IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House 10.7897/2277-4343.165158 A CASE STUDY ON THE AYURVEDIC MANAGEMENT OF ASTHI-MAJJAGATA VATA WITH SPECIAL REFERENCE TO AVASCULAR NECROSIS Nitesh Kumar Kaser * Aruna Ojha Rashmi Diwan Arunima Verma Chandreshwar Prasad Sinha 11 -0001 1 5 Introduction: The Vata dosha becomes vitiated and localizes in the Asthi (Bone) and Majja (Marrow) dhatus in the Ayurvedic disease known as Asthi-majjagata Vata. It is considered a Vatavyadhi and a long-lasting, deeply rooted condition. As a result, when Vata is disturbed, it typically concentrates in the Asthi (Bone) and Majja (Marrow), resulting in symptoms like Majja shosha (marrow wasting), Asthi bheda (bone-breaking pain), Sandhi shoola (joint pain), Stambha (Stiffness), Gurugatratva (Heaviness of the body). Avascular necrosis of the Hip, also known as osteonecrosis, is a condition in which the blood supply to the bone is cut off, leading to bone cell death and potential collapse. Younger people are often affected by AVN, a major concern in India, particularly of the femoral head. Aim: To study the efficacy of Ayurvedic treatment in the management of Asthi-majja gata Vata. Material and method: A 24-year-old male came with complaints of pain in the Waist region, stiffness in the lower back region and difficulty in walking. In this case study, treatment for Asthi-majja gata Vata follows Samprapti vighatan chikitsa, which comprises Shaman chikitsa, Shodhana chikitsa (Tikta Ksheer basti). Observation and result: In the effect of therapy, relief was observed in Sandhi shoola (joint pain), Stambha (Stiffness), Gurugatratva (Heaviness of the body). Moderate improvement was observed. Conclusion: Hence, through this article, we will get complete knowledge of the Diagnosis, Symptoms, and Treatment of Asthi-majja gata Vata Roga (Avascular necrosis), which gives a clear view of this disease, that is beneficial to people. Ayurveda Vatavyadhi Asthi-majja gata Vata Avascular necrosis Tikta Ksheer Basti.