REVIEW OF ETIOPATHOGENESIS AND DIAGNOSTIC APPROCH OF SANDHIGATAVATA W.S.R TO OSTEOARTHRITIS
*Dr. Pandey Deepti, Dr. Shailendra Kumar Singh and Dr. Avadhesh Kumar
According to ayurveda, Sandhigatavata is described under vatavyadhi in all samhita & sangraha grantha. The prakopa of vata may be due to two causes (a) Avaran (b) Dhathu kshaya. Avaran is one of the most important factor which is responsible for the superiorty of vata. In vriddhavastha all dhatus undergo kshaya, thus leading to vata prakopa making Sandhigatavata. According to ayurvedic literature, there are no specific etiological factors for sandhigatavata. However, the aggregative factor for vata can be adopted for it. This may be apathya aahar vihar, chinta, krodha, shoka, bhaya, abhighat etc. If prakopit vata comes at particular space (like asthi, sandhi) which may be weak point or kha vagunya, where sthan – samshray occurs & it continues with dosh dushya sammurchana. The entire above phenomenon forms, the etiopathogenesis of sandhigatavata. Thus, involvement of marma, madhyama roga marga, vata dosha & dhatukshaya make disease krachasadhya. From the modern point of view, the disease Osteoarthritis is identical to sandhigatavata. Here in this paper I am trying to describe the diagnostical approach of sandhigatavata (oestioarthritis) because diagnosis is an important parameter for the proper management & also to define the prognosis of any disease. For fulfilling the criteria three important factor are responsible. 1) Clinically assessments factors. 2) Pathologically assessment foctors. 3) Differential diagnosis Above both are the key point to rule out, actual diagnosis of any disease.
Keywords: Sandhigatavata, Osteoarthritis.
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