Abstract

A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF MADHUTAILIKA VASTHI AND GUDATAILIKA VASTHI IN THE MANAGEMENT OF VATA KAPHAJA GRIDHRASI W.S.R. TO SCIATICA

Mariya Joseph*, Sanath Kumar D. G. and Dr. Smitha P. K.

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Abstract

Introduction: Gridhrasi is one amongst the eighty Nanatmaja Vata Vyadhis. Gridhrasi is characterized by pain which radiates from the Sphik to Kati, Prishta, Uru, Janu, Jangha and Pada. Acharya Charaka has mentioned that Gridhrasi is of two types i.e., Vataja and Vata Kaphaja. The Lakshanas like Tandra, Gaurava and Arochaka are found along with the radiating pain in Vata Kaphaja Gridhrasi. It can be correlated to “Sciatica” in modern medicine. Sciatica, is a painful condition, in which, pain starts in the lumbar area, and radiates along the course of the sciatic nerve. Vasthi is said to be the best line of treatment for Vata Dosha. The most of the ingredients of the Madhutailika Vasthi and Gudatailika Vasthi are Vata Kaphaghna in nature. Methods: The study design selected for the study was a comparative clinical study. The sample size for the study was 30 patients suffering from classical Lakshanas of Vata Kaphaja Gridhrasi as per the selection criteria. Vasthi Karma was done in 15 patients in two groups, Group A with Madhutailika Vasthi and Group B with Gudatailika Vasthi. The assessment of the results was done on the basis of readings of Subjective parameters like Sthambha, Ruk, Toda, Spandana, Tandra, Gourava, Arochaka and Objective Parameters like Sakthi Utkshepa as per the selection criteria. Vasthi Karma was done in 15 patients in two groups, Group A with Madhutailika Vasthi and Group B with Gudatailika Vasthi. The assessment of the results was done on the basis of readings of Subjective parameters like Sthambha, Ruk, Toda, Spandana, Tandra, Gourava, Arochaka and Objective Parameters like Sakthi Utkshepa Nigraha, ODI, SBI, SFI before the treatment, after treatment and after follow up. Results: In Group A (Madhutailika Vasthi), The Subjective parameters Sthambha, Ruk, Toda, Spandana, Tandra, Gourava and Objective Parameters ODI, SBI, SFI had shown statistically highly significant as P value was < 0.001 and Subjective parameter Arochaka and Objective Parameter SLR shown non-significant as P value was > 0.001. In Group B (Gudatailika Vasthi), The Subjective parameters Sthambha, Toda, Gourava and Objective Parameters ODI, SBI, SFI had shown statistically highly significant as P value was < 0.001 and Subjective parameters Ruk, Spandana, Tandra, Arochaka and Objective Parameter SLR shown non-significant as P value was > 0.001. Conclusion: Both procedures showed highly significant result in reducing the symptoms. Comparatively Madhutailika Vasthi showed more effective than Gudatailika Vasthi.

Keywords: Vata Kaphaja Gridhrasi, Sciatica, Anuvasana Vasthi, Murchitha Tila Taila, Niruha Vasthi, Madhutailika Vasthi, Gudatailika Vasthi.