Year - 2025Volume - 3Issue - 1Pages - 08-17
“MANAGEMENT OF ACUTE CEREBRAL INFARCT WITH AYURVED APPROACH: A SINGLE CASE STUDY
16 Mar 2025
141
About Author
Dhiwar D1,Sharma D2,Dachewar D3,
1 PG Scholar, Dept. of Kaychikitsa, Shri Ayurved Mahavidyalaya, Nagpur,Maharashtra , India
2 Asso. Professor, Kayachikitsa Department , Shri Ayurved College,Nagpur
3 HOD and Professor, Kayachikitsa Department , Shri Ayurved College,Nagpur
Correspondence Address
Kayachikitsa Department,Shri Ayurved College,Hanuman Nagar,Nagpur
Contact No. : 9637639806, Email : dhiwarsonam97@gmail.com
Date of Acceptance : 27 Mar 2025
Date of Publication : 30 Mar 2025
Article ID : SD-IJAY_123
How to cite this article : http://doi.org/10.55552/SDNJAY.2025.3102
Abstract
Pakshaghata is the main Vata Dosha. Pakshavadha, or Pakshaghata, is a disease in which tightly tightened Vata-dosha penetrates the Dhamani of stocks, causing Hibandhamoksha in the sand, and paralyzes the sides of the body with pain and loss of language. Stroke, or CVA, is characterized by the sudden occurrence of local neurological disorders caused by diseases affecting cerebral blood vessels and their components. Ayurveda management includes Matra Basti, Marda Thera Picchu, Snehahana, Swedana, and NASYA. This study is a case report on stroke treatment in a 61-year-old patient with major complaints about loss of function in the two lower extremities over two days. Cases treated with Ayurvedic treatment were determined to have been successful in alleviating major problems and at the same time improving the patient's general well-being. The progress shown was encouraging and deserving of the recording.
KEY WORDS:- Hemiplegia, Pakshaghata,Matra Basti, Murdha taila pichu, Nasya, Snehana, Swedana
Introduction
Pakshaghata, also known as hemiplegia in modern medical science, is a neurological disorder. This is characterized by unilateral paralysis or weaknesses in the limbs and face. It's historical. It is documented in ancient texts such as Charak Samhita and Sushruta Samhita. Parkinson's disease includes a variety of etiologies, including ischemic stroke and hemorrhagic stroke. And other neurologic hindrances. It affects one hemisphere of the brain.
According to Acharya Charak Prakupita Vayu, it resides in a specific area of the body, resulting in Sira Snayu Sushkata, which causes Sandhi Bandhana Shaithilya(1). According to Acharya Sushruta Prakupita, Vayu moves through Urdhwa Adho and Tiryaka Dhamanis, resulting in Sandhi Bandhana Moksha, which results in a loss of function on one side of the body(2). Acharya Chakrapani explains Abhighata as one of the causes of Pakshaghata, especially Marmaabhighata.
Ayurveda offers a diverse range of treatments for cerebrovascular accidents. Both Panchakarma and internal Ayurvedic remedies are effective at the same time in handling non-hemorrhagic infarcts. Panchakarma refers to five techniques, which consist of Vamana, Virechana, Basti, Nasya, and Raktamokshana(3). Among these, Basti and Mrudu Virechana were recommended for the patient.
Discussion
In Pakshghata, vata is the main cause of illness and ought to be addressed first. One of the numerous causes of vata prakopa is dhatu kshya. In addition to causing vata shaman, BASTI's multifaceted actions also pacify other vata-related doshas and induce dhatu poshana(4).
Swedana, Snehana, and Mrudu Virechana are the specific Chikitsa Sutras that Acharya Charak has described as a therapeutic method for Pakshaghata(5). Acharya provided the therapeutic procedure in Sushruta Samhita in the following order: Snehana, Swedan Mrudu Samshodhana, and Basti Chikitsa(6). Snehana, Swedana, Karma Basti, and Nasya were recommended in this instance.
