Kati Basti and Patra Pottali in Gridhrasi management: A Case Study.
Journal name: Ayushdhara
Original article title: Role of kati basti and patra pottali sweda in the management of gridhrasi- a case study
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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MD Haidar
PG Scholar, Department of Panchakarma, Institute of Post Graduate Ayurvedic Education & Research at Shyamadas Vaidya Shastra Pith, Kolkata West Bengal, India.
Md Tanzil Ansari
PG Scholar, Department of Kayachikitsa, Institute of Post Graduate Ayurvedic Education & Research at Shyamadas Vaidya Shastra Pith, Kolkata, West Bengal, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Role of kati basti and patra pottali sweda in the management of gridhrasi- a case study
Year: 2021 | Doi: 10.47070/ayushdhara.v8i1.691
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
The modern lifestyle often leads to various lifestyle disorders, one of which is sciatica, a locomotory disorder characterized by pain, tingling, and numbness extending from the lower back to the legs. In Ayurveda, this condition is referred to as Gridhrasi, which signifies similar symptoms such as pain (Ruk), stiffness (Stambha), and pricking sensations (Toda). The relevance of Ayurvedic treatments like Panchakarma, specifically Kati Basti and Patra Pottali Sweda, is increasingly acknowledged in managing these conditions effectively by addressing their root causes.
Effectiveness of Kati Basti
Kati Basti is a specialized Ayurvedic therapy aimed at relieving lower back pain by focusing on the local application of warm medicated oil. In a case study involving a 29-year-old male patient with chronic low back pain radiating to the left leg, Kati Basti was administered daily for 14 days using Mahanarayana Taila. This treatment created a warm, soothing environment for the affected areas, which is believed to pacify the aggravated Vata dosha, helping to alleviate pain and stiffness. Patients reported significant improvement in symptoms as the therapy combined both nourishment and detoxification, enhancing their overall mobility and comfort.
Benefits of Patra Pottali Sweda
Patra Pottali Sweda involves the use of medicinal herbal leaves that are heated and then applied to the body as a form of fomentation. In the presented case, leaves from several plants were utilized to create the boluses, which were heated with Mahanarayana oil and applied to the lumbosacral region. This technique not only provided localized warmth and relief but also facilitated the penetration of medicinal properties into the tissues, thereby addressing the underlying causes of the pain and discomfort associated with Gridhrasi. The integration of this treatment with Kati Basti showed effective results in reducing symptoms of pain, stiffness, and pricking sensations while improving the patient鈥檚 overall functional mobility.
Conclusion
The case study showcased that sciatica, or Gridhrasi, can be effectively managed through Ayurvedic approaches, specifically utilizing Kati Basti and Patra Pottali Sweda alongside appropriate oral medications. Not only did the treatments lead to a noticeable reduction in symptoms, but they also demonstrated an overall enhancement in the patient's quality of life, with no adverse effects reported. Nevertheless, the findings indicate the necessity for further studies involving larger populations to validate the efficacy of these Ayurvedic treatments in managing sciatica comprehensively.
FAQ section (important questions/answers):
What is Gridhrasi and how does it relate to sciatica?
Gridhrasi is an Ayurvedic term corresponding to sciatica, characterized by pain, stiffness, tingling, and numbness in the lower limbs, often due to Vata dosha aggravation. It is similar in presentation to the modern understanding of sciatica, which affects nerve pathways.
What treatments were used for the patient with Gridhrasi?
The patient was treated using Panchakarma therapies: Kati Basti and Patra Pottali Sweda, along with oral medications. These therapies employed herbal oils and therapeutic steam to alleviate symptoms such as pain and stiffness.
What were the outcomes of the treatment after 14 days?
After 14 days of treatment, the patient showed significant improvement, with reduced pain, stiffness, and pricking sensations. The assessments indicated a marked relief in symptoms related to Gridhrasi, showcasing the effectiveness of the therapies employed.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for 鈥淜ati Basti and Patra Pottali in Gridhrasi management: A Case Study.鈥�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Pain:
Pain is a significant symptom of Gridhrasi (sciatica) and is described as Ruk in Ayurveda. It is typically characterized by sharp, shooting sensations that start from the lower back and radiate down the legs. In the case study, pain management was a primary objective using Kati Basti and Patra Pottali Sweda therapies.
