Résumé
Cerebral palsy is a group of permanent, non-progressive motor impairment syndromes secondary to lesions or anomalies of the brain arising in the early stages of its development. It has a high prevalence rate of 2- 3 per 1000 children. Among the various types, spastic cerebral palsy remains the most common, affecting about 61% of all people with cerebral palsy. In Ayurveda, this could be taken as a Vata predominant condition and included as Sarvangavata. Vatavyadhi treatment like Snehana, Swedana, Shodana and Brimhana, along with supportive therapies could give wonderful results. An 8 ½-year-old boy, a known case of post meningeal hydrocephalus with spastic cerebral palsy was treated in the In-Patient Department of Government Ayurveda College, Thiruvananthapuram. He was treated based on the principle of Vatavyadhi chikitsa with various Ayurvedic medicines internally and appropriate Panchakarma procedures, along with physiotherapy and speech therapy. He has been assessed before and after the treatment using the Modified Ashworth Scale and Barthel Index, and noticeable improvement has been got. Here spastic cerebral palsy was managed solely using Ayurveda medicines, the apt Panchakarma procedures and supportive therapies. Significant improvements in the quality of life of the child was seen. Ayurveda treatments along with supportive therapies are highly effective in managing spastic cerebral palsy, thereby imparting a better standard of living.
Résumé
Stroke is one among such diseases which needs immediate care and attention as it causes death and disabilities in the person, hence considered as a major burden in developing countries like India. The estimated adjusted prevalence rate of stroke in India ranges from 84-262/1,00,000 in rural and 334-424/1,00,000 in urban areas. The incidence rate is 119-145/1,00,000 based on the recent population-based study. The nearest clinical entity for stroke is Pakshaghata. Methodology: A 51yrs old male patient who is a known case of DM since 6years under regular medication approached to OPD of SKAMCH & RC Bangalore, with a Lakshana of loss of function, sensation, speech etc where mainly right half of the body was affected. Based on the clinical presentation and Ayurvedic parameters, the condition was diagnosed as Pakshaghata with special reference to ischemic stroke with possible multiple lacunar infarcts and Chikitsa was adopted keeping Dhatukshayajanya pathology as base. The treatment such as Sarvanga Abhyanga, Sarvanga Nadi swda, Sarvanga shashtika shali pinda sweda and Basti with oral medications like Suvarna sameerapannaga rasa, Vidaryadi Kashaya, ashtavarga Kashaya, balarishta and Cap. Palsineuron were prescribed. Result: There were drastic improvements seen in the Lakshanas. Overall fruitful result was achieved even follow up were maintained. Discussion: This article is a discussion about a case of ischemic stroke of brain which was successfully treated with Ayurvedic approach. The disease Pakshaghata with its Lakshanas, Nidana, Samprapti, Sampraptivighatana of Chikitsa given, along with the approach to conclude its possible modern co-relation as Ischemic stroke of brain were the main points Sampraptivighatana, chikitsa given, consideration. Conclusion: The above-described sets of Panchakarma treatment along with Shamanoushadhi has shown significant result clinically with speedy recovery within a month in the patient in the present study.
