LOW BACK PAIN MANGEMENT BY AYURVEDIC NEURO THERAPY

1. Rashtriya AyurvedaVidyapeeth
An autonomous organisation under Ministry of AYUSH, Govt. of India
Dhanvantari Bhavan, Road No.66, West Punjabi Bagh,
New Delhi, 110026
E-mail ; ravidyapeethdelhi@gmail.com
CLINICAL EVALUATION
ON THE
EFFECT OF AYURVEDIC NEURO THERAPY
IN
KATI – PRUSTHA SHOOLA
2020 – 2021
By
Vd. Vivek Verma, B.A.M.S., Dip Yoga,CRAV
Under the Supervision of Guru,
Vd. Shri Manoj Sharma, RAV Guru

2. AYURVEDIC NEURO HOSPITAL AND RESEARCH
CENTRE KOTA RAJASTHAN

3. Ayurvedic Neuro Hospital & Research Centre
278 – A, Shila Choudhary Road, Talwandi, kota rajasthan
Web Site : www.ayurvedicneurohospital.com
Email : anhrckota@gmail.com
Mob.: 9214068144, 8529717522
Certificate
This is to certify that, this monograph embodies the outcome of
Observation made by Vd. Vivek Verma, B.A.M.S. On the work ‘Clinical
Evaluation on the Effect of Ayurvedic Neuro Therapy in KATI – PRUSTHA
SHOOLA under my supervision and guidance. His findings are valuable and
have contributed substantially to me present knowledge on this work.
Vd. Manoj Sharma
RAV GURU
B.A.M.S, N.D.D.Y

4. Acknowledgement
I am acknowledging with my sincere gratitude and heartily thanks
to my respected and Honourable Guruji Vd. Manoj Sharma, B.A.M.S,
N.D.D.Y, For his valuable guidance, timely advice, constant
encouragement and creativecriticism
Throughout the period of my research work. I would also like to
thank Vd. Venu Sharma,B.A.M.S, for her advices which many
times proved to be extremely helpful in my studies for the work
I am also thankful to staff, AYURVEDIC NEURO HOSPITAL
AND RESEARCH CENTRE KOTA RAJASTHAN for being great
help in the various stages of this study and to the patients who
undertook timely follow ups and guidance from my side for the success of
this work.
KOTA RAJSTHAN
28/9/2021 Vd. Vivek Verma
B.A.M.S (IMS BHU)
Dip Yoga (IMS BHU)
C . R .A .V. (DELHI)

5. Contents
Sr. No. Chapter Page. No.
1. Acknowledgement
2. Introduction 1-6
3. Review of Literature 7-31
4. Methodology 32-35
5. Observations,Analysis&Interpretation 36-40
6. Discussion 41-43
7. Summary & Conclusion 44-46
8. References 47

6. Introduction
Human Body represent a miniature of Universe, All elements in the
nature are represented us in a micro form. When these micro – elements
are imbalanced, we replace them or balanced them by using the elements
of nature.
This forms the secret of Ayurvedic treatment
We bring about a balance in micro –nature of our body by making
skilful use of macro –elements of nature . the key is ‘best utilization of
nature in psycho – somatic healing’
Almost all medicines used in Ayurveda are procured from the
nature . It includes medicines used for oral consumption and also those
used for treatments (Panchkarma detoxification treatment ) and external
therapies;
Ayurvedic Neuro therapy also a combination of Panchkarma
therapy and Physiotherapy Acupunture & Acupressure and Marma
Chikitsa.
Origin of Ayurvedic Neuro Therapy
Ayurvedic Neuro therapy was first of all designed by
Vd. Manoj Sharma of Kota Rajasthan.
He got this inspiration from his grandmother by an incidence. Once
he got a head injury in his child hood. He was suffering from Sevier
headache. At that time his grandmother treated him. She applied a local
pressure in his head and adjusted his cervical vertebrae. After that he

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relaxed. From that day he decided to work in this field. Then he started to
explore and apply this therapy more and more in our body.
Simultaneously he completed his medical degree B.A.M.S from a govt.
college. After that he started clinic and apply this therapy in his patient
and got wonderful results in this field. After that he started, teaching this
therapy to his pilgrims.

