Keywords
Janu Sandhigata Vata
Osteoarthritis of knee
Ayurveda
Marma Therapy
Janu Basti
Ksheerbala Taila
Osteoarthritis of knee
Ayurveda
Marma Therapy
Janu Basti
Ksheerbala Taila
Categories
How to Cite
Mishra, A., & Shrivastava, V. (2020). Evaluation of Efficacy of Marma Therapy with Janu Basti in the Management of Janu Sandhigata Vata (Osteoarthritis of Knee). Dev Sanskriti Interdisciplinary International Journal, 15, 29–45. https://doi.org/10.36018/dsiij.v15i.139
Abstract
Background: Janu Sandhigata Vata (Osteoarthritis of knee) is one of the most disabling musculoskeletal disorder. It is a type of Vata-vyadhi (Vata disorder), involving the Janu Sandhi (knee joint), whose symptoms include Shoola (pain), Shotha (swelling), Stabdhata (stiffness), and Atopa (crepitus). Ayurvedic texts recommend repeated use of Snehana (oleation) and Swedana (sudation) therapies for its management. In recent years, Marma Therapy has also been used for the management of various Vata disorders. Methodology: The present study explores the efficacy of Marma Therapy (on four Marma points of the legs, i.e. Kshipra, Gulpha, Indravasti and Janu) with Janu Basti (with Ksheerbala Taila) in the management of Janu Sandhigata Vata. The therapeutic procedure was administered for 9 days, with a followup of one month, when the patients did self-administration of Marma Therapy and massage at home. Twenty patients completed the study. Results: Significant improvement was observed in all the subjective parameters (Shoola, Shotha, Stabdhata, and Atopa) and objective parameters (WOMAC Index, Range of Motion, Walking Time) analyzed during the study. Mean values of all the parameters decreased continuously during the study period, including intervention time and follow-up. Verbal feedback taken about six months after the completion of the study period indicated almost complete relief for 4 patients (pursuing Marma Therapy regularly), and self-management by 10 others through regular Marma Therapy and massage. Conclusion: The present study illustrates the significant efficacy of the administered therapeutic intervention in the management of Janu Sandhigata Vata, both with regards to short-term relief, and long-term self-management.
References
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https://doi.org/10.1016/S1063-4584(03)00089-X
25. Chopra A. Rheumatology: made in India (camps, COPCORD, HLA, ayurveda, HAQ, WOMAC and drug trials. Journal of Indian Rheumatology Association. 2004; 12: 43-53.
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https://doi.org/10.4103/0257-7941.134618
27. Shah MR, Mehta CR, Shukla VD, Dave AR, Bhatt NN. A clinical study of matra vasti and an ayurvedic indigenous compound drug in the management of sandhigatavata (Osteoarthritis). Ayu. 2010; 31(2): 210-217.(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215366/)
https://doi.org/10.4103/0974-8520.72399
28. Grampurohit PL, Rao N, Harti SS. Effect of anuvasana basti with ksheerabala taila in sandhigata vata (Osteoarthritis). Ayu. 2014; 35(2): 148-151. doi: 10.4103/0974-8520.146225.
https://doi.org/10.4103/0974-8520.146225
29. 35. Murthy KRS. Bhavaprakasa of bhavamisra. volume 1 - including nighantu portion. Varanasi, Uttar Pradesh, India: Chowkhamba Krishnadas Academy; 2016.
30. Pokharel S, Sharma AK. Evaluation of insomrid tablet and shirodhara in the management of anidra (insomnia). Ayu. 2010; 31(1): 40-47. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215320/)
https://doi.org/10.4103/0974-8520.68209
31. Kundu C, Shukla VD, Santwani MA, Bhatt NN. The role of psychic factors in pathogenesis of essential hypertension and its management by shirodhara and sarpagandha vati. Ayu. 2010; 31(4): 436-441. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3202255/)
https://doi.org/10.4103/0974-8520.82035
32. 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): 53-57. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215322/)
https://doi.org/10.4103/0974-8520.68210
33. Sharma S. Gayatri mahavigyan - sanyukta sanskaran (Hindi). revised ed. Mathura, Uttar Pradesh, India: Yug Nirman Yojana Vistar Trust, Gayatri Tapobhumi; 2010.
