EFFECT OF MAJJA BASTI AND BAHYA SNEHANA (PIZICHIL) IN AVASCULAR NECROSIS - A CASE REPORT

Avascular necrosis (AVN) also called osteonecrosis or a disorder resulting from a temporary or permanent loss of blood supply or interruption of supply to the bone. AVN is found in the age of 30- 40 years mostly. Blood carries essential nutrients and oxygen to the bone. When the supply is disrupted, the bone tissue became necrosed. AVN can occur at any bone but most commonly affects the ends (epiphysis) of a long bone such as thigh region bone i.e. femur characterized by the collapse of bone, pain, bone destruction, limping off the leg, loss of function of affected bone (temporary or permanent). Modern medical science has surgical treatment modalities like Arthroplasty, hip replacement and osteotomy etc having a higher failure rate is also cost worthy and has a poor prognosis. As per Ayurveda, the cases were diagnosed as Asthimajjagata vata vikara. In the present study, two male patients one is 45 years old another is 30 years old having signs and symptoms of Avascular necrosis and X- ray of bilateral hip joint showing AVN of the femoral head were taken into consideration and administered the therapy, Majja Basti, bahya snehana (pizichil) and the Shaman Kashaya i.e. Guggulu Tiktak Kashaya 20 ml BD for 15 days.significant relief with increasing functional femoral activities in the necrosed femoral head. Based on these case study it can be concluded that the Panchakarma treatment along with Shamana chikitsa is effective in the management of AVN of the femoral head.Keywords: Avascular necrosis, Asthimajja gata vata vikar, Majja Basti, Pizichil.