Clinical Management of Pakshaghat Through Ayurveda: Case Report.

Abstract

Pakshaghata is a major neurological disorder described in Ayurveda, characterized by the sudden loss of motor functions affecting one half of the body. It is often accompanied by associated symptoms such as speech disturbances, sensory impairment, stiffness, and pain. Clinically, Pakshaghata can be correlated with hemiplegia, which commonly occurs due to cerebrovascular accidents such as stroke. According to Ayurvedic principles, the primary causative factor in Pakshaghata is the vitiation of Vata dosha, which governs all neurological and motor activities in the body. Aggravation of Vata leads to impaired functioning of nerves and muscles, resulting in paralysis of one side of the body. In the present case, a patient presented with right-sided Pakshaghata, exhibiting difficulty in walking, stiffness of limbs, slurred speech, and reduced motor strength. The patient was managed with a comprehensive Ayurvedic treatment approach combining both Shodhana (purification) and Shamana (pacification) therapies. The treatment protocol included Basti Karma (medicated enema), which is considered the prime therapy for Vata disorders, along with Nasya Karma (nasal administration of medicated oils) to enhance neurological function and improve sensory and motor coordination. In addition, physiotherapy was incorporated to support muscle strength, improve mobility, and aid functional recovery. Assessment of the patient was carried out using both subjective and objective parameters. Subjective improvements were noted in walking ability, reduction in stiffness, clarity of speech, and decrease in pain. Objective evaluation showed improvement in muscle tone, reflexes, muscle power, and gait pattern. Following the course of treatment, the patient demonstrated significant recovery in both functional and clinical parameters.