Application of Vishesha Siddhanta in the management of Janusandhigata Vata...

[Full title: Application of Vishesha Siddhanta in the management of Janusandhigata Vata w.s.r. to Janubasti with Devadaru Baladi Taila - Clinical study]

[Find the meaning and references behind the names: Manjunath, Dosha, Code, Guna, Doi, Class, India, Vata, Karma, Key, Life, Date, Mild, Hospital, Mordi, Pain, Savita, Show, Prime, Great, Safe, Mar, Basic, Iti, Original, Akki, Guru, Data, Mala, Hand, Snigdha, Sbs, Darshana, Patient, Sneha, Shula, State, Quick, Basti, Role, Bahya, Study, Strong, Line, Baladi, Good, Common]

ORIGINAL ARTICLE Mar-Apr 2021 Journal of Ayurveda and Integrated Medical Sciences | Mar - Apr 2021 | Vol. 6 | Issue 2 1 Application of Vishesha Siddhanta in the management of Janusandhigata Vata w.s.r. to Janubasti with Devadaru Baladi Taila - Clinical study Dr. Savita Mordi 1 , Dr. Manjunath Akki 2 1 Assistant Professor, Dept. of Samhita & Siddhanta, SBS Ayurvedic Medical College & Hospital, Mundaragi, Karnataka, 2 Professor, Dept. of Panchakarma, SJG Ayurvedic Medical College, Hospital, PG Studies & Research Center, Koppal, Karnataka, INDIA. I NTRODUCTION Any disturbance in the equilibrium of Dhatus ( Dosha , Dhatu , Mala ) is known as disease and on other hand the state of their equilibrium is health [1] Disequilibrium of Dhatus may be considered either by Vriddhi or Kshaya . Attainment of equilibrium is Address for correspondence: Dr. Manjunath Akki Professor, Dept. of Panchakarma, SJG Ayurvedic Medical College, Hospital, PG Studies & Research Center, Koppal, Karnataka, INDIA. E-mail: drmanju 78@gmail.com Submission Date: 17/03/2021 Accepted Date: 13/04/2021 Access this article online Quick Response Code Website: www.jaims.in DOI: 10.21760/jaims.6.2.1 achieved by basic concept of Samanya and Vishesa Siddhanta. [2] Vishesha is one among the Shatpadarthas and is placed 2 nd in Ayurveda [3] and 5 th in Darshanas and referred as individuality, peculiarity to differentiate one species from other. Sandhigatavata is a one among the Vataja Nanatmaja Vyadhis , with clinical symptoms like Sandhi Shula , Shotha , Prasarana Akunchana Vedana etc [4] Among all, Janusandhigata Vata is the most common type of Sandhigatavata and can be correlated with Osteoarthritis. Most pharmacological approaches for pain management are considered temporarily effective and not very safe . In Vatavyadhi - Snehana , Swedana and Basti Karma are considered as the prime line of treatment [5] Acharyas mentioned as “Prakopanaviparyayo Hi Dhatunam Prasham Karanam Iti”. [6] It means we should select medicines which are having opposite qualities to that disease. Hence, to analyze the Vishesha Siddhanta in A B S T R A C T Ayurveda is the science of life. It defines any disturbance in the equilibrium of Dhatus (Dosha, Dhatu, Mala) is known as disease and on other hand the state of their equilibrium is health. Attainment of equilibrium is achieved by Samanya and Vishesa siddhanta. Vishesha has great role in Ayurveda like Samanya for being the Chikitsa Siddhanta . Sandhigatavata is a one among the Vataja Nanatmaja Vyadhis , with clinical symptoms like Sandhishula , Shotha , Prasaranaakunchana Vedana etc. According to WHO, Osteoarthritis is most common musculoskeletal problem in world (30%) Most pharmacological approaches for pain management are considered temporarily effective and not very safe In Vatavyadhi - Snehana , Swedana and Basti karma are considered as the prime line of treatment. Bahya Snehana and Swedana effects will be achieved in Janubasti . Results and Conclusion: Out of 30, 12 patients (40%) had got Good response, 17 patients (56.66%) had Moderate response and 1 patient (3.33) had Mild response. Thus, Janubasti with Devadarubaladi Taila is having good result in subsiding the symptoms of Janusandhigatavata . Snigdha , Ushna and Guru Guna of Sneha will counteract with the Rooksha , Sheeta and Laghu Guna of Vata and hence controls the symptoms Key words: Sandhigatavata, Osteoarthritis, Vishesha Siddhanta, Janubasi, Devadarubaladi Taila.

