Become A Member

The human skeletal framework, composed primarily of Asthi (bones) and Sandhi (joints), holds a fundamental position in Ayurvedic anatomy (Sharir Rachana). Classical Ayurvedic texts like Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya have described the structure, types, functions, and pathological conditions of bones and joints in a comprehensive yet philosophically distinct manner from modern anatomy. Asthi Sharir is discussed as one of the essential Dhatus that provide stability, structure, and support to the body, while Sandhi are anatomical junctions ensuring movement and connectivity among bones.

This paper aims to elucidate the Ayurvedic understanding of Sandhi-Asthi Sharir, highlighting their physiological significance, classification, and interrelation, and compare these ancient concepts with contemporary anatomical perspectives. Emphasis is laid on understanding how the Ayurvedic classification of joints (based on movement and structure) aligns or differs from modern concepts such as synovial, fibrous, and cartilaginous joints.

The study is based on a literary review of Ayurvedic texts and supported by interpretative correlations with modern anatomical references. Observational data from Ayurvedic cadaveric dissection techniques and cross-referenced clinical observations provide additional insight. The paper also addresses the role of Sandhi and Asthi in various Vyadhi (diseases) such as Sandhivata, Asthikshaya, and their management through Ayurvedic therapies.

Understanding Sandhi-Asthi Sharir is crucial not only for theoretical knowledge but also for its applications in Panchakarma, surgery, orthopaedics, and Rasayana therapy. A deeper exploration into these foundational structures opens pathways for integrating Ayurvedic musculoskeletal understanding into modern medical systems.

KEYWORDS - Sandhi-Asthi Sharir, Ayurvedic Anatomy, Bones and Joints, Musculoskeletal System, Ayurvedic Orthopaedics