(

Snehapana Effect of BhadradarvadiTaila in Gridhrasi

P. Ramachandran Nair*, N.P. Vijayan**. S. Indirakumarj*u,P. Madbavikutty**n and V.A, Prabbakarao*uu

A comparative study of Acha-sneha tsnehapanay viz.; Vicarana(samana snehai was conducted atthe in-patient department of IndianInstitute of Panchkarma, Cheruthu-ruthy, 'The study was conducted ontwo groups of twenty patients each,using Bhadradarvadi taila. Theresults were highly significant inboth groups. Results in Vicaranagroups was better, compared toAchasneha group.

• Research Officer (Avurveda)

•• Assistant Research Officer( Pathology)

••• Research Assistant (Ayurveda)Indian Institute of Panchkarma.Charuthuruthy, (Via) Shoranur,Trichur Dist., Kerala-679531

Introduction

Gridharasit known as sciaticain modern parlance is characterisedby pain starting from the buttockand radiating towards the foot.Two types-Vataja and Vata-kaphajaare described in Ayurvedic clas-sics", Vat a-kaphaja types are rarelyseen. The characteristic pain ofpulling nature makes the diagnosiseasy in Gridhrasi cases. A fall,a jerk, or sudden lifting up ofsome heavy materials is the com-mon cause of this disease.

Since Gridhrasi is a VOla dise-ase included among the eighty vatadiseases", vat ahara drugs areexpected to provide therapeuticbenefit. Tila taila (Sesamum oil)is considered to be the mosteffective drug for vata roga4- andadministration of the taila inter-nally and externally is considereda therapy for vata raga in general.Bhadradarvadi gana", (Astanga

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P. Ramachandran Nair et 01

Hridaya, Sutra IS) reputed forits vata hara properties. T'ailamedicated with Bhadradarvadigana was selected for the trial.

Material and Methods

Forty cases of either sex withinthe age group of ten to seventyyears were selected from the out-patient department of Indian Insti-tute of Panch karma, Cheruthuru-thy for the trial. They were grou-ped into two, at random. Group Iwas put under Snehapana andGroup II under Samana treatment.Bhadradarvadi iaila was orally

(

administered in Group I as Acha-sneha begining with a small dose of50 m!. The dose was increasedby 50m!. on consecutive days fora maximum pel iod of seven daysor till the samyak snigdha laksha-nas were observed. After comp-lete digestion of sneha, rice kanji(porridge) was given to the patie-nts. Kanji was restricted to half ofthe required quantity., to avoidindigestion and complications. Ingroup II, 20 ml. of the same oilwas given orally as Vicarnar at 7a. m. and 5 p. m. Usual hospitaldiet which is as below was prescri-bed for this group of patients.

7 a.m. Milk 200 m!. + m 10 g. Sugar

8.30 a.rn, Rice Kanji 150 g. + pickles

) 2.30 p.m. Rice 250 g. + vegetables 200 g.

4.00 p.m. Milk 150 ml. + 10 g. sugar

7.30 p.m. Rice kanji 150 g. green gram 25 g.

Abhyanga was given with40 ml. Bhadradarvadi taila in bothgroups during the entire trialperiod. The trial period was fixedas thirty days for both the groups.In each case, periodical assessmentwas made and recorded in the pro-forma specially designed for thepurpose, Those who were fullyrecovered on completion of thefirst course of snehapana werediscontinued from the trial andput under observation for a fewdays. Similarly, an extensiveassessment was made after fifteen

days of treatment and those dayscases which were fully relieved werediscontinued from the trial andput under observation. The secondcourse of snehapana was given inGroup I a-id the same sam anatreatment was continued in GroupII for the remaining cases for atotal period of t h irt y days.

Investigations

The following investigations.were done before and after thetrial.

150

Snehepana Effect of Bhadradarvedi Tatla in Grtdhrast

(A) Urine - Albumin, Sugar andmicroscopy

(B) Stool - Ova, cyst and amoeba

(C) Blood - TC, DC, ESR, Sugar,Serum cholesterol and serumprotein

(D) Radiologicallumbo-sacrallateral views.