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AIMS AND OBJECTIVES
• To access the efficiency of Ayurvedic neuro therapy management
Kati – Prushta Shula

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SELECTION CRITERIA OF THE TOPIC
As we know KATI – PRUSTHA SHOOLA is a peculiar disease
which dominates almost 30 % share of the modern life style disorders in
india according to WHO surveys 50 million Indians are prone to this
chois in last decades and still counting and we Indian have 15 % lesser
bone mineral density than rest of our species, which makes situations
much worse.
So a single shot solution for, KATI – PRUSTHA SHOOLA
management in will be more intresting as in student as well as in a
practitioner view. Ayurvedic Neuro Therapy is a multirole treatment
modality which can act as a shoolahar as well as a disease curable.
In Ayurvedic Neuro Hospital & Research Centre Kota
Rajasthan also we witnessed cases of shoola ,in form of shoola is more
that compared to other type of vedana.
So i decided to do a clinical study on kati –prustha shoola .

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RACHANA AND KRIYA SHARIR OF KATI SANDHI
Sushuruta has counted thirty bone and twenty four Pratar Sandhi
in spine.
In shushruta sharirasthana mentioned that shroni is formed by
union of five bones.
Aacharya bhela described 45 kasheukas in Prishta and 15 in
Greeva.
Acharya bhela descibedthe two type of Prishta viz, Kshari and
Pakshari.
The dimension of kati 18 Angula.
Kati is one among the prime seat of Vata dosha .
In Ayurvedic classics Sandhis are being classified into 2 type ,
sthira and chala .
Shushruta samhita considerd the sandhi of kati as a chala sandhi
and further classified under Tunnasevni .
Apart from this the factors which are responsible for joint
formation and proper function are , Shleshmadhara kala .
This is fourth kala which are responsible for joints.
This help in the lubrication of joint.
Shleshak kapha ; this kind of kapha resides in joint .this is helpful
to maintain the firmness of joint helps in articulatin and prevent from
sepration.
Vyana vata; this vata resides in hridya and controls the movement
of whole body the gati. Utkshepana, aakshepna is all because of vyana
vata.
Apan vata ; Apanastu apanastita ,kati pradesha is the seat for
apana vata .

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Snayu ; Among the 900 snayus the 60 are present in kati pradesha
is the seat for Apana vata
Peshi ; 75
Sanghata ; Complex joint

12. Review ofLiterature
KATI (TRIKA) SANDHI SHAREERA
CHIKITSA
Significance of snehana and swedana in Vata Vyadh-
In vata vyadhi sneha sweda gives quick relief from vata vikaras
like toda , bhada and ama shula.
Due to sneha ,dhatus get nourished and body regains it power.
So vata Rogi should regularly practice sneha –sweda.
That brings Mrudutwa to kosta and keeps vata vyadis away.

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KATI SHULA
Acharya charak and susruta include kati soola in Nanatmajas
vikaras of vata.
Bhela samhita and kashyapa samhita has given a status of
individual disease to katishool.
Later on treatses like chakradatta, yogratnakar, sharandhara,
elaborated the many preparations which have been exclusively indicated
for kati shool. Nighantu ratnakar has given separate karamavipak for kati
shool which justifies it as a separate disease entity.
Samprapti Ghatakas of Katishoola
• Dosha - Vata, Vyana, Apana ( dusti )
• Dushya - Asthi, Mamsa, Majja, Snayu
• Udbhva Sthana - Pakwashya
• Vyakta Sthana - Kati Pradesha
• Srotas - Asthivah, Sandhivah
• Maarga - Madhyama Roga Maarga
SANDHIGATA VATA
It also one of the most common vatika disorder found in elderly
age groups. In Ayurveda, its manifestation has clearly defined and
understood that the vitiated vata dosha produces shula (pain), Sopha
(swelling) and Hantisandhin (diminution of function) and derange apana
vata and leads to dusti.
Acharya Vagbhata has very rightly defined the Hantisandhin i.e
Akunchana Prasaranajanya Vedana (pain during joint movements).
various aetiological factors e.g Abhighata (trauma), Dhatukshya
(degeneration), Dukhashaya (faulty posture), old age etc. are documented
in Ayurvedic text. similar causative factors are enumerated in modern
medicine also.

