Multifacet approach towards Pakshaghata - A Successive Case Study

Abstract

Pakshaghata is one among the 80 Vataja Nanatmaja Vikaras. It is a condition which one half of the body is affected leading to the Ruja, Vaksthamba, Karmahani etc. Prognosis depends on many factors including Vaya, Bala, Dosha involvement etc. In contemporary science it can be correlated to the Cerebrovascular disease. Methodology: A 58 Years old Female Patient who is known case of RA since 20 years and HTN since 2 years under medication approached to OPD of SKAMCH & RC Bangalore in a stretcher, with a Lakshana of reduced strength in right half of the body, pain, loss of function, sensation, slurred speech and was unable to walk. Based on the clinical presentation and Ayurvedic parameters, the condition was diagnosed as Pakshaghata with special reference to the Haemorrhagic Stroke with Hemorrhage in Sub cortical Region Involving MCA and Chikitsa was adopted keeping in the Dhatukshayajanya pathology as a base. Sarvanga Abhyanga, Sarvanga Nadi Sweda and Rajayapana Yoga Basti and Physiotherapy was adopted as a treatment modality. Shamanoushadi like Brihatavatachintamani Rasa, Nityananda Rasa, Arogyavardhinirasa Capsule, Palsineuron, Dhanvantarum Kashaya, Mahamanjishtadi Kashaya and Sahacharadi Kashaya were prescribed. Result: After 1 month of treatment and follow up, there were drastic improvements in the sign and symptoms. Assessment done on the SS-QoL Scale and Barthes index for stroke shown significant result. Discussion: This article is a discussion about a case of Hemorrhagic Stroke of Brain successfully treated with Ayurvedic approach. Conclusion: The above described sets of Panchakarma treatment along with Shamanoushadi has shown significant result clinically with speedy recovery within a month in the present Case study.