Conclusion
Because problems can occur at any time, diseases like acute hemiplegia are extremely challenging to control. However, one can achieve positive outcomes in Pakshaghata by following a suitable and rational therapy protocol.
In Pakshghata, vata is the primary cause of illness and needs to be treated first. One of the many things that can cause vata prakopa is dhatu kshya. The complex effects of BASTI lead to dhatu poshana, vata shaman, and the calming of various vata-related doshas.
Based on Vyadhi Avastha, Rogi Bala, and Dosha Bala, the patient received Shamana Aushadhis, Physiotherapy, and Sthanika Chikitsa and Basti karma. The patient's condition significantly improved after undergoing Panchakarma treatments and certain Shamanaushadis. Later on, the patient was able to walk on their own. The patient's quality of life increased as a result of the positive and encouraging results. Thus, it can be said that Pakshaghata can be effectively treated clinically with ayurvedic therapy.
References
1. Shashirekha H K, Bargale Sushant Kumar, Charak Samhita of Agnivesha Chikitsa Sthan, 1st edition New Delhi; Chaukbhamba Publications; 2020. 563p.
2. Vasant C Patil. Sushruta Samhita of Maharshi Sushruta Chikitsa Sthan. 1st edition, New Delhi; Chaukhamba Publications; 2018. 315p.
3. Dr. Mrunal M. Tembhurne, Dr Archana. S. Dachewar Management of Acute Hemorrhagic Stroke with Ayurved Approach: A single case study, Sanjeevani Darshan National Journal of Ayurveda & Yoga 2024; 2(2): 132-143.
4. Mishra VRS, Chandurkar VV. A Single Case Study in Management of Pakshaghat with Ayurveda. IRJAY. [online] 2024;7(2);6-13.
5. Sharma, R., & Das, V. (2011). Agnivesha’s Charaka Samhita. (Chapter 28,) Varanasi: Chaukhambha Pg 51.
6. Murthy, K., Prof. (n.d.). Sushruta Samhita. (Chapter 5,) Varanasi: Chaukhambha Pg 87.
7. Patil, V. (2017). Principles and practice of Panchakarma (Chapter 8,) New Delhi Chaukhambha Publications Pg 120.
8. Sharma, R., & Das, V. (2011). Agnivesha’s Charaka Samhita. (Chapter 22,) Varanasi: Chaukhambha Pg 388.
9. Murhty K R S. Sushruta Samhita Shareer Sthana. Reprint edition, Varanasi; Chaukhamba Orientalia; 2012. 143p.
10. Vaidya Shridhar Haridas Kasture, Ayurved Panchakarma Vidnyan, 18th edition, New Delhi; Kitabh Mahal Publications 2015. 178p.
11. Sharma, R., & Das, V. (2011). Agnivesha’s Charaka Samhita. (Chapter 22,) Varanasi: Chaukhambha Pg 388.
12. Vaidya Shridhar Haridas Kasture, Ayurved Panchakarma Vidnyan, 18th edition, New Delhi; Kitabh Mahal Publications 2015. 275p.
13. Shastri K. Charak Samhita of Charaka with Vidyotini Hindi Commentary, Siddhisthana Reprint Edition, 2013. Ch. 10. Verse 4. Varanasi: Chaukhamba Bharati Academy; 2013.
14. Patil VC. Principles and Practice of Panchakarma. 3rd ed. Bangalore: Atreya Ayurveda Publications; 2016. p. 449.
15. Shasirekha HK. Bargale Sushant Sukumar. Caraka Samhita of Agnivesha, Sidhistana. 1st ed. New Delhi: Chaukhambha Publications; 2020. p. 122.
16. Vaidya Shridhar Haridas Kasture, Ayurved Panchakarma Vidnyan, 18th edition, New Delhi; Kitabh Mahal Publications 2015. 446p.