Shamana Chikitsa Research Articles

AYURVEDIC MANAGEMENT OF FOOT DROP DUE TO ORGANOPHOSPHATE POISONING: A CASE STUDY

Background: Acetyl cholinesterase inhibition by organo-phosphorus pesticides or organophosphate nerve agents can cause acute parasympathetic system dysfunction, muscle weakness, seizures, coma, and respiratory failure. Prognosis depends on the dose and relative toxicity of the specific compound and pharmaco-kinetic factors. Inability to raise the front part of the foot due to weakness or paralysis of the tibialis anterior muscle. The muscle that lifts the foot, and foot drop occur due to peroneal nerve injury. In Ayurvedic science, the complications and side effects of organophosphate poisoning may be co-related with Kaphavruta Vyana Vata. Methods: It is a single case study. A 27-year male patient came to our OPD with complaints of weakness in bilateral lower limbs for since 4 years. He also complained of impairment in memory and speech deformity. The condition can be correlated with Kaphavruta Vyana Vata and he was treated with Panchakarma treatment including Dhanyamla Dhara, Mustadi-raja Yapana-Basti, Sarvanga Abhyanga, Shashtika Shali Pinda Sweda along with Shamana Chikitsa for one month. Result: Symptomatic assessment of the patient was carried out after one month and during this course, the patient had improvement in symptoms, and the overall quality of life of the patient was significantly improved. Discussion: The patient has been treated with the above-mentioned therapy for symptomatic relief for the management of Kaphavrutha Vyana Vata.

Management of Dadru Kustha through Virechana Karma Followed by Shamana Chikitsa: A Case Report

Purpose: It is estimated that about 10 to 15% of individuals are contaminated with dermatophytes at some point in their life and thus suffering called Dermatophytosis. In India, 1-12 cases out of every 1000 patients are found to be affected with this type of fungal infection. All the skin diseases in Ayurveda have been classified under the broad heading of ‘Kushtha’ which are further classified into Mahakushta and Kshudrakushta. Acharya Charaka has included Dadru in Kshudrakushtha, whereas Acharya Sushruta and Acharya Vagbhata has explained it under Mahakushta. The main Lakshanas of Dadru include Kandu (Itching), Utsanna (elevated circular lesions), Mandala (Circular Patches), Raaga (Erythema) and Pidakas (Papule). Materials & Method: A 47 yrs. old female patient came with complaints of round and reddish patches over abdominal region, chest, axilla, inguinal region with severe itching for 1 year. She was treated with Virechana Karma; Shodhanartha Snehapana with Goghrita (4 days), Sarvanga Abhyanga & Sarvanga Bashpaswedana (4 days), Virechana with Trivruttavaleha. Shamana Chikitsa with Laghumanjisthadi Kwatha 30 ml BD internally and Dadruvidravana Malhara for external application given for 28 days. Result: After completion of treatment, significant improvement was observed in parameters like Kandu(itching), Utsanna (elevated circular lesions), Mandala (Circular Patches), Raaga (Erythema) and Pidakas (Papule). Conclusion: From this case study, it can be concluded that Ayurvedic treatment is effective in management of chronic cases of Dadru Kustha.

MANAGEMENT OF DERMATOPHYTOSIS WITH AYURVEDIC INTERVENTION: A CASE REPORT

Dermatophytosis (tinea) infections are superficial fungal diseases caused by dermatophytes, a genus of fungus that penetrates and develops in dead keratin. Fungal infections are more likely to recur and, if left untreated, can result in the emergence of more serious illnesses. Even though there are many antifungal medications available to treat tinea infection, relapses and recurrences show that the pathogenic organism is not easily destroyed, necessitating more study to develop new therapeutic choices. In Ayurveda, many drugs are claimed to have the krimighna effect, which can lead to a more efficient course of treatment. Dermatophytosis can be simulated with dadru kushtha since the clinical characteristics of the disease are more closely related to dermatophytosis. Material and Method: In this case report, a 30-year-old female patient was successfully treated with the Ayurvedic interventions of chakramarda beeja churna, vidanga beeja, kampillaka, rala, tankana bhasma, and aaroyavardhini vati after being diagnosed with dadru kushtha (tinea corporis) based on symptoms. Result: After 45 days of consistent treatment, there was total relief from the symptoms of kandu (itching), daha (burning sensation), raga (erythema), pidika (eruptions), and utsanna mandala (elevated circular skin lesion), and there was no recurrence in the 15-day follow-up period. Conclusion: Dermatophytosis can be effectively treated with Ayurvedic bahiparimarjana (external application) and shamana chikitsa, along with dietary restrictions and personal hygiene.

