A phytochemical study of bala dwayam (Sida cordifolia & Abutilon indicum linn.) And clinical evaluation of its moola churna ksheerapaka in Sandhigata vata with special reference to janu sandhi

Abstract

Joint pain is a world wide problem. Almost 70 to 80% of the world population suffer from it. Statistical analysis shows that by the age of 60 to 75 years, 80% of the population shows radiographic evidences of  osteoarthritis. Osteoarthritis of the knee joint is characterised by gradual increase of pain in the joint, ‘grating’  may be felt or heard on movement. A plain radiograph is the only useful investigation. This may show some typical features of osteoarthritis, namely focal narrowing of joint space, marginal osteophyte, subchondral sclerosis cysts and osteochondral bodies. According to Ayurveda it is coined as Sandhigatavata where in Vata takes on the sandhisthana, it leads to the degeneration of asthi dhatu and decreases shleshaka kapha disturbing the normal structure and functions of the joints involved. As age advances Vatadosha triggers and accelerates dhatukshaya and balakshaya. Sandhigatavata is a madhyama rogamarga vyadhi involving the sandhi marma. Dhatukshaya in highly prevalent in vriddhavastha. Thus the involvement of Marma, Madhyama roga marga, vata dosha and dhatukshaya adds to the kashtasadhyata of the disease.