa/4.0 2021-04-14 2021-04-14 94 101 10.47070/ijapr.v9i3.1859