Need for the Study
Sandhigatavata vis-à-vis Osteoarthritis is a Musculo-skeletal system
disease that involves the Major Joints. According to W.H.O, O.A is as 2nd commonest
musculoskeletal problem in the world population WHO estimates that 40% of
people over the age of 70 years suffer from OA knee.Come 2013 and India is
likely to notice an endemic of osteoarthritis with
about 80% of the 65+ population in the country. Many systems of medicines have
drawn much attention towards the curing or limiting the disease with the
different modalities, but the result is not encouraging. traditional Ayurveda told
therapies and practices are brought forward here. Janu vasti is a part
of panchakarma in Ayurveda treatment and it is One of the most effective
treatment in reliving the pain and rejuvenating the joint.
Material & Methods
Material used for januvasti –
1. black gram powder
2. tail (khar paka
)
Exclusion criteria:
1. Patients below 30 and
above s75 years of the age
2. Patients with skin
diseases
3. Patients with diabetes
/ hypertension
4. Patients with other
systemic condition such as Gouty arthritis, Rheumatoid arthritis simple and
compound fractures
Inclusion criteria
Patients suffering from the sandhigatavata having the Clinical symptoms
Criteria of diagnosis
The signs & symptoms of Sandhigatavata mentioned in the Ayurveda.
Subjective parameters:
1) shotha28-29
2)
atopa
3)
shula
4) sandhigata asamartya
5) vata poornatwam
6) drithi sparsha
Objective parameters:
1) Temperature30
2) Restricted movement
3)
Stiffness
4) X-ray of knee joint
quantity:
Quantity Required taila for JanuVasti.
duration: 30 min. for 7 days
Analysis
Janu basti an adapted of Shirobasti.janu vasti is defines as the lukewarm medicated oil
is then poured in to the space inside the walled boundary in a constant and
continuous stream. It is retained there for a particular period of time.The
joints are regulated mainly by vyana vata and shleshaka kapha. In
Sandhigatavata there is vruddhi of vyana vata and kshaya of shleshaka kapha .
As Januvasti is a method of snigdha sweda by , because of its snehana and
swedana it shaman of vata, and because of its brumhana nature it corrects
the shleshaka kapha. the sneha by its snigdha, guru and ushna guna shaman
of the rooksha, laghu and sheeta gunas of Vata respectively so Vata
shaman by the taila. Here kosna taila(khara paka) permeate through the
sookshma srotases of the body to shaman of the Vata.. Due of the
opposite Gunas of taila and Vata the later gets overcome by the former and not
vice versa because of prabhava of taila. Hence Januvasti helps in samprapti -
bhanjana of Sandhivatataila. Dalhana mentioned if snehana is done for the
specific period then the sneha will enter and nourish the body as -
snehaentersintoromakupa-300matrakala(1.5inutes)
sneha enters into twacha-400 matrakala(2 minutes)
sneha enters into rakta -500 matrakala(2.5 minutes)
sneha enters into mamsa-600 matrakala(3 minutes)
sneha enters into meda-700 matrakala(3.5 minutes)
sneha enters into asthi -800 matrakala(4 minutes)
sneha enters into majja-900 matrakala(4.5 minutes)
1.medicated taila by its veerya is enter through romakupa
2.paka by bhrajaka pitta and dehoshma
3.medicated sneha qualities enter into the tiryakgata 4.dhamanis
attached to romakupa
5.enters in circulation and to the site of action.
Results
1.It relieves pain and stiffness and easens movements at
the knee joint in sandhigata vata .
2. it also strengthens the joint, muscles and
soft tissues around,
3.Improves circulation and enables you to resume back your work and
activities.
Discussion
Osteoarthritis (OA) refers to a clinical syndrome of joint pain accompanied
by varying degrees of functional limitation and reduced quality of life.
