Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
‘Manyastambha’ is a situation defined in Ayurveda within the context of Vata Vyadhi – particular problems brought on by aggravated vata.
That means of Manyastambha
The phrase Manyastambha is made up of two phrases. They’re –
– Manya = again facet of the neck
– Stambha = stiffness, catch
Placing each the phrases collectively, Manyastambha means ‘stiffness of the again of the neck area’.
Definition of Manya
Manya has been outlined as ‘greeva paschad bhaga’ which implies ‘posterior a part of the neck – again of the neck’. Stambha means stiffness, catch or a situation whereby there may be lack of actions.
Manyastambha is a vata dysfunction and is induced when the aggravated vata afflicts the mamsa – muscle tissue, snayu – ligaments and nerves and comfortable tissues behind the neck.
Understanding the phrase Stambha
Stambha / stabdhata means stiffness. However it may be understood in accordance with state of affairs and context. In situations like Manyastambha, stambha not solely means stiffness but additionally the opposite situations brought on by and related to stambha. They embody loss or limitation of actions, mal-presentation and positioning of chin and head.
Stambha could also be induced both by vata or kapha. We are going to additional perceive the involvement of kapha within the causation of stambha or manyastambha within the dialogue of pathogenesis of the illness.
So, stambha or stiffness is brought on by –
– Vata – when manyastambha is brought on by solely vata, as in manyastambha being one of many eighty vata nanatmaja roga
– Kapha – as per the pathogenesis of manyastambha defined by Grasp Sushruta whereby kapha obstructs or envelopes vata, thus hampering the vata, inflicting a kaphavrita vata like situation which additional results in stiffness and limitation of actions on the neck
– Vata drying up the kapha behind the neck and inflicting stiffness
Varieties of Manyastambha
The forms of Manyastambha haven’t been laid out in Ayurveda texts. However we will infer the categories based mostly on the reason and references we discover in regards to the illness within the treatises.
1. Vata Pradhana Manyastambha – On this situation, manyastambha is brought on by aggravation of ‘solely vata’ within the area of manya. This matches with manyastambha talked about as one among the many eighty forms of ‘vata nanatmaja rogas’.
2. Kapha Pradhana or Kaphavrita Vata Janya Manyastambha – This situation has been defined by Grasp Sushruta. On this situation, aggravated kapha blocks vata within the area of the manya and causes a regional ‘kaphavrita vata like situation’ in manya.
1. Manyastambha – a Vata Nanatmaja Vyadhi
Manyastambha is counted as one among the many eighty forms of vata nanatmaja vikaras i.e. particular vata problems whereby no different dosha is concerned within the pathogenesis. This additionally explains the position of vata within the causation of this dysfunction.
On this situation, aggravated vata will get lodged within the area of manya and causes stiffness, tough actions, ache and different associated signs. The causative elements of this situation are additionally the ‘vata aggravating’ ones. The interventions too will likely be focused in direction of balancing vata.
2. Manyastambha – a Kaphavrita Vata situation
It is a variant of Manyastambha whereby aggravated kapha can also be concerned together with vata within the pathogenesis of the illness. Right here the aggravated kapha blocks and envelopes vata. That is known as as kaphavruta vata. This mechanism can occur wherever within the physique however when it occurs within the manya area, it should trigger manyastambha. Avarana is a vata dysfunction itself. However right here the actions and features of vata are hampered by kapha. The stiffness on this situation is brought on by kapha. Restriction of actions and ache are brought on by vata which has been blocked and making an attempt to struggle again to flee from the captivity.
Causes of Manyastambha
Beneath talked about are the necessary causes of Manyastambha –
1. Basic Causative elements –
Any vata rising, aggravating or triggering causative elements, together with meals and way of life actions may cause or set off manyastambha, when aggravated vata finds place and get lodged within the nape of the neck – manya. These causes may be thought-about as normal causative elements of manyastambha.
Manyastambha brought on by the below-mentioned particular causes could additional be triggered or worsened by these normal causative elements.
Retaining it quick, generalized causative elements for vata aggravation are these which predominantly trigger ‘vata nanatmaja sort of manyastambha’ however could in later a part of time get related to kapha in these having kapha aggravation and may result in avarana sort of manyastambha, however not as a rule.
2. Particular Causative elements –
– Divaswapna – extreme sleeping throughout day time
– Asama sthana – sleeping on an uneven floor, in odd and untoward positions. It additionally consists of uneven work locations whereby one must work by compromising the place of the neck.
– Urdhwa nirikshanah – wanting upwards / with upward gaze in extra
All these etiological elements contain irregular positions of the neck, which on longer run may cause stiffness, ache and lowered actions on the neck – manyastambha.
These etiological elements clearly irritate each kapha and vata. Whereas diwaswapna aggravates kapha in extra, the opposite two elements are chargeable for aggravation of vata.
So, these set of causative elements give rise to the kind of manyastambha induced because of kaphavrita vata.
Whereas there isn’t a description of ‘manyastambha’ defined within the context of vata nanatmaja rogas and the causative elements talked about above have been talked about within the context of manyastambha involving kapha together with vata (kaphavrita vata) by Grasp Sushruta, these elements shall be thought-about as ‘particular causative elements for manyastambha’ whereas generalized causative elements as talked about above are those which is able to trigger the nanatmaja vata vyadhi – manyastambha.
