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VOL 4 eISSN-2348-0173
INTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINE pISSN-2395-3985
ISSUE 1 (2016)

RESEARCH ARTICLE
Scientific Journal Impact Factor 5.733 (2015) by InnoSpace Sci. Res., Morocco

EFFECT OF DHANYAKA HIMA ON GRISHMA RITUJANYA PITTATMAKA


VIKAR: A CLINICAL STUDY

Yogesh Bhagwanrao Shinde1*, Jagamohan B. Rathi2

1. Assistant Professor, Dept. of Swasthavritta & Yoga, C.S.M.S.S. Ayurveda College, Kanchanwadi,
Aurangabad, Maharashtra, Contact- (+91240)2380772, +919049241200/9028383505, Email -
yogesh.ayurved@gmail.com

2. Associate Professor & Head, Dept. of Swasthavritta & Yoga & Ex. Vice Principal - Shri Ayurveda
College, Hanuman Nagar, Nagpur, Maharashtra, Contact +919422107455, Email -
drjbrathi@gmail.com

Article Received on - 17th Nov 2015


Article Revised on - 17th Jan 2016
Article Accepted on - 31st Jan 2016

All articles published in IJAAM are peer-reviewed and can be downloaded, printed and
distributed freely for non commercial purpose (see copyright notice below).
40

(Full Text Available @ www.ijaam.org)


Page

© 2013 IJAAM
This is an Open Access article distributed under the terms of the Creative Commons Attribution License
(http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en_US), which permits unrestricted non commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.

Shinde Y.B. et.al., Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar: A Clinical Study, Int. J. Ayu. Alt. Med., 2016; 4(1):
40-48
VOL 4 eISSN-2348-0173
INTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINE pISSN-2395-3985
ISSUE 1 (2016)

RESEARCH ARTICLE

EFFECT OF DHANYAKA HIMA ON GRISHMA RITUJANYA PITTATMAKA VIKAR: A


CLINICAL STUDY

*Corresponding Author ABSTRACT:


A Placebo controlled open labelled, randomized comparative clinical efficacy
Yogesh B. Shinde
trial was conducted to study the effects of Dhanyaka Hima (Cold Infusion of
Assistant Professor, Dept. of
Swasthavritta & Yoga, C.S.M.S.S.
Coriander Seeds) on Grishma Ritujanya Pittatmaka Vikar (Pitta - Heat disorders
Ayurveda College, Kanchanwadi, due to Summer Season) and to provide a cost effective remedy in this context.
Aurangabad, Maharashtra, The study was conducted in 60 patients with the daily administration of 100
Contact:- (+91240)2380772, ml. of Dhanyaka Hima per day in Trial group and 1 Starch filled capsule each of
+919049241200/9028383505, 250 mg per day in Control group early in the morning daily for 30 days. The
Email - yogesh.ayurved@gmail.com Upashaya Anupashayatmaka Effect (Efficacy) of Dhanyaka Hima was studied by
the presence or absence of Grishma Ritujanya Pittatmak Vikar from baseline
and at consecutive follow ups on 10th, 20th and 30th Day. The symptoms
considered were Daha (Generalised burning sensation in the body), Osha
(Severe generalised burning sensation in the body with sweating and anxiety),
Plosha (Localized burning sensation without sweating), Dava [Burning
sensation in Mukha (Oral cavity) / Oshtha (Lips) / Talu (Palate)], Davathu i.e.
Netradaha (Burning sensation in the eyes), Vidaha i.e. Hastapadatala Daha
(Burning sensation in the Hands / Feet), Antardaha (Internal burning
sensation), Dhumaka i.e. Shira / Griva / Kantha / Talu Dhumayanam (Feeling of
hot fumes in the Head / Neck / Throat / Palate), Amlaka (Acidic Eructations),
Atisweda (Excess Sweating) and Trishnadhikya (Excess Thirst). Grishma
Ritujanya Pittatmaka Vikar were found predominantly in the Males or Students
or in the individuals who are Mishrahari (Eating both Veg and Nonveg foods) or
with Teekshnagni (High Appetite and Digestion Rate) or Mrudukoshtha (Easy
Soft Digestive System) or Pittapradhana Prakruti (Pitta Dominant Constitution)
or in the Madhayavastha of Ayu (Middle Age Span of Life). With statistical
analysis by paired and unpaired t - tests, the changes in pathological
investigations were insignificant. With statistical analysis of the clinical
parameters by chi - square test, only Trishnadhikya symptom was relieved on
10th day while Davathu and Antardaha symptoms were relieved on 20th day.
However, on 30th Day Dava, Vidaha and Dhumaka symptoms were relieved
completely along with Trishnadhikya, Davathu and Antardaha symptoms. This
QR Code IJAAM clinical study concluded that Dhanyaka Hima is an easy, clinically effective, and
economic remedy in the Grishma Ritujanya Pittatmaka Vikar (Pitta - Heat
disorders due to Summer Season). The conclusion about regular administration
of Dhanyaka Hima over a longer duration confirmed the importance of
following Grishma Ritucharya (Summer Seasonal Regime) as well.

