OA01.07. A clinical study on role of panchatiktaksheerbasti and aabha guggula in the management of avascular necrosis of hip joint

PURPOSE: WAvascular necrosis is newly emerging disease with increasing incidence involving one or both hip joints. It is progressive disease however no drug is found yet in modern medicine to stop its progression. Hence to evaluate the effect of certain Ayurvedic treatment on the progression of this disease, this clinical study was done. METHOD: 1)10 patients having Avascular necrosis of either of hip joint less than grade III were selected irrespective of age, sex, religion and occupational status. 2) Two major complains i.e. Vankshan sandhishool (Pain) and Vankshan sandhigraha (Stiffness) were considered. 3) These two complains were scored as per severity before and after treatment. 4) Vidhivat Panchatikta ksheerbasti 120 ml in morning after breakfast and Aabha guggulu 500 mg in Pragbhakta kala (15 min. before lunch and dinner) with Goghrita orally was given daily for 1 month. 5) Pachan and Anuloman was given as per requirement during treatment. 6) The score before treatment was compared with the score after treatment. 7) The total relief in each complains was calculated in percentage. RESULT: 1) Total score of 10 patients for Vankshan sandhishool (pain) before treatment was 24 and after treatment was 10. The difference was of 14 and hence relief was 58.33%. 2) For Vankshan sandhigraha (stiffness), score was 24 before treatment and 12 after treatment. The difference was of 12 and the relief was 50%. 3) The combine score of 10 patients was 48 before treatment and it was 22 after treatment. The difference was of 26, the total relief was 54.166% CONCLUSION: The Ayurvedic treatment of Vidhivat Panchatiktaksheerbasti and Abha guggula was found to be effective in preventing progression of avascular necrosis of hip joint.