A Clinical Study of Shunthi Gokshuradi Kwatham in Ghridhrasi

I

Backache is common, painful condition affecting the lower portion of the spine. Low back pain is caused by injury to a muscle strain or ligament sprain . Common causes include improper lifting, poor posture, lack of regular exercise, a fracture, a ruptured disc or arthritis, often, the only symptom is pain in the lower back.Most low back pain goes away on its own in two to four weeks. According to ayurveda katishula and ghrdhrsi having same symptoms like lowbackache. In daily clinical practice we have seen mostly vatkphaj ghridhrsi patient. Shunthi gokshuradi kwatham with the prakshapa of yavakshara gives excellent result in above type of ghridhrsi. Dr. Dhanshree K. Handibag "A Clinical Study of Shunthi Gokshuradi Kwatham in Ghridhrasi" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-3 , June 2023, URL: https://www.ijtsrd.com.com/papers/ijtsrd57565.pdf Paper URL: https://www.ijtsrd.com.com/medicine/ayurvedic/57565/a-clinical-study-of-shunthi-gokshuradi-kwatham-in-ghridhrasi/dr-dhanshree-k-handibag

International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 7 Issue 3, May-June 2023 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD57565 | Volume – 7 | Issue – 3 | May-June 2023 Page 1068
A Clinical Study of Shunthi Gokshuradi Kwatham in Ghridhrasi
Dr. Dhanshree K. Handibag
MD (Dravya Guna), Professor & HOD, Department of Dravya Guna, Dr. Vedprakash Patil Ayurvedic
Medical College & Hospital Research Institute Rohanwadi, Reogaon Road, Maharashtra, India
ABSTRACT
Backache is common, painful condition affecting the lower portion of
the spine. Low back pain is caused by injury to a muscle (strain) or
ligament (sprain). Common causes include improper lifting, poor
posture, lack of regular exercise, a fracture, a ruptured disc or
arthritis, often, the only symptom is pain in the lower back.
Most low back pain goes away on its own in two to four weeks.
According to ayurveda katishula and ghrdhrsi having same symptoms
like lowbackache. In daily clinical practice we have seen mostly
vatkphaj ghridhrsi patient. Shunthi gokshuradi kwatham with the
prakshapa of yavakshara gives excellent result in above type of
ghridhrsi.
KEYWORDS: Shunthi Gokshuradi Kwatham, yavakshara,
Ghridhrasi, (sciatica pain)
How to cite this paper: Dr. Dhanshree
K. Handibag "A Clinical Study of
Shunthi Gokshuradi Kwatham in
Ghridhrasi"
Published in
International Journal
of Trend in
Scientific Research
and Development
(ijtsrd), ISSN: 2456-
6470, Volume-7 |
Issue-3, June 2023, pp.1068-1072, URL:
www.ijtsrd.com/papers/ijtsrd57565.pdf
Copyright © 2023 by author (s) and
International Journal of Trend in
Scientific Research and Development
Journal. This is an
Open Access article
distributed under the
terms of the Creative Commons
Attribution License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)
INTRODUCTION
Ghridhrasi described in 80 nanatmja vatavyadhi. The
most commen disorder which affects the movement
of legs, particularly in the most productive period of
life i.e 30 to 50 years. Backache problems –a one
thirds of patients turn in to Ghridhrasi. In this
condition due to the dysfunction of vata and kapha
dosha stambha (stiffness), ruk(pain), toda (paining
sensation) from, kati(lumbar region), spika (buttock)
radiating down the posterior border of the thigh, janu
(knee) and outer border of jangha and pada with
stiffeness and impriment of lifting of thigh.
Etiologically Gridhrasi classified in to two groups 1)
Vataja 2) vatakaphaja. Acharya sharangdhara
mentioned shunthi gokshuradi kwatham with
yavakshara prakshepa in vatakaphaj gridhrasi.
Aims and objective:-
To study the roll of shunthi gokshuradi kwatham in
Gridhrasi.
