1) Yog basti, a type of medicated enema, is effective in managing sciatica (gridhrasi) caused by aggravated vata dosha. 2) A yog basti regimen involves 8 enemas with herbal oils and decoctions to pacify vata, along with abhyanga, swedana, and oral herbal formulations. 3) The document provides details on the causative factors, clinical presentation, investigation, and ayurvedic management of sciatica. It emphasizes the role of yog basti in treating sciatica through pacifying the aggravated vata dosha.

1. Role of Yog Basti in
Management of
Gridhrasi (Sciatica)
Dr.Piyush N Shah
MD(Ayu.) kaychikitsa
Medical officer, SMIAS
1

2. Causative factors
Vayu gets aggravated by the following :
1.Ruksh-shit-alpa-laghvann –
intake of ununctous ,cold,scanty and light food
2.Ati vyavay –exessive sexual indulgence
3.Atiprajagare –remaining awake night in excess
4.Vishamadupachar- Inappropriate therapeutic
measures
2

3. 5. Dosh-Asruk stravandati –
Administation therapies which cause excessive
elimation of doshas(including stool) and blood
e.g excessive bleeding in operation.cs .
6.langhan –keeping fast in excess ,dharm-
7.Plavan- swimming in excess
8.Ati adhv-vyayam-ativicheshtite
Resorting to wayfaring,exercise and other
physical activities in excess.
3

4. 9.Dhatunam sankshayd-
Loss of dadhut(Loss of tissue elements)
10.Chinta-shoka-roga ati karshanat-
Excessive emaciation because of worry,grief
and affliction by disease
11.Dukh shayya-asanat –
Sleeping over uncomfertable beds and sitting
over uncomfortable seats.-dunlop bed?
4

5. 12.krodh-divasvapnad-bhayadpi vegsandharanat
Anger ,sleeeping during day time,fear and
suppression of natural urges
13.Amad-abhigatad-abhojnat
Formation of ama(product of improper
digestion and metabolism),suffering from
trauma and abstension from food
5

6. 14.Marmaghat-injuries to marmas(vital spots in
the body)
15.Gaj-ushtra-ashva shighra yanat-apatamsna
Riding over an elepehent-camel,horse or fast
moving vehicles ,and falling down from the
seats on these animals and vehicles.
6

7. Etiology
Dehe srotansi riktani puryitva anilo bali
Karoti vividhan vyadhin sarvang
ekangsanshritan -ch.chi-28/18
Beacause of above mentioned factors,the
agggravated vayu,while filling up the channels
of circulation which are empty .,produces
different kinds of ailments affecting the whole
body or a part thereof.
7

8. Grdhrasi(sciatica)
Sfikpurva katipusht-uru-janu-jangha-padam
kramat grdhrasi sthambh-ruk-tode guhnati
spandate muhu
Vatad-vatkafat tandra-gaurav-arochak anvita
Ch.chi-28/56
In gradhrasi caused by agggravated vayu.first of
all hip is afflicted by stiffness,pain and
pricking sensation in the waist,back,thigh,knee
and calf region.All this organs get twitching
sensation frequently.
8

9.  If the ailment is caused by both,the
agggravated vayu and kapha then the patient
sufffers from drowsiness,heaviness and
anorexia.
9

10. Cause of sciatica
 Bulging Disc or Herniated disc
 Degenerative Disc disease
 Spinal canal Stenosis
 Spondylolisthesis
 Trauma
 Pregnanacy
10

11. What is a Herniated Disc?
Herniation of the nucleus pulposus (HNP)
occurs when the nucleus pulposus (gel-like
substance) breaks through the anulus fibrosus
(tire-like structure) of an intervertebral disc
(spinal shock absorber).
11

12. 12

13. 13

14. 14

15. 15

16. 16

17. The progression to an actual HNP
(Herniation of the nucleus pulposus )
varies from slow to sudden onset of
symptoms.
There are four stages:
(1) disc protrusion
(2) prolapsed disc
(3) disc extrusion
(4) sequestered disc. 17

18.  Stages 1 and 2 are referred to as incomplete,
where 3 and 4 are complete herniations.
 Pain resulting from herniation may be
combined with a radiculopathy, which means
neurological deficit. The deficit may include
sensory changes (i.e. tingling, numbness)
and/or motor changes (i.e. weakness, reflex
loss). These changes are caused by nerve
compression created by pressure from interior
disc material.
18

19. Clinical examination
SLR TEST-Straight Leg Raising
test
Standing time -
Walking time -
19

20. Radiological investigation
 MRI- Lumbar sacral spine
20

21. Posterior bulging of L4-L5 disc,posterior
bulging-anular tear L5-S1 disc
21

22. 22

23. 23

24. 24

25. 25

26. Dhirubhai ,MRI whole spine
26

27. Vatvyadhi chikitsa sutra
Tam madhuramlavna snigdhoshneshykrmet
Sneh sweda asthapana anuvasan nast karm
Bhojan abhyang utsadan parishekadibhi vathare
matra kalm ch praman kruty
ch.su-20/13
27

28. Gridhrasi Chikitsa sutra
 Antara kandara gulf siravedh bastya agnikarma
 Gradhrasi pryujit …ch.chi-28/101
 For sciatica,venesection should be performed
over the vein located betweeen the tendo-
achilles and ankle joint(medial side).Little toe!
 The patient should be given medicated enema
and cauterization therapies.
28

29. 29

30. Yog basti
Total 8 basti
Anuvasan –Dashmul tailam - 100 ml
Asthapan –Dashmula kawath -200 ml
Dashmul tailam - 100 ml
Makshik(honey) -50 gm
Saindhav 10 gm
Putoyavandyadi kalk-30 gm
(ajmoda, bilva, musta, madanphal, shatpushpa
Churna)
30

31. Yog Basti
31

32. Abhyang –
Kati-pusth-pad pradesh
Different tailam –
1. Nirgundi Tailam,
2. Mahanarayan Tailam,
3. Vishgarbha Tailam,
4. Bala Ashavgandha Tail
32

33. Swedan
 Nadi swed
 Patra pind swed (Nirgundi patrapind swed)
33

34. Shaman yog-
1.Laghu yograj gugglu 2 b.i.d
2.Tryudashang gugglu 2 b.i.d
3. Navjivan ras 2 b.i.d
4. Lasunadi vatee 2 b.i.d
5. castor oil 10ml with milk
34

35. 35

36. 36

37. 37

38. 38

39. 39

40. 40

41. Thank You
41