A Study on Moothira Kaadha Kirecharam

The disease is characterized by hypertrophy of prostate gland (Purastha koolam), it leads to obstruction of the urethra and compresses the urinary bladder. Patients were having complaints of lower abdominal pain and discomfort, Dribbling of urine after voiding, Increased frequency and urgency of micturition. Burning micturition and Dysuria. All of these correlate with “Moothirakaadha Kirercharam” as explained by our great siddhar Dhanvanthri. The symptom which are present in Moothirakaadha kirecharam explained by our great siddhar Dhanvanthri also same in Benign prostatic Hypertrophy as in modern aspect. AIM AND OBJECTIVES: The author had selected the disease “Moothira Kaadha Kirecharam” for dissertation work because, This disease is more common in 70% of males above 60 years and 90% of males above 70 years of age in India and all other countries. The patients are disturbed both functionally and psychologically. It generalized occurrence complications and agony undergone by the patients has made the author choose the disease. Sir BENJAMIN BRODIE has made his remark regarding the disease, “When the hair becomes grey and scanty, when specks of earthy matter begin to be deposited the tunics of the artery and when a white zone is formed at the margin of the cornea, at this same period the prostate gland usually-I might perhaps say invariably-becomes increased in size.” AIM OF THE STUDY: To study the disease on the basis of Siddha physiology (Iyarkai thathuvam) and Siddha pathology (Noi-Naadal) emphasizing more importance to Mukkutram,Suvaigal, Panjaboodha theory, Aayul thoda nirnayam, Udal thadhukal and Diagnose the patient on the basis of Ennvagai thervugal and confirm the prognosis of the disease through “Neikuri” OBJECTIVES: The objectives marked out to aspire the above said words: 1. To collect all literary evidences about kirechara disease in detail. 2. To study each and every aspect of the diseases “Moothira Kaadha. 3. Kirecharam” in the topic of its synonyms of definition ,aetiology, classification ,signs and symptoms, humoral pathogenesis, fate of the disease from various literature in siddha aspect. 4. To concentrate the clinical course of the disease “Moothira Kaadha Kirecharam” by observing carefully its aetiology, pathogenesis (Mukkutra Verupadu), clinical features, diagnosis and prognosis in patients. 5. To study in detail about the incidence of the disease with age, sex, occupation, thinai, socio-economic status, habits and prevalence. 6. To confirm the diagnosis in siddha system with the help of morden parameters. MATERIALS AND METHODS: The study in the Noi- naaddal aspects ie., pathological view of “Moothira Kaadha Kirecharam” was carried out in Govt. Siddha Medical College Hospital, Palayamkottai at out patient department. For the clinical study 20 cases suffering from “Moothira Kaadha Kirecharam” having signs and symptoms as stated in the “Dhanvanthri vaidhiyam – Part II” were selected. The 20 cases are selected for the dissertation under the guidance of Head of the Department and faculties of Noi-naadal Department, Post Graduate of Govt. Siddha Medical College Hospital, Palayamkottai. Evaluation of clinical Parameters: The cases were subjected to careful scrutiny, which involved history taking and examination of clinical features are, 1. Painful distended abdomen, 2. Dribbling of urine, 3. Frequency of Micturition, 4. Urgency of Micturition, 5. Burning Micturition, 6. Dysuria. Associated futures are, 1. Haematuria, 2. Urinary tract infection, 3. Hesitancy in Urination, 4. Sensation of incomplete emptying. A following history was taken from the patients in detail. 1. Family History 2. Personal history 3. Prevalence of age group 4. Occupational history 5. Diet habits, 6. Habitual works were noted. CONCLUSION: Identification of disease and its pathogenesis are pre requisite for medical practice. A detailed history taking clinical examinations as per siddha guide liness are necessary to arrive at precise diagnosis. The study on Moothirakaadha kirecharam was carried out in the dissertation, giving importance to the characteristics of the disease like, Lower abdominal pain and discomfort, Dribbling of urine after voiding of urine, Increased frequency and urgency of urination, Burning micturition, Dysuria. Diagnosis can be carried out by detailed history taking, classical clinical examination of siddha system neikuri, manikadai nool and changes in seven physical constituents and three humours. This study on moothira kaadha kirecharam may be correlated with benign prostatic hypertrophy (BPH) which had given relevance to modern clinical entity