Material and Method:-
Material:-
Drug: Shunthi Gokshuradi Kwatha with
Yavakshara as prakshepa. Dose:- 30ml, Seven
kala:- Pragbhakta and Sayanmkala (before food)
Rout of Administration:- Oral
1. Shunthi: Latin name:- Zingiber officinale.
Family:- Zinziberaceae
Gana:- Truptighana, Deepaniya, Shulprashman,
Trishananighrahan
Guna:- Laghu, Snigdha.
Rasa:- Katu
Vipaka:- Madhura
Virya:- Ushana
2. Gokshura:-Latin Name:- Tribulus terrestris
Family:- Zygophyllaceae
Gana:- Mutravirechaniya, Shothahara,
Anuvasanopag, Vatashamari bhedan
Guna:- Guru, Snigdha.
Rasa:- Madhura
Vipaka:- Madhur
Virya:- Sheet
IJTSRD57565
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD57565 | Volume – 7 | Issue – 3 | May-June 2023 Page 1069
3. Yavakshara:- Ash of Hordeum vulgare, alkaline
in nature, mutral pittashamak
Methods:-A 40 patients were selected by simple
random sampling method between the age group 25-
50years.
Duration of treatment:- 30 Days.
Follow up:- After 15 Days.
A. subjective criteria:- 1) Referred pain from sphika
to pada. 2) Stambha 3) Tandra 4) Gaurav 5)
Arochaka 6) Mukhapraseka 7)Ruka 8) katishula
B. Exclusive criteria:- 1) Leprosy –peripheral
neuropathy2) Nerve compression due to
fracture3) Neoplasm causing nerve compression
4) patient advised surgery Objective criteria:-
Straight leg rising test (SLRT)
Result Assed as
1. Uttam upashya:- 75% symptoms subsided
2. Madham upshaya:- 50% symptoms subsided
3. Alpa upshya:- more than 25% but less than 50%
symptoms subsided
4. Anupshya:- less than 25% symptoms subsided.
Result: Graphs only
Graphs denotes
1. Before treatment
2. Interval 15 days
3. Interval 30 days
1. % Relief in referred pain (sphik to pada)
2. % Relief in Stambha
3. % Relief in Spandan
% Relief
% Relief
% Relief
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD57565 | Volume – 7 | Issue – 3 | May-June 2023 Page 1070
4. % Relief in Tandra.
5. % Relief in Gaurav
6. % Relief in Arochaka
% Relief
% Relief
% Relief
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD57565 | Volume – 7 | Issue – 3 | May-June 2023 Page 1071
7. % relief in SLRT
8. % Relief after Chikitsa
Discussion:
In Ghrudhrasi kandara dushti mentioned by Susruta.
Kandra is the upadhatu of Rakta dhatu. Rakta dushti
occurred due to viated pitta. Kaphaavruttav vata gives
same symptoms like ghrudharsi,diabetic neuropathy.
In females pelvic inflammatory disease have some
symptoms as like a Ghridhrsi. Constipation, cystits,
pregnancy, before menstrual cycle, obesity (specially
abdominal fat) are some other causes which presents
some symptoms like Vatakaphaja Grudhrasi. We
have choose simple and easily formulated and most
effective drug Shunthi Gokshuradi Kwatham with the
prakshepa of Yavakshara from the sharangdhara
samita. In this formulation shunthi is the best
amapachaka, deepan, trishananighana drug. As per
these karma shunthi works as a pittashamaka,
shothahar, shulprashaman, vatanuloman. In same
manner Gokshura get washed out excess dravata
through urine. Due to madhura rasa ,vipaka and
singdha guna it work as a majjaposhaka ,rasayana.
Yavakshara is alkaline drug work as a mutral,
pittashamaka. That’s why the combine drug effect
gives fantastic effects on symptoms like tandra,
gauravta, and arochaka. Due to agnideepan and
anulomana (mala and vata) pressure on the back get
released and symptoms like toda, stambha, ruka get
subsided. Changes in SLRT and referred pain (from
spika to pada) get subsided with regular excerise and
drug use. After the 1month treatment patients get also
relief from the complaints like constipation, frequent
urination, acidity, painful menses, gas trouble.
