A Comparative Clinical Study to Evaluate the Efficacy of Mashabaladi Kwath Ghanavati With Kubja Prasarani Tail in the Management of Greeva Sandhigata Vata With Reference to Cervical Spondylosis

Abstract

INTRODUCTION: Ayurveda is a holistic science of life that maintains physical, mental, social, and spiritual well-being through Dosha balance. Disease arises when this balance is disturbed. Degenerative disorders are considered Vata Vyadhi, including Sandhi Gata Vata affecting joints. Greeva Sandhi Gata Vata involves the cervical region, causing pain, swelling, stiffness, and restricted movement. Cervical spondylosis is a degenerative spine disorder 40 with disc degeneration and osteophyte formation, leading to pain, stiffness, disability.

NEED OF STUDY: Cervical spondylosis is a common degenerative cervical spine disorder in India (13.76–28.6%), affecting productive years with pain, stiffness, restricted movement, and impaired limb function. Modern treatment offers mainly symptomatic relief with long-term or costly care. It correlates with Greeva Sandhi Gata Vata in Ayurveda, where therapies, along with diet, lifestyle, and yoga, help manage contributing factors.

AIM: To Compare the efficacy of Mashabaladi kwath Ghanavati with Greeva Basti of kubja prasarani tail in management Greeva sandhi gata vata disease (cervical spondylosis).

MATERIALS AND METHODS: A prospective, interventional, open label, double arm, randomized and comparative clinical study conducted from 2026 to 2027 at Shri Narayan Prasad Awasthi Government Ayurved College and Hospital, Raipur. The subjects will be divided into two groups: One group 20 patients will be taken orally Mashabaladi kwatha Ghanavati with dose of 500 mg BD and Another group of 20 patients will be taken orally Mashabaladi kwatha Ghanavati with dose of 500 mg BD and Kubja prasarani Tail for local application as form Greeva basti. The patients assessed sandhi shool (pain & tenderness in intervertebral joints), Sandhi Shotha(inflammation with degenerative changes/swelling),Stambha(neck stiffness), Spandan(tingling sensation),Akunjanprasaran Janya Vedana (restricted neck movement),Suptata (numbness/loss of sensation in arms), Shira shool (headache) & Bhrama (vertigo) as subjective criteria and X-ray (Digital) Cervical spine – anterior posterior and lateral view and ESR as objective criteria. Statistical Analysis will be conducted using Paired T test, Wilcoxon signed rank test, Mann Whitney U test, Chi square test and independent sample T test with statistical significance set at p value <_ 0.05.