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.