Case study: Dhattur taila effects on knee osteoarthritis.
Journal name: World Journal of Pharmaceutical Research
Original article title: A case study on the effect of dhattur taila application in sandhigatavata (~knee osteoarthritis)
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Shweta Aswar, Sushil Vilas Chawre, A. C. Tumram, Seema P. Dhakane, Prakash R. Kabra
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: A case study on the effect of dhattur taila application in sandhigatavata (~knee osteoarthritis)
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20192-14143
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
Osteoarthritis is a prevalent joint condition more frequently experienced by women, with a male-to-female ratio of 3:1. The condition is characterized by the loss of articular cartilage, new bone formation, and changes in joint morphology. Risk factors include repetitive stress from work or sports, particularly in farmers, miners, and athletes. Additionally, obesity contributes to osteoarthritis due to uneven load distribution within the joints. Knee osteoarthritis may arise as a primary condition or develop secondary to trauma, and it is often marked by localized pain, functional limitations, and swelling in the knee joint.
Effects of Dhattur Taila in Pain Management
A significant focus of this case study is the application of Dhattura Taila for managing knee osteoarthritis, known in Ayurveda as Sandhigatavata. Traditional Ayurvedic treatments typically involve local applications of oils and therapies like Snehana (oleation) and Swedana (sudation), which alleviate symptoms associated with joint pain. Dhattur Taila, recognized for its analgesic properties, is highlighted in ancient texts such as Ras-Tarangini for its efficacy in managing joint ailments. The oil's unique chemical properties, described as Ushna (hot), Tikshna (sharp), and Vyavayi (penetrating), are believed to facilitate rapid pain relief in affected areas.
Case Report and Findings
In this case study, a 70-year-old male patient diagnosed with knee osteoarthritis reported difficulties in walking and pain in both knee joints. The patient exhibited comorbidities like hypertension and ischemic heart disease. A comprehensive evaluation included clinical and radiological assessments, confirming the presence of degenerative changes. The treatment regimen employed internal medications along with localized application of Dhattur Tail. Over time, pain scores improved, demonstrating the oil's effectiveness in alleviating knee joint pain.
Observations and Results
The results indicated a noticeable reduction in joint pain and stiffness following the application of Dhattur Tail over a 15-day period. Initially, the patient reported severe pain and significant functional limitations, but by the end of the assessment, the pain scores had drastically decreased. Goniometric measurements also revealed improvements in the range of motion in the affected knee joints. Notably, the treatments yielded no adverse effects, reinforcing the safety profile of Dhattur Tail in clinical applications.
Conclusion
The application of Dhattur Taila represents a promising advancement in the management of knee osteoarthritis within Ayurvedic practice. This case study demonstrates the oil's potential as a local analgesic to relieve pain and improve joint function in a patient with knee osteoarthritis. The findings underscore the necessity for further studies on the analgesic properties of Dhattur Tail to establish its efficacy in broader clinical settings. Overall, the integration of traditional Ayurvedic approaches in pain management showcases potential benefits for patients suffering from chronic joint conditions.
FAQ section (important questions/answers):
What is the focus of the case study on Dhattur Taila?
The case study investigates the effect of local application of Dhattur Taila in managing knee osteoarthritis, specifically its pain-relieving properties.
What are the symptoms of knee osteoarthritis mentioned in the study?
Symptoms include pain during movement, functional restrictions, swelling in joints, stiffness, tenderness, and difficulty in activities like walking and sitting.
How was Dhattur Taila applied in this case study?
Dhattur Taila was applied locally on the affected knee joints of a patient diagnosed with knee osteoarthritis.
What were the results of Dhattur Taila application after treatment?
The patient experienced reduced pain, decreased swelling, and improved joint function over the course of treatment, demonstrating the effectiveness of the oil.
What Ayurvedic condition is similar to knee osteoarthritis?
In Ayurveda, knee osteoarthritis is referred to as Sandhigatavata, characterized by similar symptoms affecting joint health.
