Varma and Siddha medicine's role in treating frozen shoulder: case series.
Journal name: World Journal of Pharmaceutical Research
Original article title: Role of varmam and siddha internal medicine in treatment of kumbhavatham (frozen shoulder) - a case series
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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P. Mirunaleni1, K. Elavarasan, R. Manikavasagam and K. Kanagavalli
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Role of varmam and siddha internal medicine in treatment of kumbhavatham (frozen shoulder) - a case series
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20191-14265
Download the PDF file of the original publication
Summary of article contents:
Introduction
Frozen shoulder, medically termed adhesive capsulitis, is a painful and debilitating condition characterized by stiffness and restricted movement in the shoulder joint. Most commonly occurring between the ages of 40 and 60, frozen shoulder can lead to significant disability and economic burden. The condition can be classified into primary (idiopathic) and secondary types, with the latter often linked to underlying issues such as diabetes. Symptoms manifest in three phases: painful, stiffening, and thawing, where patients experience increasing pain and diminishing mobility. Accurate diagnosis is pivotal to implementing effective treatment strategies.
Siddha Medicine in Treating Frozen Shoulder
In the context of Siddha medicine, frozen shoulder correlates with a condition known as Kumbavatham, categorized under vatha diseases in Siddha texts. Siddha practitioners believe that Kumbavatham encompasses symptoms such as pain in the shoulder and upper limb, as well as difficulty in movement. The treatment approach combines internal Siddha medications, such as Amukara combination chooranam, with external applications like Laghuvidamuti thilam, and Varmam therapy. The effectiveness of this approach suggests the potential for Siddha medicine to provide relief from the debilitating symptoms associated with frozen shoulder.
The Role of Varmam Therapy
Varmam therapy is an integral aspect of Siddha medicine, focusing on stimulating vital energy points (varmam points) in the body. These points are considered reservoirs of pranic energy, and their manipulation is thought to restore energy flow, alleviate pain, and enhance overall well-being. For treating Kumbavatham, specific varmam points are stimulated multiple times a week over an extended duration. This approach aims to regulate energy channels, promoting faster recovery and reducing pain and stiffness experienced by patients. Varmam therapy demonstrates a holistic and effective method for addressing the symptoms of frozen shoulder in conjunction with internal medication.
Treatment Results and Observations
A clinical study involving 10 patients undergoing the combined treatment of Siddha medicine and Varmam therapy yielded significant results. Assessments were conducted using the Shoulder Pain and Disability Index (SPADI), showing marked improvements in both pain and disability scores after the treatment period. Before treatment, patients reported high levels of pain and functional limitations, but post-treatment evaluations revealed substantial reductions in these scores, accompanied by increased mobility. The data suggest that the combined therapeutic approach of Siddha medicine and Varmam therapy can effectively address the challenges posed by frozen shoulder.
Conclusion
The study concludes that integrating Siddha medicine with Varmam therapy offers a promising treatment pathway for individuals suffering from frozen shoulder. The findings underscore the potential of this combined approach to ameliorate symptoms, enhance shoulder functionality, and improve patients' quality of life. However, the authors acknowledge the need for larger sample sizes and longer follow-up periods to further validate these results and refine treatment protocols. Overall, the research highlights the efficacy of traditional practices in managing modern health conditions, paving the way for future explorations in alternative medicine.
FAQ section (important questions/answers):
What is Kumbhavatham and its relation to frozen shoulder?
Kumbhavatham is a Siddha term for frozen shoulder, a painful condition that causes stiffness and disability in the shoulder joint, predominantly affecting individuals in their fifth and sixth decades of life.
What is the treatment protocol for Kumbhavatham?
The treatment involves Siddha internal medications, such as Amukara combination, and external applications like Laghuvidamuti thilam, coupled with Varmam therapy twice a week for two months.
How were the treatment results evaluated?
The treatment effect was assessed using the Shoulder Pain and Disability Index (SPADI), measuring pain and disability levels before and after the treatment.
What were the outcomes of the studied patients?
Patients showed significant improvement in pain and disability scores after treatment, with results indicating a strong positive impact of the combined therapy.
What is Varmam therapy in Siddha medicine?
