Management of sandhigata-vata (osteo-arthritis)
Journal name: World Journal of Pharmaceutical Research
Original article title: Management of sandhigata-vata (osteo-arthritis)
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Dr. Neha Arya, Dr. Pavesh Kumar and Dr. Uttam Kumar Sharma
World Journal of Pharmaceutical Research:
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Full text available for: Management of sandhigata-vata (osteo-arthritis)
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20202-16676
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Summary of article contents:
Introduction
Osteoarthritis, recognized globally as the most prevalent joint disorder, commonly manifests during the fourth decade of life and its prevalence escalates with advancing age. In Ayurvedic medicine, osteoarthritis corresponds to a condition known as Sandhigata-vata, categorized under the broader classification of vatavyadhi. Sandhigata-vata encompasses symptoms such as joint pain (sandhishula), swelling (sandhisotha), and difficulties in joint movement, advancing to a significant impairment in joint function over time.
The Role of Vata in Sandhigata-Vata
In Ayurveda, Sandhigata-vata is identified as a primarily vatik disorder, where vata dosha instigates degenerative alterations in the joints through its inherent qualities like dryness (ruksha), roughness (khar), and lightness (laghu). The primary pathological processes involve the degeneration of articular cartilage and associated structures, loss of stability and lubrication (sleshak kapha), and increased joint stiffness and spasms (sankoch and stambh). These alterations are especially pronounced in weight-bearing joints such as the knees and hips, where continuous micro-fracturing can occur.
Aetiological Factors of Sandhigata-Vata
Various factors contribute to the vitiation of vata leading to Sandhigata-vata. Ayurvedic literature identifies causes ranging from improperly managed diet and lifestyle to postural abnormalities and occupational stresses. These vitiated conditions can lead to constitutional imbalances, leading to obesity, degenerative changes, and increased risk of joint diseases. Common triggers include irregular eating habits, suppression of natural urges, and excessive physical strain. In contrast, modern perspectives on osteoarthritis emphasize developmental issues, trauma, metabolic and endocrinal disorders, alongside mechanical stressors that cause joint abnormalities.
Clinical Features and Management
Sandhigata-vata presents with numerous symptoms including joint pain, stiffness, swelling, and muscle wasting, primarily affecting joints' mobility and function. The symptoms generally worsen with activity and improve with rest. For management, Ayurveda offers a holistic approach including therapies like Snehana (oil applications), Swedana (fomentation), and Vasti therapy (medicated enemas) alongside dietary modifications emphasizing warm, nourishing foods that counter vata dosha. Specific herbal treatments and classical medications also play a crucial role in alleviating symptoms and restoring joint health.
Conclusion
In conclusion, Sandhigata-vata, or osteoarthritis, represents a complex interplay of various doshic imbalances and environmental factors leading to significant joint degeneration. Understanding the intricate Ayurvedic perspectives on its pathogenesis and incorporating preventive and therapeutic measures can offer valuable insights into managing this prevalent condition. A holistic approach that includes lifestyle modifications, therapeutic interventions, and dietary changes is crucial for effectively managing the symptoms and improving the quality of life for individuals suffering from this debilitating disorder.
FAQ section (important questions/answers):
What is Sandhigata-Vata and how is it related to osteoarthritis?
Sandhigata-Vata (SV) is an Ayurvedic term for osteoarthritis, primarily affecting joints and characterized by pain, stiffness, and degeneration caused by vitiation of Vata dosha, particularly in individuals aged between 40-70 years.
What are the common symptoms associated with Sandhigata-Vata?
Common symptoms include muscle spasms, joint stiffness, incised pain, inflammation, and crepitus. These symptoms worsen with movement and can lead to muscle wasting around the affected joints.
What are the main Ayurvedic causes of Sandhigata-Vata?
Ayurvedic causes include rough and cold foods, irregular eating habits, abnormal postures, overwork, and aging, leading to vitiation of Vata dosha and subsequent joint degeneration.
How does modern medicine view the pathogenesis of osteoarthritis?
Modern medicine suggests that osteoarthritis involves microfractures in subchondral bone, cartilage degeneration, promotion of osteophytes, and significant loss of articular cartilage, though its exact pathogenesis is still being studied.
What are some management strategies for Sandhigata-Vata?
Management includes Snehana (local oils), Swedana (fomentation), Vasti therapy, and dietary changes to reduce Vata vitiation. Medicated oils and herbs are used for treating symptoms effectively.
