Vata Vyadhi Research Articles

PAIN MANAGEMENT IN KATISHOOLA: A CASE STUDY

Lower Back Pain can have causes that aren’t due to underlying diseases and this pain refers to the pain that usual- ly begins in the lower back region, radiating to the sacroiliac regions and buttocks.[1] People with chronic pain often find it difficult to cope with work, family and social activities which is the significant cause of disability worldwide. Eighty percent of the population is affected by this symptom sometimes in life.[2] Increased preva- lence of low back pain and temporary and reduced success rates in invasive contemporary treatment measures has drawn considerable attention towards alternative, effective, non-invasive treatment modalities. Katishoola, a Vata vyadhi diagnosed with cardinal symptoms as Pain in Kati Pradesha. In Ayurveda, a holistic approach has been adopted that includes the use of oral Ayurvedic formulations, Panchakarma procedures like Snehana karma (unc- tion therapy), Swedana karma (sudation therapy) etc. [3] Here In this article a case of low Back Pain treated with Kati Pichu with Masha taila with good outcomes are reported. Keywords: Katishoola, Low Back Pain, Masha Taila, Kati Pichu

A REVIEW ON THE PHARMACODYNAMICS OF BASTI KARMA

ABSTRACT 
 Basti Karma is the most widely used and highly effective treatment modality in Panchakarma. Though Basti is specially indicated for Vatika diseases but it is mentioned in vitiation of all the Vata, Pitta, Kapha, Rakta Doshika disorders. Correctly given Basti will stay in the Pakawashaya, Shroni, Nabhi and Adhobhaga. Basti Dravya will reach the entire Srotasa, in view of its Veerya and produces alleviating action Shamanadi karmas. References regarding Basti Karmuktwa were collected from various classical and Ayurveda published works, published research papers from Pub Med, Google Scholar and compilation was done. Concept of Pharmacodynamics of Basti was studied in detail. Basti is most often recommended practice in Vata Roga Chikitsa. Most of the previous studies have emphasized on the importance of Basti in Vata vyadhis; however there were limited studies carried out on pharmacodynamics of Basti only. Pharmacodynamics outcome of Basti Karma may be due to functioning of the one or more effect of different mechanism.
 

A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF SHUNTHYADI GUGGULU AND TRAYODASHANGA GUGGULU IN GRIDHRASI

Gridhrasi is a pain predominant Nanatmaja Vata Vyadhi characterised by radiating pain through Sphik, Kati, Prishtha, Uru, Janu, Jangha and Pada in a sequential pattern. A number of medicines are available in market to treat this condition, but are associated with their side effects too. Hence, there arises a need for an effective, yet safe treatment for the suffering population to ease their problems of pain. In light of these considerations a comparative clinical study was planned to assess and compare the efficacy of two formulations, namely Shunthyadi Guggulu and Trayodashanga Guggulu. Statistically significant changes were observed in the symptoms like Ruk, Stambha, Toda, Muhuspandana, Tandra, Gaurava, Aruchi, Time taken to cover the distance of 50ft, SLR Active and Passive test (Affected leg). Keywords: Gridhrasi, Shunthyadi Guggulu, Trayodashanga Guggulu, Sciatica.

A COMPARATIVE CLINICAL STUDY OF ISHTIKA SWEDA AND NADI SWEDA ALONG WITH RASNADI GUGGULU IN THE MANAGEMENT OF VATAKANTAKA

Vatakantaka is one of the Vata Vyadhi which gives pricking pain in the heels and causes discomfort in the day-to- day activities. It can be co-related with Calcaneal Spur. It is caused due to wearing high heels and walking with bare feet. Among the various treatment modalities, Abhyanga and Sweda is the best treatment for Vata vyadhi. Hence the present study brings to light the role of Swedana along with Rasnadi Guggulu in the management of Vatakantaka. To evaluate the effect of Istika sweda over Nadi Sweda along with Rasnadi guggulu in management of Vatakantaka. In the present study, 40 patients of vatakantaka were selected incidentally and placed randomly into two groups A and B, with 20 subjects in each group. Group A was treated with Istika Sweda, and Group B were treated with Nadi Sweda along with Rasanadi Guggulu as shamanoushadi for both groups. The effects of treatment provided to the subjects of both groups were significant. Both the treatment methods of Ishtika Sweda and Nadi Sweda showed equally significant effects in the subjects involved in a clinical study. Keywords: Vatakantaka, Calcaneal Spur, Ishtika sweda, Nadi sweda, Rasnadi guggulu.

