Clinical study on the effectiveness of Vatagajankusha Rasa with Pippali Churna and Manjishta Kwatha as Anupana in Apabahuka (Frozen Shoulder)

Abstract

Apabahuka is a Vatavyadhi, localizing around the Amsapradesh and thereby causing of Amsa Bandha as well Aakuncana of Sira leading to symptoms like Bahupraspandita Hara. Amsashosha can be considered as the preliminary stage of the disease where loss or dryness of the Shleshakakapha from the shoulder joint occurs. In the next stage, due to the loss of Shleshakakapha symptoms like pain during movement, restricted movement are manifested. Vatagajankusha Rasa with Pippali Churna and Manjisthakwatha as Anupana is mentioned in the treatment of Apabahuka under the Vatavyadhichikitsa. The duration of intervention is 7 days as per the reference. Hence this study is intended to validate the same. Objective: Considering the prevalence, and lifestyle effect on patients, to evaluate the effectiveness of Vatagajankusa Rasa and Manjisthakashaya, Pippali Churna in Apabahuka. (Frozen Shoulder). Methodology: Among 34 registered subjects 28 completed the course of treatment. They were administered with Vatagajankusha Rasa (125mg) with Pippali Churna (3gm) and Manjishta Kwatha (15ml) as Anupana before food twice daily for a period of 7 days. For statistical analysis subjective and objective parameters were assessed by Wilcoxon signed rank, McNemar test and paired T test. Result: In the parameters of Apabahuka, the intervention was found to be statistically significant in relieving the assessment parameters like Amsa Sandhi Shoola, Bahupraspandita Hara (p < 0.005). In Objective parameters like ROM of Shoulder significant relief was observed after statistical analysis. Conclusion: Vatagajankusha Rasa with Pippali Churna and Manjishta Kwatha as Anupana is effective in the management of symptoms of Apabahuka