Abstract

ROLE OF SHODHAN BASTI AND JANU PIDZICHIL IN THE MANAGEMENT OF SANDHIGATA VATA (OSTEOARTHRITIS OF KNEE JOINT)

Mamta Dhurve*, Tarendra Singh Songara and Kamini Soni

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Abstract

Vata is the most prevalent dosha in sandhigata vata. Specifically, Sandhigata Vata affects joint degeneration and inflammation. In Sandhigata Vata, joints such as the movable knee joint (Janusandhi) becomes tiresome. Arthritis in Ayurveda is a disease involving the vitiated Vata Dosha in one or the other form, although the other Dosha Pitta and Kapha are also constantly implicated being disturbed in variable degrees. Mamsa (Muscle tendon ligaments), Asthi (bone and joints), and Rasa-Rakta (blood) are the three primary dhatus affected. Arthritis develops when these tissues suffer from one or more of the before mentioned Doshas, primarily Vata. Aahar-vihar (Unhealthy food and activity), circulating endotoxins (Ama), and disrupted metabolism (Agnidushti) are the main causes. Due to its ruksha and Laghu property, vata gets vitiated, that cause an imbalance in the Kapha dosha and reduces the amount of synovial fluid, which lubricates and cushions joints. When this depletion occurs, the joints cartilage wears away, resulting in osteoarthritis, which affects the large weight-bearing joints and causes friction pain and reduces joint motion. Sandhigata Vata is the commonest form of articular disorder. It is a type of Vatavyadhi which mainly occurs in Vriddhavastha due to Dhatukshaya, which limits everyday activities such as walking, dressing, bathing etc. It being a Vatavyadhi, located in Marmasthisandhi and its occurrence in old age makes it Kashtasadhya. Vata Dosha plays main role in the disease. Shula Pradhana Vedana is the cardinal feature of the disease associated with Sandhishotha with Vata Purna Druti Sparsha, lack of movements of the joints or painful movement of the joints. Material and Methodology: For five days, Sarwang Abhyanga-Swedana and internally administered Shodhan basti are given. Shodhan basti made with 400ml of Dashmool kawatha and 100ml of Narayan oil was given in the morning. A special therapy known as “pizhichil” is used to treat conditions pertaining to the Shareerika (body) and Manasika (Mind) doshas. This treatment has been around since antiquity and was highly favored by the ancient monarchs. For this reason, Pizhichil therapy is also referred to as "King's Treatment." Another name for it is Sarvanga dhara. Sarvanga signifies the “entire body, whereas dhara denotes pouring. The procedure "pizhichil" involves sprinkling medicinal oil over the body in a rhythmic stream from a height of four angula (Inches). One of the bahir- parimarjana chikitsa (External therapies) and a form of snehayukta swedana karma (Sudation therapy) is pizhichil. After completion of the therapy, significant improvement was seen in pain, swelling, range of movement and walking distance. The patient was successfully managed with Shodhan basti and Janu Pizhichil therapy. In the current scenario patients took panchakarma procedures and after treatment found good results.

Keywords: Sandhigata vata, Osteoarthritis, Shodhan basti, Janu pizhichil.