Professional Documents
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AYURVISION - 2009
CME IN AYURVEDA ON
“CURRENT UNDERSTANDING AND MANAGEMENT OF
AVABAHUKA”
19th& 20th December 2009
SOUVENIR
DEPT. OF AYURVEDA,
Kasturba Medical College,
Manipal University, Manipal
AYURVISION - 2009
CME IN AYURVEDA ON
“CURRENT UNDERSTANDING AND MANAGEMENT OF
AVABAHUKA”
ORGANIZED BY:-
DEPT. OF AYURVEDA
Kasturba Medical College
Manipal University
Manipal
Ayurvision
- MaharishMahesh Yogi
India has a large infrastructure for teaching and clinical care training under
Indian systems of Medicine and teaching and training has been availed of
according to the curriculum set up by the Central Council of Indian
Medicine. The diagnosis and treatment of various ailments, use of drugs and
Ayuvedic profession as a whole has its basis to the education based on
authoritative texts recognized for these systems, but, the scientific validation
of the treatment has not been done on a wide scale. The off take and output
from these institutions has so far been limited and has not been able to meet
the standards for scientific enquiry. In the present era of globalization and
development of a world market for Ayurveda as a whole (education, research
and medical care delivery), research and development is needed. It has
become more and more evident that the medical centers around the country
with the state of the art infrastructure to provide quality medical education,
clinical training and research are to be recognized as the center of excellence
and supported to conduct Ayurvedic teaching and training as per the
requirements of the CCIM. The same views and proposals have been
highlighted during various National and International Conferences.
Dr. M. S. Kamath
MD (Ayu.)
Additional Professor & Head
Department of Ayurveda
Manipal University
KMC, Manipal.
Tel. 0820 29 22105
mail : msk9msk@yahoo.com
AYURVISION-2009
CME ON
“CURRENT UNDERSTANDING & MANAGEMENT OF
AVABAHUKA”
19 and 20th of December 2009
th
Program Schedule
Day1. December 19, 2009
Morning Session
Sl No Time Events
01 08.00-09.00 Registration
02 09:00-10:00 Inauguration
03 10.00-10:30 High Tea
04 10:30-11:30 “Imaging of Cervical Spine & Shoulder Joint
by Dr.Charudutta Associate Professor, Dept of
Radiology KMC, Manipal.
05 11:30-12:30 “Clinical approach to a painful Shoulder”by
Dr.Vivek Pandey, Associate Professor, Dept of
Orthopaedics, KMC, Manipal
06 12:30 – 01:45 LUNCH BREAK
Afternoon Session
Sl No Time Events
01 02:00-03:00 “Management of Avabahuka by
Panchakarma Chikitsa”by Dr.K.Govindan
Namboodari, Prof. Dept of Kayachikitsa,
GovtAyurvedicCollege, hiruvananthapuram,
Kerala.
02 03:00-03:30 Collection of certificates by delegates
03 03:30- 04:30 Panel Discussion
04 04:30-05:00 Valedictory Function followed by High Tea
Contents.
05. Abstracts………………………………………….50
AYURVISION – 2009
CME ON “CURRENT UNDERSTANDING & MANAGEMENT OF
AVABAHUKA” 19th and 20th of December 2009
Members:
Dr. Basavaraj – Associate Professor
Dr.Kamath Madhusudan.- Assistant Professor
Dr. Sripathi Adiga. – Assistant Professor
Dr.Anupama.- Assistant Lecturer
PAPERS
OF
RESOURCE PERSON
DR.A.S.PRASHANTH
Professor
Department of Post Graduate Studies
Ayurveda Maha Vidyalaya
Hubli, Karnataka – 580024
Telephone: 0836-2335575
Mob: +91-94481-35575
Mail: drprashanthas@gmail.com
INTRODUCTION:
Apabahuka is a disease that affects the Amsa Sandhi and is produced by the
Vata Dosha. Even though the term Apabahuka is not mentioned in the Nanatmaja
Vata Vyadhi, Acharya Susruta and others have considered Apabahuka as a Vata
Vyadhi. In Madhava Nidana two conditions of the disease has been mentioned –
Amsa Shosha and Apabahuka. Amsa Shosha can be considered as the preliminary
stage of the disease where loss or dryness of Sleshaka Kapha from Amsa Sandhi
occurs. In the next stage i.e., Apabahuka, due to the loss of Shleshaka Kapha
symptoms like Shoola during movement, restricted movement etc are manifested.
