Viddhakarma and Agnikarma in pain management of Gridhrasi (sciatica)
- Conditions
- Nerve root and plexus compressionsin diseases classified elsewhere. Ayurveda Condition: GRUDHRASI,
- Registration Number
- CTRI/2023/07/055192
- Lead Sponsor
- Post Graduate Institute of Ayurved Jodhpur
- Brief Summary
Pain is the chief cause of visitinga doctor in most patients. It is known as Ruja which is one of the synonyms ofdisease. It disturbs physical and mental status of a patient. Pain is cardinalsymptom in most of the *Vatavyadhis. Gridhrasi* is such a *Ruja PradhaanaVatavyadhi.* In *Gridhrasi* intense shooting pain characteristicallyradiates from Sphika (gluteal region) to Pada (foot). पाषà¥à¤¨à¤¿à¤ªà¥à¤°à¤¤à¥à¤¯à¤‚गà¥à¤²à¤¿à¤¨à¤¾à¤‚तॠकडरा याऽनिलारà¥à¤¦à¤¿à¤¤à¤¾ | सकà¥à¤¥à¤¨:कà¥à¤·à¥‡à¤ªà¤‚ निगृहीयादॠगृधà¥à¤°à¤¸à¥€à¤¤à¤¿ हि सा सà¥à¤®à¥ƒà¤¤à¤¾ || सॠनि १/à¥à¥ª सà¥à¤«à¤¿à¤•à¤ªà¥‚रà¥à¤µà¤¾à¤•à¤Ÿà¤¿à¤ªà¥ƒà¤·à¥à¤ ोरà¥à¤œà¤¾à¤¨à¥à¤œà¤‚घापदं कà¥à¤°à¤®à¤¾à¤¤|| च चि. .२८/५६On the basis of symptoms of *Gridhrasi,*it can be equated with the disease sciatica in modern science. It occurs due tospinal nerve irritation and is characterized by pain in distribution of sciaticnerve. Low back pain and radiating pain due to lumbar disc prolapse are themajor cause of morbidity throughout the world. Lifetime incidence of low backpain is 50â€70% with incidence of sciatica more than 40%. However sciatica due to lumbardisc prolapse occurs only in 4â€6% of the population. Hence this is a significant threat toworking population. It disturbs daily routine and overall life of the patientsbecause of continuous and stretching type of pain. In reference to sciaticatreatment; medical science has only symptomatic management with analgesic likenonâ€steroidal antiâ€inflammatory drugs. In some cases if nerve compression ismore; surgical procedures like laminectomy, discectomy are indicated but thesesurgical procedures are expensive with their limitations. In Ayurveda, variousmethods used in the treatment of Gridhrasi are; *Bheshaja, Snehana, Swedana,Siravedha, Agnikarma* and *Basti*. अनà¥à¤¤à¤°à¤¾ कंडरागà¥à¤²à¥à¤«à¤‚ सिरा बसà¥à¤¤à¥à¤¯à¤—à¥à¤¨à¤¿à¤•à¤°à¥à¤®à¤š | च.चि.२८/१० In today’s era quick pain relief is of primeimportance to resume normal activities. Hence Agnikarma (therapeuticintentional burn) and veddha are considered as instant healers of pain.Agnikarma and veddha have been proved to be effective in Ruja PradhaanVatavyadhis. Sushruta has mentioned Agnikarma and Siravedha as paraâ€surgicalprocedures in *Gridhrasi* as superior to other treatment modalities. अषà¥à¤Ÿà¤µà¤¿à¤§ शसà¥à¤¤à¥à¤°à¤•à¤°à¥à¤®à¤¾à¤·à¥à¤Ÿà¤µà¤¿à¤§à¤®à¥ । तदà¥à¤¯à¤¥à¤¾-छेदà¥à¤¯à¤‚ à¤à¥‡à¤¦à¥à¤¯à¤‚ लेखà¥à¤¯à¤‚ वेधà¥à¤¯à¤‚ à¤à¤·à¥à¤¯à¤‚ आहारà¥à¤¯à¤‚विसà¥à¤¤à¥à¤°à¤¾à¤µà¥à¤¯à¤‚ सीवà¥à¤¯à¤®à¤¿à¤¤à¤¿ ॥ सॠ.सू .५/५ कà¥à¤ ारिकावà¥à¤°à¥€à¤¹à¥€à¤®à¥à¤–ारवेतसपतà¥à¤°à¤•à¤¾à¤£à¤¿à¤µà¥à¤¯à¤§à¤¨à¥‡ सà¥à¤šà¥€ च । सà¥.सू.८/४ **METHODS****Purvakarma**
Before procedure informed written consent will be taken. Injection TT0.5 CC Intramuscular will be given, if not taken in early 6 months. Wholeprocedure will be described to patient in detail and assured in their ownlanguage. CBC, BT, CT, HIV, HbsAg, random Blood sugar level etc routine bloodinvestigation will be done before procedure.
