Changes

{{#seo:

{{#seo:

|title=Urustambha Chikitsa

|title=Urustambha Chikitsa

|type=article

|type=article

}}

}}

<big>'''[[Chikitsa Sthana]] Chapter 27. Management of Urustambha (Diseases of thigh and hip) </big>'''  

<big>'''[[Chikitsa Sthana]] Chapter 27. Management of Urustambha (Diseases of thigh and hip) </big>'''  

{{Infobox

{{Infobox

|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]

|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]

|label6 = Translator and commentator

|label6 = Translator and commentator

|data6 = Rajkumar, Deole Y. S.

|data6 = Rajkumar, [[Yogesh Deole|Deole Y. S.]]

|label7 = Reviewer  

|label7 = Reviewer  

|data7  = Rastogi S.

|data7  = Rastogi S.

|label8 = Editors  

|label8 = Editors  

|data8  = Ojha S.N., Deole Y.S., Basisht G.

|data8  = Ojha S.N., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]

|label9 = Year of publication  

|label9 = Year of publication  

|data9 = 2020

|data9 = 2020

}}

}}

<big>'''Abstract </big>'''

<big>'''Abstract </big>'''

<div style="text-align:justify;">

<p style="text-align:justify;">The chapter deals with the management of ''urustambha'' which literally means stiffness of thighs. Patients present with pain and inability to move pelvis and lower extremities. This is the only disease in which [[Panchakarma]] are contraindicated. It can be misdiagnosed as [[vata]] dominant disorder due to its clinical presentation, however, [[kapha]] and [[meda dhatu]] are main culprits in the pathogenesis. Etiological factors, pathogenesis, clinical presentation, prognosis and treatment of ''urustambha'' are described in this chapter.

The chapter deals with the management of ''urustambha'' which literally means stiffness of thighs. Patients present with pain and inability to move pelvis and lower extremities. This is the only disease in which [[Panchakarma]] are contraindicated. It can be misdiagnosed as [[vata]] dominant disorder due to its clinical presentation, however, [[kapha]] and [[meda dhatu]] are main culprits in the pathogenesis. Etiological factors, pathogenesis, clinical presentation, prognosis and treatment of ''urustambha'' are described in this chapter.

 

'''Keywords''': Viruddha, ama-visha, tridosha dushti, Saama-tridosha, Asthigata [[kapha]], medahkaphaavrita-[[vata]], Sneha-Shaitya-Sthairya in Uru, [[Rukshana]], [[Kapha]]-meda-[[vata]]hara treatment.

'''Keywords''': Viruddha, ama-visha, tridosha dushti, Saama-tridosha, Asthigata [[kapha]], medahkaphaavrita-[[vata]], Sneha-Shaitya-Sthairya in Uru, [[Rukshana]], [[Kapha]]-meda-[[vata]]hara treatment.

</div>

</p>

== Introduction ==

== Introduction ==

=== Reason of limitation of panchakarma in management ===

=== Reason of limitation of panchakarma in management ===

The reason why [[pancakarma]] therapies are ineffective in urusthambha is due to four reasons. The tri[[dosha]] which is getting vitiated due to visharupa ama (toxic metabolites in [[rasadhatu]]) become saama[[dosha]] on interaction with ama [[rasa dhatu]]. This saamadosha will be directed to lower limbs by fat. So the two reasons being the adherence (paicchilyam) produced by ama and obstruction by medas. Due to these causes, the [[dosha]] are unable to move out of uru. The third reason is asthi is site of vata which is inherently shita (cold leading to stiffness) predominant. [[Kapha]] has cold properties leading to obstruction and stiffness. The fourth reason is mudha-vatata ([[vata]] in [[asthi dhatu]] is devoid of movement) due to ama and avarana and hence movement of [[kapha]] outwards is not facilitated. Moreover [[kapha]] is immobile.  

The reason why [[panchakarma]] therapies are ineffective in urusthambha is due to four reasons. The tri[[dosha]] which is getting vitiated due to visharupa ama (toxic metabolites in [[rasa dhatu]]) become saama[[dosha]] on interaction with ama [[rasa dhatu]]. This saamadosha will be directed to lower limbs by fat. So the two reasons being the adherence (paicchilyam) produced by ama and obstruction by medas. Due to these causes, the [[dosha]] are unable to move out of uru. The third reason is [[asthi]] is site of [[vata]] which is inherently shita (cold leading to stiffness) predominant. [[Kapha]] has cold properties leading to obstruction and stiffness. The fourth reason is mudha-vatata ([[vata]] in [[asthi dhatu]] is devoid of movement) due to ama and avarana and hence movement of [[kapha]] outwards is not facilitated. Moreover [[kapha]] is immobile.  

Panchakarma therapy is prescribed only when [[dosha]] are in a state of getting expelled out from nearest external orifices. In urusthambha due to adhering nature of [[dosha]], obstruction by fat, decreased metabolic activity in [[asthi dhatu]] and also due to immobile [[kapha]]-[[vata]], srotashodhana (clearing channels), abhishyandana (flowing nature of doshas) or paaka (proper metabolic activity) do not take place. This shows the inadequacy to facilitate mobility and koshdha gati (movement of dosha towards GIT) of [[dosha]]. Hence panchakarma therapy is not advisable in this circumstance.

[[Panchakarma]] therapy is prescribed only when [[dosha]] are in a state of getting expelled out from nearest external orifices. In urusthambha due to adhering nature of [[dosha]], obstruction by fat, decreased metabolic activity in [[asthi dhatu]] and also due to immobile [[kapha]]-[[vata]], srotashodhana (clearing channels), abhishyandana (flowing nature of doshas) or paaka (proper metabolic activity) do not take place. This shows the inadequacy to facilitate mobility and koshtha gati (movement of dosha towards GIT) of [[dosha]]. Hence panchakarma therapy is not advisable in this circumstance.

=== Importance of rukshana ===

=== Importance of rukshana ===

|}

|}

== References==

== References==