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ISSN : 2249-5746
International Journal of Ayurvedic and Herbal Medicine 6:1 (2016) 2096 –2100
Journal homepage: http://www.interscience.org.uk
Page 2096
Efficacy Of Ayurvedic Treatment Procedure In Women Suffering
From Sandhigatavata (Osteoarthritis) In Ayurvedic Hospital- A
Retrospective Study
Rohit Kumar Ravte1, Achintya Mitra2, Jayram Hazra3
National Research Institute of Ayurvedic Drug Development (NRIADD), CCRAS, Ministry of AYUSH,
Government of India, 4CN Block, Sec-5, Bidhannagar, Kolkata-700091, West Bengal, India
Corresponding Author: Dr. Rohit Kumar Ravte
Research Officer Hospital Division , NRIADD-Kolkata,
Email: rohitkravte@rediffmail.com
ABSTRACT
Sandhigata vata is described under Vatavyadhi in Ayurvedic texts. It can be correlated with Osteoarthritis in
modern science. Osteoarthritis is also known as degenerative arthritis that results from breakdown of joint
cartilage. Its prevalence is more in female and among old age people. It mainly affected weight bearing
joints of the body specially knee, hip, lumbar spine associated with ageing, physical occupation, activity and
obesity. In Ayurveda symptom of sandhigatavata are sandhishula, sandhishotha, akunchna prasarna janya
vedna and hanti sandhigati described by various acharya. In the present study the diagnosed cases of
sandhigata vata were treated with convestional Ayurvedic oral medicines alongwith local application of
medicated oil and patra panda potali swedana as a special therapy. The result showed that Ayurvedic
treatment procedures are significant in the sandhigata vata without any ADR. The result of present study
revealed the therapeutic use of natural product according to Ayurvedic principal and practice of Sandhigata
vata. The improvement of the present Ayurvedic treatment procedure on pain 61.90%, stiffness 69.44%,
restricted movement 63.15%, crepitating movement 56.66% and tenderness73.33%. The overall relief was
observed 64.89%.
KEY WARDS - Sandhigata vata, Osteoarthritis, Patra Pinda Potali Sweda
INTRODUCTION
The term “ Sandhivata” is formed by two words sandhi - means joints and vata- one of three dosa of the
body. Different nomenclatures are available in Ayurvedic text which is sandhivata, sandhigatavata, 1
khudavata and jeernavata etc. Sandhigata vata is described under vatavyadhi in Ayurvedic texts. Acharya
Charaka has first described separately sandhigata anila but it was not included under 80 types of nanatmaja
vatavyadhi.
In Ayurveda the causes of sandhivata is vata prakopaka ahara, vihara, jara awastha may cause to aggravated
vata dosa. When the vitiated vata affected the joints and leading to sandhivata. The clinical symptom of both
sandhigata vata and osteoarthritis are similar. As per its clinical sign symptom of sandhivata, sandhisula
(pain in affected joints) is main clinical feature, and other symptom are shotha (swelling), stabadhata
(stiffness), atopa (crepitas) and difficulty in performing the function of the involved joints.2,3
Osteoarthritis (OA) is the most common form of arthritis. It is strong associated with ageing and is a major
causes of pain and disability in older people. 4 According to modern science loss of estrogen during
menopause increase the woman risk of getting osteoarthritis.5 Osteoarthritis is characterized by focal loss of
articular cartilage, sub chondral osteosclerosis, osteophytes formation at the joints margin and reduced of
Rohit Kumar Ravte1, International journal of ayurvedic & herbal medicine 6(1) Jan.-Feb..2016(2096-2100)
Page 2097
joints space with enlargement of affected joints. Joint involvement in OA follows a characteristic
distribution mainly in hip, knee joints of hands, neck and lumbar spine.
In Ayurveda various indigenous drugs and procedure used including snehapana, upnaha, agnikarma 6, taila
abyanga ,7 virechana karma , basti karma, shamana yoga like,Sihnad guggulu, Mahavatavidhwansan rasa,
Ashwagandha churna, Shunthi churna etc. Efficacy of Ayurvedic treatment procedure observed more
significant effect in sandhgata vata.
