Katigraha (lumbar spondylosis) managed by Kati Pizhichil and Panchatikta Ksheera Basti: A case report.

Abstract

Low back pain affects approximately 60-85% of adults at some point in their life and 10% of this is due to lumber spondylosis (LS). Katigraha which is corelated with LS, is a degenerative condition that affects the disc, Vertebral bodies, and/or joints associated with the lumber spine. Ayurveda has mentioned Panchakarma therapies for the treatment of Katigraha. Hence, an effort has been made to evaluate the efficacy of Kati Pishinchil and Basti procedure along with Shamana Chikitsa in the management of the Katigraha. This is a single case study of 53 years old female patient. Who came with pain in lower back region radiating to bilateral lower limb (LF>RT), stiffness in the hip region, restricted movement of lower limbs and difficulty in walking for past 1 years. Kati Pishinchil with Kottamchukadi Tailam and Panchatikta Ksheera Basti along with Shamana therapy was administered. According to Charaka there is no other treatment except Basti for the Shamana of vitiated Vata, and considered as half part of the treatment as so many Acharyas has mentioned, and some Acharyas also said that Basti therapy is the treatment of all diseases. Kottamchukadi Tailam for Kati Pishinchil has a dual action of Snehana as well as Swedana which effectively helps in reducing Vata. Tailam has almost opposite qualities to Vata Dosha, thus Kati Pishinchil along with Kottamchukadi Tailam normalised vitiated Vata Dosha. In shaman Drugs Panchatikta Ghrita Guggulu, Shanshamani Vati, combination of Ashwagandha Churna + Shatawari Churna + Supushti Yoga and Triphala Churna for Koshtha Shodhan has been taken.

The therapy provided marked relief in pain and stiffness. Based on the case study, it can be concluded that Kati Pishinchil with Kottamchukadi Tailam and Panchatikta Kshreera Basti along with Shamana therapy is effective in the management of Katigraha (Lumbar Spondylosis).