A Study on Thandagavatham (Lumbar spondylosis)

40 cases of thandagavatham were diagnosed clinically based on Yugi Vaithiya Chinthamani 800 and admitted in inpatient and outpatient ward of post graduate department of Sirappu Maruthuvam, Government Siddha Medical College and Hospital, Palayamkottai and treated by the trial medicines. • Laboratory diagnosis of thandagavatham was done by Siddha diagnostic principles and endorsed by modern methods of investigations. • The various siddha principle of examinations were carried out and recorded in the proforma. • The trial medicine chosen for both internal and external treatment were Kustathi Choornam thrice a day with hot water internally and Eranda Thylam applied Externally. • The selection of patients and management of patients during admission and after treatment was carried out under the supervision of professor, reader, lecturer grade II of P.G. Sirappu maruthuvam department. • Before starting the treatment, patient’s history was taken and recorded for the selected forty cases. • During the period of treatment all the patients were put under pathiyam (A specific dietary regimen). • A periodical haematologocal investigation was made for all the cases. • Bio chemical analysis of Kustathi choornam showed. Presense of sulphate, ferrous iron, unsaturated compound, reducing sugar and amino acid. • The pharmacological evaluation of the Kustathi choornam had showed the significant analgesic and anti inflammatory actions. No acute toxicity effects were noted. • The in patients are discharged after the prescribed time period as in protocol and advised to follow out patients ward. • The observations made during the clinical study shows that the internal drug Kustathi choornam is clinically effective. • Clinically the patient has marked reduction of low back pain with the radiating pain in the lower limb and restricted movements and decreases ESR was noted. • Though there was appreciable clinical improvement. The action of external application Eranda thylam with Varmam is also quite remarkable. CONCLUSION: Selected 40 patients were treated with internal trial drug Kustathi choornam 1 gram with hot water and Eranda thylam 30 ml per day.Varmam is given for 20 inpatients. Trial drug has the significant reduction of signs and symptoms. • The trial medicine has significant analgesic and anti-inflammatory. • Further follow up of all these patients showed the disappearance of signs and relief from symptoms. • The trial medicines were free from side effects, adverse effects and toxic effects. • The effect of the drug were observed as: Marked effect – 35%, Moderate effect – 47.5%, Mild effect – 17.5%. This result of the clinical trial illustrates the good clinical effect of the trial drug and the complementary therapy