Effect of samana snehapana with sahacharadi taila in comparison to dhanwantaram taila in the management of osteoarthritis of knee joint

Osteoarthritis of knee joint is a common progressive multifactorial joint disease and is characterized by chronic pain and functional disability. OA is the second most common rheumatologic problem of 22% to 39% in India. OA is common in women than men, but the prevalence increase dramatically with age. In Ayurveda OA knee may be well considered as Sandhigata vata a type of VataVyadhi affecting the sandhi, explained by all the acharayas. As vata is predominantly vitiated, Snehanam is one of the effective treatment to treat vitiated vata. Among the snehana therapy, Samana snehapana could be very effective treatment modality. Sandhigata vata / OA knee is a condition where cartilage in the knee degenerates results in bone rubbing together and creating stiffness, pain and impaired movements. Sahacaradi taila, in Astanga hridaya, Astanga sangraha which is mentioned in Vatavyadhi chikitsa and it is very effective in adha – kaya vata rogas. The objectives of this study is to compare the effect of samana snehapana with Sahacaradi tailaand Dhanwantaram taila in the management of OA knee. The study is comparative clinical trial with control group. Participants of both sex, aged 40 – 60 years registered in OPD and IPD of Government Ayurveda college Panchakarma Hospital, Trivandrum satisfying the inclusion criteria will be subjected to consecutive sampling and the total of 32 participants will be selected for the study. The data will be collected through observation, clinical case proforma and X-ray. After collecting baseline data, detailed history and examination will be done using clinical case proforma. A total of 32 participants will be selected for the study. They will be subjected to consecutive sampling, divided in to 2 groups (Group A and Group B). In Group A Sahacaradi taila as samana sneha pana will be given for 14 days and Group B, Dhanwantaram taila assamana snehapana will be given for 14 days. Both the groups will be assessed before and after the intervention on 0th day, 6th day, after treatment on 20th day, followup on 35th day and 65thday. The result will be analyzed statistically by using Descriptive and „Mann Whitney U Test‟.Keywords : Osteoarthritis, Sandhigata vata, Samana snehapana, Sahacaradi taila, Dhanwantaram taila.