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Abstract
Background: Gridhrasi, described in Ayurveda as a disease caused by aggravated Vata, is very similar to modern sciatica. It presents with radiating pain from the lower back down the leg, often with stiffness and tingling. Ayurveda recommends Eranda (castor) in forms like milk decoction (Ksheerapaka), enema (Basti), and oil therapy as important treatments for Vata disorders. Aim: This review looks at how Ayurveda uses Eranda for Gridhrasi, explores the modern scientific findings about castor, and summarizes available clinical research. Methods: The study reviewed Ayurvedic classics and modern scientific literature on Ricinus communis (castor), focusing especially on studies related to sciatica and low back nerve pain. Results: Classical texts describe Gridhrasi with symptoms such as stiffness, pricking pain, pain radiating from the buttock to the foot, and restricted movement. Treatments advised include oil application (snehana), sweating therapy (swedana), medicated enemas (basti), and mild purgation (virechana), with Eranda as a key herb. Modern research shows castor oil has anti-inflammatory and pain-relieving properties, mainly due to ricinoleic acid acting through specific receptors in the body. Importantly, the toxic protein ricin is not present in the oil. Some small clinical studies suggest that Erandamoola Ksheerapaka and Eranda Basti may help sciatica patients, but strong, large-scale clinical trials are still missing. Safety concerns include loose stools, dehydration, electrolyte imbalance, and it should not be used in pregnancy because it can trigger labor. Conclusion: The Ayurvedic use of Eranda for Gridhrasi matches well with its modern anti-inflammatory and pain-relieving actions. It may be a useful non-drug therapy for sciatica, but more rigorous studies are needed to confirm its effectiveness with standardized preparations.
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