Management of gridhrasi (sciatica) in ayurveda-a review

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Journal name: World Journal of Pharmaceutical Research
Original article title: Management of gridhrasi (sciatica) in ayurveda-a review
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Dr. V. Shirisha, Dr. N. Rajeshwari and Dr. K.V. Ram Subba Rao


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Management of gridhrasi (sciatica) in ayurveda-a review

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr201910-15743

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

1) Introduction

Gridhrasi, more commonly known as sciatica, is a debilitating condition characterized by pain that radiates along the sciatic nerve path, often from the lower back to the legs. The disorder is primarily associated with a sedentary lifestyle, stress, improper posture, and other physical and psychological factors. The name "Gridhrasi" is derived from Sanskrit, referring to the gait of a vulture, illustrating the way patients may walk due to pain. While modern medical treatments such as analgesics and physiotherapy provide some relief, they may not lead to a definitive cure. This situation necessitates exploring the potential of Ayurveda, which offers a diverse range of treatments for managing Gridhrasi.

2) The Ayurvedic Perspective on Gridhrasi

Ayurveda presents a holistic approach to managing Gridhrasi through various herbal, mineral, and herbo-mineral formulations documented in classical texts. Treatments incorporate Shamana (pacification) and Shodhana (purification) methodologies. The extensive literature within Ayurvedic texts highlights numerous classifications of drugs, including herbal remedies like Prahari Pippali and Suchi, as well as mineral drugs such as Neela Ratna and Haratala Bhasma. The comprehensive review of these formulations suggests an approach that is not only clinically efficient but also cost-effective for alleviating the symptoms associated with sciatica.

3) Importance of Clinical Research in Ayurveda

Conducting pharmaceutical and clinical research on the efficacy of Ayurvedic treatments for Gridhrasi is vital for validating their effectiveness and integrating them into contemporary healthcare practices. This review acts as a tool to encourage further studies in this area, emphasizing the need for rigorous evaluation of traditional remedies. The detailed documentation of multiple herbs and formulations, coupled with their therapeutic applications, can serve as guidelines for researchers and practitioners. Thereby, the study not only highlights existing treatments but also lays the groundwork for future exploration in the effective management of the condition through established Ayurvedic practices.

4) Ayurvedic Formulations and Treatments

The management of Gridhrasi includes various Ayurvedic formulations such as choornas, kashayas, gutikas, and tailas. Each of these categories consists of specific drugs and combinations designed to alleviate symptoms. For instance, formulations like Dashamoola Kwath and Punarnavadhi Choornam illustrate the integrative nature of these treatments, including both internal therapies and external applications. Additionally, Panchakarma procedures, including Snehana (oleation), Svedana (sudation), and Vasti (enema), are highlighted for their therapeutic benefits in detoxifying and rejuvenating the body, thereby facilitating recovery from sciatica.

5) Conclusion

In conclusion, Gridhrasi or sciatica is a prevalent and challenging condition that significantly impacts quality of life. This review emphasizes the promising potential of Ayurvedic medicine as a comprehensive alternative for managing the symptoms associated with sciatica. By integrating scientific research, classical Ayurvedic wisdom, and a focus on holistic practices, a multi-faceted approach can be developed that not only addresses the symptoms effectively but also paves the way for improved patient outcomes in the face of this chronic ailment. The exploration of these Ayurvedic treatments heralds a new avenue for the potential resolution of a condition that remains a significant burden in today's society.

FAQ section (important questions/answers):

What is Gridhrasi and how is it related to sciatica?

Gridhrasi, derived from Sanskrit meaning 'vulture,' describes the typical gait of sciatica patients. This condition, known as Sciatica, involves pain along the sciatic nerve pathways, often causing debilitating discomfort and movement restrictions.

What are the main causes of sciatica as per Ayurveda?

Sciatica is caused by factors like a sedentary lifestyle, stress, poor posture, trauma, abrupt movements, and psychological conditions. These contribute to the aggravation of Vata dosha, leading to Gridhrasi symptoms.

What treatment options does Ayurveda offer for Gridhrasi?

