Management Of Gridhrasi Research Articles

To evaluate the effect of Marma Chikitsa in the management of Gridhrasi (Sciatica)

The uniqueness of Ayurveda is been scrutinized, analysed and then researched by its followers from the ancient time up to till date but it’s an endless procedure. Acc. to Ayurveda the whole human body is explained by itself but as it’s a modern era so we have to correlate each and every Ayurvedic concept with the modern science this study has been taken to correlate Ayurveda has classified the vital points in the body into 107 and named them Marma according to Acharya Sushruta Marma is constituted by confluence of Mansa (muscle), Sira (vessels), Snayu (nerves, tendons and ligaments), Asthi (bone) and Sandhi (joints). Ayurveda is an ancient health science devoted to the cure on human suffering and for the care of the health of the people. The lifetime prevalence of low back pain has been reported between 60% to 80%. By contrast, the life time prevalence of sciatica is between 2% and 4%. According to Acharya Charaka, two types of Gridhrasi have been listed Vataj and Vatakaphaja Gridhrasi is a Shula Pradhana Vata Nanatmaja Vyadhi which is characterized by the Kramat Shula in the Prushtha Bhaaga of Sphik, Kati, Uru, Jaanu Jangha and Pada Pradesha.

MANAGEMENT OF GRIDHRASI THROUGH AYURVEDA W.S.R SCIATICA – A CASE STUDY

Introduction: In Ayurveda, Gridhrasi is one of the Shula pradhana vatavyadhi, which comes under the eighty vataja nanatmaja vikaras. It has symptoms like pain that starts at Sphik and radiates to Kati (waist) to Pada(foot), along with Sthambha(stiffness), Toda (pricking pain), and Spandana (tingling sensation). Almost all the symptoms mimic the condition of sciatica in modern parlance, in which pain radiates along the sciatica nerve and runs down one or both legs from the lower back. AIM: The study aimed to evaluate the efficacy of Swalpa rasona pinda (internally) and Saireyaka tail (external application) in the management of Gridhrasi. Materials and methods: A single case study of a 55-year-old male patient visiting our Ayurvedic hospital to treat Gridhrasi of the right leg for ten months. He was treated for about 45 days. Result: After 45 days, the patient's symptoms were assessed, and the outcome was good. The patient's general quality of life had also improved. Conclusion: The mentioned treatment reduced Gridhrasi's symptoms significantly.

A conceptual review on the efficacy of Agnitundi Vati in the management of Gridhrasi w.s.r. to Sciatica

Background: Gridhrasi is Shoolapradhan Nanatmaj Vata Vyadhi mainly caused due to vitiation of Vata Dosha. The cardinal signs and symptoms of Gridhrasi are Ruk, Toda, Muhuspandan, Stambha. Gridhrasi can be correlated with sciatica due to resemblance of symptoms. The prevalence of sciatica varies considerably ranging from 1.6% in the general population to 43% in selected working population. Sciatica is characterised by constant aching pain in the lumbar region radiating to the buttock, calf and foot caused by irritation to the sciatic nerve. Being a nervine disorder, it can be treated by a drug having Vatashamak & Shoolaghna properties. Agnitundi Vati is a unique formulation having Shoolaghna & Vatahara properties. Kuchala is the major content of Agnitundi Vati which is more effective in nervine disorder. Kuchala being a potent spinal poison contains two major alkaloids named strychnine and brucine and it is subjected to be used after proper Shodhan process of Kuchala. Present study aimed to compile all the available literature regarding the pharmacological action of Agnitundi Vati. Aim & Objectives: To study the literary review of Agnitundi Vati & it’s mode of action in Gridhrasi. Materials & Methods: Various Samhita Granthas, textbooks and articles related to Agnitundi Vati & sciatica were studied. Result & Discussion: Agnitundi Vati is the formulation having Vatashamak & Shoolahar properties due to its Ushna Virya. Hence it proved to be a potent formulation for management of pain in Gridhrasi.

