EFFECT OF PANCHA TIKTA KSHIRA BASTI KARMA IN AVASCULAR NECROSIS

Abstract

Introduction: Avascular necrosis (AVN) is a condition that occurs due to loss of blood supply to the bone which leads to
cellular death of bone tissue. Sometimes this condition involves the bones of a joint cause’s destruction of the joint. In
early stages there is no symptom but in advance stage patient is suffered from severe pain and dysfunction of affected
joint. A female patient aged about 35 years with the complaints of pain in both hip joints and thigh region with difficulty
in walking was admitted on bed no. 20 in Female ward. It was diagnosed as a case of Avascular necrosis of neck of femur
based on MRI- reports. As per Ayurveda the patient is diagnosed as a case of Asthipradoshaja Vikara there is dominance
of Vata Dosha. Patient was treated with classical Panchakarma treatment particularly with Basti Karma by using drugs
like Panchatiktaka Kvatha and Guggulu Tiktaka Ghritam along with conventional drugs of Basti as Kala Basti schedule.
Certain oral medication like Kaishore Guggulu, Manjishtadi Kvatha, Dashamula Kvatha and Triphala Churna etc were
given. After completion of treatment the pain in hip joints and thigh region was reduced, range of movement of hip joint
was improved and difficulty in walking was much reduced and walking distance was also improved. In the acute stage of
AVN ayurveda play an important role but in advance stage of the disease still an awaited, but with the Panchakarma
therapy along with shaman drugs improved the quality of life.