|“A COMPARATIVE STUDY ON JANU BASTI AND JANU PICHU WITH MURIVENNA IN JANU SANDHI GATA VATA.”
Dr. PRASANTH. D.B.A.M.S
Dissertation Submitted to the
Rajiv Gandhi University Of Health Sciences, Karnataka, Bangalore
DEPARTMENT OF POST GRADUATE STUDIES IN PANCHA KARMA ALVA’S AYURVEDA MEDICAL COLLEGE & HOSPITAL MOODBIDRI 574227.
“Janu Sandhigata Vata” is one among the most common Vāta Vyādhi. This disease affects the joints with its signs and symptoms like pain, swelling, and restriction of joint movements. Commonly this Sandhigatavata is presented in Janusandhi, which is one among the most important weight bearing joint in body and also considered as a Marma.
Osteoarthritis is most common form of arthritis characterized mainly by pain, bony swelling and functional restriction of the joint. This condition too, is commonly presented in knee joint. Due to its similarities in signs and symptoms it can be very much correlated to Janusandhigatavata. Studies reveal there is a steady rise in prevalence of OA from age 30 such that by 65, 80% of people have radiographic evidence of OA, though only 25-30% are symptomatic. It’s a slowly progressing degenerative disorder. Potent analgesics and anti-inflammatory drugs are available in the market, which run the risk of producing side effects like gastric erosion, hepatic and nephro toxicity etc. Even surgery statistically reveals to have a failure rate of 10% in knee replacements. It’s a limitation in contemporary science to provide a comprehensive effective management. So research works in Ayurveda has evident scope in this condition.
According to Ayurveda Snehana, Svedana, Dahana and Upanaha are the prime modalities of treatment in the management of Sandhigatavata, which are mostly aimed at Bramhana. Janubasti and Janupichu are the procedures basically evolved from Shirobasti and Shiropichu, which are mentioned among Moordhini Tailas3b,6 are also having Bramhana action where Sneha is allowed to stay for a stipulated duration in the affected joint.
Murivenna commonly used Anubhuta yoga in Kerala, listed in Kerala Ayurveda pharmacopeia is useful in Sandhi Bhagna has Vedanasthapaka and shothagna effect. Murivenna is also considered as one of the best yoga in Marmabhighata too. Murivenna in the form of Janubasti or Janupichu in managing Janusandhigatavata vata was not studied before.
Therefore this study is intended to compare the effect of Janubasti and Janupichu done with Murivenna in the management of Janusandhigatavata.
1. Evaluation of effect of Janu Basti with Murivenna on Janusandhigatavata.
2. Evaluation of effect of Janu Pichu with Murivenna on Janusandhigatavata.
3. To compare and ascertain the effect of Janu Basti and Janu Pichu with Murivenna.
It is a single blind clinical study with pre-test and post-test design. A special proforma was prepared with all the points of history taking, physical examination and investigations.
The study was carried out in 30 Patients of Janu Sandhi Gata Vata with who were divided equally into two groups. In group A, Patients were administered Janu Basti with Murivenna for 45 minutes, for 7 consecutive days.In group B, patients were administered Janu pichu with Murivenna for 45 minutes for 7 consecutive days.
Data was collected from the patient on the 1st day before treatment, 8th day after procedure and on 14th and 22nd day of the study period. Placebo was given internally during the study period in the form of rice flour capsule 1 Bid.
Interpretation and Results:
– Assessment inside a group was statistically done using paired “t” test and student “t” test was utilized for comparative assessment in between groups.
-The test of significance showed that both the procedures had significant
improvement statistically in all the signs and symptoms except for Gait in
– On comparison between the groups except for pain and gait none of the symptoms showed statistically significant changes.
On the overall glance over the study showed that among the 30 patients of Janu Sandhigatavata 2 (06.6 %) got 100 % relief, 03 (10 %) got more than 90 % relief, 22 (73.4 %) got moderate relief between 60 % and 90 % & 3(10%) got partially improved results.
On comparative assessment between groups, In Group A, 2 patients (13.4 %) got 100 % relief & 3 patients (20 %) got more than 90 % relief while in Group B, no patients got more than 90 % or 100% relief. 9 patients (60 %) of Group A, got relief in between 60-90 % and whereas 13 ( 87%) patients of Group B got relief in between 60-90 %.
Analysis of the results showed that Janu Basti with Murivenna provided a better relief in the signs and symptoms of JanuSandhigatavata mainly in pain, stiffness, gait, tenderness, swelling, crepitus and range of movements compared with Janu Pichu done by the same.