A CLINICAL EVALUATION OF RAKTA MOKSHANA IN THE MANAGEMENT OF SANDHIGATA VATA WSR TO LUMBAR

SPONDYLOSISrdquo

DRFORAM JOSHIFinal Year MS (AYU SCHOLAR)

DEPARTMENT OF SHALYA TANTRAINSTITUTE FOR POST GRADUATE TEACHING amp RESEARCH IN AYURVEDA

GUJARAT AYURVEDA UNIVERSITY JAMNAGAR 1

Sandhigata Vata is an articular disorder mentioned under

Vatavyadhi mainly occurs in Vriddhavastha (elderly people) due to

Dhatukshaya

Kaphavrita Vyana Vayu also plays important role for its

manifestation by obstructing the circulation of Rasa amp Rakta Dhatu

Katishula Katistambha Akunchana Prasarana Pravruttischa

Savedna are the cardinal features of Sandhigata Vata

INTRODUCTION

Agnivesha krita Charaka Samhita editor Shastri KN edition reprint 2012 published by Chauhamba Bharti Acadamy Varanasi Chikitsa

Sthana Vatavyadhi chikitsa 28 228 p 811

Lumbar spondylosis is a degenerative

disorder characterized by insidious onset of

pain stiffness etc in low back with restricted

joint movements

This condition is correlated with

Sandhigata Vata due to its clinical

menifestation amp pathophysiology where

structural as well as functional changes are

manifested

Now a days Patients of lumbar spondylosis are bound to choose

analgesics anti-inflammatory drugs physiotherapy amp spinal

surgeries as treatment to improve the quality of life

These procedures are not fulfilling the goal of patients because of

very high cost adverse effects and their therapeutic limitations

Raktamokshana is a non-pharmacological and result oriented

therapy recommended in Ayurveda to manage painful conditions

Keeping this view the study had been planned to evaluate the

efficacy of Raktamokshana in the management of Sandhigata Vata

(Lumbar spondylosis)

JUSTIFICATION FOR SELECTION RAKTAMOKSHANA

SnavsiN2israpaPte Snehdahopnahnm |

tElm sNkuicteDWyDge maxsEgt2vsai2tm ||

Aagar2UmlvnteElleRp sltteAsltij |

suPteyene ve3 yuKte tu ktRVymupnahnm || (AHChi1222-23)

Raktamokshana has been recommended for the treatment of

Snayu Sandhigata Vata and for Vednashamanartha (acute

inflammatory conditions)

Shringa Yantra is specially recommended to let out the Vata

Dosha vitiated blood present in Twaka level or deeper to the Twaka

5

SHRINGAVACHARANA

Many Modified Shringa Yantras (MSYs) are

available in the market for purpose Raktamokshana

worldwide

The principles for application MSYs is also parallel

to ancient Shringa Yantra

So in this study Modified Shringa Yantra has been

selected for the purpose of Raktamokshana

6

MATERIAL amp METHODS

Modified Shringa Yantra

Disposable Sterile Needle No24

Kidney Trey

Madhu (Honey)

Tila Taila (Sessamum Oil)

Moist heat

bull Intervantion-ShringaAvacharna

bull Site ndash Lumbar Spine

bull Sitting ndash 2 sittings On 15 Days Interval

bull Follow Up Period- 1 Month

8

INCLUSION CRITERIA

1Patients suffering from

Sandhigata Vata (lumbar

Spondylosis)

2 Age group 40-70 years from

both of sex

EXCLUSION CRITERIA

1 Age below 40 years and above 70 years

2 Patients of uncontrolled Diabetes Mellitus

3 Other diseases psoriasis tuberculosis rheumatoid artheritisSevere Anemia Malignancy4 Pregnancy

Total 16 diagnosed cases of Sandhigata Vata were registered for the Study

from the OPD amp IPD of Shalyatantra department IPGT amp RA Jamnagar

9

RAKTAMOKSHANA PROCEDURE

PURVA KARMA

bull Informed written consent was taken

bull Mudga Yusha Paan

bull Local Snehana Swedana

bull Preparation of local part

bull Preparation of instruments and

equipments

10

PRADHAN KARMA

bull Site demarcation was done with application

of MSY

bull After proper vasodilatation all MSY were

removed

bull Pricking of skin was done in demarcated

area with help of disposable needleno24

bull Re-application of Modified Shringa Yantras

were done upto complete stoppage of

oozing

11

PASCHAT KARMA

bull Aseptic dressing with Haridra dusting was

done amp Madhu and Jal paan were given just

after the procedure

bull Placebo capsules were given in 1 bid dose

after meal with luke warm water during

interval period

bull Patients were advised to avoid

Vatavridhdhikara Ahara and Vihara during

treatment and follow up period

CRITERIA FOR ASSESSMENT

OBJECTIVE CRITERIA

bullKatishula

bullKati Stambha

bullKati Suptata

bullAkunchan Prasarne

Pravrutti Savedana

bullRange of movement

bullX ray of lumbar spine(KAL scale)

bullODI scale

bullVA scale

bull Schoberrsquos test

bull SLR Testbull Lassguersquos Sign

SUBJECTIVE CRITERIA

Assessment was done every week on the basis of

subjective and objective criteria for assessment in

specially prepared Performa

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

Sandhigata Vata is an articular disorder mentioned under

Vatavyadhi mainly occurs in Vriddhavastha (elderly people) due to

Dhatukshaya

Kaphavrita Vyana Vayu also plays important role for its

manifestation by obstructing the circulation of Rasa amp Rakta Dhatu

Katishula Katistambha Akunchana Prasarana Pravruttischa

Savedna are the cardinal features of Sandhigata Vata

INTRODUCTION

Agnivesha krita Charaka Samhita editor Shastri KN edition reprint 2012 published by Chauhamba Bharti Acadamy Varanasi Chikitsa

Sthana Vatavyadhi chikitsa 28 228 p 811

Lumbar spondylosis is a degenerative

disorder characterized by insidious onset of

pain stiffness etc in low back with restricted

joint movements

This condition is correlated with

Sandhigata Vata due to its clinical

menifestation amp pathophysiology where

structural as well as functional changes are

manifested

Now a days Patients of lumbar spondylosis are bound to choose

analgesics anti-inflammatory drugs physiotherapy amp spinal

surgeries as treatment to improve the quality of life

These procedures are not fulfilling the goal of patients because of

very high cost adverse effects and their therapeutic limitations

Raktamokshana is a non-pharmacological and result oriented

therapy recommended in Ayurveda to manage painful conditions

Keeping this view the study had been planned to evaluate the

efficacy of Raktamokshana in the management of Sandhigata Vata

(Lumbar spondylosis)

JUSTIFICATION FOR SELECTION RAKTAMOKSHANA

SnavsiN2israpaPte Snehdahopnahnm |

tElm sNkuicteDWyDge maxsEgt2vsai2tm ||

Aagar2UmlvnteElleRp sltteAsltij |

suPteyene ve3 yuKte tu ktRVymupnahnm || (AHChi1222-23)

Raktamokshana has been recommended for the treatment of

Snayu Sandhigata Vata and for Vednashamanartha (acute

inflammatory conditions)