Key Words: Swasthavritta, Dhanyaka Hima, Grishma Ritu, Pitta Vikar,


www.ijaam.org Ritucharya
DIDS: 04.2016-89743717

INTRODUCTION: increasing temperature in the environment is a


41

The part of Ayurveda, which encompasses all the matter of global concern. The general limit of high
aspects of health (Swasthya), is called as temperature tolerance in a healthy individual is
Page

Swasthavritta. Swasthavritta includes unique about 400C. In the summer of 2010, temperature of
modalities in Ayurveda such as Dincharya (Daily some of the cities in India was recorded around
Regime) and Ritucharya (Seasonal Regime) for the 490C. An increase of about 3oc would take place in
maintenance and promotion of the health status. the average global surface temperature by the year
The one who regularly follows Daily Regime, 2050. [2] The ‘Urban Heat Island Phenomenon’ that
Nocturnal Regime and Seasonal Regime as advised makes cities warmer than the surrounding rural
in Ayurveda remains always healthy. [1] Ritucharya areas will lead to longer and more severe heat
i.e. Seasonal Regime includes season specific diet, waves than we are accustomed to now. [3] During
behaviour and Therapy for the maintenance of the Chicago heat wave of 1995, more than 700
Dosha (Humours) equilibrium of the body, which people died in their homes from heat exposure. [4]
in turn maintains our health status. Presently According to Ayurveda during the Grishma Ritu

Shinde Y.B. et.al., Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar: A Clinical Study, Int. J. Ayu. Alt. Med., 2016; 4(1):
40-48
VOL 4 eISSN-2348-0173
INTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINE pISSN-2395-3985
ISSUE 1 (2016)

(Summer Season), everyone experiences b. Freshly prepared powder of Sita. (Raw


Pittatmaka Vikar (Disorders of Pitta) such as sugar)
Trishnadhikya (Excessive Thirst), Daha (Heat), c. A fresh Mruttika Patra (Mud pot)
Swedadhikya (Excessive Sweat) etc. This is d. A measuring flask of 100 ml
because, of the Pittadosha (Pitta), which e. Strainer with a fine net
spontaneously and abnormally aggravates in the f. Stainless steel spoon
Grishma Ritu (Summer Season). [5] It is very g. Starch filled capsules
necessary to adopt certain changes in the food 2. Analysis of Study Drugs :
habits as well as in the mode of living to protect Pharmacopeial Identification of Dhanyaka
the body against the harmful effects of changing (Coriander seeds) was studied. Analysis of the
environment. [6] In most of the scriptures of study drugs was done in a FDA (M.S.) and
Ayurveda, sweet, cold and liquid regimen is AGMARK approved and an ISO 9001-2008
recommended in Grishma Ritu (Summer Season). Certified laboratory.
Panaka (Syrups), Mantha (Thin Gruels) prepared 3. Determination of Grishma Ritu :
with corn-flour and sugar, which are cold, very Grishma Ritu was considered as per Bhartiya
sweet in taste are the ideal drinks in the Grishma Kala Nirdesh Patraka i.e. Panchanga. (Indian
Ritu (Summer Season). [7] Dhanyaka Hima (Cold Calender). Accordingly, the duration of 2
infusion of coriander seeds) is indicated early in months from 20 April to 20 June was
the morning along with raw sugar against Trishna considered as Grishma Ritu. In these 2 months,
(Thirst) and Antardaha (Internal burning) in due to extensive heat of sun, Pittatmaka Vikar
Sharandhar Samhita. [8] One should quickly drink is generally found in Maharashtra State of
cold water to prevent ill effects of Trishna (Thirst) India. Hence, these 2 months were considered
over the body. [9] In addition, researches in the for the study and patients were examined in
modern science conclude that morning this period only.
hydrotherapy is extremely beneficial during the 4. Selection of 11 Pittatmaka Vikar :
Summer Season. [10] Dhanyaka Hima can be a cost 11 Pittatmaka vikar, commonly occurring in
effective and home based remedy for Grishma the Grishma ritu, was selected from
Ritujanya Pittatmaka Vikar (Pitta - Heat disorders Nanatmaja Pittavikar stated in various
due to Summer Season) and hence selected for the Ayurvedic texts. [11]
study. 5. Symptomatology of Pittatmaka Vikar :
Symptomatology of Pittatmaka Vikar was
AIM AND OBJECTIVES: considered according to Ashtanga
1. To study the effect of Dhanyaka Hima (Cold Sangraha.[12]
Infusion of Coriander Seeds) on Grishma 6. Preparation of Study Drugs :
Ritujanya Pittatmaka Vikar. (Pitta - Heat Group - A: Preparation of Dhanyaka Hima
disorders due to Summer Season) Patients were educated to prepare the
2. To provide a cost effective and home based Dhanyaka Hima on home basis as per the
remedy for Grishma Ritujanya Pittatmaka reference of Sharandhar Samhita. [13]
Vikar. (Pitta - Heat disorders due to Summer
Season) Group - B: Preparation of Placebo Drug
Starch field capsules each of 250 mg. were
MATERIAL AND METHODS: used in the control Group.
1. Material : 7. Conduction Of Clinical Trial :
a. Freshly prepared powder of dried 1) Study Design: Placebo controlled open
42