2) Gridhrasi (Gridhrashi, Grdhrasi):
Gridhrasi is an Ayurvedic term that correlates with modern sciatica. The condition involves symptoms such as pain, stiffness, tingling sensations, and numbness in the lower limb. The name derives from the patient's vulture-like gait. It is a type of Vatavyadhi, which means it is associated with deranged Vata dosha.
3) Pottali:
Pottali refers to a bolus used in Ayurvedic therapies like Sveda (fomentation). In Patra Pottali Sweda, the pottali contains medicinal leaves and other ingredients that are heated and applied to the affected area to provide relief from symptoms like pain and stiffness in Gridhrasi.
4) Patra:
Patra means 'leaf' in Sanskrit. Various medicinal leaves such as Nirgundi, Eranda, Chincha, Dhatura, and Shigru are used in Patra Pottali Sweda for their therapeutic properties to treat conditions like Gridhrasi by alleviating Vata and Kapha doshas.
5) Basti:
Basti is an Ayurvedic treatment involving the retention of herbal oils or decoctions. In Kati Basti, warm herbal oil is pooled in a dough ring placed on the lower back to treat conditions like Gridhrasi. It helps alleviate pain and stiffness by providing local snehana (oleation) and svedana (fomentation).
6) Kati:
Kati means 'lower back' in Sanskrit. Kati Basti is a specific Ayurvedic treatment aimed at relieving lower back pain, stiffness, and other symptoms associated with Gridhrasi. The therapy involves the use of warm herbal oils retained on the lower back via a dough ring.
7) Mahanarayana:
Mahanarayana is a type of Ayurvedic oil known for its pain-relieving and muscle-relaxing properties. It is used in Kati Basti and Patra Pottali Sweda therapies to treat Gridhrasi by providing snehana (lubrication) and alleviating the symptoms associated with Vata dosha aggravation.
8) Stiffness:
Stiffness, or Stambha in Ayurveda, is a symptom of Gridhrasi characterized by rigidity and reduced mobility in the lower back and legs. The case study highlights the effectiveness of Kati Basti and Patra Pottali Sweda in reducing stiffness through snehana (oleation) and svedana (fomentation) therapies.
9) Vatavyadhi (Vata-vyadhi):
Vatavyadhi refers to diseases caused by the imbalance of Vata dosha in Ayurveda. Gridhrasi is a type of Vatavyadhi, marked by symptoms like pain, stiffness, and numbness in the lower limbs. Treatments like Kati Basti and Patra Pottali Sweda aim to pacify the aggravated Vata dosha.
10) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine that emphasizes holistic healing through natural methods and lifestyle modifications. The study explores Ayurvedic treatments like Kati Basti and Patra Pottali Sweda for managing Gridhrasi (sciatica), showcasing the system's approach to treating Vatavyadhi disorders.
11) Disease:
Disease refers to an abnormal condition affecting the body. In the context of the case study, Gridhrasi (sciatica) is the disease being treated. It is characterized by pain, stiffness, and numbness, and the treatment aims to address these symptoms through Ayurvedic therapies.
12) Stambha:
Stambha in Ayurveda refers to stiffness, a common symptom in Gridhrasi (sciatica). This condition involves rigidity and reduced mobility, particularly in the lower back and legs. Kati Basti and Patra Pottali Sweda therapies were employed to alleviate stambha by balancing aggravated Vata and Kapha doshas.
13) Dosha (Dosa):
Dosha: Doshas are fundamental bodily bio-elements in Ayurveda鈥擵ata, Pitta, and Kapha. Diseases like Gridhrasi stem from the imbalance of doshas, particularly Vata. Ayurvedic treatments focus on restoring balance among these doshas to treat conditions and improve overall health.
14) Sveda:
Sveda refers to fomentation or sweating therapy in Ayurveda. Patra Pottali Sweda is a type of Sveda therapy used in the case study to treat Gridhrasi by applying heated medicinal pouches to the affected area. This therapy aims to alleviate Vata and Kapha dosha aggravation, reducing pain and stiffness.