Shringa Yantra is specially recommended to let out the Vata

Dosha vitiated blood present in Twaka level or deeper to the Twaka

5

SHRINGAVACHARANA

Many Modified Shringa Yantras (MSYs) are

available in the market for purpose Raktamokshana

worldwide

The principles for application MSYs is also parallel

to ancient Shringa Yantra

So in this study Modified Shringa Yantra has been

selected for the purpose of Raktamokshana

6

MATERIAL amp METHODS

Modified Shringa Yantra

Disposable Sterile Needle No24

Kidney Trey

Madhu (Honey)

Tila Taila (Sessamum Oil)

Moist heat

bull Intervantion-ShringaAvacharna

bull Site ndash Lumbar Spine

bull Sitting ndash 2 sittings On 15 Days Interval

bull Follow Up Period- 1 Month

8

INCLUSION CRITERIA

1Patients suffering from

Sandhigata Vata (lumbar

Spondylosis)

2 Age group 40-70 years from

both of sex

EXCLUSION CRITERIA

1 Age below 40 years and above 70 years

2 Patients of uncontrolled Diabetes Mellitus

3 Other diseases psoriasis tuberculosis rheumatoid artheritisSevere Anemia Malignancy4 Pregnancy

Total 16 diagnosed cases of Sandhigata Vata were registered for the Study

from the OPD amp IPD of Shalyatantra department IPGT amp RA Jamnagar

9

RAKTAMOKSHANA PROCEDURE

PURVA KARMA

bull Informed written consent was taken

bull Mudga Yusha Paan

bull Local Snehana Swedana

bull Preparation of local part

bull Preparation of instruments and

equipments

10

PRADHAN KARMA

bull Site demarcation was done with application

of MSY

bull After proper vasodilatation all MSY were

removed

bull Pricking of skin was done in demarcated

area with help of disposable needleno24

bull Re-application of Modified Shringa Yantras

were done upto complete stoppage of

oozing

11

PASCHAT KARMA

bull Aseptic dressing with Haridra dusting was

done amp Madhu and Jal paan were given just

after the procedure

bull Placebo capsules were given in 1 bid dose

after meal with luke warm water during

interval period

bull Patients were advised to avoid

Vatavridhdhikara Ahara and Vihara during

treatment and follow up period

CRITERIA FOR ASSESSMENT

OBJECTIVE CRITERIA

bullKatishula

bullKati Stambha

bullKati Suptata

bullAkunchan Prasarne

Pravrutti Savedana

bullRange of movement

bullX ray of lumbar spine(KAL scale)

bullODI scale

bullVA scale

bull Schoberrsquos test

bull SLR Testbull Lassguersquos Sign

SUBJECTIVE CRITERIA

Assessment was done every week on the basis of

subjective and objective criteria for assessment in

specially prepared Performa

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

Lumbar spondylosis is a degenerative

disorder characterized by insidious onset of

pain stiffness etc in low back with restricted

joint movements

This condition is correlated with

Sandhigata Vata due to its clinical

menifestation amp pathophysiology where

structural as well as functional changes are

manifested

Now a days Patients of lumbar spondylosis are bound to choose

analgesics anti-inflammatory drugs physiotherapy amp spinal

surgeries as treatment to improve the quality of life

These procedures are not fulfilling the goal of patients because of

very high cost adverse effects and their therapeutic limitations

Raktamokshana is a non-pharmacological and result oriented

therapy recommended in Ayurveda to manage painful conditions

Keeping this view the study had been planned to evaluate the

efficacy of Raktamokshana in the management of Sandhigata Vata

(Lumbar spondylosis)

JUSTIFICATION FOR SELECTION RAKTAMOKSHANA

SnavsiN2israpaPte Snehdahopnahnm |

tElm sNkuicteDWyDge maxsEgt2vsai2tm ||

Aagar2UmlvnteElleRp sltteAsltij |

suPteyene ve3 yuKte tu ktRVymupnahnm || (AHChi1222-23)

Raktamokshana has been recommended for the treatment of

Snayu Sandhigata Vata and for Vednashamanartha (acute

inflammatory conditions)

Shringa Yantra is specially recommended to let out the Vata

Dosha vitiated blood present in Twaka level or deeper to the Twaka

5

SHRINGAVACHARANA

Many Modified Shringa Yantras (MSYs) are

available in the market for purpose Raktamokshana

worldwide

The principles for application MSYs is also parallel

to ancient Shringa Yantra

So in this study Modified Shringa Yantra has been

selected for the purpose of Raktamokshana

6

MATERIAL amp METHODS

Modified Shringa Yantra

Disposable Sterile Needle No24

Kidney Trey

Madhu (Honey)

Tila Taila (Sessamum Oil)

Moist heat

bull Intervantion-ShringaAvacharna

bull Site ndash Lumbar Spine

bull Sitting ndash 2 sittings On 15 Days Interval

bull Follow Up Period- 1 Month

8

INCLUSION CRITERIA

1Patients suffering from

Sandhigata Vata (lumbar

Spondylosis)

2 Age group 40-70 years from

both of sex

EXCLUSION CRITERIA

1 Age below 40 years and above 70 years

2 Patients of uncontrolled Diabetes Mellitus

3 Other diseases psoriasis tuberculosis rheumatoid artheritisSevere Anemia Malignancy4 Pregnancy

Total 16 diagnosed cases of Sandhigata Vata were registered for the Study

from the OPD amp IPD of Shalyatantra department IPGT amp RA Jamnagar

9

RAKTAMOKSHANA PROCEDURE

PURVA KARMA

bull Informed written consent was taken

bull Mudga Yusha Paan

bull Local Snehana Swedana

bull Preparation of local part

bull Preparation of instruments and

equipments

10

PRADHAN KARMA

bull Site demarcation was done with application

of MSY

bull After proper vasodilatation all MSY were

removed

bull Pricking of skin was done in demarcated

area with help of disposable needleno24

bull Re-application of Modified Shringa Yantras

were done upto complete stoppage of

oozing

11

PASCHAT KARMA

bull Aseptic dressing with Haridra dusting was

done amp Madhu and Jal paan were given just

after the procedure

bull Placebo capsules were given in 1 bid dose

after meal with luke warm water during

interval period

bull Patients were advised to avoid

Vatavridhdhikara Ahara and Vihara during

treatment and follow up period

CRITERIA FOR ASSESSMENT

OBJECTIVE CRITERIA

bullKatishula

bullKati Stambha

bullKati Suptata

bullAkunchan Prasarne

Pravrutti Savedana

bullRange of movement

bullX ray of lumbar spine(KAL scale)

bullODI scale

bullVA scale

bull Schoberrsquos test

bull SLR Testbull Lassguersquos Sign

SUBJECTIVE CRITERIA

Assessment was done every week on the basis of

subjective and objective criteria for assessment in

specially prepared Performa

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

Now a days Patients of lumbar spondylosis are bound to choose

analgesics anti-inflammatory drugs physiotherapy amp spinal

surgeries as treatment to improve the quality of life

These procedures are not fulfilling the goal of patients because of

very high cost adverse effects and their therapeutic limitations

Raktamokshana is a non-pharmacological and result oriented

therapy recommended in Ayurveda to manage painful conditions

Keeping this view the study had been planned to evaluate the

efficacy of Raktamokshana in the management of Sandhigata Vata

(Lumbar spondylosis)

