Surendra Kumar

Hydatid disease has a worldwide distribution and is also well recognized and documented in India. The present study has been done on 50 patients suffering from hydatid disease of various sites and treated during Jan 2014 to Jan 2015 at Government Medical College and Associated Group of Hospitals, Kota, with the aim of studying the clinical manifestations of hydatid disease of different sites and/or organ system and of analyzing the morbidity and mortality of hydatid disease. The age, sex, h/o dog contact, duration of hospital stay, clinical presentation, treatment advised, findings and difficulties encountered during operation, and postoperative management of patients as well as morbidity and mortality were recorded and analyzed. We observed that the mean age was 32 years. The sex incidence revealed female preponderance in the study (M:F/1:3). Females were the dominant sex affected by the disease. Hydatid of the liver was more common, especially in the right lobe. Pain in the abdomen was the most common presenting complaint. Lump in the abdomen was the most common clinical finding. Patients with pulmonary hydatid presented to the hospital earlier than the patients with abdominal hydatid. excision and external drainage was the most commonly performed surgery. The most common postoperative complication was wound infection. Majority of patients were from rural areas (47) and the remaining (3) from urban areas. Pain was most common symptom.

Gridhrasivata is a Vatavyadhi which disable the locomotor system where pain is the most common symptom. Now a days globally it is common health problem. With rising technology though people get comfortable life but developed some disease among which Gridhrasivata also. In modern science it can be compared with sciatica syndrome where sciatica nerve is involved. As a Vatavyadhi the Nidana(cause)is same as Vata Vyadhi, there are many causes but Vichesta(wrong posture) is common Nidana(cause) these days to develop Griddhasivata. And among Vichesta continuous driving is also a cause of Gridhrasivata where some other factors also aggravate the Vata along with driving and act as predisposing, perpetuating and provocating factor. Though well established pathogenesis is there in modern science but treatment is not cost effective. So it is try to find the pathogenesis according to Ayurveda on the basis of Vatavyadhi in perspective to driving which may help to developed cost effective medicine. Because the line of treatment according to Ayurveda is Samprapti Vighatana. Here a survey study was done to analyze the prevalence of driving among patient having Gridhrasivata  with classical sign and symptoms, in I.P.D. and O.P.D. of National institute of Ayurveda, Jaipur  with a duly formed proforma among  46 patients.