Role of Nidana Panchaka in the Diagnosis of Janusandhigata Vata w.s.r to Knee Osteoarthritis: An observational study

Abstract

As age advances vata dosha increases in an individual. This increasing vata triggers and accelerates dhatu kshaya (depletion of tissues) and bala kshaya (reduction of strength). Sandhigata vata is the commonest disorder that occurs due to dhatukshahya. Vata dosha plays the main role in this disease. Shoola is the cardinal feature of this disease, associated with sandhishotha and vatapurnadrutisparsha. Sandhigata vata manifests when the deranged vata lodges in joints. If the condition manifests in the Janusandhi, then it is called Janu Sandhigata Vata.  Sandhigata Vata is co-related with Osteoarthritis (OA) described in modern science. Osteoarthritis is a chronic disorder of synovial joints in which there is a progressive softening and disintegration of articular cartilage accompanied by the growth of osteophytes. Literary review was collected from the ayurvedic classics, modern medicinal textbooks, medical magazines, journals, digital libraries. In this study, a minimum of 100 patients fulfilling the classical signs and symptoms and inclusion criteria were selected. An effort was made in this study to understand the role of Nidana Panchaka of Sandhigata Vata especially Janusandhi w.s.r to Osteoarthritis of the Knee joint, in all dimensions.