Management of ‘katigat vata’ w.s.r. to lumbar spondylolisthesis
Journal name: Ayushdhara
Original article title: Management of ‘katigat vata’ w.s.r. to lumbar spondylolisthesis
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Summary of article contents:
Introduction
Lumbar Spondylolisthesis is a degenerative disorder characterized by the anterior displacement of a vertebra in relation to the vertebrae below, primarily affecting the lumbar spine. This condition leads to various symptoms, including low back pain, restricted lumbar movement, stiffness, and neurological symptoms in the lower limbs, which can be correlated with the Ayurvedic concept of "Katigat Vata." The study conducted aimed to explore the efficacy of "Panchtikta Ghrit Guggulu," an Ayurvedic formulation, administered internally along with local "Kati Basti" therapy using Til oil, in managing symptoms associated with Katigat Vata in patients suffering from lumbar spondylolisthesis.
Efficacy of Panchtikta Ghrit Guggulu
"Panchtikta Ghrit Guggulu" is a compound formulation consisting of multiple herbal ingredients known for their anti-inflammatory and analgesic properties. The study's methodology focused on evaluating the subjective relief of symptoms such as pain, stiffness, and tingling sensations in the lower limbs. Results indicated promising efficacy, with 79.23% of patients experiencing complete relief from low back pain and 93.02% showing improvement in stiffness. The treatment also provided significant relief from other symptoms, demonstrating the potential of Ayurvedic formulations in managing lumbar spondylolisthesis.
Kati Basti Therapy and Its Benefits
Kati Basti is an Ayurvedic treatment involving the application of warm oil to the lumbar region, facilitated by a specific contraption that confines the oil to the target area. Prior to this procedure, patients undergo gentle massage and mild fomentation to prepare the tissues for the treatment. The application of warm oil helps to pacify vitiated Doshas (body energies), relieve pain, and promote nutrient delivery to the affected muscles and vertebrae. The study found that patients undergoing Kati Basti therapy exhibited marked improvements in mobility and pain, supporting its inclusion as a beneficial therapeutic strategy in the management of Katigat Vata and lumbar spondylolisthesis.
Conclusion
The findings from the clinical study suggest that the combination of "Panchtikta Ghrit Guggulu" and Kati Basti therapy is effective in alleviating symptoms associated with Katigat Vata in patients with lumbar spondylolisthesis. The significant statistical improvements in pain, mobility, and stiffness indicate the potential for Ayurvedic treatments to serve as alternative or complementary options to conventional therapies. This study lays the groundwork for further research to explore the efficacy of these Ayurvedic modalities in larger populations and in comparison with other treatment options for better therapeutic insights and validation in clinical practice.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
*Amarprakash Prasidhnarayan Dwivedi
Professor, D.Y.Patil University, School of Ayurveda, Navi Mumbai
Pathrikar Anaya
Professor, AVPM’s Ayurved Mahavidyalaya, Sion, Mumbai
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Management of ‘katigat vata’ w.s.r. to lumbar spondylolisthesis
Year: 2017
Copyright (license): CC BY-NC-SA 4.0
Download the PDF file of the original publication
FAQ section (important questions/answers):
What is the primary condition being studied in this research?
The study focuses on Lumbar Spondylolisthesis, characterized by the anterior displacement of a vertebra in the lumbar spine, leading to symptoms like low back pain and stiffness. It correlates with a condition known as 'Katigat Vata' in Ayurveda.
How was the efficacy of the treatment assessed in the study?
The efficacy was assessed by observing patient symptoms such as pain, stiffness, and movement restriction. Statistical tests were applied to analyze the significance of treatment outcomes based on subjective assessments of these variables.
What treatments were used for managing Katigat Vata?
The treatments involved administering 'Panchtikta Ghrit Guggulu' internally and 'Til Oil Kati Basti' locally. Results showed significant improvement in symptoms like low back pain, stiffness, and weakness in lower limbs among the majority of patients.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Management of ‘katigat vata’ w.s.r. to lumbar spondylolisthesis”. 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 is an Ayurvedic term representing one of the three doshas. It governs movement and communication in the body, and its imbalance can cause conditions like Katigat Vata and lumbar spondylolisthesis.
2) Drug:
The study evaluates the efficacy of the Ayurvedic drug 'Panchtikta Ghrit Guggulu' in treating Katigat Vata, showcasing its significance in alleviating symptoms like pain and stiffness.
3) Pain:
Pain is a key symptom of Katigat Vata and lumbar spondylolisthesis. The study measures pain relief as a primary outcome to assess treatment efficacy.
4) Kati:
Kati refers to the lower back or lumbar region in Ayurveda. Katigat Vata denotes Vata-related disorders affecting this area, often leading to conditions like lumbar spondylolisthesis.
