Ayurvedic management of Pakshavadha : a case report

Abstract

A stroke is characterised as a sudden onset of localised neurological impairment brought on by conditions affecting the cerebral vasculature and its contents. The incidence of stroke in India ranges from 105 to 152/100,000 persons per year, leading to long term disability in adults and the second leading cause of death worldwide. Hemiplegia can be correlated with Pakshaghata which is one among the Vataja Nanatmaja Vikara characterized by loss of movement or disability of one side of the body. Methodology: A 66-year-old male came with complaints of inability to move right upper and lower extremities, deviation of angle of mouth towards left side and slurring of speech, unable to walk, loss of balance and loss of coordination Observation & Results: With the help of Shodhana and Shamana Chikitsa there is significant improvement in walking, in speech and improved muscle power grade and there was also considerable improvement in VAS, NIH Stroke Scale, the Barthel Index scale and in cranial nerve examination. Discussion & Conclusion: The treatment was meticulously planned based on the patient's Vyadhi Sthana and Dosha Pradhanyata. The Samprapti includes Avarana, and Srotorodha, resulting in impaired motor and sensory functions. Panchakarma-especially Vaitarana Basti, Shirobasti, Abhyanga and Swedana plays a vital role in neuro-muscular rejuvenation and Shamana Aushadhi helps to reduce vitiated Vata and break the Samprapti. Patient shows significant improvement in functions of upper and lower extremity at the end of treatment. Hence, Pakshavadhata can be effectively managed through a multidimensional Ayurvedic approach.