Abstract

AN OPEN LABELLED RANDOMIZED CONTROLLED CLINICAL STUDY ON THE EFFECT OF RASONADI KASHAYA IN JANU SANDHIGATA VATA W.S.R TO OSTEOARTHRITIS

Chetana B. D.* and Shrilatha Kamath T.

Abstract

Vata vyadhis are commonly seen in old age developed due to dhatu kshaya (degeneration). Vyana vayu gets vitiated due to various nidanas, takes sthanasamsharaya in janu pradesha and causes Janu Sandhigata Vata. This leads to shoola, shopha, vata poorna sparsha and karma hani of Janu Sandhi. Various treatment modalities like snehana, snigdha sweda, mrudu virechana, basti, upanaha etc are adopted to reduce symptoms and improve functional ability of knee joint. Use of effective treatment methods including shamanoushadhi’s (oral medication) is essential for successfully managing vyadhi lakshana and arresting progression which is need of the hour. Objective: To evaluate the effect of Rasonadi kashaya on Janu sandhigata vata. Methodology: The subjects suffering from osteoarthritis screened under strict diagnostic, inclusion and exclusion criteria were selected from SDM Ayurveda College. Total 30 patients were divided into 2 groups, 15 in each group based on RCT study design. Group A were treated with the Rasna Panchaka Kashaya and Group B were treated with Rasonadi Kashaya for a period of 30 days. The outcomes were measured on Day 0, Day 30 and Day 60 for Janusandhi Shula, Shopha, Prasarana akunchana vedana, Vatapoorna druti sparsha, Alteration in gait, Morning Stiffness, Range of Movement, WHO - QOL Scale for arthritis and IKDC SKF scale. Result: Group A showed 6.66% of subjects had maximum improvement, 13.33% had moderate improvement, 60% had mild improvement and 20% had minimum improvement. In contrary, Group B showed 13.33% patients had moderate improvement, 73.33% had mild improvement and 13.33% had minimum improved. This shows that Group A was comparatively more effective than Group B. The patients were assessed and found statistically significant. Conclusion: Both Rasna Panchaka and Rasonadi Kashaya helps in reducing disease symptoms and prevent s disease progression. Rasna Panchaka Kashaya group showed better results than Rasonadi Kashaya group.

Keywords: Janu Sandhigata Vata, Vata Vyadhi , Osteoarthritis, Degenerative Disorder, Rasonadi Kashaya