The effect of Sandhaniya Mahakashaya along with diet and exercises in management of Jarawashtha Astikshaya and Astibhagna with special reference to Osteoporosis- A Review

Ayurveda is the science of life and longevity with the aim of prevention of disease, rejuvenation of our body system. Asthi is the fifth important dhatu. Astikshaya is the condition in which there is kshaya of Asthi dhatu commonly occurring in elderly people. Astikshaya may be compared to Osteoporosis. Osteoporosis is second most common metabolic bone disease in India, in which there is decrease in bone mass leading to bone fragility and consequently increasing the chances of frature. In Jarawashtha due to vitiation of vatta dosha kshaya of all dhatus occur including asthi. Ayurveda described jara is svabhavachvyadhi and it is prone to vata related disorder. Vattaprakopa leads to Astikshaya and his pathology can be treated with proper diet plan with dietary habits and lifestyle mentioned in Ayurveda. Rasayanchikitsa can also include with diet. Rasayanadravya is a drug to promote all dhatus. These drugs like mentioned by Charaka in sandhaniyagana give nourishment to Asthi dhatu.