Katishoola (low backache) is one among the Vatavyadhi. It is a common musculoskeletal disorder affecting 80% of the population at some point in their lives. The common causes are sedentary life style, lack of exercise, driving in hunched position, poor standing and sitting posture, obesity etc. The allopathic system of medicine uses analgesics, NSAIDS and steroids which are not effective and has serious adverse effects. To avoid such condition, we would like to introduce combination of Short Wave Diathermy, Rasona Kalka and Navsiddha Taila for Ayurveda management of Katishoola

Dr. Ranjit Singh

Dr. Upasana Priya

English

Journal of Ayurveda and Integrated Medical Sciences (JAIMS)

                                                      CASE REPORT Sept-Oct 2020  Journal of Ayurveda and Integrated Medical Sciences | Sept - Oct  2020 | Vol. 5 | Issue 5 594  A case study on successful Ayurvedic management of Katishoola  Dr. Ranjit Singh1, Dr. Upasana Priya2  1Associate Professor, Dept. of Shalya Tantra, 2Associate Professor, Dept. Of Rachna Sharira, Kunwar Shekhar Vijendra Ayurved Medical College & Research Centre, Gangoh, Saharanpur, Uttar Pradesh, INDIA.              INTRODUCTION It has been observed that the case of low backache is increasing day by day in orthopedic OPDs excluding accidental case. It is very common reason to visit hospital OPD. Back pain is reported more in percentage in workers doing heavy work than doing light jobs. The age group commonly affected is between 30-40 years.[1]   Katishoola means pain at the low back region. In Ayurveda terms Kati, Trika, Shroni and Pristha is used as a synonym with wider sense including the region where the vertebral column joins the hip bones on either side involving the lumbar, sacral and sacro-iliac joints, pain arising from any of these areas are termed as Katishoola.[2]   The vitiated Vata  either  alone  or  along  with  Kapha  localizes  in Address for correspondence:  Dr. Ranjit Singh Associate Professor, Dept. of Shalya Tantra, Kunwar Shekhar Vijendra Ayurved Medical College & Research Centre, Gangoh, Saharanpur, Uttar Pradesh, INDIA. E-mail: dr.raji83@yahoo.in  Submission Date: 21/09/2020 Accepted Date: 24/10/2020 Access this article online Quick Response Code Website: www.jaims.in  Published by Maharshi Charaka Ayurveda Organization, Vijayapur, Karnataka (Regd) under the license CC-by-NC-SA Katipradesha or causes pain and stiffness at Kati Pradesha. This syndrome is named as Katigraha or Katishoola. From the description it has been evaluated that the Vata gets aggravated in Pakvashaya due to indulgence of unsuitable food activities, localizes in Katipradesha and results in pain and stiffness. It is mentioned that the main seats of Vata are Pakvashaya, Kati and Sakthi. Vitiation of Vata in any one of these location shows the sign and symptoms of vitiation in all other sites and results in Katishoola.[3] In the management of low backache multiple drugs are used including anti-inflammatory, steroids, analgesics such drugs increase risk of GIT complications ranging from stomach pain to ulcer formation, surgical intervention may cause complications like infection, spinal fluid leakage, nerve damage, paralysis, moreover recurrence rate of illness is high.[4] Ayurveda is playing greater role in the management of such cases the aim is to bring the vitiated Dosha back to the state of equilibrium. Keeping this thing into mind Ayurvedic formulation Rasona Kalka[5] and Kativasti with Kalpita Yoga Navasiddha Taila along with Swedana  by infrared lamp is taken.      CASE REPORT A 50 year old male patient came to our hospital OPD with complaint of low back ache since 2 years, loss of A B S T R A C T  Katishoola (low backache) is one among the Vatavyadhi. It is a common musculoskeletal disorder affecting 80% of the population at some point in their lives. The common causes are sedentary life style, lack of exercise, driving in hunched position, poor standing and sitting posture, obesity etc. The allopathic system of medicine uses analgesics, NSAIDS and steroids which are not effective and has serious adverse effects. To avoid such condition, we would like to introduce combination of Short Wave Diathermy, Rasona Kalka and Navsiddha Taila for Ayurveda management of Katishoola.     