Osteoporosis with tikta ksheer basti chikitsa-a case study
Journal name: Ayushdhara
Original article title: Osteoporosis with tikta ksheer basti chikitsa-a case study
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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Rani Khushboo*
MD Scholar, Postgraduate Department of Rog Nidana and Vikriti Vigyan, Ch. Brahm Prakash Ayurved Charak Sansthan, Khera Dabar, Najafgarh, New Delhi
Kumari Rinku
MD Scholar, Postgraduate Department of Rog Nidana and Vikriti Vigyan, Ch. Brahm Prakash Ayurved Charak Sansthan, Khera Dabar, Najafgarh, New Delhi
Gujjarwar Vidula
Professor and Head, Postgraduate Department of Rog Nidana and Vikriti Vigyan, Ch. Brahm Prakash Ayurved Charak Sansthan, Khera Dabar, Najafgarh, New Delhi
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Osteoporosis with tikta ksheer basti chikitsa-a case study
Year: 2018
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Osteoporosis, derived from the Greek term meaning "porous bones," is a progressive disease characterized by decreased bone mass and density, increasing the risk of fractures. It is primarily linked to the Ayurvedic concept of Asthidhatukshaya, where there is a deficiency in bone tissue. In a case study involving a 56-year-old female patient diagnosed with osteoporosis, symptoms included pain in the hip and knee joints, swelling, and general weakness persisting for eight months. Traditional allopathic treatments had proven ineffective, leading the patient to seek Ayurvedic intervention, specifically Tikta Ksheer Basti Chikitsa, complemented by Panchkarma therapies.
Tikta Ksheer Basti: A Therapeutic Approach
The Tikta Ksheer Basti therapy employed in this study consists of a specialized Ayurvedic enema containing bitter medicated milk along with other beneficial herbal ingredients. This method aligns with the treatment protocols outlined in Ayurveda, which emphasize the use of Basti for ailments related to the bones and joints. The therapy aims to nourish the Asthi (bone tissue) and alleviate associated symptoms. The case study demonstrated that this treatment significantly improved the patient's condition over 28 days, leading to reduced pain, swelling, tenderness, and increased mobility, thus highlighting the efficacy of Tikta Ksheer Basti in managing osteoporosis.
The Role of Panchkarma in Management
The treatment also included various Panchkarma therapies, which are integral to Ayurvedic medicine, aimed at detoxifying and rejuvenating the body. A specific focus was placed on Patrapotali Swedana, a whole-body steam treatment using medicinal herbs, which further supported the therapeutic effects of Tikta Ksheer Basti. The holistic approach of combining these therapies facilitated a comprehensive healing process, addressing both the symptoms and underlying imbalances contributing to osteoporosis. As a result, the patient experienced significant improvements in overall health and well-being, underscoring the traditional knowledge embedded in Ayurveda.
Conclusion
The case study illustrates that Tikta Ksheer Basti, alongside Panchkarma therapies, is effective in managing osteoporosis symptoms such as pain, swelling, and restricted movement. This single case reflects the potential of Ayurveda in addressing chronic conditions like osteoporosis through a holistic and individualized treatment plan. Further research and larger studies could enhance our understanding of Ayurvedic therapies' effectiveness, promoting their acceptance as viable treatment options in contemporary healthcare practices.
FAQ section (important questions/answers):
What is osteoporosis and how is it characterized?
Osteoporosis is a progressive bone disease characterized by decreased bone mass and density, leading to an increased risk of fractures. It affects the skeletal system, making bones porous and weak.
What Ayurvedic treatment was used in the case study?
The case study utilized Tikta Ksheer Basti Chikitsa as an Ayurvedic treatment for osteoporosis. This involved administering a specially prepared basti that nourished the bones and relieved symptoms like pain and swelling.
What improvements were observed after the treatment?
After 28 days of treatment, the patient experienced significant improvements, including reduced pain, swelling, tenderness, and general debility, along with increased range of movement in the affected joints.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for 鈥淥steoporosis with tikta ksheer basti chikitsa-a case study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) Basti:
Basti is a treatment in Ayurveda used for disorders of the body, including osteoporosis. It involves the administration of medicated substances such as Tikta Ksheer via the rectum. This treatment is mentioned as particularly effective for Asthi disorders in the Charaka Samhita.
2) Pain:
Pain, particularly in the hips and knees, was one of the primary symptoms experienced by the patient with osteoporosis in this case study. Pain was assessed through the visual analogue scale (VAS) to evaluate improvement post-treatment.
