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The symptoms of rasavaha srotas such as gaurava and angamarda improved due to its tikta rasa and ushna viryawhereas the symptoms of medovaha srotasi.ekarapadayoh suptata dahaalasya and suptatachaangeshunumbness of body partsimproved due to its rukshalaghu guna and ushna viryait also reduces medasThe symptoms of asthivaha srotas and majjavaha srotas improved due to tikta rasa and katuvipakaas they counteract the pathogenic process of sandhivataThe main site of sandhivata is sandhis which are the site of shleshaka kaphaBy pacifying kaphadoshatikta rasa leads to proper nutrition of the other dhatus
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.
OsteoarthritisOAis the most common form of arthritiswhich is degenerative in natureIt is characterized by progressive disintegration of articular cartilageformation of new bone in the floor of the cartilage lesionseburnationand at the joint marginsosteophytesand leads to chronic disability at older ages1Clinical manifestations of OA range from mild to severeand affect the joints in hands and weight bearing joints such as kneeshipsfeet and spineOA is a clinical syndrome characterized by joint paintendernesslimitation of movementscrepitusoccasional effusion and variable degrees of inflammation without systemic effects2According to epidemiologythe prevalence of OA in India is 22-39Radiographic evidence of OA is present in majority of people over age 65among them80people are over 75 yearsApproximately11of those over 65 have symptomatic OA of the kneeIn India5.3males and 4.8females are aged more than 65 years3OA strikes women more often than men and it increases in prevalenceincidence and severity after menopauseThe etiology of OA is multifactorialVarious morphological as well as biochemical changes result in a softenedulcerated and malfunctioning articular cartilage4It has been postulated that agegenderbody weightrepetitive trauma and genetic factors are the risk factors which play an important role in the manifestation of OA5]
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