Ayurvedic management of pakshaghat- case study
Journal name: World Journal of Pharmaceutical Research
Original article title: Ayurvedic management of pakshaghat- case study
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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Karishma Shankar Karde, Raman Ghungralekar and Arti Datye
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Ayurvedic management of pakshaghat- case study
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20227-24395
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
The case study discusses the Ayurvedic management of Pakshaghata, a neurological disorder characterized by weakness in limbs, slurred speech, and impaired motor activity. It highlights the conditions similar to cerebrovascular accidents (CVAs) and the challenges of treating post-stroke residual effects. Despite advancements in Western medicine, effectively managing the persistent impact of strokes on patients' physical and mental health remains a significant hurdle. The study focuses on a 60-year-old male patient with monoplegia who underwent Ayurvedic treatments, demonstrating beneficial results.
Shodhan Chikitsa: Detoxification Therapy
Shodhan chikitsa, a detoxification therapy derived from Ayurvedic texts, plays a crucial role in treating Pakshaghata. This treatment aims to cleanse the body of toxins and restore natural balance. The approach typically involves procedures like Sarvang Snehan (full body oil application) and Nadi Swedan (herbal steam therapy) to alleviate vata dosha imbalances. The case report mentions the effectiveness of Lekhan basti, a specific type of enema treatment, designed to eliminate vitiated kapha and meda dosha from the body, thereby improving the patient's overall health and reducing residual symptoms.
Role of Basti in Treatment
Basti, an essential therapeutic procedure in Ayurveda, is highlighted for its efficacy in treating vata-related disorders. In this case, Lekhan basti was administered initially, followed by Panchatikta kshir basti. These bastis help restore balance by eliminating blockages (strotasavrodha) and enhancing the vitality of bodily tissues (dhatu). The therapy's role in facilitating improved blood flow to the penumbra, or the area surrounding the infarct, is emphasized as crucial for neurological recovery, thereby contributing to the significant improvement in the patient's condition.
Importance of Snehana and Patrapinda Swedan
Snehana (oleation) and Patrapinda swedan (herbal bolus therapy) are additional procedures integrated into the patient’s treatment plan. Snehana helps reduce stiffness and facilitates muscle relaxation, while Patrapinda swedan employs a specialized method of steaming that specifically aids in decreasing swelling and improving mobility. These treatments contribute to strengthening the patient's muscles and restoring motor functions, which are often compromised after a stroke or neurological disorder. The comprehensive application of these techniques supports the functional recovery of the patient.
Conclusion
The case study demonstrates that Ayurvedic therapies, particularly shodhan chikitsa, basti treatments, and supportive therapies like snehana and Patrapinda swedan, can lead to substantial improvements in patients with post-stroke conditions like Pakshaghata. The successful management of the patient’s symptoms underscores the potential of traditional Ayurvedic approaches in complementing modern medical interventions. However, it is recommended that further studies with larger sample sizes be conducted to validate the findings and refine treatment protocols for broader application in clinical practice.
FAQ section (important questions/answers):
What is Pakshaghata and its main characteristics?
Pakshaghata is a major neurological disorder characterized by limb weakness, slurred speech, and impaired motor activity. It is similar to the effects of a cerebrovascular accident (CVA), leading to physical disability and reduced quality of life.
What are the primary causes of Pakshaghata?
Pakshaghata is primarily caused by occlusion of brain blood vessels due to factors like atherosclerosis, cerebral hemorrhage, and infarction. Sedentary lifestyles and addictions such as alcohol and tobacco also contribute to its development.
What treatments are involved in managing Pakshaghata?
Ayurvedic management includes Shodhan chikitsa for detoxification, along with specific therapies like Lekhan Basti and Patra Pinda Swedan, aiming to enhance healing and restore function post-stroke.
How effective was the treatment in the case study?
The patient showed significant improvement in muscle strength, pain relief, and overall quality of life after treatment. No adverse effects were reported, suggesting the efficacy of Ayurvedic approaches in managing residual stroke effects.