What dietary changes are recommended for individuals with Sandhigata-Vata?
It is recommended to follow a balanced diet rich in fresh vegetables, avoid high-protein foods, and include anti-inflammatory ingredients like garlic and turmeric to manage Vata dosha.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Management of sandhigata-vata (osteo-arthritis)”. 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) Vata:
Vata represents one of the three doshas in Ayurveda, embodying air and space elements. It's fundamental to bodily functions, including movement and metabolism. Vata's properties influence health and imbalance can lead to disorders, particularly those that involve joint pain and degeneration, consistent with conditions like Sandhigata-vata (osteoarthritis).
2) Disease:
Diseases refer to pathological conditions affecting the body. In Ayurveda, they result from imbalances in the doshas, leading to a variety of ailments. Understanding the nature and cause of diseases allows practitioners to design individualized treatments aimed at restoring balance and promoting health.
3) Pain:
Pain is a symptom that signifies underlying dysfunction or injury in the body. In the context of osteoarthritis (Sandhigata-vata), pain often manifests as a result of joint degradation and inflammation. Ayurveda views pain as an imbalance in Vata, easily treated through various therapeutic approaches aimed at its foundational causes.
4) Arya:
Dr. Neha Arya is a significant contributor to research on Ayurveda, particularly in managing conditions like osteoarthritis. Her work emphasizes traditional Ayurvedic insights while integrating modern understandings of pathology, thus bridging ancient wisdom and contemporary medical practices for effective disease management.
5) Stiffness:
Stiffness refers to the restricted movement in joints, commonly associated with osteoarthritis as ‘stambha.’ In Ayurveda, stiffness arises from vitiated Vata and can lead to muscle spasms and reduced mobility. Managing stiffness involves therapies to alleviate Vata's influence, thereby improving joint function and comfort.
6) Vitiation (Vitiated):
Vitiated refers to the state of imbalance within doshas. A vitiated dosha leads to dysfunction and disease, as seen in Sandhigata-vata where vitiated Vata contributes to joint pain and degeneration. Identifying marked vitiation is essential for devising effective Ayurvedic treatments.
7) Kapha:
Kapha is one of the three doshas in Ayurveda, embodying earth and water elements. It provides stability and structure to the body. In relation to osteoarthritis, the depletion of Sleshaka Kapha (thought to correlate with synovial fluid) is crucial as it affects joint lubrication and stability.
8) Ayurveda (Ayus-veda):
Ayurveda is a traditional Indian system of medicine focusing on achieving health through balance in the body’s energies (doshas). It emphasizes a holistic approach to health that includes diet, lifestyle, herbal remedies, and detoxification therapies to promote overall well-being and the management of diseases like osteoarthritis.
9) Asthi (Ashthi):
Asthi refers to the bones in Ayurveda. They are considered one of the seven dhatus (tissues). In the context of osteoarthritis, Asthi and its health are pivotal since the condition involves degeneration of cartilaginous surfaces and the subchondral bone, leading to joint pain and dysfunction.
10) Guna:
Gunas are the inherent qualities or characteristics of substances, whether used in food, herbs, or treatments in Ayurveda. Understanding the Gunas aids practitioners in creating well-rounded therapeutic regimes tailored to balance doshas and manage health conditions effectively.
11) Diet:
Diet plays a fundamental role in Ayurvedic healing, as it directly affects the constitution and balance of doshas. For conditions like osteoarthritis, a Vata-pacifying diet that includes warm, nourishing, and easily digestible foods is essential to restore harmony and mitigate symptoms like pain and stiffness.
12) Pakvashaya (Pakvasaya, Pakva-ashaya):
Pakvashaya refers to the colon in Ayurveda and is considered vital for digestion and elimination of waste. It is believed to be the site of Vata accumulation in cases of Sandhigata-vata. Maintaining colon health is crucial for overall wellness and can help mitigate joint disorders.
13) Swelling:
Swelling, often observed in inflammatory conditions like osteoarthritis, indicates the accumulation of fluid in tissues. In Ayurveda, it is related to an imbalance in Kapha and Vata doshas. Therapeutic interventions aim to reduce this swelling through methods that enliven digestion and promote proper fluid balance.
