ABSTRACT'Ellumnishadi lepa' is a poly herbal topical dosage form mentioned in 'Chikitsa Manjari', which is a compilation of clinical observations and simple formulations that were used by traditional Ayurveda practitioners of Kerala. As per the textbook, the lepa (topical applicant) is indicated in knee joint swellings associated with Vatarakta (a disease condition caused due to dangerous amalgamation of vitiated Vata (bio force) and Rakta (blood)). The ingredients of the formulation are to be boiled in milk, made into a paste and applied locally over the afflicted area with q uantity sufficient ghee. Rheumatoid arthritis (RA) is an autoimmune chronic inflammatory disease afflicting majority of synovial joints. Although Rheumatoid arthritis cannot be correlated to a single entity in Ayurveda, clinical protocols and medicaments prescribed for Vatarakta are used by clinicians in different stages of rheumatoid arthritis. Ingredients in the prescribed lepa are having proven anti-inflammatory, anti-rheumatic and antioxidant activities which can combat the pathology in RA. Ellumnishadi lepa application can be used as an effective complimentary treatment along with main stream management strategies in providing satisfactory relief from knee joint swellings associated with degenerative changes in Rheumatoid arthritis.
Introduction: Cervical spondylosis is a chronic degenerative condition of the cervical spine that affects the vertebral bodies, intervertebral discs of the neck, and the contents of the spinal canal. Spondylosis progresses with age and often develops at multiple interspaces. Though many conventional treatments are available but in view of their side effects and dependency, it is important to search for safe and effective Ayurvedic treatment. Objective: To evaluate the effect of Jambira Pinda Sweda in cervical spondylosis w.r.t. clinical symptomatology. Materials and methods: A single-arm, open, prospective interventional clinical study was conducted at two peripheral institutes of Central Council for Research in Ayurvedic Sciences. Total 60 patients of either sex aged between 30 years and 65 years, with clinical and radiological evidence of cervical spondylosis, were selected for the study. The treatment procedure Jambira Pinda Sweda was done daily for the period of 14 days. The patients were assessed at baseline, 7th day, 14th day, and 21st day (after 1 week without intervention) on the basis of relief in sign and symptoms of cervical spondylosis by reduction in the visual analog scale (VAS) score, Northwick Park Neck Pain Questionnaire, and SF-36 Health Survey Score for Quality of life. Results: Mean value of VAS on baseline was 6.90, on 7th day it was 3.37, and decreased up to 2.57 on 14th day and 2.08 on 21st day showing statistically significant improvement (p < 0.001). The mean value of Northwick Park Neck Pain Questionnaire on baseline was 45.79, on 7th day it was 23.57, which further decreased to 17.32 on 14th day showing statistically significant decrease (p < 0.001). The significant improvement was revealed in all the parameters of the SF-36 health survey (p < 0.001). Conclusion: Jambira Pinda Sweda have been shown to be an effective local Ayurvedic treatment for cervical spondylosis. During the study, no adverse effect was noticed; hence, it proved to be a safe treatment.
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