Critical analysis of role of Vasti Karma in Gridhrasi.

1. Critical analysis of role of
Vasti Karma in Gridhrasi

2. At a glance
Concept of Gridhrasi
Vasti karma in Gridhrasi
Different Vastis adopted in Gridhrasi
Possible pharmacodynamics of Vasti
Empirical evidence

3. GRIDHRASI
• Vyadhi vishesha samjna
• One among eighty Vata vikaras.
• Defined in Vata Vyadhi Adhikarana.
• Generally compared to sciatica in modern
literatures.

4. पार्ष्णिं प्रत्यङ
् गुलीनाां या कण्डरा मारुतार्दिता
सक्थ्युत्क्षेपां र्नगृह्णार्त गृ्ध्रसीां ताां प्रचक्षते
A.H.vata vyadhi nidanam 15/54

5. र्ष्िक्पूर्ाि कर्िपृष्ठोरु जानुजङ्घापदां क्रमात्
गृ्ध्रसी स्तम्भरुक्तोदैगृह्णार्त स्पन्दते मुहुः
र्ाताद्वातकफात्तन्द्रागौरर्ारोचकार्ष्िता। c.s.chi.28/56
Vatajam
 Ruk
 Thodam
 Sthambham
 Grahanam
 Spandanam
 Deha vakrata(Gadanigraham)
Vata kaphajam
 Ruk bhakta dwesham
 Thodam mukha prasekam
 Sthambham vahni mardavam
 Grahanam
 Spandanam
 Arochakam
 Tandra
 Gouravam

6. Vathakara Nidanam
Vatakopam in Pakvasayam
Marutaardita Pada Kandara
Stambha ,Ruk,Thoda… occurs in Sphik,Katee,Prsta,Ooru, Janu
Jangha and Paadam
Sakthi Utkshepanam affected
Kapha
anubandhatvam
(vatha kaphajam)

7. Lakshanas and Dosha sthanas
lakshanam Dosha sthanam
Daham Raktha gatha vatham
Jangha ,ooru,thrika ,prista
rogam
Gudagatha vatham
Atiruk,stambham,thodam Mamsa meda gatha vatham
Sakthi soolam Asthi gathavatham
Stabdhata,ruja Majja gatha vatham

8. Samprapthi Ghatakas
 Dosham Vatha (Apana,Vyana Vatha)
Vatha Kapha
 Dooshyam Rasam(vk),Rakta,Kandara,Mamsa,Asthi,Majja
 Udbhava sthanam Pakvasayam
 Sanchara sthanam Sphik,Katee,Prsta,Ooru,Janu,Jangha,Paadam
 Vyakta stanam Sakthi
 Dosha gati Sakha gati

9. VASTI KARMA IN GRIDHRASI

10. Chikitsa Sutram
 अन्तराकण्डरागुल्फ
ां बस्त्यर्िकमि च गृध्रसीषु प्रयुञ्जीत
C .s.chi 28/100-101
 गृध्रस्यात्तिं नरां सम्यक
् रेक
े णर्मनेन र्ा
ज्ञात्वा र्नरामां दीप्तार्िां बस्तिभि: समुपाचरेत्
Chakradatham 24/129-134

11. Criteria for selection of Vasthi
नादौ र्र्ष्स्तर्र्र् ां क
ु याित् यार्दू र्ध्िम् न शुध्यर्त
स्नेहो र्नरर्िक स स्याद् भस्मन्येर्ाहतम् यर्ा
Vata conditions .
Vata with anubhandha doshas.
Agni deepthi and koshta shudhi are prerequisites .

12. Importance of Vasti
.
Mainly indicated in Vatika conditions.
Designated as Ardha Chikitsa.
Multidimensional therapeutic effect.

13. General indications of Vasti
र्ातोल्बणेषु दोषेषु र्ाते र्ा बर्ष्स्तररष्यते A.H.su.19/1
र्र्ष्स्तकमित्व ो नाभेुः शस्यते A.H .chiki21/15
स्तब्धाश्च ये सङ
् क
ु र्चताश्च येऽर्प
ये पङ्गर्ो येऽर्प च भिरुग्ाुः
येषाां च शाखासु चरर्ष्न्त र्ाताुः
शस्तो र्र्शेषेण र्ह तेषु बर्ष्स्तुः c.s.si 1/32

14. Lakshanadhishtita chikitsa
Lakshanam Dosha sthanam chikitsa
Daham Raktha gatha Vatham Siravedham
Stabdhata,ruja Mamsa meda gatha vatham Nirooha
Atiruk, stambham, thodam Asthigathavatham Abhyanthara sneha
(anuvasanam)
Sakthi soolam Majjagatha vatham Abhyanthara
sneha
( anuvasanam)
Jangha ,ooru,thrika ,prista
rogam
Guda gathaVatham Udavartha hara
chikitsa-nirooha

