Ayurvedic description of Asthimajjagat vata closely resembles with Avascular necrosis of modern medicine. Asthimajjagat vata is characterized by Bhedanvat pida at asthi and parva, Sandhishoola, manasbalakshay, nidranash, santat ruk. The patient came to us with severe pain at right thigh, Pain at both hip joint, pricking sensation at right thigh, difficulty in walking, Insomnia. In Ayurveda basti chikitsa is considered to be half the treatment for vata dominated disease. Vata dosha is predominatly present in Asthi dhatu and Sandhi. So Tiktaksheer basti along with Goat’s Majja and shaman chikitsa was selected for the present case. Tiktaksheer basti along with Majja has given very effective result in the patient.
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