MATERIAL AND METHODS
This is a retrospective study carried out at In - Patient Department of National Research Institute of
Ayurvedic Drug Development, Kolkata during the period from April 2014 to March 2015.The 30 females
cases of sandhivata ,were from In-Patients Department of NRIADD , Kolkata were selected for 1 month
treatment.
Criteria for selection of patients
The patients who have the following sign and symptom were selected for the study. Sign & symptom are
mentioned vedna (pain), sandhigraha (stiffness), sparshashatva (tenderness) , sandhisphutan (crepitating
movement), ankochan prasaran vedana in sandhi (restricted movement). The patient age groups were 40-70
years females only.
Drugs Intovenation
1. Tab Simhnad Guggulu - 2 tab twice a day
2. Mahavatavidhwansa Rasa - 250mg
Ashwagandha Churna - 2 gm
Shunthi churna - 1 gm
Twice daily with honey
3. Rashnadi Kwatha - 10 ml BD with equal luke warm water
4. Ksheerbala Taila for Local application – 15ml /day
5. Patra Pinda Potali Sweda for 7days
Tab Sihnad guggulu medicine supply from IMPCL, Mohan , Uttranchal, Tab Mahavatavidhwansa rasa
supply from Dabur Company, Rashnadi Kwatha and Kheerbala taila supply from Ayurveda Sala , Kottakal,
Kerala, Ashwagandha churna and Shunthi churna Prepared from the pharmacy Deptt. of NRIADD, Kolkata .
Patra Pinda Potali Sweda
The ward “Patra Potali” is derivate from two wards patra means leaves and potali means bundle . Patra
potali sweda refer to the swedan performed by the special prepared bundal of medicine leaves. 8
Material required
1. Leaves of (chopped into pieces) - 1kg
2. Grated coconut - 100g
3. Slice lemon - 2
4. Cotton cloth(45 cm x45cm) - 4 pieces
Rohit Kumar Ravte1, International journal of ayurvedic & herbal medicine 6(1) Jan.-Feb..2016(2096-2100)
Page 2098
5. Tags - 4
6. Vessels (for frying leaves and for heating potalis) - 2
7. Oil - for frying leaves -100ml
- For heating potalis -250ml
- For abhyanga -100ml
8. Rasanadi choorna - 5 g
9. Towel - 2
10. Saindhava Lavana - 5 -10 gms
Preparation of potali- The fresh leaves of nirgundi, arenda , arka, shefali are washed in water and chopped
into small pieces. The leaves, grated coconut & sliced lemon should be mixed thoroughly and fired together
in 100 ml of appropriate oil till coconut scraping attains a brown tinge. It is divided into four equal parts
and made into potalis.
Pre operative measures- The patient are seated with leg extended over the droni facing to the east
direction. Abhyanga should be performed with prescribed medicated oil all over the body for about 10
minutes. Talam with suitable oil /churna should be applied.
Procedure – The prepared potali should be heated with suitable oil in hot iron pan up to 40-45oC. It should
be applied after checking the temperature, throughout the body with mild pressure in seven prescribed
position by two attendants standing on both sides of the droni. Care should be taken to maintain the
temperature throughout the procedure by reheating the potalis.
Post operative procedure- Wipe off the oil from the body using clean dry towel. Body is covered with
thin blanket for 10-15 minutes. Remove talam & apply Rasanadi choorna. Patient should be advised to take
hot water bath after half an hour depending on diseases.
Duration - 45 minutes to 1 hour
Diet- Food which is light and easily digestible.
Criteria for assessment – The improvement in the patients was assessed mainly on the signs and symptom
of the disease.
Effect of therapy
Good Response - Above 75% relief in the clinical symptom
Fair response - 51-75% relief in the clinical symptom
Poor response - 26-50% relief in the clinical symptom
No response - 0-25% relief in the clinical symptom
RESULT AND DISCUSSION
The present retrospective study was mainly based on the clinical assessment of the above sign and symptom.