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In Samprapti,
Vitiated Vata Dosa (especially Vyana Vayu which is responsible
for all type of body movement (karma hani) of kati sandhi.
Simultaneously Kaphavrita Vyana Vayu is restricted the rasa rakta
samvahana (degenerative changes) and diminishes the sleshmak a kapha
which facilitates the joint movements.
If it is not controlled in this phase, Sandhi loses its normal structure
and develops Hantisandhi in (anatomical deformity) sandhi shula (pain),
sandhi sopha (disc herniation), karmahani (restriction of movement),
Sunyata (numbness) etc.
CONDITION OF LUMBAR SPINE WHICH CAN
PRESENT AS LOW-BACK PAIN
• Arthristis
• Avascular necrosis of femoral head
• Ankylosing Spondylitis
• Acue cauda equine syndrome
• Herniated disc
• Osteoporosis
• Osteomalacia
• Intervertibral disc prolapse
• Lumbosacral sprain and strain
• Sacroiliitis
• Scoliosis
• Spinal instability
• Spondylosis
• Spondylolithiasis
• Spinal stenosis

15. Review ofLiterature
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SWEDANA
Swedana is a treatment procedure in which sweat is induced by
application warmth in the form of steam or by bringing the body and
body parts in contact with heated medicament (powders, leaves,
processed rice, sand etc.
There are many types of Swedana as explaned in Ayurvedic tests.
There are 13 types of of Sagni Sweda and 10 types of Niragni Sweda.

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AYURVEDIC NEURO THERAPY
Ayurvedic Neuro therapy (ANT) is one of the branches of
alternative medicine. It works totally on scientific philosophy.
Neurotherapy is drugless massage therapy. The core genesis is the belief
that human body can cure itself. Human body is capable of taking its own
care, if we allow it to heal by assisting in its natural work.
Ayurvedic Neuro therapy (ANT) is a technique of restoring
physical, chemical, biological and psychological balance by pressing
different parts of the body by hands/foot. Experts says that pressure on
the identified parts of the body for certain amount of time activates
appropriate glands or organs that maintain biological and psychological
forces by which body starts balancing itself.
It stimulates the body’s inherent power to restore and maintain
good health. concentrates Ayurvedic Neuro therapy (ANT) on the root
cause of the disease rather than the symptoms, for its healing. So you can
let your body treat itself.
Considering this is drugless therapy, the treatment does not carry
any side effects.
About 45 minutes sessions are ideal for managing pain.
List of Diseases that can be healed by AYURVEDIC NEURO
THERAPY…
• All types of joint pains (back, low back, neck, knee and sciatica type
pain etc.)
• Nervous (brain) disorders
• Obesity with some diet suggestions

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• Computer reaction syndrome
• Menstrual problems
• Reproductive Problems (Infertility in Male and Female)
• Diabetes
• High and low blood pressure
• Asthma
• Psychological disorders (Anxiety, Stress, depression, fear complex &
obsessive compulsive disorders, etc)

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IN WHICH CONDITIONS THE AYURVEDIC NEURO
THERAPY USE ?
Ayurvedic neuro therapy is used mainly to provide relief from
pain, in inflammation, swelling and stiffnes associated with bone, joint or
musculoskeletal pain, and also able to cure disease.
Many times it also acts as a disease modifier where in it provides a
substantial relief of more than 90% and a long standing one too. It is
more effective when combined skilfully with panchkarma procedure and
acupuncture.
• In Sandhigata Vata (Osteoarthritis)
Iinflamation, stiffness and Swelling of the joints, Osteoarthritis is
the common form of arthritis. It affects millions of people throughtougt
the world. Osteoarthritis occurs when the protective cartilage on the ends
of your bones wears down over a period of time i.e it results from the

