Role of ayurvedic treatment in patient of cva (hemiplegia) - a case study
Journal name: World Journal of Pharmaceutical Research
Original article title: Role of ayurvedic treatment in patient of cva (hemiplegia) - a 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.
This page presents a generated summary with additional references; See source (below) for actual content.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Shraddha Sharma, Mohini Gupta, Arvind Yadav, Aayushi Mogra and Ajit Pandey
Download the PDF file of the original publication
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Role of ayurvedic treatment in patient of cva (hemiplegia) - a case study
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20222-22987
Copyright (license): WJPR: All rights reserved
Summary of article contents:
Introduction
Hemiplegia, characterized by paralysis on one side of the body, results in significant loss of function, sensation, and control. It corresponds to the condition known as Pakshaghata in Ayurveda, which is also classified as one of the eighty types of Vataj Nanatmaj vyadhis. This case study focuses on a 30-year-old male patient who experienced sudden weakness in the right side of his body, later diagnosed as a cerebrovascular accident (CVA). The patient underwent traditional Ayurvedic treatment at Pt. Khushilal Sharma Govt. Ayurvedic College and Hospital, which included Panchakarma procedures, Shamana Aushadhi (pacifying medicines), and physiotherapy.
Role of Ayurvedic Treatment
The treatment protocol applied in this case adhered to classical Ayurvedic principles relevant to Pakshaghata. The initial management strategies focused on addressing the root cause by alleviating the vitiated Vata dosha. This involved both internal (Aabhyantar) and external (Bahya) therapies, including Snehan (oleation) and Swedan (sudation), aimed at restoring balance within the system. Procedures such as Nadi Swedan (fomentation through a hand-held device) were implemented, and specific medications like Trayodashang Guggul, Dashmoolarishta, and various Rasas were employed to enhance recovery and restore function in the affected areas.
Effectiveness of Panchakarma
Panchakarma therapy was instrumental in the treatment of the patient's hemiplegic condition. These therapeutic modalities not only aimed at detoxifying and rejuvenating the body, but also at relieving symptoms of spasticity and pain. The study reported significant improvements in motor function, including enhanced muscle power and reduced rigidity in the affected limbs. The treatment outcomes were measured through the National Institute of Health Stroke Scale (NIH-SS), showcasing a marked decrease in symptoms post-treatment, signifying the importance of these holistic approaches to rehabilitation in stroke cases.
Assessment of Progress
Observations noted substantial improvements across various clinical parameters, such as muscle strength, reflexes, and speech, by the end of the treatment. The patient initially presented with muscle power gradings of 2/5 in the right upper limb and 3/5 in the right lower limb, which improved to 4/5 in both limbs after the Ayurvedic interventions. The application of different Ayurvedic formulations targeting the specific dosha imbalances contributed to the positive changes, reinforcing the value of tailored Ayurvedic treatments for managing conditions like CVA.
Conclusion
This case study highlights the significant role of Ayurvedic treatment protocols, particularly Panchakarma, in the effective management of hemiplegia resulting from a cerebrovascular accident. By addressing the underlying doshic imbalances and utilizing comprehensive therapeutic approaches, the patient demonstrated substantial recovery. The results support the integration of Ayurveda in contemporary treatment frameworks for stroke rehabilitation, underscoring the need for further clinical studies to validate its efficacy and define best practice guidelines in such cases.
FAQ section (important questions/answers):
What is hemiplegia and how does it manifest?
Hemiplegia is the paralysis of one side of the body, characterized by loss of function, sensation, control, and marked weakness in the affected limbs, often leading to slurred speech and inability to move.
What is Pakshaghata in Ayurveda?
Pakshaghata in Ayurveda is the equivalent of modern hemiplegia or hemiparesis and is classified among the eighty types of Vataj Nanatmaj vyadhis. It's primarily caused by vitiation of Vata dosha.
What treatment protocol was used for the patient?
The patient underwent Panchakarma procedures, Shamana Aushadhi, and physiotherapy. Treatment included localized oil application, steam therapy, and specific Ayurvedic medications, focusing on restoring function and reducing Vata dosha.
