A Controlled Clinical Study to Evaluate the Efficacy of Devadaru Baladi Yoga Basti and Tikta Ksheera Basti in the Management of Janu Sandhigatavata W.S.R to Osteoarthritis of Knee Joint

Janusandhigatavata, classified under Vatavyadhi, presents with clinical manifestations such as Sandhi Shoola (joint pain) Sandhi Shotha (swelling) and Sandhi Vedana (pain) during flexion and extension of the joint. In contemporary medical science, Janusandhigatavata can be correlated with osteoarthritis of the knee joint. Osteoarthritis is a degenerative joint disorder characterized by progressive damage to the articular cartilage, subchondral bone changes, and bony outgrowths (osteophytes). The degeneration of these structures ultimately results in joint stiffness and pain, particularly in weight-bearing joints like the knee. When Vata gets aggravated, there is no best remedy other than Basti for its alleviation. Therefore, Basti is considered by Acharyas to be the Ardha chikitsa3 (half of entire therapeutics). Yoga Basti is composed of both Anuvasana and Niruha Basti, it does Brumhana along with Vatahara. So here an attempt is made to know the efficacy of Devadaru Baladi Taila and Kashaya prepared from Devadaru Baladi Dravya mentioned in Sahasrayogam, and Tikta Ksheera Basti as a comparative for Yoga Basti in Janusandhigatavata. Methods: It’s an open-label Randomised Controlled clinical study 20 subjects with Group-A were treated with Devadaru Baladi Yoga Basti for 8 days & 20 subjects with Group-B Tikta Ksheera Basti for 8 days. Patients were evaluated before and after the intervention and on follow up after treatment that is on 0th 8th & 24th day of the study. Results: Data of both groups, analyzed for subjective and objective parameters, revealed highly significant efficacy within groups, whereas no significant difference was observed between the groups. Interpretation & Conclusion: Both groups demonstrated statistically significant improvement in the outcome measures of s, showing reduction in both subjective and objective parameters. Hence, Group-A (Devadaru Baladi Yoga Basti) as well as Group-B (Tikta Ksheera Basti) can be considered effective in the management of Janusandhigatavata.