A comparative clinical study on the efficacy of Siravyadha and Agnikarma in the management of Snayugata Vata affecting Kurpara Sandhi vis-à-vis Tennis Elbow
Abstract
Background: Snayugatavata (fibromyalgia) affecting Koorpara Sandhi (elbow joint) is one among pain predominant Vata Vyadhi. Tennis elbow is a musculoskeletal, degenerative disorder affecting elbow joint. Acharya Sushruta has mentioned Siravyadha (blood letting) for Snayurogas and Agnikarma (thermal cautery) as specific Chikitsa for Snayuroga.[1] As similar features are shared, the study has been taken up to see the efficacy of Siravyadha and Agnikarma affecting Koorparasandhi in comparison to tennis elbow. Objective: To study the clinical effect of Agnikarma (thermal cautery) in Snayugatavata affecting Kurparasandhi (elbow joint) vis-à-vis Tennis elbow. Method: The method used in the study is single blind clinical study with pre-test and post-test design. 40 patients suffering from Snayugatavata of either sex were selected and divided into two groups. Group A patients were subjected to Agnikarma at maximum point of tenderness and Group B patients were subjected to Siravyadha. Both modalities were done for only once and studied for 28 days. The data during the study was recorded and analysed statistically. Result: The study confirms Agnikarma and Siravyadha are effective in the treatment of Snayugatavata and later being the more effective in comparison statistically.
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References
Tennis elbow Wikipedia. https://en.wikipedia.org/wiki/Tennis_elbow seen on 2018/02/28
Tennis elbow, http://patient.info/doctor/tennis-elbowand-golfers-elbowseen on 2018/02/28
Susruta, Susruta Samhita. Translated by Prof. Murthy K.R. Srikantha. Varanasi: Chaukhambha Orientalia; 2010. Volume 1, Section 3, Chapter 4/8. Pp 26
Sushruta, Sushruta Samhita, with Nibandha Samgraha commentary by Dalhana and Nyayachandrika panjika by Gayadasa Edited by ‘Vaidya Yadavji Trikamji Acharya’ and ‘Narayan Ram Acharya’ Nidanasthana, published by Chaukambha Sankrit Sansthan, Varansi,UP, Edition-2008 Chikitsasthana. Chapter 5/23. Pp 43
Sushruta, Sushruta Samhita, with Nibandha Samgraha commentary by Dalhana and Nyayachandrika panjika by Gayadasa Edited by ‘Vaidya Yadavji Trikamji Acharya’ and ‘Narayan Ram Acharya’ Nidanasthana, published by Chaukambha Sankrit Sansthan, Varansi,UP, Edition-2008 Nidanasthana. Chapter 1/17. Pp 125
Sushruta, Sushruta Samhita, with Nibandha Samgraha commentary by Dalhana and Nyayachandrika panjika by Gayadasa Edited by ‘Vaidya Yadavji Trikamji Acharya’ and ‘Narayan Ram Acharya’ Nidanasthana, published by Chaukambha Sankrit Sansthan, Varansi,UP, Edition-2008 Sutrasthana. Chapter 17/7. Pp 125
Sushruta, Sushruta Samhita, with Nibandha Samgraha commentary by Dalhana and Nyayachandrika panjika by Gayadasa Edited by ‘Vaidya Yadavji Trikamji Acharya’ and ‘Narayan Ram Acharya’ Nidanasthana, published by Chaukambha Sankrit Sansthan, Varansi,UP, Edition-2008,Sharirasthana. Chapter 8/23. Pp 138
Questionnaire, PRTEE available from, https://srsmcmaster.ca/wp-content/uploads/2015/05/EnglishPRTEE.pdf , seen on 2018/3/7
Questionnaire, Abstract PRTEE available from, http://www.journalofphysiotherapy.com/article/S1836 -9553(14)00109-X/abstract , seen on 2018/3/7
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