Ayurvedic management of Pakshavadha : a case report
Keywords:
Pakshavadha, Shamana Aushadhi, Shodhana Chikitsa, Stroke, Vataja Nanatmaja VikaraAbstract
A stroke is characterised as a sudden onset of localised neurological impairment brought on by conditions affecting the cerebral vasculature and its contents. The incidence of stroke in India ranges from 105 to 152/100,000 persons per year, leading to long term disability in adults and the second leading cause of death worldwide. Hemiplegia can be correlated with Pakshaghata which is one among the Vataja Nanatmaja Vikara characterized by loss of movement or disability of one side of the body. Methodology: A 66-year-old male came with complaints of inability to move right upper and lower extremities, deviation of angle of mouth towards left side and slurring of speech, unable to walk, loss of balance and loss of coordination Observation & Results: With the help of Shodhana and Shamana Chikitsa there is significant improvement in walking, in speech and improved muscle power grade and there was also considerable improvement in VAS, NIH Stroke Scale, the Barthel Index scale and in cranial nerve examination. Discussion & Conclusion: The treatment was meticulously planned based on the patient's Vyadhi Sthana and Dosha Pradhanyata. The Samprapti includes Avarana, and Srotorodha, resulting in impaired motor and sensory functions. Panchakarma-especially Vaitarana Basti, Shirobasti, Abhyanga and Swedana plays a vital role in neuro-muscular rejuvenation and Shamana Aushadhi helps to reduce vitiated Vata and break the Samprapti. Patient shows significant improvement in functions of upper and lower extremity at the end of treatment. Hence, Pakshavadhata can be effectively managed through a multidimensional Ayurvedic approach.
References
1. Kuriakose, D., & Xiao, Z. (2020). Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives. International journal of molecular sciences, 21(20), 7609. https://doi.org/10.3390/ijms21207609
2. Musuka T.D., Wilton S.B., Traboulsi M., Hill M.D. Diagnosis and management of acute ischemic stroke: Speed is critical. CMAJ. 2015;187:887–893. doi: 10.1503/cmaj.140355.
3. Broughton B.R., Reutens D.C., Sobey C.G. Apoptotic mechanisms after cerebral ischemia. Stroke. 2009;40:e331–e339. doi: 10.1161/STROKEAHA.108.531632.
4. Kuriakose, D., & Xiao, Z. (2020). Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives. International journal of molecular sciences, 21(20), 7609. https://doi.org/10.3390/ijms21207609
5. Kamalakannan, S., Gudlavalleti, A. S. V., Gudlavalleti, V. S. M., Goenka, S., & Kuper, H. (2017). Incidence & prevalence of stroke in India: A systematic review. The Indian journal of medical research, 146(2), 175–185. https://doi.org/10.4103/ijmr.IJMR_516_15
6. Garde G.K (2015), Vaghbhatsamhita, Chakhamba Surbharti Publication, Varanasi Nidan sthana Adhyaya 15/38-39 page no 211
7. Acharya YT. Charaka Samhita with Ayurveda Dipika commentary of Chakrapani Datta. Chikitsa Sthana. Reprint ed. Varanasi (India): Chaukambha Orientalia, 2011; 617: 28-18.
8. Acharya YT. Charaka Samhita with Ayurveda Dipika commentary of Chakrapani Datta. Chikitsa Sthana. Reprint ed. Varanasi (India): Chaukambha Orientalia, 2011; 619: 28-53.
9. Wade S. Smith, S. Clariborne Johnston, J. Claude Hemiphill, III Harrison’s principal of internal medicine chapter, 19, 446: 2559.]
10. Charak: (2014): A Textbook entitled Charak Samhita, edited by Kale V.S, Chaukhamba Sanskrit Publication, Delhi. Chikitsasthana Adhyaya 3/202,Pg.no. 98
11. Mohan M, Sawarkar P. Ayurvedic management of Gridhrasi with special respect to sciatica: a case report. J Indian Sys Medicine 2019;7:131-8.