While commenting on these in Madhukosha Teeka it is mentioned that Amsa
Shosha is produced by Dhatu Kshaya i.e., Sudha Vata Janya and Apabahuka is
Vata Kapha Janya.
LITERARY REVIEW:
In Charaka Samhita there is no direct reference regarding the disease
Apabahuka. But he gives the reference regarding the disease Bahushosha in Sutra
Sthana IN THE CONTEXT OF Nanatmaja Vata Vikaras.. In Sushruta Samhita
Samprapti, Lakshana and Chikitsa of Apabahuka has been discussed in detail in the
context of Vata Vyadhi. In Astanga Sangraha a complete description regarding the
disease has been dealt. Commentators like Arunadatta, Dalhana, Hemadri have
tried to analyze Apabahuka. Madava Nidana, Yogaratnakara, Vangasena Samhita
explained Apabahuka in Vata Vyadhi chapter. Madavakara was the first to
differentiate Apabahuka from Amsashosha. Other authors like Bhavamishra,
Sarangadara have discussed Apabahuka. The recent text like Gadanigraha,
Brihatnigantu Ratnakara explained Apabahuka.
NIDANA:
In case of Apabahuka Hetu may be classified into two groups;
Bahya Hetu – causing injury to the Marma or the region surrounding that.
Aharaja(food) : Rasa- Katu, Tikta, Kashaya Rasa; Guna - Laghu, Ruksha, Sheeta,
Dravya; Adhaki, Chanaka, Kalaya, Masura, Mudga, Nishpava, Shuskashaka,
Tinduka; Matra – Abhojana, Alpashana, Vishamashana.
SAMPRAPTI:
As Apabahuka is considered as a Vata Vyadhi and Vata having Ashukari
Guna the Poorvaroopa like Bahupraspanditahara and Shoola may manifest mildly
or are totally absent. But the above symptoms are clearly manifested in the
Vyaktha Avastha or in Roopa Avastha of the Vyadhi in the Vyakta Sthana i.e in
the Amsa Pradesha.
In this stage the Amsa Pradesha gets affected by aggravated Vata for which
Amsashosha occurs in the initial stage by the decrease of Shleshaka Kapha and
further leading to manifestations of Apabahuka by the symptoms like
Bahupraspanditahara and Shoola. There fore Madhava Nidana, Madhukosha
commentary has mentioned that Amsa Shosha and Apabahuka are the two stages
of the Vyadhi.
SAPEKSHA NIDANA:
• Vishwachi
• Amsa shosha
• Ekanga vata
SADHYA ASADHYATA:
CHIKITSA:
Apabahuka.
2. Astanga Sangraha mentions Navana Nasya and Sneha Pana for Apabahuka.
4. Chikitsa Sara Sangraha advice Nasya, Uttara bhaktika Snehapana and Sweda for
By considering the above references, following can be said as the line of treatment
of Apabahuka.
1. Nidana parivarjana
2. Abhyanga.
3. Swedana
4. Uttarabhaktika Snehapana
5. Nasyakarma
6. Shamanoushadhi.
Ashtanga Hrudaya:
Chikitsa Sutra:
Cakradatta:
“Dasamoola balaa maasha kwatham taila aajya mishritam
Saayam bhuktwaa pibennasyam vishwachyaam avabaahuke” (Vatavyadhi.25)
Bhaishajya Ratnavali:
Sahasra Yogam:
Ashtavargam Kashayam
Prasaarinyadi Kashayam
Rasnadwigunabhaagam Kashayam
Ketakyaadi Tailam
Kaarpaasasthyaadi Tailam
Ksheerabala (101)
Dr. S. G. Mangalgi,
Professor and HOD,
Dept. of Postgraduate studies in Kayachikitsa,
GAMC, Mysore
INTRODUCTION:
The present day world is full of stress and strain with increasing
competitions in all walks of life. This has led to many diseases which though do
not kill a person, but hamper one’s day to day life.
Vataja disorders include major neurological problems, few conditions of the
musculo-skeletal system, few psychosomatic problems and very few gastro-
intestinal problems. More precisely in vataja disorder multiple systems of the body
get affected.
Apabahuka is one of the Vatavyadhi which affects the normal functioning of
the upper limb. Agriculture still continues to be the prime occupation of people in a
developing country like India. Incidence of Apabahuka is more among people who
use their upper limbs to perform strenuous work.
