Eval of gomukhasana and shashankasana for managing sciatica.
Journal name: World Journal of Pharmaceutical Research
Original article title: Evaluation of gomukhasana and shashankasana in the management of grudhrasi with special reference to sciatica
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Dr. Patwardhan Ravindra, Dr. Manish Arora and Dr. Saurabh Sontakke
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Evaluation of gomukhasana and shashankasana in the management of grudhrasi with special reference to sciatica
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20186-11487
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
Grudhrasi, characterized by intense shooting pain radiating from the gluteal region to the foot, can be equated to sciatica in modern medical terms. This condition often results from spinal nerve irritation and poses a significant threat to the working population due to resulting low back pain and associated morbidities. Current treatments in modern medicine primarily involve symptomatic management with analgesics, which may not always be effective. Surgical interventions, although available, come with high costs and potential complications. In contrast, yoga therapy has emerged as a holistic treatment approach, aimed not only at physical ailments but also at promoting mental well-being.
Yoga Therapy: A Holistic Approach
Yoga therapy, which has been practiced for over 5,000 years, adapts traditional yoga practices to address specific health challenges. The therapy employs various postures (asanas), breathing exercises, and relaxation techniques tailored to individual needs. Two specific asanas, Gomukhasana and Shashankasana, are highlighted for their efficacy in relieving symptoms of Grudhrasi by promoting flexibility, stimulating the nervous system, and enhancing overall movement. These asanas are particularly beneficial as they not only relax superficial muscles but also target deeper muscle groups that play a significant role in alleviating lower back pain.
Efficacy of Asanas in Grudhrasi Management
The study investigated the effectiveness of Shashankasana and Gomukhasana in managing Grudhrasi among 45 patients, divided into three groups. Each group received different treatments: Group A practiced only Shashankasana, Group B practiced only Gomukhasana, and Group C practiced both asanas. Outcomes were assessed based on metrics including pain, stiffness, pricking sensations, straight leg raise ability, and walking distance. Results indicated that all groups experienced improvement, with the combination of both asanas (Group C) yielding the most significant results across most parameters.
Patient Demographics and Observations
The demographic findings revealed that the majority of patients affected by Grudhrasi were between the ages of 41 to 55, with a predominance of males. Factors such as lack of regular exercise, sedentary occupations, and lifestyles characterized by high stress contributed to susceptibility. Observations showed that regular practice of the assigned asanas not only reduced pain and stiffness but also improved patients� overall functional capacity, indicated by increased walking distance and straight leg raise test results. Notably, the post-treatment follow-up indicated minimal recurrence of symptoms, affirming the benefits of these yoga practices.
Conclusion
The study concludes that Gomukhasana and Shashankasana are effective in managing Grudhrasi, offering a non-invasive alternative to traditional medical treatments. By promoting relaxation and flexibility in muscles, these asanas address the underlying issues of pain and stiffness associated with this condition. The lack of significant recurrence of symptoms in follow-up assessments further strengthens the case for incorporating yoga therapy into treatment regimens for chronic ailments like Grudhrasi, supporting not only physical rehabilitation but also overall wellness.
FAQ section (important questions/answers):
What is Grudhrasi and how does it relate to sciatica?
Grudhrasi is characterized by intense shooting pain from the gluteal region to the foot, resembling sciatica, which occurs due to spinal nerve irritation and pressure, leading to significant pain along the sciatic nerve pathway.
How are Gomukhasana and Shashankasana beneficial for Grudhrasi?
Gomukhasana and Shashankasana help exercise lower back, pelvic, and leg muscles, stimulating the nervous system, improving movement, and relaxing both superficial and deep muscles involved in lower back pain.
What were the demographic details of the study's patients?
The study included 45 patients aged mainly between 41-55 years, predominantly male. Most patients had mixed diets and only a minority engaged in regular exercise, indicating lifestyle factors associated with Grudhrasi.
What methodology was used for evaluating the effects of the asanas?
The study comprised three groups of patients practicing Shashankasana, Gomukhasana, or both for 21 days, with assessments made based on pain, stiffness, pricking sensation, and functional disability before and after treatment.
