Ayurvedic Approach for Management Of Ankylosing Spondylitis - A Case Report
Keywords:
Ankylosing spondylitis, snehana, swedan, panchtikta ksheer basti, yogbastiAbstract
Ankylosing spondylitis is a member of more broadly defined disease axial spondyloarthritis affecting mainly the spine which often starts around the sacroiliac joint and appears gradually with peak onset between 20-30yrs of age. It affects 0.1 to 1.8 % of the population of which men are three times more prone to it than females.(1) It is characterised by musculoskeletal pain, stiffness and reduced mobility of spine. Vertebral osteoporosis is common & cardiovascular disease & renal impairment may complicate severe AS. Pathogenesis of AS is poorly understood though Human leucocyte antigen (HLA)B-27, inflammatory cellular infiltrates, cytokines & genetic and environmental factors are thought to have key roles. AS can be diagnosed through radiological changes, positive bio-marker (HLA)B-27, Elevated CRP. No satisfactory treatment is available on allopathy with only NSAID’s & steroids in their treatment box.
A case of 26yrs old male came to opd suffering from lumbar & cervical pain, bilateral shoulder restricted movement & reduced mobility of spine. The patient was considered to be suffering from asthi pradoshaj vikaar & was treated with pathya palan, balanced aahar-vihar, oral medicines for 3 months & panchkarma treatment of sarvang snehana & swedan for 8 days with yogbasti kram & then panchtikta ksheer basti for 8 days. The patient’s condition was assessed for symptoms in relief & improved movements. After ayurvedic treatment there was substantial improvement in lumbar pain & degree of movement also improved. This case study shows that the cases of AS can be successfully managed with ayurvedic treatment.
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2. HLA-B27. In: Wikipedia [Internet]. 2018 [cited 2019 Feb 5]. Available from: https://en.wikipedia.org/w/index.php?title=HLA-B27&oldid=862145870
3. Harishchandra kushwaha (editor), charak samhita, volume 1, 3rd edition, varanasi, chaukhamba Sanskrit pratishthan, 2011, pg no. 476 (sutrasthan)
4. Ambikadutta shastri, sushrut samhita, part 1, 3rd edition, Varanasi, chaukhamba Sanskrit pratishthan, 2011, pg no. 26 (chikitsasthan)
5. Brahmanand tripathi (editor), astanga hrdayam of srimadbagbhata, 3rd edition, delhi, chaukhamba Sanskrit pratishthan, 2003, pg no. 165 (sutrasthan)
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