About Author
Mangrude D1,Duddalwar D2,Jamdade D3,Jamdade D4,
1 P.G. Scholar, Kayachikitsa Department, DMM Ayurved Mahavidyalaya, Yavatmal, Maharashtra, India.
2 PG Guide and Associate Professor, Kayachikitsa Department , DMM Ayurved Mahavidyalaya, Yavatmal, Maharashtra, India.
3 Professor and P.G.& Ph.D. Guide and H.O. D., Kayachikitsa Department , DMM Ayurved Mahavidyalaya, Yavatmal, Maharashtra, India.
4 Assistant Professor,Dept.of Dravyaguna, DMM Ayurved Mahavidyalaya, Yavatmal, Maharashtra, India.
Correspondence Address
Janaki nagar ,ward no. 17, Tehsil- Sendhwa , District - Barwani ,Madhya Pradesh .
Contact No. : 7697717666, Email : chanchalg2111@gmail.com
Date of Acceptance : 27 Jun 2026
Date of Publication : 30 Jun 2026
Article ID : SD-IJAY_182
How to cite this article : http://doi.org/10.55552/SDNJAY.2026.4209
Abstract
Background: Asthimajjagatvata, as described in Ayurveda, resembles Ankylosing spondylitis, a chronic, progressive inflammatory disorder primarily affecting the axial skeleton. It is characterized by inflammatory low back pain and a strong HLA-B27 genetic association. There is no satisfactory treatment available in modern medicine for this condition. Here, in this case, several Ayurvedic internal medications and the panchkarma procedure were useful to get better results; the patient got relief in symptoms, and there was an increased range of motion as well.
Ayurvedic classifications that can be compared to the AS condition are -
Amavata: Focuses on the role of Ama (undigested toxins) that lodge in joints, causing inflammatory stiffness similar to AS.
Asthimajja gata vata: Describes the deep-seated stage where Vata affects the Asthi (bone) and Majja (marrow) tissues, leading to symptoms like “bamboo spine” and severe functional limitations found in AS.
Objective: To evaluate Ayurvedic management in case of Kasherukagatvata (Asthimajjagatvata) Ankylosing spondylitis.
Method: A 34-year-old female with lower and upper back pain, pain radiating from lower back to legs, restricted movement of lumbar with increased pain, along with morning stiffness, was treated with Sinhnad Guggulu, panchtikta ghrita Guggulu, Aarogyavardhini vati, vatvidhwansa rasa, Ekangvir rasa, and churna combination along with Panchakarma therapies including Matra Basti and Katibasti.
Result: within 30 days of treatment, marked improvement was observed in pain with increased range of motion of the lower back and relief to the patient in the mentioned symptoms.
Conclusion: Ayurvedic protocols, including Panchakarma, are effective for alleviating symptoms in Ankylosing Spondylitis patients. By relieving distorted Vata/Kapha doshas, the intervention improves joint movement, pain relief, and enhances life quality through improved nourishment.
KEY WORDS:- Ayurveda ,Kasherukagatvata ,Asthimajjagatvata, Ankylosing spondylitis