A comparative clinical study of efficacy of nirgundi patra upnaha and nirgundi patra pinda sweda in janusandhigat vata with special reference to osteo arthritis of knee joint.

Knee osteoarthritis also called degenerative joint disease of the knee, usually occurs due to the gradual wearing down and loss of articular cartilage. It occurs most frequently in older women and men. Osteoarthritis is usually a degenerative condition that can ultimately result in disability. Osteoarthritis is a state of disease in which large amount of degenerative changes occur mostly in knee joint. Prevalence of Knee osteoarthritis in Mumbai is 3.62%.

The clinical features of Sandhigata vata as described in Ayurveda are vatpurnadrutisparsh,shula, shotha, prasaran ankunchanyo pravruticchya vedana etc.

Current treatment for degenerative disease is to control the symptoms, to control prolongation of the degenerative process and to lower the pain without Complication. We need to search for a safer, better and cheaper treatment, which improve functional ability in patients. Janusandhigata vata managed by various panchakarma procedures. In sandhigata vata chikitsa sutra upnaha sweda is mentioned. According to Acharya Dalhan Upnaha has 3 dividation- Pradeh, pinda, bandhan. So we have choosen Nirgundi patra pind and Nirgundi patra upnaha , As nirgundi has Vatshamak, vednashamak, shothagna, balya.

Sandhigata vata is an asthi-sandhigata vyadhi, where there is kshya of Asthi Dhatu due to insufficient supply of Poshak Rasa. In Ayurveda text treatment of vatavyadhi given as Snehana , Swedana , Mridu Samshodhana, Basti and Vatahara Aushadha.