Management of gridhrasi (sciatica) with agnikarma and raktamokshana: A review
Keywords:
gridhrasi, Bheshaja, Snehana, Swedana, Raktamokshana, Agnikarma & Basti, Raktamokshan, AgnikarmaAbstract
Pain is known as ruja which is synonyms of disease. It is the cardinal symptom in most of the Vatvyadhi’s. Gridhrasi is such a ruja pradhan vatvyadhi. In gridhrasi intense shooting pain characteristically radiates from sphika (gluteal region) to pada (foot)1. It disturbs daily routine & overall life of the patients because of continuous & stretching pain. It is one amongst the 80 types of nanatmaja disorders2. As in this disease the patient walks like the bird gridhra and his legs become tense & slightly curved, so due to the resemblance with the gait of a vulture, gridhrasi term might has been given to this disease. On the basis of symptoms of gridhrasi , it can be equated with the disease sciatica in modern science. In reference to sciatica treatment , medical science has only symptomatic management with analgesics like non - steroidal anti-inflammatory drugs. In some cases if nerve compression is more, surgical procedures like laminectomy, discectomy is indicated but these surgical procedures are expensive with their limitations. In Ayurveda, various methods used in the treatment of gridhrasi are Bheshaja, Snehana, Swedana, Raktamokshana, Agnikarma & Basti, out of which Raktamokshana and Agnikarma work effectively and gives immediate relief in the pain of sciatica.
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2. Dr. Brahmanand Tripathi, Charaka Samhita, Uttarardha, chapter no. 28 vatvyadhi chikitsa adhyay, verse no. 13, Chaukhamba Surbharati Prakashan, Varanasi, 2016, page no. 936
3. Arora V, Dudhamal TS, Gupta SK, Mahanta VD, Review of researches on Gridhrasi at IPGT and RA, Jamnagar, Indian J Ancient Yoga. 2013;6:31 – 6
4. Dr. Brahmanand Tripathi, Charaka Samhita, Uttarardha, chapter no. 28 vatvyadhi chikitsa adhyay, verse no. 56, Chaukhamba Surbharati Prakashan, Varanasi, 2016, page no. 947
5. Kaviraj Ambikadatta Shastri, Sushruta Samhita, Sutrasthana, chapter no. 12 agnikarmavidhi, verse no. 3, Chaukhamba Sanskrit Sansthan, Varanasi, 2015, pageno. 50
6. Dr. Brahmanand Tripathi, Charaka Samhita, Uttarardha, chapter no. 28 vatvyadhi chikitsa adhyay, verse no. 100 - 101, Chaukhamba Surbharati Prakashan, Varanasi, 2016, page no. 956
7. Kaviraj Ambikadatta Shastri, Sushruta Samhita, Sutrasthana, chapter no. 46annapanvidhi, verse no. 522, Chaukhamba Sanskrit Sansthan, Varanasi, 2015, pageno. 289
8. Dr. Brahmananda Tripathi, Ashtanga Hridayam, Sutrasthana, chapter no. 27 siravyadhavidhiradhyay, verse no. 15, Chaukhamba Sanskrit Pratishthan, 2014, page no. 297
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