JUSTIFICATION FOR SELECTION RAKTAMOKSHANA

SnavsiN2israpaPte Snehdahopnahnm |

tElm sNkuicteDWyDge maxsEgt2vsai2tm ||

Aagar2UmlvnteElleRp sltteAsltij |

suPteyene ve3 yuKte tu ktRVymupnahnm || (AHChi1222-23)

Raktamokshana has been recommended for the treatment of

Snayu Sandhigata Vata and for Vednashamanartha (acute

inflammatory conditions)

Shringa Yantra is specially recommended to let out the Vata

Dosha vitiated blood present in Twaka level or deeper to the Twaka

5

SHRINGAVACHARANA

Many Modified Shringa Yantras (MSYs) are

available in the market for purpose Raktamokshana

worldwide

The principles for application MSYs is also parallel

to ancient Shringa Yantra

So in this study Modified Shringa Yantra has been

selected for the purpose of Raktamokshana

6

MATERIAL amp METHODS

Modified Shringa Yantra

Disposable Sterile Needle No24

Kidney Trey

Madhu (Honey)

Tila Taila (Sessamum Oil)

Moist heat

bull Intervantion-ShringaAvacharna

bull Site ndash Lumbar Spine

bull Sitting ndash 2 sittings On 15 Days Interval

bull Follow Up Period- 1 Month

8

INCLUSION CRITERIA

1Patients suffering from

Sandhigata Vata (lumbar

Spondylosis)

2 Age group 40-70 years from

both of sex

EXCLUSION CRITERIA

1 Age below 40 years and above 70 years

2 Patients of uncontrolled Diabetes Mellitus

3 Other diseases psoriasis tuberculosis rheumatoid artheritisSevere Anemia Malignancy4 Pregnancy

Total 16 diagnosed cases of Sandhigata Vata were registered for the Study

from the OPD amp IPD of Shalyatantra department IPGT amp RA Jamnagar

9

RAKTAMOKSHANA PROCEDURE

PURVA KARMA

bull Informed written consent was taken

bull Mudga Yusha Paan

bull Local Snehana Swedana

bull Preparation of local part

bull Preparation of instruments and

equipments

10

PRADHAN KARMA

bull Site demarcation was done with application

of MSY

bull After proper vasodilatation all MSY were

removed

bull Pricking of skin was done in demarcated

area with help of disposable needleno24

bull Re-application of Modified Shringa Yantras

were done upto complete stoppage of

oozing

11

PASCHAT KARMA

bull Aseptic dressing with Haridra dusting was

done amp Madhu and Jal paan were given just

after the procedure

bull Placebo capsules were given in 1 bid dose

after meal with luke warm water during

interval period

bull Patients were advised to avoid

Vatavridhdhikara Ahara and Vihara during

treatment and follow up period

CRITERIA FOR ASSESSMENT

OBJECTIVE CRITERIA

bullKatishula

bullKati Stambha

bullKati Suptata

bullAkunchan Prasarne

Pravrutti Savedana

bullRange of movement

bullX ray of lumbar spine(KAL scale)

bullODI scale

bullVA scale

bull Schoberrsquos test

bull SLR Testbull Lassguersquos Sign

SUBJECTIVE CRITERIA

Assessment was done every week on the basis of

subjective and objective criteria for assessment in

specially prepared Performa

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

JUSTIFICATION FOR SELECTION RAKTAMOKSHANA

SnavsiN2israpaPte Snehdahopnahnm |

tElm sNkuicteDWyDge maxsEgt2vsai2tm ||

Aagar2UmlvnteElleRp sltteAsltij |

suPteyene ve3 yuKte tu ktRVymupnahnm || (AHChi1222-23)

Raktamokshana has been recommended for the treatment of

Snayu Sandhigata Vata and for Vednashamanartha (acute

inflammatory conditions)

Shringa Yantra is specially recommended to let out the Vata

Dosha vitiated blood present in Twaka level or deeper to the Twaka

5

SHRINGAVACHARANA

Many Modified Shringa Yantras (MSYs) are

available in the market for purpose Raktamokshana

worldwide

The principles for application MSYs is also parallel

to ancient Shringa Yantra

So in this study Modified Shringa Yantra has been

selected for the purpose of Raktamokshana

6

MATERIAL amp METHODS

Modified Shringa Yantra

Disposable Sterile Needle No24

Kidney Trey

Madhu (Honey)

Tila Taila (Sessamum Oil)

Moist heat

bull Intervantion-ShringaAvacharna

bull Site ndash Lumbar Spine

bull Sitting ndash 2 sittings On 15 Days Interval

bull Follow Up Period- 1 Month

8

INCLUSION CRITERIA

1Patients suffering from

Sandhigata Vata (lumbar

Spondylosis)

2 Age group 40-70 years from

both of sex

EXCLUSION CRITERIA

1 Age below 40 years and above 70 years

2 Patients of uncontrolled Diabetes Mellitus

3 Other diseases psoriasis tuberculosis rheumatoid artheritisSevere Anemia Malignancy4 Pregnancy

Total 16 diagnosed cases of Sandhigata Vata were registered for the Study

from the OPD amp IPD of Shalyatantra department IPGT amp RA Jamnagar

9

RAKTAMOKSHANA PROCEDURE

PURVA KARMA

bull Informed written consent was taken

bull Mudga Yusha Paan

bull Local Snehana Swedana

bull Preparation of local part

bull Preparation of instruments and

equipments

10

PRADHAN KARMA

bull Site demarcation was done with application

of MSY

bull After proper vasodilatation all MSY were

removed

bull Pricking of skin was done in demarcated

area with help of disposable needleno24

bull Re-application of Modified Shringa Yantras

were done upto complete stoppage of

oozing

11

PASCHAT KARMA

bull Aseptic dressing with Haridra dusting was

done amp Madhu and Jal paan were given just

after the procedure

bull Placebo capsules were given in 1 bid dose

after meal with luke warm water during

interval period

bull Patients were advised to avoid

Vatavridhdhikara Ahara and Vihara during

treatment and follow up period

CRITERIA FOR ASSESSMENT

OBJECTIVE CRITERIA

bullKatishula

bullKati Stambha

bullKati Suptata

bullAkunchan Prasarne

Pravrutti Savedana

bullRange of movement

bullX ray of lumbar spine(KAL scale)

bullODI scale

bullVA scale

bull Schoberrsquos test

bull SLR Testbull Lassguersquos Sign

SUBJECTIVE CRITERIA

Assessment was done every week on the basis of

subjective and objective criteria for assessment in

specially prepared Performa

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

SHRINGAVACHARANA

Many Modified Shringa Yantras (MSYs) are

available in the market for purpose Raktamokshana

worldwide

The principles for application MSYs is also parallel

to ancient Shringa Yantra

So in this study Modified Shringa Yantra has been

selected for the purpose of Raktamokshana

6

MATERIAL amp METHODS

Modified Shringa Yantra

Disposable Sterile Needle No24

Kidney Trey

Madhu (Honey)

Tila Taila (Sessamum Oil)

Moist heat

bull Intervantion-ShringaAvacharna

bull Site ndash Lumbar Spine

bull Sitting ndash 2 sittings On 15 Days Interval

bull Follow Up Period- 1 Month

8

INCLUSION CRITERIA

1Patients suffering from

Sandhigata Vata (lumbar

Spondylosis)

