Basti as Ardha Chikitsa in the management of Vata-Pitta Samsrushta Grudrasi - A Case Report of Lumbar Spondylosis

Lumbar Spondylosis is the commonly observed chronic degenerative disorder especially in the geriatric age group. This signifies that disorder is majorly due to Dhatu Kshaya (~depletion of body building and sustaining factors). In the present case report of Lumbar Spondylosis, was diagnosed as Vata Pitta Samsrushta Grudrasi (~sciatica formed by Vata and Pitta Dosha in their equal dominance) with the application of Trividha Bodhya Samgraha (~cause, situation and nature of disease). A 53 year housewife hailing from rural sector of Jangala Desha (dry area) reported with severe burning sensation in right foot, low backache, referred pain in right calf associated with numbness. Vata and Pitta were elicited as Sthanika (~functional unit of its own place) and Agantu Dosha (~functional unit entered from other part) respectively through Samsarga Dosha Laxana. Yapana Basti (~Enema Therapy) schedule was designed to pacify Pakvashayagata Vata-Pitta (~Vata and Pitta situated in lower gut). Qualitative assessment done before and after treatment revealed successful outcomes where score reduced from 12 to 2 indicating improved quality of life. Basti acts as Ardha Chikitsa (~half treatment) when proper Yukti (planning) is applied in designing protocol, selecting appropriate formulations by incorporating multiple Chikitsa Siddhanta (~treatment principle) such as Sthanivat Chikitsa.