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Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."
Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011
Dr. Shankar P.R.
"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."
Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011 Anuradha
Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.
Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020
Case report
Full Version
Ayurvedic Management of Ovarian Cyst: A Case Report
Correspondence Address :
Dr. Varun Gupta,
Postgraduate Scholar, Department of Samhita Siddhanta, Mahatma Gandhi Ayurved College, Hospital and Research Centre, Salod (H), Wardha-442005, Maharashtra, India.
E-mail: varungupta614@gmail.com
Ovarian cysts are fluid-filled sacs that develop either on or within a woman’s ovaries, which are part of the female reproductive system. They are frequently encountered and can form at any stage of life, but they are most often detected in women during their reproductive years. According to Ayurveda, ovarian cysts can be correlated to Kaphaja Granthi Roga. A 49-year-old female patient came to the Outpatient Department (OPD), with complaints of pain in the pelvic region, bloating, heaviness in the lower abdomen, and changes in menstrual patterns in the last six months. Her ultrasonography report suggested an ovarian cyst measuring 66.2×44.2 mm. The condition was addressed with a combination of various traditional ayurvedic medicines like Kanchnar guggulu 2 tab twice a day, Chandraprabha vati 2 tab twice a day, Bruhat panchmula kwath 20 mL twice a day, Ajmodadi churna 1 tsf at night, Varunadi kashyam 10 mL twice a day, all medicine were given for six months. The patient was satisfied with the outcomes. According to her Ultrasound (USG) reports, after six months of treatment there was no evidence of an ovarian cyst, and her symptoms also demonstrated improvement. The current case underscores the effectiveness of Ayurvedic treatment in achieving positive outcomes for managing ovarian cysts.
Artavavaha shrotas, Granthi, Kanchnar guggulu
A 49-year-old female patient came to the OPD, with chief complaints of severe and sharp pain in the pelvic region, bloating, heaviness in the lower abdomen, and irregular menstrual cycle lasting between 5 to 7 days with interval varying from 20 to 25 days since last six months. The patient was asymptomatic six months ago, but gradually began to experience the aforementioned symptoms. She visited the allopathic hospital where a complete blood count, cancer antigen 125, and Ultrasonography were done and she was diagnosed with a right ovarian cyst (66.2×44.2 mm) and was advised surgery. Patient did not take any allopathic medication for ovarian cyst. Then, she came to our OPD for further management. The patient had a known history of hypothyroidism for the past five years and is currently on a daily dose of Thyrox 50 mcg (Thyroxine Sodium). There was no known history of Diabetes Mellitus (DM) or Hypertension (HTN).
The patient had no significant past surgical or medical history, indicating a lack of major medical conditions or surgical interventions. Additionally, the family history was unremarkable, with no significant medical conditions reported, suggesting no notable hereditary health concerns. Her obstetric history was G0P3A0L3D0. The patient followed a vegetarian diet (Ahara) and led a generally normal lifestyle (Vihara). Bowel habits were regular, with one movement per day. The patient had an addiction to tea and reported having sound sleep. Urine output was 4-5 times during the day and 0-1 time at night. The patient’s blood group was B+. The patient stated that her menstrual cycles lasted between five to seven days and occurred irregularly, with intervals varying from 20 to 25 days. She experienced increased bleeding accompanied by lower abdominal pain. The patient had a normal built with a height of 158 cm and a weight of 69 kg. Vital signs were within normal ranges, including a pulse rate of 78 beats per minute, blood pressure of 130/80 mmHg, respiration rate of 16 breaths per minute, and a body temperature of 98.6°F. The patient’s gait was also normal, indicating no apparent issues with mobility or balance.
Ashtavidha Pariksha: The patient’s Nadi was identified as Vata-Kapha with a rate of 78 beats per minute. Bowel movements (Mala) were regular, occurring once daily and urinary frequency (Mutra pravritti) was normal at 4-5 times per day. The tongue (Jihva) was coated (Saam), indicating possible Ama (toxins). Speech (Sabda) was clear (Spasta), and touch sensation (Sparsha), vision (Drika), and overall physical appearance (Akruti) were normal, reflecting balanced physiological functions. Dasavidha Pariksha- The patient’s Prakriti was identified as Vata-Kaphaja, while the current imbalance (Vikriti) was of Kaphaja nature. The assessments of strength (Saar, Sahanana), mental resilience (Satva), adaptability to diet and lifestyle (Satmya), body constitution (Pramana), digestive capacity (Aaharshakti), and physical activity capacity (Vyayamashakti) were all classified as moderate. The patient’s age was also in the Madhya stage, indicating middle age. This overall evaluation reflected a balanced yet moderately built constitution with potential areas for improvement in maintaining equilibrium.
On per-abdominal examination, the abdomen was soft with mild tenderness in the lower region, while the per-vaginal examination revealed No Abnormalities Detected (NAD). The results showed haemoglobin at 11.2 g/dL, platelet count at 1.60 lac cells/cumm, fasting blood sugar at 102 mg/dL, and cancer antigen-125 at 21 U/mL. A recent USG examination revealed the presence of a right ovarian cyst measuring 66.2 mm by 44.2 mm. The pharmacological type of therapuetic intervention was given to the patient.
