Impact of Consistent and Standardized Administration of Peyadi Samsarjana Krama in Post-Vamana-Virechana (Dietary Regimens Post Emesis and Purgation Therapies) Protocols: A Quasi-Randomized Control Trial

Background

Ayurveda, an ancient holistic health system, underscores personalized well-being through tailored approaches to health and disease. The post Vamana-Virechana procedures are vital in Ayurvedic detox, promoting balance and toxin elimination. Peyadi Samsarjana Krama (dietary regimen), a recognized Ayurvedic formulation, shows promise in supporting post Vamana-Virechana (post emesis and purgation therapies). However, the use of standardized serving sizes is still an area requiring exploration and research.

Aim and Objectives

To establish a uniform serving size for Peyadi Samsarjana Krama based on deha pramana (body frame) and agni bala (digestive capacity). To assess the impact of the standardized serving size compared to the conventional serving size of Peyadi Samsarjana Krama.

Materials and Methods

The study, conducted at KLE Ayurveda Hospital and Medical Research Centre in Karnataka, included 240 individuals undergoing Vamana/Virechana with Madhyama Shudhi. Using computer-generated randomization, subjects were divided into two groups: the control group (Group 1) received the regular serving of Samsarjana krama and the study group (Group 2) received the standardized serving, each group comprising 120 subjects.

Results

In both groups, subjective parameters such as headache, hunger, giddiness and lethargy were assessed. In Group 1, 58% experienced headaches on the first day morning, while in Group 2, 93-96% were headache-free at both times. Lethargy was present in 47.9% in Group 1 on day 5 evening, while Group 2 had 73.6% to 96.7% without lethargy on all 5 days. Statistically significant results were obtained. FBS and RBS levels were higher (B=1.44) in the Standardized Serving Size, significantly so (B=4.37, p <0.05) compared to the regular serving size.

Conclusion

The study group (Group 2), which received the standardized serving of Samsarjana Krama, demonstrated greater effectiveness and better tolerance compared to the control group (Group 1).