Ayurvedic management of diminished ovarian reserve – A case report

Ovulatory factors make up 25% of the known causes of female infertility. Di-minished Ovarian Reserve (DOR) affects 10 percent of women seeking infertil-ity treatment. This condition can be correlated to dhathu kshaya vandhya mentioned in Haritha Samhitha. Shamana chikitsa which normalises vatha, pitha, promoting rasa dhathu, arthava upadhathu and sukra dhathu is benefi-cial in treatment of DOR. In this case report Ayurvedic medicines aided in in-creasing AMH value. It can improve the chances of natural conception or can satisfy the prerequisite for Assisted Reproductive Technology (ART) without a donor egg. Ayurveda by its holistic approach of management proves to be very effective in DOR and can work wonders if explored in a scientific manner.

AYURVEDIC MANAGEMENT OF SECRETORY PITUITARY MICROADENOMA: A CASE STUDY

Prolactinomas are the most common hormone-secreting pituitary adenoma and more frequently occur in females than males. A 35-year-old female patient had c/o milky discharge from the nipple of the breast, headache, and irregular menstrual periods for one year. She has consulted an obstetrics doctor and has taken modern medicine, and she had found some improvement in the starting phase of the treatment, but there has been no progress in that condition for the last six months. So, she has planned to take Ayurveda treatment for the same. The patient was subjected to an Ayurvedic management protocol, including Snehapana, Virechana, and Nasya, for seven days, followed by Shamana Chikitsa for six months. The clinical presentation of this case points towards the diagnosis of Granthi in Ayurveda.

Management of Gastric Ulcer w.s.r. Annadrava Shool in Ayurveda: A Case Study

Annadrava shoola is one of the diseases of the alimentary canal in which there is colic occurs after digestion, during digestion or at any time and Patient feels relief after vomiting. It can be said gastric ulcer on the basis of its signs and symptoms.
 Gastric ulcers are most commonly located on the lesser curvature, whereas duodenal ulcers are most common at the duodenal bulb. The ulcer is round to oval with a smooth base. Acute ulcers have regular borders, while chronic ulcers have elevated borders with inflammation. An ulcer extends beyond the muscularis mucosa. Ayurveda encourages lifestyle interventions and natural therapies to regain a balance between the body, mind and the environment. In this paper, a case study on Annadrava shoola has been explained. A female patient of 42 years of age came to the Kayachikitsa OPD (OPD REG.no-6836) Government Ayurvedic College and Hospital, Patna-03 having complain of pain and burning sensation in abdomen for 5 months as well as irregular bowel evacuation (>3episode) in the last 3 months. The nature of pain was gradual on onset and burning type and exaggerated after meal. On the basis of history of the patient and endoscopy report, he was diagnosed as gastric ulcer and pan gastritis. We have done the Shamana Chikitsa for the patient. In Shamana Chikitsa was done with combinations of Sutashekhar Ras, Tab Aciloss and Shatavari Churna for one month. Endoscopy was repeated after one and half months of treatment. Report showed only that the treatment cured the Annadrava shoola (gastric ulcer) of the patient. So, there is hope in Ayurveda for the treatment of Annadrava shoola.

Ayurveda Management of Vatahata Vartma - A Case Report

Lagophthalmos is a condition characterized by incomplete or abnormal closure of eyelids along with the evaporation of tear film. If left untreated, it progresses to corneal ulceration, perforation, and visual loss. Conservative nonsurgical treatment includes the use of artificial tears, ointments, and therapeutic contact lenses. However, if nonsurgical approaches are not effective, surgical procedures such as tarsorrhaphy and gold/platinum implantation are used which are expensive with risks of poor cosmetic appearance. The current case was diagnosed as lagophthalmos which can be clinically correlated to Vatahata vartma described in Ayurveda. Amapachana followed by Panchakarma and Kriyakarmas along with Vata shamana chikitsa were adopted which are cost-effective, less invasive, and cosmetic friendly when compared with conventional science. This article highlights the successful reduction in core symptoms of lagophthalmos with the Ayurveda line of treatment.

