A CLINICAL STUDY ON EFFECT OF AGNIKARMA IN URDWA SHAKHAGATA KURCHASIRA MARMAGHATA (DE QUERVAIN’S TENOSYNOVITIS)

Abstract

Marma are the most important vital points all over the body, explained by Acharya Sushruta, which when get effected leads to severe pain, deformity and sometimes death. One among such Marma is Kurchashira Marma which is said to be situated at the base of the thumb. Acharya has said that, if this Kurchashira Marma gets injured then there will be Ruja and Shopa of Angushta. This can be correlated with the De Quervain tenosynovitis where there will be pain, swelling and restricted range of movement of thumb, fe-males are more affected than males, causes like washerwoman’s, baby takers, maid, sports person, android users. Treatment adopted are NSAID’S, Corticosteroid injection and tendon release surgery. As it consists of its own complications and patient doesn’t feel fully recovered. Agnikarma procedure has been told in the treatment aspects of the pain superior disease, and here a study is made to see effect of Agnikarma in this Marmaghata. Method: In the present study, 30 patients were selected and treated with Agnikarma at the most tender area. Follow up duration was on 7th, 14th& one month. The data obtained were recorded, tabulated and statistically analysed using appropriate statistical methods. Results: After obtaining all the suitable data, the results were formulated by applying suitable statistical tests. And it is found that Ag-nikarma shows tremendous result in treating this disease with full range of movement and patient can easi-ly do his routine work. Interpretation & Calculations: By virtue of its nidana, lakshana and Chikitsa, Kurchashira Marma bears close resemblance to de quervain tenosynovitis and can be tacked on the lines of management as mentioned in classics. It was concluded that Agnikarma has better effects both clinically and statically in reducing the signs and symptoms of Kurchashira Marmaghata.