A CASE STUDY ON AYURVEDIC MANAGEMENT OF SPINOCEREBELLAR ATAXIA

Spinocerebellar Ataxias (SCAs) is a neurodegenerative heterogeneous group of disorders that often-characterized progressive derangement in coordination and Balance. Presently there is no definitive cure for this genetic disease. Only a few Ayurveda case studies were reported in SCA. In the present study, a case of SCA was admitted in the IPD was treated through four phases - Deepana Pachana, Dosa Shodhana, Dosa Samana and Rasayana. The du- ration of therapy was around two months. Treatments were aimed at understanding and avoiding the predisposing factors, reversing the pathology (Samprapti Vighatana) and improving the quality of Dhatus (Rasayana), thereby improving the symptoms and arresting the progress of the disease. Scale for Assessment and Rating of Ataxia (SARA) score on 23/12/2020 and 19/02/2021 showed progressive improvement while discharging. Keywords: Vata Vyadhi, Avarana, Dhatukshaya, Spinocerebellar ataxia, Neurodegeneration

AROHANA KRAMA MATRA BASTI IN JANU SANDHIGATA VATA: A CASE STUDY

Ayurveda (Science of life) has explained about the pathogenesis and the treatment of various disorders, the incidence of some of which have increased in the present scenario due to altered diet habits and lifestyle. Janu Sandhigata Vata is one among the Vata Vyadhi which causes a lot of inconvenience and disability in day-to-day activities. It is compared to Osteoarthritis of knee in modern Science. In this case study, a female aged about 57 years presented in the OPD of SSCASRH, Bengaluru was diagnosed with Janu Sandhigata Vata of both the knee joints. Arohana Krama Matra Basti with Prasarini taila was planned as per Sharangadhara’s reference. There was significant improvement in the patient and was evaluated after treatment and also during follow up. There was marked relief with respect to her subjective complaints like pain, improved joint space, walking time, degree of flexion and extension & X ray. This type of Arohana Krama Matra Basti can be adopted in future for planning treatment in Janu Sandhigata Vata and also taken up in a larger group study to check for better relief, long term effect and reduced side effects. The case is further elaborated in the article

A Comparative Clinical Study of Agnikarma (Therapeutic Heat Burn) with Suvarna Shalaka (Rod of Gold) and Panchadhatu Shalaka (Rod Made Up of Five Metals) in Janusandhigata Vata W.S.R to Osteoarthritis of Knee Joint

Janu Sandhigata Vata is the commonest form of Vata Vyadhi confronted by the Ayurvedic physicians. The classical description of Sandhigata Vata looks identical to the Osteoarthritis (OA) of the knee joint. Providing relief from the joints pain and stiffness, limiting functional impairment and increasing mobility are the main principles of its management. In Ayurveda, Agnikarma (therapeutic heat burn) is prescribed as one of the therapeutic measures for the effective management of Janu Sandhigata Vata . The objective is to evaluate and compare the efficacy of Agnikarma with Suvarna Shalaka and Panchadhatu Shalaka in management of Janu Sandhigata Vata w.s.r to Osteoarthritis of knee joint. The trial was carried out by randomly including the patients into two groups, of thirty each. Group A patients were treated by Agnikarma with Suvarna Shalaka and Group B with Panchadhatu Shalaka . Agnikarma was done in four sittings with a weekly interval. The patients were assessed in each sitting immediately after the treatment and a follow up was done after 15 and 30 days. The test significantly showed that Agnikarma using Suvarna Shalaka was statistically significant in reducing pain, tenderness, crepitus, swelling, angle of extension and angle of flexion. On comparison the Suvarna Shalaka is statistically more significant in pain, tenderness, crepitus, swelling, angle of extension and angle of flexion than that of Agnikarma done using Panchadhatu Shalaka . The Agnikarma using Suvarna Shalaka is found to be more beneficial than the Agnikarma using Panchadhatu Shalaka in the prime symptoms of the Janu Sandhigata Vata (Osteoarthritis).

