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ANALYSIS OF PANCHAKARMA RESEARCHES DONE IN THE MANAGEMENT OF GRIDHRASI
- 2. ANALYSIS OF PANCHAKARMA RESEARCHES DONE IN THE MANAGEMENT OF GRIDHRASI Guided by Dr. Muralidhar P. Pujar Professor Presenter Dr. Annie Sebastian 2nd year PG Scholar DEPARTMENT OF PANCHAKARMA SRI DHARMASTHALA MANJUNATHESHWARA COLLEGE OF AYURVEDA AND HOSPITAL, HASSAN 12/29/2017 2
- 3. CONTENTS ï¶GRIDHRASI â INTRODUCTION ï¶PANCHAKARMA IN GRIDHRASI ï¶RESEARCHES IN GRIDHRASI ï¶ANALYSIS ï¶DISCUSSION ï¶CONCLUSION 12/29/2017 3
- 4. INTRODUCTION ï Gridhrasi is very common disease in present times. ï More than 10 million cases / year in India (13-40%) ï 1956 patients approached our hospital last year 12/29/2017 4 Ch.Chi.28/56
- 5. ïShooting pain along the cutaneous distribution of the sciatic nerve and its terminal branches is known as sciatica.12/29/2017 5
- 6. VATAJA âą Ruk âą Toda âą Stambha âą Muhuspandana VATAKAPHAJA âą Tandra âą Gaurava âą Arochaka are the additional symptoms found. 12/29/2017 6
- 7. SAMANYA VATA CHIKITSA SUTRA (Ch. Su.20/13) VISHESHA à€ à€šà„à€€à€°à€Ÿ à€à€Łà„à€Ąà€°à€Ÿ à€à„à€Čà„à€«à€ź à„ à€žà€żà€°à€Ÿà€Źà€žà„à€€à€€ à€ à€žà„à€šà€żà€à€źà€ź à€ à€à„à€°à„à€§à„à€°à€żà„à€·à„ à€Șà„à€°à€Żà„à€à„à€à„à€€............................................... // ( Cha.Chi 28 / 101 ) Ahara Madhura, Amla, Lavana Snigdha, Ushna Vihara Panchakarma Abhyanga, Utsadana, Parisheka Anya Matra, Kala Etc. 12/29/2017 7
- 8. ACHARYA CHIKITSA SUTRA Sushruta (Su.Chi.5/23) Siravyadha Vagbhata (A.Hr.Su.27/17) Siravyadha Vangasena (vatavyadi adhikara 574-75) Deepana, Pachana, Swedana, Mardana, Basti, Upanaha, Vamana, Virechana, Agnikarma Chakradatta (vata vyadi adhikara 22/ 48-50) Pachana, Shodhana, Basti, Shastrakarma Yogaratnakara (Y.R. 25/ 68-71) Siravyadha, Agnikarma Bhavaprakash (vata vyadi adhikara 24/ 133) Virechana, Vamana, Basti 12/29/2017 8
- 9. 12/29/2017 9
- 10. 12/29/2017 10
- 12. GROUP A- Abhyanga with Mahanarayana taila along with bhujang & shalabh asana GROUP B- Only bhujang & shalabh asana Duration â 4 weeks CONCLUSION- Group A showed statistically significant role in reducing symptoms. 12/29/2017 12
- 13. Condition Treatment principle In vata predominant condition Snehana In sama vata conditions Start with rukshana to attain niraama condition followed by snehana In state of vatakaphaja condition Start with rukshana 12/29/2017 13
- 15. EFFECT OF ERANDA PATRA PINDA SWEDA AND JAMBEERA PINDA SWEDA IN GRIDHRASI- A COMPARATIVE STUDY BY DR. RATHOD NIDHI (M.I.A.M.S. Manipal) 2015-16. SAMPLE: 40 Patients METHODOLOGY: Group A- Eranda patra pinda sweda Group B-Jambeera pinda sweda RESULT: Both sweda are having effect on gridhrasi symptoms. 12/29/2017 15
- 16. METHODOLOGY: Kati basti with Vajigandhadi taila x 6 days for 24 patients CONCLUSION: Patients got relief in shula, stambha. 12/29/2017 16
- 17. GROUP A- Manual pressing of MTrPs followed by Dhanyamla dhara GROUP B- Only Dhanyamla dhara CONCLUSIONS- Group A got better results. 12/29/2017 17
- 18. Condition Treatment principle In vata predominant conditions Snigdha sveda Eg: PPS, Taila Dhara, Kati Basti In sama vata conditions Ruksha sveda - Snigdha Eg: Dhanyamla dhara, Valuka sveda, Chincha lavana pinda sveda In vatakaphaja condition Start with ruksha sweda 12/29/2017 18
- 20. GROUP A- Karma basti for 21 patients GROUP B- Karma basti for 16 patients after vamana karma CONCLUSION- Group B was more effective than group A. 13% got complete cure. 12/29/2017 20
- 21. 12/29/2017 21