What conclusion does the study draw regarding Dhattur Taila?
The study concludes that the local application of Dhattur Taila offers effective pain relief for knee osteoarthritis, encouraging further research on its analgesic properties.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Case study: Dhattur taila effects on knee osteoarthritis.”. 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) Pain:
Pain is a significant symptom experienced by patients with knee osteoarthritis or Sandhigatavata, causing functional restrictions and impacting quality of life. In this study, pain management is a primary focus, with the application of Dhattur taila showing potential analgesic effects that relieve discomfort, enabling movement and daily activities.
2) Stiffness:
Stiffness, or Graha, is commonly reported by individuals suffering from osteoarthritis. It affects the flexibility and range of motion in joints, particularly the knees. The study monitors changes in stiffness levels following the application of Dhattur taila, contributing crucial data on its efficacy in alleviating joint restrictions associated with Sandhigatavata.
3) Shotha (Sotha):
Shotha refers to swelling, which is often indicative of inflammation in osteoarthritis cases. This case study highlights the measurement and observation of shotha reduction as an essential component of evaluating the treatment's effectiveness. The reduction of shotha alongside pain relief directly contributes to improved joint function and overall patient comfort.
4) Sandhi (Shandhi, Samdhi):
Sandhi translates to 'joint' in Ayurvedic terminology and is central to the diagnosis of Sandhigatavata, or osteoarthritis. Understanding the condition of the sandhi is vital, as it influences the strategies for management and treatment. The study focuses on the application of Dhattur taila to address joint-related issues prevalent in patients.
5) Study (Studying):
This case study serves as a detailed investigation into the effects of Dhattur taila on knee osteoarthritis. Through systematic observation and assessment, the study aims to provide insights into traditional Ayurvedic practices, their scientific validation, and the potential integration of such treatments into contemporary pain management strategies.
6) Taila (Thaila):
Taila, or oil, is an important therapeutic element in Ayurveda, utilized for its healing properties. The specificity of Dhattur taila in muscle and joint pain management illustrates its traditional significance. The study examines how local application of taila contributes to the analgesic effects in patients with Sandhigatavata.
7) Swelling:
Like shotha, swelling in joints signifies inflammation related to osteoarthritis, requiring effective management. Observing levels of swelling helps evaluate the effectiveness of treatments such as Dhattur taila. Controlling swelling aids in restoring joint functionality and mitigating symptoms that disrupt a patient’s daily life.
8) Snehana:
Snehana denotes a therapeutic oil application process in Ayurveda that supports the alleviation of vata-related disorders. It is an integral part of management for conditions like Sandhigatavata. In this study, the application of Dhattur taila is an example of snehana aimed at providing relief and improving mobility.
9) Nagapura (Naga-pura):
Nagpur, a city in India, serves as the location for this study, specifically within the Government Ayurved College and Hospital. This establishment provides an Ayurvedic context to the research, emphasizing the local cultural practices in pain management and the relevance of traditional medicine in a contemporary setting.
10) Observation:
Observation is critical in clinical studies, providing insight into the patient's response to treatment. In this case study, careful monitoring of symptoms, such as pain and swelling, after applying Dhattur taila allows for informed conclusions regarding the oil's effectiveness and its role in managing Sandhigatavata.
11) Prasarana:
Prasarana refers to the extension or stretching in Ayurvedic terms, relating to joint mobility. Evaluating pain during prasarana activities helps assess functional limitations in patients with knee osteoarthritis. Addressing prasarana in treatment plans allows for targeted interventions that aim to enhance mobility and alleviate pain in joints.
12) Vata:
Vata is one of the three doshas in Ayurveda, often related to qualities of movement and dryness. Imbalances in vata can lead to conditions like Sandhigatavata. Understanding the role of vata aids in shaping treatment strategies, including the use of Dhattur taila for restoring balance and alleviating symptoms.
