Assessment of the role of Rasnaerandadi Kashayam, Kati Basti, and Shamapakadi Aasthapana Basti in the treatment of Katigraha (Lumber disc bulging).

Phase 2

Not yet recruiting

Conditions: Health Condition 1: M518- Other thoracic, thoracolumbar andlumbosacral intervertebral disc disorders

Lead Sponsor: Pt Khushilal Sharma Govt (Autonomous) Ayurveda College and Institute Bhopal (MP)

Recruitment & Eligibility

Inclusion Criteria

Patients fulfilling the diagnostic criteria.

Patients willing to sign the written consent for participation in the study.

Patients fit for Basti Karma

Exclusion Criteria

Age below 21 year or above 55 years.

Patients contraindicated for Basti Karma.

Patients having Spinal tumour, Tuberculosis, Malignant disease of the pelvis, fracture of

spine, Congenital or Acquired skeletal deformity.

Any traumatic condition of spine leading to paralysis.

Recent lumbar surgery or implanted instrumentation or prosthesis.

Pregnant and lactating women.

Having Chronic pathologies eg. Ankylosing spondylosis, Rheumatoid arthritis,Psoriatic

arthritis,gouty arthritis or any other systemic illness.

Primary Outcome Measures

Name	Time	Method
It is expected that at the end of the study we would be able to demonstrate the effect of Kati Basti, Shampakadi Aasthapan Basti and Rasna Erandadi Kashayam in the management of Katigraha. It is further expected that <br/ ><br>this study would be able to provide comparative efficacy between the Ayurvedic treatment <br/ ><br>regimen and acclaimed physiotherapy in the management of Katigraha (lumbar disc bulge). Assessment is done by symptomic relief after basti. <br/ ><br>Timepoint: The duration of Kati Basti and Kaal Basti is 16 days along with Rasna Erandadi Kashaya for 21 days as oral decoction. Physiotherapy in 2nd group will be done for 21 days.

Secondary Outcome Measures

Name	Time	Method
Physiotherapy as 2nd Group is more effective than Shampakadi Niruha Basti, Kati Basti & Rasna Erandadi Kashaya in Katigraha.Symptomatic assessment is done after 21 days.Changes & grading will be assessed before & afterTimepoint: duration of the study is 21 days in which Kaal Basti & Kati Basti will be given for 16 days only.