Effect Of Siravyadha in The Acute Pain Management of Gridhrasi- A Case Study
Abstract
Introduction: Gridhrasi is a condition characterized by symptoms like Ruk, Toda, Stambha, Spandana at the Sphik Pradesha radiating downwards to Kati, Prishta, Uru, Janu, Jangha and Paada. It is included under the Shoola Pradhana Vataja Nanatmaja Vikara1. Gridhrasi has been a pain dominant lifestyle disorder which is commonly encountered in the current era due to improper lifestyle. Gridhrasi in modern parlance could be correlated to Sciatica which is characterized by piercing/pulling/aching type of pain felt at the lumbar region radiating along the course of Sciatic nerve from gluteal region to the thigh, calf and foot of affected lower limbs.
Case Study: A male patient of age 37 years, presented to our Kayachikitsa OPD with pain and stiffness in the lower back region radiating to right lower limb since 2 months associated with occasional tingling sensation and numbness in the right lower limb, which got worsen in the last 10 days. The patient was examined and detailed history of illness was recorded and was treated with Siravyadha by following Purva, Pradhana and Paschat Karma.
Observation and result: Patient got relieved from the symptoms like Ruk, Toda, Sthamba, Spandana. There was marked improvement in the SLR test, Bregard’s test and Range of movements of the Lumbar spine and right lower limb.
Conclusion: Gridhrasi involves Vyana Vata Dushti, Rakta and Kandara are majorly involved. Siravyadha will correct these major imbalances by letting out the vitiated blood. The procedure of Siravyadha was chosen because it requires less time, can be carried out at OPD level and gives immediate relief from the pain and stiffness.
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