The treatment involved using the specified medications for a duration of three months mentioned in (Table/Fig 1). After continuation of medicine for three months, patient got symptomatic relief and also improvement in USG findings. Then for other three months, treatment was given to the patient mentioned in (Table/Fig 2). Follow-up was taken every month. Previously, the patient was pleased with the results. Based on her USG findings, the ovarian cyst was gradually decreased and no longer detected after six months, and her symptoms had also shown improvement. An initial USG showed a right ovarian cyst measuring 66.2×44.2 mm. After three months, a follow-up USG revealed a reduction in size to 34.8×26.4 mm. Another three months later, the cyst had further decreased to 26.5×21 mm. This steady reduction in size over time suggested that the cyst might be gradually resolving by medications. Her pain diminished significantly, and she experienced complete recovery through Ayurvedic treatment. There have been no recurring symptoms or signs since then.
Diagnosing and treating ovarian cysts presents challenges due to the variety of symptoms and overlap with other gynaecological conditions. Traditional diagnosis relies on imaging, such as USG, and markers like Cancer Antigen (CA) which help identify cyst characteristics but cannot always, confirm malignancy without further testing. This case presented a large cyst (66.2×44.2 mm), where standard treatment typically involves surgical removal, especially if symptomatic, as in this case. However, the patient sought Ayurvedic intervention over surgery, posing an opportunity to explore non invasive options but challenging due to limited empirical studies validating Ayurvedic management effectiveness on ovarian cysts.
Ovarian cysts are a prevalent issue in gynaecology and are categorised into two main types: physiological and pathological (1). Normal cysts, like follicular and luteal cysts, are considered physiological. Conversely, pathological cysts are categorised as ovarian tumours, which can be benign, malignant, or borderline. Benign tumours typically occur more frequently in younger females, whereas malignant tumours are more commonly diagnosed in older females (2).
In Ayurvedic Samhitas, there is a detailed description of Granthi described by Acharyas, which refers to anatomical structures described akin to nodules or growths (3). Granthi typically forms due to an imbalance in doshas (biological energies) (4). Ovarian cysts can be correlated with Kaphaja Granthi Roga in Ayurveda (5). The pathogenesis of Granthi Roga involves the dominance of Vata and Kapha doshas in the body, along with the imbalance of the Tridosha (6). Therefore, the treatment for Granthi Roga focuses on Vata and Kapha pacifying medications. Additionally, the tissues (Dushya) involved in this condition are Rakta (blood), Mamsa (muscle), and Meda (fat) (4), indicating the need for medications possessing Vatahara (anti-inflammatory) and Lekhana (scraping or reducing) properties.
Similar studies (7),(8),(9) have consistently shown that oral medications (Shamana Chikitsa), Shodhana Chikitsa, and Basti procedures play a major role in treating ovarian cysts (Table/Fig 3). The treatment resulted in a significant reduction in cyst size, verified by follow-up USGs.
Specific Ayurvedic formulations were chosen based on their properties:
Kanchnar guggulu, is a herbal formulation that is widely used for managing various health conditions, particularly those related to the thyroid gland, cysts, tumours, lymphatic system, and inflammatory disorders. Main component is Kanchnar, which is known for its anti-inflammatory and anti-tumour properties (10). Chandraprabha vati supports the reproductive and urinary systems. The main ingredients of Chandraprabha Vati typically include a combination of herbs and minerals. These ingredients are combined in specific proportions according to Ayurvedic principles to balance the tridoshas (Vata, Pitta, and Kapha) and to support the functioning of the urinary system and reproductive organs. Bruhat panchmula kwath, with its bitter taste (Katu rasa), heating potency (Ushna veerya), and light, dry nature, acts as an Aamapachana, aiding toxin digestion and clearing Kapha-induced blockages. Its anti-inflammatory properties and uterine tonic effects also help balance Vata dosha and support reproductive health (11).
Varunadi kashyam is a Shodhanaadi Gana formulation, known for its Kapha-Medohara properties, reduces Kapha and fat tissues, disrupting the Samprapti of Granthi Roga. It is effective for indigestion, obesity, abdominal tumours, enlarged glands, and Vata-related nervous disorders (12). Ajmodadi churna, a classical Ayurvedic formulation with Ajmoda (Apium graveolens) as its key ingredient, supports joint health, digestion, respiratory wellness, and inflammation management. It combines herbal synergy to enhance overall balance and well-being (13).
The goal was to reduce cyst size, manage pain, and restore the menstrual cycle without invasive measures. Follow-ups every month helped in monitoring and adjusting treatment based on symptomatic changes and USG findings. This case study suggests that with proper patient selection and dosha assessment, Ayurvedic treatment can be an effective alternative to surgery for managing certain types of ovarian cysts. Practitioners should assess the cyst size, symptoms, and patient’s preference for non invasive treatments.
This case study demonstrates that Ayurvedic shamana chikitsa may effectively manage ovarian cysts without the need for surgical intervention. Through carefully selected Ayurvedic formulations and regular follow-ups, the patient experienced significant cyst reduction and symptom relief over six months. This outcome suggests that, with appropriate dosha assessment and patient monitoring, non invasive Ayurvedic therapy could offer a viable alternative to conventional treatment for ovarian cysts.
I would like to express my heartfelt thanks to MGACHRC, Salod(H), DMIHER, Sawangi, Wardha, Maharashtra.
DOI: 10.7860/JCDR/2025/73941.20726
Date of Submission: Aug 08, 2024
Date of Peer Review: Oct 16, 2024
Date of Acceptance: Nov 20, 2024
Date of Publishing: Mar 01, 2025
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? No
• For any images presented appropriate consent has been obtained from the subjects. No
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Aug 09, 2024
• Manual Googling: Nov 16, 2024
• iThenticate Software: Nov 18, 2024 (2%)
ETYMOLOGY: Author Origin
EMENDATIONS: 7
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