Abstract

A COMPARATIVE CLINICAL STUDY OF THE ROLE OF LAKSHA GUGGULU AND MUKTASHUKTI PISHTI IN THE MANAGEMENT OF JANUSANDHIGATA VATA W.S.R TO OSTEO ARTHRITIS OF KNEE

Dr. Ashish Kumar Sahu* and Dr. Rohit Kasaudhan

ABSTRACT

Janusandhigatavata is also correlated to Knee osteoarthritis due to resemblance in sign and symptoms i.e. joint pain, stiffness, muscle weakness, swelling of knee joint, deformed joint, reduced range of motion and loss of use of the joints and cracking sounds. When the vitiated vata lodges in janusandhi (knee joint) it is considered as Janusandhigatavata. In Ayurvedic classics Sandhigatavata is among eighty Nanatmaja Vata Vyadhi. The aetiopathogenesis, symptoms and treatment of Sandhigata vata is described under Vatavyadhi which is found in a very concise form. Among joint disease, Osteoarthritis is often seen out of which the functional disability in the knee joint is incredibly common in elderly. The approaches in therapies mainly carried out are physiotherapy or pharmacological therapy, but these approaches are limited over time by their cost and/or side effects. It is characterized by pain, shiftiness with decreased range of motion in the knee joint which is very common complaint for many people. With the
advancement in working pattern and age-factors has become prime cause for aggravation of Vata dosha, which does dhatukshaya (depletion of tissues) and Balakshaya (reduced strength). Knee joint is weight bearing, strongest and most important joint in the body. Movements at the knee joint are essential for all everyday activities, including walking, running, sitting and standing. Different modalities of treatment have been explained in the Ayurvedic classics to tackle the condition effectively. Here, an attempt has been made to compare the effect of Laksha Guggulu and Muktashukti Pishti in the management of Janusandhigata Vata w.s.r to Osteoarthritis of Knee. In this study 30 patients of JanuSandhigatavata were selected and divided into two groups. 15 patients of Group-A were treated with Laksha guggulu 500mg twice a day with lukewarm water for 30 days. 15 Patients of Group-B were treated with Mukta shukti pisti- 250mg twice a day with lukewarm water for 30 days. Significant reduction in symptoms was observed in both groups, but comparatively better relief was found in Group-A as compare to Group-B in all symptoms.

Keywords: Janusandhigatavata, Osteoarthritis of Knee, Laksha Guggulu, Mukta Shukti Pishti.