EFFECT OF TRAYODASHANGA GUGGULU WITH YOGIC INTERVENTION IN GRIDHRASI: A CASE STUDY

Abstract

Gridhrasi, a classical Vātavyādhi, presents as radiating pain (ruja) from kaṭi to pāda, stiffness (stambha), and numbness (spandana). Modern correlation is sciatica, resulting from sciatic nerve compression or irritation. This case study evaluates the therapeutic effect of Trayodashanga Guggulu combined with Shishu Asana and Setu Bandhasana in a 45-year-old male patient presenting with unilateral lower limb pain of 3 weeks’ duration. Treatment was administered over 60 days in two phases: AT1 – Trayodashanga Guggulu with Shishu Asana for 30 days, and AT2 – Trayodashanga Guggulu with both Shishu Asana and Setu Bandhasana for 30 days. Assessment was done using pain scale (Visual Analog Scale) and Straight Leg Raise (SLR) test. Results showed progressive reduction in pain, improvement in mobility, and normalization of SLR angle. The integrated Ayurvedic and yogic intervention effectively reduced Vāta-Kapha imbalance, strengthened snāyu and majja dhātu, and enhanced spinal flexibility (kaṭi snāyu sthiratā). Pathya–Apathya and proper asana technique were strictly followed to optimize outcomes. This case demonstrates that combination therapy of Trayodashanga Guggulu with selected yogic practices is a safe, non-invasive, and effective management strategy for acute Gridhrasi, emphasizing holistic patient-centric care.