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breakdown of joint cartilage and underlying bone .OA can affects and
damage any joint in the human body.
Joints of the hands, joints near the finger ends, base of the thumb,
neck, lower back, hips, knees and spine are commonly afflicated by
osteoarthritis. Joints on one side of the body are often more affected than
those on the other. Unlike other types of arthritis, only joints are
typically involved in OA.
The most common symptoms are joint pain and stiffness. Joint
swelling and decreased range of movements are also present in many
case.
• In Amavata (Rheumatoid Arthritis)
In it chronic prograsive disease causing inflammation in the joints
and resulting in painful deformity and immobility , especially in the knee
joint, fingers, wrists, feet, and ankle joint. It has an autoimmune
component also.

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• Mamsagata Vata ( Fibromyalgia )
Fibromyalgia (FMS) is a complex multisystem physical disorder,
a primary chronic pain condition (classified in the WHO International
Classification of Diseases: ICD-11 Version: 2019).
The ongoing widespread body pain is complex. It varies in
different people but can involve the muscles, ligaments, tendons and
surrounding structures without any obvious tissue damage.
• Katigraha ( lumbar spondylosis)
Low back pain kati prusta shula or lumbago
• Avascular necrosis/osteonecrosis
Every human body part needs some nutrition. Without nutrition the
body decays. Same happens in case of Avascular necrosis/osteonecrosis
Blood vessels represent supply network for the body.supply chain is
blocked, it leads to the lack of nutrition to that particular area. Due to
this,joint pain, difficulty in walking, painful joint movements, limping
during walk. Avascular necrosis/osteonecrosis is bone tissue due to

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interruption of blood supply intially there may be no symptoms.
Gradually joint pain may develop which limits the ability to move Risk
factors include bone fractures, joint disloctions, alcoholism and the use
of high dose steroids Femoral head is the most vulnerable site for the
dvelopment of Avascular necrosis. Higher incidence of Avascular
necrosis is present in cases with Acute lymphoblastic leukemia risk
factor for AVN are age & treatment with chemotherapy drugs
Chemotherapy patients are at a significant risk of developing AVN
compared to transplant recipients Corticosteroids are considered to be the
most important etiological factor. Gluco corticoid therapy is associated
with adipocyte hypertrophy in the bone marrow which results in elevated
intraosseous pressure followed by reduced intramedullary blood flow,
marrow ischemia & ultimately leading to Necrosis.

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• Gradhrasi ( Sciatica ) -
Radiating pain affecting the back, hip and outer side of the leg
caused by compression of a spinal nerve root in the lower back. It
happens due to the effect of degeneration of intervertibral disc or discs
causing comperession on sciatic nerve.

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• Intervertibral disc protrusion or prolapsed ( IVDP )
Is impinging or compressing on the nerves supplying the lower
limbs. It presents with pain, numbness, pain extending down the limbs,
pain worsening at night, muscle weakness, tingling,
Aching or burning sensations in the neck, back, legs and arm etc
depending on the site of prolapsed.

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• Spondylitis
Ankylosing Spondylitis
An inflammatory arthritis affecting the spine and large joints.
The condition is more common among men and usually begins in
early adulthood.
Symptoms typically appear in early adulthood and include reduced
flexibility in the spine. This reduced flexibility eventually results in a
hunched-forward posture. Pain in the back and joints is also common.
Treatment includes medication, physiotherapy and in rare cases,
surgery.

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• Spinal Stenosis
It is a condition in which the spinal coloumn (backbone or spine)
narrows and starts comperssing the spinal cord. It is a gradual process. if
the narrowing is minimal, no symptoms will occur. Too much narrowing
can compress the nerves and cause problems. the symptoms include legs
or arm weakness, lower kati–prusta shula while standing or walking.
numbness in legs or buttocks and balance problems.
• Avbhahuka (Frozen shoulder)
Choronic pain and stiffness of the shoulder joint with limitation of
range of movements, also known as adhesive capsulitis.
• Coccydynia
Tail bone pain
• Knee injuries
ACL (Anterior cruciate ligament) injury, Torn Meniscus, knee
bursitis, patellar tendontis etc.
• Cartilage tears
• Sports injuries

