In Ayurveda, for the maintenance of health, routine, routine, diet, unhealthy diet have been preached. Presently, there has been a lot of change in the life style of human beings in the race of competition, such as sitting in the computer for hours, exercising excessively or improperly, sleeping on strange postures, due to external trauma, etc., pain in the neck and arm is the main symptom. I meet Because of this, the patient starts feeling unable to do the tasks of his daily life. In Ayurveda, this type of pain is called Avabhuk Vyadhi.The disease in which there is no power to do the work of the arm, it is called avabahuk.Vayu ansa located in the root dries up the connections there and produces vein contraction, due to which the function of the arm is affected, it is called avabahuk.The vata dosha living in the root of the shoulder blades compresses the ends there and causes abductor disease. Because of this, all the activities like vibrations of the arms get destroyed.The vata dosha living in the root of the shoulder blades compresses the ends there and causes abductor disease. Because of this, all the activities like vibrations of the arms get destroyed.

Kapha dosha is mainly associated with Vata in Avabahuk, hence use of Vata Kapha killers in its treatment and nasya mention is given due to Urdhva Jatrugat disease.

FROZEN SHOULDER/ ADHESIVE CAPSULITIS

Frozen shoulder is defined as limited function of glenohumeral joint with severe pain and stiffness. Also known adhesive capsulitis as the pathology involves the capsule of the joint which becomes adherent to the humeral head. 

TYPES

1.    PRIMARY – Idiopathic

2.    SECONDARY –Due to shoulder injury surgery,rotator cuff injury,  osteoarthritis,autoimmune disease,thyroid disorders.

SYMPTOMS 

1.    Pain

2.    Stiffness

3.    Unable to move shoulder joint

At present, about 16-26 percent of the total population is troubled by shoulder pain. Everyday patients of avbahuk are seen in the outpatient department of the hospital.

In modern medical system, symptoms like shoulder pain are found in diseases such as Tiravmad, Jeevansakmat, Dhbhamat, Upbans, Chevadkalaswepe, etc. In the modern system of medicine, many pain-relieving drugs, anti-inflammatory drugs, steroids and finally, entahpbans jatamanjumdaj are advised for the treatment of these diseases, whose effect temporarily gives relief to the patient and long-term use of these drugs can lead to gyapakadamal and Many side effects are also found in Lapj.

Therefore, it is necessary that such a drug should be selected for the dissertation, which can permanently free the patient from the symptoms of the disease and also does not cause side effects of the drug. Therefore, keeping in view the need of easy and effective treatment for the disease, I have selected the nasya and spatial abhyanga of Prasariniyadi Kashay and Karpasasthyadi Taila in Avavahuka disease.

the volunteers will be informed about the study protocol. willing participants will be randomly selected as per the coin method. clinical research format will be prepared and validated before the study approval will be taken from the IEC of the NPA government Ayurved college and hospital, Raipur C.G.and CTRI registration will be done. after selection, each participant will be tasted individually and selected according to the selection criteria. Sixty patients of Avabahuka will be selected from Kayachikitsa OPD and IPD Shri NPA government Ayurved college and hospital, Raipur C.G. The case selection was in regards to age, sex, occupation, and socioeconomic conditions. Both acute and chronic phases of Avabahuka patients were taken for the study, following  criteria for diagnosing avabahuka  and  the clinical features of Avabahuka described in ayurveda texts. The present study is a single-center, open-labeled randomized (coin method) comparative clinical trial. A total of 60 clinically diagnosed and registered patients of Avabahuaka were divided randomly by coin method into three groups. Each group will have 20 patients.

Group A: 20 clinically diagnosed patients of Avabahuka will be treated with prasarinyadi kashaya  25 ml two  times in a day  before meal for  90 days along with local application of karpasasthyadi tail as abhyang .

Group B: 20 clinically diagnosed patients of Avabahuka will be treated with prasarinyadi kashaya  25 ml two  times in a day  before meal for  90 days and  4 drops nasya(each nostrils) of karpasasthyadi tail after meal in evening along with local application of karpasasthyadi tail as abhyang .

Group C: 20 clinically diagnosed patients of Avabahuka will be treated with 4 drops nasya (each nostrils) of karpasasthyadi tail after meal in evening along with local application of karpasasthyadi tail as abhyang.