Promising effect of Ayurveda in the management of Gridhrasi - A Case Study

Nowadays, the most prevalent ailment affecting human body is backache, which has an impact on everyday routine. Human life styles have altered dramatically over time due to over exertion, improper sitting and standing postures in work place, jerky movements during travel etc invariably causes jerks to the spinal column leading to Sciatica etc. spinal disorders. Its prevalence is 1.2% to 43% Worldwide which affects person’s age group of 30-60 years. Currently it seen in younger adults also with equal ratio in both genders. In Ayurveda it can be correlated with Gridhrasi. The word Gridhrasi is derived from - Gridhramapi Syathi. So, which means the disease where gait of the affected person resembles like a Gridhra which means Vulture. Gridhra is a bird which is fond of meat. This bird pierces the meat with its beak and pulls out; which gives severe pain to the prey similarly this type of pain is felt by affected person hence it is named as Gridhrasi. The present case is single case study which is about 20 days, where patient came with complaints of pain and stiffness in lower back region radiating to right lower leg, difficulty to sit normally, etc. since 3 months. The Patient was treated with peculiar combinations like only Niruhabasti, Kukkutanda Sweda along with Shamanaushadhis and reported with evident result in this case.

A Comparative Clinical Study on Matra Basti with Bilva Taila and Mahanarayana Taila in Gridhrasi w.s.r.to Sciatica

Panchakarma is a unique therapeutic procedure explained in Ayurveda because of its preventive, promotive and rejuvenative properties as well as providing a radical cure. Charaka and Vaghbata have described Basti as Ardha Chikitsa which itself is self-explanatory about its importance. The cardinal signs and symptoms of Gridhrasi are Sthambha, Ruk, Toda and Spandana starting first in Sphik and radiating to Kati, Prishta, Uru, Janu, Jangha, and Pada. Sciatica, in which neuralgia along the course of sciatic nerve often produces pain, numbness, tingling sensation, radiating from the lower back and upper buttock down the back of the thigh, calf and to the foot. Many of the clinical features of Gridhrasi resemble to that of sciatica. It is statistically estimated that four out of five (80%) of the population is exposed to the back pain lasting for more than a day at sometimes during their life. This reaches peak in 25-50 years of age. Gridhrasi seems to occur with about same time frequency in patient with sedentary occupation as those doing heavy work. Mahanarayana Tailam is considered as one of the best oil to mitigate Vata. Due to Snigdha and Ushna Guna it acts on Vata and Kapha Dosha. In Bilva taila, Bilva having Katu tiktha, Kashaya rasa and Tikshna ushna guna can mitigate Vata kapha vikaras and Bilva is told in Asthapana gana dravya by Acharya charaka and hence can be used in Gridhrasi. So this study is planned to know the comparative efficacy of Bilvataila and Mahanarayana taila matra basti in the management of Gridhrasi. Basti is considered among one of the important treatment procedures in Gridhrasi. Matrabasti being a variety of Sneha Basti, plays a major role in the management of Gridhrasi.

Management of Gridhrasi (Sciatica) using Ayurvedic Panchakarma Therapies

ABSTRACT Gridhrasi is one of the most common Vata disorders usually characterized by low back pain and discomfort with pain radiating to the lower limbs, the symptoms closely relate to those associated with the sciatic nerve. The treatment in modern medicine is only symptomatic and provides temporary relief in the symptoms of pain, etc. A 36-year-old male came to the Ayurvedic hospital with lower back pain radiating to bilateral lower limbs for 8 days and was diagnosed with having Gridhrasi. The treatment plan included Shamana Aushadi of Ashwagandha, Shatavari Churna, Shankha Bhasma, Trayodashang Guggulu, Dashmool Kwath, Vatavidwans Rasa, Mahanarayan Taila, and Panchakarma procedures including Sarvanga Abhyanga and Swedana, Patra Pinda Potali Swedana, and Erandmuladi Niruha Basti. The Shamana Aushadi was given for 1 month duration while the procedures were done for 16 days. A symptomatic assessment of the patient was conducted at the onset, in the middle and at the end of the treatment and the outcome was satisfactory with quality of life of the patient significantly improved, from being able to walk 100 m in 10 min with pain, he was able to walk the 100 m in 3 min without stopping and there was the absence of pain radiating from the low back to lower limbs, also the Visual Analog Scale improved from 6\10 to 1\10. The Ayurvedic Panchakarma therapies and the internal medicines are effective in the management of Gridhrasi (Sciatica), but since this is a single successful case study, it can be conducted on a larger population to create a baseline.