2 Age group 40-70 years from

both of sex

EXCLUSION CRITERIA

1 Age below 40 years and above 70 years

2 Patients of uncontrolled Diabetes Mellitus

3 Other diseases psoriasis tuberculosis rheumatoid artheritisSevere Anemia Malignancy4 Pregnancy

Total 16 diagnosed cases of Sandhigata Vata were registered for the Study

from the OPD amp IPD of Shalyatantra department IPGT amp RA Jamnagar

9

RAKTAMOKSHANA PROCEDURE

PURVA KARMA

bull Informed written consent was taken

bull Mudga Yusha Paan

bull Local Snehana Swedana

bull Preparation of local part

bull Preparation of instruments and

equipments

10

PRADHAN KARMA

bull Site demarcation was done with application

of MSY

bull After proper vasodilatation all MSY were

removed

bull Pricking of skin was done in demarcated

area with help of disposable needleno24

bull Re-application of Modified Shringa Yantras

were done upto complete stoppage of

oozing

11

PASCHAT KARMA

bull Aseptic dressing with Haridra dusting was

done amp Madhu and Jal paan were given just

after the procedure

bull Placebo capsules were given in 1 bid dose

after meal with luke warm water during

interval period

bull Patients were advised to avoid

Vatavridhdhikara Ahara and Vihara during

treatment and follow up period

CRITERIA FOR ASSESSMENT

OBJECTIVE CRITERIA

bullKatishula

bullKati Stambha

bullKati Suptata

bullAkunchan Prasarne

Pravrutti Savedana

bullRange of movement

bullX ray of lumbar spine(KAL scale)

bullODI scale

bullVA scale

bull Schoberrsquos test

bull SLR Testbull Lassguersquos Sign

SUBJECTIVE CRITERIA

Assessment was done every week on the basis of

subjective and objective criteria for assessment in

specially prepared Performa

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

MATERIAL amp METHODS

Modified Shringa Yantra

Disposable Sterile Needle No24

Kidney Trey

Madhu (Honey)

Tila Taila (Sessamum Oil)

Moist heat

bull Intervantion-ShringaAvacharna

bull Site ndash Lumbar Spine

bull Sitting ndash 2 sittings On 15 Days Interval

bull Follow Up Period- 1 Month

8

INCLUSION CRITERIA

1Patients suffering from

Sandhigata Vata (lumbar

Spondylosis)

2 Age group 40-70 years from

both of sex

EXCLUSION CRITERIA

1 Age below 40 years and above 70 years

2 Patients of uncontrolled Diabetes Mellitus

3 Other diseases psoriasis tuberculosis rheumatoid artheritisSevere Anemia Malignancy4 Pregnancy

Total 16 diagnosed cases of Sandhigata Vata were registered for the Study

from the OPD amp IPD of Shalyatantra department IPGT amp RA Jamnagar

9

RAKTAMOKSHANA PROCEDURE

PURVA KARMA

bull Informed written consent was taken

bull Mudga Yusha Paan

bull Local Snehana Swedana

bull Preparation of local part

bull Preparation of instruments and

equipments

10

PRADHAN KARMA

bull Site demarcation was done with application

of MSY

bull After proper vasodilatation all MSY were

removed

bull Pricking of skin was done in demarcated

area with help of disposable needleno24

bull Re-application of Modified Shringa Yantras

were done upto complete stoppage of

oozing

11

PASCHAT KARMA

bull Aseptic dressing with Haridra dusting was

done amp Madhu and Jal paan were given just

after the procedure

bull Placebo capsules were given in 1 bid dose

after meal with luke warm water during

interval period

bull Patients were advised to avoid

Vatavridhdhikara Ahara and Vihara during

treatment and follow up period

CRITERIA FOR ASSESSMENT

OBJECTIVE CRITERIA

bullKatishula

bullKati Stambha

bullKati Suptata

bullAkunchan Prasarne

Pravrutti Savedana

bullRange of movement

bullX ray of lumbar spine(KAL scale)

bullODI scale

bullVA scale

bull Schoberrsquos test

bull SLR Testbull Lassguersquos Sign

SUBJECTIVE CRITERIA

Assessment was done every week on the basis of

subjective and objective criteria for assessment in

specially prepared Performa

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

8

INCLUSION CRITERIA

1Patients suffering from

Sandhigata Vata (lumbar

Spondylosis)

2 Age group 40-70 years from

both of sex

EXCLUSION CRITERIA

1 Age below 40 years and above 70 years

2 Patients of uncontrolled Diabetes Mellitus

3 Other diseases psoriasis tuberculosis rheumatoid artheritisSevere Anemia Malignancy4 Pregnancy

Total 16 diagnosed cases of Sandhigata Vata were registered for the Study

from the OPD amp IPD of Shalyatantra department IPGT amp RA Jamnagar

9

RAKTAMOKSHANA PROCEDURE

PURVA KARMA

bull Informed written consent was taken

bull Mudga Yusha Paan

bull Local Snehana Swedana

bull Preparation of local part

bull Preparation of instruments and

equipments

10

PRADHAN KARMA

bull Site demarcation was done with application

of MSY

bull After proper vasodilatation all MSY were

removed

bull Pricking of skin was done in demarcated

area with help of disposable needleno24

bull Re-application of Modified Shringa Yantras

were done upto complete stoppage of

oozing

11

PASCHAT KARMA

bull Aseptic dressing with Haridra dusting was

done amp Madhu and Jal paan were given just

after the procedure

bull Placebo capsules were given in 1 bid dose

after meal with luke warm water during

interval period

bull Patients were advised to avoid

Vatavridhdhikara Ahara and Vihara during

treatment and follow up period

CRITERIA FOR ASSESSMENT

OBJECTIVE CRITERIA

bullKatishula

bullKati Stambha

bullKati Suptata

bullAkunchan Prasarne

Pravrutti Savedana

bullRange of movement

bullX ray of lumbar spine(KAL scale)

bullODI scale

bullVA scale

bull Schoberrsquos test

bull SLR Testbull Lassguersquos Sign

SUBJECTIVE CRITERIA

Assessment was done every week on the basis of

subjective and objective criteria for assessment in

specially prepared Performa

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

9

RAKTAMOKSHANA PROCEDURE

PURVA KARMA

bull Informed written consent was taken

bull Mudga Yusha Paan

bull Local Snehana Swedana

bull Preparation of local part

bull Preparation of instruments and

equipments

10

PRADHAN KARMA

bull Site demarcation was done with application

of MSY

bull After proper vasodilatation all MSY were

removed

bull Pricking of skin was done in demarcated

area with help of disposable needleno24

bull Re-application of Modified Shringa Yantras

were done upto complete stoppage of

oozing

11

PASCHAT KARMA

bull Aseptic dressing with Haridra dusting was

done amp Madhu and Jal paan were given just

after the procedure

bull Placebo capsules were given in 1 bid dose

after meal with luke warm water during

interval period

bull Patients were advised to avoid

Vatavridhdhikara Ahara and Vihara during

treatment and follow up period

CRITERIA FOR ASSESSMENT

OBJECTIVE CRITERIA

bullKatishula

bullKati Stambha

bullKati Suptata

bullAkunchan Prasarne

Pravrutti Savedana

bullRange of movement

bullX ray of lumbar spine(KAL scale)