% Relief
% Relief
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD57565 | Volume – 7 | Issue – 3 | May-June 2023 Page 1072
Conclusion:-
40 patients were selected by simple random sampling
method between the age group of 25- 50 years.
Freshly prepeard Shunthi Gokshuradi kwatham with
the yavakshara prakhsep (pinch of yavakhara) given
to the patient in 30 ml quantity in pragbhakta and
saymbhakta (before food) bheshaja kala for 30 days.
Followp taken after 15 days and 30 days. As the
assessment of result Shunthi Gokhuradi kwatham
gives excellent relief from the ghrudharsi.

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A Clinical Study of Shunthi Gokshuradi Kwatham in Ghridhrasi

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 7 Issue 3, May-June 2023 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD57565 | Volume – 7 | Issue – 3 | May-June 2023 Page 1068 A Clinical Study of Shunthi Gokshuradi Kwatham in Ghridhrasi Dr. Dhanshree K. Handibag MD (Dravya Guna), Professor & HOD, Department of Dravya Guna, Dr. Vedprakash Patil Ayurvedic Medical College & Hospital Research Institute Rohanwadi, Reogaon Road, Maharashtra, India ABSTRACT Backache is common, painful condition affecting the lower portion of the spine. Low back pain is caused by injury to a muscle (strain) or ligament (sprain). Common causes include improper lifting, poor posture, lack of regular exercise, a fracture, a ruptured disc or arthritis, often, the only symptom is pain in the lower back. Most low back pain goes away on its own in two to four weeks. According to ayurveda katishula and ghrdhrsi having same symptoms like lowbackache. In daily clinical practice we have seen mostly vatkphaj ghridhrsi patient. Shunthi gokshuradi kwatham with the prakshapa of yavakshara gives excellent result in above type of ghridhrsi. KEYWORDS: Shunthi Gokshuradi Kwatham, yavakshara, Ghridhrasi, (sciatica pain) How to cite this paper: Dr. Dhanshree K. Handibag "A Clinical Study of Shunthi Gokshuradi Kwatham in Ghridhrasi" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456- 6470, Volume-7 | Issue-3, June 2023, pp.1068-1072, URL: www.ijtsrd.com/papers/ijtsrd57565.pdf Copyright © 2023 by author (s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0) INTRODUCTION Ghridhrasi described in 80 nanatmja vatavyadhi. The most commen disorder which affects the movement of legs, particularly in the most productive period of life i.e 30 to 50 years. Backache problems –a one thirds of patients turn in to Ghridhrasi. In this condition due to the dysfunction of vata and kapha dosha stambha (stiffness), ruk(pain), toda (paining sensation) from, kati(lumbar region), spika (buttock) radiating down the posterior border of the thigh, janu (knee) and outer border of jangha and pada with stiffeness and impriment of lifting of thigh. Etiologically Gridhrasi classified in to two groups 1) Vataja 2) vatakaphaja. Acharya sharangdhara mentioned shunthi gokshuradi kwatham with yavakshara prakshepa in vatakaphaj gridhrasi. Aims and objective:- To study the roll of shunthi gokshuradi kwatham in Gridhrasi. Material and Method:- Material:- Drug: Shunthi Gokshuradi Kwatha with Yavakshara as prakshepa. Dose:- 30ml, Seven kala:- Pragbhakta and Sayanmkala (before food) Rout of Administration:- Oral 1. Shunthi: Latin name:- Zingiber officinale. Family:- Zinziberaceae Gana:- Truptighana, Deepaniya, Shulprashman, Trishananighrahan Guna:- Laghu, Snigdha. Rasa:- Katu Vipaka:- Madhura Virya:- Ushana 2. Gokshura:-Latin Name:- Tribulus terrestris Family:- Zygophyllaceae Gana:- Mutravirechaniya, Shothahara, Anuvasanopag, Vatashamari bhedan Guna:- Guru, Snigdha. Rasa:- Madhura Vipaka:- Madhur Virya:- Sheet IJTSRD57565
