Study of Ballitarwadi Gutika for Cervical Spondylosis Management
Journal name: Ayushdhara
Original article title: A Clinical Study of Ballitarwadi Gutika in the Management of Manyastambha (Cervical Spondylosis)
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Julee Meena
MD Scholar, PG Department of Kayachikitsa, Post-Graduate Institute of Ayurveda, Jodhpur, Rajasthan, India.
Pramod Kumar Mishra
Professor & H.O.D, PG Department of Kayachikitsa, Post-Graduate Institute of Ayurveda, Jodhpur, Rajasthan, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: A Clinical Study of Ballitarwadi Gutika in the Management of Manyastambha (Cervical Spondylosis)
Year: 2023 | Doi: 10.47070/ayushdhara.v10i5.1394
Copyright (license): CC BY-NC-SA 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
Cervical spondylosis, commonly referred to as Manyastambha in Ayurveda, is a degenerative disorder associated with neck pain and stiffness, significantly affecting quality of life. This condition predominantly affects individuals during their productive years, presenting with symptoms such as pain, stiffness, and paresthesia. A recent clinical study aimed to assess the efficacy of Ballitarwadi Gutika, an Ayurvedic formulation, in the management of Manyastambha. The study included 45 participants diagnosed with cervical spondylosis, focusing on evaluating the treatment's safety, effectiveness, and potential adverse reactions over a 45-day period.
Efficacy of Ballitarwadi Gutika
One of the key findings from the study was the significant relief in pain experienced by participants after the administration of Ballitarwadi Gutika. The results demonstrated a reduction in pain levels by 79.33%, with statistical analyses confirming the effectiveness of the treatment. Other symptoms, including stiffness and paresthesia, also showed notable improvements: stiffness decreased by 57.47%, and paresthesia by 48.44%. Participants reported marked enhancements in their neck movements, with flexion, extension, rotation, and lateral flexion improving between 50% and 52.70%. This indicates the formulation's potential to alleviate pain and functional limitations associated with cervical spondylosis.
Impact on General Health Parameters
In addition to symptom relief, the study highlighted Ballitarwadi Gutika's positive impact on general health indicators. Objective parameters such as hemoglobin levels, total leukocyte count (TLC), and inflammatory markers like erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were assessed pre- and post-treatment. Statistically significant improvements were observed across these metrics, signifying a notable decrease in systemic inflammation and overall enhancement in health status. For instance, the mean ESR dropped dramatically by 54.04%, and the CRP levels decreased by 51.30%, underscoring the Ayurvedic formulation's broader health benefits beyond localized symptoms.
Conclusion
The clinical trial's findings suggest that Ballitarwadi Gutika is a promising Ayurvedic intervention for managing cervical spondylosis, effectively alleviating pain and enhancing mobility while also improving overall health indicators. The study emphasizes the relevance of Ayurvedic treatments in addressing both specific symptoms and general well-being in patients with Manyastambha. Given the rise of lifestyle-related disorders and the increasing prevalence of such ailments, integrating traditional Ayurvedic practices like Ballitarwadi Gutika into modern healthcare could offer holistic management solutions, promoting better health outcomes and enriching quality of life for individuals affected by cervical spondylosis. Regular exercise, posture correction, and lifestyle modifications remain vital components for preventing further complications associated with degenerative neck conditions.
FAQ section (important questions/answers):
What is Manyastambha and how is it related to cervical spondylosis?
Manyastambha refers to the symptoms of cervical spondylosis, which is a degenerative neck disorder leading to pain, stiffness, and reduced movement of the neck, significantly affecting quality of life.
What is Ballitarwadi Gutika and its purpose in treatment?
Ballitarwadi Gutika is an Ayurvedic formulation used to manage Manyastambha by pacifying the Vata and Kapha doshas, providing relief from pain, stiffness, and neurological symptoms associated with cervical spondylosis.
What were the main findings regarding Ballitarwadi Gutika's efficacy?
The study showed that Ballitarwadi Gutika significantly reduced pain by 79.33%, stiffness by 57.47%, and improved neck movements, with an overall response in subjective parameters of 57.25%.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for 鈥淪tudy of Ballitarwadi Gutika for Cervical Spondylosis Management鈥�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Manyastambha (Manya-stambha):
Manya-stambha, a traditional term for cervical spondylosis, describes the condition where there is stiffness and immobility of the neck due to Vata dosha vitiation.
2) Pain:
Pain is a prominent symptom of Manyastambha (cervical spondylosis), which can be measured using the Visual Analogue Scale (VAS) and the Numeric Rating Scale (NRS-11) to assess severity and patient discomfort.
