Management of Viswachi with Ayurvedic Interventions

Abstract

Viswachi is described in Ayurveda as a Vata-predominant Nanatmaja Vyadhi affecting the Kandara of the upper extremity, leading to pain, stiffness, and restriction of movement. The present case report discusses a 34-year-old female patient who presented with neck pain radiating to the left shoulder and arm for three months, aggravated over the last three weeks. MRI findings revealed cervical spondylosis with disc bulges at C3–C6 levels and mild supraspinatus tendinosis. On Ayurvedic evaluation, the condition was diagnosed as Viswachi with involvement of Vata associated with kapha, Rasavaha srotodushti, and Agnimandhya. Management was planned based on the principles of Samprapti Vighatana, focusing on Ama Pachana, Agni Deepana, Vata Anulomana and Srotoshodhana. The patient was treated with a combination of internal medications including Amruthotharam Kashayam, Dasamoolakatutrayam Kashayam, Guggulu Panchapala Choornam, Nimbamrutha Erandam tailam, Guggulutiktakam Kashayam, Punarnavadi Kashayam, and Chandraprabha Vati, along with external procedures such as Mukkikizhi, Basti, Jambeerapinda Swedam, Lepanam, and Thalam. After one month of integrated Ayurvedic management, the patient showed approximately 70% reduction in pain, significant improvement in cervical and shoulder range of movements, and complete relief from radiating symptoms. This case highlights the effectiveness of a holistic Ayurvedic approach in managing Viswachi correlated with cervical spondylosis.