Journal name: World Journal of Pharmaceutical Research
Original article title: Ayurvedic management of hemorrhagic stroke
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a case study
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Sahu Rajesh S., Gulhane Jayant D. and Imade Mohan V.
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Ayurvedic management of hemorrhagic stroke
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20214-20125
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
Cerebrovascular events (CVEs), including hemorrhagic strokes, are significant causes of mortality and disability globally, particularly affecting older adults. This case study addresses the Ayurvedic management of a patient who suffered a hemorrhagic stroke presenting with left-sided hemiplegia. The Ayurvedic diagnosis of Vama Pakshaghata was established, and the patient received various treatments aimed at alleviating symptoms and reversing neurological damage. Key Ayurvedic interventions included specific therapies and the assessment of recovery through validated scales such as the National Institute of Health Stroke Scale (NIH-SS) and Barthel Index score.
Ayurvedic Diagnosis and Treatment Approaches
The study highlights the Ayurvedic perspective on stroke, correlating Pakshaghata with hemiplegia, which implies paralysis of one side of the body. Ayurveda categorizes this condition under Vatavyadhi of the Nanatmaja variety, recognizing key characteristics such as impaired motor activity, slurred speech, and sensory loss. The treatment plan incorporated Panchakarma, particularly Virechan Chikitsa, to clear impurities from the body and improve circulation. The therapies included Deepan Paachan, Shirodhara, and targeted basti treatments, aimed at restoring balance to the doshas involved in the patient’s condition.
Assessment of Patient Outcomes
The patient, a 45-year-old male, was assessed before and after treatment to measure recovery. Initial evaluations showed significant impairment, with different NIH-SS components reflecting severe stroke conditions. After undergoing Ayurvedic therapies, the patient demonstrated remarkable improvements in various functional abilities, including mobility and language skills. The data showcased positive shifts in scores on the NIH-SS and Barthel Index, illustrating improved rankings across all measured domains of health and independence.
Role of Panchakarma in Recovery
The application of Panchakarma in treating hemorrhagic strokes was emphasized as a critical therapeutic strategy. Various procedures such as purgation and oleation play roles in revitalizing the body's channels and addressing the underlying vitiated doshas. The study specifically warns of the importance of well-executed Panchakarma to avoid adverse effects, reinforcing its effectiveness for treating neurological and muscular conditions. The results from this case reinforce the notion that comprehensive Ayurvedic treatment can lead to considerable recovery post-stroke.
Conclusion
This case study affirms the potential of Ayurveda in managing hemorrhagic stroke, exemplified by the documented recovery of the patient. The successful integration of traditional Ayurvedic treatments, particularly Panchakarma, demonstrates that alternative medicine can provide tangible benefits in the realm of cerebrovascular health. The documentation advocates for further research and clinical trials to substantiate and expand the role of Ayurvedic practices in treating complex neurological disorders, offering new hope for patients facing such critical health challenges.
FAQ section (important questions/answers):
What is the focus of the case study by Sahu et al.?
The focus is on the Ayurvedic management of a patient with hemorrhagic stroke, demonstrating treatments and recovery outcomes associated with specific Ayurvedic therapies.
What are the key treatments mentioned in the Ayurvedic management?
Key treatments include Deepan Paachan, Anuloman, Abhyanga, Rakta-Pittaghna Basti, Majja Basti, Virechan, Shirodhara, and Mustadi Yapan Basti.
How was patient improvement assessed in the study?
Improvement was assessed using the National Institute of Health Stroke Scale, Barthel index, and the Western Ontario and McMaster Universities Osteoarthritis Index scores, before and after treatment.
What condition does 'Pakshaghata' refer to in Ayurveda?
Pakshaghata refers to paralysis of one side of the body, correlating with hemiplegia, usually arising due to conditions like hemorrhagic stroke.
What was the initial condition of the patient upon admission?
The patient presented with left-sided weakness, slurred speech, altered sensorium, and an inability to walk due to intracerebral hemorrhage.
What recovery results were observed after Ayurvedic treatment?
Post-treatment, the patient showed significant improvement in mobility, language ability, and motor functions, eventually walking without support.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Ayurvedic management of hemorrhagic stroke”. 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) Table:
In medical literature, a 'Table' organizes and presents data in a structured format. Tables summarize clinical findings, treatment outcomes, and assessment scores, making it easier for readers to compare results and understand the study's impact on patient recovery in a clear manner.