Management of Manasa Bhava and Lifestyle Modification in Prameha with special reference to Diabetes Mellitus: A case study

Diabetes Mellitus is one of the most common endocrine disorder. Diabetes is a Greek word meaning 'a passer through: a siphon' and mellitus derives from the Greek word for 'Sweet'. Diabetes Mellitus is burning problem of 21st century. The Greeks named it thus due to the excessive amounts of urine produced by sufferers which attracted insects because of its glucose content1. Ayurveda explains this concept about thousands years ago in the context of Prameha. As we know that there are various factors responsible for development of Prameha like Aaharaja Hetu, ViharajaHetu, improper Dinacharya and now a day’s Manasika Hetus are also versening the disease formation. So treatment of Manasa Bhavas are also important in the Prameha. Majority of the Diabetic patient is mentally upset. Psychology of the person determines effect of the Diabetes or severity of the Diabetes. Shirodhara & Shamana Chikitsa is useful to control Manasa Bhava & Prameha.

Management of Chronic Renal Failure (CRF) through Ayurveda –A Case Report

Chronic renal failure (CRF)is one of the clinical entities which occurs as a result hampering of renal function due to many medical or systemic illness developed due to current fast lifestyle. The contemporary science has quite expensive modalities having non confirming results in advanced stages of diseases. Ayurveda, an ancient science, prefers to prevent or treat the disease in initial condition to avoid such complications. The present case study was taken up to evaluate the cumulative effect of Shodhana & Shamana Chikitsa in CRF based on the collaborative application of two fundamental principles of Ayurveda i.e., root cause analysis and treatment according to underlying pathophysiology involved in specific clinical conditions. This is a case report of a male patient having age 69 years who was diagnosed as CRF before five years & on regular conservative treatment in modern science. However, due to persistent increase in values of renal profile, he approached to Panchakarma OPD MGACH& RC. He underwent Dashmooladi Sasneha Niruha Vasti in addition to some proprietary as well as traditional Ayurvedic medicines (Syp. Neeri KFT, Chandrapbha Vati, Punaranavdi Qwath, Gomutra Arka). After one month, there was significant reduction in values of serum creatinine & Serum Blood urea from 4.89 to 1.21 & 64 to 50 respectively with a substantial decrease in systolic & diastolic blood pressure along with improvement in patients' quality of life. This case study will become helpful in planning further research studies with a large sample size based on cost-effective standard regime in Ayurveda for the management of CRF.

Management of Certain Respiratory Disorders through Ayurveda: A Systematic Review of Clinical Studies Published in Ayurveda Journal

Background: Respiratory diseases like Asthma, Tuberculosis, and COPD (Chronic Obstructive Pulmonary Diseases) in the developing world are a major health burden in terms of morbidity and mortality in both adults and children. A number of studies on treating respiratory disorders using Ayurveda formulations and theirmanagement have been found in Ayurveda Journals with promising results, but an evidence-based systematic review of them is not available. Objective: The objective of this study is to conduct a systematic review on the management of certain respiratory disorders through Ayurveda. Methods: To conduct this study, Ayurveda research articles were obtained from PubMed and Google Scholar. Total 51 clinical studies were yielded, which underwent further screening process to achieve the quality of inclusion criteria. Result: 24 articles were selected from six different publications for the review. In general, the quality of few selected articles was low. Of the 24 articles identified, 3 studies (n = 24) exclusively focused on Shodhana Karma (Vamana Virechana), 3 studies (n = 24) focused on the concept of Shodhana and Shamana Chikitsa, 4 studies (n = 24) focused on Ayurvedic formulations as adjuvants, 1 study (n = 24) focused on Shamana Chikitsa along with Pranayama, 13 studies (n = 24) focused only on Shamana Chikitsa. All the above treatment modalities showed significant results on major symptoms of respiratory disorders. Conclusion: This systematic review on different types of Ayurvedic management for treating respiratory disorders proves to be beneficial to understand the importance of Virechana Karma in Tamaka Swasa, the effectiveness of Shamana Chikitsa after Shodhana Karma in Pratishaya and Tamaka Swasa. This review also sheds light on the importance of Pranayama along with Shamana Chikitsa, efficacy of Ayurvedic formulations as adjuvant along with allopathic treatments and potency of different Ayurvedic dosage forms for treating certain respiratory disorders.

