A literary review on sandhivata w.s.r. to osteoarthritis
Journal name: World Journal of Pharmaceutical Research
Original article title: A literary review on sandhivata w.s.r. to osteoarthritis
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Pratiksha Sharma, Ravi Sharma and Ruhi Zahir
World Journal of Pharmaceutical Research:
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Full text available for: A literary review on sandhivata w.s.r. to osteoarthritis
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20223-23336
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Summary of article contents:
Introduction
Sandhivata, also referred to as osteoarthritis in modern medical terminology, is a prevalent degenerative joint disease primarily affecting weight-bearing joints, particularly in older adults. In India, the incidence of arthritis is significant, with about 15% of the population affected, especially those over the age of 40. Sandhivata is categorized as a Vatavyadhi, a type of disorder in Ayurvedic medicine characterized by the vitiation of Vata dosha, leading to joint pain, swelling, and restricted mobility. This literature review aims to explore the Ayurvedic treatment protocols for Sandhivata, emphasizing the holistic approach that includes both medicinal therapies and lifestyle modifications.
The Role of Ayurvedic Treatment
Ayurvedic treatment for Sandhivata focuses on various formulations such as Kwatha, Guggulu Kalpana, and Panchakarma procedures, including Abhyanaga and Basti. These treatments aim not only to alleviate symptoms but also to address the root causes of the condition. In Ayurveda, dietary recommendations play a crucial role, with an emphasis on Pathya (beneficial) foods that help in strengthening the body and combating Vata aggravation. The review highlights that treatments derived from classical texts provide a framework for managing the disease effectively, making Ayurveda a significant alternative to conventional allopathic medicine, which tends to prioritize symptom relief.
Importance of Pathya and Apathya
An essential concept in Ayurvedic treatment is the distinction between Pathya (acceptable) and Apathya (unacceptable) foods and activities. Pathya includes nurturing foods such as Godhuma (wheat), Mamsa (meat), and Ghee, which support bodily strength and vigor. Conversely, Apathya foods like Yava (barley) and excessive cold or spicy items aggravate Vata and are detrimental. Understanding the dietary balance and lifestyle choices is pivotal in managing Sandhivata, emphasizing prevention through proper nutrition and lifestyle adjustments. This aspect is often overlooked in modern medicine, which may not consider the significance of diet in joint health.
Panchakarma Therapy
Panchakarma, a detoxification process in Ayurveda, is considered effective for treating Sandhivata, particularly in overweight individuals. Various techniques such as Vamana (therapeutic vomiting), Virechana (therapeutic purgation), and Anuvasan (oil enema) are emphasized. These procedures help eliminate toxins that aggravate joint disorders while also restoring balance to the doshas. The treatments are tailored based on individual conditions, aligning with Ayurvedic principles that recognize the uniqueness of each patient's constitution and health issues. The application of these methods showcases the comprehensive approach of Ayurveda in treating chronic diseases.
Conclusion
The review of Sandhivata treatments in the context of Ayurveda illustrates a multifaceted approach that addresses not only the symptoms of osteoarthritis but also the underlying causes. Through a combination of herbal formulations, dietary guidelines, and Panchakarma therapies, Ayurveda offers a holistic pathway for managing joint disorders effectively. As contemporary healthcare continues to explore integrative methods, the insights derived from Ayurvedic practices can contribute significantly to improving patient outcomes and enhancing quality of life for those suffering from degenerative joint diseases.
FAQ section (important questions/answers):
What is Sandhivata and how does it relate to osteoarthritis?
Sandhivata is an Ayurvedic term for a degenerative joint disease, akin to osteoarthritis. It mainly affects weight-bearing joints, causing pain, swelling, and limited mobility, particularly in older individuals.
What are the common symptoms of Sandhivata?
Symptoms include joint pain, edema, and restricted motion. As it is a chronic condition, the symptoms can worsen over time, leading to significant discomfort and mobility issues.
How does Ayurvedic treatment approach Sandhivata?
