A Comparative clinical study to evaluate the efficacy of Naagara ghrita nasya and Thinthrini taila nasya followed by shulahara kashaya in Apabahuka vis-a-vis frozen shoulder

Apabahuka is vedanapradhana nanatmaja vatavyadhi affecting amsapradesha with predominance of vatakapha dosha.

Cardinal features of apabahuka are shula ,sthamba,bahupraspandithahara. These symptoms resembles with the Frozen shoulder.

Frozen shoulder, also called as Adhesive capsulitis, is characterized by pain and restricted movement of shoulder, usually in the absence of intrinsic shoulder disease. This condition develops after prolonged immobility of arm.

Signs and symptoms typically begin slowly, then get worse over time which hampers the day-to-day activities like combing, bathing, writing etc making it an issue of concern.

The prevalence rate of  Frozen shoulder globally is around 2-5%. In Indian population it ranges between 15-25%. Among subjects with Diabetes mellitus 3-6% encounter frozen shoulder.

Present contemporary treatment includes oral NSAIDS, Corticosteroids.External therapies like hot and cold compression packs and Physiotherapy.

According to estimation from World Health Organisation, 80% of the world’s population relies on traditional medicine for their primary health care.

In classics the treatment of apabahuka includes  Nasya, Uttarabhaktika Snehapana, Swedana, Nasapana and Shamanoushadi prayoga.

Nasya  is the therapeutic procedure in which the administered intranasal drug strengthens the Urdhvajatru avayava and eliminate the aggravated doshas.

Ghrita, Taila and Kashaya, selected for the study have vatashleshmaprashamana ,sarvavatarogahara and shulanivaranam properties.

Considering all the above points,the  study will  be  undertaken to evaluate efficacy of  Naagara ghritaand Thinthrini taila  Nasya  followed by Shulahara kashaya as shamanaprayoga .