What were the overall results of the treatment groups?
Group C, which practiced both asanas, showed the greatest percentage improvement in pain relief and mobility. All groups demonstrated significant symptom relief but no significant statistical difference among them.
What conclusion can be drawn about asana therapy for Grudhrasi?
Asana therapy, particularly Shashankasana and Gomukhasana, is effective in alleviating symptoms of Grudhrasi, promoting relaxation of muscles, reducing pain recurrence, and improving overall functionality in daily activities.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Eval of gomukhasana and shashankasana for managing sciatica.�. 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 primary symptom associated with Grudhrasi, which correlates with modern sciatica. It is characterized by intense shooting pain radiating from the gluteal region to the foot, impacting daily activities and quality of life. Effective management of pain is crucial for restoring functionality and improving well-being.
2) Asana (Ashana):
Asanas represent the physical postures practiced in yoga and are crucial for enhancing flexibility, strength, and overall health. In the study, asanas like Shashankasana and Gomukhasana are analyzed for their specific benefits in alleviating symptoms of Grudhrasi. Their practice engages various muscle groups, fostering improved range of motion and pain relief.
3) Study (Studying):
The study focuses on evaluating the effects of specific yoga practices on patients diagnosed with Grudhrasi, effectively sciatica. It aims to assess improvements in symptoms through various assessment criteria, providing insights into the therapeutic potential of yoga as an alternative treatment for chronic pain conditions tied to lifestyle-related disorders.
4) Vata:
In Ayurveda, Vata is one of the three doshas (constitutional types) and represents the qualities of air and space. It governs movement in the body and is essential for bodily functions. An imbalance in Vata can lead to disorders like Grudhrasi, characterized by pain, stiffness, and other symptoms.
5) Yoga:
Yoga is an ancient holistic practice that combines physical, mental, and spiritual disciplines. It aims to promote overall health and well-being. The therapeutic application of yoga, as explored in this study, emphasizes the use of specific postures (asanas) to alleviate pain and improve the quality of life for patients suffering from chronic conditions.
6) Stiffness:
Stiffness is another key symptom of Grudhrasi and signifies a reduction in the flexibility or range of motion in affected areas, particularly in the lower back. The study evaluates how specific yoga practices can help reduce stiffness, thereby improving functional movement and overall patient comfort during day-to-day activities.
7) Observation:
Observation in the study involves monitoring the patients' conditions and response to treatment. It includes assessing the severity of symptoms before and after the treatment period. This methodical approach enables researchers to determine the effectiveness of the yoga interventions implemented during the study phase.
8) Kapha:
Kapha is another dosha in Ayurveda, representing the elements of earth and water, and is associated with stability, structure, and solidity. Like Vata, an imbalance in Kapha can contribute to the development of health issues. Understanding one's Kapha constitution can inform tailored interventions for managing ailments like Grudhrasi.
9) Disease:
The term disease refers to a pathological condition that disrupts normal bodily functions, leading to various symptoms. Grudhrasi, which is similar to sciatica in modern medicine, is identified as a vataja vyadhi (disorder of Vata) in Ayurveda, showcasing the interdisciplinary relevance of both traditional and modern healthcare approaches.
10) Nature:
Nature in this context pertains to the underlying characteristics or conditions of individuals that may predispose them to certain health issues. Factors such as lifestyle, occupation, and exercise habits were analyzed in the study to understand their influence on the severity of Grudhrasi symptoms among patients.
11) Male:
Gender-specific data indicated that the male population was more affected by Grudhrasi in this study. Males often engage in strenuous activities and may not prioritize rest, leading to a higher incidence of muscular and joint problems. Understanding gender differences can aid in tailoring preventive and therapeutic practices in holistic healthcare.
12) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is a state in India where the study was conducted at Bharati Vidyapeeth Deemed University College of Ayurved in Pune. As the site of the research, it represents the cultural context where Ayurvedic practices and modern healthcare intertwine, providing a unique perspective on the management of health issues like Grudhrasi.
13) Irritation:
Irritation refers to the inflammation and discomfort felt in the nerves and muscles, commonly associated with conditions like Grudhrasi. This symptom can lead to shooting pain experienced by patients. The study aims to understand how targeted yoga practices can reduce irritation and improve nerve function in affected individuals.
