Role of matra and kati basti in lumbar spondylosis treatment.

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Journal name: Ayushdhara
Original article title: The role of matra basti and kati basti in katishool with special reference to lumbar spondylosis
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Author(s):

*Kalpana Gholap
Associate Professor, Dept. of Panchkarma, Y.M.T Ayurvedic Medical College, Kharghar, Navi Mumbai, Maharashtra
U.S. Nigam
Professor & HOD, Dept. of Panchkarma, Y.M.T Ayurvedic Medical College, Kharghar, Navi Mumbai, Maharashtra


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: The role of matra basti and kati basti in katishool with special reference to lumbar spondylosis

Year: 2016

Copyright (license): CC BY-NC-SA 4.0


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Summary of article contents:

Introduction

Lumbar spondylosis is a degenerative condition affecting the discs and lumbar spine, often characterized as Katishula in Ayurvedic medicine, which is recognized as a localized Vata disorder. In Ayurveda, the treatment approach to such degenerative conditions emphasizes restoring balance through various therapeutic measures. This study aimed to evaluate the efficacy of Matra Basti and Kati Basti therapies in managing symptoms associated with Katishula, with a particular focus on lumbar spondylosis. The research involved a comparative analysis between two groups of patients undergoing different treatments.

Efficacy of Matra Basti and Kati Basti

Matra Basti, an Ayurvedic treatment involving the administration of medicated oil via the rectum, aims to provide nourishment and alleviate Vata dosha disturbances. In this study, participants in Group A received both Matra Basti and Kati Basti—wherein a trough made from black gram dough was filled with medicated oil over the lumbar region—while those in Group B were treated solely with Matra Basti. Results indicated that Group A experienced a greater percentage of relief, reporting an overall 72.33% improvement in symptoms compared to 64.33% in Group B. This suggests that the combined approach of Matra Basti and Kati Basti offers superior therapeutic effects in alleviating back pain and associated symptoms of lumbar spondylosis.

Role of Ayurveda in Lumbar Spondylosis Management

Ayurveda conceptualizes that bodily ailments arise from imbalances among the three functional units: Dosha, Dhatu, and Mala. The degenerative nature of lumbar spondylosis is largely viewed through the lens of Vata dosha imbalance, necessitating therapies that specifically target this dosha. The study underscores the significance of using traditional Ayurvedic remedies and therapies like Sneha (oleation), Sveda (sudation), and Basti, as they are considered vital in managing back pain and promoting the health of Musculoskeletal structures. Various assessments conducted before and after the treatment regime revealed marked improvements in physical parameters like the angle of flexion, distance measurements, and overall symptom relief.

Conclusion

In summary, this study confirms that both Matra Basti and Kati Basti treatments serve as effective therapeutic interventions for managing Katishula, particularly in cases of lumbar spondylosis. With a focus on restoring Vata balance, these therapies not only alleviate pain but also promote better functional mobility. The outcomes suggest that extended treatment durations may yield even more substantial results, advocating for a holistic approach in the Ayurveda treatment framework. As such, this research reinforces the potential of traditional Ayurvedic practices in addressing chronic health conditions prevalent in contemporary society.

FAQ section (important questions/answers):

What is Katishula and its modern medical comparison?

Katishula refers to localized Vata vyadhi affecting the lumbar region, often compared to lumbar spondylosis in modern medicine. It is a chronic condition characterized by degenerative changes, primarily due to Vata dosha imbalance.

What therapies were evaluated in the study on Katishula?

The study evaluated the effectiveness of Matra Basti and Kati Basti for managing Katishula, particularly lumbar spondylosis. Patients received treatments including Prasarni Giloy Matra Basti and Kati Basti to assess symptom relief and overall improvement.

What were the main findings regarding treatment effectiveness?

Results indicated that patients receiving both Matra Basti and Kati Basti showed greater symptom relief (72.33%) compared to those receiving only Matra Basti (64.33%). Improvement was noted in pain levels, flexibility, and overall condition of the patients.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Role of matra and kati basti in lumbar spondylosis treatment.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Basti:
In Ayurveda, Basti refers to therapeutic enema, a crucial part of Panchakarma therapy used for treating Vata-related diseases by cleansing the colon and balancing doshas. The study involves 'Matra Basti' for managing 'Katishula.'

2) Katishula (Katisula, Kati-shula):
'Katishula' refers to pain localized in the lower back and is often associated with lumbar spondylosis in modern medicine. It is a Vata-dominant condition treated using Ayurvedic therapies like 'Kati Basti' and 'Matra Basti.'

