A CASE STUDY ON GRIDHRASI WITH SHEPHALI (NIRGUNDI) GHANAVATI

Dr. Mugdha S. Waikar; B T Shinde

doi:10.29121/granthaalayah.v9.i4.2021.3876

A CASE STUDY ON GRIDHRASI WITH SHEPHALI (NIRGUNDI) GHANAVATI

1 P.G Scholar, Department of Kayachikitsa, Ayurved College, Shevgaon, India

2 Guide and Principal and HOD Department of Kayachikitsa, Ayurveda college Shevgaon, India

Abstract

Ayurved is ancient and time tasted science. Till the date its principle remains unchange. The Ayurvedic science describes guideline for essential and harmful for long lasting healthy and happy life. (Brahmanand, 2017; Ravidatta & Prakashana, 2017)

Several disorders of biological system are produced by improper and changing lifestyle, busy professional life, long time sitting posture in office, continuous and over exercised in factories, changing food style all are responsible for vatavyadhi and specially Gridhrasi too.

Gridhrasi is the one of the common disease. It has painful or Shoolpradhan condition which hamper the routine of life. It is occurs about three times as frequency in male as in the female as in the female sex.

Gridhrasi is one of the Nanatmaj vyadhi and vata is is the main dosha in the Samprapti. It is the closely resemble with Sciatica which is characterised by low back pain and radiates towards leg mostly unilateral.

The case study being presented of 42 years old female patient suffering from Vataj Gridhrasi with cardinal signs and symptoms of Gridhrasi are Ruk,toda,Stambh, and radiating pain in the leg in order of Sphik, Kati,Uru, Janu, Pad.Here Shaman chikitsa done with Shephali(Nirgundi) Ghanavati ^. (, ; Sharma & Priyavat, ).

Keywords

Gridhrsi, Vata, Pain, Shaman Chikitsa, Sciatica

INTRODUCTION

Gridhasi word derived from Gridhras by adding Din Prataya. (Kanta, 1988) It is describe under 80 types of Vatavyadhi. (Dr, Brahmanand, & Varanasi, 2008)Gridhrasi is characterised by Sphikpurva ruk in Kati, Uru, Janu, Jangha, Pad and associated with Toda, Stambh, Muhuspandan. Also Tandra, Gaurav, Aruchi present in Kaphavataj Gridhrsi.In this disease patient gait becomes altered as patients leg become tense and slightly curve due to the pain resembling walk to like vulture (Dr, Brahmananda, & Varanasi, 2008).

Here patient get treated with Shaman Chikitsa with Shephali (Nirgundi) Ghanavati. Nirgundi mentioned in Sharangdhar Samhita as a Shephalipatra Kwath in cure for

Gridhrasi where Shephali is synonym for Nirgundi. Also Bhavprakash mentioned Shephali for Nirgundys synonym.

Gridhrasi can be correlated with sciatica. Sciatica characterised by low back pain spreads through the hip to the back of thigh and down towards leg. This basically arises due to compression or inflammation of sciatic nerve. (Das, )

According to Ayurveda Gridhrasi mentioned as Kricchrasadhya which is very difficult to cure (Dr & Brahmanand, 2017).

CASE REPORT

A 43 years old male patient comes to OPD of Kayachikitsa department of Santa Ekanath Ayurvedic Hospital, Shevgaon. Patient was farmer by occupation. Patient came with following chief complaints:

https://www.granthaalayahpublication.org/journals-html-galley/html-images/b47faf60-be9d-432b-911a-cae80658a0b8image1.png

HISTORY OF CASE STUDY

Patient had taken allopathic treatment before came to our hospital as per need for his pain and he was not satisfied by it by having repeat episodes. Patient did not have history of any other major illness.

FAMILY HISTORY

No any major illness

ON EXAMINATION

General condition – Moderate, Afebrile. No pallor/Icterus was present.

ASTHAVIDH PARIKSHA

Table 1:

Nadi – 78/min.	Shabda – Avishesha
Mala - Samyak	Sparsha – Ruksha
Mutra - Samyaka	Druka – Avishesha
JIvha - Niram	Akruti - Madhyam
Weight - 65kg	Blood pressure – 124/86 mm of hg

NIDAN PANCHAK

HETU (Joshi & Prakashana, 2014)

Yanayan, aticheshta ,Katu- Ruksha anna

SAMPRAPTI (Das, ; Joshi & Prakashana, 2014)

Samprapti Ghatak –

Doshas - Vata dosha prakop

Dushya – Majja, Asthi

Agni – Mandagni.

Strotodushti – Sanga,Siragranthi. .

Vydhiswabhav – aashukari/Chirkari.

