Courtesy:Dr.Surenderji
I m giving here the clause which deals with this provision.
Please copy it and keep for further references..
33EEC. Prohibition of manufacture and sale of certain Ayurvedic, Siddha and Unani drug.—From such date as the State Government may, by notification in the Official Gazette, specify in this behalf, no person, either by himself or by any other person on his behalf, shall—
(a) manufacture for sale or for distribution—
(i) any misbranded, adulterated or spurious Ayurvedic, Siddha or Unani drugs;
(ii) any patent or proprietary medicine, unless there is displayed in the prescribed manner on the label or container thereof the true list of all the ingredients contained in it; and
(iii) any Ayurvedic, Siddha or Unani drug in contravention of any of the provisions of this Chapter or any rule made thereunder;
(b) sell, stock or exhibit or offer for sale or distribute, any Ayurvedic, Siddha or Unani drug which has been manufactured in contravention of any of the provisions of this Act, or any rule made thereunder;
(c) manufacture for sale or for distribution, any Ayurvedic, Siddha or Unani drug, except under, and in accordance with the conditions of, a licence issued for such purpose under this Chapter by the prescribed authority: Provided that nothing in this section apply to Vaidyas and Hakims who manufacture Ayurvedic, Siddha or Unani drug for the use of their own patients: Provided further that nothing in this section shall apply to the manufacture, subject to the prescribed conditions, of small quantities of any Ayurvedic, Siddha or Unani drug for the purpose of examination, test or analysis.
Friday, July 30, 2010
LICENCE for sale of Ayurveda medicines
MANUFACTURE FOR SALE OF AYURVEDIC (INCLUDING SIDDHA) OR UNANI DRUGS.
Manufacture on more than one set of premises:- If Ayurvedic (including Siddha) or Unani drugs are manufactured on more than one set of premises, a separate application shall be made and a separate license shall be obtained in respect of each such set of premises.
Licensing authorities: For the purpose of this part the State Govt. shall appoint such licensing authorities and for such areas as may be specified in this behalf by notification in the Official Gazette.
Application for license to manufacture Ayurvedic (including Siddha) or Unani Drugs:
(i) An application for the grant or renewal of a license to manufacture for sale any Ayurvedic (including Siddha) or Unani drugs shall be made in Form 24-D to the licensing authority along with a fee of rupees sixty:Provided that in case of renewal the applicant may apply for the renewal of the license before its expiry or within one month of such expiry. Provided further that the applicant may apply for renewal after the expiry of one month but within three months of such expiry in which case of fee payable for renewal of such license shall be rupees sixty plus additional fee of rupees thirty.
(ii). A fee of rupees fifteen shall be payable for a duplicate copy of a license issued under this rule, if the original license is defaced, damaged or lost.
Manufacture on more than one set of premises:- If Ayurvedic (including Siddha) or Unani drugs are manufactured on more than one set of premises, a separate application shall be made and a separate license shall be obtained in respect of each such set of premises.
Licensing authorities: For the purpose of this part the State Govt. shall appoint such licensing authorities and for such areas as may be specified in this behalf by notification in the Official Gazette.
Application for license to manufacture Ayurvedic (including Siddha) or Unani Drugs:
(i) An application for the grant or renewal of a license to manufacture for sale any Ayurvedic (including Siddha) or Unani drugs shall be made in Form 24-D to the licensing authority along with a fee of rupees sixty:Provided that in case of renewal the applicant may apply for the renewal of the license before its expiry or within one month of such expiry. Provided further that the applicant may apply for renewal after the expiry of one month but within three months of such expiry in which case of fee payable for renewal of such license shall be rupees sixty plus additional fee of rupees thirty.
(ii). A fee of rupees fifteen shall be payable for a duplicate copy of a license issued under this rule, if the original license is defaced, damaged or lost.
Wednesday, July 28, 2010
BHAGANDARA PIDAKA --Peri-anal abscess
You all know the great achaarya susruta described beautifully about various types of abscesses and their management...being the greatest surgeon himself he always advocated medicinal preparations whenever he felt the need of it.
The most surgical advanced books of our era still follows his parameters...
Here I would like to share my practical experiences regarding peri-anal abscess (I always skip theory part thinking you all know better than me...It’s true also) and treatment modalities.. Some of them you may not find in text books..
Bhagandar pidaka you can compare it as peri anal abscess....There are so many internal reasons for abscess in that reason known to you but sometimes(external) infection of the hair root (furunculosis) can also create a deep abscess there (remember arvaacheen and paracheen type of bhagandar mentioned by susrut)
1. Dont put knife on apakwa state
2. Never give antibiotics in apakwa state...sometimes it will be hardened and may create bigger problem when the bad time comes.
.3. In vaataj type of abscess shigru patra lapam is very useful for making it pakwa..
