TRAYODASHANGA GUGGULU WITH SETU BANDHASANA AND SHISHU ASANA: AN AYURVEDIC APPROACH TO SCIATICA

Abstract

Gridhrasi, a classical Vātavyādhi, manifests as radiating pain from the kaṭi (lower back) to pāda (foot), accompanied by stiffness, tingling, and sensory disturbances. Its clinical presentation closely resembles sciatica, resulting from compression or irritation of the sciatic nerve. Trayodashanga Guggulu, a time-tested Vātavyādhi-hara formulation, exerts Vāta-Kapha śamana, śūla-hara, and balya effects, targeting both symptom relief and underlying dosha imbalance. Complementary yogic interventions, such as Setu Bandhasana and Shishu Asana, alleviate muscular spasm, enhance spinal flexibility, and improve local circulation, thereby facilitating nerve function. This review synthesizes classical Ayurvedic principles, including Nidāna, Samprāpti, and Chikitsā Sūtra, with modern pathophysiological insights and clinical evidence to propose an integrative therapeutic strategy. The combined pharmacological and yogic approach offers a holistic, non-invasive, and patient-centric model for the effective management of Gridhrasi, emphasizing restoration of Vāta equilibrium and neuromuscular health.