14) Sandhi (Shandhi, Samdhi):
Sandhi means joint in Ayurveda, and understanding its condition is vital for treating disorders such as osteoarthritis. The health of the Sandhi is influenced by Vata, its lubrication (Sleshaka Kapha), and surrounding structures. Treatments in Ayurveda focus on maintaining joint integrity and flexibility.
15) Campu:
Campu generally refers to a type of Ayurvedic text or manuscript. It is often written in regional languages and provides interpretations of Ayurvedic principles and practices. Such texts can enhance the understanding and application of Ayurvedic methodologies in treating conditions like osteoarthritis.
16) Food:
Food is central to Ayurveda, influencing health and balance within the doshas. Ayurvedic dietary guidelines stress choosing foods that align with one’s constitution. For those with Sandhigata-vata, selecting warming, nourishing foods can help manage symptoms and sustain joint health.
17) Accumulation (Accumulating, Accumulate):
Accumulate describes the buildup of doshas, toxins, or waste in the body that can lead to disease. In Ayurveda, minimizing accumulation is crucial for preventing conditions like Sandhigata-vata, guiding therapies that encourage detoxification and balance.
18) Vatavyadhi (Vata-vyadhi):
Vatavyadhi refers to diseases caused by imbalances in Vata dosha. Sandhigata-vata is a classic example, illustrating degenerative joint disease from vitiated Vata. Understanding Vatavyadhi guides practitioners in treating joint disorders through specific Ayurvedic interventions designed to restore Vata balance.
19) Surface:
Surfaces refer to the cartilage and membranes in joints that are critical for smooth movement. In Sandhigata-vata, these surfaces undergo degeneration leading to pain. Ayurveda focuses on maintaining and restoring the health of these surfaces through appropriate therapies.
20) Nasya (Nashya):
Nasya is an Ayurvedic therapy involving the administration of medicated oils through the nasal passages. It helps in balancing Vata and clearing accumulation in the head region. This treatment can play a role in managing symptoms associated with joint diseases by promoting overall balance and wellbeing.
21) Sandhigata Vata (Sandhigata-vata):
Sandhigata-vata describes the Ayurvedic understanding of osteoarthritis as a condition driven by Vata imbalance. It highlights the significance of Vata's properties in the pathogenesis of joint disorders and necessitates targeted therapies to manage inflammation, pain, and degradation within the joints.
22) Inflammation:
Inflammation is the body's response to injury or irritation, manifesting as pain, swelling, and redness. In Ayurveda, it's seen as an imbalance in the doshas, requiring soothing therapies to restore harmony. Conditions like Sandhigata-vata primarily involve inflammatory processes that need effective management.
23) Medicine:
Medicine, from an Ayurvedic perspective, refers to both herbal formulations and holistic therapies aimed at restoring bodily balance. It emphasizes personalized treatments based on an individual's constitution and the specific nature of their health issues, integral for managing diseases like Sandhigata-vata.
24) Vagbhata:
Vagbhata was a prominent Ayurvedic physician known for his contributions to the sciences of Ayurveda through texts like Ashtanga Hridayam. His works provide insights into diagnosis and treatment methodologies for numerous ailments, including osteoarthritis, which are invaluable for practitioners today.
25) Snigdha:
Snigdha means oily or unctuous and describes qualities beneficial for balancing vitiated Vata in Ayurveda. Oily substances help in lubrication and provide necessary nourishment to tissues, especially in joint disorders like Sandhigata-vata where proper lubrication can alleviate stiffness and discomfort.
26) Kshaya (Ksaya):
Kshaya refers to deficiency or depletion, particularly in the context of dhatus (tissues) or bodily functions. In osteoarthritis, Kshaya of Kapha leads to insufficient lubrication in joints, resulting in pain and stiffness. Understanding Kshaya aids in developing strategies to restore balance and improve joint health.
27) Sukshma (Suksma, Shukshma):
Suksma means subtle or fine and in Ayurvedic contexts, it often refers to the minute factors that influence health. For Sandhigata-vata, Suksma changes may involve cellular level alterations in bones and joints that require detailed treatments focused on restoring overall health.
28) Srotas (Shrotas):
Srotas are channels in the body responsible for the transportation of doshas, dhatus, and malas. Maintaining the health of Srotas is crucial for preventing diseases like Sandhigata-vata, as any blockage might lead to symptoms associated with stiffness, pain, and inflammation in joints.