bullODI scale

bullVA scale

bull Schoberrsquos test

bull SLR Testbull Lassguersquos Sign

SUBJECTIVE CRITERIA

Assessment was done every week on the basis of

subjective and objective criteria for assessment in

specially prepared Performa

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

10

PRADHAN KARMA

bull Site demarcation was done with application

of MSY

bull After proper vasodilatation all MSY were

removed

bull Pricking of skin was done in demarcated

area with help of disposable needleno24

bull Re-application of Modified Shringa Yantras

were done upto complete stoppage of

oozing

11

PASCHAT KARMA

bull Aseptic dressing with Haridra dusting was

done amp Madhu and Jal paan were given just

after the procedure

bull Placebo capsules were given in 1 bid dose

after meal with luke warm water during

interval period

bull Patients were advised to avoid

Vatavridhdhikara Ahara and Vihara during

treatment and follow up period

CRITERIA FOR ASSESSMENT

OBJECTIVE CRITERIA

bullKatishula

bullKati Stambha

bullKati Suptata

bullAkunchan Prasarne

Pravrutti Savedana

bullRange of movement

bullX ray of lumbar spine(KAL scale)

bullODI scale

bullVA scale

bull Schoberrsquos test

bull SLR Testbull Lassguersquos Sign

SUBJECTIVE CRITERIA

Assessment was done every week on the basis of

subjective and objective criteria for assessment in

specially prepared Performa

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

11

PASCHAT KARMA

bull Aseptic dressing with Haridra dusting was

done amp Madhu and Jal paan were given just

after the procedure

bull Placebo capsules were given in 1 bid dose

after meal with luke warm water during

interval period

bull Patients were advised to avoid

Vatavridhdhikara Ahara and Vihara during

treatment and follow up period

CRITERIA FOR ASSESSMENT

OBJECTIVE CRITERIA

bullKatishula

bullKati Stambha

bullKati Suptata

bullAkunchan Prasarne

Pravrutti Savedana

bullRange of movement

bullX ray of lumbar spine(KAL scale)

bullODI scale

bullVA scale

bull Schoberrsquos test

bull SLR Testbull Lassguersquos Sign

SUBJECTIVE CRITERIA

Assessment was done every week on the basis of

subjective and objective criteria for assessment in

specially prepared Performa

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

CRITERIA FOR ASSESSMENT

OBJECTIVE CRITERIA

bullKatishula

bullKati Stambha

bullKati Suptata

bullAkunchan Prasarne

Pravrutti Savedana

bullRange of movement

bullX ray of lumbar spine(KAL scale)

bullODI scale

bullVA scale

bull Schoberrsquos test

bull SLR Testbull Lassguersquos Sign

SUBJECTIVE CRITERIA

Assessment was done every week on the basis of

subjective and objective criteria for assessment in

specially prepared Performa

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

Routine hematological(Hb TLCDLC ESR) amp FBS

Urine routine amp microscopic examination

Serum calcium amp Ra Qualitative Test

X-ray Lumbo sacral spine AP amp Lateral view

13

INVESTIGATIONS BT ampAT

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

CHIEF COMPLAINTS

100

6250

2813

9688

0

20

40

60

80

100

120

KATISHULA KATI STAMBHA KATI SUPTATA AKUNCHANA PRASARAN PRAVRUTTI SAVEDANA

14

OBSERVATIOS ampRESULTS

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

PERSONAL HISTORY

75

5313

3125

1875

3438

0

10

20

30

40

50

60

70

80

18

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

5313 patients are having irregular sleep (Khandit

Alpa Anindra ) which might have provoked Vata Dosha

and played important role for Dhatu Kshaya

Moreover the emotional disturbances also hamper the

normal sleep and initiate attack of low back pain and

spinal stiffness as per some psychologist

19

DISCUSSION ON PERSONAL HISTORY

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

20

3125 patients were having tobacco addiction where as 1875 patients

were alcohol addicted Due to Ruksha amp Vyavayi Guna Vata Dosha would have

been provoked and might have caused LS ultimately

3438 female were attained menopause Lack of female hormone

(oestrogen) in this period plays important role in calcium binding capacity of

bones This condition can be correlated with Dhatu Kshaya and Vayu Prakop

which might have lead to Sandhigata Vata

Clinical study on Sandhigata Vata wsr to Osteoarthritis and its management by Panchatikta Ghrita Guggulu

Babul Akhtar et al Ayu 2010 Jan-Mar 31(1) 53ndash57

25

8750

5938

25

9063

756563

5625

0102030405060708090

100

21

AGGRAVATING FACTORS

875 patients were having aggravation of symptoms due to seasonal

changes As it is obvious that in cold weather due to increase of Shita Rukhadi

Guna in atmosphere hamper the Dhatu Poshana and due to Adana Kala

patients feel Balakshaya and unable to bear Vedana

9063 patients have observed aggravated symptoms due to continuous

standing positions for long time 7500 patients aggravated pain due to

walking for long time and 6563 patients aggravated pain due to weight

lifting which are self explanatory

22

DISCUSSION ON AGGRAVATING

FACTORS

EFFECT ON SUBJECTIVE PARAMETERS

5405

652260

4643

KATI SHULA KATI STAMBHA KATI SUPTATA AP SAVEDANA

RAKTAMOKSHANA

23

16 Katishula 231 106 54054 0774 0196 6455 lt0001

HS

16 Katistambha 23 08 65217 0707 02236 67082 0002 S

16 Katisuptata 167 0670 60 0721 02120 65200 0031 S

16 Akunchana

prasarane

pravrutti

Savedana

175 0937 46429 075 01875 433 0002 S

EFFECT OF RAKTAMOKSHANA ON

SUBJECTIVE PARAMETERS

24

Wilcoxon Signed Rank Test

EFFECT OF THERAPY ON OBJECTIVE PARAMETERS

6150

50

90

50 47505555

75

4722

FORWARD FLEXION

LATERAL FLEXION

EXTENSION VAS SLR LASEGUE ODI SCHOBERS TEST

FORWARD FLEXION LATERAL FLEXION EXTENSION

VAS SLR LASEGUE

ODI SCHOBERS TEST

25

15 Flexion 173 067 6153 0457 011 9252 lt0001 HS

2 Rt L Flexion 2 1 50 045 - - 05 NS

2 Lt L Flextion 1 05 50 - - - 05 NS

9 Extension 111 0111 90 05 0167 6 0008 S

16 VAS 2 1 50 0365 009 1095 lt0001 HS

16 SLR 25 13125 475 0655 0165 725 lt0001 HS

16 Lasseguersquos

Sign

056 025 5555 0602 015 2074 lt0001 HS

16 ODI 125 03125 75 057 0143 653 lt0001 HS

16 Schoberrsquos test 225 118 4722 0771 0193 5505 0001 HS

EFFECT OF RAKTAMOKSHANA ON OBJECTIVE

PARAMETERS

26

Wilcoxon Signed Rank Test

OVERALL EFFECT OF THERAPY

0

25

75

0

MILD(21-40) MODERATE (41-60) Marked (61-80) complete Remission (81-100)