- 22. Just as the ghrita goes waste when poured into a hawan with ashes, similarly without cleansing the body of its doshas through vamana, administering basti is of little use. 12/29/2017 22
- 24. SAMPLE : 25 Patients of Gridhrasi METHODOLOGY: Classical Virechana. Maharasnadi kashaya + yogaraj guggulu CONCLUSION: 10 patients-cured, 12- markedly improved, 3 â improved. 12/29/2017 24
- 25. METHODOLOGY: Sarvanga abhyanga +PPS, Nitya virechana CONCLUSION: Nitya Virechana with eranda beeja payas which acts as vatanulomana & relaxes spinal muscles 12/29/2017 25
- 26. METHODOLOGY : Ama pachana â Chitrakadi Vati Virechana for 1 day Sarvanga abhyanga + PPS (Ashwagandha Bala Lakshadi taila) x 7 days Kati Basti with Ksheera Bala Taila x 7 days CONCLUSION: Patient got 70% relief.12/29/2017 26
- 27. Condition Treatment principle Bahudoshawastha, balawaan rogi, upasthita doshavastha Classical virechana Sukumar rogi, lagu vyadhita, patients unable to undergo the process of classical virechana Nityavirechana Sukumar rogi, attaining koshta shuddhi. Sadhyo-virechana 12/29/2017 27
- 29. SAMPLE: 10 Patients of Vatakaphaja Gridhrasi METHODOLOGY: Anuvasana basti with Sahacharadi Taila & Erandamuladi Niruha Basti. CONCLUSION: 10% cured, 60% marked improvement, 30% improved. 12/29/2017 29
- 30. SAMPLE: 40 patients METHODOLOGY: Matra Basti [Svadamstradi Taila for 14 days] CONCLUSION: Showed significant improvement 12/29/2017 30
- 31. GROUP A- 30 days (30 patients) GROUP B- 18 days (30 patients) METHODOLOGY: Karma Basti in 2 formats- Anuvasana basti with Vajigandhadi taila & Vrishadi niruha basti CONCLUSION: Group B shows better results 12/29/2017 31
- 32. ï EFFECT OF KSHEERA VAITARANA KALA BASTI ADMINISTERED IN MODIFIED SCHEDULE IN THE MANAGEMENT OF VATAJA GRIDHRASI BY DR. ARYAN S NAMBOODIRI âSDMCAH HASSAN-2012. ï SAMPLE: 30 patients ï METHODOLOGY: Modified ksheera vaitarana kala basti (10 days) ï CONCLUSION: All the parameters shown good result in gridhrasi 12/29/2017 32
- 33. Condition Treatment principle Durbala Vata vikara, Bhara Vyayama Adhva Yana Stri karshita, Bala, Vriddha, Sukumara, Alpaagni Matra basti Gambhira roga with kupita vata, Balavan rogi Karma basti Madyama bala rogi with pitta samsarga, Madyama marga roga Kala basti 12/29/2017 33
- 34. Condition Treatment principle Kapha samsrushta vata, Alpa vata condition Yoga basti Kati shula, Amavata, Uru prushta shula, Gridhrasi, Vata vitiation Ksheera Vaitarana basti 12/29/2017 34
- 35. ï When other treatments fails to manage the diseases. 12/29/2017 35
- 36. SAMPLE: 10 patients with severe pain METHODOLOGY: Deepana, Pachana , Sasneha yavagu in morning, S.A. with tila taila + B.S X 3 days Day 3- Siravyadhan on antara-kandara gulpha CONCLUSION: 3 - Cured, 6- marked improvement, 1- moderate improvement. 12/29/2017 36
- 37. SAMPLE: 35 year old male patient of vatakaphaja gridhrasi METHODOLOGY: Eranda muladi kala basti + 2 leeches applied to lumbosacral region twice in a gap of 7 days [2 sittings ] CONCLUSION: Got symptomatic relief after leech application12/29/2017 37
- 38. Important âą Non-recurrence of disease âą Success in diseases incurable by drugs (Su.Su. 12/3) 12/29/2017 38
- 39. SAMPLE: 40 patients Group A- Agnikarma- on 1st, 8th & 15th day Group B- Katibasti with ksheera bala taila x 7 days CONCLUSION: Group A got better reduction in pain. 12/29/2017 39
- 40. SAMPLE: 22 patients(total 6 sittings with a gap of 7 days in between) GROUP A: Lauha shalaka GROUP B: Tamra shalaka GROUP C: Panchadhatu shalaka CONCLUSION: Panchadhatu shalaka showed better improvement (50% complete relief)12/29/2017 40