Apabahuka comprises of two words 'apa' and 'bahuka'. Apa means Viyoga,
vikratou means Viyogou ie dysfunction, separation. Bahuka - pra cha koorparasya
urdhwadha bhagou iti vishnupurane means it starts from Koorparasandhi (elbow
joint) to Shoulder girdle.
Thus Apabahuka can be defined as: stambho Apabahuka1 i.e. Stiffness in the
arm joint
To summarize the above discussion and considering the relevant clinical
feature, the term Apabahuka would mean "loss of function of bahusandhi i.e.
Praspanditahara (stiffness or disability in the arm).
By seeing the above definition of Apabahuka explained by our acharyas
correlates with the Frozen Shoulder/Adhesive Capsulitis explained in
contemporary science.
In clinical practice we do get the patients with the complaint of pain/
stiffness of shoulder joint/ upper arm in different conditions such as in infectious,
degenerative, and neurological problems. This requires a thorough differentiation
of these conditions for successful treatment.
i) Bahu Praspandidahara2
iii) Shoola4
• Hara - means loss of / impaired / difficult. Thus, in the present context this may
be taken up as (i.e. praspandahara) difficulty in the movement or impaired or
loss of movement of the upper limb.
Amsabandhana Shosha:
Sushrutacharya considered this as a major laxanas in case of Apabahuka.
But, this is practically seen in the later part of the disease.
Shoola:
Although any of the texts do not mention about the shoola as one of the
laxana of Apabahuka, it is still a feature practically seen in Apabahuka patients.
Recent Ayurvedic texts like Chikitsa Sara Sangraha and Nidana Sara, clearly
mention about Savedana as a predominant laxanas of Apabahuka, along with other
laxanas.
Symptoms
a) Gradual onset of shoulder stiffness
Signs:
Inspection:
a) Patient holds arm protectively at side
Associated Findings:
6. Painful shoulder
7. Bicipital tendinitis
Differential diagnosis:
Here, the pain starts from hasta tala and angulis and radiates in the kandaras
of prista region and manifest with karmakshaya. Range of movement is more
restricted in case of Viswachi than apabahuka, where pain is more in Apabahuka
than viswachi.
2. Shosha:
“Asmsa desha sthito vayuhu shoshayet amsa bandhanam”|10
Shosha was considered as a separate condition by Madhavakara and it has to
be differentiated from apabahuka by considering it as an independent entity. Where
the wasting of muscles itself is the cardinal feature, have to be noted. Shosha will
appear in the later stages of Apabahuka. But, Apabahuka may be a predisposing
factor for Shosha which intern does not end up with Apabahuka.
3. Ekangavata:
MODERN PERSPECTIVE:
Symptoms - Painful snap at elbow following forceful elbow flexion, Swelling and
Tenderness occur proximal to elbow, sudden onset with sharp snapping sensation,
Pain and weakness of shoulder and arm
Signs:
2.Biceps Tenosynovitis:
Signs:
A Tenderness over bicipital groove
B. Pain limits active and passive range of motion
C Maneuvers that stretch biceps elicit pain
• Forceful external rotation with abduction
Signs: Forceful external rotation and abduction of shoulder are painful. Surgery is
the choice of management. But in case of frozen shoulder, there won’t be any
bicipital groove/subluxation are not seen where all modalities of movements are
afflicted.
3. Clavicle fracture:
H/o of trauma i.e. fall against lateral shoulder (most common), fall on
Outstretched Hand, direct blow to clavicle,
Symptoms:
Shoulder pain and swelling localized to fracture site, patient unable to lift arm due
to pain.
Presentation:
Holding the affected arm adducted and supported with the opposite hand.
Signs:
Gross clavicular deformity observed or palpated, localized swelling, bruising,
tenderness, and crepitation.
Complications:
Neurovascular injury of affected arm, Pneumothorax Subcutaneous Emphysema
Symptom:
Typically occurs below the age of 40 years, lateral deltoid numbness and pain
Signs:
Shoulder apprehension Test is positive. X ray of shoulder shows either Hill-Sachs
Lesion, Shoulder Dislocation, Inferior glenoid avulsion Fracture.
