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<big>'''[[Chikitsa Sthana]] Chapter 27. Management of Urustambha (Disorders of thigh and hip) </big>'''
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<big>'''Abstract </big>'''
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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'' are main culprits in the pathogenesis. Etiological factors, pathogenesis, clinical presentation, prognosis and treatment of ''urustambha'' are described in this chapter.
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'''Keywords''': ''Viruddha, ama-visha, tridosha dushti, Saama-tridosha, Asthigata kapha, medahkaphaavrita-vata, Sneha-Shaitya-Sthairya'' in ''Uru, Rukshana, Kapha-meda-vaatahara'' treatment.
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{{Infobox
 
{{Infobox
 
|title = Urusthambha Chikitsa
 
|title = Urusthambha Chikitsa
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}}
 
}}
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==[[Chikitsa Sthana]] Chapter 27, Chapter on the Management of Urustambha (Disorders of thigh and hip)==
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=== Abstract ===
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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'' are main culprits in the pathogenesis. Etiological factors, pathogenesis, clinical presentation, prognosis and treatment of ''urustambha'' are described in this chapter.
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'''Keywords''': ''Viruddha, ama-visha, tridosha dushti, Saama-tridosha, Asthigata kapha, medahkaphaavrita-vata, Sneha-Shaitya-Sthairya'' in ''Uru, Rukshana, Kapha-meda-vaatahara'' treatment.
      
=== Introduction ===
 
=== Introduction ===
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Thus ends the chapter on management of ''urustambha'' written by Agnivesha, redacted by Charaka and completed by Dridhabala.
 
Thus ends the chapter on management of ''urustambha'' written by Agnivesha, redacted by Charaka and completed by Dridhabala.
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=== ''Tattva Vimarsha'' ===
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=== ''Tattva Vimarsha'' / Fundamental Principles===
    
*''Urustambha'' occurs due to consumption of diet and lifestyle having mutual contradictory properties like hot and cold, unctuous and dry etc.
 
*''Urustambha'' occurs due to consumption of diet and lifestyle having mutual contradictory properties like hot and cold, unctuous and dry etc.
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*All the therapeutic measures which alleviate ''kapha'' but do not aggravate vata should always be employed for the treatment of ''urustambha''. These therapeutic measures should be administered while protecting the subject’s physical strength and power of metabolism.
 
*All the therapeutic measures which alleviate ''kapha'' but do not aggravate vata should always be employed for the treatment of ''urustambha''. These therapeutic measures should be administered while protecting the subject’s physical strength and power of metabolism.
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=== ''Vidhi Vimarsha'' ===
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=== ''Vidhi Vimarsha'' / Applied Inferences===
    
''Urustambha'' resembles ''vata'' disorder because of clinical picture of painful weakness of pelvic girdle and lower extremities muscles. However, it should not be treated as ''vatic'' disorder as basically it is caused by vitiation of ''kapha'' and ''ama'' formation leading to obstruction of ''vata''.
 
''Urustambha'' resembles ''vata'' disorder because of clinical picture of painful weakness of pelvic girdle and lower extremities muscles. However, it should not be treated as ''vatic'' disorder as basically it is caused by vitiation of ''kapha'' and ''ama'' formation leading to obstruction of ''vata''.

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