14) Lakshana (Laksana):
Lakshana signifies the signs or symptoms of a disease in Ayurvedic terminology. In this study, specific lakshanas like pain and stiffness were evaluated for their severity before and after yoga intervention. Understanding these indicators aids in assessing the effectiveness of treatments and monitoring patient progress over time.
15) Medicine:
Medicine encompasses various practices aimed at preventing, diagnosing, and treating illness. This study explores the intersection between traditional Ayurvedic practices and contemporary medicine, highlighting yoga's role as a non-invasive treatment option for managing chronic conditions like Grudhrasi, often where conventional medicine may fall short.
16) Bharati:
Bharati Vidyapeeth Deemed University College of Ayurved is the institution where the study was conducted. It serves as a hub for Ayurvedic education and research in India, emphasizing the importance of integrating traditional knowledge with modern scientific inquiries, especially in the management of organic and functional disorders.
17) Science (Scientific):
Science refers to the systematic study of the physical and natural world through observation and experimentation. The research in this context utilizes a scientific approach to evaluate the efficacy of yoga postures in treating symptoms associated with Grudhrasi, merging ancient wisdom with empirical evidence to draw conclusions.
18) Pitta:
Pitta is one of the three doshas in Ayurveda characterized by the elements of fire and water. It governs metabolism and digestion. An imbalance in Pitta can contribute to various health issues. Understanding Pitta constitution helps determine suitable lifestyle and dietary choices to maintain overall balance in the body.
19) India:
India is the birthplace of Ayurveda and yoga, providing rich historical and cultural context to the practices studied in the research. As such, the findings of this study may hold significance not only locally in Maharashtra but also nationally, influencing the broader acceptance of yoga as a complementary therapy in healthcare.
20) Pune:
Pune is a city in Maharashtra, India, where the study was conducted. Known for its vibrant health and education sector, Pune serves as a significant location for Ayurvedic research and practices. The outcomes from this study may provide insights that could benefit healthcare practitioners in this urban setting.
21) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine that originated in India, focusing on balancing bodily constitutions (doshas) for optimal health. It emphasizes preventive care and holistic treatment approaches. The study highlights yoga, rooted in Ayurvedic philosophy, as a practical intervention for managing disorders like Grudhrasi in contemporary times.
22) Guna:
Guna refers to the inherent qualities or attributes of substances within Ayurvedic philosophy. These attributes influence how different treatments or practices affect the body. Guna's understanding is vital for practitioners as they tailor interventions like asanas to target specific ailments and balance doshas, thus enhancing therapeutic efficacy.
23) Post:
Post refers to the time period following the treatment phase of the study, which includes follow-up assessments of the patients. Evaluating post-treatment results is essential for understanding the long-term efficacy and possible recurrence of symptoms, helping to determine if the yoga interventions had lasting benefits for the participants.
24) Vatavyadhi (Vata-vyadhi):
Vata-vyadhi describes disorders specifically caused by imbalance in the Vata dosha. Grudhrasi, characterized by pain along the sciatic nerve, falls under this category. Understanding the nuances of Vata-vyadhi informs treatment choices and enhances the effectiveness of therapies, particularly those rooted in traditional Ayurvedic practices targeting Vata regulation.
25) Vatapitta (Vata-pitta):
Vata-pitta indicates a specific constitutional type in Ayurveda that involves a combination of the Vata and Pitta doshas. Individuals with a Vata-pitta constitution may experience certain health challenges linked to both doshas, and understanding this helps tailor interventions for them throughout their treatment, enhancing both effectiveness and patient comfort.
26) Kaphavata (Kapha-vata):
Kapha-vata refers to a combination of Kapha and Vata doshas in Ayurvedic philosophy. Individuals with this constitution may exhibit symptoms that reflect characteristics of both doshas. This understanding aids in formulating effective treatment plans, which can mitigate the symptoms of disorders like Grudhrasi while balancing the doshas present in their constitution.
