Clinico-Anatomical Study of Sira Sharir and Therapeutic Evaluation of Siravedha in management of Giradhrasi(Sciatica)

Gridhrasi is one of 80 Nanatmaja Vata vyadhis explained in Ayurveda classics. The name itself indicates the change of gait shown by the patients because of extreme pain just like Gridhra -Vulture. This disease not only inflicts pain but also causes difficulty in walking, which is incredibly frustrating to the patient.In modern litrature, it is considered Sciatica which shows the same symptoms as Gridhrasi. Sciatica, a condition of leg pain, along with tingling, numbness or weakness of leg that originates in the lower back & travels through the buttock & down the large sciatic nerve in the back of each leg. Nerve roots compressed in this case mostly are L4 – L5 & S1- S3.One of the satisfactory answers for Gridhrasi was given by Siravedha, which was mentioned by numerous Acharyas, including Charaka, Sushruta, Vagbhatta, Chakradatta, and Yogratnakarawith various sites for Siravedha. However, there is a lack of comprehensive scientific research on the efficacy of Raktamokshana therapy, especially Siravedha for Gridhrasi(Sciatica). A clinico-anatomical study is crucial to bridge this knowledge- gap and provide evidence-based insights into the effectiveness of Siravedha as a treatment modality. This research will inform clinical decision-making and contribute to the development of targeted and effective treatment strategies.This study will include 60 patients of Gridhrasi .This will be a nonrandomized single arm trial. Selection will be carried out according to relevant history, sign, symptoms including laboratory investigations and the patients giving written informed consent to participate in the clinical trial. Minimum two sittings of Siravyadha will be conducted on all patients during study. Observations will be recorded on 1st day Before treatment, on 16thday, 31stand on 45th day after treatment. Amount of blood letting will be 20-50ml. Location will be medial side of ankle joint as described in charka samhita. Poorva and pashchat karma will also applicable accordingly. Total duration of treatment can be up to 45 days.