Evaluation of effect of poultice (Upanaha Sweda) in low back pain (Katigraha): A randomized comparative clinical trial.

Ayu Pub Date : 2019-07-01 Epub Date: 2020-08-08 DOI:10.4103/ayu.AYU_71_18
Tarun Kumar, Rajashekhar V Sanapeti, B S Prasad
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Abstract

Background: Katigraha (low back pain) is a condition where low back is afflicted either with Vata or Sama Vata (Vata involved with the toxins released due to altered digestion and metabolism) and present with symptoms such as pain with stiffness. About 60%-80% population in India suffer from this condition. Upanaha Sweda (poultice) is one of the Swedana (sudation) treatment modalities mentioned for Katigraha. As Sama (affected with toxins released from impaired digestion) and Nirama (without toxins) are two stages of Katigraha, hence, the specific type of Upanaha is required for such condition.

Aims and objective: The study was conducted to evaluate the effect of Upanaha Sweda in Katigraha (low back pain) as per the presentation of stages of Ama.

Materials and methods: Selected patients were categorized into two groups. In group A, patients having Samaja Katigraha, were given Panchakoladi Upanaha once a day till it became Niramaja, then shifted to Godhumadi Upanaha for 7 days and patients who had Niramaja Katigraha, Godhumadi Upanaha was used once a day for 7 days. In group B Godhumadi Upanaha was used once a day for 7 days irrespective of stages. Subjective parameters assessed were pain in the low back, stiffness, and Oswestry Disability Index (ODI) was also used. The Mann-Whitney U test and Wilcoxon signed‑rank test were used to assess results.

Results: Patients who were treated considering the Sama and Nirama phases had 78.88% better results in relieving pain, stiffness, and in ODI change than the patients treated without considering the phases.

Conclusion: The present study showed significant results in both the groups, but patients treated as per stage wise treatment showed better effect in treating Katigraha than the patients treated with out considering the stage.

评价药膏(Upanaha Sweda)治疗腰痛(Katigraha)的效果:一项随机对照临床试验。
背景:Katigraha(腰痛)是腰背部受到Vata或Sama Vata (Vata涉及由于消化和代谢改变而释放的毒素)的折磨,并表现为疼痛和僵硬等症状。大约60%-80%的印度人患有这种疾病。Upanaha Sweda(膏药)是提到的Katigraha的瑞典(汗)治疗方式之一。由于Sama(受消化受损释放的毒素影响)和Nirama(无毒素)是Katigraha的两个阶段,因此,这种情况需要特殊类型的Upanaha。目的和目的:本研究的目的是评估Upanaha Sweda在Katigraha(腰痛)中的作用,根据Ama的表现阶段。材料与方法:选取的患者分为两组。在A组,Samaja Katigraha患者,每天给予Panchakoladi Upanaha 1次,直到它成为Niramaja,然后转移到Godhumadi Upanaha 7天,Niramaja Katigraha患者,Godhumadi Upanaha每天1次,持续7天。B组无分期,每天1次,连用7天。主观参数评估为腰痛、僵硬,并使用Oswestry残疾指数(ODI)。采用Mann-Whitney U检验和Wilcoxon符号秩检验对结果进行评估。结果:考虑Sama和Nirama分期治疗的患者在缓解疼痛、僵硬和ODI变化方面的效果比不考虑分期治疗的患者好78.88%。结论:本研究两组疗效均显著,但按分期治疗的患者治疗Katigraha的效果优于不按分期治疗的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Ayu
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