Pathogenesis of Manyastambha
1. Vata Nanatmaja Sort of Manyastambha
As a consequence of extreme consumption of or publicity to vata aggravating etiological elements, the vata would abnormally improve within the physique. When this vata will get localized within the manya area, it should trigger stiffness, restriction of actions of the neck and ache. Vata causes this by drying of kapha, and tissues within the manya together with sira, snayu, mamsa and kandara.
Extreme consumption of vata aggravating etiological elements
↓
Aggravation of vata
↓
Vata will get lodged within the manya – again of the neck
↓
Vata dries up kapha, sira, snayu, mamsa and kandara within the area of manya
↓
Stiffness, ache and restriction of actions of neck
↓
Vata Nanatmaja Manyastambha
2. Kaphavruta Vata Sort of Manyastambha
As a consequence of extreme consumption of / publicity to the above mentioned etiological elements, vata and kapha would bear imbalance. Primarily kapha would get severely aggravated. This kapha would trigger avarana of vata i.e. the aggravated kapha envelopes vata and blocks (interferes) with its regular functioning. This can be thought-about as a state of ‘kaphavruta vata’ occurring within the area of the neck.
Extreme consumption of / publicity to the etiological elements resulting in extreme aggravation of kapha and partial imbalance of vata
↓
The doshas transfer in direction of manya – again of the neck / nape of the neck and get lodged therein
↓
Kapha envelops and blocks the vata
↓
The conventional functioning of vata is disturbed
↓
There happens ache and lack of actions and tilting of neck because of the affliction of nerves, muscle tissue, tendons and comfortable tissues within the nape of the neck
↓
This situation known as as manyastambha / Kaphavrta Vata Janya Manyastambha
Although manyastambha is a vata dysfunction, this situation is brought on by the blockage of features of vata by the aggravated kapha. When blocked and surrounded by kapha, vata tries exhausting to flee from the zone of restriction and categorical itself. This wrestle would trigger the signs.
Since kapha is predominant within the combo inflicting this illness there may be elevated stiffness within the nape of the neck i.e. stambha. Stambha is a attribute characteristic and symptom of aggravated kapha. Ache and different signs are brought on by the enveloped vata. Restriction of actions, if any, is brought on by the mechanism of blockage of vata by kapha.
Remedy Ideas of Manyastambha
Vata Pradhana (Nanatmaja) Manyastambha – This situation must be handled on the traces of Vata Vyadhi Chikitsa – all measures and medicines prescribed for remedy of Vata predominant problems.
The primary interventions embody –
Exterior interventions –
– Abhyanga – Ksheerabala Taila, Prasarinyadi Taila, Mahanarayana Taila, Mahamasha Taila, Balashwagandha Taila – can be utilized for soothing therapeutic massage
– Griva Vasti – oil pooling on the again of the neck
– Pinda Sweda – Patrapinda Sweda and Shashtika Shali Pinda Sweda are extremely useful
– Lepa / Upanaha – Vata assuaging herbs could also be used for anointment or poultice
Inner interventions –
– Nasya – errhines with Ksheerabala Taila, Mahamasha Taila
– Vasti – medicated enemas – in power / cussed / power situations – Ksheerabala Taila, Prasarinyadi Taila, Guggulutiktaka Ghrta – are useful for enemas.
Kapha Pradhana (Kaphavrita Vata) Manyastambha – This situation must be handled on the traces of ‘Avarana Chikitsa’. Avarana is a pathological occasion whereby pitta, kapha, any tissue or excreta or meals would envelope and hinder vata. Herein the traditional actions and features of vata will likely be hampered. One subtype of vata could also be enveloped and blocked by one other subtype of vata additionally. That which envelops and causes obstruction of vata known as avaraka, vata known as avruta and your complete occasion known as avarana. Avruta is fixed – it’s at all times vata or a subtype of vata.
In kaphavruta vata going down within the area of manya resulting in Manyastambha, kapha is avaraka and vata is avruta. As a rule of treating avarana, first the avruta must be handled and the vata must be freed.
So, the preliminary interventions on this situation will likely be to eliminate kapha and the obstruction to vata that it has induced. Later when vata will get freed, it’s nonetheless aggressive and confused and erratic because it was making an attempt an escape route on a regular basis. This vata ought to now be calmed and be delivered to a state of stability.
The interventions and remedy rules for this situation consists of –
Exterior interventions –
– Abhyanga – with kapha assuaging oils like Kottamchukkadi Taila or any oil which is ready with kapha assuaging herbs
– Swedana – examine ought to at all times be accomplished after abhyanga / snehana. Right here, ruksha sweda – dry sudation / fomentation is desired. Choorna Pinda Sweda is preferable on this situation. Kottamchukkadi Churna or Rasnadi Churna could also be used for this objective.
– Lepa / Upanaha – Kapha assuaging herbs could also be used for anointment or poultice
Inner interventions
– Mrudu Vamana – gentle emesis must be administered to expel morbid kapha if its aggravation is extreme
– Nasya – Anu Taila shall be used for errhine
Vata administration
As soon as the kapha avarana has been eliminated, the vata will likely be uncovered. This vata ought to now be managed on the traces of ‘vata vyadhi chikitsa’ as per the rules of remedy talked about above.
Useful formulations in Manyastambha
– Maharasnadi Kashayam
– Prasarinyadi Kashayam
– Rasonadi Kashayam
– Varanadi Kashayam
– Mahayogaraja Guggul
– Rasnadi Guggulu
– Balarishta
– Ashwagandharishta
– Guggulutiktakam Ghrta
