“A Randomized Comparative Clinical Trial to Assess the Efficacy of Erandadi Guggulu over Rasanadi Guggulu in Combination with Ksheerabala Taila Pratimarsha Nasya in the Management of Avabahuka with Special Reference to Frozen Shoulder”

Apabahuka is one among the Vataja Nanatmaja Vyadhis a condition that hampers

the normal functioning of the upper limbs thereby significantly affecting an individuals daily

life It is primarily caused by the vitiation of Vyana Vata which localizes in the Amsa

Pradesha shoulder region This leads to the Shoshana degeneration of Shleshaka Kapha

Mamsa muscle tissue Sira vessels and Snayu ligaments resulting in symptoms such as

restricted shoulder movements Bahupraspanditaharatwam pain Shoola and stiffness

Stambha These symptoms closely resemble those observed in Frozen Shoulder This

condition is recognized in the modern medical system

Frozen Shoulder is described as an idiopathic disorder that manifests with painful

stiffness and progressive restriction of both active and passive shoulder movements despite

normal radiographic findings of the glenohumeral joint This condition impacts basic

functional activities such as eating dressing maintaining hygiene and working thus severely

impairing the patients quality of life The prevalence in the general population is around 3

5per but it increases up to 20per in diabetic individuals Frozen shoulder most commonly

affects individuals between 40 60 years of age and is observed more frequently in females

Contemporary management typically involves the use of analgesics intra articular

corticosteroid injections and physiotherapy However these interventions often provide only

temporary symptomatic relief

In contrast Ayurvedic texts offer a more holistic line of treatment for Apabahuka

including NasyaUttarabhaktika Snehapana Swedana and Shamanoushadhis Among

these Nasya will help in strengthening the Skanda shoulder and Greeva neck

Ksheerabala Taila as referenced in Sahasrayogam is a classical formulation widely used for

Nasya for the management of Vata disorders especially neuromuscular conditions due to its

Snehana and Brmhana properties with key ingredients including Bala Sida cordifolia

Ksheera milk and Tila Taila sesame oil

Erandadi Guggulu as referenced in Vangasena Samhita under Vatavyadhi Chikitsa

is a classical Ayurvedic formulation commonly used in the management of Vata disorders

affecting the joints and musculoskeletal system particularly conditions involving pain

stiffness and restricted mobility such as Apabahuka frozen shoulder It contains key

ingredients including Erandamoola Panchakola Raktapunarnava Shwetapunarnava Bala

Devadaru Haritaki Vidanga Gokshura Guduchi Sahacara Katuki Shati Bruhati

Kantakari Visagra Ashwagandha Shatavari Vasa Dhaynaka Aragvadha Vruddhadaru

Ajamoda Haridra Daruharidra Guggulu which collectively exhibit Vatakaphahara

Shoolahara Shothahara Amapachana and Srotoshodhana properties

Additionally Rasnadi Guggulu found in Yogaratnakaras Vatavyadhiadhikara

comprises potent herbs like Rasna Guduchi Eranda Devadaru Shunthi and Guggulu

These have Ushna Virya and function as Deepana Pachana Vatakaphanashaka

Shoolahara Shothahara and Balya Through these GunaKarmas the selected

formulations may help in achieving Samprapti Vighatana of Apabahuka

Thus this study aims to assess A Randomized Comparative Clinical Study to

Evaluate the  Efficacy of Erandadi Guggulu over Rasanadi Guggulu along with Ksheera

Bala Taila Pratimarsha Nasya in the Management of Apabahuka with special reference to

Frozen