What role does Panchatikta Kshir Basti play in recovery?
Panchatikta Kshir Basti is used to rejuvenate and strengthen the dhatu (tissues) post-dehydration or injury, especially in neurological recovery, improving nutrient absorption and repairing affected tissues.
What is the significance of Shodhan therapy in treatment?
Shodhan therapy is vital as it cleanses the body of toxins, alleviating the underlying causes of Pakshaghata. It enhances bodily functions and supports overall recovery from neurological impairments.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Ayurvedic management of pakshaghat- case study”. 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) Basti:
Basti refers to a critical Ayurvedic therapy that involves the administration of therapeutic decoctions or oils through the rectum. This procedure aims to cleanse the body of excess doshas (vitiated energies), particularly Vata dosha, hence supporting the balance of bodily functions and promoting overall health.
2) Bala:
Bala translates to strength or vitality in Ayurveda. It signifies the importance of nurturing the body's physical and mental strength, often focusing on immunological health. In treatments, measures to enhance Bala include dietary adjustments and specific herbal formulations that can enhance the overall robustness of an individual.
3) Samhita:
Samhita refers to traditional Ayurvedic texts, such as the Charaka Samhita and Sushruta Samhita, which document ancient medical knowledge, practices, and principles. They are essential references for Ayurvedic practitioners, providing guidelines on the diagnosis, treatment, and understanding of various diseases and therapeutic modalities.
4) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine focused on maintaining health and wellness through a balanced lifestyle, including dietary, herbal, and lifestyle modifications. It emphasizes the connection between mind, body, and spirit and uses natural remedies to restore health and prevent illness.
5) Dipika:
Dipika is a term often referring to commentaries or treatises on Ayurvedic texts. For example, the Ayurveda Dipika refers specifically to a commentary that elucidates principles and treatments in texts like the Charaka Samhita, making complex information more accessible to practitioners and students.
6) Vata:
Vata is one of the three doshas in Ayurveda, representing the elements of air and space. It governs movement, circulation, and communication within the body. Imbalances in Vata can lead to various health issues, making its regulation crucial for overall wellness and health preservation.
7) Table:
In the context of research articles, ‘table’ refers to organized presentations of data, such as clinical results, patient assessments, or treatment protocols. Tables assist in visually clarifying complex information, making it easier for readers to interpret the presented findings and conclusions from the study.
8) Rasa (Rasha):
Rasa translates to taste but also signifies the essence or fundamental quality of substances in Ayurvedic taxonomy. It has implications in dietary recommendations and herbal treatments, linking the sensory experience of taste to the therapeutic value and properties of foods and medicines.
9) Nasya (Nashya):
Nasya is a specific Ayurvedic treatment that involves the administration of medicated oils or powders through the nasal passages. This practice is believed to alleviate ailments related to the head, neck, and upper respiratory system, fostering clarity, balance, and vitality through nasal pathways.
10) Agnivesha (Agni-vesha, Agnivesa):
Agnivesha was an ancient Indian physician and author of the 'Agnivesha Tantra,' an important text in Ayurveda. His contributions form part of foundational Ayurvedic literature, enriching the understanding of treatments and principles related to health, wellness, and disease management.
11) Stiffness:
Stiffness refers to a condition where muscles or joints display reduced mobility and flexibility, often causing discomfort or pain. In Ayurvedic contexts, stiffness is generally associated with Vata dosha aggravation and may be treated through various therapies aimed at restoring balance and functionality.
12) Haritaki:
Haritaki, or Terminalia chebula, is a prominent herbal remedy in Ayurveda known for its health benefits, including as a digestive aid and detoxifier. It is recognized for balancing all three doshas and is used extensively in various Ayurvedic formulations and treatments.
13) Karma (Karman):
Karma in Ayurveda refers to actions or activities, particularly those pertaining to health practices. In this context, it illustrates the importance of conscious engagement in activities that promote balance and wellness, influencing an individual's health outcomes positively or negatively.
