Pakshaghata (Hemiparesis) management - Cerebral Vascular Event (CVE) Through Panchakarma, Shamana treatment and Physiotherapy - A Case Report

Abstract

Background: Cerebrovascular complaint is the third most common cause of death in high-income countries after cancers and ischemic heart complaint and the most common cause of severe physical disability. In India, studies estimate that prevalence of stroke varies from 116 to 163 per population. According to ICMR, stroke is the 4th leading cause of death and the 5th leading cause of disability acclimated lifetime (DALY). Stroke is the most common clinical incarnation of Cerebrovascularcomplaint and results in occurrences of brain dysfunction due to focal ischemia or Haemorrhage. Subarachnoid Haemorrhage (SAH) and cerebral venous thrombosis (CVT) will be bandied independently since their pathophysiology, clinical instantiations, and operation are distinct from a stroke. Material &Methods: An 83 years old male K/ H/ O HTNwas diagnosed with an AvaranajanyaPakshaghata with a clinical point. There was a loss of function in the left lower and upper limbs. He was not able to stand without proper support. He was having weakness of the left upper and lower limbs. He was treated with Shaman Chikitsa followed by ShodhanChikitsa as SarvanagaAbhyanga, Marsha Nasya, ShashtiShaliPindaSwedana, Shirodhara, AnuvasanaBasti, and NiruhaBasti for 15 days. Result: The patient was assessed with gold standard stroke parameters, i.e., Barthel Index & National Institute of Health Stroke Scale (NIH-SS), in which scores were turned from 15 & 21 to 65 & 9, respectively. Moreover, significant changes and improvements were observed in clinical features OF Pakshaghata before and after treatment. Conclusion: In this case, there is an involvement of Aama as an Avarana on Vata, which is vitiating the VataRoga and causes Pakshaghat.This first line of Treatment was under the elimination of the Aama involvement from Chief Complaints. It was done by Deepana- Pachana medicine as Shaman Chikitsa. After that, the ShodhanChikitsa was started by gaining the Nirama condition of Doshas. A significant improvement was observed by combining the Shaman and ShodhanChikitsa strategically.