Ritu PPT (Yogasana in Katishool)
Ritu PPT (Yogasana in Katishool)
Ritu PPT (Yogasana in Katishool)
Guide Co-Guide
Dr. Mamata Tirankar Dr. Ravindra Patwardhan
M.D. Ayurved, Associate M.D. Ayurved, Professor,
Professor, Department of Department of Swasthvritta &
Swasthvritta & Yoga Yoga
Special Thanks To:
1. KATI :-
• The word 'kati' is derived from the dhatu "kat + in" and it is considered as a 'sharira avayava
vishesha', a bodily part where the dress is tightened.
• Amarakaosha: Kati is a synonym of Shroni(pelvis)
• Shabdakalpa Druma : Kati is a body part situated near to Shroni and has circumference of
16 Angula (finger length).[1]
• According to Monier Monier Williams, Kati is the hollow space above the hip or the loins[2]
2. SHOOL:-
• Shool means pain. “शल रूगायाम”[3]
• The term shool is indicative of pain.
So, the term Katishoola collectively indicates a condition of the presence of pain at the kati
region (low back) is called as katishool
• Katishool as a seprate disease is explained in classical text “Bhela Samhita. [भे.सु.25,36 ,38]
• Aacharya Bhela has differentiated a vatavyadhi as sarvang roga and ekang roga. Katishool
has been included by him in ekang roga. [4]
• Aacharya Bhela has narrated that katiprishtagata vata is the main factor in the manifestation
of katishoola. [5]
• Acharya kashyapa has categorised the katishool as one of the disease occurs due to the
improper management of labour (dushprajata) [6]
• In the khilasthana there is a description of eight types of shoola, their etiology and pathology.
[7]
Yogasana
• Ayurveda specifically deals with mind body balance. The main part of it is Yoga and Asana. It
is essential to be healthy. Yoga provides us a simple remedies, skills and procedures of good
health and hygiene to gain physical and mental fitness in less time.
• Yoga and Asana effects the physiology of important anatomical structure during procedure
and steps. The definition of Asana is “Sthira Sukham Asanas” which means well balanced,
pleasant position of body. Asana are the “skillful exercises” that not only give physical and
mental power but also tone the body-mind for further exercises. Asana helps to synchronize
the mind with body.
• Yogasana aims to give flexibility to the body. By doing yogasana elasticity of limbs is
maintained.
• Yogasanas increases the elasticity of our body and make the body more active and suple.
The blood circulation smoothens and the body becomes more capable and efficient.[8]
Need of Study
• The prevalence of LBP in Indian population has been found to vary between 6.2% (in
general population) to 92% (in construction workers)*. At any given time, 2.4 million of the
world population are disabled because of low back pain, with 1.2 million on a chronic basis.**
• People have no escape key from this vicious circle of money, work, health and stress. Low
back pain disorders are associated with age, back accident, cummulative whole body
vibration and postural overload.
• Hence an attempt will be made to assess the efficacy of a clinical comparartive study of
Bhujangasana and Shalabasana in Katishool.
*An International Journal of Research in AYUSH and Allied Systems ISSN: 2393-9583 (P)/ 2393-9591 (O)
**Von Korff M. Deyo RA, Cherkin D, Barlow W. Back pain in primary care: outcomes at 1 year, Spine, Jun 1
1993,18 (7):855-62. [Medline]
Previous Work Done
S. Name of Researcher Topic Year Place
No
.
4
Hypothesis
• Null Hypothesis [Ho] – As part of Yogasana, Shalabhasana and Bhujangasana don’t have
significant difference between the two in treating the lower back pain.
• Alternative Hypothesis
• Aim:
– The Efficacy of Bhujangasana and Shalabhasana in Katishool is to be
assessed through a clinical comparative study.
• Objectives:
– To study the effect of Bhujangasana and Shalabasana in katishool
– To assess the effect of Bhujangasana and Shalabasana in katishool
– To compare the effect of Bhujangasana and Shalabasana in katishool.
– To establish the efficacy of Bhujangasana and Shalabasana as costless,
effective external tool in katishool.
Materials and Methods
• Materials Used
• Source of Data
• Literature Source :
– Classical text books of Ayurveda.
– Articles And Journals.
– Classical Books of Yoga.
• Clinical Source
– It is a clinical study. Patients suffering from katigrah and fulfill the criteria will selected
from OPD and randomly screened from various health camps held by the Institution,
Department of Swasthvritta & Yoga along with the support of other departments of Rani
Dullaiya Smriti Ayurved P.G Mahavidyalaya and Hospital, Barkhedi Kalan, Bhopal.
• Instrument Required
– Yoga Mat.
– A well ventilated area – Yoga Hall.
Method:-
• Grouping :
Group A: This will be trial group; 30 patients of this group will perform Bhujangasana and
the efficacy will be noted.
Group B: This will be trial group; 30 patients of this group will perform Shalabasana and the
efficacy will be noted.
• Study Center :
Patients will be randomly selected from OPD of department of Swasthavritta & Yoga of Rani
Dullaiya Smriti Ayurved P.G Mahavidyalaya Evam chikitsalaya Bhopal (M.P)
• Treatment Duration:
45 days
• Follow up:
After the completion of 45 days of treatment of performing asana :-
• 1st Follow up – 7th day
• 2nd Follow up – 15th day
• 3rd Follow up – 30th day
• 4th Follow up – 45th day
• Exclusion Criteria :
– Handicapped Patients.
– Cases with low back pain as accident and other spinal injuries.
– Cases with history of severe orthopaedic condition as Lumbar spondylitis etc.
– Pregnancy and Lactating mothers.
– Congenital Deformities.