3) Swelling:
Swelling in bilateral hip and knee joints was another symptom of the patient's osteoporosis. It was graded from 0 to 4, with assessments showing a significant reduction after the Ayurvedic treatment including Basti.
4) Asthi (Ashthi):
Asthi refers to bones in Ayurveda. The condition Asthidhatukshaya corresponds to osteoporosis, indicating a decrease in bone mass. Treatments targeting Asthi, like Tikta Ksheer Basti, aim to nourish and restore bone health.
5) Varanasi (Varanashi):
Varanasi is referenced in the text as the location of several Ayurvedic texts' publishers, such as Chaukhamba Prakashan and Bharati Acadamy, which produce editions of ancient scripts like Charak Samhita.
6) Tikta:
Tikta (bitter) refers to one of the six tastes in Ayurveda. Tikta Ksheer Basti (bitter medicated milk enema) was used in the treatment to help manage osteoporosis by balancing Vata and nourishing Asthi Dhatu.
7) Medicine:
Medicine in this context includes Ayurvedic treatments like Tikta Ksheer Basti and oral medications such as Laxadi Guggulu. These were utilized to address symptoms and causes of osteoporosis in the patient.
8) Rani:
Rani Khushboo is one of the authors of the study. She is an MD Scholar in the Postgraduate Department of Rog Nidana and Vikriti Vigyan at Ch. Brahm Prakash Ayurved Charak Sansthan in New Delhi.
9) Kala:
Kala Basti refers to a specific pattern of enema treatments comprising several cycles and timings. In this case, Kala Basti with Tikta Ksheer Kwath and Balaswagandhadi Taila was used for the patient's treatment.
10) New Delhi:
New Delhi is where the Ch. Brahm Prakash Ayurved Charak Sansthan, the hospital where the case study was conducted, is located. This institution provided the setting for the patient's treatment and study.
11) Madhyama:
Madhyama (moderate) is used to describe various patient health characteristics such as Satmya (suitability), Satva (mental strength), Vyayama Shakti (exercise capability), and Jarana Shakti (digestive power).
12) Delhi:
Delhi is the region where New Delhi and Najafgarh, locations relevant to the case study, are situated. These areas were central to the patient's treatment and research conducted by the authors.
13) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine from India. It was utilized in treating osteoporosis in this case study, using therapies like Tikta Ksheer Basti and medications to manage symptoms and improve bone health.
14) Samhita:
Samhita refers to classical Ayurvedic texts, such as Charak Samhita, which provide guidelines for treatments. It offered the basis for using Tikta Ksheer Basti in managing osteoporosis.
15) Samanya:
Samanya Siddhanta (general therapeutic principle) in Ayurveda recommends interventions like Tikta Ksheer Basti based on the properties of substances to restore balance in the body, particularly nourishing Asthi Dhaatu.
16) India:
India is where this case study was conducted and Ayurveda has its origins. The patient was treated in New Delhi at Ch. Brahm Prakash Ayurved Charak Sansthan, reflecting the application of traditional medicine in modern practice.
17) Vata:
Vata is one of the three doshas in Ayurveda. Its increase is linked to the decrease in Asthi (bone) mass. Treatments aimed at balancing Vata, such as Tikta Ksheer Basti, are advised for conditions like osteoporosis.
18) Sutrasthana (Sutra-sthana):
[see source text or glossary: Sutrasthana]
19) Stiffness:
Stiffness in joints, especially hips and knees, was a symptom observed in the patient. This stiffness was significantly reduced after the administration of Tikta Ksheer Basti and other Ayurvedic treatments.
20) Snigdha:
Snigdha (unctuous) properties are essential for nourishing the body's tissues. In the formulation of Tikta Ksheer Basti, Snigdha substances like Ghrita (ghee) and Ksheer (milk) support the treatment of Asthidhatu (bone tissue).
21) Mineral:
Minerals like calcium are crucial for bone health. The milk used in Tikta Ksheer Basti is rich in calcium, which helps in the management of osteoporosis by improving bone mineral density.
22) Sthana:
[see source text or glossary: Sthana]
23) Sutra:
[see source text or glossary: Sutra]
24) Dabar:
Khera Dabar is the location of Ch. Brahm Prakash Ayurved Charak Sansthan in Najafgarh, New Delhi, where the osteoporosis case study was conducted.