**Pradhankarma**
· Points will be marked on fourfingers above or below the knee joint by skin marker And as per need, tenderpoints will be marked by marker. Thesites then will be cleaned with spirit swab. With the help of disposable needleno.26 tender points will be pierced and upto depth 3-4 mm. The needle will beplaced in the same position for 1 minute and then took out.
· The loha Shalaka will be heatedto red hot over the flame of the heating device. The Staff Nurse will be advised to hold the affected limb in suitableposition. Later Agnikarma will be performed with Red Hot Shalaka in Binduakritiat mark points in such a way that Samyakdagdha lakshanas will be observed.
**Pashchatkarma**
The sites then clean withplane gauze piece. Same procedure will be done on 7,14,21 days upto 1month for desirable results.
**MATERIALS**
Loha Shalakas for Agnikarma, lamp, rawAloevera and Disposable needle no. 26, sprit swab
**METHODS**
**Purvakarma**
Before procedure informed written consent will be taken. Injection TT0.5 CC Intramuscular will be given, if not taken in early 6 months. Wholeprocedure will be described to patient in detail and assured in their ownlanguage. CBC, BT, CT, HIV, HbsAg, random Blood sugar level etc routine bloodinvestigation will be done before procedure.
**Pradhankarma**
· Points will be marked on fourfingers above or below the knee joint by skin marker And as per need, tenderpoints will be marked by marker. Thesites then will be cleaned with spirit swab. With the help of disposable needleno.26 tender points will be pierced and upto depth 3-4 mm. The needle will beplaced in the same position for 1 minute and then took out.
· The loha Shalaka will be heatedto red hot over the flame of the heating device. The Staff Nurse will be advised to hold the affected limb in suitableposition. Later Agnikarma will be performed with Red Hot Shalaka in Binduakritiat mark points in such a way that Samyakdagdha lakshanas will be observed.
**Pashchatkarma**
The sites then clean withplane gauze piece. Same procedure will be done on 7,14,21 days upto 1month for desirable results.
**MATERIALS**
Loha Shalakas for Agnikarma, lamp, rawAloevera and Disposable needle no. 26, sprit swab
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not Yet Recruiting
- Sex
- All
- Target Recruitment
- 30
- 1 Patient who will give written consent.
- 2 Patients of either sex in the 20 Years to 70 years age group.
- 3 Diagnosed cases of Gridhrasi with symptoms like Ruja, Stambha, Suptata, Spandana, Tandra,Gaurav, Arochak Sign like Sakthi nikshepa nigraha (SLR, i.e., straight leg rising test positive).
- 1 Patient suffering from AIDS and Hepatitis B.
- 2 Fracture related to spine 3 Patient related with any malignancy of spine or other organ.
- 4 Patient suffering from uncontrolled diabetes and Tuberculosis of spine And hip joint.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Evaluate & compare the effect of Agnikarma and viddhakarma in the pain 4 weeks management of Gridhrasi (sciatica). 4 weeks
- Secondary Outcome Measures
Name Time Method Contemporary & comprehensive study of the related problem. 4 weeks
Trial Locations
- Locations (1)
Sanjeevni Hospital DSRRAU Jodhpur
🇮🇳Jodhpur, RAJASTHAN, India
Sanjeevni Hospital DSRRAU Jodhpur🇮🇳Jodhpur, RAJASTHAN, IndiaProf Dr Rajesh kumar guptaPrincipal investigator9636520573guptadrrajeshkumargupta@gmail.com