The principal focus of the anaesthetist during surgical intervention in a patient with cervical myelopathy is to prevent further deterioration of the neurological system while delivering anaesthetic care. Successful surgical outcome of these patients requires a detailed preoperative review, careful and knowledge based peri-operative anaesthesia care plan and a robust collaboration between the anaesthetic and neuro-surgical teams. We report the case of a 76year old male medical doctor who presented with progressively worsening symptoms of cervical myelopathy and subsequently had laminectomy and decompression under general anaesthesia relaxant technique. We aim to highlight the place of detailed anaesthetic care plan in the successful management of this patient who was assessed as high risk for both a difficult airway and peri-operative anaesthetic complications associated with anaesthesia for cervical laminectomy and decompression.

Many ethnomedical researchers describe medicinal plants and the way they are used. In this research, the authors look at how a traditional healer can find a proper medical treatment. The decision-finding is influenced by the ideas of the local cultures regarding the treatment. In qualitative research, various healers were observed and interviewed. It was discovered that different elements influenced the decision-finding process like reference materials, experience and intuition. Furthermore, there are certain peculiar ways how to categorize a plant and decide whether the treatment needs a combination of plants or can be used without other medicinal plants. The healers are embedded in their environment. Therefore, certain concepts and cognitive patterns are essential for both the culture and the traditional medicine.

A nano-metallic drug called Bhasma is created from metal and minerals. It has long been regarded in Ayurveda as a trustworthy and quick-acting dose type. The following procedures—Shodhana, Bhavana, Mardana, and Marana—are used to prepare Bhasma. These processes assist in breaking down particles into their smallest components, get rid of undesirable traits, and give the substance new properties that make them more palatable to the body's tissues and organs. In the classic, various Bhasma Parikshas, such as Varitaratwa, Unnama, Rekha purnatwa, Nirutha, and Apunarbhava, are mentioned. However, these tests are insufficient to determine the safety and efficacy of Bhasma. For the examination of Bhasma, various contemporary factors are used to ensure its acceptance on a global scale like physical evaluation, chemical analysis, and instrumental analysis. Bhasma efficiency is reliant on its homogenous chemical composition, nanocrystalline structure, and biological activity. These highly sophisticated analytical tools, including XRD, SEM, TEM, NTA, ICP-MS, XRF, AAS, and FTIR, are required for the detection of crystal size, particle size, shape, surface area, dispersion state, and morphological features, in addition to chemical and physical properties like reactivity, optical behaviour, magnetism, zeta potential, and others. To understand the toxicity, pharmacokinetics, and pharmacodynamics of Bhasma, all of these methods are employed. As a result, the current paper's main focus is on characterizing Bhasma using modern sophisticated instrumental techniques.

Rasa Shastra and Bhaishajya Kalpana has evolved as a separate branch of Ayurveda, where different formulations prepared using different dravyas can be used for curing different diseases. This is called as Formulation Development. These formulations are prepared on the basis of Disease, Dose, and mainly Rasa Panchaka. While formulating different medicines, Acharyas have framed the dravyas in such a way that the end product will be having the same properties of the drug and its action which it is intended to perform. One such formulation is Hinguleshwara rasa quoted in Rasa tarangini, Vishopavishadivignyaneeya. The medicine is prepared in such a way that, half ratti i.e., 62.5mg dose is enough for curing Vataja Jwara and Ama Vata. The aim of this present article is to focus on its probable mode of action in reference to Jwara, which can be assessed on the basis of Rasa Panchaka of the drugs individually.