ETIOPATHOGENESIS OF VISHWACHI (CERVICAL SPONDYLOSIS) AND ITS DIAGNOSTIC APPROACH

Abstract

Background: Vishwachi is one among the Vatavayadhi which simulates with the signs and symptoms of Cervical Spondylosis which affecting the neck and upper extremities. In Vishwachi, Vata is the main Dosha and Kandara being the main Dushya. Because of affliction of Kandara of Bahuprshta by vitiated Vata, patients may present with the Lakshanas Ruk, Toda, Stambha, Karmakshaya and Cheshtapaharana of Bahu and compromise the normal functioning capacity. Ayurveda emphasize the importance of diagnosis before planning treatment protocol. Hence there is a need to frame a protocol for evaluating the etiopathogenesis of Vishwachi and its diagnostic approach. Objectives: To study the etiopathogenesis of Vishwachi as explained in classics, to study the comparative analytical description of Vishwachi and to develop the diagnostic protocol of Vishwachi with reference to Cervical Spondylosis. Methods: A minimum of 30 patients who are suffering from Vishwachi between age group of 30-60 years were selected by taking details of history, physical signs and symptoms mentioned in our classics and allied science. A detailed clinical examination and radiological assessment are done. Results: Vishwachi is a Vedana pradhana Vatavyadhi in which the Kandara, Bahuprushta afflicted by morbid Vata leading to motor and sensory symptoms of upperlimb. The Nidana, Lakshana and Upadrava of Vishwachi are taken under the umbrella of Vatavyadhi. Aharaja and Manasika Hetus acts as Vyanjaka Hetu, Viharaja Hetu acts as Utpataka Hetus. Radiological examination confirmed that majority of the patients had degenerative changes in C5-C6, C6-C7vertebrae.