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Abstract Background: Osteopenia and osteoporosis are linked disorders, as their names suggest. Both have different degrees of bone loss as assessed by low bone mineral density (LBMD), which is a metric that indicates how strong a bone is and how likely it is to break. Normal bone mineral density tops the scale, osteopenia somewhere in the middle, and osteoporosis at the bottom. The bone conditions mentioned in Ayurvedic classics, such as Asthi-Kshaya (decrease in bone tissue) and Asthi Saushirya (porous bones), have some clinical resemblance to LBMD or osteoporosis. Aim: To compare the efficacy of Vrishyamuladi Taila Matra Basti (VTMB, oil enema) and Shatavari Taila Matra Basti (STMB, oil enema) in the management of Asthi-Majja-Kshaya (osteoporosis or LBMD). Materials and Methods: A total of 44 patients were screened, of which 34 suffered from Asthi-Majja-Kshaya , that is, LBMD; they were randomly selected and randomly divided into Group A and Group B, with 17 patients in each group. Group A patients were given VTMB for 16 days, followed by Vyoshadhya Gutika Guggulu (VGG) tablets, with a dose of 1g twice a day orally with lukewarm water for 30 days after Basti was completed. Group B patients were given STMB for 16 days, followed by VGG, with a dose of 1g twice a day orally with lukewarm water for 30 days after Basti (medicated enema) was completed. Results: It was observed that both groups showed improvement in parameters of Asthishoola (bone pain), Asthitoda (pricking pain of bones), Nakhabhanga (splitting of nails), Raukshya (dryness of skin), Aswapna (loss of sleep), and Satataruka (continuous pain). There is no significant difference in any of the parameters tested in both Group A and Group B comparisons. Conclusion: Both Groups A and B were effective in managing Asthi-Majja-Kshaya (LBMD).
Narine et al. (Mon,) studied this question.