What were the main improvements noted after treatment?
Post-treatment, the patient showed marked improvement in muscle spasticity, strength, and speech. Specific power measurements improved significantly in both upper and lower limbs.
How is the effectiveness of treatment measured?
Effectiveness was measured using the NIH Stroke Scale and Visual Analog Scale for pain. Significant improvements in these scores indicate the treatment’s effectiveness in managing symptoms of Pakshaghata.
What conclusions were drawn from this case study?
The study concluded that Ayurvedic treatment, including Panchakarma procedures, effectively manages CVA symptoms. Early intervention can prevent complications and improve recovery, emphasizing the need for further clinical research.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Role of ayurvedic treatment in patient of cva (hemiplegia) - a 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) Sharman (Sarma, Sarman, Sharma):
Sharma refers to the primary author of the case study, Dr. Shraddha Sharma, who is an Assistant Professor in the Ayurvedic medical field. Her role highlights the importance of qualified practitioners in the quality and authenticity of Ayurvedic research and its applications in modern medicine, particularly in treating conditions like CVA.
2) Vata:
In Ayurvedic medicine, Vata is one of the three doshas, representing the elements of air and space. It governs movement, communication, and physiological functions in the body. A balance of Vata is essential for health, and its disturbance can lead to various ailments, including neurological conditions like Pakshaghata.
3) Pakshaghata (Paksaghata, Paksha-ghata, Paksha-aghata):
Pakshaghata is the Ayurvedic term for hemiplegia, which literally translates to 'paralysis of one side.' This condition reflects the loss of motor and sensory function on one side of the body, commonly resulting from a cerebrovascular accident (CVA). Its treatment includes various Panchakarma therapies aimed at rebalancing the doshas.
4) India:
India is the country where the Ayurvedic practices discussed in the case study originate. Its traditional medicine system has a rich historical background and continues to evolve in modern contexts. Understanding its cultural and geographical significance is crucial when studying Ayurveda's practices and effectiveness in treating diseases.
5) Pain:
Pain in the context of Pakshaghata refers to the discomfort experienced by the patient due to paralysis and muscle stiffness. Ayurvedic treatments aim to alleviate this pain through various methods, including herbs, therapies like Snehan, and Shodhan, demonstrating the holistic approach of Ayurveda toward symptom management.
6) Varanasi (Varanashi):
Varanasi is a city in India known for its spiritual significance and cultural heritage. It serves as a prominent center for Ayurvedic studies, with institutions like Pt. KLS Govt. Ayurveda College and Institute located there, facilitating research and practice in Ayurveda, particularly in conditions like stroke.
7) Ayurveda (Ayus-veda):
Ayurveda is the ancient Indian system of medicine that emphasizes balance in bodily systems using diet, herbal treatment, and yogic breathing. Its relevance in understanding and treating conditions like CVA through holistic approaches makes it significant in both traditional and contemporary medical landscapes.
8) Samhita:
Samhita refers to collections of Ayurvedic texts, which outline principles, treatments, and methodologies in Ayurvedic medicine. The reference to Samhitas like Susruta Samhita indicates the deep historical roots of Ayurvedic practices and their guidelines for treating conditions like Pakshaghata effectively.
9) Vyadhin (Vyadhi):
Vyadhis refers to diseases or disorders in Ayurveda. The classification and understanding of various Vyadhis, including their pathology and treatment, form the basis of Ayurvedic medicine, as highlighted in the detailed examination of conditions like Pakshaghata in the study.
10) Dosha (Dosa):
Dosha represents the fundamental energies in Ayurvedic medicine that govern physiological functions. The balance of the three doshas—Vata, Pitta, and Kapha—is crucial for health. In the case study, the vitiation of Vata dosha is linked to conditions like Pakshaghata.
11) Science (Scientific):
Scientific denotes the methodological approach to validating Ayurvedic treatments through empirical evidence. This emphasis on scientific inquiry in Ayurvedic practices enhances credibility and promotes further research and acceptance within modern medical frameworks.
