Abstract

EFFECT OF PANCHATIKAT KSHEER BASTI AND SHAMAN CHIKITSA IN ASTHI MAJJAGATA VATA W.S.R.TO AVASCULAR NECROSIS (AVN) – A CASE STUDY

Shwetal Shivhare* and Dr. Shivani Gavande

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Abstract

Background: Avascular necrosis (Avn) of head of the femur is one of the growing condition seen in musculoskeletal clinics. It is basically an osteonecrosis caused due to an injury or any occlusion in the blood vessels nourishing the bone tissue. AVN of femur head is the most common type of necrosis because the artery supplying to that area is very narrow which easily gets injured followed by mere dislocation or a sub capital fracture which leads to lack of nourishment resulting in necrosis. There is no such effective and safe conservative management for AVN in modern medicine. Therefore, our case study proposed to research the better therapeutic Ayurvedic approach for the avn. Aim: To assess the efficacy of Panchatikta Kshira Basti (Enema prepared out from Tikta Dravya like Nimba (Azadirachta indica), Patola (Trichosanthes dioica), Vyagri (Solanum surattence), Guduchi (Tinospora cordifolia), Vasa (Adhatodavasica) in the management of avascular necrosis. The objective of the treatment includes the preservation of structure and function with relief of pain. Materials & Methods: The present case study is upon a 31 year old, diagnosed case of avascular necrosis of femoral head with complaints of pain in bilateral hip region since one year which was associated with difficulty in doing normal daily activities such as walking, sitting, squatting along with change in the gait, at the kayachikitsa OPD of pandit khushilalsharma ayurvedic institute Bhopal. The patient was treated with panchatikatksheer Basti along with Panchatikta Guggulu Ghritam and adharang parta pindaswedan (Mahanarayan oil), lakshadi guggul, was given for 21 days. Assessment was done after Basti and after 15 days of follow up. Observations: The therapies provided moderate symptomatic relief from pain, tenderness, general debility and improvement in the gait. Conclusion: On the basis of the results obtained it can be concluded that Panchatikta Kshira Basti can be used as effective treatment in the management of Avascular Necrosis.

Keywords: Avascular Necrosis (Avn), Asthi Majjagata Vata, Panchatikat Ksheer Basti.