Osteoporosis is a progressive bone disease that is characterized by a decrease in bone mass and density. It is most common in women after menopause. In Ayurveda this depletion of the bone tissue is called 'Asthikshaya' and occurs due to two main mechanisms. The first is deficiency of nutrients suitable for nourishing the bone because of malnutrition and/or the catabolic activity of Vata dosha. The second is blockage of the channels/pathways responsible for conveying this nutrition to the bone tissue (known as srotarodha), usually as a result of imbalanced digestion (Agni) and the formation of Ama. It can also occur due to a combination of both.

Regular Massage (abhyanga) with warm cold pressed sesame oil is excellent for reducing excess vata and therefore reducing its catabolic activity on the bones. In extreme conditions of depletion medicated oil in the form of enemas can also be useful, especially when used as part of a deeper treatment program of cleansing and rejuvenation known as Panchakarma. Given the close connection between the colon, the bones and vata dosha, medicated enemas are considered one of the best methods of treating vata-related conditions.

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