Treatment Protocol of Stroke (Pakshaghata) Through Ayurveda Medicine - A Case Study
Treatment Protocol of Stroke (Pakshaghata) Through Ayurveda Medicine - A Case Study
Treatment Protocol of Stroke (Pakshaghata) Through Ayurveda Medicine - A Case Study
ABSTRACT
Stroke is a common medical emergency and the second leading cause of death worldwide. In
Ayurveda stroke is described as Pakshaghata. The present study is a case report on management of
stroke of a male patient aged 40 years with chief complaints of loss of function of the left upper &
lower limb. He was a diagnosed case of stroke on the basis of clinical presentation and brain-
computed tomography-scan. The case treated with the Ayurveda medications was found to be
effective in providing relief in chief complain with improvement of overall health of the patient.
Treatment protocol was snehana, swedana, mridu virechana, basti karma, murdhani taila
(shirodhara) along with internal medication which is mentioned by Acharya Sushruta. Before
treatment NIH-Stroke Scale was 16 & Barthel index scale was 15 and after the treatment NIH-Stroke
Scale was 4 & Barthel index scale was 70 providing symptomatic relief too. This reveals that
Ayurveda treatment modalities can play a significant role in treatment of Stroke (Pakshaghata).
Table 1 to be continued...
Past history No HTN & diabetic
Chief Unable to stand & walk. Since 18 month
complaint Loss of function left upper & lower limb.
Incontinence of urine & stool.
Loss of sensation in left upper limb.
Slurred speech.
Difficulty in swallowing.
Unable to open eyes.
Swelling in left forearm.
Associated Insomnia Since 18 month
complaint Incomplete defecation
Loss of appetite
Treatment Ayurveda remedies
history
History of According to patient statement he was quite well 18 months back then he suddenly fell down. He had headache and body
Present illness pain as associated symptoms, so he took conservative treatment as prescribed by family physician. There was no relief in
associated symptoms moreover loss of function of the left upper & lower limb developed after 2 days become unable to
stand and walk without support. After that the patient took some Ayurvedic treatment but there was no such significant
relief. So the patient came to AIIA for better management.
PHYSICAL EXAMINATION –
Blood pressure - 110/80mmhg Edema – left wrist joint
Pulse rate – 76/min. Pallor – No
Temperature – Afebrile Icterus – No
Respiratory rate – 20/min. Clubbing – No
SYSTEMIC EXAMINATION –
NERVOUS SYSTEM:
Consciousness Conscious
Higher functions
Mental status MMSE score – 18
Cranial nerve examination Hyposmia
Olfactory Ptosis in both eye
Oculomotor Slurred speech
Hypoglossal (Rest of the cranial nerve status were normal)
Motor examination Diminished (left upper & lower limb)
Tone of muscles Grade – I (left upper & lower limb)
Power of muscles Swallowing – difficulty
Reflexes – superficial Lt. biceps jerk reflex – grade - 0
- Deep Lt. supinator jerk reflex – grade – 0
Lt. knee jerk reflex – grade – 1
Lt. planter jerk reflex – grade – 3
Gait Ataxic gait
Table 5: Schedule of Mridu Sarvanga Bashpa Swedana Table 6: Plan for Anuvasan Basti as Matra Basti
S.N. Name of the drug Time Duration S.N. Name of the drug Dose
1 Dashmoola kwatha 7 minute/day 14 days 1 Ksheerbala taila 60ml
2 Shatpushpa kalka 2gm
3 Saindhav 1gm
shirodhara and internal medicine patient himself with support. After that he was
was able to do daily routine (eating, discharged and was advised to continue
drinking, bathing), standing and walking by internal medicine for 15 days.
Observation
Table 11: National Institute of Health Stroke Scale (NIH-SS)
Score NIH scale Range of score BT AT
1-a Level of consciousness 0 to 3 0 0
1-b LoC Question 0 to 2 1 0
1-c LoC 0 to 2 1 0
2 Best gaze 0 to 2 0 0
3 Visual 0 to 3 2 0
4 Facial palsy 0 to 3 1 0
5 Motor arm Right 0 to 4 0 0
Left 0 to 4 4 2
6 Motor leg Right 0 to 4 0 0
Left 0 to 4 3 1
7 Limb ataxia 0 to 2 1 0
8 Sensory 0 to 2 2 0
9 Best language 0 to 3 0 0
10 Dysarthria 0 to 2 1 1
11 Extinction and inattention (formerly neglect) 0 to 2 0 0
Total 42 16 04
0 = no stroke, 1-4 = minor stroke, 5-15 = moderate stroke, 15-20 = moderate/severe stroke, 21-42 = severe stroke.
taila Accordingly treatment was in this patient was followed up for two months and
patient. there was no any deterioration. As this is a
Patient was admitted on 18/3/19 in single case study, there is a need for large
IPD AIIA. Treatment was started number of patients randomized clinical trial
gandharvhastadi kwatha, [9] kaishore to establish the effectiveness of the above
guggulu, [10] ashwagandhadi avleha, [11] treatment protocol in the management of
giloy choorna, [12] yashti choorna, [13] vacha Pakshaghata. This case report serves as a
choorna, [14] balarishta, [15] kamdudha rasa, lead for further researches in the
[16]
gandharvhastadi taila [17] after two days management of Stroke (Pakshaghata).
Panchakarma treatment started. Sarvanga
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