A PRAGMATIC CLINICAL APPROACH ON EFFECTIVENESS AND MANAGEMENT OF JANUMARMABHIGHATA

Ayurveda is one of the field which carries a huge acceleration in revitalisation. The rejuvenation of local health tradition had been continued after independence, though in a slow speed. The practice of Marma Chikitsa is more prevalent in Kerala and South Tamil Nadu and plays a key role even today. The importance of Ayurveda is even accepted by Western scholars in this high-tech era is worth to note. According to day-to-day clinical practise, Ayurvedic treatment shows better results in mild, moderate and severe cases of Janumarmabhighata. Hence, this study was undertaken to find out effective treatment for the Vikaras caused by Janumarmabhighata. 30 patients were selected for the current study according to derived inclusion and exclusion criteria, from OPD and IPD of Government Ayurveda college hospital, Trivandrum, Kerala. The case history of each patient was recorded as per the proforma designed. 10 patients were each tabulated under three groups containing janumarmabhighata lakshana like A, B, C groups (mild/moderate/severe) respectively, after assessing subjective and objective symptoms. Similarly, treatment protocol also was framed out in three different categories according to general line of management for sandhimarma kshata and janumarmabhighata. Remarkable improvement was noticed in each category after treatment. Assessment of clinical recovery in terms of pain, tenderness, swelling, wasting, muscle strength, flexion and extension in 3 groups were statistically also significant.