2) Blood:
Blood is a vital fluid that circulates throughout the body, transporting oxygen, nutrients, and hormones to cells while removing waste products. In the context of stroke and hemorrhage, understanding blood components like platelet count and coagulation factors is crucial for assessing risks and guiding treatment.
3) Sahu:
Sahu refers to the lead author of the study, Dr. Rajesh Sahu, who has contributed significantly to the research on Ayurvedic management of hemorrhagic stroke. Their insight and clinical experience provide a foundation for evaluating treatment protocols and outcomes in this case study.
4) Drug:
The term 'Drugs' can refer to various medicinal agents used to treat conditions. In the Ayurvedic context, it emphasizes the importance of herbal compounds and formulations designed to balance doshas and promote healing, especially relevant in treating disorders like stroke.
5) Raktapitta (Rakta-pitta):
Raktapitta is an Ayurvedic term that signifies a condition related to blood disorders. It reflects an imbalance and can be critical in treating stroke patients where managing blood properties and circulation is essential to avoid further complications and enhance recovery.
6) Basti:
Basti, a key Ayurvedic therapy, involves administering medicated oils or herbal preparations through the rectum. It aims to cleanse and balance the body, affirming its significance in treating neurological disorders like stroke, where regular bowel function and dosha balance are vital.
7) Pakshaghata (Paksaghata, Paksha-ghata, Paksha-aghata):
Pakshaghata translates to 'hemiplegia' in Ayurveda, indicating paralysis on one side of the body, usually caused by a stroke. Recognizing this condition helps in tailoring specific Ayurvedic therapies, addressing motor dysfunction and sensory deficits commonly seen in stroke patients.
8) Nagapura (Naga-pura):
Nagpur is a city in India where the case study took place. The location holds significance due to its regional practices in Ayurveda and access to holistic treatment options, allowing for comprehensive patient care in cases of complex medical conditions like hemorrhagic stroke.
9) Vashadi (Vasadi):
Vasadi refers to a type of oil or medicated formulation used in Ayurvedic treatments. It has properties that support blood health and can be beneficial in managing conditions like Raktapitta, particularly in post-stroke rehabilitation to restore bodily functions.
10) Sign:
In a clinical context, a 'Sign' refers to an objective indication of a medical condition observed during a physical examination. Understanding signs is crucial for diagnosing stroke, as these findings guide treatment decisions and assess recovery outcomes effectively.
11) Bleeding:
Bleeding is a critical concern in conditions like hemorrhagic stroke, where blood vessels rupture leading to the accumulation of blood in the brain. Control of bleeding is vital for patient survival and recovery, emphasizing the role of immediate medical intervention.
12) Disease:
Diseases are pathological conditions affecting bodily function. Identifying and understanding different types of diseases is crucial for developing effective treatment modalities, ensuring that healthcare professionals can provide comprehensive care tailored to individual patient needs.
13) Bala:
Bala translates to 'strength' or 'vigor' in Ayurveda, emphasizing the importance of restoring bodily strength in post-stroke patients. Enhancing 'Bala' is vital for rehabilitation and recovery, guiding treatment protocols to address physical impairments effectively.
14) Ayurveda (Ayus-veda):
Ayurveda, an ancient Indian system of medicine, focuses on balancing the body, mind, and spirit using natural remedies. Its holistic approach is beneficial for managing chronic conditions, such as stroke, offering alternative and complementary therapies to enhance recovery.
15) Vomiting:
Vomitings denote the act of expelling stomach contents. In stroke patients, monitoring and managing this symptom is essential as it can indicate increased intracranial pressure, dehydration, or other complications affecting gastrointestinal health.
16) Mustadi (Musta-adi):
Mustadi refers to a specific Ayurvedic formulation used in Basti therapies. It is believed to possess properties that aid in detoxifying and rejuvenating the body, relevant in stroke recovery, where restoring equilibrium is crucial.
17) Majja:
Majja is associated with bone marrow and nerve tissues in Ayurveda. It underscores the significance of nourishing and regenerating these tissues in stroke recovery, where neurological functions and physical strength need revitalization.
18) Study (Studying):
A study refers to a detailed examination or analysis of a particular subject or case, providing valuable insights into treatment outcomes. This case study highlights the efficacy of Ayurvedic interventions for hemorrhagic stroke management, promoting evidence-based alternative medicine practices.
