Role of Adityapaka Guggulu and Tiktaksheera Basti in the Management of Sandhigatavata with Special Reference to Osteoarthritis

Abstract

Sandhigatavata is a degenerative disorder in which degeneration of Asthi Dhatu (osseous tissue) in the joints occur. Tikta Ksheera Basti is used in the treatment of Sandhigatavata because according to Acharya Charaka, Ksheera prepared with Tikta rasa dravya are used in Basti for the treatment of Asthigata Rogas. The study was carried out on 45 clinically diagnosed patients of Sandhigatavata with an objective to assess the effect of Tikta Ksheera Basti and Adityapaka Guggulu in the management of Sandhigatavata on various scientific parameters. Results showed that merely Shamana therapy in the form of Adityapaka Guggulu could not produce significant functional improvement but administration of Shodhana therapy in the form of Tikta Ksheera Basti produces significant improvement in joint functions. The best results were observed when both the treatment modalities were administered together. From the above trial it can be validated that Tikta Ksheera Basti is efficacious in Asthigata Roga.