ISSN : 2584-0304

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Year - 2024Volume - 2Issue - 3Pages - 09-18

Ayurvedic management of Pakshaghat (Cerebrovascular Accident): A Case Study

 31 Jul 2024  164

About Author

Madankar D1,Dachewar D2,
1 Assistant Professor, Department of Kayachikitsa, Shri Ayurved Mahavidyalaya, Nagpur
2 Professor & HOD of Kayachikitsa, Shri Ayurved Mahavidyalaya, Nagpur

Correspondence Address

Shri Ayurved Mahavidyalaya, Nagpur
Contact No. : 9403294868, Email : sohammadankar22@gmail.com

Date of Acceptance : 02 Sep 2024

Date of Publication : 27 Sep 2024

Article ID : SD-IJAY_099

How to cite this article : http://doi.org/10.55552/SDNJAY.2024.2302

Abstract

Stroke is one of the leading causes of death and disability in India. Stroke is a heterogeneous group of disorders. The medical field has faced significant challenges in treating this disease. There is an abundance of information available regarding the cause, prevention, risk, and treatment of stroke. Even so, our understanding of stroke treatment remains limited; there is currently no satisfactory and widely accepted treatment for stroke. Researchers in both Ayurveda and modern fields are conducting numerous studies to improve the management of cerebrovascular accidents (CVA). Ayurveda describes stroke (CVA) as Pakshaghata. Pakshaghata, also known as Nanatmaja vatavyadhi, arises due to vataprakopa. It affects the sira and snayus of half the body parts, as well as the face. In hemorrhagic conditions, vitiated vatadosha, pitta, and raktdushti are the main causes of pakshaghata. The study's goal was to assess the effects of ayurvedic treatment on pakshaghata. Sharia regards Vata as the controller of all the Tridoshas. Vatavyadhi is the influence of vitiated Vata on the Dushyas, which penetrates the entire body or a part of it and causes various ailments.

Material and Methods: A case study of CVA was admitted, with the patient presenting with complaints of drowsiness, difficulty walking, slurred speech, heaviness of the affected side of the body, pain, stiffness, bladder incontinence, and slurred speech. Upon examination, the Glasgow Coma Scale was 14/15 (E -3, M-5, V-6), and a CT scan of the brain revealed an intraparenchymal haemorrhage in the left gangliocapsular region, measuring 3.3 x 5.1 x3.5 cm. The case was diagnosed as Pakshaghata with Pittavatavruta, in conjunction with laboratory investigations. Various stages of the disease were treated with oral medications, including Snehan, Swedan, Shirodhara, Nasya, Yapan basti, Shashtikshali pindswed, Mruduvirechana, and Jivhanirlekhana. Additionally, physiotherapy sessions were implemented on a consistent basis. Observation and Result: After successfully combining shaman treatment and Panchakarma treatment for consecutive times, the patient got complete relief in all complaints. Before treatment NIH-Stroke Scale was 17 & Barthel index scale was 15 and after the treatment NIH-Stroke Scale was 4 & Barthel index scale was 70 providing symptomatic relief too.

KEY WORDS:- Stroke, Cerebrovascular Accident, Ayurveda, Pakshaghata, Snehana, Swedana

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