COMPARATIVE SINGLE CASE STUDY OF AGNIKARMA AND JALAUKA AVACHARANA IN SNAYUGATA VATA (TENNIS ELBOW)

Background: Ayurvedic writings offer two treatment possibilities for Tennis Elbow (Snayugata Vata), a clinical ailment caused by repeated actions of the hand, wrist, and forearm: Agnikarma (therapeutic heat burns) and Ja-laukavacharana (leech therapy). It is a degenerative condition that causes soreness around the lateral epicondyle and pain during everyday activities. Aim:1. To evaluate and compare Agnikarma and Jalaukavacharana's efficacy in managing Snayugata Vata (Tennis Elbow). Materials and methods: Four patients with tennis elbows were registered and allocated into two groups by a simple random sampling method. Two patients were treated with Agnikarma (Group A) by Lohadhatu Shalaka around the lateral epicondyle of the humerus in three sittings at a 10-day interval, and two patients were treated with Jalaukavacharana (Group B) around the lateral epicondyle of the humerus in five sittings at a 7-day interval. The U test is used When comparing Group A with Group B. We can see from the test above that half of the parameters have p-values less than 0.05, while the other half have p-values more than 0.05. Thus, we may say that Group A and Group B differ significantly. Additionally, we can see that Group A's mean rank is higher than Group B's. Therefore, we may say that Group A's statistical effect is superior to Group B. Agnikarma's average percentage impact is 80.22%, whereas Jalaukavacharana's is 71.08%. As a result, both treatments work well for tennis elbow. Following Agnikarma, 33.33% of patients saw substantial improvement, and 66.67% (10 patients) exhibited moderate improvement. In Jalaukavacharana, 33.33% (05) of patients showed mild improvement, one patient showed great improvement, and 60% (09) showed moderate improvement. Conclusion: Both treatments are non-invasive and non-pharmacological, and OPD-level operations require the least amount of equipment. Therefore, both treatments are successful in treating tennis elbow. The statistical ef-fect of Agnikarma is superior to that of Jalaukavacharana.