- X-ray ofregion AP and

Results and Discussion

The clinical improvement of thecases was graded as

(I) Complete relief (disappear-ance of all signs and symp-toms).

(2) Marked relief (99-71 %),

(3) Moderate relief (70-41 %).(4) Mild relief (40-10%), and

(5) No relief below (10%),

In Group I two cases hadshown complete relief after thefirst course of snehapana and onecase on completion of the secondcourse. Four cases got markedrelief, eight cases had moderaterelief and five cases mild relief.

Tn Group II, one case hadshown complete relief after fifteendays and six more cases got com-plete relief on completion of thetreatment. Five cases showedmarked relief and a similar numberreported moderate relief, twocases showed mild relief and onecase did not respond after comple-

tion of the trial (Tables I andFigs. I & 2).

Finding of investigation are asfollows :

(A) Urine:

Group I: Traces of albuminwas noted in one case before trialand it was cleared by the treatment ,whereas R.B.C., pus cells andbacteria were detected in threecases after the trial.

Group II : Bacterial and R.B.C.were detected in four cases beforetrial and were cleared by the treat-ment.

(B) Stool:

Group I : Round worm ova intwo cases, and pin worm ova inone case was detected before trialand in one case round worm ovawas not present after completion ofthe trial.

Group II: Round worm ovawas detected in three cases beforetrial and no change was noted inthese on completion of the trial.

(C) Blood:

Increase/decrease in TC, DC,Hb, sugar, serum cholesterol andserum protein Were within normallimits in both groups. E.S.R. wasreduced considerably in the agegroup of sixty one to seventy yearsin Group I, and in the age groupsof thirty-one to forty years, forty

i51

P. Ramachandran Nair et al

.one to fifty years and sixty-one toseventy years in Group II (TableIV)

(D) Radiological:

Group I ! One case of fracturedislocation L5, and osteo-arthritislumbar spine were detected beforetrial and no change was noted oncompletion of the trial.

Group II .' One case of scoliosis,osteosclerotic lesion in sacrum,posterior dislocation of the fourthand fifth lumbar with narrowing of

intervertebral space, Sacralisationof L 5 and three cases of osteo-arthritic spine were noted beforethe trial and no change was notedon completion of the trial.

Conclusion

Achasneha (Snehapana) andVicarana (samana .uzeha) are foundeffective in Gridhrasi. Result wasbetter in Vicarana group. Consi-dering the results and difficulties toundergo snehapana, samana snehais advisable in Gridhrasi, '

152

Snehapana Effect of Bhadradarvadi Taila in Gridhrasi

Table - 1

Group I Snehapana Group II Samana

Result After 1st course After 2nd course % After 15 days After completion %

Complete relief 2 3 15 1 7 35

Marked relief 4 04 20 4 5 25

- Moderate relief 9 8 40 10 5 25V\IN

Mild relief 5 5 ~5 4 2 10

No relief 1 1 5

Total 20 20 100 20 20 100

On statistical analysis the results are found to be highly significant (Table II)

P. Ramachandran Nair et al

Table II

Results of Statistical Analysis

Group Before treatment After treatment Student 't' 'p' valueMean + SEM Mean ± SEM '1' value

I 53.80 ± 2.60 21.15 ± 3.61 8.28 p < 0.0001-VIi>- II 61.35 ± 3.03 18.45 ± 4.76 10.75 p < 0.0001

Duration of the diseases did not show any influence in the results (Table III)

Shehupana Effect of Bhadmdarvedi Taila in Gridhrosi

Table· III

Duration-wise Results

Duration of illness in days

Result Up to 15 16-30 31-60 61-90 91-180 181-360 361 and Totaldays above

G.!. G.II G.!. GII G.!. G.n. G.I. G.n. G'!. G.n. G'!. G.n. G.I. G.II.-V\V\

Complete 4 1 1 9relief

Marked 2 1 2 1 2 9relief

Moderate 2 2 2 2 2 1 1 13relief

Mild relief 2 1 1 2 7

No relief 1

Total 5 5 4 2, 3 3 3 1 3 3 4 4 39

P. Ramachandran Nair et al

Table - IV

Results of E.S.R.