34. Saraswati SS. Asana Pranayama Mudra Bandha. Munger, Bihar, India: Yoga Publications Trust; 2006.
https://doi.org/10.4103/0974-8520.68192
2. Long L, Soeken K, Ernst E. Herbal medicines for the treatment of osteoarthritis: a systematic review. Rheumatology. 2001; 40: 779-793. (https://academic.oup.com/rheumatology/article/40/7/779/1787902/)
https://doi.org/10.1093/rheumatology/40.7.779
3. Joshi A, Mehta CS, Dave AR, Shukla VD. Clinical effect of nirgundi patra pinda sweda and ashwagandhadi guggulu yoga in the management of sandhigata vata (osteoarthritis). Ayu. 2011; 32(2): 207-212. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3296342/)
https://doi.org/10.4103/0974-8520.92588
4. Murthy KRS. Susruta samhita. volume I, II, III. Varanasi, Uttar Pradesh, India: Chaukhambha Orientalia; 2008.
5. Sharma PV. Charaka-samhita (text with English translation). volume I, II. Varanasi, Uttar Pradesh, India: Chaukhambha Orientalia; 2008.
6. Gupta KA. Ashtanga hrdyam of vagbhata - vidyotini hindi commentary. Varanasi, Uttar Pradesh, India: Chaukhamba Sanskrit Sansthan; 2005.
7. Sastri S. Madhava nidanam of sri Madhavakara. part-1. 30th ed. Varanasi, Uttar Pradesh, India: Chaukhamba Sanskrit Sansthan; 2000.
8. Kumar AK. A study on the effect of janu-dhara with tila taila and kethakyadi taila in janusandhigatavata. Dissertation for the degree of Ayurveda Vachaspati in Panchakarma. Bengaluru, Karnataka, India: Rajiv Gandhi University of Health Sciences; 2010. http://52.172.27.147:8080/jspui/handle/123456789/4705
9. Acharya GS. Panchakarma illustrated. Delhi: Chaukhamba Sanskrit Pratishthan; 2006.
10. Verma A, Shete SU, Doddoli G. An integrated therapy approach for the management of obesity-associated disorders: a case report. Journal of Family Medicine and Primary Care. 2019; 8(4): 1491-1494.
https://doi.org/10.4103/jfmpc.jfmpc_200_19
doi: 10.4103/jfmpc.jfmpc_200_19
https://doi.org/10.4103/jfmpc.jfmpc_200_19
11. Perera PK, Perera M, Kumarasinghe N. Effect of sri lankan traditional medicine and ayurveda on sandhigata vata (osteoarthritis of knee joint). Ayu. 2014; 35(4): 411-415. doi: 10.4103/0974-8520.159007.
https://doi.org/10.4103/0974-8520.159007
12. Joshi SK. Marma science and principles of marma therapy. 1st ed. Haridwar, Uttarakhand, India: Vani Publications; 2010.
13. Joshi SK. Marma chikitsa vigyan (Hindi). Haridwar, Uttarakhand, India: Mrityunjay Mission; 2012.
14. Frawley D, Ranade S, Lele A. Ayurveda and marma therapy. Delhi, India: Chaukhamba Sanskrit Pratishthan; 2015.
15. Lad V, Durve A. Marma points of ayurveda. Albuquerque, New Mexico, USA: The Ayurvedic Press; 2015.
16. Schrott E, Raju JR, Schrott S. Marma therapy. (Translated by) Lorys M. London, UK: Singing Dragon; 2016.
17. Phull G, Phull R. Clinical approach to marma chikitsa. New Delhi, India: IP Innovative Publication Pvt. Ltd.; 2019.
18. Denaud P. Kalaripayat - the martial arts tradition of India. (Translated by) Cain J. Vermont, USA: Destiny Books; 2009.