25) Khera:
Khera Dabar is the area in Najafgarh, New Delhi, where Ch. Brahm Prakash Ayurved Charak Sansthan is located. This is where the case study patient was treated.
26) Milk:
Milk (Ksheer) is a major component in Tikta Ksheer Basti, used for its nourishing and calcium-rich properties, aiding in the management of osteoporosis.
27) Arunadatta:
Arunadatta, a commentator on Ayurvedic texts, explains the properties of substances used in treatments like Tikta Ksheer Basti, linking their Snigdha and Shoshana attributes to bone nourishment.
28) Daurbalya:
Daurbalya refers to general debility or weakness, a symptom in osteoporosis managed through treatments like Tikta Ksheer Basti, which improved the patient's strength and overall health.
29) Substance:
[see source text or glossary: Substance]
30) Vagbhata:
Vagbhata is an ancient Ayurvedic scholar whose texts recommend Basti treatments with Tiktadravya (bitter substances) and Ksheer (milk) for managing bone-related disorders like Asthikshaya (bone depletion).
31) Pariksha (Pariksa):
Pariksha refers to examination or diagnosis. In the case study, parameters like pain, tenderness, and general debility were assessed to gauge the effectiveness of Tikta Ksheer Basti treatment.
32) Sanskrit:
[see source text or glossary: Sanskrit]
33) Bharati:
Bharati refers to Chaukhamba Bharati Acadamy, one of the publishers of Ayurvedic texts such as Charak Samhita, utilized as references in the article.
34) Vikriti (Vikrti):
Vikriti refers to pathology or abnormality. The Postgraduate Department of Rog Nidana and Vikriti Vigyan specializes in the diagnosis and treatment of such conditions, including osteoporosis.
35) Disease:
[see source text or glossary: Disease]
36) Sandhi (Shandhi, Samdhi):
Sandhi refers to joints. Osteoporosis affects the joints, causing symptoms like pain, swelling, and decreased range of motion, which were addressed using Tikta Ksheer Basti and other Ayurvedic treatments.
37) Ghrita (Ghrta):
Ghrita (ghee) is used in Tikta Ksheer Basti for its nourishing and lubricating properties, aiding in the treatment of osteoporosis by enhancing bone strength and reducing Vata dosha.
38) Vaidya:
Vaidya Yadavaji Trikamji Acharya is an editor of Ayurvedic texts like Charaka Samhita, which provided guidelines for administering Tikta Ksheer Basti in treating osteoporosis.
39) Shakti (Sakti):
[see source text or glossary: Shakti]
40) Nidana:
Nidana refers to diagnosis. The Department of Rog Nidana deals with diagnosing diseases, such as osteoporosis in this case, and developing appropriate treatment plans based on Ayurvedic principles.
41) Vidula:
Gujjarwar Vidula is a co-author of the case study and the Professor and Head of the Postgraduate Department of Rog Nidana and Vikriti Vigyan at Ch. Brahm Prakash Ayurved Charak Sansthan.
42) Kumari:
Kumari Rinku is a co-author of the paper and an MD Scholar in the Postgraduate Department of Rog Nidana and Vikriti Vigyan at Ch. Brahm Prakash Ayurved Charak Sansthan in New Delhi.
43) Nature:
[see source text or glossary: Nature]
44) Madhu:
Madhu (honey) is an ingredient in Tikta Ksheer Basti. It has properties that enhance the mixture's effectiveness, aiding in the management of conditions like osteoporosis through its nutritive and anti-inflammatory actions.
45) Dhatu:
Dhatu refers to body tissues. Asthidhatu (bone tissue) has degenerated in osteoporosis, requiring treatments like Tikta Ksheer Basti to nourish and repair the bone tissue.
46) Rasa (Rasha):
Rasa, or taste, plays a vital role in Ayurvedic treatments. Tikta (bitter) rasa in Tikta Ksheer Basti helps balance Vata and strengthen Asthi Dhatu.
47) Sama (Shama):
Sama (balanced) is applied in the context of various body elements. Sama Naadi, for instance, is balanced when examined. The term reflects the importance of equilibrium in Ayurvedic diagnostics and treatments.
48) Purishadharakala (Purisadharakala, Purishadhara-kala):
Purishadhara Kala, related to the large intestine, is nutritionally connected to Asthidhara Kala, which is the bone tissue. Tikta Ksheer Basti targets this kala to nourish and strengthen bones.