Dhanyaka. (Coriander seeds) labelled, randomized comparative clinical


efficacy trial.
Page

Sr. Group - A Group – B


Character
No. Experimental Group Control Group
1. No. of Patients 30 30
Starch filled capsules considered as
2. Drug for study Dhanyaka Hima
placebo.
3. Matra (Dose) 100 ml. (250 mg) 1 capsule
Since drug was in liquid form, no Anupana
4. Anupana (Adjuvant) Water
was required.
Aushadhi Sevan Kala
5. Early Morning - Once a day Early Morning- Once a day
(Drug Administration Timings)
6. Total duration of the treatment 30 Days 30 Days
7. Follow up On 10th, 20th, 30th Day On 10th, 20th, 30th Day

Shinde Y.B. et.al., Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar: A Clinical Study, Int. J. Ayu. Alt. Med., 2016; 4(1):
40-48
VOL 4 eISSN-2348-0173
INTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINE pISSN-2395-3985
ISSUE 1 (2016)

2) Indication: Grishmaritujanya j. Comparative study was done between the


Pittatmaka Vikar. Group - A i.e. Experimental Group and Group
3) Inclusion Criteria : - B i.e. Control Group.
1. Patients facing Grishma Ritujanya k. Observations were recorded based on the
Pittatmaka Vikar Clinical Parameters before the treatment, at
2. Patients between 20 - 50 years of age the first follow up i.e. on the 10th day (AT1 ),
group at the second follow up i.e. on the 20th day
3. Patients of either sex (AT2 ), and at the last follow up i.e. on the
4. Patients living in the similar 30th day (AT3 ) of the study in both the
environment groups
4) Exclusion Criteria : l. Pathological evaluation (Hb %, TLC, Platelet
1. Patients with any other vikar than the Count, RBC Count, ESR, RBS, Urine Routine
Grishma Ritujanya Pittatmaka Vikar and Urine Microscopic examination) of each
2. Infants, young children and older people patient was done before and after the
3. Females in ANC and PNC period treatment to rule out systemic diseases.
4. Workers in hot environments or A/C m. The Upashaya Anupashayatmaka effect
5. Athletes and frequent exercisers (Efficacy) of study drugs was recorded based
6. Patients exposed to heat stress on presence or absence of Grishma Ritujanya
5) Methods Of Observations : Pittatmak Vikar at consecutive follow ups in
a. From the OPD of Swasthyarakshana Vibhaga each group.
(Health Promotion OPD) 60 patients having n. Data was collected, documented and analyzed
Grishma Ritujanya Pittatmaka Vikar were according to statistical methods.
selected randomly from the age group of 20 - Criteria of Assessment: Clinical Parameters:
50 years irrespective of their Sex, Caste, The Upashaya Anupashayatmaka effect (Efficacy)
Religion, Educational Status and Socio- of study drugs was recorded as per the Ayurved,
Economical status. based on the presence or absence of Grishma
b. 11 Grishma Ritujanya Pittatmaka Vikar were Ritujanya Pittatmak Vikar i.e. Daha, Osha, Dava,
considered to evaluate each patient. Davathu, Vidaha, Antardaha, Dhumaka, Amlaka,
c. Informed consent from each patient was Atisweda, Trishnadhikya at consecutive follow up
procured prior the study. in each group.
d. Detailed Clinical examination of each patient
was done according to the case record form. Pathological Investigations:
e. Patients having minimum 3 of the 11 Grishma A. Blood sample of each patient was taken for
Ritujanya Pittatmaka Vikar were selected for following pathological investigations.
the study. 1. Haemoglobin% (Hb %)
f. For Group - A i.e. Experimental Group 100 ml 2. Total leucocyte count (TLC)
of Dhanyaka Hima was given early in the 3. Platelet Count
morning before 7 am, daily for 1 month. 4. RBC Count
g. For Group - B i.e. Control Group a placebo 5. Erythrocyte sedimentation rate (ESR) and
capsule of 250 mg was given with water early 6. Random blood sugar (RBS).
in the morning up to 7 am, daily for 1 month. B. Urine Routine and Microscopic Examination.
h. Study specific do’s and don’ts were instructed
to each patient of the study. OBSERVATIONS AND ANALYSIS :
i. The patients were followed up on 10th, 20th, A. Demographical Observations :
43