19. Fox M, Dickens A, Greaves C, Dixon M, James M. Marma therapy for stroke rehabilitation - a pilot study. Journal of Rehabilitation Medicine. 2006;38(4):268-271. DOI: 10.1080/16501970600630820.
https://doi.org/10.1080/16501970600630820
20. Kotelevskiy VI. Integrative technology of massage manipulations in physical rehabilitation of students with backbone pathology. Pedagogics, Psychology, Medical-Biological Problems of Physical Training and Sports. 2016;20(3):31-40. http://dx.doi.org/10.15561/18189172.2016.0305.
https://doi.org/10.15561/18189172.2016.0305
21. Murota M, Iwawaki Y, Uebaba K, Yamamoto Y, Takishita Y, Harada K, Shibata A, Narumoto J, Fukui K. Physical and psychological effects of head treatment in the supine position using specialized ayurveda-based techniques. The Journal of Alternative and Complementary Medicine. 2016;22(7):526-532. DOI: 10.1089/acm.2015.0388.
https://doi.org/10.1089/acm.2015.0388
22. Sieler R. Kalari and vaittiyacalai: medicine and martial arts intertwined. Asian Medicine. 2012; 7(1): 164-195. https://doi.org/10.1163/15734218-12341247.
https://doi.org/10.1163/15734218-12341247
23. Chopra A, Saluja M, Tillu G, Venugopalan A, Sarmukaddam S, Raut AK, et al. A randomized controlled exploratory evaluation of standardized ayurvedic formulations in symptomatic osteoarthritis knees: a government of India NMITLI project. Evidence-Based Complementary and Alternative Medicine. 2011; 2011: 724291. doi: 10.1155/2011/724291.
https://doi.org/10.1155/2011/724291
24. Salaffi F, Leardini G, Canesi B, Mannoni A, Fioravanti A, Caporali R, et al. Reliability and validity of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index in Italian patients with osteoarthritis of the knee. OsteoArthritis and Cartilage. 2003; 11: 551-560 (https://www.oarsijournal.com/article/S1063-4584(03)00089-X/fulltext).
https://doi.org/10.1016/S1063-4584(03)00089-X
25. Chopra A. Rheumatology: made in India (camps, COPCORD, HLA, ayurveda, HAQ, WOMAC and drug trials. Journal of Indian Rheumatology Association. 2004; 12: 43-53.
26. Pandey YK, Shalini, Sharma AK. Effect of Gr?v? Vasti in management of Gr?v? Asthi Sandhi Gata V?ta (Cervical Spondylosis). Ancient Science of Life. 2013; 33(1): 71-75. doi: 10.4103/0257-7941.134618.
https://doi.org/10.4103/0257-7941.134618
27. Shah MR, Mehta CR, Shukla VD, Dave AR, Bhatt NN. A clinical study of matra vasti and an ayurvedic indigenous compound drug in the management of sandhigatavata (Osteoarthritis). Ayu. 2010; 31(2): 210-217.(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215366/)
https://doi.org/10.4103/0974-8520.72399
28. Grampurohit PL, Rao N, Harti SS. Effect of anuvasana basti with ksheerabala taila in sandhigata vata (Osteoarthritis). Ayu. 2014; 35(2): 148-151. doi: 10.4103/0974-8520.146225.
https://doi.org/10.4103/0974-8520.146225
29. 35. Murthy KRS. Bhavaprakasa of bhavamisra. volume 1 - including nighantu portion. Varanasi, Uttar Pradesh, India: Chowkhamba Krishnadas Academy; 2016.
30. Pokharel S, Sharma AK. Evaluation of insomrid tablet and shirodhara in the management of anidra (insomnia). Ayu. 2010; 31(1): 40-47. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215320/)
https://doi.org/10.4103/0974-8520.68209
31. Kundu C, Shukla VD, Santwani MA, Bhatt NN. The role of psychic factors in pathogenesis of essential hypertension and its management by shirodhara and sarpagandha vati. Ayu. 2010; 31(4): 436-441. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3202255/)
https://doi.org/10.4103/0974-8520.82035
32. 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): 53-57. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215322/)
https://doi.org/10.4103/0974-8520.68210
33. Sharma S. Gayatri mahavigyan - sanyukta sanskaran (Hindi). revised ed. Mathura, Uttar Pradesh, India: Yug Nirman Yojana Vistar Trust, Gayatri Tapobhumi; 2010.
34. Saraswati SS. Asana Pranayama Mudra Bandha. Munger, Bihar, India: Yoga Publications Trust; 2006.
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