CLINICAL STUDY TO EVALUATE THE EFFICACY OF ORAL ADMINISTRATION OF PRAVAL BHASMA, LAKSHADI GUGGULU AND LOCAL APPLICATION OF DASHANG LEPA WITH PINDA TAIL ON KNEE JOINTS HAVING ARTHRITIC CHANGES IN HEMOPHILIA PATIENTS- A PROTOCOL

IntroductionHemophilia is the most prevalent severe genetic hemorrhagic disease.Hemophilia A and B both are attributed to insufficiencies or malfunctions of the corresponding factor VIII and factor IX proteins.The conditions are distinguished by protracted and copious hemorrhage, subsequent to minor trauma or occasionally manifesting independently.Hemophilia C is an additional rare disorder caused by an insufficiency of coagulation factor XI. The most prevalent clinical presentation of severe hemophilia is hemarthrosis.In the absence of proper management, even subclinical hemarthrosis has the potential to progress to hemophilic arthropathy, an incapacitating condition marked by joint degeneration, persistent discomfort and a diminished standard of living; ultimately, surgical treatments becomes necessary.Out of all joints, knee joints are most commonly affected joint in the hemophilia patients as it bears the weight of the body.Presence of advancements in the modern system of medicine, chronic arthropathy continues to be a substantial