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In the present studyimprovement was seen in the chief complaintssandhishulasandhishothaakunchana prasaranayoh vedanastambhasandhisphutana and sparsha asahyatadue to shothahara and vedanasthapana properties of ShallakiThe main site of sandhivata is sandhi which is the site of shleshakakaphaDue to its tiktarasakatuvipaka and ushnaviryaShallaki pacifies vitiated kapha and vata dosharesulting in reduction of shothashula and other related symptomsThe pacified vata in the sandhi helps to rearrange shleshaka kapha and thereby improves the symptoms of sandhivataShallaki possesses analgesic and antiarthritic propertieswhich are responsible for its analgesic and anti-inflammatory activitiesIt also acts as COX-2 inhibitor and reduces the pain and inflammation without affecting the gastric mucosaIt soothes the joints and also helps treat levels of synovial fluidmaking the entire structure lubricated and easy to rotate or to move11]

Please inform your physician before consuming in the following situationsPregnancy Breastfeeding Diabetes Hypertension Specific contraindications have not been identifiedPlease consult your physician if symptoms persist.

This study was cleared by the institutional ethics committeeBefore starting the treatmentwritten consent was taken from the patients and detailed clinical history was taken in the clinical research proforma based on modern and Ayurvedic parametersThe study was conducted as a randomizedsingle-blind clinical trial.

OA is a cheap precose mechanism degenerative inflammatory disorderwhere joint inflammation initially causes painsandhishulaand later swellingsandhishothaDue to pain and swellingthe mobility of joints is restrictedstambhaand on movement results in excruciating painprasarana akunchanayoho vedanawhich becomes unbearable even on mild touch in the form of tendernesssparsha asahyataThe degenerative changes later result in manifestation of crepitussandhisphutanaSandhigata vata and OA are quite similar diseases found in clinical practice in which the etiopathogenesis and symptoms overlaps.

3 Professor and HeadDepartment of Kayachikitsa and Roga Nidana and Vikriti VijnanaSDM Research Centre for Ayurveda and Allied SciencesUdupiKarnatakaIndia.

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