Abstract

Dr. Anju Thaware*, Dr. Vineet Bharne and Dr. Khushal Dahule

ABSTRACT

Vishwachi is disorder affecting upperlimb. It is identified by radiating pain all through the limb and dysfunction of that limb. Ansha shosha can be considered as a next stage of Vishwachi. In the disease description no where separate viswachi causes pathogenesis symptoms and prognosis are available. So, generally vatavyadhi nidana etc. are adopted for viswachi. In vishwachi disease in the anatomical changes in cervical spine concludes that upper limbs hampers the normal routine life. Radiating pain is main symptom of this disease. As pain follows dysfunction, this results in impairment of activities affecting the individuals activities. The detailed anatomy of cervical spine (griva kasheruka)is not mentioned in ayurveda. Due to similarity of signs and symptoms of vishwachi and cervical spondylosis; these both diseases can be correlated with each other. The present study of vishwachi is limited to the cervical spine lesions. The degenerative diseases of the cervical spine, cervical spondylosis is clinically correlated with Vishvachi of vatavyadhi. Cervical spondylosis is a chronic progressive degenerative disease. The incidence of cervical spondylosis is becoming much more now a days because of many reasons. This was observational study. 100 patients having classical signs and symptoms of vishwachi were taken. Assessment were done by specially prepared case record forms of every patient to meet all baseline requirements. After assessing the patients of cervical spondylosis, anatomical changes in the cervical spine were studied with the help of x-ray cervical spine(AP/LAT),MRI,CT of cervical spine. From this study, it is concluded that symptoms of Vishwachi can be corelated with the symptoms of Cervical spondylosis. This includes anatomical changes in cervical spine in vishwachi. Anotomical changes seen in 100 patients of Vishwachi in which reduced disc space in 34% of patient osteophytes formation in 42%, vertebral compression in 72%, spinal canal stenosisis seen in none. The observations of the study include demographic data, disease specific data i.e., pain, and sensory symptoms affected segments etc. As these changes are degenerative and cause in the phase of vata dosha Pradhan avasta of life by knowing them precautions to avoid these are beneficial for the degenerative condition taken up in the study. These provide more accurate diagnosis of specific nerve root involvement.