Role of Dashmool and Masha Kwath in the Management of Avabahuka (Frozen Shoulder)

Abstract

Background: Avabahuka (Frozen Shoulder) is a Vata-dominant musculoskeletal disorder characterized by pain, stiffness, and restricted movement of the shoulder joint. Classical Ayurvedic texts describe its pathology as Vata vitiation leading to Shoshana (drying) of Amsa Sandhi (shoulder joint) and Akunchana (contraction) of Sira (ligaments and blood vessels). Traditional Ayurvedic therapies, particularly Dashmool and Masha Kwath, have been widely used for its management.
Objective: This review aims to explore the role of Dashmool and Masha Kwath in the treatment of Avabahuka, analyzing their pharmacological actions, Ayurvedic principles, and potential therapeutic efficacy in comparison to modern management strategies.
Methods: A comprehensive review of classical Ayurvedic literature, contemporary research studies, and clinical trials was conducted to understand the therapeutic significance of Dashmool and Masha Kwath in Avabahuka management. Their properties, mechanisms of action, and effectiveness in alleviating symptoms of Vata disorders were analyzed.
Results: Dashmool (a formulation of ten roots) possesses potent Vatahara (Vata-pacifying), anti-inflammatory, and analgesic properties, which help in reducing pain and stiffness. Masha Kwath (Decoction of Masha or black gram) is known for its Brimhana (nourishing) and Snigdha (unctuous) qualities, which counteract Vata-induced dryness and improve joint mobility. Studies suggest that these formulations enhance synovial fluid production, relieve stiffness, and support musculoskeletal health.
Conclusion: The synergistic action of Dashmool and Masha Kwath provides a holistic approach to managing Avabahuka, addressing both symptomatic relief and underlying pathology. Further clinical research is recommended to validate their efficacy and establish standardized treatment protocols.