Journal of Research in Ayurvedic Sciences

Register      Login

VOLUME 1 , ISSUE 1 ( January-March, 2017 ) > List of Articles


Approaches for integrating Ayurveda with Conventional System in a Multispeciality Hospital for Management of Osteoarthritis (Knee)

Sulochana Bhat, Vikas Gupta, MM Padhi

Citation Information : Bhat S, Gupta V, Padhi M. Approaches for integrating Ayurveda with Conventional System in a Multispeciality Hospital for Management of Osteoarthritis (Knee). J Res Ayurvedic Sci 2017; 1 (1):40-47.

DOI: 10.5005/jp-journals-10064-0006

License: CC BY 3.0

Published Online: 00-03-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.



Udupa Committee Report 1958, Indian Health Policy 1983, National Population Policy 2000, ISM and H Policy 2002, and the National Rural Health Mission are some of the policy recommendations for mainstreaming of Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homoeopathy. Based on these recommendations, the physical mainstreaming for patient care and research is established but is not popularized in some hospitals and among health care providers due to various reasons.


To study the feasibility of integrating Ayurveda with allopathic system in the management of Osteoarthritis (OA) (knee).

Materials and methods

This operational study was conducted at Safdarjung Hospital, New Delhi, India, in collaboration with the World Health Organization, India office. The study covered 252 patients of OA knee, out of which 201 completed the study. For the management of OA, standardized Yogaraja Guggulu, Ashwagandha, and Narayan taila were used along with lifestyle and dietary recommendations.


Among 201 patients who completed the study period of 8 weeks, there was statistically significant improvement in signs and symptoms, King George's Medical College (KGMC)and Visual Analog Scale (VAS) scores (p-value < 0.05). There was statistically significant reduction in the intake of rescue medicines and side effects of oral nonsteroidal anti-inflammatory drug. The study could develop referrals from orthopedics department to Ayurvedic unit for management of OA knee.


It was evident from the study that the Ayurvedic treatment is effective in the management of OA. It also concluded that continued communication and scientific approaches will ascertain actual integration and there is good scope for developing integration model in the management of OA. The Ayurveda health care providers were able to establish functional integration with their allopathic counterparts and were able to manage cross referrals.

How to cite this article

Bhat S, Gupta V, Srikanth N, Padhi MM, Rana R, Singhal R, Dhiman KS. Approaches for integrating Ayurveda with Conventional System in a Multispeciality Hospital for Management of Osteoarthritis (Knee). J Res Ayurvedic Sci 2017;1(1):40-47.