[Find the meaning and references behind the names: Daily, Range, Modern, Plan, Cool, Masha, Ask, Standard, Ring, Single, Hot, Janu, Time, Keep, Rest, Size, Age, Days, Simple, Cost, Ray, Fixed, Sample, Take, Esr, Cover, Oil]

Dr. Savita Mordi et al. Application of Vishesha Siddhanta in the management of Janusandhigata Vata ISSN: 2456-3110 ORIGINAL ARTICLE Mar-Apr 2021 Journal of Ayurveda and Integrated Medical Sciences | Mar - Apr 2021 | Vol. 6 | Issue 2 2 Janusandhigatavata , Devadarubaladi Taila [7] is taken for Janubasti . Bahya Snehana and Swedana effects will be achieved in Janubasti . This invasive therapy is advised for Janu Sandhigatavata and is cost effective also O BJECTIVES 1 To study the concept of Visesha Siddhanta mentioned in Classics and Darshanas 2 To evaluate the efficacy of Janubasti with Devadarubaladi Taila in Janu Sandhigatavata M ATERIALS AND M ETHODS Research Design: A standard randomized clinical trial. All were subjected to Janubasti . Sample size & Grouping: 30 patients were taken randomly in a Single group. Diagnostic criteria The diagnosis of the disease ` Janusandhigatavata is made according to signs and symptoms mentioned in Ayurvedic and Modern texts. Inclusion criteria ▪ Patients suffering from Janu Sandhigatavata with classical signs and symptoms ▪ Patients of either sex with age group between 40 - 65 years. Exclusion criteria ▪ Patients with simple and compound fractures. ▪ Other systematic conditions like Diabetes Mellitus, Carcinoma and Tuberculosis etc. Posology Sufficient quantity of Devadarubaladi Taila was used and subjected to Janubasti 30 minutes daily. Study Duration Janubasti for 8 days with 16 days of follow up, so total 24 days. Plan of study Therapy is divided into Purvakarma , Pradhanakarma and Paschatkarma . Purva Karma Sufficient quantity of water is added to Masha Churna , ring is formed and fixed over Janusandhi . Proper Sandhibandhana should be made to prevent the leakage of the Sneha . Pradhana Karma Required quantity of the Sneha should take in a bowl and keep the bowl in hot water. Once the Sneha becomes Sukhoshna , it should be poured over the Janusandhi . Once the Sneha becoming cool, immediately it will be replaced with the warm Sneha . So uniform temperature is maintained throughout the procedure for a stipulated period of time. Paschat Karma Sneha should be taken out. Mashapisthi can be removed. Oil should be wiped off. Slight massage should be done. Ask the patient to take rest for 30 minutes. Subjective parameters ▪ Sandhi Shoola ▪ Sandhi Shotha ▪ Prasarana Akunchanayorvedana . Objective parameters ▪ Atopa ▪ Range of movements (using Goniometer). ▪ Walking time (to cover 21 meters). Investigations (For Diagnostic and Exclusion) ▪ T.C & D.C ▪ ESR ▪ Serum RA. ▪ X-Ray of Knee joint. O BSERVATION AND R ESULTS Age: Incidence of the disease was maximum in the patients of age group 46-50 years i.e., 9 (30%), followed by 8 patients (26.66%) were belongs to the age group of

[Find the meaning and references behind the names: Less, Work, Left, Male, Pur, Active, Risk, Poor, View, Present, Cases, Diet, Sleep, Major, High, Year, Kula, Point, Middle, Plays, Agni, Styles, Free, Pitta, Serious, Factor, Right, Early]