A Comparative Clinical Study to Evaluate the Effect of Arohana Krama and Sadharana Krama Matra Basti with Vajigandhadi Taila in the Management of Gridhrasi

Gridhrasi is a Rujapradhana Nanatmaja Vata Vyadhi, intervening with the functional ability of low back & lower limbs. Low back pain is the major cause of morbidity throughout the world affecting mainly the young adults. Life time incidence of low back pain is said to be 50-70% with the incidence of Sciatica more than 40%. Among various Ayurvedic treatments of Gridhrasi; Basti is a unique procedure which eliminates the aggravated Doshas from the body as such it was described Ardhachikitsa of all treatment. In present study effort is made to compare the effect of Arohana Krama and Sadharana Krama Matra Basti with Vajigandhadi Taila in the management of Gridhrasi. Minimum 40 patients who fulfilled the inclusion criteria, randomly distributed into 2 groups of 20 patients each. When both the groups were compared clinically for Ruk, Toda, Stamba, Spandana & SLR test, Both the groups show statistically significant effect with p <0.001 as Gridhrasi Chikitsa but Group A proved to be better than Group B percentage wise. The present study proved that the remarkable results were achieved in Group A with Vajigandhadi Taila Matra basti in Arohana Krama compared to Group B where the Matra basti was administered in Sadharana Krama.

Efficacy of Ghati Yantra Raktamokshana (Bloodletting with Modified Cupping) in Pain management of Ghridhrasi (Sciatica): A systematic review

Background & Objectives: Pain in Sciatica can be incredibly painful and intolerable which seeks immediate medical attention. Various treatment modalities are widely used but have side effects too. One of them is Ghati Yantra Raktamokshana (Bloodletting with modified cupping). This systematic review provides an assessment on evidence of pain management of Gridhrasi (Sciatica) by Ghati Yantra Raktamokshana (Bloodletting with Modified Cupping). Methods: The databases of PubMed, Scopus, Cochrane Library, AYUSH portal, Shodhganga, Clinical trial registry of India, Google scholar were searched systematically (since inception to February 2021) for relevant articles about the effect of Ghati Yantra Raktamokshana in pain management of Gridhrasi. All randomized controlled trials as well as non-randomized controlled trials, before and after studies and single group clinical studies assessing the efficacy of Ghati Yantra Raktamokshana in pain management of Gridhrasi was included. Results: The original search yielded 774 articles of which only 6 articles (1-pilot study, 1-case study and 4-single arm studies) met the inclusion criteria and they showed the effectiveness of Ghati Yantra Raktamokshana in Pain management of Gridhrasi. Interpretation & Conclusions: Though review shows that the Ghati Yantra Raktamokshana is effective in Pain management of Gridhrasi but due to the methodological and clinical heterogeneity and risk of bias of the included trials requires more strong evidences in terms of RCT’s with larger sample size and for longer duration to definitely conclude its effectiveness.

A Comparative Study to Evaluate the Effect of Matra Basti with Shuddha Bala Taila and Ksheerabala Taila in the Management of Gridhrasi

In present scenario the most common cause of disability in patients under 45years of age is back pain. Gridhrasi can be correlated to Sciatica where pain radiates from buttock into thigh, calf, and occasionally the foot. In the surgical treatment of Sciatica may have serious post-operative complications. Basti being superior treatment in Vatavyadhis and keeping in view of lacunae in medical management and due to the complications caused by modern surgical interventions there is a need of a safe, potent, cost effective, simple and short-term therapy for this condition. So here is an attempt to compare the effect of Matra Basti with Shuddha Bala Taila (group A) and Ksheerabala Taila (group B) in the management of Gridhrasi. Where 40 patients who fulfilled the inclusion criteria randomly and distributed into 2 groups of 20 patients each. Clinical symptoms were given grading according their severity. After completion of the treatment result were assessed and statistically analyzed to know the significance. Considering the overall effect of the treatment, comparatively patients in group B showed better results in Parameters Pain (<0.05), Stambha (<0.05), and SLR (<0.05). Whereas patients in Group A showed better results in Spandana (<0.05) where as both group patients showed equal result in Toda. So, the Ksheerabala Taila is more effective than Shuddha Bala Taila in the management of Gridhrasi.

