Effect of Dhanyamla Parisheka by conventional method and classical method in the management of Sandhigatavata – A randomized comparative clinical trial
DOI:
https://doi.org/10.70066/jahm.v13i5.1792Keywords:
Sandhigatavata ,danyamlaka , parishek ,osteoarthritis, sandhiAbstract
Background: Osteoarthritis (OA) is one of the most common and disabling musculoskeletal disorders, which is extremely common in the elderly population, affecting approximately 22% to 39% of the Indian population. In this regard, the treatment of OA of the knee requires both pharmacological and non-pharmacological approaches, which have its drawbacks as they are often costly, painful, and associated with potential side effects. Whereas Ayurveda offers a holistic and relatively painless treatment, one such therapy is Dhanyamla Parisheka, it is indicated in the management of ailments due to Vata-kapha vitiation. Objectives and Trial Design: The present study is a randomized, open-label parallel-group clinical trial. The objective was to study the effect of Dhanyamla parisheka in the management of sandhigata vata and determine the difference in the effect of dhanyamala parisheka when used by two different parisheka methods, the classical (as per classical text) and the convenient conventional method. A total 42 participants diagnosed with sandhigata vata were enrolled and randomly allocated into two groups: Group A (Classical method/Standard control) and Group B (Conventional method/trial), with 21 patients in each group. Methods: Group A underwent Parisheka using the Classical method described in Ayurvedic texts, while Group B received treatment using a simplified version for ease of clinical application for 7 days. Results: Most of the clinical parameters, except Sandhisputana (crepitus), showed statistically significant results noted in both groups, possibly due to the analgesic and anti-inflammatory treatment and absence of Rasayana or tissue-regenerating interventions. Conclusion: There was no significant difference observed in the effectiveness of the two methodologies; the conventional method demonstrated comparable efficacy. However, Dhanyamla Parisheka proved effective in the management of Sandhigata Vata.
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