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Ayurvedic management of asthi – majjagata vata (with special reference to avascular necrosis) a case study

Author: 
Dr. Pujar, C. R. and Dr. Alaekhya, P.L.
Subject Area: 
Health Sciences
Abstract: 

Gata Vata comes under the category of Vata Vyadhi where the vitiated Vata gets located in a particular Sthana (site) resulting in manifestation of specific Lakshana related the Shana where it is located. The Brihatrayee and Acharya Yogaratnakar have thoroughly elaborated on Gata Vata with clarity and objectivity in their works. Acharaya Charaka while explaining about treatment for Asthimajja Gata Vata, emphasizes to consider both Asthi and Majja for treating through Snehana (Oleation) in both Bahya (externally) and Abhyantara (internally). Avascular necrosis (AVN) is Osteo-necrosis (dead bone) caused due to the injury or any occlusion in the blood vessels nourishing the bone tissue. It may be classified mainly into two types: 1) Post traumatic 2) Idiopathic. The arteries supplying to the femoral head are very narrow and hence are easily liable to injury resulting necrosis. It may be asymptomatic in the beginning but in advanced stages that lead to painful arthritis and in extreme cases, it may result in the collapse of a section of bone. Ayurveda has been playing the vital role in curing chronic and untreatable conditions of AVN. But principles of Ayurveda Chikitsa must be applied clinically to diseases which are not described in Ayurveda texts which are termed as Anukta Vyadhi (unmentioned disease). An effort was made to evaluate the efficiency of Panchakarma (five therapeutic procedures) treatment along with the conservative managements of AVN.

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