PDF Share
  1. Guidelines on developing consumer information on proper use of traditional complementary and alternative medicine, Geneva, WHO, 2004.
  2. Traditional medicine and healthcare coverage. Geneva: World Health Organization; 1983.
  3. New Delhi: Centre for Health and Social Justice; 2006.
  4. Acetabular bone destruction related to non-steroidal anti-inflammatory drugs. Lancet 1985 Jul;2(8445):11-14.
  5. Effect of non-steroidal anti-inflammatory drugs on course of osteoarthritis. Lancet 1989 Sep;2(8662):519-522.
  6. COX-2 inhibitors. Lancet 1999 Jan;353(9149):307-314.
  7. The effects of rofecoxib and diclofenac on knee osteoarthritis articular cartilage: the results from one-year prospective clinical trials. Arthritis Rheum 2000;43(Suppl):924.
  8. Quantitative estimation of rare adverse events which follow a biological progression: a new model applied to chronic NSAID use. Pain 2000 Mar;85(1-2):169-182.
  9. Inhibition of the production and effects of interleukin-1 and tumor necrosis factor alpha in rheumatoid arthritis. Arthritis Rheum 1995 Feb;38(2):151-160.
  10. Safety of anti-inflammatory treatment – new ways of thinking. Rheumatology (Oxford) 2004 Feb;43 (Suppl 1):i16-i20.
  11. Vol. 2, Chapter 28, verse 73, Chaukhambha Sanskrit Sansthan; 1997. p. 703.
  12. Chaukhambha Sanskrit Sansthan, 1990. 703.
  13. Varanasi: Chauhambha Sanskrit Sansthan; 1983. p. 505.
  14. p. 418.
  15. Development of therapeutics: opportunities within complementary and alternative medicine. Nat Rev 2002;1:229-237.
  16. Inflammation and native American medicine: the role of botanicals. Am J Clin Nutr 2000;72:339-347.
  17. Herbal medicines for the treatment of rheumatoid arthritis: a systematic review. Rheumatology 2003;42:652-659.
  18. Varanasi: Chauhambha Sanskrit Sansthan. 1993. p. 265.
  19. Vol. 1. New Delhi: Ministry of Health and FW, Dept. of Health, GOI; 1978. p. 58, 59 and 117.
  20. Influence of an Indian medicine (Ashwagandha) on acute-phase reactants in inflammation. Indian J Exp Biol 1981;19(3):245-249.
  21. Role of Withania somnifera (Ashwagandha) in various types of arthropathies. Indian J Med Res 1968 Oct;56(10).
  22. Long term effect of herbal drug Withania somnifera on adjuvant induced arthritis in rats. Indian J Exp Biol 1988 Nov;26(11):877-882.
  23. Varanasi: Motilal Banarasi Das; 1962. p. 334.
  24. Antiarthritic and anti-inflammatory activity of gum guggul (Balsamodendron mukul Hook). Indian J Physiol Pharmacol 1960 Oct;4:267-273.
  25. et al. commifora mukul and Tinispora cardifolia- study of anti-inflammatory activity. Rheumatism, 4, 141
  26. Isolation of a crystalline steroidal compound from Commiphora mukul & its anti-inflammatory activity. Indian J Exp Biol 1971 Jul;9(3):403-404.
  27. Anti-inflammatory studies on a crystalline steroid isolated from Commiphora mukul. Indian J Med Res 1972 Jun;60(6):929-931.
  28. Open study to evaluate the efficacy of Sallaki as an add-on therapy along with NSAID in the management of patients with osteoarthritis. Select research papers on evidence based Ayurvedic Drugs, CCRAS; 2001.
  29. Case history of Guggulipid – a hypolipidaemic agent. Abstract – 5th Asian symposium on medicinal plants and spices, Seoul, Korea. The Korean National Commission for UNESCO and the natural products research institute, Seoul.
  30. D.R.I., Dossier., Nov. 19 (1976).
  31. Clinical trial of guggulipid – a new hypolipidemic agent of plant origin in primary hyperlipidemia. Indian J Med Res 1986 Dec;84:626-634.
  32. Kapoor N.K. Tolerance and hypolipidemic activity of Guggulipid – the steroidal activity of Commiforamukul. In Proceedings of world congress on clinical pharmacology and therapeutics. London; 1980.
  33. Medicinal and aromatic plants abstracts 2003 Apr;25(2). 2003-02-0921.
  34. Management of Sandhigata vata (OA) with Shamana and Shodhana therapy – a pilot study. J Res Ayurveda Siddha CCRAS 2003;24(1-2).
  35. Comparative study of Therapeutic efficacy of Samshodhana and Samshamnachikitsa in Sandhigatavata vis-à-vis osteoarthritis. J Res Ayurveda Siddha CCRAS 2003;24(1-2).
  36. The relationship between chondroprotective and antiinflammatory effects of Withania somnifera root and glucosamine sulphate on human osteoarthritic cartilage in vitro. Phytother Res 2008 Oct;22(10):1342-1348.
  37. Central Council for Research in Ayurvedic Sciences, Department of AYUSH, Ministry of Health and Family Welfare, GOI; 2014.
  38. Superior responsiveness of the pain and function sections of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) as compared to the lequesene – Algofunctional Index in patients with osteoarthritis of the lower extremities. Osteoarth Cart 1999;7(6);515-519.
  39. Open study to evaluate the efficacy of Salaki as an add-on therapy along with NSAID in the management of patients with osteoarthritis, Select research papers on evidence based research drugs, CCRAS; 2000.
  40. Assessment of visual analog versus categorical scale for measurement of osteoarthritis pain. J Clin Pharmacol 2004 Apr;44(4):368-372.
PDF Share