5. Shoulder dislocation:
Usually there is history of trauma or generalized seizers present; Acromion
is much more prominent, humeral head fullness absent under deltoid, Leaves
prominent cavity. Severe pain in the shoulder with any range of motion, Arm
"locked" in place (may be cradled by other hand), Patient refuses to move arm. In
case of –
• Anterior dislocation- Arm held externally rotated, anterior shoulder appears
full with anterior bulge, Space below acromion appears empty, internal rotation
painful
abduction is painful. Intact muscle strength, Pain and crepitation worse between 60
to 120 degrees abduction, maximal compression of soft tissue in subacromial
space. X ray shows sclerosis at the tuberosity.
Based on the clinical features of above condition, we can easily distinguish it from
frozen shoulder.
Signs :
Limited shoulder range of motion - active and passive. X ray shows degenerative
changes like narrowing of joint spaces, subchondral sclerosis and formation of
osteophytes.
Atrophy of multiple shoulder muscle groups involved are deltoid muscle, rotator
cuff muscles, biceps muscle and triceps muscle Electromyogram shows neurogenic
atrophy.
Symptom:
The patient complains of pain in the region of the coracoid and there is definite
tenderness over the interval between two bones.
Signs: Chronic cases on which adhesions are present have marked limitations of
lateral rotation and abduction.
Symptoms:
Pain in the shoulder on abduction and internal rotation of the humerus is severe at
night, and tender points of the shoulder which is usually felt near the insertion of
the deltoid muscle, rather than in the joint itself, although it may radiate wide.
Signs:
Point tenderness on the greater tuberosity which disappears under the acromion on
abduction (Dawbamis sign). This tenderness may be absent or it may be wide
spread over the deltoid region.
In some cases the patient gives a history of an injury to the shoulder. This usually
takes the form of a fall on the outstretched arm or stabbed shoulder. When the pain
follows an injury there is usually an interval of few days before it manifests itself.
Radiological imaging may show calcium deposits on the supraspinatous tendon.
CONCLUSION:
3.Shoola though not told in the classics is one of the complaints that brings
patient to the doctor.
REFERENCES:
1. Nibandha Sangraha
2. A.Hr.Ni. 15/43
3. Su.Ni. 1/82
4. Su.Ni. 1/27
5. Su.Su.15/4
6. Su.Ni. 1/18
9. Su.Ni.1
10.Ma.Ni.15/44
11.’Cha. chi.29.
a)Abhyantara sneha
-It is the specific treatment of apabahuka. The sneha is adviced to consume after
food .The sneha taken after food cures the diseases occurring in the upper part of
the body .It also gives strength to the body parts of that region. Thailas and
yamaka(thaila+ghrita) are adviced for pana after food. The sneha cures the dhatu
sosha and promotes dhatupushti.It promotes agni and increases the strength of the
body.The following thailas are used in apabahuka for internal use.
1.Karpasasthyadi thailam
2.Ksheerabala prepared with thailam and ghritam.
3.Masha thailam.
b)Bahya snehana-
1.Karpasasthyadi thailam.
2.Jambeera thailam.
3.Parinatakeriksheeradi thailam.
B)SWEDANA-
Materials required:
1. Shashtika shali-500g
2. Balamoola-750g
3. Water- Q. S.
4. Cow’s milk-3litres
5. Cotton cloth(45cm X 45cm)- 4 pieces
6. Threads(75cm)- 8
7.Vessels-
a. For preparing kwatha
b. For cooking rice
c. To heat the boluses in mixture of kwatha and milk during the
procedure (5 litres capacity with wide mouth made of bronze)
Balamoola kwatha-
750g of Balamoola is cleaned, crushed and boiled in 12 litres of water and reduced
to 3 litres.
In 1.5 litres of Balamoola kashaya and 1.5 litres of milk, 500 g of Shashtika rice
should be added and boiled till it becomes thick and semisolid. Sufficient quantity
of hot water can be used for proper cooking of the rice. Another method is that the
Shashtika rice can be semi cooked in pure water; gradually added milk and kwatha;
cooked again.
The cooked rice should be divided into 4 equal parts and put into 4pieces of
cotton cloths. The three corners should be folded neatly together so as to come
under the fourth corner and the fourth fold is used to cover the other three corner
folds underneath. One end of the thread is held tight with left hand and the other
end is wound around the folds. In short, the boluses should be tied in such a way
that the mouth of the sac leaves a tuft at the top of the bundle, for holding it with
ease. Conventionally, the size of a bundle is half kernel of a moderate coconut.
