Journal of National Integrated Medical Association


Journal of National Integrated Medical Association (Print ISSN:0377-0621) is the official publication of the National Integrated Medical Association (NIMA). The Association was established in 1948 to promote integrated medical education and practices. The journal is one expression of this vision. JNIMA is a quarterly journal. It encourages publication of articles on Ayurveda system of practice integrated with various aspects of modern medicine such as diagnostic methods. The journal publishes original articles, review articles, and case study for the utilization of new knowledge by its readers.. The Copyright of the journal belongs to NIMA and it is protected under Indian copyright law.

ISSN No: 0377-0621 | Volume: 54 | Issue IV |Session: Oct-Dec 2025

Pulisher: CliniEdge Private Limited


EDITORIAL BOARD

Journal of National Integrated Medical Association | Vol. 54 | Issue IV | Page No. - 1 Download PDF

GENERAL INFORMATION

Journal of National Integrated Medical Association | Vol. 54 | Issue IV | Page No. - 2 Download PDF

Happy New Year

E D I T O R I A L

Journal of National Integrated Medical Association | Vol. 54 | Issue IV | Page No. - 4 Download PDF

Quality control analysis of plant-based drugs in Ayurveda

Ayurveda, is derived from ‘Ayur’ meaning ‘life, and ‘Veda’, meaning ‘knowledge’. Ayurveda thus means the ‘science of life’, which aims at well-balanced metabolism along with a healthy state of being. Similarly, the word ‘drug’ is derived from French word ‘drogue’ meaning dry herb.Drugs are obtained from synthetic, semi-synthetic, and natural resources. In this research paper, drugs recovered from plants are discussed. These drugs may be fresh or dry, naturally derived products with or without therapeutic value, and can be used either individually or as one of the ingredients in formulations after appropriate processing. Ayurvedic therapeutics is aimed mainly at two objectives: one is preventive (Swasthsyorjaskara) and the other is curative (Artasyaroganut). From this, it is clear that one of the most important aspects of preventive therapy is promotion of health or promotive therapy. In India, more than 4000 terrestrial plants have been studied for their biological activities, and nearly 20% have been found to possess promising pharmacological properties. With an ancient lineage and rational approach, Ayurveda has continued to grow and is today recognized as one of the official systems of medicine in India. The standards for plant drugs used in Ayurveda and the Unani system of medicine are laid down in their respective pharmacopoeias. However, other pharmacopoeias are also important to consult for the quality standards of plant drugs, whether available or under development. Key goals of this study are to ensure purity from contaminants and adulterants, confirm the presence of active compounds, and achieve batch-to-batch consistency for safety and efficacy.

Journal of National Integrated Medical Association | Vol. 54 | Issue IV | Page No. - 5-8 Download PDF

A review on the effect of Rasa Bhasma formulations exhibiting the immunomodulator action on autoimmune disorder

Rasashastra is an ancient Indian system of metallurgy and alchemy that deals with the extraction, purification, and utilization of metals and minerals in various applications, including medicine and industrial processes. Rasashastra, an integral part of Ayurveda, explores the medicinal properties of substances, particularly metals and minerals, that possess distinct characteristics. By harnessing the power of modern science and technology, these unique attributes can be thoroughly investigated and validated. This integration of traditional knowledge with contemporary advancements has the potential to unlock new pathways for drug development, processing, and therapeutics in Ayurveda, ultimately leading to innovative treatments and improved healthcare outcomes. According to Ayurveda, the formation of Ama, a toxic substance, occurs when the digestive fire (Agni) is weak, leading to impaired digestion and metabolism. This Ama can accumulate in the body, causing various pathological events, including autoimmune disorders. The root cause of these disorders lies in compromized digestive capacity and immune system. Therefore, Ayurvedic management aims to restore balance by enhancing Agni and Ojas, thereby reversing the disease process and promoting overall well-being. By focusing on improving digestion and immunity, individuals can naturally regain balance and alleviate autoimmune disorders. Bhasma formulation involves the preparation of Ayurvedic medicines through the calcination of metals, minerals, or other substances, following traditional guidelines. The process includes purification, calcination, and grinding to create a fine powder that is safe for consumption. These formulations are used in Ayurvedic medicine for their potential therapeutic benefits, including enhancing immunity, treating diseases, and promoting overall well-being, and are typically prepared according to ancient Ayurvedic texts.

Journal of National Integrated Medical Association | Vol. 54 | Issue IV | Page No. - 9-15 Download PDF

Incorporating illustrations and usage of Ayurvedic scientific terminologies to simplify Ayurveda learning w.s.r. Sushrut Samhita

Every science has its own language—be it English, Latin, Greek, Sanskrit, or any other. The same is true for Ayurveda. As the language of all Samhita is Sanskrit, Ayurveda has its own terminologies and concepts, which may be similar to or differ from contemporary medical sciences in various ways. Ayurveda has stood the test of time and remains valid even today. To make the transfer of knowledge more appealing, we need to incorporate tools of print media—such as illustrations—and use authentic Ayurvedic terminologies to define the texts of Ayurveda and Samhitas. This approach will not only simplify the way of learning but also foster greater interest in studying the core Samhitas among the younger generation. Some examples include concepts mentioned in Ayurvediya Sharir, such as Snayu-Peshee, Kandara , Jala, Koshtha-Ashay, Avayava/Pratyang description and their Upamana/Dristhanta, etc.