- 41. SAMPLE: 20 patients (10 in each group) Group A- Kati basti with sahacharadi taila x 7 days Group B â Agnikarma with datura patra CONCLUSION â Both groups gives highly significant results 12/29/2017 41
- 42. Condition Treatment principle In stambha & pitta samsrushta Raktamokshana In gourava, ruk, toda Agnikarma 12/29/2017 42
- 43. THESIS DONE IN OUR DEPARTMENT ON GRIDHRASI Name of scholar Topic Year Dr. B.A.Lohith A comparative study on the role of yoga basti and agnikarma in the managemet of gridhrasi 2006 Dr. Mohammad Fayaz Comparative study on arohana and standard matra basti with K.B. taila in the management of vataja gridhrasi 2009 Dr. Rahul Mahesh K.M. A comparative study on uttama and heena matra of erandamooladi niruha yoga basti in the management of vatakaphaja gridhrasi 2010 Dr. Shivani Tyagi A comparative study of erandamooladi niruha basti with and without gomutra arka in the management of vatakaphaja gridhrasi 2012 12/29/2017 43
- 44. THESIS DONE IN OUR DEPARTMENT Name of scholar Topic Year Dr. Aryan S. Namboodiri Effect of ksheera vaitarana kala basti administered in modified schedule in the management of vataja gridhrasi 2014 Dr. Shruti S. A clinical study to evaluate the efficacy of vrusadi basti in management of vatakaphaja gridhrasi (sciatica) 2015 Dr. Imli Kumba A clinical study to evaluate the efficacy of madhu ghritadi yapana basti in the management of vataja gridhrasi (sciatica) 2016 Dr. B A Lohith (Phd thesis) A comparative clinical study on kala basti schedule in the management of gridhrasi 2015 12/29/2017 44
- 47. CLINICAL PRESENTATIONS OF GRIDHRASI BALA BALAVAN DURBALA DOSHA VATAJA VATA KAPHAJA ABHIGATAJA 12/29/2017 47
- 48. ï Severe pain â Sira Vyadha ï Gourava, Stamba - Agnikarma Balavan Vata Shodhana - Virechana Snehana â Abhyanga Swedana â PPS, Kati Basti Basti â Kala, Karma, Vaitarana Brumhana - SSPS Balavan Vatakapha Rukshana â Dhanyamla Dhara, Deepana, Pachana Shodhana - Vamana Snehana â Abhyanga, JPS Basti â Karma,Kala, Shodhana Brumhana - SSPS 12/29/2017 48
- 49. ï Severe pain â Sira Vyadha ï Gourava, Stamba - Agnikarma Durbala Vata Mridu Shodhana â Sadyo Virechana Snehana â Abhyanga Swedana â PPS, Kati Basti, Taila Dhara Basti â Matra Basti, Yapana Basti Brumhana - SSPS DurbalaVatakapha Mridu Rukshana â Dhanyamla Dhara, Deepana, Pachana Snehana â Abhyanga Swedana â CPS, CLPS, Kati Basti Basti â Yoga,Kala Brumhana - SSPS 12/29/2017 49
- 50. ABHIGHATAJA Snehana - Abhyangam Swedana â DMQ/BMQ KP Dhara, Kati Basti with Vasa / Murivenna taila Basti â Matra Basti, Mustadi Yapana Basti Brumhana â SSPS 12/29/2017 50
- 51. s MAINTAIN POSTURE HARD BED PADA ABHYANGA MATRA BASTIDINACHARYA RITUCHARYA RITU SHODHANA 12/29/2017 51 CONCLUSIONCONCLUSION
- 52. Effective and indepth researches should be conducted and carried out by our scholars, in order to promote this as a holistic science of life, which gives equal importance to treating the disease as well as preventing it. 12/29/2017 52
- 53. REFERENCES ï Charaka Samhita ï Sushruta Samhita ï Astanga Hrudaya ï Vangasena ï Bhava Prakasha 12/29/2017 53
- 54. 12/29/2017 54
Hinweis der Redaktion
- CH. CHI. 28/56
- Pain usually begins in the gluteal region and radiates along the back of the thigh and the lateral side of the leg, to the dorsum of the foot.Many scholars today corelate Gridhrasi with Sciatica. So, this is a brief introduction to Sciatica.
