Post-surgical management of pontine hemorrhage with Ayurvedic treatment
Journal name: Ancient Science of Life
Original article title: Post-surgical management of pontine hemorrhage with Ayurvedic treatment
The ANSCI is a peer-reviewed, open-access journal focused on Ayurveda and traditional medicines. It publishes original research, reviews, and literary studies linking traditional knowledge with modern science, covering disciplines like botany, ethnomedicine, pharmacology, and clinical research.
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Areekkat Manojkumar, A. R. Aramya
Ancient Science of Life:
(A quarterly multi-disciplinary scientific research journal in Ayurveda)
Full text available for: Post-surgical management of pontine hemorrhage with Ayurvedic treatment
Year: 2013
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Pontine hemorrhage is a serious medical condition that involves bleeding in the brainstem, leading to various neurological deficits. Traditionally, the management of pontine hemorrhage involves surgical intervention, particularly for younger patients who may have a better prognosis. This case report highlights the experience of a 30-year-old female patient who, after undergoing midline suboccipital craniectomy for a spontaneous pontine hematoma, experienced persistent deficits and complications despite conventional Allopathic treatment. Seeking an alternative management approach, she turned to Ayurvedic treatment.
Ayurvedic Treatment Effectiveness
The patient began her Ayurvedic regimen on March 5, 2009, and continued until November 24, 2009, undergoing a variety of treatments including internal medications and external therapies like oil massage (abhyaṅga) and poultices (patra poṭṭalī sveda). Over eight months, significant improvements were observed, with the resolution of shivering in her right hand and head. She regained mobility in her left leg and hand, ultimately walking without support. The case underscores the potential benefits of Ayurvedic treatment in enhancing functional recovery in patients with pontine hemorrhage, especially those who have not responded satisfactorily to conventional medical management.
Conclusion
This case provides valuable insights into the role of Ayurvedic treatment in post-surgical recovery from pontine hemorrhage. The functional improvements observed in the patient may indicate that alternative therapies can serve as valid adjuncts to traditional medical approaches, particularly for individuals experiencing persistent deficits after surgery. Further research is necessary to establish a more comprehensive understanding of the effectiveness of Ayurvedic interventions in similar cases, as this could open new avenues for treatment and improve outcomes for patients with pontine hematomas.
FAQ section (important questions/answers):
What was the condition of the patient prior to Ayurvedic treatment?
The patient, a 30-year-old female, was bedridden for 1.5 years due to complete paralysis on her left side and severe shivering of the right hand and head after suffering from spontaneous pontine hematoma and undergoing surgery.
What treatments did the patient receive during her Ayurvedic therapy?
The patient underwent Ayurvedic treatments including oil massage (abhyaṅga), poultices (patra poṭṭalī sveda), and purgation (mṛdu virecana), along with internal medications like Sahadevi root kalka and various herbal decoctions.
How did the patient's condition improve after Ayurvedic treatment?
After 8 months of Ayurvedic treatment, the patient regained movement in her left side, reduced shivering in her right hand and head, and was able to walk without support.
What does this case suggest about Ayurvedic treatment for pontine hemorrhage?
This case indicates potential benefits of Ayurvedic management in patients with pontine hemorrhage who do not improve significantly post-surgery, warranting further research and observation of similar cases.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Post-surgical management of pontine hemorrhage with Ayurvedic treatment”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine that emphasizes a holistic approach to health through lifestyle practices, herbal treatments, and mind-body harmony. It seeks to balance bodily energies (doshas) and promotes overall well-being. Its relevance in treating conditions like pontine hemorrhage highlights its potential benefits in recovery and rehabilitation.
2) Hand:
The hand is a crucial anatomical part of the body that facilitates various functions such as grasping, holding, and manipulation of objects. In the context of the case report, improvement in hand movement was significant for the patient's recovery, indicating the effectiveness of the Ayurvedic treatment in restoring motor functions.
3) Medicine:
Medicine refers to the science and practice of diagnosing, treating, and preventing illnesses. In the report, both Ayurvedic and Allopathic medicines are discussed. The emphasis on Ayurvedic interventions showcases the potential alternative or complementary therapeutic options available for patients with neurological complications following surgeries.
4) Post:
Post generally refers to a period following a particular event, often used in medical contexts to describe recovery phases after surgical interventions. In this case report, it underscores the importance of evaluating post-surgical management strategies, particularly how Ayurvedic treatments can aid in the recovery process after traditional surgical methods.
5) Dhanvantaram:
Dhānvantaram is an Ayurvedic medicated oil used for its healing properties, particularly in therapeutic massages (Abhyaṅga). It is believed to have rejuvenating effects, particularly in managing conditions related to Vāta dosha. In this case, its application contributed to the patient’s recovery and symptom management post-surgery.
6) Virecana:
Virecana is a therapeutic purgation process in Ayurveda aimed at detoxifying the body by inducing bowel movements. It is believed to help eliminate excess Pitta dosha. In this case, it was part of the Ayurvedic treatment regimen to improve bodily functions and contribute positively to the patient's recuperation.
