( Snehapana Effect of Bhadradarvadi Taila in Gridhrasi P. Ramachandran Nair*, N.P. Vijayan**. S. Indirakumarj*u, P. Madbavikutty**n and V.A, Prabbakarao*uu A comparative study of Acha- sneha tsnehapanay viz.; Vicarana (samana snehai was conducted at the in-patient department of Indian Institute of Panchkarma, Cheruthu- ruthy, 'The study was conducted on two groups of twenty patients each, using Bhadradarvadi taila. The results were highly significant in both groups. Results in Vicarana groups was better, compared to Achasneha group. • Research Officer (Avurveda) •• Assistant Research Officer ( Pathology) ••• Research Assistant (Ayurveda) Indian Institute of Panchkarma. Charuthuruthy, (Via) Shoranur, Trichur Dist., Kerala-679531 Introduction Gridharasit known as sciatica in modern parlance is characterised by pain starting from the buttock and radiating towards the foot. Two types-Vataja and Vata-kaphaja are described in Ayurvedic clas- sics", Vat a-kaphaja types are rarely seen. The characteristic pain of pulling nature makes the diagnosis easy in Gridhrasi cases. A fall, a jerk, or sudden lifting up of some heavy materials is the com- mon cause of this disease. Since Gridhrasi is a VOla dise- ase included among the eighty vata diseases", vat ahara drugs are expected to provide therapeutic benefit. Tila taila (Sesamum oil) is considered to be the most effective drug for vata roga4- and administration of the taila inter- nally and externally is considered a therapy for vata raga in general. Bhadradarvadi gana", (Astanga 149
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Snehapana Effect of BhadradarvadiTaila in Gridhrasi
P. Ramachandran Nair*, N.P. Vijayan**. S. Indirakumarj*u,P. Madbavikutty**n and V.A, Prabbakarao*uu
A comparative study of Acha-sneha tsnehapanay viz.; Vicarana(samana snehai was conducted atthe in-patient department of IndianInstitute of Panchkarma, Cheruthu-ruthy, 'The study was conducted ontwo groups of twenty patients each,using Bhadradarvadi taila. Theresults were highly significant inboth groups. Results in Vicaranagroups was better, compared toAchasneha group.
• Research Officer (Avurveda)
•• Assistant Research Officer( Pathology)
••• Research Assistant (Ayurveda)Indian Institute of Panchkarma.Charuthuruthy, (Via) Shoranur,Trichur Dist., Kerala-679531
Introduction
Gridharasit known as sciaticain modern parlance is characterisedby pain starting from the buttockand radiating towards the foot.Two types-Vataja and Vata-kaphajaare described in Ayurvedic clas-sics", Vat a-kaphaja types are rarelyseen. The characteristic pain ofpulling nature makes the diagnosiseasy in Gridhrasi cases. A fall,a jerk, or sudden lifting up ofsome heavy materials is the com-mon cause of this disease.
Since Gridhrasi is a VOla dise-ase included among the eighty vatadiseases", vat ahara drugs areexpected to provide therapeuticbenefit. Tila taila (Sesamum oil)is considered to be the mosteffective drug for vata roga4- andadministration of the taila inter-nally and externally is considereda therapy for vata raga in general.Bhadradarvadi gana", (Astanga
149
P. Ramachandran Nair et 01
Hridaya, Sutra IS) reputed forits vata hara properties. T'ailamedicated with Bhadradarvadigana was selected for the trial.
Material and Methods
Forty cases of either sex withinthe age group of ten to seventyyears were selected from the out-patient department of Indian Insti-tute of Panch karma, Cheruthuru-thy for the trial. They were grou-ped into two, at random. Group Iwas put under Snehapana andGroup II under Samana treatment.Bhadradarvadi iaila was orally
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administered in Group I as Acha-sneha begining with a small dose of50 m!. The dose was increasedby 50m!. on consecutive days fora maximum pel iod of seven daysor till the samyak snigdha laksha-nas were observed. After comp-lete digestion of sneha, rice kanji(porridge) was given to the patie-nts. Kanji was restricted to half ofthe required quantity., to avoidindigestion and complications. Ingroup II, 20 ml. of the same oilwas given orally as Vicarnar at 7a. m. and 5 p. m. Usual hospitaldiet which is as below was prescri-bed for this group of patients.
7 a.m. Milk 200 m!. + m 10 g. Sugar
8.30 a.rn, Rice Kanji 150 g. + pickles
) 2.30 p.m. Rice 250 g. + vegetables 200 g.
4.00 p.m. Milk 150 ml. + 10 g. sugar
7.30 p.m. Rice kanji 150 g. green gram 25 g.
Abhyanga was given with40 ml. Bhadradarvadi taila in bothgroups during the entire trialperiod. The trial period was fixedas thirty days for both the groups.In each case, periodical assessmentwas made and recorded in the pro-forma specially designed for thepurpose, Those who were fullyrecovered on completion of thefirst course of snehapana werediscontinued from the trial andput under observation for a fewdays. Similarly, an extensiveassessment was made after fifteen
days of treatment and those dayscases which were fully relieved werediscontinued from the trial andput under observation. The secondcourse of snehapana was given inGroup I a-id the same sam anatreatment was continued in GroupII for the remaining cases for atotal period of t h irt y days.