Ayurveda offers holistic treatment options including herbal, mineral, and herbomineral formulations, along with Panchakarma procedures. These therapies aim to manage pain and restore balance, focusing on Shamana (Pacification) and Shodhana (Purification).

How does the diagnosis of Gridhrasi occur?

Diagnosis involves history taking and physical examination, specifically using the Straight Leg Raising (SLR) Test, known as Sakthiniutkshepa Nigrahnyath in Ayurveda. This helps ascertain the characteristic features of Gridhrasi.

What symptoms are associated with Gridhrasi?

Symptoms include severe pain, radiating down the leg, stiffness, heaviness, and a pricking or twitching sensation. These manifestations significantly restrict limb movement, impacting daily activities.

What is the purpose of this review on Gridhrasi management?

The review aims to compile various Ayurvedic formulations and treatments for Gridhrasi. It serves as a resource for researchers, encouraging clinical and pharmaceutical studies to validate the efficacy of traditional management approaches.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Management of gridhrasi (sciatica) in ayurveda-a review”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Taila (Thaila):
In Ayurveda, 'Taila' refers to oil, which is often used in various treatments and therapies, particularly for its ability to nourish and pacify Vata dosha. Taila is essential for external applications in massage and internal consumption, aiding in detoxification and promoting overall health.

2) India:
India is the origin of Ayurveda, an ancient system of medicine that dates back thousands of years. The Ayurvedic practices are deeply rooted in Indian culture, providing holistic healing approaches that encompass physical, mental, and spiritual wellbeing, and leveraging local herbs and minerals in treatments.

3) Gridhrasi (Gridhrashi, Grdhrasi):
Gridhrasi is the Ayurvedic term for sciatica, describing a condition characterized by pain radiating along the sciatic nerve. Understanding Gridhrasi is crucial for diagnosing and treating related ailments, emphasizing the need for effective herbal, mineral, and therapeutic interventions as suggested in classical texts.

4) Drug:
Drugs in Ayurveda are classified into various categories, including herbal, mineral, and herbomineral preparations. Each drug serves specific therapeutic roles, particularly important in treating diseases like Gridhrasi, where targeted formulations can alleviate symptoms and promote healing.

5) Guggulu:
Guggulu is a resin derived from the Commiphora mukul tree, valued in Ayurveda for its anti-inflammatory and lipid-lowering properties. It is often used in formulations targeting joint pain, obesity, and other metabolic disorders, making it integral in treatment plans for conditions like Gridhrasi.

6) Table:
In the context of the document, 'Table' refers to organized listings of various Ayurvedic drugs, formulations, and methodologies for treating Gridhrasi. These tables serve as essential references for practitioners to understand and select appropriate therapies backed by classical texts.

7) Vatavyadhi (Vata-vyadhi):
Vatavyadhi represents diseases caused by Vata dosha imbalances in Ayurveda. These conditions often manifest as pain, stiffness, and motor dysfunctions, necessitating targeted interventions like herbal treatments and dietary adjustments to restore balance and alleviate symptoms effectively.

8) Shirisha (Sirisa, Shirisa, Sirisha):
Dr. V. Shirisha is one of the authors of the research paper focused on the management of Gridhrasi through Ayurveda. Her work in the field of Ayurvedic studies contributes to the understanding and treatment of sciatica, advocating for herbal and mineral therapies.

9) Gutika:
Gutika refers to a specific form of Ayurvedic medicine, usually in the form of pills or tablets. These formulations are made using various herbs and minerals, designed for ease of consumption and targeted therapeutic effects, including pain management in conditions like Gridhrasi.

10) Pain:
Pain is a key symptom in many health conditions, including Gridhrasi (sciatica). Understanding the nature and etiology of pain is crucial for effective diagnosis and treatment within Ayurveda, where it is approached with a combination of herbal remedies, therapies, and lifestyle modifications.

11) Prakarana:
'Prakarana' refers to the methodology or system used in Ayurvedic practices for treatment and healing. In the context of Gridhrasi, Prakarana might describe specific approaches to managing pain and inflammation associated with sciatic nerve disorders, utilizing various therapeutic techniques.

12) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine focused on achieving balance in the body, mind, and spirit through natural methods. It emphasizes preventive care, holistic treatments, and the use of herbal and mineral substances, making it relevant for managing conditions like Gridhrasi.

13) Rasona:
Rasona, or garlic (Allium sativum), is regarded in Ayurveda for its numerous health benefits, including anti-inflammatory and analgesic properties. It is often incorporated into formulations aimed at alleviating conditions like Gridhrasi, contributing to pain relief and supporting overall health.

14) Kashaya (Kasaya):
Kashayas represent herbal decoctions used in Ayurveda for their therapeutic properties. They are designed to promote digestion and absorption of nutrients while targeting specific health concerns, especially in managing symptoms of disorders like Gridhrasi.

15) Disease:
Diseases denote pathological conditions requiring intervention. In Ayurveda, recognizing the root cause of diseases is paramount for effective treatment, focusing on restoring balance and health through holistic approaches and natural remedies.

16) Kalka:
'Kalka' refers to a paste made from fresh herbs, commonly used in Ayurvedic treatments for its potent therapeutic effects. It can be applied externally in compresses or used in internal formulations to address conditions like pain and inflammation in cases of Gridhrasi.

17) Vati:
Vati represents a category of Ayurvedic tablets or pills formulated with various herbs and minerals to address specific health issues. These formulations are used for their concentrated medicinal properties, making them effective in managing conditions associated with pain and inflammation.

18) Mineral:
In Ayurveda, minerals play a vital role in formulating treatments, providing essential nutrients for healing and balance. Various mineral preparations are utilized for their unique properties to treat ailments, particularly in managing chronic pain conditions like Gridhrasi.

19) Narayanataila:
Narayana-taila is a specialized Ayurvedic oil known for its anti-inflammatory properties, particularly useful in treating musculoskeletal disorders. Its applications in massage and therapeutic contexts are significant for alleviating pain and improving mobility, especially in conditions like Gridhrasi.

20) Shatavari (Satavari):
Shatavari is a revered herb in Ayurveda, known for its adaptogenic and nourishing qualities. It is helpful in promoting reproductive health and hormonal balance, though its medicinal properties may also aid in alleviating stress-related symptoms, contributing positively to overall well-being.

21) Narayana (Nara-ayana, Nara-yana):
Narayana, often associated with healing and protection in Ayurveda, embodies principles of restoring balance and health. Its applications in formulations focus on alleviating physical and mental ailments, reinforcing its significance in traditional therapies.

22) Bhasma (Bhasman):
Bhasma refers to calcined ash of metals or minerals used in Ayurveda, recognized for their potency and bioavailability. Bhasma formulations are designed for therapeutic efficacy, playing a vital role in managing chronic ailments, including pain and inflammation in Gridhrasi.

23) Eranda (Eramda):
Eranda, or castor oil (Ricinus communis), is valued in Ayurveda for its laxative and anti-inflammatory properties. Often used in formulations to promote digestion and relieve pain, it is significant in managing conditions like Gridhrasi, enhancing overall healing processes.

24) Rasna (Rashna, Rasona, Rasa-una):
Rasna, known as Pluchea lanceolata, is utilized in Ayurvedic remedies for its analgesic and anti-inflammatory effects. It is particularly beneficial in conditions involving pain, such as Gridhrasi, promoting mobility and alleviating discomfort through herbal formulations.

25) Pinda (Pimda):
'Pinda' refers to a type of bolus or mass formed with herbs and oils, used in Ayurvedic therapies. These preparations are applied in treatments for localized conditions, offering therapeutic benefits, especially in managing pain and inflammation linked to Gridhrasi.

26) Lepa:
Lepa denotes a herbal paste applied externally on the skin for therapeutic effects in Ayurveda. Leveraging local herbs, Lepa is essential for alleviating inflammation and pain in conditions like Gridhrasi, enhancing recovery and comfort.

27) Arka:
Arka refers to a distillate or herbal water used in Ayurveda, often regarded for its medicinal properties. Used in various treatments, Arka plays a vital role in therapeutic formulations aimed at detoxification and rejuvenation, thus supporting health.

