Thursday, 6 September 2012

MEDICATED GHEE VS CHOLESTEROL


                                           This is again most discussed and debated topic around the globe especially by the scientific evaluators of an ancient wisdom, its quiet natural when we think of ghee and its chances of hypercholestremia. Normal person, in this new generation, with sedantary activity, always suspect in oily and ghee preparations. As in ayurveda  major and key medication are oil and ghee preparations.Here am discussing one of the many cases we had in our hospital. This will raise many questions which needs to be  discussed and answered.                                                      
                                        This is a case of O. A Hip with stage 1 avascular necrosis affecting both femoral heads, the option for ayurvedic treatment was to limit and stop steroids and to continue  conservative treatments with ayurvedic medicines for short period.
                          we designed a protocol and ghee (medicated GUGGULUTIKTHAKA GHRITHA) was our first choice as it is "sandhyasthimajjagatha vata roga"(affecting deep bony structures). Patient was stout with 85kgs and 5foot 7 inch tall, unable to move due to pain even in rest, its again difficult to convince the patient regarding the medicne, he was always confused since his blood picture at the time of admission
s.cholesterol
205mg%
triglcerides
117mg%
HDL
43.8mg/dl
LDL
138.6mg/dl

VLDL
23.4mg/dl
  its his faith and determination not to use steroids made him to take this medication.
                                                        Probably all ayurveda doctors know there should be a processing period before intake of ghee(agni deepana-ayurvedic variable), we started ghee from the 4th day of admission and initial dose was 25ml(acchapana-only ghee)early morning without other medictions, he was asked to consume warm water untill he gets the desire for food. Once he felt hungry he was allowed to take hot water bath which was then followed by warm rice porridge. He was not allowed to take fruits,milk,tea,cofee,heavy food. The process continued as given below
                                 
DAY
QUANTITY OF GHEE
TIME OF ADMINISTRATION OF PORRIDGE

1

2

3

4

5

6

7

8

9


25ml

50ml

100ml

150ml

200ml

250ml

300ml

350ml

150ml

    12 pm  

    2.30pm

   1.30pm

   2.00 pm

   8.30pm

   8.40pm

   9.00pm

   9.00pm

   7.00pm
Days
 9
Total
1575ml


Its clear form the above chart regarding the intake of ghee in 9 days . its the time, all waited for blood check, blood was collected on the 10 day and his lipid profile was evaluated, the reports
s.cholesterol
180mg%
triglcerides
160mg%
HDL
40.8mg/dl
LDL
103.6mg/dl

VLDL
35.6mg/dl
 Its clear from the reports regarding the level of lipids in blood, there is an increase in triglycerides but all the other parameters are clinically relevant.
Patient was feeling well and with reduced pain and was feeling better than steroids.
     Next course of treatment was muscle strengthening and supporting joints with the help of oil bandages, along with few decoctions. he was feeling much better. During the time of discharge after 21 days his serum cholesterol was 185mg%. 
                                          At the time of discharge he was feeling well and is on ghee (vicharana-along with food/medicnes).These are some of the few examples which will make people think ayurveda as scientific and evidence based.             
                            
                                                Please post your comments and valuable questions so that we will be able to propagate scientific ayurveda. This is a chronic degenerative case with long course of treatments needed. the study goes on .............      
Written by,
Dr.Samson c Varghese
Cheif Research officer
Kottathil ayurveda