Assesment of an add on effect of Aabhadi Choorna along with Tila Tail Abhyanga in Janu Sandhigata vata Randomized Controlled Trial

Osteoarthritis is a degenerative disorder, caused by breakdown of cartilage and underlying bone. Osteoarthritis is the second most common rheumatologic problem in India. It is the most frequent joint disease with a prevalence of 22 percent to 39 percent in India.OA is more common in women than men, but the prevalence increases dramatically with age. Nearly, 45 percent of women over the age of 65 years have symptoms while radiological evidence is found in 70 percent of those over 65 years.OA of the knee is a major cause of mobility impairment, particularly among females.OA was estimated to be the 10th leading cause of nonfatal burden.

The modern science can touch this disease in a conservative way with help of Corticosteriods, NSAIDs, Narcotics and Opoids which causes a temporary sense of pain relief and no pathological reversal with a list of adverse effects. Hence, there is no exact relief from the modern management.

While the Ayurveda has shown a lot of great possible outcomes in the managing the pain and other symptoms and underlying pathology without much intervention.

In Ayurvedic Textbooks, there is detailed description of Sandhigata vata and its management which includes Snehana, Swedana, Agnikarma, Upanaha, Unmardan , Bandhana.

The treatment is effective with no adverse effects; We are attempting to evaluate the efficacy of Aabhadi Choorna with Tila Taila Abhyanga which can breakdown the pathology of Sandhigata Vata.

Churna is extensively described in all Samhitas. It is noticed that the use of Choorna Kalpana is getting increased along with the advancing period.As it can be taken with many Anupanas , a consideration for any Anupanas according to requirement can be done easily which increases the pallatibility .It does have shelf life of 2 months .Churnas are used to make Vati, Avaleha, Arka, Kasaya, Hima, Phanta, Snehas which is the main content, this gives it a prime importance.

The Abhyanga is a procedure that can be performed on daily basis (abhyanga acharen nitya ) .In case of Janu Sandhigat Vata ,Abhyanga with taila  is done with rotatory movements over knee joint . Abhyanga is termed to be one of the important Upakrama for *Vata Dosha Shamana.*Abhyanga is not an invasive method .It is cost effect with good mode of action as it keeps ability to go in sukshma marga and cure the disease .It helps in reducing the symptoms as well as underlying pathogenesis.

This treatment helps to improve the quality of life and provide free mobility of joints with pain relief.

So to upgrade the existing knowledge gap we concluded to work over this topic.