- Ruk (pain),Toda (pricking sensations),Stambha (Stiffness),Muhuspandana (pulsating pain).tandra-drowsiness, gaurava-heaviness, arochaka-anorexia
- Siravyada in b/n antara-kandara-gulpha, bastikarma & agnikarma are told by acharya charaka
- Sushruta & Vagbhatta have mentioned Siravyadha as a major therapy for curing this disease. Agnikarma has also been included by Charaka, Chakradatta, & in Gadanigraha. The procedures usually included under poorvakarmas, viz. Snehana & Swedana have also been mentioned
- Snehana is the procedure which brings snigdhata,(unctousness),liquefaction,softness and moistness to the body
- 30 patients in each group,18-65 yrs,snehana-reduces pain,stiffness.it improved when added with asanas
- One which reduces stiffness,heaviness,cold and causes perspiration.Here I am including pps,k.basti,dhara etc procedures
- 30 min. x7 days.sth abh with murchita taila.eranda patra-more effective in vataja symptoms, jambeera- more effective in vatakaphaja condition.
- Pts with pratyatma lakshana of gridhrasi 20-70 years, with +ve physical signs .300 gm wheat flour,same dough used for 2 days, standardized-250 ml oil â 4 cm height of dough, 12 cm diameter done till samyak swinna lakshana ie.30-50 min.follow up till 30th day. Vajigandhadi taila-vatakaphahara,balya, sothahara,vedanastapaka,brumhana.
- 90 patients -45 in each.Neuromuscular therapy: (Trigger point therapy) is a very specific form of body work, the goal of which is to re- establishes a balance between the nervous system and muscular systems thereby balancing the bodyNeuromuscular therapy: (Trigger point therapy) is a very specific form of body work, the goal of which is to re- establishes a balance between the nervous system and muscular systems thereby balancing the body
- Vamana- sneha goghrita, abh. With dasamoola taila +BS. After vamana on 9th day- Vajigandhadi A.B. 100-150ml& Vrishadi niuha basti 750-1000ml. Group A-80%-modera./13%-mild impr./.67% marked imp. Group B-13%-cured,26%-marked imp,53%-moderate. G âA-20% &B-13%-recurrence.
- {deepana pachanaâsnehapana (shudda ghrita)âabhyanga (bala taila) âBashpa swedaâVirechana (eranda taila 50 ml+panchakola kwatha 50 ml âSamsarjana krama accordingly} s
- 54 yr.old male pt.h/o 6 months,asso.with constipation.Eranda beeja-5,7,10,12,15,12,10,7,5/day- vega 1,2,3,4,5,3,3,2,2 (since pakvashaya main site of vata). 200ml water+beeja- reduced to 50ml,add 50ml milk,again reduce to 50ml.ernd payas vatakaphahara, amashodana, shothahara, angamarda prasamana, srotovishodana.
- 70 yr old male pt.Virechana GH taila 30 ml x1 day-vatanulomana,s.a+pps-muscle strengthening,katibasti-local effect. Orally-rasnadi gu.1tid, TDG 1td, maharasnadi ks 15ml bid,triphala ch 6gm hs,asvagandha lehyam 10gm bid.