2. In pittaj type you can apply mulethi +saariba +milk...lep is very useful
3. Jalouka prayog is very useful and safest method in pittaj vidhradhi (all types vidhradhi)4. Althoguh sira vyadhan is indicated in vidhradhi but I didn’t find any benefit...it can be very well managed with medicinal and surgical therapies
5. kaphaj vidhradhi-lep it with simple clay (you can use multani mitti) mixed with gomutra
Coming to surgical aspect
1. Once it is in pakwa state...
2. Always make a kakapada(cruciate +) incision without any hesitation care should be taken and avoid sphincter injury...
3. Always drain out entire pus
4. Try to destruct pus locules inside(pus compartments) by putting your finger or artery forceps
5. Never use spirit or betadine and strong other chemicals ...sometimes you may need hydrogen peroxide...(you can use it if there is any excessive slough and if couldn’t be managed with surgical debridement.
6. After cleaning(syringing technique) the wound with vrana sodhanand ropan kashayas(you can prepare it ...nimba ..karanja..panvha valkaa..triphala...shigru...there so many options and all are better than our so called betadine ..)
7. Always remember to put fresh gauze piece (roll) should stuffed inside the wound without any medication for 2 to 3 days (because dry gauze piece has more squeezing capacity (hydrophilic property) of the secretions and pus of the abscess than the medicated one...because with medicine it ...It cannot squeeze the pus effectively)
8. Never seal the pus outlet with microspore and leucoplast...Air ventilation is best maintained by putting a thin gauze piece over the wound and use a micro pore ribbon close it is in plus mark fashion
9. Dressing twice daily is must for this type of abscesses otherwise risk of becoming fistula is not uncommon...I think I should end here..It’s an endless topic
(Twist of the tale...one young girl (known to me) came to my OPD and said innocently...doc!doc! I have pimple at my bottom..Then I immediately said..Don’t apply Clearasil to it..Leave it to us..It’s our headache now)THIS ARTICLE IS DEDICATED TO THE INNOCENT PATIENT OF MINE...OFCOURSE! SHE IS FINE NOW...
Courtesy:
Dr. T. Divakar Rao
Friday, July 23, 2010
Goodness of Honey
Dear friends,
I wanted to discuss a controversial topic …which is still being considered as one of the most debatable topics of all time…in this case study….I am trying to discuss some points regarding honey in our as well as modern view…you cannot compare our divine science to other systems… but…sometimes it is necessary for us to explain… to others… using the medical language they know well and they can understand well.. I always try to post my discussions which normally arises when I attend OPD...we have a Hospital set up (CGHS AY Hospital, Lodhi Road New Delhi...This is the only Ayurvedic Hospital in India for CGHS employees and for their family members) and there is also one allopathic dispensary..Under one roof (cafeteria approach)..So naturally allopathic doctors do get interact with us... (esp…with me..Because I always put more questions to them than they do)..One day one allopathic doctor (his OPD is next to my room).. Came and said “ do you advice the diabetic patients to avoid eating sugar…?’I said “yes I do”?He said “well! Then you might also advice not to take honey?I said “No “He said “why”?I said”Because according to ayurveda it can be given to diabetic patients”He said “I follow your web site (I once told him about our web site) and your case studies..But you people end up or close any discussion saying we cannot question our achaaryas or what is written in ayurveda cannot be explained in modern para meters..Why? People like us are very much interested in knowing ayurveda…if you cannot describe things…how it can be understood by people like us…? Which will serve your system better..Because we recommend cases to you if we you got better treatment than us (he is right.. he refers each and every fistula /piles patient to me)I said “ok I will tell you in your language ‘honey contains simple sugars (fructose) which can be directly converted in to liver glycogen…IT PRODUCES OPTIMUM BLOOD GLUCOSE AND INSULIN RESPONSE IN THE BODY(lower glycemic index)...as if you take sugar for that matter the insulin levels are low..So honey can be given...”He said “sir, I know you wrote bio chemistry exam at BHU and passed with good marks(in BHU every ayurvedic PG student has to pass BIO-CHEMISTRY ANATOMY,PHYSIOLOGY,PHARMACOLOGY,PATHOLOGY ETC IN FIRST YEAR OF PG) don’t you aware it has got a good caloric value than sugar ..And one more thing honey also contains glucose (approximately 31 to 35 % fructose is 38 to 40 %)….so because of high caloric value and glucose in it..It definitely …increases blood sugar….so it is as harmful as sugar..I said” you are wrong my friend..Because honey tastes sweeter than sugar but you need very less honey to make anything sweet..Than sugar..So you need less honey to sweeten any food….so it is better option in diabetes...”He said’ what about excess calories which can be converted in to fat and it can be fatal to diabetics with heart diseases?”I said “there you are.. Actually honey contains lot of anti oxidants which are actually good for heart..Sugar decreases immunity (lowers the WBC) so it not useful in diabetes but…honey can be given as it increases immunity…..it can also useful in reducing obesity and for sore throat..Has got wound healing properties..There are so many positive factors are there..And certainly it can replace sugar in diabetic patients…”The Doctor went to his OPD nodding his head and was not convinced with my explanation…Dear friends …what do you think about this in ayurvedic and modern parameters…? Can it be given or not….? Please give your valuable opinions…thank you