CLINCAL EVALUATION OF MASHADI TAILA NASYA IN MANYA STAMBHA WITH SPECIAL REFERANCE TO SHARANGDHAR SAMHITA

Manyastambha is the clinical entity in which the back of the neck becomes stiff or rigid and the movements of the neck are impaired. Manyastambha can be co-related with Cervical Spondylosis in modern prospective. According to Aacharya Sushruta, sleep in day time, leaning or sleeping on an uneven place, constantly gazing upwards lead to the disease Manyastambha having the symptoms of Manyashool, Manyastambha, Bahushosha and Greevashool. Nasya Karma, being the treatment of choice in Urdhvajatrugata Vata Vyadhis, is adopted in the management of Manyastambha. Nasya by Mashadi Taila is a drug of choice in Manyastambha mentioned by Aacharya Sharangdhar. As Manyastambha is one of the Vatavyadhi, Snehana or Buhana Nasya is benecial. The medicines used for the preparation of Mashadi Taila are having the Vata Kaphahar Properties. Punarnava, Shunthi, Prasarini, Rasna, Shatapushpa and Pippali are having the properties of Ushna, Katu, Tikta. These all Gunas are the antagonist of Vata and Kapha Dosha which is present in Manyastambha Vyadh

CLINICAL STUDY OF GUGGULU GOLD AND GUM SHALLAKI ALONG WITH PANCHKARMA THERAPIES IN THE MANAGEMENT OF SANDHIGHATA VATA W.S.R OSTEOARTHRITIS

In Vriddhavastha, most of the Dhatus Kshaya, which in turn leads to Vataprakopa and thus making individuals prone to many diseases. Among these diseases, Sandhigata Vata is one type of Vata-Vyadhi, which is the commonest form and occurs mainly due to sitting jobs, air conditioner atmosphere, lack of proper healthy diet, travelling and old age etc. Sandhigata Vata is one of the most common Vatavyadhi, which can be correlated with osteoarthritis. The prevalence rate of Osteoarthritis is about 14.8 %, in which knee osteoarthritis prevalence rate is 10.8% which is more than the arthritis of other joints1. The incidence of osteoarthritis in India is as high as 12%. It is estimated that approximately four out of 100 people are affected by it. Osteoarthritis is the most common articular disorder which begins asymptomatically in the 2nd & 3rd decades and is extremely common by age 70. Almost all persons by age 40 have some pathologic change in the weight-bearing joint. 25% of females & 16% of males have symptomatic osteoarthritis. When we talk about healthy joints, there is a coating of tough but smooth and slippery tissue, called cartilage, which covers the surface of the bones and helps the bones to move freely against each other. When a joint develops osteoarthritis, part of the cartilage thins and the surface becomes rougher, which in turn doesn't allow the joint to move as smoothly as it should. When cartilage becomes damaged, all the tissues within the joint become more active than normal as the body tries to repair itself. But these repair processes are going to change not only the structure of the joint but will often allow the joint to work normally and without any pain and stiffness. Acharya Charaka has mentioned "Sandhi Gataanila”, which means vata gets located in the Sandhi and thereafter results in Sandhigatavata. Allopathic treatment has its limitation in managing this disease. It can provide either conservative or surgical treatment and can only subside the pain but not cure the cause of diseases. While traditional life science Ayurveda has the most effective solution over this. Local Abhyanga and Nadi Sweda were selected for the present study in one group, as it has shown best for the Vata Vyadhis. Here local Abhyanga was given with Bala Taila because Bala Taila and Nadi Sweda are having Vatashamaka and Rasayana properties. While in the case of another group, Guggulu gold along with gum shallaki followed by local Abhyanga and Nadi Sweda were given to the patients. Keywords: Vridhavastha, Dhatus Kshaya, Sandhigata Vata Abhyanga, Vatashamaka, Rasayana, Guggulu gold, Gum Shallaki, Nadi Sweda

