Holistic Management of Ankylosing Spondylitis through Ayurveda: A Case Study

  • Neha Yadav Second Year Post Graduate Scholar, Department of Kayachikitsa, Institute of Post Graduate Ayurvedic Education & Research at Shyamadas Vaidya Shastra Pith (SVSP), Kolkata, West Bengal, India.
  • Soumya Panja Second Year Post Graduate Scholar, Department of Kayachikitsa, Institute of Post Graduate Ayurvedic Education & Research at Shyamadas Vaidya Shastra Pith (SVSP), Kolkata, West Bengal, India.
  • Shwetangi Kharjule Second Year Post Graduate Scholar, Department of Kayachikitsa, Institute of Post Graduate Ayurvedic Education & Research at Shyamadas Vaidya Shastra Pith (SVSP), Kolkata, West Bengal, India.
  • Tapas Bhaduri Reader & Head, Department of Kayachikitsa, Institute of Post Graduate Ayurvedic Education & Research at Shyamadas Vaidya Shastra Pith (SVSP), Kolkata, West Bengal, India.
Keywords: Ankylosing Spondylitis, Kati Prishta Trik Graha, Erandamuladi Niruha Basti, Ayurveda

Abstract

Ankylosing Spondylitis is a group of spondylarthrosis, chronic autoimmune inflammatory disorder. Primarily it affects axial skeleton and gradually it affects peripheral joint and extra articular structure. Presence of sacroiliitis and structural changes is seen in this disorder. The usual presentation of Ankylosing Spondylitis is morning stiffness which is relieved after exercise or activity. The term “Ankylosing Spondylitis” is not mentioned in our ancient classics but the signs and symptoms can be clinically correlated to Kati Prishta Trik Graha in Ayurveda. Here major symptoms are Stambha and Shula in Kati Pradesh with Vata Kapha Dosha predominance. This was a single case study conducted at I.P.G.A.E&R at SVSP Kolkata. A 45 yrs old female patient, came to the Out Patient Department. complaining of pain and stiffness in Kati Prishta Trik Pradesh. She was diagnosed with Ankylosing Spondylitis and bilateral Sacroiliitis 7 years ago. Management was done according to the principle of Kati Prishta Trik Graha. Treatment plan included Classical Virechana, Erandamuladi Niruha Basti in Kala Yoga followed by Samana Aushadhi. The disease activity was further analysed using BASDAI and ASDAS- CRP score and we got promising results by the treatment without any adverse effects.

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References

Ralston SH, Clunie GPR. Principles and practice of medicine. In: Davidson’s Rheumatology and Bone Disease. 23rd ed. New York: McGraw-Hill; 2018. Ch. 24. p. 1030. ISBN: 978-0-7020-7028-0.

Abdullah ABM. Radiology in medical practice. In: Ankylosing Spondylitis. 6th ed. [Place of publication]: [Publisher]; [Year]. Ch. 6. p. 429. ISBN: 978-81-312-5816-3.

Kundu AK. Bedside clinics in medicine. Part 1: Nervous System. 8th ed. [Place of publication]: [Publisher]; 2019. p. 179. ISBN: 978-81-906355-9-2.

Tripathi I. Gadanigraha. In: Dvitiyakhandatmaka “Athatovatavyadhichikitsitam Vyakhyasamah.” Sloka 160. Varanasi: Chaukhamba Sanskrit Sansthan; 2011. p. 508. ISBN: 8186937-14-5.

Tewari P, Kumari A, editors. Yoga Ratnakar. Part 1. Varanasi: Chaukhamba Visva Bharati; 2010. Vatarakta, Ch. 26, Ver. 78-79. p. 632. ISBN: 978-81-909871-7-2.

Tewari P, Kumari A, editors. Yoga Ratnakar. Part 1. Varanasi: Chaukhamba Visva Bharati; 2010. Vatarakta, Ch. 25, Ver. 259-267. p. 604. ISBN: 978-81-909871-7-2.