Courtesy----- Dr. T. Divakar Rao
delhi
I wanted to discuss a controversial topic …which is still being considered as one of the most debatable topics of all time…in this case study….I am trying to discuss some points regarding honey in our as well as modern view…you cannot compare our divine science to other systems… but…sometimes it is necessary for us to explain… to others… using the medical language they know well and they can understand well.. I always try to post my discussions which normally arises when I attend OPD...we have a Hospital set up (CGHS AY Hospital, Lodhi Road New Delhi...This is the only Ayurvedic Hospital in India for CGHS employees and for their family members) and there is also one allopathic dispensary..Under one roof (cafeteria approach)..So naturally allopathic doctors do get interact with us... (esp…with me..Because I always put more questions to them than they do)..One day one allopathic doctor (his OPD is next to my room).. Came and said “ do you advice the diabetic patients to avoid eating sugar…?’I said “yes I do”?He said “well! Then you might also advice not to take honey?I said “No “He said “why”?I said”Because according to ayurveda it can be given to diabetic patients”He said “I follow your web site (I once told him about our web site) and your case studies..But you people end up or close any discussion saying we cannot question our achaaryas or what is written in ayurveda cannot be explained in modern para meters..Why? People like us are very much interested in knowing ayurveda…if you cannot describe things…how it can be understood by people like us…? Which will serve your system better..Because we recommend cases to you if we you got better treatment than us (he is right.. he refers each and every fistula /piles patient to me)I said “ok I will tell you in your language ‘honey contains simple sugars (fructose) which can be directly converted in to liver glycogen…IT PRODUCES OPTIMUM BLOOD GLUCOSE AND INSULIN RESPONSE IN THE BODY(lower glycemic index)...as if you take sugar for that matter the insulin levels are low..So honey can be given...”He said “sir, I know you wrote bio chemistry exam at BHU and passed with good marks(in BHU every ayurvedic PG student has to pass BIO-CHEMISTRY ANATOMY,PHYSIOLOGY,PHARMACOLOGY,PATHOLOGY ETC IN FIRST YEAR OF PG) don’t you aware it has got a good caloric value than sugar ..And one more thing honey also contains glucose (approximately 31 to 35 % fructose is 38 to 40 %)….so because of high caloric value and glucose in it..It definitely …increases blood sugar….so it is as harmful as sugar..I said” you are wrong my friend..Because honey tastes sweeter than sugar but you need very less honey to make anything sweet..Than sugar..So you need less honey to sweeten any food….so it is better option in diabetes...”He said’ what about excess calories which can be converted in to fat and it can be fatal to diabetics with heart diseases?”I said “there you are.. Actually honey contains lot of anti oxidants which are actually good for heart..Sugar decreases immunity (lowers the WBC) so it not useful in diabetes but…honey can be given as it increases immunity…..it can also useful in reducing obesity and for sore throat..Has got wound healing properties..There are so many positive factors are there..And certainly it can replace sugar in diabetic patients…”The Doctor went to his OPD nodding his head and was not convinced with my explanation…Dear friends …what do you think about this in ayurvedic and modern parameters…? Can it be given or not….? Please give your valuable opinions…thank you
Courtesy----- Dr. T. Divakar Rao
delhi
BED SORES
Dear friends,
As per the request of Dr Deepak Bhanotji...I would like to discuss some points regarding bed sores...I am sure you are all well versed with theory…here I want to discuss about my practical experiences…this topic needs space..so I will give you some practical outlines…most them you know…and some of them …I tried myself…which you won’t find in our text books(exception…Dr manish Dr pravin and Dr pareshji)Bed sores are nothing but pressure sores…so its management varies according to the condition of the wound… its blood supply…area…local infection..associated diseases…general condition of the patient etc..For any type of wound first approximation is necessary for perfect wound closureFirst if the wound is irregular in shape (dushta vrana) you have to make it regular by cutting unwanted edges…Debridement of slough is the essential part of ulcer management for this technique you need patience ….you have remove slough on every day basis But I would suggest you to go for jalouka prayog for this…it has an excellent results…When I was in BHU …I used MAGGOTS for this..(But you have to collect the maggots first ...at universities it is very much available..But if you want it for your personal use…the better place would be agricultural institutions)Third one is use of moist foams (you can impregnate foams with karanja tel (seeed oil) nimba tel (seed oil) etc… gel foams are available in the market..Look out wound edges…1. If there is a silver or white line along the wound edges..You have to remove it…2. If the edge is undermined…you have to cut its underneath to enhance blood supply…3. If it looks dry…you have to apply moist dressings with vrana sodhan aushadhis…4. If it doesn’t grow…trimming the edges is the best method Base of the wound1. Always it should look pale red or red in colour…2. It shouldn’t have any slough…. (If you look tendons or muscles as a base…it’s very difficult to cure...You need a skin flap or skin graft for proper healing)In Vrana ropana period…As I earlier said never apply chemicals once you think it is free from infection…Vrana kshaalan with hot water is the best method… (You can add vrana ropan dravyas) Triphala kashaaya, pancha valkal kwath are the best…One patient of mine didn’t get relief with conventional method…Once I used OXYGEN 70%...AND SPRAYED on the surface of the wound daily for 4 weeks..I got excellent results…the wound miraculously started healing…The second method I used was (don’t tell anybody)…I had simply put veinflon on the patients wrist…and used to draw patients own blood (every day less than 1 ml) and used to smear it on the wound surface got an excellent results….But for conventional methods….nobody can compete with our own susruta…he was at his best…describing ulcer management…This actually a rough idea about bed sore management..I think its incomplete...Try to adapt my techniques if you think they are worth trying……thank you
