Rai et al : The Healer Journal July 2020; 1(1) 7 THE HEALER International Journal of Ayurveda & Intregrative Medicine www.thehealerjournal.org *Corresponding Author: Dr. Madhuri Rai Ayurveda Medical Offcer, Narsinghpur, Madhyapradesh, India E-mail: madobs01@gmail.com Submitted: 27.05.2020 Received: 29.05.2020 Revised: 12.06.2020 Accepted: 26.06.2020 Access the article online Quick Responde Code www.thehealerjournal.org DOI: ORGINAL ARTICLE A Clinical evaluation of Raktamokshana and Trayodashanga Guggulu in management of Katigata vata w.s.r. to Lumbar spondylosis. Madhuri Rai, 1 Tukaram Sambhaji Dudhamal 2 1 Ayurveda Medical Ofcer, Narsinghpur, Madhyapradesh, 2 Associate Professor & HOD, Department of ShalyaTantra , Insttute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar, Gujarat, India, ABSTRACT: Background: Stressful life, travelling, workout or ageing, all of them lead to one of the most common health problem known as low back pain. It is becoming a major health issue all over the world. Based upon the pathophysiology and symptoms of Katigatavata is equated with lumbar spondylosis which is a Vata dominant Sandhiroga afecting the Katee region. Kapha Kashya in the Pristha-asthisandhis leads to Rukshta and Vatakopa. To study the etio-pathogenesis and to evaluate efectiveness of Raktamokshana and Trayodashanga Guggulu in Katigata Vata (Lumbar spondylosis) Methods: A total of 30 patients of Katigata Vata were enrolled and randomly allocated into two groups (15 in each group). In Group A (n = 15), Raktamokshana (cupping) was done at an interval of 15 days in two sittings along with placebo (roasted suji powder) capsules (PC) for one month. In Group B (n = 15), Raktamokshana (cupping) was done at an interval of 15 days in two sittings along with Trayodashanga Guggulu (TDG) for one month. Results: Raktamokshana along with Trayodashanga Guggulu (Group B) has shown better result in compare to Raktamokshana along with placebo (Group A). Percentage relief in forward fexon was same in both groups, and complete remission of symptoms of Katigatavata was more in patients treated with Raktamokshana along with Trayodashanga Guggulu. Conclusion: Clincally Raktamokshana along with Trayodashanga Guggulu (Group B) has shown better result in compare to Raktamokshana along with placebo (Group A). Keywords: Katigatavata, cupping, Raktamokshana, Trayodashanga Guggulu, Lumbar Spondylosis. INTRODUCTION Nonspecifc low back pain usually refers to pain at lumbar regions and aren’t attributable to a recognizable, known specifc pathology (e.g. infection, tumour, osteoporosis, fracture, structural deformity, infammatory disorders, radicular syndrome, or cauda syndrome). Low back pain became one of the biggest problems for public health systems in the western countries during middle of the 20 th century, and now seems to be extending worldwide. 1 Some of the common known causative factors of low back pain are stressful life, travelling, workouts or ageing. Based upon the pathophysiology and related symptoms, Katigata vata can be correlated with lumbar spondylosis which is a Vata dominant Sandhiroga afecting the Kati region. Kapha kashya (…….) in the pristha asthi sandhi leading to An Ofcial Scientifc Publication of Ayurveda Medical Development and Research Foundation AMDRF