A CLINICAL STUDY OF SANDHIGATAVATA WITH THE EFFECT OF PANCHAMULADI KSHIR BASTI.

Sandhigatavata is very common clinical condition of old age especially during 4 th and 5 th decade of life. It is particularly a degenerative disorder caused by vitiation of vata. Sandhigatavata is described in Bruhat trayies .Acharya charak has described Sandhigatavata with signs and symptoms like Vatapurnadritisparsha(creapitation in knee joint)Sshotha(swelling) Pprasaran Sakunchan Savedana(painful flexion and exetention)1.in modern system of medicine it is closely resembles with Osteoarthritis,which is due to destruction of articular cartilage ,synovial fluid and synovial activity of large joints, it limits daily activity such as walking dressing etc2. Prevalence of osteoarthritis in India is reported to be in the range of 17-60.6%3..In modern medicine, mainly Analgesics, Non steroidal anti-inflammatory drugs or surgery are the options for the management of osteoarthritis. These don’t give satisfactory relief and also cause adverse effect. Ayurveda has a ray of hope to such patients because of its holistic approach of cure and prevention of disturbances in physiology. Acharya Charak has stated the management of Asthyashrit vyadhi by panchakarma specially Basti,Kshir Ghrita and Sneha4.Kshir processed with Bruhat Panchamula and BalaPanchamuladi kshir) is described in Chakradatta for the managemaent of Vatavyadhi5.considering above reference panchamuladi kshir was selected in the form of Basti in experimental group and in control group Sandhigatvata was treated by Rasnadi Guggul .The study showed significant result in experimental group as compare to control group.