REVIEW ARTICLE ON AYURVEDIC APPROACH SANDHIGAT VATA W.S.R. TO OSTEOARTHRITIS

Ayurveda the science of life, healthy and higher longevity are always desirable from it. In today's modern era due to atmosphere, lack of proper healthy diet, travelling and old age etc. metabolic and degenerative disease of connective tissue and the joint problem is quite affluent, and the disease occurrence starts early. Sandhi- gatavata (Osteoarthritis) is a disease due to vitiated Vata in various Sandhi or joints in the body. It is de- scribed under Vatavyadhi in almost every literature of Ayurveda. Clinically the description of Sandhigata Vata explained in theclassical texts is like the condition osteoarthritis in modern science. Sandhigata Vata is described under Vatavyadhi in all the Samhitas and Sangraha Granthas. Ayurveda highlighted degenerative diseases under the concepts like “Dhatu Saithilyam” and “Dhatu Kshayam”. Sandhigata Vata is one such disease, which needs a specific target of therapeutic intervention to check or slow down the process of “Dhatu Kshaya” and to pacify Vata. Sandhigatavata may be correlated with degenerative joint disease or Osteoarthritis, which in turn cripples the patient to the maximum, extends and reduces the total working ca- pacity of the person. It limits everyday activities such as walking, dressing, bathing etc., thus making indi- viduals handicapped. Keywords: Sandhigatavata, Osteoarthritis, Joint, Vata Vyadhi.

Ayurveda Management of Kampavata with special reference to Parkinson’s Disease- A Single Case Study

Parkinson’s disease is a progressive degenerative neurological disorder which mainly affects the motor system of body and it is characterized by resting tremors, slowness of movements, rigidity, gait disturbances/postural instability. It is correlated with Kampa Vata [Disease associated with tremors in body] in Ayurveda, [Indian ancient science for healthy life] as it is characterized by Sarvanga Kampa / Shiro Kampa [tremors all over body or tremors in head]. It is a Vata Vyadhi [principal element of body which caused diseases] which occurs due to pathological increase of Chala Guna [Moving property] of Vata. [Principal element of body] Treatment consists of both internal and external administration of different forms aimed to reverse pathology of Vata imbalance. Here, a case of 57 years male patient presented with tremors in both hands and neck, unable to walk without support since 12 years. Patient was treated with Panchakarma therapies; like Sarvanga Abhyanga, [External oil massage] Nadi Sweda, [sudation theorapy] Shiro Abhyanga [Head massage], Shiro Pichu [Oil soaked cotton pad putting on head] and Shiro Basti [Retension of oil on head] and Shamana Aushadhis like Tab Vatachintamani Rasa, Kapikachu Beeja Choorna [Mucuna pruriens], Ashwagandha Choorna, [Withamnia somnifera] Cap Ksheerabala 101, Avipatikara Choorna for 1 month. The patient got remarkable relief in symptoms with above Panchakarma and Ayurveda medicines.

