Here is a compilation of Gridhrasi disease in various Ayurvedic text books. Gridhrasi disease is compared with lumbar spondylosis or sciatica.
Charaka Samhita is the first and foremost Ayurvedic source for the detailed description of Gridhrasi.
In 5th chapter of Charaka Sutrasthana, Matrashiteeya Adhyaya, Taila Abhyanga in Pada is indicated in Gridhrasi.
In 14th chapter of Sutrasthana – Swedadhyaya, Gridhrasi is described as a Sweda Sadhya Vyadhi.
In kiyantasiraseeya adhyaya, two types of vitiation of Vata i.e caya and prakopa and different coarses of Doshas in the pathogenesis of disease are described.
In 20th chapter of Charaka Sutrasthana – Maharogadhyaya, Gridhrasi is enumerated in the 80 types of Nanatmaja Vatavyadhi.
In 19th chapter of Charaka Sutrasthana – Astodariya Adhyaya, description of two types of Gridhrasi – Vataja and Vata-Kaphaja is mentioned.
In Gulma Cikitsa, the explanation of Lasuna ksheera Paka is said for Gridhrasi.
In 28th chapter of Chikitsasthana – Vatavyadhi Chikitsa, the detailed symptomatology and treatment of Gridhrasi have been given.
In Sushruta Nidanasthana 1st chapter, Vatavyadhi Nidana, Rupa and Samprapti of Gridhrasi are described.
In Chikitsa Sthana 5th chapter – Mahavatavyadhi Chikitsita, Gridhrasi is described as indication for Siravyedha treatment.
In Sushruta Sharira Sthana 8th chapter, site for Siravyedha in Gridhrasi is Indicated.
In Bhagna Nidaana Adhyaya, Sushruta has explained Sandhimukta (dislocation or herniation) and Kanda Bhagna (fracture). Sandhimukta explanation resembles that of disc prolapse which is responsible for majority of disc lesions.
Read related: Sciatica – Ayurvedic Understanding And Successful Treatment Options
Harita has illustrated Vata vyadhis classifying according to five varieties of Vata with mentioning about 16 diseases for each type.
He allotted separate chapters for Gridhrasi Vata where Nidan, lakshana and chikitsa are explained. He has said that Gridhrasi is a Vyana Vata disorder.
In Kashyapa Samhita, Gridhrasi is enumerated under 80 types of Vata imbalance disorders.
In the 24th chapter of Chikitsa Sthana, certain general and special Vata allevating measures are discussed. Treatment with BalaTaila, mulika taila, sahachara taila for Basti & Abhyantara pana, unmardana and Raktamokshana are mentioned.
The 8th chapter termed as Vatarogadhikara deals with pathology and symptomatology of Gridhrasi and its treatment is given in the 12th chapter named Vata Roga Chikitsa.
Read related: Dashamula Kashayam With Castor Oil For Low Back Pain
In Sutrasthana 20th chapter- Doshabhediya Adhyaya, Gridhrasi is included under 80 types of Vata Vikara.
In Nidanasthana 15th chapter- Vatavyadhi Nidana Adhyaya, pathogenesis and symptomatology of Gridhrasi has been described.
In Sutrasthana 36th chapter, Siravyedha Chikitsa in Gridhrasi has been mentioned.
In Nidanasthana 15th chapter Vatavyadhi Nidana symptomatology and pathogenesis of Gridhrasi is described.
In Sutrasthana 27th chapter, site of Siravedha in Gridhrasi has been mentioned.
In the chapter of Vata Vyadhi Nidana, he explained two types of Gridhrasi and some specific symptoms –
Dehasya Pravakrata (Sciatic scoliosis) in Vataja type and
Mukhapraseka and Bhaktadvesha in Vata-Kaphaja type are mentioned.
While describing about treatment of Gridhrasi, herbal remedies such as
Eranda phala payasa – kheer from castor seeds
Basthi prayoga kala and Sashtra Chikitsa ie sira vyadha & agnikarma are mentioned.
Chakradatta has indicated Rasna Guggulu Vati in the treatment of Gridhrasi.
In Amavata Rogadhikar, he indicated Ajmodadi Vati for the management of Ugra Gridhrasi.
Arundatta in his Sarvanga Sundari commentary on Ashtanga Hridaya defined clearly that due to Vata in Kandara, the pain is produced at the time of raising leg straight and it restricts the movement of thigh.
In this text, treatment part of Gridhrasi has been explained at two places.
1) In 4th chapter of Prayoga Khanda termed as Gutikadhikara2) In 19th chapter Vatarogadhikara of Kayachikitsa Khanda he describes Basti chikitsa for its treatment along with Agnikarma and Raktamokshana
According to Dalhana, Gridhrasi is commonly known as ‘Randhini’ in which severe pain occurs.
In this text, symptomatology and line of treatment has been more clearly explained by mentioning that Deepana, Pachana, Vamana, Virechana, Basti and Siravyedha should be done in Gridhrasi. Rasna Guggulu is mentioned in the treatment of Gridhrasi.
In Shashilekha commentary of Ashtanga Sangraha, Indu has described that the symptoms in gridrasi and vishwachi are similar. Manifestation in upper limb is called vishwachi and that which involves the lower limb is called gridrasi.
In 7th chapter, 108 sloka of Purvakhanda termed as Rogaganana, Gridhrasi is counted under 80 types of Nanatmaja Vatavyadhi. Treatment of Gridhrasi is described in 2nd and 5th chapter of Madhyama Khanda.
Treatment of Gridhrasi is explained in 30th chapter of Rasaratna Samuchchaya.
In Bhavaprakasha, Gridhrasi is described under Vatavyadhi Nidana .Types of Gridhrasi along with its treatment is mentioned.
Yogaratnakara explained symptomatology and classification of Gridhrasi in vata vyadhi nidana. In vata vyadhi chikitsa few preparations have also been described which are useful in Gridhrasi. Vishagarbha taila has been described in Vata Vyadhi chikitsa.
In this text treatment of Gridhrasi is described as per Chakradatta.Pathya and apathy has been described in vata vyadhi rogaadhikara.Vishagarbha taila has been described in vata vyadhi rogaadhikara.