Varmam therapy involves manipulating vital points in the body to enhance the flow of Pranic energy, which can alleviate various conditions, including frozen shoulder.
What demographic was included in the study?
The study involved ten patients aged 30 to 60 with diagnosed Kumbhavatham, including both males and females, alongside those with or without diabetes.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Varma and Siddha medicine's role in treating frozen shoulder: case series.”. 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) Varman (Varma, Varmam):
Varma refers to the practice of stimulating vital energy points to enhance healing within Siddha medicine. It plays a critical role in treating various ailments, particularly those related to musculoskeletal issues. By targeting these energy points, Varma therapy aims to restore balance and alleviate symptoms like pain and stiffness in conditions such as frozen shoulder.
2) Siddha:
Siddha is a traditional healing system rooted in ancient Indian medicine, emphasizing holistic health through the integration of body and mind. It addresses various health issues using natural remedies, including herbs and minerals. In the context of Kumbhavatham, Siddha medicine employs both internal and external treatments for effective healing.
3) Pain:
Pain is a significant and debilitating symptom experienced in conditions like frozen shoulder (Kumbhavatham). It limits daily activities and quality of life. Understanding pain's origin helps in devising effective treatment strategies, such as Siddha medicine and Varmam therapy, aimed at alleviating discomfort and restoring mobility in affected individuals.
4) Medicine:
Medicines encompass various therapeutic agents used to treat health conditions. In the study, Siddha medicines played a pivotal role in managing Kumbhavatham by utilizing natural, holistic formulations aimed at reducing pain and stiffness. The integration of traditional medicine underscores the need for diverse treatment options in modern healthcare.
5) Stiffness:
Stiffness is a hallmark symptom of frozen shoulder, characterized by the inability to move the arm freely. It signifies underlying musculoskeletal issues and necessitates effective management strategies to restore mobility and reduce discomfort. Treatments like Siddha medicine and Varmam therapy target stiffness by improving blood flow and energy flow in affected areas.
6) Table:
In the context of this study, 'Table' refers to the organized presentation of data and findings, such as the characteristics of patients and treatment outcomes. Tables facilitate the comprehension of complex information, allowing for easier comparison of pre-treatment and post-treatment results, thus supporting the evidence for the efficacy of the therapies used.
7) Study (Studying):
The study aims to evaluate the effectiveness of Siddha medicine and Varmam therapy in treating Kumbhavatham (frozen shoulder). By systematically observing patient responses to treatments, this research contributes to the body of knowledge regarding alternative therapies, helping to establish evidence-based practices in Siddha medicine and improve patient care.
8) Disease:
Diseases represent various health conditions that disrupt normal bodily functions. Understanding the different types of diseases, including Kumbhavatham, allows healthcare practitioners to develop targeted interventions using traditional systems like Siddha medicine, enhancing overall health outcomes and improving patients' quality of life through structured therapeutic approaches.
9) New Delhi:
New Delhi, the capital city of India, serves as a focal point for healthcare and research initiatives, including the All India Institute of Ayurveda. The city's institutions contribute to the advancement of traditional healing systems like Siddha, promoting integrative healthcare practices that combine modern and ancient medical wisdom to enhance public health.
10) Delhi:
Delhi, as a major metropolitan area, plays a crucial role in India's healthcare landscape. The presence of numerous healthcare institutions allows for the convergence of traditional and modern medical practices, facilitating multidisciplinary approaches to treat various conditions, including frozen shoulder, through research, education, and patient care initiatives.
11) Ayus (Ayush):
AYUSH stands for Ayurveda, Yoga, Unani, Siddha, and Homeopathy, representing India's diverse traditional medicine systems. This initiative promotes the integration of these practices into mainstream healthcare. Its emphasis on holistic well-being supports research into alternative therapies, aiming to enhance quality of life for individuals suffering from chronic conditions like Kumbhavatham.
12) Cintamani (Cinta-mani, Cimtamani):
Chinthamani, specifically 'Yugi Vaithya Chinthamani,' is a classic Siddha text that elaborates on various medical conditions, including Kumbhavatham. The ancient knowledge encapsulated in this text serves as a guiding reference for practitioners, helping them navigate diagnosis and treatment using traditional Siddha principles to address conditions effectively.
