An open label randomised comparative clinical study to Evaluate the efficacy of janu basti followed by panchatikta Ksheera basti and atasi upanaha followed by panchatikta Ksheera basti in the management of janu sandhigata vata wsr To osteoarthritis of knee joint

Janu sandhigata vata is a disease affecting Asthi and Sandhis. Clinically Janusandhigata vata presents vatapoorna drutisparsha shota, sandhigata anile, prasaranna akunchana savedana and atopa as lakshana. 6 Acharya explained Snehana and Swedana are said to be the first line of treatment in the management of Vatavyadhi7 meanwhile Bastikarma is said to be prime treatment modality in Vatavyadhi and also it is explained as Ardha chikitsa. 8 Also, Charaka Samhita it is mentioned as Bahyabhyantraha snehairasthimajjagatam jayet. 9 In asthimajjagata vikara both Bahya snehana and Abhyantara snehana are to be employed. Janubasti is categorized under both Snehana and Swedana. Snehopanaha Agnikarma Bandhanomardanani cha.10 In Sushruta Samhita, the chikitsa of Vatavyadhi is mentioned as Snehana, Upanaha, Bandhana and Mardana. Upanaha is a form of swedana which is helpful in reducing Sandhigata vata. Formulations like Atasi Upanaha11 and Salvana Upanaha are mentioned in Classics. Also, Janubasti and Upanaha sweda are categorized under Bahirparimarjana Chikitsa. Meanwhile in Charaka Samhita it is explained that one should administer Tiktaksheera basti in Asthipradosaja vikaras.Many research works have been conducted on individual treatment modality of these. Hence, the present study has been undertaken to analyse the combined action of Antar parimarjana and Bahirparimarjana Chikitsa where in the effect of Janubasti followed by Panchatikta ksheera basti is compared with that of Atasi upanaha followed by Panchatikta ksheera basti in the management of Janusandhigata vata w.s.r to Osteoarthritis of knee joint