Abstract

Dr. Arafath Kainath*, Dr. G. S. Hadimani, Dr. Jyothi R. Ankalagi, Dr. Akshay Shetty

ABSTRACT

Gridhrasi, described in classical Ayurvedic literature as a prominent Vata Nanatmaja Vyadhi, presents with radiating pain, stiffness, and functional impairment affecting the lower limbs. Its clinical manifestation mirrors that of sciatica in modern medicine, where compression or irritation of the sciatic nerve leads to characteristic radiating pain along its distribution. Despite the availability of various pharmacological and interventional therapies, conventional approaches often fall short in offering sustained relief or restoring functional mobility. This necessitates the exploration of alternative, integrative treatment modalities. Swedana Karma, a therapeutic fomentation technique aimed at alleviating Vata and Kapha aggravation, occupies a central place in the Ayurvedic management of Vatavyadhi. Among its types, Bhaya Sweda—external sudation using heated herbal materials—has shown promising results in reducing pain, stiffness, and neuromuscular dysfunctions associated with Gridhrasi. Classical texts advocate its use for relieving Stambha (rigidity), Shoola (pain), and Gaurava (heaviness) by promoting Srotoshodhana (channel clearance) and Vatanulomana (normalizing Vata flow). This review synthesizes classical references, explores the pharmacological logic behind Sweda dravyas (herbal agents used for fomentation), and examines recent clinical studies to evaluate the efficacy and mechanism of action of Bhaya Sweda in the management of Gridhrasi. Findings from available literature suggest that Bhaya Sweda improves circulation, reduces nerve irritation, enhances muscle flexibility, and supports functional recovery without significant adverse effects. The review also identifies limitations in current evidence, such as heterogeneity in treatment protocols and lack of long-term follow-up, and proposes areas for future research. Overall, the analysis underscores the therapeutic relevance, safety, and integrative potential of Bhaya Sweda as a non-invasive, individualized approach for managing Gridhrasi. With appropriate standardization and validation, it holds promise as a valuable modality in the broader management of chronic neuromuscular disorders.