27) Suffering:
Suffering encompasses the physical and mental distress experienced by patients dealing with chronic conditions like Grudhrasi. The impact of persistent pain and reduced mobility can lead to a significant deterioration in overall quality of life. This aspect emphasizes the need for effective therapeutic interventions, such as yoga, to alleviate and manage such suffering.
28) Prakriti (Prakrti):
Prakriti denotes an individual's unique constitution or inherent nature in Ayurveda, shaped by the doshas at birth. Understanding a person's Prakriti is essential for personalized treatments and healing approaches. The study takes this concept into account, as each patient's Prakriti may influence both their susceptibility to ailments and their response to interventions.
29) Shooting:
Shooting describes the specific type of pain experienced in Grudhrasi, which is sharp and radiates along the path of the sciatic nerve. This intense sensation can be debilitating, often leading to mobility issues and impacting daily activities. Addressing shooting pain through targeted therapies, such as yoga asanas, is crucial for patient recovery.
30) Stambha:
Stambha refers to stiffness, which is commonly observed in patients with Grudhrasi. This symptom limits mobility and flexibility, contributing to overall discomfort. The study assesses how yoga practices can effectively reduce stiffness, improving patients' ability to perform daily tasks and enhancing their overall quality of life through structured movements and stretching.
31) Vyadhin (Vyadhi):
Vyadhi is an Ayurvedic term for disease or disorder. The study focuses on understanding Grudhrasi as a specific vyadhi associated with Vata imbalance, exploring both traditional and modern therapeutic interventions. In Ayurveda, recognizing vyadhi characteristics aids practitioners in devising suitable treatment plans to restore balance and health to patients.
32) Dosha (Dosa):
Dosha is a fundamental concept in Ayurveda representing bodily energies or constitutions—Vata, Pitta, and Kapha. An imbalance in these doshas leads to various health issues. The study's focus on Grudhrasi emphasizes the necessity of understanding doshic balance, which underpins treatment strategies, particularly in managing chronic pain conditions effectively.
33) Table:
Table refers to the organized representation of collected data in the study, summarizing the various demographic details and treatment outcomes. Presenting data in tabular form allows for easier comprehension and statistical analysis, helping to highlight trends and draw conclusions regarding the effectiveness of yoga practices in managing symptoms of Grudhrasi.
34) Drug:
Drug refers to any chemical substance with therapeutic properties used to treat diseases or manage symptoms. In the context of Grudhrasi, the focus on drug therapy contrasts with yoga as an alternative treatment intervention, emphasizing the need for integrative approaches in healthcare that consider both symptomatic relief and overall wellness.
35) Pada:
Pada translates to 'foot' in Sanskrit and signifies part of the anatomical regions affected by Grudhrasi. Pain and discomfort often radiate from the gluteal region down to the foot, reflecting the pathway of the sciatic nerve. Understanding the anatomy involved is critical for developing effective therapeutic measures in managing related symptoms.
36) Diet:
Diet encompasses the nutritional habits and food choices individuals make, which can significantly influence overall health and the management of conditions like Grudhrasi. The study considers dietary patterns as a potential factor in the development of symptoms and promotes awareness of healthy eating habits as part of holistic care in Ayurveda.
37) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha denotes the aspect of the Ayurvedic constitution related to the qualities of earth and water. It is essential for maintaining structure and stability but may contribute to specific health issues when imbalanced. Awareness of Kapha-dosha is crucial for designing personalized treatment plans to enhance well-being and manage conditions like Grudhrasi effectively.
38) Kaphapitta (Kapha-pitta):
Kapha-pitta represents an individual's constitution characterized by a combination of Kapha and Pitta doshas. Recognizing this dual dosha constitution is valuable for health professionals when tailoring interventions that consider the combined qualities of both doshas. The study's findings may help in addressing unique challenges faced by this specific group in managing disorders.
39) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha is one of the three fundamental bodily energies in Ayurveda, associated with qualities such as dryness, lightness, and mobility. When out of balance, Vata-dosha can lead to various health issues, including Grudhrasi. The study emphasizes the relationship between Vata imbalance and chronic conditions, focusing on holistic repair through yoga and lifestyle adjustments.