12) Kapha:
Kapha is one of the three doshas in Ayurveda, representing water and earth elements. It contributes to structure, stability, and fluid balance in the body. Imbalances in Kapha can affect bodily functions and are considered in the holistic treatment approach to manage conditions like Pakshaghata.
13) Study (Studying):
The term study refers to the systematic examination of a patient's treatment for Pakshaghata using Ayurvedic methodologies. It showcases the application of traditional treatments in assessing their effectiveness, contributing to the growing body of evidence for integrative health practices.
14) Vatavyadhi (Vata-vyadhi):
Vata-vyadhi refers specifically to disorders caused by the imbalance of Vata dosha in the body. Recognizing Vata-vyadhi is critical in Ayurvedic diagnosis, particularly for conditions like Pakshaghata, pointing to targeted interventions to restore balance.
15) Aushadhi (Ausadhi, Aushadhin, Ausadhin):
Aushadhis are medicinal substances derived from plants used in Ayurvedic treatment. Emphasis on Aushadhis in managing conditions like Pakshaghata illustrates the reliance on herbal remedies in Ayurveda for therapeutic interventions and achieving balance within the body.
16) Disease:
Diseases encompass various health conditions treated through Ayurvedic practices. Recognizing the unique characteristics of specific diseases such as Pakshaghata is instrumental in designing targeted treatment modalities.
17) Madhya:
Madhya often refers to the middle or central aspect of a treatment plan in Ayurvedic practice. In the context of the study, it may relate to holistic therapies that address the balance and central principles of health maintenance and disease management.
18) Sthana:
Sthana means location or position in Sanskrit. In the Ayurvedic context, recognizing the Sthana of disease's manifestation helps practitioners target treatments effectively, making it a crucial aspect in the management of conditions outlined in classical texts.
19) Blood:
Blood is essential for life and plays a critical role in Ayurveda, where its balance within the body contributes to overall health. Understanding blood circulation and its qualities are crucial in treating conditions like stroke, indicating the interconnectedness of Ayurveda and anatomical knowledge.
20) Sushruta-samhita (Susruta-samhita):
Susruta-samhita is a foundational text in Ayurveda detailing surgical methods and treatments. Its research and guidelines are pivotal to the Ayurvedic approach to conditions like Pakshaghata, outlining protocols that combine surgery and holistic treatments for comprehensive care.
21) Vitiation (Vitiated):
Vitiation refers to the disruption or imbalance in doshas, leading to health issues. Recognizing vitiation is fundamental in Ayurvedic diagnostics and treatment planning, particularly for managing the root causes of disorders like Pakshaghata.
22) Sanskrit:
Sanskrit is the ancient language of India and the primary language of classical Ayurvedic texts. Understanding Ayurvedic principles requires proficiency in Sanskrit, as many core concepts, terminologies, and treatments are intricately woven into the language's structure and literature.
23) Samana (Shamana):
Shamana refers to the palliative treatment methods in Ayurveda designed to alleviate symptoms without necessarily curing the underlying disease. In the case study, Shamana Aushadhi plays a vital role in relieving symptoms of Pakshaghata, showcasing the holistic approach of Ayurveda.
24) Ayus (Ayush):
Ayush refers to the Ministry of AYUSH in India, which focuses on promoting traditional medicine systems, including Ayurveda. The involvement of AYUSH emphasizes the government’s support for integrating traditional practices into mainstream health care, especially in treating chronic conditions.
25) Nayar:
Nayar refers to Dr. Sharda Nayar, who is mentioned as an editor of some classical texts and works on Ayurveda. His contributions in refining and preserving Ayurvedic knowledge are significant for contemporary practices and studies.
26) Shri (Sri, Sr):
Shri is an honorific title in Sanskrit showing respect. When used before names like Dalhan, it signifies the reverence held towards individuals who have contributed significantly to Ayurvedic knowledge, reflecting the traditional respect for wisdom in this field.