Ayurvedic treatment for Sandhivata includes dietary modifications and therapies such as Panchakarma. It emphasizes balancing the body's doshas, especially Vata, and employs herbal formulations for long-term management.
What role do diet and lifestyle play in managing Sandhivata?
A balanced diet and appropriate lifestyle changes are crucial in managing Sandhivata. Foods enhancing strength and alleviating Vata are recommended, while avoiding excessive physical strain and unhealthy eating habits is essential.
What types of formulations are used in Ayurvedic treatment for Sandhivata?
Various formulations like Guggulu kalpana, Ghrita, and Kwatha are utilized. Additionally, Panchakarma procedures such as Abhyanaga and Basti play integral roles in alleviating symptoms and restoring mobility.
Can yoga help in treating osteoarthritis or Sandhivata?
Yes, yoga has been shown to improve both physical and mental well-being in Sandhivata patients. It can reduce pain and stiffness while enhancing overall joint function, making it a beneficial complementary therapy.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “A literary review on sandhivata w.s.r. to 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) Guggulu:
Guggulu refers to a specific Ayurvedic formulation derived from the resin of the Commiphora mukul tree, known for its anti-inflammatory properties. It's often used to treat joint pain, particularly in conditions like Sandhivata and osteoarthritis, as it helps reduce pain and improve joint function.
2) Rasa (Rasha):
In Ayurvedic terminology, 'Rasa' often refers to the taste or essence of food items or medicines. It also can denote the therapeutic essence extracted from certain herbs and compounds, playing an essential role in the formulation of Ayurvedic treatments and therapies, particularly for disease management.
3) Vata:
Vata is one of the three doshas in Ayurveda, representing air and space. It's associated with movement, communication, and responsible for bodily functions like circulation and elimination. Imbalance in Vata can lead to various disorders, including those affecting joint health such as Sandhivata.
4) Sharman (Sarma, Sarman, Sharma):
Sharma is a common surname in India, often associated with scholars and practitioners in Ayurveda. In this context, it refers to the authors of the study who are likely specialists in Ayurvedic medicine, contributing to research and practices related to conditions like Sandhivata.
5) Taila (Thaila):
Taila means oil in Sanskrit and is an integral part of Ayurvedic treatments. Different types of medicated oils, such as Mahanarayan Taila, are employed for external applications in joint therapies, providing lubrication, reducing inflammation, and enhancing the effectiveness of Ayurveda treatments.
6) Vatavyadhi (Vata-vyadhi):
Vatavyadhis are disorders derived from imbalances in the Vata dosha. Their identification and management are pivotal in Ayurvedic practice, particularly for joint-related ailments like Sandhivata, emphasizing the importance of dosha balance in health.
7) Samhita:
Samhita refers to ancient texts or collections that compile knowledge in fields like Ayurveda. They document various principles, treatments, and herbs, serving as foundational texts for practitioners in Ayurvedic medicine, including treatment methods for conditions like Sandhivata.
8) Basti:
Basti is an Ayurvedic therapeutic enema treatment meant to cleanse toxins and address Vata disturbances in the body. It's particularly effective for joint diseases, facilitating the relief of symptoms associated with conditions like Sandhivata by delivering medicinal substances directly to the involved tissues.
9) Pain:
Pain is a cardinal symptom of various health conditions, including Sandhivata (osteoarthritis), causing discomfort and mobility issues. Understanding its nature and triggers is crucial for selecting appropriate treatments, including both Ayurvedic and modern medical approaches, to alleviate the suffering of patients.
10) Udaipur (Udaypur):
Udaipur is a prominent city in Rajasthan, India, known for its rich cultural heritage and educational institutions, including those specializing in Ayurveda. The mention of Udaipur in the text emphasizes the geographical origin of the authors and possibly indicates the local practices related to Sandhivata.
11) Kashaya (Kasaya):
Kashaya indicates a specific type of Ayurvedic formulation, typically a decoction, made from boiling herbs in water. It is believed to detoxify the body and is commonly used in treating ailments like Sandhivata, aiming at balancing the doshas and alleviating associated symptoms.