28) Yoga:
Yoga incorporates physical postures, breathing exercises, and meditation, contributing to overall wellness, flexibility, and pain management. In Ayurvedic practice, Yoga complements treatment modalities, addressing both physical and mental aspects of conditions like Gridhrasi.

29) Piper longum:
Piper longum, known as long pepper, is a traditional Ayurvedic herb celebrated for enhancing digestion and bioavailability of other herbs. Its use in formulations addresses respiratory issues and inflammatory conditions, emphasizing its importance in holistic health management.

30) Hiranyagarbhapottali (Hiranyagarbha-pottali):
Hiranyagarbha-pottali refers to a form of herbal preparation known for its rejuvenating effects, typically included in specific polyherbal formulations. Its applications in detoxification and nourishment are noteworthy in Ayurvedic treatments for chronic conditions.

31) Mahanarayanataila (Mahanarayana-taila):
Mahanarayana-taila is an Ayurvedic oil renowned for its healing properties, especially in managing pain and inflammation. Commonly used in therapies for musculoskeletal issues, it significantly aids in alleviating discomfort associated with conditions like Gridhrasi.

32) Vatagajendrasimha (Vata-gajendrasimha):
Vatagajendrasimha is a term associated with a sage in Ayurveda, significant for its associations with strength, resilience, and healing. Often invoked in treatments aimed at restoring balance and health, reinforcing the spiritual and physical aspects of Ayurvedic practice.

33) Haratalabhasma (Haratala-bhasma):
Haratala-bhasma is a mineral preparation derived from orpiment, utilized in Ayurvedic remedies for its rejuvenating properties. Its presence in formulations addresses various ailments, particularly those involving pain and inflammation, exemplifying the astuteness of mineral therapies in Ayurveda.

34) Dashamularishta (Dasamularista):
Dashamularishta is a classic Ayurvedic formulation made from ten roots, traditionally used to support women's health and manage conditions like pain. Its wide-ranging benefits make it an essential part of Ayurvedic pharmacopoeia, promoting balance and healing.

35) Hiranyagarbha (Hiranya-garbha):
Hiranyagarbha, symbolizing cosmic vitality and creation, is pivotal in Ayurvedic philosophy. Typically associated with rejuvenating and nourishing therapies, its conceptual significance extends to treatments aimed at harmonizing the body with the universe.

36) Kanakasundara (Kanaka-sundara):
Kanakasundara refers to a particular Ayurvedic formulation known for its nourishing and rejuvenating properties. It plays an essential role in treatments for various ailments, supporting holistic well-being through its potent ingredients derived from nature.

37) Candraprabha (Candra-prabha):
Chandraprabha is an Ayurvedic preparation recognized for its efficacy in treating urinary and reproductive disorders. Its applications in formulations underline the multifaceted benefits of herbs in addressing specific health conditions, such asGridhrasi.

38) Mahanarayana:
Mahanarayana is often referenced in Ayurvedic formulations as a powerful rejuvenator and pain reliever. Its inclusion in treatments emphasizes the holistic approach of Ayurveda in managing ailments, particularly those associated with Vata imbalances, like Gridhrasi.

39) Varishoshana (Varisosana, Vari-shoshana):
Varishoshana is known for its therapeutic uses in Ayurvedic medicine, primarily focusing on rejuvenation and vitality. Its incorporation indicates the intricate knowledge of herbs that Ayurveda employs in crafting effective remedies for various health issues.

40) Purification:
Purification (Shodhana) in Ayurveda involves cleansing and detoxifying treatments to remove toxins from the body. Essential for restoring health, it enhances the efficacy of treatments for conditions such as Gridhrasi, ensuring a holistic approach to health management.

41) Suryaprabha:
Suryaprabha is an Ayurvedic preparation valued for its potential benefits in energizing and revitalizing the body. Often included in therapeutic measures, its significance lies in promoting overall vitality and enhancing resilience against various health disorders.

42) Jvaramurari (Jvara-murari):
Jvaramurari is a traditional Ayurvedic formulation known for its efficacy in managing fever and inflammatory conditions. Its applications underscore the role of specific herbal combinations in addressing acute symptoms and enhancing recovery.