3) Matra:
'Matra' in the context of Ayurveda, typically refers to a specific quantity or measurement of medicinal substances. In 'Matra Basti,' it indicates the measured dose of oil used for the enema.

4) Matra-basti:
'Matra Basti' is a type of Ayurvedic enema involving the administration of a small, measured dose of medicated oil. It plays a significant role in alleviating symptoms of 'Katishula'.

5) Pain:
'Pain', in Ayurvedic terms, is often referred to as 'Shula'. 'Katishula' denotes low back pain treated in this study using methods like 'Kati Basti' and 'Matra Basti.'

6) Dhatu:
In Ayurveda, 'Dhatu' refers to the body's fundamental tissues responsible for its structure and function. Degeneration or malnourishment of 'Dhatus' is linked to diseases like lumbar spondylosis.

7) Anidra:
'Anidra' refers to a sleeping disorder or lack of sleep, which is a symptom considered in the study of 'Katishula'. Improved sleep indicates recovery.

8) Kati:
'Kati' refers to the lower back or lumbar region. Treatments such as 'Kati Basti' specifically target this area to alleviate pain related to 'Katishula'.

9) Vata:
'Vata' is one of the three doshas in Ayurveda, responsible for bodily movements. Its imbalance is mainly implicated in 'Katishula' and lumbar spondylosis.

10) Dosha (Dosa):
'Dosha' represents the three fundamental energies in Ayurveda: Vata, Pitta, and Kapha. Imbalance in these doshas causes disease, with Vata prominently involved in 'Katishula.'

11) Disease:
'Disease' in Ayurveda is the result of an imbalance among Dosha, Dhatu, and Mala. 'Katishula' or lumbar spondylosis exemplifies a Vata-dominant disease treated with specific therapies.

12) Shula (Sula):
'Shula' refers to pain. 'Katishula' is the Ayurvedic term for lower back pain, treated using methods like 'Kati Basti' and 'Matra Basti' in this study.

13) Pidanasahatva (Pidana-asahatva):
'Pidanasahatva' refers to the sensitivity or tenderness at the site of pain. It is a symptom evaluated in assessing the effectiveness of treatments for 'Katishula.'

14) Kalpana:
Kalpana, a concept referenced in the study, involves the classification and understanding of diseases and treatments. Dr. Kalpana Gholap is one of the study's authors.

15) Vaha:
'Vaha' means channels or pathways in the body. 'Asthi-vaha' and 'Majja-vaha' are channels involved in conditions like 'Katishula'.

16) Kala:
'Kala' refers to time or duration, often considered in the context of evaluating symptoms like pain persistence. 'Shulasya Kala' measures the duration of 'Shula'.

17) Ayurveda (Ayus-veda):
'Ayurveda' is the ancient Indian medical system focused on balancing the body’s doshas, dhatus, and malas for health and treating diseases like 'Katishula.'

18) Vyadhin (Vyadhi):
'Vyadhi' means disease or ailment in Ayurveda. 'Katishula,' associated with lumbar spondylosis, is one of the 'Vyadhis' examined in this study.

19) Asthi (Ashthi):
'Asthi' refers to bone tissue. In 'Katishula,' the degeneration of 'Asthi' Dhatu is a key factor, making therapies like 'Kati Basti' crucial for treatment.

20) Nigam (Ni-gam):
Dr. U.S. Nigam is an author of the study, contributing to the research on the effectiveness of 'Matra Basti' and 'Kati Basti' for 'Katishula.'

21) Mala:
'Mala' refers to waste products in the body that must be properly excreted. Imbalances in Mala can contribute to disease, which therapies like 'Basti' aim to correct.

22) Diet:
Diet, including the types of food consumed, plays a crucial role in Ayurveda. Certain 'Guna ahara', like 'Katu' (pungent) and 'Shita' (cold), can exacerbate 'Katishula.'

23) Rakta:
'Rakta' refers to blood, one of the seven dhatus (body tissues) in Ayurveda. 'Rakta Dhatu' involvement is assessed in conditions like 'Katishula.'

24) Majja:
'Majja' is bone marrow, included in the study as 'Majja Dhatu'. Its degeneration is significant in conditions like lumbar spondylosis or 'Katishula.'

25) Rasa (Rasha):
'Rasa' denotes the essence or nutrient fluid in Ayurveda, essential for nourishing the body. 'Rasa Dhatu' involvement is assessed in 'Katishula.'

26) Guna:
'Guna' are qualities or attributes in Ayurveda, like 'Shita' (cold) and 'Laghu' (light). Certain Gunas in food can influence the progression of conditions like 'Katishula.'

27) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra, India is the location of Y.M.T Ayurvedic Medical College in Navi Mumbai, where the study on 'Katishula' was conducted.

28) Majjadhatu (Majja-dhatu):
'Majja Dhatu' refers to bone marrow and nerve tissue. Its degeneration is a critical factor in diseases like lumbar spondylosis or 'Katishula.'

29) Vatavyadhi (Vata-vyadhi):
'Vata-vyadhi' means diseases caused by the imbalance of Vata dosha. 'Katishula,' which corresponds to lumbar spondylosis, is an example of Vata-vyadhi.

30) Svedana:
'Svedana' means sweating therapy in Ayurveda, often used following Snehana (oleation) to promote heat and alleviate Vata disorders like 'Katishula.'

31) Sandhi (Shandhi, Samdhi):
'Sandhi' means joints in Ayurveda. 'Katishula' affects lumbar joints, and therapies like 'Kati Basti' focus on treating 'Asthi-Sandhi Gata Vata.'

32) Pitta:
'Pitta' is one of the three doshas in Ayurveda, responsible for metabolic processes. Its imbalance can aggravate conditions like 'Katishula.'

33) Kapha:
'Kapha' is one of the three doshas, associated with structure and fluid balance. Disorders like 'Katishula' can involve imbalances in Kapha.

34) Sneha:
'Sneha' refers to oleation or lubrication therapy in Ayurveda. It's vital in treatments like 'Matra Basti' and 'Kati Basti' for 'Katishula.'

35) Mamsa (Mamsha):
'Mamsa' refers to muscle tissue. Diseases like 'Katishula' affecting the muscles ('Mamsa Dhatu') are treated with therapies like 'Kati Basti.'

36) Tikta:
[see source text or glossary: Tikta]

37) Sita (Shita):
'Shita' indicates the cold quality in Ayurveda. Cold attributes of food and environment can aggravate Vata dosha, worsening conditions like 'Katishula.'

38) India:
The study took place in India, specifically at the Y.M.T Ayurvedic Medical College in Maharashtra. Ayurveda, the medical system explored in the study, originated here.

39) Katu:
'Katu' refers to the pungent taste in Ayurveda. Excessive intake of 'Katu rasa' can aggravate Vata, contributing to 'Katishula.'

40) Medas (Meda, Medash):
'Meda' refers to fat tissue. 'Meda Dhatu' imbalances might be involved in lumbar spondylosis or 'Katishula,' requiring careful Ayurvedic management.

41) Drug:
The study utilized Ayurvedic drugs like 'Prasarni Giloy Tail' to treat 'Katishula'. These herbal preparations are integral to the treatment's effectiveness.

42) Tinospora cordifolia:
'Tinospora cordifolia,' known as Guduchi or Giloy, is an Ayurvedic herb used for its anti-inflammatory and analgesic properties, crucial in treating 'Katishula.'

43) Anuvasanabasti (Anuvasana-basti):
'Anuvasana Basti' is a type of oil enema used in Ayurveda for nourishing and treating Vata disorders. 'Matra Basti' is a sub-type of 'Anuvasana Basti.'

44) Shukradhatu (Sukradhatu, Shukra-dhatu):
[see source text or glossary: Shukra-dhatu]

45) Raktadhatu (Rakta-dhatu):
'Rakta Dhatu' refers to blood tissue in Ayurveda. Disorders of 'Rakta Dhatu' must be countered, especially in conditions like 'Katishula' with its features analyzed.

46) Asthidhatu (Asthi-dhatu):
'Asthi Dhatu' refers to bone tissue. The study focuses on treating 'Katishula,' a condition that involves degeneration of 'Asthi Dhatu.'

47) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
'Dhatukshaya' means depletion of the body's vital tissues ('Dhatus'), which contributes to conditions like 'Katishula' treated with 'Basti' therapy.

48) Mamsadhatu (Mamsha-dhatu):
'Mamsa Dhatu' is muscle tissue. In 'Katishula,' the affected muscles may experience degeneration or weakness, necessitating therapies like 'Kati Basti.'

49) Rasadhatu (Rasa-dhatu):
'Rasa Dhatu' refers to the primary nutritive fluid. Imbalance in 'Rasa Dhatu' can lead to various disorders, including those treated by 'Basti' in 'Katishula.'

50) Medadhatu (Meda-dhatu):
'Meda Dhatu' denotes fat tissue. Disruption in 'Meda Dhatu' balance can relate to issues like 'Katishula', thus requiring therapies like 'Matra Basti.'