Study of the efficacy of Tryushanadigudika in the management of Prameha with special reference to diabetes mellitus type II

Background: Pramehais a Tridoshaj, Kapha predominant disease. There are twenty kinds of Pramehas in Ayurveda. Out of these Madhumeha is one of the types of Vataja Pramehas. Due to similarities of signs and symptoms, Madhumeha can be correlated with Diabetes mellitus type II. In Ayurveda, Nidanparivarjana, Shodhana and Shamana Chikitsa are described for Prameha.In Chakradatta, Tryushanadigudika is indicated in the management ofPrameha (Diabetes mellitus type II). So, this study was conducted to compare the effectiveness of Tryushanadigudikain the management of Prameha with special reference to Diabetes mellitus type II. Methodology: Total 40 patients were enrolled and randomly divided into two equal groups. Group A was treated with Tryushanadigudika and Group B with Tab. Metformin for 30 days. Patients were assessed for Kshudhadhikya, Naktamutrata, Kar-Pada Suptata, Hasta Pada Tala Daha, Fasting and Postprandial blood sugar levelon 0 and 30thday. Results: Significant improvement was observed in Subjective and Objective parameters like Kshudhadhikya, Naktamutrata, Kara Pada Suptata, Hasta Pada Tala Dahaand blood sugar level (Fasting and Postprandial) in both groups.

RELEVANCE OF LIFESTYLE DISEASES AND ITS TREATMENT IN AYURVEDIC PERSPECTIVE: A REVIEW

Lifestyle is how a person lives. It is an interest, opinion, behavior and behavioral orientation of an individual, group or culture. Lifestyle diseases are defined as diseases linked with the way people live their life. This is commonly caused by lack of physical activity, unhealthy eating, stress, Alcohol, drugs and smoking. The incidence of lifestyle diseases like hypertension, diabetes mellitus, dyslipidemia, and obesity-associated with cardiovascular diseases are high on the rise. In Ayurveda, lifestyle disorders have been explained in different contexts. Santarpanajanya vikaras and diseases caused due to Gramya Ahara-Viharas, which are said in Charaka Samhita and Rasanimittameva Sthoulya concept in Sushruta Samhita are mainly considered under lifestyle diseases. In India, rapid urbanization and globalization largely contribute towards an increased number of people suffering from lifestyle disorders. The urban people have a less physically active lifestyle more exposure to products and technologies that could be unhealthy. As Ayurveda is a life science and describes the prevention and management of lifestyle disorders, the world is attracted to its potential. Ayurveda provides a better solution for lifestyle disorders in the form of Pathya Ahara (diet) and Vihara (lifestyle), Panchakarma treatment like shodhana (Vamana, Virechana, Basti, Raktamokshana and Nasya), Shamana chikitsa and Rasayana chikitsa. The main aim of Ayurveda is to provide an individual's physical, psychological, and spiritual well-being.

Management of Eka-Kushtha through Ayurveda (Shodhana and Shamana Chikitsa)- A Case Study

Introduction-Psoriasis is the most common dermatological, chronic inflammatory condition characterized by erythematous, sharply demarcated papules and rounded plaques, covered by silvery micaceous scale. The exact cause is unknown but is thought to be related to genetic and environmental factors that trigger on over production of epidermal cells. In Ayurveda, all skin diseases are considered under heading of Kushtha. There are 7 Maha kushtha and 11 Kshudra kushtha. Eka-Kushtha is one of the Kshudra kushtha with vata-kapha predominance and symptoms of Eka-kushtha are Aswedanam, Mahavastu, Matsyashakalopamam, Krishna aruna varna which can be correlated with Psoriasis. 2-3% of the total world population have Psoriasis and Prevalence of Psoriasis in India ranges from 0.44 to 2.8%. Psoriasis is characterized by remissions and relapses. Although it is difficult to cure, yet topical and systemic therapeutic regimens administered singly or in combination, Current treatment modalities have their own limitation and side effects and there is a need for safe and effective treatment for psoriasis, where Ayurveda plays an important role. The basic principles of Ayurvedic treatment are Shodhana, Shamana and Nidana parivarjana. Material & Method- Hence present study highlights, management of Eka-Kushtha through Shodhana and Shamana chikitsa and in Shodhana chikitsa, Virechana karma is preferred. Result: Here an effort was made to treat a 60 years old male patient having signs and symptoms of Eka-Kushtha since last 10 years and in this study initially Shodhana chikitsa was given followed by Shamana chikitsa. Conclusions: Patient has had the disease for the past ten years and has been treated by various doctors, but has not had good results, and the disease has recurred. However, excellent outcomes were reached in this case using the Shodhana technique and Shaman Chikitsa.

