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OSTEOARTHRITIS-CASE STUDY
Article · January 2023
DOI: 10.20959/wjpr20236-27837
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World Journal of Pharmaceutical Research
Yadav et al. World Journal of Pharmaceutical Research
SJIF Impact Factor 8.084
Volume 12, Issue 6, XXX-XXX. Case Study ISSN 2277– 7105
SHAMANA AND PANCHAKARMA (JANU BASTI+ MATRA BASTI)
YOG IN THE MANAGEMENT OF SANDHIVATA W.S.R.
OSTEOARTHRITIS- CASE STUDY
Veenu Yadav1* and Rajesh Meshram2
1
PG Scholar, 2HOD and Associate Professor
P.G. Department of Kayachikitsa Pt. Khushilal Sharma Government Ayurveda College and
Hospital Bhopal, MP.
ABSTRACT
Article Received on
28 Feb. 2023, In current scenario, Sandhivata is the common disease affecting a large
Revised on 19 March 2023, number of populations. It is formed from two words i.e., Sandhi means
Accepted on 09 April 2023
DOI: 10.20959/wjpr20236-27837
the joint and Vata stands for the Vata Dosha. When Vata lodges in
Sandhi (joints), it is characterized by pain, swelling, and restriction of
joint movement. It is correlated with osteoarthritis according to sign
*Corresponding Author
and symptoms. Amongst different types of Arthritis, osteoarthritis
Dr. Veenu Yadav
PG Scholar, P.G. (OA) is most common form of joint disorders all over the world,
Department of Kayachikitsa which is a kind of joint disorders that results from cartilage
Pt. Khushilal Sharma degeneration. A patient of age 55years came to the hospital with
Government Ayurveda
complaint of pain in B/L knee joint (Rt.>Lt.) with swelling for 8-9
College and Hospital
months, pain in interphalangeal joints with morning stiffness 10-15
Bhopal, MP.
[email protected] minutes. Patient was diagnosed as Sandhivata according to sign and
symptoms. And Patient was treated as local application of Dashang
lepa, Ubay janu basti, Matra basti with Mahanaryan taila (60ml) and Punarnava guggul,
Sallai guggul + Chingati satva, Asthiposhak vati. Patient got symptomatic relief.
KEYWORDS: Vata, Dosha, Sandhi, Arthritis.
INTRODUCTION
Osteoarthritis (OA) is a type of degenerative joint disease that results from breakdown
of joint cartilage and underlying bone.
It is believed to be the fourth leading cause of disability in the world.[1]
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Yadav et al. World Journal of Pharmaceutical Research
The disease is characterized by Dhatu kshaya and Lakshanas reflective of vitiated Vata hence
the diet and treatment includes Dravyas which have Brimhana, Shoolahara, Stambhahara
and Balya properties. The disease Sandhivata was not mentioned as such in Vedic literature.
Ashwinikumaras had recorded their skill in treating joint diseases and its mention can be
found in Rigveda.[2]
The laskhans are described in Charaka Chikitsasthana as- vatapurnadratisparsha
(tenderness), shotha (swelling), Prasarana kunchanpravritisavedna (Pain during extension
and flexion of joints).[3]
It is correlated with OA. The sign and symptoms are pain in weight bearing joints, short term
morning stiffness, functional limitation of joints, crepitus, bony enlargement, joint effusion
and bone instability.[4]
AIM AND OBJECTIVE
To assess the efficacy Shamana and Panchakarma (janu basti+ matra basti) yog in the
management of Sandhivata w.s.r. Osteoarthritis.
MATERIAL AND METHODS
Selection and source of patient- For this study, patient was taken from the IPD of Pt
Khushilal Sharma Govt. Ayurveda College and Institute Bhopal MP.
CASE STUDY
A patient of age 55years came to the hospital with complaint of pain in B/L knee
joint(Rt.>Lt.) with swelling since 8-9 months, pain in interphalangeal joints B/L hands with
morning stiffness 10-15 minutes.
History of past illness-No
Surgical history- No
Personal history
Addiction-tea
Dietary habits-vegetarian
Sleep- Disturbed due to pain
Bladder and Bowel- Normal
No history of Hypertension, DM, Tobacco
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Yadav et al. World Journal of Pharmaceutical Research
Examination of patient
Ashtavidha pariksha
Nadi (Pulse)- Vata-kapha, 80/ min.
Mootram (Urine)- Normal
Malam (Stool) – Normal
Jivha (Tongue) – Normal
Shabdam (Voice)- Normal
Sparsham (Touch) – Normal but warmth all over body.
Drika (Eyes) – Normal
Aakriti (Built) – Moderately, no deformities
Local examination- Swelling on both knee joints
Tenderness in both knee joints.
Crepitation present.
