Abstract

MANAGEMENT OF GRIDHRASI – A CLINICAL PERSPECTIVE

*Dr. P. V. N. R. Prasad, Dr. K. J. Lavanya Lakshmi and Dr. P. L. Alaekhya

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Abstract

Gridhrasi is a crippling disease that hampers the routine of life. It is considered one amongst the most Obstinate & Prominent types of Vata Vyadhis and is categorized under Nanatmaja Vata Vyadhi though occasional Kaphanubandha is seen. Its description is available in almost all the Classics of Ayurveda. The classics of Ayurveda have not mentioned any specific etiological factors but etiology of Vata Vyadhi is usually considered for Gridhrasi also. Gridhrasi is correlated to Sciatica of contemporary Medicine where it is considered as a symptom but not disease. It originates in the lumbar region, specifically in Sphik, Kati and Pakvashaya travelling along the sciatic nerve's path, before ending at the outside of the foot. The most frequent causes are disc herniation and degenerative changes, trauma such as spine twisting, carrying heavy objects, or exposure to cold which are frequently present in the past. The modem life style, dietary habits, injudicious ways of physical activities and also mental strain are said to have definite role in the occurrence. But the remedial measures & modalities available so far are unsatisfactory. Ayurveda offers a range of better options in the management of Gridhrasi. Though Apana and Vyana Vayu vitiation is observed, most of the times Kapha remains as associated Dosha. Hence, Ayurveda recommends drug with Madhura, Amla, Lavana rasa, Snigdha, Ushna guna, Vata shamaka, Kapha shamaka, Vatanulomaka, Dipana Pachana (digestive carminative), and Shula prashamana properties. Sushruta has advocated Agnikarma and Siravedha in Gridhrasi as superior to other treatment modalities and in addition to the conventional Panchakarma procedures.

Keywords: Vata Vyadhi, Nanatmaja Vyadhi, Gridhrasi, Sciatica, Siravedha.