Abstract
Osteoarthritis is one of the most common disorders in joint disease. It is characterized by pain, shiftiness, decreased range of motion which is very close to Sandhigatavat. Sandhigatavat is amongst 80 Nanatmaj Vat Vyadhi. Here is a case of 57 years old male patient who was having complaints of pain, tenderness, crepitus, swelling and restricted movement of both knee joints. Based on these symptoms and clinical sign he was diagnosed as a case of Sandhigatvat. Treatment given to this patient was Snehan, Swedan, Janubasti, Yog, Basti and oral medication . Assessment of patient before and after treatment was done on the basis of pain, tenderness and physical activity to exclude the efficacy of the treatment. Based on assessment parameter, moderate improvement was seen in subjective sign & symptoms after the completion of Schedule of IPD treatment & 1 month follow up. The pain & physical activity were improved significantly.
Highlights
In Charak samhita, two types of Vat Vyadhi are mentioned, Nirupstambhit Vat vyadhi that develop due to Dhatukshay & Upastambhit Vat Vyadhi that develop due to margavarodh due to kapha & aam
A 57-year-old male patient came to Panchakarma OPD at SMBT Ayurveda College & hospital, Dhamangaon, Nashik having following complaints but he didn’t get relief anywhere so he was admitted in SMBT hospital for 12 days
Ray of BL knee joint showed osteoarthritic changes and osteophytes. He was diagnosed as a case of Januandhigatavata on the basis of clinical sign, symptom, X-ray, finding & examination
Summary
In Charak samhita, two types of Vat Vyadhi are mentioned, Nirupstambhit Vat vyadhi that develop due to Dhatukshay & Upastambhit Vat Vyadhi that develop due to margavarodh due to kapha & aam Charakacharya has explained it as ’Sandhigata Anil’ which on palpation feels like bag filled with air. Symptoms of Sandhigatavat are pain, swelling, tenderness and restricted movement of joints. Symptoms of O.A. are loss of articular cartilage, swelling, pain, synovial inflammation, joint shiftiness, loss of mobility and it is a degenerative disease. The comment obstacle for the elderly is to carry out all daily living & decreased mobility. Detailed management of this condition in Ayurveda texts contains a combination of external & internal medication the bahya Chikitsa includes Snehan, Swedan, Janubasti, PatrapindIa etc. Abhyantar Chikitsa include Churna, Kashay, vati, asav arishtas and many more processes
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