A comparative Clinical Study to Evaluate the Efficacy of Anuvasan Basti with Brahatchaglyadi Ghritam and Guggulutiktam Ghritam in the management of Gridhrasi (Sciatica): A Study Protocol

Background: Gridhrasi is such a Ruja Pradhaana Vatavyadhi. In Gridhrasi intense shooting pain characteristically radiates from Sphika (gluteal region) to Pada (foot). Based on symptoms of Gridhrasi, it can be equated with the disease sciatica in modern science. The lifetime incidence of low back pain is 50-70%, with Sciatica more than 40%. Charaka has considered Basti therapy as half of the disease's treatment, while some authors consider it as the complete remedy for all the ailments. Basti is one of the unique procedures explained for the management of Vatavyadhi (Neurological Disorder) where Gridhrasi (Sciatica) is being the predominant of Vata dosha, Basti is being used widely for the management of Gridhrasi (Sciatica). Therefore we have taken the Basti modality for the treatment of Gridhrasi (Sciatica). Hence the study is carried to evaluate the effect of Anuvasanbasti with Brihachagalyadi Ghritam & Guggulutiktaka Ghritam in the management of Gridhrasi (Sciatica).
 Aims and Objectives: Evaluate Anuvasan Basti's efficacy with Brihatchagalyadi Ghritam & Guggulutiktaka Ghritamin the control of Gridhrasi (Sciatica) and to compare the effectiveness of Brihachagalyad Ghritam & Guggulutiktak Ghritam Anuvasan Basti in the direction of Gridhrasi. Methodology: Procedure: This study, a total of 66 patients, will be separated haphazardly divided into 2 groups (33 in each). In Group A (Interventional Group)- will Treat with Brihachagalyadi Ghritam as an Anuvasan Basti in increasing dose pattern for nine days and Group B (Control Group ) –patients will Treat with Guggulutiktaka Ghritam as an Anuvasanbasti in increasing dose pattern for nine days. The evaluation will be recorded on 0 and 9thday.
 Conclusion: It may be more beneficial and more effective in pain as well as other subjective and objective parameters.

A CLINICAL EVALUATION OF MATRA BASTI AND KATI BASTI WITH DHANWANTARAM TAILA IN THE MANAGEMENT OF GRIDHRASI

Gridhrasi comes under 80 types of Nanatmaja Vatavyadhi. The cardinal signs and symptoms of Gridhrasi are Ruk (pain), Toda (pricking sensation), Spandana (twitching) in the Sphik, Kati, Uru, Janu, Jangha and Pada in order and Sakthikshepa Nigraha i.e., restricted lifting of the leg associated with Gourava, Aruchi. Kati Basti is widely being practiced throughout country as Bahyaupakrama which has both Snehana and Swedana effects. Matra Basti is Snehana procedure which does Vataanulomana, Vatashamana. Objectives: To evaluate the efficacy of Matrabasti and Katibasti with Dhanvantaram Taila in the management of Gridhrasi. Materials and Methods: Patients presenting with the classical features of Gridhrasi and between the age group of 16 to 50 years irrespective of sex were selected and allotted in Group A, B and C with 15 patients in each group. Group A was administered with Matra basti with Dhanwantram Taila and Group B with Kati basti with Dhanwantram Taila and Group C with both Matra basti and Kati basti with Dhanwantram Taila for 9 days. Results: In combined treatment of Kati Basti and Matra Basti in Group C there was tremendous response in relieving Ruk (73%), Toda (46%), Spandana (60%), Supti (80%), Gourava (73%), Aruchi (66%), Sparshasahyata (73.3%) SLR (60%). In Group A, patients subjected to Matra Basti was effective in relieving Ruk (26.7%), Toda (13.3%), Spandana (26.7%), Supti (66.7%), Gourava (46.7%), Aruchi (53.3%), Sparshasahyata (13.3%) SLR (6.7%). In Group B patients subjected to Kati Basti was effective in relieving Ruk (6.7%), Toda (0%), Spandana (0%), Supti (40%), Gourava (20%), Aruchi (0%), Sparshasahyata (20%) SLR (0%). Conclusion: On the basis of the results of this study, it can be clearly concluded that combined treatment of Matrabasti and Kati basti with Dhanwantaram taila provided significant relief in the signs and symptoms of Gridhrasi than individually performed Matra basti and Kati basti with Dhanwantaram taila.

