Healing of Mind Stroke: Ayurvedic Management of Post Stroke Depression (PSD)

Abstract

Stroke, a major neurological condition is frequently linked to long-term neuropsychiatric complications, one of which is post-stroke depression (PSD), which severely hinders recovery and quality of life. The 54-year-old male patient in this case study experienced depressive symptoms after suffering a cerebrovascular accident that left him with right-sided hemiplegia. Following initial neurological stabilization, the patient showed signs of functional dependency, decreased appetite, poor sleep, hopelessness, irritability, and passive suicidal ideation. Severe depression was confirmed by clinical evaluation using the Hamilton Depression Rating Scale (HAM-D) and Mental Status Examination. According to Ayurveda, the illness was seen as an expression of Pakshaghata associated to Avasada. Samshodhana therapies (Sarvanga Abhyanga, Swedana, Matra Basti, and Shirodhara), Shamana Aushadhi (Kalyanaka Ghrita, Manasmitra Vatakam, Unmadagaja Kesari Rasa, Brihat Vata Chintamani Rasa), and Satvavajaya Chikitsa (reassurance and supportive psychotherapy) were used to treat the patient. After 15 days of treatment, there was a noticeable improvement, with the Barthel Index rising from 35 to 80 and the HAM-D score falling from 50 to 11, indicating improved psychological well-being and functional independence. This case demonstrates on how a complete Ayurvedic management plan can help with both the physical and emotional aspects of post-stroke depression (PSD).