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Abstract

ROLE OF RASAYANA THERAPY IN THE MANAGEMENT OF SANDHIGATAVATA

Dr. Prachi Thakre*

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Abstract

According to WHO, osteoarthritis is also called as osteoarthrosis or degenerative joint disease. It is a progressive disease of joint caused by gradual loss of cartilage leading to development of bony spurs and cysts around the margin of joint. Primary complaints of patients suffering from osteoarthritis are pain and difficulty in joint mobility. The aetiology is multi-factorial both inflammatory as well as non inflammatory. Disease is managed by NSAID's, corticosteroids and physiotherapy. The drugs have much more side effects such as acid peptic diseases, hypertension, bone marrow depression, electrolyte imbalance and many more. The available surgical knee joint replacement is not affordable. A high prevalence of „Osteoarthritis‟ among older people and women and its moderate to severe impact on daily life poses a significant public health problem. Limitation of conventional system of medicine in the management of these disorders indicates a strong need to find out safer and effective therapy. In Ayurveda, osteoarthritis is correlated with Sandhigata Vata. Charak has defined the disease first separately with the name of “Sandhigata Anila” under the chapter of Vata Vyadhi. The symptoms described by Charak are Shotha, Akunchan-Prasaranayo Vedana and Vatpurnadrutisparsha. It's management has been described with respect to Upastambhit Vayu and Nirupstambhit Vayu. Sandhigatavata affects the Asthi and Sandhi it is included in Madhyamarogamarga, where Vata Dosha gets lodge in Sandhi, which difficult to treat. Hence to treat Sandhigata Vata drugs acting on both Vata and Asthi should be selected, Rasayan Chikitsa which has been given separate place in Ayurvedic Chikitsa due to its importance in rejuvenating all the cells of the body, holds to serve positive results in the management of this degenerative joint disease.

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