A Comparative Clinical Evaluation of Anutaila Navan Nasya and Jinginyadi Avapida Nasya in the Management of Manyasthambha

Abstract

Manyasthambha, described in Ayurveda classics as a Vataja Nanatmaja Vyadhi, also due to Vata and Kapha derangement characterised by pain, stiffness, and restricted movements of the cervical region. Objective: To evaluate and compare the efficacy of Anutaila Navan Nasya and Jinginyadi Avapida Nasya in the management of Manyasthambha. Materials and Methods: A randomised, open-label clinical study was conducted on 40 patients aged between 20 and 50 years diagnosed with Manyasthambha. Patients were randomly allocated into two groups of 20 each. Group A received Anutaila Navan Nasya, while Group B received Jinginyadi Avapida Nasya for 7 consecutive days following standard Nasya procedures. Assessments were carried out on Days 0, 3, 5, 8, and 15. Statistical analysis was performed using paired and unpaired tests. Results: Both groups showed statistically significant improvement (p<0.05) in pain, neck disability, and cervical range of motion. Group A demonstrated comparatively better results clinically in reducing stiffness and improving neck mobility. Intergroup comparison revealed no statistically significant difference (p>0.05). Discussion: Anutaila Navan Nasya and Jinginyadi Nasya has reduced all the sign & symptoms of Manyasthambha significantly due to the Katu, Tikta, Kashaya Rasa Katu Vipaka Ushna Veerya and Ruksha Guna also reduces obstruction by pacifying Kapha Dosha and facilitates the normal Gati of Vata Dosha. Conclusion: Anutaila Navan Nasya and Jinginyadi Avapida Nasya are equally effective and safe in the management of Manyasthambha. The study supports Nasya Karma as a targeted and efficacious therapeutic approach for cervical musculoskeletal disorders.