13) Kalam:
Kaalam translates to 'time' or 'period' in Tamil, reflecting the importance of duration in diagnosing and treating medical conditions in Siddha medicine. Recognizing the time aspect is crucial for understanding disease progression and implementing strategies like Varmam therapy and internal medications effectively for maximum therapeutic benefits.
14) Bagh:
Bagh refers to 'Bagh, New Delhi,' the location of A & U Tibbia College, where significant research in traditional Siddha medicine is conducted. This institution acts as a hub for studying alternative treatments and integrating them into modern healthcare, producing a synergy that benefits patients through comprehensive therapeutic approaches.
15) Hand:
The hand represents the anatomical region most affected in cases of Kumbhavatham, a condition that leads to pain and functional impairment of the shoulder and upper limb. The hand’s mobility is essential for daily activities, highlighting the importance of targeted therapies that restore function and alleviate discomfort from frozen shoulder.
16) Yugi (Yuki):
Yugi, as referenced in Siddha literature, pertains to traditional practices and teachings that guide healthcare practitioners. Understanding Yugi principles allows for more effective treatments, linking ancient wisdom with modern therapeutic practices to improve patient outcomes in conditions like Kumbhavatham by tailoring approaches to individual needs.
17) Observation:
Observation is a fundamental aspect of clinical research and treatment evaluation. In the study of Kumbhavatham, careful observation of patient responses to Siddha medicine and Varmam therapy provides valuable insights into treatment efficacy, aiding in the development of guidelines for effective management of similar health conditions.
18) Ayurveda (Ayus-veda):
Ayurveda, one of India's oldest healing systems, focuses on harmonizing body, mind, and spirit through natural remedies and lifestyle changes. Its principles complement Siddha medicine, enriching the understanding of health and disease management, particularly in chronic conditions like Kumbhavatham, emphasizing a holistic approach to healing.
19) Campu:
Campu (likely a typographical error or misrepresentation of 'Campus') denotes the physical location where research and treatments take place, such as A & U Tibbia College Campus in New Delhi. This setting facilitates the application and study of traditional Siddha medicine, aiding in advancing integrative health practices through research and education.
20) India:
India has a rich tapestry of traditional healing systems, including Ayurveda and Siddha medicine, that coalesce to form a robust healthcare landscape. The country's emphasis on integrative health practices highlights the importance of combining ancient wisdom with modern medicine to address chronic conditions like Kumbhavatham effectively and holistically.
21) Life:
Life signifies the holistic approach inherent in Siddha medicine, focusing on achieving balance and well-being. The emphasis on understanding the interplay of physical, mental, and spiritual health advocates for comprehensive treatment protocols that cater to the individual, addressing conditions like Kumbhavatham with strategies that encompass all facets of a person’s life.
22) Rheumatoid arthritis:
Rheumatoid arthritis is a chronic inflammatory condition that affects joints, leading to pain, swelling, and stiffness. While it presents differently from Kumbhavatham, the understanding of its pathology can inform holistic treatment approaches in Siddha medicine. Addressing inflammatory conditions may require interdisciplinary strategies combining lifestyle adjustments and traditional remedies.
23) Rashtrapati (Rastrapati, Rashtra-pati):
Rashtrapati refers to the President's Estate in New Delhi, a significant site linked to India’s governance. The mention of this location highlights institutions and initiatives associated with AYUSH within governmental frameworks, promoting traditional medicine’s integration into national health policies and fostering research in systems like Siddha to address public health needs.
24) Discussion:
Discussion encompasses the evaluation and interpretation of study results within the context of existing literature. Engaging in thorough discussion allows researchers to assess the significance of findings related to treatments for Kumbhavatham, helping to refine approaches, identify areas for further research, and contribute to the broader field of Siddha medicine.
25) Resolving:
Resolving denotes the phase in the progression of conditions like frozen shoulder where symptoms improve, and function begins to return. Understanding this phase is critical for effective treatment planning within Siddha medicine, allowing practitioners to recognize and facilitate recovery through appropriate therapeutic measures like Varmam therapy and internal medications.