40) Discussion:
Discussion refers to the analysis and interpretation of study findings, connecting them to existing knowledge and broader implications. It highlights the significance of yoga practices for symptom management in Grudhrasi while addressing limitations and implications for future research. Engaging in discussion allows for critical thinking and enhances understanding of integrated healthcare approaches.
41) Developing:
Developing signifies the process of growth or progress towards achieving something. In the context of this study, it reflects the need for continuous improvement in health management techniques, particularly integrating traditional practices like yoga into contemporary therapeutic settings. Developing effective strategies is vital for addressing chronic conditions that plague modern society.
42) Shoshana (Sosana):
Shoshana refers to the depletion or wasting away of tissue, commonly linked with chronic disease. In Ayurveda, Shoshana signifies the harmful effects of a vitiated dosha on bodily structures. The study investigates how yoga can counteract these effects, aiming to enhance muscle and joint health through targeted asanas that promote nourishment and recovery.
43) Pradhana:
Pradhana translates to 'primary' or 'dominant' and can be used in various contexts within Ayurvedic doctrine to identify the most significant factors influencing health. In this study, exploring the primary causes and symptoms of Grudhrasi aids in crafting effective therapeutic interventions, allowing practitioners to prioritize treatment aspects that yield the greatest benefit to patients.
44) Activity:
Activity denotes physical movement or exercises performed by individuals. In managing conditions like Grudhrasi, regular physical activity plays a crucial role in maintaining mobility and preventing deterioration of symptoms. The study provides insights into how specific yoga postures can facilitate increased activity levels and improve overall health outcomes for affected individuals.
45) Pregnant:
Pregnant women were excluded from the study due to potential risks associated with physical activities and specific asanas that may not be safe during pregnancy. This consideration underscores the necessity of tailoring healthcare approaches to individual needs and conditions, highlighting the importance of safety in therapeutic practices for all patient demographics.
46) Vitiation (Vitiated):
Vitiated refers to a state of imbalance or corruption within the doshas, leading to disease manifestation. In this study, understanding vitiated conditions is essential as they serve as a foundation for determining appropriate interventions. The research highlights the necessity of addressing vitiation to restore balance through targeted therapeutic measures, including yoga practices.
47) Samhita:
Samhita denotes ancient texts containing comprehensive knowledge about Ayurveda and yoga practices. Such texts serve as foundational references for practitioners to devise treatments and understand historical contexts. The study leverages these traditional resources to validate the contemporary application of yoga in addressing ailments like Grudhrasi, reinforcing the relevance of ancient wisdom.
48) Shastra (Sastra):
Shastra denotes scriptures or texts that provide guidance on various subjects within the context of Ayurveda. They encompass a wealth of knowledge on health, disease management, and treatment protocols. By drawing upon Shastras, the study links modern research with ancient practices, establishing a continuity of knowledge that enhances treatment strategies.
49) Kathina:
Kathina refers to the quality of being hard, dense, or sturdy, often used in the context of describing tissues or conditions in Ayurveda. In the study, understanding kathina conditions is vital, as they can contribute to pain and stiffness in patients with Grudhrasi. Yoga practices are aimed at alleviating such rigid qualities, restoring flexibility and comfort.
50) Kandara (Kamdara):
Kandara refers to connective tissues or ligaments in Ayurvedic terminology, linking it to overall muscular and skeletal health. Understanding the role of kandara becomes essential in managing conditions like Grudhrasi, as tightness or dysfunction in these areas can contribute to pain. The study highlights how yoga can improve the health of kandara through stretching and strengthening.
51) Pradhan:
Pradhan signifies the main or principal element of consideration within a specific context. In managing Grudhrasi, identifying pradhan factors, like the dominant dosha imbalance causing symptoms, allows for focused therapeutic interventions. The study emphasizes the relevance of addressing these primary factors to enhance treatment effectiveness and improve patient outcomes.
52) Ruksha (Ruksa):
Ruksha translates to 'dry' or 'rough' in Ayurveda and characterizes certain effects of imbalances in doshas, particularly Vata. In the study, addressing ruksha qualities is crucial for alleviating symptoms of Grudhrasi. The incorporation of yoga practices aims to counteract these effects, promoting a more balanced and nourishing state for patients.