5) Guggulu:
Guggulu is a resin used in the 'Panchtikta Ghrit Guggulu' formulation. It has anti-inflammatory and analgesic properties, making it effective in treating Vata disorders like Katigat Vata.
6) Basti:
Basti, specifically Kati Basti, is a localized Ayurvedic treatment involving warm oil application to the lower back. In the study, it is used alongside Panchtikta Ghrit Guggulu for treating Katigat Vata.
7) Stiffness:
Stiffness is a common symptom of lumbar spondylolisthesis and Katigat Vata. The study monitors the reduction in stiffness to evaluate the treatment's effectiveness.
8) Karma (Karman):
Karma in this context refers to therapeutic actions or treatments such as Snehan (oleation) and Swedan (fomentation), which are integral to managing Katigat Vata in Ayurveda.
9) Tikta:
Tikta (bitter) is a taste associated with certain Ayurvedic herbs used in Panchtikta Ghrit Guggulu. It helps in alleviating Vata-related disorders by promoting digestion and detoxification.
10) Dhatu:
Dhatu refers to bodily tissues. The study's treatment aims to nourish the Dhatus, particularly the bones (Asthi Dhatu), to manage symptoms of Katigat Vata effectively.
11) Vatavyadhi (Vata-vyadhi):
Vatavyadhi is a category of disorders caused by Vata Dosha imbalance. Katigat Vata is considered a subtype of Vatavyadhi, causing symptoms like pain and stiffness in the lumbar region.
12) Disease:
The disease targeted in the study is lumbar spondylolisthesis, which is correlated with Katigat Vata in Ayurvedic terms and managed using specific Ayurvedic treatments.
13) Dosha (Dosa):
The term Dosha refers to the three vital energies—Vata, Pitta, and Kapha—that govern the physiological functions of the body. Katigat Vata is caused by an imbalance in the Vata Dosha.
14) Rasa (Rasha):
Rasa refers to taste in Ayurveda. Tikta Rasa (bitter taste) is prevalent in the ingredients of Panchtikta Ghrit Guggulu, making it effective in treating Vata disorders.
15) Haritaki:
Haritaki is one of the ingredients in Panchtikta Ghrit Guggulu. It possesses properties that help alleviate Vata-related issues like constipation and digestive problems, supporting the treatment of Katigat Vata.
16) Vataghna (Vata-ghna):
Vataghna denotes substances that pacify Vata Dosha. Panchtikta Ghrit Guggulu contains numerous Vataghna ingredients, making it effective in treating conditions like Katigat Vata.
17) Yogavahin (Yogavahi, Yoga-vahi, Yoga-vahin):
Yogavahi refers to a substance that enhances the efficacy of other ingredients. Guggulu in Panchtikta Ghrit Guggulu acts as a Yogavahi, improving the overall treatment's effectiveness.
18) Kapha:
Kapha is another dosha responsible for stability and lubrication. An imbalance in Kapha, along with Vata, can contribute to degenerative diseases like Katigat Vata.
19) Graha:
Graha refers to conditions involving stiffness and restricted movement. Katigat Vata, which affects the lumbar region, exhibits symptoms similar to Graha as described in Ayurvedic texts.
20) India:
India is the country where Ayurveda originates. The study on Katigat Vata and its treatment using Ayurveda was conducted in Navi Mumbai, India.
21) Trika:
Trika refers to the area around the back and pelvis. Disorders like Trika Graha and Trika Shoola, mentioned in ancient texts, share similarities with modern lumbar spondylolisthesis.
22) Patil:
Patil is a surname of one of the professors involved in the study, hailing from D.Y. Patil University, which conducted the research on Katigat Vata.
23) Vaca:
Vacha is one of the ingredients included in Panchtikta Ghrit Guggulu. Known for its Pramathi (scraping) action, it helps clear blockages in the channels, aiding the treatment of Katigat Vata.
24) Vasa (Vasha):
Vasa is another ingredient in the formulation. It possesses anti-inflammatory properties, contributing to the efficacy of Panchtikta Ghrit Guggulu in treating Katigat Vata.
25) Pippalimula:
Pippalimula or long pepper root is part of Panchtikta Ghrit Guggulu. It contributes to enhancing digestive fire (Agni), thereby aiding in the treatment of Vata disorders.
26) Manjishtha (Manjistha, Mamjishtha):
Manjishtha is one of the ingredients in the formulation. It is known for its blood-purifying properties, contributing to the overall therapeutic effect of Panchtikta Ghrit Guggulu.
27) Nidigdhika:
Nidigdhika, or Kantakari, is included in Panchtikta Ghrit Guggulu. It has anti-inflammatory properties, aiding in the management of Vata disorders like Katigat Vata.
28) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha control movement and activities in the body. In the context of the study, imbalance in Vata-dosha is the main cause of Katigat Vata and lumbar spondylolisthesis.
