A Clinical Study on the Effect of Vaitarana Basti With Madanaphala Kashaya in the Management of Gridhrasi

Background: Panchakarma is a unique approach of Ayurveda which is especially designed for internal purification of body via nearest possible route. Vamana, Virechana, Basti, Nasya and Raktamokshana are the Panchakarma. Changing Lifestyle of modern human being has created several disharmonies in the biological system of the body as the advancement of busy, professional and social life, improper sitting posture in office, factories continuous and over exertion jerky movements during travelling and sports-which are major cause for creating undue pressure over spinal cord by postural impairments which in turn leads to many pathological conditions like lower backache, sciatica etc. Sciatica prevalence from different studies ranged from 16%-43%. Life time incidence of Sciatica reported between 10% to 40% and annual incidence of 1% to 5%. Peak incidence occurs in patients in their fourth decade. Rarely occurs before age 20 unless traumatic Conventional medical approaches often present limitations, typically offering only temporary pain relief or surgical interventions that carry potential side effects. Aim and Objectives: This study aimed to assess the role of vaitarana Basti wih madanaphala Kashaya in the management of vata -kaphaja Gridhrasi. Materials and Methods: This is a single case study of a 31-year-old male clinically diagnosed as Vata-kaphaja Gridhrasi presenting with low back pain radiating to the lower limb, stiffness, walking difficulties, and a positive Straight Leg Raise (SLR) test. The patient was treated with Vaitarana Basti prepared with Madanaphala Kashaya and appropriate adjuvants. Assessment involved subjective measures, including pain intensity, stiffness, radiating pain, and changes in gait. Objective measures included SLR Test and Range of Moments. Results: There was a significant reduction in pain, stiffness, and radiating symptoms after therapy. Improvement in SLR Test and gait pattern indicated better nerve mobility and functional capacity. No adverse reactions were reported during or after treatment. Conclusion: Vaitarana Basti with Madanaphala Kashaya proved to be an effective and safe treatment for Vata kaphaja Gridhrasi. The therapy provided notable symptomatic relief and improved quality of life. Further clinical studies with larger sample sizes are recommended to support these findings.