Ayurvedic interventional management of Manyagatavata w.s.r. to Cervical Spondylotic Myelopathy (CSM) - A Case Study

  • Eknath G. Kulkarni Associate Professor, Department of Kayachikitsa, A.S.S. Ayurved Mahavidyalaya Arogyashala Rugnalaya, Panchavati, Nashik, Maharashtra, India.
  • Sunil H. Pal Post Graduate Scholar, Department of PG Studies in Kayachikitsa, A.S.S. Ayurved Mahavidyalaya Arogyashala Rugnalaya, Panchavati, Nashik, Maharashtra, India.
  • Sanjivani N. Rathod Assistant Professor, Department of Kayachikitsa, A.S.S. Ayurved Mahavidyalaya Arogyashala Rugnalaya, Panchavati, Nashik, Maharashtra, India.
Keywords: Manyagatavata, Cervical Spondylotic Myelopathy, Neck pain, Tiktaksheera Basti, Virechana.

Abstract

Cervical Spondylotic Myelopathy (CSM) is a degenerative spinal disease which may lead to significant clinical morbidity. The onset of symptoms is usually insidious, with long periods of fixed disability and episodic worsening events. Regarding the pathophysiology of CSM, the repeated injuries to the spinal cord are caused by both static and dynamic mechanical factors. Only limited surgical procedures, neuroplasticity and other medical interventions are employed in modern medicine.  The standard treatment for moderate to severe CSM is operative procedures which are least preferred by the elderly patients. Hence there is a need to search for effective treatment in alternative medicine. According to Ayurveda, cervical spondylosis can be co-related with Manyagatavata, a type of Vataja Vyadhi. A 48 years old male patient presented with Neck pain, neck stiffness, and back pain since 4 years. Here, we are presenting a case of Cervical Spondylotic Myelopathy (CSM) which was treated with Ayurvedic Panchakarma procedures such as Virechana with Mahatikta Ghruta, Tiktaksheera Basti, Greeva Basti, Nasya Karma with Vacha Taila along with Ayurvedic oral drugs like Tab Brihatvata Chintamani Rasa, Ashvagandha Churna with Kavacha Beeja Churna, Amruta Guggula, Ekangaveera Rasa and Chaturbhurja Rasa. These entire drugs were prescribed for twice a day after meals. This case report revealed usefulness of Panchakarma procedures and Ayurveda oral medicines in the management of Manyagatavata w.s.r. to Cervical Spondylotic Myelopathy (CSM).

Downloads

Download data is not yet available.

References

1. Baron EM, Young WF. Cervical spondylotic myelopathy: a brief review of its pathophysiology, clinical course, and diagnosis. Neurosurgery. 2007;60(supplement 1):S35–S41.
2. Sadasivan KK, Reddy RP, Albright JA. The natural history of cervical spondylotic myelopathy. Yale Journal of Biology and Medicine. 1993;66(3):235–242.
3. Singh SK, Rajoria K. Ayurvedic management in cervical spondylotic myelopathy. J Ayurveda Integr Med 2017;8:49‑53.
4. Pandey Gangasahay, editor. Pt. Kashinath Sastri Vidhyotini Hindi commentarator of Caraka Samhita of Agnivesa- 2nd volume, Chikitsa Sthan Vatavyadhi chikitsa Adhayay chapter 28 verse 75e83. Varanasi: Chaukumba Sanskrit Sansthan; 2006. p. 791e2
5. Brain WR, Northfield D, Wilkinson M. The neurological manifestations of cervical spondylosis. Brain. 1952;75(2):187–225
6. Chen JJ, Kung KL, Chen CJ, Yeh YS, Chen DL, Tang YM. Reverse Lhermitte's phenomenon provoked by cervical cord compression. Acta Neurol Taiwan. 2012;21:35–8.
7. Japanese Orthopaedic Association. Scoring system for cervical myelopathy. J Jpn Orthop Assoc. 1994;68:490–503.
8. Fehlings MG, Skaf G. A review of the pathophysiology of cervical spondylotic myelopathy with insights for potential novel mechanisms drawn from traumatic spinal cord injury. Spine 1998;23:2730e7.
9. Pandey Gangasahay, editor. Pt. Kashinath Sastri Vidhyotini Hindi commentarator of Caraka Samhita of Agnivesa- 2nd volume, Chikitsa Sthan Vatavyadhi chikitsa Adhayay chapter 28 verse 59e61. Varanasi: Chaukumba Sanskrit Sansthan; 2006. p. 788.
10. Aathavale AD, Sangrah Astanga. Indu commentary. Sharirsthan 5/22. Pune: Srimada Atreya prakashanam; 1980. p. 297.
11. Varghese Shibu. Bird’s Eye View on The Radiological Diagnosis of Spinal Disorders and Their Panchakarma Management: Kalarickal Vaidhyasala, 2012. P. 35.
12. Sushruta Samhita (1995) of Sushruta with Ayurveda Tatva Sandipika Hindi commentary by Kaviraja Ambika Dutta Shastri, Chaukhambha Sanskrit Sansthan Varanasi, Part 1-2, 9th edition.
13. Vagbhata, Ashtanga Hridaya, Edited by HariSastri Paradakara Vaidya, 9th Edition,Published by Choukhambha Orientalia, Varanasi; Reprint-2005. Page No. 287.
14. Soni et.al. Potential benefits of greeva basti in cervical spondylosis – a case report. World Journal of Pharmaceutical and Life sciences; 2019, Vol. 5, Issue 7, p241-248
15. Yadav Rajesh Kumar & Singh Pushpinder: A Clinical Study To Evaluate The Effect Of Panchtikt Ksheer Vasti And Ksheera Bala Taila Anuvasana Vasti In The Treatment Of Greeva Hundana (Cervical Spondylosis). International Ayurvedic Medical Journal 2018; Volume 6, Issue 11, November – 2018 p2414-2416.
16. Srivastav AK, Das P. Phytochemical extraction and characterization of roots of Withania Somnifera for its Anti-Bacterial, Anti-Oxidant, Anti-Inflammation and Analgesic activity. Int J Innov Res Devlop, 2014; 3: 22-33.
17. Anju P. Ramachandran et.al. A comparative study of Kaishora Guggulu and Amrita Guggulu in the management of Utthana Vatarakta. AYU Journal; 2010 Oct-Dec; 31(4): 410–416.
18. Dr. Swati B. Chavan et.al. A review on bruhata vatachintamani rasa. World Journal of pharmaceutical Research Vol 8, Issue 7, 2019; p875-880
19. Highsmith JM, Dhall SS, Haid RW, Rodts GE, Mummaneni PV. Treatment of cervical stenotic myelopathy: a cost and outcome comparison of laminoplasty versus laminectomy and lateral mass fusion. Journal of Neurosurgery. 2011;14(5):598–604.
How to Cite
Eknath G. Kulkarni, Sunil H. Pal, & Sanjivani N. Rathod. (2021). Ayurvedic interventional management of Manyagatavata w.s.r. to Cervical Spondylotic Myelopathy (CSM) - A Case Study. Journal of Ayurveda and Integrated Medical Sciences, 6(3), 170 - 179. Retrieved from https://jaims.in/jaims/article/view/1337
Section
Case Report