Reversal of Functional Disability in Chronic Inflammatory Demyelinating Polyneuropathy Through Ayurvedic Intervention

Abstract

Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is an immune-mediated demyelinating neuropathy characterized by progressive motor weakness, sensory deficits, and diminished reflexes, often leading to severe functional disability. The present case highlights the role of Ayurvedic management in neurological rehabilitation of CIDP. A 42-year-old male presented with progressive weakness of all four limbs, reduced superficial and deep sensations, and diminished tendon reflexes for three months. The patient had gradually become bedridden with near-complete loss of voluntary movements and dependence for routine activities. Based on clinical features, the condition was correlated to Vatavyadhi involving Avarana leading to Dhatu Kshaya, resulting in impaired neuromuscular conduction and degeneration. The patient underwent a structured Ayurvedic treatment protocol for six months comprising Snehana, Swedana and Yapana Basti along with Rasayana and supportive physiotherapy. These interventions were aimed at alleviating obstructed Vata, nourishing depleted tissues, improving functional integrity of nerves and muscles, and enhancing mobility. Marked clinical improvement was observed following treatment. The patient, who was initially bedridden without significant limb movements, gradually regained motor strength, sensory perception, and functional independence, ultimately achieving independent ambulation. This case demonstrates the potential of integrative Ayurvedic approaches in restoring functional capacity and improving quality of life in CIDP patients.