An open clinical study of utkleshana, doshahara and samshamana yog-basti in janu-sandhigatavata: a pilot study

Summary of article contents:

Background: Sandhigatvata is described under Vatavyadhi in Brihatrayi . It resembles with Osteoarthritis. Basti is supreme therapy for Vatavyadhi and has entity to entice all doshas . In order to treat a disease, first to break down the doshadushya samurchhana i.e. etiopathogenesis. Acharya Sushruta has made a set of packaged basti known as Utkleshana , Doshahara and Samshamana in sequential manner which works on the anutklisht dosha , bring them in kosta and expel out. Aim: To evaluate the effect of Utkleshana , Doshahara and Samshamana basti in Janu- Sandhigatvata . Methods and materials: In present randomised clinical pilot study, 10 patients of Janu- Sandhigatvata were given Utkleshana , Doshahara and Samshamanabasti in Yoga basti pattern where these basti were given as Niruha and Tila taila was used for Anuvasana basti in between. Subjective assessment of pain by visual analog scale and Shotha (swelling), Vatapurnadrutisparsha (crepitus) were graded according to their severity. The angle of flexion and extension of knee joint was recorded by goniometer. Results: Significant results were found in all cardinal symptoms pain, Shotha (swelling), Vatapurnadrutisparsha (crepitus) and angle of flexion and extension of knee joint. Conclusion : Utkleshana , Doshahara and Samshamana basti in Yoga basti pattern was significant in subjective and objective symptoms of Janu-Sandhigatavata. Keywords: Utkleshana , Doshahara , Samshamana, Basti, Janu-Sandhigatvata, Panchakarma