Ayurveda evam Samagra Swasthya Shodhamala 2023;5(2):2
Use of an Integrative Approach Including Marma Therapy with Janu Basti for the Management of Janu Sandhigata Vata (Osteoarthritis of Knee) - Case Study 3
Alka Mishra, Vandana Shrivastava
Department of Ayurveda and Holistic Health, Dev Sanskriti Vishwavidyalaya, Gayatrikunj-Shantikunj, Haridwar, Uttarakhand, India
Corresponding Author: Alka Mishra - Email: alka.mishra@dsvv.ac.in
Abstract
Background: Janu Sandhigata Vata (a condition that closely resembles Osteoarthritis of Knee) is one of the most disabling musculoskeletal disorder. Its symptoms include Shoola (pain), Shotha (swelling), Stabdhata (stiffness), and Atopa (crepitus). Ayurvedic texts recommend repeated use of Snehana (oleation) and Swedana (sudation) for its management. Marma Therapy has also been found effective in various Vata disorders.
Methodology: Therefore, in the present study Marma Therapy (on four Marma points of the legs, i.e. Kshipra, Gulpha, Indravasti and Janu) with Janu Basti (with Ksheerbala Taila) were administered to a 70 year old male patient (suffering from Janu Sandhigata Vata in bilateral (B/L) knees) for 9 days, with one month followup wherein the patient self-administered Marma Therapy and massage at home.
Results: There was significant improvement in the subjective parameters (Shoola, Shotha, Stabdhata) and objective parameters (WOMAC Index, Range of Motion, Walking Time) analyzed during the study, illustrating the efficacy of the therapeutic intervention.
Conclusion: The integrative approach Including Marma Therapy with Janu Basti showed encouraging results with regards to the management of symptoms associated with Janu Sandhigata Vata (Osteoarthritis of Knee), in short duration of time.
Keywords
Janu Sandhigata Vata, Osteoarthritis of Knee, Ayurveda, Marma Therapy, Janu Basti, Herbal Medicine
Cite this research article as follows:
Mishra A, Shrivastava V. Use of an integrative approach including marma therapy with janu basti for the management of janu sandhigata vata (osteoarthritis of knee) - case study 3. Ayurveda evam Samagra Swasthya Shodhamala. 2023;5(2):2. [cited date]. Available from: https://sites.google.com/dsvv.ac.in/shodhamala-dahh/asssm52/asssm522
Published Online: 29th May 2023
References
1. Mishra A, Shrivastava V. Evaluation of Efficacy of Marma Therapy with Janu Basti in the Management of Janu Sandhigata Vata (Osteoarthritis of Knee). Dev Sanskriti Interdisciplinary International Journal. 2020; 15: 29-45. (https://doi.org/10.36018/dsiij.v15i.139) (http://dsiij.dsvv.ac.in/index.php/dsiij/article/view/139/134)
2. Mishra A, Shrivastava V (2022), “Management of Janu Sandhigata Vata through an integrative approach including Marma Therapy with Janu Basti – A Case Study”, in Proceedings of the International Conference on Science and Philosophy in Indian Knowledge Systems (जिज्ञासा-2022 - https://issdelhi.org/jijnasa) (Editors - Rohit Omar, Rishi Mohindru, Karan Chandra, Suresh Bhalla; ISBN: 978-93-5777-660-8), organized by Institute for Science and Spirituality Delhi, in partnership with Noida International University and IKS Division, Ministry of Education, Govt. of India, 17-18 December, New Delhi, pp. 72-78 (Paper ID - IKS220034). ( Available Online - pages 72-78 - https://www.researchgate.net/profile/Suresh-Bhalla/publication/366356695_PROCEEDINGS_OF_THE_INTERNATIONAL_CONFERENCE_ON_SCIENCE_AND_PHILOSOPHY_IN_INDIAN_KNOWLEDGE_SYSTEM_Ed_Rohit_Omar_Rishi_Mohindru_Karan_Chandra_Suresh_Bhalla/links/639d062fe42faa7e75cc94eb/PROCEEDINGS-OF-THE-INTERNATIONAL-CONFERENCE-ON-SCIENCE-AND-PHILOSOPHY-IN-INDIAN-KNOWLEDGE-SYSTEM-Ed-Rohit-Omar-Rishi-Mohindru-Karan-Chandra-Suresh-Bhalla.pdf)
3. Joshi A, Mehta CS, Dave AR, Shukla VD. Clinical effect of nirgundi patra pinda sweda and ashwagandhadi guggulu yoga in the management of sandhigata vata (osteoarthritis). Ayu. 2011; 32(2): 207-212. (https://doi.org/10.4103/0974-8520.92588) (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3296342/)
4. Rajoria K, Singh SK, Sharma RS, Sharma SN. Clinical study on laksha guggulu, snehana, swedana & traction in osteoarthritis (knee joint). Ayu. 2010; 31(1): 80-87. (https://doi.org/10.4103/0974-8520.68192) (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215328/)
5. Murthy KRS. Susruta samhita. volume I, II, III. Varanasi, Uttar Pradesh, India: Chaukhambha Orientalia; 2008.
6. Sharma PV. Charaka-samhita (text with English translation). volume I, II. Varanasi, Uttar Pradesh, India: Chaukhambha Orientalia; 2008.
7. Acharya GS. Panchakarma illustrated. Delhi: Chaukhamba Sanskrit Pratishthan; 2006.
8. Joshi SK. Marma science and principles of marma therapy. 1st ed. Haridwar, Uttarakhand, India: Vani Publications; 2010.
9. Joshi SK. Marma chikitsa vigyan (Hindi). Haridwar, Uttarakhand, India: Mrityunjay Mission; 2012.
10. Chopra A, Saluja M, Tillu G, Venugopalan A, Sarmukaddam S, Raut AK, Bichile L, Narsimulu G, Handa R, Patwardhan B. A randomized controlled exploratory evaluation of standardized ayurvedic formulations in symptomatic osteoarthritis knees: a government of India NMITLI project. Evidence-Based Complementary and Alternative Medicine. 2011; 2011: 724291. (https://doi.org/10.1155/2011/724291) (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2964493/)
11. Mishra A. Evaluation of efficacy of marma therapy with janu basti in the management of janu sandhigata vata (osteoarthritis of knee). Thesis for the degree of Doctor of Philosophy (Ph.D.) in Oriental Studies (Ayurveda). Haridwar, Uttarakhand, India: Dev Sanskriti Vishwavidyalaya; 2021. (https://shodhganga.inflibnet.ac.in/handle/10603/471599) (http://hdl.handle.net/10603/471599)
12. Mishra A. Exploring the Science of Marma: An Ancient Healing Technique. Haridwar, Uttarakhand, India: Dev Sanskriti Vishwavidyalaya; 2021. ISBN: 978-81-942338-2-4. (https://sites.google.com/dsvv.ac.in/dahh-dsvv/publications/books/book-marma)
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