Investigations
The following investigations.were done before and after thetrial.
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Snehepana Effect of Bhadradarvedi Tatla in Grtdhrast
(A) Urine - Albumin, Sugar andmicroscopy
(B) Stool - Ova, cyst and amoeba
(C) Blood - TC, DC, ESR, Sugar,Serum cholesterol and serumprotein
(D) Radiologicallumbo-sacrallateral views.
- X-ray ofregion AP and
Results and Discussion
The clinical improvement of thecases was graded as
(I) Complete relief (disappear-ance of all signs and symp-toms).
(2) Marked relief (99-71 %),
(3) Moderate relief (70-41 %).(4) Mild relief (40-10%), and
(5) No relief below (10%),
In Group I two cases hadshown complete relief after thefirst course of snehapana and onecase on completion of the secondcourse. Four cases got markedrelief, eight cases had moderaterelief and five cases mild relief.
Tn Group II, one case hadshown complete relief after fifteendays and six more cases got com-plete relief on completion of thetreatment. Five cases showedmarked relief and a similar numberreported moderate relief, twocases showed mild relief and onecase did not respond after comple-
tion of the trial (Tables I andFigs. I & 2).
Finding of investigation are asfollows :
(A) Urine:
Group I: Traces of albuminwas noted in one case before trialand it was cleared by the treatment ,whereas R.B.C., pus cells andbacteria were detected in threecases after the trial.
Group II : Bacterial and R.B.C.were detected in four cases beforetrial and were cleared by the treat-ment.
(B) Stool:
Group I : Round worm ova intwo cases, and pin worm ova inone case was detected before trialand in one case round worm ovawas not present after completion ofthe trial.
Group II: Round worm ovawas detected in three cases beforetrial and no change was noted inthese on completion of the trial.
(C) Blood:
Increase/decrease in TC, DC,Hb, sugar, serum cholesterol andserum protein Were within normallimits in both groups. E.S.R. wasreduced considerably in the agegroup of sixty one to seventy yearsin Group I, and in the age groupsof thirty-one to forty years, forty
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P. Ramachandran Nair et al
.one to fifty years and sixty-one toseventy years in Group II (TableIV)
(D) Radiological:
Group I ! One case of fracturedislocation L5, and osteo-arthritislumbar spine were detected beforetrial and no change was noted oncompletion of the trial.
Group II .' One case of scoliosis,osteosclerotic lesion in sacrum,posterior dislocation of the fourthand fifth lumbar with narrowing of
intervertebral space, Sacralisationof L 5 and three cases of osteo-arthritic spine were noted beforethe trial and no change was notedon completion of the trial.
Conclusion
Achasneha (Snehapana) andVicarana (samana .uzeha) are foundeffective in Gridhrasi. Result wasbetter in Vicarana group. Consi-dering the results and difficulties toundergo snehapana, samana snehais advisable in Gridhrasi, '
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Snehapana Effect of Bhadradarvadi Taila in Gridhrasi
Table - 1
Group I Snehapana Group II Samana
Result After 1st course After 2nd course % After 15 days After completion %
Complete relief 2 3 15 1 7 35
Marked relief 4 04 20 4 5 25
- Moderate relief 9 8 40 10 5 25V\IN
Mild relief 5 5 ~5 4 2 10
No relief 1 1 5
Total 20 20 100 20 20 100
On statistical analysis the results are found to be highly significant (Table II)
P. Ramachandran Nair et al
Table II
Results of Statistical Analysis
Group Before treatment After treatment Student 't' 'p' valueMean + SEM Mean ± SEM '1' value
I 53.80 ± 2.60 21.15 ± 3.61 8.28 p < 0.0001-VIi>- II 61.35 ± 3.03 18.45 ± 4.76 10.75 p < 0.0001
Duration of the diseases did not show any influence in the results (Table III)
Shehupana Effect of Bhadmdarvedi Taila in Gridhrosi
Table· III
Duration-wise Results
Duration of illness in days
Result Up to 15 16-30 31-60 61-90 91-180 181-360 361 and Totaldays above
Snehapana Effect of Bhadradarvadl Tallo in Gridhrasi
'Acknowledgement
Authors wish to thank Dr.P. K. N. Namboodiri, ResearchOfficer-in-Charge, Dr. R. BhaskaranNair. Research Officer (Bio-chemis-try), Mr. P. Chandran, Office Su-printendent. Mrs. A. Chandrika,Statistical Assistant, Dr. K. SanthaKurnari, Asstt. Research officer(Ay.), and all. the technical andnon-technical staff of the Institutefor their help to finish the worksuccessfully. We are indebted toDr S. Madhvan Pillai, Former
'. ,Assistant Director and Dr. P. G.Batliwala, Assistant Director (Bio-Chemistry) for their guidancethroughout the work.