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In the present studyimprovement was seen in the chief complaintssandhishulasandhishothaakunchana prasaranayoh vedanastambhasandhisphutana and sparsha asahyatadue to shothahara and vedanasthapana properties of ShallakiThe main site of sandhivata is sandhi which is the site of shleshakakaphaDue to its tiktarasakatuvipaka and ushnaviryaShallaki pacifies vitiated kapha and vata dosharesulting in reduction of shothashula and other related symptomsThe pacified vata in the sandhi helps to rearrange shleshaka kapha and thereby improves the symptoms of sandhivataShallaki possesses analgesic and antiarthritic propertieswhich are responsible for its analgesic and anti-inflammatory activitiesIt also acts as COX-2 inhibitor and reduces the pain and inflammation without affecting the gastric mucosaIt soothes the joints and also helps treat levels of synovial fluidmaking the entire structure lubricated and easy to rotate or to move11]
Sushruta has described the disease in Vatavyadhi chapter under the heading of Sandhigata vatawhile Charaka has described Sandhigata vata under the Vatavyadhi as Sandhigata Anila6The diseases produced by morbid vatadosha are more common in Jaravasthaold ageThe vitiated vata combines with other vitiated dosharaktaamaetc and gets located in the joint to produce the diseaseBeing a disease related to madhyamarogamargaSandhigata vata is either Kastasadhya or AsadhyaOn the basis of symptomatology and nature of the diseaseSandhigata vata is much similar to OAwhich is the most common degenerative joint disease in older people.
3 Professor and HeadDepartment of Kayachikitsa and Roga Nidana and Vikriti VijnanaSDM Research Centre for Ayurveda and Allied SciencesUdupiKarnatakaIndia.
Patients between 40 to 70 years of agepresenting with clinical signs and symptoms of SandhivatavizShulajoint painshothajoint-swellingstambhastiffnesssparsha asahyatatendernesssphutanacrepitusakunchana prasarana vedanapain during flexion and extension of the jointetc and patients without any anatomical deformity were included.
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