Marma Chikitsa in Snayugata Vata Affecting Koorpara Sandhi -A Critical Review

Abstract

Background:Snayugata Vatais described in Ayurvedic texts underVatavyadhi, characterized primarily byShoola(pain). WhenVatalocalizes in theKarpoora Sandhi(elbow joint), clinical manifestations includeShoola (pain), Stambha (stiffness), Sankocha (contraction), Kampa (tremors), andAakshepa (convulsions). In contemporary medical science, a similar clinical entity is Tennis Elbow (Lateral Epicondylitis), a painful condition affecting the elbow joint, most prevalent in the 40–50-year age group, with a 1–3% incidence rate.

Objectives:This review aims to explore the classical Ayurvedic understanding ofSnayugata Vata, its etiopathogenesis, and correlate it with the modern condition Tennis Elbow, while highlighting effective Ayurvedic treatment modalities

Methods:A literary review was conducted using classical Ayurvedic texts to extract references regardingSnayugata Vataand its clinical presentation. The data was then compared with contemporary medical literature on Tennis Elbow, focusing on similarities in pathogenesis and symptomatology. Ayurvedic treatment approaches were evaluated in terms of their therapeutic relevance and alignment with modern pathophysiology.

Results:Ayurveda offers a comprehensive and holistic approach to managing musculoskeletal disorders like Snayugata Vata. Treatment modalities such asSnehana (oleation), Upanaha (poultice), Agnikarma(therapeutic cauterization), Bandhana (bandaging), Unmardana (therapeuticmassage), andMarma Chikitsa(vital point therapy) have shown promising outcomes in relieving symptoms. In contrast, contemporary treatments—though effective symptomatically—often have limitations such as recurrence, side effects, or the need for surgical intervention.

Conclusion:UnderstandingSnayugata Vatathrough both classical and modern lenses allows for an integrative treatment approach to Tennis Elbow. Ayurvedic therapies, when tailored to individualDoshaimbalance and stage of disease, can offer safer and sustained recovery. Further clinical research is warranted to validate Ayurvedic protocols in managing lateral epicondylitis.