A COMPARATIVE CLINICAL STUDY TO ASSESS THE EFFICACY OF SHUNTI GOKSHURA KASHAYA AND RAASNA SAPTAKA KASHAYA IN KATIGRAHA W.S.R. TO LOW BACK PAIN

Abstract

Background; Katigraha is a condition in which patients experience shoola with graha in katigraha. Although katigraha is not described elaborately in Ayurvedic texts, but in present era, due to lifestyle the prevalence of its main symptom, low back ache is very high. It is one of the most common conditions now a day. Katigraha is explained as one among the 80 nanatmaja vata vikara & also as a symptom in other Vyadhi. It is described as a separate disease in the clinical text Gadanigraha & Acharya Sharangadhara considered it as a nanatmaja vata vyadhi. Method-In the management of katigraha, Acharyas says the general principles of treatment of vata dosha should be adopted. After reviewing the classics, it is ideal to manage katigraha with following principles of treatment- snehana, swedana, mrudu samshodhana- Virechana, Basti. Here shunti & gokshura are utilized in the the form of kwatha & rasna sapthaka kashaya has been taken for comparative study in the management of katigraha. Results- Effect on stiffness After treatment & Before treatment( by Wilcoxon test) Shunti gokshura kashaya (SGK) - Z value is -4.690, P value is 0.000<0.001 Rasna sapthaka kashaya (RSK)- Z value is -4.379, P value is 0.000<0.001 Effect on pain After treatment & Before treatment( by Wilcoxon test) Shunti gokshura kashaya(SGK) - Z value is -4.788, P value is 0.000<0.001 Rasna sapthaka kashaya(RSK)- Z value is -4.245, P value is 0.000<0.001 Conclusion- In this study even though the patients had shown improvement in most of the criterias of assessment of low back ache in both the groups, better effect in SGK than in RSK, both the kashayas have equal results in the contest by statistical test performed. According to this study both the kashayas can be opted for all the katigraha case w.s.r Low back ache conditions.