AN OPEN LABEL, RANDOMIZED CONTROLLED CLINICAL TRIAL ON KALA BASTI SCHEDULES IN THE MANAGEMENT OF GRIDHRASI

Girish KJ, Lohit BA

Abstract


In classics, it has also been mentioned that after giving Niruha Basti in the morning, on the same day in the evening Anuvasana Basti can be given. If this schedule is followed then Yoga Basti can be completed in 5 days, Kala Basti in 9 days and Karma Basti in 18 days. By this, duration of Basti schedule can be reduced as well as number of days of hospital stay and cost significantly. Hence study was planned to evaluate whether the days in schedule of Kala basti can be reduced without incurring any loss in the efficacy in Gridhrasi.

This study was conducted on 86 patients (5 drops out) of Gridhrasi who were randomly allocated into two groups viz. study group (nine days Kala Basti group) and control group (fifteen days of Kala Basti group).

Modified 9 days Kala Basti Group: 40 patients of this group were given Erandamuladi Niruha Basti and Sahacharadi Taila Anuvasana Basti. On first, eighth and ninth day, Anuvasana Basti was given once a day but on the other days Niruha Basti of Erandamuladi Basti was given in the morning and Anuvasana Basti given on the same evening. The statistically significant improvement in most of the signs namely Ruk, Stambha, Toda, Spandana, Tandra, Arochaka, Gourava and symptoms namely Dehasyativakrata, SLR test, Schober's test Standing time, Walking time, Stepping time and Walking distance at 3rd, 6th and 9th (AT) day of treatment.

Regular 16 days Kala Basti Group: 41 patients of this group were administered Erandamuladi Niruha Basti and Sahacharadi Taila Anuvasana Basti on alternating pattern as per regularly practiced Kala Basti pattern in 15 days schedule. Similarly, in this group also significant improvement at regular interval of 6,th 9,th, 12th and 15th day of treatment was also noticed in the parameters as mentioned above.

The comparison of results between the groups showed that the modified Kala basti schedule showed equal or better efficacy in reducing signs and symptoms of Gridhrasi namely Sphikpurva-Kati-Prusta-Uru-Janu-Jangha-Pada Kramat – Stambha, Ruk, Toda, Dehasyati Vakrata, Tandra, SLR test, walking time, stepping, standing time and Schober’s test in comparison to regular (15 days) Kala Basti schedule. Regular Basti schedule has shown the better relief in Spandana and Gaurava and Arochaka and walking distance only.

Overall, it may be concluded that modified (9 days) Kala Basti therapy has provided almost equal improvement to the patient of Gridhrasi in comparison to regular (15 days) Kala Basti therapy.

Keywords: Ayurveda, Modified Kala Basti schedule, Regular Kala basti schedule, Erandamooladi Niruha basti, Gridhrasi, Sciatica.


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