14) Joshi (Josi):
Joshi likely refers to an Ayurvedic scholar or practitioner, commonly called a prominent figure in the texts cited. The name might be associated with significant contributions to Ayurvedic literature, offering contemporary understanding and interpretations of ancient Ayurvedic practices.
15) Pakshaghata (Paksaghata, Paksha-ghata, Paksha-aghata):
Pakshaghata, also known as hemiplegia or paralysis, is a significant neurological disorder characterized by the loss of motor function on one side of the body. In Ayurveda, it is analyzed according to dosha imbalances and treated accordingly to restore function and balance.
16) Gandharva (Gamdharva, Gamdharvadurve):
Gandharva refers to a divine being or celestial musician in ancient Indian literature, often associated with the arts. In Ayurveda, the term can relate metaphorically to certain herbal formulations revered for their therapeutic properties, blending culture, spirituality, and medicine.
17) Indriya (Imdriya):
Indriya translates to senses or faculties of perception in Ayurveda. It encompasses the sensory organs and their functions, and maintaining their health is crucial for overall well-being, as they facilitate interaction with the external world and impact physical and mental health.
18) Kapha:
Kapha, one of the three doshas, embodies the elements of water and earth, governing the body’s structure, moisture, and stability. Imbalances in Kapha can lead to conditions like congestion, obesity, and lethargy, making its regulation crucial for maintaining health.
19) Majja:
Majja refers to the bone marrow or nervous tissue in Ayurveda, playing a pivotal role in the formation of blood and overall vitality. Treatment approaches strive to nurture Majja to maintain health, especially in conditions related to neurological and skeletal integrity.
20) Dhatu:
Dhatu translates to tissue or fundamental substance within the Ayurvedic system, essential for maintaining physical health. There are seven primary dhatus in Ayurveda, which collectively contribute to the body’s structural and functional integrity, emphasizing the importance of a balanced diet to nourish them.
21) Study (Studying):
The term 'study' refers to systematic research investigations that assess the effectiveness, safety, or mechanism of treatments or therapies within Ayurveda. Rigorous studies contribute to advancing knowledge and validation of traditional practices, reinforcing their relevance in contemporary healthcare.
22) Vaca:
Vacha refers to the herb Acorus calamus, known for its medicinal properties in Ayurveda. It's used for enhancing speech, cognitive function, and digestive health. This herb's inclusion in treatments signifies its role in nurturing mental clarity and emotional well-being.
23) Yoga:
Yoga represents a combination of physical, mental, and spiritual practices intended to foster balance and wellness. In Ayurvedic terms, it indicates exercises and techniques that support the individual’s overall health, aligning physical fitness with mental clarity and spiritual peace.
24) Vyadhin (Vyadhi):
Vyadhi translates to disease or illness within Ayurvedic texts. Understanding Vyadhi encompasses recognizing its root causes, manifestations, and appropriate treatments, embodying the holistic approach of Ayurveda to diagnose and manage health conditions.
25) Dosha (Dosa):
Dosha signifies the three fundamental energies (Vata, Pitta, Kapha) in Ayurveda that govern physiological processes. Balancing doshas is crucial for good health; thus, understanding individual dosha profiles is essential in personalizing Ayurvedic treatments and dietary recommendations.
26) Asthi (Ashthi):
Asthi refers to the bones in Ayurveda, forming part of the dhatus (tissues). Healthy Asthi is essential for structural integrity, movement, and overall vitality, making bone health a priority in Ayurvedic practices through appropriate nutrition and therapies.
27) Taila (Thaila):
Taila translates to oil, commonly used in Ayurvedic treatments for its therapeutic properties. Oils play significant roles in massage, cooking, and medicinal preparations, offering nourishment and promoting balance among the doshas, thus enhancing physical and mental well-being.
28) Medas (Meda, Medash):
Meda refers to the adipose tissue in Ayurveda, associated with fat storage and metabolism. It plays a dual role in health, acting as a reserve for energy and also requiring balanced management to avoid conditions related to obesity and metabolic disorders.
