A CRITICAL STUDY ON THE CONCEPT OF NISAARA IN PANDU WITH SPECIAL REFERENCE TO TREATMENT RESPONSE IN IRON DEFICIENCY ANAEMIA
*Dr. Ragesh C., Dr. Ajitha K. and Dr. Anjali Sivaram
ABSTRACT
Complete healthy state of dhatu is represented by saarata. One Lakshana of pandu by charaka acharya is nisaara, in commentary chakrapani dutta commented nisaara stands for loss of all the eight variety of saara of dhathus. Main objective of study is to assess influence of raktha saarata in treatment response of iron deficiency anaemia. 30 diagnosed cases of iron deficiency anemia patients with Hb between 7-11. 9g% and serum ferritin level less than 20 μg were selected. Raktasaarata of each individual was assessed by questionnaire. Based on saara score they are divided into 3 groups (saara score 24-29 1stgroup; 30-35 2nd group and 36-41 3rd group). Haemogram and serum ferritin level also were taken. Next day onwards vyoshaditakra for correcting iron deficiency anemia was given to these patients for a period of 45 days. Haemogram was repeated on 15th day, 30thday & 45thday. Serum ferritin analysis was repeated on 30th day of vyoshadi administration. At the end of study, noticed that effect of intervention on Hb, RBC, WBC, Platelet, MCHC, MCH, PCV etc was significant in group 1 and 3. But changes in group 1 values were obtained mostly after the total course of intervention while significant changes were noticed in group 3 even in the middle of intervention. The third group who had better rakthasaarata got better treatment response. It is seen in this study that in pandu patients there will be little saara and it has a influence in treatment response. That is Individual with better rakthasaara score, get quick response to treatment of iron deficiency anemia.
Keywords: Asaara, rakthasaara, pandu, irondeficiency anemia, vyoshaditakra.
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