3) Gutika:
Gutika refers to a traditional Ayurvedic medicinal pill or tablet. In the study, the Ballitarwadi Gutika was used in managing Manyastambha and showed significant improvements in symptoms like pain and stiffness.
4) Stiffness:
Stiffness, or Stambha, in the context of Manyastambha, refers to the loss of movement and rigidity in the neck, significantly affecting the daily activities of individuals suffering from cervical spondylosis.
5) Swelling:
Swelling, also referred to as Shotha, is one of the symptoms of Manyastambha (cervical spondylosis). The study observed a 64.13% reduction in swelling after treatment with Ballitarwadi Gutika.
6) Vata:
Vata is one of the three doshas in Ayurveda responsible for movement and communication within the body. Vitiation of the Vata dosha is central to the pathogenesis of Manyastambha (cervical spondylosis).
7) Disease:
Disease in this context refers to Manyastambha, a condition caused primarily by the vitiation of Vata dosha leading to symptoms such as pain, stiffness, and restricted movements in the cervical region.
8) Vertigo:
Vertigo, or Bhrama, is a symptom experienced by patients with Manyastambha, causing dizziness and disorientation. The study reported a 52.38% reduction in vertigo symptoms after treatment with Ballitarwadi Gutika.
9) Kapha:
Kapha is another primary dosha in Ayurveda, associated with structure and lubrication. In Manyastambha, the simultaneous vitiation of Vata and Kapha doshas contributes to the disease's stiffness and heaviness.
10) Drug:
The trial drug Ballitarwadi Gutika, comprising multiple Ayurvedic ingredients, demonstrated significant therapeutic effects in reducing Manyastambha symptoms like pain, stiffness, and vertigo.
11) Stambha:
'Stambha' indicates stiffness or immobility. In the context of Manyastambha, it represents the rigid and restricted movements of the neck due to cervical spondylosis.
12) Mishra (Misra):
[see source text or glossary: Mishra]
13) Kumar:
[see source text or glossary: Kumar]
14) Dosha (Dosa):
Dosha refers to the three fundamental biological energies in Ayurveda: Vata, Pitta, and Kapha. Imbalance in these doshas, particularly Vata and Kapha, leads to the manifestation of Manyastambha.
15) Manya:
'Manya' refers to the back of the neck or the lower part of the head. In Manyastambha, it is the region affected by pain and stiffness due to cervical spondylosis.
16) Vatavyadhi (Vata-vyadhi):
Vatavyadhi refers to diseases caused by the vitiation of the Vata dosha. Manyastambha is categorized under Vatavyadhi, highlighting its connection with aggravated Vata.
17) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine focused on balancing the body, mind, and spirit. It provides the framework for diagnosing and treating Manyastambha by harmonizing Vata and Kapha doshas.
18) Jaggery:
Jaggery (Guda) is used in Ballitarwadi Gutika as a binding agent and for its therapeutic properties, aiding in the delivery and efficacy of the medicine in treating Manyastambha.
19) Blood:
[see source text or glossary: Blood]
20) Vayu:
Vayu, or Vata, is the dosha governing movement and communication in Ayurveda. Exaggeration of Vayu in the neck region leads to Manyastambha, resulting in cervical spondylosis symptoms.
21) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha is associated with stability and lubrication in the body. In Manyastambha, the involvement of Kapha along with Vata dosha results in symptoms such as stiffness and swelling.
22) Vitiation (Vitiated):
Vitiation refers to the aggravation or imbalance of doshas. In Manyastambha, the vitiation of the Vata and Kapha doshas leads to symptoms like neck pain, stiffness, and restricted movements.
23) Shunthi (Sunthi, Sumthi, Shumthi):
[see source text or glossary: Shunthi]
24) Shotha (Sotha):
Shotha, or swelling, is a common symptom in Manyastambha. The study using Ballitarwadi Gutika observed a significant reduction in Shotha among patients, indicating its anti-inflammatory effect.
25) Bhrama:
Bhrama, or vertigo, is a symptom characterized by dizziness and imbalance. It is commonly seen in Manyastambha and was significantly alleviated in patients following treatment with Ballitarwadi Gutika.
26) Vyadhin (Vyadhi):
Vyadhi, meaning disease, refers to pathological conditions in Ayurveda. Manyastambha is categorized as a Vata vyadhi, caused by the vitiation of the Vata dosha.
27) Rasna (Rashna, Rasona, Rasa-una):
[see source text or glossary: Rasna]
28) Shala (Sala):
[see source text or glossary: Shala]
29) Dhatu:
Dhatu refers to the body tissues in Ayurveda. The management of Manyastambha involves strengthening the dhatus (tissues) and pacifying the Vata dosha to prevent the degeneration process.
