Avabahuka is coined in Sushruta samhita for the first time. In nidan sthana the samprapti and rupa of Avabahuka are elaborated. Raktamokshana and Ruksha sweda are cited as treatment of choice for Avabahuka. In Charak samhita Bahushirsagata vata is mentioned in the chikitsa sthan. Astanga Hridaya and Astanga sangraha elaborated the full account of the illness Avabahuka. The cause of is not separately enlisted; it may be bahya hetu – causing injury to the vital parts of the shoulder joint and abhyantara hetu – indulging in the etiological factors that aggravate vata leading to the vitiation of vata, which in turn leads to pain and loss of movements of the arm. Kapha plays a vital role in case of margavarodha Avabahuka. The pathogenesis leads to the development of kaphavruta vatajanya Avabahuka. Impairment of bahupraspanda is one of the cardinal features in Avabahuka and this affects activities of the shoulder joint. Ayurvedic classics explain the treatment as Navan Nasya, Snehapana Swedana and Shamanaushadhi. Sushruta advises Vatavyadhi chikitsa except Siravyadha and Brumhana nasya is indicated by Vagbhata for …show more content…
HIV & HBSAg : -ve
Blood Sugar level: FBS(Fasting blood sugar) 84 gms/dl PP (post parandial)108 gms /dl.
X ray Shoulder joint (AP & Lateral view) - glenohumeral joint space reduced, no osteo-poroti changes seen.
Under all aseptic precautions 3 Cups placed over the Right shoulder joint. After creating suction, cups removed. Superficial scrapping performed with No. 11 surgical blade over skin and again cups kept on site for 10 minutes.
After 10min. cups removed and dressing done.
The patient received seven sessions of cupping therapy intervention. Treatment includes cupping for 15 minutes at regular interval of seven days.
There was significant improvement in overall functional status after one month treatment with cupping therapy. There was no need to take any analgesic medicine during the treatment. At seven days of therapy, there was 21% improvement in shoulder function and this relative improvement was sustained at the one month assessment i.e. 54%. The therapy showed improvement in shoulder pain, joint stiffness and the activity of daily living. There was no side effect observed during the treatment as well as after the completion of