Evaluation of the Efficacy of Sahachara oil Kati Vasti and Sinhasya Danthi Kashaya in the Management of Gridhrasi; A Case Series
Rajakaruna BGMK
Jayawardhane NDN
ABSTRACT
Gridhrasi is a pain predominant most prevailing health problem which has categorized under Vata Vyadhi in Ayurvedic literature. The Gridhrasi suggests an abnormal gait in the patient, similar to that of a vulture, due to the effect of the Gridhrasi Nadi. Signs and symptoms of Gridhrasi closely enumerated with the symptoms of Sciatica which is described in modern medicine. In the present era the incidence rate of lower back pain is quite significant, affecting more than 75% of the world population. Most of the conventional systems of medicines have short term pain relief treatments or the surgical interventions which may lead to postoperative complications or adverse effects. In Ayurveda, it has various treatment modalities for the Gridhrasi disease based on the holistic approach. Among them Vata shamana treatment has focused to reduce the pain and abnormal gait of the patient. The present study was conducted to evaluate the efficacy of Sinhasya Danthi decoction along with Sahachara oil Kati Vasti for two weeks including before treatments, after day 7, and at the end of the treatment. The Straight Leg Raising Test (SLRT), lumbar sacral range of motion and Visual Analog Scale (VAS) served as assesment critaria, with lumbar sacal x-ray used for diagnosis. At the end of the treatment, patients showed increased SLRT, reduced VAS score and improved quality of life achieving approximately 85% pain relief and 90% improvement in restricted movements. The findings suggest potential benefits for future treatment strategies.
Key words: Gridhrasi, Sahachara oil, Sciatica, Sinhasya Danthi decoction, Vata Shamana