Comparative Assessment of Kukkutanda Pinda Sweda and Patra Pinda Sweda in the Management of Manyastambha (Cervical Spondylosis) - A Study Protocol

Background: At the present time, human beings are easily prone to get several degenerative disorders because of their stressful and reckless lifestyle. 'Manyastambha' is one such lifestyle disorder instigated from excessive use of vehicle, excessive travelling, continuous sitting and working for hours, jobs that require heavy lifting or a lot of bending and twisting, lack of exercise, unhealthy food habits and suppression of natural urges. Thus the avoidance is not possible, and a better curative area is to be identified. Ayurveda suggested many treatments for Vata vyadhi. The cervical problems mimic the Vata disorders. Thus the Vata managements of Kukkutanda pinda Sweda and Patrapinda Sweda through local apply manya-pradesh are better management for the identified clinical condition Manyastambha (Cervical Spondylosis) in the present study.
 Aim: studies the effect of Kukkutand Pinda Sweda and Patra Pinda Sweda and compare the impact of both procedure in the management of Manyastambha (Cervical Spondylosis).
 Objectives: To Comparative assessment of Kukkutanda Pinda Sweda and Patra Pinda Sweda in the Management of Manyastambha (Cervical Spondylosis). And to compare the effect of Kukkutanda pinda Sweda and Patra Pinda Sweda on pain, stiffness in neck bones and joints and X-rays Cervical spine and Goniometer Study.
 Methodology: In this study, 60 patients will be divided randomly into two groups (30 in each). In Group (A) –Kukkutanda pinda Sweda will be externally administered a day at morning for 15-20 minutes or samyak swinna lakshan for 7 days. In Group (B) – Patra pinda Sweda will be externally administered a day at morning for 15-20 minutes or samyak swinna lakshan for 7 days, and an assessment will be recorded on 0 and 7th and 15th day.
 Results: Changes will be observed in objective outcomes.
 Conclusion: Based on the result conclusion will be drawn.

A Case study on Efficacy of Nasya karma with Karpasasthyadi thailam in the Management of Kaphavrutha Vata w.s.r Manyasthamba

Manyasthamba (Cervical Spondylosis) is one among the Eighty Nanathmaja Vata Vyadhi’s. Due to the Nidanas (Etiology) like sleeping during day time, sitting and standing on irregular postures, constantly gazing upwards.Avarana is one of the pathological processes of Vata vitiation. Avarana is the disturbed movement of Vata due to obstruction by other factors in the body. Vata being aggravated, gets Avrutha by Kapha. Kaphavrutha Vata takes Ashraya (seat)in the Sira (arteries) and Snayu (Nerves) of Manya Pradesha (Nape of the neck) and produces Lakshanas ( Symptoms) like Sheetata ,Shopha (Swelling), Gaurava (Heaviness), Ruk (Pain) and Chesthastambha ( Lack of expression) we can correlate cervical spondylosis with Manyastambha which has dominancy of Vata-Kaphaja Dosha.
 
 Cervical spondylosis is a degenerative disease of cervical spine. It is age related degenerative disease but the incidence is increasing day by day due to strenuous activities, faulty postures and long hours desk work cervical spine go through various wear and tear processes because of which the gap between the two vertebrae reduces and the nerve passing through them get compressed and eliciting various symptoms like paraesthesia, radiating pain, numbness in hand, headache, dizziness. Modern medicine has no promising remedy for this disease yet. The general treatment protocol for Avarana is pacification of Vata along with cleansing of channels and treatment of encroaching Dosha. Nasya is considered as the best procedures for disease of head and neck. Ayurvedic classics has mentioned Nasya (earrhines) as the treatment for Urdhva Jatru Gata Vikara (supraclavicular region). Nasya(earrhines) karma has potent effect on Shroto Shodhan (Cleansing of micro channels) and to retard the Dhatukshaya (Depletion of Dhatus).

