Comparative Study of Nitya Virechana and Modified Vaitarana Basti in Vatakaphaja Gridhrasi (Vata-Kapha Sciatica): A Randomized Clinical Trial
DOI:
https://doi.org/10.70066/jahm.v13i9.2221Keywords:
Vata-Kapaja Gridhrasi, Sciatica, Vaitarana basti, Nitya Virechana, Exit nerve foraminal stenosis, Central canal stenosis.Abstract
Background: The presentation resembling Gridhrasi (Sciatica) may be observed under Gudagatavata (vitiated Vata in Rectum), Pakwashayagatavata (vitiated Vata in large intestine) explained by Charaka. Gridhrasi is Krucchasadya (difficult to treat), VataVyadhi (Diseases of morbid Vata). Shodhana (Purificatory therapy)- Mridu-Virechana (mild purgation), Basti (therapeutic enema) is effective according to Dosha-avastha (according to dosha involvement), Avarana (pathological obstruction of Vata Dosha by other Dosha, Dhatu, Mala). Udavartaharachikitsa (treatment of Udavarta (upward or backward or reverse movement of Vata Dosha)): Vaitarana-Basti (therapeutic enema), Snigdha-Virechana (therapeutic purgation) are effective. Objectives: Efficacy of Nitya-Virechana (NV) over Modified Vaitarana-Basti (MVB) in Vata-Kaphaja Gridhrasi w.r.t Sciatica. Methods- 40 subjects randomized into 2 groups A, B, 20 in each, received NV and MVB for 5 days respectively. Results- Based on statistical results, MVB was significant in-Stambha(stiffness), Ruk(pain), Muhuspandana(tingling), Ekanga Gouravata (localized heaviness), NV was significant in- Tenderness, Straight Leg Raise test (SLRT), Walking time test, Toda (pricking pain), Gruhnate(catching), Tandra(heaviness), Aruchi(anorexia), Sarvanga Gouravata ((full body heaviness). Conclusion- NV was effective in correcting the etiopathogenesis of Vata-Kaphaja Gridhrasi with respect to w. r.t Central Canal Stenosis. With respect to severity Assessment index of Sciatica, MVB was significant in correcting the etiopathogenesis of Vatakaphaja Gridhrasi w.r.t Sciatica due to Exit nerve foraminal stenosis.
https://ctri.nic.in/Clinicaltrials/main1.php?EncHid=16854.67814
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