29) Vyadhin (Vyadhi):
Vyadhi translates to disease in Ayurveda and represents any disturbance in health. In the study of conditions like Sandhigata-vata, understanding the nature of Vyadhi helps practitioners devise tailored approaches, utilizing herbs and modalities aimed at restoring equilibrium within the body’s systems.
30) Dosha (Dosa):
Dosha signifies the three fundamental energies in Ayurveda—Vata, Pitta, and Kapha. They govern bodily functions and imbalances within these doshas result in disease states. Understanding the role and interaction of Doshas is vital for diagnosing and treating ailments like osteoarthritis effectively.
31) Laghu:
Laghu means light and refers to properties of medications and foods. In Ayurvedic treatments, Laghu attributes can help in alleviating heavy qualities of accumulated doshas, thus benefiting individuals with Vata imbalances like Sandhigata-vata by promoting mobility and overall improvement in health.
32) Mridu (Mrdu):
Mridu translates to mild or gentle. In Ayurveda, Mridu qualities pertain to therapies that are less intense and more soothing, suitable for treating individuals with Vata disorders. Using Mridu substances can help reduce symptoms like pain and inflammation in conditions such as Sandhigata-vata.
33) Kumar:
Dr. Pavesh Kumar is an authoritative figure in Ayurvedic medicine, focusing on the treatment and understanding of disorders like Sandhigata-vata. His research contributions aim to merge traditional Ayurvedic principles with contemporary practices for effective management of chronic joint conditions.
34) Blood:
Blood is essential for transporting nutrients and removing waste in the body. In Ayurveda, blood health is linked with various doshas and dhatus. Assessing blood parameters may provide insights into systemic imbalances that contribute to conditions such as Sandhigata-vata.
35) Drug:
Drug signifies any medicinal substance used to treat diseases. In Ayurveda, it predominantly refers to plants, herbs, and natural formulations utilized for therapeutic purposes. The careful selection of suitable drugs is crucial in managing diseases like Sandhigata-vata effectively.
36) Bala:
Bala refers to strength or vitality in Ayurvedic terminology. In the context of joint health, maintaining Bala is crucial, as weakened muscles can exacerbate the pain and dysfunction associated with Vata disorders. Strengthening therapies help enhance overall physical health and resilience.
37) Amla:
Amla, or Indian gooseberry, is considered a powerful herb in Ayurveda, recognized for its health benefits and affinity for balancing all three doshas. It supports digestion and bolsters immunity, making it particularly effective for enhancing the body’s capacity to counter conditions like Sandhigata-vata.
38) Aha (Ahan, Ahar):
Ahar refers to diet or food intake in Ayurveda, impacting one’s health profoundly. Consuming a nutritious Ahar tailored to an individual’s dosha can prevent disorders and aid in healing. For Sandhigata-vata, selecting foods that pacify Vata and nourish joints is vital.
39) Oil:
Oils in Ayurveda are vital for nourishment and treatment of various conditions. Specific medicated oils are used in therapies to balance Vata-dominant disorders like Sandhigata-vata. The application and incorporation of oils support joint lubrication and overall health enhancement.
40) Rheumatoid arthritis:
Rheumatoid arthritis is an autoimmune disorder characterized by chronic inflammation and degeneration of joints. In Ayurveda, it may be akin to Ama-vata, requiring methods to eliminate excess toxins and restore balance among the doshas through detoxification and dietary strategies.
41) Burning sensation:
A burning sensation is often a symptom associated with inflammation and discomfort in joints, common in conditions like osteoarthritis. In Ayurveda, it may indicate an imbalance of Pitta or a vitiated state of Vata, requiring soothing interventions to relieve discomfort.
42) Nidraviparyaya:
Nidraviparyaya refers to disturbances in sleep patterns, often identified as a contributing factor to Vata vitiation. In chronic conditions like Sandhigata-vata, ensuring adequate rest and proper sleep is vital for recovery and management of symptoms.
43) Shleshakakapha (Slesakakapha, Shleshaka-kapha):
Slesaka-kapha is a specific type of Kapha responsible for lubrication and stability in joints. Its depletion, particularly in conditions like Sandhigata-vata, leads to inadequate joint function and discomfort. Ayurvedic treatments focus on restoring Slesaka-kapha to enhance joint health.
44) Transmission:
Transmission refers to the process through which vitiated doshas move from one body part to another, leading to diseases. In Ayurveda, understanding transmission is vital for targeted intervention, especially in joint-related disorders where Vata can accumulate in joints, causing pain and dysfunction.
