Effect of Divyanganadi Taila Kati Vasti a Sri Lankan Traditional Medicine with Dasamoola Nadi Sweda in the Management of Trikashoola w.s.r to Lumbar Spondylosis

Abstract

Trikashoola, commonly referred to as lower back pain, is classified under Nanathmaja Vata Vyadhi in authentic Ayurveda texts. The prevalence of lower back pain has surged due to the sedentary lifestyles and unhealthy work habits in modern society. Clinically, Trikashoola shares similarities with lumbar spondylosis. "Thaila Pancha Shathakaya," a traditional Sri Lankan text, mentions the formulation of "Divyanganadi Taila," which is indicated for Trikashoola. The study was conducted at the out-patient department and inward of Provincial Ayurveda Hospital, Pallekale, Sri Lanka. The study involved 30 patients aged between 40-65 years, of either sex diagnosed as Trikashoola, presented with Shoola (pain), Trikagraha (stiffness) and Sparsha Asakyata (tenderness) with radiographical evidence in lumbo sacral region. Registered patients underwent Kati Vasti with Divyanganadi Taila and Dasamoola Nadi Sweda over 14 consecutive days with 14 days follow up period. Clinical parameters, including subjective measures pain, tenderness, stiffness and on objective outcome. Physical Impairment Scale (PIS) score were computed by grading and the data was statistically analyzed by using non-parametric Wilcoxon sign rank test. The study revealed highly significant result in managing cardinal symptoms of Trikashoola, with pain, stiffness, tenderness, and PIS scoring (P<0.001). The combination of this schedule can be a better option for effective management of Trikashoola, because the results are statistically significant. Further studies with larger sample sizes are recommended to generalize these findings.