RAKTAMOKSHANA

27

28

BY APPLYING MSY

Dhatu Kshaya

Janya Samprapti

Marga Avarana

Janya Samprapti

Removes Vata

vitiated blood

Establishes Proper Rasa

Rakta Samvahana amp

regulates the function of

Prakrut Vata ndash ie

Gati Vibhajana Etc

Removes Avarana of

Shleshma over Vyana

Vayu

Improves Rasa Rakta

Samvahana amp Poshana Krama

Reduces Shotha

Janya Samprapti

PROBABLE MODE

OF ACTION OF

RAKTAMOKSHANA

29

BLOOD LETTING THERAPY

Normal body tissues under constant positive pressure and opposite to

atmospheric pressure

Inflammatory changes can cause collection of interstitial fluid at the site of tissue damage

Which Increases pressure on the

tissue walls

By application of cups

Establishment of negative pressure amp

suction

Which lead toVasodilatation amp

improvement of local blood circulation

Process of blood letting

Releases amp eliminates toxins amp

inflammatory agents amp

Decreases the tissue pressure

Ultimately Normal blood

flow is established

Viability of normal tissue

and proper nourishment of

tissues is achieved

Finally Localised pain

Is relieved

30

CONCLUSION

Sandhigata Vata is a Vata Vikara which is Kashtasadhya in nature and it

can be correlated with lumbar spondylosis

Raktamokshana is an office procedure amp practically it gives good results

specially in Marga- Avarana Janya Samprapti with potential effects

No adverse effect was observed in this study

31THANK YOUALL

875 patients were having aggravation of symptoms due to seasonal

changes As it is obvious that in cold weather due to increase of Shita Rukhadi

Guna in atmosphere hamper the Dhatu Poshana and due to Adana Kala

patients feel Balakshaya and unable to bear Vedana

9063 patients have observed aggravated symptoms due to continuous

standing positions for long time 7500 patients aggravated pain due to

walking for long time and 6563 patients aggravated pain due to weight

lifting which are self explanatory

22

DISCUSSION ON AGGRAVATING

FACTORS

EFFECT ON SUBJECTIVE PARAMETERS

5405

652260

4643

KATI SHULA KATI STAMBHA KATI SUPTATA AP SAVEDANA

RAKTAMOKSHANA

23

16 Katishula 231 106 54054 0774 0196 6455 lt0001

HS

16 Katistambha 23 08 65217 0707 02236 67082 0002 S

16 Katisuptata 167 0670 60 0721 02120 65200 0031 S

16 Akunchana

prasarane

pravrutti

Savedana

175 0937 46429 075 01875 433 0002 S

EFFECT OF RAKTAMOKSHANA ON

SUBJECTIVE PARAMETERS

24

Wilcoxon Signed Rank Test

EFFECT OF THERAPY ON OBJECTIVE PARAMETERS

6150

50

90

50 47505555

75

4722

FORWARD FLEXION

LATERAL FLEXION

EXTENSION VAS SLR LASEGUE ODI SCHOBERS TEST

FORWARD FLEXION LATERAL FLEXION EXTENSION

VAS SLR LASEGUE

ODI SCHOBERS TEST

25

15 Flexion 173 067 6153 0457 011 9252 lt0001 HS

2 Rt L Flexion 2 1 50 045 - - 05 NS

2 Lt L Flextion 1 05 50 - - - 05 NS

9 Extension 111 0111 90 05 0167 6 0008 S

16 VAS 2 1 50 0365 009 1095 lt0001 HS

16 SLR 25 13125 475 0655 0165 725 lt0001 HS

16 Lasseguersquos

Sign

056 025 5555 0602 015 2074 lt0001 HS

16 ODI 125 03125 75 057 0143 653 lt0001 HS

16 Schoberrsquos test 225 118 4722 0771 0193 5505 0001 HS

EFFECT OF RAKTAMOKSHANA ON OBJECTIVE

PARAMETERS

26

Wilcoxon Signed Rank Test

OVERALL EFFECT OF THERAPY

0

25

75

0

MILD(21-40) MODERATE (41-60) Marked (61-80) complete Remission (81-100)

RAKTAMOKSHANA

27

28

BY APPLYING MSY

Dhatu Kshaya

Janya Samprapti

Marga Avarana

Janya Samprapti

Removes Vata

vitiated blood

Establishes Proper Rasa

Rakta Samvahana amp

regulates the function of

Prakrut Vata ndash ie

Gati Vibhajana Etc

Removes Avarana of

Shleshma over Vyana

Vayu

Improves Rasa Rakta

Samvahana amp Poshana Krama

Reduces Shotha

Janya Samprapti

PROBABLE MODE

OF ACTION OF

RAKTAMOKSHANA

29

BLOOD LETTING THERAPY

Normal body tissues under constant positive pressure and opposite to

atmospheric pressure

Inflammatory changes can cause collection of interstitial fluid at the site of tissue damage

Which Increases pressure on the

tissue walls

By application of cups

Establishment of negative pressure amp

suction

Which lead toVasodilatation amp

improvement of local blood circulation

Process of blood letting

Releases amp eliminates toxins amp

inflammatory agents amp

Decreases the tissue pressure

Ultimately Normal blood

flow is established

Viability of normal tissue

and proper nourishment of

tissues is achieved

Finally Localised pain

Is relieved

30

CONCLUSION

Sandhigata Vata is a Vata Vikara which is Kashtasadhya in nature and it

can be correlated with lumbar spondylosis

Raktamokshana is an office procedure amp practically it gives good results

specially in Marga- Avarana Janya Samprapti with potential effects

No adverse effect was observed in this study

31THANK YOUALL

EFFECT ON SUBJECTIVE PARAMETERS

5405

652260

4643

KATI SHULA KATI STAMBHA KATI SUPTATA AP SAVEDANA

RAKTAMOKSHANA

23

16 Katishula 231 106 54054 0774 0196 6455 lt0001

HS

16 Katistambha 23 08 65217 0707 02236 67082 0002 S

16 Katisuptata 167 0670 60 0721 02120 65200 0031 S

16 Akunchana

prasarane

pravrutti

Savedana

175 0937 46429 075 01875 433 0002 S

EFFECT OF RAKTAMOKSHANA ON

SUBJECTIVE PARAMETERS

24

Wilcoxon Signed Rank Test

EFFECT OF THERAPY ON OBJECTIVE PARAMETERS

6150

50

90

50 47505555

75

4722

FORWARD FLEXION

LATERAL FLEXION

EXTENSION VAS SLR LASEGUE ODI SCHOBERS TEST

FORWARD FLEXION LATERAL FLEXION EXTENSION

VAS SLR LASEGUE

ODI SCHOBERS TEST

25

15 Flexion 173 067 6153 0457 011 9252 lt0001 HS

2 Rt L Flexion 2 1 50 045 - - 05 NS

2 Lt L Flextion 1 05 50 - - - 05 NS

9 Extension 111 0111 90 05 0167 6 0008 S

16 VAS 2 1 50 0365 009 1095 lt0001 HS

16 SLR 25 13125 475 0655 0165 725 lt0001 HS

16 Lasseguersquos

Sign

056 025 5555 0602 015 2074 lt0001 HS

16 ODI 125 03125 75 057 0143 653 lt0001 HS

16 Schoberrsquos test 225 118 4722 0771 0193 5505 0001 HS

EFFECT OF RAKTAMOKSHANA ON OBJECTIVE

PARAMETERS

26

Wilcoxon Signed Rank Test

OVERALL EFFECT OF THERAPY

0

25

75

0

MILD(21-40) MODERATE (41-60) Marked (61-80) complete Remission (81-100)