Criteria of Assessment*
• Subjective Parameters
– Kati Shool – Pain in Kati.
– Kati Stambha – Stiffness present in Kati.
– Kati Suptata – Numbness in Kati.
• Objective Parameters
– VAS : Visual Analogue Scale
– SLR Test : Straight Leg Raising Test
No Pain 0
Mild Pain 1
(Pain while Walking)
Moderate Pain 2
(Pain in Movement and Rest Both)
Severe Pain 3
(Intolerable Pain)
• Katistambha (Stiffness)
Parameters Score
No Stiffness 0
Mild Stiffness 1
(Stiffness in Rest Only)
Moderate Stiffness 2
(Frequent Spells of Stiffness in Daily Routine)
Severe Stiffness 3
(Stiffness affecting Routine Activities)
Objective Parameters
• Visual Analogue Scale
No Pain 0
Mild Pain 1- 3
Moderate Pain 4-5
Severe Pain 5-6
Very Severe Pain 7-9
Worst Possible Pain 10
• SLR Test – Straight Leg Raise Test
• Procedure:
– Initially, 5 times the asana will be asked perform by the patient.
– Later on increase up to 7 – 10 times as per capability of the patient.
– Time : 5 – 7 minutes of each session.
– Kaal : Morning (empty stomach) – 6:00 AM
Evening (2-3 hours after lunch) – 6:00 PM
Yogasana (Group A) :-
Bhujangasana
2/41, 42
Yogasana (Group B) :-
Shalabhasana
2/38
• Post Procedure
– Om Chanting - 5 Minutes
– Relaxation - 5 Minutes
Chapters To be included
• Introduction
• Aims & Objectives
• Review Of Literature
• Material & Methods
• Observation & Result
• Discussion
• Conclusion
References
• [1] शब्दकल्पद्रुमः, राजा राधाकान्तदेव बहादुर, The Chaukhamba Sanskrit Series Office, Varanasi, Edition
3rd, 1967 Vol. 1
• [2] Monnier Williams, A dictionary English & Sanskrit, Motilal Banarasidass publishers private
limited, 4th Edition, 1976, reprint 2005, page no.372.
• [3] Amarkosha of amarsimha editor: Pt. Haragovinda sastri, chaukhambha Sanskrit sansthan
Varanasi fourth edition 2001. tritiyakanda nanarthavarga shloka 197,Pg- 607
• [4].Bhelasamhita edited by Girijadayalu suklah, Chaukhambha Bharati Academy,Varanasi
Reprint 1999, sutrasthana chapter 25/33-38, Pg- 44,45
• [5]. Bhelasamhita edited by Girijadayalu suklah, Chaukhambha Bharati Academy, Varanasi
Reprint 1999, sutrasthana chapter 10/3, Pg- 18.
• [6].Kashyapa samhita by vrddhajivaka with the vidyotini hindi commentary by Shri Satyapala
Bhisagacharya , Chaukhambha Sanskrita Sansthana Varanasi 10th edition 2005,
chikitsasthana chapter, dushprajatachikitsaadhyaya shloka 8-12 Pg-97
• [7]Kashyapa samhita by vrddhajivaka with the vidyotini hindi commentary by Shri Satyapala
Bhisagacharya , Chaukhambha Sanskrita Sansthana Varanasi 10th edition 2005,
khilasthana chapter 18, Pg- 345-349
• [8]The Chaukhamba Ayurvijnan Studies 70, By Prof. Subhash Ranade, Chaukhamba
Sanskrit Pratishthan Delhi, Reprinted:2009, Pg- 278-279
• [9]Gherand Samhita, Paramhans Swami Anant Bharti, The Chaukhamba publishers,
Varanasi, Edition- 2013, Pg-52.
• [10]Gherand Samhita, Paramhans Swami Anant Bharti, The Chaukhamba publishers,
Varanasi, Edition- 2013, Pg-51.
• [11]BKS Iyengar, Foreward By Yehudi Menuhin, The Classic Guide To Yoga By The World
Foremost Authority, Light Yoga, 49th impression, Reprinted on 2015 Pg- 397.
• [12]BKS Iyengar, Foreward By Yehudi Menuhin, The Classic Guide To Yoga By The World
Foremost Authority, Light Yoga, 49th impression, Reprinted on 2015 Pg- 100.
• [13]Gherand Samhita,Commentary on yoga teachings of Maharishi Gherand, Swami
Niranjannanda Saraswati, Yoga Publication Trust Munger, Bihar India, Pg- 265 to 267.
• [14]Gherand Samhita,Commentary on yoga teachings of Maharishi Gherand, Swami
Niranjannanda Saraswati, Yoga Publication Trust Munger, Bihar India, Pg- 256, 257.
• [15]Swami Satyanarayan Saraswati, Yoga Publication Trust Munger, Bihar India, Edition
Reprinted-2002, Asana Pranayama, Mudra, Bandha, Yoga Publications, Pg- 197-198.
• [16]Swami Satyanarayan Saraswati, Yoga Publication Trust Munger, Bihar India, Edition
Reprinted-2002, Asana Pranayama, Mudra, Bandha, Yoga Publications, Pg- 206-207.
• [17]The Complete Idiots Guide To Yoga, By Joan Budilovsky & Eve Adamson, Edition 2nd ,
Pg- 158-159.
• [18]The Hatha Yoga Pradipika, 4th Edition English translation by Pancham Singh,
Manoharlal Publishers Pvt. Ltd., New Delhi.1992.
• [19]Patanjal Yoga Dashan , Krishnaji Keshav Kolhatkar, 7th edition Shri Samartha
Sadan,Girgaon, Mumbai.