A Clinical Case Report-Lekhana Basti and Kati Basti in Gridhrasi w.s.r Sciatica

Background: Gridhrasi is one of the most common disorders of Vata, which closely resembles with sciatica, which is characterized by pain or discomfort associated with sciatic nerve. The prevalence of sciatica varies considerably ranging from 3.8% in the working population to 7.9% in the nonworking population. Contemporary medicine has limitations giving short-term relief in pain or surgical intervention with side effect. Aim and Objectives: The aim of this study was to access the efficacy of Ayurvedic management including Shodhana and Shamana Chikitsa in Gridhrasi. Materials & methods: A male patient aged 43years who was already diagnosed with intervertebral disc prolapsed in L4-L5, correlated with Gridhrasi 3years approached to our hospital and was treated with Panchakarma treatment including Lekhana basti, Kati vasti, and virechana along with Shamana Chikitsa. The treatment was continued for consecutive one month. Results: Symptomatic assessment of patient was carried out after one month and satisfactory outcome was there and overall quality of life of patient was significantly improved. Conclusion: The aforementioned therapy gives symptomatic relief for the management of Gridhrasi.

Management of Sheetapitta through Shamana Chikitsa – A Case Study

Background: Urticaria is a red, itchy rash caused by vasodilation, increased blood flow, and increased vascular permeability. The function of infection as a potential trigger for urticaria is unknown, as is the precise mechanism by which infection induces histamine release from mast cells. In Ayurveda this condition has a close resemblance to sheetapitta. Due to the exposure to cold the vitiated kapha and vata dosha gets aggravated combines with pitta dosha. They circulate throughout the shrotas and vitiate the rakthadi dhatus and produces mandalopatti on the surface of skin. Main observations: A 39-year-old female patient, presented with complaints of raised reddish circular lesions all over the body for 5 years associated with itching, also complaints of orbital swelling the diagnosis was done as sheetapitta. Result: The efficacy of Ayurvedic treatment for Urticaria is demonstrated in this case study. Conclusions: The study concluded that ayurvedic medication was significantly effective in treating urticaria.

Management of Shweta Pradar(Leucorrhoea)through Ayurveda-A Single Case Study

Shweta Pradari.e. Leucorrhoea, commonly known as vaginal discharge is one of the important major issues experienced in gynecological practice. It is usual to experience some white discharge. Leucorrhoea is a condition in which there is an excessive amount of white discharge from the vaginal area as a result of inflammation or infection of the lower genital tract, which causes discomfort. Physiologically or pathologically, the symptom can affect people of any age. The vulnerable are those with a low socioeconomic status. Most women of all ages have dealt with it, especially when they are of child bearing or reproductive age. As in our country due to poor nutrition, multiple childbirth, low socioeconomic status, poverty, population growth, negligence of proper hygiene, many women are anaemic, malnourished, ill-health may suffer from such infection. It is important to treat Shweta Pradar(leucorrhoea) as soon as possible because it might lead to major complications if not treated. For abnormal white vaginal discharges, theword "Shweta Pradar" has been described in Ayurvedaandit is extensively discussed in Ayurvedictexts. Due to kaphaand Vata Doshadhikya, this symptom appears. However, according to Charak Samhita, Kaphais the primary Doshathat causes leucorrhoea. In this case report, a 24-year-old female patient with Shweta Pradar has complained of white discharge for the past nine months, along with katisula(low back ache), Daurbalya (weakness), Kandu (itching), Durgandha (odour), and occasionally Daha (burning sensation). She was treated by Shamana Chikitsa(palliative treatment) and Yoni Prakshalanafor one month. She got excellent relief in symptoms by above treatment

A Review Article on Dadru w.s.r. to Fungal Infection

Skin is the outermost covering of the body and largest organ of body, with a total area of about 20 square feet, which protects us from microbes and the elements, helps regulate body temperature and permits the sensation of touch, heat and cold. There are many skin disease in present time but Dadru (Fungal infection) is one of the common skin disease mentioned in Ayurveda. Dadru can correlate with tinea also known as Fungal skin infection in modern medicine system. Excessive severe itching and round red patches are the common clinical manifestation. 10-20% KOH and fungal culture are the specific tools for diagnosis of fungal infection. In Ayurvedic classics Virechana (Purgation) Raktamokshna (Bloodletting) and Shamana chikitsa (Pacification therapy) will be help to cure Dadru (Fungal infection). Here we will discuss about Nidana (causative factors), Samprapti (etiopathogenesis), Lakshan (clinical features), Chikitsa (treatment), Pathya-Apathya and preventive methods of Dadru kushta (Fungal infection).

