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Based on Dosha imbalance, Sciatica ( gridhrasi) is of two kinds-
Raktamokshana in gridhrasi
D R . K A U S H A L S I N H A
2 N D Y E A R P G S C H O L A R
D E P T O F P A N C H A K A R M A
Raktamokshana in Gridhrasi
Shodhana chikitsa is one of the most important
treatment modality in ayurveda.
raktamokshana is one among the panchashodhana.
One of the Nanatmaja vikaras.
Characterised by piercing pain, stiffness,cramps
beginning from the sphik radiates upto the pada
through the posterior aspect of kati, prusta, janu
Leading disability in walking.
1. Vataja Gidhrasi
2. Vata-kaphaja Gridhrasi
Vataja Gridhrasi: Curved posture (altered gait) due
to pain(pain during lateral bending), severe
stiffness, pulsation in back, hip, thigh, knee and
Vata-kaphaja Gridrasi: Along with the above
features, indigestion, drowsiness, nausea, anorexia,
heaviness of the leg and freezing sensation in the
lower limbs are complained
Pain in the leg generally unilaterally caused by
irritation of sciatic nerve.
There may be numbness, difficulty in moving or
controlling the leg.
Pain, generally travel from back of thigh to back
of calf and may also extends upwards to the hips
and downwards to the foot.
so comparitively sciatica resembles with
the Gridhrasi described in Ayurvedic science.
Ruksha, Sita, Alpa, Laghu, Tikta,Katu, Kashaya Anna
Excessive sitting on a chair for a longer time
Excessive standing for longer time.
Causes of sciatica according to the modern
Bulging disc or herniated disc.
Degenerative disc disease.
Spinal tumors and spinal infections.
Amount of blood to be collected
One Prastha is advocated as the maximum limit of
blood letting with excessively vitiated doshas.
As per Dalhana
1 Prastha- uttama matra
½ Prastha- madhyama matra
¼ Prastha- hina matra
Probable Mode of Action of Raktamokshana
Kandara is the upadhatu of Rakta and kandara is the
Dusya in Gridhrasi.
Gridhrasi is the Rakta vata as stated by Harita.
Gridhrasi is due to Vyana Vayu Prakopa ant this
Vyana Vayu is related to blood circulation.
Elimination of Ama by Siravyadha which obstructs
the srotas or channels and vayu gets anoloma.
How is TNF
the blood called
influence pain ?
Raktamokshana can cure the disease when other
treatment do not have the effect on disease/ when
other treatment fails.
It gives immediate relief in pain of Gridhrasi.
The symptoms of samyak siravedha are Laghavam,
Vedanashanti , visravit rakta , it means the pain
arising from a disease condition get subsided
followed by decrease in the symptoms of the
disease so siravedha can be used in pain