A Single Case Study of Manjisthadi Lepa on Gulpharujakarmarmasandhighata W.S.R to Ankle Sprain

Ayurveda the science of life is the most ancient medical science which has focused primarily on preventive aspect rather than curative aspect, marma science is one of the exclusive and unique concepts of ayurveda, marma are vital and vulnarable areas of our body these areas or points are situated all over the body i.e. head, neck, trunk and extremeties, so knowledge of marma areas is not only essential for individuals for proctecting their vital and vulnerable areas of body from any injury but also for physician and surgeons to save these areas during surgical procedure or any medical interventation. Many references can be found in Vedic literature regarding injury at marma region of soldiers of enemies and protection of one's marma by wearing guards. Marmas are formed by the conglomeration of muscles, vessels, ligaments, tendons, bones and their joints. These marma areas have tridosha, triguna, bhutatma and chetana dhatu, so any injury to these points may cause pain or even death, other symptoms which appear on injury of marma are giddiness, syncope, delusion, semiconciousness, numbness etc Demanding lifestyle has boosted the incidence of trauma/soft tissue injury. One among such conditions is sprain with site predominance as Ankle accounting for 75%. Most sprains are sports related injuries and treatment for which is PRICE (pain killers, rest, icepack, compression and elevation) in allied science. In the United States it is estimated that 23,000 people per day, necessitate medical care for ankle sprains including athletes and non-athletes. AchayraSushruta in the context of BhagnaChikitsa explained ManjisthadiLepa to combat Vedana (pain). In this case study a patient diagnosed with rujakarmarmkshat of gulphasandhi was treated with a manjisthadilepa application twice a day daily for seven days.assessment of patient was done by scorring pattern. After completion of manjisthadilepa treatment significant relief was observed in symptopms.