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阿育吠陀成功治疗腰椎间盘突出症所致严重腰痛:病例报告

Successful Management of Severe Low Back Pain with Ayurveda in Lumbar Spondylosis: A Case Report.

作者信息

Kulkarni Satyajit Pandurang, Parwe Shweta

机构信息

Panchakarma Department, Mahatma Gandhi Ayurved College, Hospital and Research Centre, Datta Meghe Institute of Higher Education and Research (D.M.I.H.E.R.) (D.U.), Wardha, India.

出版信息

J Pain Palliat Care Pharmacother. 2024 Sep;38(3):254-263. doi: 10.1080/15360288.2024.2393844. Epub 2024 Aug 29.

DOI:10.1080/15360288.2024.2393844
PMID:39208191
Abstract

Lumbar spondylosis is a common condition that is quite prevalent, affecting 57% of Indian men. Ayurveda, an indigenous medical system, is highly efficient in treating this ailment when it is in a mild to moderate state. This case report aims to provide a detailed account of a successfully managed case of lumbar spondylosis characterized by severe lumbar pain. A 59-year-old man, who has been suffering from lumbar spondylosis for the last 8 years, was presented with complaints of severe to moderate low back pain, disability, and pain in both legs. According to Ayurvedic principles, the condition was diagnosed as "Katigraha," and a nine-day treatment plan, including three Niruha Basti consecutively, followed by one Anuvasan Basti with the use of Ayurvedic medications was suggested. The lumbar pain severity fell from 8 to 2 points, while the leg pain decreased from 7 to 1 point. The Oswestry Low Back Disability Index (ODI) showed a significant reduction, from 49 to 18. The flexion and extension range of motion grew from 1 to 3 cm, and from 1 to 2 cm, respectively. The case study indicates a reduction in severe low back pain, but further investigation is required to determine the underlying mechanisms.

摘要

腰椎病是一种常见且相当普遍的病症,影响着57%的印度男性。阿育吠陀医学,一种本土医疗体系,在治疗处于轻度至中度状态的这种疾病时非常有效。本病例报告旨在详细阐述一例成功治疗的以严重腰痛为特征的腰椎病病例。一名59岁男性,在过去8年一直患有腰椎病,出现了严重至中度的下背部疼痛、功能障碍以及双腿疼痛的症状。根据阿育吠陀医学原理,该病症被诊断为“Katigraha”,并建议了一个为期九天的治疗方案,包括连续进行三次灌肠疗法,随后使用阿育吠陀药物进行一次保留灌肠。腰痛严重程度从8分降至2分,腿痛从7分降至1分。奥斯威斯利低背痛残疾指数(ODI)显著降低,从49降至18。屈伸活动范围分别从1厘米增加到3厘米和从1厘米增加到2厘米。该病例研究表明严重下背部疼痛有所减轻,但需要进一步研究以确定其潜在机制。

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