  • 2. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD57565 | Volume – 7 | Issue – 3 | May-June 2023 Page 1069 3. Yavakshara:- Ash of Hordeum vulgare, alkaline in nature, mutral pittashamak Methods:-A 40 patients were selected by simple random sampling method between the age group 25- 50years. Duration of treatment:- 30 Days. Follow up:- After 15 Days. A. subjective criteria:- 1) Referred pain from sphika to pada. 2) Stambha 3) Tandra 4) Gaurav 5) Arochaka 6) Mukhapraseka 7)Ruka 8) katishula B. Exclusive criteria:- 1) Leprosy –peripheral neuropathy2) Nerve compression due to fracture3) Neoplasm causing nerve compression 4) patient advised surgery Objective criteria:- Straight leg rising test (SLRT) Result Assed as 1. Uttam upashya:- 75% symptoms subsided 2. Madham upshaya:- 50% symptoms subsided 3. Alpa upshya:- more than 25% but less than 50% symptoms subsided 4. Anupshya:- less than 25% symptoms subsided. Result: Graphs only Graphs denotes 1. Before treatment 2. Interval 15 days 3. Interval 30 days 1. % Relief in referred pain (sphik to pada) 2. % Relief in Stambha 3. % Relief in Spandan % Relief % Relief % Relief
  • 3. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD57565 | Volume – 7 | Issue – 3 | May-June 2023 Page 1070 4. % Relief in Tandra. 5. % Relief in Gaurav 6. % Relief in Arochaka % Relief % Relief % Relief
  • 4. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD57565 | Volume – 7 | Issue – 3 | May-June 2023 Page 1071 7. % relief in SLRT 8. % Relief after Chikitsa Discussion: In Ghrudhrasi kandara dushti mentioned by Susruta. Kandra is the upadhatu of Rakta dhatu. Rakta dushti occurred due to viated pitta. Kaphaavruttav vata gives same symptoms like ghrudharsi,diabetic neuropathy. In females pelvic inflammatory disease have some symptoms as like a Ghridhrsi. Constipation, cystits, pregnancy, before menstrual cycle, obesity (specially abdominal fat) are some other causes which presents some symptoms like Vatakaphaja Grudhrasi. We have choose simple and easily formulated and most effective drug Shunthi Gokshuradi Kwatham with the prakshepa of Yavakshara from the sharangdhara samita. In this formulation shunthi is the best amapachaka, deepan, trishananighana drug. As per these karma shunthi works as a pittashamaka, shothahar, shulprashaman, vatanuloman. In same manner Gokshura get washed out excess dravata through urine. Due to madhura rasa ,vipaka and singdha guna it work as a majjaposhaka ,rasayana. Yavakshara is alkaline drug work as a mutral, pittashamaka. That’s why the combine drug effect gives fantastic effects on symptoms like tandra, gauravta, and arochaka. Due to agnideepan and anulomana (mala and vata) pressure on the back get released and symptoms like toda, stambha, ruka get subsided. Changes in SLRT and referred pain (from spika to pada) get subsided with regular excerise and drug use. After the 1month treatment patients get also relief from the complaints like constipation, frequent urination, acidity, painful menses, gas trouble. % Relief % Relief
  • 5. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD57565 | Volume – 7 | Issue – 3 | May-June 2023 Page 1072 Conclusion:- 40 patients were selected by simple random sampling method between the age group of 25- 50 years. Freshly prepeard Shunthi Gokshuradi kwatham with the yavakshara prakhsep (pinch of yavakhara) given to the patient in 30 ml quantity in pragbhakta and saymbhakta (before food) bheshaja kala for 30 days. Followp taken after 15 days and 30 days. As the assessment of result Shunthi Gokhuradi kwatham gives excellent relief from the ghrudharsi.