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The most common joint condition encountered in clinical practice is osteoarthritis (OA) of the knee, which is a primary source of impairment in the elderly. It is a multifactorial chronic degenerative condition characterised by loss of articular cartilage, enlargement of bone at the borders, subchondral sclerosis, and a variety of biochemical and morphological changes to the synovial membrane and joint capsule. OA clinically similar to Sandhigatavāta of Ayurveda is one of the eighty types of Nānātmaja Vātavyādhi. The aetiopathogenesis, symptoms, and treatment of Sandhigatavāta found in a very concise format in classical texts. The authors have tried to put an emphasis on OA related to its prevalence, aetiology and pathogenesis based on Sadkriyākāla along with management by incorporating the knowledge of literary and data base resources in order to establish a guideline for the rational use of treatment modalities. The present approach may be useful for clinicians and researchers to plan appropriate strategy of management and research in the field of OA
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Wilson's disease betides due to mutation in ATP-7B that leads to snagging in copper transport by the hepatic lysosomes resulted in the deposition of copper in the brain, liver, kidney or skeletal system. The symptoms are jaundice, edema in legs, ascites, Kayser-Fleischer rings, dysarthria, dysphagia, ataxia, dyskinesia, and muscle spasticity. Current therapeutic modalities for the management of Wilson's disease include zinc, trientine, penicillamine and ammonium tetrathiomolybdate. A 12 year old child diagnosed with Wilson's disease came with complaints of inability to speak, difficulty in swallowing and generalized stiffness for 6 months. His investigations showed SGPT 43 U/L, Ceruloplasmin 0.03 g/L, urine copper level 225.03 μg per 24 h, a chronic parenchymal disease in the liver and splenomegaly. According to Ayurveda, this case of generalized stiffness with hepatomegaly and splenomegaly was correlated with Agnimandya at the Dhatu level that led to Vatavyadhi, Yakrutodara, and Plihodara. The treatment mentioned for Vatavyadhi is Snehana (oleation), MruduSwedana (mild sudation), Anuvasana Basti (oil enema) and for Yakrutodara and Plihodara is Niruha Basti (Decoction Enema) and Anuvasana Basti (oil enema). The case was treated with Abhyanga, Swedana, Basti and oral medication. After treatment, the symptoms were reduced and he was able to extend both lower limbs completely. His urinary copper level came to normal (47.01 μg per 24 h), so, it can be concluded that the Ayurvedic approach and diet modifications in such patients may help in providing supportive care and improving the quality of life.
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Guillain-Barre syndrome (GBS) is a severe acute paralytic neuropathy with rapid progression usuallyoccurring post infections. Inspite of the active medications it is associated with severe weakness,incomplete recovery and pain. Long disease course can cause autonomic dysfunction or deterioration ingeneral health and life threatening complications like respiratory failures. Current case was diagnosed asGBS with motor, sensory & sphincter disturbance. Ayurveda diagnosis of Sarvangavata was made andcustomized treatment strategy was planned. First part of Kapha pitta samrushtavata (Vatadosha associated with Kapha and Pitta dosha) and then vatahara chikitsa were followed. Treatments were Koshtashodhana (gut cleansing), Abhyanga (massage of whole body with medicated oil), Ksheera parisheka(dripping of medicated milk over body), Shastikashali panda sweda (Rubbing of medicated rice poulticeover body), Anna lepa (application of medicated rice over the body), Shirotalam (trans cranial drugadministration by applying medicines over scalp), Basti (trans rectal administration of medicines) andOral medicaments. Panchakarma treatments were for 14 days followed by oral medications for next 151days. Intervention period of 165 days showed complete recovery of all the motor, sensory & sphincterdeficits however follow up of the patient was maintained for 437 days looking in to the sustainability ofthe outcomes.© 2018 Transdisciplinary University, Bangalore and World Ayurveda Foundation. Publishing Services byElsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Résumé
Gridhrasi or sciatica in modern language is one the common condition of loco motor system disorder; it is a pain dominant disease and reduces human activity. In Ayurveda texts it comes under Vatavyadhi. Aim: To successfully manage acute case of sciatica through Panchakarma treatment. Materials and Methods- An acute case of sciatica was taken under consideration and was given Panchakarma therapies like Kati Basti, Abhyanga, Matra Basti for 23 days. Results and conclusion: The patient got 83.3% improvement in SLR test and nerve discomfort. It was noted that Panchakarma therapy is highly effective in treating acute cases of sciatica.