As per the request of Dr Deepak Bhanotji...I would like to discuss some points regarding bed sores...I am sure you are all well versed with theory…here I want to discuss about my practical experiences…this topic needs space..so I will give you some practical outlines…most them you know…and some of them …I tried myself…which you won’t find in our text books(exception…Dr manish Dr pravin and Dr pareshji)Bed sores are nothing but pressure sores…so its management varies according to the condition of the wound… its blood supply…area…local infection..associated diseases…general condition of the patient etc..For any type of wound first approximation is necessary for perfect wound closureFirst if the wound is irregular in shape (dushta vrana) you have to make it regular by cutting unwanted edges…Debridement of slough is the essential part of ulcer management for this technique you need patience ….you have remove slough on every day basis But I would suggest you to go for jalouka prayog for this…it has an excellent results…When I was in BHU …I used MAGGOTS for this..(But you have to collect the maggots first ...at universities it is very much available..But if you want it for your personal use…the better place would be agricultural institutions)Third one is use of moist foams (you can impregnate foams with karanja tel (seeed oil) nimba tel (seed oil) etc… gel foams are available in the market..Look out wound edges…1. If there is a silver or white line along the wound edges..You have to remove it…2. If the edge is undermined…you have to cut its underneath to enhance blood supply…3. If it looks dry…you have to apply moist dressings with vrana sodhan aushadhis…4. If it doesn’t grow…trimming the edges is the best method Base of the wound1. Always it should look pale red or red in colour…2. It shouldn’t have any slough…. (If you look tendons or muscles as a base…it’s very difficult to cure...You need a skin flap or skin graft for proper healing)In Vrana ropana period…As I earlier said never apply chemicals once you think it is free from infection…Vrana kshaalan with hot water is the best method… (You can add vrana ropan dravyas) Triphala kashaaya, pancha valkal kwath are the best…One patient of mine didn’t get relief with conventional method…Once I used OXYGEN 70%...AND SPRAYED on the surface of the wound daily for 4 weeks..I got excellent results…the wound miraculously started healing…The second method I used was (don’t tell anybody)…I had simply put veinflon on the patients wrist…and used to draw patients own blood (every day less than 1 ml) and used to smear it on the wound surface got an excellent results….But for conventional methods….nobody can compete with our own susruta…he was at his best…describing ulcer management…This actually a rough idea about bed sore management..I think its incomplete...Try to adapt my techniques if you think they are worth trying……thank you
Thursday, July 22, 2010
Treatment of Brachial plexus Injury
TREATMENT OF POST SURGICAL TRAUMATIC BRACHIAL NERVE INJURY
12 years ago, this gentleman aged 24 years came to my consulting room with a complaint of weakness of Rt.Upper Limb. He had supported his R.U.L, with a brace supporting his affected elbow. On enquiring I came to know that he met with an R.T.A (Road Traffic Accident) 11 months back and had a complete Rupture of Brachial nerve. He was subjected immediately to Reconstructive Surgery of Brachial nerve and counseled that he would regain the lost motor and sensory functions with in the next 5 to months, with due medications and physiotherapy.But, that didn't happen in his case and the person was much worried about his future, since he had not even gained his sensory functions of the R.U.LO/E I found negative results for touch/pressure/heat/pain sensations ;paralyzed arm ;lack of muscle tone in the arm, hand, & wrist ;claw hand.I pressed the Supra-clavicular region and asked him to try moving his Upper limb and found to note that he was able to initiate some action of flexion of the little finger, but not in any of the proximal group of muscles.This gave me the slightest hope regarding the prognosis and I felt that the otherwise hindered re-innervation process, can be enhanced.Once in two days I did मर्म चिकित्सा to him by manipulating the following points क्रुकाटिका ; अंस ; बाह्वी ; कूर्पर ; इन्द्रबस्ती ; मणिबन्ध ; क्षिप्रा & तलह्रदय , along with the following medications,१) प्रसरन्यादी कषायं ३० ml b.d.s in E/S (Empty stomach)+ ३० ml बलारिस्टं अरिष्टम+ ६ बिंदु of क्षीरबला (101) २) सुवर्न मुक्तादी गुलिका १ b.d.s A/फ३) योगराज गुग्गुलु 500 mg २ t.d.s B/FClinical Observations -The strengthening of the nerves and enhancement of muscle tone was observed retrogresively, in the sense the movement was felt starting from the fingers and gradually seen in the proximals structures like wrist- fore arm - elbow - shoulder and neck.In a matter of 20 days he recovered from the दौर्बल्यं and started going to the work happily.