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AYURVEDIC NEURO THERAPY
Materials Required ;
➢ Mustard oil
➢ Hot cupping glass
➢ Vaccume cup
➢ Acupuncture niddle
➢ Gas cane
➢ Lighter
➢ Towel
➢ Nepkin
Materials and Equipment ;
➢ Gas Stove
➢ Therapy Table
Man Power
➢ Ayurvedic Physician ; 1
➢ Attendant ; 2

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AYURVEDIC NEURO THERAPY PROCEDURE
1. Oliation– Whole body massage with mustard oil in supine and prone
position.
2. Hot cupping – During a cupping treatment, a cup is placed on the
skin and then heated or suctioned onto the skin. The cup is often
heated with fire using acohol or sprit.

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3. Vacume cupping - Cupping therapy is an ancient form of alternative
medicine in which a therapist puts special cups on your skin for a few
minutes to create suction. People get it for many purposes, including to help
with pain, inflammation, blood flow, relaxation and well-being, and as a
type of deep-tissue massage.
The cups may be made of:
• Glass
• Bamboo
• Earthenware
• Silicone

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3. Sarpasan- Light massage from cervical to lumbar region in sarpasan
position.
4. Tarcation - Mild traction from both upper limb and lower limb and
gentaly massage in lumar to cervicalregion.

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5. Bhujangasan – Bhujangasan or cobra pose is a reclining back–bending
asana in hatha yoga as a exercise. In this position we give light massage
from lumbar region to cervical region in upwardmovement.
6. Neck traction – lightly traction apply in neck region.

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7. Leg rotation – leg rotation up to 90 digree.
8. Cervical massage- Massage in cervical region.

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9. Acupuncture with Agnikarma - Acupuncture is a form of alternative
medicine and a component of traditional Chinese medicine in which thin
needles are inserted into the body. And red hot the niddile by gascane.
10. Kati Basti - Kati basti is a part of the Panchkarma treatment that
cleanses and rejuvenates the body. It is a lumbosacral therapy
performed using heat and oil to pacify Vata dosha. This helps to treat
inflammation, stiffness, and pain in the back area.

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11. Nadi swedan – Nadi swedan is a unique form of swedan procedure
where sweating is induced by passing steam over the body part by using a
special instrument known as nadi sweda yantra. The steam is passed
through. A rubber tube fitted to the instrument and it is an easy method of
applying heat to a localized part of body.
12. Blood cupping (Alabu Karma)- Blood Cupping increases blood
circulation to the area where the cups are placed. This may relieve
muscle tension, which can improve overall blood flow and promote cell
repair. It may also help form new connective tissues and create new blood
vessels in the tissue.

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13. Jalauka avacharana- Leech therapy or hirudotherapy is the method
of removing impure blood from the body using medicinal leech. It is
considerd as the most easy and convenient method of blood letting
therapy (Rakthamokshan), which is one among the panchkarma (five
purificatory procedure).
14. Agnikarma - Agnikarma (therapeutic heat burn) is one which gives
instant relief from pain by balancing local Vata and Kapha Dosha without
any untoward effects.

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Preacaution –
• Alwayas monitor the bp of the pt before and after therapy.
• Always monitor the tempersture of hot cupping glass.
• Always wipe off excess oil from body.
• Always gives water to drink before procedure starts.
• Always give enough time to cool down body to normal room tepm
before leaveing hospital.
• Always keep subject al alert for avoiding jerky movements.
• Ask pt to avoid drink cold water.
CONTRA – INDICATIONS OF AYURVEDIC NEURO THERAY
➢ Heart disease
➢ Hypertension
➢ After immediated fracture
➢ Fever

