Integrating Nidana-Panchaka into Ayurvedic Practice: A Practical Guide for Grivastambha (Cervical spondylosis) through Cross-sectional Observational study

Introduction: Medical advances are coming closer with each passing day to the disease with the greatest possible treatment and diagnosis. However, before starting the treatment of any disease, one needs to consider Nidanapanchaka, which includes the nature of the disease, its course, causative factors etc. in order to understand and eradicate the disease from the root.

Materials & Methods: 24 subjects suffering from Grivastambha, one of the Vataja Nanatmaja Vikaras, had been selected to observe the Nidanapanchaka of this disease after applying proper inclusive/exclusive criteria at Government Ayurved Hospital, Vadodara.

Result: Some of the common findings are: Nidana - Katvadi Dravyatisevana (75%), Vishamacheshta and Aticheshta (75%), Chinta (90.9%); Kala Samprapti - Gradual in onset (66.7%), Progressive (54.2%); Rupa – Pain in neck (100%), Pain score for aggravation (100%), Pain score for radiation (95.8%), Headache (91.7%); Upashaya - Aushadha (91.7%), Vihara (83.3%); Anupashaya – Viharaja (91.7%).

Discussion & Conclusion: The study provides a comprehensive understanding of Grivastambha, including its causes, symptoms, pathogenesis, and diagnostic markers. Parameters related to Nidanapanchaka of Grivastambha were observed in this study showing impact of current lifestyle along with those are explained in Ayurvedic and contemporary science, interpretation of common causes and risk factors associated with Grivastambha, such as lifestyle factors, dietary habits, or environmental influences etc was also observed. Observing all these Nidanapanchaka factors under discussion, we can avoid/process upon the pathogenesis of Grivastambha. Result of this study can be further used for effective prevention and treatment in practice.