Khanja and Pangu
Khanja and pangu
• वायुः कट्यां स्थितः सक्थ्नः
कण्डरामाक्षिपेद्यदा|
तदा खञ्जो भवेज्जन्तुः पङ्गुः
सक्थ्नोर्द्वयोरपि||४५||
• This verse describes how deranged Vata doṣa, when lodged
in the Kati (waist/pelvic region), affects the connective
structures (kaṇḍarā – tendons, ligaments, or nerves)
between the thigh and hip.
• If one side is affected → the person walks with difficulty,
limping (Khañja).
• If both sides are affected → the person loses mobility
• In modern medical terms, this condition
resembles:
• Sciatica – compression or irritation of the
sciatic nerve, causing radiating pain and
limping.
• Lumbosacral radiculopathy / nerve palsy –
bilateral involvement can lead to severe
disability or paralysis of lower limbs.
kalayakhanja
• कम्पते गमनारम्भे खञ्जन्निव च याति
यः|
कलायखञ्जं तं
विद्यान्मुक्तसन्धिप्रबन्धनम्||४६||
• This passage describes another Vātaja disorder:
• At the start of walking, the patient experiences shaking or trembling of
the legs,
• He walks with difficulty, as if limping,
• This disorder is termed Kalāyakhhañja.
• The pathological basis is explained as the loosening of the structures that
bind and stabilize the joints (sandhi-prabandhana), i.e., ligaments and
tendons
• In modern terms, this resembles conditions like:
• Ligament laxity / instability of the knee, ankle, or
hip joints.
• Neuromuscular weakness where the patient
cannot initiate smooth gait and walks with
trembling.
• It may also resemble motor neuropathies or
degenerative joint diseases where the stabilizing
structures are weakened.
बस्तिकर्म त्वधोनाभेः शस्यते चावपीडकः
• Therapeutic enemas in Ayurveda (Niruha and
Anuvasana Basti) are crucial in treating:
• Neuromusculoskeletal disorders (e.g., sciatica,
arthritis, paralysis)
• Digestive and metabolic disorders (e.g.,
constipation, colitis)
• Reproductive and urinary conditions
• The verse emphasizes method, site, and safety
while performing Basti
स्नावसन्धिशिराप्राप्ते
•
स्नेहदाहोपनाहनम्||२२|
This verse describes line of treatment for Vātaja disorders affecting
musculoskeletal and neuromuscular structures:
• Snāva (ligaments, tendinous structures)
• Sandhi (joints)
• Śirā (veins, channels, possibly nerves)
• When Vāta invades these structures, it produces pain, stiffness,
tremors, and functional impairment. To manage this:
• Snehana (Oleation) – application of medicated oils internally and
externally to pacify Vāta and lubricate joints.
• Dāha (Cauterization / thermal application) – to relieve pain,
stiffness, and localized Vāta aggravation.
• Upanāha (Poultice / warm medicated paste bandaging) – helps
reduce stiffness, pain, and swelling by local sudation and drug
absorption.
वेष्ट्यमाने तु गात्रे
स्यादुपनाहनम्||९७||
तैलं सङ्कुचितेऽभ्यङ्गो
• माषसैन्धवसाधितम्|
Upanāha (Poultice / Medicated bandage)
• Involves application of warm, medicated paste over the
affected part, which is then wrapped with leaves or cloth.
• Purpose: provides warmth, relieves stiffness, improves
circulation, and pacifies aggravated Vāta.
• Abhyanga with medicated oil
• When there is stiffness or contraction of muscles/joints
(saṅkucita), massage with oil cooked with:
– Māṣa (black gram) → strengthens muscles, alleviates Vāta.
– Saindhava (rock salt) → reduces stiffness, enhances absorption,
softens tissues.