A CLINICAL COMPARATIVE STUDY ON MANAGEMENT OF GRIDHRASI (SCIATICA) WITH RASNA GUGGULU AND TRAYODASHANG GUGGULU

Gridhrasi (Sciatica) is a crippling ailment cause pain in the lower back that spreads to the hip, buttocks and leg along the route of sciatic nerve. It is a major health problem related to locomotor system. Many experi-ence symptoms of recurrence and function limitations. A clinical comparative study was done on manage-ment of Gridhrasi with Rasna Guggulu and Trayodashang Guggulu to evaluate its therapeutic efficacy. The study concludes that the Percentage (%) of improvement shows both the trial drugs have reduced the symptoms but it was more in Trayodashang Guggulu (40%) than Rasna Guggulu (20%).

A Comparative Clinical Evaluation of Agnikarma and Raktamokshana in Management of Gridhrasi (Sciatica)”

Background: Gridhrasi can be correlated with sciatica which is a severe painful condition where back pain and radiating pain of the legs are found together on the basis of symptoms. In the treatment of sciatica only symptomatic management and a very few surgical procedures are available in conventional medical science with their own limits. Various methods used for Gridhrasi treatment in Ayurveda but para-surgical methods i.e. Agnikarma & Raktamokshana are more beneficial.
 Aim & objective: To compare the efficacy of Agnikarma and Raktamokshana (Cupping) in the management of Gridhrasi (Sciatica).
 Materials & Methods: Total 32 diagnosed cases of sciatica were registered, from which 29 patients completed the study. In group A, 4 sittings of Agnikarma were done in 16 patients with Panchadhatu Shalaka at lumbosacral region and achilles tendon region. In group B, 2 sittings of Raktamokshana was performed in 16 patients by using modified Shringa Yantra at lumbo-sacral region and four angula above Janu sandhi (Knee joint)..
 Result: The result was assessed by using wilcoxon signed rank test within the group and Mann whitney test between the group. Stastically significant relief was observed in both groups on cardinal symptoms of Gridhrasi. In Agnikarma group, 26.67% patients had got complete remission, 20% patients had marked improvement whereas 40% had moderate improvement in the symptoms of Gridhrasi. In group, Raktamokshana 50% had moderate improvement, 42.85% had marked improvement.
 Conclusion: Both para-surgical modalities have definite role in treating sciatica but Agnikarma has shown better result in comparison of Raktamokshana in the management of Gridhrasi (Sciatica).

A Controlled and Comparative Study onVatari Guggulu and Shiva Guggulu in the Treatment ofGridhrasi.

A single blind controlled comparative clinical study with pre test and post test design to evaluate the therapeutic efficacy of Shiva Gugguluand Vatari Gugguluin the management of Gridhrasi.The study carried out at Dhanvantari Ayurveda medical college Hospital; Siddapur, Uttara Karnataka. 40 patients suffering from Gridhrasi / SCIATICA of either sex were selected for the study were treated under two groups; A and B. Group A with oral administration of Shiva Guggulu, in a dose of 500 mg after food twice a day with sukhoshna jalaas anupana and the same is continued for 30 days. Group B with oral administration of Vatari Guggulu, in a dose of 500 mg after food twice a day with sukhoshna jalaas anupana for 30 days. The response following the intervention was assessed on 1st,15th, 21st, and 30thdays to find out the progress of theCondition in both the groups.Final conclusion of this controlled comparative clinical study says Group A is more effective than Group B (Shiva gugguluis more effective than Vatari guggulu) in the management of Gridhrasi.

Application of Gunja (Abrus precatorius Linn.) Beeja lepa: An Ayurvedic protocol for the treatment of Gridhrasi (sciatica)