Dr. Savita Mordi et al. Application of Vishesha Siddhanta in the management of Janusandhigata Vata ISSN: 2456-3110 ORIGINAL ARTICLE Mar-Apr 2021 Journal of Ayurveda and Integrated Medical Sciences | Mar - Apr 2021 | Vol. 6 | Issue 2 3 40-45 years. This indicates, because of present life styles leads to early degeneration which was observed in middle aged persons. Sex: 14 patients (46.66%) are male and 16 patients (53.33%) are females. Women are at high risk than men. This is also supporting the Sandhigatavata more in females. Occupation / Nature of work: 11 patients (36.63%) were belonging to labour group and 12 patients (40%) were belongs to the active group of occupation. This strengthens the view point that this disease is triggered by excessive physical demand on the joint. 7 patients (23.33%) were having sedentary lifestyle, which is the most common causative factor for obesity. This suggests that, obesity plays an even major role in the etiology of the most serious cases of knee OA. Diet: 18 patients (60%) were Vegetarian and 12 patients (40%) were having mixed dietary habits. There is no specific incidence of disease with diet. Economic status: Socio economic status showed 9 patients (30%) were belongs to the Poor class, 8 patients (26.66%) were belonging to Middle class, 7 patients (23.33%) were belonging to the High class and 6 patients (20%) were belongs to the Upper middle class. This observation is inconclusive to make any comments also economic status is not specific incidence of the disease. Kula Vrittanta : 14 patients (46.66%) were having family history and 16 patients (53.33%) were not having family history. This shows that Sandhigatavata is heritable as well as inheritable disease. Chronicity: 8 patients (26.66%) were newly diagnosed, 4 patients (13.33%) having chronicity less than one year, 8 patients (26.66%) having chronicity between 1-2 years, 6 patients (20%) of having chronicity in between 2-5 years, 4 patients (13.33%) of having chronicity of > 5 years. Agni : 15 patients (50%) were afflicted with Vishamagni , 9 patients (30%) were had with Mandagni and 6 patients (20%) were having Teekshagni . Vikritavasta of Agni directly reflects over the status of Tridoshas . The Vishamavasta of Jataragni is closely related with Vata vitiation which is related with Sandhigatavata . Kostha : 6 patients (20%) were having Mrudu Koshta , 9 patients (30%) were having Madhyama Koshta and 15 patients (50%) were having the history of Krura Koshta . This indicates involvement of Vata in Krura Koshta and which is in Vishamavastha and more prone for the disease. Mala Vrittanata : 14 patients (46.66%) were having regular (free) Mala Pravrutti and 16 patients (53.33%) had history of constipation. Again, it shows involvement of Vata and its role in this disease. Prakriti : 10 patients (33.33%) were of the Vata-Pitta Prakriti , 11 patients (36.66%) were of the Pitta - Kapha Prakriti and 9 patients (30%) were of the Vata-Kapha Prakriti . Hence majority of the patients were having the existence of Vata Dosha in their Prakriti . Nidra : 17 patients (56.66%) had the complaint of disturbed sleep and 13 patients (43.33%) had sound sleep. Sthula Dehata (Obesity): 21 patients (70%) were obese and 9 patients (30%) were not obese. Again, it indicates obesity is one of the causes for the disease. Limbs affected: 6 patients (20%) were suffered with left limb, 7 patients (23.33%) were suffered with right limb and

[Find the meaning and references behind the names: Sum, Rank, Mean]

Dr. Savita Mordi et al. Application of Vishesha Siddhanta in the management of Janusandhigata Vata ISSN: 2456-3110 ORIGINAL ARTICLE Mar-Apr 2021 Journal of Ayurveda and Integrated Medical Sciences | Mar - Apr 2021 | Vol. 6 | Issue 2 4 17 patients (56.66%) were had bilateral knee joints pain. Nature of pain: 6 patients (20%) were having pricking type of pain, 11 patients (36.66%) were having aching type of pain, 8 patients (26.66%) were having generalized type of pain and 5 patients (16.66%) were having tearing type of pain. Overall Assessment after treatment Out of 30 patients, 12 patients (40%) had got Good response, 17 patients (56.66%) had Moderate response and 1 patient (3.33%) had Mild response. Showing the Statistical result on Effect of Shula Effect of Shula Descriptive statistics Wilcoxon signed rank Statistical test Pairing Mean SD Reduction in % R N Mean rank Sum of rank Z P Remarks BT with AT R+(BT>AT) 30 15.50 465.00 5.035 <0.001 HS BT 2.30 0.702 55.21 R-(BT<AT) 0 0 0 AT 1.03 0.669 R 0(BT=AT) 0 0 0 BT with AF R+(BT>AF) 30 15.50 465.00 4.920 <0.001 HS BT 2.30 0.702 65.21 R-(BT<AF) 0 0 0 AF 0.80 0.551 R 0(BT=AF) 0 0 0 The symptom Sandhi Shula was reduced from 2.30 to 1.03 i.e. by 55.21% after treatment (AT), it is Highly Significant at p<0.001 and it was reduced from 2.30 to 0.80 i.e. by 65.21% after follow up (AF), it is Highly Significant at p<0.001. Statistical result on Effect of Shotha Effect of Shotha Descriptive statistics Wilcoxon signed rank Statistical test Pairing Mean SD Reduction in % R N Mean rank Sum of rank Z P Remarks BT with AT R+(BT>AT) 11 6.00 66.00 3.317 <0.001 HS BT 0.77 0.817 48.05 R-(BT<AT) 0 0 0 AT 0.40 0.563 R 0(BT=AT) 19 0 0 BT with AF R+(BT>AF) 11 15.50 465.00 3.207 <0.001 HS BT 0.77 0.817 51.94 R-(BT<AF) 0 0 0 AF 0.80 0.563 R 0(BT=AF) 19 0 0

