Dr. Ashish Tripathi


Abstract:- Katishulahas not been described as a separate disease; it has been categorized under Vatika Nanatmaja Vyadhiin Charaka Samhitaas Prishta Graha, Gridhrasi. Charaka Acharya has given Katishulaas a symptom in the description of Gridhrasi(Sciatica). In Sushrut Samhita Katishulahas been mentioned as a symptom of VatikaArsha, Vankshanottha Vidradhi, Bhagna, 7th stage of Sarpa Visha Akshepakaand indirect reference can be drawn from Dalhanacommentary about Pakvashaya Gata Vatathat along with Trika Vedanathere will be Jangha, Trika and Prishta Vedana. Gada Nigrahaclearly states that pain is produced due to stiffness produced by Saamaor Niraama Vayumovement in to Kati hence this suggests of presence of Dhatu Kshayatmakaand Marga Avarodhakatype of Samprapti.

            Back pain is a human condition with 60-80% of the world’s population experiencing pain at some time in their lives. Although there is no evidence that back pain prevalence has increased, reported disability and absence from work due to back pain have increased significantly in the last 30 years. Katishulaor the Low back pain negatively affects the productivity of the individual himself as well as that of society and the country. Low back pain is the most common pain syndrome in industrial countries with highest prevalence in persons aged 45 to 65 yrs. The incidence in the industrial sector in India is 11% in textile workers. Onset is often associated with lifting or bending.

            Panchakarma is a very unique therapeutic procedure because of its preventive, promotive, prophylactic and rejuvinative properties as well as providing a radical cure. Different works have been carried out in different views. Still an added effort was made by understanding the problem with available sources of literature and tried to manage the condition, thinking that this may help in giving better management for patient and helping them in relieving their sufferings.The treatment provided marked relief in 40% of the patients, 53.33% of the patients were showed moderate response and 6.67% of the patients were showed mild improvement after completion of treatment.

Keywords:- Erand Phala Payas, Katishula,  LBP, Patra Pinda Sweda.

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