AYURVEDIC MANAGEMENT OF BELL’S PALSY IN CHILDREN: A CLINICAL CASE STUDY

Bell’s palsy is the most common, acute unilateral lower motor neuron nerve palsy and is characterized by sudden onset of weakness in the facial muscles to one side of the face controlled by the facial nerve due to uncertain post infective autoimmune disease. Incidence is approximately 40-75% and the cause is obscure. The therapeutic approach in children often involves a multidisciplinary team comprehending pediatrician, neurologist and physiotherapists. A 4 years old male child with chief complaints of deviation of mouth to left side for one day while attempt to speak and smile and partially opened right eye while sleeping since few hours associated with excessive lacrimation of right eye without any cause. Then the case has been diagnosed as Bell’s palsy based on clinical examination and internal medication along with Nasya procedure is administered there by child improved with this experience same treatment is being practiced in few more cases. In Ayurveda present condition can be compared with Ardita vata under one of Ashta mahagada i.e. under Vata vyadhi. Ardita vata is the broad term which includes all the kinds of facial palsies including Bell’s palsy. There is no exclusive treatment for Bell’s palsy but treatment mentioned for Ardita vata can be adopted like abhyanga, pata sweda and Nasya along with few internal medicines and considering these concepts treatment protocol has been made and executing in hospital of SJG Ayurvedic medical college and getting satisfactory treatment out come within 1-2 weeks without steroidal, antiviral and physiotherapy.

EFFICACY OF ERANDAMOOLADI BASTI IN THE MANAGEMENT OF JANU SANDHIGATAVATA VIS-A-VIS OSTEOARTHRITIS OF KNEE JOINT – AN OBSERVATIONAL CLINICAL STUDY

Janu Sandhigata vata is one such Vatavyadhi presenting with Sandhi shula, Sandhi shotha, Sandhi atopa and Prasarana Akunchana Vedana, resulting in limited range of movements, there by restricting daily activities of the individual. Janu Sandhigatavata is commonly identified with Osteoarthritis of Knee Joint characterized by pain, swelling & impaired movements. The prevalence of Osteoarthritis rises progressively with age and it has been estimated that that 45% of all people develop Knee Osteoarthritis in life. Osteoarthritis is more common in women than men. The existent line of treatment in contemporary field of medicine includes the administration of analgesics, NSAIDS, Intra articular steroids and surgical intervention in the form of Knee replacement, which all has their own limitation and meanwhile may have deleterious adverse effect. In this regard, there is a need for exploring the safe, effective and affordable line of treatment. Basti karma is a supreme treatment for Vata Vyadhi and also known as Ardha Chikitsa because of its multifaceted actions. Many Basti formulations are mentioned in classics among which Erandamooladi Bati was selected for the study because its dual action, does Vataghna and also relives Kapha Avarana. The results were statistically highly significant within the group.

AN AYURVEDIC APPROACH TO A CASE OF LOW BACK PAIN (KATIGRAHA) WITH SPECIAL REFERENCE TO LUMBAR SPONDYLOSIS

Katigraha is a condition where the lower back region is afflicted with Vitiated Vata and present with symptoms such as pain with stiffness. Katigraha mentioned in Ayurveda can be correlated with Lumbar spondylosis due to similarity of clinical manifestations. About 60% to 80% of the population in India suffer from this condition. The current case study was carried out at the Department of Panchakarma, B.S.D.Trust’s Ayurved Hospital and Research Centre,Wagholi,Pune. A 44 year male patient suffering with lumbar spondylosis was treated with samanya chikitsa of vata vyadhi i.e.Abhyanga, Swedana, Basti and Kati Basti treatment. Patient was treated for a period of 8 days. The response to the treatment was recorded and therapeutic effect was evaluated through symptomatic relief. Clinically, cardinal symptoms were significantly reduced and degree of anterior flexion increased from 40 degree to 90 degree. Radiographically, X Ray L.S. Spine showed an improvement in loss of lumbar lordosis. However, it still shows that the patient is suffering from lumbar spondylosis.

A LITERARY REVIEW ON GOKSHURADI GUGGULU WITH SPECIAL REFERENCE TO THE MANAGEMENT OF GOUT

Ayurveda with safe and effective goodness has been pouring its valuable treasures to mankind since time unknown. Guggulu preparations are supposed to be one among the finest shaman aushadha in the Vata vyadhis. Literature enlists a number of such guggulu preparations in the management of Vatarakta. In the present study literature regarding Gokshuradi Guggulu quoted in Sharangadhar Samhita for the management of Vatarakta is expounded with all possible details. Individual drugs of the chosen formulation is expanded with respect to their synonyms, botanical details including Latin name, family, botanical description and parts used, Rasa Panchaka, chemical constituents and modern research references related to Gout that can prove beneficial for mankind.

