Abstract
Introduction: Gridhrasi, a condition described under Vataja Nanatmaja Vikara, is characterized by a vulture-like gait due to stiffness and severe discomfort in the legs. Symptoms vary based on Dosha predominance, with Vataja Gridhrasi presenting sharp pain and stiffness radiating from the lower back to the foot, and Vata-Kaphaja Gridhrasi exhibiting additional signs like heaviness, drowsiness, and loss of appetite. Commonly linked to sciatica in modern medicine, Gridhrasi significantly impacts daily life and mobility, emphasizing the need for effective management. Methods: A 40-year-old male patient employed as a driver presented to the Panchakarma OPD of Sri Jayendra Saraswati Ayurveda College and Hospital, Nazarathpet, with pain radiating from the lower back to the left lower limb, heaviness, and numbness following a bike accident. This case report discusses the management of Vata-kaphaja Gridhrasi. Treatment involved initially Kapha Avarana Chikitsa followed by Kevala Vata Chikitsa, including Panchakarma procedures such as Kadikizhi, Abhyanga, Svedana, Yoga Basti, Kati Basti, and Shamana Oushadhis. Results: Over a 13-day treatment period, the patient exhibited significant improvement, including reduced pain, subsided stiffness, numbness, enhanced walking ability, and overall better quality of life. A remarkable 70% overall improvement was observed, demonstrating the efficacy of the personalized treatment strategy. Discussion: This case demonstrates the potential of classical Ayurvedic treatments, particularly Panchakarma therapies, in managing challenging conditions like Vata-kaphaja Gridhrasi. The systematic approach of starting with Rukshana, Rukshasnigdha, and Snigdha Brumhana does Samprapti Vighattana by removing Kapha avarana, pacifying Vata prakopa, and nourishing Dhatus. This approach provides significant pain relief from symptoms and improved mobility, highlighting the effectiveness of personalized Ayurvedic treatment in managing complex conditions.