All our activities of day-to-day life like sitting, standing, jumping, running, walking, bending, stretching, etc depends on the integrity and healthy condition of our joints. We cannot even imagine living easily with painful, swollen and stiff joints. There are many diseases which affects at some or the other part of our life. Many of them give pain and distress, others disturb our living. Osteoarthritis is one such chronic degenerative disease which when afflicts the joints makes one feel that life is definitely a curse. It occurs mainly in weight bearing joints or may also affect other joints. In Ayurveda it is considered as sandhigata vata which can be managed by different panchkarma therapies and medications. Physical activity such as yoga along with panchkarma gives joint more stability and helps in fast healing. Hence rehabilitation of both yoga and panchkarma gives a better approach towards osteoarthritis.
Pinda Sweda is one of the most important and special form of treatment in kerala1. Panchakarma is mainly done for purifying the body and to expel out the impurities out from the body which can be achieved mainly through Vaman, Virechana, Vasti, Nasya And Rakta Mokshana. But before performing such Karma Snehan and Swedan Karma is done to liquefy the Dosa and help them move out of the body. There are many types of Swedan Karma. There are many Pinda Sweda explained like Jambir Pind Sweda, Shastik Shali Pind Sweda, Baluka Pind Sweda, Dhanya Pottali Sweda, etc. Swedana Karma which is given by us-ing a bolus which is prepared by using the different combination of medicinal leaves which is heated with medicinal oil is called as Patra Pinda Sweda. Thus, it constitutes both Snehan and Swedan. It is a process by which whole body or a part is made to perspire by the application of certain medicinal leaves, in the form of bolus tied up in a cloth bag2.Some of the great healing consequences covering various diseases in-clude anti-ageing and rejuvenating properties for overall organic functions, tissue strength and blood circu-lation, skin beautification and rejuvenation, promotion of vitality, removing disorders of nervous tension. The drugs used for Patra Pottali not only relieve pain and swelling, but also gives strength and nourishment to the affected part.
Psoriasis is an autoimmune skin disease characterized by red scaly patches over the skin. Broadly all the diseases of skin come under the umbrella of kustha. In ayurvedic text, Charaka samhita, kustha has been beautifully explained. Psoriasis is an immune mediated disease which mistakenly sends out faulty signals for a normal skin assuming it as a pathogen which causes overproduction of new skin cells. Fortunately, it is a non-contagious inflammatory skin disease. Psychological stress is one of the major triggering factors in the exacerbation of the disease. Ekkustha has similar features as like Psoriasis. Ayurveda is a holistic ap-proach particularly correcting the root cause through shodhana (panchakarma). While explaining the treatment for kustha, acharya chakarapani explains repetitive shodhana karma to be done on regular in-tervals to cure the disease. Hence a single case of ekkustha was given Raktamokshana followed by bahya lepa at regular interval to access the effect of the procedures. Different assessment criteria were used to monitor the improvements. There was significant relief in the scaling, discolouration of skin, elevated patches & redness of the skin lesion which explains that detoxification of the body reduces the inflamma-tory condition of the body by bringing back the normalcy of the dosha in the body
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