53) Vataja (Vata-ja):
Vataja refers to disorders originating from Vata dosha imbalance in Ayurveda. The study focuses on understanding Vataja conditions, like Grudhrasi, illustrating the need for targeted interventions. By examining symptoms and therapeutic strategies, researchers aim to enhance treatment efficacy for patients suffering from Vataja disorders, utilizing the wisdom of yoga and traditional practices.
54) Omkara (Onkara, Onkar, Omkar, Om-kara):
Omkara is the sound associated with the sacred syllable 'Om,' which signifies the universe and the essence of ultimate reality in yoga and meditation practices. Incorporating Omkara chanting into the therapeutic regimen may enhance the holistic experience for patients, promoting mental relaxation and emotional balance that complements the physical benefits of asanas.
55) Khara:
Khara translates to 'harsh' or 'coarse' and relates to certain qualities attributed to vitiated doshas in Ayurveda. Khara qualities can lead to discomfort and rigidity, as seen in patients with Grudhrasi. Understanding these qualities helps practitioners tailor interventions that promote softness, flexibility, and recovery through yoga practices aimed at easing symptoms.
56) Hatha:
Hatha refers to a branch of yoga focused on physical postures and breathing techniques, emphasizing the importance of body alignment and balance. The study explores Hatha practices through specific asanas, illustrating their effectiveness in addressing the physical and mental challenges faced by those suffering from conditions like Grudhrasi, promoting holistic well-being.
57) Chala (Chala°):
Chala denotes mobility or motion, often used in the context of describing optimal qualities of Vata dosha. In managing conditions like Grudhrasi, emphasizing chala is vital, as immobility or stiffness can exacerbate symptoms. Promoting mobility through yoga aims to restore normal function, relieving pain and facilitating overall recovery in affected individuals.
58) Mamsa (Mamsha):
Mamsa refers to muscle tissues in Ayurvedic principles, highlighting its role in overall musculoskeletal health. The study recognizes the importance of mamsa in understanding Grudhrasi, focusing on how specific asanas can enhance muscle integrity and function, thus alleviating pain and improving mobility for practitioners and patients alike.
59) Snayu:
Snayu encompasses the concept of tendons and ligaments crucial for connecting muscles to bones in Ayurvedic texts. Understanding snayu health is essential for managing pain conditions like Grudhrasi. The study focuses on how yoga can impact snayu flexibility and strength, promoting recovery and enhancing the mobility of those affected by such disorders.
60) Ruja:
Ruja translates to 'pain' in Ayurveda and characterizes the discomfort associated with various conditions. Pain management is a central theme of the study, which aims to find effective methods to alleviate the pain experienced by patients diagnosed with Grudhrasi, exploring how yoga practices can lead to significant improvements in symptom management.
61) Kati:
Kati refers to the lower back area and is particularly relevant for studies concerning back pain conditions like Grudhrasi. The health of the kati is critical for mobility and daily functioning, and understanding its anatomy helps inform treatment strategies. The research investigates how yoga interventions can specifically benefit individuals suffering from kati-related issues.
62) Aha (Ahan, Ahar):
Ahar means 'food' in Sanskrit and reflects the importance of diet within Ayurvedic philosophy. In managing conditions like Grudhrasi, dietary choices can influence bodily constitutions and overall health. The study encourages awareness of nutritional habits as part of a holistic approach to patient care, emphasizing food's role in promoting recovery and balance.
63) Line:
Line refers to a framework or pathway for understanding relationships, such as those between lifestyle factors and health outcomes. In the context of this study, identifying the line between yoga practices and symptom relief is essential for establishing effective treatment protocols, fostering a deeper understanding of how holistic interventions can support health management.
64) Life:
Life encompasses the overall experience of individuals, encompassing health, wellness, and daily functions. The study aims to improve the quality of life for those suffering from Grudhrasi through holistic interventions like yoga. Enhancing life quality is fundamental in healthcare, emphasizing the transformative potential of integrating traditional practices into modern treatment paradigms.
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