ABSTRACT

Therapy................................................................................... 193 11.10.2 Cautery Therapy ................................................................................................. 193

11.11 Strategy for Prevention of Sciatica ............................................................................... 195 11.12 Scientific Basis for the Use of Ayurvedic Drugs in Sciatica..................................... 196

11.12.1 Clinical Studies ................................................................................................... 196 11.12.2 Animal Studies for Anti-Inflammatory Activity ........................................... 196

11.12.2.1

Yograj Guggul

and

Rasnasaptak

Decoction........................................ 196 11.12.2.2

Commiphora mukul

(Hook. ex stocks) (Burseraceae) ...................... 197 11.12.2.3

Vitex negundo

Linn. (Verbenaceae) and

Withania somnifera

Linn. (Solanaceae) .............................................................. 197 11.12.2.4

Ricinus communis

Linn. (Euphorbiaceae) ......................................... 197 11.12.2.5

Pluchea lanceolata

(DC) Clarke (Compositae) and

Allium sativum

Linn. (Liliaceae) ......................................................... 197 11.12.2.6

Sida cordifolia

Linn. (Malvaceae)........................................................ 197 11.12.2.7

Tinospora cordifolia

(willd.) Miers. (Ex Hook. f.) and Thoms. (Menispermaceae).................................................................. 198

11.13 Discussion ........................................................................................................................ 198

11.14 Monoplegia and Paraplegia .......................................................................................... 198 11.14.1 Definition............................................................................................................. 198 11.14.2 Etiology................................................................................................................ 199 11.14.3 Clinical Course and Prognosis (

Sadhyasadhyata

)........................................... 199 11.14.4 Diagnosis ............................................................................................................. 199 11.14.5 Therapy (

Chikitsa

)............................................................................................... 199 References ................................................................................................................................... 200

Neuropathic pain due to injury or dysfunction of the nervous system is a difficult therapeutic challenge in the treatment of chronic pain. The pain of sciatica

is typically a radiating pain that usually is related to a specific nerve root. Nerve dysfunction may be present in both motor and sensory modalities. The response of neuropathic pain to conventional analgesics has been in many cases disappointing. Several studies have suggested that spinal clonidine may be effective in treating some forms of neuropathic pain; some of the authors do not advocate such procedures because of its major complications. Thousands of years ago, Charaka

,

a great physician and Susruta

(800

.