Diagnostic criteria
Table No. 1
Parameter Criteria
Pain
(0)No pain
(VAS Scale)
(1-3)Mild pain
(4-6)Moderate Pain
(7-10)Severe Pain
Table No. 2: Tenderness.
No tenderness 0
Acc to patient, tenderness 1
Wincing of face 2
Wincing of face and withdrawal
3
of affecting part
Table No. 3: Shotha (Swelling).
No swelling 0
Slight swelling 1
Moderate swelling 2
Severe swelling 3
Table No. 4: Crepitus.
No crepitus 0
Complained by patient but not felt
1
on examination
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Yadav et al. World Journal of Pharmaceutical Research
Felt on examination 2
Felt and heard on examination 3
Investigations
Fig. 1
Fig. 2
Fig. 3
Treatment regimen
Shamana chikitsa
Punarnava guggul 1 BD (250mg) twice a day
Sallai guggul + Chingati satva 2BD twice a day
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Yadav et al. World Journal of Pharmaceutical Research
Asthiposhak vati 2 BD twice a day
Panchkarma procedure
Matra basti with Mahanarayan Taila 60 ml for 8 days
Ubhay Janu basti
Dashang lepa for Local application
OBSERVATION AND RESULTS
Criteria BT AT
Pain Moderate Mild
Tenderness 2 1
Swelling 2 0
Crepitus 3 1
DISCUSSION AND CONCLUSION
Osteoarthritis is the most common type of arthritis. Its high prevalence especially in the
alderly, and its negative impact on physical function make it a leading cause of disablitiy in
the elderly.[5]
Sandhivata is a vatavyadhi affecting the peoples in vridhavastha.[6]
Dashang lepa is very useful for local application because-
शिरीषयष्टीनतचन्दनैऱामाांसीहररद्राद्वयकुष्ठवाऱैैः ।ऱेपो दिाांगैः सघत
ृ : प्रयोज्यो
ववसपपकुष्ठज्वरिोथहारी ॥
Punarnava gugglu has anti inflammatory and anti arthritic properties because of punarnava,
erandmool, suddha guggul.
Asthiposhak vati acts on vata dosha and having kukkutandatvak bhasma, arjuna, guduchi,
bala, suddha laksha.
Janu Basti involves powerful medicinal oils that are sanctified with potent analgesic and anti-
inflammatory properties. which work in synch to reduce joint and muscle pain, thereby
reducing the chances of chronic autoimmune inflammatory diseases like rheumatoid arthritis,
osteopenia, strains and sprains; a majority of which occurs due to the vitiation of Vata
Doshas. Janu Basti helps in boosting blood circulation, thus strengthening and nourishing the
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Yadav et al. World Journal of Pharmaceutical Research
knee joints. Being a natural vasodilator, it is also used to successfully mitigate painful muscle
spasms, sore muscles, gout and various arthritic conditions.
Sallai guggul + Chingati satva Improves joint function and helps restore mobility in osteo
arthritis Relieves joint pain and stiffness Acts as an anti-inflammatory.
Effects of Matra Basti are Balya-increase strength of body, Sukhamshrisht-pureeshakrita-
helps in easy evacuation of bowel, Brimhana-nourishes the dhatus, vataroganugata-cures
vatavyadhi.
Mahanarayan taila described in Bhasjyga ratnavali vatavyadhi rogadhikar having
ashwagandha, sonapatha, agnimantha, gokshru, punarnava mool etc.[7]
The treatment modalities done showed marked improvement in the patient’s signs and
symptoms and blood investigations and hence was found fruitful.
REFERENCES
1. Jameson, Fauci, Kasper St. Clair, Harrison’s Principles of Internal Medicine, 2, 20: 364.
2. Rugveda Sanhita, edited by H.H.Wilson Ravi prakasha arya Dehli parimala publication,
10, 163: 6 – 588.
3. Agnivesha, Dridabala Charak Samhita- Vidyotani Hindi commentary by Kashinath
shastri and Pandit Gorakha nath chaturvedi, Part – 2, Chaukhambha Bharati academy,
chapter chikitsa sthana, 2015; 783: 28 – 37.
4. Kumar and Clark’s clinical medicine, 10: 18.
5. Jameson, Fauci, Kasper St. Clair, Harrison’s Principles of Internal Medicine, 2, 20: 364.
6. Agnivesha, Dridabala Charak Samhita- Vidyotani Hindi commentary by Kashinath
shastri and Pandit Gorakhanath chaturvedi, Part-2, Chaukhambha Bharati academy,
chapter chikitsa sthana, 2015; 783: 28 – 37.
7. Bhaishajya Ratnavali by Lal Chandraji Vaidya, published by Mothilal Banarasai das,
Varanasi, 1997; 8.
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