30th Day of study in the Grishma Ritu.


Table No. 1. Distribution of Grishma Ritujanya Pittatmaka Vikar in 60 Patients
Page

Sr. Grishma Ritujanya Group A Group B Total


%
No Pittatmaka Vikar (30) (30) (60)
% %
1. Daha 5 16.66 5 16.66 10 16.66
2. Osha 1 3.33 2 6.66 3 5
3. Plosha 5 16.66 1 3.33 6 10
4. Dava 14 46.66 11 36.66 25 41.66
5. Davathu 25 83.33 21 70 46 76.66
6. Vidaha 12 40 15 50 27 45
7. Antaradaha 25 83.33 20 66.66 45 75
8. Dhumuka 6 20 11 36.66 17 28.33
9. Amlaka 4 13.33 5 16.66 9 15
10. Atisweda 11 36.66 15 50 26 43.33
11. Trushanadhikya 30 100 30 100 60 100

Shinde Y.B. et.al., Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar: A Clinical Study, Int. J. Ayu. Alt. Med., 2016; 4(1):
40-48
VOL 4 eISSN-2348-0173
INTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINE pISSN-2395-3985
ISSUE 1 (2016)

In the present study Trushanadhikya symptom was 43.33% of patients while Dava symptom was
found in all the patients showing 100% incidence present in 41.66% of patients. Daha symptom was
in the Grishma Ritujanya Pittatmaka Vikar. present in 16.66% of patients and Amlaka
Davathu symptom was present in 76.66 % patients symptom was present in 15% of the patients.
and Antardaha symptom was present in 75% of Plosha symptom was present in 10% of patients
the patients. Vidaha symptom was present in 45% and Osha was present only in 5% of the patients.
of patients and Atisweda symptom was present in

Graph 1: Distribution of Grishma Ritujanya Pittatmaka Vikar

Distribution of Grishma Ritujanya Pittatmaka Vikar in 60


Patients

120%
100%100%
100%
Percentage of Patients

83.33% 83.33%
80% 70%
66.66%

60% 50% 50%


46.66%
40% Group A
36.66% 36.66%
40% 36.66%
Group B
20%
16.66% 16.66% 16.66%
20% 16.66% 13.33%
6.66%
3.33% 3.33%

0%

B. Statistical Analysis : 20-30 years followed by 31-40 years of age


a) Clinical Parameters : group i.e. madhayavastha of ayu (Middle Age
The effect of Dhanyaka Hima on each Span of Life) which is a Pittapradhana Kala of
symptom within the two groups was Ayu (Life period of Pitta Dominance) as per
compared on three consecutive follow ups Ayurveda.
from the base line by applying Chi – 2. Sex: The distribution of patients according to
square Test. sex reveals that males were suffered more from
Effect of Dhanyaka Hima on each symptom the Grishma Ritujanya Pittatmaka Vikar. In the
between the two groups was compared on present study out of total 17 Females 5 were
three consecutive follow ups by applying homemakers while rest were belonging to
Chi – square Test. student’s class and none was a working woman.
b) Pathological Investigations : 3. Occupation: The distribution of patients
44

Pathological Investigations were according to Occupation reveals that students


compared before and after the treatment suffered mostly from the Grishma Ritujanya
Page

within the individual groups by Paired t - Pittatmaka Vikar. Students, which constitute
test. Mean change in these investigations an actively working group, were more prone
between the two groups was compared by to Grishma Ritujanya Pittatmaka Vikar.
unpaired t - test. Data was analyzed by 4. Ahara: (Diet) The distribution of patients
statistical software STATA Version 10. according to Ahara reveals that the Mishrahar
individuals (People eating both Veg and
DISCUSSION: Nonveg foods) suffered more from the
A. Demographical Observations : Grishma Ritujanya Pittatmaka Vikar. Non-
1. Age : The distribution of patients according to vegetarian Diet is Ushnavirya (hot) and
age revealed the predominance of Grishma aggravates the Pittadosha. Hence, the
Ritujanya Pittatmaka Vikar in the age group of incidence was more in Mishrahari individuals.

