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    Sciatica - Grudhrasi

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    GAURAV
    This document discusses sciatica (grudhrasi), a disease of the sciatic nerve which is the longest nerve in the human body. It causes pain that starts in the lumbar region and radiates down the leg. The pain is caused by vitiation of vata dosha which leads to degenerative changes in the bones and compression of nerve roots. Treatment involves shodhan (purification) and shaman (pacification) therapies like basti, snehana-swedana, and medications to pacify vata and reduce pain and inflammation. Modern treatment focuses on pain relief, rest, exercises and postural correction.

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    Sciatica - Grudhrasi

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    GAURAV
    724 views27 pages
    This document discusses sciatica (grudhrasi), a disease of the sciatic nerve which is the longest nerve in the human body. It causes pain that starts in the lumbar region and radiates down the leg. The pain is caused by vitiation of vata dosha which leads to degenerative changes in the bones and compression of nerve roots. Treatment involves shodhan (purification) and shaman (pacification) therapies like basti, snehana-swedana, and medications to pacify vata and reduce pain and inflammation. Modern treatment focuses on pain relief, rest, exercises and postural correction.

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    This document discusses sciatica (grudhrasi), a disease of the sciatic nerve which is the longest nerve in the human body. It causes pain that starts in the lumbar region and radiates down the leg. The pain is caused by vitiation of vata dosha which leads to degenerative changes in the bones and compression of nerve roots. Treatment involves shodhan (purification) and shaman (pacification) therapies like basti, snehana-swedana, and medications to pacify vata and reduce pain and inflammation. Modern treatment focuses on pain relief, rest, exercises and postural correction.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    724 views27 pages

    Sciatica - Grudhrasi

    Uploaded by

    GAURAV
    This document discusses sciatica (grudhrasi), a disease of the sciatic nerve which is the longest nerve in the human body. It causes pain that starts in the lumbar region and radiates down the leg. The pain is caused by vitiation of vata dosha which leads to degenerative changes in the bones and compression of nerve roots. Treatment involves shodhan (purification) and shaman (pacification) therapies like basti, snehana-swedana, and medications to pacify vata and reduce pain and inflammation. Modern treatment focuses on pain relief, rest, exercises and postural correction.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    of 27

    SCIATICA - GRUDHRASI

    GRUDHRASI
    DEFINATION:
    gaRQa`vat\ calato
    yaismana ÈÈ
    MORDERN ASPECT : SCIATICA
    The gait of the patient is like a
    vulture.
    It is a disease of the sciatic nerve-the
    longest nerve in human body.
    ORIGIN AND ROOT VALUE OF SCIATIC NERVE
    COURSE OF NERVE
    NIDAN PANCHAK
    NIDAN : CAUSATIVE FACTORS OF
    VATAVYADHI
    +
    – LUMBAR DISC PROLAPSE
    – DIFFERENT DISEASES OF SPINAL COLUMN
    – TUMORS OF SPINAN CORD
    – SOME DISORDERS OF HIP JNT LIKE FIBROSITIS
    – SOME PARTICULAR DISORDERS OF PELVIS
    – TECHNICHAL JOBS LIKE LIFTING HEAVY WT
    – OCCUPATIONS
    – ASSAULT ON DIFFERENT MARMAS
    – MISTAKES DURING ADMINISTRATION OF INJECTABLES
    – DM-NEURITIS MAY DEVELOP
    PURVAROOP :
    Less expressed or
    intermittent expression of
    pain or parasthesia along
    one leg and lumbar Region
    • SAMPRAPTI :
    • Snaayvaaisqat: kuyaa-d\gaRQa`syaayaamakubjata: ÈÈ
    • paiYNa-p`%ya=\gaulaInaaM tu kNDra yaa|inalaaid-ta È
    • sa@qna: xaopM inagaRh\NaIyaat\ gaRQa`saIit ih saa
    smaRta ÈÈ
    sau. ina. 1/74
    Dosha – Vat (vyan) – Anubandha – Kapha
    Dushya – Asthi, Majja, Snayu, Kandara
    Srotas – Asthivaha, Majjavaha
    Adhishthan – Lumbar region & lower limb
    Nature – Acute
    Rogamarga - Madhyam
    NIDAN SEVAN

    VITATION OF VATA

    STHANSANSHRAY AT KATI – SANDHI

    REDUCES KAPHA

    PRODUCES DEGENERATIVE CHANGES IN TARUNASTHI

    FURTHER VITIATES VATA

    ASAMYAK ASTHI DHATU VYUHAN

    ASTHIVRUDDHI-(OSTEOPHYTE) – COMPRESSED NERVE


    ROOT

    AFFECTS MAMSA, SIRA, SNAYU, KANDARAOF KATI & PADA


     SANKHYA SAMPRAPTI
     1) VATAJ
     2) VATAJ KAPHAJ
     ROOP :
     Pain starts from Lumbar Region and spreads down-
    wards- from Gluteal Region to Back side of Thigh,
    Knee, Leg and upto the Feet
     Pain along the distribution of Sciatic Nerve or its
    branches
     Severe pain while walking, sitting for long time
     Restricted movements or Complete loss of
    movements of Leg and Lumbar Region
     Parasthesia May Develop
    1) Dull Ache - Ruja
    2) Penetrating Pain With Needle - Toda
    3) Complete Loss - Stambha
    4) Restricted Movement - Graha
     Scoliosis may develop
     Vatkaphaja – Drowsiness, Heavyness Of Leg,
    Anorexia
    PROGNOSIS: Kashtasadhya

