LBA in Ayurveda

LUMBAR SPONDYLOSIS

DEFINITION- IT’S A DEGENERATIVE JOINT DISEASE AFFECTING LUMBAR VERTEBRAE AND INTERVERTEBRAL DISCS, CAUSING PAIN, STIFFNESS , SOMETIMES WITH SCIATIC RADIATION DUE TO NERVE ROOT PRESSURE BY ASSOCIATED PROTRUDING DISCS OR OSTEOPHYTES- DORLAND’S DICTIONARY

CLINICAL FEATURES OF LUMBAR SPONDYLOSIS

1. LOW BACK ACHE
2. PAIN RADIATING TO BACK OF THIGH, BUTTOCKS.
MAY BE SUPER IMPOSED WITH SCIATICA BECAUSE OF ROOT COMPRESSION.
3. NUMBNESS OF LIMBS.
4. LOSS OF TOUCH SENSATION.
5. CONSTIPATION
6. SOMETIMES HEADACHE
7. MUSCLE WEAKNESS, TINGLING
8. MORNING STIFFNESS MAY BE PRESENT
9. PAIN INCREASES BY CHANGING POSTURES AND MOVEMENTS LIKE BENDING ETC

INVESTIGATIONS & DIAGNOSTIC MEASURES

1. RADIOLOGICAL- X-RAY
2. MRI, CT IMAGING
3. DISCOGRAPHY

AYURVEDIC CONCEPT

KATI OR LUMBAR REGION IS VATA SITE ACC TO AYURVEDA’
AT THE SAME TIME JOINTS ARE SITE OF SLESHAKA SLESHMA(KAPHA).
BECAUSE OF NIDANAS( CAUSES) VATHA AGGRAVATION OCURS IN KAPHA STHANAM AND BECAUSE OF THE INCREASE IN RUKSHA GUNA(QUALITY OF DRYNESS) , THE DEHYDRATION OF THE DISC BEGINS, INITIATING THE SCLEROSIS AND WHEN UNINTERVENED THE CONDITION PROGRESSES TO OTHER LEVELS, SUCH AS BULGING, HERNIATION, PROLAPSE AND OSTEOPHYTE FORMATION ETC.

TREATMENT PRINCIPLE

THE AIM OF THE TREATMENT IS TO REDUCE THE DRYNESS AND BRING BACK THE SNEHA GUNA, ELASTICITY AND TO REHYDRATE THE DISC , REMOVING THE OSTEOPHYTES, OR THE MALA ROOPA KAPHA.
IN SIMPLE TERMS , VATA HARAM AND KAPHA HARAM IN INITIAL STAGES AND BRMHANAM IN LATER STAGES TO NOURISH THE DISC.
ITS IMPORTANT TO MAINTAIN AGNI, IN THE PROCESS OF VATA HARAM , KAPHAM SHOULD NOT BE VITIATED. PROPER VATHA ANULOMANAM HAS TO BE ENSURED FOR EFFECTIVE RESULT.

MANAGEMENT

AUSHADAM- MEDICINAL MANAGEMENT
STHANIKA CHIKITSA- LOCAL MEASURES
1.ABHYANGAM-MASSAGE
2.KATI VASTHI- SNEHANAM
3. PATRA POTALI- SWEDANAM

PANCHA KARMA PROCEDURES

1.SNEHA VASTI
2.KASHAYA VASTHI
DIET AND YOGA ASANAS, PHYSICAL THERAPY, LIFE STYLE MODIFICATIONS.

AUSHADHAM- MEDICINES

MAHAYOGA RAJA GUGGULU
LAKSHADI GUGGULU
ABHA GUGGULU
YOGA RAJA GUGGULU
TRAYODASANGA GUGGULU
MAHA RASNADHI KASHAYAM
RASNA SAPTHAKAM KASHAYAM
RASNA ERANDADI KASHAYAM
RASNADI KASHAYAM
DHANWANTHARAM KASHAYAM
ASHTA VARGAM KASHAYAM
VIDARYADI KASHAYAM
BALA ARISHTAM
ASHWA GANDHARISHTAM
VATA GAJANKUSA RASA
VAYU GULIKA
LASHUNA KSHEERA
PRAVALA PISHTI
KSHEERABALA 101
DHANWANTHARAM 101
GANDHA THAILAM 