Shinde Y.B. et.al., Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar: A Clinical Study, Int. J. Ayu. Alt. Med., 2016; 4(1):
40-48
VOL 4 eISSN-2348-0173
INTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINE pISSN-2395-3985
ISSUE 1 (2016)

5. AGNI : (Digestive Fire) The distribution of 5. Davathu : Netradaha (Burning sensation in


patients according to Agni reveals that the eyes) No change was observed in the
Teekshnagni (High Appetite and Digestion Davathu symptom at the first follow up but at
Rate) individuals suffered more from the second follow up Davathu was relieved
Grishma Ritujanya Pittatmaka Vikar followed completely in 96 % of the patients in the
by Vishmagni (Odd Appetite and Digestion Experimental Group as compared to 0 % in the
rate) individuals. According to Ayurveda, control group after the treatment by (P =
Pittadosha is Agneya (Fire Element 0.0000 HS) (Chi-square Test). The same result
Dominanat). Teekshnagni contributes to the was found at the last follow up i.e. on 30th Day.
aggravation of Pittadosha. Hence, the This reveals the effect of Dhanyaka Hima on
incidence seems to be more in Teekshnagni Davathu symptom i.e. on 20th and 30th Day. This
individuals. result can be contributed to the Chakashushya
6. Koshtha: (Digestive System) The distribution (Eye Health Promoting) property of Dhanyaka
of patients according to Koshtha reveals that as stated in Dhanvantari Nighantu. [14]
Mrudukoshtha (Easy and Soft Digestive 6. Vidaha: Burning sensation in the Hands and
System) individuals suffered more from the Feet (Hastapadatala Daha). No significant
Grishma Ritujanya Pittatmaka Vikar followed change was observed in the Vidaha symptom at
by Madhyakoshtha (Medium Digestive System) the first and second follow ups. But on 30th Day
individuals. According to Ayurveda, the Vidaha symtom was relieved completely in 100
individuals with Mrudukoshtha have % of the patients in the Experimental Group as
abundance of Pittadosha. Hence, the incidence compared to no change in the control group. (P
seems to be more in Mrudukoshtha = 0.0000 HS) (Chi-square Test). This indicates
individuals. the effect of Dhanyaka Hima on Vidaha
7. Prakruti: (Constitution): The distribution of symptom on 30th Day.
patients according to Prakruti reveals that 7. Antardaha : Internal burning sensation. No
Pittapradhanavata Prakruti (Pitta and Vata change was observed in the Antardaha
Dominant Constitution) individuals suffered symptom at the first follow up but at the second
more from the Grishma Ritujanya Pittatmaka follow up, 23 (92 %) patients were cured as
Vikar followed by Pittapradhanakapha compared to none in the control group. At the
Prakruti (Pitta and Kapha Dominant last follow up Vidaha, symtom was relieved
Constitution) individuals. This shows that completely in 100 % of patients in the
Grishma Ritujanya Pittatmaka Vikar is found Experimental Group as compared to only 10 %
mostly in the Pittapradhan Prakruti (Pitta patients in the control group. (P = 0.0000 HS)
Dominant Constitution) individuals. (Chi-square Test). This indicates the effect of
Dhanyaka Hima on Antardaha symptom on 20th
B. Clinical Parameters : Day and 30th day. This also confirms the effect
1. Daha: Generalised burning sensation in the of Dhanyaka Hima primarily on Antardaha as
body (Sarvangadaha). As no statistical test quoted in Sharandhar Samhita. [15]
could be applied to the Daha symptom, no 8. Dhumaka : Feeling of hot fumes in the Head,
results could be obtained. Neck, Throat or Palate. (Shira / Griva /
2. Osha: Severe generalised burning sensation Kantha / Talu Dhumayanam) No change was
in the body with sweating and anxiety. As no observed in the Dhumaka symptom at the first
statistical test could be applied to the Osha and Second follow ups but on 30th Day
symptom, no results could be obtained. Dhumaka was relieved completely in the 100 %
45

3. Plosha: Localized burning sensation without of patients in the Experimental Group as


sweating. As no statistical test could be applied compared to no change in the control group. (P
Page

to the Plosha symptom, no results could be = 0.0000 HS)(Chi-square Test). This indicates
obtained. the effect of Dhanyaka Hima on Dhumaka
4. Dava: Burning sensation in Mukha (Oral symptom on 30th Day.
cavity), Oshtha (Lips) and Talu (Palate). No 9. Amlaka: (Acidic Eructation) In experimental
change was observed after the treatment in group, one (25%) patient of Amlaka symptom
Dava symptom at the first two follow ups. But was cured while no patient in control group
at the last follow up i.e. on 30th Day Dava was was cured on 30th day. Chi-square Test showed
relieved completely (100%) in the non-significant difference. (P = 0.236, NS).
Experimental Group as compared to the control 10. Atisweda: (Excess Sweating) since none of
group (9.1 %) only (P = 0.0018 S)(Chi-square these patients with Atisweda symptom was
Test). This reveals the effect of Dhanyaka Hima cured in both the groups, Chi-square test could
on Dava symptom on 30th Day. not be applied.