15) India:
India is the country where Ayurveda originated and continues to be widely practiced. The case study was conducted at the Institute of Post Graduate Ayurvedic Education & Research, Shyamadas Vaidya Shastra Pith in Kolkata, West Bengal, India, highlighting a traditional Ayurvedic approach to managing Gridhrasi.
16) Vata:
Vata is one of the three doshas in Ayurveda, representing movement and activity. An imbalance in Vata dosha causes various disorders like Gridhrasi, characterized by pain, stiffness, and numbness. Treatments like Kati Basti and Patra Pottali Sweda aim to pacify Vata dosha to alleviate these symptoms.
17) Mahanarayanataila (Mahanarayana-taila):
[see source text or glossary: Mahanarayana-taila]
18) Education:
Education in the context of the case study refers to the learning and academic framework provided by institutes like the Institute of Post Graduate Ayurvedic Education & Research at Shyamadas Vaidya Shastra Pith, Kolkata. These institutions support the research and practice of Ayurveda.
19) Shastra (Sastra):
Shastra means 'science' or 'scripture' in Sanskrit. In the context of Ayurveda, Vaidya Shastra refers to traditional medical knowledge. The case study was conducted at Shyamadas Vaidya Shastra Pith, an institution dedicated to disseminating Ayurvedic knowledge and treatments.
20) Guggulu:
Guggulu is a resin used in Ayurvedic medicine. Trayodashanga Guggulu is a formulation mentioned in the study for treating Gridhrasi, containing anti-inflammatory and analgesic properties that help alleviate symptoms like pain and stiffness by balancing Vata and Kapha doshas.
21) Coconut (Cocoanut):
Coconut is used as an ingredient in Patra Pottali Sweda. It is grated and mixed with other medicinal herbs and oils to prepare pottali for fomentation therapy. Its inclusion helps enhance the therapeutic efficacy of the treatment for conditions like Gridhrasi.
22) Vaidya:
Vaidya refers to a practitioner of Ayurveda. The case study was conducted by PG scholars and practitioners, referred to as Vaidyas, specializing in Ayurvedic treatments for managing diseases like Gridhrasi using therapies such as Kati Basti and Patra Pottali Sweda.
23) Bengal (Bemgal):
Bengal refers to the region where the case study was conducted. The Institute of Post Graduate Ayurvedic Education & Research at Shyamadas Vaidya Shastra Pith is located in Kolkata, West Bengal, India, serving as the hub for this clinical research on Ayurvedic management of Gridhrasi.
24) Taila (Thaila):
Taila means oil in Sanskrit. Ayurvedic treatments like Kati Basti and Patra Pottali Sweda often utilize medicated oils like Mahanarayana Taila. These oils are integral for snehana (oleation) and help alleviate symptoms of Vata disorders such as Gridhrasi.
25) Rasa (Rasha):
Rasa means essence or taste in Ayurveda and is also used for mercury-based preparations. Vatagajankusha Rasa is an Ayurvedic formulation mentioned in the study to manage Gridhrasi by pacifying Vata dosha and providing relief from symptoms like pain and stiffness.
26) Vatadosha (Vatadosa, Vata-dosha):
[see source text or glossary: Vata-dosha]
27) Bhaishajya (Bhaisajya):
Bhaisajya refers to medicinal treatments in Ayurveda. The Bhaisajya Ratnavali is a classical Ayurvedic text cited in the study, mentioning formulations like Mahanarayana Taila and Trayodashanga Guggulu used for treating Vatavyadhi conditions such as Gridhrasi.
28) Medicine:
Medicine in the context of this case study refers to Ayurvedic formulations like Trayodashanga Guggulu and Vatagajankusha Rasa used alongside Panchakarma therapies such as Kati Basti and Patra Pottali Sweda to manage Gridhrasi symptoms effectively without adverse effects.
29) Pulse:
Pulse refers to the Nadi in Ayurveda, which is examined to diagnose imbalances in the body's doshas. The patient's pulse rate is recorded as a part of the Ashtavidha Pariksha (eightfold examination) to understand the Vata-related disturbances in conditions like Gridhrasi.