The patient should be seated with leg extended over the droni and talam should be
applied with suitable oil. Abhyanga should be then performed with prescribed oil
for about 10 minutes. Out of 4 pottalis, 2 are kept in the mixture of Balamoola
kwatha and milk (1.5 litres of each was already kept for this purpose), which
should be put on a stove with moderate heat.
Procedure:
Duration:
45 minutes -1 hour, preferable time is in between 7-11 am and 4-6 pm. The
procedure can be stopped if the medicine in the boluses or the milk mixture is
exhausted.
At the end of the procedure, the medicine remained over the body should be
scrapped of with the coconut leaves or with any similar device and the body is
wiped dry with tissue paper or soft towels. After that medicated oil should be
applied.
Talam should be removed and Rasnadi choorna applied over the head.
Gandharvahastadi kashaya can be given for drinking. The patient should take
complete rest for at least half an hour, and then the patient is allowed to take warm
water bath.
Precautions:
1. During the preparation of the rice, care should be taken to avoid over/under
cooking and should be stirred frequently for the better extraction and
cooking.
2. Tie bolus firmly to avoid leaking of contents during rubbing.
3.The therapists in both the sides of the patient should massage with the bolus
in a synchronised manner.
4.Ensure uniformity of pressure and temperature on all the body parts
.5 Boluses should be applied with sufficient warmth (450C-50oC).
6.The therapy should be stopped at any time if the patient gets good
perspiration or shivering.
patient or atiyoga of kriyakrama. Sprinkle cold water over the face and body,
and put thalam with appropriate medicated oil and choorna. Drakshadi
kashaya can be given internally.
Materials required:
Jambeera (chopped into pieces) - 750 g
Saindhava powder - 30 g
Turmeric powder - 60 g
Cotton cloth (45cm X 45cm) -4
Threads - Q.S.
Vessels for heating -2
Suitable oil for talam - 10 ml
Rasnadi choorna -5g
Suitable oil for abhyanga - 100 ml.
Oil for reheating the pottali - Q.S
Soft towels -2
Masseurs -2
Attendant -1
Preparation of pottali:
Ingredients are fried in appropriate quantity of oil and are divided into four equal
parts and pottalis are made accordingly.(coconut & egg yolk can be added according to
condition)
Procedure:
Abhyanga should be performed with suitable medicated oil. Out of the four
pottalis, the two pottalis should be heated up to 40o C-45oC by keeping on the hot pan
containing suitable oil. This pottali should be applied to the patient as per the general
procedure for about 30-45 minutes.
Precautions:
1. While preparing the medicine care should be taken to prevent charring
2. Tie the potalis firmly to avoid leaking of the contents during the procedure
MRUDU SODHANA.
NASYAM.
1.Karpasasthyadi thailam.
2.Masha thailam.
3.Ksheerabala thailam.
Nasal passage is the route to head. It is also the site of orifices of most of
paranasal sinuses. Its mucosal epithelium is sensitive to variety of stimuli.The
medicines applied by nasya will have local action as well as deeper action at
neurological level.
CONCLUSION.
Normal shoulder function is needed for daily routine activities and sporting
actions. Over the years, the understanding of shoulder anatomy and function has
drastically improved and adjuncted with excellent imaging methods, the treatment
options have provided excellent outcomes in the shoulder problems.
The shoulder joint or gleno-humeral joint is a ball and socket joint. The glenoid or
socket is shallow and is inherently unstable. The stability is provided by various
ligaments, capsule, physical and muscular forces. These stabilizers also play role in
shoulder joint movement with adequate rhythm. Any disturbance in structural or
rhythmic support of the shoulder leads to a painful shoulder. Because there are
numerous structures that can cause shoulder pain, it is important that clinician
should narrow down into one or more of the following categories of shoulder pain.
(Image 1)
2. Impingement
3. Biceps tendonitis
A good clinical history and systematic examination of shoulder can establish the
diagnosis in most of the cases. A brief description of above listed problem will be
helpful in assessing the problem.
Rotator cuff pathology is more frequent in patients more than 30 years. Mostly,
supraspinatus and infraspinatus tendons are involved in tendinitis or tear.