- सर्वे जना :सुखिनो : भवन्तु :
Courtesy
Dr. Rangaprasad Bhat
chennai
12 years ago, this gentleman aged 24 years came to my consulting room with a complaint of weakness of Rt.Upper Limb. He had supported his R.U.L, with a brace supporting his affected elbow. On enquiring I came to know that he met with an R.T.A (Road Traffic Accident) 11 months back and had a complete Rupture of Brachial nerve. He was subjected immediately to Reconstructive Surgery of Brachial nerve and counseled that he would regain the lost motor and sensory functions with in the next 5 to months, with due medications and physiotherapy.But, that didn't happen in his case and the person was much worried about his future, since he had not even gained his sensory functions of the R.U.LO/E I found negative results for touch/pressure/heat/pain sensations ;paralyzed arm ;lack of muscle tone in the arm, hand, & wrist ;claw hand.I pressed the Supra-clavicular region and asked him to try moving his Upper limb and found to note that he was able to initiate some action of flexion of the little finger, but not in any of the proximal group of muscles.This gave me the slightest hope regarding the prognosis and I felt that the otherwise hindered re-innervation process, can be enhanced.Once in two days I did मर्म चिकित्सा to him by manipulating the following points क्रुकाटिका ; अंस ; बाह्वी ; कूर्पर ; इन्द्रबस्ती ; मणिबन्ध ; क्षिप्रा & तलह्रदय , along with the following medications,१) प्रसरन्यादी कषायं ३० ml b.d.s in E/S (Empty stomach)+ ३० ml बलारिस्टं अरिष्टम+ ६ बिंदु of क्षीरबला (101) २) सुवर्न मुक्तादी गुलिका १ b.d.s A/फ३) योगराज गुग्गुलु 500 mg २ t.d.s B/FClinical Observations -The strengthening of the nerves and enhancement of muscle tone was observed retrogresively, in the sense the movement was felt starting from the fingers and gradually seen in the proximals structures like wrist- fore arm - elbow - shoulder and neck.In a matter of 20 days he recovered from the दौर्बल्यं and started going to the work happily.
- सर्वे जना :सुखिनो : भवन्तु :
Courtesy
Dr. Rangaprasad Bhat
chennai
Wednesday, July 21, 2010
Financial help from Banks for BAMS Doctors
Courtesy: Dr.Sachin Rewar,
Delhi
Dear friends greetings.
scheme DOCTOR PLUS - bank is providing easy loan upto 10 lacs to without any collateral security to ayurvedic doctor's to establish own clinics.Almost all the banks have attractive schemes of providing loans to doctor's without any security. Below is the copy of the scheme for reference.
DOCTOR PLUS Reference CirCO/Adv/195/2002-03 DATED 18.01.2003 CirCO/Adv/233/2002-03 DATED13.3.2003 CCO/Adv/47/2003-04, CCO/Adv/264/2003-04 CCO/Adv/67/2003-04, CCO/Adv/311/2003-04 Cir CO/Adv/13/2004-05 DATED 07.04.2004 CirCO/Adv/201/2004-05 DATED 29.10.2004 CCFO/Adv/8/2007-08 DATED 13.04.07 CCFO/Adv/44/2007-08 DATED 23.05.07 Target Group Medical practitioners of any discipline, promoters of hospitals and nursing homes, pathological clinics, polyclinics, X-Ray labs, etc. Eligibility · Individuals/ partnerships / Corporates /Trusts (with powers to borrow) · Promoters should be registered practitioners and should possess minimum qualification to practice in a discipline such as MBBS/ BDS/BAMS/ GAMS/BHMS Purpose To finance qualified medical practitioners · For buying equipments (For dentists, the loan also covers dental implants besides equipments; For orthopedists, the loan also covers various replacements/implants for hip/knee/shoulder/spine etc.) · Setting up clinic, nursing home pathology labs, drug store, ambulance, computers, vehicles, etc. · Expansion/renovation/modernization of existing premises Type of Facility · Medium Term Loan · Cash Credit Loan Amount Maximum of Rs.5 crores of which a sub ceiling for WC limits at · 10% of total loan amount for upto Rs.1 crore · 5% of total loan amount for above Rs.1 crore- Minimum Rs.10 lakhs Repayment · Minimum DSCR 1 : 1.5 · Maximum period upto 7 years · Maximum moratorium 12 months Interest Based on credit scoring model. SCORE INTEREST RATE 65 & Above 2.00% below SBAR 55-64 1.50% below SBAR 45-54 1.00 % below SBAR 35-44 0.50% below SBAR Below 35
Please check with the Banks and go ahead for the blog may not be responsible for the good and the bad.
