Abstract

Dr. Punam Sahadev Shirodkar* and Dr. Rupali Khobragade

ABSTRACT

Avabahuka, comparable to frozen shoulder in modern medicine, is a condition caused by the vitiation of vata dosha. This imbalance leads to pain, stiffness, and restricted movement in the shoulder joints, significantly impairing a patient's mobility and quality of life. The present case study evaluates the therapeutic role of Nirgundi Guggulu, a traditional Ayurvedic formulation, in managing Avabahuka. A 54-year-old female patient presented with severe pain, stiffness, and limited mobility in both shoulders joints for three months. Despite prior treatments, including NSAIDs, she experienced only temporary relief. She was subsequently treated with Nirgundi Guggulu (500 mg, twice daily) as a part of shamana chikitsa for 21 days. Nirgundi (Vitex nirgundo) is known for its antiinflammatory and analgesic properties, while Guggulu (Commiphora mukul) acts as a muscle relaxant and vata dosha balancer. After 21 days of treatment, the patient showed significant improvement in her shoulder mobility, with pain reducing from severe to none, as measured by the Visual Analogue Scale (VAS). Her range of movement was also restored to near normal levels. These results suggest that Nirgundi Guggulu can effectively treat musculoskeletal disorders like Avabahuka by balancing vata dosha and reducing inflammation.