AN APPROACH TO SANDHIGATA VATA CLASSICAL REFERENCES AND THEIR CLINICAL APPLICATIONS

Abstract

Sandhigatavata is most prevalent articular ailment. It is a form of Vatavyadhi that mostly affects people in older age because of deficiency in all Saptadhatus (Dhatukshaya). Ultimately, deterioration of immunity (Ojakshaya), which restricts basic actions like walking, putting on clothes, and laundering, making the patient crippled or handicapped. Osteoarthritis, the most common articular ailment, starts to show symptoms asymptomatically in the second and third decades and is highly common by the time a person reaches the age of 70. In Sandhigatavata, these signs and symptoms include Shotha (swelling), Prasarankuncanayosavedana (pain on flexion and extension of the joints), Sandhisula (pain in joints), SandhiVichyuti, Atopa, and Vatapurradtisparsha (feels like a bag full of air). Numerous works of literature and Samhitas discuss Sandhigatavata and its treatment basically, Vatadosha which   is Ruksha (dry) Laghu (light), Sheeta (cold), Daruna (hard), Khara(rough),Vishad(clear), Guna dominates in this kind of circumstance. This Guna  is responsible for both Vatavriddhi and Prakopa. With the Tila Taila possessing these qualities, Vataprashaman is opposing Guna, including Snigdha(oily) Guru(heavy), Ushna(hot)Shlakshan(smooth), Mradu(soft), and Pichichhal(sticky)Ghan(colloid). However, the requirement is consistent use or application of Taila at the working part. Aim is to find out etiopathogenesis of Sandhigatavata and their line of treatment which can be practically implemented in present scenario. For this Classical Ayurveda texts like Charak Samhita ,Sushrut Samhita ,Ashtanga Hridayam and textual material are examined.