Review of Vrishadi Niruha Basti in Gridhrasi

Gridhrasi, classified among the Vata Nanatmaja Vyadhis in Ayurveda, closely corresponds to the clinical condition of sciatica described in contemporary medicine. It presents with characteristic features such as radiating pain, stiffness, tingling sensations, and restricted movement of the lower limbs, thereby impairing daily activities and overall quality of life. The primary etiological factor in Gridhrasi is the aggravation of Vata Dosha, either alone or in combination with Kapha Dosha. In the management of Vata Vyadhis, Basti Chikitsa is regarded as the most effective therapeutic approach such as Vrishadi Basti provide focused relief. The Vrishadi Basti formulation comprises drugs with Vata-Kapha shamaka and Shothahara (anti-inflammatory) properties, which help in pacifying the aggravated Doshas and restoring neuromuscular function. As a localized form of Snehana and Swedana therapy, Vrishadi Bastieffectively reduces stiffness, pain, and inflammation at the affected site. Thus, the combined application of Basti Chikitsa and Vrishadi Basti offers both systemic and local therapeutic effects, addressing the underlying pathology as well as symptomatic manifestations. This review aims to analyze classical Ayurvedic references, pharmacodynamic properties of the formulation, and available clinical evidence to evaluate the efficacy of Vrishadi Basti in the management of Gridhrasi.