Journal of Research in Ayurvedic Sciences

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VOLUME 1 , ISSUE 4 ( October-December, 2017 ) > List of Articles

PERSPECTIVE/OPINION ARTICLE

Ayurvedic Clinical Case Reporting: Need for Development of Consensus-based Supplementary Guidelines to Case Reporting Guidelines

Jaiprakash B Ram

Keywords : Ayurvedic case reporting guidelines, CARE guidelines, Case report, Delphi technique,Ayurveda

Citation Information : Ram JB. Ayurvedic Clinical Case Reporting: Need for Development of Consensus-based Supplementary Guidelines to Case Reporting Guidelines. J Res Ayurvedic Sci 2017; 1 (4):309-313.

DOI: 10.5005/jp-journals-10064-0032

License: CC BY-NC 3.0

Published Online: 00-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: A clinical case report is a detailed narration that describes a medical problem for medical, scientific, or educational purposes, experienced by a medical practitioner in one or several patients. The case report (CARE) guidelines are designed to increase the completeness, accuracy and transparency of the case reports and also provide early signals of benefit, harm and value. Though many of the authors are publishing Ayurvedic case reports based on CARE guidelines but there is no uniformity of reporting Ayurvedic parameters among them. And till date no reporting guidelines based on Ayurvedic framework exists for Ayurvedic case reports. Diagnostic assessment and therapeutic intervention aspects of CARE checklist require Ayurvedic Specific Extension guidelines for Case reporting (AYUR-CASE). Materials and methods: All the relevant material for developing Ayurvedic specific extension to the CARE clinical case reporting guidelines are collected from the major Ayurveda texts with their commentaries. Electronic databases such as “PubMed,” “Google scholar search” and “Google search” were also used. Results: A list of important diagnostic as well as therapeutic aspects viz., Panchalakshana nidana, Ashtasthana pariksha, Dashvidh pariksha, Sodhana, Shamana, Rasayana, etc., mentioned in various samhitas are collected. As the related information is extensively documented in Ayurveda scriptures so it is critical to prioritize and select the necessary parameters, for which expert consensus need to be arrived at and hence the techniques like Delphi can be adopted for successful development of the AYUR-CASE guidelines. Conclusion: Ayurveda practice in the present day gives more valid results that are reproducible when the clinical approach and research protocol are based on fundamental principles of Ayurveda rather than the modern science. Hence to start a new chapter in the field of Ayurvedic Research—AYUR-CASE guidelines for case reporting has been proposed. These guidelines will help to achieve complete, accurate and transparent qualities of reporting clinical case reports in Ayurveda.


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  1. Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D; CARE Group. The CARE Guidelines: consensus-based clinical case reporting guideline development. Glob Adv Health Med 2013 Sep;2(5):38-43.
  2. Available from: www.care-statement.org/about, last accessed on 29.11.2017.
  3. van Haselen RA. Homeopathic clinical case reports: development of a supplement (HOM-CASE) to the CARE clinical case reporting guideline. Complement Ther Med 2016 Apr;25:78-85.
  4. Acharya, YT.; editor. Commentary Ayurveda Dipika of Chakrapanidatta on Charaka Samhita of Agnivesha, Vimana Sthana; Jwaranidanamadhyaya: chapter 1. verse 6-11. Varanasi: Chaukhamba Sanskrit Samsthana; 2001. pp. 194-196.
  5. Kumari, A.; Tewari, P.; editor and translator. Yogaratnakara; Moulikasiddhantadhyaya: chapter 1. verse 35-133. Varanasi: Chaukhambha Visvabharati; 2010. pp. 7-20.
  6. Acharya, YT.; editor. Commentary Ayurveda Dipika of Chakrapanidatta on Charaka Samhita of Agnivesha, Vimana Sthana; Rogabhishakjiteeyamadhyaya: chapter 8. verse 94. Varanasi: Chaukhamba Sanskrit Samsthana; 2001. p. 276.
  7. Dalkey NC, Helmer O. An experimental application of the Delphi Method to the use of experts. Manag Sci 1963 Apr; 9(3):458-467.
  8. Hsu CC, Sandford BA. The Delphi technique: making sense of consensus. PARE 2007 Aug;12(10):1-8.
  9. Jones J, Hunter D. Consensus methods for medical and health services research. BMJ 1995 Aug;311(7001):376-380.
  10. Acharya, YT.; editor. Commentary Ayurveda Dipika of Chakrapanidatta on Charaka Samhita of Agnivesha, Sutra Sthana; Maharogaadhyaya: chapter 20. verse 20. Varanasi: Chaukhamba Sanskrit Samsthana; 2001. p. 115.
  11. Acharya, YT.; editor. Commentary Ayurveda Dipika of Chakrapanidatta on Charaka Samhita of Agnivesha, Sutra Sthana; Trishotheeyaadhyaya: chapter 18. verse 44-47. Varanasi: Chaukhamba Sanskrit Samsthana; 2001. p. 108.
  12. Acharya, YT.; editor. Commentary Ayurveda Dipika of Chakrapanidatta on Charaka Samhita of Agnivesha, Sutra Sthana; Maharogaadhyaya: chapter 20. verse 21-22. Varanasi: Chaukhamba Sanskrit Samsthana; 2001. p. 115.
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