ROLE OF BASTI AS SHODHANA ALONG WITH SHAMANA IN TREATING JANUSANDHIGATAVATA (PRIMARY OSTEOARTHRITIS OF KNEE): A CASE REPORT

Sandhigatavata is a type of vata vyadhi caused due to dhatuksaya and other vata prakopaka nidana. In Sandhigatavata,shula(pain) is pradhana vedana seen with sandhishotha(joint swelling) and vata purna druti Sparsha(crepitus)as associated lakshanas. Sandhigatavata can be correlated to Osteoarthritis(OA) in Contemporary medical science. Osteoarthritis being the most common type of arthritis in clinical practice where clinical features include pain, swelling and restricted joint movements. This condition commonly involves joints of hands, knees, feet, facet joints of spine and hips, where knee being the most common location. The incidence of OA in India is as high as 12%. Women are at higher risk of developing primary OA than men. In particular, postmenopausal and obese women are more prone to the disease. In this case report, 58 years old female came with complaint of pain in bilateral knee joints (left knee pain more than right knee) associated with swelling and difficulty in doing her day-to-day activities for 4-5 months. The patient was treated with Ayurvedic treatment protocols in terms of both Samshamana and Samshodana like sadyovirechana and yoga basthi along with bahya chikitsa and other protocols like udwaratana, janu basthi and janu upanaha, which helped in agni vardhana, vata shamana and specially dhatu poshana. Along with treatment the importance was given for pathya-apathya ahara and vihara. The treatment showed significant improvement in shula, shotha and along with considerable changes in performance of day-to-day activities without any difficulty.