27) Sign:
Sign refers to the clinical manifestations present in a patient that indicate the state of health or disease. Observing signs is crucial in Ayurveda to determine the nature and severity of conditions like Pakshaghata, guiding treatment decisions.
28) Pratishthana (Pratisthana, Pratishthan):
Pratishthan denotes the establishment or foundation in Sanskrit. In Ayurveda, this can refer to the fundamental principles that support the practice, especially regarding the treatment protocols and the institutional structures, which ensure knowledge transmission.
29) Vatadosha (Vatadosa, Vata-dosha):
Vatadosha denotes the air element governing movement and communication in the body. Understanding its significance is pivotal in Ayurveda as imbalances can lead to conditions such as Pakshaghata, necessitating targeted therapies to restore harmony.
30) Gorakshanatha (Goraksanatha, Gorakhanatha, Gorakhnath, Goraksha-natha, Gorakha-natha):
Gorakhnath is a revered figure in Indian yogic traditions and is known for his contributions to spiritual and therapeutic practices. His mention signifies the integration of spiritual and physical aspects in understanding health through Ayurveda.
31) Agnivesha (Agni-vesha, Agnivesa):
Agnivesha is an ancient Ayurvedic practitioner and author of the Charaka Samhita. His works significantly influence current Ayurvedic practices and principles, serving as a foundational reference for understanding diseases like Pakshaghata.
32) Shraddha (Sraddha):
Shraddha, referring to faith or devotion in Sanskrit, embodies the patient-practitioner trust and the belief in Ayurveda’s efficacy. This psychological aspect plays a notable role in patient recovery and engagement in treatment.
33) Samgraha (Sangraha):
Sangraha means collection or compilation, often referring to texts that organize Ayurvedic knowledge for practical application. The reference to Sangraha highlights the importance of structured knowledge in successfully treating and managing health conditions.
34) Prakopa:
Prakopa signifies the aggravation of doshas, particularly Vata, leading to the manifestation of diseases. Understanding this concept is crucial for practitioners to develop appropriate interventions aimed at pacifying vitiated doshas in conditions like Pakshaghata.
35) Edema (Oedema):
Oedema refers to the swelling caused by excess fluid in bodily tissues. In stroke patients, oedema can indicate brain injury severity and necessitate careful management strategies in Ayurvedic treatment to restore normal fluid balance and function.
36) Snayu:
Snayu translates to 'tendons' or 'nerves' in Ayurveda. Recognizing the role of Snayu in the body's movement and stability is essential for treating conditions like Pakshaghata, where nerve function and connection to muscles are critically affected.
37) Delhi:
Delhi, the capital of India, is significant in the context of Ayurveda as a central location for education, research, and governance of traditional medicine disciplines. It facilitates collaborations among practitioners and academics in advancing Ayurvedic medicine.
38) Table:
Table refers to structured data presentation used in research reporting. In the case study, tables summarize clinical data, treatment protocols, and outcomes, enhancing the clarity and comprehensibility of complex medical information.
39) Hara:
Hara denotes the action of destruction or reduction in Sanskrit, often applied in Ayurvedic discussions when outlining treatment goals for taming vitiated doshas. This concept emphasizes the balance required for health restoration.
40) Ruja:
Ruja translates to pain in Ayurveda. The context of Ruja within the case study illustrates how pain levels were measured and addressed, highlighting Ayurveda’s approach to symptom management in treating complex medical conditions.
41) Sira (Shira):
Sira refers to channels or blood vessels through which vital fluids circulate in the body. The health of the Sira is crucial in Ayurveda as it relates to overall well-being; blockages or imbalances can lead to severe conditions like Pakshaghata.
42) Line:
Line refers to the treatment pathway or protocol established in Ayurveda for managing specific ailments. The defined line of treatment for Pakshaghata in the case study shows structured approaches adopted by Ayurvedic practitioners for effective patient care.
43) Post:
Post refers to the follow-up stages in the treatment process. In Ayurvedic terms, the post-treatment phase is essential for monitoring patient progress and ensuring that the strategies implemented yield desired health improvements.