Key words: Katishoola, low backache, Ayurveda management. Dr. Ranjit Singh et al. A case study on successful Ayurvedic management of Katishoola ISSN: 2456-3110                                                            CASE REPORT Sept-Oct 2020  Journal of Ayurveda and Integrated Medical Sciences | Sept - Oct  2020 | Vol. 5 | Issue 5 595  strength in both legs since 8 months. The patient also complained of morning stiffness since 8 months. The pain was gradual in onset radiating from hip to ankle of Rt. leg, was shooting in nature and aggravated with walking. The stiffness continued for 20 min after awakening in the morning. The patient had mild leaning during walk after prolonged sitting for more than 10-30 min. During examination on palpation of vertebral column, tenderness and rigidity was present at the lumbosacral region. The patient had pain during flexion, extension, lateral flexion and rotation of spine. SLR Test, Naffziger’s Test, Genslen’s Test, Coin Test, was found positive during examination. X-ray examination of L.S. spine revealed osteophyte formation and reduced intravertebral space. The patient had history of allopathic treatment for last 2 years but didn’t got any relief so approached us for Ayurveda treatment. MATERIALS AND METHODS Navsiddha Taila Mode of action of 1st drug: The ingredients of designed Kalpit Taila for local application has Vatsleshmahar, Vednasthapaka, Shothhara, Nadi Baldayaka, Dahashamaka, Swedjanana, Balya, Brimhana and Rasayana properties. Rasona Kalka Mode of action of 2nd drug: The oral medication is Agnideepaka, Vataanulomana, Kaphhara, Mridu Virechaka and Vednasthapaka.  Patients were subjected to intermittent exposure of Infrared Rays by means of Infrared Lamp for a period of 20 minutes daily, along with Rasona Kalka orally in a dose of 10gm BD and Kati Vasti with Navsiddha Taila  daily for 45 minutes. Assessment Criteria For assessing the condition of Lumbago before and after treatment, the patient’s response is assessed on Subjective and Objective Parameters. With the above mentioned line of treatment patient got satisfactory relief from the symptoms of Katishoola. Table 1: Showing assessment criteria’s for various parameters.  Assessment Criteria BT AT Pain 2 0 Postural Defects 3 0 Stiffness 1 0 Restriction in Movement 2 0 Muscle Spasm and Cramps 2 0 Paraparesis 3 0 Numbness 2 0 Tingling Sensation 1 0 Anorexia 1 0 Indigestion 0 0 S.L.R. 2 0 Curvature of Spine 0 0 Tenderness 1 0 Flexion 1 0 Extension 2 0 Lateral Flexion  3 1 Rotation 2 1 Table 2: Laboratory Investigations before and after treatment Hemoglobin BT 10.2 gm% AT 10.2 gm% Bleeding Time BT 1min 30sec AT 1min30sec Clotting Time  BT 5min 00sec AT 5min 00sec Dr. Ranjit Singh et al. A case study on successful Ayurvedic management of Katishoola ISSN: 2456-3110                                                            CASE REPORT Sept-Oct 2020  Journal of Ayurveda and Integrated Medical Sciences | Sept - Oct  2020 | Vol. 5 | Issue 5 596  E.S.R. BT 10 mm AT 10 mm R.A Factor BT -ve AT -ve S.Uric Acid BT 3.2 mg/dl  AT 3 mg/dl S.creatinine BT 0.8 mg/dl AT 0.8 mg/dl DISCUSSION The main objective is to plan out a reliable, simple and cost effective management in Katishoola we have decided to evaluate the efficacy of Rasona Kalka (orally) and Kati Vasti with “Navsiddh Taila”.                                The oral medication is Agnideepaka, Vataanulomana, Kaphhara, Mridu Virechaka and Vednasthapaka  in nature and the ingredients of designed Kalpita Taila for local application has Vatsleshmahara, Vednasthapaka, Shothhara, Nadi Baldayaka, Dahashamaka, Swedjanana, Balya, Brimhana and Rasayana properties. We hereby also apply principle of Short Wave Diathermy by the use of Infrared Lamp. Short wave diathermy is a form of heat treatment using electromagnetic currents, which causes molecules in deep tissues to vibrate with overheating of tissues and body organs, increased local metabolism and blood flow to them. It thereby supports absorption of chronic, inflammatory, post injury and post operative infiltrates, improves tissue elasticity and has analgesic effect.[6] CONCLUSION This case study shows that Katishoola can be successfully managed with Ayurvedic intervention. It is supportive for further research in Katishoola disease. REFERENCES 1. www.acatoday.org. 2. www.uptodate.com/patients. 3. Gadanigraha By Shri. Indrdev Tripathi, Part II Kayachikitsa Khanda,19/160,Pg No. 508,Pp-871.  4. www.ncbi.nlm.nih.gov 5. Sharangadhara Samhita,By Dr Brahmanand Tripathi, Madhyam Khanda 5/8-15,Pg. No.-168-169,Pp-488.  6. http:/www.swd.research.com.    *******************************   How to cite this article: Dr. Ranjit Singh, Dr. Upasana Priya. A case study on successful Ayurvedic management of Katishoola. J Ayurveda Integr Med Sci 2020;5:594-596.  Source of Support: Nil, Conflict of Interest: None declared. Copyright © 2020 The Author(s); Published by Maharshi Charaka Ayurveda Organization, Vijayapur (Regd). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.  

A case study on successful Ayurvedic management of Katishoola

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A case study on successful Ayurvedic management of Katishoola

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