By Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
There are two situations defined in Ayurveda specifically Greevastambha and Manyastambha that are pathological manifestations which happen within the neck area and current with neck stiffness, issue in making neck actions and ache amongst the chief complaints. However there may be confusion as as to whether each of those situations are the identical or signify two completely different situations. Many individuals consider that they’re synonyms of one another and will not be completely different situations.
This text is to make clear this doubt.
Greevastambha vs Manyastambha: Identical or completely different situations?
Positively each Greevastambha and Manyastambha are completely different. The explanations are as beneath talked about.
Identify of the illness
Each these situations have completely different names – Greevastambha and Manyastambha. They’ve been talked about as completely different entities and haven’t been talked about as synonyms of one another.
Separate point out amongst Vata Nanatmaja Vyadhis
Each are Vata Nanatmaja Vyadhis i.e. particular problems attributable to aggravation of ‘solely vata’ with out the involvement of another dosha i.e., pitta or kapha. Each these situations are individually talked about amongst Vata Nanatmaja Vyadhis, one after the opposite.
By Definition of Manyastambha
Manya has been outlined as ‘manya greeva paschad bhaga’ which implies ‘posterior a part of the neck – again of the neck’. Right here it’s attention-grabbing to notice that each phrases ‘greeva’ and ‘manya’ have been talked about within the phrase derivation / definition of the phrase ‘manya’ within the context of clarification of manyastambha – Madhukosha Commentary on 51ST verse of Chapter 22 of Madhava Nidana Vatavyadhi Nidanam chapter. This clearly signifies that each are two completely different entities.
Place / web site of incidence
By definition of Manya within the context of Manyastambha, as defined above, it may be inferred that –
–     Greeva is a time period which incorporates the ‘total neck area’
–     Manya is part of the neck, – ‘the posterior a part of the neck’
From perspective of ‘Kapha related variant’
As defined above, each situations i.e. Greevastambha and Manyastambha are talked about as separate illness entities amongst the listing of eighty vata nanatmaja vyadhis. Each are predominantly attributable to vata aggravation.
However the clarification of pathogenesis of ‘Manyastambha’ by Grasp Sushruta signifies a ‘kapha element’ being concerned.
The reason goes like this – ‘Each vata and kapha, primarily kapha among the many two, will bear aggravation attributable to extreme consumption of or publicity to the etiological elements which result in their imbalance. This kapha would envelope vata and block it and interferes with regular functioning and actions of vata. This situation known as as kaphavruta vata. These occasions result in manifestation of stiffness and different signs within the bottom of the neck. This situation known as as Manyastambha’.
So, Manyastambha happens in two types –
1.  As a result of aggravation of vata affecting the manya area
2.  As a result of vata being obstructed by kapha within the manya area
These variants, particularly the kaphavruta vata situation, will not be seen in Greevastambha.
So, Greevastambha is solely a vata situation whereas Manyastambha could be a vata predominant or vata-kapha predominant situation.
Therapy Perspective
It is very important know the distinction between these two situations to implement correct therapy for both situation.
The road of therapy for each these situations are nearly similar except for the stiffness of the neck (again of the neck) attributable to kaphavruta vata situation. In any other case, greevastambha and manyastambha attributable to solely vata needs to be handled on the strains of ‘vata vyadhi’ therapy ideas.
To sum up
Greevastambha and Manyastambha are prompted predominantly by aggravated vata and each are vata nanatmaja illnesses. Manyastambha can also be attributable to the kaphavrita vata situation, whereas we don’t get any reference of Greevastambha having this manifestation. Greevastambha is stiffness and different signs occurring in the whole neck whereas Manyastambha presents with stiffness and different signs occurring solely at the back of the neck.
Due to this fact, Greevastambha and Manyastambha are completely different illness situations.
Associated Studying –
Greevastambha
Manyastambha
Trendy Correlation
Greevastambha is popularly correlated with ‘Cervical Spondylosis’.
Manyastambha is popularly correlated with ‘Torticollis’.Â