29) Kantakari (Kamtakari):
Kantakari is another name for Nidigdhika, an ingredient in Panchtikta Ghrit Guggulu. It provides anti-inflammatory and analgesic effects, useful in treating Vata disorders.
30) Arushkara (Aruskara, Arus-kara, Arutkara):
Arushkara is an ingredient in Panchtikta Ghrit Guggulu. Although mentioned in smaller quantities, it contributes to the overall effectiveness of the formulation.
31) Ayurveda (Ayus-veda):
Ayurveda is the traditional Indian system of medicine utilized in this study to treat Katigat Vata with therapies like Panchtikta Ghrit Guggulu and Kati Basti.
32) Upakrama:
Upakrama refers to treatment strategies or interventions. The study employs specific upakrama like Kati Basti and oral administration of Panchtikta Ghrit Guggulu to manage Katigat Vata.
33) Tejovati:
Tejovati is one of the minor ingredients in Panchtikta Ghrit Guggulu. It helps enhance the formulation’s effectiveness by contributing to its anti-inflammatory and digestive properties.
34) Pramathi:
Pramathi-type drugs, such as Maricha and Vacha in this study, have scraping properties that remove blockages in channels (Srotas), facilitating effective treatment of Katigat Vata.
35) Goghrita (Goghrta, Go-ghrita):
Goghrita or cow's ghee is a key ingredient in Panchtikta Ghrit Guggulu. It serves as a medium for delivering the therapeutic properties of the formulation to deeper tissues, essential in treating Vata-related disorders.
36) Samhita:
Samhita refers to classical Ayurvedic texts. The study references Charak Samhita while discussing Katigat Vata and the treatment strategies described in ancient literature.
37) Vidanga (Vidamga):
Vidanga is one of the 31 ingredients in Panchtikta Ghrit Guggulu. It aids in treating Vata disorders due to its anthelmintic and digestive properties.
38) Amalaki:
Amalaki, also known as Indian gooseberry, is included in Panchtikta Ghrit Guggulu. It is rich in Vitamin C and serves as a rejuvenator, enhancing the formulation’s efficacy.
39) Shunthi (Sunthi, Sumthi, Shumthi):
Shunthi or dry ginger is present in Panchtikta Ghrit Guggulu. It improves digestion and has anti-inflammatory properties, making it effective in treating Katigat Vata.
40) Vatsaka:
Vatsaka is one of the ingredients in Panchtikta Ghrit Guggulu. It contributes to the overall anti-inflammatory and therapeutic properties of the formulation.
41) Kushtha (Kustha):
Kushtha is included in the formulation. Known for its medicinal properties, it aids in alleviating symptoms of Vata disorders like Katigat Vata.
42) Dipyaka:
Dipyaka is an ingredient in Panchtikta Ghrit Guggulu. It helps promote digestion and enhances the drug's overall effectiveness in treating Vata-related conditions.
43) Haridra:
Haridra or turmeric is part of the formulation. It has well-known anti-inflammatory and analgesic properties, which are beneficial for treating Katigat Vata.
44) Siddha:
Siddha refers to medicated formulations in Ayurveda. 'Panchtikta Ghrit Guggulu' is a siddha formulation prepared using specific herbs to treat Katigat Vata.
45) Vedana:
Vedana refers to pain. Symptoms such as 'Kativedana' (pain in the lumbar region) are crucial for diagnosing and treating Katigat Vata using Ayurvedic modalities.
46) Ghrita (Ghrta):
Ghrita or ghee, used in Panchtikta Ghrit Guggulu, acts as a carrier for medicinal ingredients, enhancing their efficacy in treating Vata-related disorders.
47) Rohini:
Rohini is an ingredient in Panchtikta Ghrit Guggulu. Although used in smaller quantities, it contributes to the formulation's overall therapeutic properties.
48) Amrita (Amrta):
Amrita, also known as Guduchi, is included in Panchtikta Ghrit Guggulu for its adaptogenic and anti-inflammatory properties, aiding in the treatment of Katigat Vata.
49) Yavani:
Yavani or ajwain is part of the formulation. It helps improve digestion and relieve Vata-related symptoms, contributing to the overall treatment of Katigat Vata.
50) Cotton:
Cotton is used during the Kati Basti procedure to handle warm oil and maintain its temperature, ensuring effective localized treatment for Katigat Vata.
51) Sneha:
Sneha indicates oil or fat. In the study, Snehan (oleation) with Til oil is a preparatory step for Kati Basti, softening tissues and aiding in the treatment of Katigat Vata.
52) Asthi (Ashthi):
Asthi refers to bones. In Katigat Vata, the degenerative changes in the lumbar spine (Asthi) are targeted, and treatments aim to nourish this Dhatu to alleviate symptoms.
