COMPARATIVE CLINICAL EVALUATION OF JANU VESTANA AND JALAUKAVACHARANA IN JANUSANDHIGATAVATA

Abstract

Living system has an ability to maintain itself by means of repair and reconstruction. Ageing process leads to a decrease in this efficiency of the body. The autonomous Vayu governs this change and gives rise to various Vatavyadhi as the age advances. Sandhigatavata is one such condition that occurs when provoked Vata enters the asthisandhi owing to gatavata pathology. Pain typically present on joint mobilisation with features like swelling,stiffness, crepitus etc are the clinical manifestations of this condition. It can be well correlated with Osteoarthritis described in modern science. Knee joint is an easy target and the degenerative changes in knees is termed as Janusandhigatavata. Various procedures performed on the knee are in vogue. Local application, intra-articular injections and non pharmacological treatments are some widely used approaches among them. Yet, an additional cavernous review is indispensible to bring out a precise outcome of these procedures. Hence, the particular study was done with Nirgundi taila Janu Vestana and Jalaukavacharana in Janusandhigatavata. It was a parallel group comparative clinical study, conducted and completed on 62 patients suffering from Janusandhigatavata within 70 years of age, irrespective of gender, randomly allocated into 2 groups with 31 patients each subjected to Nirgundi taila Janu Vestana and Jalaukavacharana. The therapeutic effect was assessed based on specific clinical parameters and statistically analysed for test of significance using paired and unpaired't' test. Both groups showed statistically highly significant improvement in the primary outcome parameters with p < 0.001. However the effect of Jalaukavacharana was appreciated instantly when compared to Vestana.