Download - Majjabasti in msd 15-09-13
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Role of Majjabasti
In Musculo-Skeletal Disease With Special Reference To Low
Back Pain-A Case Study
Dr Meena
S DeogadeMahatma Gandhi Ayurved
College
Hospital & Research Centre,Salod(H) Wardha
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Introduction
Improper movements in lifestyle or
postural hazards are the two major causes of low back pain along with stress.
Musculo‐skeletal diseases (MSD) are
commonest of present day working system. The causes are –
Occupational and
Poor posture
MSDs
affect the bones, joints, nerves,
tendons, muscles and supporting structures, such as inter vertebral disc
space in back.
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General Causes of Lumbago-
Poor posture
Trauma
Degeneration
Congenital
Slip disc
Psychological
Dysmenorrheal
Gynecological Pregnancy
PID
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i`’Bs
f«ka'kr
A lq
'kk
‡
sushruta
vertebrae count is can be compared with modern as
‐
7 cervical
- 12 thoracic
- 5 Lumbar
- 5 Sacral vertebrae
- 1 coccyx
= 30
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Low Back Pain
Most of the MSDs
characterized by
a cardinal features of –
Stiffness
Pain.
Vata aggravated with improper
diet and regimen responsible for common MSD like low back pain.
Anomalies of vertebral column
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Case Study
A 32 year aged female, apparently
been normal two months ago, suddenly developed low back pain
on forward bending.
The pain persists at sacral region
in ritual practices, which progressively worsened over the
following two days.
On third day situation worsen and
unable to get out of bed.
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Opinion / Investigations
An orthopedic consultation
after thorough examination and X‐ray diagnosed the
condition as slip disc of L5‐ S1.
Investigations:MRI report 9/9/2009
describes the slip disc of L4‐ L5,
L5‐S1, with bulge and annular tear.
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Materials & Methods
Get the goat legs and cut in to small pieces.
Boil these in about 2 lit water till ½ lit.
60 ml Luke warm majja filled metal or plastic syringe.
Fix the catheter and remove the air completely from the catheter.
Patient should be asked to pass urine and stool.
Oil massage (Snehan).
Fomentation (Nadiswedan).
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Majjavasti
Patient should lie down on left lateral side
flexing the knee.
To apply oil to anus and catheter, slowly introduce it into anus and gently push the basti dravaya.
Patient should ask for deep breathing.
Slowly remove the catheter and do light massage and give gentle jerk on buttocks.
Duration – Patient had eight Majjavasti
in one sitting
of such two sittings with an interval of 8 days.
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Ayurveda perspective –
Mithya Ahara- Vihara (hin/ati)
Snigdha ,Guru,Ushna Vata aggravated Ruksha ,Laghu,Sheeta
Majja Back Pain
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Actions of Basti
'
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‘Scientific Explanation For absorption of basti
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Sr.n
o.
Symptoms Before
treatment
During treatment After
treatment
After 5th
day
After 10th
day
After 15th
day
1 Severe pain at
sacral region
++++ +++ ++ No pain
2 Difficulty for
seating &
standing
was not
able to
seat and
stand
more than
5 min
able to
seat and
stand up
to 30 min
able to
seat and
stand
more than
45 min
able to
seat and
stand
more than
1 hour
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Sr.n
o.
Symptoms Before
treatment
During treatment After
treatment
After 5th
day
After 10th
day
After 15th
day
3 Pain radiating
in both lower
limbs.
+++ ++ + -
4 Tingling in both
lower limbs
+++ + + -
5 Restricted
movement
++++ +++ ++ +
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Discussion
According to Ayurveda Low Back
Pain vis‐à‐vis katishoola
is due to vitiation of Vata.
Vata is controller and catalyst for all
the functions in the body.
Back pain arises with vitiated vata.
Charaka has considers the vasti
as half of the treatment for all ailments
and the full for Vata diseases.
As vata
is located in the colon and
bones, basti
is more helpful in disorders of bones.
It is useful in neurological disorders
by strengthening muscles, tissues, and relieves the stiffness of back and
lumber region.
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ConclusionKatishoola
and katigraha
refer to the lumbago sciatica syndrome and IVDP.
In both conditions the ionvolvement
of spine and
vitiated vata
are controlled by sneha
(majja) and getting
symptomatic relief from musculo
skeletal disorder i.e.
low back pain. It nourishes to repair the
inter‐vertebral disc spaces and vertebrae also.
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Conclusion
Thus it is fairly concluded that the Majjavasti
is new
advanced technique introduced by Chakradutta
is successful in IVDP and low back pain
symptomatically.
If repeated sittings are
made it could establish repair and normalization
of slip disc even.
A through inter
disciplinary research is anticipated in this regard.
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Acknowledgement to Ayurmitra Dr.KSR
Prasad