45) Malnutrition:
Malnutrition describes an imbalance in nutrient intake, often leading to deficiencies that can affect bodily functions. In Ayurveda, malnutrition can lead to vitiation of Vata, exacerbating conditions like osteoarthritis where nourishment to joints becomes crucial for maintaining health.
46) Saindhavadi:
Saindhavadi refers to a specific Ayurvedic formulation often utilized in joint therapies. This formulation aims to alleviate vitiated Vata and provide nourishment, supporting joint health and mobility, particularly applicable in the management of conditions like Sandhigata-vata.
47) Lavanarasa (Lavana-rasa):
Lavana-rasa denotes the salty taste classified in Ayurvedic dietary principles. It is believed to aid digestion and metabolism. Incorporating Lavana-rasa in moderation can help to balance Vata, benefitting individuals with conditions like Sandhigata-vata while avoiding excess salt.
48) Vatarakta (Vata-rakta):
Vata-rakta represents a condition akin to gout or Vata-related blood disorders within Ayurveda. Symptoms may include tenderness and inflammation around joints, requiring targeted treatments to manage Vata, enhance blood circulation, and alleviate discomfort in affected areas.
49) Balataila (Bala-taila):
Bala-taila is an Ayurvedic medicated oil primarily used for muscle strengthening and joint health. It is effective in treating Vata disorders by enhancing nourishment to tissues, thus relieving symptoms associated with Sandhigata-vata and promoting overall joint comfort and mobility.
50) Pravritti (Pravrtti):
Pravritti refers to the activation or movement of doshas and bodily functions. In Ayurveda, ensuring proper Pravritti helps maintain health and can alleviate the symptoms of disorders like Sandhigata-vata through effective management of the involved doshas.
51) Prasarana:
Prasarana refers to the spreading or extension of muscles and joints, essential for maintaining flexibility and range of motion. In Ayurveda, facilitating Prasarana through therapeutic practices aids in reducing symptoms related to stiffness and joint pain.
52) Anuvasana:
Anuvasana is an Ayurvedic enema therapy used to administer medicated oils for treating Vata disorders. It promotes hydration and nourishment of tissues, particularly effective for alleviating pain and inflammation associated with conditions like Sandhigata-vata.
53) Asthapana:
Asthapana is another form of enema therapy in Ayurveda that involves the insertion of herbal decoctions. It aims to cleanse toxins from the body, addressing imbalances in Vata and aiding in the management of conditions like osteoarthritis through enhanced detoxification.
54) Samprapti:
Samprapti signifies the pathogenesis or sequence of events leading to the manifestation of a disease in Ayurveda. Understanding Samprapti allows practitioners to pinpoint the sources of imbalances and devise targeted therapies for interventions, crucial in managing conditions like Sandhigata-vata.
55) Snigdhata:
Snigdhata represents the quality of being unctuous or oily, believed to pacify aggravated Vata. Incorporating Snigdhata through diet or herbal therapies helps mitigate symptoms like pain and stiffness in Vata disorders, promoting ease of movement and improved joint health.
56) Shodhana (Sodhana):
Shodhana refers to detoxification therapies in Ayurveda aimed at purging accumulated toxins from the body. For individuals with vitiated Vata, Shodhana is crucial for restoring balance and improving health, particularly beneficial for managing conditions like Sandhigata-vata.
57) Shallaki (Sallaki):
Shallaki, known as Boswellia serrata, is a resin used in Ayurvedic medicine with anti-inflammatory properties. It's particularly effective in treating joint pain and inflammation associated with Sandhigata-vata, aiming to reduce pain and improve mobility through its therapeutic attributes.
58) Amavata (Ama-vata):
Ama-vata refers to a condition characterized by the presence of toxins (Ama) that aggravate Vata, often observed in inflammatory joint diseases. Ayurveda emphasizes the elimination of Ama to relieve symptoms and restore balance, making it relevant in conditions like osteoarthritis.
59) Nirgundi (Nirgumdi):
Nirgundi is an Ayurvedic herb recognized for its analgesic and anti-inflammatory properties. Used widely in managing conditions like Sandhigata-vata, Nirgundi helps alleviate joint pain and stiffness, aligning with aims of reducing Vata imbalances through natural, effective remedies.