19) Niruhabasti (Niruha-basti):
Niruha-basti is an enema treatment in Ayurveda, focused on detoxification and restoring balance. It uses herbal decoctions to cleanse the body, particularly useful in stroke patients for managing conditions like Raktapitta and aiding in quicker recovery.
20) Yashtimadhu (Yastimadhu, Yashti-madhu):
Yashtimadhu, or licorice, is an important herb in Ayurveda known for its soothing, anti-inflammatory properties. Its use in stroke management can support the healing process and restore balance, especially beneficial in improving respiratory and digestive functions.
21) Vatavyadhi (Vata-vyadhi):
Vatavyadhi refers to a group of disorders related to 'Vata' dosha in Ayurveda, which includes neurological issues. Recognizing conditions like hemiplegia as Vatavyadhi is critical for determining effective Ayurvedic treatments aimed at restoring bodily functions.
22) Shirodhara (Sirodhara, Shiras-dhara):
Shirodhara is a unique Ayurvedic therapy involving the pouring of warm oil on the forehead. This practice is sometimes used in post-stroke rehabilitation to soothe the mind, enhance mental clarity, and promote relaxation, supporting overall recovery.
23) Abhyanga (Abhyamga):
Abhyanga is a traditional Ayurvedic massage technique that uses warm oil to nourish and stimulate the body. This treatment helps enhance circulation, reduce tension, and promote healing, important for stroke patients during their rehabilitation phase.
24) Lakshadi (Laksadi, Laksha-adi):
Lakshadi refers to a specific group of herbal formulations used in Ayurveda for various health issues. These formulations can be especially helpful in managing blood-related disorders, supporting patients with Raktapitta or related conditions.
25) Language:
In a clinical setting, 'Language' pertains to the ability to communicate verbally. Evaluating language abilities in stroke patients is essential for assessing recovery and monitoring improvements in cognitive functions, which are often affected post-stroke.
26) Shunthi (Sunthi, Sumthi, Shumthi):
Shunthi, or ginger, is a widely used herbal remedy in Ayurveda with properties that aid digestion and improve circulation. Its incorporation into treatment regimens for stroke recovery can help enhance overall health and digestion, vital in rehabilitation.
27) Vertigo:
Vertigo refers to a sensation of spinning or dizziness that can accompany neurological conditions like stroke. Monitoring and managing vertigo symptoms is important in stroke care, as they can greatly impact patient mobility and quality of life during recovery.
28) Dravya:
Dravya translates to 'substance' in Ayurveda and refers to any medicinal product used for treatment. It's foundational in developing Ayurvedic formulations, emphasizing the role and potency of natural substances in healing practices.
29) Niruha:
Niruha pertains specifically to the type of enema that aims to cleanse and detoxify the body. This therapy is essential in Ayurveda, particularly in treating chronic conditions like stroke, where maintaining balance is pivotal for recovery.
30) Medhya:
Medhya refers to substances or drugs that enhance cognitive function and support mental clarity. Their usage in stroke rehabilitation can aid recovery, specifically addressing memory, concentration, and overall brain health during the recovery process.
31) Manas (Mano, Manash):
Manas refers to the mind or mental faculties in Ayurveda. Recognizing its pivotal role in health, particularly during stroke recovery, emphasizes the need to address cognitive and emotional well-being alongside physical rehabilitation efforts.
32) Nasya (Nashya):
Nasya is an Ayurvedic therapy involving the administration of herbal oils through the nasal passage. It is beneficial for treating conditions affecting the upper respiratory system and can support neurological health, important in stroke recovery.
33) Rakta:
Rakta refers to 'blood' in Ayurveda and symbolizes vitality in the body. Its management plays a critical role in treating stroke and related disorders; restoring balance in Rakta can enhance recovery and overall health.
34) Taila (Thaila):
Taila translates to 'oil' and is often used in Ayurvedic treatments. The application of medicated oils can enhance healing, nourish tissues, and provide therapeutic benefits during rehabilitation, particularly relevant for stroke patients.
35) Death:
Death signifies the cessation of biological functions that sustain life. Understanding stroke's potential severity and mortality rates is crucial for informing treatment approaches and guiding families in making informed decisions regarding care options.
36) Vasa (Vasha):
Vasa refers to a specific herbal preparation frequently used in Ayurvedic treatments. In stroke management, Vasa may facilitate blood purification and promote recovery, showcasing the importance of herbal interventions in restoring health.