12. Sanjay Srivastava, Sakshi Gupta. A successful Ayurvedic intervention of Pakshaghata (Cerebro-Vascular Stroke) -A Case Report. J Ayurveda Integr Med Sci 2023;07:188-192.http://dx.doi.org/10.21760/jaims.8.7.36
13. Dr. Tushar Suresh Punse: Efficasy Of Vaitarana Basti In The Management Of Pakshaghata: A Pilot Study. International Ayurvedic medical Journal {online} 2016 {cited 2016 July} Available from: http://www.iamj.in/posts/images/upload/1166_1172.pdf
14. Bhau T, Kale S, Pamnani GC, Soni RK, Shirobasti: AComprehensive Review of an Ayurvedic TherapeuticProcedure. J Ayu Int Med Sci. 2025;10(8):36-41.Available Fromhttps://jaims.in/jaims/article/view/4519
15. Shah HM, Karve M, Ayurvedic Intervention for Vatakantak with special reference to Plantar Fasciitis: A Case Study. J Ayu Int Med Sci. 2024;9(9):321-325.Available From https://jaims.in/jaims/article/view/3838
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2026 Ayurline: International Journal of Research in Indian Medicine
This work is licensed under a Creative Commons Attribution 4.0 International License.
I Â declare (on behalf of me and my co-authors) that the submitted manuscript titled has not previously been published and is not currently being considered elsewhere for publication in another journal and that I am (we are) the sole owner(s) of the manuscript thereof and of all rights, title, and interest therein. All agreed to the terms and conditions, Privacy Policy, which is declared on Journal Website http://www.ayurline.in and online filled (uploaded) form.
Please read following declaration cum Agreement Carefully.:
I declare (on behalf of me and my co-authors) that the submitted manuscript titled has not previously been published and is not currently being considered elsewhere for publication in another journal and that I am (we are) the sole owner(s) of the manuscript thereof and of all rights, title, and interest therein.
I (We) agree (on behalf of me and my co-authors) to the following:
1- I (we) hereby assign to the publisher of the journal. Ayurline: International Journal of Research in Indian Medicine (IJ-RIM) the right to (Electronically and print) publish on website www.ayurline.in and distribute the said manuscript and to create a derivative print work from the said manuscript. The assignment shall be effective so long as the manuscript is available on online networks.
2- I (we) shall remain the owner of the copyright in said manuscript. I (we) may publish the manuscript in any other journal or medium but such publication must include the notice that the manuscript was first published by Ayurline: International Journal of Research in Indian Medicine (IJ-RIM) Journals including reference to the corresponding issue.
3- I (we) agree to hold the publisher of the Journal, Ayurline: International Journal of Research in Indian Medicine (IJ-RIM) harmless for any unauthorized use of the paper by the journal subscribers.
4- I (we) confirm that I (we) have obtained all the necessary all permissions to include in the paper items such as quotations, figures, and the results of government-sponsored research/private or individual publishers/owners.
5- I (we) enclose where necessary written permission of authors and publishers to use any copyright material (previously published figures and tables).
6- I (we) confirm that after the publication of my (our) manuscript in Ayurline: International Journal of Research in Indian Medicine (IJ-RIM), the publisher has the sole authority of the paper/Research Article. The publisher has the authority to use the content of the whole paper or part of it, in an edited book, or other mediums or withdraw (unpublish) the article without the permission of authors.
8- If I / We found victims of plagiarism, (e.g. text, images, videos etc.) I/ We sole responsible for such legal matters. I/We also declared that the Chief Editor/Publisher, Editorial Board of this Ayurline: International Journal of Research in Indian Medicine (IJ-RIM) Journal does not have any responsibility for plagiarism. Publisher shall not become any party in any legal matter and if any case is filed in court against plagiarisms or any copyright-related issues all expenses/Penalties should be paid/borne by me/we (Authors). I shall be obliged to pay all the costs of the court case if any happened in future.
7 -I voluntarily agreed to pay the necessary non-refundable evaluation fees of the my article, which are not the publication Charges.
8 - All disputes subject to Kurla, Mumbai court jurisdiction. This Copyright Licensing Agreement comes into force the day of sending this completed electronic form.