Tendonitis or tendinopathy is usually seen in chronic overhead activities. They
present with pain usually with overhead activity. The pain is usually in the night
especially sleeping onto the side of affected shoulder. Cuff tears are seen with fall
on outstretched hand, rapid acceleration, and direct blow to shoulder or even after
long standing tendonitis. If there is complete tear, they present with weakness in
elevating shoulder. Partial cuff tears are more painful than full thickness tears.
Supraspinatus and infraspinatus muscle wasting is the key clinical feature. Resisted
abduction is painful with thumbs down position. Rotator cuff tendinopathy often
and partial cuff tears sometimes can be managed conservatively. Rehabilitation
plays an important role in treatment. Non responsive cuff problems or full
thickness cuff tears are best managed surgically. If a full thickness cuff tear is
ignored for long, it can lead to rotator cuff arthropathy which is a very difficult
condition to manage.
Shoulder stiffness is usually due to frozen shoulder. These patients are usually
more than 40 years and often first time diagnosed to have diabetes by orthopaedic
surgeon as frozen shoulder could be the presenting feature.
done to restore movements and minimize pain. Arthroscopic release is also a good
option in non-responders.
Referred pain is one of the common entities to be kept in mind. The most common
area of referred pain is from neck. Cervical spondylitis and disc prolapse are the
common causes of neck pain. The patient will have neck pain which radiates to the
shoulder, arm and hand. The local examination of shoulder is normal whereas neck
movements are painful with or without radicular features. These patients may also
have night pain while lying on the side.
Other areas of referred pain are from chest and abdomen. Pancoast tumour of lungs
in an elderly can lead to shoulder pain. Chronic angina pain is also referred to the
shoulder on left side but with breathlessness, sweating etc. Chronic cholycystitis or
cholelithiasis can lead to right shoulder pain. Chronic splenic pain can lead to left
shoulder pain. So, a proper systemic evaluation is must.
A good history coupled with clinical examination usually establishes the diagnosis.
Non responsive shoulder pain or if cuff tear is suspected, it must be supplemented
with diagnostic ultrasound of the shoulder. Ultrasound is a cheap and quite
sensitive investigation in the hands of an expert sonologist. If necessary, MRI can
be done but MRI does not offer an exceptional advantage over ultrasound contrary
to the expected.
Abstracts.
______________________________________
ABSTRACT:
For obtaining better result while treating Avabahuka one should have
sheer knowledge about anatomy and its applied aspects so that one can
understand the different anatomical structures involved in the disease
process; and thus select the appropriate treatment..
*PGCPK Scholar, Dept of Ayurveda KMC,Manipal.
** PGCPK Scholar,Dept of Ayurveda,KMC,Manipal.
*** Asst.Lecturer, Dept of Ayurveda,KMC,Manipal.
Dr.Ranjith.R.P*,Dr.Ravishankar.A.G**.
__________________________________________________________
Abstract.
pain. Most of the treatments such as Snehana, Swedana, Nasya and internal medication are time
consuming and results will be delayed.
Raktamokshana ( siravyadha) is an affective treatment to relieve the
signs and symptoms of Apabahuka immediatly and also it is an effective treatment in
raktaavritha condition.
Abstract.
Keywords:- Avabahuka, Vyavachedaka nidana.
Abstract –
Avabahuka, in spite of being included under Vata Vyadhis, shoulders numerous
therapeutic procedures as a result of the timely work, wit, and experience of
different authors.
The management of the disease appears to be of different shades as the result of the
varied interpretation of its doshic predominance and understanding of its
samprapthi.
The copious drugs vow to the optimum utilization of the same in various
stages of the disease.
As science always endures change for sounder work, there exists immense scope
for the proper understanding and therapeutic enhancement in terms of avabahuka.
Here, is one such earnest attempt.
Abstract:
Apabahuka is one among the nanatmaja vatavyadhi.Very limited information is
available about this particular disease in the classics. It is mentioned for the first
Abstract:
Avabahuka considered, as one of the vatavyadhi and Sushurta is the first author who explained
nidana and samprapti of avabahuka under vatavyadhi. The vyadhi found mainly in amsa pradesh
(scapular region) characterized with pain, restricted movement of shoulder joint etc that can be
correlated with many pathological conditions of shoulder joint and scapular region. The exact
correlation of avabahuka with underlying modern pathology is not possible but it is always
necessary to put forward nearest postulation to use the objective diagnostic tools and its further
progression of disease process. For this purpose a update interpretation of ayurvedic avabahuka
may be beneficial.
