• Dr.Beena MD
• Sanjana P
• Dr.P.Sudhakar Reddy

Background: Health is state of having equilibrium of dosha, dhatu and mala in the body and disease is termed when they are deranged1. Ayurveda strongly believes that the diseases are originated due to Agnimandya (unable to digest even a light food) which in turn leads to the formation of Amavisha or amadosha produced out of improper digestion. It is also stated that the formation of Ama need not necessarily be due to Jatharagnimandyajanya but may be due to impairment in the dhatwagnivyapara also. The clinical features of musculoskeletal disorders are closely related with the different diseases mentioned under vatavyadhi and amavata wherein there is involvement of ama or amavisha is responsible for the production of diseases.. Musculoskeletal disorder is one of the major causes for morbidity & 2nd most common cause for disability worldwide. According to WHO 40% people over age of 60 suffer from musculoskeletal diseases & 80% of people have low back pain at some point of life. The presence of raised level of ESR which is seen in inflammatory conditions of musculoskeletal disorders if addressed in the early stage will be helpful in breaking the pathology. Objective: To evaluate the efficacy of BilwadiGutika in raised level of ESR in Musculoskeletal Disorder. Materials & Methodology: Bilvadi gutika was administered in the dose of one tablet three times daily before food for 14 days in the 21 subjects suffering from musculoskeletal disorders has raised ESR more than 20mm/1 hour.Result: The study showed significant reduction of symptoms of musculoskeletal disorders and the paired t-test for ESR showed statistically insignificant with p value-0.360. Conclusion: The study showed- Bilvadi gutika has moderate effect in decreasing the raised ESR in musculoskeletal disorders. Bilvadi gutika has significant effect in reduction of symptoms of musculoskeletal disorders.

Bilvadigutika, Amavisha, musculoskeletal disorders, ESR

"An Open Label Single Arm Interventional Study To Evaluate The Efficacy Of Bilvadi Gutika On Raised Level Of ESR In Musculoskeletal Disorders", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.9, Issue 9, page no.f26-f35, September-2022, Available :http://www.jetir.org/papers/JETIR2209524.pdf

"An Open Label Single Arm Interventional Study To Evaluate The Efficacy Of Bilvadi Gutika On Raised Level Of ESR In Musculoskeletal Disorders", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.9, Issue 9, page no. ppf26-f35, September-2022, Available at : http://www.jetir.org/papers/JETIR2209524.pdf