Effect of Mahasneha Matra Basti, Abhyang and Bilwadi Panchmool Ksheerpaka in the Management of Sandhigat Vata: A Pilot Clinical Study

Sandhigatvata a vata dominant disorder comparable to Osteoarthritis, is characterised by joint pain, stiffness and reduced mobility.it is a degenerative disorder described in Ayurveda under the spectrum of Vata Vyadhi, due to its chronic nature and progressive disability, it is a major health burden. Management of the disease are Vatashamana, snigdha and brimhana therapies. This pilot study aimed to evaluate the efficacy of Mahasneha Matra Basti along with Mahasneha Abhyanga and oral administration of Bilwadi Panchmoola Kheerapaka in patients suffering from Sandhivata of the knee joint.Ten patients clinically diagnosed with sandhivata were selected based on classical Ayurveda texts. The treatment protocol included daily administration of Mahasneha Matra Basti 50 ml for 15 days, Mahasneha Abhyanga on both Knees followed by Swedana and oral intake of Bilvadi Panchmoola Kheerapaka 40ml twice daily for 15 days. Outcome was assessed by pain scale and Womac Index. Statistically significant improvement was observed after the treatment in pain reduction, knee mobility and daily routine activities. Patients reported subjective relief in joint stiffness and improved easy movement without any adverse effects. The combination of Mahasneha Matra Basti, with Abhyanga Swedana and oral administration of Bilwadi Panchmoola Kheerapaka showed promising results in the management of Sandhivata. Further clinical trials with large sample sizes are recommended to validate results.