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A Clinical Evaluation of Tripahaladya Avaleha in Iron Deficiency Anaemia (Panduroga)

Abstract: Background: Iron deficiency anaemia is common problem throughout the globe among women . Ayurveda use term, ‘Pandu’ for this problem based on symptoms. Many of herbal, herbo-mineral and mineral preparations are suggested for treatment of Pandu in Ayurvedic classical texts. Triphadya Avaleha is one of important among them.
Materials and Methods: Women of 15 to 49 years were selected for study based on criteria of low haemoglobin level in blood and microcytic hypochromic anaemia from peripheral blood smear. Subjective parameters were included as mentioned in classical texts viz., Panduta, Bhrama, Aruchi etc.
Result: Mean haemoglobin level was noted increased from 8.92 to 9.96 g/dL. Improvement in subjective parameters were observed except in Panduta. Differences in scores for subjective parameters were also compared pre- and post treatment. Paired t-test was used for stastistical analysis of objective parameters while subjective parameters were statistically tested by Wilcoxon Signed Rank test.
Discussion: Loha bhasma, Swarnamakshika bhasma and Rajatmakshika bhasma are ingredients rich in iron. Triphala and Trikatu are related to improvement in gastrointestinal conditions in terms of better digestion and laxation. Many of these herbs contain ascorbic acid, cyanocobalamin and folic acid. They are important factors to increase haemoglobin level and formation of red blood cells.
Conclusion: Triphaladya Avaleha is efficacious in increasing the haemoglobin level and betterment of subjective parameters.
Key words: Iron deficiency anaemia, Pandu, Triphaladya Avaleha, Haemoglobin………..

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