A Clinical evaluation of Raktamokshana and Trayodashanga Guggulu in management of Katigata vata w.s.r. to Lumbar spondylosis.

Background: Stressful life, travelling, workout or ageing, all of them lead to one of the most common health problem known as low back pain. It is becoming a major health issue all over the world. Based upon the pathophysiology and symptoms of Katigatavata is equated with lumbar spondylosis which is a Vata dominant Sandhiroga affecting the Katee region. Kapha Kashya in the Pristha-asthisandhis leads to Rukshta and Vatakopa. To study the etio-pathogenesis and to evaluate effectiveness of Raktamokshana and Trayodashanga Guggulu in Katigata Vata (Lumbar spondylosis) Methods: A total of 30 patients of Katigata Vata were enrolled and randomly allocated into two groups (15 in each group). In Group A (n = 15), Raktamokshana (cupping) was done at an interval of 15 days in two sittings along with placebo (roasted suji powder) capsules (PC) for one month. In Group B (n = 15), Raktamokshana (cupping) was done at an interval of 15 days in two sittings along with Trayodashanga Guggulu (TDG) for one month. Results: Raktamokshana along with Trayodashanga Guggulu (Group B) has shown better result in compare to Raktamokshana along with placebo (Group A). Percentage relief in forward flexon was same in both groups, and complete remission of symptoms of Katigatavata was more in patients treated with Raktamokshana along with Trayodashanga Guggulu. Conclusion: Clincally Raktamokshana along with Trayodashanga Guggulu (Group B) has shown better result in compare to Raktamokshana along with placebo (Group A).