Open Access Open Access  Restricted Access Subscription Access

A Comparative Clinical Study of Agnikarma (Therapeutic Heat Burn) with Suvarna Shalaka (Rod of Gold) and Panchadhatu Shalaka (Rod Made Up of Five Metals) in Janusandhigata Vata W.S.R to Osteoarthritis of Knee Joint


Affiliations
1 Department of Shalya Tantra, Gopabandhu Ayurveda Mahavidyalaya, Puri - 752002, Odisha, India
2 Institute of Post Graduate Teaching and Research in Ayurveda (IPGT & RA), Jamnagar - 361008, Gujarat, India
3 Government Ayurveda College, Bolangir, Odisha, India
4 Department of Ayurveda Samhita - Siddhanta, Government Ayurveda College, Bilaspur - 495001, Chhattisgarh, India
 

Janu Sandhigata Vata is the commonest form of Vata Vyadhi confronted by the Ayurvedic physicians. The classical description of Sandhigata Vata looks identical to the Osteoarthritis (OA) of the knee joint. Providing relief from the joints pain and stiffness, limiting functional impairment and increasing mobility are the main principles of its management. In Ayurveda, Agnikarma (therapeutic heat burn) is prescribed as one of the therapeutic measures for the effective management of Janu Sandhigata Vata. The objective is to evaluate and compare the efficacy of Agnikarma with Suvarna Shalaka and Panchadhatu Shalaka in management of Janu Sandhigata Vata w.s.r to Osteoarthritis of knee joint. The trial was carried out by randomly including the patients into two groups, of thirty each. Group A patients were treated by Agnikarma with Suvarna Shalaka and Group B with Panchadhatu Shalaka. Agnikarma was done in four sittings with a weekly interval. The patients were assessed in each sitting immediately after the treatment and a follow up was done after 15 and 30 days. The test significantly showed that Agnikarma using Suvarna Shalaka was statistically significant in reducing pain, tenderness, crepitus, swelling, angle of extension and angle of flexion. On comparison the Suvarna Shalaka is statistically more significant in pain, tenderness, crepitus, swelling, angle of extension and angle of flexion than that of Agnikarma done using Panchadhatu Shalaka. The Agnikarma using Suvarna Shalaka is found to be more beneficial than the Agnikarma using Panchadhatu Shalaka in the prime symptoms of the Janu Sandhigata Vata (Osteoarthritis).

Keywords

Alternative System of Medicines, Ayurveda, Sandhigata Vata, Vata Vyadhi.
Font Size