Dr. Savita Mordi et al. Application of Vishesha Siddhanta in the management of Janusandhigata Vata ISSN: 2456-3110 ORIGINAL ARTICLE Mar-Apr 2021 Journal of Ayurveda and Integrated Medical Sciences | Mar - Apr 2021 | Vol. 6 | Issue 2 5 The symptom Sandhi Shotha was reduced from 0.77 to 0.40 i.e. by 48.05 % after treatment (AT), it is Highly Significant at p<0.001 and it was reduced from 0.77 to 0.80 i.e. by 51.94% after follow up (AF), it is Highly Significant at p<0.001. Statistical result on Effect of Prasaranaakunchanasavedana Effect of Prasaranaakunchanasavedana Descriptive statistics Wilcoxon signed rank Statistical test Pairing Mean SD Reduction in % R N Mean rank Sum of rank Z P Remarks BT with AT R+(BT>AT) 26 13.50 351.00 5.014 <0.001 HS BT 1.60 0.894 56.25 R-(BT<AT) 0 0 0 AT 0.70 0.7 R 0(BT=AT) 4 0 0 BT with AF R+(BT>AF) 26 15.50 351.00 4.874 <0.001 HS BT 1.60 0.894 60.62 R-(BT<AF) 0 0 0 AF 0.63 0.718 R 0(BT=AF) 4 0 0 The symptom Prasaranaakunchanasavedana was reduced from 1.60 to 0.70 i.e. by 56.25 % after treatment (AT), it is Highly Significant at p<0.001 and it was reduced from 1.60 to 0.63 i.e. by 60.62 % after follow up (AF), it is Highly Significant at p<0.001. Statistical result on Effect of Atopa Effect of Atopa Descriptive statistics Wilcoxon signed rank Statistical test Pairing Mean SD Reduction in % R N Mean rank Sum of rank Z P Remarks BT with AT R+(BT>AT) 23 5.00 45.00 3.000 <0.003 MS BT 0.90 0.885 33.33 R-(BT<AT) 0 0 0 AT 0.60 0.675 R 0(BT=AT) 7 0 0 BT with AF R+(BT>AF) 20 5.00 45.00 3.000 <0.003 MS BT 0.90 0.885 33.33 R-(BT<AF) 0 0 0 AF 0.60 0.675 R 0(BT=AF) 10 0 0 The symptom Atopa was reduced from 0.90 to 0.60 i.e. by 33.33 % after treatment (AT), it is Markedly Significant at p<0.003 and it was reduced from 0.90 to 0.60 i.e. by 33.33 % after follow up (AF), it is Markedly Significant at p<0.003.

[Find the meaning and references behind the names: Ideal, Aimed]