12) Disease:
Diseases encompass various pathological conditions affecting individuals. In the realm of Ayurveda, understanding the multitude of diseases, particularly Vata-related disorders like Sandhivata, is essential for devising targeted and holistic treatment modalities.
13) Ghrita (Ghrta):
Ghrita, or clarified butter, is an essential component in Ayurvedic medicine, often used as a base for herbal preparations. It's known for its nourishing properties and can enhance the absorption of herbal medicines, playing a pivotal role in treating conditions like Sandhivata.
14) Vyadhin (Vyadhi):
Vyadhi translates to disease or disorder in Ayurveda. It encompasses a wide range of ailments, and understanding various Vyadhis, especially those related to Vata, is crucial for practitioners in diagnosing and determining appropriate treatments for conditions like Sandhivata.
15) India:
India is the birthplace of Ayurveda, with a rich history of holistic healing practices. The text's references to Ayurvedic treatments situate them within the Indian cultural and medical context, where thousands benefit from traditional medicine for ailments like osteoarthritis.
16) Table:
Tables in scientific literature are used to summarize data, treatments, or comparative analyses for clarity. In this review, tables provide structured insights into various Ayurvedic formulations, procedures, and methodologies related to the management of Sandhivata, enhancing readability and understanding.
17) Yoga:
Yoga is a holistic practice from India that combines physical postures, breath control, and meditation to promote overall wellness. In treating conditions like Sandhivata, Yoga exercises are recommended to improve flexibility, strength, and mental health, easing physical symptoms and enhancing quality of life.
18) Triphala (Tri-phala):
Triphala is a renowned Ayurvedic herbal formulation made from three fruits: Amla, Bibhitaki, and Haritaki. Valued for its detoxifying and digestive properties, it may also provide relief from inflammation and joint issues, aligning with treatment strategies for Sandhivata and promoting overall health.
19) Kalpana:
Kalpana in Ayurveda refers to the preparation processes of herbal medicines. These formulations are meticulously crafted for specific effects, such as alleviating pain in conditions like Sandhivata, emphasizing the importance of customized treatment in Ayurvedic practices.
20) Apathya:
Apathya refers to inappropriate dietary and lifestyle choices that can exacerbate health issues. Understanding Apathya is crucial in Ayurvedic treatment for Sandhivata, as avoiding these factors helps in managing Vata imbalance and supporting recovery.
21) Samana (Shamana):
Shamana therapy comprises soothing treatments in Ayurveda aimed at alleviating symptoms without necessarily curing the underlying cause. It's significant for managing chronic conditions like Sandhivata, where patient comfort and symptom relief are primary goals, employing various herbs and techniques.
22) Vikara:
Vikara translates to pathology or condition, referring to changes in the body that lead to disease. In Ayurveda, understanding the Vikara associated with diseases like Sandhivata guides practitioners in devising appropriate treatment modalities focused on restoring balance.
23) Mamsa (Mamsha):
Mamsa refers to flesh or muscle in Ayurveda, significant for understanding the body's structure and function. Nutritional emphasis on Mamsa is vital in treating conditions like Sandhivata, where muscle health and strength contribute to joint support and movement.
24) Ahara:
Ahara means food in Ayurveda, representing one of the most critical aspects affecting health. Appropriate Ahara is particularly emphasized in the management of joint diseases like Sandhivata, where diet influences the balance of doshas and overall well-being.
25) Drug:
The term drug in Ayurveda refers to substances derived from plants or minerals utilized in treatments. Ayurvedic practitioners focus on specific drugs tailored for individual conditions like Sandhivata, to restore health and alleviate symptoms through traditional methods.
26) Jala:
Jala, meaning water in Sanskrit, is fundamental in Ayurveda for various purposes, including hydration, purification, and preparation of herbal medicines. Its significance in managing conditions stems from the body's need for balance and optimal functioning, providing a supportive element in treatments like Sandhivata.