37) Mana:
Mana refers to the mind in Sanskrit. It's crucial in understanding mental health, cognitive recovery, and emotional stability during stroke rehabilitation, emphasizing holistic care that addresses both mental and physical aspects of healing.
38) Bronchial asthma:
Bronchial asthma designates a chronic condition affecting the airways, leading to breathing difficulties. Awareness of coexisting health issues like asthma is important in stroke patients to ensure a comprehensive and effective treatment plan throughout recovery.
39) Tailabhyanga (Taila-abhyanga):
Taila-abhyanga combines oil application (taila) with massage techniques. This approach facilitates relaxation and enhances blood circulation, crucial for stroke patient rehabilitation, as it speeds up recovery and restores functionalities compromised by the stroke.
40) Lakshaditaila (Laksaditaila, Lakshadi-taila):
Lakshadi-taila is a specific oil formulation used in Ayurveda, recognized for its nourishing properties. Utilizing this oil can aid stroke patients in restoring balance and promoting recovery by enhancing blood circulation and providing essential nutrients.
41) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
Dhatukshaya describes a condition of depletion or loss of bodily tissues. Recognizing this during stroke recovery is vital, as the aim is often to rejuvenate and restore tissue integrity to improve overall health and functionality.
42) Purvakarma (Purva-karman, Purvakarman):
Purva-karma refers to preparatory procedures in Ayurvedic treatments. Establishing these initial steps is essential for ensuring that subsequent therapies, such as Panchakarma, are effective, especially in addressing complex conditions like stroke.
43) Shaithilya (Saithilya):
Shaithilya denotes looseness or laxity in the body, often observed in patients post-stroke. Understanding this condition is crucial for developing tailored rehabilitation strategies to restore strength and functionality through various therapies.
44) Ashtavidha (Astavidha, Ashtan-vidha):
Ashtavidha pertains to the eight-fold examination methods in Ayurveda for assessing a patient's overall health status. These methods allow for a comprehensive understanding of the patient’s condition, facilitating accurate diagnosis and treatment planning.
45) Vakstambha (Vak-stambha):
Vakstambha is correlated to speech difficulties. In stroke rehabilitation, addressing Vakstambha is critical as many patients experience speech impairments, necessitating targeted therapies to improve communication abilities and restore language functionality.
46) Discussion:
Discussion represents the analytical component of research reviewing findings and implications. In case studies, this section reflects on treatment outcomes and encourages further exploration into effective Ayurvedic practices in managing conditions like hemorrhagic stroke.
47) Alcoholism:
Alcoholism refers to an addiction to alcohol, significantly affecting overall health. Being a relevant factor in stroke patients, understanding its impact is crucial for developing comprehensive treatment plans that address both stroke recovery and substance dependency.
48) Angamarda (Amgamarda, Anga-marda):
Angamarda describes bodily pain, often experienced by stroke patients, due to immobility or neurological damage. Recognizing and treating Angamarda is crucial in the rehabilitation process to enhance comfort and promote healing.
49) Hriberadi:
Hriberadi refers to a specific Ayurvedic formulation believed to possess rejuvenating properties. Its use is aimed at improving overall vitality and health, beneficial for promoting recovery in stroke patients by enhancing bodily functions.
50) Medicine:
Medicine encompasses the science and art of diagnosing and treating diseases. It is essential in the context of strokes, intertwining with both conventional and alternative methods, such as Ayurveda, to enhance patient outcomes.
51) Priyangu (Priyamgu):
Priyangu is a medicinal herb used in Ayurveda. Known for its health benefits, including improving digestion and circulation, it can support stroke patients in recovery by promoting overall health and restoring balance.
52) Abhayadi:
Abhayadi is an Ayurvedic formulation commonly used for its protective and rejuvenating qualities. Its application is relevant in treating a range of conditions, including those requiring restorative support following a stroke.
53) Activity:
Activity refers to physical movement and engagement, which is often compromised in stroke patients. Promoting activity is vital for rehabilitation, as it supports muscle strength, coordination, and overall recovery post-stroke.
54) Dressing:
Dressing pertains to the care taken for wounds or affected areas, important in stroke recovery where maintaining skin integrity and preventing pressure ulcers is crucial for a patient's overall well-being.
55) Relative:
Relative refers to family or caregivers of a patient, playing a pivotal role in providing support and understanding the patient's needs. Engagement of relatives is vital for effective recovery processes post-stroke.
