A Comapartive Clinical Study to Evaluate the Efficacy of Ashtakatvara Taila With Gokshuradai Taila Matrabasti Followed by Dashamula Kashaya as Shamanoushadhi in Gridhrasi Vis a Vis Sciatica

Background: Low back ache is one of the most common clinical symptom experienced by substantial portion of the population. Gridhrasi is defined as vata vyadhi characterised by radiating pain from Sphik kati purva through Uru,Janu,Jangha, Pada. It can be conveniently concluded that Gridhrasi and sciatica represent the same disease. Considering all these the present study was undertaken to evaluate the efficacy of Ashtakatvara taila and Gokshuradi taila matra basti followed by Dashamula Kashaya as shamanoushadhi. Objectives • To Compare the efficacy of Ashtakatvara with Gokshuradi Taila Matra Basti followed by Dashamula Kashaya orally in Gridhrasi. • To Evaluate the efficacy of Ashtakatvara Taila Matra Basti followed by Dashamula Kashaya orally in Gridhrasi. • To Evaluate the efficacy of Gokshuradi Taila Matra Basti followed by Dashamula Kashaya orally in Gridhrasi Methods: Study design- A double arm, open labelled comparative clinical study with pre, mid and post test design. Intervention- • Group A Matra Basti with Ashtakatvara Taila (72 ml) for 8 consecutive days. Dashamula Kashaya (Prakshepaka of Hingu and Pushkramula Churna )48ml in two equally divided doses (24ml/dose) with lukewarm water before food orally for the next 30 days(i.e next day after completion of Matra Basti) • Group B Matra Basti with Gokshuradi Taila (72 ml) for 8 consecutive days. Dashamula Kashaya (Prakshepaka of Hingu and Pushkramula Churna )48ml in two equally divided doses (24ml/dose) with lukewarm water before food orally for the next 30 days(i.e next day after completion of Matra Basti). Results: Group A and Group B showed equal statistical significance with assessment parameters like stambha, Ruk, SLR test, Bragard’s sign, Sciatica bothersome index scale value with the significance “P” value of 0.005. On comparison, between the groups there was non significant results found. Hence, both the groups were effective in reducing the symptoms of Gridhrasi. The overall study revealed that the selected intervention has showed significant results in the management of Gridhrasi vis-à-vis Sciatica.