Sciatica

Irq-un-Nasa is one of the commonest neuralgic pain in the lower limbs, which closely resembles to Sciatica and is clinically defined as pain in the sciatic nerve and its component, which may radiates from low back up to leg. The overall incidence of this condition ranges between 13% and 40%. It has the potential to become chronic and intractable, with significant socioeconomic implications. Conventional therapy for Irq-un-Nasa involves pharmacological, surgical or combined approaches. Pharmacological treatments typically include oral or parenteral administration of non-steroidal anti-inflammatory drugs (NSAIDs), epidural injections of anesthetics and corticosteroids, while surgical interventions may involve procedures such as hemilaminectomy or microdiscectomy. These treatments are often expensive and associated with various side effects. In contrast, Unani scholars have successfully managed this condition using oral herbal medicines and regimental therapies (Ilaj Bit Tadbeer), which are considered both safe and cost-effective. The present study was conducted to evaluate the efficacy of Habb-e-Irq-un-Nasa in the management of Irq-un-Nasa. The results demonstrate that patients experienced significant relief from severe pain, with symptoms improving to moderate or mild levels. Additionally, there was a notable reduction in tingling, numbness, and paraesthesia.

Gridhrasi(Sciatica) is one of the Vatavyadhi caused by aggravated Vatadoshas. This disease is characterised by cardinal symptom i.e. Radiating pain (Ruja), which makes the patient difficult to walk; hampering the daily routine of the individual. No specific remedy is given in modern medical science, patients depends on painkillers which has temporary action. Agnikarma is the procedure indicated by Aacharya in Vatavyadhi. Sushrut mentions Agnikarma as superior most than other therapeutic procedures as it gives instant relief in pain. Thus the objective of present study was to evaluate the efficacy of Agnikarma in case of Gridhrasi & thus improve the daily routine of affected individual. Open study was performed in NIA, Jaipur at OPD & IPD level, patient were registered for study after taking written informed consent. 30 cases present with classical features of Gridhrasi as given in text were selected from OPD & IPD of NIA, Jaipur & management by procedure of Agnikarma was conducted. Data was collected &  observation were made before treatment, on 7thday, on 14thday, & 21stday of treatment  There was a highly significant reduction in the parameters like pain, walking distance, stiffness, SLR test seen in the study gp. Visual Pain Analogue Scale was used for analysis of overall effect of treatment. Management of Gridhrasi by Agnikarma gives instant relief in pain but oral Shaman medicine has to use to break the Samprapti of the disease & to check the recurrence.