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|title=Urustambha Chikitsa
 
|title=Urustambha Chikitsa
 
|titlemode=append
 
|titlemode=append
|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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|keywords=Viruddha, ama-visha, tridosha dushti, Saama-tridosha, Asthigata kapha, medahkaphaavrita-vata, Sneha-Shaitya-Sthairya in Uru, Rukshana, Kapha-meda-vaatahara treatment,Ayurveda, Indian system of medicine, charak samhita.
 
|description=Chikitsa Sthana Chapter 27. Management of Urustambha (Diseases of thigh and hip)
 
|description=Chikitsa Sthana Chapter 27. Management of Urustambha (Diseases of thigh and hip)
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|image=http://www.carakasamhitaonline.com/mediawiki-1.32.1/resources/assets/ogimgs.jpg
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|image_alt=charak samhita
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|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>'''  
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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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|label5 = Other Sections
 
|label5 = Other Sections
 
|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]]
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|label6 = Translator and commentator
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|data6 = Rajkumar, Deole Y. S.
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|label7 = Reviewer
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|data7  = Rastogi S.
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|label8 = Editor
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|data8  = Ojha S.N.
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|label9 = Date of publication
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|data9 = December 17, 2018
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|label10 = DOI
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|data10  =
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|header3 =
    
|header3 =  
 
|header3 =  
    
}}
 
}}
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<big>'''Abstract </big>'''
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<div style="text-align:justify;">
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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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</div>
    
== Introduction ==
 
== Introduction ==
 
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<div style="text-align:justify;">
 
''Urustambha'' is placed in a sequence after management of disorders of three ''marma'' and before management of ''vata'' disorders. The sequence indicates that it is as hazardous as ''trimarma'' disorder and resembles ''vata'' disorders. Though the clinical presentation of ''urustambha'' resembles ''vata'' dominant diseases, the management is focused on main culprits like ''kapha'' and ''medas''. The two obstruct the vessels flowing downwards in the thigh region causing stiffness and immobility of thighs.   
 
''Urustambha'' is placed in a sequence after management of disorders of three ''marma'' and before management of ''vata'' disorders. The sequence indicates that it is as hazardous as ''trimarma'' disorder and resembles ''vata'' disorders. Though the clinical presentation of ''urustambha'' resembles ''vata'' dominant diseases, the management is focused on main culprits like ''kapha'' and ''medas''. The two obstruct the vessels flowing downwards in the thigh region causing stiffness and immobility of thighs.   
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! Vitiated dosha !! Dushya Dhatu !! Srotas !! Prakriti (Sthanik dosha) !! Desha (Rogamarga) !! Kaala  (stage of the disease)
 
! Vitiated dosha !! Dushya Dhatu !! Srotas !! Prakriti (Sthanik dosha) !! Desha (Rogamarga) !! Kaala  (stage of the disease)
 
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|-
| Vitiated Kapha (Gourava,Sthairya, Shaitya, Snigdha) - Vata (Laaghava & Vaishadya) || Rasa(+), Asthi (+) ||Rasavaha-srotas (+) Majjavaha-srotas (+) || Avalambaka Kapha (+),Paachaka pitta (-),Samaana (+), Vyaana (+) || Antar-rogamaarga (+)
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| Vitiated Kapha (Gourava,Sthairya, Shaitya, Snigdha) - Vata (Laaghava & Vaishadya) || Rasa(+), Asthi (+) ||Rasavaha-srotas (+) Majjavaha-srotas (+) || Avalambaka Kapha (+),Paachaka pitta (-),Samaana (+), Vyaana (+) || Antar-roga maarga (+), Madhyama roga maarga (+) ||Saama kapha (+), Avrita-vata, Acute (+)
Madhyamarogamaarga (+) || Saama kapha (+), Avrita-vata, Acute (+)||
   
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|-
 
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1. Bhallataka 2. Guggulu  
 
1. Bhallataka 2. Guggulu  
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'''Table 2: Medicines used to treat Urustambha'''
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{| class="wikitable"
 
{| class="wikitable"
 
|-
 
|-
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|Bhallatakadi decoction || 20 to 40 ml || Early morning and before sleep two times || --
 
|Bhallatakadi decoction || 20 to 40 ml || Early morning and before sleep two times || --
 
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|-
|Triphala guggulu tablet || 250 -500 mg || Early morning and before sleep two times || Bhallatakadi decoction
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|Triphala guggulu || 250 -500 mg || Early morning and before sleep two times ||Bhallatakadi decoction
 
|-
 
|-
|Chandraprabha tablet || 250 -500 mg || Early morning and before sleep two times || Vardhamana pippali formulation
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|Chandraprabha || 250 -500 mg || Early morning and before sleep two times ||Vardhamana pippali formulation
    
|}
 
|}
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