OA03.15. A clinical study on the effect of ksheera vaitharana vasti in the management of gridrasi w.s.r. to sciatica

PURPOSE: Human beings are almost unique in standing upright posture balanced on two limbs. even though they are getting advantage of this posture,it also leads to considerable stress on the spine. the life style of a person has changed a lot in accordance with the time. As advancement of busy, professional and social life, improper sitting posture, jerking movements etc. all these causes undue pressure on the spine,as a result most common disorder of the spine low back ache occurs. Out of which 40% persons comes under sciatica. Gridhrasi is a soola pradhana vyadhi affecting the lower limbs with impairment of lifting of thigh. It can be compared with sciatica. In present study vaitharna vasthi mentioned in vangasena samhita in which goksheera as main ingredient is used to evaluate the effect in gridrasi. METHOD: Patients diagnosed as gridrasi according to classical signs and symptoms and positive SLR test were selected from O.P & I.P department of Dr.BRKR Govt. Ayurvedic Hospital. They were administered two cycles of vaitharana vasti in the form of yogavasti with gap of one week in between two cycles. Murchita tilataila is used for anuvasana. Saindava, guda, tilataila, amlika & goksheera are mixed in this order as vasthi vidhi. RESULT: The assessment of overall effect of therapy was based on both subjective and objective parameters. Subjective parameters include clinical features of gridrasi as per texts. Objective parameters include SLR test, numerical pain rating scale, oswestri disability index, X-ray of LS spine and MRI of LS spine. The results were found encouraging as there is significant reduction in pain & stiffness with improvement in straight leg raising. CONCLUSION: Vasthi is considered as the most powerful sodhana procedure and it is said to be ardha chikitsa. It is the most effective treatment for diseases which arising from vitiated vata. Since goksheera is the main in gradient, it is very effective in degenerative bony disorder or asthi dhatukshayajanya vikaras which is one of the main cause of sciatica.