Abstract

EFFICACY OF PATRA PINDA SVEDA AND ERANDMOOLADI BASTI IN THE MANAGEMENT OF GRIDHRASI W.S.R. TO LUMBAR DISC DISEASE.

*Neeraj Mehra and Sarvesh Kumar Singh

Abstract

Lumbar disc disease is one of the commonest clinical conditions in Ayurvedic clinical practice. This is a common cause of chronic or recurrent low back and leg pain. Disc disease is most likely to occur at the L4-L5 or L5-S1 levels, but upper lumbar levels are involved occasionally. Disc herniation is unusual prior to age 20 years.[1] The commonest presentation of Lumbar Disc Disease (LDD) is low back pain which often worsens by flexion. The pain may be located in the low back only or referred to a leg, buttock, or hip depending upon the site of disc involved and pressure on the underlying nerve. Nerve root injury (Radiculopathy) from disc herniation may be due to compression, inflammation or both. As far as treatment is concerned only replacement of disc or surgical correction like discectomy is the choice of treatment. This condition can be correlated to the disease Gridhrasi described in Ayurveda which is one of the Vatavyadhi. Panchakarma procedures like Patrapinda sveda and Basti karma (internal administration of medicine through rectal route) to correct vitiated Vata dosha and to nourish asthi dhatu were selected for present study. Here a case study of male patient aged 28 years presenting with clinical features of sciatica and MRI findings suggestive of disc bulge and prolapse at the level of lumbar vertebrae was given Panchakarma treatment. The patient was treated with classical procedures like, Patrapinda Sveda and Erandmooladi niruha Basti with conventional oral medication. The results of the study are highly encouraging.

Keywords: Gridhrasi, Erandmooladi niruha Basti, Patra Pinda Sveda, Lumbar disc disease.