29) Nadi (Nadin):
Nadi translates to channel or flow, particularly referring to the pathways through which vital energies circulate in the body. In Ayurvedic practices, its assessment is integral to understanding health conditions and ensuring a proper flow of prana (life energy) for well-being.
30) Post:
Post refers to the period following a medical condition, such as recovery or rehabilitation. In Ayurveda, post-treatment care involves therapies and lifestyle modifications aimed at promoting healing, restoring balance, and preventing recurrence of health issues.
31) Drug:
Drugs refer to substances used in treatment, encompassing a wide range of remedies and medications. In Ayurveda, the classification of drugs extends to herbs, minerals, and combinations designed to restore health, emphasizing the holistic nature of treatment approaches.
32) Majjadhatu (Majja-dhatu):
Majja-dhatu specifically refers to the marrow tissue within the body, crucial for sustaining vitality and blood formation. In Ayurvedic practice, health of Majja-dhatu is linked with overall strength, immunity, and neurological function, thus receiving focused attention in treatments.
33) Asthimajjan (Asthi-majjan, Asthimajja):
Asthi-majja pertains to the healthy state of both bones (Asthi) and marrow (Majja). Maintaining Asthi-majja integrity is vital for structural support and overall body function in Ayurveda, highlighting the importance of targeted interventions for optimal health.
34) Observation:
Observations denote the careful monitoring of patient responses and changes throughout treatment. In Ayurveda, systematic observations are critical for assessing the effectiveness of therapies and refining treatment plans based on individual progress and needs.
35) Balataila (Bala-taila):
Bala-taila refers to a specific Ayurvedic oil preparation enriched with herbs like Bala (Sida cordifolia), aimed at promoting strength and vitality. This oil is often utilized in treatments to enhance muscular strength, support recovery, and improve overall health.
36) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha signifies the energy associated with movement, communication, and nervous system functions in Ayurveda. Understanding and balancing Vata-dosha is crucial, as its imbalance can lead to various physical and psychological health issues.
37) Dhatvagni (Dhatu-agni):
Dhatvagni refers to the digestive fire specific to each dhatu (tissue), crucial for transforming food into energy and maintaining the health of bodily structures. A balanced Dhatvagni is integral for sustaining overall health and vitality in Ayurvedic practice.
38) Gandusa (Gandusha, Gamdusa, Gamdusha):
Gandusha refers to an oral practice that involves holding medicated oils in the mouth to improve oral and systemic health. This technique is believed to enhance oral hygiene, boost immunity, and contribute to overall wellness.
39) Nirgundi (Nirgumdi):
Nirgundi (Vitex negundo) is an herb known in Ayurveda for its analgesic and anti-inflammatory properties. It is often used in formulations to manage pain, stiffness, and conditions related to Vata dosha imbalance, promoting overall joint and muscle health.
40) Medicine:
Medicines in Ayurveda encompass a wide range of therapeutic substances derived from herbs, minerals, and other natural sources aimed at restoring health and balance. They are used in customized formulations to address individual health needs effectively.
41) Vitiation (Vitiated):
Vitiated refers to the disturbance or imbalance of doshas or bodily functions in Ayurveda. Recognizing vitiated states is crucial for diagnosis and treatment, enabling practitioners to tailor interventions aimed at restoring balance and health.
42) Sukshma (Suksma, Shukshma):
Sukshma translates to subtle, often referring to aspects of health that are intricate or require detailed attention. In Ayurveda, addressing Sukshma concerns involves focusing on fine tissues and internal processes that may significantly impact overall health.
43) Snehana:
Snehana refers to an Ayurvedic therapy that involves oleation or lubrication intended to nourish the body, facilitate detoxification, and promote overall healing. This practice helps balance Vata dosha and is vital in therapies aimed at rejuvenation.
44) Pippali (Pippalin):
Pippali, or long pepper (Piper longum), is an important herb in Ayurveda noted for its respiratory benefits and ability to enhance digestion. It is often utilized in various formulations to improve absorption and the effectiveness of other herbs.