RAKTAMOKSHANA

27

28

BY APPLYING MSY

Dhatu Kshaya

Janya Samprapti

Marga Avarana

Janya Samprapti

Removes Vata

vitiated blood

Establishes Proper Rasa

Rakta Samvahana amp

regulates the function of

Prakrut Vata ndash ie

Gati Vibhajana Etc

Removes Avarana of

Shleshma over Vyana

Vayu

Improves Rasa Rakta

Samvahana amp Poshana Krama

Reduces Shotha

Janya Samprapti

PROBABLE MODE

OF ACTION OF

RAKTAMOKSHANA

29

BLOOD LETTING THERAPY

Normal body tissues under constant positive pressure and opposite to

atmospheric pressure

Inflammatory changes can cause collection of interstitial fluid at the site of tissue damage

Which Increases pressure on the

tissue walls

By application of cups

Establishment of negative pressure amp

suction

Which lead toVasodilatation amp

improvement of local blood circulation

Process of blood letting

Releases amp eliminates toxins amp

inflammatory agents amp

Decreases the tissue pressure

Ultimately Normal blood

flow is established

Viability of normal tissue

and proper nourishment of

tissues is achieved

Finally Localised pain

Is relieved

30

CONCLUSION

Sandhigata Vata is a Vata Vikara which is Kashtasadhya in nature and it

can be correlated with lumbar spondylosis

Raktamokshana is an office procedure amp practically it gives good results

specially in Marga- Avarana Janya Samprapti with potential effects

No adverse effect was observed in this study

31THANK YOUALL

16 Katishula 231 106 54054 0774 0196 6455 lt0001

HS

16 Katistambha 23 08 65217 0707 02236 67082 0002 S

16 Katisuptata 167 0670 60 0721 02120 65200 0031 S

16 Akunchana

prasarane

pravrutti

Savedana

175 0937 46429 075 01875 433 0002 S

EFFECT OF RAKTAMOKSHANA ON

SUBJECTIVE PARAMETERS

24

Wilcoxon Signed Rank Test

EFFECT OF THERAPY ON OBJECTIVE PARAMETERS

6150

50

90

50 47505555

75

4722

FORWARD FLEXION

LATERAL FLEXION

EXTENSION VAS SLR LASEGUE ODI SCHOBERS TEST

FORWARD FLEXION LATERAL FLEXION EXTENSION

VAS SLR LASEGUE

ODI SCHOBERS TEST

25

15 Flexion 173 067 6153 0457 011 9252 lt0001 HS

2 Rt L Flexion 2 1 50 045 - - 05 NS

2 Lt L Flextion 1 05 50 - - - 05 NS

9 Extension 111 0111 90 05 0167 6 0008 S

16 VAS 2 1 50 0365 009 1095 lt0001 HS

16 SLR 25 13125 475 0655 0165 725 lt0001 HS

16 Lasseguersquos

Sign

056 025 5555 0602 015 2074 lt0001 HS

16 ODI 125 03125 75 057 0143 653 lt0001 HS

16 Schoberrsquos test 225 118 4722 0771 0193 5505 0001 HS

EFFECT OF RAKTAMOKSHANA ON OBJECTIVE

PARAMETERS

26

Wilcoxon Signed Rank Test

OVERALL EFFECT OF THERAPY

0

25

75

0

MILD(21-40) MODERATE (41-60) Marked (61-80) complete Remission (81-100)

RAKTAMOKSHANA

27

28

BY APPLYING MSY

Dhatu Kshaya

Janya Samprapti

Marga Avarana

Janya Samprapti

Removes Vata

vitiated blood

Establishes Proper Rasa

Rakta Samvahana amp

regulates the function of

Prakrut Vata ndash ie

Gati Vibhajana Etc

Removes Avarana of

Shleshma over Vyana

Vayu

Improves Rasa Rakta

Samvahana amp Poshana Krama

Reduces Shotha

Janya Samprapti

PROBABLE MODE

OF ACTION OF

RAKTAMOKSHANA

29

BLOOD LETTING THERAPY

Normal body tissues under constant positive pressure and opposite to

atmospheric pressure

Inflammatory changes can cause collection of interstitial fluid at the site of tissue damage

Which Increases pressure on the

tissue walls

By application of cups

Establishment of negative pressure amp

suction

Which lead toVasodilatation amp

improvement of local blood circulation

Process of blood letting

Releases amp eliminates toxins amp

inflammatory agents amp

Decreases the tissue pressure

Ultimately Normal blood

flow is established

Viability of normal tissue

and proper nourishment of

tissues is achieved

Finally Localised pain

Is relieved

30

CONCLUSION

Sandhigata Vata is a Vata Vikara which is Kashtasadhya in nature and it

can be correlated with lumbar spondylosis

Raktamokshana is an office procedure amp practically it gives good results

specially in Marga- Avarana Janya Samprapti with potential effects

No adverse effect was observed in this study

31THANK YOUALL

EFFECT OF THERAPY ON OBJECTIVE PARAMETERS

6150

50

90

50 47505555

75

4722

FORWARD FLEXION

LATERAL FLEXION

EXTENSION VAS SLR LASEGUE ODI SCHOBERS TEST

FORWARD FLEXION LATERAL FLEXION EXTENSION

VAS SLR LASEGUE

ODI SCHOBERS TEST

25

15 Flexion 173 067 6153 0457 011 9252 lt0001 HS

2 Rt L Flexion 2 1 50 045 - - 05 NS

2 Lt L Flextion 1 05 50 - - - 05 NS

9 Extension 111 0111 90 05 0167 6 0008 S

16 VAS 2 1 50 0365 009 1095 lt0001 HS

16 SLR 25 13125 475 0655 0165 725 lt0001 HS

16 Lasseguersquos

Sign

056 025 5555 0602 015 2074 lt0001 HS

16 ODI 125 03125 75 057 0143 653 lt0001 HS

16 Schoberrsquos test 225 118 4722 0771 0193 5505 0001 HS

EFFECT OF RAKTAMOKSHANA ON OBJECTIVE

PARAMETERS

26

Wilcoxon Signed Rank Test

OVERALL EFFECT OF THERAPY

0

25

75

0

MILD(21-40) MODERATE (41-60) Marked (61-80) complete Remission (81-100)

RAKTAMOKSHANA

27

28

BY APPLYING MSY

Dhatu Kshaya

Janya Samprapti

Marga Avarana

Janya Samprapti

Removes Vata

vitiated blood

Establishes Proper Rasa

Rakta Samvahana amp

regulates the function of

Prakrut Vata ndash ie

Gati Vibhajana Etc

Removes Avarana of

Shleshma over Vyana

Vayu

Improves Rasa Rakta

Samvahana amp Poshana Krama

Reduces Shotha

Janya Samprapti

PROBABLE MODE

OF ACTION OF

RAKTAMOKSHANA

29

BLOOD LETTING THERAPY

Normal body tissues under constant positive pressure and opposite to

atmospheric pressure

Inflammatory changes can cause collection of interstitial fluid at the site of tissue damage