44) Ashtangasamgraha (Astangasamgraha, Astangasangraha, Ashtanga-samgraha, Ashtanga-sangraha, Ashtangasangraha):
Ashtanga-sangraha is one of the key texts in Ayurveda that systematically focuses on various aspects of health, treatment methodologies, and patient management. Its principles are highly relevant for understanding and treating conditions like Pakshaghata.
45) Siddhisthana (Siddhi-sthana):
Siddhi-sthana translates to 'the section of accomplishment' in Ayurveda. This chapter provides insights into successful treatment methodologies, emphasizing goals and results needed to achieve effective health outcomes, particularly in serious conditions like stroke.
46) Yogaratnakara (Yoga-ratnakara):
Yogaratnakara is an important Ayurvedic text that encompasses various medicinal practices. Its mention indicates the interrelation of yoga and Ayurvedic treatments, suggesting a comprehensive approach to health and recovery.
47) Sutrasthana (Sutra-sthana):
Sutra-sthana, also known as the 'chapter of sutras,' focuses on foundational guidelines and principles in Ayurvedic medicine. The texts here help both practitioners and patients understand underlying philosophies in managing health conditions.
48) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
Dhatukshaya refers to the depletion or deficiency of tissues in Ayurveda. This condition can lead to disorders and is essential in evaluating underlying factors contributing to diseases like Pakshaghata, emphasizing the need for rebuilding tissue health.
49) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha is one of the three doshas representing water and earth elements, influencing stability and immunity. In the treatment of Pakshaghata, managing Kapha through dietary and lifestyle changes is vital for restoring balance and promoting recovery.
50) Observation:
Observation involves closely monitoring the patient's response to treatments and clinical signs throughout the treatment process. This scrutiny is necessary for optimizing pharmacological or therapeutic adjustments to enhance patient care in Ayurveda.
51) Bhaishajya (Bhaisajya):
Bhaishajya means medicine or remedies in Sanskrit. This term underlines the focus on herbal and mineral-based treatments that form the core of Ayurvedic practice, particularly in managing complex diseases like Pakshaghata.
52) Vakstambha (Vak-stambha):
Vakstambha translates to speech disorders within the scope of Pakshaghata. The presence of this symptom emphasizes the comprehensive approach Ayurvedic practitioners must take in treatment, integrating both physical rehabilitation and communicative therapies.
53) Kaphavata (Kapha-vata):
Kapha-vata represents the dual imbalance of the two doshas, potentially leading to various disorders. Recognizing such co-morbidities in patients with Pakshaghata allows Ayurvedic practitioners to personalize and refine treatment strategies for improved health outcomes.
54) Discussion:
Discussion refers to the analytical examination and interpretation of treatment results provided in the case study. It contextualizes findings in relation to existing Ayurvedic literature, facilitating deeper understanding of treatment effectiveness and patient progress.
55) Parisheka (Pariseka):
Parisheka refers to a therapeutic pouring of medicated liquids on the body in Ayurveda, which is part of Panchakarma treatment. This technique is often utilized for improving circulation and alleviating stress, particularly beneficial for recovering from strokes.
56) Vatahara (Vata-ahara):
Vata-hara refers to therapies aimed at pacifying the Vata dosha. Such approaches are essential for alleviating symptoms in disorders like Pakshaghata, emphasizing the necessity of restoring dosha balance for effective treatment and recovery.
57) Suffering:
Suffering relates to the physical and psychological distress experienced by patients with conditions like Pakshaghata. Acknowledging the breadth of suffering informs holistic treatment plans in Ayurveda, aiming for comprehensive healing.
58) Stiffness:
Stiffness is a common symptom in conditions like Pakshaghata, indicating reduced mobility and discomfort. Addressing stiffness through Ayurvedic treatments like massage and oil therapies plays a crucial role in rehabilitating affected body parts.
59) Nivritti (Nivrtti):
Nivritti denotes the cessation or alleviation of symptoms or conditions in Ayurveda. This term highlights the desired goal of treatment plans for conditions like Pakshaghata, focusing on patient recovery and well-being.
