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
|
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
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