No full-text available
To read the full-text of this research,
you can request a copy directly from the authors.
Study of dhatu sarata and its association with blood indices
Abstract
Ashta Sarata parikshana is explained especially to determine the strength of person. It is important to add modern parameter to give authenticity to the ancient subjective parameter. 50 healthy male students between the ages of 18-25 years were selected for study. Sarata parikshan was done with the help of standard sarata parikshan proforma specially prepared by AYUSOFT C-DAC Centre for Development of Advance Computing Pune, India to find out percentage of each dhatu separately. Blood indices have been formulated by modern science to detect type of anaemia by extracting information about structure, morphology of Red Blood Cells and about haemoglobin. Blood indices give complete information of Red Blood Cells. Blood sample were collected for analysis of blood indices and this was done by auto analyser. This was survey type co relational research. The statistical analysis shows that "there is a relation between Rakta sarata and Blood indices", it's a positive relation. The person having higher percentage of Rakta sarata possesses good value of Blood indices.
... [6] In a few other studies, the researchers have calculated the Sarata of individual Dhatu and have classified the individuals into "Rakta Sara," "Mamsa Sara" and other similar categories. [7,8] However, such a classification neglects the contribution of remaining Dhatus to overall Sarata. In a few more studies, it was not clearly reported as to how they categorized the individuals into Sarata of individual Dhatus. ...
... Raktasarata showed positive and significant correlation with MCHC, MCH, CI and MCV. MCHC showed positive correlation with highest correlation value [28]. These laboratory parameters can be a foundation for Raktasarata. ...
In Ayurveda, Sara Pariksha is one among the ten types of methods to examine a patient, stated as Dashvidha Aatura Pariksha. Sara Pariksha primarily determines the strength of a person. Acharya Chakrapani illustrated Sara as 'Vishudhataro Dhatu', which means the essence of all Dhatu. Eight types are explained by Acharya Charaka, each one characterized by both physical as well as psychological parameters. These contribute to the physician in deciding the Bala of a person. This review study mainly focuses on material available on Dhatu Sara in Ayurvedic literature, Brihat Samhita, text related to astrology. Various research papers and studies have been reviewed and referred in the present study that establishes its significance in Ayurveda. Studies so far conducted on Asthi Sara, Majja Sara, Rakta Sara and overall Dhatu Sara have been reported in this article. It can be concluded that Sara is one of the parameters for the assessment of strength of an individual. Further, more studies can be carried out to find out its relation with recent laboratory parameters. Development of some standardized tools or parameters for the assessment of Dhatu Sara may be an important contribution to clinical research. This can be of great help to physicians in maintaining the uniformity in assessing the qualities of each Dhatu Sara. The Sara Pariksha is significant in analyzing the Bala Pramana of a patient. On the basis of Bala, the physician decides the type of medicine and its dose to be given in Samshodhana or Samshamana Chikitsa.
Ayurvedic physiology is based on Tridosha (biological entities responsible for body functioning and its regulation), Dhatu (tissues),
Mala (waste products), Agni (biofire), Srotasa (body channels). Rakta Dhatu has been considered as Pranayatana (seat of life)
because the blood plays an important role in sustenance of life and for the same reason, it’s function is also said as Jeevanam
(making alive). The nutritional status of all the tissues depends on status of Rasa-Rakta Dhatu. Intake of nutrients depends on
Annavaha (channels carrying food) and Pranavaha Srotasa (channels carrying Prana Vayu), whereas proper distribution of
nutrients and nourishment of tissues depends upon Rasavaha Srotasa (channels carrying plasma) and Raktavaha Srotasa (channels
related to haemopoiesis). In Ayurveda, the physiology of blood and its applied aspect has been described in a very comprehensive
manner under the description of Rasa- Rakta Dhatu and its respective Srotasa.