13) Male:
Male patients are identified within the demographics for knee osteoarthritis, specifically noting that the condition can manifest more frequently in men due to factors like trauma. The distinction in gender effects highlights the necessity for tailored treatment approaches and befitting solutions in pain management within both male and female populations.
14) Dhattura:
Dhattura is a plant known for its medicinal properties in Ayurveda. The application of Dhattur taila within the study showcases its potential analgesic benefits for conditions such as Sandhigatavata. Understanding Dhattura's role emphasizes the importance of traditional plants in innovative pain relief therapies in modern medical practice.
15) Lakshadi (Laksadi, Laksha-adi):
Lakshadi refers to a specific Ayurvedic formulation known for its therapeutic effects on joints. In the case study, Lakshadi Guggul is mentioned as part of the treatment regimen for the patient, complementing the application of Dhattur taila, exemplifying a synergistic approach to managing symptoms of knee osteoarthritis.
16) Dravya:
Dravya translates to 'substance' in Ayurveda, encompassing medicinal plants and compounds used in treatments. The study focuses on dravyas like Dhattur oil, which plays a crucial role in pain relief. Exploration of various dravyas enhances the understanding of traditional approaches to managing pain and their pharmacological properties.
17) Vedana:
Vedana refers to sensations, particularly related to pain, which is a key focus of this study. Evaluating vedana provides insights into symptom severity and treatment outcomes. Addressing vedana through approaches like Dhattur taila allows clinicians to enhance patient care and improve quality of life for those with osteoarthritis.
18) Nature:
Nature encompasses the qualities and characteristics of symptoms, including pain and swelling in joints. Understanding the nature of symptoms in patients with Sandhigatavata aids in developing accurate diagnoses and treatment plans that address the multifaceted aspects of osteoarthritis, leading to comprehensive and effective care methodologies.
19) Farmer:
Farmers are noted as a demographic at higher risk for developing osteoarthritis due to repetitive joint stress. This case study's context reflects how occupation-related strain contributes to the onset of conditions like knee osteoarthritis, reinforcing the need for preventive measures and effective treatment options within agricultural communities.
20) Sneha:
Sneha refers to oily substances or fats used in Ayurvedic treatments. Incorporating sneha, such as Dhattur taila, signifies the holistic approach of Ayurveda in managing symptoms like pain and inflammation. Understanding the role of sneha aids in developing effective interventions for patients suffering from Sandhigatavata.
21) Graha:
Graha implies stiffness and is one of the symptoms assessed in the study on knee osteoarthritis. Measuring graha helps evaluate functional limitations and the effectiveness of treatments like Dhattur taila. In Ayurvedic practice, addressing graha is key to restoring mobility and improving patients’ abilities to perform daily activities.
22) Ayus (Ayush):
AYUSH refers to India's Ministry of Ayurveda, Yoga, Unani, Siddha, and Homeopathy, which promotes traditional health systems. The emphasis on pain management in Ayurvedic practices underlines the relevance of natural treatments, highlighting the need for reliable research like the case study to validate these methods in contemporary healthcare.
23) Vish (Vis):
Vish, meaning poison in Ayurveda, is relevant in understanding the properties of substances like Dhattura. The use of vish dravya in treatments reflects Ayurvedic principles where potentially toxic ingredients are carefully administered for therapeutic effects. This case study exemplifies how such properties can contribute positively in controlled doses.
24) Daha:
Daha refers to therapeutic heating, an Ayurvedic practice aimed at alleviating pain and inflammation. Incorporating daha techniques in conjunction with oil applications like Dhattur taila exemplifies a holistic approach to managing conditions like Sandhigatavata, supporting overall joint health and comfort for the patient.
25) Sign:
Sign refers to observable evidence of a condition, such as pain and swelling in osteoarthritis. Monitoring the signs of Sandhigatavata provides critical data necessary for assessing treatment effectiveness. Recognizing signs facilitates accurate diagnosis and treatment planning, ensuring patients receive appropriate care tailored to their specific needs.
