Gridhrasi is one of the Vata disorders out of 80 Nanatmaja Vatavyadhi and difficult to treat as per Charaka. Nidan of Gridhrasi in Indian system of medicine is due to systemic vitiation of Vata Dosha as well as local site involvement. The symptoms of the Gridhrasi can be correlated with sciatica at par with modern medicine. The involvement of sciatic nerve may be there due to factors like simple irritation to compression of the sciatic nerve with or without fracture of the vertebrae. Prevalence rate of the disease increases due to the continuous sitting, hard work and degenerative changes in the bone as well as in the whole body. Total 60 patients were registered and divided in to two groups of 30 patients in each. Patients of first group were treated with Raktamokshana by Siravyadha, once weekly for two times for a period 15 days. 100 ml of Dushita Rakta was drained out during each sitting and relief of symptoms was recorded as per the proforma specially prepared for that. The patients of second group were treated with local Abhyanga & Nadisvedana for 15 consecutive days and the observations were recorded as per the proforma. Follow up of patients was done for two months. Data related to the disease – Gridhrasi / sciatica and Raktamokshana were collected from ancient & modern text and interpreted comprehensively. Finally it was concluded that the Raktamokshana by Siravyadha shown better result in comparison to local Abhyanga & Nadisvedana in the disease of Gridhrasi.

Key Words: Abhangya, Gridhrasi, Nadisvedana, Raktamokshana, Sciatica, Siravyadha