Which Increases pressure on the

tissue walls

By application of cups

Establishment of negative pressure amp

suction

Which lead toVasodilatation amp

improvement of local blood circulation

Process of blood letting

Releases amp eliminates toxins amp

inflammatory agents amp

Decreases the tissue pressure

Ultimately Normal blood

flow is established

Viability of normal tissue

and proper nourishment of

tissues is achieved

Finally Localised pain

Is relieved

30

CONCLUSION

Sandhigata Vata is a Vata Vikara which is Kashtasadhya in nature and it

can be correlated with lumbar spondylosis

Raktamokshana is an office procedure amp practically it gives good results

specially in Marga- Avarana Janya Samprapti with potential effects

No adverse effect was observed in this study

31THANK YOUALL

15 Flexion 173 067 6153 0457 011 9252 lt0001 HS

2 Rt L Flexion 2 1 50 045 - - 05 NS

2 Lt L Flextion 1 05 50 - - - 05 NS

9 Extension 111 0111 90 05 0167 6 0008 S

16 VAS 2 1 50 0365 009 1095 lt0001 HS

16 SLR 25 13125 475 0655 0165 725 lt0001 HS

16 Lasseguersquos

Sign

056 025 5555 0602 015 2074 lt0001 HS

16 ODI 125 03125 75 057 0143 653 lt0001 HS

16 Schoberrsquos test 225 118 4722 0771 0193 5505 0001 HS

EFFECT OF RAKTAMOKSHANA ON OBJECTIVE

PARAMETERS

26

Wilcoxon Signed Rank Test

OVERALL EFFECT OF THERAPY

0

25

75

0

MILD(21-40) MODERATE (41-60) Marked (61-80) complete Remission (81-100)

RAKTAMOKSHANA

27

28

BY APPLYING MSY

Dhatu Kshaya

Janya Samprapti

Marga Avarana

Janya Samprapti

Removes Vata

vitiated blood

Establishes Proper Rasa

Rakta Samvahana amp

regulates the function of

Prakrut Vata ndash ie

Gati Vibhajana Etc

Removes Avarana of

Shleshma over Vyana

Vayu

Improves Rasa Rakta

Samvahana amp Poshana Krama

Reduces Shotha

Janya Samprapti

PROBABLE MODE

OF ACTION OF

RAKTAMOKSHANA

29

BLOOD LETTING THERAPY

Normal body tissues under constant positive pressure and opposite to

atmospheric pressure

Inflammatory changes can cause collection of interstitial fluid at the site of tissue damage

Which Increases pressure on the

tissue walls

By application of cups

Establishment of negative pressure amp

suction

Which lead toVasodilatation amp

improvement of local blood circulation

Process of blood letting

Releases amp eliminates toxins amp

inflammatory agents amp

Decreases the tissue pressure

Ultimately Normal blood

flow is established

Viability of normal tissue

and proper nourishment of

tissues is achieved

Finally Localised pain

Is relieved

30

CONCLUSION

Sandhigata Vata is a Vata Vikara which is Kashtasadhya in nature and it

can be correlated with lumbar spondylosis

Raktamokshana is an office procedure amp practically it gives good results

specially in Marga- Avarana Janya Samprapti with potential effects

No adverse effect was observed in this study

31THANK YOUALL

OVERALL EFFECT OF THERAPY

0

25

75

0

MILD(21-40) MODERATE (41-60) Marked (61-80) complete Remission (81-100)

RAKTAMOKSHANA

27

28

BY APPLYING MSY

Dhatu Kshaya

Janya Samprapti

Marga Avarana

Janya Samprapti

Removes Vata

vitiated blood

Establishes Proper Rasa

Rakta Samvahana amp

regulates the function of

Prakrut Vata ndash ie

Gati Vibhajana Etc

Removes Avarana of

Shleshma over Vyana

Vayu

Improves Rasa Rakta

Samvahana amp Poshana Krama

Reduces Shotha

Janya Samprapti

PROBABLE MODE

OF ACTION OF

RAKTAMOKSHANA

29

BLOOD LETTING THERAPY

Normal body tissues under constant positive pressure and opposite to

atmospheric pressure

Inflammatory changes can cause collection of interstitial fluid at the site of tissue damage

Which Increases pressure on the

tissue walls

By application of cups

Establishment of negative pressure amp

suction

Which lead toVasodilatation amp

improvement of local blood circulation

Process of blood letting

Releases amp eliminates toxins amp

inflammatory agents amp

Decreases the tissue pressure

Ultimately Normal blood

flow is established

Viability of normal tissue

and proper nourishment of

tissues is achieved

Finally Localised pain

Is relieved

30

CONCLUSION

Sandhigata Vata is a Vata Vikara which is Kashtasadhya in nature and it

can be correlated with lumbar spondylosis

Raktamokshana is an office procedure amp practically it gives good results

specially in Marga- Avarana Janya Samprapti with potential effects

No adverse effect was observed in this study

31THANK YOUALL

28

BY APPLYING MSY

Dhatu Kshaya

Janya Samprapti

Marga Avarana

Janya Samprapti

Removes Vata

vitiated blood

Establishes Proper Rasa

Rakta Samvahana amp

regulates the function of

Prakrut Vata ndash ie

Gati Vibhajana Etc

Removes Avarana of

Shleshma over Vyana

Vayu

Improves Rasa Rakta

Samvahana amp Poshana Krama

Reduces Shotha

Janya Samprapti

PROBABLE MODE

OF ACTION OF

RAKTAMOKSHANA

29

BLOOD LETTING THERAPY

Normal body tissues under constant positive pressure and opposite to

atmospheric pressure

Inflammatory changes can cause collection of interstitial fluid at the site of tissue damage

Which Increases pressure on the

tissue walls

By application of cups

Establishment of negative pressure amp

suction

Which lead toVasodilatation amp

improvement of local blood circulation

Process of blood letting

Releases amp eliminates toxins amp

inflammatory agents amp

Decreases the tissue pressure

Ultimately Normal blood

flow is established

Viability of normal tissue

and proper nourishment of

tissues is achieved

Finally Localised pain

Is relieved

30

CONCLUSION

Sandhigata Vata is a Vata Vikara which is Kashtasadhya in nature and it

can be correlated with lumbar spondylosis

Raktamokshana is an office procedure amp practically it gives good results

specially in Marga- Avarana Janya Samprapti with potential effects

No adverse effect was observed in this study

31THANK YOUALL

29

BLOOD LETTING THERAPY

Normal body tissues under constant positive pressure and opposite to

atmospheric pressure

Inflammatory changes can cause collection of interstitial fluid at the site of tissue damage

Which Increases pressure on the

tissue walls

By application of cups

Establishment of negative pressure amp

suction

Which lead toVasodilatation amp

improvement of local blood circulation

Process of blood letting

Releases amp eliminates toxins amp

inflammatory agents amp

Decreases the tissue pressure

Ultimately Normal blood

flow is established

Viability of normal tissue

and proper nourishment of

tissues is achieved

Finally Localised pain

Is relieved

30

CONCLUSION

Sandhigata Vata is a Vata Vikara which is Kashtasadhya in nature and it

can be correlated with lumbar spondylosis

Raktamokshana is an office procedure amp practically it gives good results

specially in Marga- Avarana Janya Samprapti with potential effects

No adverse effect was observed in this study

31THANK YOUALL

30

CONCLUSION

Sandhigata Vata is a Vata Vikara which is Kashtasadhya in nature and it

can be correlated with lumbar spondylosis

Raktamokshana is an office procedure amp practically it gives good results

specially in Marga- Avarana Janya Samprapti with potential effects

No adverse effect was observed in this study

31THANK YOUALL

31THANK YOUALL