26) Life:
Life quality concerns emerge prominently in patients with osteoarthritis due to pain and mobility restrictions. Enhancing quality of life through effective pain management strategies, such as application of Dhattur taila, is a core component of the study's objectives, providing insights into methods that improve daily functioning and overall well-being.
27) Pidanasahatva (Pidana-asahatva):
Pidanasahatva signifies tenderness associated with joint conditions. Evaluating tenderness is crucial for assessing osteoarthritis severity and treatment responses. This study incorporates measurements of pidanasahatva, which helps inform the effectiveness of Dhattur taila and its impact on the overall comfort and mobility of affected patients.
28) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
Dhatukshaya refers to the degenerative loss of body substances or tissues, which can lead to vata disorders like osteoarthritis. Understanding this concept deepens insights into the pathology underlying conditions like Sandhigatavata and emphasizes the importance of targeted treatments that address tissue health and restore balance in patients.
29) Vatavyadhi (Vata-vyadhi):
Vata-vyadhi translates to disorders related to vata dosha, which are characterized by symptoms like pain, stiffness, and movement restrictions. Recognizing vata-vyadhi within the study highlights the Ayurvedic framework used to diagnose and treat conditions like Sandhigatavata, providing valuable perspectives on holistic management of degenerative joint diseases.
30) Discussion:
Discussion refers to exploring findings and insights derived from the study. It critically examines the results, delving into how effectively Dhattur taila alleviates symptoms of knee osteoarthritis. Engaging in discussion encourages the integration of traditional practices with modern methodologies, paving the way for advancements in pain management strategies.
31) Agnikarma (Agni-karma):
Agnikarma involves a thermal treatment methodology in Ayurveda used to relieve pain and inflammation. Its relevance in the study underscores integrated approaches alongside Dhattur taila to address knee osteoarthritis effectively. Exploring agnikarma enables comprehensive therapeutic frameworks that enhance patient experiences and contribute to optimized care in traditional medicine.
32) Ayurveda (Ayus-veda):
Ayurveda represents a holistic system of medicine originating in ancient India, focusing on balance among body, mind, and spirit. This study highlights the application of Ayurvedic practices, particularly the use of Dhattur taila, underscoring how traditional medicine can be effectively utilized in contemporary treatment paradigms for conditions like Sandhigatavata.
33) Abhyanga (Abhyamga):
Abhyanga signifies a form of Ayurvedic massage employing herbal oils for therapeutic benefits. In the context of this study, abhyanga emphasizes the importance of bodywork techniques alongside local applications of Dhattur taila. Such holistic practices contribute to enhanced pain relief and overall functional improvement in patients with knee osteoarthritis.
34) Sarshapa (Sarsapa):
Sarshapa is a term referring to mustard oil in Ayurveda, often employed for its heat and penetration qualities in treatments. It provides insights into the role of various oils in managing vata disorders, akin to Dhattur taila. Understanding their properties expands treatment modalities available for conditions like Sandhigatavata.
35) Pramukha:
Pramukha denotes chief complaints or principal symptoms in medical assessments. In this study, evaluating pramukha provides critical information about the patient's experience with pain and functional limitations. Establishing pramukha symptoms guides the clinical focus on treatment effectiveness and overall management strategies tailored to patient needs.
36) Stambha:
Stambha translates to stiffness in joints and is a notable symptom in osteoarthritis cases. This study addresses stambha observations as part of assessing treatment outcomes. Managing stambha through Dhattur taila enhances mobility and supports the overall goal of improving patients' physical functionality and quality of life.
37) Amalaki:
Amalaki, or Indian gooseberry, is a commonly used herb in Ayurvedic medicine noted for its antioxidant and anti-inflammatory properties. In managing Sandhigatavata, incorporating amalaki alongside Dhattur taila suggests a multifaceted approach, leveraging synergistic effects to improve patient outcomes in joint health and emotional well-being.