Résumé
Musculoskeletal conditions affect people of all age groups in all regions of the world. According to the Global burden disease report, musculoskeletal disorders are an increasing healthcare issue and have become the second most common cause of disability. Musculoskeletal conditions are characterized by pain, limitations in mobility, dexterity and functional ability which restrict a person’s ability to work and participate in society which in turn affects mental well being as well. According to the data by WHO 20-30% of people across the globe live with a painful musculoskeletal conditions. Pain and restricted mobility are the main features in MSD and the drugs used in contemporary medicine are analgesics, NSAIDS, DMARDS, corticosteroids etc. which are associated with long term adverse-effects. In Ayurveda Classics MSD’s can be related with the various diseases described under Vatavyadhi. Basti is the best line of treatment for treating all types of Vataja disorders. By reviewing the classical texts, it is understood that the Basti reaches in Pakawashaya and from there works on all the organs by virtue of the Virya (~potency) present in Basti dravyas. In this article an attempt has been made to explain effect of Basti chikitsa in the management of musculoskeletal disorders through analysis of various researches performed. Also various research papers available through Pub med, Google scholar, Wikipedia and websites has been compiled in this articles which can be practiced in daily basis that will lead to betterment of the patient’s conditions.
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Background: Large numbers of population suffer from the low back-pain. Prevalence increases linearly from third decade of life on, until the 60 years of age, being more prevalent in woman. Sciatica most commonly occurs when a herniated disk, bone spur on the spine or narrowing of the spine (spinal stenosis) compresses part of the nerve. It is commonly occurs due to the compression of lumbar nerves L4 or L5 or sacral nerves S1, S2 or S3 or by the compression of the sciatic nerve itself. This causes inflammation, pain and often some numbness in the affected leg. Gridhrasi is the one amongst the 80 types of Nanatmaja disorders of Vatavyadhi, It starts from Kati- prishta (pelvic region and Lumbosacral) radiating to Jangha (thigh) and Pada (feet) with impairment of lifting the leg. The gait of the person is very similar to vulture (Gridhra) hence the name is given as Gridharsi. Material and Method: A case controlled clinical study on a known case of Gridharsi has been done in All India Institute of Ayurveda Hospital. The treatment was planned on the basis of principles of Ayurveda mentioned in the context of Gridharsi including Erand-mooladi basti and oral medications. Result: after the whole course of treatment, patient got 70% relief in all sign and symptoms and changes in gait limping gait to normal gait. Conclusion: It can be concluded that Erand-mooladi basti and oral medications is more effective in Gridhrasi management.
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Cerebral Palsy is a neurological disorder that affects a child抯 movement, motor skill and muscle tone. The present case is of a patient having Spastic diplegic Cerebral Palsy which was successfully managed with Panchakarma treatment. A four year old boy complaint of global developmental delay with predominantly gross developmental delay, can抰 feed himself, unable to sit without support, does not roll over, has age appropriate non-verbal communication was treated with Panchakarma procedures. The Ayurvedic diagnosis of the case was Shiro-Marmabhighatajsankochajanyavatavyadhi. We have formulated an Panchakarma therapy protocol to improve the condition of spastic diplegic CP patients. Result was observed in the form of GMFCS Level and significant changes in investigations.
Résumé
Introduction: Gridhrasi is a condition characterized by Ruk, Toda, Stambha, Spandana in Sphik pradesha and radiates downwards to Kati, Prusta, Uru, Janu, Jangha and Pada. Gridhrasi can be compared with Sciatica. Siravyadhais the major line of treatment mentioned in Ayurveda classical texts. Case study: A female patient aged 35 years; presenting with cardinal clinical signs and symptoms of Gridhrasi visited OPD with history of eight years and worsen in last two days. She was examined thoroughly and detailed history of illness was recorded. She was treated with Siravyadha atantara kandara gulpha sandhi by following proper Purva, Pradhana and Paschyat karma. Observation and Result: patient got relief in subjective parameters i.e. Ruk and Stambha. There was marked improvement in SLR test, mild improvement in Rt. Lateral Flexion and Backward extension of lumbar spine Movement. Forward Flexion and Lt. Lateral flexion of lumbar spine Movement remained unchanged. Conclusion: Siravyadha is administered in Tridoshadushti and Sarvangagatadushti. In Ghridrasi, Rakta and Kandara are Dushya and Vyana vata is major Dosha. Siravyadha corrects these imbalances by letting out the vitiated blood. The procedure was simple, economical and can be done in OPD level. It gives immediate relief of pain and stiffness.