Shinde Y.B. et.al., Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar: A Clinical Study, Int. J. Ayu. Alt. Med., 2016; 4(1):
40-48
VOL 4 eISSN-2348-0173
INTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINE pISSN-2395-3985
ISSUE 1 (2016)

11. Trishnadhikya: (Excess Thirst) C. Pathological Investigations:


Trishnadhikya symptom was relieved Pathological Investigations did not altered
completely in 93.3% of the patients in the significantly in Group - A and in Group - B after
Experimental Group on 10th Day and in 100 % the treatment. This shows that Dhanyaka Hima
of the patients on 20th Day and 30th Day. (P = does not have any effect on these Pathological
0.0000 HS) (Chi-square Test). This indicates the Investigations. However, for all the individuals
effect of Dhanyaka Hima on Trishnadhikya on pathological values were in their respective
10th, 20th and 30th Day. The highly significant normal ranges throughout the treatment.
effect of Dhanyaka Hima on Trishnadhikya
symptom on 10th Day confirms D. Comparison of the effect of Dhanyaka Hima
Trishnanigrahana karma i.e. Thirst Quenching on each Grishma Ritujanya Pittatmaka Vikar
Effect of Dhanyaka stated in Charak Samhita [16] with Percentage Upashaya and the Day of
and Trishnaprashamana effect of Dhanyaka result in both groups.
Hima stated in Sharanadhar Samhita. [17]

Graph 2: Comparative effect of Dhanyaka Hima


Comparitive effect of Dhanyaka Hima wrt Symptoms,
% Upashaya and Day of result in both groups.

120 100 100 100 100 100


100 93.3
Percentage Upashaya

80 Group A

60 Group B
40 30 30 30 Day of result
20 20
20 10 9.5 10 9
0 0 0
0

E. Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar


Table No. 2. Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar
Sr.
Symptom Result of the Therapy
No.
AT1 AT2 AT3
1. Trushanadhikya 10th Day 20th Day 30th Day
2. Davathu -- 20th Day 30th Day
3. Antardha -- 20th Day 30th Day
4. Dava -- -- 30th Day
5. Vidaha -- -- 30th Day
6. Dhumaka -- -- 30th Day

Graph 3: The Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar


46

Effect of Dhanyaka Hima on Grishma Ritujanya


Pittatmaka Vikar.
Page

35 30 30 30 30 30 30
30
Day of Upashaya

25 20 20 20
20
15 10 AT1
10
5 AT2
0 AT3

Shinde Y.B. et.al., Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar: A Clinical Study, Int. J. Ayu. Alt. Med., 2016; 4(1):
40-48
VOL 4 eISSN-2348-0173
INTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINE pISSN-2395-3985
ISSUE 1 (2016)