56) Samkoca (Sankoca, Shankoca):
Sankocha refers to a condition of constriction or tightness, often associated with muscle stiffness after a stroke. Recognizing and addressing Sankocha is necessary to improve mobility and flexibility in patients during rehabilitation.
57) Amalaki:
Amalaki, or Indian gooseberry, is an important Ayurvedic herb known for its high vitamin C content and antioxidant properties. Its incorporation into treatments can help in detoxifying and rejuvenating the body, aiding stroke recovery.
58) Sparsha (Sparsa):
Sparsha translates to 'touch' and encompasses sensory experiences, crucial for assessing and restoring the sensation in stroke patients. Recognizing sensory deficits allows for targeted therapies to enhance rehabilitation and recovery.
59) Samaka (Shamaka):
Shamaka means to pacify or soothe, typically referring to actions or treatments that harmonize the body's energies. In stroke treatment, applying Shamaka principles can help reduce stress and promote healing.
60) Alpalpa (Alpa-alpa):
Alpalpa conveys a sense of deficiency or low levels, often related to bodily strength or resources. Recognizing Alpalpa in stroke patients can help guide effective recovery strategies that focus on rebuilding strength.
61) Allergy:
Allergy refers to an adverse immune response to specific substances. Understanding a patient's allergy history is important in stroke treatment planning to avoid potential adverse reactions to medications or therapies.
62) Surface:
Surface embodies the exterior or outer layer of the body. Understanding how surface functions, such as skin health, relate to overall patient management is crucial in stroke recovery for preventing complications.
63) Shabda (Sabda):
Shabda translates to 'sound' and relates to communication abilities, significant in assessing a stroke patient's condition. Rehabilitation often focuses on restoring auditory and verbal communication skills, making Shabda relevant in treatment evaluations.
64) Sandhi (Shandhi, Samdhi):
Sandhi signifies joints or connections, particularly in the context of movement and flexibility. Addressing Sandhi health is crucial in stroke recovery, focusing on restoring joint function and alleviating stiffness for improved mobility.
65) Aghata:
Aghata signifies injury or trauma, relevant in evaluating the impact of strokes where neurological injuries manifest. Understanding Aghata allows for tailored rehabilitation strategies fostering recovery and restoring function.
66) Ruksha (Ruksa):
Ruksha means dry or rough, which can refer to skin or tissue characteristics. In stroke recovery, addressing Ruksha qualities through appropriate therapies is essential for improving skin health and overall vitality.
67) Dipana:
Dipana translates to pacification and involves stimulating digestive fire. Enhancing Dipana aids recovery in stroke patients by promoting optimal digestion and nourishment essential for healing and restoring bodily functions.
68) Paksha (Paksa):
Paksha denotes a half or side. In the context of stroke, it emphasizes the affected side of the body, guiding interventions for improving mobility and strength specifically targeted to the side experiencing hemiplegia.
69) Paniya:
Paniya translates to 'water' and recognizes hydration's importance in health. Ensuring adequate fluid intake is crucial during stroke recovery for preventing dehydration and supporting overall bodily functions essential for healing.
70) Pipasa:
Pipasa denotes thirst, often reflecting the body’s need for hydration. Monitoring Pipasa and addressing hydration needs in stroke patients is vital for recovery, maintaining bodily functions, and aiding in overall health.
71) Nausea:
Nausea refers to the sensation of unease and the urge to vomit, often present in stroke patients. Understanding and managing nausea is important, as it can impact recovery and affect overall quality of life.
72) Nature:
Nature denotes the inherent characteristics or qualities of beings, pertinent in understanding individual responses to treatment in Ayurveda. Acknowledging Nature helps inform personalized treatment protocols tailored to each patient’s unique health requirements.
73) Gold (Golden):
Golden here refers to the concept of life stages, specifically the 'golden years.' Understanding health dynamics during these years aids in identifying risk factors for stroke and tailoring preventive and therapeutic strategies.
74) Aruci:
Aruchi indicates a lack of appetite, which can occur after a stroke. Addressing Aruchi through dietary adjustments and mindful eating can promote recovery and support overall health in affected patients.
75) Pitta:
Pitta, one of the three doshas in Ayurveda, encompasses fire and transformation properties within the body. Understanding the balance of Pitta is crucial in stroke scenarios as it influences metabolic processes and overall health.
[Note: The above list is limited to 75. Total glossary definitions available: 99]
Other Science Concepts:
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