User

Notifications
JOURNAL COVERS
  

  • Akhtar B, Mahto RR, Dave AR, Shukla VD. Clinical study on Sandhigata Vata w.s.r. to Osteoarthritis and its management by Panchatikta Ghrita Guggulu. Ayu. 2010; 31(1):53–7. https://doi.org/10.4103/0974-8520.68210. PMid:22131685. PMCid:PMC3215322
  • Trikamji J, Ram N. Commentary Nibandha Sangraha of Dalhana on Sushruta Samhita of Sushruta, Nidana Sthana; Vata Vyadhi Nidanam, Adhyaya. 1st ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2012. p. 261. Ch. 1, Verse 28.
  • Rai PK, Singh AK, Singh OP, Rai NP, Dwivedi AK. Efficacy of leech therapy in the management of osteoarthritis (Sandhivata). Ayu. 2011; 32(2):213–17. https://doi. org/10.4103/0974-8520.92589. PMid:22408305. PMCid: PMC3296343
  • Sharma A, Shalini TV, Sriranjini SJ, Venkatesh BA. Management strategies for Janu Sandhigata Vata vis-avis osteoartheritis of knee: A narrative review. Ayu. 2016; 37(1):11–17. https://doi.org/10.4103/ayu.AYU_24_16. PMid: 28827949. PMCid:PMC5541460
  • Chen D, Shen J, Zhao W, et al. Osteoarthritis: Toward a comprehensive understanding of pathological mechanism. Bone Res. 2017; 5. https://doi.org/10.1038/boneres.2016.44. PMid:28149655. PMCid:PMC5240031
  • Nguyen US, Zhang Y, Zhu Y, Niu J, Zhang B, Felson DT. Increasing prevalence of knee pain and symptomatic knee osteoarthritis: survey and cohort data. Ann Intern Med. 2011; 155(11):725–32. https://doi.org/10.7326/0003- 4819-155-11-201112060-00004. PMid:22147711. PMCid: PMC3408027
  • Stevens M, Paans N, Wagenmakers R, et al. The influence of overweight/obesity on patient-perceived physical functioning and health-related quality of life after primary total hip arthroplasty. Obes Surg. 2012; 22(4):523–9. https://doi.org/10.1007/s11695-011-0483-1. PMid:21800224. PMCid: PMC3297740
  • Anderson AS, Loeser RF. Why is osteoarthritis an agerelated disease?. Best Pract Res Clin Rheumatol. 2010; 24(1):15–26. https://doi.org/10.1016/j.berh.2009.08.006. PMid:20129196. PMCid:PMC2818253
  • Vaishya R, Pariyo GB, Agarwal AK, Vijay V. Non-operative management of osteoarthritis of the knee joint. J Clin Orthop Trauma. 2016; 7(3):170–6. https://doi.org/10.1016/j. jcot.2016.05.005. PMid:27489412. PMCid:PMC4949406
  • Steinmeyer J, Bock F, Stöve J, Jerosch J, Flechtenmacher J. Pharmacological treatment of knee osteoarthritis: Special considerations of the new German guideline. Orthop Rev (Pavia). 2018; 10(4). https://doi.org/10.4081/or.2018.7782. PMid:30662685. PMCid:PMC6315310
  • Lespasio MJ, Piuzzi NS, Husni ME, Muschler GF, Guarino A, Mont MA. Knee Osteoarthritis: A Primer. Perm J. 2017; 21:16–183. https://doi.org/10.7812/TPP/16-183. PMid:29035179. PMCid:PMC5638628
  • Yu SP, Hunter DJ. Managing osteoarthritis. Aust Prescr. 2015; 38(4):115–19. https://doi.org/10.18773/austprescr.2015.039. PMid:26648637. PMCid:PMC4653978
  • Mobasheri A. Intersection of inflammation and herbal medicine in the treatment of osteoarthritis. Curr Rheumatol Rep. 2012; 14(6):604–16. https://doi.org/10.1007/s11926-012-0288-9. PMid:22987043. PMCid:PMC3481054
  • Agnikarma [Internet]. [cited 2019 Oct 29]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/?term=Agnikarma.
  • Agnikarma in Osteoarthritis [Internet]. [cited 2019 Oct 29]. Available from:https://www.ncbi.nlm.nih.gov/pubmed/?ter m=Agnikarma+in+Osteoarthritis
  • Trikamji J, Ram N. Commentary Nibandha Sangraha of Dalhana on Sushruta Samhita of Sushruta, Chikitsa Sthana; Vata VyadhiChikitsa, Adhyaya. 1st ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2012. p. 420. Ch. 4, Verse 8.
  • Trikamji J, Ram N. Commentary Nibandha Sangraha of Dalhana on Sushruta Samhita of Sushruta, Sutra Sthana; Agnikarmavidhi Adhyaya. 1st ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2012. p. 50–5. Ch. 12, Verse 4–39.
  • Trikamji J, Ram N. Commentary Nibandha Sangraha of Dalhana on Sushruta Samhita of Sushruta, Sutra Sthana; Agnikarmavidhi Adhyaya. 1st ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2012. p. 50–5. Ch. 12, Verse 4–39.
  • Sushruta, Sushruta Samhita, with the Nibandhasangraha Commentary by Dalhanaacharya and the Nyayachandrikakhya Panjika of Sri Gayadasacharya on Nidanasthana, edited by Vaidya Yadavji Trikamji Acharya. ed. Reprint 2009, Varanasi: Chaukhamba Sanskrit Sansthana Chikitsasthaana 4/8.
  • Agnivesha, Charaka Samhita, with Ayurveda Deepika commentary by Chakrapaanidatta, edited by Vaidya Yadavji Trikamji Acharya. Varanasi: Chaukhamba Sanskrit Sansthana. Chikitsasthaana 28/75.
  • Sushruta, Sushruta Samhita, with the Nibandha sangraha Commentary by Dalhanaacharya and the Nyayachandrikakhya Panjika of Sri Gayadasacharya on Nidanasthana, edited by Vaidya Yadavji Trikamji Acharya. ed. Reprint 2009, Varanasi: Chaukhamba Sanskrit Sansthana Chikitsasthaana 4/8.
  • Mahajan A, Verma S, Tandon V. Osteoarthritis. J Assoc Physicians India. 2005; 53:634–41.
  • Sharma AV, Dudhamal TS, Gupta SK, Mahanta V. Clinical study of Agnikarma and Panchatikta Guggulu in the management of Sandhivata (osteoartheritis of knee joint). Ayu. 2016; 37(1):38–44. https://doi.org/10.4103/ayu. AYU_103_14. PMid:28827954. PMCid:PMC5541466
  • Kumar JV, Dudhamal TS, Gupta SK, Mahanta V. A comparative clinical study of Siravedha and Agnikarma in management of Gridhrasi (sciatica). Ayu. 2014; 35(3):270–6. https://doi.org/10.4103/0974-8520.153743. PMid:26664236. PMCid:PMC4649569
  • Umesh S, Manjusha R, Dwivedi RR, Narayan B. Role of Agnikarma and Ajmodadivati in the management of Sandhigata Vata w.s.r. cervical spondylosis. Ayu. 2009; 30:345–9.
  • Jethava NG, Dudhamal TS, Gupta SK. Role of Agnikarma in Sandhigata Vata (osteoarthritis of knee joint). Ayu. 2015; 36(1):23–8. https://doi.org/10.4103/0974-8520.169017. PMid:26730134. PMCid:PMC4687233
  • Seifert O, Matussek A, Sjögren F, Geffers R, Anderson CD. Gene expression profiling of macrophages: Implications for an immunosuppressive effect of dissolucytotic gold ions. J Inflamm (Lond). 2012; 9(1):43. https://doi.org/10.1186/1476-9255-9-43. PMid:23140489. PMCid:PMC3526405
  • Bakhashi B, Gupta SK, Rajagopala M, Bhuyan C. A comparative study of Agni karma with Lauha, Tamra and Panchadhatu Shalakas in Gridhrasi (Sciatica). Ayu. 2010; 31(2):240–4. https://doi.org/10.4103/0974-8520.72408. PMid:22131718. PMCid:PMC3215372
  • Jethava NG, Dudhamal TS, Gupta SK. Role of Agnikarma in Sandhigata Vata (osteoarthritis of knee joint). Ayu. 2015; 36(1):23–8. https://doi.org/10.4103/0974-8520.169017. PMid:26730134. PMCid:PMC4687233
  • Mahanta V, Dudhamal TS, Gupta SK. Management of tennis elbow by Agnikarma. J Ayurveda Integr Med. 2013; 4(1):45–7. https://doi.org/10.4103/0975-9476.109552. PMid:23741162. PMCid:PMC3667434
  • Joshi F, Mahanta V, Dudhamal TS, Gupta SK. Effect of Agnikarma (therapeutic heat burns) and Raktamokshana (therapeutic bloodletting) in the management of Kati Sandhigata Vata (lumbar spondylosis). Ayu. 2019; 40(2):79–88. https://doi.org/10.4103/ayu.AYU_142_16. PMid:32398907. PMCid:PMC7210822