7) Abhyanga (Abhyamga):
Abhyaṅga is a traditional Ayurvedic practice of oil massage that is believed to promote circulation, enhance lymphatic drainage, and relieve stress. It plays a vital role in overall health and wellness. The inclusion of Abhyaṅga in the treatment regimen highlights the importance of external therapies in patient recovery.
8) Varanadi:
Varaṇādi refers to a specific Ayurvedic formulation that addresses various health issues, including abscess and inflammation. Its use in this case signifies the treatment of internal conditions that affect the patient’s health, aligning with Ayurveda’s holistic approach to managing physical ailments through natural remedies.
9) Sahadevi (Saha-devi):
Sahadevi refers to the root of the plant Vernonia cinerea, which is utilized in Ayurvedic medicine for its potential therapeutic properties, including anti-inflammatory and restorative effects. In this case, it was part of the internal medication prescribed to support the patient’s recovery from the complications of pontine hemorrhage.
10) Patra:
Patra relates to leaves or plants used in Ayurvedic treatments, often harnessed for their specific therapeutic qualities. In this case, it is part of the traditional poultice method mentioned in the treatment, which utilizes plant-based remedies for their beneficial effects on healing and wellness.
11) Shopha (Sopha):
Śopha refers to swelling or inflammation in Ayurvedic terminology. It is important in the context of treating conditions such as pontine hemorrhage, where managing inflammation is crucial for recovery. Ayurvedic interventions often target this aspect to alleviate symptoms and promote healing.
12) Sveda:
Sveda translates to sweating or perspiration in Ayurveda. It is often induced through certain treatments and is believed to aid detoxification and promote healing. In this case, it highlights the importance of carefully designed Ayurvedic procedures in supporting the patient's recovery journey.
13) Ulcer:
An ulcer refers to a sore that develops on the skin or mucous membrane, often as a result of inciting factors like trauma or infection. The mention of a neurotrophic ulcer in the case indicates complications that can arise in patients following neurosurgical procedures and reflects the need for comprehensive care.
14) Rasa (Rasha):
Rasa refers to taste or essence in Ayurveda but also implies the subtle energy or properties of a substance. In medical terms, Rasa is associated with the therapeutic properties of medicines. In the discussed case, Rasa is important in understanding how these formulations benefit the patient’s recovery.
15) Mridu (Mrdu):
Mṛdu means gentle or mild in ayurvedic terminology and is often used to describe therapies that are soothing and non-invasive. In the case report, Mṛdu Virecana signifies a gentle purgation method that promotes health without causing undue stress on the patient’s system, suitable for delicate health conditions.
16) Discussion:
Discussion is a vital part of clinical reporting that reviews findings, treatments, and implications. In this case, it serves to evaluate the efficacy of Ayurvedic approaches in managing the aftereffects of pontine hemorrhage and juxtaposes the outcomes with conventional treatments, encouraging further exploration.
17) Swelling:
Swelling is an increase in size of an organ or body part due to various factors such as injury or inflammation. In Ayurveda, managing swelling ('śopha') is crucial for recovery. Its relevance in the case illustrates underlying pathology and reflects the comprehensive assessment desired in Ayurvedic treatment.
18) Granthi (Gramthi):
Granthi refers to a cyst or mass in Ayurveda and is important in diagnosing conditions involving abnormal growths. In the context of this case, it relates to the treatment perspective regarding the recognition and management of disorders post-pontine hemorrhage, supporting the notion of personalized Ayurvedic approaches.
19) Pottali:
Poṭṭalī refers to a type of poultice used in Ayurvedic treatments. This method highlights traditional practices of applying herbal mixtures to inflamed areas. The use of Patra Poṭṭalī Sveda in the presented case signifies the relevance of localized treatments in enhancing recovery and relieving symptoms.
20) Science (Scientific):
Science refers to the systematic study of structure and behavior of the physical and natural world, providing a basis for evidence-based medicine. The integration of traditional practices like Ayurveda into the medical field requires a scientific approach to validate their effectiveness in treatment protocols.
21) Kalka:
Kalka refers to a paste made from powdered herbs in Ayurveda that is often applied externally or consumed for medicinal purposes. Its role in treatment signifies the utilization of concentrated herbal agents to enhance healing, demonstrating Ayurveda's emphasis on using nature for restoring health.
22) Rakta:
Rakta means blood in Ayurvedic terminology and signifies one of the essential bodily elements. It plays a significant role in various physiological functions. In this case report, addressing rakta imbalances is crucial for managing complications and ensuring effective healing post-surgery.
23) Vata:
Vāta refers to one of the three doshas in Ayurveda, representing air and space. It governs bodily functions like movement and circulation. In the context of recovery from pontine hemorrhage, understanding Vāta is vital in formulating treatments that aim to restore balance and enhance motor function.
Other Science Concepts:
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