STUDY ON EFFECTIVENESS OF HIK POTHU KETAKELADHI PASTE FOR ANKLE SPRAIN (ULUKKUWA)

Abstract

Sprain emerged in society as a prominent disease at the present. Sprain is an injury to the soft tissue around joint, muscles, ligaments and tendons which are attached to bones, serve both to move them and to hold them in place,  an injury to soft tissues surrounding of joints, with stretching and tearing or partial tearing of muscles, ligaments, tendons and blood vessels. The life of the people affected by such disorders become so impaired and severely disabled that they may not be able to perform their routine work and causes inefficiency of the person and it may affect the economy of the country. Demanding lifestyle has boosted the incidence of soft tissue injury. Aim of the study is to role of Hik Pothu Ketakeladhi Paste ((Indigenous paste) in the effect of ankle sprain as an external application.  30 patients of Ankle sprain were selected from OPD, Ayurveda Teaching Hospital, Borella and private medical centre based on the diagnostic, inclusion and exclusion criteria. Stem bark of Hik Pothu (stem bark of Calesiam grande Kuntze), Kahata pothu (stem bark of Careya arborea), Ketakela pothu (stem bark of Brideliaretusa), Magul karada pothu (stem bark of Pongamia pinnata), Madan pothu (stem bark of Calyptranthes capitellata), Amu kaha ala (Rhyzome of curcuma longa), Wada kaha (Acorus calamus) Viyandunbulu (powder of Soot), Ran kubalmatti (Powder of wasp’s residence), Kithulpeni (Caryota urens) and Meepeni (Bees honey) present in this paste. The paste was applied at the affected site twice daily for 15 days and removed before it dried. Assessment was done every 07 days. Age distribution showed 40% them belongs to age group of 51-60 years with male predominance of 60%. Occupation wise labourer ranked more. Mode of injury dominates 37% of them had unusual bending due to wearing high heel and    patients 63.3% of them had first degree ankle sprain.    The study showed percentage of improvement in the clinical features of ankle sprain as pain by 100%, tenderness by 89%, swelling by 83%, Loss of function 1.75 and discolouration by 92%. All the sign and symptoms were gradually reduced at the end of 15 days. Treatment of Hik Pothu Ketakeladhi Paste and they were statistically significant at the level of P< 0.0001. Hik Pothu Ketakeladhi Paste provided significant relief in the signs and symptoms of the ankle sprain. Therefore, Hik Pothu Ketakeladhi Paste can be used as sprain (Ulukkuwa).