IMPORTANCE OF JANU VASTI IN MANAGEMENT OF SANDHIGATA VATA

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 2^nd 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) shotha^28-29

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

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