Dr. Savita Mordi et al. Application of Vishesha Siddhanta in the management of Janusandhigata Vata ISSN: 2456-3110 ORIGINAL ARTICLE Mar-Apr 2021 Journal of Ayurveda and Integrated Medical Sciences | Mar - Apr 2021 | Vol. 6 | Issue 2 6 Statistical result on Effect of walking time Effect of Walking Time Descriptive statistics Wilcoxon signed rank Statistical test Pairing Mean SD Reduction in % R N Mean rank Sum of rank Z P Remarks BT with AT R+(BT>AT) 23 12.00 276.00 4.508 <0.001 HS BT 1.43 0.893 62.93 R-(BT<AT) 0 0 0 AT 0.53 0.571 R 0(BT=AT) 7 0 0 BT with AF R+(BT>AF) 20 10.50 210.00 4.379 <0.001 HS BT 0.90 0.885 48.95 R-(BT<AF) 0 0 0 AF 0.73 0.740 R 0(BT=AF) 10 0 0 The symptom Walking time was reduced from 1.43 to 0.53 i.e. by 62.93 % after treatment (AT), it is Highly Significant at p<0.001 and it was reduced from 0.90 to 0.73 i.e. by 48.95 % after follow up (AF), it is Highly Significant at p<0.001. Statistical result on Effect of Range of movement Effect of Range of movement Descriptive statistics Wilcoxon signed rank Statistical test Pairing Mean SD Reduction in % R N Mean rank Sum of rank Z P Remarks BT with AT R+(BT>AT) 23 12.00 276.00 4.707 <0.001 HS BT 1.20 0.761 66.66 R-(BT<AT) AT 0.40 0.563 R 0(BT=AT) BT with AF R+(BT>AF) 19 10.00 190.00 4.359 <0.001 HS BT 1.20 0.761 52.5 R-(BT<AF) 0 0 0 AF 0.57 0.626 R 0(BT=AF) 11 0 0 The symptom Range of movement was reduced from 1.20 to 0.40 i.e., by 66.66 % after treatment (AT), it is Highly Significant at p<0.001 and it was reduced from 1.20 to 0.57 i.e., by 52.5 % after follow up (AF,) it is Highly Significant at p<0.001. DISCUSSION The Chikitsa of Sandhigatavata is Snehana , Swedana, Basti and Agnikarma Since it is a Vata Vikara and Dhatukshaya of resultant, Snehana and Swedana would be an ideal line of treatment. In the contemporary science treatment is mainly aimed at

[Find the meaning and references behind the names: Mode, Paka, Rapid, Barrier, Four, Lepa, Makes, Local, Act, Ruk, Normal, Palade, Dual, Body, Turn, Main, Root, Areas, Blood, Get, Area, Cell, Given, Till, Due, Rate, Non, Parts, Heat, Kala, Quality, Mal, Flow]

Dr. Savita Mordi et al. Application of Vishesha Siddhanta in the management of Janusandhigata Vata ISSN: 2456-3110 ORIGINAL ARTICLE Mar-Apr 2021 Journal of Ayurveda and Integrated Medical Sciences | Mar - Apr 2021 | Vol. 6 | Issue 2 7 Non-pharmacological methods and analgesics. Among Non-pharmacological treatment much importance is given to physical heat therapy. Probable mode of action of Janubasti The main theme of Vatasyopakrama emphasizes on Snigdha and Ushnabhava . Janubasti is the type of Snigdha Sweda , through which Bahya Snehana and Swedana are carried out. Its dual action facilitates in alleviating Vata effectively. The Vatadosha , which is the key factor in the causation of Sandhigatavata, has almost opposite quality to Sneha. Moreover, properties of Sneha dravya resemble Properties to that of Kapha . In Sandhigatavata, Sthanika Kaphakshaya occurs due to Agantu Vata Dosha . Thus the Sneha used in Janubasti neutralizes the Vata Dosha and simultaneously nourishes the Sthanika Kapha Dosha . This helps in Samprapti Vighatana of Sandhigatavata . Snehana corrects the Shuska dhatus which are the root cause for the Vata vitiation and imparts strength. Swedana relieves Toda, Ruk , Ayama , Shotha , Stambha , etc of symptoms of Vata and smoothens the body parts. Repetitive uses of these Karmas are essential for the total control of Vata and restoration of its normal functions. Sandhigatavata is a disease of the Madhyama Rogamarga involving the Asthi Sandhis of the body. Asthis are the Ashraya for Vata Dosha and the vitiation of Vata hampers the mal-nourishment of Asthis , which reflects in Sandhis . Such a malnourishment involves the reduction of the Sleshaka Kapha and deterioration of the Sleshmadhara Kala . Snehana provides the Snehabhava needed for the nourishment of these in turn controls the vitiated Vata. Sushruta stated that out of the four Tiryak Dhamanis , each divides gradually hundred and thousand times and thus become innumerable. These cover the body like network and their openings are attached to Romakoopa . Through them only Veeryas of Abhyanga , Parisheka, Avagaha, Alepa etc. enters into the body after undergoing Paka with Bhrajaka Pitta located in Skin. In Sutrasthana he explains, Lepa in Bahirparimarjana treatments yield result by entering into Romakoopa thereby enters in circulating through Swedavaha Srotas . Cell membrane act as a barrier to the passage of water-soluble molecules but provide free passage to lipid and lipid soluble substances. Rapid diffusion of lipid soluble substances through cell membranes and the dependency of the rate of diffusion on solubility in lipids have been proved. Lipoid substances which are similar to the cell membrane lipids get directly in corporate into the cell membrane. Some of the lipids and lipid soluble substances directly reach the cytoplasm trough cell membrane. Application of heat through unctuous substance causes the generation of a temperature gradient across the cell membrane. Besides facilitating the diffusion of liquid substances through the cell membrane, this plays key role in the formation of lipoid vesicles from the dropouts in the membrane in areas of flow temperature. This causes an expansion in the cell volume as well as surface area. But it cannot expand freely, especially in the peripheral direction as it is bound by other cells around. This makes the blebbing of cell membrane inside. The temperature gradient and pressure gradient caused by the heat further helps in blebbing in this particular direction. These lipoid vesicles or blebs detached from the cell organelle or other side of membrane and remain there till a critical surface is reached. These membranes then blebs out and spread further thus providing nourishment to the tissues. The whole phenomenon of dropping of cell membrane vesicles and their incorporation into other membranous structure wa s described as “Membrane flow Hypothesis” by Palade in 1959 Thermal therapy acts by increasing the circulation and local metabolic process with the relaxation of the musculature. Application of heat causes relaxation of muscles and tendons by improving the blood supply, venous drainage, lymph supply and activates the local metabolic processes which are responsible for the relief of pain, swelling, tenderness and stiffness. Trans-dermal absorption depends upon lipid solubility of the drug. Drugs in oils and other lipid soluble