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PATHYA APATHYA (Do`s and Don`ts)
PATHYA APATHYA
Cereals Wheat, Rice Special variety of rice
(kodrava, samvaka)
Pulses Black gram
(udada) kulattha
Peas (matra), chickpea
(chana),
Pigeon pea
(arahara),
Green gram
(mudga)
Fruits &
Vegitables
Patola, sigru, brinjal, garlic,
pomegranate,
Mango, phalasa, lemon, jujube
plum
(badara, bera), grapes
Bitter gourd
(karavellaka)
Lotus stem
Others Clarified butter, oil
Sesame, milk, coconut water,
sour vinegar (kanji), tamarind
(imali)
Jambu, betel nut
Life style Gentle pressing
(samvahana), sleeping on the
ground, bathing, nourishi g diet
Night awakening,
suppression of natural
urges,
Sexual intercourse

37. Methodology
METHODOLOGY
Research methodology involves systemic procedures by which the
researcher starts from initial identification of the problem to its final
conclusion. Role of research methodology is to carry out the research
work in a scientific and valid manner. Clinical studay plays a very
important role in the evaluation of efficacy of the treatment.
The present studay is an open clinical trail to studay the effect of
Ayurvedic Neuro therapy in kati prishta Soola . The study was taken up
with genuine interest to study the possibity of application of Ayurvedic
Neuro therapy in shula management and curing of Kati – Prusta Shoola
.
METHODOLOGY OF CLINICAL STUDY
Clinical studay conducted over 20 patients with Kati – Prushta
shoola.

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INCLUSION CRITERIA
1. Chronic and acute cases.
2. Age group from 20 to 70 year.
3. With written consent from the patient.
4. Patients having good health and not on heavy medication or who
can withstand shula.
5. Patient of both sexes.

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EXCLUSION CRITERIA
1. Diagnosed case of malignanacy, trauma, tuberculosis, and other
connective tissue disorders like systemic lupus – Erythematosis.
2. Unwilling patient.
3. Patient with chronic inflammatory condition.
4. Recent Spinal fracture cases.
5. Heart disease related patients.
PROCEDURE
The subject is made to lay down in prone postion, exposing body
without groin region. After abhyanga with mustard oil, then massage all
over the body.
➢ Hot cupping
➢ Vacume massage
➢ Ayurvedic neuro trherapy
➢ Acupuncture
➢ Agnikarma
➢ Kati basti
➢ Nadi swedana
➢ Blood cupping (Alabu karma)

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ANALYSIS CHART
ASSESSMENT CHART
Parameter Finding Points
Subjective criteria
1 . Pain Absent 0
Mild 1
Moderate 2
Severe 3
Very severe 4
2. Tenderness - Absent 0
Complain shool 1
Complain shool and
winces
2
Complain shool and
withdraws
3
Does not allow to
touch
4
Range of movement
(Goniometry)
Flexion & Extension Normal 0
Full movement with
pain
1
Moderate Restriction
with pain
2
Severe Restriction
with pain
3
Complet restriction 4
Swelling Absent 0
Mild 1
Moderate 2

41. Observations,Analysis&Interpretation
PATENT RECORD
The following observation were made during the study.
Observation were made before, the treatment, on the 7 th day, on 14 th
day and on the 30 day.
The observation of the trial are divided in to subtitles as follows-
• Demographic data
• Data related to clinical study
➢ DEMOGRAPHIC DATA
a. Age
AGE FREQUENCY PERCENTAGE (%)
< 50 17 55
5O - 59 1 10
60 - 70 2 35
TOTAL 20 100
b. FAMILY HISTORY
FAMILY HISTORY FREQUIENCY PERCENTAGE
PERCENTAGE 5 25 (%)
ABSENT 15 75 (%)

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c. DIET
DIET NUMBER PERCENT (%)
VEGETARIAN 10 50
MIXED 10 50
d. MALAPRAVRATI
BOWEL NUMBER PERCENT (%)
NORMAL 5 50
DISTURBED 15 50
e. NATURE OF SLEEP
NATURE FREQUENCY PERCENT (%)
SOUND 4 20
UNDISTURBED 16 80
2. DISEASE CHRONICTY
DISEASECHRONICTY FREQUENCY PERCENTAGE (%)
BELOW 1 Yr 6 30
1 - 5 Yr 12 60
ABOVE 5 Yr 2 10

