Clinical Efficacy of Panchendriyavardhan Tailam Nasya in the management of Ramsay Hunt Syndrome (Post herpatic fascial palsy) - A case study

Abstract

“The Shingles or Herpes Zoster is caused by varicella, which is a manifestation of previous dormant chicken pox infection.” This affects dermatome of the nerve in the body. When immunity becomes weak infection manifests over the skin. If it affects the face, facial nerve may get affected and resulting into facial palsy. It is termed as Ramsay Hunt Syndrome (Post herpetic facial / VII th nerve palsy).Prognosis of non herpetic palsy is comparatively good. This palsy hampers the quality of life of patient. Here we reported a case of Ramsay Hunt Syndrome. A male patient of 53 years old consulted to OPD, Vasantdada Patil Ayurvedic Medical College and Institute of Yoga, Sangli, with sudden macules, papules over face, severe burning sensation, and regular shaped pustules on left side of face since 1 month. He was unable to drink liquids, unable to close his eyes, burning sensation and pain unable to raise his eyebrows, curved mouth from left side. He was having redness to his left eye. Ophthalmic and dermatological treatments were taken for one month but only relief from vesicles. This case was managed with a local application of Abhyanga tailam and snehana over face and Panchendriyavardhan Tailam Nasya for 15 days. He was also advised to continue fascial exercises for 4 weeks. This case concluded that regular local exercise and Panchendriyavardhan Tailam Nasya is helpful in post herpatic fascial palsy.