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      Comparative evaluation of efficacy of Trayodashang Guggul versus Rasona Pinda as an adjuvant with Katibasti in the management of Grudhrasi (Sciatica):  A randomized controlled trial

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          Abstract

          Background

          In ayurveda, sciatica can be correlated to ‘ Grudhrasi’ under Vata Nanatmaja-Vyadhi (neurological disorders caused by Vata, one of the bodily humour). In this mainly bodily humours vata and kapha are vitiating producing symptoms like piercing pain, stiffness, twitching, numbness and pain radiating from lumbosacral region to lower limb up to the foot. Therapeutic plan includes stabilizing and bringing back the vitiated vata and kapha humours to equilibrium. The prevalence of sciatica varies considerably ranging from 3.8% in the working population to 7.9% in the nonworking population.

          Aim

          Comparative evaluation of efficacy of Rasonapinda and Trayodashang guggul as an adjuvant to katibasti (oil pooling therapy) in the management of Grudhrasi (Sciatica).

          Objectives

          To assess the efficacy of Rasonapinda as an adjuvant to katibasti in subjective and objective parameters of Grudhrasi (Sciatica). To assess the efficacy of Trayodashang guggul as an adjuvant to katibasti in subjective and objective parameters of Grudhrasi (Sciatica). To compare the efficacy of Rasonapinda and Trayodashang guggul as an adjuvant to katibasti in subjective and objective parameters. Standardisation of Rasonapinda (modified formvati).

          Methods

          In this study, a total of 60 patients will be enrolled and divided equally into two groups. In group A, Trayodashang Guggul 500 mg twice a day after meal with warm water for 30 days adjuvant with katibasti for the initial 7 days will be given. In group B, Rasonapinda 500 mg twice a day after meal with warm water adjuvant with katibasti for the initial 7 days will be given for 30 days.

          Result

          The result will be assessed on baseline of subjective and objective parameters and data will be compared after treatment.

          Conclusions

          It will be based on observations and results obtained.

          Trial registration

          CTRI No. - CTRI/2022/12/048534 Dated – 27/12/2022.

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          Most cited references13

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          The Oswestry Disability Index.

          The Oswestry Disability Index (ODI) has become one of the principal condition-specific outcome measures used in the management of spinal disorders. This review is based on publications using the ODI identified from the authors' personal databases, the Science Citation Index, and hand searches of Spine and current textbooks of spinal disorders. To review the versions of this instrument, document methods by which it has been validated, collate data from scores found in normal and back pain populations, provide curves for power calculations in studies using the ODI, and maintain the ODI as a gold standard outcome measure. It has now been 20 years since its original publication. More than 200 citations exist in the Science Citation Index. The authors have a large correspondence file relating to the ODI, that is cited in most of the large textbooks related to spinal disorders. All the published versions of the questionnaire were identified. A systematic review of this literature was made. The various reports of validation were collated and related to a version. Four versions of the ODI are available in English and nine in other languages. Some published versions contain misprints, and many omit the scoring system. At least 114 studies contain usable data. These data provide both validation and standards for other users and indicate the power of the instrument for detecting change in sample populations. The ODI remains a valid and vigorous measure and has been a worthwhile outcome measure. The process of using the ODI is reviewed and should be the subject of further research. The receiver operating characteristics should be explored in a population with higher self-report disabilities. The behavior of the instrument is incompletely understood, particularly in sensitivity to real change.
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            Effect of Vatari Guggulu in the management of Gridhrasi (sciatica)

            Introduction: Low back pain is one of the common conditions of loco motor system disorder, affects people during their productive life. About 40% cases of low back pain are of radicular in origin and considered under the umbrella of sciatic syndrome. It is a pain dominant disease and reduces human activity considerably in terms of personal as well as social and professional life. The condition resembles disease Gridhrasi mentioned in Ayurveda under the umbrella of Vatavyadhi, and here piercing type of pain which restricts the movement of the affected leg, make his walking pattern-like bird vulture and put him in disgraceful condition. Aim: To assess the effect of Vatari Guggulu on the management of Gridhrasi. Materials and Methods: A total of 40 patients of Gridhrasi were registered and Vatari Guggulu 3 tablet (500 mg each) twice a day was administered before meal with lukewarm water for 30 days. Results and Conclusions: About 32.35% of the patient improved moderately while mild improvement was observed in 47.09% of the patients. The drug has shown better effect on patients of Vata Kaphaja type of Gridhrasi in comparison of Vataja type of Gridhrasi.
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              Nidanasthana; Vatavyadhi Nidana Adhyaya. Sushruta, Sushruta Samhita. Chapter 1, Verse 74.

              PV Sharma (2005)
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                Author and article information

                Contributors
                Role: ConceptualizationRole: Data CurationRole: Formal AnalysisRole: InvestigationRole: MethodologyRole: ResourcesRole: SoftwareRole: ValidationRole: VisualizationRole: Writing – Original Draft Preparation
                Role: MethodologyRole: SoftwareRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – Review & Editing
                Role: Resources
                Journal
                F1000Res
                F1000Res
                F1000Research
                F1000 Research Limited (London, UK )
                2046-1402
                12 August 2024
                2024
                : 13
                : 9
                Affiliations
                [1 ]Datta Meghe Institute of Higher Education & Research, Wardha, Maharashtra, India
                [1 ]Swami Vivekananda Yoga Anusandhana Samsthana, Bengaluru, Karnataka, India
                [1 ]Sri Dharmasthala Manjunatheshwara College of Ayurveda, Udupi, Karanataka, India
                [1 ]Sri Dharmasthala Manjunatheshwara College of Ayurveda, Udupi, Karanataka, India
                Datta Meghe Institute of Higher Education & Research, Wardha, Maharashtra, India
                [1 ]National Institute of Ayurveda Deemed University, Jaipur, Rajasthan, India
                Datta Meghe Institute of Higher Education & Research, Wardha, Maharashtra, India
                [1 ]Sri Dharmasthala Manjunatheshwara College of Ayurveda, Udupi, Karanataka, India
                Datta Meghe Institute of Higher Education & Research, Wardha, Maharashtra, India
                Author notes

                No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Author information
                https://orcid.org/0000-0002-2519-5620
                https://orcid.org/0000-0003-0165-0171
                https://orcid.org/0000-0002-8960-2977
                Article
                10.12688/f1000research.139568.3
                11487230
                39429641
                e60eb4e8-f420-421d-85b2-8dcd82d0a868
                Copyright: © 2024 Rai M et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 7 August 2024
                Funding
                Funded by: Not any
                The author(s) declared that no grants were involved in supporting this work.
                Categories
                Study Protocol
                Articles

                grudhrasi,sciatica,katipradesh,ruka,rasonapinda,trayodashang guggul,katibasti,dashmool taila.

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