A COMPARATIVE CLINICAL STUDY ON THE EFFICACY OF AROHANA KRAMA AND SADHARANA KRAMA MATRA BASTI WITH KARASKARA GHRITA IN THE MANAGEMENT OF JANU SANDHIGATA VATA-OSTEOARTHRITIS OF KNEE JOINT

Osteoarthritis is a prevalent degenerative joint disease characterized by pain,swelling and stiffness,affecting a person’s ability to move freely .In 2019 WHO mentions about 528 million people worldwide suffered from Osteoarthritis that is almost 113% increase since 1990 and it is still increasing in present era. It commonly affects weight-bearing joints such as the knees, hips, and spine. While it can occur at any age, it’s more common in older adults due to wear and tear over time. Symptoms often worsen over time, impacting daily activities and quality of life.

 Janu Sandhigata Vata is primarily caused by an imbalance of Vata dosha, the principle of movement and change in the body. Matravasti is an effective therapy for pacifying Vata dosha by restoring balance to Vata dosha. The medicated oils used in Matravasti are specifically chosen for their ability to nourish and strengthen the tissues of the knee joint. By nourishing the joint tissues, Matravasti supports the repair and regeneration of damaged cartilage and other structures affected by Janu Sandhigata Vata.As Sandhigata Vata is Asthi asrita vyadhi in which Acharya Susrutha have mentioned the use of Snehana ie,both Bahya and Abhyantara,as Matravasti is one among sneha basti and can be administered in all age groups without any restrictions in any climatic condition it can be considered as the best management principle in treating Janu Sandhigata Vata.Karaskara Ghrita relieves pain and swelling in inflammatory disorders. It heals and nourishes the degenerative joints mentioned in Sahasrayogam. In this study Matravasti is administered in two different methods ie,Arohana krama(increasing order) mentioned in Adhamalla’s commentry on Sharangathara Samhita and Sadharana krama(fixed dose). Hence an attempt is made to evaluate the effect of Matrav**asti in A**rohana and S**adharana krama in J**anusandhigata V**ata patients.