45) Quality:
Quality signifies the degree of excellence in health, products, or practices. In Ayurvedic terms, quality is integral to ensuring effective treatments and healthy living, advocating for high standards in both food choices and therapeutic practices for optimal health.
46) Nostril:
Nostrils denote the openings of the nose involved in the respiratory process. Their significance in Ayurvedic practice extends to therapies such as Nasya, which uses the nostrils as entry points for Ayurvedic medicines to enhance respiratory and cognitive functions.
47) Science (Scientific):
Science in a broader context refers to the systematic study of the structure and behavior of the physical and natural world through observation and experimentation. In Ayurveda, while rooted in ancient traditions, empirical methods are increasingly applied to validate and expand upon these practices.
48) Shigru (Sigru):
Shigru (Moringa oleifera) is an herb recognized in Ayurveda for its nutritional and medicinal properties, contributing to versatility in diets and therapeutic practices. It is often utilized for its anti-inflammatory, antioxidant, and health-supportive benefits.
49) Sthula:
Sthula refers to the gross or physical aspects of the body and its structures in Ayurveda. This term emphasizes the tangible, outward manifestations of health and conditions, helping practitioners identify and address physical issues related to dosha imbalances.
50) Koshna (Kosna):
Koshna implies warmth or heat in Ayurvedic terms. It refers to the quality of substances or environments that promote comfort and balance, which can be essential in treatments aiming to alleviate conditions exacerbated by coldness, such as Vata-dominated disorders.
51) Sharman (Sarma, Sarman, Sharma):
Sharma is a common surname in India, often associated with Ayurvedic scholars or specialists. References to figures like Sharma in texts highlight contributions to Ayurvedic practices, education, and methodologies important for advancing the understanding of traditional medicine.
52) Madhu:
Madhu refers to honey in Ayurveda, recognized for its medicinal properties. Honey is valued for its sweetness and therapeutic qualities, serving as a natural sweetener and remedy in various treatments, promoting digestion, and offering antiseptic benefits.
53) Mamsa (Mamsha):
Mamsa means flesh or muscle tissue in Ayurveda. Mamsa dhatu plays a vital role in overall body structure, contributing to strength and vitality. Its nourishment and health are emphasized in treatments aimed at maintaining lean muscle mass and bodily robustness.
54) Rakta:
Rakta refers to blood in Ayurveda, which is crucial for sustaining life and distributing nutrients throughout the body. It maintains vitality, and its health is essential for overall physical well-being, influencing conditions related to circulation and tissue health.
55) Patra:
Patra refers to leaves or plant materials used in Ayurvedic treatments, often in the context of herbal preparations. It implies the therapeutic use of natural materials in healing practices, highlighting the reliance on plant-based resources for remedies.
56) Death:
Death signifies the end of life and is a significant concern in Ayurveda, which emphasizes preventive care. Ayurvedic practices aim to prolong life through holistic wellness, addressing potential health issues to avoid premature mortality.
57) Blood:
Blood holds central importance in Ayurveda, representing vitality and health. It is linked to Rakta dhatu, necessitating proper management of blood health through diet and treatments to prevent disorders and sustain overall well-being.
58) Catching (Catch, Catched):
Catch, in a medical sense, can refer to the sensation of tightness or discomfort in muscles or joints. In Ayurveda, recognizing such sensations is essential for diagnosing imbalances and planning appropriate therapeutic interventions to alleviate discomfort.
59) Prana (Pran):
Prana translates to the vital life force in Ayurveda, essential for sustaining life and health. Understanding Prana's flow and balance is crucial for diagnosing and treating health conditions, emphasizing its role in maintaining spiritual and physical vitality.
60) Hani:
Hani signifies the detrimental effects or losses associated with imbalances within the body. Understanding Hani assists Ayurvedic practitioners in identifying conditions that require correction, tailoring treatments to mitigate negative impacts on health.