60) Ashtanga (Astanga, Ashtan-anga):
Ashtanga refers to the eight branches of Ayurveda, encompassing a holistic view of health. Understanding the Ashtanga framework allows practitioners to adopt well-rounded approaches when treating complex conditions like Pakshaghata.
61) Language:
Language in this context refers to the communication and terminology used within Ayurveda. Proper understanding and articulation of Ayurvedic principles are essential for practitioners to convey treatment plans effectively to patients.
62) Ceshta (Cesta, Cheshtaa):
Cheshta refers to movement activities of the body, which are adversely affected in conditions like Pakshaghata. Assessing Cheshta levels is essential for determining the extent of functional impairment and guiding therapeutic interventions.
63) Siddhi:
Siddhi translates to success or accomplishment in Ayurvedic treatment. Success in achieving treatment goals for conditions like Pakshaghata is paramount, guiding practitioners to refine their approaches based on patient responses.
64) Mohini:
Mohini may refer to an author or contributor associated with Ayurvedic literature. Acknowledging contributions from various individuals highlights the collaborative nature of Ayurvedic knowledge evolution over time.
65) Vipaka:
Vipaka refers to the post-digestive effect of a substance in Ayurveda. Understanding Vipaka is essential for determining the long-term therapeutic actions of Aushadhis and guiding treatment choices in managing conditions like Pakshaghata.
66) Shosha (Sosa):
Shosha refers to the process of dehydration or depletion, often observed in chronic conditions. Acknowledging Shosha in the context of Pakshaghata emphasizes the importance of rehydrating and rebuilding tissues through Ayurvedic treatments.
67) Pitta:
Pitta is one of the three doshas in Ayurveda associated with fire and transformation. Its balance is crucial for metabolic processes, and understanding its role is important for managing conditions where multiple doshas may be involved.
68) Mitra:
Mitra may refer to a contributor in Ayurvedic knowledge or a specific text. Acknowledging such contributions illustrates the depth of expertise available for practicing and understanding Ayurveda today.
69) Sutra:
Sutra refers to a concise statement or rule within Ayurvedic texts that encapsulates essential wisdom. It forms the foundation for Ayurvedic principles and guides practitioners in the treatment process.
70) Karma (Karman):
Karma refers to action or a method of treatment in Ayurveda. Different Karmas are employed as therapeutic interventions, and understanding them ensures effective patient management and promotes healing within Ayurvedic frameworks.
71) Nasya (Nashya):
Nasya is a therapy in Ayurveda involving the administration of nasal treatments. It is often used for issues related to the upper respiratory system and neurological conditions, reflecting the holistic approach to treatment.
72) Taila (Thaila):
Taila refers to oils used in Ayurvedic treatments, which play a critical role in therapies aimed at pacifying Vata dosha and enhancing nourishment and circulation in the body.
73) Tikta:
Tikta is a flavor in Ayurveda that has bitter properties. Herbs with Tikta qualities are often utilized for their medicinal attributes, particularly in stabilizing dosha imbalances and supporting treatments for diseases like Pakshaghata.
74) Ushna (Usna):
Ushna refers to the qualities of heat in Ayurvedic medicine. Herbs with Ushna properties can stimulate metabolism and circulation, influencing treatment methods for various conditions, including those involving hemiplegia.
75) Gupta:
Gupta may refer to a practitioner or author in the Ayurvedic field. Acknowledging influential individuals underscores the collaborative and multifaceted nature of Ayurvedic practice, contributing to its evolution and application in contemporary health care.
[Note: The above list is limited to 75. Total glossary definitions available: 90]
Other Science Concepts:
Discover the significance of concepts within the article: ‘Role of ayurvedic treatment in patient of cva (hemiplegia) - a case study’. Further sources in the context of Science might help you critically compare this page with similair documents:
Clinical study, Ayurvedic Management, Clinical presentation, Panchakarma procedure, Cerebro vascular accident, Shamana Aushadhi, Vataj Nanatmaj Vyadhi, NIH Stroke Scale.