30) Lemon:
Lemon is one of the ingredients used in Patra Pottali Sweda. It is sliced and mixed with medicinal herbs and oils to prepare the pottali. The inclusion of lemon enhances the therapeutic effects of the fomentation therapy used to treat symptoms of Gridhrasi.
31) Guna:
Guna refers to qualities or attributes in Ayurveda. Treatments in the case study aim to balance the gunas of doshas. For instance, Ushna (hot) guna of oils used in therapies like Patra Pottali Sweda and Kati Basti help counteract the Sheetaguna (cold quality) of aggravated Vata dosha.
32) Rock salt:
Rock salt, or Saindhavalavana, is used in Ayurvedic therapies like Patra Pottali Sweda. It is mixed with other ingredients to enhance the therapeutic heat application, helping to alleviate symptoms of Vata and Kapha dosha imbalances in conditions such as Gridhrasi.
33) Tamarindus indica:
Tamarindus indica is the botanical name for tamarind. Leaves of tamarind are used in Patra Pottali Sweda for their medicinal properties to treat Vata and Kapha disorders like Gridhrasi. They are part of the herbal mixture used in the fomentation therapy.
34) Ricinus communis:
Ricinus communis, commonly known as castor, is used in Patra Pottali Sweda. Its leaves possess anti-inflammatory and analgesic properties, which help in the management of conditions like Gridhrasi by alleviating pain and stiffness associated with Vata dosha imbalance.
35) Saindhavalavana (Saindhava-lavana, Saimdhavalavana):
Saindhavalavana refers to rock salt used in Ayurvedic therapies like Patra Pottali Sweda. It helps in enhancing the effectiveness of heat applications, thus contributing to the therapeutic management of symptoms like pain and stiffness in Gridhrasi by balancing Vata and Kapha doshas.
36) Purification:
Purification in Ayurveda refers to Shodhana, the detoxification process of Panchakarma. The treatments of Kati Basti and Patra Pottali Sweda aim to purify the body by eliminating the causative factors of Gridhrasi, thereby providing relief from symptoms by balancing doshas.
37) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-Dosha represents stability and structure in Ayurveda. An imbalance in Kapha dosha, along with Vata dosha, is noted in conditions like Gridhrasi. Ayurvedic treatments such as Kati Basti and Patra Pottali Sweda aim to pacify both doshas to alleviate symptoms like stiffness and heaviness.
38) Ashtavidha (Astavidha, Ashtan-vidha):
Ashtavidha refers to eightfold examination in Ayurveda, which includes pulse (Nadi), stool (Mala), urine (Mutra), tongue (Jeehva), voice (Shabda), skin (Sparsha), vision (Drika), and build (Aakriti). This comprehensive assessment helps diagnose the condition and dosha imbalances in diseases like Gridhrasi.
39) Discussion:
[see source text or glossary: Discussion]
40) Drowsiness:
Drowsiness, or Tandra in Ayurveda, is one of the symptoms associated with Gridhrasi. It is indicative of Vata and Kapha dosha imbalances and can affect daily activities. Ayurvedic treatments aim to address both the primary symptoms and related issues like drowsiness.
41) Madhyama:
Madhyama means 'medium' or 'moderate'. It was used in the context of describing the patient's medium build (Aakriti) during Ashtavidha Pariksha, a part of the diagnostic process in Ayurveda to evaluate the physical constitution and dosha balance for conditions like Gridhrasi.
42) Prakrita (Prakrta):
Prakrita means 'natural' or 'normal' and is used in Ayurveda to describe the natural state of bodily functions. For example, during examinations, aspects like vision (Drika) and tongue appearance (Jeehva) are noted as Prakrita to indicate a normal status, aiding in diagnosing conditions like Gridhrasi.
43) Pariksha (Pariksa):
Pariksha means 'examination' in Ayurveda and involves various diagnostic methods such as Ashtavidha Pariksha (eightfold examination). This detailed assessment helps determine dosha imbalances and is crucial in formulating treatment plans for conditions like Gridhrasi.
44) Spandana (Spamdana):
Spandana refers to twitching or involuntary movements, which is a symptom seen in Gridhrasi (sciatica). The case study emphasizes managing such symptoms through Ayurvedic therapies like Kati Basti and Patra Pottali Sweda to alleviate the underlying Vata dosha imbalance.