Group I Group II

Before trial After trial Before trial After trial

11 to 20 years 2 5

21 to 30 years 14 6 16 25-VI0'1 31 to 40 years 23 26 40 21

41 to 50 years 32 23 70 65

51 to 60 years 10 22 12 13

61 to 70 years 75 20 67 28

Snehapana Effect of Bhadrdaravdi Teila ill Gridhras i

RESUL T'100

YoGROU P. I ))Bhodro.dcnvadiSNE HAPANA_ 80

. Complete. rehefIIrlorkedtehef 70

I t1oderoJe reh~f 60

~ Mild te1tefDNo~elief

GROUP II ~B'hadraaarvaAiSAMANA

Fig. 1 Effect of Bhadradarvadi taila (Achasneha Vicarana) on Gridhrasipatients.

157

P .Ramachandran Nair et 01

90

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, __ ._ .•. -e •••.•..•

RESULT OFTREATMENT

"

.-

,,

,,.

,,

r=:""' ...•,

~_ GroUt>.I. BhodrddarvQdiSN\HAPANA

GrOU ~_ll.ehQdtQdoJvadiSAI1AHA

7 8 9 10 v " 11 I) 14

No.of cases .IS 16..• n 18 '. ao

Fig. 2 Effect of Bhadradarvadi taila (Achasneha Vicarana) on Gridhrasipatients.

158

Snehapana Effect of Bhadradarvodi Taila in Gridhrasi

Annexure -Ito'

Bhadradarvadi taila- Ingredients

Sanskrit Name Latin Name Family

1. Devadaru Cedrus deodara (Roxb.) Loud. Conferae

2. Natam (Tagar) Valerian a wallichii DC. Val erianaceae

3. Kushta Saussurea lappa (c. B. Clarke) Compositae

- 4. Bala Sida retusa Linn. MalvaceaeVI\0 5. Atibala Urena Lobato Linn. Malvaceae

6. Brihatbi Solanum indicum Linn. Solanaceae

7. Kantakari Solanum xanthocarpum S & W Solanaceae

8. Prisniparni Pseudarthria viscida W. & A. PapIionaceae

9. Salaparni Desmodium gangeticum DC. Leguminosae

10. Goksbura Tribulus terrestirs Linn. Zygopbyllaceae

11. Bilwa Aegle marmelos Corr. Rutaceae

12. Gambari Gmelina arborea Linn. Verbenaceae

13. Agnimanda Premna intergrifotta Linn. Verbenaceae

P. Ramachandran Nair er al

Sanskrit Name Latin Name Family

14. Patala Stereospermum suaveolens DC. Bignoniaceae

15. Syonaka

16. Til taila

Oroxylum indicum Vent. Bignoniaceae

Sesamum indicum Linn. Pedaliaceae

-0\o

Snehapana Effect of Bhadradarvadl Tallo in Gridhrasi

'Acknowledgement

Authors wish to thank Dr.P. K. N. Namboodiri, ResearchOfficer-in-Charge, Dr. R. BhaskaranNair. Research Officer (Bio-chemis-try), Mr. P. Chandran, Office Su-printendent. Mrs. A. Chandrika,Statistical Assistant, Dr. K. SanthaKurnari, Asstt. Research officer(Ay.), and all. the technical andnon-technical staff of the Institutefor their help to finish the worksuccessfully. We are indebted toDr S. Madhvan Pillai, Former

'. ,Assistant Director and Dr. P. G.Batliwala, Assistant Director (Bio-Chemistry) for their guidancethroughout the work.

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Caraka

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