43) Samasharkara (Samasarkara, Sama-sharkara):
Samasarkara is an Ayurvedic preparation that combines various medicinal herbs meant for specific therapeutic benefits. Its formulation addresses a range of health conditions, emphasizing the holistic approach of Ayurveda in treating ailments like Gridhrasi.

44) Pancamuli (Panca-muli):
Panchamooli is a blend of five roots traditionally used in Ayurvedic formulations. Renowned for their combined therapeutic properties, these ingredients target various health issues, including inflammation and pain management associated with conditions like Gridhrasi.

45) Shephalika (Sephalika):
Shephalika refers to another Ayurvedic herb noted for its potential therapeutic effects. Its compounds may support overall health and wellness, particularly in formulations aimed at alleviating discomfort and promoting healing in disorders like Gridhrasi.

46) Mashataila (Masataila, Masha-taila):
Mashataila is an Ayurvedic oil made from legumes and used for its nourishing and therapeutic benefits. It finds applications in treatments for pain relief and inflammation, thereby supporting recovery in conditions related to Vata imbalance, such as Gridhrasi.

47) Balataila (Bala-taila):
Bala-taila is an oil derived from the Bala herb (Sida cordifolia) known for its rejuvenating properties. Its inclusion in Ayurvedic therapies highlights its role in alleviating physical disabilities and enhancing recovery from conditions like Gridhrasi.

48) Gunjaphala (Gunja-phala, Gumjaphala):
Gunjaphala, or the seed of the Gunj (Abrus precatorius), is utilized in Ayurveda for its potential therapeutic benefits. Its applications reflect the diverse herbal resources Ayurvedic medicine employs for treating various ailments, including pain relief.

49) Narasimha (Narasingha, Nara-simha):
Narasimha, a form of Lord Vishnu, is often invoked in Ayurvedic practices for healing and protection. Symbolizing strength and resilience, Narasimha's attributes are invoked for holistic health approaches in treating ailments, establishing a spiritual connection with healing.

50) Punarnava (Punar-nava):
Punarnava, known as Boerhavia diffusa, is an important Ayurvedic herb with diuretic and rejuvenating qualities. Its role in treatments emphasizes the significance of herbal remedies in restoring balance and alleviating conditions related to Vata disturbances, like sciatica.

51) Abhighata:
Abhighata refers to trauma or injury in Ayurveda, which can lead to Vata imbalances affecting health. Understanding the implications of Abhighata is crucial for developing effective treatment strategies in managing pain and inflammation.

52) Mahanimba (Maha-nimba):
Mahanimba is valued for its various health benefits, particularly in detoxifying and restoring balance. Its applications in Ayurvedic formulations highlight its importance in addressing conditions involving inflammation and pain, such as Gridhrasi.

53) Mahamasha (Mahamasa, Maha-masha):
Mahamasha is a potent Ayurvedic oil used extensively for muscular and joint pain relief. Its applications in therapy highlight its effectiveness in restoring mobility and alleviating discomfort associated with conditions like Gridhrasi.

54) Vaitarana:
Vaitarana refers to a specific therapeutic procedure in Ayurveda, often involving cleansing and detoxification processes. Its incorporation in treatment highlights the emphasis on purifying the body and enhancing the effectiveness of herbal remedies.

55) Drakshadi (Draksadi):
Drakshadi is an Ayurvedic formulation based on grapes and used for its nourishing properties. Known for promoting strength and vitality, it is often used to support recovery from health issues, including those affecting muscle function.

56) Agnikarma (Agni-karma):
Agnikarma is a unique Ayurvedic therapy involving the application of heat to relieve pain and inflammation. This method enhances circulation and promotes healing, providing significant relief in conditions like Gridhrasi.

57) Trembling (Tremble, Trembled):
Trembling refers to involuntary shaking, often associated with pain or neuromuscular disorders. In the context of Gridhrasi, addressing symptoms of trembling is crucial for effective management through Ayurvedic approaches, primarily focusing on tranquillizing Vata.

58) Stiffness:
Stiffness is a common symptom in various musculoskeletal disorders, including Gridhrasi. Understanding its implications in Ayurveda is essential for developing effective treatments that aim to restore flexibility and mobility through herbal and therapeutic interventions.

