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<big>'''Abstract </big>'''
<big>'''Abstract </big>'''
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The chapter deals with the management of ''urustambha'' which literally means stiffness of thighs. Patients present with pain and inability to move pelvis and lower extremities. This is the only disease in which [[Panchakarma]] are contraindicated. It can be misdiagnosed as ''vata'' dominant disorder due to its clinical presentation, however, ''kapha'' and ''meda'' are main culprits in the pathogenesis. Etiological factors, pathogenesis, clinical presentation, prognosis and treatment of ''urustambha'' are described in this chapter.
The chapter deals with the management of ''urustambha'' which literally means stiffness of thighs. Patients present with pain and inability to move pelvis and lower extremities. This is the only disease in which [[Panchakarma]] are contraindicated. It can be misdiagnosed as ''vata'' dominant disorder due to its clinical presentation, however, ''kapha'' and ''meda'' are main culprits in the pathogenesis. Etiological factors, pathogenesis, clinical presentation, prognosis and treatment of ''urustambha'' are described in this chapter.
'''Keywords''': ''Viruddha, ama-visha, tridosha dushti, Saama-tridosha, Asthigata kapha, medahkaphaavrita-vata, Sneha-Shaitya-Sthairya'' in ''Uru, Rukshana, Kapha-meda-vaatahara'' treatment.
'''Keywords''': ''Viruddha, ama-visha, tridosha dushti, Saama-tridosha, Asthigata kapha, medahkaphaavrita-vata, Sneha-Shaitya-Sthairya'' in ''Uru, Rukshana, Kapha-meda-vaatahara'' treatment.
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{{Infobox
{{Infobox
|title = Urusthambha Chikitsa
|title = Urusthambha Chikitsa
== Introduction ==
== Introduction ==
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''Urustambha'' is placed in a sequence after management of disorders of three ''marma'' and before management of ''vata'' disorders. The sequence indicates that it is as hazardous as ''trimarma'' disorder and resembles ''vata'' disorders. Though the clinical presentation of ''urustambha'' resembles ''vata'' dominant diseases, the management is focused on main culprits like ''kapha'' and ''medas''. The two obstruct the vessels flowing downwards in the thigh region causing stiffness and immobility of thighs.
''Urustambha'' is placed in a sequence after management of disorders of three ''marma'' and before management of ''vata'' disorders. The sequence indicates that it is as hazardous as ''trimarma'' disorder and resembles ''vata'' disorders. Though the clinical presentation of ''urustambha'' resembles ''vata'' dominant diseases, the management is focused on main culprits like ''kapha'' and ''medas''. The two obstruct the vessels flowing downwards in the thigh region causing stiffness and immobility of thighs.
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