A Clinical Study To Evaluate The Efficacy Of Adityapak Guggul And Karpasasthyadi Sweda In Asthimajjagata Vata (Lumbar Spondylosis)

This study and clinical trial named A Clinical Study to evaluate The Efficacy Of Adityapak Guggul and Karpasasthyadi Sweda In Asthimajjagata Vata (Lumbar Spondylosis) is a part of Postgraduate studies in Kayachikitsa (MD Kayachikitsa).

Ayurveda briefs about various preventive and therapeutic aspects to maintain good health along with various diseases, their pathophysiology and detail treatment, Vatavyadhi are some of them. In present era, young as well as elderly patients with Lower back pain, difficulty in performing daily activities are commonly seen in hospitals, OPDs. Overall lifestyle changes and age related degenerative changes are two main Hetu of the disease which lead to vitiation of Vata dosha, Asthivaha and Majjavaha srotas leading to Asthi and Sandhi shool, Saushirya Bheda, Kriyakashtata, Daurbalya, Anidra that is Asthimajjagata vata. This Samprapti very commonly occurs in Kati pradesh i.e. Lumbar (Lumbosacral)region leading to lumbar spondylosis.

Many medicines and treatment protocols are described in Ayurveda texts under the heading of Vatavyadhi chikitsa. Adityapak guggul, described by Vangasena samhita (Vangasene samhita Vatavyadhi adhikar 214-216). Chakradatta (Chakradatta Vatavyadhi chikitsa 66-68), Gadanigraha (Vatavyadhi adhikar 157-159) is the Kalpa which is not very commonly prescribed needs to be authenticate with scientific research. The contents including triphala which is Kapha-pittaghna, sara, rasayana, anulomak rest contents like Twak Ela, Pippali and Dashamool, guggul are Ushna Vataghna. Together they perform Anuloman and regulation of Vata gati thereby controlling degenerative changes, also, anti-inflammatory and analgesic action and hence effective in Asthimajja vikar

Karpasasthyadi sweda is mentioned in Shooladhikar for pain in Janu, Sphik, Kati region, where it is said to be pacifying shoola completely Swedana procedure is Kapha-vataghna, shoolaghna by pacifying Vata dosha and Margavarodha Hence this procedure will also help the patients get relief from pain and stiffness and providing ease of movements

this study is interventional, controlled open labelled, randomized study in minimum 30 patients, 15 in each group where in one group Adityapak guggul will be given orally in dose 1gm BID in Vyanodan kala (after food with 12 hours gap) for 30 days 200, will be even oral medication of 30 days along with Swedan procedure for 7 days Assessment will he done on first, seventh and 31th day.

patients will be assessed on the basis of classical symptoms of Asthimajjagata vata which are Shoola, Stambha, Kriyakashtata Anidra Bheda, Daurbalya along with Pain scale (VAS scale), stiffness scale, range of movements, sleep scale oswestry low back pain disability questionnaire and BMD value. Patients in between the age group of 18-70years and of either gender will be selected. Patients not willing to participate or not given written consent, pregnant females also patients with chronic illness such as Tb, cancers, recent surgical history, fractures, myelopathy, spine deformities etc. will be excluded. the entire study will be completed in the period of one and half years in which trial will be completed within period of 6-8 months.