26) Suffering:
Suffering describes the physical and psychological pain experienced by individuals with conditions like Kumbhavatham. Addressing suffering through holistic treatments in Siddha medicine aims to alleviate distress, restore function, and enhance the overall quality of life, recognizing the deep connection between physical health and emotional well-being for effective patient outcomes.
27) Channel:
Channel refers to the pathways through which prana or vital energy moves in the body. The concept of channels is foundational in Siddha and Varmam therapy, guiding practitioners to restore balance and facilitate healing by ensuring that energy flows freely, crucial for alleviating symptoms such as pain and stiffness in conditions like frozen shoulder.
28) Chennai:
Chennai, home to the Central Council for Research in Siddha, is a pivotal city for Siddha medicine in India. It serves as a center of research and training, contributing significantly to the advancement of traditional healing practices. Initiatives in Chennai facilitate the integration of Siddha medicine into broader healthcare paradigms, enhancing accessibility for patients.
29) Writing:
Writing serves as a means of documenting research findings and clinical practices. It plays a crucial role in sharing knowledge within the medical community, allowing for the dissemination of insights gained from studies like the one focusing on Kumbhavatham. Accurate writing enhances the clarity of communication in traditional medical practices.
30) Kumbha:
Kumbha refers to the term used in Siddha medicine for frozen shoulder, a condition marked by pain and limited mobility. Recognizing Kumbha as a Vatha disease allows practitioners to tailor treatment plans that address the specific pathophysiological mechanisms involved, utilizing both Siddha internal medicine and Varmam therapy for effective patient management.
31) Vattam:
Vatham pertains to the category of diseases in Siddha medicine associated with the imbalance of Vata dosha. Kumbhavatham falls under this classification, characterized by stiffness and discomfort. Understanding the underlying Vata imbalance enables practitioners to design appropriate therapeutic interventions, utilizing the principles of Siddha medicine to restore harmony and alleviate symptoms.
32) Honey:
Honey is mentioned as a medium to administer Siddha medicine, combining its health benefits with traditional herbal formulations. It serves to enhance the palatability of certain preparations while providing additional anti-inflammatory properties. This natural remedy supports the holistic principles of Siddha, aimed at promoting health and well-being in patients.
33) Field:
Field in this context refers to the area of study and practice related to traditional medicine systems. The field encompasses various therapeutic approaches, research, and clinical applications that aim to address health conditions like Kumbhavatham. Understanding this field allows for integration of ancient wisdom with contemporary healthcare practices to improve patient outcomes.
34) Visit:
Visit relates to the patients coming to the OPD (Outpatient Department) for treatment. Regular visits are essential for monitoring progress and adjusting therapies as needed. Consistent patient engagement fosters better understanding of treatment efficacy and enhances the relationship between practitioners and patients, ultimately improving health outcomes.
35) Catching (Catch, Catched):
Catch refers to the sudden onset of pain or discomfort in the shoulder, often described by patients as a warning sign of conditions like Kumbhavatham. Recognizing such 'catches' is critical in diagnosing frozen shoulder, as they play a role in understanding patient experiences and tailoring treatment approaches geared toward symptom relief.
36) Vata:
Vata is one of the three doshas in Ayurvedic and Siddha medicine, associated with movement, communication, and the nervous system. An imbalance of Vata contributes to various conditions, including Kumbhavatham. Understanding Vata's role helps practitioners design targeted interventions to restore balance, thereby alleviating symptoms like pain and stiffness in affected patients.
37) Hair:
Hair, while not directly related to Kumbhavatham in the context of this study, holds significance in traditional practices where it may relate to overall health assessments. In certain cases, hair may reflect an individual's nutritional status or systemic health, influencing comprehensive treatment approaches in holistic systems like Siddha medicine.
38) Line:
Line indicates the prescribed approach or treatment pathway for managing conditions in Siddha medicine. Establishing a clear treatment line guides practitioners in delivering consistent and effective care, ensuring that interventions like Siddha medicine and Varmam therapy align with the specific needs of patients suffering from Kumbhavatham or similar ailments.
39) Male:
Male refers to a gender category observed within the study population suffering from Kumbhavatham. Gender-related factors may influence treatment outcomes and responsiveness to therapies. Understanding the distribution of male and female patients aids in refining treatment protocols and tailoring approaches to address specific demographic needs in traditional medicine.