    INVESTIGATION: 1] CBC
    2] ESR
    RADIOLOGICAL INVESTIGATION :
    1] X-RAY OF LUMBER SPINE
    2] MRI
    EXAMINATION
    1. SLR-STRAIGHT
    LEG RAISING
    2. CONFIRMATORY:
    LASEGUE’S SIGN
    3. FLIP TEST
    4. SITTING TEST
    TREATMENT
    “gaRQa`syaat- narM samyak\
    rokoNavamanaona vaa È
    &a<vaa inaramaM dIP%aaignaM
    baistiBaÁ tM ]Paacarot\ ÈÈ
    naadaO baistivaiQa: kuyaa-t\ yaavad\ ]
    Qva- na SaudQyait È
    snaohao inarqa-k: samyak\ Basmaina eva
    kRtM yaqaa ÈÈ
    Baa.p`.À BaO.r
    TREATMENT

    SHODHAN SHAMAN

    1]SHODHAN
    VATAJ VATAKAPHAJ
    1.Vaman- Virechan Virechan-snigdha vaman&virechan

    Castor oil,Gandharva
    haritaki,Mishrak sneha
    2.Basti Anuvasan,Matra,Yapan, Niruha,Erandmooladi
    Tiktaksheer basti
    • 2]EXTERNAL
    • VATAJ VATAJKAPHAJ
    1. SNEHAN OIL which nourishes Sahachar,
    Dashmool,
    • dhatu –Mahanarayan Vishagarbha,
    • Bala, Ashwagandha,
    • Mahamash,
    2. Swedan Snigdha,Nadi,Upanah Tapa,ruksha swed
    Erand patra pottali,
    Pinda swed
    3. Dahan- at gluteal region or little finger of the affected foot
    4. Raktamokshan – Siravedha –blood letting with IV SET at popliteal or
    saphenous vein
    5. Katibasti-
     3]INTERNAL
     VATAJ VATAKAPHAJ
    1.Dravyas of attribute Madhur,Amla,Lavan Tikta,Katu,Ushna
    Ushna,Madhur vipak Katu vipak
    Guru Laghu
    Balya which clears
    obstruction

    2.Dravya - Ashwagandha,Bala Dashamool,Rasna


    For Example Vidari,Amruta,Masha Deodar,Hingu
    Chaturbeej,Gokshur kupilu,Rason
    Erandamool

    3.Guti,Vati Mahayograj guggulu Rasnadi gugullu


    Trayodashang guggulu Agnitundi vati
    Amapachak vati

    Sinhanad,Ekangaveer
    Mahavatavidhwansan
    Ras
     4.choorna Ajamodadi,Chaturbeej Alambushadi,
     Hingwashtak Vaishwanar
     5.Bhasma Abhrak Raupya Mandur,Shilajeet

     Praval
     6.Rasakalpa Brihat vata chintamani Rasaraj,Rasasindur
     Yogendra rasa,Tapyadi Sameerpannag

     7.Kashaya Dashamool,Baladi Sahacharadi,


     Rasnapanchak
     Rasnasaptak,
     8.Asava,Arishta Ashwangandharishta Bhallatakasava
     9.Rasayan Bala,Narsinha Rason,bhallatak
     Erand paka Kuchala paka

    10.Anupan Milk,Ghrut Honey,Ardrak juice
    Koshna jal Koshana jal
    11.Aushadha sevan kal - Vyankal, Apankal
    Special Treatment
    • 1.ADMINISTRATION:1)Castor oil + gomutra
    • 2)Castor oil + ardrak juice
    • +matulanga juice
    • 3)Castor oil + gomutra +
    • pippali churna
    • 2.KASHAY :1)Shephalika parna kashaya
    • +pippali churna

    • 2)Panchamool kashay
    • 3)Erandamooladi kashay
    • 4)Sinhasyadi kashay
    • 5)Ashwagandhadi kashay
    • 6)Sahacharadi kashay
    • 3.CHURNA :1)Turangandhadi churna
    •
    MORDERN TREATMENT
    • IN ACUTE PAIN
    • 1.Complete bed rest
    • 2.Inj. Voveron (NSAID-diclofenac) 2.c.c. IM × alternate ×
    • 3days
    • 3.Tab. Voveron 50 1tds × after food × 7
    • 4.Antacid- Cap.omez 10 mg OD
    • 5.S.W.D for lumbar spine - 5- 10 days
    • 6.Tranquiliser-Tab.Alprazolam-0.25 mg bd
    • 7.Inj. Neurobion 2.c.c IM
    • ONCE ACUTE PAIN SUBSIDES
    • 1.Tab.Voveron SR – 1daily × after food
    • 2.Cap. Neurobion forte 10D × 1 month
    • 3.Tab. Ostocalcium 2 bd × 1 month (calcium preparation)
    • 4.Back exercises – To increase back muscle tone
    • 5.Maintain straight back posture,avoid bending forward,
    sleep on hard mattress,gentle massage with Rubefacient
    ointment
    • 6.Use of Lumbosacral belt to support the spine.

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