[Find the meaning and references behind the names: Bala, New, Bharati, Kashinath, Cite, Chaturvedi, Anna, Shastri, Sci, Krisna, Vital, Slow, Sira, Comes, Dry, Deep, Under, Ramachandra, Nil, Tila, Med, Knowledge, Katu, Rasna, None, Ones]

Dr. Savita Mordi et al. Application of Vishesha Siddhanta in the management of Janusandhigata Vata ISSN: 2456-3110 ORIGINAL ARTICLE Mar-Apr 2021 Journal of Ayurveda and Integrated Medical Sciences | Mar - Apr 2021 | Vol. 6 | Issue 2 8 carriers can penetrate the epidermis as it is a lipid barrier. The movement is slow, particularly through the layers of cell membranes in the stratum corneum. But once the drug reaches the underlying tissues it will be absorbed into the circulation. Suspending the drug in an oily vehicle can enhance absorption through the skin. Because hydrated skin is more permeable than dry skin. Sneha reaches deep into the body tissues, causing partial rejuvenation of cell organelles and cell membrane by replacing their older components with new ones. By this mechanism of Janubasti fulfills the expected changes in Sandhigatavata . All these are hypothetically proposed aspects. Discussion on probable mode of Action of Devadaru Baladi Taila The ingredients of Devadaru Baladi Taila are Devadaru , Bala , Rasna , Jatamamsi , Sarshapa , Nagara and Tila Taila . Which are having properties viz Ushna Veerya , Katu Vipaka, Vata-Kaphahara, Deepana , Vayasthapana, Brimhana, Balya, Rasayana etc. and possessing actions like Vedanashamaka , Shotahara and Vatanulomana which plays vital role in correcting the pathology. Hence used in Sira - Sandhi - Asthigata Vata . The Guru Guna , Ushana Veerya and Snigdha Guna of Sneha will counteracts with the Laghu , Sheeta and Rooksha Guna of Vata , hence once Vata is controlled ultimately the symptoms will also subside. CONCLUSION Sandhigata Vata is one among Vataja Nanatmaja Vyadhis , occurring due to aggravation of Vata and depletion of Kapha Dosha . So, the treatment which is opposite to Vata is advised (as per Vishesha Siddhanta ). Hence, the drugs which are having Vatahara and Brumhana properties should be advised. Snehana, Swedana, Basti etc. are the best line of treatment for this disease. Samanya and Vishesha Siddhanta should be followed in a rational way while describing the Medicine or Diet based on the quantitative and qualitative knowledge of Vriddhi or Kshaya of Doshas. Januvasti is comes under Bahya Snehana and does Snigdha Swedana . Moreover, this is Sthanika Shamana Chikitsa . Snigda, Ushna and Guru Gunas of the Sneha , counteracts the Rooksha , Sheeta and Laghuta of Vata ( Visheshastu Viparyayah ). Symptomatically over all response was good and being a Bahirparimarjana Chikitsa , there was a considerable improvement. Except Atopa , statistically rest of the parameters showed highly significant results. REFERENCES 1 Kashinath Shastri, Charakasamhita. Sutrasthana, 9 th Chapter, Shloka No.4, Varanasi, Chaukhambha Sanskrit Sansthan, Volume I, 5 th edition 1997. P.no-133. 2 Kashinath Shastri, Charakasamhita. Sutrasthana 1 st Chapter, Shloka No.44, Varanasi, Chaukhambha Sanskrit Sansthan, Volume I, 5 th edition 1997. P.no-15. 3 Kashinath Shastri, Charakasamhita. Sutrasthana 1 st Chapter, Shloka No.28-29, Varanasi, Chaukhambha Sanskrit Sansthan, Volume I, 5 th edition 1997. P.no-11. 4 Kashinath Shastri & Gorakhanath Chaturvedi, Charakasamhita. Cikitsasthana 28 th Chapter, Shloka No.37, Varanasi, Chaukhambha Bharati Academy, Volume II, Reprint 2001. P.no-11. 5 Anna Moreshwar Kunte & Krisna Ramachandra sastri, Astangahridaya, Sarvangasundara & Ayurvedarasayana Commentatries, Sutrasthana 13 th Chapter, Shloka No.1-3, Varanasi, Chaukhambha Surabharati Prakashana, 6 th edition, Pg No- 211. 6 Kashinath Shastri, Charakasamhita. Sutrasthana 12 th Chapter, Shloka No.6, Varanasi, Chaukhambha Sanskrit Sansthan, Volume I, 5 th edition 1997. P.no-173. 7 K Nisheshwar & R Vidyanath, Sahasrayogam, Tailaprakarana, Varanasi, Choukhambha Sanskrit Series office, 2006 edition, P.No. 115 How to cite this article: Dr. Savita Mordi, Dr. Manjunath Akki. Application of Vishesha Siddhanta in the management of Janusandhigata Vata w.s.r. to Janubasti with Devadaru Baladi Taila - Clinical study. J Ayurveda Integr Med Sci 2021;2:1-8. http://dx.doi.org/10.21760/jaims.6.2.1 Source of Support: Nil, Conflict of Interest: None declared.

