Abstract

A CLINICAL STUDY OF PANCHATIKTA NIRUH BASTI AND PATRAPINDA SWEDAN IN THE MANAGEMENT OF SPINAL CORD COMPRESSION (EVIDENCE BASED)

*Vd. Meenakshi Rewadkar-Kole and Vd. Mayuri Shingnapurkar

Abstract

Spinal cord compression is a rare entity affecting vertebrae. It is caused by bone fragments from a vertebral fracture or a tumour or an abscess ruptured inter-vertebral disc compressing spinal cord. It causes paralysis of limbs and decreased sensation below the level of compression. The patient selected was a 50 years old female having spinal cord compression with L4-L5 bulges causing cauda equina lesion. She was started with Panchatikta Kshir Basti. The pain and heaviness associated with the disease aggravated due to Basti. So then patient was given Panchatikta Niruh Basti along with Patra Pinda Swedan. The spinal cord compression with L4-L5 bulges causes the oedema around tissues of vertebral column. The Basti given was hyperosmolar in nature so it caused the excretion of vitiated doshas along with it thus reducing the peripheral oedema around the spinal cord. The spinal cord along with the nerves itself is a place for Majjavaha Strotas. The Prana along with Vyan vayu are responsible for Chetana that is liveliness in the body. Due to vitiation of “Chala” and “Ruksha” guna of Vyana and Prana, the nerve conduction get hampered. PatraPinda Swed is a type of Snigdha Swed containing Eranda, Arka and Nirgundi Patra along with Saindhav, Nimbu swaras and Eranda Sneha. The Snigdha, Sthir and Ushna guna of all of of these caused the Shaman of Ruksha, Chala and Sheet guna of vitiated vata respectively. So the pain and the spasticity along with heaviness were reduced. Thus combined effect of the therapy gave significant results in patient. Previously she was unable to walk without support. After treatment for about one and half month she could walk without support.

Keywords: Kasheruka, Merudand, Vaatnaadya, Asthi dhtvagni, Karma vaikalya, Dhatukshay.