坐骨神经痛的印度草药疗法:案例研究

Mahaveer Bairwa, Pramod Kumar Mishra, Brahmanand Sharma
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摘要

Gridhrasi 是阿查里亚-查拉卡(Acharya Charaka)描述的八十种纳纳特马贾-瓦塔-维亚迪(Nanatmaja Vata Vyadhies)之一。在临床上,它以从臀部延伸到一条大腿和小腿后部的急性臀部或下背部疼痛为特征。当今社会最普遍的问题之一就是严重的腰痛,并放射到一侧或双侧下肢的脚趾。坐骨神经(L4、L5、S1、S2、S3)是一条从腰部向下延伸至每条腿后部的粗大神经,会引起沿其长度方向的不适。患病者行走时就像秃鹫一样。Acharya Charaka、Bruhad Nighantu Ratnakar 和 Bharat Bhaishajya Ratnakar 解释了控制 Gridhrasi 的 Gridhrasihar taila。经典的阿育吠陀文献中提到了两种形式的 Gridhrasi,即 Vataja 和 Vata-Kaphaja。根据阿育吠陀的说法,Gridhrasi 是由 Vata 败坏引起的疾病之一,Vata 是人体的基本气场之一,掌管着人体的运动和功能。有时,Vata 和 Kapha 两种体质的虚损(Vata Kaphaja)也会导致格拉西病。只有保守疗法才能暂时缓解疼痛,否则手术治疗会产生负面影响。手术后坐骨神经痛复发的情况非常普遍。阿育吠陀疗法无法治愈坐骨神经痛。 在本病例研究中,一名 46 岁的女性坐骨神经痛患者在焦特普尔阿育吠陀研究生院的 Kayachikitsa IPD 和 OPD 接受了为期 45 天的阿育吠陀 Chikitsa 治疗。治疗方法如下Vishwadi Guggulu 2 片(每片 500 毫克),每天两次,用温水送服,Kati Basti 搭配 Gridhrasihar 尾巴,连续 15 天。
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AN AYURVEDIC MANAGEMENT OF GRIDHRASI (SCIATICA): A CASE STUDY
Gridhrasi is one of the eighty Nanatmaja Vata Vyadhies described by Acharya Charaka. Clinically, it is distin-guished by acute hip or lower back pain that extends from the buttock to the back of one thigh and leg. One of the most prevalent issues in society today is severe low back pain that radiates to the toes of either one or both lower limbs. The sciatica nerve (L4, L5, S1, S2, S3), a sizable nerve stretching from the lower back and down the back of each leg, causes discomfort along its length. The diseased person moves like a vulture when they walk. Acharya Charaka, Bruhad Nighantu Ratnakar, and Bharat Bhaishajya Ratnakar explain the Gridhrasihar taila for managing Gridhrasi. Two forms of Gridhrasi, Vataja and Vata-Kaphaja, have been mentioned in classical Ayurvedic literature. Ac-cording to Ayurveda, Gridhrasi is one of the illnesses brought on by the vitiation of Vata, which is one of the fundamentals doshas in the body and is in charge of its movement and functionality. Gridhrasi can occasionally be brought on by both Vata and Kapha vitiation (Vata Kaphaja). Only conservative treatments provide tempo-rary pain relief or surgical interventions that have negative effects. The recurrence of sciatica pain after surgery is widespread. Ayurveda management provides no recurrenceable cure for Gridhrasi. In this case study, a 46-year-old female patient suffering from Gridhrasi was treated with Ayurvedic Chikitsa for 45 days in Kayachikitsa IPD and OPD of the Post Graduate Institute of Ayurveda, Jodhpur. Treatment is given: Vishwadi Guggulu 2 tablets (each 500mg) given twice daily with lukewarm water and Kati Basti with Gridhrasihar tail for 15 days.
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