45) Rasendra (Rasa-indra):
[see source text or glossary: Rasendra]
46) Nirgundi (Nirgumdi):
Nirgundi, or Vitex negundo, is a medicinal plant used in Patra Pottali Sweda for its anti-inflammatory and analgesic properties. The leaves of Nirgundi help reduce pain and stiffness in conditions like Gridhrasi by balancing Vata and Kapha doshas.
47) Swelling:
Swelling is commonly assessed in Ayurvedic diagnosis but was not specifically noted in this case. Absence of localized swelling in the patient suggested other factors, such as muscle tension and disc issues, were primary contributors to the symptoms of Gridhrasi.
48) Samgraha (Sangraha):
Sangraha means 'compilation' or 'collection' in Sanskrit. The case study refers to classical Ayurvedic texts like Rasendra Sara Sangraha, which contain therapeutic formulations and treatments for various diseases, including Gridhrasi, to guide the Ayurvedic management of such conditions.
49) Gaurava:
Gaurava means heaviness, a symptom associated with Kapha dosha imbalance in Ayurveda. In Gridhrasi, patients often experience a sense of heaviness in the affected limbs. Treatments like Kati Basti and Patra Pottali Sweda aim to alleviate Gaurava by reducing Kapha dosha.
50) Snehana:
Snehana refers to the oleation therapy in Ayurveda. It involves the application of medicated oils to the body to alleviate dryness and roughness caused by Vata dosha. In the case study, Kati Basti involves Snehana to manage symptoms of Gridhrasi by lubricating and softening tissues.
51) Gridhra (Grdhra):
Gridhra means 'vulture'. The term Gridhrasi is derived from this word because the patient鈥檚 walk resembles a vulture due to pain and stiffness in the leg, characteristic of sciatica. The case study focuses on treating this condition using Ayurvedic methods.
52) Svedana:
Svedana means fomentation therapy in Ayurveda, aiming to induce sweating. Patra Pottali Sweda is a type of Svedana used to treat Gridhrasi by applying warm medicated boluses to relieve symptoms like pain and stiffness through heat application, thereby balancing Vata and Kapha doshas.
53) Sparsha (Sparsa):
Sparsha means 'touch' and is one of the eightfold examinations (Ashtavidha Pariksha) in Ayurveda. Normal sparsha indicates a natural skin temperature and texture, which helps in diagnosing underlying Vata and Kapha imbalances in conditions like Gridhrasi.
54) Anupana:
Anupana refers to the vehicle or substance taken along with Ayurvedic medicine to enhance its efficacy. In the case study, lukewarm water was used as Anupana with oral medications like Trayodashanga Guggulu and Vatagajankusha Rasa for treating Gridhrasi.
55) Spashta (Spasta):
Spashta means 'clear' and is used to describe the clarity of a patient鈥檚 voice (Shabda) during examination. A clear voice is an indicator of normalcy, and such observations are part of Ashtavidha Pariksha (eightfold examination) to help diagnose conditions like Gridhrasi.
56) Shabda (Sabda):
Shabda means 'voice' in Ayurveda. It is one of the eightfold examinations in Ashtavidha Pariksha. The clarity of voice can help diagnose underlying health issues or dosha imbalances. In the case study, the patient's voice was noted to be clear (Spashta), indicating no abnormality in this aspect.
57) Shigru (Sigru):
Shigru, or Moringa oleifera, is a medicinal plant used in Patra Pottali Sweda. The leaves of Shigru possess anti-inflammatory and analgesic properties effective in treating conditions like Gridhrasi by pacifying Vata and Kapha doshas and providing relief from pain and stiffness.
58) Eranda (Eramda):
Eranda, or Ricinus communis (castor), is used in Patra Pottali Sweda. The leaves of Eranda are known for their Vata-pacifying properties and are included in the herbal mix to alleviate symptoms of Gridhrasi such as pain and stiffness through external application.
59) Tandra (Tamdra):
Tandra means drowsiness in Ayurveda. It is a symptom associated with Gridhrasi, indicating a Kapha and Vata dosha imbalance. Effective Ayurvedic management aims to address the primary symptoms and related issues like drowsiness for holistic patient recovery.
Other Science Concepts:
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