THE EFFECT OF RASNAAMRITADI KASHAYAM IN GRIDHRASI: A CASE STUDY

Gridhrasi is one of the 80 Nanatmaja Vata Vyadhi, which is caused by the aggravation of Vata Dosha; it can be divided into Vataja and Vatakaphaja. Gridhrasi can be equated with sciatica where pain, weakness, numbness and other discomfort along the path of sciatic nerve often accompanies with low back pain. In this study, 49 years old male patient complaints of low back pain radiating to both lower limb since one year, he was also complaining numbness on right lower limb. During clinical examination SLR test, Lasegue’s sign were positive on both lower limbs. He was diagnosed as Gridhrasi. Patient was advice to take Rasnaamritadi Kashayam twice daily in a dose of 50 ml one hour before meals. Rasnaamritadi Kashaya mentioned in Yoga amritam text Vata Vyadhi Chikitsa chapter. Drug mentioned in the yoga possess Vatahara, Kaphahara, Amapachana, Shoolahara and Shophahara property. After 30 days of treatment, he got 75% relief in low back pain and 90% relief in radiating pain and also there was an improvement in SLR and Lasegue’s sign.

“A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF SHEETALA JALA NASYA AND MASHA TAILA NASYA WITH RASNADI GUGGULU IN THE MANAGEMENT OF AVABAHUKA WITH SPECIAL REFERENCE TO FROZEN SHOULDER”

Avabahuka is a disease of Amsa Sandhi (shoulder joint) and it has been described under eighty types of Vata Vyadhi by Acharya Sushruta. Being a disease of shoulder joint, which has greatest range of motion, is of vital importance to the activities of daily routine work. This disease is a hindrance in one’s productivity. Various effective treatment modalities have been mentioned in our classics regarding this disease. In order to reverse the pathogenesis, Shodhana is advised initially followed by Shamana therapies. In the present study 40 patients were selected incidentally and placed randomly into two groups- A and B, with 20 sub-jects in each group. Group- A received Nasya with Sheetala Jala and Group- B received Nasya with Ma-sha Taila followed by Rasnadi Guggulu as Shamanoushadhi for both groups A and B. In both the groups after 7th day of Nasya Karma follow up was done. Assessment was done on the bases of symptomatology. Nasya Karma provided highly significant results in all the symptoms of Avabahuka. In the present study as per the clinical data, ‘Nasya with Masha Taila is found to be more effective than Nasya with Sheetala Jala’.

REVIEW ARTICLE ON ROLE OF SIRAVEDHAN IN GRIDHASI W.S.R. TO SCIATICA - A CONCEPTUAL STUDY

Katishool, low back ache (lumbago) is the most common problem in middle and old age people hampering the normal activity. There are several reasons associated with the pain such as – neurological, metabolic, degenerative, traumatic, bad posture, restless lifestyle, etc. Gridhasi is one of the Nanatmaja Vata Vyadhi, characterised by Katishool where the site of pain starts from the Sphika (back region) and then radiates to Kati, Pristha, Uru, Janu, Jangha, Pada in order. The signs and symptoms mentioned in ayurvedic texts resembles the medical condition named sciatica. Sciatica describes leg pain that is localised in the distribu-tion of one or more lumbosacral nerve roots, typically L4-S2, with or without neurological deficit. This causes abnormality in the gait of the patient. Gridhasi being a dominant lifestyle disorder needs a proper management and Siravedhan is one of the propitious managements of Gridhasi described in Ayurveda classics. Acharya Sushruta explained the importance of Siravedhan by accepting it as Ardha Chikitsa (half of the therapeutic measure) in Shalya tantra like Basti in Kayachikitsa. Acharya Sushruta also mentioned that the diseases which are not relieved so quickly by Snehana, Lepanadi measure, in this Siravedhan do wonders by acting as an emergency management to achieve good results.