Efficacy of Basti Chikitsa for the Treatment of Prolapsed Intervertebral Disc (Gridhrasi): A Narrative Review

Gridhrasi, a disorder rooted in vitiated Vata, manifests as radiating pain that begins in the gluteal region and extends sequentially to the lumbar, thigh, knee, calf, and feet. It is marked by symptoms such as Stambha (stiffness), Ruka (pain), Toda (pricking pain), and Spandana (pulsating sensation) in the affected areas, which significantly impact the patient’s mobility and quality of life. In the Ayurvedic system of medicine, Basti Chikitsa (medicated enema) is recognised as one of the most effective treatments for pacifying vitiated Vata Dosha and managing the symptoms of Gridhrasi. The objective of the present review is to critically explore the therapeutic efficacy of Basti Chikitsa in the management of Gridhrasi {correlating with Prolapsed Intervertebral Disc (PIVD)}. PIVD is a condition characterised by the herniation of the nucleus pulposus through a tear in the annulus fibrosus of an intervertebral disc, often leading to nerve compression and radicular pain. Through an analysis of different Niruha Basti protocols documented in classical Ayurvedic texts and modern clinical studies. It is marked by symptoms such as Stambha (stiffness), Ruka (pain), Toda (pricking pain), and Spandana (pulsating sensation) in the affected areas, which significantly impact the patient’s mobility and quality of life. In the Ayurvedic system of medicine, Basti Chikitsa (medicated enema) is recognised as one of the most effective treatments for pacifying vitiated Vata Dosha and managing the symptoms of Gridhrasi. The objective of the present review is to critically explore the therapeutic efficacy of Basti Chikitsa in the management of Gridhrasi (correlating with Prolapsed Intervertebral Disc (PIVD)). PIVD is a condition characterised by the herniation of the nucleus pulposus through a tear in the annulus fibrosus of an intervertebral disc, often leading to nerve compression and radicular pain. Through an analysis of different Niruha Basti protocols documented in classical.