Effect of Dhanyaka Hima on Grishma Ritujanya Classics about the study topic is applied and
Pittatmaka Vikar : Only Trishnadhikya symptom scientific.
was relieved on 10th Day while Davathu and 2. In Grishma Ritu, the Pittatmaka Vikar was
Antardaha symptoms were relieved on 20th day. observed as Pitta dosha is vitiated directly
However, on 30th Day Dava, Vidaha and Dhumaka without its accumulation and it is Naimittika
symptoms were relieved completely along with (Occasional / Casual).
Trishnadhikya, Davathu and Antardaha symptoms. 3. Grishma Ritujanya Pittatmaka Vikar were
This implies that Dhanyaka Hima should be used found predominantly in the Males or Students
over a longer duration. This indicates that the use or in the individuals who are Mishrahari
of Dhanyaka Hima throughout the Grishma Ritu i.e. (Eating both Veg and Non-veg foods) or with
for 2 months is more beneficial to conquer the Teekshnagni (High Appetite and Digestion
Grishma Ritujanya Pittatmaka Vikar. Hence, Rate) or Mrudukoshtha (Easy Soft Digestive
Ritucharya i.e. Seasonal Regime if followed through System) or Pittapradhana Prakruti (Pitta
out and regularly cures the diseases. In addition, Dominant Constitution) or in the
the studies on Coriander suggest, “The medicinal Madhayavastha of Ayu (Middle Age Span of
properties and health benefits of coriander can be Life).
fully used by making them as part of the routine 4. The incidence of Trishnadhikya symptom was
diet. This will help to prevent various diseases and 100% amongst Grishma Ritujanya Pittatmaka
keep the person healthy.” [18] Vikar. Trishnadhikya is a cardinal symptom
(Pratiniyata Lakshana) amongst Grishma
F. Dhanyaka HIMA as a Home based and Cost Ritujanya Pittatmaka Vikar.
Effective Remedy on Grishma Ritujanya 5. Davathu and Antardaha were prominant
Pittatmaka vikar: symptoms amongst Grishma Ritujanya
1) Summer Drinks or Cold drinks, which may be Pittatmaka Vikar.
hazardous to our health due to plenty of 6. Vidhaha, Atisweda and Dava symptoms
preservatives, are not always available in showed marked incidence amongst Grishma
fresh form. Ritujanya Pittatmaka Vikar.
2) Many people cannot afford the rising costs of 7. Dhumaka, Daha and Amlaka symptoms
summer health drinks. showed considerable incidence amongst the
3) Coriander seeds i.e. Dhanyaka and raw sugar Grishma Ritujanya Pittatmaka Vikar.
i.e. Sita are locally available all over India at a 8. The incidence of Plosha and Osha symptom
cheaper cost and are available in every was least amongst the Grishma Ritujanya
kitchen throughout the year. Pittatmaka Vikar.
4) People can grow coriander in the kitchen 9. The changes in Hb %, TLC, Platelet Count, RBC
garden or in a small household pot also. Count, ESR and RBS were insignificant.
5) In the present study, the cost of small mud pot 10. On 10th day 93.3% Upashaya (Relief) and on
was Rs. 5 only while simple transparent 20th day 100% Upashaya was found on
plastic glasses with appropriate markings Trishnadhika symptom i.e. excessive thirst,
were available for Rs. 10 only. with regular oral administration of Dhanyaka
6) The cost of 1 pouch of coriander and raw Hima early in the morning. This confirms the
sugar each was approximately Rs.1 only. Trishnanigrahana Karma i.e. Thirst Quenching
Hence, the remedy was cost effective. effect of Dhanyaka as stated in Charak
7) In addition, the method of preparation of Samhita and Trishnaprashamana effect of
Dhanyaka Hima was very simple and required Dhanyaka Hima as stated in Sharanadhar
47

least technical skills. Samhita.


8) Hence, Dhanyaka Hima can be prepared easily 11. On 20th day 96% Upashaya and on 30th day
Page

and regularly on home basis during the whole 100% Upashaya was found on Davathu
summer season. symptom i.e. burning sensation in the eyes
9) As Dhanyaka Hima is to be prepared (Netradaha), with regular oral administration
regularly, it will be always available and of Dhanyaka Hima early in the morning. This
administered in fresh form. result can be contributed to the Chakshushya
10) Thus, Dhanyaka Hima is an easy and property of Dhanyaka as stated in
economical remedy for Grishma Ritujaya Dhanvantari Nighantu.
Pittatmaka Vikar. 12. On 20th day 92% Upashaya and on 30th day
100% Upashaya was found on Antardaha
RESULTS: symptom i.e. internal burning sensation, with
1. The critical study of Ayurvedic literature regular oral administration of Dhanyaka Hima
shows that available description in Ayurvedic early in the morning. This confirms the action

Shinde Y.B. et.al., Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar: A Clinical Study, Int. J. Ayu. Alt. Med., 2016; 4(1):
40-48
VOL 4 eISSN-2348-0173
INTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINE pISSN-2395-3985
ISSUE 1 (2016)

of Dhanyaka Hima primarily on Antardaha as 1. Misra Bramhashankar, editor, Bhavprakash Samhita,


