Chapter 6.27: Thigh Stiffness Treatment (Urustambha Chikitsa / ऊरुस्तम्भचिकित्सा)

The chapter deals with the management of urustambha which literally means stiffness of thighs. Patients present with pain and inability to move pelvis and lower extremities. This is the only disease in which Panchakarma are contraindicated. It can be misdiagnosed as vata dominant disorder due to its clinical presentation, however, kapha and meda dhatu are main culprits in the pathogenesis. Etiological factors, pathogenesis, clinical presentation, prognosis and treatment of urustambha are described in this chapter.

Source: Astanga Hridaya Sutrasthan by Vagbhata

id="Summary">Summary In this chapter on the treatment of urustambha, the following topics are discussed. Etiology, premonitory signs and symptoms, signs and symptoms, therapeutic measures which are ineffective and causes to substantiate their futility and two categories of therapeutic measures (viz. internal and external).[62] Thus ends the chapter on management of urustambha written by Agnivesha, redacted by Charaka and completed by Dridhabala.