Other Health Sciences Concepts:

[back to top]

Discover the significance of concepts within the article: ‘Application of Vishesha Siddhanta in the management of Janusandhigata Vata...’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Guru, Dhatu, Agni, Ayurveda, Vata, Vriddhi, Prakriti, Samanya, Avagaha, Ayama, Alepa, Balya, Lepa, Sneha, Atopa, Sandhigata Vata, Abhyanga, Toda, Stambha, Asthi, Snehana, Pradhana-karma, Paschat-karma, Snigdha, Laghu, Rasayana, Nidra, Ushna, Vishamagni, Mandagni, Bhrajakapitta, Brimhana, Vayasthapana, Kshaya, Sushruta, Asthisandhi, Purvakarma, Vatavyadhi, Charakasamhita, Parisheka, Ruj, Katuvipaka, Tilataila, Dhatukshaya, Vatanulomana, Vatavikara, Vatadosha, Kaphadosha, Agnikarma, X ray, Inclusion criteria, Exclusion criteria, Diagnostic criteria, Madhyama koshta, Krura koshta, Ushna guna, Bahirparimarjana chikitsa, Osteoarthritis, Swedana, Vata Vitiation, Vataja Nanatmaja Vyadhi, Deepana, Snigdha guna, Sandhigatavata, Samprapti Vighatana, Lipid soluble, Ushna veerya, Vata-Kapha Prakriti, Mala pravrutti, Subjective parameter, Janusandhigata Vata, Sandhi Shotha, Range of Movement, Objective parameter, Thermal therapy, Sleshmadhara Kala, Guru guna, Vata-Kaphahara, Sheeta Guna, Walking time, Vata Pitta Prakriti, Bahya Snehana, Pitta Kapha Prakriti, Pradhanakarma, Body tissue, Veerya, Paschatkarma, Prasarana akunchana vedana, Cell membrane, Madhyama Rogamarga, Sandhi Shula, Sleshaka Kapha, Janubasti, ESR, Rooksha Guna, Sheeta, Vatahara properties, Cell organelles, Swedavaha Srotas, Vishesha Siddhanta, Nanatmaja vyadhi, Romakoopa, Rooksha, Oily vehicle, Shotahara.