Abstract

AVASCULAR NECROSIS - A CASE REPORT

Thatere A. A.*, Gundo J. V., Gajbhiye V., Babar S., Chaure D. and Kabra P. R.

Abstract

Avascular Necrosis (AVN) is a pathological process that result from interruption of the blood supply to bone thus causes painful limitations of joint movement. There are different causes of AVN that weakens the bone and harm blood vessels. In Ayurved AVN can be correlated with Vankshananaha. Correlation of AVN can also be made as dominant involvement of Vankshan according to Charak which had been stated under Nanatmaj Vata Vyadhi. He further explained two main causes of Vata Prakopa viz Dhatukshaya and Margavarodha. Management of such diseases depends on factors involved like Dosha, Dushya, Adhishthan and Nidan. As well as Dhatukshaya and Margavarodha has importace in the management. Samanya Chikitsa Sidhhant of Vatavyadhi and Asthimajjagatavata can be applied for the better management of AVN. Already diagnosed case of AVN of both hip joints came to our institute with complaints of Ubhaya Vankshan Sandhi Shoola Avum Graha,Ubhay Janu Sandhi Shoola, Chankramankashtata, muscle wasting of both thighs etc having history of chronic alcoholism. He was managed with Asthi-Majja –Rakta Pachak Kvath Sidhha-Majjabasti, Pindasveda, Jalaukavacharana and some Shaman drugs. Observations and results obtained were encouraging and assessed on different parameters which are presented in full paper.

Keywords: AVN, Vankshananaha, Asthimajjagatvata, Asthi-Majja-Rakta Pachak Kvath Sidhha-basti and Pindasveda.