2nded, Hindi, Poorvakhanda - Part 1-5/13,Choukhambha
stated in Sharandhar Samhita.
Sanskrit Bhavan, Varanasi 2012, p. 108.
13. 100 % Upashaya was found on Dava symptom 2. http://www.irinnews.org/climate-change-a-three-
i.e. burning sensation in Mukha (oral cavity) degree-warmer-world-by-2050/Mar 27, 2012. (Assessed
and / Oshtha (lips) and / Talu (palate), Vidaha date 5/11/2015 at 2.45 pm)
symptom (Hastapadatala Daha) i.e. burning 3. https://en.wikipedia.org/wiki/Urban_heat_island.
(Assessed date 5/11/2015 at 2.46 pm)
sensation in the hands and / feet and 4. https://en.wikipedia.org/wiki/1995_Chicago_heat_wave.
Dhumaka symptom i.e. feeling of hot fumes in (Assessed date 5/11/2015 at 2.51 pm)
the head and / neck and / throat and / palate 5. Vaidya Athavale P.G., editor, Ashtanga Sangraham,
Marathi, Sutrasthana 12/94, Godavari Publishers,
(Shira and / Griva and / Kantha and /
Nagpur, 2001, Maharashtra, p.130.
Taludhumayanam) with 30 days of regular 6. Kaviraj Gupta Atridev, editor, Ashtanga Hridaya,
oral administration of Dhanyaka Hima early Sutrasthana 11/45, 2004-Edi, Chaukhambha Prakashan,
in the morning. Varanasi, p. 89.
7. Vaidya Athavale P.G., editor, Ashtanga Sangraham, 1sted.,
Marathi, Sutrasthana 4/31-32, Godavari Publishers 2001,
CONCLUSION: Nagpur, Maharashtra, p. 32.
This clinical study clearly concludes that Dhanyaka 8. Dr. Tripathi Bramhanand, editor, Sharandhara Sanhita,
Hima (Cold Infusion of Coriander Seeds) is a 2ndedi, Madhyam Khanda, 4/7, Chaukhambha Surabharti
Prakashan, p. 166.
remedy for Grishma Ritujanya Pittatmaka Vikar
9. Dr. Tripathi Bramhanand, editor, Charak Samhita, 2ndedi,
(Pitta - Heat disorders due to Summer Season). Chikitsa Sthana, 22/60-61, Chaukhambha Surabharti
The significant effect of Dhanyaka Hima on most of Prakashan, 2011, p. 745.
the symptoms on 30th Day indicates the necessity 10. http://www.speakingtree.in/blog/health-care-in-the-
summer-grishma-season. (Assessed date 5/11/2015 at
of regular administration of Dhanyaka Hima over a
3.07 pm).
longer duration to cure more intense symptoms. 11. Dr.TripathiBramhanand, editor, Charak Samhita, 2ndedi,
This confirms the importance of following Grishma Sutra Sthana, 20/14, Chaukhambha Surabharti
Ritucharya (Summer Seasonal Regime) as well. To Prakashan2011,p. 393.
reach a more concrete conclusion the study should 12. Vaidya Athavale P.G., editor, Ashtanga Sangraham, 1sted.,
Marathi, Sutrasthana 20/13, Godavari Publishers 2001,
be carried in larger number of patients and the Nagpur, Maharashtra, p. 171.
duration of treatment should be more up to 2 13. Dr. Tripathi Bramhanand, editor, Sharandhara Sanhita,
months i.e. the complete Grishma Ritu (Summer 2ndedi, Madhyam Khanda, 4/1, Chaukhambha Surabharti
Prakashan, p. 165.
Season). Dhanyaka Hima is a home based and cost
14. Dhanvantari Nighantu, Edition - 1998, Priyavat Sharma,
effective remedy for Grishma Ritujanya Pittatmaka Shatapushpadi Varga, 2/65, Choukhambha Orientalia,
Vikar. Thus, such an easy, home based, cost Varanasi, Page No. 81.
effective and potent remedy for should be utilized 15. Dr. Tripathi Bramhanand, editor, Sharandhara Sanhita,
2ndedi, Madhyam Khanda, 4/7, Chaukhambha Surabharti
by everyone during Grishma Ritu (Summer Season)
Prakashan, p. 166.
and its efficacy should be popularized in the 16. Charak Samhita, Sutra Sthana 4/29, Bramhanand
community. In addition, the society should be Tripathi, Edition 2011, Chaukhambha Surabharti
aware about the necessity and importance of Prakashan, Page No. 88.
17. Dr. Tripathi Bramhanand, editor, Sharandhara Sanhita,
following Ritucharya (Seasonal Regimen as per
2ndedi, Madhyam Khanda, 4/7, Chaukhambha Surabharti
Ayurveda) as well, in the view of Swasthavritta and Prakashan, p. 166.
Preventive and Social Medicine. 18. http://www.saching.com/Article/All-about-Coriander-
and-their-health-benefits-Green-Cilantro-leaves/3210.
(Assed Date 6/11/2015 1pm)
REFERENCES:

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Shinde Y.B. et.al., Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar: A Clinical Study, Int. J. Ayu. Alt.
Med., 2016; 4(1):40-48
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Shinde Y.B. et.al., Effect of Dhanyaka Hima on Grishma Ritujanya Pittatmaka Vikar: A Clinical Study, Int. J. Ayu. Alt. Med., 2016; 4(1):
40-48
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