Patil V. Principles and practice of Panchakarma. Varanasi: Chaukhamba Publications; 2017. Snehana Karma, Ch. 8. p. 168-70. ISBN: 978-93-81608-37-1.

Rao P, editor. Chakradutta of Cakrapanidatta. Varanasi: Chaukhamba Orientalia; 2014. Ch. 22, Ver. 132-141. p. 225. ISBN: 978-81-7637-314-2.

National Institutes of Health (NIH). Cupping therapy [Internet]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538253/.

Patil V. Principles and practice of Panchakarma. Varanasi: Chaukhamba Publications; 2017. Basti Karma, Ch. 13. p. 507. ISBN: 978-93-81608-37-1.

Shastri K, Chaturvedi G, editors. Caraka Samhita. Vidyotini Vyakhya. Varanasi: Chaukhamba Orientalia; [Year]. Bastisutriya Siddhi Adhyaya, Ch. 3, Ver. 38-42. p. 918. ISBN: 978-93-84541-29-3.

Shastri KA, editor. Bhaisajya Ratnavali. “Vidyotini” Hindi Vyakhya. Varanasi: Chaukhamba Orientalia; 2022. Amavata Chikitsa Prakaran, Ch. 29, Ver. 215-221. p. 630. ISBN: 978-93-86735-39-3.

Patil V. Principles and practice of Panchakarma. Varanasi: Chaukhamba Publications; 2017. Swedan Karma, Ch. 9. p. 213-14. ISBN: 978-93-81608-37-1.

Tewari P, Kumari A, editors. Yoga Ratnakar. Part 1. Varanasi: Chaukhamba Visva Bharati; 2010. Vatarakta, Ch. 25, Ver. 204-209. p. 599-600. ISBN: 978-81-909871-7-2.

Rao P, editor. Chakradutta of Cakrapanidatta. Varanasi: Chaukhamba Orientalia; 2014. Ch. 22, Ver. 72-75. p. 217. ISBN: 978-81-7637-314-2.

Tripathi I. Gadanigraha. In: Dvitiyakhandatmaka “Athatovatavyadhichikitsitam Vyakhyasamah.” Sloka 161-164. Varanasi: Chaukhamba Sanskrit Sansthan; 2011. p. 508. ISBN: 8186937-14-5.

Tewari P, Kumari A, editors. Yoga Ratnakar. Part 1. Varanasi: Chaukhamba Visva Bharati; 2010. Vatarakta, Ch. 28, Ver. 20. p. 643. ISBN: 978-81-909871-7-2.

Shastri KA, editor. Bhaisajya Ratnavali. “Vidyotini” Hindi Vyakhya. Varanasi: Chaukhamba Orientalia; 2022. Amavata Chikitsa Prakaran, Ch. 29, Ver. 48-51. p. 618. ISBN: 978-93-86735-39-3.

Tripathi I. Gadanigraha. In: Dvitiyakhandatmaka “Athatovatavyadhichikitsitam Vyakhyasamah.” Sloka 156. Varanasi: Chaukhamba Sanskrit Sansthan; 2011. p. 507. ISBN: 8186937-14-5.

Medscape. ASDAS-CRP (Ankylosing Spondylitis Disease Activity Score) [Internet]. Available from: https://reference.medscape.com/calculator/290/asdas-crp-ankylosing-spondylitis-disease-activity-score.

Spondylitis Association of America. BASDAI Score Calculator: Ankylosing Spondylitis (AS) [Internet]. Available from: https://spondylitis.org/basdai-calculator/.

CITATION
DOI: 10.21760/jaims.10.4.53
Published: 2025-06-12
How to Cite
1.
Neha Yadav, Panja S, Kharjule S, Bhaduri T. Holistic Management of Ankylosing Spondylitis through Ayurveda: A Case Study. J Ayurveda Integr Med Sci [Internet]. 2025Jun.12 [cited 2025Jun.13];10(4):344 -351. Available from: https://www.jaims.in/jaims/article/view/4263
Section
Case Report