Abstract Views: 211

PDF Views: 57




  • A Comparative Clinical Study of Agnikarma (Therapeutic Heat Burn) with Suvarna Shalaka (Rod of Gold) and Panchadhatu Shalaka (Rod Made Up of Five Metals) in Janusandhigata Vata W.S.R to Osteoarthritis of Knee Joint

Abstract Views: 211  |  PDF Views: 57

Authors

Supreeth Joyal Lobo
Department of Shalya Tantra, Gopabandhu Ayurveda Mahavidyalaya, Puri - 752002, Odisha, India
Chathurbhuja Bhuyan
Institute of Post Graduate Teaching and Research in Ayurveda (IPGT & RA), Jamnagar - 361008, Gujarat, India
Arun Kumar Das
Government Ayurveda College, Bolangir, Odisha, India
Akhilesh Shukla
Department of Ayurveda Samhita - Siddhanta, Government Ayurveda College, Bilaspur - 495001, Chhattisgarh, India

Abstract


Janu Sandhigata Vata is the commonest form of Vata Vyadhi confronted by the Ayurvedic physicians. The classical description of Sandhigata Vata looks identical to the Osteoarthritis (OA) of the knee joint. Providing relief from the joints pain and stiffness, limiting functional impairment and increasing mobility are the main principles of its management. In Ayurveda, Agnikarma (therapeutic heat burn) is prescribed as one of the therapeutic measures for the effective management of Janu Sandhigata Vata. The objective is to evaluate and compare the efficacy of Agnikarma with Suvarna Shalaka and Panchadhatu Shalaka in management of Janu Sandhigata Vata w.s.r to Osteoarthritis of knee joint. The trial was carried out by randomly including the patients into two groups, of thirty each. Group A patients were treated by Agnikarma with Suvarna Shalaka and Group B with Panchadhatu Shalaka. Agnikarma was done in four sittings with a weekly interval. The patients were assessed in each sitting immediately after the treatment and a follow up was done after 15 and 30 days. The test significantly showed that Agnikarma using Suvarna Shalaka was statistically significant in reducing pain, tenderness, crepitus, swelling, angle of extension and angle of flexion. On comparison the Suvarna Shalaka is statistically more significant in pain, tenderness, crepitus, swelling, angle of extension and angle of flexion than that of Agnikarma done using Panchadhatu Shalaka. The Agnikarma using Suvarna Shalaka is found to be more beneficial than the Agnikarma using Panchadhatu Shalaka in the prime symptoms of the Janu Sandhigata Vata (Osteoarthritis).

Keywords


Alternative System of Medicines, Ayurveda, Sandhigata Vata, Vata Vyadhi.

References





DOI: https://doi.org/10.18311/jnr%2F2021%2F26204