Exploring the Efficacy of Dashmooladi Niruha Basti in Managing Janusandhigata Vata – A Case Series
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Abstract
Background: Janu Sandhigata Vata, correlated with osteoarthritis of the knee joint, is a degenerative disorder characterized by pain, stiffness, swelling, crepitus and restricted movements. Increasing age, obesity, sedentary lifestyle and overexertion contribute significantly to its prevalence. In Ayurveda, Basti Chikitsa is considered the prime treatment for Vata disorders. Dashmooladi Niruha Basti possesses Vata-shamaka, Shothahara and Vedanasthapana properties which may help in reducing the symptoms of Janu Sandhigata Vata.
Aim: To evaluate the efficacy of Dashmooladi Niruha Basti in the management of Janu Sandhigata Vata.
Materials and Methods: A single-group clinical study was conducted on 10 patients diagnosed with Janu Sandhigata Vata at M. A. Podar Hospital, Mumbai, from September 2025 to January 2026. Patients aged 30–70 years fulfilling the inclusion criteria were selected. Dashmooladi Niruha Basti (640 ml) along with Sahachar Taila Anuvasana Basti was administered according to the Kala Basti schedule for 15 days. Assessment was done before and after treatment using grading criteria for Sandhishoola, Sandhigraha, Sandhishotha, Sparsha Asahatva, Sandhisphutata, Visual Analogue Scale and range of knee joint movements.
Results: Considerable improvement was observed in pain, tenderness, stiffness, swelling and crepitus. Improvement in knee flexion and extension indicated better joint mobility and functional capacity.
Conclusion: Dashmooladi Niruha Basti proved beneficial in managing Janu Sandhigata Vata and can be considered an effective Ayurvedic approach for osteoarthritis of the knee joint.
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