Abstract

A COMPREHENSIVE REVIEW OF MANAGEMENT VATA-KAPHAJA GRIDHRASI WITH SPECIAL EMPHASIS ON RAKTAMOKSHANA (SIRAVYADHA)

*Dr. M. Puneet, Dr. Pradeep S. Shindhe and Dr. Akshay Kumar

Abstract

Gridhrasi, classified under Nanatmaja Vata Vyadhi in Ayurveda, presents with characteristic symptoms such as Ruk (pain), Toda (pricking sensation), Stambha (stiffness), and radiating pain from the hip to the lower limb. In the Vata-Kaphaja variant, additional features like Gaurava (heaviness) and Tandra (drowsiness) indicate the involvement of Kapha dosha, making the condition more chronic and resistant to treatment. Contemporary parallels can be drawn with sciatica, often caused by nerve compression or inflammation.Among the various treatment modalities mentioned in Ayurvedic classics, Raktamokshana, specifically Siravyadha (venesection), is highlighted as a Shodhana (purificatory) procedure useful in diseases involving vitiated Rakta and Vata. Siravyadha acts by relieving venous stasis, reducing inflammation, and improving circulation, thereby alleviating pressure on the sciatic nerve.[2,8] This review compiles evidence from classical Ayurvedic texts and modern clinical studies to assess the role and efficacy of Raktamokshana, especially Siravyadha, in the management of Vata-Kaphaja Gridhrasi. The integrated approach combining Shamana (palliative) and Shodhana therapies is also discussed to offer a holistic management strategy.

Keywords: Vata-Kaphaja Gridhrasi, Raktamokshana, Siravyadha, Sciatica, Vata Vyadhi, Ayurvedic Neurology, Bloodletting Therapy, Integrative Management.