Effect of Divyanganadi Taila Kati Vasti on Thrikashoola with Special Reference to Lumbar Spondylosis: A Case Series

Abstract

Thrikashoola, 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, Thrikashoola shares similarities with lumbar spondylosis. “Thaila Pancha Shathakaya,” a traditional Sri Lankan text, mentions the formulation of “Divyanganadi Taila,” which is indicated for Thrikashoola. Despite its historical use by native physicians, no scientific studies have been conducted to validate its efficacy. Therefore, this study aimed to evaluate the efficacy of Divyanganadi taila kati vasti along with Dasamoola nadi sweda in managing Thrikashoola. The study was conducted at the Out Patient Department and Inward Patient Department of the Provincial Ayurveda Hospital in Pallekale, Sri Lanka. The study involved five patients aged between 40-65 years, of either sex, who were randomly selected. The treatment duration was 28 days. Registered patients underwent Kati Vasti with Divyanganadi taila for thirty minutes, followed by Dasamoola nadi sweda for ten minutes over 14 consecutive days. Outcomes were assessed using the Oswestry Disability Index (ODI) and the Physical Impairment Scale (PIS) during the treatment and a two-week follow-up period. Data was recorded in a standard proforma and analyzed using the Wilcoxon signed-rank test. The study revealed significant improvement in symptoms of Thrikashoola, with 100% relief in pain and 90% relief in stiffness, tenderness, and range of movement. The combination of this treatment regimen was effective in managing Thrikashoola. Further studies with larger sample sizes are recommended to generalize these findings.