Published Paper Details:

Gridhrasi is a ruja pradhana, nanatmaja vata vyadhi with symptoms like stambha, ruk, toda, spandana in sphik, kati, uru, janu, jangha, pada and sakthi utkshepa nigraha. When Gridhrasi is associated with Kapha symptoms like arochaka, tandra and gaurava are noticed. Basti one among the panchakarma, considered as chikitsardha by Acharya Charaka. Basti when administered enters into pakwashaya and removes the vitiated doshas situated in the body from head to toe. It is used in the diseases of vata, pitta, kapha, samsarga and sannipata conditions. Gridhrasi can be compared to sciatica, as there is close resemblance in manifestation of both conditions. Sciatica is relatively common condition with lifetime incidence varying from 13% to 40%. Several observational studies have suggested that pressure on nerve roots are involved in the development of sciatic neuralgia. The evidences suggest that a complex interplay of inflammatory, immunological, and pressure related processes may be involved. Hence, Sciatica is a condition to be approached from a multi model, multi-disciplinary perspective. To deal with above situations an Ayurvedic management seems to be a best approach. Basti has been mentioned in our classics for the management of Gridhrasi. Pain is one of the cardinal features of Vata and Basti is the choice of treatment for Vatavyadhi. Hence in this present study an attempt was made to evaluate the effect of Vaitrana basi and Churna basti for management of acute pain in Gridhrasi with special reference to sciatica. STUDY DESIGN: A randomized comparative clinical study of 40 patients in which 20 patients in group A were subjected to Vaitarana Basti and 20 patients in group B were subjected to Churna Basti. The assessment was done before the day of initiation of treatment, after treatment and after follow up. The observations and results were tabulated and statistically analyzed with relevant parameters. RESULT:Both group A and group B showed highly significant results in the management of Gridhrasi. Statistically Group A showed better results when compared to Group B in all the parameters.