In this study, 30 female patients were selected from the In- patient department of NRIADD, Kolkata having
common feature of sandhivata. The result showed that 46.66% of patients were the age group of 61 years
and above were suffering from sandhivata which is vata dosha dominant stage of life. (Table -1)
Rohit Kumar Ravte1, International journal of ayurvedic & herbal medicine 6(1) Jan.-Feb..2016(2096-2100)
Page 2099
Table 1. Age wise distribution of the Sandhivata patients
Age group
No of patients
30-40 Yrs
03
41-50 Yrs
03
51-60 Yrs
10
61 Yrs & above
14
Total
30
Table 2. Effect of Ayurvedic drugs in Sandhivata
S.No
Symptom
BT
AT
Cured
%
1
Pain
63
24
39
61.90
2
Stiffness
36
11
25
69.44
3
Restricted movement
19
7
12
63.15
4
Crepitating Movement
30
13
17
56.66
5
Tenderness
15
4
11
73.33
It is observed that effect of therapy in vedna (pain) were relieved 61.90% ,sparshasahata (tenderness)
73.33%, sandhigraha (stiffness) 69.44%, ankochan prasaran vedana (restricted movement) 63.15%, and
sandhisphutan ( crepitated movement) 56.66% relived.
Patients response of the treatment was evaluated on all subjective criteria and fair response were found
among 74% patients, good response in 03% of patients whereas 23% of the patients showed poor response
and. (Fig-1)
Fig .1 Result of Ayurvedic Treatment procedure
Sandhivata is madhyarogamarga vata vikara in which vata gets lodge in sandhi. So in sandhivata drugs
acting on both vata and asthi should be selected. Sihnad guggulu, Mahavatavidhwansa rasa and rasnadi
kwatha are used mainly in vatavyadhi. In Ayurveda, mandagani is responsible for all diseases.9 In sandhgata
vata, jaraavastha (old age) leads agnivaishmya and agnivishamya leads to vataprakopa. So achieve
3%
74%
23%
Result of Ayurvedic Treatment
procedure
Good Response
Fair Response
Poor Response
Rohit Kumar Ravte1, International journal of ayurvedic & herbal medicine 6(1) Jan.-Feb..2016(2096-2100)
Page 2100
agnisamanta Aswagandha churna and Shunthi churna are katu rasa, usna virya,vatakaphahar 10 is very
essential for samana of the sandhivata. Rasnadi kwatha also used for vedna shamak and shothaher.
In patra potali sweda , nirgundi patra , erenda patra , til taila were used. They are vata kapha samak, vedna
samak and shothahara. Before performing patra panda potali swedna local abhyanga by ksheerbala taila was
done. Kheerbala taila used in vata roga for abhyangato manage the pain.11 Abhyangya karma was snehan,
kledkarak, vata shamak , jarahar. Sneha reached mansha, meda , asthi and majja dhatu. Dhatu provided
nourishment to them. Abhyanga give strength to the muscles and relief the stiffness of muscles. After
abhyanga patra panda potali swedna was applied to affected part of the body which is sroto suddikar,
vatakapha samaka. It decreases the stambha and release the pain.
CONCLUSION
It is concluded that excessive vataprakopak ahara vihara and jaravastha may causes to aggravated vata
dosha and leading to sandhivata. It has been observed that the Sihnad guggulu, Mahavatavidhwansa rasa,
Ashwagandha churna, Shunthi churna, Rashnadi kwatha , Ksheerbala taila and Patra potali pinda sweda are
effective to reduced pain, stiffness, restricted movement , tenderness after one month of treatments. The X-
ray finding of degenerative changes remained unchanged. The result would have been better if therapy had
continued for long duration.
ACKNOWLEDGMENT
Author would like to acknowledge the support staff of NRIADD, Kolkata for providing facility for the
study. The authors grateful to Director General, CCRAS, New Delhi for their supports, encouragement and
cooperation.
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