49) Sushruta-samhita (Susruta-samhita):
The Sushruta Samhita is another classical Ayurvedic text, offering guidelines on treatments and diagnostics, complementing texts like Charak Samhita in managing conditions such as osteoporosis.
50) Ayurvedarasayana:
[see source text or glossary: Ayurvedarasayana]
51) Sarvangasundara (Sarvanga-sundara, Sarvamgasumdara):
Sarvangasundara is a commentary by Arunadatta on the Astanga Hridaya, elaborating on treatments like Tikta Ksheer Basti for bone health, demonstrating integrative and holistic approaches in Ayurveda.
52) Vyayamashakti (Vyayamasakti, Vyayama-shakti):
Vyayama Shakti refers to exercise capability or physical strength. The patient's Vyayama Shakti was assessed to measure improvement in physical mobility and strength after the treatment.
53) Jaranashakti (Jaranasakti, Jarana-shakti):
Jarana Shakti indicates digestive power. This was examined as part of the patient's assessment to ensure the body's capacity to absorb and process the medicinal substances was adequate.
54) Siddhisthana (Siddhi-sthana):
Siddhisthana is part of classical Ayurvedic texts, including Charak Samhita, outlining treatment protocols. It supports the use of Basti in managing bone disorders like osteoporosis.
55) Matra-basti:
Matra Basti is a type of Ayurvedic enema consisting of a small quantity of oil or ghee, used here with Balaswagandhadi Taila in alternating with Niruh Basti for treating osteoporosis.
56) Asthidhatu (Asthi-dhatu):
Asthidhatu pertains to bone tissue, which is diminished in osteoporosis. Ayurvedic treatments like Tikta Ksheer Basti aim to nourish and rejuvenate this tissue to improve bone strength and density.
57) Pittadosha (Pittadosa, Pitta-dosha):
Pitta Dosha, one of the three bodily humors, needs to be balanced along with Vata in treatments for osteoporosis. Tikta Ksheer Basti helps pacify both Vata and Pitta.
58) Tiktadravya (Tikta-dravya):
Tiktadravya refers to bitter substances used in Ayurvedic treatments. These, combined with milk and ghee in Tikta Ksheer Basti, address bone health by balancing Vata and nourishing Asthi Dhatu.
59) Pratishthana (Pratisthana, Pratishthan):
[see source text or glossary: Pratishthan]
60) Shaithilya (Saithilya):
[see source text or glossary: Shaithilya]
61) Science (Scientific):
[see source text or glossary: Scientific]
62) Shatavari (Satavari):
Shatavari, one of the ingredients in Tikta Ksheer Basti, has nutritive and toning properties, which help in balancing Vata and nourishing Asthi Dhatu in osteoporosis management.
63) Siddhanta (Siddha-anta, Siddhamta):
[see source text or glossary: Siddhanta]
64) Agnivesha (Agnivesa, Agni-vesha):
Agnivesha, credited with composing Charak Samhita, provided foundational Ayurvedic knowledge that includes the therapeutic benefits of Basti treatments for bone disorders like osteoporosis.
65) Brimhana (Brmhana):
Brimhana refers to nourishing therapy in Ayurveda aimed at building tissues. Tikta Ksheer Basti exhibits Brimhana properties, enhancing bone tissue and managing osteoporosis.
66) Shoshana (Sosana):
Shoshana (drying) properties are balanced with Snigdha (unctuous) substances in Tikta Ksheer Basti to effectively nourish and strengthen bones while managing Vata dosha.
67) Pradhana:
[see source text or glossary: Pradhana]
68) Rukshata (Ruksata):
[see source text or glossary: Rukshata]
69) Samgraha (Sangraha):
[see source text or glossary: Sangraha]
70) Guggulu:
Laxadi Guggulu is a medicine used in the treatment plan for osteoporosis, containing Guggulu, a gum resin known for its anti-inflammatory and bone-strengthening properties.
71) Hridaya (Hrdaya):
[see source text or glossary: Hridaya]
72) Brihati (Brhati):
[see source text or glossary: Brihati]
73) Vyayama:
[see source text or glossary: Vyayama]
74) Hemadri (Heman-adri):
Hemadri provided the Ayurvedarasayana commentary on Vagbhata's Astanga Hridaya, which includes guidance on treatments like Tikta Ksheer Basti for bone health.
75) Destiny:
[see source text or glossary: Destiny]
[Note: The above list is limited to 75. Total glossary definitions available: 120]
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