Sarata is a factor which tells the strength of all dhatus. Due to variations in seasons, lifestyle, diet etc., dhatu poshan does
not take place leading to various health hazards. This lifestyle change modies sarata of every dhatu. With the changing
diet and lifestyle patterns, bone diseases like osteopenia, osteoporosis etc. have evolved into a common health problem especially in postmenopausal
women throughout the world. In osteoporosis, there is increased bone re-sorption and decreased bone formation. Post-menopausal
women are more susceptible to osteoporosis because of low estrogen level or surgical removal of both the ovaries. BMD tests helps in the
detection of osteoporosis which is measured by bone densitometer. BMD test helps in the detection of osteoporosis which is measured by bone
densitometer. The pilot study of 50 subjects was done as per inclusive criteria. After performing densitometry, dhatu sarata examination was done
with the help of standard sarata examination Performa prepared by C-DAC (center for development of advance computing) Pune. Graphical
representation shows that there is signicant relation between asthi sarata and osteoporosis. The percentage of asthi dhatu sarata lakshanas are
very less in the subjects having osteoporosis. Hence, this study will be helpful in reducing the fracture risk in post-menopausal women by early
evaluation and preventive measures.
Several questions are being raised regarding the accuracy of the methods of diagnosis and reporting of various clinical parameters according to Ayurveda in recent times. Uniformity in reporting, issues related to inter-rater variability, uniformity in applying statistical tests, reliability, consistency, and validation of various tools, - are some of the major concerns that are being voiced. Dhatu Sarata is one such domain where no substantial work has been carried out to address these issues. The Sanskrit term "Dhatu" roughly translates as a "tissue." Sarata stands for the status of Dhatu in a given individual, i.e., it describes whether the status is excellent, moderate, or poor. In the available research literature, there are several gaps while dealing with and reporting the clinical assessment of Dhatu. Most of the workers group an individual into any one of the categories of Dhatu Sarata, and this approach neglects the contribution of other Dhatus to the overall Sarata in that individual. In this communication, we propose the usefulness of "weighted mean" in expressing the overall Sarata in an individual. This gives the researcher a freedom of not classifying an individual into any one group of Sarata, while also simultaneously allowing him/her to retain the focus on the status of an individual Dhatu.
Sushruta Samhita – I and II Chaukhamba Orientalia
- Ambikadatta Shastri
Ambikadatta Shastri, Sushruta Samhita – I and II Chaukhamba
Orientalia, Varanasi, (UP), India, 2 nd ; 2007. p. 56-64.
Chaukhamba Orientale Varanasi (UP), India, 19 th
- Brahmanand Tripati
- Charaka Samhita
Brahmanand Tripati, Charaka Samhita, Chaukhamba Orientale
Varanasi (UP), India, 19 th ; 1999. p. 763-64.
New Central Book Egency Private Ltd
- K Sujit
- Choudhuri
Sujit K Choudhuri, Concise Medical Physiology, New Central Book
Egency Private Ltd., II edition,Calcutta, India; p. 33-34.
Fundamental of Medical Physiology, Paras Medical Publisher
- L Prakasam
L Prakasam Reddy, Fundamental of Medical Physiology, Paras
Medical Publisher, 5 th edition, Hydrabad, New delhi; p. 279-80.
Practical Physiology, Vora Medical Publications, Mumbai; 2 nd revised edition
- Dr Vijaya
- D Joshi
- Dr Sadhana
- D Joshi
Dr Vijaya D Joshi, Dr Sadhana D Joshi, Practical Physiology, Vora
Medical Publications, Mumbai; 2 nd revised edition; 2007.
Textbook of Practical Physiology
- G K Pal
- Pravati Pal
GK Pal, Pravati Pal, Textbook of Practical Physiology, Universities
Press, 2 nd Edition.
Ayurveda The Science of self healing, Motilal Banarsidas publishers private Ltd. Delhi
- Dr Vasant Lad
Dr Vasant Lad, Ayurveda The Science of self healing, Motilal
Banarsidas publishers private Ltd. Delhi., First edition
Cite this article as:
Practical Physiology, Vora Medical Publications, Mumbai; 2 nd revised edition
- Dr Vijaya
- D Joshi
- Dr Sadhana
- Joshi
Dr Vijaya D Joshi, Dr Sadhana D Joshi, Practical Physiology, Vora
Medical Publications, Mumbai; 2 nd revised edition; 2007.