Abstract

MODE OF ACTION OF PANCHTIKTA KSHEERA BASTI IN DHATUKSHAYAJANYA SANDHIGATA VATA: CONCEPTUAL STUDY

Rupali S. Gurjar* and Maya V. Gokhale

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Abstract

Sandhigata Vata is described under the broad heading of Vatavyadhi in most of the Samhita and Sangrah Granthas. It is not included under 80 types of ‘Nanatmaja Vatavyadhi’. Acharaya Charaka was the first who described separately Sandhigata Vata as ‘Sandhigata Anila’ in Vatavyadhi Adhyaya. Gata Vata is special condition in which Sandhigata Vata is included. It begins asymptomatically in middle age with progressive symptoms in advancing age. It increases in prevalence with age especially in weight bearing joints. 25% female are prone for Sandhigata Vata where as 16% male are affected due to it. In Jaravsatha (old age) vitiation of Vata Dosha is common. The vitiated Vata either combined with other Dushyas or separately locates in the joint which produce Sandhigata Vata. Each Vatavyadhi also is of two types depending upon its Samprapti viz, Strotoavarodhajanya and Dhatukshayajanya. Dhatukshayajanya cause only by vitiated Vata Dosha. Where the complaints are Sandhishool, Sandhishotha, Vatapurndritisparsha, Prasaran-akunchan pravrutti savedana. It can affect Vankshan Sandhi, Janu Sandhi, Ansa Sandhi etc. Sandhi’s are the one of the type of Marma and form a part of Roga Marga. They are also included in Madhyam Roga Marga making the disease Kashtasadhya. It is one of the major causes of joint pain and physical disabilities in advancing year of life. Basti is the basic line of treatment in all types of Vatavyadhi. Ksheera Basti is indicated in Sandhigata Vata and Tikta Rasa is responsible for Asthi Dhatu Vardhan. By reviewing the classical text, it is understood that the Basti reaches in Pakawashaya and from there works on all the organs by virtue of the Virya (~ potency) present in Basti Dravyas. In this study an attempt has been made to explain mode of action of Basti Karma in Dhatukshayajanya Sandhigata Vata.

Keywords: Panchatikta Ksheera Basti, Dhatukshayajanya Sandhigata Vata.