The management as claimed by Ayurvedic physician’s posses it own peculiarity i.e. to eliminate
the Dooshika diathesis by means of Nasya and to revert the process of the dosa dusya
sammurchhana by a better scientific regimen. So in this paper critical analysis of avabahuka and
Dr Narind*, Dr K. J. Malagi**.
________________________________________________________
Abstract: -
Avabahuka, one of the Vata vyadhis explained in the Ayurvedic classics, can be
better understood when it is considered as a syndrome rather than a single disease.
‘Bahu karma kshayakari’, i.e., inappropriate or even lack of functioning of either
one or both the upper limbs is the cardinal feature of the disease.
leading routine life properly. So thinking about remedies to give relief to such
patients is necessary. Here I am doing a small try for the same.
Main points to be discussed-
(i).Various treatment modalities mentioned in Ayurvedic
literatures.
(ii) The effects of each treatment modalities.
Above mentioned topics will be presented in the poster
with the support of scientific and pictorial details.
Abstract :
Avabahuka, one among the 80 vata vyadhis explained in the ayurvedic classics,
incorporates various salient virtues which have always posed problems for the
thorough understanding of the disease and formulation of the treatment modalities.
The quest for knowledge in the learned has always encouraged them to reach
the zenith in their field of interest. Likewise, Ayurvedic scholars have pin pointed
the importance of nidana in the manifestation of diseases and the need to get rid of
them initially, as a means of treatment of the disease. The classics explain the same
as ‘ nidana parimarjanameva chikitsa’.And also, the apt understanding of the
stages in the manifestation of the disease, the humors involved in the same, are all
of vitality while planning the treatment of the disease. This view is put forth as
‘samprapthi vighatanameva chikitsa’ in the precious classics of ayurveda, the
science of life.
Considering the same in terms of the disease avabahuka, the vision
regarding the nidana and samprapthi of the disease is in par with its treatment, in
terms of importance. This is an attempt to understand the same.
Present era is an era of stress. Modern day life style and modern gadgets and competitions in all
walks of life has made man’s life more strenuous than before. It is also responsible for increase
in the incidence of many diseases. Most of these diseases may not be life threatening but hamper
day to day life and human productivity. Apabahuka is one among such diseases, which is
agonizing and affects normal routine work of human being.
Apabahuka is one of the Vatavyadhi, which affects the normal functioning of the upper limb,
especially movements around the shoulder girdle. Pain and stiffness around shoulder girdle
usually develops gradually over several months to a year, it may also progress rapidly in some
patients. Pain may also interference with sleep of individuals.
In contemporary medical science, there are lot of treatment strategies described for its
management. But still the available methods are not satisfactory. Most of the methods are
palliative and there is a high rate of reoccurrence of the problem. On the point of this view
clinical diagnosis of Apabahuka and its management is taken in to consideration for presentation.
Objectives of the poster
Nidanas of Apabahuka.
Roopa of Apabahuka.
Samprapti ghatakas of Apabahuka.
Clinical examinations of Apabahuka.
Investigations in Apabahuka.
Management of Apabahuka.
Pathya – Apathyas of Apabahuka.
ABSTRACT:
AYURVISION 2009
Guests/ Resource Persons List
01.Dr. Charudatta.
Asst .Prof, Dept. of Radiology,
KMC,Manipal.
04.Dr.S.G. Mangalagi,
HOD, Post Graduate Studies in Kayachikitsa,
Govt Ayurvedic College, Mysore
05.Dr. Prasanth,
Assistant Prof,
Department of Kayachikitsa,
Ayurveda Mahavidyalaya, Hubli.
07.Prasanna Mogasale.
Asst Prof.Dept of PG Studies in Kayachikitsa,
SDM College of Ayurveda.Udupi.
AYURVISION – 2009
LIST OF DELEGATES REGISTERED
Sl. No. Name Place
01. Dr. Rajesh , BAMS (PGCPK) PGCPK – Manipal
02. Dr. Divya Nayak , BAMS (PGCPK) PGCPK – Manipal
03. Dr. Shailesh, BAMS (PGCPK) PGCPK – Manipal
INSPIRED BY LIFE
POSTERS
MR. VIDYAVANTH
KAMATH
Authorised Dealer Kottakkal Arya Vaidya Sala
Opp. Corporation, Bank, Manipal