A COMPARATIVE CLINICAL STUDY OF CHURNA BASTI AND VAITARANA BASTI IN THE MANAGEMENT OF AMAVATA

Abstract

INTRODUCTION- Amavata is most common debilitating joint disorder which makes the life of patient almost crippled. Amavata can be correlated with Rheumatoid Arthritis (R.A.) of contemporary science based on Pathology, Therapeutic sign & symptom. Basti is considered as the treatment of excellence among Karma, because it removes the vitiated Kapha-Vatadi Doshas from its root which helps to break Vyadhi-samprapti. Churna Basti and Vaitarana Basti both of these Basti comprises of drugs possessing Ushna virya, Laghu-Teekshnagunas, Deepana-Pachana, Vata Kaphahara. Both are Teekshna Niruha Basti which are having Agni deepaka, Pachaka and Amahara properties are indicated in the management of Amavata. MATERIALS & METHOD- In this clinical study 30 patients of Amavata was selected. In one Group A 15 patients were treated with Churna Basti and Group B 15 patients with Vaitarana Basti. Here in this study an attempts was made in Amavata’s Patients to evaluate the efficacy of Churna Basti and Vaitarana Basti in modified Kalabasti schedule. RESULTS- Effect of Churna Basti: In Churna Basti group , significant relief was observed in cardinal symptoms like Sandhishula (71%, P < 0.001), Sandhishotha (62%, P<0.001), Angamarda (72%, P< 0.001), Alasya (71%,P<0.001), Aruchi (87%, P<0.001), Agnidourbalya(82%, P< 0.001), Gaurava(71%, P<0.001), Morning stiffness(59%, P<0.001), ESR(21%, P<0.001). There were significant changes in Swelling and Range of movement both clinically and statistically with a (P<0.001). Effect of Vaitarana Basti: In Vaitarana Basti group , significant relief was observed in cardinal symptoms like Sandhishula (59%, P < 0.001), Sandhishotha (60%, P<0.001), Angamarda (62%, P< 0.001), Alasya (62%,P<0.001), Aruchi (73%, P<0.001), Agnidourbalya(72%, P< 0.001), Gaurava(61%, P<0.001), Morning stiffness(56%, P<0.001), ESR(17%, P<0.001). There were significant changes in Swelling and Range of movement both clinically and statistically with a (P<0.001). CONCLUSION- After going through the clinical changes observed during and after the treatment of Churna Basti and Vaitarana Basti it may be opined that Churna Basti combination is beneficial in treating signs and symptoms of Amavata.