It is by far the most common form of arthritis and one of the leading causes of
pain and disability worldwide.Musculoskeletal disease (MSDs) conditions are
prevalent and their impact is pervasive. They are the most common cause of
severe long term pain & morbidity, having a substantial influence on
health and quality of life, imposing on enormous burden of cost on the
healthcare system. . Our knee is one of the crucial junctures in the
body that suffers a lot as our age increases. Mainly the fluid between the two
adjoining bones gets dried and this makes the movement painful as the bones
rather than moving smoothly rubs into one another. Janu vasti is a part of
panchakarma in Ayurveda treatment and it is One of the most effective treatment
in reliving the pain and rejuvenating the joint Janu Basti is aimed just to
provide the requied lubrication in this joint by rejuvenating the fluid and
stiffening cells adjoining to it. This is a special ayurvedic treatment for the
knee joint conditions like arthritis, tendon injuries, sprain, etc. long
term health benefits of medicated Janu Basti are numerous.
Apart from great relief from regular joint pain in the knee Janu Basti eases
your body movement as a whole. After Janu Basti as you are relieved from aching
pain in your knees your body movements would increase substantially and that
again can result in numerous good effects on the body.
References
1.Dr Satyanarayana Shastri, Charaka Samhita sutrasthana, chapter 20 sholka-11
edition 2006, Varanasi: Chaukambha Bharathi Academy
2.Dr Satyanarayana Shastri, Charaka Samhita chikitsasthana, chapter 28
sholka-37 edition 2006, Varanasi: Chaukhambha bharathi Academy, p.783.
3.Kaviraj Dr Ambhikadutta shastri, Sushruta Samhita
chikitsasthana, chapter 4 sholka- edition, 2010 Chaukambha Shastri
samsthana p.34.
4.Dr Kaviraj Atrideva Gupta & Vaidya Yadhunandhan Upadyaya, Astanga
Hridaya Chikitsa stana chapter 21 sholka 22 edition 2010 Varanasi,
Chaukhamba Prakhashsan, ( The kashi sanskrit series) p.566
5.Prof. Yadhunanadhan Upadyaya Madava Nidana Vatavyadhinidana
chapter sholka 21 edition2006 Varanasi, Chaukhambha Sanskrit
sansthana volume-1 p.463
6.Bishagrasta sri- Bramha Sankara Shastri Yogaratnakhara vatavyadhi chikitsa
sholka 1 edition 6 Chaukhambha Sanskrit samsthana 1997 p.344 (khashi Sanskrit
Granthamala 160)
7.Vidhyotini Hindi commentary Pandit Sri Bhramashankara Mishra
Bhavaprakhasha Madhyamakhanda chapter vatavyadhi chikitsa sholka258/265
edition2003 Varanasi,Chaukhambha Sanskrit samsthana p.264-265 (The Khashi
Sanskrit Series 130)
8.Dr.P.V.Sharma Chakradutta vatavyadhi chikitsa chapter 21
sholka 1-9 edition 2007 p.184 Chaukhambha Publ.(The khashi Ayurveda series 17)
9.Dr Kaviraj Atrideva Gupta & Vaidya Yadhunandhan Upadyaya, Astanga
Hridaya Chikitsa stana chapter 19/ sholka 1 edition 2010 Varanasi,
Chaukhamba Prakhashsan, ( The kashi sanskrit series) p.162
10.Chakrapani, Ayurveda Deepika teeka on Charakasamhitha
Sutrasthana chapter
shloka 13. 4th ed. Varanasi: Chaukhambha Sanskrit Sansthan; 1994. p. 89.
(KasiSanskrit series 228).
11.Chakrapani,Ayurveda Deepika Teekha on Charakasamhitha Siddhisthana
chapter 1 shloka 29-30. 4th ed.Varanasi: Chaukhambha Sanskrit Sansthan; 1994.
p. 682. (Kasi Sanskrit series 228).
12.Charakasamhitha Sutrasthana chapter 22/15
Varanasi: Chaukhambha Sanskrit Sansthan; 1994. p.120. (Kasi Sanskrit series
228)
13.Dalhana, Nibandhasangraha teeka on Sushrutasamhitha Chikitsasthana chapter
shloka 30.Varanasi: Krishnadas Academy; 1980. p.488. (Krishnadas
Ayurveda Series 51).
14. Sushrutasamhitha Chikitsasthana chapter
33 shloka 22. Varanasi:Krishnadas Academy
15.Davidson’s, Principles & Practice of Medicine
Chapter 28 Masculoskeletal disorders, Edition 19