38) Tikshna (Tiksna):
Tikshna signifies sharp or penetrating qualities in Ayurvedic terminology that may relate to various treatments' effectiveness, especially regarding pain management. By applying the tikshna properties of Dhattur taila, practitioners aim to achieve effective relief for patients experiencing acute pain symptoms associated with conditions like Sandhigatavata.
39) Vyavayi:
Vyavayi denotes the spreading qualities attributed to substances in Ayurvedic pharmacology. Understanding vyavayi properties contributes to comprehensive treatment strategies, ensuring effective absorption and retention of herbs and oils like Dhattur taila, enhancing therapeutic efficacy in alleviating symptoms of knee osteoarthritis and improving patient well-being.
40) Quality:
Quality pertains to the overall effectiveness and outcomes of treatments in healthcare. This study measures quality through symptom relief and patient satisfaction in managing knee osteoarthritis with Dhattur taila. Ensuring high-quality interventions is essential for elevating care standards in traditional medicine and optimizing patient life quality.
41) Disease:
Disease represents a medical condition impairing health, such as knee osteoarthritis in this study. Understanding the nature and impact of the disease informs treatment approaches. By focusing on conditions like Sandhigatavata, the research emphasizes the importance of targeted therapies to manage symptoms and improve patients' health and mobility.
42) Vyadhin (Vyadhi):
Vyadhi translates to disease or disorder in Ayurveda, encompassing a range of health conditions. In the context of knee osteoarthritis, understanding vyadhi patterns aids in diagnosis and management, reflecting the holistic approach of Ayurveda to identify root causes and implement effective treatments like Dhattur taila application.
43) Ushna (Usna):
Ushna conveys the concept of heat or warmth in Ayurvedic terminology, essential for addressing symptoms like pain and stiffness. The use of ushna properties in treatments, including Dhattur taila application, indicates a strategic focus on utilizing temperature and medicinal qualities to effectively manage discomfort in conditions like Sandhigatavata.
44) Druti:
Druti pertains to fluidity or ease of movement in joints, especially in the context of osteoarthritis. Evaluating druti allows healthcare practitioners to monitor improvements or declines in joint functionality following treatments. Enhancing druti through therapeutic interventions like Dhattur taila represents a goal in alleviating discomfort associated with Sandhigatavata.
45) Shula (Sula):
Shula implies pain, particularly in relation to joint conditions in both Ayurveda and conventional medicine. Accurate assessment of shula is critical in understanding treatment efficacy and symptom progression. The focus on shula in this case study highlights the need for effective pain management solutions in patients dealing with Sandhigatavata.
46) India:
India is the context within which this study takes place, reflecting the integration of traditional Ayurvedic practices in contemporary healthcare. The significance of conducting research in an Ayurvedic setting underscores the rich history of natural medicine and the potential for validating traditional therapies like Dhattur taila through scientific exploration.
47) Pulse:
Pulse measurement is a standard clinical assessment in evaluating patient health and response to treatment. In the context of knee osteoarthritis, tracking pulse can indicate changes in systemic health influenced by pain relief strategies, thus providing insights into the overall effectiveness of Ayurvedic interventions like Dhattur taila.
48) Blood:
Blood pressure readings serve as essential indicators of a patient's overall health status and cardiovascular stability during treatment. Monitoring blood pressure helps ensure that interventions, including the use of Dhattur taila for osteoarthritis, are safe and do not adversely impact the patient's systemic health while aiming for localized pain relief.
49) Janu:
Janu translates to knee in Ayurvedic terminology, which is critical in discussing conditions like Sandhigatavata. Understanding janu-related symptoms provides detailed insights into knee-specific dysfunctions. By focusing on janu, practitioners can tailor their interventions to effectively address knee pain, limitations, and overall joint health.
50) Vila:
Vila relates to movements or actions performed during daily life. In patients experiencing knee osteoarthritis, limitations in vila due to pain and stiffness can severely affect their quality of life. This concept integrates the functional assessment of patients as the study explores the impact of treatment on everyday activities.
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