PANCHAKARMA PROCEDURES ALONG WITH TRAYODASHANGA GUGGULU IN THE MANAGEMENT OF KATISHOOL WITH SPECIAL REFERENCE TO LUMBAR SPONDYLOSIS

Abstract

Lumbar spondylosis is a common age related degenerative condition in the region of Lumbar spine with gradual formation of bony overgrowths (Osteophytes). No satisfactory management is available in modern medicine. Here a case series is reported in which 24 diagnosed patients of Lumbar spondylosis were divided into two groups and treated with Panchakarma procedures and Ayurvedic oral medication. The Ayurvedic diagnosis was considered as Katishool. In group A, 12 patients were treated with Trayodashanga guggulu for 16 days in a dose of 01g twice in a day with lukewarm water after meal. In group B, 12 patients were treated with Panchtikta kshira basti (Kala basti manner) and Kati basti with 100ml of Dashamula Taila (oil) /day for 45 min. along with Trayodashanga guggulu in the dose of 01g twice in a day for 16 days with lukewarm water after meal. Assessments were done on Modified Oswestry Low Back Pain Disability Index (MOLBPDI questionnaires), Pain on Visual Analogue Scale (VAS), tenderness and walking time duration (10 meter walking test). For statistical analysis paired and unpaired t test were used. Significant results were obtained in both groups on all parameters. Group B was more effective. It can be concluded that Panchtikta kshira basti and Kati basti with Dashmool taila, along with Trayodashanga guggulu are very effective treatment modalities and can be used effectively in the manegement of Lumbar spondylosis.