A Retrospective Observational Study to Assess the Role of Aharaja and Viharaja Nidana in the Causation of Gridhrasi

Abstract

Gridhrasi is one among the Nanatmaja Vata Vyadhi1, which presents with low back pain radiating down to lower limbs. Low Back Ache is the most commonly seen health issue requiring medical intervention in the society as suffering persons are unable to perform their daily routine activities easily. According to WHO, Feb-2021, approximately 1.71 billion people have musculoskeletal conditions worldwide. Among musculoskeletal disorders, Low back pain causes the highest burden with a prevalence of 568 million people. Musculoskeletal conditions are the leading contributor to disability worldwide, with Low back pain being the single leading cause of disability in 160 countries2. The condition of Low back ache affects 1% to 10% of the population, ranging from mild to severe, and most common in adults between the ages of 25 to 45 and it is uncommon before the age of 20 years and affecting male and female equally3. Nidana of Gridhrasi is not elucidated independently, so the general Vata Vyadhi Nidana is considered as the Nidana for Gridhrasi. As the saying goes ‘Sankshepatah Kriyayogo Nidanaparivarjanam’4, an evaluation of the causative factors is very essential to create awareness among people and further helping in prevention and treatment of Gridhrasi. The keen observational study of nidana in subjects of Gridhrasi, it will help to obtain proper understanding about the tara-tama bheda of dosha and vyadhi Avastha for management. Hence, here an attempt is made to assess Aharaja and Viharaja Nidana in Gridhrasi.