Correspondence Address:
Dr.Ramraj Singh PG Sch. Department of Kayachikitsa, Government Ayurveda college and hospital Nagpur
Date of Acceptance: 2022-10-07
Date of Publication:2022-10-14
Article-ID:AYU_19_10_22 https://ayuscript.com
Source of Support: Nil
Conflict of Interest: None declared
How To Cite This Article: Singh R., Gulhane J.D. A literature review on Musculoskeletal disorder W.S.R. to Vatavyadhi.AYUSCRIPT 2022;1(3):75-78
Abstract: In order to understand the concept of ayurvedic musculoskeletal diseases one should first understand the concept of vatavyadhi. The related signs and symptoms and condition or stages in which they occur have also been mentioned. No satisfactory results have been made till date in the light of curing or at least providing relief rather giving analgesic i.e. pain relieving treatment has been made. An effort has been made to guide all keen readers to first understand and to arrive at the proper diagnosis of a patient of MSD. Thorough knowledge of differential diagnosis is the key to conclusive diagnosis.
Keywords: MSD, Vatavyadhi,katigraha
The knowledge about MSD and the pathology affecting it is necessary in order to arrive at a proper and accurate diagnosis for a patient of MSD. The wise physician should be well versed and acquainted with the lakshanas in the patients suffering from different type of vatavyadhi depending on their distincting features like signs and symptoms, aetiology, site of origin, manifestation etc[1]. The term shoola may be equated with pain. The diseases of the sandhi are becoming more and more common in these days due to the prevalent habits and lifestyle in present era. Sandhigata vata and katigraha[2] are most troublesome diseases which affect the locomotor system in the most productive period of life. Hence, management of pain becomes first priority of the physician. Even though sandhishoola is not proved to be fatal, it cripples the affected patients. It affects many spheres of the patients’ life like family & community relations etc. The article encloses almost all the symptoms of musculoskeletal disorder W.S.R. to vatavyadhi. Hence an effort has been made especially for all Ayurveda scholars in order to understand the concept of MSD as per Ayurveda aspect.
Aim and objectives
Aim-To study the concept of MSD with special reference to vatavyadhi from Ayurvedic aspect.
Objectives - To study the basic differential diagnosis of the disease of MSD with special reference to vatavyadhi from ayurvedic perspective.
Material and Methods :
Review work done and literature from the classical texts of Charak Samhita and research websites have been incorporated in the study
S.No. |
Type of Vatavaydhi |
Clinical Features |
1. |
Sarvangagata Vata[3] |
Quivering and breaking pain in the limbs and joints, which are painful as cracking of joints. |
2. |
Gudasthita Vata[4] |
1.Retention of stool, urine and flatus, 2.Colic pain, tympanitis, calculus, gravels 3.Pain and emaciation in the calf region, thigh, sacral region, legs. |
3. |
Pakvasayagata Vata[5] |
1.Gurgling sound in the intestine due to gas 2.Colic pain, tympanitis 3.Difficulty in passing urine and faeces, constipation, flatulence 4.Pain in lumbar region. |
4. |
Masa & Medogata Vata[6] |
1.Heaviness in the body part 2.Pricking pain all over body 3.Pain like first blow 4.Generalized bodyache 5.Fatigability |
5. |
Asthi & Majjagata Vata[7] |
1.Cutting pain in Bones and joints 2.Severe pain in joints 3.Wasting of muscles 4.Loss of strength 5.Insomnia 6.Continuous pain in the body |
6. |
Snayugata Vata[8] |
1.Forward or backward bending of body 2.Cramps in ankle, knee and calf muscles 3.Hump on the back side 4.Localized or generalized vatika disorders |
7. |
Sandhigata Vata[9] |