27) Niruhabasti (Niruha-basti):
Niruha-basti is a therapeutic enema used in Panchakarma treatments to cleanse the body of toxins and balance Vata dosha. It plays a crucial role in managing ailments like Sandhivata, targeting deep-seated conditions through the rectal administration of medicinal decoctions.
28) Madyapana (Madya-pana):
Madya-pana refers to the consumption of alcoholic beverages in Ayurveda. The context of its mention relates to Apathya, as excessive alcohol intake is typically discouraged for maintaining health, particularly regarding conditions like Sandhivata.
29) Ashvagandha (Ashva-gandha, Ashvagamdha, Ashwagandha, Asvagandha):
Asvagandha, or Withania somnifera, is an adaptogenic herb used in Ayurveda renowned for its stress-reducing and anti-inflammatory properties. It is often incorporated into treatment protocols for joint diseases like Sandhivata to improve overall vitality and reduce inflammation.
30) Rajasthan:
Rajasthan is a state in India known for its historical significance and as a hub for traditional medicine, including Ayurveda. The significance of Rajasthan in this context connects the traditional practices of the region to the management of diseases like Sandhivata.
31) Agnikarma (Agni-karma):
Agnikarma is a unique Ayurvedic procedure that involves the application of heat to treat various ailments, particularly vata-related disorders like Sandhivata. It helps in alleviating pain, reducing inflammation, and improving mobility in affected joint areas.
32) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine emphasizing balance in bodily systems and holistic healing. It forms the foundation for the treatments discussed in the text, providing a comprehensive approach to managing conditions like Sandhivata through diet, lifestyle, and herbal remedies.
33) Aushadha (Ausadha):
Aushadha refers to medicines or drugs in Ayurveda derived from natural sources such as herbs and minerals. In the context of Sandhivata, appropriate Aushadha selection is critical for addressing Vata imbalance and alleviating symptoms related to joint pain.
34) Abhyanga (Abhyamga):
Abhyanga is a traditional Ayurvedic massage technique employing warm oils to enhance relaxation and circulation. It's particularly beneficial for joint disorders, including Sandhivata, as it helps alleviate stiffness, reduce pain, and nourish the tissues.
35) Lakshana (Laksana):
Lakshana signifies the characteristics or symptoms of a disease in Ayurveda. In the case of Sandhivata, understanding the Lakshana is essential for proper diagnosis and developing effective therapeutic strategies tailored to individual needs.
36) Medicine:
Medicine denotes any substance or treatment used for healing or alleviating symptoms of diseases. In the Ayurvedic context, it refers to a wide array of natural remedies aimed at restoring balance and treating conditions like Sandhivata.
37) Swelling:
Swelling, or edema, is a common symptom in joint diseases like Sandhivata. Its management is key to treatment approaches in Ayurveda, focusing on herbs and therapies that reduce inflammation and restore normal joint function.
38) Samgraha (Sangraha):
Samgraha translates to compilation or collection in context to texts. In this article, it refers to the meticulous review and synthesis of Ayurvedic knowledge around managing conditions like Sandhivata, enhancing mutual understanding within the medicinal community.
39) Kodrava:
Kodrava refers to a type of grain utilized in Ayurvedic diets. It's recognized for its nutritional properties and may play a role in dietary recommendations for managing conditions like Sandhivata, emphasizing the importance of proper Ahara for recovery.
40) Bhasma (Bhasman):
Bhasma is a finely powdered substance created from minerals or herbs in the Ayurvedic pharmacopeia. It is often used in medicinal preparations to enhance the potency and effectiveness of treatments, particularly in conditions like Sandhivata.
41) Vihara:
Vihara pertains to lifestyle and behavioral practices in Ayurveda. Proper Vihara is crucial for maintaining health and preventing exacerbation of diseases like Sandhivata by promoting a balanced lifestyle that aligns with Ayurvedic principles.
42) Pathya:
Pathya translates to appropriate or beneficial actions, particularly regarding diet and lifestyle in Ayurveda. Adhering to Pathya guidelines is vital in managing conditions like Sandhivata, ensuring practices that support health and balance within the body.