This is an information passed with good heart.........
ALL THE BEST!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Delhi
Dear friends greetings.
scheme DOCTOR PLUS - bank is providing easy loan upto 10 lacs to without any collateral security to ayurvedic doctor's to establish own clinics.Almost all the banks have attractive schemes of providing loans to doctor's without any security. Below is the copy of the scheme for reference.
DOCTOR PLUS Reference CirCO/Adv/195/2002-03 DATED 18.01.2003 CirCO/Adv/233/2002-03 DATED13.3.2003 CCO/Adv/47/2003-04, CCO/Adv/264/2003-04 CCO/Adv/67/2003-04, CCO/Adv/311/2003-04 Cir CO/Adv/13/2004-05 DATED 07.04.2004 CirCO/Adv/201/2004-05 DATED 29.10.2004 CCFO/Adv/8/2007-08 DATED 13.04.07 CCFO/Adv/44/2007-08 DATED 23.05.07 Target Group Medical practitioners of any discipline, promoters of hospitals and nursing homes, pathological clinics, polyclinics, X-Ray labs, etc. Eligibility · Individuals/ partnerships / Corporates /Trusts (with powers to borrow) · Promoters should be registered practitioners and should possess minimum qualification to practice in a discipline such as MBBS/ BDS/BAMS/ GAMS/BHMS Purpose To finance qualified medical practitioners · For buying equipments (For dentists, the loan also covers dental implants besides equipments; For orthopedists, the loan also covers various replacements/implants for hip/knee/shoulder/spine etc.) · Setting up clinic, nursing home pathology labs, drug store, ambulance, computers, vehicles, etc. · Expansion/renovation/modernization of existing premises Type of Facility · Medium Term Loan · Cash Credit Loan Amount Maximum of Rs.5 crores of which a sub ceiling for WC limits at · 10% of total loan amount for upto Rs.1 crore · 5% of total loan amount for above Rs.1 crore- Minimum Rs.10 lakhs Repayment · Minimum DSCR 1 : 1.5 · Maximum period upto 7 years · Maximum moratorium 12 months Interest Based on credit scoring model. SCORE INTEREST RATE 65 & Above 2.00% below SBAR 55-64 1.50% below SBAR 45-54 1.00 % below SBAR 35-44 0.50% below SBAR Below 35
Please check with the Banks and go ahead for the blog may not be responsible for the good and the bad.
This is an information passed with good heart.........
ALL THE BEST!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Wednesday, July 7, 2010
Ulcerative colitis-herbal treatments
A small clinical study found that people with UC taking 550 mg of boswellia gum resin three times daily for six weeks had similar improvement in symptoms and the severity of their disease as people with UC taking the drug sulfasalazine.42 Overall, 82% of patients receiving boswellia, along with 75% of patients taking sulfasalazine, went into remission.In a preliminary trial, people with UC remained in remission just as long when they took 20 grams of ground psyllium seeds twice daily with water as when they took the drug mesalamine.43 The combination of the two was slightly more effective than either alone. Controlled trials are now needed to confirm a therapeutic effect of psyllium for UC.In a controlled trial, supplementation with wheat grass juice for one month resulted in clinical improvement in 78% of people with ulcerative colitis, compared with 30% of those receiving a placebo.44 The amount of wheat grass used was 20 ml per day initially; this was increased by 20 ml per day to a maximum of 100 ml per day (approximately 3.5 ounces).German doctors practicing herbal medicine often recommend chamomile for people with colitis.45 A cup of strong tea drunk three times per day is standard, along with enemas using the tea when it reaches body temperature.Curcumin is a compound in turmeric (Curcuma longa) that has been reported to have anti-inflammatory activity. In a preliminary trial, five of five people with chronic ulcerative proctitis (a condition similar to ulcerative colitis) had an improvement in their disease after supplementing with curcumin. The amount of curcumin used was 550 mg twice a day for one month, followed by 550 mg three times a day for one month.46 In a double-blind trial, supplementation with curcumin in the amount of 1 gram twice a day for six months decreased the relapse rate in patients with ulcerative colitis in remission. The relapse rate was 4.7% among people receiving curcumin and 20.5% in the placebo group, a statistically significant difference. All patients in the study also received conventional therapy.47Enemas of oil of St. John’s wort may also be beneficial.48 Consult with a doctor before using St. John’s wort oil enemas.Aloe vera juice has anti-inflammatory activity and been used by some doctors for people with UC. In a double-blind study of people with mildly to moderately active ulcerative colitis, supplementation with aloe resulted in a complete remission or an improvement in symptoms in 47% of cases, compared with 14% of those given a placebo (a statistically significant difference).49 No significant side effects were seen. The amount of aloe used was 100 ml (approximately 3.5 ounces) twice a day for four weeks. Other traditional anti-inflammatory and soothing herbs, including calendula, flaxseed, licorice, marshmallow, myrrh, and yarrow. Many of these herbs are most effective, according to clinical experience, if taken internally as well as in enema form.50 Enemas should be avoided during acute flare-ups but are useful for mild and chronic inflammation. It is best to consult with a doctor experienced with botanical medicine to learn more about herbal enemas before using them. More research needs to be done to determine the effectiveness of these herbs.
