Avasthanurup Chikitsa of Avabahuk with special reference to Stages of Frozen Shoulder: A Case Report

Abstract

Avabahuka is a disease of Ansa sandhi (shoulder joint). Clinical presentation and pathogenesis of Avabahuka is almost similar like Frozen Shoulder. It manifests in 3 stages. Generally, Ayurvedic principles of Vaat Vyadhi are utilized to treat Avabahuk, however patients struggle to achieve satisfactory outcomes. This can be because the disease wasn't appropriately identified based on its stage and the treatment wasn't chosen accordingly. As there is no proper treatment protocol for Avabhuk in Ayurveda, the Stages of Frozen Shoulder can be used to classify patients and treatment can be organized in accordance with the disease's symptoms. This study involves a 70year old male patient having complaints of left shoulder joint pain and stiffness, unable to raise his left hand and back pain. Patient was diagnosed as Avabahuk and was in Frozen Shoulder Stage 1. He was treated using Shaman Aushadhis, Agnikarma and Nasya Karma. Patient showed marked improvement in pain and range of movement in just 2 weeks of treatment. Thus, this study is done with an aim to treat Avabahuk by properly diagnosing its Avastha(stage) and in accordance with the Samprapti taking place in that Avastha.