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3. NATURE OF WORK
WORK STYLE FREQUENCY PERCENTAGE (%)
PHYSICAL EXERTION 17 85
SEDATARY 3 15
MENTAL EXERTION 0 0
1. SEX
SEX FREQUENCY PERCENTAGE (%)
MALE 10 50
FEMALE 10 50
2. PRAKRUTI
PRAKRUTI FREQUENCY PERCENTAGE (%)
VATA 9 45
PITTA 4 20
KAPHA 7 35
TOTAL 20 100
➢

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➢ DATA RELATED TO CLINICAL STUDAY
Response to the treatment
It was assessed by statistical analysis of the values observed in
each group before the investigation, on the 7th
day, 14th
day and on the
30th
day.
a. Pain
BEFORE
TREATMENT
7th
day 14th
day 30th
day
Grade 0 0 10 15 19
Grade 1 1 5 3 1
Grade 2 7 4 2 0
Grade 3 8 1 0 0
Grade 4 4 0 0 0
Total 20 20 20 20
b. Tenderness
GRADE BEFORE
TREATMENT
7th
day 14th
day 30th
day
Grade 0 0 15 18 20
Grade 1 10 5 2 0
Grade 2 8 0 0 0
Grade 3 2 0 0 0
TOTAL 20 20 20 20

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c. Swelling
GRADE BEFORE
TREATMENT
7th
day 14th
day 30th
day
Grade 0 2 19 20 20
Grade 1 18 1 0 0
Grade 2 0 0 0 0
Total 20 20 20 20
d. Forward Bending (Extension)
GRADE BEFORE
TREATMENT
7th
day 14th
day 30th
day
Grade 0 0 10 12 10
Grade 1 19 10 8 10
Grade 2 1 0 0 0
Total 20 20 20 20
E. Backward Bending (Flexion)
GRADE BEFORE
TREATMENT
7th
day 14th
day 30th
day
Grade 0 0 10 12 10
Grade 1 19 10 8 10
Grade 2 1 0 0 0
Total 20 20 20 20

46. Discussion
DISCUSSION ON DEMOGRAPHIC DATA
1. AGE
55 % was between < 50 age group. 10 % between 50 -59 and 35 %
in 60 to 70 age groups. As the prograsses, there will be natural process of
degeneration of sareera bala and dhatu, which provoke vata and also
reduced jatharagni and dhatwagni, which will pave the way for
vatavyadhis. Raised value of bellow 50 indicates mithyahara vihara of
new generation.
2. SEX
Sex wise distribution shows 50-50 % male to female degenerative
changes are even.
3. Nature of work
In this studay 65 % patient are subjected to physical exertion
especially those affecting the kati – prusta shula with bike rider, farmers,
shopkeeper, student and teacher etc; wheareas 35% leads a sedentary
lifestyle. This provides vatavardhak as well as asthivaha srotodushtikara
nidana, supporting the hypothetical Ayurvedic samprapthi. According to
modern science also, Osteathritis is more commonly seen in the joints
that are used much.
4. FAMILY HISTORY
Family history was absent for more than 65 % patient. It was
present for 35%.
5. MALAPRAVRUTTI
75% pt had disturbed bowel, which also lead to the Apana Samana
vata vagunya.

47. Discussion
42 | P a
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6. NATURE OF SLEEP
70% Patients had disturbed sleep, it was just not only an after
effect of shula, rather should be considerd as a nidana.
7. Disease chronicity (Duration of disease)
Disease chronicity of 75% shown between 1 to 5 year and 15%
above 5 years .only 10 % is less than 1 years chronic.
8. Prakruthi
45% of the cases were belonging to Vata – Kapha prakuriti, 35%
Kapha – Vata prakruti and 20% Pitta – Kapha prakruti respectively .
DISCUSSION ON RESPONSE TO THE TRATMENT
• PAIN
The statical studay analysis showed singnificant relief, just after
treatment and on the 7th
day of the ANT out 50 % patient got rid of kati –
prustha shula. Only 5% Patient did not get rid of shula completly. On the
completion of one month. The complet patients in the grade 3 & 4 group
got transferred to less intense grades in between or at the completion of
studay. At the end of studay out of 20 patient 19 were having grade 0
shula. which gives incredible 95% efficiency.
• TENDERNESS
The statistical analysis showed significant relif, just after treatment
and on 7th
day. The statical data shows a great improvement in the
tenderness counting 75% of the patients getting rid of tenderness. Only
5% patients left in grade 1 group. At the end of the study 100%
succession in tenderness.
• EXTENSION
50% patient experienced normal range of movement after 30th
day
of the treatment.

