Critical review of Samprapti of Urustambha with special reference to Avarana

Abstract

The three fundamental components i.e., Tridosha, govern all the body. These are referred to in Ayurveda as “the pillars of the body.” Doshas in a balanced state carry out bodily functions normally, but when they become vitiated, they lead to illnesses. The Urustambha Chikitsa chapter addresses how to treat Urustambha, which is a Sanskrit term for "stiff thighs." The inability to move the pelvis and lower extremities as well as pain are common symptoms in patients. It is a common symptom of higher socioeconomic level individuals with lifestyle disorders. This illness was known as Adhyavata by Acharya Sushruta. Panchakarma is contraindicated for only this illness. Because of how it presents clinically, it may be mistakenly identified as a Vata dominant illness; nevertheless, the predominant pathogens are Kapha and Meda Dhatu. As a result of consuming Apathya Ahara Vihara, disordered Vata that has been sub-charged with Meda and Kapha settles down into the lower limbs, causing pain and immobility. In this article, we focus on the Avarana and etiopathogenesis of Urustambha.