59) Yogaraja (Yoga-raja):
Yogaraja refers to a specific Ayurvedic formulation typically used for various health conditions, known for its rejuvenating properties. Its significance lies in providing comprehensive support to address pain and inflammation effectively.

60) Shodhana (Sodhana):
Shodhana signifies purification and detoxification processes in Ayurveda, vital for restoring balance and health. These methods enhance the efficacy of treatments for chronic conditions, including Vata disturbances like Gridhrasi, promoting overall wellness.

61) Triphala (Tri-phala):
Triphala is a traditional Ayurvedic formulation comprising three fruits, renowned for its detoxifying and rejuvenating benefits. Its versatile applications in Ayurvedic practice make it a staple for promoting digestive health and overall vitality.

62) Mahabala (Maha-bala):
Mahabala is an Ayurvedic formulation known for its strength-enhancing properties. Often used to support physical endurance and recovery, it plays a significant role in addressing ailments affecting muscle health and overall vitality.

63) Haratala:
Haratala is a potent mineral used in Ayurvedic medicine, recognized for its purifying properties. Its applications in formulations support detoxification processes crucial for overall health and the effective management of various conditions.

64) Spandana (Spamdana):
Spandana refers to a tingling or vibrating sensation often experienced during neurological disturbances. Recognizing Spandana is essential in Ayurvedic diagnostics, informing treatment approaches aimed at balancing Vata and alleviating discomfort.

65) Activity:
Activity encompasses both physical and mental engagements that contribute to health and wellness. In Ayurveda, maintaining a balanced lifestyle with appropriate activity levels is vital for preventing and managing conditions like Gridhrasi.

66) Shooting:
Shooting pain describes a sharp or sudden pain that travels along a nerve path, common in conditions like Gridhrasi. Understanding the nature of shooting pain is crucial for devising effective remedies that target the underlying causes.

67) Sanskrit:
Sanskrit is the ancient language of India, in which many classical Ayurvedic texts are written. Its significance in Ayurveda lies in preserving and transmitting knowledge regarding herbal preparations, therapies, and holistic practices used in treating various health conditions.

68) Stambha:
Stambha refers to stiffness or immobility, often associated with various musculoskeletal disorders. Addressing Stambha is essential in Ayurvedic practice, as it affects mobility, necessitating targeted interventions to restore flexibility and relieve discomfort.

69) Snehana:
Snehana represents an Ayurvedic therapeutic practice that involves oil application for nourishment and detoxification. This method is crucial in treating conditions associated with Vata dosha, promoting relaxation and alleviating symptoms of pain and stiffness.

70) Gridhra (Grdhra):
Gridhra, meaning vulture in Sanskrit, is symbolic in Ayurveda, representing the gait and posture of individuals suffering from conditions like Gridhrasi. Understanding this symbolism aids in identifying and treating related ailments effectively.

71) Svedana:
Svedana refers to steaming or sweating treatments in Ayurveda used for detoxification and relaxation. This procedure is vital in managing conditions like Gridhrasi, helping in alleviating pain and promoting overall healing.

72) Pippali (Pippalin):
Pippali, or long pepper, is an important herb in Ayurveda known for its digestive and respiratory benefits. Its role in formulations emphasizes its potency in enhancing the effectiveness of other herbs, particularly in managing Vata-related conditions.

73) Pottali:
Pottali refers to a specific form of herbal poultice used in Ayurveda. These poultices are designed for localized treatment, enhancing the therapeutic effects of herbs for pain relief, particularly effective in conditions like Gridhrasi.

74) Arishta (Arista):
Arishta represents fermented herbal preparations used in Ayurveda for their health benefits. These formulations are known for enhancing digestion and absorption, making them significant in promoting overall well-being and supporting health in various conditions.

75) Samana (Shamana):
Shamana denotes pacification therapies in Ayurveda aimed at alleviating symptoms without inducing purging. This approach is crucial in managing ailments like Gridhrasi, where balancing Vata and soothing pain symptoms are essential.

[Note: The above list is limited to 75. Total glossary definitions available: 100]

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