Vyaktasthana – Katipradesh, Uru, Janu, Pad

https://www.granthaalayahpublication.org/journals-html-galley/html-images/b47faf60-be9d-432b-911a-cae80658a0b8image2.png

Poorvarupa

Pain and stiffness at Lumbar region and low back region.

ROOPA (Joshi & Prakashana, 2014)

Pain in Lumbar region and radiating towards Shik, Kati, Uru, Janu, Pad.

UPASHAYA

Aushadh sevana

ANUPSHAYA

Nidansevana

MATERIALS AND METHOD

Centre of study- Santa Ekanath Maharaj

Hospital, Shevgoan. Material- Shephali Ghanavati. (250 gm)

Method – Case study

CHIKITSA

Shaman chikitsa with Shephali (Nirgundi) Ghanavati showed excellent result in this case.

Shephali (Nirgundi) Ghanavati: 500 gm BD(1 gm/Day) with Sukhoshna jala after food.

For 30 days by taking follow up after 7, 15 and 30^th day.

ASSESSMENT CRITERIA

SUBJECTIVE PARAMETERS

Table 2:

Sr. No.	Symptoms	Grade	Description
1.	Ruk ( Pain )	0.	No pain
		1.	Slight pain only on hard work
		2.	Pain on movement but without disturbing routine work
		3.	Pain on movement disturbing routine work
		4.	Severe pain compelling patients to lie on bed
2.	Toda ( Pricking sensation)	0.	No pricking sensation
		1.	Occasionally pricking sensation
		2.	Mild pricking sensation , once in a day
		3.	Moderate pricking sensation , frequently in a day
		4.	Severe and persistence pricking sensation
3.	Stambha (Stiffness)	0.	No stiffness
		1.	Sometimes for 5-10 min.
		2.	Daily for 10- 30 min.
		3.	Daily for 30- 60 min.
		4.	Daily more than 1 hour.
4.	Chankraman and Aasan kashata (Difficulty in walking and sitting)	0.	No pain
		1.	Mild pain + No difficulty in sitting and walking.
		2.	Slight pain in walking and sitting
		3.	Much difficulty in walking and sitting.

OBJECTIVE PARAMETERS

SLRT
Walking time

OBSERVATION

SUBJECTIVE CRITERIAb Table 3

Table 3:

Sign and symptom	Before treatment	After treatment
Ruk	3	0
Tod	3	1
Stambha	2	0
Chankraman and aasan kashtata	3	0

OBJECTIVE PARAMETERSTable 4

Table 4:

	Before treatment	After treatment
SLRT	Positive at 35˚ (right leg)	Negative at 75˚ (right leg)
Walking time	100 meters in 10 seconds.	100 meters in 5 seconds.

RESULT AND DISCUSION

In this case study patient get treated by Shaman Chikitsa that is internal medicine with Shephali (Nirgundi) Ghanavati with Sukhoshna jala for 30 days. After the treatment patient shows great result in his sigh and Symptoms about Gridhrasi. He started walking and sitting comfortably. Nirgundi is Vataghna and Shothaghna dravya. Is great in Vaataj vikar with its Ushna Vipaka and Katu Tikta Rasa.

CONCLUSION

Above treatment helps to relieve symptoms of disease and also an attempt to provide safe and effective treatment to the patient. Treatment was easily administrated to patient. And no side effects were noticed.

[1] Brahmanand, R. T. (2017). Ashtang hriday Samhita , purvardha , sutrasthana , chapter 1 st. .

[2] Das, S. A manual of clinical surgery - 7th edition, Examination of peripheral nerve lission, Page no. 97,Examination of spinal abnormalities. 225.

[3] Dr, T. & Brahmanand, (2017). Ashtang hriday Samhita , purvardha , Nidansthana , Atosargrahanidoshanidanam. 30, 497.

[4] Dr, T., Brahmanand, & Varanasi, (2008). Editor Charak Samhita of Agnivesha , Sutrasthan ,Maharaga adhyay. .

[5] Joshi, V. & Prakashana, Y. V. (2014). Edited by Ayurveda dipika Vyakhya , and yashavant commentary , Chikitsasthana , Charak Samhita. 28, 620.

[6] pandit Kashiram Vaidya virachit Gudharth Dipikabhyam commentary , Sharangdhar Samhita , madhyam khand. 155.

[7] Raja Radha Kanta, (1988). Edited Shabda Kalpadruma 2 nd volume. In Nag publication. (pp. 345)

[8] Ravidatta, T. & Chaukhamba Surbharati Prakashana, (2017). Edited with Vaidyamanorama Hindi Commentary along with special Delibration etc. Sutrasthana , 1 st chapter 1, 41.

[9] Sharma, A. & P. Reprinted 2011, dravyaguna vidyana 2.