A randomised controlled clinical study to evaluate the efficacy of local application of mansadi upnaha in the management of nirupastambhita sandhigatavata with special reference to osteoarthritis of knee joint

Introduction-

Sandhigatavata is th comonnest form of articular disorder. It coonly occur in old age dur to dhatu kshya. It limits daily activities. As sandhigata vata is one of the vata vyadhi, the person who indulges in vatkar agar nd vihar is more prone to this disease. As this disease is chronic in nature food, lifestyle has influenced on reliving and aggregating the symptoms of sandhigata vata. In the ayurvedic aetiopathogenesis and symptomalogy of sandhigata vata is described in co sized form.samdhigata vata was first described by archaya charaka as sandhigata Anila with symptoms of shotha which on palpation feels like a vag filled with air, and shula on pranarana and ankunchana( pain and flexon and extension of the joints. Archaya shushruta also mentioned shula and shotha in this diseased leading to the diminution (hanti) of the movement joints involved . Sandhigata vata can be caused by dhatu kshya and nargavrodha. Also the vata Prakopak nidan leading to vatvyadhi is considered. The duhsya such as rasa , rakta , Mansa, meda dhatu asthidhatu, kandara, peshi , snayu, and shleshmadharakala constituting asthi sandhi , ashivaha strotas is mainly affected in the disease. The word upnaha mens bandage with warms paste of medicament to the affected part of the body. In the dhatukshaya janya sandhivata vata is situated by ruksha , khara, shita , laghu , etc gunas.the application of upnaha diminished the viiated the vata gunas and ruduced the dhantu kshayajanya shool . According too acharya yograrnakara dhahan swedan and upnaha are main line of treatment for sandhigata vata improving joint functions