A Clinical Study on the Ayurvedic Management of Pakshaghata w.s.r Hemiplagia

Abstract

Hemiplegia and Bell’s palsy are neurological conditions commonly associated with vascular and metabolic disorders, particularly in patients with long-standing hypertension (HTN) and type 2 diabetes mellitus (DM). Conventional management provides partial relief, but Ayurveda, through Panchakarma and Shamana Chikitsa, offers promising holistic approaches targeting both systemic balance and neurological recovery. Methods: A 52 years old male patient with a history of HTN from 10 years and DM type 2 from 5 years, under regular medication, presented with right-sided hemiplegia and Bell’s palsy. Ayurvedic management was planned for 30 days, including Panchakarma procedures such as Virechana (therapeutic purgation), Snehana (oleation), Shirobasti (retention of medicated oil over the scalp), and Karma Basti (medicated enema for 30 days). Alongside, Shamana Chikitsa included administration of Maha Vata Vidwansa Rasa (250mg twice daily), Bala Moola Kwatha (decoction, 40ml twice daily), and Pippali Churna (3gm twice per day). Clinical evaluation was done before and after treatment based on muscle strength, facial deviation, speech clarity, and daily activity performance. Results: Significant improvement was observed in motor functions, with reduction of facial deviation and restoration of voluntary movements on the affected side. Speech became clearer, and the patient reported improved ability to perform daily activities. No adverse effects of the interventions were noted. Conclusion: The combined approach of Panchakarma and Shamana Chikitsa showed remarkable effectiveness in managing hemiplegia with associated Bell’s palsy in a patient with comorbid HTN and DM. This case suggests that Ayurvedic therapies, when appropriately administered, can serve as a beneficial adjunct in neurorehabilitation, warranting further clinical studies.