Hemiplegia

Panchakarma Therapy In The Management Of Hemiplegia

The Hemiplegia is the sequelae of pathological events, which takes place in the central nervous system. The underlying pathology may be different such as Cerebro-Vascular Accidents (CVA), neoplasms, infections, etc. but paralysis is a common symptom. The degree and extent of neurological deficit depends upon the location and extension of damage to the brain cells. In certain cases along with motor deficits, disturbance of speech (aphasia or dysarthria) and loss of higher functions are also observed.

The disease has been discussed in Ayurveda under Vatavyadhi neurological disorder. The terms Paksaghata, Paksha Vadha and Ekanga Vata have been used to describe hemiplegia in Ayurveda. The treatment schedule consists of two main approaches Shodhana – schedule through Panchakarma procedure and Samana – general medical management.

Clinical Studies

The effect of Snehapana, svedana, vireka, bastikarma, nasya and Sirobasti with different medicated oils was studied under Sodhana. The Samana therapy with medicated oils and herbo mineral preparations were also done. Sastikasali pinda sveda was given as Svedana therapy and its role in the management of Paksaghata was studied. The results obtained in 744 patients of Paksaghata treated in the following six major studies have been reported:

  1. Effect of Panchakarma treatment with Masadi yoga 112.
  2. Effect of Bhadradarvadi kasaya, Danwantarma gutika & medicated oils 109.
  3. Effect of Nirgundi taila,Sahacara taila &Bhadradarvadi taila –comparative study 266.
  4. Effect of J.J. taila – internally and externally 80.
  5. Effect of Panchakarma therapy and Sirobasti with Masa taila 66.
  6. The effect of herbo-mineral preparations (internal) and application of Sastikasalipinda sveda with Brhatmasa taila (externally) along with Panchakarma therapy 111.

Conclusion

  • The study comprised 744 patients of Paksaghata out of which 552 received Panchakarma therapy with various single and compound medicinal preparations. 192 patients were given Samana therapy.
  • The result of this treatment showed that Panchakarma threapy is useful in improving the functional ability of patients – the therapy improved the quality of life. It is the most effective method of treatment for Paksaghata.
  • The effective treatments for Paksaghata among the study groups are Bhadradarvadi kvatha, Dhanwantharm gutika, Panchakarma therapy using Masa taila and Sastikasati pinda sveda.
  • Sastikasali pinda sveda is useful for relieving stiffness of muscles and other emaciated conditions.
  • The Snehapana with the study drugs did not produce any increase in the cholesterol level or the blood pressure level of patients.
  • The complete recovery from the illness is very rare but the therapy is useful in improving the functional ability and the quality of life of disabled patients.

SOURCE http://ccras.nic.in/Research_Actvities/20081015_hemiplegia.htm

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