60) Maharaja (Maha-rajan, Maharajan, Maha-raja):
Maharaja translates to 'great king,' often used in the context of significant Ayurvedic herbs or formulations. Such references imply strength and efficacy in treatment, emphasizing the importance of choosing potent remedies for managing disorders like Sandhigata-vata.
61) Trishna (Trsna):
Trishna signifies thirst in Ayurveda, understood as a common symptom indicating imbalance. In the context of Vata disorders like Sandhigata-vata, understanding Trishna can guide dietary and lifestyle modifications to balance doshas and support overall health.
62) Snehana:
Snehana involves the application of oily substances or medicated oils onto the body, especially effective in balancing Vata disorders. In managing Sandhigata-vata, Snehana provides nourishment and lubrication to joints, promoting healing and comfort.
63) Shleshaka (Slesaka):
Slesaka refers to the specific type of Kapha responsible for lubricating joints. Its balance is essential for maintaining healthy joint function, while its depletion in disorders like Sandhigata-vata can cause discomfort and pain, necessitating therapeutic intervention.
64) Kandara (Kamdara):
Kandara refers to tendons in Ayurveda. Healthy tendons are essential for muscular function and joint stability. In conditions like Sandhigata-vata, ensuring the health of Kandara is critical, as they aid in the overall structural integrity of the musculoskeletal system.
65) Rasnadi:
Rasnadi includes a class of Ayurvedic formulations that target Vata disorders, often used in managing joint diseases. These formulations aim to reduce inflammation and pain, aiding in the treatment of conditions like Sandhigata-vata, to enhance mobility.
66) Burning (Burn, Burned, Burnt):
Burning refers to a sensation often associated with inflammation in joints. In Ayurveda, a burning sensation could indicate either a Pitta imbalance or a vitiated Vata, requiring specific treatments to soothe inflammation and restore balance in joint health.
67) Anxiety:
Anxiety encompasses psychological disturbances that can contribute to Vata vitiation, potentially exacerbating conditions like Sandhigata-vata. Ayurveda stresses the importance of mental health management through relaxation techniques and adaptogenic herbs to restore Vata balance effectively.
68) Brinjal:
Brinjal, or eggplant, is considered heavy and cold in Ayurveda, often viewed as aggravating Vata when consumed improperly. For individuals with Sandhigata-vata, limiting Brinjal is crucial to maintain balance and prevent exacerbation of joint symptoms.
69) Ruksha (Ruksa):
Ruksha means dry or rough, representing qualities that can aggravate Vata in the body. In Ayurveda, identifying Ruksha qualities in food, environment, or lifestyle helps practitioners suggest modifications to alleviate conditions like osteoarthritis, reducing joint stiffness and pain.
70) Alasya:
Alasya refers to laziness or inertia. In Ayurveda, it can exacerbate Vata imbalances leading to conditions such as Sandhigata-vata. Addressing Alasya through lifestyle modifications and encouraging movement is vital for maintaining Vata balance and improving overall health.
71) Dushya (Dusya):
Dusya correlates with the elements or tissues affected by disorders in Ayurveda. Understanding which Dusyas are involved in conditions like Sandhigata-vata allows practitioners to tailor interventions, ensuring holistic treatments that address all aspects of health preservation.
72) Shunthi (Sunthi, Sumthi, Shumthi):
Sunthi, or dried ginger, is commonly used in Ayurveda for its warming properties that can help alleviate Vata-related issues, aiding in digestion and alleviating joint pain. It is an essential herb in managing symptoms of Sandhigata-vata.
73) Lavana:
Lavana denotes the salty taste, considered important in Ayurvedic dietary practices. When used judiciously, Lavana can support digestion and fluid balance, particularly relevant in managing Vata disorders, though should be avoided in excess for those with conditions like Sandhigata-vata.
74) Garlic:
Garlic is recognized for its medicinal properties in Ayurveda, including its anti-inflammatory effects. It can act to balance Vata and support joint health, making it a valuable addition in managing conditions like Sandhigata-vata and promoting overall wellness.
75) Sharman (Sarma, Sharma, Sarman):
Dr. Uttam Kumar Sharma is a significant figure in Ayurvedic medicine, contributing to the understanding and management of Vata-related disorders. His expertise enhances collaborative efforts in research for developing comprehensive therapies for conditions such as Sandhigata-vata.
[Note: The above list is limited to 75. Total glossary definitions available: 99]
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