Ayurvedic Management of Yuvanpidika: A Case Report

The face is an essential part of the body, and who does not want to have a glowing face as we know the first impression is the last impression, and the face is the mirror image which shows the mental and physical status of the body. Yuvanpidika is a burning issue in youngsters and due to hormonal derangements, unhealthy food habits and deranged routine and occurs mainly in the age group between 15 – 30 years. Acharya Susruta has advised Vamana procedure along with Bahya Lepa and some Shaman Oousadhis, which really works in alleviating the disease and helps in regaining the fair complexion of the face. Acharya Vagabhatta added, showing resemblance with Salmali Kantaka Pitika having pain with Ghana pidika filled with Meda and named it Mukhadushika or Yuvanapidika. In the current single case study 25 Years old female patient, Vamana, along with Nasya, followed by Siravedha from Lalatapradesha, was advised. Shamana Chikitsa (Kaishor Guggulu, Mahamanjisthadi kwath1 , Sarivadyasava and Local application with Vacha, Lodhra, Saindhava, Kustha and Kustumbru (Dhaniya) was also prescribed after Shodhana Chikitsa. In follow-up after six months, it was observed that there was no recurrence. In contrast, in modern counterparts, recurrence frequently occurs, so for the treatment of Mukhdushika, multifaceted Ayurveda treatment is found to have the upper hand with much fewer chances of recurrence.

Management of Oligospermia (Ksheena Shukra) through Ayurveda: A Case Study

As per today’s lifestyle, stress and sedentary work habits are being the biggest cause for infertility. The objective of the case study is to use Panchkarma procedure to increase the sperm count for a healthy progeny. A 29 year old married man visited the OPD of department of Panchakarma of Sidramppa Danigond Memorial Trust”s Ayurvedic Medical College Terdal on 19-09-2020. He had complained of decreased sexual interest and generalized weakness also. It is pathological condition of Shukra in which there may be reduced sperm count. In classics many Shukra Janaka drugs are explained in Ksheena Shukra condition. The patient was treated using Basti Karma and supportive Ayurvedic therapy for Ksheena Shukra. This case was managed with Anuvasan basti for 10 days and then the patient was administered Shaman Chikitsa for 30 days. The detail of this case highlights the role of Shodhana and Shamana Chikitsa in the management of Oligospermia.

Shodhanaand Shamana Chikitsain Pakshaghata-A Conceptual Study

Vata Vyadhis(diseases due to vitiated Vata) are becoming most prevalent diseases now a days. Diseases caused by Vata(Dosharesponsible for cognition and movement) in its vitiated condition are called Vata Vyadhis. Pakshaghatais one of the Vata Vyadhiswhich can be correlated with Hemiplegia/Stroke in accordance with the clinical presentation. In the present era due to bad eating habits and sedentary life style, many diseases are manifesting like diabetes mellitus, hypertension etc resulting in more complicated conditions like stroke. A stroke is described as a sudden neurological episode brought on by reduced blood flow to the brain which lasts for more than 24 hours or leading to death, with no probable cause other than a vascular one. Around 1.8 million people in India suffer from stroke every year. According to the modern sciences the brain cells once damaged cannot be repaired and regenerated, resulting in poor prognosis. So the treatment of Pakshaghata (Hemiplegia/Stroke) is challenging in itself. Ayurvedaemphasize on three line of treatment i.e Nidana Parivarjana (Avoidance of etiological factors)Shodhana(Purification)andShamana(Pacification).It has shown by the different studies that Shodhana Chikitsa, Shamana Chikitsaand Pathya Sevan(Intake of Wholesome food) seems to be very effective in alleviating the disease, improving the quality of life of the affected individual. Therefore it is assumed that Nidan Parivarjana, Shodhana and Shamana Chikitsa, will be of great help in alleviating the disease. Keeping the above said fact in mind present the present article emphasizes on the compilation of various Shodhanaand Shamana therapies mentioned in the classics of Ayurvedafor the management of Pakshaghata.