The most common musculoskeletal disorder affecting the movement of legs is low back pain. Among the affected patients, 40% have ridiculer pain, and these cases can be classified under the umbrella of the sciatic syndrome. Low back pain is extraordinarily common, frequently resulting from degenerative arthritis of the lumbosacral spine. The annual prevalence of disc-related sciatica in the general population is estimated at 2.2%. Sciatica is characterised by constant aching pain which felt in the lumbar region may radiate to the buttock, thigh, calf and foot. Acharaya Charaka explained Gridhrasi in eighty types of nanatmaja Vata vikara. The present study is aimed at evaluating the effect of Gunja (Abrus precatorius Linn.) Beeja lepa in the management of Gridhrasi (Sciatica) and thereby assessing the changes in quality life. The present study is designed as a Non-randomized controlled clinical study, in which a minimum of 30 patients will be enrolled. Gunja beej lepa will be administered external application two times in a day with lukewarm water. Assessment will be recorded on the 3rd, 5th, 7th, 14th and 28th day. Changes will be observed in subjective parameters such as Ruk (pain) Toda (pin pricking sensation) Stambha (Stiffness), Spandana (Fasciculation) and objective parameters such as measuring the changes in the angle of elevation of the leg by SLR Test, Sciatica Bothersomeness Index and Sciatica Frequency Index before and after the treatment. Suitable conclusion will be drawn post completion of the trial.

CLINICAL ASSESSMENT OF BASTI KARMA AND RASARAJ RASA IN THE MANAGEMENT OF GRIDHRASI (SCIATICA)

Background: Sciatica is the most common disorder which affects the quality of life of individual. Sciatica is the set of symptoms which is caused by a pinching and /or irritation of one of the three lowest nerve roots that make up the giant sciatic nerve and causing a low back pain and leg pain. Prevalence of sciatica ranges from 2% to 40% worldwide. In Ayurveda sciatica has a high resemblance with Gridhrasi, which comes under Samanyaja Vikara and Nanatmaja Vatavikara. Aim & Objectives: To study the effect of Dashmooladi Niruha Basti with Rasaraj Rasa in the management of Gridhrasi (Sciatica) and to find out an effective Ayurvedic management for Gridhrasi (Sciatica). Material and Methods: An open clinical study with Dasmooladi Niruha Basti with Rasaraj Rasa was done in 10 patients of Gridhrasi (sciatica). 10 clini-cally diagnosed patients of Gridhrasi (sciatica), registered at the Kayachikitsa OPD of Pt. Khushilal Sharma Govt. Ayurvedic Hospital Bhopal. The patients were treated with Dasmooladi Niruha Basti along with Rasaraj Rasa. Duration of study is 30 days. Assessment was done on the basis of symptomatic relief and change in the degree of SLR test after treatment. Observation: Dasmooladi Niruha Basti and Rasaraj Rasa yielded symptomatic relief and increased the degree of SLR test after treatment. The overall effect of the treatment in all patients suggested that, complete cure was not in any patient. Three patients were markedly improved, and seven patients were moderately improved. None of patients remained unchanged. Conclu-sion: On the basis of result obtained, it can be concluded that Dasmooladi Niruha Basti and Rasaraj Rasa can be used as an effective treatment in the management of Gridhrasi (sciatica).

A COMPARATIVE CLINICAL STUDY ON THE EFFECTIVENESS OF RASONA TAILA AND GANDHARVAHASTADI ERANDA TAILA IN GRIDHRASI (SCIATICA)

Gridhrasi is a Vyadhi characterized by Stambha (stiffness), Ruk (pain), Toda (pricking pain), Spandana (twitching) etc. Though it is of two types – Vataja and Vatakaphaja, Vata being the prime cause for this condition has to be tackled to gain relief. Gridhrasi, according to its signs and symptoms can be compared to sciatica in modern medical science which is a painful condition in which pain commences from the buttock and radiates into the lower extremity along its posterior or lateral aspect, more or less comprising of the area of distribution of the sciatic nerve. Thus, this study was taken up to evaluate the efficacy of Rasona taila and Gandharvahastadi eranda taila in the management of Gridhrasi (Sciatica). Methods: In the present study, 60 subjects diagnosed with Gridhrasi were randomly selected and assigned into two equal groups Group A and Group B comprising 30 subjects each. Subjects of Group A received Rasona taila 10ml orally in morning before food and subjects of Group B received Gandharvahastadi eranda taila 10 ml orally in morning before food, both for duration of 21 days. The data obtained in both the groups were recorded, tabulated and statistically analyzed using appropriate statistical methods. Results: After obtaining all the necessary data, the results were formulated by applying suitable statistical tests. Group A showed better results statistically when compared to Group B. Conclusion: Rasona taila has better effects than Gandharvahastadi eranda taila both clinically and statistically in reducing the signs and symptoms of Gridhrasi.

