An observational study to evaluate the efficacy of Rookasha Poorvaka Virechana Karma followed by Nasya Karma in the management of frozen shoulder (Avabahuka) in Madhumedha w.s.r. to DM Type-2

Abstract

The prevalence of diabetes and its complication is increasing all over the world particularly in developing countries. The latest estimates shows a global prevalence of 382 million people with diabetes in 2013 ,expected to rise 592 million by 2035. Diabetes mellitus is a multi system involving disease whose effects are seen by means of severe complication, commonest is musculoskeletal disorder. Diabeties is know to affect the shoulder in many ways commonest among them is Avabuhuka (frozen shoulder). Avabahuka is a disease of amsa sandhi with the clinical presentation such was Stambha, Shula, Shosha which can be correlated with the symptom of frozen shoulder, with no radiographic change only characterized by pain and restricted movement of shoulder joint. Prameha is a babhudoshaja vyadi mainly the meda and kapha are involved at the first it is necessary to bring rookshana effect before Shodhana that is Virechana karma to remove the kapha from kostha. Nasya is a main Chikitsa sutra mentioned in Avabahuka. Hence in the present study Rookshanapoorva Shodhana in the form of Udwartana followed by Virechana karma as kostha shodhanaartha followed by Nasya karma has been adopted. Statistical analysis showed highly significant results p value (less than 0.0001) in almost all subjective and objective parameters of Avabahuka.