椎病引起的坐骨神经痛(Gridhrasi)的管理,根据疾病的Avastha变化basi Dravya:一个案例研究

Neelam Kaalia, Chanchal Aggarwal, Santosh Bhatted
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引用次数: 0

摘要

背景:在办公室不恰当的坐姿或连续以一种姿势工作,以及在旅行中过度用力、举重和抽搐运动——所有这些因素都会对脊柱造成不适当的压力和应激性损伤,并在产生腰痛(LBP)中起重要作用。几种腰背部疾病可引起坐骨神经痛,腰椎间盘退变就是其中之一。根据临床症状,它可以与阿育吠陀所描述的Gridhrasi相关。目的:本研究的目的是在多沙阿瓦斯塔的基础上,借助Panchakarma治疗Vata Kaphaja Gridhrasi患者。材料和方法:这是一名42岁女性患者的单一病例研究,她主诉下背部严重急性疼痛,辐射到下肢B/L,并伴有刺痛感,上下指骨烧灼感,关节僵硬,持续一个月,导致坐姿和站立困难。她使用Snehana, Svedana和Basti Chikitsa以及Shamana Aushadha治疗了三个月。采用BT(第0天)、AT(第31天)和2次随访(第61天和第90天),根据VAS疼痛(Ruk)、VAS僵硬(Stambha)、指尖到底测试、束状(Spandana)、直腿抬高(SLR)测角仪、股骨拉伸、LBOS量表和缅因州西雅图背部问卷进行生活质量评估。结果:患者疼痛和僵硬程度VAS评分明显减轻,指尖到地板的距离明显缩短。治疗1个月后,肌束和SLR指标均有明显改善。
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Management of spondylosis-induced sciatica (Gridhrasi) with variation of Basti Dravya as per the Avastha of the disease: a case study
Background: Improper sitting posture in office or continuous work in one posture and overexertion, lifting heavy weights, and jerking movements during traveling—all these factors create undue pressure and stress injury to the spine and play an important role in producing low back pain (LBP). Several low back conditions can cause sciatica, and lumbar disk degeneration is one of them. Based on the clinical symptoms, it can be correlated with Gridhrasi described in Ayurveda. Aim: The aim of this study was to treat a patient of Vata Kaphaja Gridhrasi on the basis of Avastha of Doshas with the help of Panchakarma treatment. Materials and Methods: This is a single case study of a 42-year-old female patient with complaints of severe acute pain in the lower back radiating to B/L lower limbs associated with a tingling sensation, a burning sensation in the upper and lower phalanges, and stiffness in joints for one month, causing difficulty in sitting and standing. She was treated by using Snehana, Svedana, and Basti Chikitsa along with Shamana Aushadha for three months in total. Assessment was done on BT (0th day), AT (31st day), and two follow-ups (61st day and 90th day) on the basis of VAS pain (Ruk), VAS stiffness (Stambha), fingertip to floor test, fasciculation (Spandana), straight leg raising (SLR) test by goniometer, femoral stretch, LBOS scale, and Maine Seattle Back Questionnaire for QoL. Result: The patient showed significant relief in VAS score for pain and stiffness, fingertip to floor distance was reduced significantly. Improvement was noticed in fasciculation and SLR test after treatment of one month.
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