A study in localizing site for Agnikarma in Gridhrasi.

With the changing lifestyle of modern human being has created several disharmonies, advancement of such conditions, undue pressure to spinal cord thus producing low backache and sciatica ~ gridhrasi, In modern medicine for the management of Gridhrasi. Remains to be NSAIDS, Local anesthetic agents or surgical interventions i.e. hemi laminectomy and removal of protrusion, all these having their own limitation and produces a lot of complication viz. G.I. ulceration and bleeding. In Ayurvedic literature such as Ashtang hrudya, Charak Samhita, it is clearly defined that Agnikarma is one of the important and irreversible treatment in gridhrasi vyadhi, when another modality such as snehan, swedan etc fails. Though Agnikarma is one of the important procedures in grudhrasi but the exact site is not defined by any Ayurveda literature clearly. So, the present study is carried out to demark/ localize the site of Agnikarma in gridhrasi. Aim: To establish exact location for Agnikarma in Gridhrasi vyadhi. & To note any undesired effect of Agnikarma during trial. Materials and Methods: The study was conducted on twenty patients who had reported for the treatment of Gridhrasi at an Ayurvedic hospital. Agnikarma was done on medial and lateral aspects between gulpha and kandhra as mentioned in Samita, patients were divided into 2 groups, group A and B each consisting of 10 patients. Group A & B- Medial & lateral aspect between gulpha and kandhra respectively, Study type – open random study in four settings (0, 7th, 14th and 21st day). The sign and symptoms, namely Ruka, Stambha were given scores depending on their severity. The patients were also assessed for straight leg raise (SLR) test, follow up was done at an interval of 7 days for three times and the scores were noted down before and after treatment & were Statistically analysed. Result: Marked reduction in severity of mean scores of Ruja, Toda, Stambha was seen in the patients of Group A which was statistically significant. Conclusions: Agnikarma is the simple and effective treatment and Agnikarma on medial aspect gave better relief in patients thus reducing Ruka, Stambha in Gridhrasi.

Clinical Evaluation of Agnitundi Vati in the management of Gridhrasi With special reference to Sciatica

In the present era, Gridhrasi is the commonly occurring disease in both geriatric and middle age. It causes due to irritation of sciatic nerve. According to Ayurveda,vataprakopak nidanas i.e. depletion of dhatu and obstruction of channels are the causes of Gridhrasi. Vata plays a major role in pathogenesis of the disease but sometimes associated with kapha. Agnitundi Vati described in Sharangadharsamhita has the properties acting on both vata and kapha. To assess the efficacy of Agnitundi vati in the management of Gridhrasi, present study was undertaken in 30 patients of both types of Gridhrasi. 125- 250 mg of Agnitundi Vati was given orally, two times daily after meal with lukewarm water for total 21 days. It showed hopeful results in subjective and objective parameters of Gridhrasi. The study shows that Agnitundi vati is effective in management of both types of Gridhrasi, but more effective in vata-kaphaj Gridhrasi.

Clinical efficacy of Panchatikta Kshira Basti in the management of Gridhrasi

The study was undertaken to evaluate the clinical efficacy of Panchatikta Kshira Basti in the management of Sciatica. Panchatikta Kshira Basti contains Guduchi (Tinospora cardiofolia). Nimba (Azadirakta indica) Vasa (Adhathoda vasica), Kantakari (Solanum Surrattense), Patola (Trichosanthes dioica), Kshira (Milk) Goghrita (Ghee), Madhu (Honey), Saindhava (Salt). This remedy prove extremely beneficial as it can be performed on the OPD and IPD basis, gives significant relief in the symptoms e.g. radiating pain, stiffness, twitching sensation. The subjective parameters like Pain, SLR, VAD, VDS etc., were used to score clinical outcome. The average clinical improvement was calculated by proper statistical treatment. Our experience with this modality has been encouraging as the response pattern is good in considerably short duration of treatment. The patient improves gradually after 4 weeks of treatment. The sustained improvement with Basti presents a window of opportunity in the clinical management of Sciatica. Ideally this technique should be practically taught to the physicians and should be evaluated scientifically using principles of biophysics and nerve conduction studies.