1.Swellig in joints, appears as a leather bag inflamed with air on palpation 2.Pain during extension and flexion of the joints. |
8. |
Asthi Avrita Vata[10] |
1.Liking of Hot touch and pressure (kneading) 2.Breaking type of pain 3.Soochibhiriva tudyate- A feeling as if pricked with needles. |
9. |
Majjavrita Vata[11] |
1.Vinamah – Bending 2.Parivesthanam – Twisting Pain 3.Pain 4.Panibhyam labhate sukham – The patient gets relief if pressed with hand. |
10. |
Pureesha Avrita Vata[12] |
1.Absolute constipation 2.Instantaneous digestion of the ingested fat 3.Pain in hips, groin and Back 4.Upward movement of vata in the abdomen 5.Uncomfortable sensation in chest region. |
11. |
Pitta Avrita Vyana[13] |
1.Burning sensation all over body 2.Klamah – exhaustion 3.Gatra vikshepa sanga -Arrest in mobility in different parts of body. |
12. |
Kapha Avrita Vyana[14] |
1.Heaviness in all over body 2.Stiffness of Bones and Joints 3. Arrest in mobility |
Result & Discussion:
Many scholars from around the globe are working effortlessly on musculoskeletal diseases. New day new solutions are being offered to mankind in order to relieve the patient especially from different type of pain character which are mentioned in vatavyadhi i.e., Parivesthanam, Soochibhiriva tudyate, cutting pain in bones and joints, quivering and breaking pain in the limbs and joints etc. However, not much satisfactory results have been attained till date and the cure of MSD especially Arthritis is now much a matter of global concern. Hence, an imperative approach has been made in this article in order to understand the basic patho-physiology of such vatik disorder from Ayurveda point of view mentioned in Charaka samhinta.
The symptom of different localized vatik disorders is seen in a multiple number of musculoskeletal diseases. Hence, it becomes difficult for the physician to arrive at a proper diagnosis. Hence, he should have a thorough knowledge about the symptom with reference to differential diagnosis of asthimajjagata vata, gudagata vata, pittavrta vyana as well as other vatavyadhi. Arriving at a diagnosis especially from the Ayurvedic point of view is a task in itself and hence a concise list of all the references mentioned in the Charak Samhita has been made to help the clinician.
1.Prof. Joshi Y.G.,Charak Samhita, Sutra Sthana,Vaidya Mitra Prakashan, Pune, ed, Shloka, 42,43/18, 2003, 252.
2.Bhavamishra, Bhavaprakash, Part-2, Chaukhambha Sanskrit Sansthan, Varanasai, ed, Shloka, 53/26,2000,286
3.Tripathi B., Charak Samhita, Chikitsa Sthana, Chaukhambha Orientalia, Varanasi, ed, Shloka, 25,26/28, 2018, 939.
4. Tripathi B., Charak Samhita, Chikitsa Sthana, Chaukhambha Orientalia, Varanasi, ed, Shloka, 26,27/28, 2018, 939.
5.Tripathi B., Charak Samhita, Chikitsa Sthana, Chaukhambha Orientalia, Varanasi, ed, Shloka, 28,29/28, 2018,940
6.Tripathi B., Charak Samhita, Chikitsa Sthana, Chaukhambha Orientalia, Varanasi, ed, Shloka, 32/28, 2018,942
7.Tripathi B., Charak Samhita, Chikitsa Sthana, Chaukhambha Orientalia, Varanasi, ed, Shloka, 33/28,2018,942
8.Tripathi B., Charak Samhita, Chikitsa Sthana, Chaukhambha Orientalia, Varanasi, ed, Shloka, 35/28, 2018,942
9.Tripathi B., Charak Samhita, Chikitsa Sthana, Chaukhambha Orientalia, Varanasi, ed, Shloka, 37/28,2018,942
10.Tripathi B., Charak Samhita, Chikitsa Sthana, Chaukhambha Orientalia, Varanasi, ed, Shloka, 66,67/28,2018,950.
11.Tripathi B., Charak Samhita, Chikitsa Sthana, Chaukhambha Orientalia, Varanasi, ed, Shloka, 67,68/28, 2018,950.
12.Tripathi B., Charak Samhita, Chikitsa Sthana, Chaukhambha Orientalia, Varanasi, ed, Shloka,70-72/28, 2018,950.
13.Tripathi B., Charak Samhita, Chikitsa Sthana, Chaukhambha Orientalia, Varanasi, ed, Shloka,
227-228/28, 2018,978.
14.Tripathi B., Charak Samhita, Chikitsa Sthana, Chaukhambha Orientalia, Varanasi, ed, Shloka,228,229/28, 2018,979.