53) Patha:
Patha is one of the ingredients in Panchtikta Ghrit Guggulu. It is known for its anti-inflammatory and digestive properties, aiding in the treatment of Vata disorders.
54) Ghi (Ghee):
Ghee, used in Panchtikta Ghrit Guggulu, acts as a carrier for medicinal herbs, aiding in their deep absorption and effectiveness in treating Vata-related conditions like Katigat Vata.
55) Rheumatoid arthritis:
Rheumatoid arthritis is an exclusion criterion in this study. Patients with this condition were not included to ensure accurate assessment of Katigat Vata treatment.
56) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
Dhatukshaya denotes the depletion of bodily tissues. In Katigat Vata, Asthi Dhatukshaya (bone tissue depletion) is a key factor, and treatments aim to counteract this process.
57) Ksharadvaya (Ksaradvaya, Kshara-dvaya):
Ksharadvaya refers to the alkaline substances included in Panchtikta Ghrit Guggulu. They aid in pacifying Vata and reducing pain (Shoola) effectively.
58) Bastikarman (Bastikarma, Basti-karman, Basti-karma):
Basti-karma, particularly Kati Basti, is the procedure used in the study. It involves the localized application of warm oil to treat Vata disorders like Katigat Vata.
59) Bhallataka:
Bhallataka is mentioned as a drug possessing Tikta Rasa but also has Rasayan (rejuvenative) action. It's included to illustrate the diverse properties of some Ayurvedic ingredients.
60) Prashamana (Prasamana):
Prashamana denotes pain-relieving properties. Majority of the ingredients in Panchtikta Ghrit Guggulu belong to the Shoola-prashamana Gana, making it effective in treating Katigat Vata.
61) Jatharagni (Jathara-agni):
Jatharagni, or digestive fire, is strengthened by Panchtikta Ghrit Guggulu, aiding in the digestion and metabolism of nutrients, thereby alleviating Vata-related conditions.
62) Shothaghna (Sothaghna, Shotha-ghna):
Shothaghna denotes anti-inflammatory properties. Guggulu, being Shothaghna, helps reduce inflammation in tissues, contributing to the treatment of Katigat Vata.
63) Discussion:
The Discussion section of the study analyzes the correlation between lumbar spondylolisthesis and Katigat Vata, emphasizing the effectiveness of Ayurvedic treatments.
64) Samprapti:
Samprapti denotes the pathogenetic process in Ayurveda. The study explains the Samprapti of Katigat Vata and its resemblance to lumbar spondylolisthesis.
65) Kaphaghna (Kapha-ghna):
Kaphaghna denotes substances that pacify Kapha Dosha. Panchtikta Ghrit Guggulu includes Kaphaghna ingredients to balance Kapha and Vata, treating Katigat Vata.
66) Vagbhata:
Vagbhata is an ancient Ayurvedic scholar whose texts are referenced in the study to understand the properties of drugs like Tikta Rasa and their action on Vata Dosha.
67) Medicine:
Medicine in this context refers to Ayurvedic formulations used to treat Katigat Vata. The study evaluates the efficacy of Panchtikta Ghrit Guggulu as the primary medicine.
68) Samcarin (Sancarin, Sancari, Samcari):
Sanchari Vedana refers to radiating pain, usually seen in Vata disorders. The study measures relief from Sanchari pain to assess treatment efficacy for Katigat Vata.
69) Hridaya (Hrdaya):
Hridaya refers to the heart in Ayurveda, but here it is part of the term 'Ashtang Hridaya,' a classical text by Vagbhata mentioned in the context of Vata Dosha properties.
70) Vrishya (Vrsya):
Vrishya denotes substances that enhance vitality. Guggulu, as part of Panchtikta Ghrit Guggulu, possesses Vrishya properties, contributing to the formulation’s overall efficacy.
71) Pradhan:
Pradhan Karma refers to the main therapeutic procedure. In the study, Pradhan Karma involves the administration of Kati Basti to treat Katigat Vata.
72) Dravya:
Dravya denotes substances or ingredients. The study uses specific Dravya like Panchtikta Ghrit Guggulu and Til oil in Kati Basti to treat Vata disorders.
73) Sandhi (Shandhi, Samdhi):
Sandhi refers to joints. Lumbar spondylolisthesis affects the lumbar joints (Sandhi), and the study aims to treat these issues using Ayurvedic therapies.
74) Shalya (Salya):
Shalya denotes surgical treatments in Ayurveda, although here it refers to the department conducting non-surgical Ayurvedic treatments for lumbar spondylolisthesis.
75) Srotas (Shrotas):
Srotas are the body’s channels. Vitiated Doshas can block Srotas, leading to diseases like Katigat Vata. Ayurvedic treatments like Panchtikta Ghrit Guggulu help clear these channels.
[Note: The above list is limited to 75. Total glossary definitions available: 89]