51) Vatadosha (Vatadosa, Vata-dosha):
'Vata Dosha' is one of the three doshas in Ayurveda responsible for bodily movements. Imbalance in Vata causes conditions like 'Katishula.'

52) Discussion:
[see source text or glossary: Discussion]

53) Anuvasana:
'Anuvasana' signifies oil-based enema therapy in Ayurveda. 'Matra Basti' is a specific 'Anuvasana Basti,' used for conditions like 'Katishula.'

54) Agnikarma (Agni-karma):
[see source text or glossary: Agnikarma]

55) Katurasa (Katu-rasa):
'Katu-rasa' refers to pungent taste. High consumption of 'Katu-rasa' contributing to Vata exacerbation can worsen 'Katishula.'

56) Abhyanga (Abhyamga):
'Abhyanga' is an Ayurvedic massage therapy involving oil. 'Sthanik Abhyanga' is performed before 'Kati Basti' to enhance treatment efficacy for 'Katishula.'

57) Shodhana (Sodhana):
'Shodhana' refers to purification therapies in Ayurveda, such as 'Panchakarma', to cleanse toxins. 'Basti' falls under this category, used for treating 'Katishula.'

58) Medicine:
In the study, both Ayurvedic and modern medicines are referenced. Ayurveda provides 'Basti' therapies for 'Katishula', while modern medicine uses drugs and surgery.

59) Snehana:
'Snehana' involves lubrication therapy using oils. In 'Katishula,' 'Kati Basti' and 'Matra Basti' implement Snehana to mitigate Vata imbalance.

60) Kaphaja:
'Kaphaja' indicates conditions or constitution dominated by Kapha dosha. 'Katishula' can involve Kapha along with Vata, necessitating tailored treatments.

61) Ghataka:
[see source text or glossary: Ghataka]

62) Pittaja (Pitta-ja):
'Pittaja' refers to conditions or individual constitutions dominated by Pitta dosha. Pitta's role is analyzed in diseases like 'Katishula.'

63) Samana (Shamana):
'Shamana' treatments aim to balance and pacify doshas without purification, used alongside 'Shodhana.' 'Matra Basti' provides 'Shamana' benefits for 'Katishula.'

64) Ruksha (Ruksa):
'Ruksha' means dryness, a quality of Vata dosha. Excessive 'Ruksha' leads to conditions like 'Katishula' treated with lubricative therapies like 'Basti.'

65) Shukra (Sukra):
[see source text or glossary: Shukra]

66) Vataja (Vata-ja):
'Vataja' denotes conditions or body types dominated by Vata dosha. 'Katishula' is a Vataja disorder requiring specific therapies like 'Matra Basti.'

67) Nature:
The nature of work and habits influence conditions like 'Katishula.' Sedentary and labor-intensive activities can aggravate or alleviate symptoms.

68) Labour (Labor):
Labor-intensive work is a significant factor in the development of 'Katishula,' as indicated in the demographic data of the study participants.

69) Powder:
Black gram powder is used to make a dough trough for 'Kati Basti' in treating 'Katishula.'

70) Karma (Karman):
'Karma' in this context refers to therapeutic procedures. Agnikarma is one such procedure mentioned by Sushruta for treating 'Katishula.'

71) Marma:
[see source text or glossary: Marma]

72) Kalka:
'Kalka' denotes an herbal paste used in the preparation of medicated oils like 'Prasarni Giloy Tail' for 'Basti' to treat 'Katishula.'

73) Laghu:
'Laghu' means light quality in Ayurveda. 'Laghu ahara' (light food) is generally recommended to not aggravate Vata, which causes 'Katishula.'

74) Nidra:
'Nidra' means sleep. 'Anidra' or lack of proper sleep is a symptom assessed in the study of 'Katishula'.

75) Taila:
'Taila' refers to oil, used in Ayurvedic therapies like 'Matra Basti' and 'Kati Basti' involving medicated oils like 'Prasarni Giloy Tail' for 'Katishula.'

[Note: The above list is limited to 75. Total glossary definitions available: 86]

Other Health Sciences Concepts:

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Discover the significance of concepts within the article: ‘Role of matra and kati basti in lumbar spondylosis treatment.’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Dhatu, Matra-basti, Marma, Asthidhatu, Anidra, Dhatukshaya, Vatadosha, Agnikarma, Shamanacikitsa, Panchakarma Therapy, Marma points, Snehana therapy, Kati Basti, Lumbar Spondylosis, Shodhanachikitsa, Katishool.

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