48. Discussion
43 | P a
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• FLEXION
50% patient experienced normal range of motion ie grade 0 rande
after the 30th
day of the treatment.
• VATAANULOMNA
The statical analysis showed significant result within 4th
day itself.
• SWELLING
95% patient who were having vatike shopha got drastic results
within 7 days.

49. Summary &Conclusion
SUMMARY
The study was entitled as ‘A Clinical Evaluation on the effect of
Ayurvedic Neuro Therapy in the management of Kati – Prusta’ Shula
comprises of mainly five parts –
• Literary work on Procedure
• Literary work Disease
• Methodology , Obsevation , Analysis and Interpretation
• Discussion
• Conclusion
In first part, a brief description About Ayurvedic Neuro Therapy
. Short description of anatomy of spine, and lumbbo sacral joint is added.
Different conditions in which Ayurvedic Neuro Therapy can given is
described with suitable radiological descriptions.
Ayurvedic and modern prescriptive of disease is described in detail.
Information’s were collected from Ayurvedic classics, modern texts,
journals, previous studies and available internet search last but not least,
whole idea is taken from my Guru Ji Shri Vd. Manoj Sharma.
The second part deals with disease Kati – Prusta Shool.
The third part deals with clinical study. The chapter deals with the
protocol of the study viz setting of my study, criteria. Clinical
assessments were done with regard to pain, tenderness, range of
movement, swelling and crepitus. Assessements were done before the
intervention and on 7th
, 14th
and 30th
day in case of subjective criteria.

50. Summary &Conclusion
45 | P a
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For objective criteria, assessment was done before treatment and on
30th
day. The data was first enterd in to specially prepared case proforma.
Then the collected data were conveniently arranged under Demographic
data and data related to prosponse to treatment.
The fourt part deals with discussion regarding the present study.
The interpretations of the conceptual study, clinical study and overall
effectiveness of the Ayurvedic Neuro Therapy in Kati – Prusta Shool
and its Emergency pain management capabilities are mentioned under
discussion. The fifth part deals with the conclusions drawnfrom the
present study.

51. Summary &Conclusion
46 | P a
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CONCLUSION
The study leads to the following conclusion with the back support
of the statistic data of clinical studies.
➢ Efficiency of Ayurvedic Neuro Therapy in Pain management and
curring effect in Kati Prusta shool is very much Evident, Which
literally vanishes the pain which persisted for more than 2-10 years
with in a short period of 30 to 45 days, and normal movement of
sandhis regained as time progress.
➢ Tha Apana vata along with pachaka agni is more prone to vitiation in
current life style of people, which plays a significant role in Kati –
Prista shool.
LIMITATIONS
➢ Study period was limited for getting complete data of Degenrative
disease – especially for the chances of re occurring is not applied on
this study.
➢ Much large group of candidates can give much more data to analyze.
➢ Psychological factors like stress is no analysed
RECOMMENDATIONS FOR FUTURE STUDY
❖ Large Data collection
❖ Comlpete Drug Analysis of which medicine given during this
treatment.

52. 47 | P a
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Reference
1. Chark Samhita
2. Shuruta Samhita
3. Pharmacological and pharmcotherapeutic
4. Ashtang Sangraha
5. Api text book of medicine edition 7
6. Ayurvedic Neuro Therapy tex book
7. Acupressure text book dr attar singh
8. Prolapsed-Intervertebral-Disk.jpg.webp
9. Internet
10. A practical handbook of Panchakarma Procedure