- It is called as basti bec.it is administered with basti or medicines used will reach the basti
- Eranda Mooladi Kvatha- 190ml · Kalka- 45 gm · Gomutra- 90ml · Honey-90ml · Sahacharadi taila-140ml · Saindhava lavana- 5gm Total: 560 ml Ushna veerya, having the Laghu Ruksha Guans it mainly does Deepana and Lekhana. Which is Indicated in Shula of Janga, Uru, Pada, and Prusta region and it is indicated in Kapha-avrutha conditions, it also does Maruthanigrahana, in case of Mala-mutra sanga, Arsha Anaha and Admana. Sahacharadi Taila which is used for Anuvasna basti containing three drugs among them all are having the Ushna veerya and Kapaha-Vatashamaka properties. It is indicated in difficulty in lower limb causing the altered gaits
- Vangasena â(gokshura, tila taila, gokshira, shunti kalka,guda)
- Niruha Basti administered in patients were 750 ml-1000ml and amount of Anuvasana Basti administered were 100 ml-150ml as according to patients.[17] Group A shows 71.71% improvement and Group B shows 79.86% improvement. On comparing the overall effect of the therapy, Group B i.e. Karma Basti in 18 days proved to be more effective than Group A i.e. Karma Basti in 30 days. According to Karma Basti schedule total number of Basti are mentioned not the days. Therefore in group B Anuvasana and Nirhu Basti is given on same day ,According to Cakrapani, Anuvasana Basti should be given at end of daytime (7:30 pm - 8:30 pm) just after meal in Sharada, Grishma and Varsha ritu.
- Saindhava Lavana - 10gms, Amleeka- 50gms,Guda-25gms,Murchita Tila Taila- 50ml,Goksheera -200ml Total quantity of Niruha Basti was 335 ml. Murchita Tila Taila 150 ml was used for Anuvasana Basti. Susrutha has described that the eighth Anuvasana Basti acts on the Asthi Dhatu. Chakrapani further mentions that Anuvasana Basti can be administered on the same day as that of Niruha Basti. This modified Basti schedule happens to be patient friendly as it reduces the number of bed days significantly.
- Vaitarana-vangasena
- Deepana pa-ajamodadi ch, sasneha yavagu in morning. Siravedha act on predominatly in pitta, rakta and kaphaja vyadhi or when pitta or kapha is in anubandha to vata dosha. In such condition of vata prakopa due to kapha apitta or kapha nd pitta avarana siravedha can remove the avarana of kapha or pitta dosha giving way for anulomana indirectly cures the vatika symptoms along with dosha and patient gets immediate relief in pain
- .New studies on leech saliva have revealed the presence of histamine, serotonin and also certain steroid hormones includingcortisol,progesterone,testosterone, estradiol, and dehydroepiandrosterone.Certain kinases have also been isolated from the leech saliva, which are possibly responsible for the analgesic action.Erand-muladiBasti is told as Deepna and Lekhana in nature which helps in pacifying Kapha and reducing symptoms like heaviness and stiffness. Anti-inflammatory, anti-oxidant, central analgesic, anti nociceptive activity, bone regeneration activity are found inRicinuscommunis (Erand)[8] which is the main content of the Eranda muladiNiruhaBasti
- The management of Gridhrasi by Agnikarma was more efficacious as compared with Katibasti in reducing pain.pancha loha salaka,little toe-4dots linear 1 cm gap in b/n.(ref.cakradatta)
- Panchahatu-reduced ruk,tandra. lauha- spandana, gourava. Tamra âtoda,stamba,aruchi.
- fried in moorchita taila & cover with eranda patra, coin placed in tender points & agnikarma done.It can be considered as snehagni swedataila, which are having ushna veerya and vata shamaka gunas. Due to sukshma property of these tailas, it easily gets absorbed through twacha. By its snigdha guna and ushna guna it reduces rooksha and sheeta guna of vata dosha, due to its sara guna it reduces sthambha lakshana, due to its guru guna it reduces laghu guna of vata dosha . Agnikarma -Ushna guna improves dhatwagni and thus helps to remove toxins (ama pachana), this improves local nourishment of the tissue and thus reduces pain by decreasing local inflammation. Local tissue metabolism is improved at the area of agnikarma and thus it leads to increased demand of oxygen and nutrient of the tissue. This causes enhanced delivery of nutrients and more efficient removal of waste product, hence speeding up the natural process of repair.
- How many ways is it possible to classify a gridhrasi rogi practically at the time of presentation? Bala-Durbala Dosha â Vata/Vata Kaphaja In Degenerative Abhigataja
- How many ways is it possible to classify a gridhrasi rogi practically at the time of presentation? Bala-Durbala Dosha â Vata/Vata Kaphaja In Degenerative Abhigataja
- Ayurveda is a system of medicine with historic roots in India. Globalized & modernized practices derived from ayurveda have been well accepted widely all over the world.