Abstract

ROLE OF AYURVEDA IN THE MANAGEMENT OF MAJJA KSHAYA W.S.R. TO AVASCULAR NECROSIS - A CASE STUDY

Akshay Solanki*, Bhavya Khatri, Harish Bhakuni and Gaurav Kumar Garg

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Abstract

Background: One of the conditions that is more frequently observed in musculoskeletal clinics is avascular necrosis (AVN) of the head of the femur. Basically, it is an osteonecrosis brought on by a wound or any obstruction of the blood arteries supplying the bone tissue. The most frequent type of necrosis is AVN of the femur head because the artery supplying that region is very thin and readily injured by simple dislocation or a sub capital fracture, which causes a lack of food and necrosis. There is no specific treatment available in modern medicine other than surgery. Additionally, the prognosis is not good and the cost is high. Asthi and Majja Kshaya are also involved in the pathogenesis of AVN, according to the principles of Ayurveda, along with Vata, Pitta, and Rakta Dosha (depletion of bony tissue). Aim: To evaluate the effectiveness of Panchatikta Kshira Basti, an enema made from Tikta Dravya such as Nimba (Azadirachta indica), Patola (Trichosanthes dioica), Kantakari (Solanum surattence), Amrita (Tinospora cordifolia), and Vasa (Adhatoda vasica). In addition to pain reduction, the treatment's goal is to maintain structure and function. Materials & Methods: In present case study, a 25year old, diagnosed case of avascular necrosis of femoral head with complaints of pain in bilateral hip region since 6months which was associated with difficulty in doing normal daily activities such as walking, sitting, squatting along with change in the gate, came at the Kayachikitsa OPD of National Institute of Ayurveda, Jaipur. The patient of AVN of femoral head was treated with Panchatikta Kshira Basti along with medications like Guggulu Tiktaka Ghrita, Shilajatwadi Lauha, Laksha Guggulu, Agnitundi Vati and Dashmoola Kwatha. Observations: The treatments completely eliminated the symptoms of discomfort, tenderness, overall sluggishness, and gait improvement. Conclusion: Based on the findings, it is possible to draw the conclusion that Panchatikta Kshira Basti is an efficient therapy tool for avascular necrosis.

Keywords: Majja Kshaya, Avascular Necrosis, Panchatikta Kshira Basti.