Comparative Study on Efficacy of Thapta Sheetha Jala in the Management of Sandi Vata
Nuwansiri L.S.B, Abeysooriya S.R and Wickramarachchi W.J.W
Journal Title:International Journal of Ayurveda and Pharmaceutical Chemistry
One of the main goals of Ayurveda treatment procedure is to transform undigested food called ama, into nirama state and cleanse the body by expelling it out of the body. Otherwise it may stick inside the channels of circulation and produce ailments. Sandhi means joint. Sandhi Vata is a joint disorder caused due to aggravated Vata dosha in the joints. Osteoarthritis is a degenerative disease of joints characterized by pain that is relieved by rest, morning stiffness that last for a very short time and joint inflammation (Swelling) is minimal. Water represents soma, the nourishing, cooling quality that is associated with lunar energy. It helps with digestion, supports Kapha dosha, helps in lubrication and counteracts the dryness of Vata doshas. It nurtures and detoxifies when it flows out of the body as urine. Ayurveda texts have mentioned that pathya Viharana (positive behaviors) are helpful in treating and prevention of diseases. Pain is one of the important symptoms in joint disorders. Charakasamhita mentions Thaptasheeta jala (TSJ), means boiled water which is kept until getting naturally cold slightly higher than normal room temperature. Generally patients used to have their body washed in the evening when the Vata dosha is normally aggravated. A preliminary study revealed that they have been using two methods of preparing water for their washing purposes viz. normal room temperature water (NRT) and boiled water mixed with water in normal room temperature boiled water mixed with water in normal room temperature (BNRT). Sixty (60) previously diagnosed Sandhivata patients, in both male and female were selected from the Out Patients Department (OPD) of Gampaha Wickramarachchi Ayurveda Teaching Hospital and divided them into three as A, B and C including 20 patients per each group. Each group was treated with the same Ayurvedic regimen. Group A was advised to use NRT, B was advised to use BNRT and C was advised to use TSJ for their washing purposes. After the treatment procedure of one week the pain was compared with previous data which were taken before treatments by using a structured questionnaire with a scoring system. Data revealed that group B indicated the minimum pain reducing rate (PRR). PRR is lower than group C. Group C indicated the maximum PRR. According to the results it can be concluded that Thaptasheeta jala is comparatively effective in the pain management of Sandhivata.