61) Pada:
Pada translates to foot or limb in Ayurveda and is often referenced in various therapies, including those targeting mobility and joint health. Proper care of Pada is emphasized in conditions related to mobility or activity limitations.
62) Jala:
Jala means water in Ayurveda, which is considered a fundamental element for life and health. It is integral in numerous Ayurvedic therapies, helping to balance doshas and nourish tissues, emphasizing the importance of hydration in maintaining optimal health.
63) Life:
Life signifies the state of being alive, a fundamental concern in Ayurveda, which emphasizes health as a part of a fulfilling life. Ayurvedic practices promote wellness and longevity, focusing on holistic care to enhance quality of life.
64) Pratimarshanasya (Pratimarsanasya, Pratimarsha-nasya):
Pratimarsha-nasya refers to a specific method of nasal administration, typically involving oils, aimed at improving cognitive functions or addressing ailments of the head and neck. This strategic therapy showcases the precision of Ayurvedic practices targeting the upper respiratory system.
65) Sushruta-samhita (Susruta-samhita):
Sushruta-samhita is a foundational text in Ayurvedic surgery and medicine, offering detailed instructions on surgical procedures, anatomy, and holistic health practices. Its contributions are key to understanding traditional surgical practices within the Ayurvedic tradition.
66) Niruhabasti (Niruha-basti):
Niruha-basti refers to a type of enema therapy that employs medicinal decoctions for detoxification and therapeutic purposes in Ayurveda. This specific treatment aims at cleansing the colon, addressing various dosha imbalances, and promoting overall digestive health.
67) Yashtimadhu (Yastimadhu, Yashti-madhu):
Yashtimadhu, or Glycyrrhiza glabra, is a potent herb known for its soothing properties in Ayurveda. It is commonly used in formulations for respiratory issues and digestive health, leveraging its sweetness and therapeutic advantages to nourish and heal.
68) Samshodhana (Samsodhana):
Samshodhana refers to detoxification or purification therapies in Ayurveda aimed at cleansing the body of toxins and excess doshas. This process is vital in maintaining health, preventing disease, and restoring balance within the body.
69) Bastikarman (Bastikarma, Basti-karman, Basti-karma):
Bastikarma refers to the comprehensive practice of using basti, or enema therapy, in Ayurveda. This method plays a significant role in detoxification and treatment of various conditions related to Vata dosha imbalances, enhancing overall health outcomes.
70) Mamsadhatu (Mamsha-dhatu):
Mamsa-dhatu refers to the muscle or flesh tissue in the body, critical for strength and mobility. Understanding and nurturing Mamsa-dhatu is vital in Ayurvedic treatments focused on enhancing physical health and supporting bodybuilding processes.
71) Ashvagandha (Ashva-gandha, Ashvagamdha, Ashwagandha, Asvagandha):
Ashwagandha, or Withania somnifera, is a highly regarded herb in Ayurveda, known for its adaptogenic properties that help the body cope with stress. It supports vitality and overall health and is used in a variety of formulations for its rejuvenative effects.
72) Pranavayu (Prana-vayu):
Prana-vayu refers to the vital air or breeze that governs the life force within the body. It plays a critical role in physiological functions, and its balance is essential for maintaining health in Ayurvedic practices.
73) Vatavyadhi (Vata-vyadhi):
Vatavyadhi signifies diseases attributed to Vata dosha imbalances in Ayurveda. Recognizing and addressing Vatavyadhi is crucial, as it encompasses a range of conditions related to movement and nerve function, often requiring specific therapeutic approaches.
74) Perception:
Perception in an Ayurvedic context relates to the awareness of bodily sensations, which influences both mental and physical health. Cultivating an understanding of one's perceptions fosters a deeper connection to health and wellbeing management strategies.
75) Discussion:
Discussion refers to the analytic dialogue regarding findings or hypotheses related to Ayurvedic treatments. It plays a crucial role in synthesizing information, drawing conclusions, and proposing further studies or improvements based on observed clinical results.
[Note: The above list is limited to 75. Total glossary definitions available: 139]
Other Science Concepts:
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