Comparative clinical study on efficacy of Marma Chikitsa and stimulation of Marma by TENS (Trans Cutaneous Electrical Nerve Stimulation) in the management of Lumbar Spondylosis w.s.r. Gridrasi
Abstract
Background: Gridrasi is a Shoolapradhana Snayugata Vaatavyadhi and Marmabhighata is one of the reasons for it, Mardana or Massage is one of the management for Snayugata Vaata. In this study Marma Chikitsa is done by adapting manipulation technique explained in Varmachikitsa of Siddha System of Medicine and Stimulation technique i.e., TENS explained in Chinese System of Medicine over Marma points explained by Acharya Sushruta. Objectives: To compare the efficacy of manipulation of Marma points and Electrical Stimulation (TENS) over Marma points in the management of Gridrasi. Method: 40 patients suffering with classical signs and symptoms of Gridrasi of either sex were selected from OPD and IPD, MIAMS, Manipal and divided into two groups of 20 each. Group A treated with Marma Chikitsa - manipulation over Marma points and Group B with TENS over Marma points for 7days. Assessment criteria are pain, stiffness, fasciculation, tenderness, muscle power, SLR, VAS, oswestry disability assessment scale. Results: The outcome of treatment after 7 days was statistically significant. Conclusion: The study confirms Marma Chikitsa by stimulation of Marma using TENS is effective in the management of Gridrasi and later being the more effective in comparison statistically.
Downloads
References
Acharya YT(Ed), Sushruta Samhita of Sushruta with theNibandha Sangraha Commentary of Shri Dalhanacharya and the Nyayachandrika Panjika of Sri Gayadasacharya on Nidanasthana Varanasi, Chaukhamba Sanskrit Sansthan, Reprint 2012, pp-824, page-369.
Acharya YT(Ed), Sushruta Samhita of Sushruta with the Nibandha Sangraha Commentary of Shri Dalhanacharyaand the Nyayachandrika Panjika of Sri Gayadasacharya on Nidanasthana Varanasi, Chaukhamba Sanskrit Sansthan, Reprint 2012, pp-824, page-372.
Acharya YT(Ed), Sushruta Samhita of Sushruta with the Nibandha Sangraha Commentary of Shri Dalhanacharya and the Nyayachandrika Panjika of Sri Gayadasacharya on Nidanasthana Varanasi, Chaukhamba Sanskrit Sansthan, Reprint 2012, pp-824, page-376.
Acharya YT (Ed), Charaka Samhita by Agnivesha revised by Charaka and Drudhabala with the Ayurveda Deepika commentary of Chakrapaniditta Varanasi Chowkamba Prakashana Reprint 2011, pp-738, page –617.
Acharya YT (Ed), Charaka Samhita by Agnivesha revised by Charaka and Drudhabala with the Ayurveda Deepika commentary of Chakrapanditta Varanasi Chowkamba Surbharati Prakashana Reprint 2010, pp-732, page –597.
ShanmugomN, Basic concepts of medical varmalogy hand book on varmam therapy- kaibhagam and seibhagam, Thirumoolarvermology institute,2017, Coimbotore, pp182, page -34.
Agarwal.A.L and Sharma.G.N , Clinical Practice of ACUPUNCTURE, CBS Publishers and Distributors, second edition, reprint 2017, pp-464, page – 47-82.
Acharya YT (Ed), Charaka Samhita by Agnivesha revised by Charaka and Drudhabala with the Ayurveda Deepika commentary of Chakrapaniditta Varanasi Chowkamba Prakashana Reprint 2011, pp-738, page –619.
Shanmugom N, Basic concepts of medical varmalogy hand book on varmam therapy- kaibhagam and seibhagam, thirumoolarvermology institute,2015, Coimbotore, pp-217, page-51
Johnson M. Transcutaneous electrical nerve stimulation (TENS). Research to support clinical practice. Oxford, UK: Oxford University Press, 2014.
Shanmugom N, Basic concepts of medical varmalogy hand book on varmam therapy- kaibhagam and seibhagam, thirumoolarvermology institute, 2015, Coimbotore, pp-217, page-165.
Shanmugom N, Basic concepts of medical varmalogy hand book on varmam therapy- kaibhagam and seibhagam, thirumoolarvermology institute, 2015, Coimbotore, pp-217, page-164.
Shanmugom N, Basic concepts of medical varmalogy hand book on varmam therapy- kaibhagam and seibhagam, thirumoolarvermology institute,2015, Coimbotore,pp-217, page-166.
Shanmugom N, Basic concepts of medical varmalogy hand book on varmam therapy- kaibhagam and seibhagam, thirumoolarvermology institute,2015, Coimbatore, pp-217, page-167.
Shanmugom N, Basic concepts of medical varmalogy hand book on varmam therapy- kaibhagam and seibhagam, thirumoolarvermology institute, 2015, Coimbotore, pp-217, page-168.
Shanmugom N, Basic concepts of medical varmalogy hand book on varmam therapy- kaibhagam and seibhagam, thirumoolarvermology institute, 2015, Coimbotore, pp-217, page-169.
ShanmugomN, Basic concepts of medical varmalogy hand book on varmam therapy- kaibhagam and seibhagam, thirumoolarvermology institute, 2015, Coimbotore, pp-217, page-173.
Shanmugom N, Basic concepts of medical varmalogy hand book on varmam therapy- kaibhagam and seibhagam, thirumoolarvermology institute, 2015, Coimbotore, pp-217, page-162-163.
Shanmugom N, Basic concepts of medical varmalogy hand book on varmam therapy- kaibhagam and seibhagam, thirumoolarvermology institute, 2015, Coimbotore, pp-217, page-156.
Shanmugom N, Basic concepts of medical varmalogy hand book on varmam therapy- kaibhagam and seibhagam, thirumoolarvermology institute, 2015, Coimbotore, pp-217, page-74.
Dr. Sowmyashri - “To Evaluavate The Effect Of Marma Chikitsa in The Management Of Gridrasi” Muniyal Institute Of Ayurveda Medical College, RGUHS, Bangalore 2019.
Acharya YT(Ed), Sushruta Samhita of Sushruta with the Nibandha Sangraha Commentary of ShriDalhanacharya and the Nyayachandrika Panjika of Sri Gayadasacharya on Nidanasthana Varanasi, Chaukhamba Sanskrit Sansthan, Reprint 2012, pp-824 p-370
Journal of Ayurveda and Integrated Medical Sciences (JAIMS) retains the copyright of the contents of this journal but grant the readers the right to use the contents with terms and conditions under a creative common attribution licenses 4 of Attribution, Share Alike and Non-commercial type (CC BY-NC-SA) that allows copy, distribute, display, and perform the work and make derivative works based on it only for non-commercial purposes.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.