Journal of National Integrated Medical Association | Vol. 54 | Issue IV | Page No. - 16-19 Download PDF

Evidence-based review on cardioprotective potential of Ksheerapaka Kalpanas in Hridroga

Ksheerapaka Kalpanas are unique Ayurvedic formulations prepared by boiling medicinal herbs in milk and water. Milk functions as a solvent, nutrient source, and bioavailability enhancer, promoting sustained release and improved therapeutic efficacy of active phytoconstituents. This review evaluates the cardioprotective potential of commonly used Ksheerapakas in Hridroga prepared from Arjuna, Lasuna, and Sthira based on available in vitro, in vivo, and clinical studies. Arjuna Ksheerapaka exhibits positive inotropic and chronotropic effects in isolated frog hearts and shows significant in vivo anti-inflammatory activity, potentially mediated through beta-adrenergic pathways. Sthira Ksheerapaka demonstrates potent antioxidant activity in H9C2 cardiomyoblasts, improves mitochondrial membrane potential, regulates membrane ATPase activity, and enhances cell viability under norepinephrineinduced stress. Clinical studies in patients with stable angina show improvements in subjective symptoms (RAQ, CCS grading), exercise tolerance (METS, double product), and hematological and biochemical parameters, with no adverse effects on liver or kidney function. Lasuna Ksheerapaka, in contrast, exhibits negative inotropic and chronotropic effects. Collectively, the evidence supports the safety and efficacy of Ksheerapaka preparations as cardioprotective agents, highlighting their potential as a safer alternatives to conventional therapies for chronic cardiovascular conditions. Further preclinical and clinical studies are warranted to elucidate mechanisms and long-term benefits.

Journal of National Integrated Medical Association | Vol. 54 | Issue IV | Page No. - 20-24 Download PDF

Effect of integrated approach of yoga therapy on stress and anxiety management in BAMS students

Medical education in India is a period marked by significant academic pressure, competitive examinations, and social expectations. This highstress environment contributes to a growing prevalence of stress, anxiety, and low self-confidence among medical students, leading to potential health and academic consequences. It is already proven that yoga produces immediate and long-term effects in reducing stress and anxiety, and can even promote positive behavioral changes. By examining the impact of this Integrated Yoga Module on this specific population facing unique stressors, this research aims to contribute valuable insights into the potential of the Integrated Yoga Module as a safe, drug-free, accessible, and culturally relevant tool for adolescent mental health management. Material and Methods: This pre-post interventional analysis involved 60 BAMS students divided into a Yoga group and a Control group. A baseline assessment of stress, anxiety, and academic confidence was conducted using standardized questionnaires (Perceived Stress Scale (PSS), Achievement Anxiety Test (ATT), and Academic Behavioural Confidence (ABC) Scale. The yoga group received a 45-day Integrated Yoga Module intervention program, practicing for 45 minutes per day, five days a week, with specific instructions on techniques. The Control group did not receive any intervention. Observations and Results: The post-intervention data show a significant reduction in the levels of Perceived Stress Scores (P<0.029), a significant reduction in the levels of both Debilitating and Facilitating Achievement Anxiety Scores (P<0.012), and a significant increase in Academic Behavioral Confidence Score (P<0.010). Discussion: The study showed that Integrated Yoga Therapy significantly reduced stress and anxiety while improving academic confidence in BAMS students (mean age 22 ± 1.53 years), supporting its value for enhancing psychological well-being. Conclusion: The findings suggest that Integrated Yoga Module holds promise in lowering levels of Perceived Stress and Achievement Anxiety (both Debilitating and Facilitating types), and enhancing Academic Behavioral Confidence among BAMS students.

Journal of National Integrated Medical Association | Vol. 54 | Issue IV | Page No. - 25-30 Download PDF

A case study on Ayurvedic management of Vataja Grahani with Shirodhara and Nabhi Basti

Grahani Roga is one of the most prevalent gastrointestinal disorders, closely associated with impaired Agni (digestive fire). It correlates with irritable bowel syndrome (IBS) in modern medicine, which affects nearly 10–15% of adults in India. The study was undertaken to evaluate the efficacy of Shirodhara and Nabhi Basti in the management of Vataja Grahani. In this a 32-year-old male diagnosed with Vataja Grahani was treated with Deepana–Pachana Chikitsa followed by Shirodhara and Nabhi Basti with Tila Taila for 7 days. Assessment was based on subjective symptoms (Udarshoola, Baddha Mala, Drava Mala) and objective clinical parameters before and after the intervention. Significant improvement was observed in abdominal pain, bowel habits, and associated symptoms. Objective criteria improved from a score of 6 (moderate) to 2 (mild) at 15 days follow-up. Shirodhara and Nabhi Basti together were effective in pacifying Vata Dosha, enhancing Agni, and improving the quality of life in Vataja Grahani.

Journal of National Integrated Medical Association | Vol. 54 | Issue IV | Page No. - 31-33 Download PDF

A rare case study on inguinal hernia with abdominal tuberculosis and its management

Abdominal tuberculosis is a type of extrapulmonary tuberculosis that involves the abdominal organs such as intestines, peritoneum, and abdominal lymph nodes. It may either occur in isolation or along with a primary focus (such as the lungs) in patients with disseminated TB. Sometimes, abdominal tuberculosis may be detected incidentally in long-standing hernias. It may result from secondary focus spreading from a primary source, i.e., from pulmonary Kochs. The condition may involve peritoneum, colon, omentum, or other contents of hernia. This article presents a rare case of a left partially obstructed inguinal hernia that was found to be associated peritoneal tuberculosis.

Journal of National Integrated Medical Association | Vol. 54 | Issue IV | Page No. - 34-36 Download PDF