Lichen Planus-Allopathic views
Lichen planus (LP) is a self-limited disease that usually resolves within 8-12 months. Mild cases can be treated with fluorinated topical steroids. More severe cases, especially those with scalp, nail, and mucous membrane involvement, may need more intensive therapy.
Medication
The first-line treatments of cutaneous lichen planus (LP) are topical steroids, particularly class I or II ointments. A second choice would be systemic steroids for symptom control and possibly more rapid resolution. Many practitioners prefer intramuscular triamcinolone 40-80 mg every 6-8 weeks. Oral acitretin has been shown to be effective in published studies.12 Many other treatments, including mycophenolate mofetil (CellCept) at 1-1.5 g twice daily, are of uncertain efficacy because of the lack of randomized controlled trials.For lichen planus of the oral mucosa, topical steroids are usually tried first. Topical and systemic cyclosporin have been tried with some success13 ; however, a randomized double-blind study indicated that topical cyclosporin was a less effective but much more costly regimen than clobetasol.14 Newer topical calcineurin inhibitors have replaced topical cyclosporin for the treatment of lichen planus. Other options include oral or topical retinoids. Even with these effective treatments, relapses are common.Patients with widespread lichen planus may respond to narrow-band or broadband UV-B therapy.15 Psoralen with UV-A (PUVA) therapy for 8 weeks has been reported to be effective. Risks and benefits of this treatment should be considered. PUVA is carcinogenic. Long-term risks include dose-related actinic degeneration, squamous cell carcinoma, and cataracts. A phototoxic reaction with erythema, pruritus, phytophotodermatitis, and friction blisters could occur.UV-A therapy combined with oral psoralen consists of oral psoralen (0.6 mg/kg), 1.5-2 hours before ultraviolet light, which usually starts at 0.5-1 J/cm2 and is increased by 0.5 J/cm2 per visit. Use of topical ointment at the time of receiving UV-A treatment may decrease the effectiveness of PUVA. Precaution should be taken for persons with a history of skin cancers or hepatic insufficiency.CorticosteroidsThese agents have anti-inflammatory properties and cause profound and varied metabolic effects. In addition, these agents modify the body's immune response to diverse stimuli. Topical steroids may be as effective as systemic steroids. Class I or II steroids in ointment form reduce pruritus in cutaneous lichen planus, but they have not been proven to induce remission.
Medication
The first-line treatments of cutaneous lichen planus (LP) are topical steroids, particularly class I or II ointments. A second choice would be systemic steroids for symptom control and possibly more rapid resolution. Many practitioners prefer intramuscular triamcinolone 40-80 mg every 6-8 weeks. Oral acitretin has been shown to be effective in published studies.12 Many other treatments, including mycophenolate mofetil (CellCept) at 1-1.5 g twice daily, are of uncertain efficacy because of the lack of randomized controlled trials.For lichen planus of the oral mucosa, topical steroids are usually tried first. Topical and systemic cyclosporin have been tried with some success13 ; however, a randomized double-blind study indicated that topical cyclosporin was a less effective but much more costly regimen than clobetasol.14 Newer topical calcineurin inhibitors have replaced topical cyclosporin for the treatment of lichen planus. Other options include oral or topical retinoids. Even with these effective treatments, relapses are common.Patients with widespread lichen planus may respond to narrow-band or broadband UV-B therapy.15 Psoralen with UV-A (PUVA) therapy for 8 weeks has been reported to be effective. Risks and benefits of this treatment should be considered. PUVA is carcinogenic. Long-term risks include dose-related actinic degeneration, squamous cell carcinoma, and cataracts. A phototoxic reaction with erythema, pruritus, phytophotodermatitis, and friction blisters could occur.UV-A therapy combined with oral psoralen consists of oral psoralen (0.6 mg/kg), 1.5-2 hours before ultraviolet light, which usually starts at 0.5-1 J/cm2 and is increased by 0.5 J/cm2 per visit. Use of topical ointment at the time of receiving UV-A treatment may decrease the effectiveness of PUVA. Precaution should be taken for persons with a history of skin cancers or hepatic insufficiency.CorticosteroidsThese agents have anti-inflammatory properties and cause profound and varied metabolic effects. In addition, these agents modify the body's immune response to diverse stimuli. Topical steroids may be as effective as systemic steroids. Class I or II steroids in ointment form reduce pruritus in cutaneous lichen planus, but they have not been proven to induce remission.
