A Study on Cegana Vatham (சகன வாதம்)

AIM AND OBJECTIVE The main aim of the present study is to do a clinical study on the course of the disease ceganavatham with known observation on the aetiology, pathology, diagnosis, complications and the treatmental aspects using a time honoured siddha drugs Kadukkai Choornam as on internal medicine and Yearandathylam as an external medicine. The present study includes the following. 1. Collection and detailed study of various siddha and modern literatures dealing with aetiology sings and symptoms, diagnosis, prognosis, complications and treatment of Cegana Vatham. 2. To have an idea of the incidence of the disease with reference to sex, age, habit, occupation, income, social status etc. 3. To have a clinical trial with some specific time honoured siddha drugs. 4. To ascertain the extent of correlation of aetiology, sings and symptoms of Cegana Vatham is siddha system with “Cervical spondylosis” a Clinical entity in the modern medicine. 5. To evaluate the Biochemical and pharmacological actions of the trial medicines. SUMMARY: Twenty cases with Cegana vatham were diagnosed clinically based on the saint Yugi 800 and admitted in the In Patient ward of Post Graduate Department of Sirappu Maruthuvam, Government Siddha Medical College and Hospital, Palayamkottai and treated with the trial medicine. • Before starting the treatment, careful detailed history was carried out and recorded for the 20 selected cases. • The various Siddha aspects of examination of the disease were carried out and data were recorded in the proforma. • Laboratory diagnosis of Cegana vatham was done by modern methods of investigation. • The trial medicine chosen for both internal and external treatment were Kadukkai chooranam 1gram twice a day for fifteen days as per the severity of the disease and Yearanda Thylam external application. • During the period of treatment all the patients were put under pathiyam(A special dietary regimen) • A periodical laboratory investigation was made for all the cases along with the radiological investigation. • The observations made during the clinical study shows that the main internal drug Kadukkai chooranam is clinically effective. • Though there was appreciable clinical improvement, there was not much remarkable radiographic changes. • Along with medication ,the patients were advised over their dietary habits and to practice yoga and simple exercises. • The advantage of the selected drugs were listed as, • The drugs were found to be free from adverse effects. • The raw materials were available in almost all season. • And finally it is economic. These merits were essential in promoting this drug in future globally. CONCLUSION: All the twenty patients were treated for this dissertation work with Kadukkai Chooranam 1 gram twice a day with butter milk or honey and Yearanda Thylam externally. The results were observed as, Improvement effect - 40%, Clinical cure - 25%, Marked effect - 35%. This result of the clinical trial illustrates the fruitful effect of the drugs. Hence these drugs and methodology of the treatment will become one of the milestones in treating Cegana Vatha patients in future