STHANIKA CHIKITSA

ABHYANGA
USUALLY CARRIED OUT AFTER KATI VASTI PROCEDURE, CAN ALSO BE DONE SEPARATELY TOO.
SPECIAL TYPE OF SPINAL MASSAGE HAS TO BE DONE WITH SPECIAL EMPHASIS ON THE LOWER BACK.
ZIG ZAG STROKES, PARALLEL STROKES AND OTHER SPECIAL SPINAL STROKES WITH PROPER PRESSURE( TOO MUCH OF PRESSURE IS HARMFUL!) FOR A PERIOD OF 25 TO 30 MINUTES 

OILS USED

SAHACHARADI THAILAM
KARPASA ASTHYADI
BALA THAILAM
DHANWANTHARAM
NARAYANA
MAHA MASHA THAILAM
KOTTANCHUKKADI
KSHEERA BALA
KARPURADI
GANDHA THAILAM
KATI VASTHI 

REQUIREMENTS

MASHA PISHTA ( BLACK GRAM FLOUR)
MEDICATED THAILA
COTTON, VESSELS, AND OIL HEATING ACCESSORIES
DHARA TABLE.
PROCEDURE

PATIENT IS MADE TO LIE IN PRONE POSITION.
PISHTA OF MASHA IS MADE IN TO PASTE AND BUILT LIKE A WALL AROUND LUMBO SACRAL AREA.
OIL IS HEATED AND POURED SLOWLY INSIDE THE BOUNDARY WITH THE HELP OF COTTON.
WHEN OIL BECOMES COOL IT IS REPLACED WITH WARM OIL.
CONTINUED FOR A PERIOD OF TIME. APPROX- 30 TO 50 MINS, FOR 7 DAYS OR 14 DAYS.
AFTER THE DURATION , THE OIL IS DRAINED AND FLOUR IS REMOVED
ABHYANGAM OF THE BACK IS GIVEN USING SAME OIL.
ALWAYS SNEHANA MUST BE FOLLOWED WITH SWEDANA PROCEDURE

PATRA POTALI OR ELA KIZHI

A TYPE OF PINDA SWEDAM. WHICH COMES UNDER USHMA SWEDA.

MATERIALS REQUIRED

LEAVES OF VATA HARA LIKE ERANDA ,ARKA , CHINCHA,NIRGUNDI, SHIGRU, KARANJA DHATURA VATHAGNI SINDUVARA -500 gm
CHOORNA OF SATAHVA AND METHIKA-25gm EACH
SAINDHAVA-15gm
LEMON -4 NOS
NIMBA OR SAINDHAVA THAILA OR ERANDA THAILA (REQD QTY)
CLOTH
TWINE TOWEL. VESSEL, FRYING PAN, SPOON, STOVE
RASNADI CHOORNAM
MEDICATED OIL 

PATARA KIZHI PROCEDURE

ALL THE LEAVES ARE CUT IN TO SMALL PIECES, AND SLICES OF LEMON, CHURNAS, SAINDHAVA ARE ADDED AND FRIED IN THE CASTOR OR NEEM OR COCONUT OIL , TILL IT BECOMES ROASTED RED.
THEN THEY ARE MADE IN TO POTALI(USUALLY 4 IN NO)
AFTER ABHYANGA, THE POTALI IS APPLIED OVER THE BODY BY DIPPING IT IN TO THE HEATED OIL.
CIRCULAR MOVEMENTS ARE DONE.
PROCEDURE DONE FOR A PERIOD OF 25-45 MINS

VASTI PRAYOGAM

SNEHA VASTI
MATRA VASTI- MINIMUM DOSE OF SNEHA VASTI ( APP 60-75 ML)
ANUVASANA VASTI.(APP 150 ML)
SNEHA VASTI(250-300 ML)
KSHEERA VASTI CAN BE ADVOCATED.
KARMA VASTI, KALA VASTI, YOGA VASTI- 30, 15 , 8 DAYS OF VASTI ALTERNATELY KASHAYA AND SNEHA VASTHI. KALA VASTI IS IN PRACTICE. 

OIL USED FOR SNEHA VASTI

TILA TAILAM
GUGGULU TIKTAKA GHRTHAM
MAHANARAYANA TAILAM
MAHAMASHADI TAILAM
SUDDHA BALATAILAM
KSHEERABALA
SATAHVADI TAILAM
SUKUMARA GHRTAM
LAKSHADI TAILAM
SAHACHARADI TAILAM
DHANWANTHARAM
GANDHARVA HASTADI
KASHAYA VASTI
DHANWANTHARAM
GANDHARVA HASTADI
SAHACHARADI
ERANDA MOOLA
ASTHAPANA GANA
DASAMOOLA
SATAHVADI