15. Action of Vasti in Gridhrasi
 पक्वाशये तर्ा श्रोण्ाां नाभ्य स्ताच्च सर्ितुः
सम्यक
् प्रर्णर्हतो बर्ष्स्तुः स्र्ानेष्वेतेषु र्तष्ठर्त
Directly administered in the moola sthana of Vatha.
Site of action includes all the area below nabhi.
Especially Katee, Prishta, Koshta
Veerya of vasti detatches and roots out doshas.
स किीपृष्टकोष्ठस्र्ान् र्ीयेणालोड्य सांचयान्
उत्खात मूलान् हरर्त दोषाणाां सा ुयोर्जतुः
 Sus .sam. Chi.35/24-27

16. यत्तत्रौष र्ीयिं र्ह तदपानेन र्ायुना
पयािप्तमर्चरादेर् समानुः प्रर्तपद्यते
समानादुत्तरां चैर्ां व्यानाद्याुः पर्नाक्रमात्
Ast.sam.kalp.5/68
Veerya of Vasti corrects Apana vatha
Samana Vatha .
Vyana Vatha

17. Vasti in Vataja Gridhrasi
स्नेह मृदौ कोष्ठे न र्तष्ट्यर्नलामयाुः
As the lipids are getting absorbed ,definitely Snehavasti
is having a role in reducing the Rukshata of Kosta and
subsequently the rest of body.
Nirooha having Brimhana and Rasayana property should
be used in between as constant use of Sneha Vasti as
well as Nirooha is contraindicated.

18. Vasti in Vata Kaphaja Gridhrasi
 Kapha vridhi
 Agni mandya
 Srothorodha
 Vata vridhi
 Deepana pachana
 Kosta sodhana
 Utkleshana vasti
 Sodhana vasti
 samanavasti
The action of vasti depends on the oushadhas used.
Thaila, mootra ,Aranaala and Lavana are to be used in Kapha Vata
conditions.
c.s vasti sidhim adhyaya/13

19. Niroohas
 Erandamooladi nirooha
Jangha,ooru,pada thrika ,Prishta soolam
 Vaitharana vasti
soolaharam,amaharam
 KsheeraVaitharana vasti
katee,ooru,Prishta soolam, Gridhrasi
 Kshara vasti
soolahara

20.  Mustadi yapana vasti
Jaanu,ooru,jangha,vyadhihara
 Vrushadi vasti-
Gridhrasi
 Sampakadi vasti-
Prishtoru,thrika soolam

21. Sneha vasti
 Sahacharadi thailam
 Pippalyadi anuvasana
thailam
 Dhanvantharam thailam
 Balathailam
 Narayana thailam
 Mashadi thailam
 Kubja prasarini thailam
 Prabhanjana vimardana
thailam

22. Pattern of vasti
Yoga vasti Kaphanubandham
Kala vasti Pithanubandham
Karma vasti Vatha pradhanam
Matravasti Vridhan, durbalan,

23. Possible pharmaco dynamics of Vasti
 Absorption of oushadha into systemic circulation.
 Excretion of metabolic toxins through colon.
 Concept of systems biology.
 ENS stimulation.
Pharmacodynamic understanding of Basti: A contemporary approach
International Journal of Pharmaceutical & Biological Archives 2012; 3(4):893-896

24. Empirical evidence
 A clinical study to assess the efficacy of yoga vasti in gridhrasi
 Conducted by the Dept.of Pancha karma,S.D.M, HASSAN
 Published in International Journal of Research in Ayurveda & Pharmacy
2013 4(1)
 Erandamooladi Nirooha (560 mL) and Sahacharadi Anuvasana(75ml) was
administered
parameter Mean score reduced
by
Ruk 58.3%
Thoda 60 %
Stambha 65.3%
Spandanam 50%
SLR 44%(improved)
Walking distance 61%(improved)

25. 10% was cured.
60% got marked improvement
None of patients were left without improvement.
Results were statistically significant.

26. Investigator Study Place
Dr.Satheesh Evaluation of the Efficacy
of Vaitharana Bastikarma
in the Management of
Gridhrasi W.S.R. To
Sciatica
DGMAMC Gadag.2005
Dr. S.Jayashankar Evaluation of the efficacy
of dwipanchamooladi
mamsa rasa Vasti in
Gridhrasi- A clinical
observation study
DGMAMC Gadag.2009
Dr. Adarsh E.K. An observational study
on Vajeegandhadi
yogabasti and
Katibasti in Gridhrasi
DGMAMC Gadag 2006

27. Conclusion
Gridhrasi - vatha pradhana vyadhi with origin in
pakvasaya
Site of manifestation below nabhi
Vata kapha and Raktha ---- Vasthi
Vasthi should not be done without proper Agni and
Kostha shudhi.
Dosha pratyaneeka/vyadhipratyaneeka combinations
are to be elected.
Remarkable role of Vasti - clinically and statistically
proven.

28. THANK YOU