Abstract

A RANDOMISED CONTROLLED TRIAL TO EVALUATE THE EFFICACY OF INDRAVARUNYADI KALKA WITH GUDAPIPPALYDI KALKA IN MANAGEMENT OF JANUSANDHISHOTHA

Vd. Vijaymala Ramrao Bhosale* and Vd. S. S. Parchure

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Abstract

Ayurveda has given Ahar-Vihara niyam to be followed according to the seasonal changes. It is necessary that everyone should follow Rutucharya. Unfortunately Rutuviaparyay is the leading tragedy faced by everyone. Directly or indirectly by not following Acharrasayna, man is inviting such problems. Junk food habits, irregular timing of meal is against the Ahar-Vidhi VisheshAyatana mentioned by Charaka. Thus this changed habit has changed the balance of human life. The patients of Sandhishotha attending the opd are increasing in number. I observed that the patients of Sandhishotha are not only with crippling and incapacitating effect but most of these patients do have emotional, economic and social problems. Most of the patients neglect the slight oedema present at joints or else get it treated by some antiinflammatory drugs like NSAIDs, steroids. The continuous use of which leads to hyperacidity, for which many practitioners advice this drugs to be taken along with proton pump 1 inhibitors such as pantoprazole, omeprazole which blocks 100 % gastric acid secretion. Lack of this essential component which is necessary for digestion of ingested food favours undigested material formation, what we call it as “Ama”. This Ama formed travels to joints and increases the oedema, thus the viscious cycle continues. Sandhi is the part of MadhyamaMarga, and the diseases situated in this Marga are difficult to treat requiring long term as well as consistent treatment. Most of the major joints of our body are Marma is the site of “Prana” and hence any Nija or Agantuj affection to it causes trauma to the Prana.

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