Tuesday, July 6, 2010
Yellow fever vaccination details,Delhi
COURTESY : DR. T. DIVAKAR RAO ,DELHI
Information for Yellow Fever Vaccination Certificate
Yellow fever vaccination certificate mandatory for all person (including infant) who have been traveling to following country even in Transit AFRICA Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Democratic Republic of Congo (Zaire), Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea Bissau, Ivory Coast (Cote D’Ivoire), Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, Sao Tome and Principe, Senegal, Sierra Leone, Somalia, Sudan (South of 15 ° N), Togo, Uganda, Tanzania, Zambia. AMERICA Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Peru, Suriname, Trinidad and Tobago, Venezuela, Panama.
Yellow fever vaccination certificate issue for 10 years and certificate becomes valid after 10 days vaccination.A person arriving in India who is require to possess a Yellow Fever Certificate as per requirements will, in the absence of a valid Vaccination certificate be quarantined for a period of six days, without exception.
Inoculation Centers:
DELHI :
Yellow Fever Vaccination Centre,
Airport Authority of India Quarters,
T1 BuildingNear Mahipalpur Fly Over
Ph : 011 - 2565 2129 Timings = 2-4PM
(Registrations from 10AM, best to register early as it's only done in batches of 10..)
Day = Tue/Thu
Public Health Laboratory Municipal Corporation,
Town Hall, Alipur Road
Timings: Fri :1000 - 1200 hrs
Tel: 2397 2058
Dr. Ram Manohar Lohia Hospital.
Room No. 11 & 12 Timings: Wed & Sat 1100 to 1230 hrs
Tel: 2336 5525
International Inoculation Center ,
Mandir Marg,
New Delhi - 110001
Timings: Wed & Fri : 1330 to 1400 hrs
Tel: 2336 2284
DELHI Health Organization
Palam Airport
Timings: Tue. And Thursday. 1400 - 1600 hrs
Tel: 2329 5507
This place has shifted to new location. Address: T1 Building, AAI Housing Complex, Near BCAS Office, Mahipalpur. New Delhi.
Information for Yellow Fever Vaccination Certificate
Yellow fever vaccination certificate mandatory for all person (including infant) who have been traveling to following country even in Transit AFRICA Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Democratic Republic of Congo (Zaire), Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea Bissau, Ivory Coast (Cote D’Ivoire), Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, Sao Tome and Principe, Senegal, Sierra Leone, Somalia, Sudan (South of 15 ° N), Togo, Uganda, Tanzania, Zambia. AMERICA Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Peru, Suriname, Trinidad and Tobago, Venezuela, Panama.
Yellow fever vaccination certificate issue for 10 years and certificate becomes valid after 10 days vaccination.A person arriving in India who is require to possess a Yellow Fever Certificate as per requirements will, in the absence of a valid Vaccination certificate be quarantined for a period of six days, without exception.
Inoculation Centers:
DELHI :
Yellow Fever Vaccination Centre,
Airport Authority of India Quarters,
T1 BuildingNear Mahipalpur Fly Over
Ph : 011 - 2565 2129 Timings = 2-4PM
(Registrations from 10AM, best to register early as it's only done in batches of 10..)
Day = Tue/Thu
Public Health Laboratory Municipal Corporation,
Town Hall, Alipur Road
Timings: Fri :1000 - 1200 hrs
Tel: 2397 2058
Dr. Ram Manohar Lohia Hospital.
Room No. 11 & 12 Timings: Wed & Sat 1100 to 1230 hrs
Tel: 2336 5525
International Inoculation Center ,
Mandir Marg,
New Delhi - 110001
Timings: Wed & Fri : 1330 to 1400 hrs
Tel: 2336 2284
DELHI Health Organization
Palam Airport
Timings: Tue. And Thursday. 1400 - 1600 hrs
Tel: 2329 5507
This place has shifted to new location. Address: T1 Building, AAI Housing Complex, Near BCAS Office, Mahipalpur. New Delhi.
Subscribe to:
Posts (Atom)