43) Shayya (Sayya):
Shayya refers to the place of rest or sleep. In Ayurvedic treatment of diseases like Sandhivata, emphasis on proper rest and sleep positions can significantly influence health outcomes, as they support recovery and overall well-being.
44) Kalaya:
Kalaya translates to the body. In Ayurveda, understanding bodily constitution and health principles relating to Kalaya is crucial for managing illnesses like Sandhivata, emphasizing personalized treatment strategies that take individual constitution into account.
45) Chinta:
Chinta means worry or anxiety in Sanskrit. Mental health plays an essential role in Ayurvedic practices, especially for chronic conditions like Sandhivata, where emotional states can influence physical health and treatment outcomes.
46) Niruha:
Niruha refers to rectal therapies in Ayurveda, particularly enemas involving medicinal decoctions. This therapy can be pivotal for managing doshic imbalances, especially Vata-related disorders like Sandhivata, as it provides deep systemic cleansing.
47) Dosha (Dosa):
Dosha in Ayurveda represents the fundamental energies governing physical and mental processes. Understanding one’s unique Dosha balance is critical for disease prevention and management, particularly for conditions like Sandhivata resulting from Vata imbalance.
48) Rasna (Rasa-una, Rashna, Rasona):
Rasna is an herb used in traditional medicine known for its anti-inflammatory properties. It is often included in formulations targeting joint diseases like Sandhivata, helping alleviate pain and improve mobility through natural holistic therapies.
49) Patra:
Patra translates to 'leaf' in Sanskrit and in Ayurveda often refers to medicinal leaves used in various treatments. These natural components are integral in therapies for conditions like Sandhivata, providing essential nutrients and healing properties.
50) Tikta:
Tikta means bitter in Sanskrit, referring to a taste that is essential in Ayurveda. Bitter foods and herbs can support detoxification and digestion, playing a role in the management of conditions like Sandhivata by balancing bodily doshas.
51) Madya:
Madya refers to alcoholic beverages in Ayurveda, which can have both therapeutic and adverse effects. Caution regarding Madya consumption is advised in managing health conditions like Sandhivata, avoiding excess for better health management.
52) Yava:
Yava indicates barley in Ayurveda and is often utilized for its nutritional benefits. Including Yava in the diet can provide essential nutrients while promoting health, especially in managing chronic conditions like Sandhivata.
53) Pana:
Pana refers to the act of drinking or consuming in Ayurveda. Awareness of what and how one drinks (Pana) is crucial in managing health and supporting recovery in conditions like Sandhivata by focusing on hydration and dietary choices.
54) Hetu:
Hetu means cause or reason in Ayurveda. Understanding the Hetu for conditions like Sandhivata is critical for effective treatment, as it helps identify underlying factors contributing to a disease's onset, directing targeted therapeutic interventions.
55) Katu:
Katu translates to spicy or pungent in Ayurveda. The incorporation of Katu flavors in dietary choices can influence digestion and appetite, playing a significant role in enhancing treatments for conditions like Sandhivata.
56) Bala:
Bala means strength or vitality in the context of Ayurveda. The emphasis on maintaining Bala is vital for recovering from chronic illnesses like Sandhivata, ensuring the body's resilience and capacity to heal.
57) Janu:
Janu refers to the knee in Sanskrit. Given the association of conditions like Sandhivata with knee pain, understanding its relevance in treatments aids in targeting and alleviating symptoms effectively in therapeutic practices.
58) Sandhigata Vata (Sandhigata-vata):
Sandhigata-vata refers to joint pain created by Vata dosha imbalances, leading to conditions like osteoarthritis. It's essential for diagnosing and treating joint ailments, highlighting the Ayurvedic focus on restoring dosha balance for symptom relief.
59) Sushruta-samhita (Susruta-samhita):
Sushruta-samhita is one of the classical texts of Ayurveda attributed to Sushruta, focusing on surgical techniques and treatments, including those for joint disorders. It serves as a foundational text guiding practitioners in the management of conditions like Sandhivata.
