Role of Majjabasti

In Musculo-Skeletal Disease With Special Reference To Low

Back Pain-A Case Study

Dr Meena

S DeogadeMahatma Gandhi Ayurved

College 

Hospital & Research Centre,Salod(H) Wardha

Introduction 

Improper movements in lifestyle or 

postural hazards are the two major  causes of low back pain along with  stress.

Musculo‐skeletal diseases (MSD) are 

commonest of present day working  system. The causes are –

Occupational and 

Poor posture

MSDs

affect the bones, joints, nerves, 

tendons, muscles and supporting  structures, such as inter vertebral disc 

space in back. 

General Causes of Lumbago-

Poor posture

Trauma

Degeneration

Congenital

Slip disc

Psychological

Dysmenorrheal

Gynecological Pregnancy

PID

i`’Bs

f«ka'kr

A lq

'kk

‡

sushruta

vertebrae count is can  be compared with modern as

‐

7 cervical 

- 12 thoracic

- 5 Lumbar

- 5 Sacral vertebrae

- 1 coccyx

= 30

Low Back Pain

Most of the MSDs

characterized by 

a cardinal features of –

Stiffness  

Pain. 

Vata aggravated with improper 

diet and regimen responsible for  common MSD like low back pain.

Anomalies of vertebral column

Case Study

A 32 year aged female, apparently 

been normal two months ago,  suddenly developed low back pain 

on forward bending. 

The pain persists at sacral region 

in ritual practices, which  progressively worsened over the 

following two days. 

On third day situation worsen and 

unable to get out of bed. 

Opinion / Investigations

An orthopedic consultation 

after thorough examination  and X‐ray diagnosed the 

condition as slip disc of L5‐ S1. 

Investigations:MRI report 9/9/2009 

describes the slip disc of L4‐ L5, 

L5‐S1, with bulge and annular  tear. 

Materials & Methods

Get the goat legs and cut in to small pieces. 

Boil these in about 2 lit water till ½ lit.

60 ml Luke warm majja filled metal or plastic syringe.

Fix the catheter and remove the air completely from the catheter.

Patient should be asked to pass urine and stool.

Oil massage (Snehan).

Fomentation (Nadiswedan).

Majjavasti

Patient should lie down on left lateral side

flexing the knee.

To apply oil to anus and catheter, slowly introduce it into anus and gently push the basti dravaya.

Patient should ask for deep breathing.

Slowly remove the catheter and do light massage and give gentle jerk on buttocks.

Duration – Patient had eight Majjavasti

in one sitting 

of such two sittings with an interval of 8 days.

Ayurveda perspective –

Mithya Ahara- Vihara (hin/ati)

Snigdha ,Guru,Ushna Vata aggravated Ruksha ,Laghu,Sheeta

Majja Back Pain

Actions of Basti

'

‘Scientific Explanation For absorption of basti

Sr.n

o.

Symptoms Before

treatment

During treatment After

treatment

After 5th

day

After 10th

day

After 15th

day

1 Severe pain at

sacral region

++++ +++ ++ No pain

2 Difficulty for

seating &

standing

was not

able to

seat and

stand

more than

5 min

able to

seat and

stand up

to 30 min

able to

seat and

stand

more than

45 min

able to

seat and

stand

more than

1 hour

Sr.n

o.

Symptoms Before

treatment

During treatment After

treatment

After 5th

day

After 10th

day

After 15th

day

3 Pain radiating

in both lower

limbs.

+++ ++ + -

4 Tingling in both

lower limbs

+++ + + -

5 Restricted

movement

++++ +++ ++ +

Discussion

According to Ayurveda Low Back 

Pain vis‐à‐vis katishoola

is due to  vitiation of Vata. 

Vata is controller and catalyst for all 

the functions in the body. 

Back pain arises with vitiated vata. 

Charaka has considers the vasti

as  half of the treatment for all ailments 

and the full for Vata diseases.  

As vata

is located in the colon and 

bones, basti

is more helpful in  disorders of bones. 

It is useful in neurological disorders 

by strengthening muscles, tissues,  and relieves the stiffness of back and 

lumber region. 

ConclusionKatishoola

and katigraha

refer to the lumbago sciatica  syndrome and IVDP. 

In both conditions the  ionvolvement

of spine and 

vitiated vata

are controlled by  sneha

(majja) and getting 

symptomatic relief from  musculo

skeletal disorder i.e. 

low back pain. It nourishes to repair the 

inter‐vertebral disc spaces  and vertebrae also. 

Conclusion

Thus it is fairly concluded  that the Majjavasti

is new 

advanced technique  introduced by Chakradutta

is successful in IVDP and  low back pain 

symptomatically. 

If repeated sittings are 

made it could establish  repair and normalization 

of slip disc even. 

A through inter 

disciplinary research is  anticipated in this regard. 

Acknowledgement to Ayurmitra Dr.KSR

Prasad