30) Ayus (Ayush):
Ayus refers to life, including the body, sense organs, mind, and Atma. Ayurveda, the science of Ayus, aims at promoting long and healthy life, including the management of Manyastambha.
31) Sugar:
[see source text or glossary: Sugar]
32) Shiras (Siras, Siro, Shirash):
Siras, or veins/nerves, are affected in Manyastambha, leading to symptoms like pain, stiffness, and restricted movement in the cervical region due to the vitiation of Vata dosha.
33) Sira (Shira):
[see source text or glossary: Sira]
34) Tinospora cordifolia:
[see source text or glossary: Tinospora cordifolia]
35) Rheumatoid arthritis:
[see source text or glossary: Rheumatoid arthritis]
36) Zingiber officinale:
[see source text or glossary: Zingiber officinale]
37) Saussurea lappa:
[see source text or glossary: Saussurea lappa]
38) Rock salt:
[see source text or glossary: Rock salt]
39) Shleshakakapha (Slesakakapha, Shleshaka-kapha):
Slesaka-kapha specifically denotes the subtype of Kapha dosha responsible for lubrication of the joints. Its vitiation, along with Vata, contributes to the symptoms observed in Manyastambha.
40) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
Dhatu-kshaya refers to the depletion or deficiency of body tissues. In the context of Manyastambha, Vata aggravation leads to Dhatu-kshaya, causing degeneration and symptoms like pain and stiffness.
41) Siddhisthana (Siddhi-sthana):
[see source text or glossary: Siddhisthana]
42) Vyanavayu (Vyana-vayu):
Vyana-vayu is a sub-dosha of Vata that governs circulation and movement. In Manyastambha, the impaired function of Vyana-vayu manifests as pain and restricted neck movement.
43) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha is one of the three primary energies in Ayurveda responsible for movement and activity. The vitiation of Vata-dosha is a key factor in the pathology of Manyastambha.
44) Discussion:
[see source text or glossary: Discussion]
45) Samprapti:
[see source text or glossary: Samprapti]
46) Rajasthan:
Rajasthan, India, is the location where the study on Ballitarwadi Gutika for managing Manyastambha was conducted, specifically at the PG Department of Kayachikitsa, Post-Graduate Institute of Ayurveda, Jodhpur.
47) Pregnant:
[see source text or glossary: Pregnant]
48) Avarana:
Avarana refers to the occlusion or covering of one dosha by another. In Manyastambha, the covering of Vata by Kapha (Avarana) is a significant pathogenic factor.
49) Shleshaka (Slesaka):
[see source text or glossary: Slesaka]
50) Anupana:
[see source text or glossary: Anupana]
51) Vikara:
[see source text or glossary: Vikara]
52) Kshaya (Ksaya):
Kshaya means depletion or deficiency. Dhatu-kshaya (tissue depletion) can lead to Vata aggravation, which is a significant pathogenic factor in Manyastambha (cervical spondylosis).
53) Vataja (Vata-ja):
Vataja means originating from Vata dosha. Manyastambha is classified as a Vataja disorder due to the significant role of Vata dosha in its pathogenesis.
54) Powder:
[see source text or glossary: Powder]
55) Griva:
Greeva refers to the neck region. In Manyastambha, Greeva is a primary site affected by stiffness and limited mobility, conditions resulting from cervical spondylosis.
56) Vyana:
[see source text or glossary: Vyana]
57) India:
India is where the clinical study on the effectiveness of Ballitarwadi Gutika for treating Manyastambha was undertaken, specifically at an Ayurveda post-graduate institute in Rajasthan.
58) Balya:
[see source text or glossary: Balya]
59) Guda:
Guda, or jaggery, is an ingredient in Ballitarwadi Gutika, used for its medicinal properties and as a binder for other Ayurvedic ingredients in treating Manyastambha.
60) Atman (Atma):
Atma signifies the soul in Ayurveda. The integration of body, mind, and Atma is essential for health, which Ayurveda aims to achieve while treating conditions like Manyastambha.
61) Food:
[see source text or glossary: Food]
62) Salt (Salty):
[see source text or glossary: Salt]
Other Science Concepts:
Discover the significance of concepts within the article: 鈥�Study of Ballitarwadi Gutika for Cervical Spondylosis Management鈥�. Further sources in the context of Science might help you critically compare this page with similair documents:
Ayurveda, Manyastambha, Vatadosha, Kaphadosha, Statistical analysis, Quality of life, Inclusion criteria, Exclusion criteria, Clinical study, Statistically Significant, Interventional study, Subjective parameter, Lifestyle disorder, Objective parameter, Assessment parameter, Cervical Spondylosis, Male to female ratio, Radiological investigation, Degenerative Condition, Restricted Neck Movement, Demographical Profile, Pain intensity instruments.