60) Triphalaguggulu (Triphala-guggulu):
Triphala-guggulu is a popular Ayurvedic formulation combining Triphala with Guggulu, designed for detoxification and joint support. Its dual action makes it effective in treating conditions like Sandhivata, promoting pain relief and digestive health.
61) Vishamashana (Visamasana, Vishamasana):
Vishamashana refers to irregular eating habits leading to digestive issues in Ayurveda. Such practices may exacerbate conditions like Sandhivata, emphasizing the importance of a balanced diet for overall health and effective management of chronic diseases.
62) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
Dhatu-kshaya refers to the depletion of bodily tissues in Ayurveda, impacting nutrition and health. Its recognition is crucial in understanding the underlying causes contributing to conditions like Sandhivata and guiding nutritional interventions.
63) Jangaladesha (Jangaladesa, Jangala-desha):
Jangaladesha refers to forested areas, which in Ayurveda denote specific environmental conditions that could influence health. Living in such areas might affect Vata disturbances, contributing to the prevalence of conditions like Sandhivata.
64) Phalatrikadi (Phalatrika-adi):
Phalatrikadi is a specific herbal preparation in Ayurveda used to alleviate joint pain and inflammation. Its formulation aims at balancing the dosha and supporting recovery in conditions such as Sandhivata.
65) Erandamuladi:
Erandamuladi refers to a particular herbal formulation involving the roots of the castor plant, known for its anti-inflammatory properties. Used in Ayurvedic practices, it plays a key role in relieving joint pain associated with conditions such as Sandhivata.
66) Inflammation:
Inflammation is a biological response to injury and is a common feature of many diseases, including Sandhivata. In Ayurvedic terms, management involves balancing Vata and using herbs and treatments to reduce swelling and restore normal function in affected joints.
67) Madanaphala:
Madanaphala refers to the fruit of the plant Rollinia exauriculata, garnering attention in Ayurveda for its various medicinal benefits. Its incorporation into treatment protocols aims to enhance recovery, particularly in joint-related ailments like Sandhivata.
68) Samshodhana (Samsodhana):
Samsodhana encompasses treatments designed to detoxify and purify the body. In managing conditions like Sandhivata, such methods are crucial for addressing underlying imbalances caused by accumulated toxins in the body.
69) Dashamuladi (Dasamuladi):
Dashamuladi refers to a group of ten medicinal roots employed in Ayurvedic formulations. Known for their efficacy in treating Vata disturbances, their application aims to alleviate conditions like Sandhivata by restoring balance and promoting healing.
70) Saindhavadi:
Saindhavadi is an Ayurvedic formulation often used for its anti-inflammatory properties. It's significant in treating joint disorders like Sandhivata, targeting pain relief and improving mobility through a balanced herbal approach.
71) Lavanarasa (Lavana-rasa):
Lavana-rasa indicates the salty taste in Ayurveda, contributing to digestive health and electrolyte balance. Its mention underscores the importance of taste in dietary planning, particularly concerning health management in conditions like Sandhivata.
72) Alleviation:
Alleviation refers to the reduction of pain or discomfort. In Ayurvedic practice, the goal is to achieve alleviation of symptoms such as pain, swelling, and stiffness in conditions like Sandhivata, employing various treatments to achieve patient comfort.
73) Adhyashana (Adhyasana):
Adhyashana means eating excessively or incorrectly. In Ayurveda, it is considered a cause of imbalances that can worsen conditions like Sandhivata, highlighting the need for mindful eating habits to maintain health.
74) Raktashali (Raktasali, Rakta-shali):
Raktashali refers to specific red rice varieties, culturally significant in Ayurvedic dietary recommendations. Including Raktashali in the diet can provide essential nutrients, particularly in managing chronic conditions like Sandhivata, enhancing overall nutritional value.
75) Adhishthana (Adhisthana):
Adhisthana pertains to the site or location of the disease in Ayurveda. Understanding Adhisthana is essential for targeted treatment approaches in managing joint conditions like Sandhivata by focusing on specific affected areas.
[Note: The above list is limited to 75. Total glossary definitions available: 183]
Other Science Concepts:
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