Majjabasti in msd 15-09-13


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Role of Majjabasti in Musculo-Skeletal Disease with Special Reference to Low Back Pain-A Case Study
Dr Meena Deogade, MD (Dravyaguna),
Asso Proff. Dept of Dravyaguna, Mahatma Gandhi Ayurved College Hospital & Research Centre, Salod (H), Wardha

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Majjabasti in msd 15-09-13

  1. 1. Role of Majjabasti In Musculo-Skeletal Disease With Special Reference To Low Back PainA Case Study Dr Meena S Deogade Mahatma Gandhi Ayurved College  Hospital & Research Centre, Salod(H) Wardha
  2. 2. Introduction   Improper movements in lifestyle or  postural hazards are the two major  causes of low back pain along with  stress.  Musculo‐skeletal diseases (MSD) are  commonest of present day working  system. The causes are –   Occupational and  Poor posture  MSDs affect the bones, joints, nerves,  tendons, muscles and supporting  structures, such as inter vertebral disc  space in back. 
  3. 3.  General Causes of Lumbago Poor posture  Trauma  Degeneration  Congenital  Slip disc  Psychological Dysmenorrheal  Gynecological Pregnancy PID
  4. 4.  i`’Bs f«ka'kr A lq 'kk ‡ sushruta vertebrae count is can  be compared with modern as  ‐ 7 cervical    - 12 thoracic  = 30  -5 Lumbar  - 5 Sacral vertebrae  - 1 coccyx 
  5. 5. Low Back Pain  Most of the MSDs characterized by  a cardinal features of –  Stiffness    Pain.   Vata aggravated with improper  diet and regimen responsible for  common MSD like low back pain. Anomalies of vertebral column
  6. 6. Case Study  A 32 year aged female, apparently  been normal two months ago,  suddenly developed low back pain  on forward bending.   The pain persists at sacral region  in ritual practices, which  progressively worsened over the  following two days.   On third day situation worsen and  unable to get out of bed. 
  7. 7. Opinion / Investigations  An orthopedic consultation  after thorough examination  and X‐ray diagnosed the  condition as slip disc of L5‐ S1.  Investigations: MRI report 9/9/2009  describes the slip disc of L4‐ L5,  L5‐S1, with bulge and annular  tear. 
  8. 8. Materials & Methods  Get the goat legs and cut in to small pieces.   Boil these in about 2 lit water till ½ lit.  60 ml Luke warm majja filled metal or plastic     syringe. Fix the catheter and remove the air completely from the catheter. Patient should be asked to pass urine and stool. Oil massage (Snehan). Fomentation (Nadiswedan).
  9. 9.  Patient should lie down on left lateral side  flexing the knee. Majjavasti  To apply oil to anus and catheter, slowly introduce it into anus and gently push the basti dravaya.  Patient should ask for deep breathing.  Slowly remove the catheter and do light massage and give gentle jerk on buttocks.  Duration – Patient had eight Majjavasti in one sitting  of such two sittings with an interval of 8 days.
  10. 10.  Ayurveda perspective – Mithya Ahara- Vihara (hin/ati) Snigdha ,Guru,Ushna Vata aggravated Ruksha ,Laghu,Sheeta Majja Back Pain
  11. 11. Actions of Basti '
  12. 12. ‘Scientific Explanation For absorption of basti
  13. 13. Sr.n Symptoms Before During treatment o. treatment After treatment After 5th After 10th After 15th day 1 day +++ Severe pain at ++++ day ++ No pain sacral region 2 Difficulty seating standing for was not able to able to able to & able to seat and seat and seat and seat and stand stand more than 5 min up stand to 30 min stand more than more than 45 min 1 hour
  14. 14. Sr.n Symptoms Before o. During treatment treatment After treatment After 5th After 10th After 15th day 3 Pain radiating +++ day day ++ + - + + - +++ ++ + in both lower limbs. 4 Tingling in both +++ lower limbs 5 Restricted movement ++++
  15. 15. Discussion  According to Ayurveda Low Back  Pain vis‐à‐vis katishoola is due to  vitiation of Vata.   Vata is controller and catalyst for all  the functions in the body.   Back pain arises with vitiated vata.  Charaka has considers the vasti as  half of the treatment for all ailments  and the full for Vata diseases.    As vata is located in the colon and  bones, basti is more helpful in  disorders of bones.   It is useful in neurological disorders  by strengthening muscles, tissues,  and relieves the stiffness of back and  lumber region. 
  16. 16.  Katishoola and katigraha refer to the lumbago sciatica  Conclusion syndrome and IVDP.   In both conditions the  ionvolvement of spine and  vitiated vata are controlled by  sneha (majja) and getting  symptomatic relief from  musculo skeletal disorder i.e.  low back pain.  It nourishes to repair the  inter‐vertebral disc spaces  and vertebrae also. 
  17. 17. Conclusion  Thus it is fairly concluded  that the Majjavasti is new  advanced technique  introduced by Chakradutta is successful in IVDP and  low back pain  symptomatically.   If repeated sittings are  made it could establish  repair and normalization  of slip disc even.   A through inter  disciplinary research is  anticipated in this regard. 
  18. 18. Acknowledgement to Ayurmitra Dr.KSR Prasad